Thứ Tư, 12 tháng 4, 2017

Waching daily Apr 12 2017

Police Spiderman and Police McQueen Cars Saves Kids Mini Lightning Mcqueen Car from Joker stealing!

For more infomation >> Police Spiderman and Police McQueen Cars Saves Kids Mini Lightning Mcqueen Car from Joker stealing! - Duration: 10:04.

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Money : Are Just Not Worth The Effort ??? - Duration: 0:56.

Working hard,

really hard 24x7

Eating with your laptop,

working with your laptop,

sleeping with your laptop,

and then repeating this cycle.

Checking your smart phone every now and then for office mails.

Racing against time to be successful and rich,

thinking that this would make you happy

and in the process ignoring all your friends, family and well wishers.

A typical modern life,

unfortunately,

but I feel is not worth the effort.

Believe me,

nobody thinks of money they made

or their dear laptop when they get old.

For more infomation >> Money : Are Just Not Worth The Effort ??? - Duration: 0:56.

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Funny videos for kids - Scary Tanks - cars for children - Duration: 12:10.

Funny videos for kids - Scary Tanks - cars for children

For more infomation >> Funny videos for kids - Scary Tanks - cars for children - Duration: 12:10.

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ℒove ℴ∮ ᗩurora || Destiny[for 4200subs] - Duration: 1:32.

For more infomation >> ℒove ℴ∮ ᗩurora || Destiny[for 4200subs] - Duration: 1:32.

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How It All Started | #Fearless2017 Podcast Ep. #1 | Chantilly Patiño - Duration: 20:20.

Intro music

Hey guys, it's Chantilly from chantillypatino.com.

So, if you don't know me already,

I am a blogger turned web designer,

turned coach, etc. etc. (laughs)

Um, so, I kind of wear all the hats.

I started out as a blogger and I created this blog called Bicultural Mom.

BiculturalMom.com

Um, which now is Bicultural Familia,

I've kind of switched it to being a family blog,

but at the time when I started Bicultural Mom,

I was in this place where we were separated from family.

We hade moved far from Michigan which is my, my home state,

to South Dakota which is a place I've never been, didn't know much about.

I just went there because on paper it looked good economics-wise.

So, my husband I moved there thinking that we

would be able to see there for like a year, maybe two

and then move either back

home to Michigan or possibly to Texas we

ended up staying there six years and it

was a very isolating experience for my

husband and I both and for our children

so I started this blog by cultural mom

is a place where I could talk about the

families but more like where I could

reach out to other people like us who

weren't visible in the community where

we lived and I built a big community

around it big enough that we started

another website so i started a website

called multicultural familia calm and we

all came together all of us bloggers

whether it be mixed race mixed religion

mixed culture we all came together and

talked about our families and our

identities we just shared with each

other so he said learn more about each

other and be closer after a little while

I started getting into web design

completely by accident so I was I was

working on my blog and editing my blog

and making it look pretty and I'm an

artist that hard I've always been a

creative type I remember in college I

also took this flash web design class

which was ridiculous because I don't

even know why they gained that class

because flash was already on its way out

when i was in college taking this course

but you know how outdated college course

dark so I started fixing up my blog

making it look really nice and really

cute and customizing it and then I

started having blogger friends who would

ask me hey can you help me update my

blog can you help me add a really nice

design can you help me create a logo can

you help me add this widget and I just

started helping my friends and at first

I started helping them for free and then

I started having people tell me you know

I don't want you helping me for free I

want you to get paid for your work I

want to ask you to do more and I don't

feel comfortable asking you to do more

if I'm not paying you and so from there

I turned it into a business I was

working with my friends only my friends

I wasn't taking on clients or anything

better trying to get clients I didn't

have a website up yet I just was working

with bloggers friends at that point and

then it got to the point where I started

having more and more people recommended

me to their friends and then their

friends would reach out to me and then

they say hey do you have a website G of

a portfolio so I just started building

those things so they built a website

actually was a page on my bicultural mom

website at first and I listed my

services there and my pricing and all

this kind of stuff how they could

contact me my friend unha dekhe who at

the time was running new latina now she

runs alleppey nothing big so she asked

me to come on and work with her a new

latina so I worked with her as a

managing editor for new latina for a

couple of years then I started helping

her develop latina something big and it

grew from there like at that point I

knew I knew I needed to create my own

website so i use my name and i created

chantilly pepino com so from that point

on once i created my own website it just

kept growing and growing because now

it's like I had this professional

presence it wasn't just a blogger who's

doing this on the side anymore but this

became my business so when hanukkah

hired me on for Latinas think big I

created all the programs i created the

banners like at her first New York event

I remember walking in the door and

seeing my banners that I designed the

programmes that I designed everything

down to the smallest detail that I had

put work into teen on Helicon like all

the work she had put in and we put in

together and it turned into the sea

there was all these amazing women there

it just it brought tears to my eyes and

then get emotional thinking about it

right now because still like latinas

thing big is one of the most powerful

things that have been involved in and i

love that brand and i'm so proud that i

worked on it and that the nothing

missing big logo is something that i

developed and it makes me very proud to

see it grow so i think i'm getting a

little off track here so now i've been

i've been thinking about this for the

past two years but i haven't felt like

i've had the opportunity to move in any

direction so it's not that I want to

stop doing web design or lower design or

copyright or any of those things but I

want the service part of my business to

be the side part of my business and I

want the main meat of my business to be

products and courses so this was my goal

two years ago I had a new baby and then

I couldn't put the time invest the time

into it that I wanted to invest and

moving my business in that direction so

I put it on hold and right now I feel

like I'm at the point where I'm ready to

start moving in that direction again so

my main goal right now is to focus on

building these products more of the

templates ebooks you guys I'm finding

that people really need help getting

started and it's not so much like I

don't have the finances but it's more so

like the fear like not knowing will I be

successful at this if I put myself out

there in this way are people going to

judge me they don't want to fail and

they're scared of failure they're scared

of the unknown so I know how that feels

I've been scared of the unknowns to and

google has been a huge resource for me i

searched google for everything I built

my entire business because of google i

learned how to build a website from

google i didn't know how to do web

design i taught myself web design with

google that I did I'm not somebody who

went to web design school I'm not

somebody who studied graphic arts

although I wanted to I love that idea

when I was younger I wanted to go to

college and my mom told me be careful

and she made me very cautious because I

wanted to go away to an art school I

wanted to learn film & 4

digital illustration and all these types

of things and my mom was like one how

will you afford it and there's just two

what are to get far away from us and

something goes wrong and we're not there

to help you you know three what if you

get your education and you're still not

successful what if you're starving

artists and you don't make any money and

I took a lot of that to heart like I

always thought I could do anything like

in my mind I'm a creative type person

right I was thought I could do anything

and that kind of flipped in some doubt

and I don't think that's what my mother

meant to do but I think she was afraid

to lose me I think she's afraid what if

I didn't make it so I think she probably

shouldn't have said those things but in

the long run it didn't matter anyway

because I came right back to what I was

meant to do because now what do i do i

do web design graphic design digital

illustration I to you know I do all

these things i build websites I help

people create businesses that's what I

do for a living and I do it all through

art I do it all through graphics I do it

all through technology so ultimately I

came back to doing the same thing that I

truly believe in my heart I was meant to

do and it didn't matter what anybody

said it didn't matter the words that

they had came right back to it and

without even trying I did not try to get

here I did not try to get into web

design all this kind of fell into my lap

and I ran with it I was like what do I

need to do to pay the bills what I need

to do to take care of my family I'm

going to do what I'm naturally good at

and what I'm naturally good at is

designed that's what I'm good at so I

went right back into it so this is kind

of the story of how my business evolved

now we have I have so many different

layers I could tell you there are so

many layers to me and to my business and

so many things i'm into there is to

start there is chantilly platino calm

which is my main business site then i

also have a family blog which is called

bicultural from you the other sat by

cultural Famicom I run that with my

family so my husband and I I do most of

the work on the blog I do the blog posts

I create video content ID

all the video editing my husband helps

us we'd like brainstorm ideas he helps

me get stuff set up so like if I'm doing

photography he he's like my he calls it

my wheel man so he sets up all my stuff

and he you know takes care of the kids

so I can get things done quicker and

that's something I didn't even mention

either my husband is a fail home dad so

I do the working and he does the taking

care of the kids in the house so yeah

there's my quarter for me which is a

blog and we have a youtube channel for

that but cultural media on youtube if

you look it up my daughter has a channel

called lil click TV li L click TV and I

help her run that too I haven't been

able to put videos up on there recently

because I've just been super busy but

she has a channel and I plan on going

all in on that for her soon because that

is her dream she wants to be a youtuber

so I'm there she just like gaining

reviews and she she's starting to do

like little vlogs and stuff like that

another thing i do is i have this group

called YouTube familia and you too

familiar as a group that i have on

facebook where I connected the whole

bunch of lucky next and multicultural

YouTube creators and video creators and

we just discussed everything about You

Tube so we talked about how to make

money on YouTube we talked about how to

get more views on your channel how to

get more subscribers and then just in

general like what our experiences are in

the platform and what we're up to what

we're doing in our lives like some a

couple of people are taking on like

daily vlogging challenges and things

like that which is been really cool to

watch so another thing i do is i have

multicultural bloggers and a lot of

people probably know about that but

multicultural bloggers calm is a website

where i have like a list like a

directory of bloggers if you're a

multicultural blogger you can go to

multicultural bloggers calm and you can

get listed right now I have this site

shut down temporarily because I am

working on a redesign it will be back up

soon but until then we have a Facebook

group and you can meet us in there the

facebook group operates

hand in hand with the website so the

website has a directory and the facebook

group is where we trying to promote each

other and connect she's an also joined

the facebook group and if you go to

multicultural bloggers calm and half the

link there i also have a youtube channel

for my business i'm really getting into

you too big right now so YouTube is a

big thing for me and I think everybody

should get into YouTube because video is

everything right now I mean if you could

do YouTube videos or do Facebook videos

it did on to be live videos but just

upload your videos to facebook both of

those platforms are excellent for video

even if you're not ready to be on video

maybe you don't feel comfortable being

on video like me I'm an introvert at

least do a podcast recording of yourself

like put a picture up in the video and

just you know put it make it as a video

on youtube when people don't play it and

listen to you you just take the audio

and you can go in windows movie maker or

iMovie add a picture to it and then just

publish that on your facebook or youtube

and that's a video so there's a lot of

people who like to listen to podcast you

can put it up on a podcasting platform

to but I recommend doing it like get

your voice out there because podcasts

and video are the two main ways that

people are absorbing content right now

podcasts are great because they don't

require you to be a hundred percent

present a video requires your presence

you can't watch a video without

physically looking at the video a

podcast is something that I can do

without having to be present for it

anyway to get back around to what I was

talking about my purpose through

everything I do and everything that I

did for my business through my blog

through everything is to help families

like mine to help women like myself I

feel like a lot of us women we work very

very hard and we get very small results

and I feel like a lot of women are very

underpaid very overworked and I want to

help other women to be able to ask for

more money to be able to make their

websites and their brands more

presentable and look more high-value so

they can get more money but the

impression that you give to somebody is

really important and it's very powerful

you want to make a great first

impression and that's what I try to do

for my clients is help them make that

great first impression and that's what I

try to do for myself

I started this journey and I call it

fearless 2017 and I have the hashtag

three loes 2017 well Jay share on

Instagram and on Facebook and every time

I post something on this topic I share

it and fearless 2017 is really about

going out of your comfort zone when a

brand approaches you you pitch them

higher than what you feel comfortable

pitching them charge them a higher rate

than what you feel comfortable when a

client comes up to you quote them a

higher price than what is comfortable

for you or you work with that client who

scares the shit out of you you work with

that big client who you thought you

weren't good enough to work with who's

come to you asking for your help and you

almost ran away but instead you take

that client and you work with that

client that's what fearless 2017 is

about it's about putting yourself out

there and this is something I've really

struggled with and it's held my business

back a lot and I notice myself tending

to go back into my comfort zone and do

what is comfortable and maybe not create

those products or those courses that I'm

terrified will fail but to just go back

to doing what I do now you know which is

building websites and stuff so the thing

is when I first started my business I

was all about getting out of my comfort

zone but see I was coming from a place

of necessity at the time my husband had

just lost his job and I didn't know how

I was going to make it and i had to pay

the bills so at that point I didn't give

a shit about how I felt about anything

at that point I didn't care if I looked

ridiculous I didn't care if I made

mistakes I had to put that money in the

bank so I didn't care at that point and

it's hard to get yourself to that point

when right now everything is okay like

things aren't great obviously I want

more of life than this but things are

okay we're getting by and it's easier to

slip into that place of comfort and not

push to do something more so that's

where I'm coming from right now is

coming from this place of wanting to get

out of this nice comfort zone I've been

in for the past couple of years and

really push to do something that I

haven't done before and something that

that I know can probably be successful

but I'm tariff

for it to fail so i posted on facebook

and i mentioned how several people have

told me that they wanted me to be more

visible about what i do and so i'm

trying to push myself to share more but

at the same time trying to cope with

that feeling of pushing my content on

other people but i think we as women we

need to move beyond that beyond the

feeling that whatever we're going to say

isn't valuable enough to people and plus

we all seem to have this need for

validation will seem to have this need

to be validated by other people like if

i post something on social media and

somebody doesn't immediately like it i

guess that about it why am i getting sad

why because somebody didn't like it

doesn't mean it wasn't valuable because

somebody doesn't write me a long comment

saying how much they love the blog post

I wrote it doesn't mean that that blog

post wasn't valuable we have a term for

it on the internet it's called lurkers

lurkers are people who are out there

they read your stuff they see your

social media they probably love it but

they don't say anything they don't click

like they don't comment they don't say D

and that's most of us some of us because

we're busy in their day-to-day life we

don't have time to leave a comment or

maybe we're in a rush to something else

or mind is somewhere else sometimes you

feel like okay well maybe this is what I

should be doing then and you get all

these doubts in your head and you start

thinking maybe maybe this blog post was

a complete mess maybe I shouldn't even

brought about this topic maybe you know

you're certain putting all these things

out there like maybe people hated it

maybe people just don't want to read my

blog anymore you get all this paranoia

about people not liking the content you

put out when what we should just do is

keep doing it and just keep pushing it

out we should just keep pushing out the

content and wait for the right people to

come along and sometimes it's not even

that the right people aren't there these

people were talking about these lurkers

lurkers come and they see and they may

take no action for a long time and then

one time something moves them to take

action like as an online entrepreneur

you feel you feel really isolated and

alone you start to question yourself

whether or not your work is worth it

if somebody doesn't immediately Wyatt is

my work worth it was it good enough does

it suck should I take it down right now

should I lower the price those the types

of things you start to think of as

online entrepreneur in any business

really and I think what we really have

to do is we have to have more confidence

in ourselves and trust ourselves and I'm

trying to teach myself to do that this

year trying to teach myself to have

confidence to not lower my rates when

something doesn't sell to figure out how

I can better market myself figure out

what I'm doing wrong or what I'm missing

and to not take it personal when

something doesn't do well if my blog

post doesn't do well or social media

post of them do well they have no

bearing on me and try not to take it

personal but the perfectionist in me

always pull my mind in that direction so

all this to kind of just say this is

what I'm up to these are things i'm

doing and i'm sure probably forgot some

to put them in so many things I just

kind of wanted to share with you and let

you know this is what I do this is who I

am this is how I got here and if you

have any questions please leave them

down below I would love to talk to you

more if you want to connect with me I've

created a page on my website called

canet okay I used to have a contact page

I deleted it it's going to be a connect

to page that will be at chantilly bottom

yo calm ford / connect so yeah go there

and you'll be able to see everything I'm

in tune when you'll be able to join or

follow me on my various social media I'm

working on some new projects right now

I'm not going to say what it is yet but

I'm working on something related to what

I just talked about to the templates and

II guides and ebooks and II courses I'm

working on a project that's going to

bring all of that together so that it's

my goal for 2017 and 2018 to focus on

building those products and if you have

any feedback I would love to hear it you

can always reach out to me on twitter at

chantilly Pitino or in any of my other

social media which I will include on

that page chantilly patina com forward

slash connect ok so thank you guys for

listening it was so great to connect

with you again I hope if you do hear

this podcast it'll leave me some

feedback even just

tell me that you liked it just so i can

know you're out there and thanks again

for listening guys I really appreciate

it and I'll see you next time on chance

to me papi no calm

For more infomation >> How It All Started | #Fearless2017 Podcast Ep. #1 | Chantilly Patiño - Duration: 20:20.

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MIPS Scoring Methodology – Part 6 - Duration: 8:59.

>> Molly Mackerras: Moving on to Slide 44.

From here, I'm going to go ahead and pass it back

over to Adam.

Thank you.

>> Adam Richards: Thank you, Molly.

So now we're going to talk a little bit about the MIPS

scoring methodology, and I'm going to hand

it over to Mary Wheatley, our principal health care

policy analyst with the MITRE Corporation, to walk

us through a few slides on scoring.

>> Mary Wheatley: Great.

Thank you, Adam.

So if we can move on to the next slide.

So, then, so we're going to go -- so, Molly just

gave you an overview of all the measures and

activities that are going to go into your MIPS

score, so I'm just going to briefly talk about how

we kind of create that score.

We're going to go category by category so you can see

how this all kind of translates into

a single score at the end.

So, we'll start with Quality,

the Quality Performance category.

And, again, for most people this is going

to be 60 percent of your final score.

And to recap, generally people have to submit

approximately 60 measures of the available measures.

When you submit a measure to us, whether it's a test

or "pick your pace", we're going to look at that

measure and we're going to try and score it.

We're going to assign that measure somewhere between

three to 10 points based on certain criteria.

And if we have enough data that we can reliably score

it against the benchmark -- well, at a minimum,

if you submit a quality measure we're going

to give you three out of 10 points just for giving

us the information.

If we're able to reliably score it against

a benchmark -- and we won't go into that in too much

detail -- but if we have enough sample size, if we

have a benchmark that we're able to do that,

then we can give up to 10 points based on how well

you do on those measures.

But the biggest thing here is that if you don't

submit a measure, you get zero points.

So, if you submit even a tester case you get a

minimum of three points, but you can get up to 10

points, especially -- which is easier to do if

you submit more cases so that we can actually measure you.

We will say that there are some bonus points

available for certain types of measures -- and,

again, more information is available, especially

through the technical assistance, and such --

but there are bonus points for electronic reporting,

there are bonus points for selecting, you know,

measures with -- you know, outcome measures or other

high priority measures.

So, if we can go to the next slide, please.

And -- it's not quite showing up here.

So, the next category is the Cost category, and for

this year we just want people to kind of get used

to the Cost measurement and what that means in MIPS.

So for Cost, no one is required to submit

measures -- it's something that CMS will calculate --

and we do it through claims data.

And, again -- similar to the Quality measure --

we're going to assign a certain number of points

for each measure and how it compares to a benchmark.

Those benchmarks are available on the QPP

website, if you're interested in it.

What's important to notice -- again, for this year --

the cost score is -- while we're calculating this

score for you, it's not going to contribute

to the final score that gets used for the payment adjustment.

So it's really for informational purposes

for the first year.

Next slide.

So, for Improvement Activities, again the idea

here is you choose the inventory of activities

that Molly mentioned before, and it's really,

like, how many and -- with the goal of you're getting

towards 40 points.

I think, particularly for this group, what's

important to know is that if you're in a small,

rural practice, or you served an underserved

practice, then the number of activities that you

need to report is less.

So, we basically have said that basically each

objective that you report is worth, you know, double

the amount, so you get -- so you only have to report

a maximum of two medium activities, or one

high-rated activity in order to get the maximum

number of points for the Improvement Activities.

But the way, again, the way the scoring works

is that you just report each activity, each activity

is worth a certain number of points.

And if you're in a patient-centered medical

home you automatically get -- you automatically get

full credit in the Improvement Activity.

Next slide.

And so, the last report category is Advancing Care

Information, and as Melissa discussed, it got

restructured so that the base score is worth 50 percent

of your score.

So, if you leave that base score you will

automatically get 50 percent credit, and as you

report additional measures against -- the measures

change based on your certification --

you can increase your score up to a maximum of 100 percent.

And so, in general, when you consider all the ways

you can report -- you have the base score, you have

ways you can get additional performance

in certain measures, and you can get bonus points for

reporting to additional registries, or for using

electronic health records for your Improvement

Activities -- you have the ability to get up to 155

points, which means there's multiple ways

to get to that maximum credit because the maximum credit

for any score is 100 percent.

So, there's lots of ways to get to 100 percent

in the Advancing Care Information.

And so, if you take that -- so, what we do is we take

these algorithms, we apply it to all these

activities that are submitted for these

different categories.

And as you go to the next slide, what we do to calculate

your final score is -- you know, similar

to when you were in school -- we say, we take your score

for each category which is somewhere between zero and

100 percent for each of these categories and then

we multiply it by the weight, and then we end up

with a final score that is somewhere between zero

and 100 points.

And that final score is important because that

final score is what we use to determine your payments

for the -- payments for 2019.

And so, if you go to slide 50, I want to spend

a little time talking about these points.

So, what we have done in this first year for "pick

your pace" we have set the -- we have said that if

you get three out of 100 points for your total

score, you can avoid a negative payment adjustment.

And that means if you report a Quality measure,

if you report an Improvement Activity,

if you report the base score for Advancing Care

Information -- you will get at least three points,

and you'll get a neutral point.

So, the only way -- it's only if you don't

participate you get zero points -- is where you get

a negative four percent payment adjustment.

And this is a policy that we certainly implemented

for the first year because we want people to really

get, you know, used to the MIPS program, and used to

the scoring, and learn how these -- how all the pieces sort of

fit together.

We also created a point, a target, and that's 70 points.

And so, in MIPS, we have this algorithm that we

have to calculate to determine what your

payment adjustment will be if you exceed three points.

And the short answer -- and what we have to do is

we have to get everyone's scores in, and we have

to see how much money's available to distribute,

and how many people qualify for additional

bonuses, and then we have to calculate what the amount is.

But the reason why I'm bringing up the 70-point

mark is that at 70 points there's a $500 million set

of funds from the first few years and if you get

70 points you get access to that additional funds.

So, what we can say is at 70 points we get a minimum

additional half percent adjustment along with

whatever adjustments we calculate for MIPS.

So, what does that mean?

It means that if you score at least three points, you

avoid a negative adjustment.

The higher your score, the higher your adjustment

will be but we can't tell you exactly what that is

-- we have to calculate all the scores first and

see how much, how many people we have to

distribute -- how much money there is to

redistribute and how many people we have to

redistribute to.

But if you get to 70 points, you know that

you'll get a little bit of a bump up because you can

access those additional funds for exceptional performance.

For more infomation >> MIPS Scoring Methodology – Part 6 - Duration: 8:59.

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Budgeting - How to Create and Live on a Budget - Duration: 9:15.

Alright so today were talking how to set up a budget.

Now one or two people have responded they want to talk about budgets so we're going

to do that today.

I want to thank primarily my cousin Mary Ann, who gave me the idea to talk about this so,

um, Minnie, this is for you, okay?

So by the way I'm Mike Palios.

I give my clients confidence to make great financial decisions.

You're watching this, so many of you probably know that.

So, there are a few ways you can do budgets.

Now I am going to talk about two.

But there are lots of ways; you've got the envelope system.

I don't know what the envelope system is, but a lot of people do.

We're going talk about how to track it in Excel the obsessive-compulsive way, that's first.

The second way is we're going to do the simple way. We're going to do OCD first.

Alright, so, when people set up budgets, they put different numbers and allocations to dollars

for particular things.

So, "we're going to spend $200 on groceries", "we're going to spend $300 on gas",

"we're going to spend x on this and x on that".

There are fixed expenses, and then you have discretionary expenses.

So, let's say as an example one of your fixed expenses is that you're going to

spend $200 on gasoline and for through no fault of your own gasoline goes up $0.20 a

gallon and you get to like the 20th of the month and you have allocated $200

a month for gas and you're at $200 month for gas and you're at $200 bucks a month and

you've got an empty tank.

What are you going to do?

Are you going to take the bus?

Are you going to walk?

No, you're going to go fill the car up.

So, we're talking about specifically with budgeting about discretionary spending.

Gasoline, groceries, electricity - they are not discretionary; you have to pay those.

What is discretionary is the following: entertainment, like going out to movies, playing golf, um,

Dining out.

Buying clothes, triathlon stuff….

TRIATHLON STUFF!

Hey, I've got to…I'm like part of this too with you.

So were going to focus just on dining out.

So, Christie, zoom in on this just a little bit so just so everybody can see.

Alright.

So, dining out.

And let's just say that we have budgeted…our number our budget is $400.

Okay, you can back up now, thank you.

Christie's laughing at me.

Christie has not seen this before, so she's kind of going be; she did not know this were

going to kind of roll play with Christie.

Okay, so, let's say that you have decided that $400 is going to be your number for dining out, alright?

It does not matter what the number is, we're using this as an example.

So, what we do with this Excel spreadsheet, this assumes you know how to use Excel.

If you don't know how to use Excel…problem.

Oh by the way, I forgot to tell you, this is not going to be a two-minute video.

This is probably going to be closer to like 10, because I cannot have this conversation

in 2 minutes.

It is impossible.

So, $400, assuming you know how to use Excel, every single time that you go out to eat you

keep the receipt, and then you enter it in the square here.

So, we went out to eat and it cost us $65.22.

Whatever, I don't know, okay?

And then three days later you go out to eat again and it is $32…oops….21 oops ok so

I know that it is very, very difficult to see.

Christie, come in here just a second again.

So, you have budgeted $400 and after two times going out, you're at $97.43.

Okay, you can back up a little again.

Okay, so, you got to do this every two or three days.

I did this for like five years where I entered all my receipts every three or four days and

I had everything here for five year's worth of data.

So, I know what I spent on everything all the time.

So, let's say that your number again is $400 and you get to the 10th of the month

and for whatever reason this number here in dining out - or any discretionary item you

want - is at $375, okay?

So, we're going to do $375.

Guess what you're NOT doing for the next 21 days of the month?

You're probably not going to be going out to eat because you hit the number on the discretionary

side, okay?

Now, flip side you get to the 10th, I'm sorry, you get to the 25th of the month and

your number is...I don't know…you've got a $400 number here and you have actually

spent $100, okay?

Well, you can now you can make a few choices you can go out to eat.

If you are in Tampa, you go to Bern's; do the number.

Number 2, roll it over to the next month.

Number 3, save that money.

Now, what this assumes is a few things.

For you to be able to do that, it assumes a few things.

Number1, it assumes everything that we do, everything that we do, assumes that you are

perfectly and fully protected.

If you get sued, if you get sick, and if you pass away unexpectedly…assuming you are

fully protected and assuming you are saving 20%.

If you are doing those things, go ahead and hit the number and

don't feel bad about it, okay?

Don't feel bad about it…you are doing everything in the right order.

All of you work hard to earn your money, and you need to enjoy the fruits of all your hard

work.

Now you've got to keep up with this and…

Now, here is where the challenge comes into play.

When you're married, you've got a husband and wife.

The wife is going to be keeping track, or the husband is keeping track.

You've got to keep all your receipts, and you give your receipts to the spouse or to

your partner, okay?

So, this is where problems can come in.

The bookkeeper in the family is going to look at these receipts, and they are going to say;

I'll use me as an example.

They're going to say, "Hey, Mike, what's this triathlon receipt for?"

I have to be willing and open-minded to know that Bessie, all she wants to do is put it

in the right category.

She's not challenging me on if I spent too much, she's not questioning me on what I do.

She just wants to categorize it right.

So, I've got to be patient when I talk with her, and I've got to say, "You know, that

was a triathlon thing, um, enter it right there."

I cannot say, "Well, you go out to dinner all the time, or whatever…"

You have to communicate, alright?

"You buy shoes all the time…you go to Target all the time."

No, no, you can't do that.

It's a lesson and an exercise in communication between couples on making sure that this is

effective.

So, open communication, and you….many times, you have to have a third party in the room

to make sure everything is, like, cool.

I've done that probably 20 times over, at least, 20 times over the last like 8 months,

with this discussion.

So, that's the OCD way.

There is another way.

This way was created by one of my mentors and another advisor up in St. Louis.

His name is Joe DeLisi.

The Joe DeLisi way…Can you see this okay?

- Yep (Christie).

So, the Joe DeLisi way is the following….you make 100% of you income, okay?

Take out Tax.

Oops, I'm sorry, wrong way.

25%...for some of you, that is higher.

Some of you, that is lower, okay?

Depends on what your tax bracket is.

Hey, I just thought of another idea.

Christie, we're going to do tax brackets, and how they work!

Okay….Left with 75%.

Okay.

Some of you tithe, some of you don't.

I don't care if you do or not, but we're going to put it on here, and now I'm left

with 65%.

Minus 20%...You're now left with 45%.

Assuming, you are perfectly protected and you are saving…oh, jeez, wrong pen!

And you are saving 20%...that was supposed to be a highlighter, but it was permanent, so

it scratched it out.

You're saving 20%...the rest of this 45%, do whatever you want with it.

Mortgage, dinner, golf, it does not matter.

You're doing everything in the right order, and you're saving 20%, and you're perfectly

protected.

So, you can be the obsessive-compulsive way, or you can be the simple Joe DeLisi way.

I have moved from the obsessive-compulsive way for the first 5 years I was here, to the

last 18 months or so, I do it this way.

Because it's simpler.

I don't have to keep track of every little thing.

And, I have all the knowledge of keeping track over the last 60 months.

So, I know what everything costs, okay?

So, um, we've got a lot more videos that we're going to be doing.

Thank you so much for all your suggestions.

If there are any comments, if you have any feedback, I hope that you will leave it with

me, on the bottom on the page?

And I'll do my best to answer, and we will see you all next time.

Thank you so much for watching, I really appreciate it.

For more infomation >> Budgeting - How to Create and Live on a Budget - Duration: 9:15.

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Free high quality backlink source for youtube videos | Tutorial on how to add videos to IBO - Duration: 3:43.

hello Joanne Mbonigaba from freedom

mompreneur by design com in this quick

IBO toolbox tip I'm going to share with

you how you can quickly add videos to IBO

toolbox now why do you want to do that

this IBO toolbox platform is another

way to duplicate your content in a credible

manner and therefore create

backlinks your video as well as get more

views to your video from the IBO toolbox

community or from others who may come

across it through the search engine

optimization. To do that it may not be as

visible to you and that's why I'm doing this

tip so what you do is that you click on

edit profile when you click on edit

profile it takes you to your profile on IBO

toolbox and you scroll right down to the

bottom and that's where you'll be adding

videos now I've added multiple videos to

the platform already so you'll see them

all listed when I get down there so scroll

down and you see section 8 business

videos so the great thing about adding

your video is that you can add a

different title if you so choose and

what you've used in on your YouTube site

you can also on a separate link for more

info so say in your video you are

sharing about a tool or resource that

you also share the link in the video

about you can put the link here as well

and then you can also add keywords and

that would help with your search engine

optimization when you're adding keywords

to anywhere on the IBO toolbox platform

I encourage you to max it up at five and

to separate keywords it's by comma

so it can be a keyword phrase and that

would be ideal to keep up with and

maximize in terms of long tail keywords and

again maximize with five phrases or five

words separated by commas so again to

add videos to the IBO toolbox you

click on edit profile you scroll down to

the bottom to section eight and you

fill out this area and

and hit save and you can see all my

videos i've uploaded are there right and

what happens is how those video show is that

when you go to your actual profile now

to scroll down on the side there'll be a

list of videos and it's someone clicks

on that video when they come to your

profile it will take them to a separate

page where they can actually view the

video embedded so really care clear it

doesn't take them back to youtube it

keeps them in the IBO toolbox and they

have an embedded way to view your video

on the IBO toolbox platform so that's it

for today, for today's tip on how to quickly

add videos to your IBO toolbox account

so if you are not a member of IBO toolbox why should

you join it's a free and amazing

platform for business persons online so

if you are a brick-and-mortar business

if you are a home from work if you work

from home person if you're an affiliate

marketer if your MLM er are a network

marketer you are all welcome and the

platform is completely free they are

some value added benefits or resources

that you can purchase but you can get a

lot i use it only on the free level and

i get a lot out of it so that's it for

today JoAnne Mbonigaba freedom mompreneur

by design com see you next time

For more infomation >> Free high quality backlink source for youtube videos | Tutorial on how to add videos to IBO - Duration: 3:43.

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EASY WAY TO APPLY FALSE LASHES FOR BEGINNERS! - Duration: 6:25.

hey everybody welcome back to my Channel

today I'm going to be teaching you how

to apply false lashes hopefully with

these tips I give you you can get it

right in the first try but honestly that

doesn't happen for a lot of people so

don't get frustrated if you can't get it

right away that's like super important

the war you get frustrated at the more

you messed up take a chance take home

stay cool thank elected into Papa's

lashes on also if you guys are new

around here my name is Hannah and I make

new beauty videos every week so make

sure to hit that subscribe button down

below if you'd like to see more and

let's get on into the video the first

thing you're going to need our lashes I

love these ardelll lashes from the

drugstore they are honestly the best for

the price they are such good lashes

they're so easy to manipulate they have

so many different styles and options to

choose from so i definitely recommend

ardell lashes the next step would be to

determine what kind of I look you're

going for when you're wearing the lashes

are you doing something more subtle or

something more bold and smoky where you

want a little bit of a heavier thicker

fuller lash to complement that look if

you're going for a very subtle natural

look I would go for the 110 ardell

lashes these are what they look like up

close they're super just light and airy

but still have a good length on them and

they look very pretty with just a very

subtle natural I now if you're going a

little bit more bold and smoky I would

go for these 105 lashes they're the

glamour lashes after you decide what

style lashes will look best with your

makeup look now it's time to get all

your supplies so what I do before

applying my lashes is I always apply one

to two coats of mascara i use the

covergirl LashBlast mascara how all

we're trying to do is a few light coats

just to darken our lashes we don't want

them to be clumpy or anything we just

want them to blend in well with the

falsies so after you apply your mascara

make sure that you have some glue this

is the house of lashes glue there's also

a duo lash glue from the drugstore which

is around the same price probably and

they have like a squeezee tube or they

have a wand that you

purchase and I actually do like the

wands it makes it so much simpler than

the tweezy tubes to apply to the lashes

then I have my tweezers sometimes in

these packs like this they'll have these

little like plastic applicators that

work just as well there's just a little

bit harder to maneuver when you're a

beginner honestly even though tweezers

might sound a little bit scary I would

recommend using tweezers and but please

be careful be careful when you use

tweezers because they're getting very

close to your eyeballs and I always keep

a pair of scissors or nail clippers with

me just to trim the lashes if they're a

little bit too long widthwise if that

makes sense my eye look isn't super bowl

today but for the purpose of the video

Ayman ease these Boulder lashes so first

I'm going to do my left eye and all I'm

going to do is take them off the little

applicator like that you want to do is

get the lash bendable and movable so

you're just going to kind of wiggle it

back and forth and I even like to stick

it on my finger and kind of wrap it like

so next you want to measure the width of

your lashes so I'm just going to take my

fingertips and apply the lashes on my

lash line and see if I need to cut any

of the width off but those look pretty

good sometimes you'll get lashes that

are super long because everybody has

different shaped eyes but these ones

work pretty well for me so I'm just

going to peel them back off we're going

to see this side that's a little bit

shorter goes on the inner corner in this

side which is a little bit longer it

goes on the outer corner now i'm taking

my house of lashes blue and i'm just

going to apply that on to the band where

you have enough glue that you know it

will stick but not an overboard amount

where it's just going to slide around

and get goofy and gross and wait about

30 seconds with this glue to apply it

now if you're using a squeezy tube like

the duo lash glue I would recommend

waiting 60 seconds for those to make

sure it's tacky that is honestly one of

the most important tips make sure your

lash glue is tacky because if it's not

then it will just slide around on your

eye so I like to have a little mirror in

front of me and I'm going to look down

into the mirror and I'm going to get as

close

to the lash line as possible and I like

to put the center of the lash on first

and then take my tweezers and secure the

edges make sure you don't have any glue

on your tweezers as well because it will

kind of just make the lashes stick to

the tweezers and then they'll pull off

I've had that happen several times so i

just press my lashes and the false

lashes together just so they're blended

and you can't really tell the difference

and this glue is blue right now but it

will dry to be clear and sometimes I'll

even take a black liner afterwards just

kind of hide that lash line with the

black liner I'm going to do my right eye

I have that lash wrapped around my

pointer finger again I'm going to just

keep bending it the more you bend it the

easier it is to bend to your eye shape

so I apply a little bit more glue to the

edges of the lashes because of your eyes

water at all sometimes they will tend to

pop up which you do not want I'm just

going to do the very same thing look

down into a mirror like a little

handheld mirror like i have and get the

lashes as close to the lash line as

possible i always start in the middle

and then secure the edges afterwards

this just works best for me

look how much bolder and Chris burger I

makeup looks after applying lashes they

are one of my favorite makeup products

if you can call that a makeup product

ever i love lashes so so much you want

to hide your lash line even more just

take a liquid liner and go over the lash

line a bit so i hope you guys enjoyed

this video leave it in the comments

below if you tried it out and how it

wait thank you all so much for watching

you know phoenix time five

For more infomation >> EASY WAY TO APPLY FALSE LASHES FOR BEGINNERS! - Duration: 6:25.

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Secretary Zinke's tips for staying safe at National Parks - Duration: 1:16.

Hi, I'm Ryan Zinke, the Secretary of the United States Department of the Interior.

America has 417 National Parks that represent diverse landscapes and America's greatest

treasures.

During your visit, protect yourself and our National Parks' legacy by following these

5 tips:

Keep our parks beautiful by properly disposing of all garbage and keep our waterways and

hot springs free of litter and contaminants.

When taking selfies, stay a safe distance from wildlife and stay on designated paths.

Stay in your car if wildlife is on the road.

Park in designated areas and follow the posted speed limit.

If in bear country, make noise, hike in groups, and carry bear spray.

Whether you are hiking in the backcountry or visiting a National Park Service historic

or cultural site, be respectful of others and help us protect our parks majesty for

generations to comel

Let's all do our part to ensure that future generations have the opportunity to enjoy

our lands, rivers, forests, and mountains, as much as we do today.

And if you ever need help in our Parks, don't hesitate to call your friendly Park Ranger

or dial 911.

I look forward to seeing you on the trail.

For more infomation >> Secretary Zinke's tips for staying safe at National Parks - Duration: 1:16.

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OCULUS RIFT PART 2 - HOW TO VIDEOGAMES - Duration: 2:12.

[Dramatic Music]

Oculus Rift!

Fruit Ninja's the one that everybody starts with,

but I hope to go through a few different games.

[Vomiting]

[Vomiting]

[Techno Music]

So I'm gonna try umm--

Oh that tastes gross.

Ohhh The Climb!

That feels like a real Heather game.

You know, I like immersive environments.

[Vomiting]

Let's play!

Oh it's still loading!

I really don't know anything about this game, so this is pretty exciting.

Oh, I hope it's not like a lot of bridges and depth and stuff.

[Vomiting]

Wow!

It really feels like I'm there!

Can I lean on this?

I can't lean on this.

[Vomiting]

AGGHHHH!!!

Ok I died.

[Vomiting]

I'm like in Thailand.

This is incredible.

Oculus is really kind of incredible.

Uh, this has been a- uh-- I'm slipping

Like I'm so blown away by the future of VR.

Ah-- Until next week, this has been How To Videogames.

[Vomiting]

For more infomation >> OCULUS RIFT PART 2 - HOW TO VIDEOGAMES - Duration: 2:12.

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Graduating Medical Student Headed for Duty with U.S. Navy - Duration: 1:17.

- So, I've always wanted to be in the military in some way,

and then once I figured out

that I also wanted to be a doctor,

the HPSP program, which is

the Health Professions Scholarship Program,

seemed like a good way to sorta merge the two.

Between your first and second year of residency,

you have the opportunity to do what's called a GMO tour.

These are operational tours

in which you act as a primary care physician

for the forward Navy.

- Wake Forest School of Medicine definitely

approaches physician education from a holistic standpoint,

developing great thinkers, great leaders,

and people that are gonna be representative of our program.

- No one in my immediate family have served in the military.

Both my grandparents, however, did.

One grandfather was in the Army and served in World War II.

The other grandfather was in the Navy

and served in the Korean War.

I had the opportunity to restart the tradition of serving

in our military and following after my two grandparents.

I think the armed forces is at the forefront

of medical technology and medical research.

- Tommy was instrumental in several of our projects,

doing research, looking at outcomes of patients,

and he definitely has a bright future ahead of him.

For more infomation >> Graduating Medical Student Headed for Duty with U.S. Navy - Duration: 1:17.

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Quick Hits for Principals: Automated Detentions - Duration: 1:51.

Hi, I'm Scott.

If you were to describe the highlights of your day,

"giving detentions" wouldn't make the list.

But what if that process could be automated?

Today we're going to look at how you can automate detentions for students with repeated tardies.

Once you've gone through the process of setting up attendance letters for students with multiple tardies,

it's easy to automatically link them to detentions.

To get started, go to Office → Attendance → Scheduled Letters.

Since your letter is already set up, you can click on Letter Parameters on the left side of the screen.

Click Edit, then check the box that says Create Discipline Records for Students Receiving Letters.

Then click the Discipline Offense button.

In the popup box, enter an offense, such as excessive tardiness.

Be sure to change the offense date to Variable, so it will always be current.

And click Save.

On the next screen, set up the action to be taken,

in this case detention, when an attendance letter is distributed.

Again, set the date to Variable.

When you're finished click Save.

The system will now automatically issue detentions whenever an attendance letter is sent.

Use that letter to inform students that they have a certain amount of days to serve the detention

and put some accountability back in their hands.

You've got too much on your plate to issue every single detention manually.

Work smarter with Skyward's automated detentions

and stay tuned for more Quick Hits for principals coming soon.

For more infomation >> Quick Hits for Principals: Automated Detentions - Duration: 1:51.

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Strong Gujrat Lions Balanced Squad For IPL 2017 - Duration: 2:43.

Strong Gujrat Lions Balanced Squad For IPL 2017

For more infomation >> Strong Gujrat Lions Balanced Squad For IPL 2017 - Duration: 2:43.

-------------------------------------------

Checklist for Preparing and Participating in MIPS – Part 7 - Duration: 15:09.

>> Adam Richards: Great.

Thanks, Mary.

We're going to enter into Part 2 of the webinar today.

And this is really the getting started, the "how

do I do it" portion of the webinar.

So, we're going to start, really, with the checklist

for preparing for and participating in MIPS.

And it's my pleasure to introduce another

colleague, Dr. Asbhy Wolfe, Chief Medical

Officer for Region 9 at CMS and a family

physician, to run us through this list and give

us some pointers on how to get started.

>> Ashby Wolfe: Thank you so much, Adam, and good

afternoon -- or good morning -- everyone,

depending on where you're accessing the call from.

It's my pleasure to be here, and I am going to be

walking you through the final segment where we'll

discuss the practical aspects of the program --

the how-to of the participating in this MIPS

pathway of the quality payment program.

And thank you, Tomali [phonetic sp] and Mary

for that detailed review of MIPS.

I'm going to try to break down some of what Molly

and Mary discussed and described on the next several slides.

If we move to slide 52, you'll see a checklist.

Really, we hope this will be useful to you

as clinicians, as practice managers, as part of

the care support team in preparing for participation

in this transition year, 2017.

And you'll see on this slide there are a number

of points to take a look at.

I'm going to be walking you through each of these

checks in the next several slides, including looking

at how you determine your eligibility, how you might

choose to submit your data, what submission

method to look at, and how to choose your measures, et cetera.

This checklist is really meant to serve as a

general guide to every clinician who would be

participating in MIPS, regardless of your level

of experience with prior reporting programs like

PQRS or Medicare Meaningful Use.

So, we're going to walk through each of these

items -- just remember, this checklist is really

a means to help you get started.

You have the flexibility to determine how many

elements are really applicable to you in your

practice, and don't feel that you need to complete

this checklist in order, or all at once.

We're going to talk through each step and you

can really personalize it as you see fit,

and as it would be helpful.

So, moving through slide 53 to slide 54, let's talk

about that first checkpoint -- determining your eligibility.

So, how do you this for your practice?

Well, to go back to the eligibility piece that

Molly mentioned earlier -- really, it's a question

of determining your annual patient count and billing

amount for Medicare Part B -- and getting back

to that specific question: did you bill more than

$30,000 in Part B allowed charges and provide care

for more than 100 Medicare patients in a given year?

Again, this applies to Medicare Part B fee for

service -- so really taking a look at your

claims for service provided between September

1, 2015 and August 31, 2016 will be key in order

to determine your eligibility.

Now, CMS will be providing additional information

to you this spring to help you in this effort.

The key thing I want you to take away from this is

that there is this two-part piece to the eligibility.

If you are a physician, a nurse practitioner, PA,

Certified Registered Nurse Anesthetist, or Nurse Specialist

you have to be able to answer that question: "Did you bill

more than $30,000 in Part B allowed charges, and provide

care for more than 100 Medicare patients in that year?"

Now, as I mentioned, CMS will be providing

additional information to help you determine this

eligibility, and we've been really deliberate

to make sure that all clinician information

is up to date and that our eligibility data is accurate.

So, let's move on to the next data point --

the next decision point here -- on slide 55.

How do you choose to submit data?

Do you participate as an individual or as part

of a group?

So, on slide 56 you'll see this particular checkpoint --

an eligible clinician has two options for participating

in the MIPS pathway, as was mentioned previously.

You can participate as an individual, meaning that

you, as a clinician, would report information under

your unique National Provider Identifier,

or NPI, combined with your Tax Identification Number, or TIN.

So, using this combination we can identify you as an

individual participant in MIPS.

Alternatively, if you and at least one other

clinician in the group would like to participate

as a group we would take a look at your data under

the single Tax Identification Number

to which you and your fellow clinicians have

re-assigned your billing rights.

So, it's important to note that if you,

as a clinician, decide you want to participate as a group,

your group is assessed as a group across all of the

MIPS performance categories.

Now, we encourage clinicians to begin

discussing how they want to participate

in this performance year.

It's not just about knowing that this choice

exists, it's about talking to your clinician

colleagues, if you have them, and really

identifying the best option for your practice

and the population of patients that you're serving.

Now let's talk about the next decision point --

choosing a submission method.

How do you do this?

How do you get your data to CMS?

So, on slide 58 you'll see a few suggestions.

The good news is that if you have already been

submitting data to CMS through either PQRS or

Meaningful Use, for example, chances are you

are already familiar with some of the submission

methods that we have as options to report

in the MIPS program.

As was mentioned earlier, depending on whether

you're participating as an individual or as a group,

our submission methods for MIPS include claims,

attestations, qualified registries, qualified

clinical data registries, electronic health records,

and, for groups of 25 or more, the CMS web

interface in the CAPS for MIPS survey.

So, in making this determination it's very

reasonable to speak with your specialty society

or to get additional help through one of our

technical assistance contractors.

You don't have to make these decisions on your own.

We have a list of technical assistants --

it's currently available on our website.

As was mentioned earlier you can visit qpp.cms.gov

for information on your submission options,

as well as information about using our technical assistance

program for decision support.

So, let's move to the next decision point.

Now that you've made some initial determinations

about eligibility and about how you're going

to get your data to CMS, you can prepare to participate in 2017.

So, on slide 60, you'll see a couple of additional

suggestions about how you do this additional preparation.

So, thinking through your practice readiness --

if you've previously participated in a quality

reporting program, like PQRS or Medicare

Meaningful Use, that's an opportunity where you can

build off what you've learned already.

Additionally, think through if you're prepared

to begin reporting data for the 2017 transition year.

You can review the options for participation,

including whether you simply want to test

the system, as Molly was mentioning earlier, or if

you'd like to participate more as a partial-year

participant, or for the full year.

So, there's a couple of different pieces here

on this slide that are worth thinking about as you

begin to plan your method of participation.

Now, let's talk about the data itself.

What information are you sending to CMS, and how

are you going to make that decision?

So, moving through slide 61 to slide 62, this slide

really details some of the information that would be

helpful as you choose your measures and activities --

what data you will be sending into CMS.

Step-by-step you can review the measures

or the improvement activities that make the most sense

to you based on your specialty and your scope of practice.

So, we highly recommend going to qpp.cms.gov

and clicking on the "Explore Measures" tab right

at the top of the page.

That will take you to an opportunity to review each

of the performance categories that

are available in MIPS, and you can select a performance

category of interest.

You'll have several different ways to sort

this information -- looking critically

at the Quality measures, the Advancing Care Information

measures, or the Improvement Activities.

And depending on which performance category you

choose, you can actually search by keyword, by

specialty -- you can even search by method of submission.

So, for example, if you are a clinician who wants

to report a quality measure, or wants

to take a look at what quality measures match up with

your specialty -- and let's say you take care

of a significant number of patients with arthritis --

you can actually go to the Quality Measures tab, type

in the keyword, "Arthritis," and the tool will actually sort

for you which measures are applicable there.

You can also search by specialty, so if you're

a dermatologist and you want to see what quality

measures apply to you, simply use the dropdown

menu and you can identify which quality measures apply there.

By searching these different options you can

actually see all of the information that's

pertinent to that measure, or to the improvement

activity that you're interested in reporting.

Now moving on to slide 63, a couple of tips

to think about here.

So, definitely consider your patient population

and the clinical conditions that you treat.

It's worth thinking about what areas of your

practice might be the most amenable to practice

improvement goals.

For myself, I'm an actively practicing family physician.

I continue to see patients as part of my job at CMS

and, for an example, if I wanted to really look

critically at my patients for whom I'm treating for

diabetes, I could really make that a theme in terms

of my practice improvement goals -- looking at, focusing

on increasing diabetic control among my patient populations,

choosing quality measures, and perhaps an improvement activity

that might support those goals.

And being able to sort through, on the Measures

tool, the valuable information that would

then be provided to me in the CMS feedback report.

So, those are things worth thinking about as you're

selecting what measures and improvement

activities, or Advancing Care Information measures

are the most applicable.

Now, for those of you who have not participated

in PQRS or Medicare Meaningful Use, you may

not be as familiar with the existing feedback

reports that clinicians receive under those programs.

The Quality Resource Use Report, or QRUR,

is currently the way we're providing information

to clinicians who are participating

in our legacy programs.

It's a report card of sorts, provided to

clinicians by CMS, and it provides an overview of

the quality of care that clinicians are providing

to their patients, as well as a review of the cost

of that care.

That quality information is actually pulled

from PQRS data and the cost information comes directly

from claims.

So, if you're a clinician who has been participating

in PQRS or Medicare Meaningful Use we would

highly recommend that you take a look at your

existing QRUR to potentially identify

measures that could match up with your practice

improvement goals, as well.

Now, let's move on to slide 64 and talk about

how to verify the information that you need to report.

Slide 65 provides an extensive list of this

information, and I do want to emphasize a few key

specifications that may be helpful to you in

reviewing the information that you need to report.

Taking a look at the measure number,

the measure title, of course, is important to know which

populations are applicable there, and looking at the

submission method options -- not every quality

measure or improvement activity can be submitted

by the same submission method.

So, looking at what submission method makes

the most sense to you is very important.

Additionally, the measure description

and instructions on reporting, as well as the criteria

for the measure, are key things to take a look at.

And remember, many of the measures for MIPS are

measures that have been developed by specialty

societies, they've been rigorously tested

and validated, and some of them have been in use

previously in PQRS and Medicare Meaningful Use.

So, some of the measures will probably look very

familiar to you if you have been participating

in those programs.

The new element of MIPS is the increased flexibility,

so making sure that you, as a clinician, can pick

measures that match up with your specialty

and your scope of practice.

So, definitely taking a look at these details will

be key ways to assist you in making a decision.

Now let's move to slide 66, and then 67.

And, finally, talking about the submission of

data -- making sure that you have an eye on the

timeframe for when you need to submit your data.

We at CMS highly recommend that you send in your data

to CMS before the submission deadline,

which is March 31, 2018.

So, depending on how you're participating in

MIPS, you're capturing data about your performance

in 2017, and you'll be tracking your progress

throughout the year.

You'll begin submitting this data on January 1, 2018

with the deadline for getting that information

to us by March 31, 2018.

So, again, highly recommended that you submit your data early

so as not to miss the deadline, and make sure that we have

timely receipt and accurate data.

So, remember -- these steps we've just been

discussing will help make participating in MIPS

possible for all eligible clinicians, really

regardless of their previous experience with

any of our legacy programs.

CMS would really encourage you to discuss MIPS with

your colleagues, with your specialty societies,

and with CMS, as we are working together to learn

from your experience and to continually improve

the program to the benefit of not only you,

our clinician partners, but also your patients.

For more infomation >> Checklist for Preparing and Participating in MIPS – Part 7 - Duration: 15:09.

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Kinesiology Taping for Shin Splints - Duration: 2:37.

Hey guys, Dr. Michael here from Velocity Sports Rehab.

In this video we are going to go over a RockTape application for shin splints.

What I have here are three pieces of tape that I cut.

There are two small ones and then one longer one.

Then what I did was measure how long my shin is for the longer strip.

And then about 3 to 4 inches for the small strips.

Then I'm going to feel for my tibia which is my shin bone.

And then I'm going to feel to the outside where the muscle is, which is the anterior

tibialis muscle.

Then I'm going to rip the back side of the tape.

Wherever you are feeling the pain is where you are going to want to tape.

So let's say that I have pain in the middle portion and maybe a little bit lower.

So my first strip that I'm going to do is on the tibialis anterior muscle, just to the

outside of the tibia.

Rip off the back of the tape and place it on the skin.

Slowly roll the tape off, putting no stretch on the tape.

Then just follow the muscle along the tibia.

Give the tape a little bit of a rub so that it sticks to the skin.

Then I'm going to take my smaller strip and rip them again on the back.

Find the area that I have pain.

So I'm going to anchor my strip on the side.

Then push the muscle closer to the bone and then tape over, again with no tension.

And then the last one, same thing just a little bit higher.

Rip the back of the tape and I will place it on the side.

Using my hand and not the tape, I'm going to push the muscle towards the bone and then

just lay the tape on there, with no tension.

Give it a little bit of a rub to make sure that it all sticks to the skin.

And that's how you tape for a shin splint.

For more infomation >> Kinesiology Taping for Shin Splints - Duration: 2:37.

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History Moments: Accidental Plagiarism - Duration: 1:35.

Information is everywhere!

So, it's pretty easy to research almost any topic.

What else is pretty easy?

Accidentally plagiarizing.

Plagiarism by definition is: "The act of taking another's idea and presenting it as your own."

You see that?

That right there is a citation.

That tells you that this statement or idea is not my own, and this is where I found it.

And if you just copy something without saying where you got it, that's plagiarism.

Even if you don't use the same exact words in the same exact order, it's still plagiarism.

Change one or two words out?

Still plagiarism.

And even if you copy and paste from your own previous original work,

yep, that's plagiarism too.

Now, how to avoid plagiarism: well, when you're writing a report, you should gather information

from a variety of different resources.

But you need to cite those resources when you include statements and ideas that are

not solely yours.

Now, if you form your own conclusions and ideas based on the information you learned

from your research?

That conclusion doesn't need a citation!

You've made that statement all on your own.

And you don't need to cite yourself!

For more infomation >> History Moments: Accidental Plagiarism - Duration: 1:35.

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Color cars transportation with spiderman and superheroes for kids - Duration: 11:12.

Color cars transportation with spiderman and superheroes for kids

For more infomation >> Color cars transportation with spiderman and superheroes for kids - Duration: 11:12.

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Shapes Learning Learn Colors for Toddler and Preschooler Learning Shapes & Colors Edukations games - Duration: 10:33.

Shapes Learning Learn Colors for Toddler and Preschooler Learning Shapes & Colors Edukations games

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