26.02.18 Planning to drive this week? Here’s the advice for car-owners ahead of the severe wintry weather Tuesday 27 Feb 2018, 8:42 AM Tweet thisShare on FacebookEmail this article Feb 27th 2018, 6:02 AM 96,730 Views Image: Eamonn Farrell Updated 8.42am“THE BEAST FROM the East is coming our way,” warned Taoiseach Leo Varadkar, who asked people to pay “close attention” to any weather warnings that are issued in the coming days.Yesterday, the Taoiseach said any advice issued in relation to workplaces, travel and whether people should turn up for work “will be clear”.The polar vortex from Siberia, referred to as “the beast”, is expected to bring heavy snowfall and blizzard conditions on Thursday and Friday.Speaking on RTÉ’s Morning Ireland, Minister for Housing, Planning and Local Government Eoghan Murphy said that the forecast is “looking increasingly as predicted”, and the snowfall starting this evening “could potentially cause severe disruption for the country”.The National Emergency Coordination Group (NECG) outlined its preparation plans yesterday.It’s predicted that a red weather alert could be put in place for later in the week. The last time a code red was issued was for Storm Ophelia in October 2017.At the time, the NECG advised people to remain indoors and stay safe.However, there was confusion as to whether all businesses should close, and if people should go to work or remain at home.In the aftermath of the storm, Labour’s Brendan Howlin said there were lessons to be learned, and said the government should commit to issuing guidelines to the private sector as to what a red alert means for them and their employees.‘Genuine confusion’ At the time, the Taoiseach admitted that there was “genuine confusion for some people in the private sector because it was unclear to people as to whether they were to go into work or not”.He also acknowledged that a “better understanding of what a red alert means beyond the public sector and what it means in the private sector” needed to be developed.As a result, the government said in future, employers in the private sector will have to set our specific policy and guidelines as to whether they should remain open during red alerts.However, progress on mandatory guidelines has not yet been reached to date. Taoiseach Leo Varadkar Source: RollingNews.ieWhen asked about the issue yesterday, the Taoiseach suggested that the NECG advice issued later in the week could include advising people not to travel to work.“As it stands, the weather warning has not yet been issued, but I would ask people to pay close attention to any weather warnings and advice that is issued in the coming days.“Where advice is issued in relation to workplaces and travel, that will be clear and we’ll either be asking people to stay at home and not make unnecessary journeys or if they are in work already to stay in work and not make unnecessary journeys. But as I said, we are not in that position yet to issue that weather warning,” Varadkar told reporters.Speaking today, Murphy reinforced that no advisories were being issued as of yet. He said: “We try to be as clear as possible.Businesses need more direction. We can’t tell a business how to operate [but] the onus is on the employer to put the safety of staff at their forefront.Potential schools closureMurphy was asked about the possibility of schools closing due to the bad weather. Related Reads ‘Beast from the East is coming our way’: Leo says weather advice will be clear about whether to stay home from work During Storm Ophelia’s red alert there was confusion as to whether people should go to work or remain at home. 27.02.18 So how will The Beast compare to the Big Snow of ’82? 26.02.18 What exactly is the ‘Beast from the East’? And why is it going to be absolutely freezing this week? Share67 Tweet Email6 94 Comments http://jrnl.ie/3873251 Short URL He said that, if the current orange and yellow warnings were upgraded to a nationwide red alert, that would mean a directive would be issued to close all schools.“We keep very much a close eye,” the Minister said. “When we had Storm Ophelia, we went to a national red. That was a decision that had to be made.”He said that, as conditions change throughout the week, the advice issued would be updated.On the potential of school and road closures, Murphy said: “It’s a different type of weather event [to Storm Ophelia].We want to keep the country as open as we can. It’s too soon to make that call now.Duty of care to employeesBusiness group Isme, meanwhile, has advised employers that they have a duty of care to their employees under the Safety Health and Welfare at Work Act.It said businesses need to consider if it is safe to ask employees to travel to work during a code red, adding that employers should consider how it will decide if it is necessary to close, and whether a red weather alert will mean an automatic closure.Isme also said that where a business closure does not occur, employers should ensure employees are aware who they should contact in the event that they are unable make it into work due to the weather conditions.“Flexibility should be allowed for employees, especially those who have some distance to travel. Where employees are present in the workplace, care should be taken to remain vigilant for any worsening conditions. Consideration should also be given to how long it will take somebody to commute home safely,” it added.With reporting from Sean MurrayRead: Here are the plans in place to get Ireland through Storm Emma>What exactly is the ‘Beast from the East’? And why is it going to be absolutely freezing this week?> By Christina Finn Image: Eamonn Farrell
The findings suggest that a global payment model with both financial rewards and penalties, including robust quality incentives, offer a framework for slowing spending growth without sacrificing quality of care, the researchers said.Co-authors included Yunan Ji, a Ph.D. candidate at Harvard’s Graduate School of Arts and Sciences, and Michael Chernew, Leonard D. Schaeffer Professor of Health Care Policy at HMS. Dana Gelb Safran, who is with Haven, an independent organization dedicated to creating better health care outcomes for individuals and families, and Tufts University School of Medicine, and was part of BCBS during the study period, also contributed to the research.This work was supported by a National Institutes of Health Director’s Early Independence Award. Study: Doctor burnout costs health care system $4.6 billion a year Spending dips on health care for the Medicare elderly Related Improvements in cardiovascular area are saving billions in costs, Harvard study finds Work highlights economic cost in lost time, turnover A new study led by Harvard researchers presents a rare long-term examination of a promising payment system for providers that appears to slow galloping health care costs while improving care for chronic diseases like diabetes and high blood pressure and reducing emergency-room visits.Under the current method, insurers pay providers for each service rendered, a practice that critics say can encourage the use of increased treatment even when its benefit is dubious. A so-called global-payment program, on the other hand, gives clinical practices a yearly budget to care for a population of patients, creating an incentive to prioritize preventative care and look for ways to cut unnecessary spending.Evidence from preliminary, and mostly short-term, studies of global-payment experiments has been mixed and has offered a limited snapshot on outcomes. The question remained: Could it work over the longer term once the early changes or investments in care delivery had been made?The likely answer may be yes, according to research published July 18 in The New England Journal of Medicine, which reveals that one of the largest, oldest private insurers that used population-based global budgets achieved sustained success in slowing spending growth while improving care.Over eight years, average spending for patients of an initial cohort of providers covered by an alternative, global-payment contract with a large Massachusetts insurer saved nearly 12 percent ($461 per member, per year) on claims, compared with patients likely in traditional, fee-for-service plans across the Northeast. Subsequent providers with fewer years in the payment model had comparable or smaller savings on claims.The study, led by researchers in the Department of Health Care Policy in the Blavatnik Institute at Harvard Medical School, examined changes in spending on claims, volume of services used, and quality of patient care through eight years of the Blue Cross Blue Shield of Massachusetts Alternative Quality Contract (AQC), representing the largest and longest-running global-budget contract offered by a private insurer.“Health care costs are high, and they continue to grow nationwide,” said study author Zirui Song, assistant professor of health care policy and medicine at Harvard Medical School. “The evidence we found suggests that this global payment program has slowed the growth of spending on claims, improved several aspects of quality relative to regional and national averages, and changed some dimensions of provider behavior in a potentially sustainable way.”While incentive payments to providers did offset a significant portion of savings on claims, the overall results nevertheless showed that important changes were made in clinical practice, Song said.“And that is encouraging news,” he said.The analysis found that global-payment patients were less likely than those in a comparison group to visit the ER, receive high-cost specialty drugs, and undergo diagnostic imaging procedures, which research has found are often not optimal and may not provide better outcomes. The study also found that patients received improved preventive care and management of chronic illnesses such as diabetes and high blood pressure.“The idea is not to save money by withholding care but to slow the use of questionable, low-value, or unneeded services in favor of high-value care,” Song said. “This study shows that over the longer term provider organizations can produce meaningful changes in practice and savings for the health care system while improving several aspects of quality of care under incentives that encourage these goals.”The study looked at data from 2006 to 2016 from Blue Cross Blue Shield of Massachusetts (BCBS) and from a database of commercial claims and encounters. The longest-term data are from the first cohort of providers, which joined the AQC in 2009. Over eight years (from 2009 to 2016), average annual medical spending on claims for people in the AQC contract grew at a slower rate.Savings on claims were driven by lower prices in the early years, often due to shifting services from more to less expensive locations or settings, such as switching hospital- or facility-based care to independent- or office-based care. In later years, savings were driven by lower use of services, including laboratory tests, certain imaging tests, and emergency room visits. A number of process and outcome quality measures improved relative to regional and national averages.New provider organizations entered the AQC over the years that the study covered. Savings were generally larger among populations enrolled longer. Patients in organizations that entered the AQC in 2010, 2011, and 2012 had medical claims savings of 12 percent, 7 percent, and 2 percent, respectively, by 2016.The AQC uses what is known as a two-sided risk model: If providers spend less than the target budget, BCBS shares some of the savings with them; if they go over budget, BCBS compensates less than the full amount of the excess so the providers assume some of the cost of overspending. Providers also receive bonuses for meeting quality measures across process, outcome, and patient experience domains.
Kohli has been in the midst of a brilliant run of form as he hit a superb 56 not out to take India to a 5-wicket victory over Sri Lanka on Tuesday.
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AD Quality Auto 360p 720p 1080p Top articles1/5READ MORECoach Doc Rivers a “fan” from way back of Jazz’s Jordan Clarkson In other first-round matches, UCLA swept Stanford, Cal State Northridge swept Pacific, and UC Santa Barbara beat UC Irvine in five games. UCLA then swept UCSB in the other championship semifinal. Today’s schedule: seventh place Pacific vs. Stanford, 11 a.m.; fifth place UC Irvine vs. USC, 4 p.m.; third place Cal State Northridge vs. UCSB, 4 p.m.; championship Long Beach State vs. UCLA, 6:30 p.m. 160Want local news?Sign up for the Localist and stay informed Something went wrong. Please try again.subscribeCongratulations! You’re all set! Robert Tarr and Paul Lotman each had 13 kills Friday afternoon to lead the Long Beach State men’s volleyball team to a 30-23, 30-18, 30-19 victory over USC in the first round of the UC Santa Barbara Collegiate Invitational. The 49ers (2-0) then beat Cal State Northridge 23-30, 31-29, 30-27, 26-30, 15-8 in a night match to reach tonight’s title match against UCLA at 6:30 p.m. Against the Matadors, Tarr totaled 35 kills, Francisco Valdez recorded a career-high 14 kills, and Duncan Budinger added 11. In starting their season on a winning note against USC, the 49ers also got 12 kills from Valdez and 10 from Budinger. 49ers setter Tyler Hildebrand totaled 56 assists. Long Beach State hit .530 in its opening match, compared to .237 for the Trojans. Among the hitting percentages for the 49ers, Budinger finished at .625, Teddy Liles (nine kills, eight blocks) was at .615, Tarr was at .579 and Lotman hit .500. Tarr’s 48 kills on the day gave him 1,017 for his 49er career, making him the 15th player in school history to reach 1,000 kills. Hildebrand surpassed the 5,000 mark in career assists in the victory over USC.