Podcasts about defragment

They said that “Star Trek: Picard” wasn’t just going to be a “Star Trek: The Next Generation” reunion show, and that turned out to be true, at least about the first two seasons. We review the show’s just-completed third season, which brought us the emotional and nostalgic moments we craved, introduced an assortment of new characters we liked (or didn’t), and introduced some plot elements that we puzzled over. Jason Snell with Joe Rosensteel, Moisés Chiullán, Cicero Holmes and David J. Loehr.

They said that “Star Trek: Picard” wasn’t just going to be a “Star Trek: The Next Generation” reunion show, and that turned out to be true, at least about the first two seasons. We review the show’s just-completed third season, which brought us the emotional and nostalgic moments we craved, introduced an assortment of new characters we liked (or didn’t), and introduced some plot elements that we puzzled over. Jason Snell with Joe Rosensteel, Moisés Chiullán, Cicero Holmes and David J. Loehr.

Late in May of this year, three-ish months ago, I did an inbetweenisode that explores the “why with the no collaboration” amongst healthcare stakeholders and what the lack of collaboration signifies. That episode got a lot of traction and engagement.   This episode that follows is a pretty good approximation of a presentation that I made at the MTVA (Moving to Value Alliance) symposium that happened in Connecticut this past June. If you listened to the earlier show about collaboration, this one is slightly different, shorter, and more to the point. So, let's start here: When you listen to any patient with a chronic condition talk about their challenges with the healthcare industry—and yes, if a patient has a chronic condition, more often than not, that is what they will talk about, their challenges … I went on Twitter just now, and it took me literally 13 minutes to collect what I'm going to say are 300+ Tweets written by patients and their caregivers complaining about their chronic care journey. That's the sad part. I don't mean to kick this off talking about problems; however, if you're gonna solve for something, it is important to understand what problem you are solving for. You do not want to be a solution looking around for a problem. So, let's fix this, this rampant problem problem that chronic care patients seem to have. Many of the patient challenges in the 300 Tweets that I just collected can be grouped into two major categories. And these two major challenge groups can really only be solved for with collaboration amongst healthcare stakeholders. So, let's dig in here. The first major patient challenge is what I'm gonna call the care gap problem. I was talking to someone at a provider organization the other day, and she had 8000 known care gaps with patients and [insert overwhelm here]. And these were just the care gaps that showed up on somebody's radar because they added up to a quality metric, which is sometimes the definition people use for what is a care gap. But if we think about all the other holes in patient care, the typical care gaps that are identified probably come not even close to the total number of actual care gaps: patients who can't see their specialist because they can't get ahold of their records from the local health system or no coordination of care. Coordination is probably another synonym for collaboration. This is a huge deal. People literally die because their clinician cannot get their biopsy results or whatever from somebody else. That's a care gap as deep as a grave. Or patients who keep showing up in the ER because they aren't getting the help or the meds or the accurate diagnoses or the treatment plan that they need to stay out of the ER ... My grandfather had heart failure. At the end of his life, he was probably in the ER once a month. It was sad and painful and expensive and totally unnecessary. But his PCP didn't seem to be collaborating with the specialists, and the ER I don't think was telling anybody what was going on. Right? Or patients who can't get a drug they need approved by their insurance, so they wind up in crisis. Crappy prior auth processes create care gaps. All of these things are gaps in care. Carly Eckert, MD (EP361), was on the podcast; and she made a crucial point for me. In fact, I tried to get her to come on the podcast originally to talk about care gaps and closing care gaps; but she categorically refused. Chronic care management, she said, should not be a game of whack-a-mole. It may be better than nothing, a game of whack-a-mole; but it is certainly not ideal.   Chronic care management by care gap is like cooking with a fire extinguisher. If we want to eliminate care gaps for reals, let's just not have care gaps. So, how do you go about not having care gaps, then? The goal should be to craft a non-fragmented patient journey. Let's figure out what a great care journey looks like ahead of time and then try to keep the patient on it. That is the best way to eliminate care gaps: proactively. You don't have them. Immediately, because I am a person of action, I went into my filing cabinet; and I actually found an example of a patient journey map amongst my papers that I had worked on years ago. You have probably seen one of these and may have some of your own patient journey maps tucked away in a binder in your office somewhere. Most people have them. There are a few things that they all have in common, irrespective of the disease state or the organization or anything. The things that they have in common are they are complicated flowcharts with a lot going on. Besides just being complicated, the other thing that patient journey maps all have in common is that there are multiple parties mentioned with roles in that patient journey. You're gonna have a PCP, a specialist or two, a hospital, a payer, a pharma company more than likely, a PBM maybe, maybe a community organization … Here's a quote that kinda sums that up from Dr. William Bestermann: “Improving chronic disease management is an enormous problem that requires multiple stakeholders coming together to combine new science, new systems, and new payment models in a comprehensive solution. No one person or organization can make progress that matters. The problem is too big.”   Is this obvious? I think it's pretty obvious. But yet, collaboration in general at the organizational level is less than common. With uncommon exceptions, you not only don't have multiple providers working together but—heaven forbid!—you have payers and providers or other entities working together. But just taking this back to the thrust of this conversation, the first major patient challenge can only be solved for with collaboration to create a non-fragmented patient journey, which reduces care gaps by avoiding care gaps in the first place. So, collaboration is a rate critical for a non-fragmented patient journey to eliminate care gaps that patients have big issues with. So now, let's move on now to the second big problem category that chronic care patients were Tweeting about in those Tweets that I collected: They can't afford their care. This crisis of affordability is a huge patient challenge that, it's not the only thing, but we can't solve for it without being collaborative, without having collaborative relationships along the patient journey. I don't really want to get into how much healthcare prices have skyrocketed, but healthcare prices have been inflating at 4x the cost of everything else. This causes mental health issues; it causes stress. There's a show with Wayne Jenkins from Centivo where we dig into this deeply. Listen to EP358.   It is inarguable at this point that financial toxicity is clinical toxicity. I have a folder on my computer where I chuck references for this statement, and at this point, I probably have 400 studies and articles that all say the same thing in different ways with different patient populations. Most of these patients are insured. By the way, just because you have insurance doesn't mean that you can afford to use it. And patients who cannot afford their care have worse clinical outcomes. Period. End of sentence. Minor sidebar because I was really like head exploding emoji this morning: I saw somebody in a forum today lashing out at patients suffering with crippling medical debt saying that these people really should take some personal responsibility for the financial choices that they have made. WTH? The entity not taking responsibility for people losing their life savings and their homes simply because they had the fortune of getting sick or injured, the entity that should be taking some responsibility here is a broken, profit-driven healthcare industry. Let me just add some fidelity to what I mean when I say “the healthcare industry,” which really should take some responsibility here for the financial toxicity that they themselves are creating. Consider that a lot of medical debt is of a balance bill nature and the people being pursued generally signed a contract which they did not understand the consequences of, because most of them had “insurance” and they certainly weren't given a quote up-front so that they could make a rational economic choice. So, let's add some fidelity: How do we make healthcare more affordable? Or how do we make the charges not a complete surprise at a minimum? How do we do that? Lots of ways, big and small, are required; but let's talk about one of them: Navigate patients to high-quality providers charging a fair price. Navigate patients to providers who do not do low-value things and who have practice patterns that are aligned with evidence-based medicine (ie, get employers and providers to direct contract, especially in non-FFS ways, especially as it relates to primary care where there are measurable outcomes or quality). ACOs or CINs (clinically integrated networks) who know how to refer to high-value specialists or hospitals is another example of a collaboration that can help with affordability. Some health plans and TPAs (third-party administrators) are starting to get really data-driven about how they go about this. Point being, to coordinate care to or amongst high-value providers, multiple parties have to be involved (ie, collaboration). So, in sum, we talked about two common and major patient problems, which are probably not a surprise to anyone listening. The two are a lack of coordinated care (patients falling into gigantic care gaps) and then also a lack of affordability. We know how to solve for both of these issues. Defragment care and steer patients to high-quality provider organizations/hospitals/CoEs with competitive prices. Collaborate in these two ways. So, why are so few doing it, then? You can always count on me to say the quiet part out loud, so here we go: The business model of most, many, lots of healthcare organizations, both for-profit and tax-exempt, is revenue maximization. As Kevin Schulman, MD, said on the podcast (EP366), it's not A or B; we have a dysfunctional healthcare benefits system in this country.   But nonetheless, if we want to identify a root cause for why with the no interoperability, why with the info blocking to prevent network leakage, why with the no collaboration … it's not a technical problem at its core. It's not a HIPAA concern, really, at its core. It's a business case problem. And I don't say this as any sort of castigation. I say this because it's actionable information. Tiptoeing around a thing that we all know just clutters our ability to come up with a solution that is actually going to work. Really understanding a pretty big root cause behind why needed collaborations don't happen is necessary. This level of introspection is required for those who are mission driven to find others who are similarly mission driven to get a collaboration over the line. But the good news is success stories abound. It's my belief the healthcare industry won't be transformed in one giant turn of some flywheel. It's gonna be transformed one local market at a time. And there's a lot of great stuff happening in local markets. Listen to the show with Dave Chase (EP374) for a bunch of examples. There's a show with Cora Opsahl (EP372) that has some great examples of this. There's the one with Doug Hetherington (EP367). We also have a show coming up in October with Nick Stefanizzi from Northwell Direct.   All of these great examples are stakeholders harnessing the power of collaboration to defragment patient journeys and get patients into high-value care settings so that the overall cost of care is in range for employers, taxpayers, patients, and American families. I'm so excited, honestly, about that because the healthcare industry is a legacy that we will leave behind to children and grandchildren. I have a vision in my head about what I want the healthcare industry to look like in 25 years. Maybe you do, too. Listen to the show with David Muhlestein, PhD, JD (EP364), for more on that. But the point is, if this vision is going to come true, we need to—like, right now—start building the roadmap to get to that goal. And a lot of this involves facilitating collaboration. Actually collaborating, for reals. There's real momentum behind that in organizations such as the Moving to Value Alliance in Connecticut, where I originally gave a version of this same talk. Thanks, by the way, to Steve Schutzer, MD, for moderating the collaboration panel that I was a part of at aforementioned MTVA symposium. Not only is he a great moderator, but he also has done a great service for patients through his ability to get a whole bunch of surgeons—who are pretty competitive as a general rule—to collaborate and form a Center of Excellence. For more information, go to aventriahealth.com.   Each week on Relentless Health Value, Stacey uses her voice and thought leadership to provide insights for healthcare industry decision makers trying to do the right thing. Each show features expert guests who break down the twists and tricks in the medical field to help improve outcomes and lower costs across the care continuum. Relentless Health Value is a top 100 podcast on iTunes in the medicine category and reaches tens of thousands of engaged listeners across the healthcare industry. In addition to hosting Relentless Health Value, Stacey is co-president of QC-Health, a benefit corporation finding cost-effective ways to improve the health of Americans. She is also co-president of Aventria Health Group, a consultancy working with clients who endeavor to form collaborations with payers, providers, Pharma, employer organizations, or patient advocacy groups. 01:41 What are the two major patient challenges in chronic patient care that can only be solved by collaboration? 01:56 What is the “care gap” problem? 03:19 “Crappy prior auth processes create care gaps.” 03:25 EP361 with Carly Eckert, MD.  04:00 How do you eliminate care gaps proactively? 06:46 EP358 with Wayne Jenkins.  08:21 What is one way to make healthcare more affordable? 09:49 Why aren't more healthcare entities collaborating? 10:04 EP366 with Kevin Schulman, MD.  11:13 EP374 with Dave Chase. 11:18 EP372 with Cora Opsahl.  11:22 EP367 with Doug Hetherington.  11:25 Upcoming episode with Nick Stefanizzi. 12:00 EP364 with David Muhlestein, PhD, JD.   For more information, go to aventriahealth.com.   Our host, Stacey Richter, discusses #collaboration on our #healthcarepodcast. #healthcare #podcast What are the two major patient challenges in chronic patient care that can only be solved by collaboration? Our host, Stacey Richter, discusses #collaboration on our #healthcarepodcast. #healthcare #podcast What is the “care gap” problem? Our host, Stacey Richter, discusses #collaboration on our #healthcarepodcast. #healthcare #podcast “Crappy prior auth processes create care gaps.” Our host, Stacey Richter, discusses #collaboration on our #healthcarepodcast. #healthcare #podcast How do you eliminate care gaps proactively? Our host, Stacey Richter, discusses #collaboration on our #healthcarepodcast. #healthcare #podcast What is one way to make healthcare more affordable? Our host, Stacey Richter, discusses #collaboration on our #healthcarepodcast. #healthcare #podcast Why aren't more healthcare entities collaborating? Our host, Stacey Richter, discusses #collaboration on our #healthcarepodcast. #healthcare #podcast   Recent past interviews: Click a guest's name for their latest RHV episode! Rebecca Etz (Encore! EP295), Olivia Webb (Encore! EP337), Mike Baldzicki, Lisa Bari, Betsy Seals (EP375), Dave Chase, Cora Opsahl (EP373), Cora Opsahl (EP372), Dr Mark Fendrick (Encore! EP308), Erik Davis and Autumn Yongchu (EP371), Erik Davis and Autumn Yongchu (EP370), Keith Hartman, Dr Aaron Mitchell (Encore! EP282), Stacey Richter (INBW34), Ashleigh Gunter, Doug Hetherington, Dr Kevin Schulman, Scott Haas, David Muhlestein, David Scheinker, Ali Ucar, Dr Carly Eckert, Jeb Dunkelberger (EP360), Dan O'Neill, Dr Wayne Jenkins, Liliana Petrova, Ge Bai, Nikhil Krishnan    

Let's not just clean or house let's clean our hearts --- Send in a voice message: https://podcasters.spotify.com/pod/show/revessie/message

Business leaders need to operate like a well-oiled machine, but many business leaders have metaphoric malware in their internal operating system that is bogging them down and limiting their success. Visit www.DrDougLehrer.com for your free ebook/gift.https://www.linkedin.com/in/drdouglehrer/ https://www.facebook.com/energy.medicine.mastery/ https://www.instagram.com/drdouglehrer/ revealio.com

Defragment the hard drivel known as your mind. It's time to de-clutter.x --- Send in a voice message: https://anchor.fm/anj-saby/message

Mass Luminosity | Angel Munoz, Founder, President and CEO On today's Authentic Avenue podcast, Adam learns from Angel Munoz, Founder, President and CEO of Mass Luminosity, about how to invest in suspending disbelief and defragment the human experience...all through tech. How do you maximize humans while choosing atoms over bits? Mass Luminosity has also just launched its non-beta release of Beacon, a video communications platform to rival the Zooms of the world. Check it out: https://beaconx.com/. FOLLOW AUTHENTIC AVENUE, AND ADAM, ON SOCIAL MEDIA: LinkedIn (Authentic Avenue): https://www.linkedin.com/company/68049428/ LinkedIn (Adam Conner): https://www.linkedin.com/in/adamjconner/ Email Adam: adam@authave.com Learn more at https://authenticavenuemedia.com/. Theme Song: Extreme Energy (Music Today 80) Composed & Produced by Anwar Amr Video Link: https://youtu.be/8ZZbAkKNx7s

A rendszer töredezettség, vagy más néven rendszer öregedés azt jelenti, hogy az adatok nem folytonosan, hanem több, egymástól elkülönülő részletben vannak tárolva. A meglevő töredezettséget úgy lehet megszüntetni, hogy újraszervezzük a rendszert.

A rendszer töredezettség, vagy más néven rendszer öregedés azt jelenti, hogy az adatok nem folytonosan, hanem több, egymástól elkülönülő részletben vannak tárolva. A meglevő töredezettséget úgy lehet megszüntetni, hogy újraszervezzük a rendszert.

Backups:https://www.pcmag.com/picks/the-best-backup-software?test_uuid=01jrZgWNXhmA3ocG7ZHXevj&test_variant=bhttps://www.pcmag.com/picks/the-best-cloud-storage-and-file-sharing-services?test_uuid=01jrZgWNXhmA3ocG7ZHXevj&test_variant=bHow to Set Up Subscription-Free Offsite Backuphttps://www.pcmag.com/how-to/how-to-check-your-hard-drives-healthMalware:https://www.microsoft.com/en-us/windows/comprehensive-securityCleaning/Dusting:https://www.pcgamer.com/how-to-clean-your-computer-casehttps://www.wikihow.com/Clean-a-KeyboardCleaning Up Old Software/Update:https://www.computerhope.com/jargon/a/addremov.htmhttps://support.microsoft.com/en-us/help/4027667/windows-10-updateDefrag SSD:Why You Shouldn't Defragment a Solid State Hard DriveMaintain your Smartphone/Tablet:Check Your Subscriptions:https://www.popsci.com/check-app-subscriptionsCheck your Service Providers:HomepageCheck Your Security Status:https://haveibeenpwned.comhttps://www.pcmag.com/picks/the-best-password-managers?test_uuid=01jrZgWNXhmA3ocG7ZHXevj&test_variant=bhttps://www.vice.com/en/article/bjeznz/how-do-you-know-when-youve-been-hacked-gmail-facebookCheck Spam Filters In Email:For more info, interviews, reviews, news, radio, podcasts, video, and more, check out ComputerAmerica.com!

Because I am something of a super geek, and what I like to think of as the new-old guard (I mean, I had a TRS-80 in my house growing up), when I hear the term "defragment," the first thing I think of is hard drives. Fortunately, for everyone's sake, that's not what we are here to talk about today. Instead on today's 153rd Terms of Reference Podcast, I speak with Jason Wendle. He is the Director of the Rural and Agricultural Finance Learning Lab, which focuses on identifying more and better financial solutions for smallholders. In our conversation, Jason and I discuss the continued fragmentation of the financial market seeking to serve small hold farmers and how the Lab and its many partners are working to connect the dots between the necessary trifecta of access to markets, knowledge, and finance. I'm sure you'll love this talk about the types of financial difficulties facing smallholder farmers, how fintech is starting to bridge the gap, but also how, ultimately it will also take a conscious evolution from traditional lenders to find true scale and sustainability.

An earlier song of mine. Everything besides the drums were made with Ableton's Operator. 2020 Creative Commons CC Attribution Noncommercial No Derivative Works (BY-NC-ND)

Marvin Reid is an occupational therapist and yoga teacher based in Twickenham and Richmond, London. We talked about yoga and meditation, and the value these practices bring when trying to defragment your mind dealing with the crazy pace of the modern life. http://www.yogawithmarvin.comhttp://www.chillwinstonyoga.comhttps://www.facebook.com/YogaInTwickers

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In this week's episode Tech Talker explains what defragging your hard drive actually does and if you should do it or not.

A near crisis between Time Warner and Viacom was avoided in the last few hours of 2008. According to the Financial Times, Viacom, an American Media giant which owns such Television networks as CBS, Nickelodeon, MTV, and Comedy Central had been demanding higher fees from TW, an American cable provider for their programming. Viacom initiated the scuffle in demanding that Time Warner pay more for the channels that Viacom provided, citing declining advertising revenues as the main reason for these cost increases. Viacom threatened to cut off the transmission of their channels to time warner, leaving Time Warner subscribers in the dark, and without the ability to watch shows like South Park, Survivor, and The Late Show.Time warner initially dismissed the rate increases, countering with a threat to educate consumers how to watch shows over the internet and therefore cheating Viacom out of even more ad revenue.But thankfully an agreement was reached in the final hours of 2008, and we can all have a sigh of relief knowing that Time Warner Subscribers will be able to watch the semi- entertaining shows provided by Viacom._______________________________________________________________________________E Commerce declined this year with the rest of the economy as expected this holiday season. According to arstechnia, an economic report released by comScore stated that total online spending in 2008 was roughly 25.54 billion dollars, down three percent from last year. Although the declines among online retailers were not as drastic as the declines in brick and morter stores, the results were suprising considering that many analysts thought that ecommerce was relatively immune to economic declines. _______________________________________________________________________________Microsoft zunes worldwide stopped working just after midnight December 31, 2008. According to The Wall Street Journal, all first gen 30 GB zunes Suffered a catastrophic failure coming in to the new year, by which all Microsoft zunes locked up and would not function. Microsoft was quick to respond with a statement, advising consumers to let their Zunes battery drain and to wait for a day before trying to restart their MP3 Player. Later, Microsoft released a statement saying that the glitch was most likely caused by a time bug having to do with the fact that 2008 was indeed a leap year.Despite the poor economy, music sales continued to grow in 2008. According to arstechnia, music sales in 2008 grew a reasonable 10.5 percent, but down from a sales growth amount of around 14 percent last year.The NPD Survey that analyzes yearly sales numbers for the music industry also pointed out the fact that physical CD purchases in 2008 continued to decline, as the popularity of online music stores such as Apples Itunes increased. One interesting and rather suprising tidbit of information revealed in the NPD Survey was that the sale of Vinyl records increased by a staggering 89 percent. Seems as though baby boomers still like the sound of those old records, and want even more._______________________________________________________________________________The first commercial Space Port has the go ahead to be built in New Mexico. According to arstechnia, The group behind the Spaceport America Project got the go ahead from the New Mexico state government to build the historic spaceport after the group signed a 20 year lease with Virgin Galactic, a private company that gives people with several thousand extra dollars to spend a brief tour of orbital space. The new spaceport will serve as the origin and destination for future flights of Virgins new spaceship2._______________________________________________________________________________Toyota Motors may be on the way to developing a fully- solar powered automobile. According to Daily Tech, the Japanese auto maker is looking to add to Its line of efficient vehicles by adding a fully solar powered car to its lineup. The declining economy as well as falling gas prices have wreaked havoc on sales for the Japanese auto maker, affecting mostly the hybrid portion of the car makers lineup. Despite these setbacks, It seems as though Toyota is going to push ahead with the development of a fully solar car, which would be a real win in the ecological areana._______________________________________________________________________________Want a cheap Iphone? Well look no further than your local Wal Mart. The retail giant announced that It would be selling Iphones for less, and they followed through. According to Wal Marts website, the eight gb verson goes for 197 and the 16 gb verson goes for 297. Although only a savings of two dollars, wal mart plans to ship the device to several thousand stores nation wide, making it more convinent for many people to purchase the device._______________________________________________________________________________What you should do to make sure that you get the most out of your tech in 09.• Make sure you have virus protection, make sure it is up to date, do a full system scan.• Defragment your hard drive.• Get rid of unused programs.• Backup your data.• Clean your computer.

Playlist 01.23.08 Beverly Ritz - By Rowdy Creek Leah-Carla Gordone - Let It Flow Lo-Fi Sugar - The Night Divine Mara Tease - Touch of Your Hand Nadia Lanfranconi - Here I Am Again Laura Lockie & Charles King - Guilty Jen & Abby - Destroy Me Carol Martini - 99 Reasons Kelly's Lot - Broken Down (LIVE - GoGirlsMusicFest 07) Laura Delallo - More Than Just a friend Michelle Mangione - I've Become Lauren Flaherty - Across the Sea gfire - Defragment the Soul Girl on Top - Heaven's on the Way Laureta Meci - Respect Me Sh!tting Glitter - Delay Wendy Loomis - Jah Provide Gravity Burn - Falling Down Red Lotus - Superwoman Anton Mink - Armies Eden Automatic - Boots We have a full show with a great selection from new artists: WELCOME Sh!%ting Glitter (hope I got around your spam filter!), Anton Mink and Gravity Burn. Welcome back to Beverly Ritz, Carol Martini, Wendy Loomis and gFire. Thanks for the new songs!!