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Getsemani examines a patient with a Stage 4 pressure injury over the sacrum. The therapist inserts a sterile cotton-tipped applicator beneath the intact wound edge. The applicator advances 2.4 cm toward the patient's head while remaining immediately beneath the skin. Which of the following is the MOST appropriate documentation of this finding?A) Tunneling of 2.4 cm at 12 o'clockB) Undermining of 2.4 cm at 12 o'clockC) Maceration extending 2.4 cm at 12 o'clockD) Induration extending 2.4 cm at 12 o'clockText our team the word COACH for a free diagnostic: (727) 732-4573
This episode focuses on a compliance issue that keeps tripping up practices: incident to billing, split shared visits, and the limits of what medical students can document. Sean M Weiss and Terry walk through where the rules apply, where they do not, and why using student documentation to support a billable service is not allowed.Terry also shares a real world question from recent presentations that pushed the conversation into medical student use, supervisory rules, and the risk of stretching billing frameworks beyond their intent. The discussion closes with a cautionary look at fraud, waste, and abuse, plus the importance of proper credentialing and supervision.Key topicsIncident to vs. split shared visitsWhat counts as a shared serviceMedical student documentation is not billableWhat a teaching physician may useWhy cut and paste is not allowedStudents are for education, not revenueEmployment and supervision requirements still matterTelehealth supervision and ancillary servicesFraud, waste, and abuse concerns
Back-to-school season can bring up a relentless stream of what-if questions for autism moms. In this episode of The Autism Mom Coach, Lisa Candera takes five of the most common back-to-school fears and shows autism moms how to turn them into concrete plans instead of repeatedly running them through their heads.In this episoYou are listening to episode 212 of The Autism Mom Coach, the final episode in the back-to-school series. Last week I gave you a protocol for answering your what-if questions ahead of time. Today I am running it through the five questions I hear from autism moms more than any others.Hello everyone, and welcome back. I am so glad you are here.In this week's episode, we are going to apply the five-step protocol I use for answering what-if questions to the most common what-if questions I hear from autism moms leading up to a new school year.If you missed last week's episode, I highly recommend you go back and listen, because that is where I lay out the protocol in detail and how it works. Either way, here is a quick recap.Step one is to clearly define the problem.Step two is to rate how likely it is and how big a problem it would really be.Step three is to determine your options, and to brainstorm at least five.Step four is to decide what you will do right now.Step five is to create a what-if action plan you can follow if the what-if actually happens.Now we are going to take those five steps and apply them to the five most common questions I hear from autism moms leading up to the school year.What if my child gets a teacher or aide who doesn't understand them?This one comes from a client whose daughter was heading into third grade. There were two possible teachers. My client was hoping her daughter would land with the young, bubbly, brand-new teacher she pictured being a patient, gentle fit. Instead, her daughter was assigned the other one — the senior teacher, a lot of experience, a strong reputation, but more reserved and less obviously warm. And my client spiraled.So let's define it. What does "doesn't understand them" actually mean? When she drilled down, it was this. The teacher won't have real experience with autism. She'll misread my daughter's behaviors as rude. She'll mistake avoidance for disrespect. And she'll end up ignoring or punishing my daughter for things my daughter cannot help.Now rate it. How likely is it? Honestly, we just don't know. But generally speaking, I think the answer is likely. It is likely that our kids will encounter teachers and support team members who don't just get them. Let's face it, at times we barely get our own kids. It's a moving target.Then rate how big a problem it would be if this teacher and your child really are oil and water, because that does happen. So ask it plainly. Will this one relationship make or break the entire school year? How much of the day does my child actually spend one-on-one with this person? And would my child benefit, even a little, from learning to work with a style that is not the one I would have chosen for her? Sometimes the answer to that last one is yes, and it changes how tightly you hold the fear.Next, decide your options — all of them, no matter how likely you are to actually use them. You could request a swap. You could reach out to the teacher before school starts. You could set up a meet-and-greet. You could give the teacher a one-page overview of your child, covering what works, what doesn't, and what to expect. You could take your concerns to the case manager. You could ask other parents who have had this teacher for the specific, on-the-ground picture. You could wait and see. Or you could request an emergency IEP meeting.Then decide what to do right now. For this situation, my client decided to be proactive about building a relationship with the new teacher. She reached out before school started, arranged a meet-and-greet, and prepared a one-page overview of her daughter. She also reached out to the case manager — not to complain, but just to put it on her radar.And then the if-then. If she gets calls or emails from the teacher about her daughter's behavior, or if her daughter reports difficulty with the teacher, then she will request a meeting, gather more information, propose strategies, and bring it up at the IEP, or request an IEP meeting if she needs one.What if the school calls me about behaviors?One of my clients got a call last year because her fourth grader cleared the classroom after learning, mid-morning, that the day's schedule had changed. She is now terrified it is going to happen again this year.So let's define it. The specific fear is that the school will call home to report a behavior — disrupting the classroom, hitting, yelling, eloping, shutting down, or refusing to work.Now rate it. How likely is it? For her child, given last year, a call at some point this year is possible. But I would not put it in the very likely bucket. The classroom-clearing was tied to a specific trigger, her participation in the G&E program, and she is not in that program this year.Then, how big a problem is a call about your child having a behavioral disruption? For this client, we actually talked about how the disruption the previous year was helpful, in a way. It was the first time her child visibly struggled in the school setting. And unfortunately, a lot of the time, if they don't see it, they don't do anything about it. If they don't see it, they don't believe the child is struggling, which we know is not the case for our kids with autism, especially the ones who are really good at masking. So sure, getting interrupted in the middle of the work day to unravel a meltdown is not pleasant. But on a scale from one to ten, it's about a five.Next, your options. You could educate the teacher about your child's behaviors and the responses that actually work. You could set up a protocol for phone calls, so home only gets called in a genuine emergency. You could ask questions when they call — what happened, what has already been done, and how your child is doing right now. You could pick your child up. You could designate another family member to handle pickup. You could talk to your supervisor or colleagues at work about the possibility. And you could look into FMLA.What can you do right now? The meet-and-greet, the one-page overview, and a protocol for calls home.And the if-then. When the school calls, you listen, you ask your questions, and you find out where your child is at in that moment. You do not volunteer to pick up if your child has already regulated. And you schedule a follow-up conversation with the teacher and the team.What if the school doesn't follow the IEP?Here is the scenario. Your child's IEP requires that test and quiz questions be read out loud to her by a teacher or an aide. And it is simply not happening.So let's define it as specifically as possible. The teacher is not reading the quiz and test questions out loud.Now rate it. How likely is it? Likely. And how big a problem is it? Big. It is a written accommodation your child is entitled to, and she is not getting it.Next, your options, roughly in order of escalation. You could send a reminder to the teacher and the case manager. You could provide them with a copy of the IEP. You could request an emergency IEP meeting. You could bring in an advocate. And if it comes to it, you could bring in a special-education attorney. You want to know the whole ladder exists, even if you never climb past the first rung.What you do right now is the first rung. You email the team, you remind them of the requirement in plain terms, and you attach the IEP so there is no ambiguity about what was agreed to.And your if-then, for if the accommodation still is not being provided after that. Then I document every failure — the dates, the tests, and what happened. I report it to the team in writing. I request an emergency IEP meeting. And before that meeting, I send a parent concern letter that memorializes my concerns and my specific requests, so that everything is on the record before we are ever in the room.I want to say one thing here, because it is the through-line of that whole plan. Every step is written down. Documentation is not you being difficult. It is you being clear. And it is the thing that turns "they keep not doing it" into something the team has to answer for.What if my child resists going to school?So let's define it. Your child protests, complains, and drags out getting into the car or onto the bus in the morning.Now rate it. How likely is it? Likely. And how big a problem is it? On a scale of one to ten, for this family, it was about a six.Next, your options. You could simply expect it, so it doesn't blindside you. You could ride it out. You could preview the morning with the school so they know what you're walking in with. You could build a predictable morning routine. You could build room for a delay into that routine. You could set up an incentive or reward plan. And you could look into therapy if the resistance runs deeper than a rough morning.What do you do right now? You build the plan and the routine, and you build extra time into it so a slow start doesn't turn into a crisis.And the if-then. When the resistance shows up, you stay calm, you offer reassurance, and you talk to the school.What if my child is perfect at school, then explodes at home?So let's define it. The fear is that your child masks all day at school, holds it together for seven hours, and then flips out the moment they get home. That your afternoons and evenings
For most of modern obstetric practice, the question "what does the CDC recommend?" and the question "what does ACOG recommend?" had the same answer. In 2026, they no longer do. In this episode, we walk through how the two most influential sources of maternal immunization guidance in the United States came apart, what each one now actually says, and — most importantly — what that means for the pregnant patient sitting in your office, or for the pregnant person reading conflicting headlines and trying to decide what to do. What we cover How we got here. The May 2025 announcement removing COVID-19 vaccination from federal recommendations for healthy children and pregnant women; the replacement of the entire Advisory Committee on Immunization Practices in June 2025; the shift to "shared" or "individual-based" clinical decision-making; and the January 2026 overhaul of the childhood schedule made without the standard ACIP process. ACOG's break from ACIP. In February 2026, ACOG withdrew as a liaison organization to ACIP, citing concerns that the committee's scientific integrity and evidence-based approach had been compromised. The first independent maternal schedule. On June 10, 2026, ACOG released its 2026 Maternal Immunization Schedule — the first time the College has issued a schedule that differs from federal recommendations. It is endorsed by 13 medical societies and health organizations. Where the two schedules actually diverge. ACOG places four vaccines in the "routinely recommended during pregnancy" category: influenza (inactivated or recombinant), COVID-19, Tdap, and RSV. Current federal guidance routinely recommends Tdap and RSV in pregnancy, and treats COVID-19 vaccination as an individual decision-making conversation rather than standard preventive care. The thimerosal question. Federal guidance advises thimerosal-free influenza products; ACOG's position is that thimerosal-containing vaccines are safe in pregnancy. What hasn't changed: the evidence. Pregnancy remains a recognized risk factor for severe COVID-19 illness, ICU admission, and mechanical ventilation. Millions of doses administered in pregnancy have not shown an increased risk of adverse maternal or fetal outcomes. Maternal vaccination transfers antibodies transplacentally to infants under six months, who are too young to be vaccinated themselves. The counseling problem. As of February 2026, roughly 11% of pregnant women had received a COVID-19 vaccine this season — a substantial drop from the prior year. We talk candidly about what happens to uptake when guidance becomes contradictory, and how to have a productive conversation with a patient who has read three different things from three "official" sources. Practical guidance for clinicians. Documentation, timing windows, coadministration, and how to counsel without either dismissing a patient's hesitancy or overstating certainty. Key timing windows in ACOG's 2026 schedule Influenza — inactivated or recombinant product only, any trimester, ideally before the start of flu season. COVID-19 — any trimester, any available product, with emphasis on vaccination at the earliest opportunity. Tdap — every pregnancy regardless of prior Tdap history, preferably early in the 27–36 week window. RSV (Abrysvo) — a single dose between 32 weeks 0 days and 36 weeks 6 days; infant monoclonal antibody is an alternative, including in subsequent pregnancies after a prior Abrysvo dose. The takeaway Federal recommendations changed. The underlying science did not. Where guidance conflicts, the question for clinicians is not which agency has more authority but which recommendation is supported by the evidence — and how to communicate that clearly enough that patients can make an informed decision rather than a confused one. Resources ACOG 2026 Maternal Immunization Schedule — acog.org ACOG Practice Advisory: COVID-19 Vaccination Considerations for Obstetric–Gynecologic Care ACOG: COVID-19 Vaccines and Pregnancy — Conversation Guide for Clinicians CDC: COVID-19 Vaccination for Women Who Are Pregnant or Breastfeeding
Revenue cycle operations teams are responsible for maintaining reimbursement integrity and regulatory compliance across a rapidly expanding oncology service line. Increasing payer scrutiny—particularly for high-cost oncology therapies—has created significant operational strain, treatment delays, and administrative burden for providers. In this episode, CANCER BUZZ speaks with 2026 ACCC Innovator Award winner Lacy Sheets, MBA, Director of Patient Financial Navigation at St. Luke's Cancer Institute, about her program's development and implementation of a Clinical Documentation Integrity Registered Nurse role. Embedded within revenue cycle operations, this role partners directly with physicians, financial navigators, pharmacists, and others to ensure medical necessity documentation is accurate and compliant with payer requirements. "The whole goal of this [position] is for our patients to be treated...in a more timely fashion...and not have to worry about all of that authorization work, as well as try to eliminate that [burden for] our providers." – Lacy Sheets, MBA Guest: Lacy Sheets, MBA Director of Patient Financial Navigation, St. Luke's Revenue Cycle Operations St. Luke's Regional Medical Center / St. Luke's Cancer Institute Boise, Idaho Resources: ACCC 43rd National Oncology Conference 2026 ACCC Innovator St. Luke's Cancer Institute Transforming Oncology Authorization Through Clinical and Revenue Cycle Collaboration Optimizing Revenue Cycle Management in Oncology Due Diligence in Limiting Payer Denials
For many speech-language pathologists, occupational therapists, and myofunctional providers, billing and documentation feel like navigating an ever-shifting maze. Between selecting appropriate CPT codes, justifying medical necessity, and adhering to strict scope-of-practice guidelines, clinicians often struggle to ensure proper reimbursement while remaining compliant.In this episode, Hallie Bulkin breaks down the essential mechanics of billing for myofunctional therapy services. She addresses common points of confusion around core codes - such as CPT 92526 (treatment of swallowing dysfunction and/or oral function for feeding) and 92507 (speech/language treatment) - and offers practical strategies for documenting functional gains accurately.Hallie also previews upcoming CPT code updates slated for 2027, shedding light on how these structural changes will impact private pay practices, electronic health records (EHRs), and clinical workflows. Whether you are navigating insurance reimbursement or operating an out-of-network practice, this episode equips you with the clarity needed to code with confidence and integrity.Key Topics & TakeawaysDeconstructing CPT 92526 vs. 92507: Clarifying the distinct clinical applications for swallowing/feeding dysfunction versus speech and language treatment.The 2027 CPT Code Shift: Preparing your practice, EHR templates, and clinical documentation for upcoming coding structure changes.Scope of Practice & Provider Eligibility: Understanding state licensing, board regulations, and billing qualifications across different therapeutic disciplines.Defensible Documentation: Crafting objective, function-focused clinical notes that justify medical necessity and withstand insurance audits.Out-of-Network & Private Pay Strategies: Equipping cash-pay practices with accurate super/ superbill documentation to help patients seek reimbursement seamlessly.Soundbites"A CPT code isn't just a billing number - it is a translation of your clinical documentation and direct scope of practice.""When preparing for coding changes, proactive documentation systems protect both your practice and your patients.""Bill for what you treat, document what you see, and ensure every note clearly establishes functional necessity."Timestamps 00:00:00 - 3 Verification Steps Before Coding00:04:23 - Deep Dive: Myo & CPT Code 9252600:06:37 - Reporting 92526 & 92507 Together00:09:45 - Provider Scope & License Boundaries00:13:47 - Dental Hygienist (RDH) Reimbursement Reality00:15:53 - Strong vs. Weak Documentation Examples00:18:16 - Private Pay & Superbill Responsibilities00:19:42 - 2027 Deletion of 9250700:20:47 - Why 92507 Was Flagged by AMA/CMS00:26:26 - Private Practice Transition Strategy00:27:43 - Clinical Reasoning vs. Endless Exercises00:29:01 - Immediate Action PlanLinks & ResourcesFast Myo Screening Tool: Streamline your intake documentation and baseline evaluations at FastMyoScreening.com.WORTH A LISTEN: CONTINUE YOUR JOURNEYScreening vs. Assessment vs. Treatment: Why Every Clinician Needs to Know the Difference.How Root Cause Assessment Changes Feeding and Speech Outcomes.STAY CONNECTED
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The episode highlights the shift toward AI-driven knowledge management within the MSP sector, revealing increased operational dependency on structured data and sophisticated integrations. Lexful, an AI-native documentation platform designed specifically for MSPs, represents this trend by positioning itself not as a simple add-on but as a replacement for legacy documentation tools—controlling critical record-keeping functions and interfacing with principal PSA and RMM systems. This development signals greater infrastructure dependence on AI-based documentation and the implications of technical integration across diverse operational tools. According to Lexful's CEO and statements made during the episode, the platform has completed integrations with major PSA and RMM tools and now handles data by employing a “context-engineered” large language model tailored specifically to the MSP context. Lexful claims its engine minimizes LLM hallucinations, supports record-level access control, and functions as a system of record rather than a direct action platform. Socializing its compliance trajectory, Lexful has achieved SOC 2 Type 2 and shipped its MCP server, but its listing in marketplaces like Pax8 and SureWeb has been delayed, with current status characterized as “coming soon” and full integration targeted before the end of 2026. Supporting developments underscore the complexity and risk of deploying AI-native platforms into MSP environments. The absence of public customer or partner counts persists, with the company attributing constrained accessibility to pending integrations rather than lack of market uptake. Pricing structures diverge from incumbents, moving from per-user to per-client models and establishing minimum contract terms—raising questions about justification of cost versus legacy alternatives. A key operational risk centers on access control and human-in-the-loop governance, with sensitive systems such as password vaults only accessible through layered permissions, and Lexful emphasizing the necessity of robust accountability frameworks to minimize harm from potential automation failures. Practical implications for MSPs include heightened need for rigorous governance of AI systems, especially around data access, role management, and auditability. Vendor dependency deepens as platforms like Lexful supplant multiple existing tools and drive uptake via deeper integration with distribution marketplaces and SaaS ecosystems. Pricing and contract structures require MSPs to reconsider value calculations, as cost is no longer purely user-driven but tied to client volume and operational breadth. The tradeoff is between purported efficiency gains from automation and the risk profile associated with delegating documentation and knowledge management to AI-based infrastructure, particularly as human oversight remains essential to mitigate errors and ensure regulatory compliance. Supported by: ScalePad
Topics covered in this episode: Claude Code /insights Post-quantum crypto lands in Python MCP goes stateless — and FastMCP gets renamed inshellisense - IDE style command line auto complete Extras Joke Watch on YouTube About the show Sponsored by Xweather Xweather combines enterprise-grade weather intelligence with agent-ready APIs, natural language capabilities, and an MCP server so your agents can adapt workflows, automate responses, and make better decisions based on real-world conditions. Michael will tell you more about them later in the show. Get started for free at pythonbytes.fm/xweather Connect with the hosts Michael: Mastodon / BlueSky / X / LinkedIn Calvin: Mastodon / BlueSky / X / LinkedIn Show: Mastodon / BlueSky / X Join us on YouTube at pythonbytes.fm/live to be part of the audience. Usually Tuesday at 7am PT. Older video versions available there too. Finally, if you want an artisanal digest of every week of the show notes in email form? Add your name and email to our friends of the show list, we'll never share it. Michael #1: Claude Code /insights Michael's Insights: michael-kennedy-claude-code-insights-2026-08-09.html Be careful sharing these outputs, they include details references to your projects, errors, security findings, etc. ;) /insights reads your last 30 days of local session transcripts and hands back an interactive HTML report on how you actually work. One command, zero setup: type /insights in a session, or run claude -p "/insights" from the shell for a non-interactive version that just prints the path Reads what's already on disk: pulls session logs from ~/.claude/projects/, skipping agent sub-sessions and anything under 2 messages or 1 minute Project areas: clusters your sessions into themes like "CLI Tooling" or "Documentation" with session counts Friction analysis: categorizes where things went wrong by root cause - and quotes your own prompts back at you Interaction style: tells you whether you're a delegator or a micromanager, plus which workflows are worth doubling down on Actually actionable: suggests concrete CLAUDE.md additions and Claude Code features you're not using The catch: Haiku does the per-session classification, so the first run takes several minutes; results cache to ~/.claude/usage-data/facets/ and the report lands at ~/.claude/usage-data/report.html Calvin #2: Post-quantum crypto lands in Python pyca/cryptography 48 ships ML-KEM (key establishment) and ML-DSA (signatures) — NIST's post-quantum standards, now one pip install away. Big deal because it's the 11th most-downloaded package on PyPI (~1.2B downloads/month) and sits under Ansible, Certbot, Airflow, and paramiko. No PQ there, no PQ anywhere in Python. Trail of Bits did the work (Rust bindings, cross-backend API, tests, AWS-LC backend support), funded by the Sovereign Tech Agency. Timing tracks a June 22 White House order setting federal deadlines: PQ key establishment by end of 2030, PQ signatures by end of 2031. Not a drop-in swap — the wire sizes explode. ML-DSA-65 signatures are 3,309 bytes vs Ed25519's 64; ML-KEM-768 public keys are 1,184 bytes vs X25519's 32. Hardcoded field sizes and length prefixes will bite. API looks like the existing asymmetric primitives, except ML-KEM is encapsulate/decapsulate rather than a Diffie-Hellman exchange. SLH-DSA (the hash-based conservative backstop) is still in progress. The primitives are here, but protocols haven't caught up — so you won't be running post-quantum Certbot this week. Sponsor: Xweather You're using agents that can write code, summarize documents, and automate workflows. But they're missing one thing: awareness of the world around them. This is where today's sponsor, Xweather comes in. Xweather combines enterprise-grade weather intelligence with agent-ready APIs, natural language capabilities, and an MCP server built for tools like Claude, Codex, Copilot, and modern IDEs – so your agents can adapt workflows, automate responses, and make better decisions based on real-world conditions. Backed by Vaisala, whose instruments fly on NASA missions to Mars, Xweather delivers trusted data and unique insights that go beyond conditions to actual impact – from real-time lightning strikes to road surface forecasts. Start with 15,000 free API calls each month and pay only for what you use as you grow. Xweather is your full weather stack, for developers by developers. Start building for free today at pythonbytes.fm/xweather. The link is in your podcast player's show notes and on the episode page. Thanks so much to Xweather for supporting Python Bytes. Calvin #3: MCP goes stateless — and FastMCP gets renamed From Philipp Acsany over at Real Python The 2026-07-28 spec landed July 28 and the Python SDK shipped 2.0.0 the same day. Biggest rewrite since MCP launched, and it's breaking on purpose. Context for scale: the Tier 1 SDKs are pulling close to half a billion downloads a month, with TypeScript and Python each past a billion total. The headline is the stateless core. The initialize/initialized handshake and the Mcp-Session-Id header are both retired — protocol version, client identity, and capabilities now ride in _meta on every request, with an optional server/discover RPC if a client wants capabilities up front. Any request can land on any instance behind plain round-robin, no shared storage. Server-initiated calls are the hard part of the migration. Sampling, elicitation, and roots/list no longer call back to the client; instead the server returns resultType: "input_required" and the client retries with inputResponses attached. Multi Round-Trip Requests, MRTR. Also: Mcp-Method and Mcp-Name are now required headers so gateways route on headers instead of cracking JSON bodies, and missing-resource errors move to standard 32602. Deprecation sweep with an actual policy behind it — Roots, Sampling, Logging, and the legacy HTTP+SSE transport all deprecated with a twelve-month minimum offramp. Tasks graduated out of the experimental core into a real extension, which is what the formalized extensions framework was for. MCP Apps is now an official extension too, so a tool call can return sandboxed interactive HTML. Auth picked up RFC 9207 issuer validation, issuer-bound credentials, and a shift from DCR toward CIMD. Python SDK 2.0 is where it gets personal: FastMCP is now MCPServer, no alias, no shim. McpError → MCPError. Wire types went snake_case (is_error, input_schema) and moved to a standalone mcp_types package, with mcp.types kept as a permanent alias. One Client object replaces the old transport + ClientSession + initialize() stack. httpx became httpx2. Sync handlers run on worker threads now, so asyncio.get_running_loop() raises inside them. The good news: one MCPServer serves both protocol eras, so 2025-era clients keep working with nothing to configure, and a Resolve(fn) parameter lets one tool body cover MRTR and the old path. 1.x is maintenance-and-security-fixes only — pin mcp>=1.28,
Having an ISO 13485 Quality Management System in place does not automatically mean that your quality processes are effective.A strong QMS should help an organization identify problems, evaluate their significance, capture information from the market, investigate systemic issues, and continuously improve.In this Easy Medical Device podcast collection, we examine several situations that can reveal whether a QMS is truly functioning—or simply looks good on paper.Understanding NC vs CAPAOne of the most misunderstood areas of quality management is determining when to open a Nonconformity and when to escalate an issue into a CAPA.Not every isolated problem requires a complete CAPA investigation. However, when an issue becomes recurring, systemic, significant, or potentially high-risk, a deeper investigation may be necessary.The objective isn't to create as many CAPAs as possible. It's to recognize the problems that genuinely require root cause investigation and corrective action.Why “We've Never Had a Complaint” Can Be DangerousZero complaints may sound like excellent news, but it can also raise an important question:Is your organization effectively capturing all sources of customer and post-market feedback?Potential complaints may appear through distributor communications, service reports, customer emails, returned products, training feedback, or other customer-facing channels.If this information isn't properly evaluated, the organization may miss important product performance or safety signals.The Fake QMS ProblemA Quality Management System can look excellent on paper.Procedures exist. Forms are available. CAPA processes are defined. Risk management documentation is complete.But if employees don't follow those processes in daily operations, the QMS can become disconnected from reality.That's the core of the “fake QMS” problem: the documented system and the way the company actually operates become two different systems.During an audit, this gap can quickly become visible.Building a QMS That Actually WorksAn effective QMS should be integrated into everyday operations rather than maintained only for certification or audits.Problems should be identified and evaluated appropriately. Customer feedback should feed into complaint handling and post-market activities. Significant and recurring issues should trigger investigation, and lessons learned should contribute to continuous improvement.Ultimately, the goal isn't to create a perfect-looking Quality Management System.The goal is to create a QMS that helps your organization consistently identify problems, manage risk, improve processes, and support the delivery of safe and effective medical devices.Who is Monir El Azzouzi? Monir El Azzouzi is the founder and CEO of Easy Medical Device a Consulting firm that is supporting Medical Device manufacturers for any Quality and Regulatory affairs activities all over the world. Monir can help you to create your Quality Management System, Technical Documentation or he can also take care of your Clinical Evaluation, Clinical Investigation through his team or partners. Easy Medical Device can also become your Authorized Representative and Independent Importer Service provider for EU, UK and Switzerland. Monir has around 16 years of experience within the Medical Device industry working for small businesses and also big corporate companies. He has now supported around 100 clients to remain compliant on the market. His passion to the Medical Device filed pushed him to create educative contents like, blog, podcast, YouTube videos, LinkedIn Lives where he invites guests who are sharing educative information to his audience. Visit easymedicaldevice.com to know more. If you need help implementing QMSR or preparing your teams for FDA inspections, contact: info@easymedicaldevice.com If you are located outside the EU/UK/Switzerland and need an Authorized Representative (and possibly an Importer), we can support you as well.Social Media to followMonir El Azzouzi Linkedin: https://linkedin.com/in/melazzouziTwitter: https://twitter.com/elazzouzimPinterest: https://www.pinterest.com/easymedicaldeviceInstagram: https://www.instagram.com/easymedicaldeviceThis podcast is hosted by Podcastics, the easiest platform to create and publish your podcast.
⚖️ What Happens If One Parent Refuses to Follow the Visitation Schedule? | Los Angeles Divorce ⚖️ A visitation schedule is more than just a calendar—it is part of a custody arrangement that helps create consistency for children and both parents. When one parent repeatedly refuses to follow the agreed or court-ordered schedule, it can create confusion and frustration. The best approach is to stay organized, document missed exchanges or changes, and understand the proper steps available to address custody concerns.
Chris Chavez and Preet Majithia are back at it with Preet coming to us live from the European Championships media center in Birmingham.Discussed in this episode:– Jakob Ingebrigtsen wins the European 5K in 13:15: First race in 11 months following surgery on the sheath around his left Achilles in February. At one point he was three seconds off the front in what appeared to be a dangerously strung-out single-file race. Nobody made it hard for him — a tactical mistake by the field.– What's next for Jakob: He's entered in the Silesia Diamond League (announced this morning). He's also confirmed for the Zurich Diamond League, where he'll face Cole Hocker and Isaac Nader. The World Ultimate Championship 1500m path has also been clarified.– European Championships women's 800m heats — possibly the fastest in major championships history. Keely Hodgkinson leads from the front in Heat 1, clocks 1:57.28 looking completely in control. Audrey Werro and Femke Bol also advance. Semis: August 13th. Final: Friday August 14th at 9:46 PM UK time.– Other events to watch: Women's 1500: Georgia Hunter Bell is the heavy favorite; Men's 1500: Isaac Nader vs. Jake Wightman rematch; Men's 800: Mark English has every European medal except gold; Men's 10K: Gressier vs. Almgren + more.– European Championships stadium attendance concerns?– World Championships 2029 bids: Final bid presentations happening this Friday. Cities: London, Nairobi, Rome, Munich. Decision expected in September, possibly at the World Ultimate Championships.– US Olympic Trials 2028 — six-day format: Documentation is now out.– Jonah Koech — three-year ban for blood doping: USADA (not the AIU, notably) announced that Koech has accepted a three-year ban after his Athlete Biological Passport returned an adverse passport finding. He is stripped of his 2025 US 1500m national title. Ethan Strand is elevated to champion.– Guardian Mile stroller mile world record — Steven Biebelhausen, 4:17.7: Set at the Guardian Mile in Cleveland on Saturday on the Memorial Bridge.– U20 World Championships — top performances: Emmanuel Kiprono, 7:28 men's 3K: Championship record. Missed Yomif Kejelcha's U20 world record by 0.09 seconds; Tate Taylor, triple gold; Claire Stegall, women's 1500m silver + more.– Coming up: Full European Championships recap next week. Falmouth road race this weekend.____________SUPPORT OUR SPONSORSVELOUS: VELOUS makes recovery footwear designed to help runners bounce back faster between sessions. Their sandals feature Tri-Motion™ Technology: a technical three-density foam system and contoured footbed engineered to cushion impact, support your arches, and help your toes stretch and relax on every step. They keep your feet and legs properly aligned after you put in all of those weekly miles. Run. Recover. Repeat. with VELOUS! Get 20% off your VELOUS order with code CITIUSMAG20 at checkout including FREE Shipping!OLIPOP: OLIPOP's Citrus Rush packs apple, lemon, lime, and orange juices with 60mg of green tea caffeine for a bold, refreshing blast of flavor ready to fuel your next adventure. If you haven't had tried Olipop yet, grab a can and see what the hype is all about! Head to DrinkOlipop.com and use code CITIUS25 at checkout to get 25% off your orders.
Show Notes: slpnow.com/264 If progress report season always sneaks up on you, this episode is for you. I'm sharing what defensible data actually means, and why it does not have to be fancy or overwhelming. The goal is simple. Collect clear, usable data that helps you explain progress, make clinical decisions, and support your notes, billing, and parent conversations. I also walk through the four questions every note should answer, how I use quick probes to guide treatment, and why a simple digital system can save so much stress later. Working smarter, not harder. Resources:Digital Data Bootcamp: slpnow.com/ddbSLP Now Level of Support Rubric: https://slpnow.com/blog/probe-data/
92507 is changing, and SLP documentation will have to change with it.In this episode, Jeanette Benigas, PhD/SLP, is joined by adult and pediatric private practice owners Katie Brown, MA/SLP, and Emily Watkins, MCD/SLP, to talk about what the new code set could mean for documentation, billing, compliance, and audit risk across pediatric and adult settings.Katie and Emily share firsthand experiences with Medicare, Medicaid, and commercial insurance audits, including what payers requested, what triggered the audits, and why documentation supporting medical necessity and skilled intervention matters. They also deliberate one of the biggest shifts ahead: moving from a catch-all code to multiple service-specific codes means SLPs will need to clearly support what they treated, why it required skilled intervention, and the time spent providing that treatment.The takeaway: do what you bill, bill what you do, and document what you do.Whether you're a clinician, manager, or private practice owner, now is the time to understand the changes and prepare... before January.Resources Mentioned
When an older adult moves from the hospital to rehab, or from rehab back into a care setting, the risk is not just medical. It is operational. Medication changes get missed. Notes sit in a binder. One caregiver knows something important, but the next person never sees it. Families assume everyone is aligned, but the handoff is incomplete before the next shift even starts. That is where systems break down. Most leaders do not have a people problem. They have a workflow problem. The issue is not that caregivers do not care. The issue is that too much of care still depends on memory, workarounds, and fragmented communication. And when a patient is medically fragile, those small cracks can quickly become expensive mistakes. Clinical transitions are not one event A transition is not one moment. It is a chain of events. Hospital discharge. Medication updates. New mobility risks. Shift changes. Family communication. Follow-up care. Documentation. Escalation if something feels off. If one part of that chain breaks, the whole system gets weaker. I often describe it like Lego blocks. If one section is unstable, the full structure becomes wobbly. That is why trying to fix everything at once rarely works. The better approach is to identify the biggest friction point, improve it, and then measure what changed. Why senior care systems break down In senior care, especially in home-based care and residential settings, a few predictable problems show up again and again: - Information lives in too many places - Handwritten notes do not flow cleanly into the next shift - One caregiver notices something important, but another does not - Staff rely on memory at the exact moment when fatigue and cognitive load are highest - Organizations add more processes without removing old processes That last one matters more than most leaders realize. If a team already has 15 steps to follow, adding a 16th without taking anything away does not improve care. It usually increases resistance, creates shortcuts, and pushes people back toward old workarounds. Where AI can actually help AI is not a replacement for judgment. It is a support layer. Used well, it can help organizations capture fragmented information and surface what matters before it gets lost. For example, if a caregiver is scheduled to start a shift at 2:00 p.m., the system can pull the latest notes, identify medication changes, flag care concerns, and send a short summary a few minutes before the shift starts. Not a wall of text. Just easy-to-process notes. That creates clarity without pulling the caregiver away from the person they are there to support. It also creates accountability. If the caregiver confirms they read the update, the organization has a better record of what was shared and when. This is a snippet from an interview that I did with Holly Larson. You can learn more about Holly Larson and all the great work she does in the senior care space on LinkedIn. You can also check out her website, The Chief Care Officer.
⚖️ How to Prove You Are the Better Parent in Custody Cases. | Los Angeles Divorce
Send us Fan MailArizona just passed a coercive control law, and the family bar, the bench, and the litigants are all figuring it out in real time. Billie Tarascio sits down with returning guest Dr. Cocchiola to look at what actually happened in Connecticut, where a nearly identical statute has been on the books since 2023. The answer matters for anyone facing an Arizona divorce, a custody fight, or a family court judge who has to sort out who holds the power in a relationship.Dr. Cocchiola is a therapist, expert witness, and coercive control researcher with almost four decades in the field. She testified in support of Connecticut's Jennifer's Law, trains judges and court professionals nationally through AFCC, runs a support group for male survivors, and co-authored a collection of survivor accounts from inside the family court system. She also lived it, which shapes how she talks about children, attachment, and what recovery actually takes.In this episode:- Understand why coercive control sits underneath domestic violence instead of beside it- Learn how Connecticut's Jennifer's Law has played out three years in- Spot the abuser traits that read as calm and credible in a courtroom- See how abusers flip the script and file coercive control claims against protective parents- Recognize post-separation escalation as the clearest signal courts overlook- Question the automatic 50/50 custody model and who it actually serves- Protect attachment when a child aligns with the controlling parent- Weigh the real risks of reunification camps and forced repair therapy- Document patterns with parenting apps and written records that hold up- Negotiate with an abuser who needs to believe the outcome hurt you- Rebuild your child's sense of safety as the parent who repairsChapters:00:00 Introduction to Coercive Control and Domestic Violence02:43 Understanding Coercive Control as a Trajectory of Behavior05:46 The Impact of Coercive Control Legislation08:18 Challenges in Family Court and the Weaponization of Laws11:13 The Role of Children in Coercive Control Dynamics13:58 Systemic Issues in Family Court and Child Safety16:49 Expert Testimony and the Nuances of Coercive Control19:47 The Complexity of Parenting Time Decisions24:01 The Role of Court Professionals in Family Dynamics27:02 Challenges in Family Court and Child Safety28:44 The Importance of Documentation and Boundaries31:27 Understanding Power Dynamics in Relationships34:41 Therapeutic Interventions and Their Complexities38:58 Advice for Family Law Professionals and LitigantsModern Law helps Arizona families through divorce, custody, and high-conflict cases across Phoenix, Mesa, and Scottsdale. Call 480-649-2905 or visit mymodernlaw.com to talk with our team.
durée : 00:43:56 - Questions du soir : le débat - par : Antoine Dhulster - Après l'Argentine et le Chili, c'est au tour de la Colombie d'être dirigée par un président d'extrême droite. Au-delà des singularités de chaque pays, y a-t-il un tournant conservateur en Amérique latine, comparable à ce que fut le grand virage à gauche des années 2000 ? - équipe : Phane Montet, Louise Cognard, Tom Umbdenstock, Inès Bouffartigue Sebastia, Adèle Triol, Coline Guillot - invités : Thomas Posado Maître de conférences en civilisation latino-américaine contemporaine à l'Université de Rouen, Valentina Santamaria Alva Doctorante au Centre de Recherche et de Documentation sur les Amériques (CREDA) à l'Université Sorbonne-Nouvelle, Angeline Montoya Journaliste au journal Le Monde, responsable de la rubrique Amérique latine Vous aimez ce podcast ? Pour écouter tous les épisodes sans limite, rendez-vous sur Radio France
The new Medicare speech therapy CPT codes are coming, and adult SLPs need to prepare.In this episode, Jeanette Benigas, PhD/SLP, is joined by Katie Brown, SLP of Neuro Speech Solutions (@neurospeechsolutions), to discuss how the new code family replacing 92507 could impact adult speech-language pathology across Medicare Part B, skilled nursing, outpatient, home health, hospital outpatient, and private practice.They discuss how the new codes may affect reimbursement, scheduling, productivity, documentation, cognition treatment, Medicare Advantage, commercial insurance, and ethical billing. They also explore why accurate utilization data will be critical to future advocacy for higher reimbursement rates.Whether you own a private practice, work in a SNF, outpatient clinic, hospital, or even pediatrics, this conversation will help you understand what's changing, what questions remain unanswered, and how to start preparing now.Topics include:• The new adult SLP CPT codes• Replacing 92507• Medicare Part B billing• Cognition reimbursement• Documentation changes• Productivity concerns• Private practice and SNF implications• Ethical billing and future advocacyResources Mentioned
✔️ Can You Stop Visitation Over Unpaid Child Support? | Los Angeles Divorce ✔️ Many parents wonder if missing child support payments give them the right to stop visitation. In California, child support and visitation are legally separate, and understanding your rights is essential for making informed decisions.
⚖️ What Happens If Your Ex Violates a Court-Ordered Custody Agreement? | Los Angeles Divorce ⚖️ Parents sometimes face situations where an ex doesn't follow the court-ordered custody agreement. Knowing your legal rights and the steps to enforce custody can protect both you and your children.
⚖️ How to Modify a Child Custody Agreement After Divorce | Los Angeles Divorce ⚖️ Families sometimes need to update a child custody agreement after divorce due to life changes such as relocation, work schedule adjustments, or the child's evolving needs. Understanding the legal process and proper documentation is essential for ensuring smooth modifications.
Welcome to Ep 164: Creative and Expressive Learning Pathways with Jill Weidknecht Van Horne. Jill Weidknecht Van Horne, PhD, is my friend and colleague and is an Associate Professor and the Program Director of the Professional School Counseling Program at Appalachian State University. She is also the past president of the European Branch of the American Counseling Association and past vice-president of the North Carolina Association for Play Therapy. Her equine therapy class has been featured on our local PBS affiliate UNC-TV and I have a link to that video and her newly released book for which she is an editor writing under the name Jill Weidknecht in the resources. The book is Treatment Planning, Writing, and Documentation in Creative and Expressive Arts Therapies: A Guide for Mental Health Professionals. In our conversation, we discuss the connections between UDL and expressive and creative arts therapies and consider how her work in play therapy and equine-assisted therapy provides an empathetic lens for her to better understand learner variability and the various pathways for learning in her students. Thank you for listening to the Think UDL podcast!
(Premier épisode) À l'été 2019, Jeffrey Epstein, un homme d'affaires américain est arrêté aux États-Unis, accusé de trafic sexuel de mineurs. En France, le grand public découvre qu'il possédait un immense appartement près de l'Arc de Triomphe. Sa perquisition en septembre 2019 est un des premiers actes d'enquête dans le volet français de cette affaire.Cette affaire exceptionnelle est racontée en six épisodes dans Crime story par la journaliste Clawdia Prolongeau et le chef du service police-justice du Parisien, Damien Delseny.Merci à Jena-Lisa Jones, Marina Lacerda, Thysia Huisman, Mathias Darmon, Lucile Descamps, Timothée Boutry et Nicolas Jacquard.Écoutez Crime story sur toutes les plates-formes audio : Apple Podcast (iPhone, iPad), Google Podcast (Android), Amazon Music, Podcast Addict ou Castbox, Deezer, SpotifyCrédits. Direction de la rédaction : Pierre Chausse - Rédacteur en chef : Jules Lavie - Ecriture et voix : Clawdia Prolongeau, Clara Garnier Amouroux, Clémentine Spiler et Damien Delseny - Production : Victor Beaunoir, Barbara Gouy, Marin Guillon Verne, Thibault Lambert et Judith Perret - Réalisation et mixage : Pierre Chaffanjon - Musiques : Audio Network - Photo : LP/Arnaud Journois.Documentation. Cet épisode de Crime story a été préparé en puisant entre autres dans les archives du Parisien, avec l'aide de nos documentalistes. Nous avons aussi exploité les ressources suivantes :Hors-série du Parisien “L'affaire Epstein, au cœur du scandale”, en kiosque depuis le 01/07/2026Libération - Un ballet incessant de jeunes femmes : la vie française de Jeffrey Epstein racontée par son majordome à la police - 13/02/2026Marianne - "Jean-Luc, balance tout" : Brunel, le rabatteur disparu avec ses secrets sur les Français proches d'Epstein -11/02/2026Mediapart - Affaire Epstein: de nouveaux témoignages accusent Jean-Luc Brunel - 01/10/2019Mediapart - Enquête sur Jean-Luc Brunel, l'ami français de Jeffrey Epstein - 13/08/2019Le Monde - Au 22 avenue Foch, les vies parisiennes du prédateur sexuel Jeffrey Epstein - 11/03/2026Netflix - Jeffrey Epstein : pouvoir, argent et perversion (Jeffrey Epstein: Filthy Rich) - 2020France 2 - Complément d'enquête, Jeffrey Epstein : Une affaire française ? - 2026 Hébergé par Acast. Visitez acast.com/privacy pour plus d'informations.
(Deuxième épisode) À l'été 2019, la France ouvre une enquête sur Jeffrey Epstein pour tenter d'identifier des complices en France. On découvre alors l'inconcevable système qu'il a mis en place pour violer et abuser des dizaines de jeunes filles mineures. Crime Story s'est rendu à Palm Beach en Floride pour rencontrer des victimes. Là où tout a commencé…Cette affaire exceptionnelle est racontée en six épisodes dans Crime story par la journaliste Clawdia Prolongeau et le chef du service police-justice du Parisien, Damien Delseny.Merci à Jena-Lisa Jones, Marina Lacerda, Thysia Huisman, Mathias Darmon, Lucile Descamps, Timothée Boutry et Nicolas Jacquard.Écoutez Crime story sur toutes les plates-formes audio : Apple Podcast (iPhone, iPad), Google Podcast (Android), Amazon Music, Podcast Addict ou Castbox, Deezer, SpotifyCrédits. Direction de la rédaction : Pierre Chausse - Rédacteur en chef : Jules Lavie - Ecriture et voix : Clawdia Prolongeau, Clara Garnier Amouroux, Clémentine Spiler et Damien Delseny - Doublage voix française : Céline Boudier - Production : Victor Beaunoir, Barbara Gouy, Marin Guillon Verne, Thibault Lambert et Judith Perret - Réalisation et mixage : Pierre Chaffanjon - Musiques : Audio Network - Photo : Shutterstock/SIPA.Documentation. Cet épisode de Crime story a été préparé en puisant entre autres dans les archives du Parisien, avec l'aide de nos documentalistes. Nous avons aussi exploité les ressources suivantes :Hors-série du Parisien “L'affaire Epstein, au cœur du scandale”, en kiosque depuis le 01/07/2026Libération - Un ballet incessant de jeunes femmes : la vie française de Jeffrey Epstein racontée par son majordome à la police - 13/02/2026Marianne - "Jean-Luc, balance tout" : Brunel, le rabatteur disparu avec ses secrets sur les Français proches d'Epstein -11/02/2026Mediapart - Affaire Epstein: de nouveaux témoignages accusent Jean-Luc Brunel - 01/10/2019Mediapart - Enquête sur Jean-Luc Brunel, l'ami français de Jeffrey Epstein - 13/08/2019Le Monde - Au 22 avenue Foch, les vies parisiennes du prédateur sexuel Jeffrey Epstein - 11/03/2026Netflix - Jeffrey Epstein : pouvoir, argent et perversion (Jeffrey Epstein: Filthy Rich) - 2020France 2 - Complément d'enquête, Jeffrey Epstein : Une affaire française ? - 2026 Hébergé par Acast. Visitez acast.com/privacy pour plus d'informations.
(Troisième épisode) En 2008, le millionnaire américain Jeffrey Epstein, a été condamné en Floride pour “sollicitation de prostitution” et “incitation de mineur à la prostitution”. Il a été incarcéré pendant 13 mois, en régime de semi-liberté. En 2009, il sort de prison. Il peut alors reprendre sa vie et ses activités là où il les avait laissées.Cette affaire exceptionnelle est racontée en six épisodes dans Crime story par la journaliste Clawdia Prolongeau et le chef du service police-justice du Parisien, Damien Delseny.Merci à Jena-Lisa Jones, Marina Lacerda, Thysia Huisman, Mathias Darmon, Lucile Descamps, Timothée Boutry et Nicolas Jacquard.Écoutez Crime story sur toutes les plates-formes audio : Apple Podcast (iPhone, iPad), Google Podcast (Android), Amazon Music, Podcast Addict ou Castbox, Deezer, SpotifyCrédits. Direction de la rédaction : Pierre Chausse - Rédacteur en chef : Jules Lavie - Ecriture et voix : Clawdia Prolongeau, Clara Garnier Amouroux, Clémentine Spiler et Damien Delseny - Doublage voix françaises : Céline Boudier, Solea Garcia Fons, Nathalie Olivier et Geoffroy Tomasovitch - Production : Victor Beaunoir, Barbara Gouy, Marin Guillon Verne, Thibault Lambert et Judith Perret - Réalisation et mixage : Julien Montcouquiol - Musiques : Audio Network - Archives : Miami Herald, WPTV News, BBC - Photo : Jack Gruber-USA TODAY/Sipa USA.Documentation. Cet épisode de Crime story a été préparé en puisant entre autres dans les archives du Parisien, avec l'aide de nos documentalistes. Nous avons aussi exploité les ressources suivantes :Hors-série du Parisien “L'affaire Epstein, au cœur du scandale”, en kiosque depuis le 01/07/2026Libération - Un ballet incessant de jeunes femmes : la vie française de Jeffrey Epstein racontée par son majordome à la police - 13/02/2026Marianne - "Jean-Luc, balance tout" : Brunel, le rabatteur disparu avec ses secrets sur les Français proches d'Epstein -11/02/2026Mediapart - Affaire Epstein: de nouveaux témoignages accusent Jean-Luc Brunel - 01/10/2019Mediapart - Enquête sur Jean-Luc Brunel, l'ami français de Jeffrey Epstein - 13/08/2019Le Monde - Au 22 avenue Foch, les vies parisiennes du prédateur sexuel Jeffrey Epstein - 11/03/2026Netflix - Jeffrey Epstein : pouvoir, argent et perversion (Jeffrey Epstein: Filthy Rich) - 2020France 2 - Complément d'enquête, Jeffrey Epstein : Une affaire française ? - 2026 Hébergé par Acast. Visitez acast.com/privacy pour plus d'informations.
(Sixième épisode) Au printemps 2022, l'enquête sur Jeffrey Epstein et ses ramifications françaises semble terminée. Son principal complice en France, Jean-Luc Brunel, incarcéré à la prison de la Santé, s'est suicidé. Sans personne à poursuivre, le code pénal prévoit que l'action judiciaire s'éteigne. Mais début 2026, la publication des Epstein files change tout. Dans les documents d'enquête déclassifiés, de nouveaux noms apparaissent. Ceux d'autres personnalités françaises qui ont alimenté le gigantesque réseau de Jeffrey Epstein.Cette affaire exceptionnelle est racontée en six épisodes dans Crime story par la journaliste Clawdia Prolongeau et le chef du service police-justice du Parisien, Damien Delseny.Merci à Jena-Lisa Jones, Marina Lacerda, Thysia Huisman, Mathias Darmon, Lucile Descamps, Timothée Boutry et Nicolas Jacquard.Écoutez Crime story sur toutes les plates-formes audio : Apple Podcast (iPhone, iPad), Google Podcast (Android), Amazon Music, Podcast Addict ou Castbox, Deezer, SpotifyCrédits. Direction de la rédaction : Pierre Chausse - Rédacteur en chef : Jules Lavie - Ecriture et voix : Clawdia Prolongeau, Clara Garnier Amouroux, Clémentine Spiler et Damien Delseny - Production : Victor Beaunoir, Barbara Gouy, Marin Guillon Verne, Thibault Lambert et Judith Perret - Réalisation et mixage : Julien Montcouquiol - Musiques : Audio Network - Archives : “60 minutes : American Girls in Paris” CBS, TF1, NBC News, ABC News, BBC, Miami Herald, WPTV News - Photo : Martin BUREAU / AFP.Documentation. Cet épisode de Crime story a été préparé en puisant entre autres dans les archives du Parisien, avec l'aide de nos documentalistes. Nous avons aussi exploité les ressources suivantes :Hors-série du Parisien “L'affaire Epstein, au cœur du scandale”, en kiosque depuis le 01/07/2026Libération - Un ballet incessant de jeunes femmes : la vie française de Jeffrey Epstein racontée par son majordome à la police - 13/02/2026Marianne - "Jean-Luc, balance tout" : Brunel, le rabatteur disparu avec ses secrets sur les Français proches d'Epstein -11/02/2026Mediapart - Affaire Epstein: de nouveaux témoignages accusent Jean-Luc Brunel - 01/10/2019Mediapart - Enquête sur Jean-Luc Brunel, l'ami français de Jeffrey Epstein - 13/08/2019Le Monde - Au 22 avenue Foch, les vies parisiennes du prédateur sexuel Jeffrey Epstein - 11/03/2026Netflix - Jeffrey Epstein : pouvoir, argent et perversion (Jeffrey Epstein: Filthy Rich) - 2020France 2 - Complément d'enquête, Jeffrey Epstein : Une affaire française ? - 2026 Hébergé par Acast. Visitez acast.com/privacy pour plus d'informations.
(Quatrième épisode) Le samedi 6 juillet 2019, Jeffrey Epstein est arrêté à la descente de son avion privé dans l'État de New York. Alors que les détails sur ses crimes sexuels s'étalent en Une des journaux américains, les médias français et la justice commencent à s'intéresser à ses complices. Ghislaine Maxwell, une femme d'origine française, semble être au coeur du système.Cette affaire exceptionnelle est racontée en six épisodes dans Crime story par la journaliste Clawdia Prolongeau et le chef du service police-justice du Parisien, Damien Delseny.Merci à Jena-Lisa Jones, Marina Lacerda, Thysia Huisman, Mathias Darmon, Lucile Descamps, Timothée Boutry et Nicolas Jacquard.Écoutez Crime story sur toutes les plates-formes audio : Apple Podcast (iPhone, iPad), Google Podcast (Android), Amazon Music, Podcast Addict ou Castbox, Deezer, SpotifyCrédits. Direction de la rédaction : Pierre Chausse - Rédacteur en chef : Jules Lavie - Ecriture et voix : Clawdia Prolongeau, Clara Garnier Amouroux, Clémentine Spiler et Damien Delseny - Doublage voix françaises : Céline Boudier et Solea Garcia Fons - Production : Victor Beaunoir, Barbara Gouy, Marin Guillon Verne, Thibault Lambert et Judith Perret - Réalisation et mixage : Julien Montcouquiol - Musiques : Audio Network - Archives : Miami Herald - Photo : AFP PHOTO / US Department of Justice.Documentation. Cet épisode de Crime story a été préparé en puisant entre autres dans les archives du Parisien, avec l'aide de nos documentalistes. Nous avons aussi exploité les ressources suivantes :Hors-série du Parisien “L'affaire Epstein, au cœur du scandale”, en kiosque depuis le 01/07/2026Libération - Un ballet incessant de jeunes femmes : la vie française de Jeffrey Epstein racontée par son majordome à la police - 13/02/2026Marianne - "Jean-Luc, balance tout" : Brunel, le rabatteur disparu avec ses secrets sur les Français proches d'Epstein -11/02/2026Mediapart - Affaire Epstein: de nouveaux témoignages accusent Jean-Luc Brunel - 01/10/2019Mediapart - Enquête sur Jean-Luc Brunel, l'ami français de Jeffrey Epstein - 13/08/2019Le Monde - Au 22 avenue Foch, les vies parisiennes du prédateur sexuel Jeffrey Epstein - 11/03/2026Netflix - Jeffrey Epstein : pouvoir, argent et perversion (Jeffrey Epstein: Filthy Rich) - 2020France 2 - Complément d'enquête, Jeffrey Epstein : Une affaire française ? - 2026 Hébergé par Acast. Visitez acast.com/privacy pour plus d'informations.
In this episode of Friday Fiduciary Five, Eric Dyson talks about the sixth signature principle of fiduciary leadership: documentation should tell the entire fiduciary story. He emphasizes the importance of documenting not just decisions but also the process and purpose behind them. Eric uses the analogy of a ship's log versus a captain's log to illustrate the difference between recording facts and explaining the rationale behind decisions. He challenges fiduciary committees to ensure their documentation reflects both prudence and loyalty.Connect with Eric Dyson: Website: https://90northllc.com/Phone: 940-248-4800Email: contact@90northllc.com LinkedIn: https://www.linkedin.com/in/401kguy/ The information contained herein is general in nature and is provided solely for educational and informational purposes.It is not intended to provide a specific recommendation of any type of product or service discussed in this presentation or to provide any warranties, financial advice, or legal advice.The specific facts and circumstances of all qualified plans can vary, and the information contained in this podcast may or may not apply to your individual circumstances or to your plan or client plan-specific circumstances.The opinions expressed by guests on the Be More Than a Fiduciary podcast are not necessarily the same as the opinions held by 90 North Consulting or by Executive Director Eric Dyson.
This episode is about the developmental progression and mission outcomes of SpaceX's Starship program, specifically focusing on Flight 12 and Flight 13. Documentation for the twelfth test flight highlights the introduction of Block 3 hardware and the activation of a second launch pad at Starbase, though the mission ended with the grounding of the fleet following a booster mishap. The subsequent coverage of the thirteenth mission describes a more successful iteration where the upper stage achieved several milestones, including the deployment of Starlink satellites and a controlled soft splashdown in the ocean. Together, these sources outline the iterative process of testing the world's most powerful rocket to meet future NASA Artemis lunar goals. The texts also catalog the rigorous technical testing and vehicle histories of the specific boosters and ships used in these high-altitude trials. Overall, the information illustrates the shift from experimental prototypes toward an operational vehicle capable of rapid reusability.
What actually gets physicians engaged in documentation quality, not just compliant? That's the question Solventum's Deputy Chief Medical Officer Dr. Travis Bias asks Dr. Paul Richardson, CMO and VP of medical education at Conway Medical Center. Together, they explore how honesty, transparency and a little healthy competition can transform the way clinicians think about clinical documentation. Hear how inaccurate documentation quietly harms patients and reimbursement and how generational differences shape technology adoption. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/
Today my guests are my colleagues Shreyas Narla and Kadambari Shah. Shreyas is a research scholar and Kadambari is a research associate at the Mercatus Center with the India program. We talked about completing five years of the 1991 Project, how it started, it's scope, the oral histories of the reformers in 1991, papers, essays, fellowships and much more. Recorded July 10th, 2026. Read a full transcript enhanced with helpful links. Prefer to watch this episode, see the full length video here. Connect with Ideas of India Follow us on X Follow Shruti on X Follow Shreyas on X Follow Kadambari on X Click here for the latest Ideas of India episodes sent straight to your inbox. Timestamps: 00:00:00 - Intro 00:01:44 - The Origin Story 00:11:07 - Launching the Oral Histories Initiative 00:20:47 -Documentation and Memory 00:37:47 - Building the Repository 00:46:18 - The 1991 Project Website 00:58:11 - Walking with Giants 01:06:45 - Where are all the Women? 01:11:27 - Making Economic Reforms 'Sexy' Again 01:22:43 - The Importance of Intergenerational Interaction 01:34:33 - Incubating New Talent 01:41:39 - Gratitude and Acknowledgments 01:53:19 - Outro
In this episode, Jen explains why good documentation is one of an employer's most valuable risk management tools. She discusses why otherwise defensible employment decisions can unravel because of poor documentation, shares practical tips for creating clear and credible records, and highlights the common documentation mistakes that create unnecessary legal exposure.
Step into the crucial world of neonatal care with this episode of Legal Nurse Podcast, hosted by Pat Iyer and featuring neonatal nurse practitioner and expert witness Yana Felix. As medical knowledge and parental expectations continue to evolve, the first moments of a newborn's life are both medically and legally complex. Yana Felix, who practices at Johns Hopkins, shares clinical insights and legal pearls drawn from hands-on experience in newborn resuscitation, delivery room challenges, and the nuanced standards of care shaping today's neonatal outcomes. Together, discuss the foundational steps in newborn care, the critical reasoning behind interventions like vitamin K administration, and the intricacies of Apgar scoring. The conversation navigates real-world dilemmas such as parental refusal of standard treatments and the shifting recommendations of the Neonatal Resuscitation Program (NRP), offering valuable guidance for clinicians, legal nurse consultants, and attorneys who may one day analyze these cases. Whether you are a healthcare professional, legal expert, or a parent interested in understanding what happens in those vital first minutes of life, this episode will provide you with practical knowledge and a deeper appreciation for both the science and the stakes of neonatal care. What You'll Learn in This Episode on Vitamin K Refusals, Documentation Gaps, and Litigation Risks in Neonatal Care Here are 5 discussion questions answered in the podcast: Why is vitamin K administration at birth controversial among some parents, and what are the medical implications of refusing it? How are Apgar scores used to assess a newborn's health, and what red flags should be noted in medical records during legal reviews? What are the key updates from the 9th Edition of the Neonatal Resuscitation Program (NRP), and how do they impact clinical practice? How does delayed cord clamping benefit newborns, and what are the potential risks if not properly balanced with timely interventions? In what ways might documentation or lack thereof influence the legal outcomes of neonatal resuscitation cases? Get the free transcripts and also learn about other ways to subscribe. Go to Legal Nurse Podcasts subscribe options by using this short link: http://LNC.tips/subscribepodcast. https://youtu.be/GVsR5EOrJVU Your Presenter for Vitamin K Refusals, Documentation Gaps, and Litigation Risks in Neonatal Care Pat Iyer Pat Iyer is a seasoned legal nurse consultant and business coach, renowned for her expertise in guiding new legal nurse consultants to successfully break into the field. As the host of the Legal Nurse Podcast, Pat addresses critical challenges that legal nurse consultants face, such as difficulty in landing clients and a lack of response from attorneys. Through her insightful episodes, she emphasizes the importance of effectively communicating one's value to potential clients. With a wealth of experience, Pat has empowered countless consultants to overcome these hurdles and thrive in their careers. Connect with Pat Iyer by email at patiyer@legalnusebusiness.com Yana Felix Yana is a Neonatal Nurse Practitioner at Johns Hopkins Hospital, where she provides expert clinical care for critically ill newborns. She also serves as a Neonatal Nurse Practitioner legal consultant, sharing clinical knowledge for medicolegal review and education. When she is not on this podcast, Yana is enjoying art history, traveling, and exploring the world with her canine companion. Connect with Yana Felix by email at yfelix1@jh.edu
Parental alienation is a legal emergency, not just heartbreak — and family court is too slow to stop it on its own. Here's how fathers move from venting to evidence with a court-focused, 6-category documentation framework.When a parent starts canceling visits, blocking school and medical access, or quietly rewriting a child's story, the damage becomes "normal" long before a judge ever hears the case. In this briefing we treat alienation as both an emotional crisis and a legal one, and we unpack a real-time split in family law: New Hampshire's HB 1323, which would define parental alienation in statute and force a ruling within 60 days (with remedies like makeup parenting time, custody changes, and attorney's fees), versus Canada's Bill C-223, which would move to ban alienation claims and reunification therapy. We cover the narratives behind both, the peer-reviewed research on long-term harm to kids, and why the data does not support the "junk science" label. Then we bring it home to what you can do this week: a practical documentation system that proves patterns, defends against false claims, and demonstrates your own fitness and flexibility as a dad.In this episode: why speed is alienation's weapon · HB 1323's 60-day rule and its remedies · Bill C-223 and the counter-narrative · what the research really says · the 6-category evidence framework. Support the showBeing unprepared is how great fathers become weekend visitors. Most ground is lost quietly through "drift" and decisions made under pressure. Stop the drift today at TheDivorcedDadvocate.com.Access your tactical tools:Weekend Visitor Risk Assessment (TheDivorceQuiz.com): Identify your "quiet loss" exposure in 10 minutes.Strategic Risk Consultation (TalkWithJude.com): Book a private triage to ensure your mistakes don't become your permanent reality.Your kids are counting on you.
(Première diffusion le 21 septembre 2024, premier épisode) Thorigné-sur-Dué est une petite commune agricole tranquille de 1500 habitants, située dans le nord de la Sarthe. En entrant dans le bourg par le nord-est, on ne peut pas rater le grand bâtiment de la carrosserie Leprince, une entreprise florissante fondée par un enfant du pays : Christian Leprince.Le lundi 5 septembre 1994 au matin, comme d'habitude, la carrosserie est ouverte mais Christian Leprince ne s'y présente pas. Ses ouvriers sont surpris. L'un d'eux décide alors de lui rendre visite chez lui, à quelques centaines de mètres de là. Mais en arrivant sur place, il découvre une scène d'horreur : Christian Leprince, sa femme Brigitte et ses filles Audrey, 10 ans, et Sandra, 6 ans ont été massacrés à l'aide d'une feuille de boucher. Seule la petite Solène, 2 ans, a été épargnée.Dans Crime story, la journaliste Clawdia Prolongeau raconte cette enquête avec Damien Delseny, chef du service police-justice du Parisien.Crédits. Direction de la rédaction : Pierre Chausse - Rédacteur en chef : Jules Lavie - Ecriture et voix : Clawdia Prolongeau et Damien Delseny - Production : Clara Garnier-Amouroux et Raphaël Pueyo - Réalisation et mixage : Julien Montcouquiol - Musiques : Audio Network - Archives : INA.Documentation. Cet épisode de Crime story a été préparé en puisant dans les archives du Parisien, avec l'aide de nos documentalistes. Nous avons aussi exploité les ressources suivantes :Au bout de l'enquête. Dany Leprince, jalousie meurtrière - France 2Affaire Dany Leprince. L'alibi ignoré - Le Monde Hébergé par Acast. Visitez acast.com/privacy pour plus d'informations.
(Première diffusion le 21 septembre 2024, deuxième et dernier épisode) Thorigné-sur-Dué est une petite commune agricole tranquille de 1500 habitants, située dans le nord de la Sarthe. En entrant dans le bourg par le nord-est, on ne peut pas rater le grand bâtiment de la carrosserie Leprince, une entreprise florissante fondée par un enfant du pays : Christian Leprince.Le lundi 5 septembre 1994 au matin, comme d'habitude, la carrosserie est ouverte mais Christian Leprince ne s'y présente pas. Ses ouvriers sont surpris. L'un d'eux décide alors de lui rendre visite chez lui, à quelques centaines de mètres de là. Mais en arrivant sur place, il découvre une scène d'horreur : Christian Leprince, sa femme Brigitte et ses filles Audrey, 10 ans, et Sandra, 6 ans ont été massacrés à l'aide d'une feuille de boucher. Seule la petite Solène, 2 ans, a été épargnée.Dans Crime story, la journaliste Clawdia Prolongeau raconte cette enquête avec Damien Delseny, chef du service police-justice du Parisien.Crédits. Direction de la rédaction : Pierre Chausse - Rédacteur en chef : Jules Lavie - Ecriture et voix : Clawdia Prolongeau et Damien Delseny - Production : Clara Garnier-Amouroux et Raphaël Pueyo - Réalisation et mixage : Julien Montcouquiol - Musiques : Audio Network - Archives : INA.Documentation. Cet épisode de Crime story a été préparé en puisant dans les archives du Parisien, avec l'aide de nos documentalistes. Nous avons aussi exploité les ressources suivantes :Au bout de l'enquête. Dany Leprince, jalousie meurtrière - France 2Affaire Dany Leprince. L'alibi ignoré - Le Monde Hébergé par Acast. Visitez acast.com/privacy pour plus d'informations.
⚖️ How to Modify a Child Support Order After Divorce | Los Angeles Divorce
⚠️ What Happens If Your Ex Quits Their Job to Avoid Child Support? | Los Angeles Divorce
What actually gets physicians engaged in documentation quality, not just compliant? That's the question Solventum's Deputy Chief Medical Officer Dr. Travis Bias asks Dr. Paul Richardson, CMO and VP of medical education at Conway Medical Center.
⚠️ What If Your Ex Declares Financial Hardship After Divorce? | Los Angeles Divorce ⚠️ Financial situations can change after divorce, but court-ordered spousal or child support does not automatically adjust. If an ex claims financial hardship, legal approval is generally required before any modification. Proper documentation and understanding your options are critical to protecting your financial rights.
Learn more about Black Spectacles ARE 5.0 exam prep: https://www.blackspectacles.com/pricing?utm_source=youtube&utm_medium=podcast&utm_campaign=are_live_podcast Join Black Spectacles and architect Chris Hopstock to learn the best study strategies for passing the PDD exam. On this episode of ARE Live, we walk through a practice exam for the Project Development & Documentation division of the ARE 5.0. You'll learn about the PDD exam and we'll cover topics related to evaluating insulation strategies for energy code compliance, selecting specification types for named products, coordinating building systems within ceiling plenums, organizing specification sections and reference information & assessing value engineering impacts on building performance. Timestamps: 5:23 - Question No. 1 15:28 - Question No. 2 20:35 - Question No. 3 25:47 - Question No. 4 34:01 - Question No. 5 See previous episodes or register for the next ARE Live at https://www.blackspectacles.com/podcast
Growing a business requires more than the right technology. It requires business systems that make important work repeatable, consistent, and easier to scale.In this episode of MOJO: The Meaning of Life and Business, Jennifer R. Glass speaks with Adi Klevit, founder of Business Success Consulting Group and host of the Systems Simplified podcast, about how processes and standard operating procedures, or SOPs, help businesses operate more effectively.Jennifer and Adi explore the difference between a business process, an SOP, and the technology used to support them. They discuss why buying a new software platform does not automatically solve an underlying process problem and why businesses need to understand what they are trying to accomplish before adding another tool to their technology stack.The conversation also looks at one of the biggest risks facing growing businesses: important knowledge that exists only in one person's head. From employee onboarding and customer service to sales, payroll, marketing, and inventory, documenting repeatable processes can create greater consistency and make delegation easier.You'll also hear practical advice about deciding which processes to document first, keeping systems updated as the business changes, improving adoption across a team, and making sure industry terminology and acronyms are clearly understood.Whether you're starting a business or managing a fast-growing company, this episode will help you think differently about the systems behind your business and what needs to be in place before you can truly scale.Key takeaways:A system is bigger than software. Technology can execute or automate part of a process, but the underlying business process needs to be understood first.A process and an SOP are related but different. The process maps how work moves from point A to point B. The SOP explains how the work is executed step by step.Document what is repeatable. If something happens regularly, it may be a candidate for systematization.Protect institutional knowledge. A business becomes vulnerable when essential knowledge resides only in one employee's head.Systems support delegation. Documented processes make it easier to train people and move work away from the owner.Systems must stay alive. Documentation should be reviewed and improved rather than created once and forgotten.Technology needs a purpose. Before adding another platform, determine what role it plays in the larger business process. About my guest: Adi Klevit is the leader and visionary behind Business Success Consulting Group. With thirty years of experience as a trained Industrial Engineer and management consultant, she brings a unique understanding of the challenges businesses face today. Adi utilizes her practical know-how to help organizations of any size dramatically improve their efficiency and performance. By leveraging her ability to understand both business processes and people, she helps business owners bring order to their lives and achieve their goals. She is also the host of the Systems Simplified podcast, where she interviews successful entrepreneurs about the power of systematizing a business.Connect with Adi:Website | LinkedInSystems Simplified Podcast
Marie and Chris hop on CodePen Radio for a little chat on how we're still happily using WordPress for a variety of things here on CodePen. We've got it hosted on a subdomain and on a different (WordPress-specific) hosting plan than our main monorepo, so it has its own deployment process and such. We use WordPress for our blog, where this very podcast is published, because WordPress handles RSS well, and a podcast is an RSS feed with an audio file. We also, quite importantly, use it for our docs. For 2.0, we re-wrote the docs and used a Custom Post Type in WordPress to organize them, which feels much more organized. Time Jumps Links
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