Necesitaras: 8oz de queso Cheddar y Monterey Jack (desmenusado).
1 lata (5 oz.) de tuna en agua (quitele el agua).
1 diente de ajo (molido).
Mayonesa (puede ser sin grasa o de aceite de olivo).
Como prepararlo:
-En un traste combine el queso, tuna, y el ajo. Los revuelve bien.
-Agriege la mayonesa a su gusto, y lo vuelve a revolver.
*La ensalada la puede disfrutar con sus galletitas saladas favoritas o sola sin nada.
DISFRUTE!
Every major newspaper and other news sources have a word to say about the last flight in the manned shuttle program. “End of Space Age” seems to be the common headline. If fact, this is not the end of Space Age, this is the end of a small chapter in its story. We do not know how long it will take for technology to be developed that will make travel pass our atmosphere affordable. But, it will develop sooner or later. Sooner, if need arises, be it commercial interest or response to some natural disaster. Later, if it develops as a side project of technology invented for something else.
2 lbs of mushrooms
1/2 lb ground turkey or beef
1 tomato (cut in small squares)
1/2 onion (cut in small squares)
1 tbsp of olive oil
1/2 lb mince fresh spinach
1/2 cup of shredded cheese
Directions:
-clean mushrooms and take stems out (cut them in small squares)
-Place olive oil in pan and add meat.
-when meat is cooked add the vegetables (mushrooms, tomato, onion, and spinach)
- stir it for about 5 min., and turn the stove off.
-preheat oven at 350
-place mushrooms on a cookie sheet and stuff them with the meat mixture.
-add your favorite shredded cheese.
-bake for 15 min.
Enjoy!
Accountable Care Organization (ACO) are new entities that will be created under the new health care law. The general idea is that a group of health care entities, which will include providers and hospitals will agree to participate in ACOs. The details on how this will save money and improve quality of care are still being worked out. One way or the other CMS will reward ACOs if they show that their activities result in overall savings and possibly better care.
How does this affect current options available to people in Oklahoma? First, we need to look at what options are available. The scope of this article does not allow for discussion of how current options in Oklahoma are different from those in other states. More on this in another post.
Multiple sources that describe ACOs point out that current health care delivery systems are fragmented. The basic assumption is that an integrated system results in better care. A spectrum is usually described that ranges from an individual independent physician’s office to a large health system. Let’s examine what is available in Oklahoma.
Individual providers: There are still a few providers left who practice solo or in the setting of a small physician’s group. Those are much more common in rural areas and there is only a handful of those left in the cities.
Large physician owned hospitals: Some examples come to mind when thinking about larger cities. Physician owned hospitals usually have a specialty expertise and care for patients with specific needs. One can think of a cardiac and orthopedic oriented entities, for example. There are some general hospitals that are owned and run by physicians in smaller towns.
Then, there are the large hospitals. Those are huge organizations that employ thousands of people and very commonly do business across state lines. Few of those are non-profit.
If ACOs become a reality, and most likely they will in one form or another, consolidation of small private places into larger systems may be expedited. Unless, a system is created where solo practitioners and small physician’s goups are able to integrate into large ACOs without loosing their individuality. Time will show if this is possible.
The ultimate answer will come from consumers. Do people from Oklahoma value their relationship with individual independent physicians? Or, is access to everything under the same roof is more important to them?
Is blog entries written using voice recognition technology. This technology was developed more than a decade ago. However the voice recognition remains not perfect. Well it works for some users, others are struggling. The first thought is that persons Accenture ration or packs and make play a role. However, this doesn’t seem to be the case. People would have the absence can choose very good recognition and people who speak perfect English
Cloud computing is scary. It has been three days and Gmail is still “resolving the issue.” They are saying that a small percentage of users has been affected by a glitch introduced by an update. The small percentage who relied on gmail without a glitch for several years is now locked out of their contacts and the usual way of finding emails and attachments by typing a word or two into gmail search box.
From the available information, it seems that a coding update wiped out a bunch of email accounts across couple of servers. They have it backed up on tape, but apparently it takes a while to get the backups from tapes. Brings back memories of old sci-fi movies from 1970s and 1980s. Remember the rotating rims of magnetic tape? They probably do not spin as fast as hard disks.
So, what is the solution? Start writing everything down again? Maybe a rollodex?
Many streets in Oklahoma City do not have sidewalks. This makes for interesting experience when trying to make turns. This is especially true for those of us who are recent movers to OKC from places with sidewalks.
If someone needs an MRI, there are two major choices: to
get an open scan or to get a closed scan. Open scanner technology
is usually more comfortable to the patient, but produces images
that are not as sharp and crisp as the images that can be obtained
on closed, high field scanners. A variety of factors go into the
quality of the images. There are some situations that would
actually make low field open scanners preferable to high field top
of the line scanners. There are others, which practically make open
scans complete waste of time and money. Same, of course, could be
said of high field scanners. The technology changed very rapidly
over the last few years. There are some scanners out there that
were top of the line just a few years ago. Today, those may be
obsolete. There is very little agreement among radiologists and
clinicians on what is considered an acceptable scan. Financial
pressures may be involved. For example, a radiologist maybe reading
a scan from a facility that pays his or her salary. If a
radiologist reads out studies as unacceptable or suboptimal, the
facility may look for another radiologist who does not make
statements of that sort. The cost of the scan is theoretically the
same when it comes to reimbursement. This is not true of the actual
expense involved in obtaining the images. The cost of obtaining the
scan for a facility that owns an open scanner is considerably less
compared to facility that owns a high field scanner. In general,
top of the line scanners can be 4-5 times more expensive than low
field used scanners. The best practice for patients and referring
clinicians would be to actively seek information on what is best
for their particular situation. In an ideal world, there
should be close communication between the patient and the
clinician, and between the clinician and the radiologist. The
government has taken the first steps in requiring disclosure of
financial interests by physician groups who own imaging equipments.
Sometimes the radiologists own the equipment, while at other times
it is the referring clinicians who own the scanners. The worst case
scenario is a large non-physician owned for-profit corporation that
is involved in multitude of scanners across the county. One usually
finds reports of such studies to be from the lowest bid reader.
Quality based reimbursement system would easily solve this problem
and strengthen the position of high quality radiology groups who
refuse to read for such facilities. Requirement to clearly address
the quality of each scan without fear of loosing the source of
referrals would also be a clear step forward in the imaging world.
Breast imagers have largely achieved this. Now, is the time to move
the rest of imaging studies in the same direction. When dealing
with illness or prevention, one size does not fit all.
Welcome to the blog on NewAgePub.com. NewAgePub.com is a new website that mostly deals with topics related to living in Oklahoma. There are a few articles about health care as related to Oklahoma and health care in general. Thank you for visiting.
