POPULARITY
Categories
Send us a textWhat happens when a postpartum provider becomes the patient?In this deeply personal and powerful episode, Miranda shares—for the first time ever—her lived experience with postpartum bipolar disorder. This isn't a conversation wrapped in statistics and clinical jargon. It's raw, it's unfiltered, and it's the story behind why she created the postpartum healing framework that has now supported thousands of women.If you've ever worked with a mother whose emotional shifts feel like more than “just the baby blues,” or if you're a provider seeking to understand the depths of postpartum mental health from the inside out, this is the episode you need to hear. We're talking about misdiagnosis, trauma, gut health, sleep deprivation, and how one woman's fight for her life became a movement for maternal care reform.Check out this episode on the blog: https://postpartumu.com/podcast/my-personal-battle-with-postpartum-bipolar-disorder-ep-214/00:00 – The silence and stigma around postpartum bipolar disorder 03:07 – Birth reflections and emotional shifts begin 05:56 – Support systems break down: Meal train, family, and overwhelm 08:10 – Chaos of postpartum: Alone w/ 3 kids, house construction, a puppy 09:23 – When darkness creeps in: Resentment, despair, intrusive thoughts 10:24 – Rapid mood cycling: Chipper days followed by terrifying lows 11:26 – The physical toll: Colitis, exhaustion, hair loss 13:19 – The diagnosis: “You have postpartum bipolar” 15:09 – Mania and clarity: Using the highs to plan for the lows 16:58 – The internal struggle: Knowing better but not doing better 18:43 – Nutrition as medicine: Grocery lists, meal planning, supplementing 20:12 – Prioritizing sleep: Hard conversations with her partner 22:29 – Finding what works: Each child's unique sleep needs 23:29 – Delegating and support: What helped lighten the load 24:48 – Breathwork, journaling, and nervous system regulation 26:04 – Recovery: Symptoms gone in three weeks—no meds, no relapses 27:00 – How her experience became the foundation of her method 27:50 – Why this story has remained untold—until now 29:24 – The call for nuanced, honest postpartum careNEXT STEPS:
Welcome to episode 278 of the Löw Tide Böyz - A Swimrun Podcast!ÖTILLÖ Catalina 2025 took place this past weekend and what a weekend it was! Five years after the first edition, the event made a triumphant return to kick off the ÖTILLÖ USA Swimrun season. In this episode, we share all the details about our amazing weekend on Catalina Island and share Chipper and Will Ramsey's report of their race. Spoiler alert: vibes were high all weekend and Chipper and Will had an awesome race!Enjoy!~~~That's it for this week's show. If you are enjoying the Löw Tide Böyz, be sure to subscribe to the show on your favorite podcast player and leave us a five-star rating and review since that's the best way for people to discover the show and the sport of Swimrun. You can find us on Apple Podcast, Spotify, and on YouTube. Check out our website for Swimrun resources including gear guides, tips, how-to videos and so much more. Also make sure to check out our meme page @thelowtideboyz on Instagram. If you have any suggestions for the show or questions for us, send us a dm or an email at lowtideboyz@gmail.com. Finally, you can support our efforts on Patreon…if you feel so inclined.Thanks for listening and see you out there!- Chip and Chris
Chipper in Stony Point called Mark to ask him about the matrix surveying republicans, is it true? Kim in Connecticut calls Mark to let him know how Connecticut doesn't really have a voice in her state.
Chipper in Stony Point called Mark to ask him about the matrix surveying republicans, is it true? Kim in Connecticut calls Mark to let him know how Connecticut doesn't really have a voice in her state. See omnystudio.com/listener for privacy information.
This is the All Local 4pm update for April 24, 2025
"Hourglass"For Time-21 Burpees; Lateral over Bar-15 Calorie Row-9 Clean 205/135lb-15 Calorie Row-21 Burpees; Lateral over Bar» View the Video Version: https://youtu.be/E7ndHvEq2I0» Hire a Coach: https://zoarfitness.com/coach/» Shop Programs: https://www.zoarfitness.com/product-category/downloads/» Follow ZOAR Fitness on Instagram: https://www.instagram.com/zoarfitness/Support the show
HR2 - Six man rotation is good for keeping guys fresh, but puts stress on pitching depth In hour two Mike and Beau let you hear Atlanta Braves' General Manager talk about how the Braves are going to try and stick with a five man pitching rotation, what Spencer Strider's timetable is to return back to the big league club, and react to what Anthopoulos had to say. The guys also let you hear Hall of Famer and former Braves' third baseman Chipper Jones talk about how the Braves just need to focus on staying healthy for 162 games this season, and react to what Chipper had to say as well. Mike and Beau continue hour two by reacting to the latest news, rumors, and reports in the NFL as they go In The Huddle, preview the Sweet 16 starting tonight, explain why NCAA Tournament games shouldn't be played in football stadiums , and dive into the life of Mike Johnson and get Mike'd Up!
Ruby & Space read fan emails for our Winter/Spring edition. As mentioned from a fan email from Chipper, we have included a link for you all to click on to view some visuals from the emails sent into us.Episode Visuals: https://trello.com/b/y4KUO0CP/fangasms-winter-spring-editionParents of Furries (June 2013): https://tinyurl.com/39f3ze8wWhat is a Furry - FurScience: https://tinyurl.com/2w6t7u7yWhat is a Furry - Anthrocon: https://tinyurl.com/yc3fx38yProtogen's Episode: https://tinyurl.com/wevn9p3sProtogen Links:Protogen Dream Studios: https://tinyurl.com/3raj4ds5Jting-F Youtube: https://www.youtube.com/@jting-f3237Send us an email: TalkToTheMuzzle@gmail.comFollow Our BlueSky: https://bsky.app/profile/fromthemuzzle.bsky.socialJoin Our Telegram Group: https://t.me/StraightFromTheMuzzleIntro & Outro music was created by Rare Ear Candy.Follow Rare Ear Candy:Twitter: https://x.com/rare_ear_candyYouTube: https://www.youtube.com/@RareEarCandy
Trap Talk Reptile Network Presents Ep. 613New Breeder On The Block w/ Miguel of Perfectly Engineered Reptiles JOIN TRAP TALK FAM HERE: https://bit.ly/311x4gxFOLLOW & SUPPORT THE GUEST: / perfectly_engineered_reptiles TRAP TALK CO-HOST: / villarino_reptiles_ SUPPORT USARK: https://usark.org/MORPH MARKET STORE: https://www.morphmarket.com/stores/ex...SUBSCRIBE TO THE TRAP TALK NETWORK: https://bit.ly/39kZBkZSUBSCRIBE TO TRAP TALK CLIPS: / @traptalkclips SUBSCRIBE TO THE TRAP VLOGS:https://www.youtube.com/channel/UCKxL...SUPPORT USARK: https://usark.org/memberships/Follow On IG: The Trap Exotics https://bit.ly/3hthAZuTrap Talk Reptile Podcast https://bit.ly/2WLXL7w Listen On Apple:Trap Talk With MJ https://bit.ly/2CVW9Bd Unfiltered Reptiles Podcast https://bit.ly/3jySnhV Listen On Spotify:Trap Talk With MJ https://bit.ly/2WMcKOO Unfiltered Reptiles Podcast https://bit.ly/2ZQ2JCbTrap Talk Reptile Podcast Sponsors:MARC BAILEY REPTILES https://www.morphmarket.com/stores/ma...THE CHIPPER COCO https://cocodude.com/SUNDOWN REPTILEShttps://www.sundownreptiles.com/BLAKES EXOTIC FEEDERS / blakesexoticfeeders TX CHONDROShttps://www.texaschondros.com/FOCUS CUBED HABITAT / focuscubedhabitats GS REPTILES / gs.reptiles / @gsreptiles5606 JUGGERNAUT REPTILES / juggernautreptiles / @juggernautreptiles RARE GENETICS INChttps://www.raregeneticsinc.com/ / raregeneticsinc / @raregeneticsinc8166 CLTCHhttps://cltch.io/ / cltch THE REPTILE SUPER SHOWhttps://reptilesupershow.com/#fyp #reptiles #coolestreptilepodcastintheworld
Chipper churches leave no lasting impression on the world. The greatest gift we have to give is indomitable joy in Jesus in the midst of suffering and sorrow.
Nick is joined by ITV and Sky broadcaster Matt Chapman to take a Friday canter around the racing world. Guests today include Michael Buckley, who is relaxed in conversation with Nick as Constitution Hill begins his build up towards regaining his Champion Hurdle crown. Also on today's show, ARC Regional Director Phil Bell - responsible for two of the Welsh racecourses - offers reassurance as regards relations with the Senedd on the back of the proposed greyhound ban. Plus, in Riyadh, Nick talks to Kenny McPeek about Saudi Cup hopeful Rattle 'N Roll as well as his likely Epsom Derby contender, plans to bring Kentucky Derby hero Mystik Dan to Royal Ascot, and the reappearance of Thorpedo Anna. Naohiro Goda has the lowdown on the Japanese challenge, while HBA's Frank Sale spins through TV options for the worldwide audience. Nick and Matt also have plenty of chat on the UK action this weekend.
With the start of free agency just a few weeks away, there are a number of roster holes that Seattle Seahawks general manager John Schneider may look to fill in free agency in advance of the NFL draft. Never one to be known to spend freely on outside talent, Schneider said recently he "may have to" in order to fill some of their biggest needs. In this episode, I'll highlight a few crucial spots that need bolstering, and give you examples of high-end options for each, as well as bargain-basement choices. You tell ME which ones you prefer? SUBSCRIBE TO THE NEW NFL DRAFT CHANNEL “The Pick Is In!” with myself and Bryce Coutts of the Hawkzone Rundown - launching late January 2025. https://www.youtube.com/channel/UCJBnG_xl6LAMK4J3V-zayDA Thank you to our sponsor DUER!! “Built for DOING!” Get 20% off your order with DUER, active denim and lifestyle apparel at www.shopduer.com/FOREVER Sign up for a new account with BetUS and they'll give you 150% sign-up bonus on your first deposit, and 125% on your 2nd and 3rd deposits if you use promo code YouTube150 Here's how you can support the Seahawks Forever channel: SUBSCRIBE to the YouTube Channel for video versions: https://www.youtube.com/channel/UCKP7ohrtTc8P0a4YIBUTfdg Buy me a coffee, or a beer! https://www.buymeacoffee.com/dviens08w Learn more about your ad choices. Visit podcastchoices.com/adchoices
Nick is joined by ITV and Sky broadcaster Matt Chapman to take a Friday canter around the racing world. Guests today include Michael Buckley, who is relaxed in conversation with Nick as Constitution Hill begins his build up towards regaining his Champion Hurdle crown. Also on today's show, ARC Regional Director Phil Bell - responsible for two of the Welsh racecourses - offers reassurance as regards relations with the Welsh Assembly on the back of the proposed greyhound ban. Plus, in Riyadh, Nick talks to Kenny McPeek about Saudi Cup hopeful Rattle 'N Roll as well as his likely Epsom Derby contender, plans to bring Kentucky Derby hero Mystik Dan to Royal Ascot, and the reappearance of Thorpedo Anna. Naohiro Goda has the lowdown on the Japanese challenge, while HBA's Frank Sale spins through TV options for the worldwide audience. Nick and Matt also have plenty of chat on the UK action this weekend.
A federal judge has temporarily blocked the Trump administration from sidelining thousands of USAID employees in a sweeping effort to shrink the agency. Trump calls it a corrupt money pit, Musk says they're “feeding it into the wood chipper,” but unions argue it's an illegal attack on global aid efforts. The fight over USAID's future is just getting started.
The man, the myth, the legend - Chipper Jones joins us to talk all things hitting, playing for the Braves, Bobby Cox, Internet Trolls, and his Hall of Fame career. Plus, Casey & Chipper break down their approaches at the plate and dive into a way to make sure the right guys are getting into the Hall of Fame. You don't wanna miss this one! Full Video Broadcast: https://youtu.be/hQIt12C56ag https://bleav.com/
"The 7 Things You Should Be Talking About"...Trump ticking off the left...Chipper-gate..."10 with Them".See omnystudio.com/listener for privacy information.
Fitness as a new parent. Assigned load vs % load. "Death By" style workouts. Rest periods for interval training. Chipper style high volume workouts. Air Bike vs Rower Fitness in your late 40's. An unhealthy addiction to fitness
Steve Gruber discusses news and headlines
PJ chats about who might take over the Jackie Lennox premises, asks how you power your house with juice from an EV battery in an emergency, debates whether female hygiene ads make fun of women's bodies. And more... Hosted on Acast. See acast.com/privacy for more information.
PJ chats with Brian Lennox and asks listeners who should take it over? Hosted on Acast. See acast.com/privacy for more information.
(00:00-17:40) Jamie Rivers joins the show. Technology and stuff. Scoreboard watching mode. Lots of teams still in the playoff race. Need to put together a run at some point. Nachos on the ice. Blues Hall of Fame induction on Friday. Was Doug a birdwatcher?(17:49-33:00) Sure, we're superstars, sure we are. Audio of Oli Marmol answering a kid's question at WWU. Cardinals financials. Tough to calculate the fans' decreased interest. More anger or apathy in the market? (33:10-43:57) Quick Khalil Greene update. TMA Walrus Number One is on the phone lines giving his report from the Winter Warm Up. Fixing the JeffCo stench. Refresh, refresh, refresh. Talkin' ball with Claibs. Chipper chicken not so chipper anymore. Learn more about your ad choices. Visit podcastchoices.com/adchoicesSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
(00:00-17:40) Jamie Rivers joins the show. Technology and stuff. Scoreboard watching mode. Lots of teams still in the playoff race. Need to put together a run at some point. Nachos on the ice. Blues Hall of Fame induction on Friday. Was Doug a birdwatcher? (17:49-33:00) Sure, we're superstars, sure we are. Audio of Oli Marmol answering a kid's question at WWU. Cardinals financials. Tough to calculate the fans' decreased interest. More anger or apathy in the market? (33:10-43:57) Quick Khalil Greene update. TMA Walrus Number One is on the phone lines giving his report from the Winter Warm Up. Fixing the JeffCo stench. Refresh, refresh, refresh. Talkin' ball with Claibs. Chipper chicken not so chipper anymore. Learn more about your ad choices. Visit podcastchoices.com/adchoices
Andrew Jones snubbed again, Chipper jones calls out HOF voting, NFL covering for KC Chiefs, and more See omnystudio.com/listener for privacy information.
Andrew Jones snubbed again, Chipper jones calls out HOF voting, NFL covering for KC Chiefs, and more Atlanta's ONLY All Conservative News & Talk Station.: https://www.xtra1063.com/See omnystudio.com/listener for privacy information.
Alvin and I wrap up this interview with more business talk and discussion around Tomcat products that could work well in your business
We start out talking about the L.A. fires and why we have so many power lines held up by wooden posts. We ask each other how we’d like to see the world end if we were dying. Tony feels ripped off because he saved up way too many rewards points […]
"Karen Gets Around"For Time (25:00 Cap)-25 Burpee; Lateral over Rower Rail-50 Chest-to-Bar-100 Double Unders-150 Wall Balls 20/14lb, 10/9ft-100 Calorie Row-50 Toes-to-Bar-25 Line-Facing Burpee» View the Video Version: https://youtu.be/CEOqRxtHJgM» Hire a Coach: https://zoarfitness.com/coach/» Shop Programs: https://www.zoarfitness.com/product-category/downloads/» Follow ZOAR Fitness on Instagram: https://www.instagram.com/zoarfitness/Support the show
12 yrs in the bigs The wait between starts Routine, Approach, Strategy Starters need to save the bullpen Change up followed by a breaking ball ... NEVER! What do you throw a first pitch fastball hitter ... A fastball! Maddux, Moyer, and Sutter Manny being Manny Advice from Chipper, The Rocket, and The Express Handing Trout Soriano and Judge Gadgets and Cookie Cutters NARF One mad dude- how boxing shaped his approach
Episode #670: 2025, it's so on fleek! It's New Year's Day! Krissy is sooooo hungover Brianna & Grace Everything's Coldplay's fault! Hawk Tuah Girl has disappeared Our smoke machine is working overtime again.. Football (barf -Christina) Krissy's connection to “Penn” “Labroghini” It's always Conyers! Chipper Jones x Bryan Green BEEF Eskimo Brothers Bryan & Krissy's Central City Tavern days Text us or leave us a voicemail: +1 (212) 433-3TCB Follow Us: IG: @thecommercialbreak TikTok: @tcbpodcast YT: youtube.com/thecommercialbreak www.tcbpodcast.com Executive Producer: Bryan Green Hosts: Bryan Green & Krissy Hoadley Producer: Astrid B. Green Producer & Audio Editor: Christina Archer Christina's Podcast: Apple Podcasts & Spotify To learn more about listener data and our privacy practices visit: https://www.audacyinc.com/privacy-policy Learn more about your ad choices. Visit https://podcastchoices.com/adchoices
CTL Script/ Top Stories of December 28th Publish Date: December 28th PRE-ROLL: 01.20.25 ETOWAH MILL HOLIDAY SCREEN & RINK_FINAL From the Ingles Studio Welcome to the Award-Winning Cherokee Tribune Ledger Podcast Today is Saturday, December 28th and Happy Birthday to Denzel Washington ***12.28.24 - BIRTHDAY – DENZEL WASHINGTON*** I’m Peyton Spurlock and here are the stories Cherokee is talking about, presented by Credit Union of Georgia. Keep Cherokee Beautiful Recycling Christmas Trees Starting Jan. 4 Cherokee Sheriff Deputies Graduate from Training Center Cherokee Recycling Center Collects Over 16K Pounds of Electronics We’ll have all this and more coming up on the Cherokee Tribune-Ledger Podcast, and if you’re looking for Community news, we encourage you to listen and subscribe! Commercial: 06.26.24 CU OF GA FREE CHECKING_REV_FINAL STORY 1: Keep Cherokee Beautiful Recycling Christmas Trees Starting Jan. 4 Cherokee Recreation and Parks, along with Keep Cherokee Beautiful, will host the "Bring One for the Chipper" event starting January 4 at Hobgood Park. Participants can drop off Christmas trees, free of lights and ornaments, from January 4 to 11, between 6 a.m. and 10 p.m. Trees will be recycled into mulch for Patriots Park. On January 4, from 10 a.m. to 2 p.m., KCB volunteers will distribute tree seedlings at the park's parking lot. This initiative promotes recycling and replenishing natural resources. For more details, contact Cherokee Recreation and Parks or visit their website. STORY 2: Cherokee Sheriff Deputies Graduate From Training Center On December 20, three deputies from the Cherokee Sheriff's Office—Vincent Montgomery, Abby Rogers, and Cameron Pinson—graduated from the Georgia Public Safety Training Center in Alpharetta. They completed 408 hours of P.O.S.T. mandated police training over 11 weeks. These deputies are now assigned to the Cherokee County Adult Detention Center. STORY 3: Cherokee Recycling Center Collects Over 16K Pounds of Electronics Cherokee County residents recycled over 16,000 pounds of electronics at an event on December 14, organized by the Cherokee County Recycling Center. The event, held at the Cherokee County Administration Building, saw about 250 vehicles drop off items like personal computers and large tube TVs. Partnering with ECO Trading LLC and other organizations, the event raised nearly $2,000 for Keep Cherokee Beautiful. County employees and volunteers facilitated the successful four-hour drive-thru event. For more recycling information, residents can contact the recycling center. We have opportunities for sponsors to get great engagement on these shows. Call 770.874.3200 for more info. Back in a moment Break: Drake Realty (Cherokee County) STORY 4: John Harmon Resigning From Cherokee School Board Cherokee County School Board Member John Harmon is resigning after 10 years of service because he is moving outside his district's boundaries. Representing Post 3, which includes River Ridge and Sequoyah High Schools, Harmon announced his resignation at the December 19 board meeting, expressing continued support for the district. The board will officially accept his resignation and discuss next steps at their January 16 meeting. The meeting will be held at the Dr. Frank R. Petruzielo Educational Services Facility in Canton. STORY 5: Cherokee County Farm Bureau Receives State Award The Cherokee County Farm Bureau (CCFB) was honored with the GFB Rewarding Excellence in Ag Program (REAP) Harvester Award for outstanding member programs and agricultural advocacy. This recognition, in the large membership division, was awarded at the 87th Annual Georgia Farm Bureau Convention on Jekyll Island. The REAP Awards celebrate achievements in organization, advocacy, leadership, education, and outreach from September 2023 to August 2024. GFB President Tom McCall praised the dedication of volunteers supporting Georgia agriculture. William Grizzle leads CCFB, with Rhonda Stargel as office manager and Denise Forward as program coordinator. Commercial: 12.14.24 FALANY DEC_FINAL STORY 6: Decision on Downtown Canton Master Plan Postponed to Jan. 16 The Canton City Council postponed a vote on the proposed Downtown Master Plan to January 16, following a 6-1 vote on December 19. Councilmember Bryan Roach opposed the plan due to the "Main Street Road Diet" project, which would reduce Main Street to one lane and extend sidewalks for outdoor dining. Roach cited stakeholder concerns and safety issues. City Engineer Bethany Watson noted the plan was based on public input, but adjustments can be made. The plan includes 20 transportation recommendations, 16 redevelopment concepts, and seven policy recommendations, focusing on enhancing downtown Canton. STORY 7: Cherokee County Sheriff Frank Reynolds Sworn In to New Term Cherokee County Sheriff Frank Reynolds was sworn in for another term, starting in January, after running unopposed for re-election. Probate Judge Keith Wood conducted the swearing-in ceremony, attended by Reynolds' wife, Jennifer, and son, Frank Jr. Reynolds has served as sheriff since being elected in 2016 and taking office in 2017. We’ll have closing comments after this. COMMERCIAL: Ingles Markets 7 SIGN OFF – Thanks again for hanging out with us on today’s Cherokee Tribune Ledger Podcast. If you enjoy these shows, we encourage you to check out our other offerings, like the Cherokee Tribune Ledger Podcast, the Marietta Daily Journal, or the Community Podcast for Rockdale Newton and Morgan Counties. Read more about all our stories and get other great content at www.tribuneledgernews.com Did you know over 50% of Americans listen to podcasts weekly? Giving you important news about our community and telling great stories are what we do. Make sure you join us for our next episode and be sure to share this podcast on social media with your friends and family. Add us to your Alexa Flash Briefing or your Google Home Briefing and be sure to like, follow, and subscribe wherever you get your podcasts. Produced by the BG Podcast Network Show Sponsors: www.ingles-markets.com www.drakerealty.com cuofga.org #NewsPodcast #CurrentEvents #TopHeadlines #BreakingNews #PodcastDiscussion #PodcastNews #InDepthAnalysis #NewsAnalysis #PodcastTrending #WorldNews #LocalNews #GlobalNews #PodcastInsights #NewsBrief #PodcastUpdate #NewsRoundup #WeeklyNews #DailyNews #PodcastInterviews #HotTopics #PodcastOpinions #InvestigativeJournalism #BehindTheHeadlines #PodcastMedia #NewsStories #PodcastReports #JournalismMatters #PodcastPerspectives #NewsCommentary #PodcastListeners #NewsPodcastCommunity #NewsSource #PodcastCuration #WorldAffairs #PodcastUpdates #AudioNews #PodcastJournalism #EmergingStories #NewsFlash #PodcastConversations See omnystudio.com/listener for privacy information.
GDP Script/ Top Stories for December 27th Publish Date: December 27th From The BG AD Group Studio, Welcome to the Gwinnett Daily Post Podcast. Today is Friday, December 27th and Happy Birthday to Mick Jones. ***12.27.24 - BIRTHDAY – MICK JONES*** I’m Keith Ippolito and here are your top stories presented by KIA Mall of Georgia 1. Rainbow Village Awards More Than $25K in Microgrants to Families in Need 2. Greater Atlanta Christian School Collects Food for Salvation Army 3. Gwinnett will celebrate Hanukkah with five public menorah lightings Plus, actress Tika Sumpter on the Sonic the Hedgehog 3. All of this and more is coming up on the Gwinnett Daily Post podcast, and if you are looking for community news, we encourage you to listen daily and subscribe! Break 1: Kia MOG (07.14.22 KIA MOG) STORY 1: Rainbow Village Awards More Than $25K in Microgrants to Families in Need Rainbow Village's fifth annual Microgrant Award Ceremony, held on December 10, 2024, awarded nearly $26,000 to 28 households in need. Funded by the Better Together Women’s Giving Circle, these microgrants support recipients in achieving financial stability, repairing vehicles, pursuing education, and covering emergency medical or rental expenses. Over the event’s five years, a total of $102,604.32 has been distributed. CEO Melanie Conner emphasized the program’s role as a “hand-up,” not a handout, enabling families to regain self-sufficiency. This year’s ceremony, attended by nearly 100 people, highlighted its remarkable growth since starting via Zoom in 2020 with just 15 participants. STORY 2: Greater Atlanta Christian School Collects Food for Salvation Army Greater Atlanta Christian School has participated in the 11Alive/Salvation Army Can-A-Thon since 2012, and this year, its 1,800 students collected 28,730 non-perishable food items. These donations aim to combat food insecurity in Gwinnett County and beyond. On December 6, students from all grade levels sorted, packed, and delivered the items, accompanied by festive music from the GAC Concert Choir. Efforts throughout November included competitions and family-supported shopping, which helped surpass donation goals. School officials highlighted the event as a reflection of Christ’s love through service and generosity, emphasizing the true spirit of Christmas and the community's shared commitment to giving. STORY 3: Gwinnett will celebrate Hanukkah with five public menorah lightings Gwinnett County will celebrate Hanukkah starting December 25, aligning with Christmas this year due to the lunar-based Jewish calendar. The Chabad Enrichment Center of Gwinnett will host five menorah lightings across the county through January 1st. Events include Lawrenceville City Hall on Dec. 26, Sugar Hill's The Landing on Dec. 30, and Lilburn City Hall on Jan. 1, each featuring songs and Hanukkah treats. The main event at The Forum Peachtree Corners on Dec. 29 will include live music, crafts, dancing, and the lighting of a 6-foot menorah. RSVPs are encouraged. We have opportunities for sponsors to get great engagement on these shows. Call 770.874.3200 for more info. We’ll be right back Break 2: Tom Wages (08.05.24 OBITS_FINAL) STORY 4: Here's Where You Can Recycle Your Live Christmas Tree Gwinnett Clean & Beautiful's annual Bring One for the Chipper begins December 26, collecting live Christmas trees for recycling until January 22. Partnering with Jackson EMC, Walton EMC, Republic Services, and Gwinnett County departments, the program transforms trees into mulch for parks and public spaces. Drop-off locations include select fire stations, with trees transported to Bethesda Park for the main event on January 25. Executive Director Schelly Marlatt emphasizes the environmental benefits, noting treecycling reduces landfill waste, prevents harmful methane emissions, and enriches the soil. Volunteers 14+ can register online to assist during the event. STORY 5: Murphy and Watkins feted as they depart Gwinnett's school board Mary Kay Murphy retired from Gwinnett County Public Schools’ board after nearly 30 years, leaving a legacy of growth and innovation, including the creation of 76 schools and the Gwinnett Educational Management System. Known for her leadership and advocacy for teachers and students, Murphy was celebrated for shaping one of the nation’s top school systems. Karen Watkins, departing after four impactful years, was recognized for promoting inclusivity, educational excellence, and initiatives like COYAD, which combines taekwondo with drug education. Their service was honored during a special celebration, highlighting their dedication to Gwinnett schools and commitment to the community. Break: ***12.27.24 TIKA SUMPTER SONIC_FINAL*** Break 4: Ingles Markets 8 Signoff – Thanks again for hanging out with us on today’s Gwinnett Daily Post Podcast. If you enjoy these shows, we encourage you to check out our other offerings, like the Cherokee Tribune Ledger Podcast, the Marietta Daily Journal, or the Community Podcast for Rockdale Newton and Morgan Counties. Read more about all our stories and get other great content at www.gwinnettdailypost.com Did you know over 50% of Americans listen to podcasts weekly? Giving you important news about our community and telling great stories are what we do. Make sure you join us for our next episode and be sure to share this podcast on social media with your friends and family. Add us to your Alexa Flash Briefing or your Google Home Briefing and be sure to like, follow, and subscribe wherever you get your podcasts. Produced by the BG Podcast Network Show Sponsors: www.ingles-markets.com www.wagesfuneralhome.com www.kiamallofga.com #NewsPodcast #CurrentEvents #TopHeadlines #BreakingNews #PodcastDiscussion #PodcastNews #InDepthAnalysis #NewsAnalysis #PodcastTrending #WorldNews #LocalNews #GlobalNews #PodcastInsights #NewsBrief #PodcastUpdate #NewsRoundup #WeeklyNews #DailyNews #PodcastInterviews #HotTopics #PodcastOpinions #InvestigativeJournalism #BehindTheHeadlines #PodcastMedia #NewsStories #PodcastReports #JournalismMatters #PodcastPerspectives #NewsCommentary #PodcastListeners #NewsPodcastCommunity #NewsSource #PodcastCuration #WorldAffairs #PodcastUpdates #AudioNews #PodcastJournalism #EmergingStories #NewsFlash #PodcastConversationsSee omnystudio.com/listener for privacy information.
"Matchstick"[0:00-10:00] Event 1-1 Mile AirBike-Remainder: Find Heavy ComplexClean + Hang Clean + Jerk...[At 10:00] Event 2For Time-27 Deadlift 255/175lb-21/15 Calorie AirBike-15 Lateral Burpee Over Bar-9 Clean & Jerk 255/175lb*scale barbell to 20/15lb less than heaviest complex on E1» View the Video Version: https://youtu.be/PYG6bgntrJA» Hire a Coach: https://zoarfitness.com/coach/» Shop Programs: https://www.zoarfitness.com/product-category/downloads/» Follow ZOAR Fitness on Instagram: https://www.instagram.com/zoarfitness/Support the show
The boys catch up with Chipper and talk about a multitude of things. -Alex Anthopoulos' off-season moves so far -The Juan Soto deal to the Mets -His Twitter debate on hittingSee omnystudio.com/listener for privacy information.
Struggling with your short game? In this episode, Peter Von Panda pits the Ping ChipR against the Cleveland Smart Sole 4C in a head-to-head comparison of chipper weights. With only 16 grams separating the two, Peter dives into why those extra grams could make all the difference when you're around the green. Whether you prefer a heavier club or a lighter feel, we've got the details to help you decide which chipper deserves a spot in your bag. Learn about the swing weight, performance differences, and what might help shave strokes off your game. Listen in for practical golf insights and find out which club fits your style best. ▶ Get the Cleveland Smart Sole here: https://geni.us/gyieaw ---------- LET'S TALK ABOUT LIVING BETTER: ▶ Podcast: https://geni.us/FtGAT4 ▶ My Amazon Store: https://www.amazon.com/shop/petervonp... ---------- IF YOU'D LIKE TO SHOW SOME LOVE: ▶ Buy My Book: https://geni.us/qwbZAE ▶ Become A Channel Member: https://geni.us/AA3Jk ▶ Patreon: / petervonpanda ▶ Merch: https://petervonpanda.storenvy.com/ ▶ Free Panda Group: https://panda-research-institute.mn.co FOLLOW MY OTHER SOCIAL MEDIA PLATFORMS: ▶ Instagram: / petervonpanda ▶ Facebook: / petervonpanda #GolfGear #ChipperClub #PingVsCleveland #SmartSole #ShortGameTips #GolfPodcast #PeterVonPanda #ChippingTips #GolfEquipment --- Support this podcast: https://podcasters.spotify.com/pod/show/petervonpanda/support
Manager Minute-brought to you by the VR Technical Assistance Center for Quality Management
Join us for this enlightening episode of VRTAC-QM Manager Minute, where we explore the transformative power of Value-Based Purchasing (VBP), also known as Performance-Based Payment (PBP). In the studio, we have Chip Kenney, Co-Project Director of the VRTAC-QM, and Lisa Mills, a consultant and subject matter expert in VBP, sharing their expertise. VBP is more than just a financial model—it's a strategic shift designed to drive better outcomes for individuals with disabilities. By aligning provider incentives with measurable performance outcomes, State Vocational Rehabilitation Agencies (SVRAs) can enhance the quality of services, improve consumer results, and optimize costs. Tune in to hear Chip and Lisa discuss how SVRAs can harness the power of this approach to revolutionize service delivery and create a meaningful impact. Whether you're considering adopting VBP or seeking to refine your approach, this episode is packed with insights you won't want to miss! Value-Based Payment Methodologies to Advance Competitive Integrated Employment: A Mix of Inspiring Examples from Across the Country Listen Here Full Transcript: Chip: Virginia reached out and they wanted to include value based purchasing specifically in their Disability Innovation grant. I said, this is an opportunity we can't pass. Lisa: Is there anything about our payment structure that incentivizes or rewards this kind of quality that we're saying we're not getting, thus reduce the amount we're investing in unsuccessful closures. Chip: When we can get to that point where we can identify and measure and demonstrate and get quality outcomes that will move this whole system a gigantic step forward. Intro Voice: Manager Minute brought to you by the VRTAC for Quality Management, Conversations powered by VR, one manager at a time, one minute at a time. Here is your host Carol Pankow. Carol: Well, welcome to the manager minute. Joining me in the studio today are Chip Kenney, Co-Project Director of the VRTAC for Quality Management, and Lisa Mills, Consultant and Subject Matter Expert to the QM on Value-Based Purchasing. So here's a little context for our listeners. Value-Based Purchasing, also known as Performance-Based Payment, is a model that offers financial incentives to providers for meeting certain performance measures. And as state rehab agencies look to improve outcomes for individuals with disabilities, the quality of purchased VR services, and overall cost effectiveness. A Performance-Based approach might be an option, so I don't want to steal their thunder, and I'm going to let my guests discuss what they're doing today. So let's dig in. Lisa, lets' start with you. Can you tell us a little bit about yourself and how did you find your way kind of into this VR space? Lisa: Sure. So I've been in the world of disabilities for my career, for the entire career. So, 33 years, I think where now I've lost count. But about 20 years ago, I got really interested in employment working with Self-advocates way back before there was such widespread support for ending Subminimum wage. You know, the support that we do see now, but that was at a time when that it wasn't even being discussed. But Self-advocates were very clear that they wanted to earn more money and have more opportunities. So I got interested in supported employment and why we weren't using it very much. And so I started working with Medicaid and long term support agencies on improving employment services and outcomes. Back then, there was something called the Medicaid Infrastructure Grants, which allowed states to create Medicaid buy ins for working individuals with disabilities. So I really dug in around what were we doing around employment services. And of course, that brought us to the relationship with VR. And about 16 years ago, I started working on customized employment and developing ways to pay for customized employment, and worked with a couple VR agencies at the time on payment structures for customize. And then most recently, I'm a mom of a transition age son who used VR supported employment services to get his first and second jobs, and he's been employed in competitive, integrated employment since 2020. He's about to turn 21 and that has changed his life. So I'm a firm believer. Carol: Good for him. That's really cool to know. I always love it finding out the stories people have, because you never know, we all get here a different way. But I love your path. So Chipper over to you. And I'm going to say Chipper because I'm naughty. He Chip is my colleague. So for our listeners I do like to rib Chip a bit. So Chip, how did you find your way into the VR space? Chip: So very similar to Lisa. My whole career has been in public rehabilitation for a bit then technical assistance centers, but fast forwarding to about 2009 was interested in customized employment and its applications, and the need for VR systems to have an employment system that really addressed what people with the most significant disabilities needed to be successful, and I was sort of glommed on to that space ever since. And then with the passage of WIOA, it just seemed a really necessary connection that VR agencies and systems have something new they can offer. People who would have considered going into sheltered employment now are coming out. What are you going to offer them that's new and different from when they went in and have been at it ever since, mainly focused on the implementation side of it, because there's a bunch of trainers in that space and they're all really good. But we learned early on that it takes an infrastructure to embed, implement and sustain customized employment over a period of time. And so that's been my focus the last several years. I mean, we're still learning a lot. And rate structure is part of that, which, I mean, I've known Lisa for years too, but rate structure is something every agency struggles with. And when the opportunity came to work with Lisa on this and move this forward, I thought, this is a big missing piece that we have to fill. Carol: Absolutely, I'm underscoring that 100% because we know we get a lot of rate work with our QM work and the whole idea and customized employment with that sustainability. You can have the great idea. And we're going to do the thing and we're all excited. But then what happens. Year one and two and three and four as it goes on and it all fades away. And we don't want that to fade away. We need to have that good sustainability plan. So Chip, how did you get involved in bringing Lisa on board? What was kind of the impetus of that? Chip: Virginia reached out. The state of Virginia reached out to us and they wanted to include value based purchasing. And they mentioned that specifically in their Disability Innovation grant, and somebody referred them to me. I mean, I knew a bit about it, but then as soon as I saw the Lisa connection and started reading her work on it, I said, this is an opportunity we can't pass, even though I don't have any experience. But Lisa brings all that and the knowledge and the background and said, it's really important to be a part of this. Carol: Very cool. So, Lisa, I understand you have a very unique superpower. You can speak and interpret languages across multiple partner systems. How did you develop that? Lisa: Well, I guess I'm a bit of a policy wonk. I did a lot of interviewing of people from different systems to try to understand what was going on with partnerships, what were the challenges. And this was probably 12, 13 years ago. I was doing some work with ODEP at the time, blending and braiding. And when I was doing a lot of my interviews interviewing the different partners, including VR, I figured out that a lot of what was going on at that time was sequencing. It was really not blending or braiding, and if we wanted to get to braiding and ultimately to blending, I felt like we really had to find what was going on then as something foundational, you know? And that's where I kind of coined the term sequencing and said, this is really what we're doing, but we can help people understand then what it means to switch from sequencing to braiding, what it means to switch from braiding to blending, and really start to get people interested in the advantages of moving away from sequencing. So it really was just wanting to dig into each system enough to figure out what solutions might improve collaboration and outcomes. Sometimes it can be easy to lay out all the issues, right? Everything that's not working, but to really dig into each system and figure out where could we align ourselves, where are we aligned, and we just don't realize it? That was more, I guess, the policy wonk side of me. Carol: I love that because I think I've been on lots of work groups over the years, I mean, I just have when we've worked between, you know, departments of education and your state Department of like maybe developmental disabilities or whatever you are calling it back in the day. And then in the VR system when we all had different ways of describing everything and we could get stuck in the what's the problem? Here's all the problems. We got problems. We have a million problems. Here's all the hundred problems we have to get through before we can get to a solution. But if you go in and go, I love that. Like, how are we aligned right now and what are the things that we could build off of right now instead of always focusing on that whole myriad of things? But I think understanding each other, how we speak about things and we may say the same word, but it means something different to each of us. Once we can kind of clear up that dictionary and talk the same language, it makes it much easier to comprehend what's going on in each other's systems and how that can then work together. I love that you have that. So what is the essence of Value-Based Purchasing? Lisa: So to me it's quality service combined with efficient service that results in quality outcomes. So I think about that. Efficiency without quality that would not lead to quality outcomes. We'd hurry up and do things, but we wouldn't really see the quality outcomes we wanted to see. And at the same time, if you have a quality service that goes on and on and on, you lose the cost effectiveness and you typically you lose the job seeker. They're going to give up or go find a job some other way. So to me, we have to recognize we need both quality and efficiency in the way services are delivered and that we have a set of quality outcomes we want to achieve. And we have to ask ourselves, to what extent are we getting those quality outcomes? And to me, if we can figure out a payment structure that balances rewarding quality and efficiency and is really clear about what is quality and service delivery, what is efficiency and service delivery, and then what are we looking for? As quality indicators and outcomes? We can design a payment structure that really will deliver on that. And I think as you start to think about that, you realize how the existing payment structures really aren't set up to do those things for various reasons. And that really, I think, helps people buy into the idea that there might be a better way to do this. And this idea of value based purchasing might actually have some legs. Carol: So that payment structure piece, that's my interest. How did you really dig in and kind of figure it out? Because it sounds good and I understand all the things you're saying about quality outcomes, but how when it comes down, like putting the rubber to the road, do you get at the nuts and bolts of figuring out the payment structure? Lisa: So everybody always wants that. Next they say, so tell me what it is. And I always say it is what you need to develop locally in your system. You need buy in from those who are purchasing and those who are providing, and you've got to bring them to the table in a constructive way. So in a really collaborative way, sometimes we talk about it as co-creation and you dig into what do we agree is quality service, how do we differentiate quality service from service that we would say is not high quality. And then what do we agree is efficient service? How do we differentiate efficient service from service we would say is inefficient but very important to VR agencies, at least those I've spoken to. Are these quality outcomes, the career path outcomes, the jobs with benefits, the jobs with more hours and better pay? You know, some of these things, you're just not necessarily seeing a lot. You're getting outcomes that you can count as a 26 closure, but they aren't the kind of quality outcomes that, and you see some revolving door effect of certain people who and I know that's a big issue in some states or you see a lot of dropouts in the process. So in every state it's important to sit together and figure out what should we be doing better, what does better quality look like, and then what is quality and efficient service look like? That's how you get the buy in to establish a payment structure that where people want to implement it and intend for it to work. I can certainly share examples of how that co-creation works going on elsewhere and what the ultimate outcome was, but that is what happened there. And I really like the idea that and really believe that you've got to do a local co-creation process to get to something everybody's bought into and something that has a high probability of working. I would never say, oh, Value-Based Purchasing is this. It's only this. Or you just take this model from this other state and you plunk it down here. That won't work. Carol: Yeah, I can see why you sing to Chip's heart there. Because he's all about systems work, you know, and that whole and everybody's systems in your state are so different. How you're set up, what your relationships are like between your providers and yourself and other entities and all of that. So I do like that you're speaking to that and you can't just pick up and replicate because you've got all your nuances that are happening in your state, and you need to understand those before you can get to the agreeable solution. That makes a lot of sense. Chip: And it's not only that, and we're finding this to be true now that providers are not a monolith, that there's not a state where you can go, okay, every provider looks like every other provider. There are a lot of uniquenesses, a lot of variables that have to be taken into account to bring at least the majority of them on board. And that's we're finding that to be true as every state system is different, every provider network or non-network is different. Carol: Absolutely. And even when you think about the states, kind of just the like the geographic challenges they have and the things that are going on, we've saw such an increase, especially after Covid with people moving and some of the states go like our cost of living in certain areas has gone up exponentially, like 300% or something. And so you've got everybody like, decided because they could work from anywhere. We're all moving to this town and then other areas become depleted, maybe from people, and there's less resources available and harder to get providers to serve an area even though you have customers there. I just feel like we have a lot of geographic and economic challenges across states, even tiny states. It's been super interesting. We've found that work as we've been just doing plain old rate setting with states, so let alone what you guys are digging into. So what are some of the biggest challenges in implementing this value based purchasing? Lisa: I would say the time it takes to do it right. I think sometimes state agencies and I'm not singling out VR, but they want quick solutions. You know, they think about it for a long time and then they say, okay, we want to do it. Let's get it done. Can we get this done in three months or can we, you know, and you have to say probably not in a way that would be successful. And so it is something not to take lightly and to really commit to invest in. I think there's a lot of additional benefits to doing this, including provider relationships and the learning that goes on. Providers now understand what it's like to step in the shoes of a funder. Funders understand what it's like to step in the shoes of a provider. I always think that helps with everybody getting on the same page and agreeing to a model they think will work, but it takes patience, it takes partnership. Some states are, they're very uncomfortable with bringing providers in. They tend to develop things and then release them to providers. So you've got to have a level of trust when you identify the providers you want to involve. I always encourage to identify who are your high performers. They are the providers you want this model to work for because you want more high performers and you want those that you have to expand their footprint, for example, to go into geographic areas that are underserved or to hire more staff. So always thinking about partnering with the high performing providers. But there's a bit of reluctance, you know, and risk in doing that and saying we're going to create something together. Lots of outside the box thinking. It's really hard to get away from payment models that you've been invested in for a long time. Milestone fee for service. Just to think beyond those can be very difficult, but I think once people start to and that's something I do, is kind of bring ideas and thoughts and stimulate thinking to get them to move away from those models and really say, what should we be paying for? What is important to value in the payment structure? I think it really gets to be very exciting, or at least I think so. You really need data to you cannot develop a model without good data. Sometimes the data is readily available. It's reports that VR agencies are already pulling out of their system. Other times the data's in the system, but they don't typically pull it. And so we have to work with them. And it helps to have a data analyst to assist with this process, to be able to pull pieces of data or data analysis and different ways that informs what we're doing. We want a data driven approach. And sometimes, of course, you probably know that data analysts are very, very busy or they're off doing something else. And it may be hard to get them committed to the work. Carol: Have you seen improvements since? I'm just thinking since WIOA and kind of the requirements that RSA has put on state agencies about collecting a vast amount more of data. Have you seen improvement as you're working with states that they actually have data they may not have had years ago that you can get at. I mean, there might be a little bit of a problem with the staffing or getting your data analysts to pull it, but that availability of the data you need to really to dig into this, that it's actually there. Lisa: Yeah, I do think the systems are pretty sophisticated, and it's a matter of helping them understand how to use more of the data they have, because we have the standard WIOA measures. We have the way that VR talked about its performance prior to WIOA but I think we're digging in to get it more data elements that help us understand. One of the most important things to understand is demographic information and how that affects maybe how difficult or how easy it is to serve someone. So, for example, adding criminal background to someone's demographic profile, or we know from history that, you know, that does create a challenge. So it's weeding out what are the things that differentiate people who VR would serve and try and understand better how that relates to cost. The other thing that's really important that I don't typically see is what's the average cost of a successful case? So I see this is the average cost of successful closures. So taking all successful closures and dividing it by the number and then average cost of unsuccessful closures, then average cost of a case. But for me what matters most is what are we paying for a successful case if we're including everything we're paying. So including all the that we're spending on unsuccessful closures in that and saying, basically this is what it costs to get a successful case, because we also have to pay for the unsuccessful closures and trying to focus on how do we reduce, how much we're paying for unsuccessful closures, and to really make sure more of the money that we're paying flows to successful closures. There's a little bit of complacency that goes on with every system where if we just compare ourselves to other states, we may say, look, we're doing better. We should be happy with our performance. We are better than 75% of the states. But if we stand back and compare that to people without disabilities and their participation in the workforce, I think that's when we say we're comparing it to school. Like if you got 60% on a test, would you pass it or would you fail it? So I think we have to challenge ourselves to say we may be doing better than so many other states, but we are not performing at a high level and we want to move up. We want to not just judge ourselves by other states. Now, 100% success is unrealistic. I don't think there's anybody who would disagree with that, but it's important for the providers and the funder to come together and say what kind of improvement above where we've been. Do we want to try to incentivize? Do we want to see and to develop the payment structure, to say we believe this structure will directly influence our ability to move those percentages up over time and thus reduce the amount we're investing in unsuccessful closures without reducing the number of people were serving, without cherry picking, but truly improving outcomes. Carol: I love that that is a good way to challenge the thinking that's going on out there, because people sort of, I don't know, poo poo or they just this is over there in that bucket and they let it be. And we're kind of complacent with just, you know, we're doing better but is better. What's the next state like. You know, like better than what. And so what does that matter. Chip: But I think I mean, the key to me is the concepts of quality, the quality of services and quality outcomes. And if you can define and you can measure and you can demonstrate quality of services and quality outcomes, it seems like you don't need to compare yourself with other states. You can say this is quality in our state. This is what we're doing. This is how we're doing it. These are the outcomes. So state by state national comparisons are way less important. So when we can get to that point where we can identify and measure and demonstrate and get quality outcomes that will move this whole system gigantic step forward. Carol: 100% Chip. So what would be your best advice for states as they're listening. Right. You know, they're listening in and they're thinking, well, I want to do something, but I don't know what to do. Like what would be the next steps? What should they do? Lisa: To me, it's, start the conversation. I find that the process of bringing state people together with providers, that they're all learning together about this different way of thinking, And it helps because it does take a little bit to get your mind around what Value-Based Purchasing is and how it's different from milestone payments or fee for service. And I've often seen like people have come up to me sometimes and said, you know, it was the third time I heard you talk that the bells finally went on, you know? And I said, that's fine. I think it's just the way it is. It's complicated in a way, because it's so different. So getting the conversation started and thinking about, you know, asking yourself questions like, is there quality in the outcomes that we want as an agency that we're not getting quality and service delivery? We don't feel we're getting quality and outcomes we're not getting. Then think about your payment structure and say, is there anything about our payment structure that incentivizes or rewards this kind of quality that we're saying we're not getting? Sometimes maybe there's something there. Sometimes you could say, no, there's absolutely nothing in the payment structure that does that. And then I always say, think about the providers that you think are doing the best work for you. Are they financially benefiting? Are they doing better financially. And in some cases I've seen no, there's no difference. I'm performing better, but financially that's not being recognized. And in other cases I've seen they're actually earning less because they're doing such a good job and they're very efficient. You know, they're producing quality with efficiency. They're actually doing more poorly financially than some of the providers who are performing at a lower level of quality. So I think when we start to think about those questions, people see that the need to try to figure out a different way to do things, then they're willing to, you know, let's talk about what this Value-Based Purchasing is what the principles are, how it's different, and begin to think about how we might bring our high performing providers into a conversation with us about this. Chip: My advice for states is that you're in this for the long haul. To Lisa's point very early in this discussion that this isn't a quick solution. That's something that can just be laid in the state and just immediately adapted. It does take that level of discussion, that level of understanding, collecting data. It's complex. And sometimes I think to myself, why am I choosing to get involved in the complexity of Value-Based Purchasing overlaid the complexity sometimes of customized employment, but I think in the end result we will have a much better system, much more equitable service delivery system for everyone, including providers, including customers and job seekers. But just keeping the discussion going on things like this, things that CSAVR presentations Getting this into the national discussion, I think, is the first step. Carol: Those are really good tips. Where outside of VR is Value-Based Purchasing being implemented? Lisa: So definitely in the Medicaid world, most of your listeners are probably aware of that, but mostly in the Medicaid world, it's on the acute primary care side. So hospitals and doctors, primary care physicians and things. So I always caution people there's things we can learn from that and those examples. But it's not a wholesale import those approaches over to VR. I don't think that would work. But there are some principles or strategies that we can use, like there's a concept called shared savings. There's some other things that I think we can think about and use, but we still have to develop something that's specific to employment. In my work on this around employment on the Medicaid side has been with the long term services and support agencies, the DD agencies, the mental health agencies, managed care organizations who are doing LTSS and employment is a perfect place to start with them around their thinking, around Value-Based Purchasing. They're facing some pressure. I would say some to use Value-Based Purchasing because it's seen to be working on the acute primary side of Medicaid. So they're saying, why aren't we using it in LTSS? And they want better quality and better efficiency too. They want to see people supported to achieve their highest level of independence. They want their high performing providers to do well. So we worked on it with employment because it's so obvious that fee for service, which is the typical payment model, disincentivizes all the things that we associate with high quality supported employment, the better you are at getting people jobs, the better you are at coaching and fading because you're good at it. We reward providers under fee for service with less money. And those providers are performing more poorly, end up with more money. So it's not hard to get people to see why fee for service doesn't work for supported employment. So we've worked on models for job coaching that pay for hours worked rather than hours of coaching, so that providers are appropriately financially compensated if they do better at fading, which goes back to what kind of job did they get people, as well as how good they are at coaching. That model incentivizes them to get people more hours. So if you start with 12 hours a week, that doesn't mean you stay with it. If they're doing well, the employer wants to increase that. The person wants that they can get paid more in the model. Fee for service providers don't get any financial remuneration for increasing people's hours worked, even though we say that's a goal. So that's been a lot of where we see some of the value based models developing. We're paying for things up front services like exploration, which I'm really happy to see the results of states that have added exploration and exploration to their waivers, because we now have a way to tackle people who say no thanks in a planning meeting or I'm not interested, or their families say that we've been paying for developing payment models for that. That's an outcome payment. So they complete the service, then they get paid based on the quality of the information they submit and the efficiency. So there are ways to align what we're doing. Providers certainly appreciate that they would like to be paid the same way. Typically once they experience being paid in a Value-Based structure. So that's where it's happening. But think about just the general business world. There are so many examples of payment based on performance or quality, right. Sales Salespeople earn incentives for sales. So business has long been doing this in terms of creating those kinds of incentives and even nonprofits. Now, United Way and others are funding nonprofits based on outcomes and deliverables. They're no longer funding them to just provide service. So I think if you look, we're seeing it everywhere, really. Carol: So you brought up a whole lot of points. If people are interested in more information, do you have resources we could send them to? Lisa: Well, in 2021, I did a publication that looked at examples from around the country that I'd been in some way involved in. That's on the Lead Center website as well as there are a series of webinars we did at the time with representatives from various states. I have a lot of information about what's going on in the Medicaid side. Et etcetera. So I guess I would say that was my thinking in 2021, I continue to learn and evolve my thinking, and I think we're at a point now where we're trying to do in Virginia, is move beyond both fee for service and milestones, because neither are working very well, right? So you've got some state VR agency saying we're paying fee for service. It's not working. Should we move to milestone? But if you talk to states who are using milestone, they will also say it's not working very well. Some of them are thinking about going back to fee for service. And I'm thinking, I don't think we should do either. I think we should work together to figure out what's the next way we attempt this that addresses the shortcomings of both. And I think that pathway is Value-Based Purchasing. Chip: and helping moving states to. Well, I'm a little concerned about the unknown. What we have may not be working now, but it's the known. I don't really know what's ahead, but I think where in Virginia at least, has done a really good job of creating that safe space. Like, let's explore this together and keep this comfort zone of what we currently have, but move forward into something that's more equitable and beneficial for them. Carol: So, Chip, if people wanted to reach out, what would be the best thing? Should they contact you or what would be best? Chip: Either one of us is if it's a state agency, probably me if it's others listening to this. Lisa. Carol: Do you want to give them your email address? Chip: It's r k e n n e y at SDSU (San Diego State University) dot EDU. Carol: Awesome. And, Lisa, do you mind sharing your email address? Lisa: No, but I'll warn you, it's long. So here we go, Lisa Mills l L i s a M i l l s, all one word, at M as in Michael, T as in Tom, D as in David, D as in David, dot On Microsoft, all one word, com. And that was my IT friends who gave me that ridiculously long email, which I hate. Carol: Holy smokes, that is long. Well thank you both. I really appreciate it. And I will put a link in our podcast announcement out to your publication from 2021 as well. Then folks could at least see that. But thanks for your time. I really appreciate the conversation. Lisa: Thank you. Chip: Thanks. We really appreciate this opportunity. Outro Voice: Conversations powered by VR, one manager at a time, one minute at a time, brought to you by the VR TAC for Quality Management. Catch all of our podcast episodes by subscribing on Apple Podcasts, Google Podcasts or wherever you listen to podcasts. Thanks for listening!
GDP Script/ Top Stories for November 22nd Publish Date: November 22nd From the BG AD Group Studio Welcome to the Gwinnett Daily Post Podcast. Today is Friday, November 22nd and Happy Birthday to Rodney Dangerfield ***11.22.24 - BIRTHDAY – RODNEY DANGERFIELD*** I'm Keith Ippolito and here are your top stories presented by Gwinnett KIA Mall of Georgia. 1. Chris Carr first to enter 2026 governor's race 2. Gwinnett Man Arrested For Aggravated Cruelty To Animals 3. Ken Lindahl Remembered For His Impact On Brookwood Theater Program Plus, Dr. Ike Reighardt from Must Ministries on the Gobble Jog. All of this and more is coming up on the Gwinnett Daily Post podcast, and if you are looking for community news, we encourage you to listen daily and subscribe! Break 1: 07.14.22 KIA MOG STORY 1: Chris Carr first to enter 2026 governor's race Georgia Attorney General Chris Carr announced his candidacy for governor in 2026, becoming the first to enter the race. Carr, a Republican, cites recent GOP victories as momentum for his campaign to succeed term-limited Gov. Brian Kemp. He emphasizes priorities like job creation, community safety, and reversing immigration policies. Other potential candidates include Lt. Gov. Burt Jones and Secretary of State Brad Raffensperger. Carr highlighted his efforts against human trafficking and gang violence, and his role in fostering a business-friendly environment in Georgia. Carr was appointed attorney general in 2016 and reelected in 2022. STORY 2: Gwinnett Man Arrested For Aggravated Cruelty To Animals The Gwinnett County Police Department arrested Richard Beatty Hart, 78, of Duluth, on charges of aggravated cruelty to animals. Officers responded to a call from an animal trapper after Hart reportedly shot a Husky caught in a trap, claiming it was chasing his cats. Hart faces additional charges, including possession of a firearm by a convicted felon and reckless conduct. Animal Control advises against approaching trapped domesticated animals and recommends contacting authorities for safe removal. STORY 3: Ken Lindahl Remembered For His Impact On Brookwood Theater Program Ken Lindahl, a revered theater educator at Brookwood High School, passed away at 77 after an ALS diagnosis. Alongside his wife Patty, Lindahl led the school's theater program to international acclaim from 1983 to 2013, producing over 200 plays. Known for his calm demeanor, he inspired countless students, many pursuing careers in the arts. His legacy continues through his children, who are also drama educators. The Lindahls' contributions were honored by naming the school's theater after them. A scholarship fund has been established in his memory to support students exemplifying his qualities. We have opportunities for sponsors to get great engagement on these shows. Call 770.874.3200 for more info. We'll be right back Break 2: 08.05.24 OBITS_FINAL STORY 4: Gwinnett Clean & Beautiful Hires Environmental Outreach Program Coordinator Garret Dufty, a Gwinnett County government team member since 2019, has joined Gwinnett Clean and Beautiful as the Environmental Outreach Program Coordinator. His role focuses on water preservation initiatives, overseeing programs like Adopt-A-Stream and Stormwater Protectors. Dufty, recognized as "New Trainer of the Year" by Georgia Adopt-A-Stream, is praised for his passion for nature and community service. A certified Master Herpetologist and Naturalist, he enjoys hiking and studying local wildlife. Community members can meet him at upcoming events like the Adopt-A-Stream workshop or the Bring One for the Chipper event in January. STORY 5: Audit confirms Trump carried Georgia A statewide audit of Georgia's November 5 presidential election confirmed Donald Trump's victory over Kamala Harris, with minor discrepancies found. A hand count of ballots in all 159 counties showed Trump gaining 11 votes and Harris losing six compared to the machine count. Trump won Georgia by 184,259 votes. Secretary of State Brad Raffensperger praised the election system's accuracy and security. The audit, required by 2019 legislation, involved 442 ballot batches, with 86.1% showing no deviation from original counts, and all discrepancies within the expected margin of error. Break 3: Ike Interview ***11.19.24 IKE REIGHARD_FINAL*** Break 4: Ingles Markets 3 Signoff – Thanks again for hanging out with us on today's Gwinnett Daily Post Podcast. If you enjoy these shows, we encourage you to check out our other offerings, like the Cherokee Tribune Ledger Podcast, the Marietta Daily Journal, or the Community Podcast for Rockdale Newton and Morgan Counties. Read more about all our stories and get other great content at www.gwinnettdailypost.com Did you know over 50% of Americans listen to podcasts weekly? Giving you important news about our community and telling great stories are what we do. Make sure you join us for our next episode and be sure to share this podcast on social media with your friends and family. Add us to your Alexa Flash Briefing or your Google Home Briefing and be sure to like, follow, and subscribe wherever you get your podcasts. Produced by the BG Podcast Network Show Sponsors: · www.ingles-markets.com · www.wagesfuneralhome.com · www.kiamallofga.com #NewsPodcast #CurrentEvents #TopHeadlines #BreakingNews #PodcastDiscussion #PodcastNews #InDepthAnalysis #NewsAnalysis #PodcastTrending #WorldNews #LocalNews #GlobalNews #PodcastInsights #NewsBrief #PodcastUpdate #NewsRoundup #WeeklyNews #DailyNews #PodcastInterviews #HotTopics #PodcastOpinions #InvestigativeJournalism #BehindTheHeadlines #PodcastMedia #NewsStories #PodcastReports #JournalismMatters #PodcastPerspectives #NewsCommentary #PodcastListeners #NewsPodcastCommunity #NewsSource #PodcastCuration #WorldAffairs #PodcastUpdates #AudioNews #PodcastJournalism #EmergingStories #NewsFlash #PodcastConversations See omnystudio.com/listener for privacy information.
Tucker and Dale vs. Evil (2011) is a horror-comedy that flips the usual "backwoods killer" trope on its head. It follows two well-meaning but misunderstood hillbillies, Tucker and Dale, who just want to fix up their cabin in the woods. But when a group of college students mistakenly assume they're dangerous killers, a series of absurd and darkly funny misunderstandings ensues. The film blends humor and horror, using clever twists and character mix-ups to keep the laughs and thrills coming. To hear our reviews and ratings before you watch , jump to 00:50:55
Join T, Father Fortenberry, DW, Gary and Marty Mar the Bourbon Nerd as they discuss the headlines from the day.P-I-G-SHogs beat the Vols - Bring on L-S-WhoDouble Standards for Men v WomenShedeur Sanders is the real dealSausage Links vs PattiesPay your fair share of Taxes - Leaving UKStrippers UNITE!!!The Chipper strikes againDesantis handles the seamen!Kamala on ColbertWrite in CandidatesJim Beam Winter ReserveCheck out one of friends:https://www.tiktok.com/@SportingdogmafiaCheck out our Website:https://lifefromthepatio.comBuy some Merch:https://lifefromthepatio.com/merchfollow us on TikTok: / lifefromthepatio2 #bourbon #whiskey #fye #comedy #podcast #funnyvideo #buffalotrace #distillery#buffalo #LFTP#oldforester #jimbeam #heavenhill #Bluenote#Shortbarrel#rye #ark #arknights #arkansas#nba #nfl #razorbacks
The Frozen Rope catches up with Chipper for the first time since the season ended and the coaching staff shake up. See omnystudio.com/listener for privacy information.
Colorado man loses both legs in wood chipper accident 15 minutes into his first day at his new job Please Subscribe + Rate & Review KMJ's Afternoon Drive with Philip Teresi & E. Curtis Johnson wherever you listen! --- KMJ's Afternoon Drive with Philip Teresi & E. Curtis Johnson is available on the KMJNOW app, Apple Podcasts, Spotify, Amazon Music or wherever else you listen. --- Philip Teresi & E. Curtis Johnson – KMJ's Afternoon Drive Weekdays 2-6 PM Pacific on News/Talk 580 & 105.9 KMJ DriveKMJ.com | Podcast | Facebook | X | Instagram --- Everything KMJ: kmjnow.com | Streaming | Podcasts | Facebook | X | Instagram See omnystudio.com/listener for privacy information.
A Colorado worker lost both of his legs in a woodichipper on his first day on the job. Well, he probably should have watched the employee orientation video…
Comments from Chipper Jones to Steve Cohen to a Phillies podcast featuring someone losing his mind.
RTE's Jenny O'Sullivan reports on the closure of the iconic Lennox take-away in Cork.
Ralph Riegal, Southern Correspondent with the Irish Independent, discusses the closure of Lennox's chipper in Cork city.
Welcome to episode 245 of the Löw Tide Böyz - A Swimrun Podcast!We've got another race recap for everyone this week. Joining us to talk about the epic 2024 edition of the Rockman Swimrun are Ben Paxton and Cameron Holman. Did we mention epic? This race is a total beast at baseline and this year's race course was extra beastly. In this conversation Ben and Cameron bring the race to life and make a very, very compelling case to add this race to your bucket list.But first…Training Update Chipper's Knee UpdateNo major update on Chipper's knee other than it's feeling better and he finally has an MRI scheduled.ShoutoutThis week's shoutout goes out to everyone heading to ÖTILLÖ Orcas Island this weekend to take on the magical course nestled in the beautiful San Juan Islands. Pro tip: don't miss the turn and end up in the pit of despair!Feats of EnduranceThis week's winner is our friend Danny “Da Monsta” Divinov who finished Ironman Santa Cruz 70.3 over the weekend in a smoking time of 4:20! This guy has been living up to his nickname for as long as we've known him. Strong work!Make sure to sign up for our LTBz Strava Club and join Swimrunners from around the world as they train for stuff.Rockman Swimrun 2024 Race RecapIt was great to catch up with Ben and Cameron and get all the details on what was an epic day in Norway. They didn't mention it during the conversation but Cameron finished in 2nd place with his partner Thierry Elena (from France) and Ben finished in 3rd place with his partner Sindre Sorensen (from Norway). Enjoy!~~~That's it for this week's show. If you are enjoying the Löw Tide Böyz, be sure to subscribe to the show on your favorite podcast player and leave us a five-star rating and review since that's the best way for people to discover the show and the sport of Swimrun. You can find us on Apple Podcast, Spotify, and on YouTube. Check out our website for Swimrun resources including gear guides, tips, how-to videos and so much more. Also make sure to check out our meme page @thelowtideboyz on Instagram. If you have any suggestions for the show or questions for us, send us a dm or an email at lowtideboyz@gmail.com. Finally, you can support our efforts on Patreon…if you feel so inclined.Thanks for listening and see you out there!- Chip and Chris
In the 3rd hour of today's show, the guys hit the Dawg Report. In Guy Talk, Chipper speaks on why he struggles watching the Braves right now.
Welcome to episode 243 of the Löw Tide Böyz - A Swimrun Podcast!At time of release, we are on the eve of the 2024 edition of ÖTILLÖ, The Swimrun World Championship and we have a great episode to celebrate the big day. Joining us to talk about their forthcoming experience is Tracy Sesselberg and Sarah Haskell, A.K.A., Team Tracy and Sarah's Excellent Adventure. This was a great conversation and we can't wait to follow them on race day.But first…Training Update Chipper's Knee UpdateWe're replacing our training updates for the next few weeks to keep everyone up to date on the status of Chipper's knee ligaments. No major update other than x-rays were negative and an MRI is scheduled.ShoutoutThis week's shoutout goes out to our two newest Patrons on Patreon, Brett and Sarah. Thank you both so much for the support!Feats of EnduranceThis week's winner is our friend Matt Murray (and one half of Team Landshark) for racing his first 50 miler over the weekend. Strong work dude!Bonus shoutout to everyone that raced ÖTILLÖ Mackinac Island over the weekend. The weather looked amazing and the IG coverage was FOMO-inducing for sure!Make sure to sign up for our LTBz Strava Club and join Swimrunners from around the world as they train for stuff.Show BusinessGot inspired by ÖTILLÖ Mackinac Island and you're Interested in signing up for one or both of the remaining ÖTILLÖ races in North America? Then use the code LOWTIDE15 to save 15% on your race registration for Orcas Island and Austin.Team Tracy and Sarah's Excellent AdventureIt was great to catch up with Tracy and Sarah on the cusp of their travel to Sweden for Worlds. We got all the details about how they qualified, how they trained for the big day, and what they hope to get from the experience. This conversation had all the feels and we're stoked for their upcoming excellent adventure.Enjoy!~~~That's it for this week's show. If you are enjoying the Löw Tide Böyz, be sure to subscribe to the show on your favorite podcast player and leave us a five-star rating and review since that's the best way for people to discover the show and the sport of Swimrun. You can find us on Apple Podcast, Spotify, and on YouTube. Check out our website for Swimrun resources including gear guides, tips, how-to videos and so much more. Also make sure to check out our meme page @thelowtideboyz on Instagram. If you have any suggestions for the show or questions for us, send us a dm or an email at lowtideboyz@gmail.com. Finally, you can support our efforts on Patreon…if you feel so inclined.Thanks for listening and see you out there!- Chip and Chris
The bad news keeps on comin. This week, Bungie was hit with a significant round of layoffs and even an internal project cancellation which has called the future of Destiny and the studio into question. Not to be outdone, Gamestop suddenly and unexpectedly shut down Game Informer magazine; A shocking turn of events for a company that has relied on the publication to prop up their business for many years. On a less depressing note, Brad talks about World of Goo 2 which, despite the long gap between releases, manages to end up just as great and just as flawed as it's predecessor. Chris turned off his brain to play Earth Defense Force 6 and Brad did something similar with a hilarious little game called Thank Goodness You're Here. News - Bungie hit with layoffs / cancellations (8:25) News - Gamestop abruptly shuts down Game Informer (18:00) Impressions - World of Goo 2 (25:55) Impressions - Earth Defense Force 6 (43:20) Impressions - Thank Goodness You're Here (56:55) Impressions - CONSCRIPT (1:13:00) 4Player Minute (1:21:30)
Editor's note: This episode was recorded before President Joe Biden's SCOTUS reform proposals. Black women law nerds, unite! "We're having a moment," as this week's special guest Madiba Dennie says.Dennie is a lawyer, deputy editor and senior contributor at Balls and Strikes, and the author of The Originalism Trap. She joins Jess and Imani to discuss how originalism is not a legitimate intellectual theory, the idea of "jurisdiction stripping," and the next Supreme Court term.Rewire News Group is a nonprofit media organization, which means that rapid reaction episodes like this one is only made possible with the support of listeners like you! If you can, please join our team by donating here.And sign up for The Fallout, a weekly newsletter written by Jess that's exclusively dedicated to covering every aspect of this unprecedented moment.
Send Kris and Rob a Text Message!The Shocking Case of Helle Crafts: The Wood Chipper MurderOn the night of November 18, 1986, Helle Crafts was last seen by her friends and colleagues. She had confided in them about her concerns regarding her husband's infidelity and her intention to divorce him. When she didn't show up for work the next day and her friends couldn't reach her, worry began to set in.Richard Crafts claimed that Helle had flown to Denmark to visit her mother, but her friends and family knew this was unlikely. Helle had also recently hired a private investigator to follow Richard, gathering evidence of his extramarital affairs. This revelation painted Richard as a prime suspect in her sudden disappearance.The InvestigationDetective Henry Lee, renowned for his forensic expertise, played a pivotal role in unraveling the mystery. Initial searches of the Crafts' home revealed bloodstains on the mattress and bedding, but it wasn't until a snowplow driver came forward with a crucial tip that the investigation took a gruesome turn.The driver reported seeing Richard operating a wood chipper near Lake Zoar during a snowstorm around the time of Helle's disappearance. This led investigators to the lake, where they conducted an intensive search. What they found was both horrifying and groundbreaking.The EvidenceScattered along the banks of the lake were small fragments of steel, bone, and tissue. Forensic experts confirmed that these remains belonged to Helle Crafts. The discovery of a chainsaw with hair and tissue matching Helle's DNA, found in the nearby river, further solidified the case against Richard.The prosecution argued that Richard had struck Helle in the head with a blunt object, possibly while she was sleeping, then froze her body in a freezer before dismembering it with the chainsaw and disposing of the remains using the wood chipper. This method of disposal was unprecedented in criminal investigations at the time.The Trial and ConvictionThe trial of Richard Crafts was a landmark case in forensic science. It was one of the first to successfully prosecute a murder without a body, relying heavily on forensic evidence and expert testimony. The state's case was built on the meticulous reconstruction of the crime, demonstrating how Richard attempted to cover up his heinous act.In 1989, after a lengthy trial and a mistrial due to a hung jury, Richard Crafts was found guilty of murder and sentenced to 50 years in prison. His conviction marked a significant achievement in forensic investigation and set a precedent for future cases involving body disposal.Sources used for this episode:Support the Show.JOIN THE HITCHED 2 HOMICIDE IN-LAWS AND OUTLAWSSTART KRIS CALVERT'S BOOKS TODAY FOR FREEH2H WEBSITEH2H on TWITTERH2H on INSTA