Viral Vectors, Non-Viral Vectors and Gene Therapy Manufacturing Market COVID -19 Impact Analysis | Size, Trends Analysis, Region, Demands and…

Innovative Report on Viral Vectors, Non-Viral Vectors and Gene Therapy Manufacturing Market with Competitive Analysis, New Business Developments, and Top Companies

A perfect mix of quantitative & qualitative Viral Vectors, Non-Viral Vectors and Gene Therapy Manufacturing Market Market information highlighting developments, industry challenges that competitors are facing along with gaps and opportunities available and would trend in Viral Vectors, Non-Viral Vectors and Gene Therapy Manufacturing Market. The study bridges the historical data from 2014 to 2019 and estimated until 2026.

Prominent players profiled in the study: BioReliance, Richter-Helm, UniQure, Cobra Biologics, MassBiologics, Oxford BioMedica, Lonza, MolMed, FinVector, FUJIFILM Diosynth Biotechnologies, Brammer Bio, bluebird bio, Aldevron, Spark Therapeutics, VGXI, Biovian, Eurogentec, Novasep, PlasmidFactory, Cell and Gene Therapy Catapult, Vigene Biosciences

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Covid-19 pandemic affects most industries in the globe. Here at acquire market research we offer you comprehensive data of related industry which will help and support your business in all possible ways.

This Report Provides an overview of the Viral Vectors, Non-Viral Vectors and Gene Therapy Manufacturing market, containing global revenue, global production, sales, and CAGR. Also describe Viral Vectors, Non-Viral Vectors and Gene Therapy Manufacturing product scope, market overview, market opportunities, market driving force, and market risks. The forecast and analysis of the Viral Vectors, Non-Viral Vectors and Gene Therapy Manufacturing market by type, application, and region are also presented. The next part of the report provides a full-scale analysis of Viral Vectors, Non-Viral Vectors and Gene Therapy Manufacturing competitive situation, sales, revenue and global market share of major players in the Viral Vectors, Non-Viral Vectors and Gene Therapy Manufacturing industry. The basic information, as well as the profiles, applications, and specifications of products market performance along with Business Overview, are offered.

AAV, Adenoviral, Lentiviral, Retroviral, Plasmid DNA, Other Vectors: AAV, Adenoviral, Lentiviral, Retroviral, Plasmid DNA, Other Vectors

Application: Cancers, Inherited Disorders, Viral Infections, Others

Geographical Regions: North America, Europe, Central & South America, Asia-Pacific, and the Middle East & Africa, etc.

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Scope of the Viral Vectors, Non-Viral Vectors and Gene Therapy Manufacturing Report:

Worldwide Viral Vectors, Non-Viral Vectors and Gene Therapy Manufacturing Market 2020, Market Size Value CAGR (XX %) and revenue (USD Million) for the historical years (2016 to 2019) and forecast years (2020 to 2026), with SWOT analysis, Industry Analysis, Demand, Sales, Market Drivers, Restraints, Opportunities and Forecast to 2026 cover in this research report.

As a part of our Corporate Social Responsibility, we would like to announce that we would be contributing 15 % of our profits to USA, UK, Italy, Spain and India relief fund.

This report covers the current scenario and growth prospects of the Viral Vectors, Non-Viral Vectors and Gene Therapy Manufacturing Market for the period 2020-2026. The study is a professional and in-depth study with around tables and figures which provides key statistics on the state of the industry and is a valuable source of guidance and direction for companies and individuals interested in the domain.

Finally, all aspects of the Global Viral Vectors, Non-Viral Vectors and Gene Therapy Manufacturing Market are quantitatively as well qualitatively assessed to study the Global as well as regional market comparatively. This market study presents critical information and factual data about the market providing an overall statistical study of this market on the basis of market drivers, limitations and future prospects.

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Viral Vectors, Non-Viral Vectors and Gene Therapy Manufacturing Market COVID -19 Impact Analysis | Size, Trends Analysis, Region, Demands and...

Gene Therapy Market Size Analysis and Growth (2020-2025) Owned – Owned

The Gene Therapy report provides independent information about the Gene Therapy industry supported by extensive research on factors such as industry segments size & trends, inhibitors, dynamics, drivers, opportunities & challenges, environment & policy, cost overview, porters five force analysis, and key companies profiles including business overview and recent development.

Gene Therapy MarketLatest Research Report 2020:

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In this report, our team offers a thorough investigation of Gene Therapy Market, SWOT examination of the most prominent players right now. Alongside an industrial chain, market measurements regarding revenue, sales, value, capacity, regional market examination, section insightful information, and market forecast are offered in the full investigation, and so forth.

Scope of Gene Therapy Market: Products in the Gene Therapy classification furnish clients with assets to get ready for tests, tests, and evaluations.

Major Company Profiles Covered in This Report

Pfizer Inc.,Novartis AG,Bayer AG,Sanofi,GlaxoSmithKline plc.,Amgen Inc.,Boehringer Ingelheim International GmbH,uniQure N.V.,bluebird bio, Inc.,Celgene Corporation

Gene Therapy Market Report Covers the Following Segments:

Application: By Disease Indication, Cancer, Genetic disorders, Cardiovascular diseases, Ophthalmology, Neurological conditions, Others,,By Type of Vectors, Viral vectors, Non-viral vectors,,By Type of Cells, Somatic cells, Germline cells

North America

Europe

Asia-Pacific

South America

Center East and Africa

United States, Canada and Mexico

Germany, France, UK, Russia and Italy

China, Japan, Korea, India and Southeast Asia

Brazil, Argentina, Colombia

Saudi Arabia, UAE, Egypt, Nigeria and South Africa

Market Overview:The report begins with this section where product overview and highlights of product and application segments of the global Gene Therapy Market are provided. Highlights of the segmentation study include price, revenue, sales, sales growth rate, and market share by product.

Competition by Company:Here, the competition in the Worldwide Gene Therapy Market is analyzed, By price, revenue, sales, and market share by company, market rate, competitive situations Landscape, and latest trends, merger, expansion, acquisition, and market shares of top companies.

Company Profiles and Sales Data:As the name suggests, this section gives the sales data of key players of the global Gene Therapy Market as well as some useful information on their business. It talks about the gross margin, price, revenue, products, and their specifications, type, applications, competitors, manufacturing base, and the main business of key players operating in the global Gene Therapy Market.

Market Status and Outlook by Region:In this section, the report discusses about gross margin, sales, revenue, production, market share, CAGR, and market size by region. Here, the global Gene Therapy Market is deeply analyzed on the basis of regions and countries such as North America, Europe, China, India, Japan, and the MEA.

Application or End User:This section of the research study shows how different end-user/application segments contribute to the global Gene Therapy Market.

Market Forecast:Here, the report offers a complete forecast of the global Gene Therapy Market by product, application, and region. It also offers global sales and revenue forecast for all years of the forecast period.

Research Findings and Conclusion:This is one of the last sections of the report where the findings of the analysts and the conclusion of the research study are provided.

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We publish market research reports & business insights produced by highly qualified and experienced industry analysts. Our research reports are available in a wide range of industry verticals including aviation, food & beverage, healthcare, ICT, Construction, Chemicals and lot more. Brand Essence Market Research report will be best fit for senior executives, business development managers, marketing managers, consultants, CEOs, CIOs, COOs, and Directors, governments, agencies, organizations and Ph.D. Students.

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Gene Therapy Market Size Analysis and Growth (2020-2025) Owned - Owned

Global Tissue Engineering Gene Therapy Market 2020 Coronavirus (COVID-19) Updated Analysis By Product (Autologous cell therapy, Allogeneic cell…

Global Tissue Engineering Gene Therapy Market: Past, Current, and Future Market Analysis, Trends, and Opportunities, 2016-2026

The new report published by theMarket Research StoreglobalTissue Engineering Gene Therapy marketis slated for a rapid growth in the coming years. The research study projects that the market is expected to grow at a good CAGR of XX% during the forecast period. The valuation for the Tissue Engineering Gene Therapy market made by our research analysts is around USD XX Million in 2019 and anticipates USD XX Million by the end of 2026.

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The competitive landscape evaluation of the Tissue Engineering Gene Therapy market players includeOrthocell, Histogenics, Epithelix Sarl, Biostage, BioAxone Biosciences, Histogen, Admedus, Osiris Therapeutics. The information that is profiled for each of the market player will include their primary foundation business model as well as their current business strategy, SWOT analysis, their market share, revenue, pricing, gross margin , and the recent developments.

Tissue Engineering Gene Therapy Market Report Insights

Overview of the Tissue Engineering Gene Therapy market, its scope, and target audience. In-depth description about the market drivers, restraints, future market opportunities, and challenges. Details about the advanced technologies, including big data & analytics, artificial intelligence, and social media platforms used by the global Tissue Engineering Gene Therapy Market Primary legislations that will have a great impact on the global platform. Comprehensive analysis about the key players in the global Tissue Engineering Gene Therapy market. Recent developments, mergers and acquisitions, collaborations, R&D projects are mentioned in the Tissue Engineering Gene Therapy market report.

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Tissue Engineering Gene Therapy Market Segmentation

Global Tissue Engineering Gene Therapy market: By Type Analysis

Autologous cell therapy, Allogeneic cell therapy

Global Tissue Engineering Gene Therapy market: By Application Analysis

Implantable Grafts, Tissue Healing and Remodeling, Wound Healing and Wound Care, 3D Organoids, Dental Tissue Engineering, Organ Engineering

Global Tissue Engineering Gene Therapy market: By Regional Analysis North America Europe Asia Pacific Latin America Middle East and Africa

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In the segmentation part of the report a thorough research of each and every segment is done. For in-depth information some of the major segments have been segregated into sub-segments. In the regional segmentation also our research analysts have not only concentrated on the major regions but have also included the country-wise analysis of the Tissue Engineering Gene Therapy market.

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Global Tissue Engineering Gene Therapy Market 2020 Coronavirus (COVID-19) Updated Analysis By Product (Autologous cell therapy, Allogeneic cell...

Kyrie Irving Will Contribute $1.5 Million to Support WNBA Players Forgoing the 2020 Season – Yahoo Sports

As concerns about COVID-19 increase in the US and athletes continue to speak out about social justice issues, several WNBA players have chosen to forgo the 2020 basketball season, which began on July 25. In order to show support for these hard-working women, Kyrie Irving of the Brooklyn Nets has set up the KAI Empowerment Initiative, which was founded with the intent of providing financial support for individual players who are "active but will not play in the 2020 WNBA season due to personal, professional, health, and/or safety-related reasons," according to AP.

The initiative, which launched on July 27, is fully funded by Irving, who has committed $1.5 million to supplement the income of these WNBA players and grant them access to a financial literacy program provided by investment banking company UBS. Irving said he was inspired to fund the initiative after speaking with several WNBA players - including Washington's Natasha Cloud, Seattle's Jewell Loyd, and Atlanta's Renee Montgomery - who explained to him the personal and professional challenges they have faced in deciding whether to play this season.

Related: Baseball Players and Coaches Kneeled For Racial Justice on Opening Day

See MLB Players Kneel For Racial Justice on Opening Day

While some players in the NBA are paid upward of $30 million annually, the top annual salary for a player in the WNBA is $215,000 (though players are able to make additional money in the league through other "cash compensation increases"), which makes Irving's pledge a powerful and meaningful gesture in support of his fellow basketball players. To apply for the grant, WNBA players must explain the circumstances and reasons behind their decision to sit out the season and must not be receiving financial support from anywhere else. Eligible players must apply on the KAI Empowerment Initiative website by Aug. 11 and will be notified of their status on Aug. 24.

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Kyrie Irving Will Contribute $1.5 Million to Support WNBA Players Forgoing the 2020 Season - Yahoo Sports

How Siemens, Marriott International, 3M and more are putting the ‘personal’ in personalised learning – Human Resources Online

Priya Sunil uncovers how Siemens, Marriott International, 3M, AkzoNobel, and Fuji Xerox Singapore have leveraged custom-built systems to evolve the learning approach, while DKSHs Christopher Schultz steps into the learners shoes.

Picture this you switch on your TV, laptop, tablet or handphone and browse through a catalogue of learning materials, wondering which one youll pick today, but before you can do that, you find something interesting in the recommended for you section.

No, we arent talking about Netflix, but an AI-driven virtual learning library; or one like Spotify, that allows you to subscribe to specific channels catered to your role. Wouldnt that be amazing?

What if, just by scanning an employee, youre provided with a comprehensive report on their personality, skills and knowledge, which will help you better assess their culture fit and learning style. How much more efficient would that be for your L&D teams?

We asked our interviewees for their craziest L&D ideas, and they certainly didnt disappoint. While we hope these initiatives arent too far off in the future, lets pause and take stock of how they are working hard to make personalised learning a reality today, using progressive learning models, AI-driven platforms, and more.

Siemens: Leveraging AI-driven platforms to recommend personalised learning content

With a belief that ones learning and growth journey is unique to the individual, global powerhouse Siemens is all for customised L&D. As such, employees can benefit from diverse learning activities that are considered meaningful and relevant to them, and driven by their interests.

These learning activities can be specific to the brands products, specialist knowledge and methodology, as well as business and process-specific expertise, shares Chinh Duong, Head of Learning & Development, ASEAN, Siemens.

In building this custom approach, managers are encouraged to engage in continuous dialogue with their employees on their learning needs, help them fulfil their potential and support their growth plans in their current job.

The team also conducts learning needs identification surveys that explore the individual and organisational demands for future skills development.

Chinh Duong explains: "The survey results help us to align and understand the business growth priorities, and gaps between an individuals and the companys capability. We then design and develop learning solutions that are specific and relevant to address those gaps."

To ensure learning remains dynamic for the digital age, the team created an online My Learning World platform for employees to find the latest relevant learning content that they can personalise and learn in their own time. The content covers a wide range of traditional classroom and virtual courses. There is also an internal video platform which contains both user and expert-generated content.

Apart from the above, Chinh Duong shares:

"Our internal social media platform connects learning communities and allows employees to access knowledge available within the company in order to solve problems and deal with specific challenges daily."

Given the platform offers access to a huge span of courses, knowledge modules, training videos, e-learning measures and global learning communities, Chinh Duong notes that it can be overwhelming for employees. "Our challenge is how to put this learning content into context for employees and provide relevant recommendations for them."

To address this, the platform is AI-driven, and continuously provides recommendations and personalisation for each learner. "Learners can also design their own learning path for learning and completion at their own pace."

The system comprises more than 15,000 learning resources available in multiple languages from internal and trusted external sources. Learners can not only access the resources anytime, anywhere, but they can also share their own learning playlists or content, and offer insights on specific topics. This makes growth more social, connected, and rewarding, Chinh Duong says.

Fuji Xerox Singapore: A brand new approach to the 70:20:10 model

Fuji Xerox Singapore, a provider of document services and printing technologies, adopts the classic 70:20:10 learning framework albeit in the context of personalised learning, says Jacely Voon, General Manager, Human Capital & CSR, Fuji Xerox Singapore.

The first is step-in and step-up (70%), which means learning through completing daily tasks, resolving issues and refining their job-based skills; the second (20%) comes from virtual bite-sized learning programmes, and virtual facilitator-led learning; and third is online learning (10%), through the firms customised e-learning platform of hand-picked digital resources as well as LinkedIn Learning.

Different streams have different approaches for personalised learning. For example, the 70% approach is by individuals and linked to departmental and organisational impact while the 10% formal learning is tailored at a functional and individual level depending on the defined future skills by the department head.

To ensure a best-suited approach, the team first identifies the needs of personalised learning based on competency assessments, individual functional gaps for future skills, and talent and potential assessment. In the process, individual assessments and manager evaluations are carried out to identify any gaps, while also comparing the current functional gaps versus the future state of the organisation as well as the department. This gap assessment is then followed by building an individual development plan based on their training needs.

Amid all of this, coaching and mentoring are key to building personalised learning at Fuji Xerox, especially since 70% of the employees learning path is largely based on learning by doing. As such, supervisors are encouraged to take on the role as coaches and mentors to help professionals set personal goals and be accountable to those goals.

Over time, organisations will then inadvertently benefit from the personal and professional development their employees undergo, Jacely explains.

While having a best-fit system works, Jacely notes it can be challenging given the modern workplace is forever changing and new forms of collaboration and continuous learning are needed to keep up.

In that instance, Fuji Xerox moved to address both learning needs through a hybrid model, where 10% is adopted based on a one-size-fits-all method, while a more tailored approach is applied for the other 20% and 70% learning systems.

This personalised learning system, driven by empowerment, has accelerated learning based on individuals pace and appetite for personal growth.

"Because the very nature of work is constantly changing, our belief is that the 70:20:10 model can help to embed a more sophisticated learning culture at an individual, team and organisation level."

Further, this learning framework has helped employees to step forward to own their development and growth.

"Referencing our step-in and step-up approach, employees have volunteered to participate in different work groups across departments or teams to learn and work with each other," Jacely says.

"It not only helped to address the perception of favouritism when it comes to reward and recognition, it also gave employees the opportunity to be visible, and directly contribute to the organisations growth, while expanding on their horizon and increasing their competencies."

Marriott International: Market-specific flexibility driven by a common framework

An 80/20 approach is how Marriott International tackles its learning programmes, as Regan Taikitsadaporn, Chief Human Resources Officer for Asia Pacific, tells us, whereby 80% comes from the teams common framework, while 20% gives the companys markets the flexibility to customise where needed.

When personalising learning for its associates, the team strives to take a balanced approach between role, function and business unit.

"This is because the roles at our hotels vary depending on brand and size, and do not necessarily correspond to the business functions at the corporate level," Regan says.

"For instance, when we roll out training programmes to support hotel initiatives, we tend to specify the roles and departments that must complete the training. On the other hand, for our leadership development programmes, the target audience would be based on the various leadership levels."

The team recently launched an internally built personalised learning platform, called the Digital Learning Zone, that serves as a central access point to all Marriott learning content. It also allows associates to view the required and recommended training based both on their job function and desire to learn something new.

"We know that our associates want personalisation and ease of access, and this platform is intended to bring learning to our associates and make it easy for them to learn and grow."

Whats the journey like towards such a system? "When our business leaders surface a learning need, the first thing we do before initiating any design work is to consult with them and their stakeholders to assess capability gaps and to identify behavioural and performance outcomes," he says. "We do this in a number of ways, including surveys, oneon- one interviews and focus groups."

The team also identifies capability gaps during its annual talent review process, during which L&D captures key talent development and learning needs, which is then incorporated into L&Ds business planning cycle.

That said, not every journey is free of challenges. For Regan and his team, for instance, one key challenge when designing and developing learning programmes is creating content that is applicable to all markets without generalising too much such that the training loses its objective.

He explains: "We know that associates based in different markets have different cultures to adapt to, but we do our best to keep our learning programmes simple, yet meaningful for them to learn and grow."

Another challenge faced is local translations for the programmes rolled out. As the business continues to expand in the APAC region, there is an increased demand and need to offer the programmes in more languages.

"Sometimes, associates learn best when they are provided with training that is catered for them to easily understand, but on the other hand, we need to manage our resources and prioritise programmes that need translation for ease of learning."

Through it all, the results have paid off. The Digital Learning Zone, for one, has received overwhelmingly positive responses in the past few months, especially because the ability to deliver in-person learning programmes has been impacted by COVID-19. "Through the platform, our associates have been able to access not only Marriott-developed training, but also training from over 15 external learning partners on topics such as resilience and change leadership."

AkzoNobel: A development compass that leads you to the virtual learning hub

Experience, exposure, education these are the three elements driving the 70:20:10 model of L&D at paintsand performance coating MNC, AkzoNobel.

"We strive to keep everyone highly engaged in a diverse and inclusive working environment where we have the ability to build our careers through experiences and learning opportunities," says Marieke Bos - van den Berg, the firms Regional HR Director Asia.

The learning model was adopted with the belief that up to 90% of learning takes place outside formal learning activities, such as classroom training. The company then offers the important 10% formal learning opportunities via its AkzoNobel Academy, a virtual hub for learning. "The academy offers learning for general, functional and people management skills. As such, the learning is highly personalised to the type of role and level of the employee."

In order to leverage on this model, the team uses a voluntary online tool, the Development Compass, to identify the learning needs of each employee based on current and future roles. The compass includes a self-assessment based on relevant functional or managerial competencies, which also offers the option of inviting managers and colleagues to contribute to the assessment. Based on the outcomes of the Development Compass, individual development plans are created and progress can then be tracked.

Apart from the above, AkzoNobel also has a SuccessFactors Learn module linked to the academy, which allows the team to capture all learning opportunities in one space. "Furthermore, we offer several other virtual learning options such as Percipio, Gartner and IMD Research and Knowledge," she says.

She also highlights how a pandemic has expedited the future of work in "unprecedented ways".

"The social stigma of remote working is disappearing, companies are rethinking their workforce architecture, and an urgent need to upskill/redeploy employees has arisen."

"Going forward, I believe companies have a social responsibility to continuously upskill their employees. Embedding a learning culture as part of a companys DNA is a competitive advantage!"

3M: Encouraging learning through a rewards system

As a company that spans four business divisions globally, 3M sees the need to adopt different approaches from broad strokes to granular, so as to cater to everyone in the company. Thus, the brands learning systems are typically personalised based on its employees functional skills and competencies, while leadership skills, soft skills, coaching and mentoring programmes are common across all business and functional groups.

According to Stella Huang, 3Ms Area Human Resource Leader, Asia, these programmes are created to address specific developmental needs or to build future capabilities. Its 96,000 employees are split into these main segments all employees, senior leaders, supervisors and managers (referred to as people leaders); employees who are recognised as having high potential; and production employees. "We believe that each employee should take ownership of their careers and development, and we provide opportunities and platforms for them to do so," she says.

"Our go-to learning platform/library is called 'Develop U', which has over 10,000 learning resources in more than 15 languages. Employees are encouraged to pursue L&D based on their individual development plans, which they have put together in consultation with their supervisors."

Thus, employees can access e-modules, TED Talks, videos, business book summaries and tip sheets across diverse areas, including data science, digitalisation, working on global teams, and more, on the portal. Given the brands global presence, these offerings are global in nature and its L&D strategy is then aligned to the business strategy for the year/future. The global priorities are then translated into the different areas, regions and countries it operates in, and employees are able to customise their learnings to address organisational/team expectations, individual challenges and career aspirations.

In developing the strategy, the team identifies employee needs through futuristic workplace symposiums and surveys; regular employee engagement surveys; focus group discussions and round tables; and two-way communication through town halls, impromptu virtual chats, and more.

The one challenge 3M faced during this entire process was that employees had not been enticed enough to learn virtually in the past. However, this changed with the coming of the workfrom- home situation across countries early this year.

"We are now in the right place at the right time, and it was only the question of proper marketing and promotion, and of course, senior leadership buy-in.".

To give further impetus to this, a new Learner of the Quarter contest was introduced, where employees who complete a minimum of three courses can enter a lucky draw. The contest drew many employees attention to virtual learning, while highlighting the benefits and attractiveness of this medium as well.

The registration and participation since the contest was announced has resulted in a hockey stick increase, and from an average of 30 employees for a virtual webinar in 2019, all workshops in the past quarter have consistently attracted more than 100 participants. Some have even reported between 300 to 500 participants.

"Thanks to strong support from our senior leadership across Asia and all the individual countries, the initiative seems to be heading for a huge success!" she says. "Besides the valuable skills and knowledge employees gain from the courses, Im heartened to report that offering courses in multiple languages has also helped change mindsets and overcome long-standing barriers for our employees. Our key challenge is to maintain interest levels and sustain this platform over the long term."

Case study: Approaching personalised learning through the lens of the learner

QAs a learner, what would you look forward to in an organisations personalised learning system?

What I think most learners would appreciate is a learning interface like a fitness app. For example, I am using adidas Training by Runtastic. It asks me what my goals are, what my current level of fitness is, and then offers a range of customised workouts that guide me through each exercise. Afterwards, I rate how easy or difficult the workout was and how I feel. Based on my feedback, the app suggests different workouts to help me towards my goal. A similar interface, but for capability development, would be amazing!

QWhat are the typical challenges in implementing such a system?

There are three challenges: budget is one, content is another but the biggest challenge is having the right data to accurately assess employees capability gaps. To do this in a way that is accurate and works across all levels of the organisation, would be quite a feat.

QOne of the biggest things about personalised learning is that it may seem to be more expensive and time-consuming. Is this true, and if so, how do we tackle that?

The perception of it being expensive and time-consuming is mostly about the creation of such a system. Once it is in place, it would be tremendously cost-effective and time-saving because it would deliver the tailored learning that was most useful.

Using Netflix as an analogy: if you just had to randomly sort through thousands of titles, you would waste a lot of time and likely not find something you really enjoyed watching. With the algorithms they have in place, you quickly find titles you will enjoy. Expensive to build, inexpensive to operate.

QWhat is your advice to firms looking to implement a personalised learning system?

Whether it is a personalised learning system or any other learning and development intervention, the same question always applies: what problem, specifically, are you trying to fix? When you can clearly answer that question, you will be more likely to develop a useful solution.

Note: All responses shared by Christopher Schultz are in a generic context, and not in the context of the organisation he represents.

This article first appeared as part of a feature in the May-June 2020 e-mag edition of Human Resources, Singapore, and will appear in the upcoming Q2 2020 edition of Human Resources, Malaysia.Read the case study in the e-mag, or the full feature here.

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How Siemens, Marriott International, 3M and more are putting the 'personal' in personalised learning - Human Resources Online

LH pediatrician weighs in on childcare during pandemic | News, Sports, Jobs – Lock Haven Express

MALLORIE McILWAIN/THE EXPRESSChildren are shown participating in activities at the Lock Haven YMCAs daycare center.

LOCK HAVEN With the phasing reopening of the state, more childcare and daycare services in the local area will be able to fully reopen providing services for parents who are going back to work. Dr. Praful Bhatt, Geisinger Lock Haven pediatrician, among other physicians, wants to help parents and children ease back into the new normal of going back to daycare.

Children have stayed home for months and going back to childcare centers may not be easy, Bhatt said. Parents should have the empowerment to make the decision, considering their own personal situations.

He continued by saying that parents can help in appropriate preparation before children actually return to childcare centers.

Children can perceive the anxiety that parents may have, Bhatt added. They (parents) should stay calm and remain vigilant. It comes a long way in terms of helping.

He also said that parents should have the conversation with their children on why they have to wear their masks and why they need to keep a distance from their friends.

MALLORIE McILWAIN/THE EXPRESSChildren are shown participating in activities at the Lock Haven YMCAs daycare center.

They can even start by interacting with children at home over video chat, having regular exercise and playing games with family members.

I think they can prepare them well in this way, he said. They know their children the best.

He even suggested parents have a discussion with their pediatrician to discuss their childs needs, risks and family medical history to determine if the child could potentially be at higher risk of getting or transmitting the COVID-19 virus to other children and or staff.

Keep children, staff and families as safe as possible, he said.

According to Bhatt, centers should be making their best efforts to provide a safer environment including listening to Center for Disease Control and government guidelines.

It is important for parents to have that assurance that there are proper procedures in place, not only for the surfaces but for the toys as well, he said.

He suggests that centers answer questions like do parents have the responsibility to check their childs temperature or will the center do that upon arrival, what are the cleaning policies, what the daily routines would be and would there be an isolation room for children who may become sick during the day?

Bhatt also suggested keeping the routines the same, having the same staff in contact with the same children and having strong discussions with parents on who the children would be exposed to as well as limiting all interactions between different classes and staff members.

If the group size is kept smaller and if time and weather permits, they should use outdoor spaces to play because it can reduce the spread of germs, he said. Children are recommended to keep six feet apart, especially during naps, meals and snacks.

He added that keeping surfaces, the toys that the kids play with clean as well as universal masking, hand washing and social distancing measures are extremely important in ensuring that there is not an outbreak at any of these facilities.

Many local daycare centers have helped provide safe places for children during the pandemic including the Lock Haven Branch YMCA who has been open at half-capacity since May 4 after closing on March 16 for a period of time.

They opened during Governor Wolfs red phase under a state waiver according to Lori Lohman, senior school-age director.

At first, they opened with just school-age and had their second group of kids, preschool and younger, at their Susquehanna Avenue location Associate Executive Director Bethann Bartlett said.

We did that mainly so that we could keep the numbers low, she said.

Bigger spaces, smaller amount of kids, Lohman added. We have rooms that are licensed for 30 children but we only have about 14 filled up, giving the kids that space to social distance.

The branch has also taken numerous precautions to ensure the safety of not only the children and their families, but the YMCA staff members including universal encouragement of masking while walking through the building, outside and in smaller spaces, as well as temperature checks, handwashing upon arrival and limiting interactions with groups.

Other procedures include: parents can only come into the YMCA lobby to drop off their children, children cannot bring in any unnecessary items including toys from home, staff can bring children to parents vehicles for pick up times and regular daily screening.

We are trying to prevent as much as we can, Lohman said.

A lot of these processes we do on a daily basis; we just do them every hour since the pandemic started, Bartlett added.

The YMCA is also defining the groups by age and does not have interactions between the groups as well as keeping the same teachers with the same groups and only staff members and children are allowed in the childcare area.

Staff members follow the same guidelines that children do, including masking, handwashing, temperature checks and screenings.

They have been really great about it, Bartlett said.

The kids at the YMCA have been keeping busy with camp activities, crafts and safe field trips to state parks and rivers for canoeing, trail walking and fishing.

While on field trips, the procedures continue by seating the children every other seat, wearing masks and open windows.

It allows us to still get out and do fun things, but still doing it in smaller groups, Lohman said. Our goal here at Lock Haven is to keep all children and staff safe while maintaining all of the Department of Human Services and Governors guidelines.

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Gombe Reviews 2020 Budget to N107bn – THISDAY Newspapers

Segun Awofadeji in Gombe

The Gombe State Governor, Mr. Muhammadu Inuwa Yahaya, has signed the state governments revised 2020 budget into law yesterday.

The initial budget of N130. 829 billion, which was tagged the Budget of Change was reviewed downward to the sum of N107.371 billion due to the global economic shocks that was occasioned by COVID-19 pandemic, which has affected national and personal incomes.

The revised capital expenditure for the 2020 fiscal year now stands at N57,006,609,493.48 as against the initial figure of N71,046,953,693.48 while the recurrent expenditure was reviewed down to N50,364,799,100.00 against the earlier signed figure of N59,781,783,900.00.

Yahaya explained that the appropriation law was revised in line with the current realities that have constrained the state government to review its priorities.

He said that despite the downwards review of the budget, the state government would ensure that health, education, agriculture and other critical sectors would remain the top priorities of the state.

The Governor said that the health sectors budget was increased to demonstrate the administrations resolve to combat COVID-19 and its socio-economic impact on the lives and means of livelihood of the people.

He said the sum of N500 million has been provided for the task force to boost the states health sector and intervention activities like the establishment of isolation centres, renovating, upgrading and equipping of the health care facilities, the procurement and provision of medical supplies as well as the commencement of testing for COVID-19 in Gombe and the upgrading of the general hospitals in Kumo, Billiri and Bajoga.

Yahaya said that the state government made provisions in the revised budget that would rebuild other sectors of the states economy in order to enable the state prepare ahead of post COVID-19 challenges.

He said that N300 million has been provided for agricultural inputs like seeds and chemicals while youths and women empowerment initiatives received N1 billion each.

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Gombe Reviews 2020 Budget to N107bn - THISDAY Newspapers

Nelson Mandelas views and relevance to the education system of India – Rising Sun Chatsworth

By Ramesh Pokhriyal Nishank

July 18 is celebrated across the world as International Nelson Mandela Day. Honourable Prime Minister, Narendra Modi, while paying homage to him, stated, The beloved Madibas work, ideals and principles continue to inspire us. He demonstrated the triumph of peace, equality and service.

Today, through this column, I am sharing his ideas and views in the field of education, in an attempt to connect them to the scope and possibilities for the qualitative growth of the Indian education system.

In his autobiography Long Walk to Freedom, Mandela describes how education impacted various phases of his life. Though incarcerated in jail, he obtained his legal education through correspondence courses. The critical question for Mandela concerning education was regarding the purpose of education. He viewed education as serving manifold purposes.

Stressing upon education as the means for personal development and as a vehicle for equality of opportunity, he said, Education is the great engine of personal development. It is through education that the daughter of a peasant can become a doctor, that the son of a mineworker can become the head of the mine, that a child of farm workers can become the president of a great nation.

He thus viewed education as having the power to liberate the individual socially, economically and philosophically.For Madiba, education is not confined to formal institutional spaces. To quote him, To a narrow-thinking person, it is hard to explain that to be educated does not mean being literate and having a BA, and that an illiterate man can be a far more educated voter than someone with an advanced degree.

His views are amply reflected in the draft New Education Policy of India. The policy recognises the skill and the value of learning from experts in their fields, even if they do not possess a professional degree. The policy advocates that local experts from various trades like carpenters, masons, etc. will be formally called to schools to impart skill education.

And going several steps ahead, the policy also states that students of upper primary classes shall have a ten-day internship with local crafts and trade persons, to not only learn their trade craft, but also to become sensitised to the contributions of such self-learnt experts and skilled persons to the progress and growth of society.

Madiba believed that education is a tool for empowerment and transformations. To meet this objective, however, education needs to be contextualized. One of his famous quotes related to education is that it is the most powerful weapon which you can use to change the world.

Education was also seen as the enemy of prejudice. Hence Mandela said, The power of education extends beyond the development of skills that we need for economic success. It can contribute to nation-building and reconciliation.

Mirroring Mandelas view the ministry is coming out with a policy which envisages that the curriculum and pedagogy of our institutions must develop among the students a deep sense of respect towards the fundamental duties and constitutional values, bonding with ones country, and conscious awareness of ones roles and responsibilities in a changing world.

In the quest to pursue modern education, one should not forget ones cultural history. Mandela opined that one needs to know and understand ones cultural history eg: music, arts, dances and local language.

He confessed that in his own personal life he had learnt a lot about his country and its people through cultural expressions. India has a rich cultural history spanning millennia.

The Ministry is coming out with a new education policy. The vision of the policy is to instill among the learners a deep-rooted pride in being Indian, not only in thought, but also in spirit, intellect, and deeds, as well as to develop knowledge, skills, values, and dispositions that support responsible commitment to human rights, sustainable development and living, and global well-being, thereby reflecting a truly global citizen.

Mandela always emphasized discipline, hard work and physical fitness and sincerely practised it in his own life. He said, I have found that I worked better and thought more clearly when I was in good physical condition, and so training became one of the inflexible disciplines of my life.

He would take time out to jog on the spot during the periods when he was in hiding. Exercise and physical fitness were critical not only for him in his personal life, they also became an inalienable part of his educational philosophy.

When Government of India launched the Fit India Movement on August 29, 2019 to inculcate physical activity/sports into the daily life of citizens, it reiterated the Indian culture of centuries of considering physical, mental and spiritual wellness in a single continuum, just as Mandela did.

Thirteen Lakh schools and Eleven Crore students all over the country took the fitness pledge. Through the firm commitment in the new education policy to treat physical education and skill education as an integral part of the academic curriculum, (and not as an extra-curricular or co-curricular activity), the government will bring back the focus on these areas for ensuring the holistic development of every child.

It is quite heartening to note Madibas views on computer literacy. In fact, they were quite modern. Mandela urged teachers to ensure learners were computer literate from grade one itself. He thus wanted todays learners to be in sync with the contemporary technological developments. His views are more relevant in todays world when most of the learning is shifting towards blended e-learning.

The Government of India has launched Prime Minister E- Vidya for providing multi-modal access to education through DIKSHA (one nation-one digital platform), TV (one class-one channel), SWAYAM, Air through Community radio and CBSE Shiksha Vani podcast, and study material for children with disabilities. These will usher in an era of availability of quality e-content on the public domain, thus enabling technology to become the harbinger for equity in education.

Nelson Mandelas vision has the transformative power for education.

The path of education in India is established on the foundational pillars of access, equity, quality, affordability, and accountability as outlined in the New Education Policy, and these were very close to Mandelas heart. Indeed, we take inspiration from him, as we commit to harness the creative potential of each learner while empowering them to become socially, economically and philosophically liberated for contributing from an equity standpoint in transforming India into a global knowledge hub.

Author is Shri. Ramesh Pokhriyal Nishank, Human Resources Development Minister, Government of India. He can be reached at [emailprotected]

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Nelson Mandelas views and relevance to the education system of India - Rising Sun Chatsworth

You can now buy an Amazon Echo add-on that stops Alexa from listening – Fast Company

Right now, my Amazon Echo speaker is looking a lot uglier than usual.

Protruding from the top of the speaker is a three-inch-tall cylinder of yellow plastic, with a sunburst pattern around the edges. When its plugged in and turned on, an array of ultrasonic speakers on the devices underside confuse the Echos always-on microphones, rendering Alexa inoperable until I either clap three times or triple-tap the top of the cylinder.

The device, called Alexagate, is the latest effort from MSCHF, a Brooklyn-based startup that makes limited-run products with a rhetorical flourish. In this case, MSCHFs point of view is that Amazon is snooping on users through its Echo speakers, and that users should have an easier way to turn off the mics. Kevin Wiesner, MSCHFs creative director, calls Alexagate an aftermarket privacy adjustment with an adversarial bent.

We have a device, its in our homes, its essentially a wiretap sitting on a coffee table, he says. Lets retrofit it, essentially, so it behaves the way we would want it to, and not necessarily the way Amazon wants it to.

Alexagate is more of a stunt than a legitimate gadget. MSCHF is only selling a small batch of themWiesner wont say how manyand my experience using the device has been iffy. But even if youre not among the group of people who buy one, you should hope that its ideas gain traction.

Contrary to popular belief, Amazons Echo and other smart speakers do not constantly upload audio. They do, however, constantly listen for a wake phraseAlexa, in the Echos caseusing an on-device processor. You can disable the mics on these devices, but only by walking up to them and hitting a mute button. Most people wont bother to do that, so the mics are effectively on all the time, always listening for your commands.

Alexagate isnt an entirely original idea. In early 2019, Tellart designer Bjrn Karmann and Topp designer Tore Knudsen showed off a set of Amazon Echo and Google Home speaker covers that resembled parasitic fungi. The project, called Project Alias, used white noise to deafen Alexa and Google Assistant until users activated their speakers with a custom wake word. In February, Ben Zhao and Heather Zheng, computer science professors at the University of Chicago, showed off a bracelet of silence that used ultrasound to jam nearby smart speakers.

MSCHF, however, is the first company to ship these ideas as a real consumer product. A clear plastic ring sits between the speaker and the Alexagate unit, with curved spokes on one side and flat ones on the other to fit different types of Echo devices. (Its compatible with the first- and third-gen Echo, all Echo Dot models, and the second-gen Echo Plus.) It uses ultrasound, Wiesner says, because its more directional than white noise, which would have fooled the triple-clap detection that Alexagate uses to turn Alexa on or off.

[Animation: courtesy of MSCHF]How well does it work? Not great. The first review unit that MSCHF sent died in less than a day, and while a replacement unit is working fine, clapping to trigger the device requires precision and practice. Also, asking my original Echo speaker about the weather caused Alexagate to activate itself, apparently due to the percussive tone of Alexas speech patterns. Clearly consumer electronics are not MSCHFs core competency. (In case anyone else experiences similar hardware failures, MSCHF says it will offer a three-month warranty.)

But on some level, Alexagate is as much about form as it is about function. The first thing you see when opening the box is Bye Bye Bezos, which is printed on the instruction manual. The design, meanwhile, is intentionally conspicuous, Wiesner says, because MSCHF wants it to be a conversation starter. Even if you were to leave Alexa on most of the time anyway, itd have a harder time blending into the background.

Its a bit of a virtue signal where privacy is concerned, he says. If I visit someones apartment and I see this, part of the implication is they would like me to know that they are actively pursuing a greater protection with their home.

Although MSCHFs solution is literally over-the-top, it does call out a couple of underlying issues with smart speakers.

The first is that theres no easy way to mute them remotely. Instead of having to hit a physical mute button, perhaps Amazon, Google, and others could allow users to shut down their microphones with a voice command or a toggle in their assistants mobile apps. They could even let users synchronize these settings across multiple smart speakers, so that setting the home to a more private state would be as frictionless as playing music or checking the weather.

On a more fundamental level, Alexa and other devices just need to get better at understanding when theyre not being spoken to. Too often, these devices misinterpret similar-sounding phrases as wake words, and they have no understanding of intonation, which means even in-passing mentions of Okay Google or Alexa get picked up as triggers. The response can be unnerving for users, especially when it results in an unwanted action such as sending out private conversations as text messages.

[Photo: courtesy of MSCHF]Steve Teig, the CEO of voice and video recognition chip maker Perceive, says accurate wake word detection is less of a challenge than it might seem.

I definitely think these guys with the noise generation are solving a real problem, but it could also be solved in the wake word itself if you simply had enough horsepower in the gadget and a little bit more sophistication in how you build the model, Teig says.

In lieu of more steps taken by Amazon and others, were likely to see more aftermarket products beyond MSCHFs Alexagate. A firm called Paranoid is working on several smart-speaker blockers, including one that physically pushes the mute button on Echo speakers, another that emits white noise, and a professionally installed circuit modification that physically cuts access to the speakers microphone. In all cases, saying the phrase Paranoid disables the blocking. A Paranoid spokeswoman says the products are six to eight weeks away from shipping.

Wiesner says he wouldnt mind if other companies carried the torch, even if their designs ended up looking like MSCHFs.

Were not going to make more of them, he says, so in that respect, if someone else does, and that distributes privacy protection across a significantly larger number of peoples households, I kind of think thats a cool outcome.

Read the rest here:

You can now buy an Amazon Echo add-on that stops Alexa from listening - Fast Company

These Tips Will Help You Prepare for a Virtual Career Fair – Yakima Herald-Republic

Employers are increasingly experimenting with creative methods to find and attract workers.

Thats where virtual career fairs come in.

They are definitely a win-win for both job seekers and employers. They can be nationwide, on-demand and discreet. They can also reach new audiences that might not be able to make it to in-person events. The best part? You dont have to travel for either.

I might not be able to get away from my office for a full day or half day, says Gayle Oliver-Plath, CEO and founder of CareerEco, a virtual career and graduate-school events website. But I may be able to get away for an hour or two.

Discretion is crucial for job seekers who are currently employed and feel uncomfortable attending a job fair physically, says Laurie Vicente, senior marketing director for the recruitment firm Brilliant.

Oliver-Plath predicts the trend will continue to grow and that job seekers should expect virtual job fairs to be the new norm.

Georgia Institute of Technology (Georgia Tech) is one university that has jumped on the trend. In addition to its normal career fairs, it hosts three to five virtual career fairs through CareerEco each academic year, says Richard South, an employee relations manager at the universitys career center.

South says in-person fairs have limitations due to budgets and physical space, while virtual fairs offer a more level playing field for both employers and job seekers.

Many companies that frequent the virtual fairs dont have recruiting personnel, South says. So its engineers logging on to a virtual fair speaking to other engineers.

While the perks of online job fairs are plentiful, there are a few things to keep in mind before logging in and nabbing a job. Heres what you can do to stand out as a candidate. Much of this advice can also be applied to general virtual job interviews.

Its easy to overlook preparation for an interview or event that youll be attending via computer, probably from the comfort of your home. But dont mistake the convenience for insignificance; attending one could actually take a little extra planning and practice. Heres how to stand out from the virtual crowd.

Do the Proper Legwork

Just because the job fair is online doesnt make it any less important.

There is that misconception, South says, that if youre doing a virtual fair you dont need to prepare.

Dont fall into that trap. You still have to research the companies beforehand and have your tailored resume and cover letter ready to go just as you would at an in-person event. Instead of doling out your documents, youll typically need to upload them on the website. (The trees will thank you.)

To cater to employers on both Macs and PCs, Vicente says to save your documents as PDFs.

For overachievers who want some bonus points, try writing a couple of cover letters one general cover letter and another that is tailored to your favorite employer at the event. (Weve got your back if you need some help crafting your resume or cover letter.)

Yeah, multiple cover letters may be overkill for some, but Oliver-Plath recommends at least coming up with tailored questions for the employers. She says virtual events give you more power to investigate the company since information should be readily available on the event page.

But beware information flows both ways. The employer is also at the computer and can just as easily look you up. Vicente recommends a pulse check on your social media to be safe.

Make sure all of the privacy settings are set to the highest level, she says.

The exception, of course, is LinkedIn. Vicente says to show off your profile and customize the URL, too. Just keep it professional. Shes almost numb to the amount of 420s and other embarrassing things applicants leave attached to their URLs or email addresses. Almost.

Take Care of Technical Issues Before the Event

When the internet is involved, be prepared for problems. The best time to consider them is before the event.

The night before is a great time to make sure everything is ready to go. Is your virtual career fair profile properly registered? Are your web browser and flash player up-to-date? Are your documents organized and ready to go?

And dont forget the motherlode of technological issues: Wi-Fi. It has a way of cutting out at the most inconvenient times. The best way to skirt that problem is to expect it. Hard-wire your ethernet cable into your computer. That way your connection will be faster and more stable.

Technology also has a way of bringing out our worst tendencies. Its not a technological issue in the strictest sense, but be aware of how you type when youre at a virtual career fair since a lot of the communication will be done through a messaging system.

No yups, Ks or sups employers keep an eye on things like grammar and tone.

You have to be concerned with how youre coming through in writing, Oliver-Plath says. Do not use any language that you would use in a text.

Be Interview-Ready

You did your homework. You nailed the small talk with employers. Now you might just get an invitation for an interview on the spot. That may not always be the case, but it certainly doesnt hurt to be prepared. At a virtual event, that could mean being ready to go on camera.

South says one of the biggest complaints from employers is that candidates attend virtual fairs from public spaces. So make sure youre in a distraction-free environment for the interview.

And if youre not used to interviewing through Skype or FaceTime, it could take a little practice. Trial runs are your saving grace.

I think its absolutely necessary that you treat it like an in-person interview, Vicente says. Dress to impress; dress just like you would [at] a regular interview.

Some people dont take this part seriously, or they try to find ways to cheat the system.

Weve unfortunately had people that have put on a buttoned-up shirt, Vicente laughs. But the phone fell, and we saw that they were wearing boxers.

So yeah. Dont do that. Recruiters really want to see that youre taking the video interview seriously.

Vicente says that Brilliant uses an appearance rating system during video interviews that takes into consideration your aesthetic and professionalism, not just your outfit. That means the recruiter is going to be taking note of everything in the frame food, cans, towels on the floor, children running frantically, boxer briefs. Its all fair game.

Another element to keep in mind is eye contact. You might naturally want to look at the interviewers face on the screen, but if you do that, you will appear to be looking down since most webcams are slightly above the monitor.

Vicente shared these additional tips to nail the video interview:

Oliver-Plath also had some tips of her own. Her biggest piece of advice?

Absolutely never interview on a handheld device.

Its very obvious to the interviewer, usually low-quality and takes up one or both of your hands. But what if youre checking into the virtual job fair from your car during lunch break? A phone is all you might have.

Not to worry. Oliver-Plath says its better to tell the employer that youre not in the best environment for an interview and offer alternative times.

If you cant do an impromptu interview, she says, no one is going to hold it against you.

This was originally published on The Penny Hoarder, a personal finance website that empowers millions of readers nationwide to make smart decisions with their money through actionable and inspirational advice, and resources about how to make, save and manage money.

This was originally published on The Penny Hoarder, which helps millions of readers worldwide earn and save money by sharing unique job opportunities, personal stories, freebies and more. The Inc. 5000 ranked The Penny Hoarder as the fastest-growing private media company in the U.S. in 2017.

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These Tips Will Help You Prepare for a Virtual Career Fair - Yakima Herald-Republic

Orcas Island Health Care District and Hospital negotiations |… – Islands’ Sounder

It appears that the board is attempting to reinvent the wheel by considering bringing in Island Hospital again. Didnt we have them running the clinic for two different five year periods, already? UW was another disaster. We need a locally run-clinic that offers a wide range of services, including alternative modalities (ie chiropractic, nutritional education, acupuncture, and movement classes [which are especially good for the elderly.])

Throwing tax dollars at a decision does not solve the problem. We can achieve a healthy community by running the clinic ourselves.

With Island Hospital at the helm, we will likely have as many or more unnecessary airlift flights for people with chest pain. Unnecessary, because we have a cardiologist on Island will all of the equipment needed to diagnose whether or not a particular patients pain is due to a heart attack, or one of six other conditions all for which they do not need to be flown off-island. Currently, when the EMTs are called for chest pain the only thing they can do is to fly people off the island, for they dont have a cardiologist on staff, nor the equipment necessary.

It seems to me that although the board is, Im sure, hardworking, putting islanders health and care in the hands of Island Hospital again is going back to something that didnt work before. Perhaps, its time for the board to rethink what is cost-effective and viable for our island community.

It would be more work, yes, but putting together and funding a coalition of local health care providers, including alternative health care providers, would be the healthier and most cost-effective option for the island. There is even federal funding if this Health Care District and prove that it is serving the low-income community and limiting off island emergency room visits that cost Medicare a lot of money by providing preventative healthcare such as nutritional education, massage, in-home care, acupuncture, chiropractic, movement therapy, etc.

If we can reduce hospital visits by implementing preventative medicine on the island, we will have a healthier population and potential funding from federal grant programs. This seems like the right road to peruse. It may be more work for the board, but it will be worth it, and it will make us all healthier.

Spirit Eagle

Orcas Island

Read the rest here:

Orcas Island Health Care District and Hospital negotiations |... - Islands' Sounder

Getting the health care you need during COVID-19 – The Suburban Times

Submitted by Richard Smith, MD, Intermountain Medical Director for Humana.

Pierce County residents have been turning to medical virtual visits, also known as telemedicine, more than ever during the coronavirus pandemic. While telemedicine companies have been around for years, the pandemic has led to a dramatic increase in virtual visits as primary care doctors, specialists and hospitals began offering the service as a way to help keep patients safe.

Now that medical offices and hospitals are accepting patients again for in-person visits and elective procedures, you may be wondering if you should return to your doctors office or stick to a virtual visit. Rest assured, your health care providers can help you decide whats best as they work to ensure safe care for patients and staff. This includes changing the ways they deliver care like screening patients ahead of time to help determine if its best to go to a medical office or stay at home.

In-person VisitsIf its determined that an in-person visit is best for you, youll find that to reduce the risk of COVID-19 transmission, many facilities are taking the following steps:

Virtual VisitsIf you dont require in-person attention, a virtual visit is still a good option. Many people are choosing virtual visits in non-emergency situations for routine follow-ups and non-life-threatening conditions. This option allows you to consult your doctor or other health care providers in your network via a secure video or phone appointment, all in the comfort of your home. Before your telehealth visits:

Whether you choose a virtual or in-person visit, check with your health insurance provider to see if theyve taken steps to help ease the burden during the health crisis. For example, Humana is waiving cost sharing (including copays, coinsurance and deductibles) for in-network primary care, outpatient behavioral health and virtual visits for our Medicare Advantage members for the remainder of the calendar year.

Getting the care you need is always important. Consider these options to stay safe and healthy. And remember, for life-threatening emergencies, such as chest pain, difficulty breathing, or suicidal thoughts, always call 9-1-1 or go to the nearest emergency room.

Bottom line, dont delay care because you are worried about contracting COVID-19.

Related

Originally posted here:

Getting the health care you need during COVID-19 - The Suburban Times

Health Care Comes to Us – The New York Times

This article is part of the On Tech newsletter. You can sign up here to receive it weekdays.

The pandemic, an unemployment surge and unrest over racial inequality have made more Americans feel isolated, anxious or depressed. Psychological distress could prove temporary, but the hurt and the ripple effects are serious nevertheless.

Now heres some good news. Benjamin F. Miller, a psychologist and chief strategy officer for Well Being Trust, a national foundation focusing on mental and spiritual health, told me something hopeful: In part because of technology, this moment in history contains the makings of more accessible and effective mental health care for everyone.

Probably one of the most profound impacts that technology had in the pandemic is that the care now comes to the patients, Dr. Miller said.

Hes talking about the many physicians, therapists and clinicians shifting to seeing patients by web video or over the telephone. Not everyone loves health care through a computer screen, but Dr. Miller said it has removed barriers that prevented many people from accessing mental health services.

Care can now be just a FaceTime call away, and U.S. insurers quickly made changes that allowed more people to get help on their terms.

Ive been thinking about how peripheral technology has felt these last few months. Sure, weve relied on technology for work, school and staying in touch, but brave essential workers, capable political and public health leaders and effective institutions matter more than anything else.

Dr. Miller reminded me that technology doesnt have to cure the coronavirus to be an enabler for good. He said he believed that technology has an important role to play in what he hoped would become a larger restructuring of American health care.

But first, some capable people and institutions had to cut red tape to let technology in.

Since the start of the pandemic, Medicare and many private health insurers have changed policies to reimburse practitioners for patient visits by phone or web video at somewhere close to the payment rate of in-person visits.

Privacy rules were relaxed to let people use familiar web video services like Skype and not only medical-specific video sites. (Yes, this comes with a possible risk to patient information.)

Telemedicine for all types of health care remains a tiny fraction of patient care, but many more people and providers have tried and liked it. Nearly every major mental health organization is pressing policymakers to make those temporary changes permanent, Dr. Miller said.

Technology is not a panacea, Dr. Miller stressed. (Reader: May you remember this sentence always, about everything in tech.) Lack of internet access or discomfort with technology still holds some people back from telemedicine, Dr. Miller said. And tech doesnt resolve the stigma that can be associated with mental health services or close gaps in health insurance coverage.

But Dr. Miller said technologys role in mental health during the pandemic is a gift that he hoped would be the start of work to better structure mental health services, integrate them into the rest of health care and ensure they get enough resources to help everyone.

Dr. Millers essential message wasnt about technology at all. Because so many of us have felt stress and isolation recently, he hoped that we can now talk openly about the importance of healthy minds and bodies, and better understand people who live with mental distress.

Now that we know how hard this is, I hope we have empathy, he said.

If you dont already get this newsletter in your inbox, please sign up here.

If you want one statistic that shows technology companies maturation from iconoclastic underdogs to the mainstream, look at advertising.

Amazon now spends more money on promoting itself in television commercials, internet ads and other spots than any company in the United States, according to an analysis of 2019 advertising trends by the publication AdAge. Google was No. 6. (I first read about this in the Axios Media Trends newsletter.)

Companies that make physical devices, like Apple, used advertising for years to shape our perceptions. But until quite recently, Amazon and many of Americas upstart internet companies thought advertising was kinda tacky.

Advertising is the price you pay for having an unremarkable product or service, the Amazon chief executive Jeff Bezos quipped more than 10 years ago. Last year, Bezos said that he had changed his mind.

Why the change? Well, technology is becoming just like every other product. Theres not much difference between a Ford and Toyota pickup truck, so those companies know they must persuade you to feel warm and fuzzy about their model. Picking an app or an online shopping company likewise has become a lot about picking one that makes you feel good.

And as tech companies wanted us to turn over more of our habits and lives to them, they needed to pitch themselves harder. Amazon, for example, spends a lot of money advertising its movies, internet TV gadgets and voice assistants to turn our homes into all-Amazon zones.

Theres a similar pattern to tech companies spending on policy persuasion. They used to consider lobbying unseemly or unimportant, and now Americas tech powers are among the countrys biggest lobbyists.

There you go. Tech is not a special species anymore. It is big and everywhere, and that means the industrys leading lights spend a lot of money to stay on top.

Our newsletter cousins at DealBook are hosting a reader conference call featuring David E. Sanger, The New York Timess national security correspondent, discussing the tug of war over technology between the United States and China. To hear from David and ask him your questions, you can R.S.V.P. here. The call is tomorrow (July 23) at 11 a.m. Eastern.

Tackling a dangerous conspiracy: Twitter announced a series of sweeping actions intended to remove or hide more accounts and material related to QAnon, a movement promoting baseless conspiracies that has proliferated on Facebook, YouTube and Twitter, my colleague Kate Conger reported. People who believe in QAnons intricate and false theories have committed violence and harassed people online, and internet companies have been under pressure to do more to combat the spread of this and other harmful material. Facebook is also preparing to take similar steps to limit the reach of QAnon content, Kate wrote.

The criticism is coming from inside the house: The Times tech reporter Karen Weise writes about Tim Bray, a respected technologist and Amazon executive who recently quit the company and became one of its highest-profile critics. Bray is using the mind-set and tools of Amazon including the intense, six-page internal memos called PRFAQs to articulate how and why he believes Amazon hurts competition and should be broken apart.

Big tech versus the big scourge of climate change: Somini Sengupta and Veronica Penney of The New York Times walk through what Apple, Microsoft and other large tech companies are doing to combat planet-warming carbon emissions, and where their rhetoric might fall short of their actions. (Ill have more in tomorrows newsletter about technology and climate change.)

These six ducklings bobbing in the water are giving me joyWe want to hear from you. Tell us what you think of this newsletter and what else youd like us to explore. You can reach us at ontech@nytimes.com.

If you dont already get this newsletter in your inbox, please sign up here.

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Health Care Comes to Us - The New York Times

How a seismic shift to telemedicine is changing mental health care for the better – Fast Company

By Dr. Mimi Winsberg6 minute Read

Theres a growing mental health crisis brought on by COVID-19. A third of Americans are showing signs of clinical anxiety or depressiona startling increase from roughly one in 10 people last year.

As a psychiatrist, I am not surprised by this data. Since the onset of the pandemic, my schedule has been full. Ive been seeing 14 patients a day, most of whom are struggling with anxiety and depression. At Brightside, the telemedicine service I cofounded, weve seen approximately a 50% surge in new members seeking mental health support. The pandemic has led to a demand for mental health services that exceeds what existing systems can handle, triggering an acceleration in telemedicine adoption, as well as some long overdue policy changes.

Five months in, we are beginning to see radical changes in the mental health and telemedicine landscape. So, its time to ask critical questions about the future: How will technology rise to the occasion to facilitate treatment for those in need? How will larger health systems adopt telemedicine and the tools that have been promoted by startup companies for years? What policy changes have been implemented to address mental health access issues? And are these changes here to stay?

One of the few silver linings of the COVID-19 pandemic is that the social stigmas associated with mental health have begun to erode. Historically, fewer than half of people who need care end up getting it, and the cultural perception of mental health issues is one of the many reasons why.

Related: How COVID-19 is normalizing telehealth

Patients suffering from depression and anxiety often express feelings of loneliness or isolationthat no one understands what theyre going through. In a COVID-19 world, this point of view has shifted, and having anxious thoughts under these circumstances is viewed by many as commonplace. People who never vocalized struggles before are now openly expressing their anxiety. This has equipped those who have always been suffering with a forum to discuss their feelings and connect with others more easily than they did in the pastdespite geographic separation.

At the organizational level, employers, academic institutions, and consulting groups have embraced topics related to mental health more than Ive seen in my 25-year career. Its been a dramatic shift. More people struggling is bad, but facilitating space to talk about those struggles without fear of judgement is good.

I was recently asked if I could remember a moment in my career when it felt like this many Americans were suffering from mental health issues in response to a specific incident or event. Both the terrorist attacks on 9/11 and the economic recession of 2008 came to mind.. What is different about this mental health crisis is that the technological advancements of the last decade have had an enormous impact on the way healthcare can be delivered.

The last 10 years have been a formative period in the healthcare industry due to the slow but growing adoption of telemedicine. Even in a pre COVID-19 world, most healthcare stakeholders agreed that safe and effective care could be delivered remotely. But as telemedicine has emerged, its primarily been implemented for single encounters, such as in primary and urgent care when physicians are able to make a swift decision on what needs to be done, rather than to manage chronic conditions.

The pandemic has brought into focus the fact that some of the largest health systems either waited too long to implement telemedicine or did so in a way that failed to optimize the quality of care for patients. When telemedicine was suddenly the only option to manage anything deemed non-essential, there was a rush to implement solutions that actually work. Telemedicine, which had been viewed as a lower priority solution, second-best to in-person care, was suddenly the only game in town. This has provided a chance for telemedicine to step out of the shadows and shine.

The result? Health systems are quickly catching on to whats been obvious to those of us in the field for years: telemedicine is the most efficient way to treat conditions that do not require a physical exam. And even for conditions that may require a physical examination up front, many of them can be managed via telemedicine thereafter.

But its a bit more complicated than just putting a doctor and patient behind a video camera. At Brightside, weve spent years perfecting our approach to deliver sophisticated tools that lead to the best outcomes. It requires more than just steady video qualityeffective remote care for chronic conditions requires synchronous (real-time) conversations, as well as remote monitoring, asynchronous evaluation, and ongoing messaging, all powered by complex rules and logic that help doctors stay one step ahead of a patients needs. It isnt easy or simple, and the right solution is different for each condition. Many startups have been working on specialized solutions for some time now, but have become leaders in telemedicine overnightI hear from healthcare consultants every week who are scrambling to help the largest health systems figure out telemedicine solutions that dont feel like a B-grade experience.

One key benefit of telemedicine to treat and manage chronic conditions is that it changes the nature of the relationship between the patient and doctor. Whereas traditional care has almost always been defined as, come back and check in with me in 8 weeks, newer telemedicine approaches allow for responsive, and even proactive, intervention by a doctor when a patient really needs it. This helps doctors quickly address issues and optimize treatment, plus it makes patients feel really cared for. Health systems are beginning to realize that this also supports better outcomes. Getting patients on the right treatment and quickly addressing any issues that come up drives better treatment adherence and avoids adverse events. Plus, the efficiencies of telemedicine often mean that this better care can be delivered for similar or lower costs than the traditional model.

Related: Your pandemic blues have a name: adjustment disorder

Would it have been nice to see this emerge sooner? Of course. But the adoption of telemedicine as a best-in-class solution is welcome, even if overdue. It is unfortunate that it takes a global pandemic to bring about these changes. But I believe both the positive perception of telemedicine and adoption of tools to remotely monitor chronic conditions are here to stay. Yet another silver lining of the pandemic.

Its hard to think of an industry with more complicated and entrenched regulation than healthcare. Innovative health-related solutions are often held back from growing at the rate they otherwise could due to strict policies that, in some cases, predate half the American population.

Once shelter-in-place orders were broadly issued in March, the federal government relaxed some policies so that telehealth services could reach broader audiences, including millions of Medicare patients. This came in many forms, including temporarily facilitating cross-state licensure so that doctors could cross state lines virtually to treat patients in need. This allowed for the redistribution of physician resources in a time of crisis, which is of paramount importance.

And then theres the topic of insurance and reimbursement. Telemedicine has historically been viewed as a second best compromise, rather than reimbursed at parity with in-person services. Doctors are often paid less for virtual patient visits compared to in-person ones, and reimbursement for tele-services has lagged. With the pandemic, we have seen this change. Telemedicine is a service patients clearly want. Blue Cross Blue Shield of Massachusetts, for example, recently announced that the number of telehealth claims rose from 200 per day in February 2020 to 38,000 per day in May 2020, with the majority of those in mental health services

So what does post-pandemic policy look like? Its not yet clear. As the Editorial Board at Bloomberg News recently pointed out, some of these shifts could be reversed by the federal government as the pandemic subsides. That would be a mistakea sentiment shared by telehealth experts who recently implored a Senate health panel not to undo such significant medical progress once the country gets a handle on the virus. The relaxation of policies during the pandemic has sent a clear message: telemedicine is a best-in-class solution thats as good as it gets and will only get better. Its hard to legitimize undoing that.

Dr. Mimi Winsberg is cofounder and chief medical officer of Brightside, a mental health telemedicine service.

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How a seismic shift to telemedicine is changing mental health care for the better - Fast Company

Must health care workers risk their lives to treat Covid-19 patients? – STAT

The sweep of Covid-19 across the globe has raised a fundamental question about medical ethics: Do physicians, nurses, EMTs, and other health care workers have moral and legal obligations to risk their health and lives to treat patients during a pandemic?

Its an important question, given the toll that Covid-19 is taking on medical professionals. As we write this, more than 100,000 health care workers have been infected in the United States alone and nearly 550 have died from Covid-19. The Centers for Disease Control and Prevention estimates that health care workers accounted for 11% to 16% of Covid-19 infections during the first wave.

To answer this fundamental question, we first need to define the ethical and legal duties of physicians during a pandemic or a war or a bioterrorist attack and these arent necessarily clear. It is quite revealing that when students graduate from medical school, they all take various oaths modeled on the World Medical Associations Declaration of Geneva. None of these include any statement that physicians must risk their lives in caring for patients.

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There are conflicting perspectives on defining the responsibilities of medical professionals during an epidemic. Some have taken the position that medical professionals who refuse to work in hospitals during this pandemic should lose their jobs or even their licenses. This perspective is based on the idea that medicine is a humanitarian profession that requires health care workers to care for the sick under all conditions. By freely entering into this profession, so the thinking goes, physicians and other health care professionals have implicitly agreed to accept all dangers and risks.

This view is consistent with that of the General Medical Council in the United Kingdom, which asserts that physicians have an obligation to provide urgent medical care during disasters, even when there is a significant health risk to providing that care.

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The American Medical Association takes a different position. Its 2020 update of Opinion 8.3 sets out physicians obligations in this pandemic to provide urgent medical care during disasters even in the face of greater than usual risk to physicians own safety, health or life. Opinion 8.3 also recognizes that if the risks of providing care to individual patients are too dangerous, then physicians can refrain from treating Covid-19 patients because doing so may hinder their ability to provide care in the future.

The American Nurses Association offers similar advice, stating that during pandemics, nurses must decide how much care they can provide while also taking care of themselves. Nurses may refrain from working when they feel physically unsafe due to a lack of personal protective equipment or inadequate testing for infections.

Many ethicists believe that physicians and health care professionals may, at times, refuse to care for patients when their service conflicts with their own moral views. For example, physicians do not have to comply with a patients wish to terminate a pregnancy, or assist in euthanasia, if that conflicts with their moral framework. These ethicists recognize that emotions and motivations are integral parts of any moral decision-making process. There are no rigid rules. Choices must be adapted to the particulars of each given situation. For example, the moral duty not to harm or kill another person includes self-care for the clinician who is providing care to these highly infectious patients. It is akin to not requiring paramedics to enter a building on the verge of collapse to aid someone inside.

A health care professionals specialty may also influence his or her moral obligation to treat a patient or refuse to do so. One who specializes in infectious diseases may not have the moral autonomy to refuse to treat Covid-19 patients, while one whose specialty is ophthalmology, cosmetic surgery, or dermatology can reasonably maintain a moral obligation to serve as a medical consultant or serve in some other capacity in the hospital, but not take on the risks of treating Covid-19 patients.

Physicians and other health care professionals must also balance their obligations as professionals with their duties as husbands, wives, parents, and children. The risk to personal health from the coronavirus is alarming enough, but the risk of infecting family members, especially those with a higher risk of infection, may be ethically and morally unacceptable. Health care professionals refusal to work in a state of emergency may be justified if their health or well-being is endangered because of medical susceptibilities such as heart problems, diabetes, pregnancy, and the like that place them at a high risk of contracting and dying from the virus, or if they reasonably believe that their work environment creates an unacceptable hazard by not providing them with essential personal protective equipment.

Historical lessons offer insight into this ethical conundrum. For example, the history of secular medical ethics reveals that the medical community has never come to a consensus on the nature and scope of its responsibilities during an epidemic. The lack of consensus may be due in part to the fact that medical ethics are embedded in various broader social and cultural fabrics.

Jewish law supports the view that a person is obligated to save another, though there are situations in which the dangers or risks are so high that these moral obligations are not mandatory. Rabbinical scholars have concluded that physicians have an extra obligation to heal the sick and are expected to accept a greater degree of risk than nonphysicians, due to their training and nature of their work. Yet they must also be prudent in their obligation to protect their families. Interestingly, rabbinical scholars maintain that treating Covid-19 patients is not mandatory but is considered to be a great act of compassionate professionalism and is highly praiseworthy.

We believe that the question of whether health care workers must risk their lives to treat Covid-19 patients does not have one uniform answer. We do believe that health care workers who specialize in infectious disease or respiratory medicine have a greater responsibility to treat Covid-19 patients than health care workers in other subspecialties of medicine. Moreover, most, but not all, health care workers have a professional obligation to provide some medical service during this pandemic. Society, however, should be understanding of those health care workers who may defer their medical responsibilities because of their own personal health risks or extenuating family responsibilities.

While it is important for physicians and other health care workers to explore and come to terms with their moral and legal obligations to care for patients with Covid-19, this will not be our last pandemic. That is why it is essential to incorporate these issues into the medical and health science educational curricula and get students thinking about them early. Professional education should help students and practicing health care workers learn how to balance their health risks with the immediate benefits to individual patients and the capacity to care for patients in the future.

The moral obligation, the courage, the compassion, and even the heroism of millions of clinicians on the front lines are what professionalism is all about.

Alan Kadish is a cardiologist, researcher, and president of the Touro College and University System. John Loike is a professor of biology at the Touro College and University System and writes a regular column on bioethics for The Scientist.

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Must health care workers risk their lives to treat Covid-19 patients? - STAT

Health care professionals urge public to be ready for potential second wave | News, Sports, Jobs – Williamsport Sun-Gazette

The second act is coming, but what would you want to do in the second that you werent able to do in the first? asked Dr. Gerald Maloney, Geisinger chief medical officer of hospital services. We dont know exactly what is going to happen. Preparing for a second wave is prudent at this time.

Maloney, alongside Dr. Rutul Dalal, UPMC medical director of infectious diseases, and Steve Leauber, Red Cross senior disaster program manager, are urging people to prepare by buying necessities without overbuying, maintaining social distancing and hygiene recommendations, avoiding contact with large masses of people and staying home whenever able to especially when sick.

Being prepared means keeping enough food, supplies and medicine for 72 hours, Leauber said. With COVID, we have learned a lot. A lot of people have learned about preparedness because things got shut down and we didnt know that they were going to get shut down.

He encourages locals to prepare before a possible second wave actually hits our area.

A lot of people went and stocked up during the pandemic instead of before, he said.

He added that having enough supplies of your favorite things, canned foods and shelf-stable meals, batteries, a radio, phone and laptop chargers, medicine and even a generator can be helpful in the case of being quarantined or stuck at home during a national disaster for a long period of time.

Be prepared for it because we dont know, and COVID showed that to us, he said. Dont over buy, make sure there are things for the next person. If we dont overbuy there will be things for the next person.

There is enough to go around, Maloney added. We can get through this together if we all cooperate.

Maloney and Dalal agree that preventative measures like regular hand-washing and sanitizing, universal masking when not able to distance, practicing social distancing measures and not leaving the house when feeling ill, are just some of the measures that have been proven to help fight against the spread of the virus.

We should use them (masks), Maloney said. If we are learning anything, its that we do have proof that masks and distancing are effective. It is a really important message to get out. We dont have a cure but we do know how to prevent it, so lets do that.

At Geisinger, testing capabilities and telemedicine have been ramped up over the course of the virus and will continue to grow.

Geisinger has also learned how to better care for patients and how to fully monitor their personal protective equipment.

We are making sure of our supplies and taking PPE inventory daily, Maloney said. We know that we are in much better shape. We know that our internal infrastructures work. We are doing the things that we need to do. We are making sure that we are as prepared as we can be.

UPMC has taken similar approaches by maximizing their testing potential by opening up testing sites at their outpatient clinics in the surrounding areas.

Our job across all the communities we serve is to be ready for the worst and respond to what the realities are. That means we have to have aggressive well thought through testing and surveillance programs. We need to know about hot spots before they become overwhelming, Dalal said.

Dalal alongside his colleagues agree that the focus should remain on the most vulnerable.

Despite more people testing positive, often younger adults, we are not seeing the same pattern of increase in severe cases, he said. And I believe we can keep it that way if we focus our efforts on protecting the frail elderly and immunocompromised. We dont want any avoidable infections, but we must stay especially focused on doing the things that keep those vulnerable people from infection. This is not one-size-fits-all, we must tailor our interventions to match the risk level of who were addressing.

Masking and the same precautions Maloney discussed were also urged by Dalal.

While facemasks alone cant prevent COVID-19, they are a key factor in prevention. If you wear a facemask, it can help prevent you from spreading the disease to others. If others wear a facemask, it can help to prevent them from spreading COVID-19 to you, he said. Safety is the number one priority at UPMC. To ensure safety, preventative protocols, which include controlled entrances; screening of all staff, patients, and visitors; masking of all staff, patients, and visitors; and visitor restrictions, remain in effect at our facilities.

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Health care professionals urge public to be ready for potential second wave | News, Sports, Jobs - Williamsport Sun-Gazette

For the higher calling of health care | Opinion | thecabin.net – Log Cabin Democrat

Last week, I met with doctors, nurses, and respiratory therapists at Washington Regional Medical Center in Fayetteville who have been on the front line of saving lives during thiscoronavirus pandemic. They were tired and stressed, but their work makes me grateful for their services and sacrifice. Now, Id like to talk about the need to find more people such as those to enter the field. I am hopeful that the sight of their heroic service will inspire others to choose a career in health care.

The numbers of those in the health care profession nationally and in Arkansas have been declining for years. This worldwide health crisis has highlighted the shortfall and the urgent need to correct it. There never has been a greater need for young people to enter the health care profession.

The reasons for the decline are many, but the result is that as health care professionals retire, there arent enough people to replace them. Americans are living longer, which means the number of people in need of medical care is growing as the number of providers shrinks. In the rural areas of Arkansas, the situation is even more challenging.

As the coronavirus has billowed across our nation like a toxic fog, the illness has illustrated the complicated nature of our health care system. We have seen how various medical specialties intersect, and that each is essential: Medical doctors and doctors of osteopathic medicine. Paramedics. Emergency room doctors and registered nurses. Respiratory therapists and licensed practical nurses. Home health caregivers. Researchers. Medical technicians. That is a very short list of the many important jobs in the health care field.

A health care career offers many benefits. You can find a job almost anywhere you want to live, and the jobs pay well.

But there is more to it than the personal benefit. Health care is a higher calling, much like any other public service. Those who choose that path often are called upon to put the good of others before personal comfort and convenience, as thousands have done during the pandemic. The hours are long, the work can be difficult. But there are the bright moments when someone saves a life or a homebound patient rewards a health aide with a smile of gratitude.

Arkansas is growing and in need of more people who are willing to commit to that level of service. Our state needs young professionals with fresh perspectives to help us figure out new and better ways to deliver health care. We need tech-savvy professionals who elevate our health care system, which benefits all Arkansans: A tech-savvy health care system attracts high-quality business and industry and enhances Arkansass general quality of life.

COVID-19 has changed everything about our lives. We have no idea how long we will be fighting the current battle, but the health care professionals who are guiding us through this time inspire confidence and hope. My hope is that their inspiration will attract a new generation of professionals to accept the call.

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For the higher calling of health care | Opinion | thecabin.net - Log Cabin Democrat

Healthcare investment flowed freely in Q2, reaching $18B – Healthcare Dive

Dive Brief:

The pandemic has all but crippled the economies in the United States and elsewhere. Numerous retailers have filed for bankruptcy, countless small business have gone under and it's anybody's guess as to when a recovery will occur. Mergers and acquisitions among healthcare companies fell to a five-year low last quarter.

Yet for startup and intermediate-stage healthcare companies, the situation in brighter.

According to the CB Insights survey, there were nearly 1,300 equity investments in healthcare companies during the second quarter of 2020. The numbers tend to reinforce a prior survey concluding that digital health had a record first-half raising funds.

Tech-intensive startups are drawing more capital than others. Telehealth deals exploded, with 154 deals taking place in the second quarter a 23% increase compared to the first quarter and a record number, according to CB Insights. However, funding dropped 18% quarter over quarter, and there were 22 mergers and acquisitions, which also set a record high.

Investments in firms specializing in artificial intelligence grew by 14% during the quarter, to $1.1 billion, although the volume of deals was relatively flat compared to the first quarter.

Investments in women's health ventures declined precipitously, down 47% in dollar volume compared to the first quarter. But the number of deals increased 20%, to 52 in total.

Meanwhile, the focus of many venture capital firms is shifting overseas. Asia, for example, saw nearly $5 billion invested during the quarter a 98% increase from the first quarter of 2020. Funding in Europe also grew, to $2.3 billion from $1.5 billion. In North America, the number was flat, declining to $10.5 billion compared to $10.6 billion.

And while California remains the center of healthcare equity investments in the United States with 66 deals taking place during the second quarter, that number declined 14% compared to the first quarter. Meanwhile, deals in the New York City area were stable at 47 for the quarter.

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Healthcare investment flowed freely in Q2, reaching $18B - Healthcare Dive

6 months in: What will the new normal look like for hospitals? – Healthcare Dive

This story is part of a series examining the state of healthcare six months into the public health emergency declared for COVID-19.

The first U.S. hospital to knowingly treat a COVID-19 patient was Providence Regional Medical Center in Everett, Washington, on Jan. 20. Since then, every aspect of healthcare has been upended,and it's becoming increasingly clear all parts of society will have to adapt to a new baseline for the foreseeable future.

For hospitals and doctors' offices, that means building on a major shift to telemedicine, new workflows to allow for more infection control and revamping the supply chain for pharmaceuticals, personal protective equipment and other supplies. That's on top of ongoing challenges of burned out workers and staff shortages further exacerbated by the pandemic.

Looking out even further, the industry will have to figure out how to treat potential chronic conditions in COVID-19 survivors and, until an effective vaccine is developed, how to manage new outbreaks of the disease.

Experts say U.S. hospitals are generally in a much better position for dealing with COVID-19 now than they were in March, and providers are learning more every week about the best treatments and care practices.

A June survey of healthcare executives conducted by consultancy firm Advis found that 65% of respondents said the industry is prepared for a fall or winter surge, about the inverse of what an earlier survey with that question showed.

"We've evolved. We're in a much better state now than we were in the beginning of the pandemic," Michael Calderwood, associate chief quality officer at Dartmouth-Hitchcock Medical Center, told Healthcare Dive. "There's been a lot of learning."

But the number of positively identified cases has now topped 4million, and little political will exists to reinstitute widespread shutdowns even in areas where surges have filled ICUs to capacity. No treatment or vaccine for the disease exists or appears imminent. Testing and contract tracing efforts are too few and remain scattered and uncoordinated.

Whether there is a clear nationwide second wave or smaller surges in various parts of the country at different times, hospitals will need to remain in an effective state of emergency that requires constant vigilance until there is a cure or vaccine.

"Until we're armed with that, we're always going to have to be working like this. I don't see any other way," Diane Alonso, director of Intermountain Healthcare's abdominal transplant program, told Healthcare Dive.

The fall will bring additional challenges. Flu season usually begins to ramp up in October, and if the strains in wide circulation this year are severe, that will further stress the health system. While some schools have announced they will be virtual-only for the rest of 2020, others are committed to in-person classes. That could mean increased community spread, especially in college towns. Colder weather that forces people indoors where the novel coronavirus is far more likely to spread will also be a complicating factor.

So far, hospitals have been reluctant to once again halt elective procedures, though some have had to, arguing that the care is still necessary and can be done safely when the proper protections are in place. But that doesn't mean volume will rebound to pre-pandemic levels.

"While we think demand will come back, we've seen some flattening on demand in certain aspects that may be the new indicator of the new norm in terms of how people seek care," Dion Sheidy, a partner and healthcare advisory leader at advisory firm KPMG, told Healthcare Dive.

% of healthcare executives who said the following are a big concern for the industry

When the number of COVID-19 cases first surged in the U.S. and stay-at-home orders were implemented nationwide, telehealth became a necessary way for urgent care to continue.

Virtual visits skyrocketed in March and April as CMS and private payers relaxed regulations and expanded coverage. Some of that will be rolled back, but much may persist as patients and providers grow more used to using telehealth and platforms become smoother.

Virtual care can't replace in-person care, of course, and some patients and doctors will prefer face-to-face visits. The middle- to long-term result is likely to be that telehealth thrives for some specialties like psychiatry, but drops substantially from the highest levels during shutdowns throughout the country.

Other care settings outside of the hospital may see upticks as well, including at-home and retail-based primary and urgent care.

Renee Dua, the CMO of home healthcare and telemedicine startup Heal, said the company has seen virtual visits increase eight fold since the pandemic began in the U.S. and a 33% increase in home visits as people seek to continue care while reducing their risk of exposure to the coronavirus.

"The idea that you do not use an office building to get care that's why we started Heal we bet on the fact that the best doctors come to you," Dua told Healthcare Dive.

And care does need to continue, particularly vital services like vaccinations and pediatric checkups.

"You cannot ignore preventive screenings and primary care because you can get sick with cancer or with infectious diseases that are treatable and preventable," Dua said.

Movements toward non-traditional settings existed before anyone had heard of COVID-19, but the realities of the pandemic have shifted resources and spurred investment that will have lasting effects, Ross Nelson, healthcare strategy leader at KPMG, told Healthcare Dive.

"What we're going to see is there going to be an acceleration of the underlying trends toward home and away from the hospital," he said.

Some of this was already underway. Multiple large health systems have established programs to provide hospital-level care at home and major employers have inked contracts to have primary care delivered to employees at on-site clinics.

A key problem for hospitals in the first COVID-19 hotspots, such as Washington state and New York City, was a lack of necessary personal protective equipment, including N95 masks, gowns, face shields and gloves.

Also running low were supplies like ventilators and some drugs necessary for putting people on those machines.

While advances have certainly been made, the country did not have enough time to build up those supply stores before new surges in the South and West. The result has been renewed worries that not enough PPE is available to keep healthcare workers safe.

Chaun Powell, group vice president of strategic supplier engagement at group purchasing organization Premier, said "conservation practices continue to be the key to this" as COVID-19 surges roll through the country. The longer those dire situations continue, the more stress is put on the supply chain before it has a chance to recover.

Premier's most recent hospital survey found that more than half of respondents said N95s were heavily backordered. Almost half reported the same for isolation gowns and shoe covers.

of healthcare executives are reporting that N95 masks are heavily backordered

Calderwood said there has been improvement, however. "We have a much longer days-on-hand PPE supply at this point and the other thing is, we've begun to manufacture some of our own PPE," he said. "That's something a number of hospitals have done in working with local companies."

But the ability to manufacture new PPE in the U.S. also depends on the availability of raw materials, which are limited. That means significant advancements in domestic production are likely several months away, Powell said.

Health systems have stepped up the ability to coordinate and attempt to get equipment where it's needed most, especially for big-ticket items like ventilators. Providers are more hesitant, however, to let go of PPE without the virus being better contained.

The backstop supposed to help hospitals during a crisis is the national stockpile, which the federal government is attempting to resupply. It doesn't appear to be enough, though, at least not yet, Calderwood said.

"One thing that concerns me is we did have a national stockpile of PPE, and I get the sense that we've kind of burned through that supply," he said. "And now we're relying on private industry to meet the need."

Another problem hospitals face as the pandemic drags on is maintaining adequate staffing levels. Doctors, nurses and other front-line employees are in incredibly stressful work environments. The great potential for burnout will exacerbate existing shortages, just as medical schools are still trying to figure out how to continue with training and education.

"Those areas are concerning to our hospitals because our hospitals depend on a whole myriad of medical staff," Advis CEO Lyndean Brick said. "Whether it's physicians, nurses, technicians, housekeepers that whole staff complement is what's at the core of healthcare. You can have all the technology in the world but if you don't have somebody to run it that whole system falls apart."

On top of that is the increase in labor strife as working conditions have deteriorated in some cases. Nurses have reported fearing for their safety among PPE shortages and alleged lapses in protocol. Brick said she expects strike threats and other actions to continue.

When COVID-19 cases started ramping up for the first time in the U.S., hospitals throughout the country, acting on CMS advice, shut down elective procedures to prepare their facilities for a potential influx of critical patients with the disease. In some areas, hospitals did have to activate surge plans at that time. Others have done so more recently as the result of increases in the South and West.

But few have resorted to once again halting electives. Brick told Healthcare Dive she doesn't expect that to change, mostly because hospitals have by and large figured out how to properly continue that care.

She trusts any that can't do so safely, won't try.

"For the majority of our providers, except in the occasional state where they're having a real problem right now, I think that we're going to see elective surgeries still continue," Brick said. "Because most of our hospitals have capacity right now. They're able to do this successfully and securely, and it's really detrimental to patients to not get the care that they need."

Hospitals rely on elective procedures to drive their revenue, an added motivation to find ways to keep them running even when COVID-19 is detected at greater levels in the community.

Intermountain, based in Salt Lake City, recently performed its 100th organ transplant of the year, ahead of last year's pace despite the disruption of the COVID-19 crisis.

Alonso, the program director for abdominal transplants, said that while transplants are considered essential services, staff did pause some procedures when electives were halted and have re-evaluated workflow to be as safe as possible to patients, who are at higher risk after surgery because they are immunocompromised.

The hospital developed a triage system to help evaluate what services are necessary based on what level of COVID-19 spread is present in the community and how many beds and staffers are available to treat them.

The system's main hospital has certain floors and employees designated for COVID-19 treatment. Staff have been reallocated for certain needs like testing and there are plans available if doctors and surgeons need to be deployed to the ICU.

As many outpatient visits as possible are being changed to virtual, but in the building, patients are screened for symptoms and required to wear masks and follow distancing protocols.

At the transplant center, doctors were at one point divided into teams in case someone got sick and coworkers had to self-isolate.

"We went through a dry run where, at the beginning, we shut down incredibly hard to see how we could do it operationally," Alonso said. Intermountain hasn't had to do that again, but is ready if such measures become necessary, she said.

Brick and others said that despite the genuinely frightening circumstance brought by the pandemic, hospitals' responses have been admirable and providers have been quick to adapt. Slow or nonexistent leadership at the federal level, especially in sourcing and obtaining PPE, has been the bigger roadblock.

"Across the board, the whole healthcare industry has responded beautifully to this," Brick said. "Where our country has fallen down is we don't have a master plan to deal with this. Our federal leadership is reactionary, and we are not coordinating a master plan to deal with this in the long term. That's where my concerns are at. My concerns are not at our local hospitals. They have their acts together."

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6 months in: What will the new normal look like for hospitals? - Healthcare Dive

Healthcare Enforcement Mid-Year Roundup: 2020 | McDermott Will & Emery – JD Supra

In this installment of the Healthcare Enforcement Roundup we cover new and longstanding issues impacting the healthcare enforcement landscape. First, we explore the impact of the Coronavirus (COVID-19) on the healthcare industry, and the heightened risk of enforcement actions, whistleblower complaints and litigation that arise in times of crisis. We also address differing falsity standards that have emerged under the False Claims Act (FCA), the Department of Justices (DOJ) FCA enforcement priorities including an overview of the DOJs updated guidance on corporate compliance and new developments on the enforceability of sub-regulatory guidance that should all be watched by hospitals, health systems and other industry stakeholders. Finally, this issue features updates on key healthcare enforcement issues to watch from past Healthcare Enforcement Roundup reports.

PREPARING FOR THE AFTERMATH OF COVID-19: THE INVESTIGATIONS -

In recent months, the federal government has dedicated trillions of dollars to containing and treating the Coronavirus (COVID-19) and stimulating the economy in response to the pandemic. It has also waived many federal health program requirements to grant providers greater flexibility in combatting the virus. During these challenging times, healthcare providers should remember to practice good compliance hygiene to avoid heightened scrutiny and potential allegations of false claims lobbed by governmental actors and whistleblowers...

Please see full Newsletter below for more information.

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Healthcare Enforcement Mid-Year Roundup: 2020 | McDermott Will & Emery - JD Supra