Podcasts about cpe

Christian Noël fait le point sur la rentrée parlementaire à Ottawa; Véronique Prince se penche sur la stratégie de communication de Québec pour faire vacciner les enfants de 5 à 11 ans contre la COVID-19; Rozenn Nicolle s'intéresse à la campagne de vaccination des tout-petits en Ontario; François Brousseau commente la situation sanitaire qui se complique en Europe avec la 5e vague de COVID-19; Éric Plouffe livre un reportage sur la première journée de grève dans les CPE; Karine Mateu présente un reportage sur la difficulté d'importer des fruits et légumes au pays; et Dominique Arnoldi parle de nouvelles précipitations attendues en Colombie-Britannique.

A recent case control study evaluated adverse effects on glycemic control secondary to cholesterol lowering statin medications. Listen in as we evaluate the risk versus benefit of statin therapy in persons with diabetes.  Redeem your CPE or CME credit here!Claim CPE (Pharmacist Members) Claim CMENeed a membership?Join for CPE CreditJoin for CME CreditReferences and resources: Mansi IA, Chansard M, Lingvay I, et al. Association of Statin Therapy Initiation With Diabetes Progression: A Retrospective Matched-Cohort Study. JAMA Intern Med. Published online October 04, 2021. doi:10.1001/jamainternmed.2021.5714Learning Objectives: 1. Describe the proposed mechanism by which statins would worsen blood glucose control2. Discuss confounders in the study that examined the association of statin use and worsening diabetes control.Continuing Education Information:0.05 CEU | 0.5 HrsACPE UAN: 0107-0000-21-365-H01-PInitial release date: 11/15/21Expiration date: 11/15/22Complete CPE & CME details can be found here

Meet Our GuestAnurag Pal, CEO @ Escalonhttps://www.linkedin.com/in/anurag-ap-pal/Learn More About Escalonhttps://escalon.services/Need CPE? Subscribe to the Earmark Accounting Podcast: https://podcast.earmarkcpe.comGet CPE for listening to podcasts with Earmark CPE: https://earmarkcpeShow NotesComing soon! Get in TouchThanks for listening and for the great reviews! We appreciate you! Follow and tweet @BlakeTOliver and @DavidLeary. Find us on Facebook and, if you like what you hear, please do us a favor and write a review on iTunes, or Podchaser. Interested in sponsoring the Cloud Accounting Podcast? For details, read the prospectus, and NOW, you can see our smiling faces on Instagram! You can now call us and leave a voicemail, maybe we'll play it on the show. DIAL (202) 695-1040Need Accounting Conference Info? Check out our new website - accountingconferences.comLimited edition shirts, stickers, and other necessitiesTeePublic Store: http://cloudacctpod.link/merchSubscribe Apple Podcasts: http://cloudacctpod.link/ApplePodcasts Podchaser: http://cloudacctpod.link/podchaser Spotify: http://cloudacctpod.link/Spotify Google Play: http://cloudacctpod.link/GooglePlay Stitcher: http://cloudacctpod.link/Stitcher Overcast: http://cloudacctpod.link/Overcast ClassifiedsGo here to create your classified ad: https://cloudacctpod.link/RunClassifiedAd  Want to get the word out about your newsletter, webinar, party, Facebook group, podcast, e-book, job posting, or that fancy Excel macro you just created? Why not let the listeners of The Cloud Accounting Podcast know by running a classified ad? Hit the show notes for the link to get more info.Full Transcript Available Upon Request - info@cloudaccountingpodcast.com

Meet Our GuestsJoav Bally: https://www.linkedin.com/in/joavbally/Marc Holliday: https://www.linkedin.com/in/marc-holliday-42634558/ Learn More About NetSuite Data Warehousehttps://www.netsuite.com/portal/products/analytics/data-warehouse.shtmlNeed CPE? Subscribe to the Earmark Accounting Podcast: https://podcast.earmarkcpe.comGet CPE for listening to podcasts with Earmark CPE: https://earmarkcpeShow NotesComing soon! Get in TouchThanks for listening and for the great reviews! We appreciate you! Follow and tweet @BlakeTOliver and @DavidLeary. Find us on Facebook and, if you like what you hear, please do us a favor and write a review on iTunes, or Podchaser. Interested in sponsoring the Cloud Accounting Podcast? For details, read the prospectus, and NOW, you can see our smiling faces on Instagram! You can now call us and leave a voicemail, maybe we'll play it on the show. DIAL (202) 695-1040Need Accounting Conference Info? Check out our new website - accountingconferences.comLimited edition shirts, stickers, and other necessitiesTeePublic Store: http://cloudacctpod.link/merchSubscribe Apple Podcasts: http://cloudacctpod.link/ApplePodcasts Podchaser: http://cloudacctpod.link/podchaser Spotify: http://cloudacctpod.link/Spotify Google Play: http://cloudacctpod.link/GooglePlay Stitcher: http://cloudacctpod.link/Stitcher Overcast: http://cloudacctpod.link/Overcast ClassifiedsGo here to create your classified ad: https://cloudacctpod.link/RunClassifiedAd  Want to get the word out about your newsletter, webinar, party, Facebook group, podcast, e-book, job posting, or that fancy Excel macro you just created? Why not let the listeners of The Cloud Accounting Podcast know by running a classified ad? Hit the show notes for the link to get more info.Full Transcript Available Upon Request - info@cloudaccountingpodcast.com

There's a shift that occurs in the lifespan of a business -- universal to EVERY industry -- in which "success" by most metrics is assured. You can put a revenue number on it, perhaps around $250K annually (depending on margins, obviously), and the business evolves into something you know is going to "make it." It's a going concern, as they used to say. When you make this shift, new habits are essential. New problems arise. There's a different set of goals, a different mix of tactics you need to master. This is the shift from "startup" to "growth mode." And I have seen so many companies NOT make this tactical shift -- thereby consigning themself to stay in "growth mode" for years. Except what it really means for these tax and accounting businesses is that it's just "stagnant mode." No actual growth ... just higher revenue than during the startup phase. They haven't yet made the necessary tactical shift. So, how do you break these patterns to reach the next stage of development? Well, one surefire path is that you find out what OTHER businesses, like yours, have done and model their success. And I created an opportunity for you to do just that.  I recently hosted an "all-star panel" of your fellow tax and accounting practitioners who've made that shift, who are staying in growth mode despite the challenges of the past year and a half.  This wasn't your Daddy's CPE snoozefest, either. It was a blast.  Because these guys (and gal) are some of the "best of the best" of your colleagues, on a variety of fronts. They're not only fun, but they also come with a spirit of generosity and excellence.  What's important to know about them is that they've moved past the striving to build something great.  And in this panel, you get to hear five very distinct practice models for keeping a business in growth mode, as well as insights on preparing for what promises to be a wild 2022 tax season.  Even if you do NO COMPLIANCE WORK ... the lessons offered in this panel might very well be what pushes you over the top and into the next stage of your business growth. Listen in.

The TOGETHER Study, published in Lancet, evaluated the role of fluvoxamine in the treatment of COVID-19. Is this a real GameChanger, or just another dud?Redeem your CPE or CME credit here! Claim CPE CreditClaim CME CreditNeed a membership?Join for CPE CreditJoin for CME CreditReferences and resources:Reis G, Dos Santos Moreira-Silva EA, Silva DCM, et al. TOGETHER investigators. Effect of early treatment with fluvoxamine on risk of emergency care and hospitalisation among patients with COVID-19: the TOGETHER randomised, platform clinical trial. Lancet Glob Health. 2021 Oct 27:S2214-109X(21)00448-4. doi: 10.1016/S2214-109X(21)00448-4. Epub ahead of print. PMID: 34717820; PMCID: PMC8550952.Continuing Education Information:Learning Objectives: 1. Describe the inclusion and exclusion criteria for the TOGETHER study2. Discuss the role of Drug-Drug Interactions with fluvoxamine0.05 CEU | 0.5 HrsACPE UAN: 0107-0000-21-394-H01-PInitial release date: 11/15/21Expiration date: 11/15/22Complete CPE & CME details can be found here

The Surviving Sepsis Campaign Guidelines have been updated! It's been over five years since the last update and many new studies have redefined the role of several therapies for sepsis. Redeem your CPE or CME credit here! Claim CPE CreditClaim CME CreditNeed a membership?Join for CPE CreditJoin for CME CreditReferences and resources: Evans L, Rhodes A, Alhazzani W, et al. Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock 2021, Critical Care Medicine: November 2021 - Volume 49 - Issue 11 - p e1063-e1143 doi: 10.1097/CCM.0000000000005337Continuing Education Information:Learning Objectives: 1. Discuss the role of corticosteroids in septic shock patients requiring vasopressors2. Discuss laboratory and screening tools to aid in treating septic shock patients0.05 CEU | 0.5 HrsACPE UAN: 0107-0000-21-360-H01-PInitial release date: 11/08/21Expiration date: 11/08/22Complete CPE & CME details can be found here: www.ceimpact.com

On today's episode, Dave is joined by fellow start-up owner and CEO John Larkin. They talk about John's path to going out on his own, developing his product, tips for aspiring start-up owners, and more.Check out Advance CPE here.Connect with John on LinkedIn here.Looking for quality CPE? See Dave's diverse catalog of courses at Peters Professional Education at https://www.petersprofessionaleducation.com!Visit us at https://www.davidpetersfinancial.com/*Required Disclosures*Registered Representative of and securities offered through Cetera Advisor Networks, LLC, Member SIPC/FINRA.  Advisory services offered through Carroll Financial Associates, Inc., a Registered Investment Advisor.  Carroll Financial and Cetera Advisor Networks, LLC are not affiliated.David Peters FinancialMail to: 8005-C, #129, Creighton Pkwy #129, Mechanicsville, VA 231111657 West Broad Street, #5, Richmond, VA 23220

Get free CPE for listening to podcastshttps://earmarkcpe.com/Connect with Ed MendlowitzLinkedIn: https://www.linkedin.com/in/edward-mendlowitz-a6a1305/Email: emendlowitz@withum.comConnect with Blake OliverLinkedin: https://www.linkedin.com/in/blaketoliverTwitter: https://twitter.com/blaketoliver/

DESCRIPTION: What is digital body language and why does it matter? Join ISACA's Director of Global Volunteer Engagement Megan Moritz as she speaks with Erica Dhawan, author of Digital Body Language: How to Build Trust and Connection, No Matter the Distance. Megan and Erica discuss our modern digital environments and how we can prioritize thoughtfulness over hastiness, building trust from behind a computer screen and how collective conversations are now possible in the digital world.  On November 30th, ISACA's membership experience team will be hosting a first-ever ISACA Speaker Series. A complementary, member-exclusive, CPE-eligible event. This is the premier event in a series of experiences centered around ideas on leadership, including leading an organization, others, and yourself. In our first interactive member-only session, Speaker Erica Dhawan, will combine cutting-edge research with engaging storytelling to decode the new signals and cues of leading and communicating that have replaced traditional body language. Register Now: 30 November Speaker Series Webinar: https://store.isaca.org/s/lt-event?id=a334w000004VJBQAA4 Book:  Digital Body Language: How to Build Trust and Connection No Matter the Distance:  https://us.macmillan.com/books/9781250246523

Hypertension is often managed by treating to a target blood pressure goal. But what if this is wrong? A recent meta-analysis found benefits of blood pressure lowering regardless of age. Host Geoff Wall is joined by Lindsay Davis, a cardiovascular pharmacist and educator, to make heads or tails of this article.Redeem your CPE or CME credit here! Claim CPE CreditClaim CME CreditNeed a membership?Join here for CPE CreditJoin here for CME CreditReferences and resources: Blood Pressure Lowering Treatment Trialists' Collaboration. Age-stratified and blood-pressure-stratified effects of blood-pressure-lowering pharmacotherapy for the prevention of cardiovascular disease and death: an individual participant-level data meta-analysis. Lancet. 2021 Sep 18;398(10305):1053-1064. doi: 10.1016/S0140-6736(21)01921-8. Epub 2021 Aug 27. PMID: 34461040.Continuing Education Information:Learning Objectives: 1. Describe the methodology of a recent meta-analysis on blood pressure2. Identify appropriate blood pressure targets for patients regardless of age0.05 CEU | 0.5 HrsACPE UAN: 0107-0000-21-359-H01-PInitial release date: 11/01/21Expiration date: 11/01/22Complete CPE & CME details can be found here!

durée : 00:25:21 - Florence Malgoire, violoniste (1/5) - par : Benjamin François - Toute son enfance, Florence Malgoire navigue entre l'accent du nord de sa mère et celui, chantant, de son père Jean-Claude, natif d'Avignon. A l'âge de 7 ans, elle choisit le violon, fascinée par le jeu de David Oistrakh. Pendant ce temps, Jean-Claude Malgoire crée son Florilegium Musicum de Paris… - réalisé par : Gilles Blanchard

Our GuestEvan Goldberg: https://www.linkedin.com/in/evan-netsuite/Need CPE? Subscribe to the Earmark Accounting Podcast: https://podcast.earmarkcpe.comGet CPE for listening to podcasts with Earmark CPE: https://earmarkcpeShow NotesComing soon! Get in TouchThanks for listening and for the great reviews! We appreciate you! Follow and tweet @BlakeTOliver and @DavidLeary. Find us on Facebook and, if you like what you hear, please do us a favor and write a review on iTunes, or Podchaser. Interested in sponsoring the Cloud Accounting Podcast? For details, read the prospectus, and NOW, you can see our smiling faces on Instagram! You can now call us and leave a voicemail, maybe we'll play it on the show. DIAL (202) 695-1040Need Accounting Conference Info? Check out our new website - accountingconferences.comLimited edition shirts, stickers, and other necessitiesTeePublic Store: http://cloudacctpod.link/merchSubscribe Apple Podcasts: http://cloudacctpod.link/ApplePodcasts Podchaser: http://cloudacctpod.link/podchaser Spotify: http://cloudacctpod.link/Spotify Google Play: http://cloudacctpod.link/GooglePlay Stitcher: http://cloudacctpod.link/Stitcher Overcast: http://cloudacctpod.link/Overcast ClassifiedsGo here to create your classified ad: https://cloudacctpod.link/RunClassifiedAd  Want to get the word out about your newsletter, webinar, party, Facebook group, podcast, e-book, job posting, or that fancy Excel macro you just created? Why not let the listeners of The Cloud Accounting Podcast know by running a classified ad? Hit the show notes for the link to get more info.Full Transcript Available Upon Request - info@cloudaccountingpodcast.com

SponsorsRippling: https://cloudaccountingpodcast.promo/ripplingBaCo Tech: https://cloudaccountingpodcast.promo/baco Client Hub: https://cloudaccountingpodcast.promo/clienthubNeed CPE? Subscribe to the Earmark Accounting Podcast: https://podcast.earmarkcpe.comGet CPE for listening to podcasts with Earmark CPE: https://earmarkcpeShow NotesComing soon! Get in TouchThanks for listening and for the great reviews! We appreciate you! Follow and tweet @BlakeTOliver and @DavidLeary. Find us on Facebook and, if you like what you hear, please do us a favor and write a review on iTunes, or Podchaser. Interested in sponsoring the Cloud Accounting Podcast? For details, read the prospectus, and NOW, you can see our smiling faces on Instagram! You can now call us and leave a voicemail, maybe we'll play it on the show. DIAL (202) 695-1040Need Accounting Conference Info? Check out our new website - accountingconferences.comLimited edition shirts, stickers, and other necessitiesTeePublic Store: http://cloudacctpod.link/merchSubscribe Apple Podcasts: http://cloudacctpod.link/ApplePodcasts Podchaser: http://cloudacctpod.link/podchaser Spotify: http://cloudacctpod.link/Spotify Google Play: http://cloudacctpod.link/GooglePlay Stitcher: http://cloudacctpod.link/Stitcher Overcast: http://cloudacctpod.link/Overcast ClassifiedsFuture Firm: https://futurefirmaccelerate.com/Accounting Podcast Network: https://accountingpodcastnetwork.com/Go here to create your classified ad: https://cloudacctpod.link/RunClassifiedAd  Want to get the word out about your newsletter, webinar, party, Facebook group, podcast, e-book, job posting, or that fancy Excel macro you just created? Why not let the listeners of The Cloud Accounting Podcast know by running a classified ad? Hit the show notes for the link to get more info.Full Transcript Available Upon Request - info@cloudaccountingpodcast.com

CPE students will be sharing about their experiences serving in various hospital systems and retirement communities over 10 weeks this past summer.  Using poetry and story-telling, they will talk about their ministry and engagement of the action/reflection/action process of learning that is an integral part of the CPE experience. Come, worship and celebrate with us!

Today I thought I would discuss another topic related to the pursuit of a hospital management job. I read an article on KevinMD by Patty Fahy, MD recently that talked about BSM (Business School Mindset). The author gave examples of the BSM mindset: "...graduates are assured that an MBA degree has prepared them to manage in any industry: a tattoo parlor, a government entity, or a hospital system. "Managers are an elite caste, separate from those who are managed, monitored, and controlled. "Efficiencies gained by controlling the behavior of professionals and other workers garner financial rewards... "The principle that... an action is rational only if it maximizes self-interest..." I don't know that all hospitals are managed in this way all of the time. But, when I was Chief Medical Officer, there were definitely times when I could feel the BSM "vibe" coming through... even though I worked at a non-profit hospital. Which leads me to believe that Business School Mindset leads to a different kind of BSM...      Bulls**t Medicine. (You know, the approach that doesn't recognize the physician-patient relationship, or that puts quality, safety, and dignity after the bottom line.) So, please consider a career in hospital management, because it's intellectually stimulating, pays well, and is the only way we're going to steer this industry in a new direction. During the rest of this episode, I describe factors to consider when thinking of becoming a Certified Physician Executive. You can get the show notes with all of the links for today's episode at nonclinicalphysicians.com/certified-physician-executive/ If you'd like to join my Nonclinical Mastermind Group, you can learn about it at nonclinicalphysicians.com/mastermind. Get an updated edition of the FREE GUIDE to 10 Nonclinical Careers at nonclinicalphysicians.com/freeguide. Get a list of 70 nontraditional jobs at nonclinicalphysicians.com/70jobs. Check out a FREE WEBINAR called Best Options for an Interesting and Secure Nonclinical Job at nonclinicalphysicians.com/freewebinar1

The recent Quartet Study evaluated initial hypertension pharmacotherapy - specifically, the role of using four antihypertensives at a low dose compared to usual step therapy. Does a small dose of multiple medications work better than one high dose medication?Redeem your CPE or CME credit here! Claim CPE Credit here! Claim CME Credit here!  Need a membership?Join for CPE Credit here! Join for CME Credit here!References and resources: Chow CK, Atkins ER, Hillis GS, et al. QUARTET Investigators. Initial treatment with a single pill containing quadruple combination of quarter doses of blood pressure medicines versus standard dose monotherapy in patients with hypertension (QUARTET): a phase 3, randomized, double-blind, active-controlled trial. Lancet. 2021 Sep 18;398(10305):1043-1052. doi: 10.1016/S0140-6736(21)01922-X. Epub 2021 Aug 29. PMID: 34469767.Continuing Education Information:Learning Objectives: 1. Describe the medications used in the QUARTET study2. Apply the results of the QUARTET study to a patient with hypertension0.05 CEU | 0.5 HrsACPE UAN: 0107-0000-21-356-H01-PInitial release date: 10/25/21Expiration date: 10/25/22

This week on Accountable, Dave chats with Chris Hervochon, a CPA from Hilton Head, South Carolina. They chat about Chris' unique service offerings, how to navigate a changing financial planning landscape, and more. Connect with Chris on LinkedIn hereVisit Chris' Firm at Visit us at https://www.davidpetersfinancial.com/Looking for quality CPE? See Dave's diverse catalog of courses at Peters Professional Education at https://www.petersprofessionaleducation.com!*Required Disclosures*Registered Representative of and securities offered through Cetera Advisor Networks, LLC, Member SIPC/FINRA.  Advisory services offered through Carroll Financial Associates, Inc., a Registered Investment Advisor.  Carroll Financial and Cetera Advisor Networks, LLC are not affiliated.David Peters FinancialMail to: 8005-C, #129, Creighton Pkwy #129, Mechanicsville, VA 231111657 West Broad Street, #5, Richmond, VA 23220

Julie-Anne Lamoureux fait le point sur le calendrier de la levée des mesures sanitaires en Ontario; Alexis Gacon parle du syndrome post-COVID-19; Marie-Pier Mercier nous présente un reportage sur une journée typique dans un centre de la petite enfance (CPE); Éric Plouffe parle du tir mortel d'Alec Baldwin survenu sur le tournage d'un film; Isabelle Lacroix s'intéresse aux enjeux de société abordés dans le film Dune; Thomas Deshaies explique comment imprimer en3D des structures en béton; Matisse Harvey se penche sur le Nunavut en campagne électorale; et Olivier Nederlandt parle des médias francophones publics.

SponsorsRippling: https://cloudaccountingpodcast.promo/ripplingClient Hub: https://cloudaccountingpodcast.promo/clienthubBaCo Tech: https://cloudaccountingpodcast.promo/bacoShow NotesComing soon! Get in TouchThanks for listening and for the great reviews! We appreciate you! Follow and tweet @BlakeTOliver and @DavidLeary. Find us on Facebook and, if you like what you hear, please do us a favor and write a review on iTunes, or Podchaser. Interested in sponsoring the Cloud Accounting Podcast? For details, read the prospectus, and NOW, you can see our smiling faces on Instagram! You can now call us and leave a voicemail, maybe we'll play it on the show. DIAL (202) 695-1040Need Accounting Conference Info? Check out our new website - accountingconferences.comLimited edition shirts, stickers, and other necessitiesTeePublic Store: http://cloudacctpod.link/merchSubscribe Apple Podcasts: http://cloudacctpod.link/ApplePodcasts Podchaser: http://cloudacctpod.link/podchaser Spotify: http://cloudacctpod.link/Spotify Google Play: http://cloudacctpod.link/GooglePlay Stitcher: http://cloudacctpod.link/Stitcher Overcast: http://cloudacctpod.link/Overcast ClassifiedsFuture Firm: https://futurefirmaccelerate.com/Accounting Podcast Network: https://accountingpodcastnetwork.com/Go here to create your classified ad: https://cloudacctpod.link/RunClassifiedAd  Want to get the word out about your newsletter, webinar, party, Facebook group, podcast, e-book, job posting, or that fancy Excel macro you just created? Why not let the listeners of The Cloud Accounting Podcast know by running a classified ad? Hit the show notes for the link to get more info.Full Transcript Available Upon Request - info@cloudaccountingpodcast.com

Pseudogout, or Calcium Pyrophosphate Deposition Disease (CPDD), is more common than you think – plus the treatment is even murkier. In this episode, we discuss its presentation, diagnosis, and treatment. Continuing Education CreditHave a membership?Claim CPE Credit here!Claim CME Credit here!Need a membership?Join for CPE Credit here!Join for CME Credit here!References and resources: https://www.rheumatology.org/I-Am-A/Patient-Caregiver/Diseases-Conditions/Calcium-Pyrophosphate-Deposition-CPPDContinuing Education Information:Learning Objectives:1. List risk factors for developing pseudogout and common joints the disease effects2. Describe an evidence-based approach to the treatment of pseudogout.Click HERE for complete CPE & CME details0.05 CEU | 0.5 HrsACPE UAN: 0107-0000-21-340-H01-PInitial release date: 10/18/21Expiration date: 10/18/2022

https://justinvonbujdoss.com/ Francesca Maximé – ReRooted – Ep. 56 – Modern Tantric Buddhism with Lama Justin von Bujdoss September 22, 2021 | No Comments Cover Image ReRooted with Francesca Maximé Ep. 56 – Modern Tantric Buddhism with Lama Justin von Bujdoss SHARE SUBSCRIBE Apple Podcasts CastBox Google Podcasts iHeartRadio Pocket Casts Stitcher RSS DOWNLOAD DESCRIPTION 00:00 / 47:51 Lama Justin von Bujdoss joins Francesca to share an authentic and embodied conversation around Tantric Buddhism for our Dharma practice in the modern age. Justin von Bujdoss is an American Buddhist teacher and chaplain ordained as a repa in the Karma Kamstang tradition of Tibetan Buddhism by His Eminence Goshir Gyaltsab Rinpoche. Justin is passionate about the preservation of the heart-essence of the tantric Buddhist tradition in a way that meets the needs of, and simultaneously challenges, the modern western way of life. Justin has served as the resident-lama and executive director of New York Tsurphu Goshir Dharma Center and is Staff Chaplain and Executive Director of the Division of Chaplaincy and Staff Wellness for NYC Department of Correction. Justin has also worked as a full-time home hospice chaplain and teaches dharma in a variety of settings from monasteries, retreat centers and dharma centers, to hospital didactics, CPE groups and at conferences and museums. More info: JustinvonBujdoss.com Modern Tantric Buddhism: Engaging in Practice Welcoming Lama Justin von Bujdoss to the ReRooted podcast, Francesca invites him to share the core themes encased within his new book brimming with ancient wisdom translated for our spiritual practice in the contemporary age: Modern Tantric Buddhism: Embodiment and Authenticity in Dharma Practice. “The book and a lot of the work that I do is rooted at this intersection of Tantric Buddhist practice and chaplaincy, and also a lot of the natural critique, which I think is a healthy thing for practitioners to engage in exploring: how is it that I interact with the tradition that I am practicing?” – Lama Justin von Bujdoss Learn to embody Tantric Devotion with Ram Dev (Dale Borglum), on Ep. 63 of Healing at the Edge Embodied Tantric Buddhist Practice: Authentic Wisdom Born of Experience (11:28) Francesca and Lama Justin von Bujdoss speak to the importance of visualization practices, working with relationships, facing difficulties and apprehensions head-on, and how truly authentic wisdom is born of direct felt experience. “Authentic wisdom born of experience—I can't stress the importance of that enough. That is the thing that becomes this fuel that allows us to reinvest in our meditation, double down, and go a little bit deeper.” – Lama Justin von Bujdoss Take the journey to authenticity with Buddhist writer, speaker, and broadcaster, Kelly Carlin on Ep. 71 of the BHNN Guest Podcast Breaking Relationship to Habit Mind // Social Justice & Equity Work (30:00) Sharing on the powerful Tibetan Buddhist practices of Dzogchen and Mahamudra, Lama Justin and Francesca dig deep into the power encased in breaking/disrupting our momentum-driven relationship with our habit-mind through short, but frequent meditation sessions. From here, they dive into how to apply Tantric Buddhist practices to social justice and equity work in the real world. “There's a long thread of practice style around a meditation called Mahamudra, which is very similar to Dzogchen, advising people to sit for short periods, like 12 minutes, where it's really about breaking up the habit, rather than one long grueling session where your mind goes numb and you find yourself suffering. Sometimes there's more power in breaking up our relationship to habit-mind in these shorter sessions.” – Lama Justin von Bujdoss

If current tax reform proposals become law, there will be many issues to be mindful of with planning for trusts. In this episode of the PFP Section podcast, Bob Keebler, CPA/PFS, helps you get ahead of these changes so that you can plan for your clients to be ready for impending changes. Bob discusses: How the proposed higher income tax and capital gains rates will impact trusts planning The low threshold for trusts that would have the additional 3% surtax, NIIT expansion, and 199A cap kick in Changes to grantor trusts taxation that will make transactions between grantor and trust pertinent to monitor Being cognizant of electing fiscal year ends in rising tax rate environments Access resources related to this podcast: Note: If you're using a podcast app that does not hyperlink to the resources, visit http://pfplanning.libsyn.com/ to access show notes with direct links.  Register for our year-end planning webcast that is free with CPE for PFP/PFS members. Access the Proactive Planning Toolkit audio learning to hear about tax proposals impacting individuals, estates, and trusts. This episode is brought to you by the AICPA's Personal Financial Planning Section, the premier provider of information, tools, advocacy and guidance for professionals who specialize in providing tax, estate, retirement, risk management and investment planning advice. Also, by the CPA/PFS credential program, which allows CPAs to demonstrate competence and confidence in providing these services to their clients. Visit us online at www.aicpa.org/pfp to join our community, gain access to valuable member-only benefits or learn about our PFP certificate program. Subscribe to the PFP Podcast channel at Libsyn to find all the latest episodes or search “AICPA Personal Financial Planning” on your favorite podcast app.

Stephanie Palmertree, CPA, CGMA, saw a need for better continuing professional education at the Mississippi Office of the State Auditor. The speakers were the same every year, and the issues weren't necessarily the ones faced by staff at her agency. So, CPE offerings were revamped, becoming more meaningful and targeted. Palmertree explains the why and how of those changes, along with reasons for enjoying the Harry Potter book series and how she relies on her favorite tech tool. Also, listeners can get caught up on recent news related to a new auditing standard and new PCAOB guidance on audit evidence.

Nancy Caouette parle de la contestation judiciaire de la vaccination obligatoire des travailleurs de la santé; Vincent Rességuier fait le point sur les stratégies de recrutement d'infirmières dans les Hautes-Laurentides; Davide Gentile évoque la révision à la hausse des objectifs de recrutement d'infirmières à l'étranger; Yanik Dumont-Baron parle de l'utilisation des tests de dépistage rapide au Canada; au Nouveau-Brunswick, Sarah Déry fait le point sur la réduction ou l'interruption provisoire de services et de soins de santé; François Brousseau se penche sur la réunion des pays les plus industrialisés et l'aide à l'Afghanistan; Nahila Bendali livre un reportage sur les grèves tournantes dans les CPE; Mathieu Dion relève de nombreux bouleversements dans l'industrie du taxi; et Tamara Alteresco dévoile les coulisses du tournage du documentaire sur la Série du siècle, entre le Canada et l'ex-URSS.

Hausse des cas de COVID-19 : le Nouveau-Brunswick commence son délestage. Début des grèves tournantes dans les CPE du Québec. Les parents ontariens, eux, auront-ils enfin des garderies abordables? Le fédéral et la province doivent d'abord régler... une guerre de chiffres | Claude-Sophie Hennekens (journaliste-présentatrice)

For over 50 years, the standard has been that Staph aureus bacteremia and endovascular infections must be treated with a bactericidal antibiotic, like beta lactams or vancomycin. A new study suggests that bacteriostatic antibiotic, like clindamycin, could be used to treat MRSA bacteremia.Redeem your CPE or CME credit here! References and resources: Guthridge I, Smith S, Law M, et al. Efficacy and Safety of Intravenous Lincosamide Therapy in Methicillin-Resistant Staphylococcus aureus Bacteremia. Antimicrob Agents Chemother. 2021 Aug 17;65(9):e0034321. doi: 10.1128/AAC.00343-21. Epub 2021 Aug 17. PMID: 34125589.Continuing Education Information:Learning Objectives: 1. Identify if an uncomplicated patient with MRSA bacteremia may be eligible for bacteriostatic medications2. Describe some of the advantages of using drugs like clindamycin in these patients0.05 CEU | 0.5 HrsACPE UAN: 0107-0000-21-339-H01-PInitial release date: 10/12/21Expiration date: 10/12/2022Complete CPE & CME details can be found here !What's new?GameChangers Pharmacotherapy Podcast will release new episodes on Mondays starting 10/18/2021We are making it easier to claim CE Credit for listening each week! This October - we'll launch a simple, one membership option so you can get one-click CE redemption for GameChangers episodes.  Name changes! You'll notice the podcast show will change to CEimpact - you'll still get new GameChangers episodes released each week on Mondays. Keep listening here and your feed will automatically switch over to CEimpact on 10/18.

Listen to the full interview with IMA president Jeff Thomson on the Earmark Accounting Podcast: https://podcast.earmarkcpe.comWant to learn how you can get CPE for listening to podcasts? Subscribe to get early access to the Earmark CPE mobile app when it launches this fall: https://earmarkcpe.comSubscribe to Earmark Apple Podcasts Google Podcasts  Spotify Amazon Music Overcast Pocket Casts 

In 2016 Greg started Exposure Drafts, a cartoon series for the accounting profession. His cartoons have been featured on GoingConcern.com, and he has created custom cartoons for Intuit and the Thriveal CPA Network. His cartoons are also available as holiday cards from RuBook Creative (rubookcreative.com). Greg has been performing stand up comedy since 2002, and has brought that experience, energy, and humor to the stage as the emcee for Xero's Xerocon and Thriveal's Deeper Weekend conference, and this October to Gusto's Gusto Next conference. Gregs experience as a comedian and as a teacher (He taught junior high math for ten years in a former life) have allowed him to create entertaining, engaging, NASBA-certified CPE content. Literally tens of thousands of CPAs have attended his fraud and behavioral ethics courses on the CPA Academy and Encoursa platforms. Greg has also created custom CPE content for Gusto and Xero. Greg is also a licensed CPA in the State of Utah where I'm the controller for a group of medical office buildings. --- Send in a voice message: https://anchor.fm/rush-tech-support/message

Anyck Béraud fait le point sur les tensions entre Taïwan et la Chine; Ulysse Bergeron parle de David Card, un Canadien parmi les lauréats du Nobel d'économie; Marielle Guimond relate le mécontentement des restaurants et des bars au sujet de l'allégement des restrictions dans les salles de spectacle au Québec; Étienne Leblanc se penche sur la COP26 et les effets du transport sur les changements climatiques; Marie-Claude Sarrazin parle de l'Ordre des infirmières et infirmiers du Québec (OIIQ) et des poursuites judiciaires au sujet de la vaccination obligatoire; Mathieu Belhumeur reçoit Élyse Lebeau, directrice générale de l'Association des cadres des centres de la petite enfance (ACCPE), pour parler du soutien de l'organisme aux éducatrices des CPE; Hadi Hassin relate le manque de médecins de famille en Beauce, au Québec; Nelly Lahoud parle des lettres d'Oussama Ben Laden; et Grégory Plesse fait le point sur la situation de la COVID-19 en Australie et en Nouvelle-Zélande.

With a lot of unknowns going into the last quarter of the year, top CPA financial planners have been gathering to share conversations that they're having with clients now. In this episode of the PFP Section podcast, Lyle Benson, CPA/PFS, reviews a collection of ideas and thoughts that have been discussed in his Athena study group and other CPA financial planner panels. Lyle gives an overview of what he and his peers are talking about with their clients in the following areas: Income tax planning, including the capital gain rate increase and opportunities for gain harvesting Retirement planning, from reviewing assumptions used in plans to getting ahead of tax proposals Estate planning changes and the need to line up attorneys and valuation experts now Charitable giving strategies such as donor advised funds and making use of the 100% AGI limit for cash contributions Investment planning, including educating clients about the purpose of bonds in their portfolios Insurance planning and the renewed interest in ILITs, disability coverage, and annuities Access resources related to this podcast: Note: If you're using a podcast app that does not hyperlink to the resources, visit http://pfplanning.libsyn.com/ to access show notes with direct links.  Register for our year-end planning webcast that is free with CPE for PFP/PFS members. Access the Proactive Planning Toolkit audio learning to hear about tax proposals impacting individuals. Access the Adviser's Guide to Financial & Estate Planning for more on planning with your clients. This episode is brought to you by the AICPA's Personal Financial Planning Section, the premier provider of information, tools, advocacy and guidance for professionals who specialize in providing tax, estate, retirement, risk management and investment planning advice. Also, by the CPA/PFS credential program, which allows CPAs to demonstrate competence and confidence in providing these services to their clients. Visit us online at www.aicpa.org/pfp to join our community, gain access to valuable member-only benefits or learn about our PFP certificate program. Subscribe to the PFP Podcast channel at Libsyn to find all the latest episodes or search “AICPA Personal Financial Planning” on your favorite podcast app

SponsorsRippling: https://cloudaccountingpodcast.promo/ripplingDEXT: https://cloudaccountingpodcast.promo/dextDark Horse: https://cloudaccountingpodcast.promo/darkhorseShow NotesSubscribe to the Earmark Accounting Podcast: https://podcast.earmarkcpe.comGet CPE for listening to podcasts with Earmark CPE: https://earmarkcpe.comGet in TouchThanks for listening and for the great reviews! We appreciate you! Follow and tweet @BlakeTOliver and @DavidLeary. Find us on Facebook and, if you like what you hear, please do us a favor and write a review on iTunes, or Podchaser. Interested in sponsoring the Cloud Accounting Podcast? For details, read the prospectus, and NOW, you can see our smiling faces on Instagram! You can now call us and leave a voicemail, maybe we'll play it on the show. DIAL (202) 695-1040Need Accounting Conference Info? Check out our new website - accountingconferences.comLimited edition shirts, stickers, and other necessitiesTeePublic Store: http://cloudacctpod.link/merchSubscribe Apple Podcasts: http://cloudacctpod.link/ApplePodcasts Podchaser: http://cloudacctpod.link/podchaser Spotify: http://cloudacctpod.link/Spotify Google Play: http://cloudacctpod.link/GooglePlay Stitcher: http://cloudacctpod.link/Stitcher Overcast: http://cloudacctpod.link/Overcast ClassifiedsFuture Firm: https://futurefirmaccelerate.com/Accounting Podcast Network: https://accountingpodcastnetwork.com/Go here to create your classified ad: https://cloudacctpod.link/RunClassifiedAd  Want to get the word out about your newsletter, webinar, party, Facebook group, podcast, e-book, job posting, or that fancy Excel macro you just created? Why not let the listeners of The Cloud Accounting Podcast know by running a classified ad? Hit the show notes for the link to get more info.Full Transcript Available Upon Request - info@cloudaccountingpodcast.com

Sign up to get free CPE for listening to this podcast:https://earmarkcpe.com/Connect with Jeff Thomson, President and CEO @ IMA:https://www.linkedin.com/in/jeffthomsonima/Learn more about the Institute of Management Accountants:https://www.imanet.org/Connect with Blake Oliver, CPALinkedin: https://www.linkedin.com/in/blaketoliverTwitter: https://twitter.com/blaketoliver/

President Aaron Thompson of the Kentucky Council on Postsecondary Education talks about student success and a willingness to change traditional services, budget recommendations the CPE will make to state lawmakers next year, COVID-19 and higher education and the future of Kentucky State University.

The House Ways & Means Committee recently released its proposed 2021 tax reform legislation. In this episode of the PFP Section podcast, Bob Keebler, CPA/PFS, covers the changes being considered that would impact income tax planning, including: Funding the IRS and using tax reform to improve social safety nets Additional childcare credits and other dependent care, childcare, and caregiver provisions Increases to the individual income tax rate, capital gains rate, and 3% surtax over certain thresholds Expansion of NIIT to business income when over certain thresholds Cap on the qualified business income deduction under 199A Wash sale rules applying to cryptocurrency Executive compensation deduction limited to 1M deduction and other business reforms Credits for electric vehicles Access resources related to this podcast: Note: If you're using a podcast app that does not hyperlink to the resources, visit http://pfplanning.libsyn.com/ to access show notes with direct links.  Register for our year-end planning webcast that is free with CPE for PFP/PFS members. Access the Proactive Planning Toolkit audio learning to hear about other tax proposals impacting individuals. This episode is brought to you by the AICPA's Personal Financial Planning Section, the premier provider of information, tools, advocacy and guidance for professionals who specialize in providing tax, estate, retirement, risk management and investment planning advice. Also, by the CPA/PFS credential program, which allows CPAs to demonstrate competence and confidence in providing these services to their clients. Visit us online at www.aicpa.org/pfp to join our community, gain access to valuable member-only benefits or learn about our PFP certificate program. Subscribe to the PFP Podcast channel at Libsyn to find all the latest episodes or search “AICPA Personal Financial Planning” on your favorite podcast app.

Thanks for subscribing to the Earmark Accounting Podcast, brought to you by Earmark CPE, your source for podcast-based continuing education for accounting and tax professionals. You can earn CPE for listening to the episodes on this podcast, and more! Sign up for our mobile app to earn free CPE whenever you want, wherever you go. Learn more at https://earmarkcpe.com.

Can a ‘report card' tame excessive prescriptions of antibiotics in outpatient settings? In this episode Dr. Wall with guest Josh Yost, MD, FACP will evaluate a paper that looked at using 'report cards' on antibiotic use and its impact on outpatient prescribing.Earn CME or CPE credit here!References and resources: Schwartz KL, Ivers N, Langford BJ, et al. Effect of Antibiotic-Prescribing Feedback to High-Volume Primary Care Physicians on Number of Antibiotic Prescriptions: A Randomized Clinical Trial. JAMA Intern Med. Published online July 06, 2021. doi:10.1001/jamainternmed.2021.2790Continuing Education Information:Learning Objectives:1. Discuss the implementation of a report card to educate primary care providers on overuse of antibiotics2. Discuss issues related to implementation of the study methods to other health systems and the potential costs that could be saved in doing so0.05 CEU | 0.5 HrsACPE UAN: 0107-0000-21-306-H01-PInitial release date: 9/7/21Expiration date: 9/7/22Complete CPE & CME details can be found here.What's new?GameChangers Pharmacotherapy Podcast will release new episodes on Mondays starting 10/18/2021We are making it easier to claim CE Credit for listening each week! This October - we'll launch a simple, one membership option so you can get one-click CE redemption for GameChangers episodes.  Name changes! You'll notice the podcast show will change to CEimpact - you'll still get new GameChangers episodes released each week on Mondays. Keep listening here and your feed will automatically switch over to CEimpact on 10/18.

Many professionals get caught in a CPE mindset when it comes to professional development. A CPE mindset will not get you promotions or new positions. In the knowledge revolution, we have to become lifelong learners - those concerned with learning and growing each day, week, and month - not just completing hours of random CPE each year. Find out how to switch mindsets, increase your likelihood of having your training requests approved, and some questions you can ask yourself to be proactive with your learning opportunities. Listen in at: http://www.jasonmefford.com/jammingwithjason8/

If you have clients with more than 10 million in their traditional IRAs, Roth IRAs, and vested defined contribution plans, they may have to take distributions to keep the aggregate plan balances below a certain threshold beginning in 2022.  In this episode of the PFP Section podcast, Bob Keebler, CPA/PFS, gets you up to speed related to: The new proposed limits on MEGA IRAs and related forced withdrawals How the numbers work with the 50% test and the 100% test The best planning strategies to keep taxable income under 450k (MFJ) / 400k (S) so that the new rules won't apply Reviewing Roth conversion rules since this will be a key planning opportunity before year-end Access resources related to this podcast: Note: If you're using a podcast app that does not hyperlink to the resources, visit http://pfplanning.libsyn.com/ to access show notes with direct links.  The case for making Roth contributions before year-end Register for our year-end planning webcast (free with CPE for PFP/PFS members) Proactive Planning Toolkit (see audio learning for tax reform updates) This episode is brought to you by the AICPA's Personal Financial Planning Section, the premier provider of information, tools, advocacy and guidance for professionals who specialize in providing tax, estate, retirement, risk management and investment planning advice. Also, by the CPA/PFS credential program, which allows CPAs to demonstrate competence and confidence in providing these services to their clients. Visit us online at www.aicpa.org/pfp to join our community, gain access to valuable member-only benefits or learn about our PFP certificate program. Subscribe to the PFP Podcast channel at Libsyn to find all the latest episodes or search “AICPA Personal Financial Planning” on your favorite podcast app.

The latest proposals suggest that the estate tax exemption may revert back to pre-TCJA levels in January, 2022. In order not to lose the estate tax exemption that exist today, it may be necessary to make use of this exemption before year-end for your relevant clients. In this episode of the PFP Section podcast, Bob Keebler, CPA/PFS, fills you in on the estate related reform including: How the estate and gift tax reduction math will work Forcing grantor trusts to be included in the taxable estate Elimination of valuation adjustments for non-business assets Access resources related to this podcast: Note: If you're using a podcast app that does not hyperlink to the resources, visit http://pfplanning.libsyn.com/ to access show notes with direct links.  Register for our year-end planning webcast (free with CPE for PFP/PFS members) Proactive Planning Toolkit (see audio learning for tax reform updates) Why the spousal lifetime access trust is the go-to strategy This episode is brought to you by the AICPA's Personal Financial Planning Section, the premier provider of information, tools, advocacy and guidance for professionals who specialize in providing tax, estate, retirement, risk management and investment planning advice. Also, by the CPA/PFS credential program, which allows CPAs to demonstrate competence and confidence in providing these services to their clients. Visit us online at www.aicpa.org/pfp to join our community, gain access to valuable member-only benefits or learn about our PFP certificate program. Subscribe to the PFP Podcast channel at Libsyn to find all the latest episodes or search “AICPA Personal Financial Planning” on your favorite podcast app.

SponsorsTaxDome: https://cloudaccountingpodcast.promo/taxdomeApprovalMax: https://cloudaccountingpodcast.promo/approvalmaxGusto: https://cloudaccountingpodcast.promo/gustonextShow NotesComing soon! Get in TouchThanks for listening and for the great reviews! We appreciate you! Follow and tweet @BlakeTOliver and @DavidLeary. Find us on Facebook and, if you like what you hear, please do us a favor and write a review on iTunes, or Podchaser. Interested in sponsoring the Cloud Accounting Podcast? For details, read the prospectus, and NOW, you can see our smiling faces on Instagram! You can now call us and leave a voicemail, maybe we'll play it on the show. DIAL (202) 695-1040Need Accounting Conference Info? Check out our new website - accountingconferences.comLimited edition shirts, stickers, and other necessitiesTeePublic Store: http://cloudacctpod.link/merchSubscribe Apple Podcasts: http://cloudacctpod.link/ApplePodcasts Podchaser: http://cloudacctpod.link/podchaser Spotify: http://cloudacctpod.link/Spotify Google Play: http://cloudacctpod.link/GooglePlay Stitcher: http://cloudacctpod.link/Stitcher Overcast: http://cloudacctpod.link/Overcast ClassifiedsFuture Firm: https://futurefirmaccelerate.com/Accounting Podcast Network: https://accountingpodcastnetwork.com/Go here to create your classified ad: https://cloudacctpod.link/RunClassifiedAd  Want to get the word out about your newsletter, webinar, party, Facebook group, podcast, e-book, job posting, or that fancy Excel macro you just created? Why not let the listeners of The Cloud Accounting Podcast know by running a classified ad? Hit the show notes for the link to get more info.Full Transcript Available Upon Request - info@cloudaccountingpodcast.com

ZPE Systems presented at a recent Network Field Day. Founded in 2013, ZPE Systems focuses on two markets: providing out-of-band management for infrastructure, and providing universal CPE for remote and edge locations. The uCPE gear can run third-party VNFs, including firewalling and SD-WAN functions from your favorite vendors. The post Briefings In Brief 102: ZPE Systems Melds Universal CPE With Out-Of-Band Management appeared first on Packet Pushers.

ZPE Systems presented at a recent Network Field Day. Founded in 2013, ZPE Systems focuses on two markets: providing out-of-band management for infrastructure, and providing universal CPE for remote and edge locations. The uCPE gear can run third-party VNFs, including firewalling and SD-WAN functions from your favorite vendors. The post Briefings In Brief 102: ZPE Systems Melds Universal CPE With Out-Of-Band Management appeared first on Packet Pushers.

ZPE Systems presented at a recent Network Field Day. Founded in 2013, ZPE Systems focuses on two markets: providing out-of-band management for infrastructure, and providing universal CPE for remote and edge locations. The uCPE gear can run third-party VNFs, including firewalling and SD-WAN functions from your favorite vendors. The post Briefings In Brief 102: ZPE Systems Melds Universal CPE With Out-Of-Band Management appeared first on Packet Pushers.

Anti-mask and anti-vaccine fervor are causing an overload of the healthcare system and leading to increased mortality and morbidity. Three publications recently released, including a randomized controlled trial, evaluate community masking on COVID-19 spread.Redeem your CPE or CME credit here! References and resources: Abaluck J, Kwong L, Styczynski A, et al. The Impact of Community Masking on COVID-19: A Cluster-Randomized Trial in Bangladesh. Available at: https://www.poverty-action.org/publication/impact-community-masking-covid-19-cluster-randomized-trial-bangladesh. Bazant M, Bush J. A guideline to limit indoor airborne transmission of COVID-19. Proceedings of the National Academy of Sciences Apr 2021, 118 (17) e2018995118; DOI: 10.1073/pnas.2018995118. Center for Disease Control. Morbidity and mortality weekly report: MMWR. [Atlanta, GA]: US Dept of Health, Education, and Welfare, Public Health Service, Center for Disease Control. Sept 10, 2021.Continuing Education Information:Learning Objectives: 1. Describe the Abaluck et al trial, including benefits and applications2. Describe the evidence base for public health interventions, including difficulties for randomized controlled studies0.05 CEU | 0.5 HrsACPE UAN: 0107-0000-21-338-H01-PInitial release date: 09/28/21Expiration date: 09/28/22Complete CPE & CME details can be found here!

Episode 807 (17:57) In this episode: Great customer service; Jealousy towards those whom the Spirit gifted; We are fallen and in need of God's grace; Psalm 19 reminds us that God's precepts give us joy to the heart; CPE; Jesus: "...whoever is not against us is for us." Related Web Sites:  My Website Podcast Page All Previous Episodes

My overarching thought throughout a lot of this interview was that improving rural health will take everyone remembering to not let perfect be the enemy of the good. If I live in rural America, there's no subspecialists. Forget about even seeing a garden-variety kind of specialist. I might have to drive hours to even get to a PCP. There are NPs (nurse practitioners) in a lot of these remote communities, but everybody's fighting over whether to let them practice independently, even in places where there's zero PCPs for hundreds of miles, effectively leaving everyone in the vicinity with basically zero access to any care. Or here's another issue: Maternal mortality in this country is not only heartbreaking—a mother dying in what should be a precious moment—it's also embarrassing as an industrialized nation to be so far in last place. I don't know this for a fact, really, but women who have to drive literally hours to see a provider during their pregnancy or—God forbid!—they go into labor unexpectedly … is that a factor in our horrific maternal mortality rates? Consider that in Canada, which has, by the way, substantially better maternal mortality rates than the USA, PCPs and NPs deliver babies in low-risk pregnancies even in areas that have access to ob-gyns, unlike a lot of rural America. When do we start wondering if we're letting perfect be the enemy of the good? When do we start considering if no access to care is worse than some access, even if the “some” access is not with, perhaps, the ideal type of provider? These are not questions with easy answers, so we need data. We need to think in shades of gray—not in binary terms where good and bad have static definitions unaltered by wildly different circumstances. That said, one way to potentially make many parties happy might be to do something like the Nuka system has done for Native Americans in rural Alaska. Listen to EP312 for more info on that. It's pretty cool.   But let's just back up a sec with a little situation analysis: The thing with rural hospitals closing—and they are surely running in the red and closing—is the very pernicious cycle that develops. A hospital closing is kind of a bellwether for a community caught in a downward spiral in ways I did not realize until my conversation with Nikki King in this healthcare podcast. The main industry shuts its doors—maybe coal, or I grew up in a steel town when they were “closing all the factories down.” That was a Billy Joel quote there, and I spent a few years as a kid in the very same Allentown that song is about. Community trauma is no joke. Oh, and also, now there's no commercial lives. So, say the hospital in that town isn't prepared for this new payer mix reality and it closes. Then maybe a few hundred doctors and nurses move away, along with their spending habits, so other jobs go away. Then the more affluent senior citizens don't move back to their hometown to retire because who wants to live in a town with no hospital? Also, young families who have a choice might choose to go elsewhere. Former population centers start to disperse, and now there's not even a population big enough to support a hospital even if one would decide to go there. And when that hospital goes, so does its maternity department—and likely, even OB/GYN practices. Forget about a laborist.   You then will have local PCPs leave town because, right, a PCP connected to a hospital can make twice as much as an indie. Reference the huge number of PCPs in this country who are employed by a health system. Most of these employed PCPs will not work in rural communities where their employer health system has no facilities to refer to. There's no jobs there for an employed physician. Obviously, no specialists can stay in business in this environment either. Things go from bad to worse: Child abuse rises, and multigenerational diseases of despair start to set in. And there's no healthcare to treat these diseases or prevent them. Things go from bad to worse to even more worse. In this healthcare podcast, I am honored and thrilled to talk with Nikki King, DHA, who offers up three community-centric ideas around solving the crisis of access that people in rural communities face. In short, these ideas include: Freestanding ERs (ERs that have the financial discipline to not take advantage of the communities they claim to serve, that is) Telehealth that recognizes broadband issues, which is possible Expanding nurse practitioner rights and maybe even the scope of PCP practices to, for example, include maternity care for low-risk pregnancies in areas that have zero or very minimal access to healthcare otherwise Here's the shorter-than-short version: Perfect can't be the enemy of the good when we're talking about some of these communities that have no healthcare options. Nikki King grew up in Kentucky in the coalfields of central Appalachia. She managed a behavioral health and addictions unit at a critical access hospital and also worked in biostatistics. She is on the board of directors of the Indiana Rural Health Association and has developed policies as a member of the National Rural Health Association, among a whole list of other achievements. Nikki is innovative and compassionate, and she understands the culture of those she serves. She talks about a few things that she worked on during the pandemic that are truly inspirational. You can learn more by emailing Nikki at king.nikki2014@gmail.com. You can also connect with her on LinkedIn and follow her on Twitter.   Nikki King, MHSA, DHA, was born and raised in the coalfields of Southeastern Kentucky. Prior to working in the healthcare industry, she worked for the Center of Business and Economic Research studying models of sustainability in rural communities with a single economic engine. She has been working at Margaret Mary Health since 2015, occupying roles in clinical statistics, as well as currently managing the behavioral health and addiction services department. In addition to her role at Margaret Mary, Nikki completed her DHA at the Medical University of South Carolina and her MHSA from Xavier University. She currently serves on the Indiana Rural Health Association's Board of Directors, the American Hospital Association's Opioid Stewardship Advisory Group, and the National Rural Health Association's Policy Congress and Government Action Committee, and as the Board Chair of Rural Health Leadership Radio Board of Directors. 05:57 How dire is the rural hospital situation right now? 06:18 How could freestanding ERs be a potential solution for rural hospitals? 08:21 What are other potential rural health access solutions? 09:25 Why is broadband a roadblock to telehealth as a solution for rural health access? 14:06 The “hot potato” of nurse practitioners in the healthcare world. 15:05 “The number of residencies for physicians each year is not increasing, but the population … is increasing.” 19:06 EP312 with Douglas Eby, MD, MPH, CPE, of the Nuka System of Care. 20:41 What's the issue with maternity care in rural America? 22:53 “As healthcare becomes more and more specialized, [the] ability to treat high-risk cases is better, but access gets worse.” 26:50 How is mental health care affected in rural communities? 27:23 “Rural communities are trying very hard to hang on to what they have.” 28:49 “When you look at the one market plan that's available in a rural community, you probably can't afford it.” 30:39 What's the single biggest challenge to moving to a model that incentivizes keeping people healthy? 31:33 “The easiest low-hanging fruit … is having national Medicaid and have that put under the same hood as Medicare.” You can learn more by emailing Nikki at king.nikki2014@gmail.com. You can also connect with her on LinkedIn and follow her on Twitter.   @NikkiKing0911, DHA, discusses #ruralhealthcare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #ruralhealth How dire is the rural hospital situation right now? @NikkiKing0911, DHA, discusses #ruralhealthcare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #ruralhealth How could freestanding ERs be a potential solution for rural hospitals? @NikkiKing0911, DHA, discusses #ruralhealthcare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #ruralhealth What are other potential rural health access solutions? @NikkiKing0911, DHA, discusses #ruralhealthcare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #ruralhealth Why is broadband a roadblock to telehealth as a solution for rural health access? @NikkiKing0911, DHA, discusses #ruralhealthcare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #ruralhealth The “hot potato” of nurse practitioners in the healthcare world. @NikkiKing0911, DHA, discusses #ruralhealthcare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #ruralhealth “The number of residencies for physicians each year is not increasing, but the population … is increasing.” @NikkiKing0911, DHA, discusses #ruralhealthcare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #ruralhealth What's the issue with maternity care in rural America? @NikkiKing0911, DHA, discusses #ruralhealthcare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #ruralhealth “As healthcare becomes more and more specialized, [the] ability to treat high-risk cases is better, but access gets worse.” @NikkiKing0911, DHA, discusses #ruralhealthcare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #ruralhealth How is mental health care affected in rural communities? @NikkiKing0911, DHA, discusses #ruralhealthcare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #ruralhealth “Rural communities are trying very hard to hang on to what they have.” @NikkiKing0911, DHA, discusses #ruralhealthcare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #ruralhealth “When you look at the one market plan that's available in a rural community, you probably can't afford it.” @NikkiKing0911, DHA, discusses #ruralhealthcare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #ruralhealth What's the single biggest challenge to moving to a model that incentivizes keeping people healthy? @NikkiKing0911, DHA, discusses #ruralhealthcare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #ruralhealth “The easiest low-hanging fruit … is having national Medicaid and have that put under the same hood as Medicare.” @NikkiKing0911, DHA, discusses #ruralhealthcare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #ruralhealth Recent past interviews: Click a guest's name for their latest RHV episode! Olivia Webb, Brandon Weber, Stacey Richter (INBW30), Brian Klepper (AEE16), Brian Klepper (EP335), Sunita Desai, Care Plans vs Real World (EP333), Dr Tony DiGioia, Al Lewis, John Marchica, Joe Connolly, Marshall Allen, Andrew Eye, Naomi Fried, Dr Rishi Wadhera, Dr Mai Pham, Nicole Bradberry and Kelly Conroy, Lee Lewis, Dr Arshad Rahim, Dr Monica Lypson, Dr Rich Klasco, Dr David Carmouche (AEE15), Christian Milaster, Dr Grace Terrell, Troy Larsgard, Josh LaRosa, Dr David Carmouche (EP316), Bob Matthews

The recent ESCAPED study examines the treatment of Vaso-occlusive Crisis (VOC) in persons with Sickle Cell Disease (SCD). Many patients have difficulty receiving treatment due to a myriad of factors, including structural racism. Listen as Geoff examines if the ESCAPED study can shine a light on how to treat VOC in patients with SCD.Redeem your CPE or CME credit here!References and resources: Lanzkron S, Little J, Wang H, et al. Treatment of Acute Pain in Adults With Sickle Cell Disease in an Infusion Center Versus the Emergency Department : A Multicenter Prospective Cohort Study. Ann Intern Med. 2021 Jul 6. doi: 10.7326/M20-7171. Epub ahead of print. PMID: 34224261.Continuing Education Information:Learning Objectives: 1. Describe the guideline goals for treatment of Vaso-occlusive Crisis (VOC) to a specific patient2. Discuss the results of the ESCAPED study in relation to outcomes0.05 CEU | 0.5 HrsACPE UAN: 0107-0000-21-286-H01-PInitial release date: 8/24/21Expiration date: 8/24/22Complete CPE & CME details can be found here.

SponsorsRewind: https://cloudaccountingpodcast.promo/rewindApprovalMax: https://cloudaccountingpodcast.promo/approvalmaxClient Hub: https://cloudaccountingpodcast.promo/clienthubShow NotesComing soon! Get in TouchThanks for listening and for the great reviews! We appreciate you! Follow and tweet @BlakeTOliver and @DavidLeary. Find us on Facebook and, if you like what you hear, please do us a favor and write a review on iTunes, or Podchaser. Interested in sponsoring the Cloud Accounting Podcast? For details, read the prospectus, and NOW, you can see our smiling faces on Instagram! You can now call us and leave a voicemail, maybe we'll play it on the show. DIAL (202) 695-1040Need Accounting Conference Info? Check out our new website - accountingconferences.comLimited edition shirts, stickers, and other necessitiesTeePublic Store: http://cloudacctpod.link/merchSubscribe Apple Podcasts: http://cloudacctpod.link/ApplePodcasts Podchaser: http://cloudacctpod.link/podchaser Spotify: http://cloudacctpod.link/Spotify Google Play: http://cloudacctpod.link/GooglePlay Stitcher: http://cloudacctpod.link/Stitcher Overcast: http://cloudacctpod.link/Overcast ClassifiedsFuture Firm: https://futurefirmaccelerate.com/Accounting Podcast Network: https://accountingpodcastnetwork.com/Go here to create your classified ad: https://cloudacctpod.link/RunClassifiedAd  Want to get the word out about your newsletter, webinar, party, Facebook group, podcast, e-book, job posting, or that fancy Excel macro you just created? Why not let the listeners of The Cloud Accounting Podcast know by running a classified ad? Hit the show notes for the link to get more info.Full Transcript Available Upon Request - info@cloudaccountingpodcast.com

SponsorsDEXT: https://cloudaccountingpodcast.promo/dextClient Hub: https://cloudaccountingpodcast.promo/clienthubApprovalMax: https://cloudaccountingpodcast.promo/approvalmaxShow NotesComing soon! Get in TouchThanks for listening and for the great reviews! We appreciate you! Follow and tweet @BlakeTOliver and @DavidLeary. Find us on Facebook and, if you like what you hear, please do us a favor and write a review on iTunes, or Podchaser. Interested in sponsoring the Cloud Accounting Podcast? For details, read the prospectus, and NOW, you can see our smiling faces on Instagram! You can now call us and leave a voicemail, maybe we'll play it on the show. DIAL (202) 695-1040Need Accounting Conference Info? Check out our new website - accountingconferences.comLimited edition shirts, stickers, and other necessitiesTeePublic Store: http://cloudacctpod.link/merchSubscribe Apple Podcasts: http://cloudacctpod.link/ApplePodcasts Podchaser: http://cloudacctpod.link/podchaser Spotify: http://cloudacctpod.link/Spotify Google Play: http://cloudacctpod.link/GooglePlay Stitcher: http://cloudacctpod.link/Stitcher Overcast: http://cloudacctpod.link/Overcast ClassifiedsFuture Firm: https://futurefirmaccelerate.com/Accounting Podcast Network: https://accountingpodcastnetwork.com/Go here to create your classified ad: https://cloudacctpod.link/RunClassifiedAd  Want to get the word out about your newsletter, webinar, party, Facebook group, podcast, e-book, job posting, or that fancy Excel macro you just created? Why not let the listeners of The Cloud Accounting Podcast know by running a classified ad? Hit the show notes for the link to get more info.Full Transcript Available Upon Request - info@cloudaccountingpodcast.com