A company painted some houses in Hancock County white and blue using a total of 6689.0 gallons of white paint  and 660.0 gallons of blue paint. How many gallons of paint did the company use in total? Answer:

The cakes change each month. Cake 1 has been made in August, Cake 2 in June, and Cake 3 in May. In what month has Cake 4 been made?
Answer:April. The number of chocolate lines on the cakes indicates the month.

Right now, Dr. Johnson is three times older than his son.
When Dr. Johnson was 37 years old, his son was 3 years old.
How old are Dr. Johnson and his son now?
Answer: Dr. Johnson is 51 and his son is 17 years old.
Assume that Dr. Johnson is X years old and his son is Y years old.
Then 3Y = X, and X – Y = 34.
Solving for X and Y, we get X = 51 and Y = 17.

If a farmer buys chicken feed for £4 per tonne, pig feed for £3 per tonne and cattle feed for 40p per tonne. How much of each would he have if he had 100 tonnes for £100?
Answer: 8 tonnes of chicken feed, 12 tonnes of pig feed and 80 tonnes of cattle feed.

Do thermocouples measure absolute temperature or temperature difference? Answer: Temperature difference because the output is proportional to the temperature difference between the reference and the measuring junctions.
Do resistance thermometers measure absolute temperature or temperature difference? Answer: Absolute temperature because the sensor's resistance is dependent on the its local average temperature.
What is the temperature scale in use in the UK and is Centigrade the unit of measurement? Answer: The International Temperature Scale of 1990 with Celsius as the unit of measurement.
Is temperature the amount of thermal energy an object has? Answer: Temperature is better described as the intensity of the thermal energy or the kinetic energy density.
Do temperature measurements need an uncertainty associated with them? Answer: All measurements are useless without an uncertainty.

John is three times younger than his father, but two times older than his brother Jim. How old is John if Jim is 40 years younger than his father?
Answer: John is 16 years old.
Let X be John’s age, F be father’s age, and J be Jim’s age. Then, 3X=F, X/2 =J, and J+40=F. Solving this system of three equations for X, we get X=16.
Next articleCan Chinese herbal medicine Zengru Gao encourage breastfeeding?

2143.3 Miles (3449.2 Kilometers / 1861.2 Nautical Miles).
Approximate flight duration time (for a non-stop flight) from Ahmedabad, India to Guiyang, China is 4 hrs, 27 mins. This is the In-The-Air flight time. You should add the taxi time before take-off and taxi time after landing for the total flight duration time. You should also consider airport wait times and possible delays due to bad weather, etc.
You can find out what time you arrive at your destination (Guiyang) by checking the time difference between Ahmedabad and Guiyang.

just wanted to know, during pregnancy it was advised not to eat deli meats soft cheeses and runny eggs etc. now that i have had my baby,and im breast feeding can i eat foods now?
Answer: Hi Silvana, Here is a great website that offers safe foods for pregnancy and breast feeding. Best wishes, Alex.

There are five frogs sitting on a log over a stream. Four of the frogs decided to jump into the stream. How many frogs are left sitting on the log?
Answer: Five! Deciding to do something is not necessarily actually doing it.
Moral of the story? Don’t analyse a task to death or procrastinate; just do it!

How many MiB/s in 1 Gbps? The answer is 119.20928955078.
We assume you are converting between mebibyte/second and gigabit/second.
The main non-SI unit for computer data rate is the bit/second.
1 bit/second is equal to 1.1920928955078E-7 MiB/s, or 1.0E-9 Gbps.
Use this page to learn how to convert between mebibytes/second and gigabits/second.

As a rule, one centimeter of rain is equal to how much snow?
Answer: b) Typically, one centimeter of rain equals 10 centimeters of snow. This varies somewhat according to the snow’s moisture content, but it’s the norm.

How many people in a kendo match?
How many people in a kendo match?
How many people in a kendo match?
Answer: Thank you for your question. And I am so sorry for the delay and my reply.
Even in a team fight, we fight individually. It is one person vs. one person. Usually in team fight, we have three or five team members. And they fight individually.

At one time, businesses kept all of their information on paper. Contacts were stored in Rolodexes and bookkeeping was traced using paper-based ledgers. Most professionals carried around a paper-based daily planner where they kept up with customers and tracked their activities. Technology changed all of that. Today’s workers expect to be able to do everything using software, including tracking activities, storing customer information and managing their marketing campaigns. For all of this, many businesses now use customer relationship management software.
CRM, or customer relationship management, is a software platform that helps a business manage all of its customer relationships.
Interactions with customers are at the heart of any successful business. You need a way to track and store customer data so you can later use that information to strengthen your relationships. A CRM database is a handy way to do this, making it easy to input contact information and extract it in usable ways. At one time, this might have simply been used to create mailing labels for your postal marketing campaigns, but today, CRMs are relied on for so much more.
By inputting customer contact data and having your employees note their daily activities, you can use built-in analytics in your CRM to gather information on your business. Over time, you may find that you’re adjusting and refining your activities to match the data from your CRM. First, it’s important to know the many ways you can use it.
CRM software started in the 1980s, when ACT! launched a platform it called "contact management software." This technology was designed to serve as a digital Rolodex, where the names, addresses and phone numbers stored on an employee’s desk could be moved to his computer. This approach served as the very foundation for the customer relationship management software seen today. Throughout the remainder of the '80s, companies released similar contact information software, including Goldmine and a few other vendors that are still around today.
When you consider the CRM meaning, though, you likely think of the software that began hitting the market in the '90s. Companies like Brock Control Systems introduced the world to what we now know as sales force automation. These solutions automated the process of database marketing and combined them with the contact management software already on the market. When Tom Siebel left Oracle to form Siebel Systems, the field quickly advanced, becoming closer to the solutions we know today by the mid-'90s. Soon Siebel Systems was met with competition due to offerings from Oracle and Baan.
When CRM is mentioned, people automatically think of sales teams. Salesforce has become a household name due to its widespread use in businesses across all industries. Although CRM has many other purposes, sales teams are especially prone to rely on it, mostly because they need a way to track customer interactions. CRM goes well beyond simply collecting contact information on the people team members encounter as they network. It also helps you identify the best leads for the goals you’re trying to achieve, and it helps you create and track a pipeline.
For sales teams, CRM solutions are perfect for ensuring everyone works well together. One team member can see if another has reached out to a prospect so they don’t duplicate efforts. If someone has noted that a potential customer isn’t interested, other team members know not to follow up. Newer features even allow sales teams to set up alerts to remind them to get back in touch with a prospect or customer after a certain amount of time has passed, preventing things from falling through the cracks.
People also associate the CRM meaning with the tools used by customer service teams. Whether your business has a call center or just a few people interacting with customers, a CRM can help keep up with it all. If a customer calls about an issue, team members can log it and see it later. They can also route the issue to other team members using tickets.
One of the best things about CRMs for customer service teams is that they can be set up to share the information with other teams in the same organization. Sales teams will be able to tell if customers have called in, and they can follow up. Marketing teams can also push incentives through their customer service teams, asking them to upsell customers as they call in to resolve an issue they’re having, for instance.
From the start, the concept of a CRM database applied perfectly to marketing team activities. Marketing teams needed a way to pull extensive contact lists to ensure their messages reached the right people. Over time, these databases have evolved so that marketing teams can not only send marketing messages but can also track the success of them. Marketers can see how many of their emails were opened, how many recipients took action, such as clicking on links or responding to offers, and what time of day their messages are most likely to be opened rather than ignored.
Today’s CRM software is also used to allow marketing teams to set up drip campaigns, which means that a later email is sent based on the response to previous ones. A prospect who didn’t open a first email might get a different follow-up email than a prospect who clicked on the link in that first message. Over time, teams can use what they learn from their analytics to create more effective marketing campaigns.
As valuable as customer relationship management can be to an organization, putting it in place can be complicated, especially in workplaces where employees have done things a certain way for years. For a while, the cost of CRM software and implementation put it out of reach for smaller businesses, but cloud technology has made it easy even for the smallest startup to jump on board for a low monthly per-user rate.
Even with cloud-based solutions, you’ll need to ensure your employees are trained on how to get the most out of your new software. It can help to fully introduce everyone to the basic CRM meaning by describing everything it will be able to do for your organization. The vendor you choose may have training options, so make sure you check into that. If you decide to provide training in house, make sure you record it or create manuals so that future employees can get on board without you having to repeat the training.
The best thing about CRM is that it’s only getting better. CRM database technology is already improving, thanks to machine learning. This means that eventually software you use every day could predict outcomes, telling you exactly what efforts you need to take to increase sales 10 percent, 20 percent or 30 percent.
To prepare your business for this future technology, though, you’ll need to make sure your database is stocked with as much information as possible. You won’t be able to replicate historic data once you get the newer version of your CRM, so having that information input now will help you down the line. Make sure that at the very least you’re collecting contact information for every customer and promising lead, even if they turn you down today. You may find that once you have more sophisticated software, you can reach out in a way that will turn a no into a yes.
Software Advice: Customer Service or CRM Software: Which Do You Need?

If you’re looking to save more of your hard-earned money this year you may want to reconsider where you bank. The thought of switching banks can seem like a stressful endeavor, but it could end up saving you big bucks in the long run. In 2015, the nation’s 3 largest banks collected over 6 billion dollars in fees from consumers.
The easiest way to change your luck (and fee structure) is to learn how to shop online for a new bank. Most, if not all, banks have a website that you can use to gather information like account benefits and branch locations. If you’re serious about finding a bank with lower fees, and live in the Chicago area, you’ve got over 100 different banks to choose from. But don’t be overwhelmed – PrimoBanks has done the research required to show you what to expect as far as various fees are concerned.
Here’s an easy 3-step process to get you started on PrimoBanks’ website!
Banks will promote their free services such as online banking or bill pay front and center on their website, but not all banks disclose their fees online.
When it comes to account fees banks are not required to display them online, but only during the account opening process.
Only 50% of brick and mortar banks in the U.S. choose to post their fees online for consumers to view, and if they are online they are usually buried in the fine print. That’s why it’s important to consider account fees when shopping around for a new bank. If a bank won’t provide you with their fees upfront it may be a good indication of worse things to come.
More banks in Chicago are starting to offer consumers the convenience of applying for a new account online through a secure application. Right now, about 40% of brick and mortar banks offer online account opening capabilities for consumer accounts and look for that number to increase in the future.
Like anything else shopping online for a new bank will require a little bit of research, but will be well worth it to your savings!
What bank do you use for most of your needs? Are you wondering how to shop online for a new bank? Ask your banking questions and leave opinions in the comments!
After working in the banking industry I've seen firsthand how much fees can effect someone's ability to save money.So I wanted to create a more transparent way for consumers to find a bank in their neighborhood with lower fees.My goal is to help consumers save time and money when looking online for a new bank.Being able to compare banks by their fees is the first step to a better banking experience.
After working in the banking industry I've seen firsthand how much fees can effect someone's ability to save money. So I wanted to create a more transparent way for consumers to find a bank in their neighborhood with lower fees. My goal is to help consumers save time and money when looking online for a new bank. Being able to compare banks by their fees is the first step to a better banking experience.

Example: For Nora's birthday, her mom bought a cake. Nora's mom made 6 equal pieces of the cake and Nora ate 2 of the pieces. What fraction of the cake did Nora eat?
Answer: Nora ate 2 out of 6 pieces. Therefore, she ate 2/6 fraction of the cake.
Q 1: Sam brought 7 pencils to school in September. In June he had two left. What fraction of his pencils did he have left in June?
Q 2: Sam brought 7 pencils to school in September. In June he had two left. What fraction of his pencils did he use up during the school year?
Q 3: An apple is cut into four pieces. One piece has a worm so you throw it away. What fraction of the apple is left.
Q 4: Emily has 8 favorite books. Four of them are Harry Potter books. What fraction of them are Harry Potter books?
Q 5: Anna has 8 dolls. Three of them are Barbie dolls. What fraction of the dolls are Barbie dolls?
Q 6: There are six math problems on the board. Jamie gets 5 of them correct. What fraction of the problems did she get correct?

101 and 103 are prime numbers. And factors of 104 and 108 are in a.
101 and 103 are prime numbers. And factors of 104 and 108 are in a.
5. A total of p students in q colleges and in each college the number of students is equal to twice the number of colleges. If 800 < p < 1200 then which of the following is not the possible value of q?
Q may be 21, 22, 23, 24.
So the value of q cannot be 25.
Q may be 21, 22, 23, 24.
So the value of q cannot be 25.
6. What is the least natural number which when divided by 20, 18 and 15 leaves remainders of 6, 4 and 1 respectively?
7. In a chase, a hare takes 5 leaps for every four leaps of Jackal. If four leaps of hare is equal to five leaps of Jackal, Find the ratio of their speeds.
Hare takes 5/4×5 and Jackal takes 4 steps.
Hare takes 5/4×5 and Jackal takes 4 steps.
8. Sangeetha gave one-fourth of the amount she had to Hema. Hema in turn gave half of what she received to Aparna. If the difference between the remaining amount with Sangeetha and the amount received by Aparna is Rs. 750, how much money did Hema receive from Sangeetha?
9. A father’s present age is seven years less than 30 times his son’s age 20 years ago. Also, the father’s present age is 31 years more than his son’s present age. Find the present age of the son.
Answer: Let the present age of son and father is s and f respectively.
Answer: Let the present age of son and father is s and f respectively.
5) A total of p students in q colleges and in each college the number of students is equal to twice the number of colleges. If 800 < p < 1200 then which of the following is not the possible value of q?
6) What is the least natural number which when divided by 20, 18 and 15 leaves remainders of 6, 4 and 1 respectively?
7) In a chase, a hare takes 5 leaps for every four leaps of Jackal. If four leaps of hare is equal to five leaps of Jackal, Find the ratio of their speeds.
8) Sangeetha gave one-fourth of the amount she had to Hema. Hema in turn gave half of what she received to Aparna. If the difference between the remaining amount with Sangeetha and the amount received by Aparna is Rs. 750, how much money did Hema receive from Sangeetha?
9) A father’s present age is seven years less than 30 times his son’s age 20 years ago. Also, the father’s present age is 31 years more than his son’s present age. Find the present age of the son.
101 and 103 are prime numbers. And factors of 104 and 108 are in a.
Q may be 21, 22, 23, 24.
So the value of q cannot be 25.
Hare takes 5/4×5 and Jackal takes 4 steps.
Answer: Let the present age of son and father is s and f respectively.

They surprised me one morning by saying, “Today is the day you get to jump out of a plane”. I had all the standard responses: “I’m busy today”, “I’m not wearing the right outfit”, “why do I want to jump out of a perfectly good plane”. None of these answers did the trick. I was reminded that every year we send thousands and thousands of people off on skydives, and today was my turn.
So I said “ok” and was whisked away. I put on my overalls, I did my briefing and within two hours from originally being told that I was going to jump, I was in the light aircraft flying 15,000 feet above ground. I chose to be the first to jump. When asking the instructor what happens if people change their minds, he commented that at 15,000 feet everything sounds remarkably like “go”. And I’m so glad that I chose to jump – I still remember the sense of joy and freedom and the wind rushed past me and the ground came closer and closer. I can now tick it off my bucket list and the team at work can stop bugging me!

Multimedia and flashy devices sell, and this is why Amazon was right to jump into that market. This doesn’t mean the popular online retailer is ignoring what could be the only market they have a true foothold on – ebooks. Amazon is said to be testing a subscription service named “Kindle Unlimited”, a project that would offer a reading buffet to avid readers.
Signs of Kindle Unlimited’s existence showed up this morning, when some advertising for the new service showed up at Amazon’s website. The ads were discovered by Kindle Boards users, but it didn’t take long for these to disappear. In fact, there is still proof if you access Google’s cached version. Regardless, we managed to get a few details before it all went down.
Subscribers would have access to over 600,000 ebooks for the price of $9.99. The ebook titan is advertising the availability of some of the most popular books around. We can expect this subscription service to include the Harry Potter series, as well as Hunger Games, Lord of the Rings and more.
It’s obvious Amazon is aiming to compete with Sribd and Oyster, which offer similar services. Of course, Amazon is the giant here, so we can imagine there won’t be much of a fight. Not to mention, we have what seems to be proof of Kindle Unlimited also supporting audiobooks. One of the test pages mentioned there were 7,351 “Whispersync for Voice” titles.
These constant discoveries prove Amazon may be getting ready for an announcement, so let’s stay tuned for more details to come… hopefully soon. These continue to be leaks and rumors, so we won’t ask you to hold your breath. Do remember these come from Amazon’s official site, though, giving it much more credibility.

What a clown. Clearly we know why Sergio Ramos’s is not a goal keeper.
Madrid, Apr 21: Real Madrid’s Copa del Rey celebrations at the Plaza de Cibeles, Madrid, took a turn for the worse when the trophy slipped out of defender Sergio Ramos’s hands and fell under the bus.

The holiday season that ends one year and ushers in another is often a time of tradition. I think most people would say they have some sort of Christmas tradition, whether it be a big feast and fellowship with family and friends or something smaller, like marathon watching A Christmas Story or Itâ€™s a Wonderful Life. Our family had a tradition â€¦ until this year â€¦ when we through caution to the wind and made some new memories â€¦ weâ€™ll see if this one catches on.
The Christmas rule was that we would always spend Christmas day at our own house, where the kids would wake in their own beds to see the Santa surprises and anyone who wanted to visit us there was welcome. Other days of the season were for visiting family and friends, but Christmas day was to be celebrated at home. Over the years, as we moved from Alabama to Texas to Tennessee to Arkansas, Pepa (Bryanâ€™s dad) continued to travel to us. So for 15 years this rule continued, and “Christmas at Home with Pepa” became tradition.
Throwback to Christmas 2013: Hard to believe this was only 3 years ago; they all look so little!
Though Bryan was the instigator of this tradition, we all fully embraced it. So much so, that the idea of doing anything differently was often met with discord from the kids or myself. For the past few years, Bryan has been suggesting family sightseeing trips, cruises, or other adventures around this time of year and we always say something like â€œwell, as long as weâ€™re home for Christmas.â€ Thus, no adventures happen. Well, this time around, he was more convincing I guess. When he suggested spending Christmas in Washington, DC, the usual balking was minimal.
The Girl has been interested in going to our Nationâ€™s Capital for quite some time (Iâ€™m sure Hamilton and/or binge-watching Parks and Rec on Netflix had something to do with that) and both boys seemed interested as well. While we were contemplating the plans, we told the kids (particularly Wonder Boy) that a trip at Christmas would mean less presents because the trip itself would be a present for all of us and, to our pleasant surprise, they were all good with that. In October, when we still hadnâ€™t pulled the trigger on the plans, Bryan called me one day from work and said, â€œWe donâ€™t have that much longer before [the Girl] is done with us. Two years and sheâ€™ll have graduated and moved out and wonâ€™t want to take trips with us anymore.â€ I suppose thatâ€™s what did it for me.Â We were booked by that afternoon.
The National Christmas Tree 2016; I honestly thought it’d be bigger.
So do we have a new tradition? Will thisÂ year be #nycchristmas? Well, Iâ€™m not sure weâ€™ve settled on an answer just yet. But wherever we celebrate, as long as weâ€™re with each other, itâ€™ll be Christmas at home â€¦ with Pepa, of course!


The Silvergrove Public Library has  8582.0 books and used a grant to purchase 2647.0 more books.  How many books does the library have now? Answer:

What tech does the Department of Homeland Security want to implement to improve border security?
What tech does the Department of Homeland Security want to implement to improve border security?
Answer: Facial scanning and recognition.
The U.S. Department of Homeland Security (DHS) may be taking a page out of Apple’s book when it comes to identification and security. Apple’s latest and greatest iPhone, the iPhone X, boasts facial recognition technology that will make proving yourself to your phone more convenient than ever — all you have to do is look at it. DHS wants to provide similar levels of convenience to travelers crossing U.S. borders.
“This call is looking for innovative solutions to capture facial recognition quality photos from travelers in order to facilitate identity checks without requiring occupants to leave the vehicle,” said the call for proposals.
DHS’ Silicon Valley office will host an “industry day” on Nov. 14 in order to explore opportunities for making this idea a reality. According to the call for proposals, DHS wants the system to be able to reliably identify occupants of a vehicle even when their faces are obscured by hats or sunglasses, or turned away from the camera.

How might your mail be arriving in the future?
How might your mail be arriving in the future?
Answer: in a self-driving mail truck.
But don’t worry, there will still be a person in the truck for your dog to bark their head off at.
The United States Postal Service (USPS) released a report last week stating that the agency plans to integrate self-driving tech into its fleet of 228,000 vehicles. In partnership with the University of Michigan, USPS plans to build an Autonomous Rural Delivery Vehicle and start using it on 28,000 rural routes as early as 2025.

How long would it take to fly anywhere on Earth using a SpaceX rocket?
How long would it take to fly anywhere on Earth using a SpaceX rocket?
Answer: less than an hour.
Before he gets us to Mars, Elon Musk wants to get us anywhere on Earth in under an hour.
At Friday’s International Astronautical Conference, the CEO of SpaceX revealed the company’s plans for its largest airborne vehicle yet, the BFR. While originally intended to facilitate SpaceX’s goal of putting humans on Mars by 2024, Musk announced that he also envisions using the rocket for high-speed Earth travel.
The world’s longest flight — from Doha, Qatar, to Auckland, New Zealand — currently takes 16.5 hours. However, with SpaceX’s BFR rocket, flight time would be just 45 minutes.

How many positions are there in BJJ? Answer: an infinite amount.
I have had this conversation with Rigan Machado several times - and I always found it interesting.
And eventually down the rabbit-hole we go - every step in the transition from one position to another could be deemed a micro-position in it’s own right. And he (or she who masters the most positions, wins most of the contests. It’s a simple idea - but one that I must admit, eluded me for quite some time. I hope it helps.

1. What is glass made from?
Answer: Limestone, Silica and Soda ash.

1. Where do frogs usually live in the hot season?
Answer: Buried at the bottom of ponds.

This was my first purchase from your company. Your site was east to navigate through and place the order. The price was excellent and the delivery was next day. How could you fault that? Answer: You cannot. I would highly recommend Collate. Thank you very much.

When is it spring in the Southern hemisphere?
When is it spring in the Southern hemisphere?
Question: When is it spring in the Southern hemisphere?
Answer: From September to December.

Nationex is a parcel delivery company offering courier services throughout Canada since 1980.
Where does Nationex deliver to in Canada? Answer: Everywhere.
With distribution centers in Quebec and Ontario where your parcels and freight are sorted and forwarded to their destination.
Online tracking is available for all your parcels so that you know where your item is right now as well as expected delivery time of your goods.
Website is also available in French.

It is 37.7 miles according to Google Maps.
How far is Santa Barbara California from Oxnard California?
Answer: Santa Barbara is about a 45-50 minute drive from Oxnard.

When I watch videos of people practicing kendo I often hear them make weird sounds. What is that sound for?
Answer: Thanks for your question. I am not sure what kinds of sounds you are referring to. Can you be more specific?

What’s on the Horizon for Physician Quality Measurement?
What’s on the Horizon for Physician Quality Measurement?
How is the government driving greater accountability in healthcare? What types of clinicians are impacted?
Answer: The Affordable Care Act (ACA), which is built on a foundation of improving the quality of care for all patients, includes a number of provisions to help consumers make decisions about where to receive their care as well as how to increase the transparency of services through value-based purchasing efforts and private sector programs. Four years after the ACA was passed, these programs are still thriving. While the provisions differ in design, they share common elements like rewarding providers based on adherence to practices, achieving cost savings, improving clinical outcomes, and advancing a patient’s experience.
There are currently nearly 30 quality reporting programs under Medicare or Medicaid that capture over 600 unique performance measures.1 Of these programs, a handful of programs have an impact on physicians and other health professionals, specifically, the Physician Quality Reporting System (PQRS) and the Value-Based Modifier (VBPM). Under PQRS, Eligible Professionals (EPs) are required to report on a set of nine measures (covering three National Quality Strategy domains) to report. In 2015, if an individual EP or group practice does not satisfactorily report or participate while submitting data on PQRS quality measures, a 2 percent negative payment adjustment will apply in 2017. These EPs are truly starting to understand the impact of failing to report given this payment adjustment. As quality reporting programs start to trend more toward value-based systems (i.e., rewarding EPs for showing actual performance on measures versus just reporting), physicians and other healthcare professionals will need to focus on outcomes versus processes and start to address patient experience, care coordination, and patients with co-morbidities.
Under the PQRS and VBPM, eligible professionals include physicians, physician assistants, nurse practitioners, clinical nurse specialists, certified registered nurse anesthetists, and groups that include such professionals. The Centers for Medicare & Medicaid Services (CMS) may consider expanding the definition of an EP in the future.
As patients continue to use online tools to select where they receive their care, sites like Physician Compare, maintained by CMS, will be pivotal in consumers’ decision making. Physician Compare currently displays a subset of measures from the PQRS reporting programs. At this time, stars are used as graphical representations of the percent. Each star represents 20 percent; 100 percent is equivalent to 5 stars while 80 percent is equivalent to 4 stars and so on. Transparency of how providers are performing on these measures should have significant impact on performance.
What challenges do physicians face to meet the requirements of new quality reporting programs? What is being done to alleviate some of these challenges?
Answer: In 2015, CMS released a PQRS Experience Report2 that noted a 47 percent increase in PQRS reporting between 2012 and 2013. Yet, this increase only represents 41 percent of total EPs eligible for PQRS. This lack of participation is likely due to the overwhelming reporting requirements, the administrative burden, and the lack of meaningful measures in the program.
CMS acknowledges a significant administrative burden of the proliferation of reporting programs and requirements resulting in the lack of measure consistency and wasteful redundancy. In 2015, CMS released the “National Impact Assessment of CMS Quality Measures,” which was mandated by Section 3014(b) of the ACA, and it noted that less than 50 percent of the quality measures reviewed under this report were aligned with reporting requirements of other state and federal programs.3 The report also reviewed 700 measures across 25 CMS reporting programs. This statistic alone points to the fact that there is a tremendous burden on providers to adhere to various requirements and monitor changes in programs, all while providing excellent care across various patient populations. Although CMS continues to align many of its major quality programs, the need to align the private sector and state programs is still needed.
Stakeholders in the quality debate (plans, providers, employers, and consumers) agree that current quality measures are not achieving their potential in improving quality of care. They continue to advocate for a core, consolidated set of outcomes-based quality measures that can be used across payers. However, achieving this alignment has proved extremely difficult, despite the best of intentions, because individual stakeholders have generally failed to achieve consensus around which measures should be prioritized and how they should be used.
One such example of a group of entities coming together to achieve consensus is the Core Quality Measures Collaborative Workgroup. In 2014, America’s Health Insurance Plans and its member plans’ chief medical officers convened leaders from CMS, the National Quality Forum, and national physician organizations to create a set of core quality measures. The Collaborative Workgroup represents approximately 70 percent of the combined population of health plans’ enrollees and fee-for-service Medicare beneficiaries.4 The goal of the collaborative is to promote a consistent process across public and private payers by reducing the total number of measures, refining existing measures, and relating measures to patient health.
Without question, there will never be a perfect set of measures in which there is universal consensus. However, today’s healthcare delivery models are moving forward at an unprecedented rate, and failure to reach consensus will not slow these models although they could discourage provider involvement. They will continue to move forward with the current patchwork of measures, which are administratively burdensome to providers, have significant information gaps, and lack consistent transparency.
What’s on the horizon for physician quality measurement in the next few years?
Answer: The recently-passed Medicare Access and CHIP Reauthorization Act (MACRA) legislation of 2015 consolidates PQRS, the Electronic Health Record (EHR) Incentive Programs, and Value-Based Modifier into a single system that reduces conflicts and streamlines the reporting process into a new program called the Merit-Based Incentive Payment System (MIPS) program. MACRA also includes requirements for the Secretary of Health and Human Services to develop, publish, and report to Congress on a quality measure development plan for provider participation in the MIPS and qualifying Alternative Payment Models (APMs). It also extends funding for quality measure endorsement, input, and selection at $30 million for fiscal years 2015 through 2017.
CMS currently has an open request for information to provide input on the MIPS and APMs for implementation. Based on input from this Request for Information (RFI), CMS plans to release a proposed rule on the MIPS and APMs in spring of 2016. More information regarding the RFI can be found here. Comments are due November 17, 2015.
In addition to all the exciting developments occurring under MACRA, opportunities for increased measure selection under the MIPS are forthcoming. As noted previously, quality measures under the MIPS will consist of those currently used in the existing quality performance programs (PQRS, value-based modifier, and EHR) with additional measures solicited by the Secretary of Health and Human Services from professional organizations and others in the healthcare community. Measures used by qualified clinical data registries (QCDR) are also being considered for use. Professional societies are currently working closely with CMS to align QCDR requirements with existing registries (those that have not been registered as a QCDR). To the extent possible, quality measures selected for inclusion under the MIPS (from QCDRs) final list will address all five of the following quality domains: clinical care, safety, care coordination, patient and caregiver experience, and population health and prevention. QCDRs pose an opportunity to meet existing measure gaps, especially for specialties where known measures are limited.
What tools are available to continue to track existing measures and changes to physician-based quality reporting programs?
Answer: There are a number of tools that are available in the public domain, as well as tools that can be purchased to better monitor the quality measure environment. A few are listed below for your reference, however, note this is not an exhaustive list.
QPS is a web-based tool developed by the National Quality Forum (NQF) to help people select and use NQF-endorsed measures. It allows a user to search for NQF-endorsed measures in a number of ways, export search results, and create and view types of measures.
CMS Measures Inventory is a compilation of measures used by CMS in various quality, reporting, and payment programs. The CMS Measure Inventory also includes Pipeline/Measures under Development (MUD), which are measures that are in progress but are not fully developed.
Fact Sheets provide information regarding program changes, release of federal rules, and implementation of new models of care. Fact sheets often reference specific changes to measure inclusion and/or payment changes for physicians.
Avalere’s Quality Measures Navigator™ (QMN) -A first-in-class resource, QMN organizes the quality measures chaos in seconds, by disease, condition, and program in one comprehensive, web-based tool. Rapidly search, synthesize and summarize over 6,000 versions of quality measures used in 40+ quality programs. There is a fee associated with the use of this tool.
As new value-based programs continue to be implemented, tools and resources for physicians to better understand the quality measure environment will be essential to help consumers assess what, how, and why quality is being measured. These tools will also help streamline existing measures and ensure that they are meaningful and capture what matters most to the patient.
To learn more about existing quality measures that impact providers, please contact Nelly Ganesan at Nelly Ganesan@avalere.com.

what are the skills needed to play kendo?
what are the skills needed to play kendo?
What types of skills are needed to play kendo?
Answer: Thank you for your question. This is a very hard question. You do not need any specific skills to do kendō. Anyone can do kendō if they are determined.

If a company has positive earnings, can cash flows from operating activities ever be negative?
Answer: If a company has positive earnings, can cash flows from operating activities ever be negative?
Develop brief answers to each of the following questions:1.

When were calories first discovered and when did people start caring about them?
Answer: Calories were discovered in the 1800s. Small calories are a measurement of heat and large calories are a measurement of food.

← Did Allegiant Air stop its nonstop flight service between Reno and Oakland?
Answer: It looks like safety was possibly the reason why initial construction prohibited that left turn near the Fire Creek Crossing shopping center just southwest of the Reno-Sparks Convention Center, city of Reno traffic engineer Steve Bunnell said.
To make a left turn there (click here for location), cars must cross two lanes of traffic running in the opposite direction and initial construction more than a decade ago placed a median there to prevent left turns.
But that doesn’t mean the city won’t reconsider the decision in the future, Bunnell said.
← Did Allegiant Air stop its nonstop flight service between Reno and Oakland?

How many veterans live with veterans live with arthritis?
Answer: One in four veterans lives with arthritis.
How many in Nebraska are affected by autism?
Answer: The CDC estimates that 1 in 59 children are diagnosed with autism. Using that statistic, up to 32,500 Nebraskans could be affected.
How many babies born each year will develop Cerebral Palsy?
Answer: 10,000 babies born each year will develop Cerebral Palsy.
How often is a baby in Nebraska born prematurely?
Answer: Every three hours, a baby in Nebraska is born prematurely.
Statewide, how many people live with Crohn's disease or ulcerative colitis?
Answer: Statewide, 10,000 people live with Crohn's disease or ulcerative colitis.

How Well Does WordPress Interact with TubePress?
How Well Does WordPress Interact with TubePress?
Answer: There are YouTube plugins available which allow YouTube and Vimeo videos to be available from your webpage and even allow for the display of galleries.

Question: Can you start a PC from a Windows 10 USB hard drive as in Macs?
Can you start a PC or laptop from a Windows 10 USB hard drive as in Macs?
I know how how to start a mac off an external hard drive with a bootable OS X volume. I wonder if you can do the same with PCs and Windows 10.
Answer:Can you start a PC from a Windows 10 USB hard drive as in Macs?
Question: Who can recommend one T440P caddy?
I want to put my HDD in the postion of DVD, so I need to purchase one caddy. But I don't know which one will fit my T440P? Thank you guys.
Answer:Who can recommend one T440P caddy?


A cell phone company has a total of 7422.0 customers across the world. If they get 723.0 more customers in the United States, how many total customers will they have? Answer:

Right now, Dr. Johnson is three times older than his son.
When Dr. Johnson was 37 years old, his son was 3 years old.
How old are Dr. Johnson and his son now?
Answer: Dr. Johnson is 51 and his son is 17 years old.
Assume that Dr. Johnson is X years old and his son is Y years old.
Then 3Y = X, and X – Y = 34.
Solving for X and Y, we get X = 51 and Y = 17.

If a farmer buys chicken feed for £4 per tonne, pig feed for £3 per tonne and cattle feed for 40p per tonne. How much of each would he have if he had 100 tonnes for £100?
Answer: 8 tonnes of chicken feed, 12 tonnes of pig feed and 80 tonnes of cattle feed.

Do thermocouples measure absolute temperature or temperature difference? Answer: Temperature difference because the output is proportional to the temperature difference between the reference and the measuring junctions.
Do resistance thermometers measure absolute temperature or temperature difference? Answer: Absolute temperature because the sensor's resistance is dependent on the its local average temperature.
What is the temperature scale in use in the UK and is Centigrade the unit of measurement? Answer: The International Temperature Scale of 1990 with Celsius as the unit of measurement.
Is temperature the amount of thermal energy an object has? Answer: Temperature is better described as the intensity of the thermal energy or the kinetic energy density.
Do temperature measurements need an uncertainty associated with them? Answer: All measurements are useless without an uncertainty.

What is the function of the nozzle gate in an inkjet printer?
Answer: Controls whether ink is flowing from the ink cartridge. When an inkjet printer starts printing, the nozzle gate opens and allows the nozzle to spray ink onto the paper. After printing is stopped, the nozzle gate shuts down to stop the flow of ink.

The cakes change each month. Cake 1 has been made in August, Cake 2 in June, and Cake 3 in May. In what month has Cake 4 been made?
Answer:April. The number of chocolate lines on the cakes indicates the month.

We will learn how to solve step-by-step the word problems on addition and subtraction of whole numbers. We know, we need to do addition and subtraction in our daily life. Let us solve some word problem examples.
1. The population of a country in 1990 was 906450600 and next year it is increased by 9889700. What was the population of that country in the year of 1991?
Therefore, the population of that country in the year of 1991 is 916340300.
2. Aaron bought two houses for $1668000 and $2454000. How much did he spend in all?
Amount of money spent in all $4122000.
3. The sum of two numbers is 41482308. If one number is 3918695 then, find the other number.
Therefore, the other number is 37563613.
4. Mr. Jones deposited $278475 in a bank in his account. Later he withdrew $155755 from his account. How much money was left in the bank in his account?
Therefore, Mr. Jones has $ 122720in his bank account.
Note: We need to be careful while arranging the addends in columns.

How secure are phone apps which save data in the internet (cloud)?
Answer: Not very secure. So don’t make pictures that should not show up on the web!
HackApp: How you should NEVER design your App. Part 1.

Home Pak Study Which kind of system of Government was introduced by the 1962 constitution?
Which kind of system of Government was introduced by the 1962 constitution?
Answer:Presidential kind of system of Government was introduced by the 1962 constitution.

A nurse put 100 gloves into 4 containers. She puts gloves in the containers in such a way that each container has two more gloves than the one before. How many gloves are in each container?
Answer: 22, 24, 26, and 28 gloves.
Let X be the number of gloves in the first container. Then there are X+2 gloves in the 2-nd container, X+4 gloves in the 3-rd container, and X+6 gloves in the 4-th container. Hence, we have X+X+2+X+4+X+6=100. Solving for X, we get X=22 gloves in the first container, 24 gloves in the 2-nd container, 26 gloves in the 3-rd container and 28 gloves in the 4-th container.
Previous articleWhat are the consequences of head injury in youth football?
Next articleWhy do allergic diseases differ across environments?

As a rule, one centimeter of rain is equal to how much snow?
Answer: b) Typically, one centimeter of rain equals 10 centimeters of snow. This varies somewhat according to the snow’s moisture content, but it’s the norm.

What is the fear of Friday the 13th called?
In the movie "Groundhog Day," every morning started with Bill Murray's clock radio playing what song?
Answer: The song was "I Got You, Babe", Sonny and Cher's 1965 hit.

Question: To dye a single Easter egg takes 7.5 minutes if you leave it in dye. How long would it take to dye 3 eggs?
Answer: 7.5 minutes. Do them all at once.

A hiker walked for two days. On the second day the hiker walked 2 hours longer and at an average speed 1 mile per hour faster than he walked on the first day. If during the two days he walked a total of 64 miles and spent a total of 18 hours walking, what was his average speed on the first day?
and spent a total of 18 hours walking, what was his average speed on the first day?
Let the rate on the first day be r then: 8r+10(r+1)=64 --> r=3.
Average rate of the hiker is (total distance)/(total time)=64/18=~3.6, now r<3.6<r+1 (the weighted average of 2 individual averages, r and r+1, must lie between these individual averages) --> only answer choice B fits.
2. It cannot be choice A because if the speed on the first day is 2 miles/hr then the speed on the second day would be 3 miles/hr and so the average speed cannot be 3.6 miles/hr.
So the answer is choice B.
A hiker walked for two days. On the second day the hiker walked 2 hours longer and at an average speed 1 mile per hour faster than he walked on the first day. If during the two days he walked a total of 64 miles and spent a total of 18 hours walking, what was his average speed on the first day?
Hiker walked for two days for a total of 18 hours. He spent two more hours walking on the second day than the first: h1+h2=18 ===> h+h+2 = 18 ===> 2h = 16 ===> h=8.
He spent 8 hours the first day and 10 hours the second day.
Why wouldn't I use that formula? Is it because I would be trying to figure out average speed when I don't know the speed of the hiker on day one or two?
Therefore the answer is B. thank you!!

Santa estimates that 10% of the children in the world have been good this year but do not celebrate Christmas, and that 50% of the children who celebrate Christmas have been good this year. If 40% of the children in the world have been good, what percentage of children in the world are not good and do not celebrate Christmas?
Santa estimates that 10% of the children in the world have been good this year but do not celebrate Christmas, and that 50% of the children who celebrate Christmas have been good this year. If 40% of the children in the world have been good, what percentage of children in the world are not good and do not celebrate Christmas?
So Good and celebrate= 40-10=30 which is 50% of who celebrated Christmas. thus, Number who celebrated Christmas= 60.
Now fill the gaps i.e.
NOT CELEBRATED CHRISTMAS & NOT GOOD= 30. (Option D).

A drove of sheep and chickens have a total of 99 heads and feet. There are twice as many chickens as sheep. How many of each are there?
On a man's tombstone, it is said that one sixth of his life was spent in childhood and one twelfth as a teenager. One seventh of his life passed between the time he became an adult and the time he married; five years later, his son was born. Alas, the son died four years before he did. He lived to be twice as old as his son did. How old did the man live to be?
There are 600 tennis players 4% wear wrist band on one wrist Of the remaining, 25% wear wrist bands on both hands How many players don't wear a wrist band?
Then what is the value f( 2 a b c ) = ?

2 is what percent of 25?
2 is what percent of 25?
If you are using a calculator, simply enter 2÷25×100 which will give you 8 as the answer.

Cronos Group, created in 1991, is a European Information Technology integrator employing more than 3.000 consultants.
Specialising in new and emerging technologies, Cronos breeds technology and business talents through its 200+ Competence Centres within the areas of Expertise, “ICT” solutions and Business Solutions.
Custom application development and integration services within the business and technology areas of the European Institutions and its agencies.
Provision of permanent and on-demand support service teams to maintain the IT infrastructure at contractual service levels and develop optimal performance levels for applications and services.
Creativity and innovation of new and inspiring content and communication techniques for the digital era.
Our broad range of customers and projects enables us to offer a number of interesting positions in application development and infrastructure support services as well as creative digital communication.
we strive to maintain an atmosphere where each consultant can perform optimally while having access to a continuous skills development programme.
Want to join us? Please contact us or upload your CV. We’ll be pleased to touch base and propose you a career path within our teams.
Considering working with us? Please get in touch and we will be pleased to present our capacity and ability to meet your business requirements.

This spicy almonds and walnuts recipe makes a savory-sweet snack that you can also make into stuffing!
Overnight for soaking the almonds and 10 minutes for making the actual recipe.
The night before making these nuts, soak your almonds (or almonds and walnuts) in filtered water by covering them with water in a glass bowl and putting a top on the bowl (you can use a plate if your bowl does not have a top). This will remove the phytic acid that makes nuts hard to digest. After 8 – 12 hours of soaking, drain the water and rinse the almonds. They are now ready to use for your recipe!
Add the olive oil and spices into a skillet and warm up the spices and oil on low heat until they are fragrant and mixed together.
Add the soaked almonds (or almonds and walnuts) into the skillet and heat up the mixture on low until the nuts are warm and all of the spices and oil is mixed in.
Allow nuts to cool and store them in a glass container (Ball jars work well for this!).
You can make these in bulk and freeze them for on the go snacks or put them in individual serving sized glass containers in your refrigerator for the week to come, if you want to have easy to grab snacks during the week. They will store in your refrigerator for about a week and in your freezer for about 6 months.
If you want to make stuffing, pulse the nuts in your food processor with the S-blade until the nuts become crumbs. Use this in place of bread in a stuffing recipe or combine with cardamom carrots (see recipe) for a delicious Moroccan inspired stuffing for chicken, turkey or game hens.

Hers at TestKing we provide Microsoft MCSE Microsoft MCSA: Windows Server 2012 70-411 exam papers that will show the way to Microsoft (MCSE, MCSA, MCSE: Private Cloud, MCSA: Windows Server 2012, MCSE: Server Infrastructure) certification without any help from Microsoft Microsoft 70-411 MCSA: Windows Server 2012 book. Our products for Microsoft Microsoft 70-411 MCSE: Private Cloud exam surpass all other competitors and guarantee a 100% success in exam. The hardest of all Microsoft Microsoft MCSE: Private Cloud 70-411 tests are not hard to pass once you step here at TestKing.
Whether you decide in favour of 70-411 Microsoft labs and scenarios or you go for Microsoft Microsoft MCSA: Windows Server 2012 70-411 sample questions you will a training better than anyone or anywhere else. Now it is your time to avail the actual Microsoft MCSA Microsoft 70-411 MCSA products and pass Microsoft 70-411 MCSA: Windows Server 2012 online tests with 100% guarantee.
TestKing offers the Microsoft MCSE: Server Infrastructure 70-411 Microsoft MCSA online tests with the provision of access both offline and online. Forget the long boring Microsoft classes and tedious Microsoft 70-411 Microsoft MCSE: Server Infrastructure books, we at TestKing offer the very best Microsoft 70-411 CBT.
Microsoft Administering Windows Server 2012 MCSE: Private Cloud cost of training is ridiculously high and the time schedules are hectic. TestKing provides the very best Microsoft Microsoft 70-411 MCSA: Windows Server 2012 exam details and takes the worry of attending Microsoft MCSA: Windows Server 2012 70-411 Microsoft MCSA: Windows Server 2012 classes and Microsoft Microsoft MCSE: Server Infrastructure 70-411 video materials off their mind.
TestKing guarantee 100% success in Microsoft Microsoft 70-411 exam by use of Microsoft Microsoft 70-411 MCSA: Windows Server 2012 study materials. The Microsoft 70-411 Administering Windows Server 2012 Microsoft practice exam is a world class product offered by TestKing preparing you for the hard Microsoft MCSA Microsoft MCSE 70-411 exam.
TestKing offers the best simulator that creates the ultimate testing environment. The TestKing Administering Windows Server 2012 Microsoft MCSE exam is always coupled with Microsoft 70-411 Microsoft MCSA download that can be use on simulator. The simulator is adaptable and flexible. Even as per requirement Microsoft 70-411 Microsoft MCSE: Private Cloud notes can be added and the questions can be re-examined again and again.
TestKing offers a world outstanding Microsoft 70-411 Microsoft MCSA: Windows Server 2012 study guide that covers the very basics of the Microsoft MCSE Administering Windows Server 2012 Microsoft course and helps take Microsoft Microsoft MCSA 70-411 practice questions on the Microsoft Microsoft 70-411 MCSE: Server Infrastructure practice test. The time dedicated to Microsoft MCSA: Windows Server 2012 70-411 Microsoft study guide will enhance your insight, knowledge and skills.
TestKing a created a product in the form of Microsoft Microsoft MCSE 70-411 labs and scenarios that offers rational and precise Microsoft Microsoft MCSE 70-411 simulation questions. Microsoft Microsoft 70-411 tutorials, Microsoft Microsoft 70-411 practice questions and Microsoft Microsoft 70-411 labs ensure your success in the Microsoft Microsoft MCSA 70-411 certification exams. Microsoft Microsoft MCSA 70-411 tutorial and Microsoft MCSE 70-411 Microsoft MCSE: Server Infrastructure simulations prepare you for the tough Microsoft MCSA: Windows Server 2012 70-411 exam.
TestKing offers all visitors free sample Microsoft 70-411 questions for Microsoft 70-411 Microsoft exam, Microsoft MCSE: Server Infrastructure 70-411 Microsoft sample questions can be downloaded as Microsoft MCSA: Windows Server 2012 Microsoft 70-411 MCSE: Server Infrastructure PDF files. TestKing offers products that are Microsoft Microsoft MCSE: Private Cloud 70-411 braindump Free and enable you to pass the Microsoft MCSE 70-411 Microsoft quiz without trouble.
TestKing follows a strict line against the use of MCSA 70-411 Microsoft dump for passing the Microsoft MCSE 70-411 Microsoft exam. TestKing is fully aware of the fact that the Microsoft Microsoft MCSE: Private Cloud 70-411 dumps are unethical and infringe the copyright laws of Microsoft. The use of Microsoft 70-411 Microsoft MCSA: Windows Server 2012 braindumps jeopardizes the name of the Microsoft professionals and they hold their names in high regard.
TestKing knows that to use the Microsoft MCSE: Server Infrastructure 70-411 Microsoft MCSE: Private Cloud brain dumps to pass the Microsoft Microsoft 70-411 exam brings a bad reputation for the company and they tend to avoid it at all costs. The students try to opt for an easy way to pass Microsoft MCSE: Server Infrastructure 70-411 tests by using Microsoft Microsoft MCSE 70-411 questions and answers, but the results are mostly disastrous. Microsoft sternly warns against the breaking of and violation of Microsoft MCSE: Private Cloud 70-411 Microsoft MCSA copyright laws.
TestKing offers Microsoft Microsoft MCSA: Windows Server 2012 70-411 study pack, stop here and avoid Microsoft Microsoft MCSA: Windows Server 2012 70-411 latest dumps and opt for our outclass study pack. Microsoft Microsoft 70-411 MCSE: Private Cloud dump users will take a fall and you hold your 70-411 Microsoft certification certificate with head held high.
TestKing Microsoft MCSE: Private Cloud Microsoft MCSA: Windows Server 2012 70-411 practice exams contain all types of questions for the students from beginners to experts. Microsoft 70-411 Microsoft MCSE: Private Cloud test no longer headaches once you choose TestKing as you mentor.


Last year, egg producers in Douglas County produced 1416.0 eggs. This year, those same farms produced 4636.0 eggs. How many eggs total did the farms produce in both years? Answer:

How might your mail be arriving in the future?
How might your mail be arriving in the future?
Answer: in a self-driving mail truck.
But don’t worry, there will still be a person in the truck for your dog to bark their head off at.
The United States Postal Service (USPS) released a report last week stating that the agency plans to integrate self-driving tech into its fleet of 228,000 vehicles. In partnership with the University of Michigan, USPS plans to build an Autonomous Rural Delivery Vehicle and start using it on 28,000 rural routes as early as 2025.

What tech does the Department of Homeland Security want to implement to improve border security?
What tech does the Department of Homeland Security want to implement to improve border security?
Answer: Facial scanning and recognition.
The U.S. Department of Homeland Security (DHS) may be taking a page out of Apple’s book when it comes to identification and security. Apple’s latest and greatest iPhone, the iPhone X, boasts facial recognition technology that will make proving yourself to your phone more convenient than ever — all you have to do is look at it. DHS wants to provide similar levels of convenience to travelers crossing U.S. borders.
“This call is looking for innovative solutions to capture facial recognition quality photos from travelers in order to facilitate identity checks without requiring occupants to leave the vehicle,” said the call for proposals.
DHS’ Silicon Valley office will host an “industry day” on Nov. 14 in order to explore opportunities for making this idea a reality. According to the call for proposals, DHS wants the system to be able to reliably identify occupants of a vehicle even when their faces are obscured by hats or sunglasses, or turned away from the camera.

What is the Cost of Waiting to Buy? Answer: Less Closet Space or a Higher Payment.
Is the Greater Phoenix Real Estate Market Overheated?
4th Quarter is Good For Buyers!

Practice the questions given in the worksheet on word problems on minuend and subtrahend.
1. Jack deposited $341256 in his bank account. He withdrew $100368. How much is left in his account?
2. Pat bought a house for $682396. He sold it for $765000. How much did he earn?
3. The sum of two numbers are 963562. One number is 493098. Find the other number?
4. A factory manufactured 432368 toys and sold 296431 out of them. How many toys were left unsold?
5. Kelly had $535426 with her. She spent $420228 to purchase different items. How much is left with her?
6. The total population of men and women in a city is 842579. If the population of men is 594025, find the population of women in the city?
Answers for the worksheet on word problems on minuend and subtrahend are given below to check the exact answers of the above questions.

SoftBank’s stock ended Thursday’s session in Japan at 9,962.0 yen per share, a 17.73 percent gain over its last close at 8462.0.
Son owned 231,205,000 shares in the Japanese conglomerate as of Sept. 30, 2018, according to the company’s website. If that number is still accurate, then that would mean Thursday’s stock move made Son about 346.81 billion yen ($3.15 billion) richer.

The LBA champions their members by providing resources, information, and opportunities they might not have had otherwise. What makes your business stand out from the competition? Answer: having the backing of a professional business association.
Become a member now and help connect our community.
… with members of the LBA. Special networking times occur before and after meetings.
… our access to town and local government to gain needed business information, assistance, and support.
… in the development of the LBA community through the LBA’s partnering efforts with the Lunenburg Town Manager and other Town Officials.
… your business on the LBA website. The new website features ways to highlight your business and to direct visitors to your store, website or other social media. Your business can also be spotlighted via the LBA social media channels.

In a recent University of Sheffield study they found that over 250 children with ages ranging from 4 to 16 disliked clowns.
What percentage of the kids in the study disliked clowns? 100%! All the kids surveyed did not like the clowns.
Read the full article on the BBC News website here.

Why seeking spouse in Ukraine? Answer: Quality!!

Where would you spend the day outdoors during May?
Answer: Saadiyat beach because it’s a very clean environment and I enjoy the waves.
Answer: Yas beach because of the good vibes and it’s a lovely tranquil beach.
Answer: I do not like sunny days, I love cloudy days and that is why I prefer to stay indoors at home.
Answer: Yas Water World because the weather is becoming very hot!
Answer: Corniche because I love the sea and city views! Just amazing.

It is 37.7 miles according to Google Maps.
How far is Santa Barbara California from Oxnard California?
Answer: Santa Barbara is about a 45-50 minute drive from Oxnard.

At first glance, we see a pig. But where is the farmer?
Answer:Look at the left side of the picture and you will see the profile of the farmer’s face.

What’s on the Horizon for Physician Quality Measurement?
What’s on the Horizon for Physician Quality Measurement?
How is the government driving greater accountability in healthcare? What types of clinicians are impacted?
Answer: The Affordable Care Act (ACA), which is built on a foundation of improving the quality of care for all patients, includes a number of provisions to help consumers make decisions about where to receive their care as well as how to increase the transparency of services through value-based purchasing efforts and private sector programs. Four years after the ACA was passed, these programs are still thriving. While the provisions differ in design, they share common elements like rewarding providers based on adherence to practices, achieving cost savings, improving clinical outcomes, and advancing a patient’s experience.
There are currently nearly 30 quality reporting programs under Medicare or Medicaid that capture over 600 unique performance measures.1 Of these programs, a handful of programs have an impact on physicians and other health professionals, specifically, the Physician Quality Reporting System (PQRS) and the Value-Based Modifier (VBPM). Under PQRS, Eligible Professionals (EPs) are required to report on a set of nine measures (covering three National Quality Strategy domains) to report. In 2015, if an individual EP or group practice does not satisfactorily report or participate while submitting data on PQRS quality measures, a 2 percent negative payment adjustment will apply in 2017. These EPs are truly starting to understand the impact of failing to report given this payment adjustment. As quality reporting programs start to trend more toward value-based systems (i.e., rewarding EPs for showing actual performance on measures versus just reporting), physicians and other healthcare professionals will need to focus on outcomes versus processes and start to address patient experience, care coordination, and patients with co-morbidities.
Under the PQRS and VBPM, eligible professionals include physicians, physician assistants, nurse practitioners, clinical nurse specialists, certified registered nurse anesthetists, and groups that include such professionals. The Centers for Medicare & Medicaid Services (CMS) may consider expanding the definition of an EP in the future.
As patients continue to use online tools to select where they receive their care, sites like Physician Compare, maintained by CMS, will be pivotal in consumers’ decision making. Physician Compare currently displays a subset of measures from the PQRS reporting programs. At this time, stars are used as graphical representations of the percent. Each star represents 20 percent; 100 percent is equivalent to 5 stars while 80 percent is equivalent to 4 stars and so on. Transparency of how providers are performing on these measures should have significant impact on performance.
What challenges do physicians face to meet the requirements of new quality reporting programs? What is being done to alleviate some of these challenges?
Answer: In 2015, CMS released a PQRS Experience Report2 that noted a 47 percent increase in PQRS reporting between 2012 and 2013. Yet, this increase only represents 41 percent of total EPs eligible for PQRS. This lack of participation is likely due to the overwhelming reporting requirements, the administrative burden, and the lack of meaningful measures in the program.
CMS acknowledges a significant administrative burden of the proliferation of reporting programs and requirements resulting in the lack of measure consistency and wasteful redundancy. In 2015, CMS released the “National Impact Assessment of CMS Quality Measures,” which was mandated by Section 3014(b) of the ACA, and it noted that less than 50 percent of the quality measures reviewed under this report were aligned with reporting requirements of other state and federal programs.3 The report also reviewed 700 measures across 25 CMS reporting programs. This statistic alone points to the fact that there is a tremendous burden on providers to adhere to various requirements and monitor changes in programs, all while providing excellent care across various patient populations. Although CMS continues to align many of its major quality programs, the need to align the private sector and state programs is still needed.
Stakeholders in the quality debate (plans, providers, employers, and consumers) agree that current quality measures are not achieving their potential in improving quality of care. They continue to advocate for a core, consolidated set of outcomes-based quality measures that can be used across payers. However, achieving this alignment has proved extremely difficult, despite the best of intentions, because individual stakeholders have generally failed to achieve consensus around which measures should be prioritized and how they should be used.
One such example of a group of entities coming together to achieve consensus is the Core Quality Measures Collaborative Workgroup. In 2014, America’s Health Insurance Plans and its member plans’ chief medical officers convened leaders from CMS, the National Quality Forum, and national physician organizations to create a set of core quality measures. The Collaborative Workgroup represents approximately 70 percent of the combined population of health plans’ enrollees and fee-for-service Medicare beneficiaries.4 The goal of the collaborative is to promote a consistent process across public and private payers by reducing the total number of measures, refining existing measures, and relating measures to patient health.
Without question, there will never be a perfect set of measures in which there is universal consensus. However, today’s healthcare delivery models are moving forward at an unprecedented rate, and failure to reach consensus will not slow these models although they could discourage provider involvement. They will continue to move forward with the current patchwork of measures, which are administratively burdensome to providers, have significant information gaps, and lack consistent transparency.
What’s on the horizon for physician quality measurement in the next few years?
Answer: The recently-passed Medicare Access and CHIP Reauthorization Act (MACRA) legislation of 2015 consolidates PQRS, the Electronic Health Record (EHR) Incentive Programs, and Value-Based Modifier into a single system that reduces conflicts and streamlines the reporting process into a new program called the Merit-Based Incentive Payment System (MIPS) program. MACRA also includes requirements for the Secretary of Health and Human Services to develop, publish, and report to Congress on a quality measure development plan for provider participation in the MIPS and qualifying Alternative Payment Models (APMs). It also extends funding for quality measure endorsement, input, and selection at $30 million for fiscal years 2015 through 2017.
CMS currently has an open request for information to provide input on the MIPS and APMs for implementation. Based on input from this Request for Information (RFI), CMS plans to release a proposed rule on the MIPS and APMs in spring of 2016. More information regarding the RFI can be found here. Comments are due November 17, 2015.
In addition to all the exciting developments occurring under MACRA, opportunities for increased measure selection under the MIPS are forthcoming. As noted previously, quality measures under the MIPS will consist of those currently used in the existing quality performance programs (PQRS, value-based modifier, and EHR) with additional measures solicited by the Secretary of Health and Human Services from professional organizations and others in the healthcare community. Measures used by qualified clinical data registries (QCDR) are also being considered for use. Professional societies are currently working closely with CMS to align QCDR requirements with existing registries (those that have not been registered as a QCDR). To the extent possible, quality measures selected for inclusion under the MIPS (from QCDRs) final list will address all five of the following quality domains: clinical care, safety, care coordination, patient and caregiver experience, and population health and prevention. QCDRs pose an opportunity to meet existing measure gaps, especially for specialties where known measures are limited.
What tools are available to continue to track existing measures and changes to physician-based quality reporting programs?
Answer: There are a number of tools that are available in the public domain, as well as tools that can be purchased to better monitor the quality measure environment. A few are listed below for your reference, however, note this is not an exhaustive list.
QPS is a web-based tool developed by the National Quality Forum (NQF) to help people select and use NQF-endorsed measures. It allows a user to search for NQF-endorsed measures in a number of ways, export search results, and create and view types of measures.
CMS Measures Inventory is a compilation of measures used by CMS in various quality, reporting, and payment programs. The CMS Measure Inventory also includes Pipeline/Measures under Development (MUD), which are measures that are in progress but are not fully developed.
Fact Sheets provide information regarding program changes, release of federal rules, and implementation of new models of care. Fact sheets often reference specific changes to measure inclusion and/or payment changes for physicians.
Avalere’s Quality Measures Navigator™ (QMN) -A first-in-class resource, QMN organizes the quality measures chaos in seconds, by disease, condition, and program in one comprehensive, web-based tool. Rapidly search, synthesize and summarize over 6,000 versions of quality measures used in 40+ quality programs. There is a fee associated with the use of this tool.
As new value-based programs continue to be implemented, tools and resources for physicians to better understand the quality measure environment will be essential to help consumers assess what, how, and why quality is being measured. These tools will also help streamline existing measures and ensure that they are meaningful and capture what matters most to the patient.
To learn more about existing quality measures that impact providers, please contact Nelly Ganesan at Nelly Ganesan@avalere.com.

When I watch videos of people practicing kendo I often hear them make weird sounds. What is that sound for?
Answer: Thanks for your question. I am not sure what kinds of sounds you are referring to. Can you be more specific?

How many veterans live with veterans live with arthritis?
Answer: One in four veterans lives with arthritis.
How many in Nebraska are affected by autism?
Answer: The CDC estimates that 1 in 59 children are diagnosed with autism. Using that statistic, up to 32,500 Nebraskans could be affected.
How many babies born each year will develop Cerebral Palsy?
Answer: 10,000 babies born each year will develop Cerebral Palsy.
How often is a baby in Nebraska born prematurely?
Answer: Every three hours, a baby in Nebraska is born prematurely.
Statewide, how many people live with Crohn's disease or ulcerative colitis?
Answer: Statewide, 10,000 people live with Crohn's disease or ulcerative colitis.

Of 120 students surveyed at the Central High School, 45% students said they want a career in medical science. How many students said they would choose medical science?
In a middle school, 66% percent of the students have cell phones. If there are 400 students in that school, how many students have cell phones?
What is 75% of 60?
Which of the following is less than 47%?
If 4% of a number is 12, what is 8% of that number?
What percent of the shape is shaded?
Which figure shows 20% portion shaded?
Karina was making a necklace for her friend Garima. In the necklace, she put 2 green beads after every 6 red beads. If she used 36 red beads, how many green beads did she use?
Which option shows the pair of equal ratios?
A survey shows that 75 out of 300 people work for health services in a town. What percent of the people surveyed worked for health services?
Find the missing number in the following proportion.
Dayanand travels 32 kilometers in 4 hours. Find the unit rate of kilometers per hour in the above statement.
Which option shows 1:100 as a percent?

How do people in the 1830s cure burns?
Answer: People used what they had handy in those days, and some of the practices are still used. They boiled chestnut leaves and used the resulting tea for burns, which may have been helpful. They also scraped raw potatoes and put that on the burn, which was also probably useful.Some of the things they did were not helpful, and probably made the burns worse. One thing was to put butter on it. Butter seals the heat in, so it continues to damage the tissue.
Level of government that people expected to cure the economic ills?
Where does UV radiation come from?
Answer: electromagnetic radiation allows me to listen to the radio; heat radiation makes me warm at the beach; sound radiation carries your speech to me; ionizing radiation allows the sterilization of hospital supplies.
Is there radiation in pee?
Answer: Yes. studies have shown that small amounts of micro wavelengths are in human urine.
How can radiation help us?
Answer: you are possibly looking at a symbol for gamma.
How is radiation used in your lives?
What is Radiation Poisoning from?
Answer: High levels of radiation. When gamma rays from say a nuclear meltdown come in contact with humans they pass through the whole body. As they pass through some of their energy is converted into thermal energy which damages bits of tissue throughout the body.
So basically your organs get a lot tiny burns.
Is UV radiation good or bad or both?
What happens if a person has too much radiation?
How does radiation cure people?
Radiation cure disease by being toxic to the tissues exposed to it. This means it would destroy both diseased and healthy tissues alike. Fortunately, modern technology allows us to focus the radiation more precisely and narrowly.
How does radiation cure people?
Answer: Radiation cure disease by being toxic to the tissues exposed to it. This means it would destroy both diseased and healthy tissues alike. Fortunately, modern technology allows us to focus the radiation more precisely and narrowly.
Can radiation cure certain disease?
Answer: Radiation therapy is routinely used in the treatment of cancers. The radiation is not actually curing the condition, it is destroying the cancerous cells.
Answer: It depends on the type of disease and what type of radiation you hove, so yes, radiation can cure some diseases.
Has anyone ever figured out a way to reverse or cure the UV Radiation on skin and hair?
Answer: No. Usually doctors will tell you to stay out of the sun if you aretrying to protect your skin or hair, but if you are talking aboutexisting damage passed through genetics, I would think that thehuman body is resilient enough to repair that over time, althoughas we age and our bodies break down we might lose that resilience.
How much radiation was given to the people after the TMI accident?
Answer: 1 Millirem. Which is less than their yearly dose.
How many people have died from radiation sickness?
Answer: Leukemia, Lymphoma and Multiple Myeloma, Nervous system tumors and their response relation were observed for all solid nodules, adenoma, and nodules without histological diagnosis, autoimmune hypothyroidism, stomach tumors and breast diseases. The population has a long follow-up (50 years) and includes both sexes and all ages of exposure, allowing a direct compilation of risks by these factors. the population has a long follow-up (50 years) and includes both sexes and all ages of exposure, allowing a direct compilation of risks by these factors. Because of the use of Japanese family registration system, mortality data are virtually complete for survivors who remained in Japan.
The result in the coral reefs in the Bimini Island who were demolished by nuclear blast came alive again after 50 years.
What jobs expose people to radiation?
Answer: Gears Of War 2, You NoOb.
Do radiation therapists work with other people?
Why was polio cure good for the people?
Is there a way to cure people with growth spurts?