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Filed under: Health Economics, iMBA, Inc., Investing, Practice Management, Recommended Books | Tagged: FOMC, interest rates, IRS, Michael A. Gayed CFA | 5 Comments »
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Filed under: Health Economics, iMBA, Inc., Investing, Practice Management, Recommended Books | Tagged: FOMC, interest rates, IRS, Michael A. Gayed CFA | 5 Comments »
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An invaluable tool for healthcare violence prevention program establishment is the Haddon Matrix. In 1968, William Haddon, Jr., a public health physician with the New York State Health Department, developed a matrix of categories to assist researchers trying to address injury prevention systematically. The idea was to look at injuries in terms of causal factors and contributing factors, rather than just using a descriptive approach. It is only recently that this model has been put to use in the area of workplace violence.
The Matrix Framework
The matrix is a framework designed to apply the traditional public health domains of host, agent, and disease to primary, secondary, and tertiary injury factors. When applied to workplace violence, the “host” is the victim of workplace violence, such as a nurse. The “agent” is a combination of the perpetrator and his or her weapon(s) and the force with which an assault occurs. The “environment” is divided into two sub domains: the physical and the social environments. The location of an assault such as the ER, the street, an examining room, or hospital ward is as important as the social setting in patient interaction, presence of co-workers, and supervisor support.
Modifications
Subsequent versions of the matrix divide the environment into Physical environment and Social, Socio-economic, or Sociocultural environment. Each factor is then considered a pre-event phase, an event phase, and a post-event phase.
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Medical / Healthcare Setting
The Haddon Matrix lends itself to a medical setting in that it uses a classical epidemiological framework to categorize “pre-event,” “event,” and “post-event” activities according to the infectious disease vernacular, host (victim), vector (assailant or weapon), and environment. The strength of the Haddon Matrix is that it includes the ability to assess “pre-events” or precursors in order to develop primary preventive measures.
|
Phases |
Host |
Agent |
Physical Environment |
Social Environment |
|
Pre-event (prior to assault) |
Knowledge Self-efficacy Training |
History of prior violence communicated |
Assess objects that could become weapons, actual weapons, egress (means of escape) |
Visit in pairs or with escort |
|
Event (assault) |
De-escalation Escape techniques Alarms/2-way phones |
Reduce lethality of patient via increasing your distance |
Egress, alarm, cell phone |
Code and security procedures |
|
Post-event (post-assault) |
Medical care/counseling Post-event debriefing |
Referral Law enforcement |
Evaluate role of physical environment |
All staff debrief and learn Modify plan if appropriate |
Policy?
From the perspective of administration, the Haddon Matrix does not implicate policy. This means that the matrix does not necessarily guide policy. When implemented, the Haddon Matrix can be a “politically” neutral, trans-or multi-disciplinary, objective tool that identifies opportunities for intervention. Furthermore, it outlines sensible “targets of change” for the physical and social environment.
|
Phase |
Affected individual and population |
Agent used |
Environment |
|
Pre-event |
Psychological first aid |
Communicate efforts to limit action |
Have plans in place detailing agency roles in prevention and detection |
|
Event |
Population uses skills |
Mobilize trauma workers |
Communicate that response systems are in place |
|
Post-event |
Assessment, triage, and psychological treatment |
Communicate, establish outreach centers |
Adjust risk communication |
|
End results |
Limit distress responses, negative behavior changes and psychological illness |
Minimize loss of life and impact of attack |
Minimize disruption in daily routines |
More: Was the San Bernardino CA Massacre Work Place Violence?
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Assessment
And so, was San Bernardino workplace violence – or not; please opine?
Conclusion
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Filed under: Ethics, Practice Management, Professional Liability, Risk Management | Tagged: assault, ER, Eugene Schmuckler PhD, gene schmuckler, Haddon Matrix, healthplace injury, medical assault, medical battery, medical workplace violence, William Haddon MD, workplace violence | 5 Comments »
ASSESSMENT OF WORKPLACE VIOLENCE … A HEALTHCARE P.O.V.
What Really Is Workplace Violence?
Workplace violence is more than physical assault — it is any act in which a person is abused, threatened, intimidated, harassed, or assaulted in his or her employment. Swearing, verbal abuse, playing “pranks,” spreading rumors, arguments, property damage, vandalism, sabotage, pushing, theft, physical assaults, psychological trauma, anger-related incidents, rape, arson, and murder are all examples of workplace violence.
Registered Nurses Association of Nova Scotia
The Registered Nurses Association of Nova Scotia defines violence as “any behavior that results in injury whether real or perceived by an individual, including, but not limited to, verbal abuse, threats of physical harm, and sexual harassment.” As such, workplace violence includes:
Non-work Related Situations
Workplace violence can be brought about by a number of different actions in the workplace. It may also be the result of non-work related situations such as domestic violence or “road rage.” Workplace violence can be inflicted by an abusive employee, a manager, supervisor, co-worker, customer, family member, or even a stranger.
University of Iowa Injury Prevention Research Center
The University of Iowa Injury Prevention Research Center classifies most workplace violence into one of four categories.[1]
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Assessment
And so, was San Bernardino workplace violence – or not; please opine?
More:
ABOUT
Dr. Eugene Schmuckler was Coordinator of Behavioral Sciences at a Public Training Center before accepting his current position as Academic Dean for iMBA, Inc. He is an international expert on personal re-engineering and coaching whose publications have been translated into Dutch and Russian. He now focuses on career development, change management, coaching and stress reduction for physicians and financial professionals. Behavioral finance, life planning and economic risk tolerance assessments are additional areas of focus. Formerly, Dr. Schmuckler was a senior adjunct faculty member at the Keller Graduate School of Management, Atlanta. He taught courses in Organizational Behavior and Leadership, Strategic Staffing, Training and Development, and the capstone course in human resources management. He is a member of a number of professional organizations including the American Psychological Association, the Academy of Management, and the Society for Human Resource Management. A native of Brooklyn New York, he received his BS degree in Psychology from Brooklyn College. He earned his MBA and PhD degrees in Industrial and Organizational Psychology from Louisiana State University. Currently, he serves on the executive BOD for: www.MedicalBusinessAdvisors.com and is the Dean of Admissions for www.CertifiedMedicalPlanner.org
Conclusion
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[1] Cal/OSHA, 1995; UIIPRC, 2001. For an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com
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Filed under: Breaking News, Research & Development, Risk Management | Tagged: David Edward Marcinko, Eugene Schmuckler, San Bernardino CA Massacre, Work Place Violence | 2 Comments »
e-Patient Health Information is Vulnerable!
ePHI is vulnerable to be compromised in all the states it is in. Whether it is at rest (in databases and files), or in motion (being transmitted through networks), or in use (being updated, or read), or is disposed (discarded paper files or electronic storage media).
An extra layer of security
Using encryption puts an extra layer of security to ePHI because even if someone gains access or reads ePHI, if it is encrypted then the chances of ePHI getting compromised diminishes. It makes the data unreadable and unusable by unauthorized persons. When ePHI is transmitted through networks, it is possible that it will be accessed by unauthorized persons, thus compromising ePHI. These type of unauthorized access hacking may not be immediately known, but can cause many damages.
Major Mitigation
ePHI should be encrypted and there must also be reasonable and appropriate mechanisms in place to prevent access to ePHI so that it is not accessed by persons or software programs that have not been granted access rights.
There are many different encryption methods and technologies to encrypt data in motion (SSL, VPN) or at rest.
So, choose the methods and technologies that best meet the physician’s office requirements.
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Success criteria
A risk analysis/assessment reports will provide a clear indication of whether these type of risks exists or has been mitigated with appropriate controls.
Assessment
Auditing logs that track access to ePHI can be verified periodically to check if there has been unauthorized access by persons or software programs that have not been granted access rights.
More:
About: Meet Shahid N. Shah MS [Our Newest IT Thought-Leader]
Conclusion
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[HEALTH INSURANCE, MANAGED CARE, ECONOMICS, FINANCE AND HEALTH INFORMATION TECHNOLOGY COMPANION DICTIONARY SET]
[Mike Stahl PhD MBA] *** [Foreword Dr.Mata MD CIS] *** [Dr. Getzen PhD]
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Filed under: Information Technology | Tagged: EHR encryption, ePHI, HIT, Shahid N. Shah MS, SSL, VPN | 3 Comments »

Dear Dr. David Marcinko,
#GivingTuesday is the global movement dedicated to giving back. It kicks off the holiday giving season and I hope you will join me by making a contribution to APHA.
Please consider making a donation in two areas where we need your help the most:
Your donation makes you part of Generation Public Health, APHA’s movement to create the healthiest nation in one generation. With your generous contribution we can continue to support the groundbreaking work of public health professionals and help turn today’s students into tomorrow’s leaders.
After you make your donation, please share on Facebook, Twitter, Instagram and other social media that you donated on #GivingTuesday and joined #GenerationPublicHealth.
Thank you for all that you do to support APHA!
Sincerely,

Georges C. Benjamin, MD
[Executive Director]

Filed under: Career Development, Ethics | Tagged: APHA - Giving Tuesday, Generation Public Health, Georges C. Benjamin, MD | Leave a comment »
The “Issues” LIST
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By Ike Devji JD
This check list is simple and by no means complete, but it helps explain the detail and variety of issues and exposures involved in preserving the assets you have at risk.
List of Exposures
• Do you and or any family members drive a vehicle?
• Do you have employees?
• Do you have a professional malpractice exposure?
• Do you have a legal responsibility to protect medical and financial data?
• Are you married and do you have assets not protected by a pre-nuptial agreement?
• Do you have a current tax obligation?
• Do you have children?
• Do you own a business?
• Are you a board member, officer, or director of a corporation?
• Do you have hobbies or engage in activities like hunting, flying, boating, etc?
• Do you have partners whose actions create joint and several liabilities for you?
• Do you have personal guarantees on real estate or for business loans?
• Do you have tail liability for professional services performed in the past?
• Have you made specific legal or financial representations that others have relied upon in a business context?
• What kind and what dollar amount of insurance and legal planning have you implemented against these exposures?
Assessment
Knowledge is power, so use the links above to continue your exploration and act on these issues before an exposure threatens, while the widest and most effective array of options can be implemented to protect your success.
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Conclusion
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[PHYSICIAN FOCUSED RISK MANAGEMENT TEXTBOOK]
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Filed under: Health Law & Policy, Risk Management | Tagged: asset protection MDs, Ike Devji, medical malpractice, medical risk management, physician liability | Leave a comment »
The Cost of Poor Quality
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Conclusion
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[Foreword Dr. Phillips MD JD MBA LLM] [Foreword Dr. Nash MD MBA FACP]
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Filed under: Information Technology, Quality Initiatives, Research & Development | Tagged: Impact of Inaccurate Patient Data Analytics, The Cost of Poor Medical Quality, www.MCOL.com | 4 Comments »
By Leanne Cole
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Filed under: Experts Invited, LifeStyle | Tagged: Financial District New York, Leanne Cole, Wall Street | 1 Comment »
On cars and houses
jvelazquez@bankingunusual.com
The US economy is roaring back to life as measured by the two largest purchases that people make: cars and houses. The interesting thing is that the uptick in sales is not being driven by artificial government incentives.
Instead, consumer demand is the main driver. It’s also interesting to note the impact of housing on your local economy.
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According to data compiled by the Bureau of Economic Analysis (BEA) and the National Association of Realtors (NAR), the value of construction as well as real estate and rental and leasing represents approximately 16.8% of the US economy, but the impact is much larger in some states.
Click here to check out the impact of housing in your state.
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Conclusion
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Filed under: Alternative Investments, Investing, Op-Editorials, Research & Development | Tagged: Bureau of Economic Analysis, Josh Velazquez, National Association of Realtors, US economy | 3 Comments »
Projections for 2016
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Conclusion
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Filed under: Health Insurance | Tagged: Health Insurance, Health insurance premiums 2016 | 1 Comment »
[By Staff Reporters]
ABOUT HEALTH TURNUP
[Healthcare news that’s not quite right]
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Health Turnup is published monthly via email. Subscriptions are free. Subscribers also receive weekly e-Bulletins and announcements. Detailed information is available at www.HealthTurnup.com, including the subscriber privacy policy, advertising information and disclaimers that all articles contained in this newsletter are fictitious in nature, and are provided for satirical purposes.
Inquiries can directed to info@healthturnup.com or 209.577.4888.
HealthTurnup is a service of MCOL. Copyright 2015, MCOL, Inc.
All Rights Reserved.
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[Mike Stahl PhD MBA] *** [Foreword Dr.Mata MD CIS] *** [Dr. Getzen PhD]
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Filed under: Jokes and Puns | Tagged: HEALTH TURNUP, www.MCOL.com | 3 Comments »
Back to pre-financial-crisis levels?
[By Josh Velazquez CMPS]
jvelazquez@bankingunusual.com
The amount of equity that Americans have in their homes has risen back up to pre-financial-crisis levels.
The interesting thing is that it still seems like there is room to grow because housing affordability is still very comfortably above its historical average (see chart below).
This is partly due to the fact that mortgage rates remain low and home ownership is still very affordable relative to renting a house.
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Bottom line: if you or someone you know missed the opportunity to purchase a home a few years ago, it may not be too late to ride this wave higher!
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Conclusion
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Filed under: Alternative Investments, Mortgage Electronic Registry System | Tagged: HARP loans, home equity, Josh Velazquez, mortgage rates | 2 Comments »
Be Ready for a Great 2016!
[By Patrick Bourbon CFA]
1. IRA – 401(k) / 403(b) retirement accounts – Are you on track for a comfortable retirement? You could increase the funding of your IRA and company retirement plan like a 401(k) or 403(b) accounts. 401(k) and 403(b) accounts allow individuals younger than 50 to contribute $18,000 each year, and individuals 50 and older to contribute $24,000. Some plans allow workers to make additional contributions of after-tax money.
For those under 50, the maximum is $53,000 for 2015. Doing so does not reduce your taxable income, but taxes are deferred on any earnings that the after-tax money makes. Later, some people roll these contributions into a Roth IRA, tax-free so the money would then grow tax-free. Traditional and Roth IRAs allow individuals younger than 50 to contribute $5,500 each year and individuals 50 and older to contribute $6,500. Even if you earn too much to contribute to a Roth IRA directly, you can open a traditional nondeductible IRA and convert it to a Roth; there is no income limit on traditional nondeductible IRAs or conversions. Returns generated in IRA and 401(k) / 403(b) accounts compound tax-free over their entire life.
2. Start tax planning! It’s not too early to think about taxes. Asset location & Tax efficiency Review your taxable and non-taxable accounts to ensure they are optimized for tax efficiency. If you have foreign bank accounts, make sure you comply with FATCA and FBAR (forms FinCEN 114, 8938, 8621…). If you have forgotten, you may look into the Offshore Voluntary Disclosure Program (OVDP) or Streamlined procedures.
3. Portfolio rebalancing Make sure you have rebalanced your portfolios to keep them in line with your goals, time horizon and risk tolerance. The market movements this summer may have thrown off your portfolio balance between stocks and bonds. David Swensen, the Chief Investment Officer at the Yale Endowment, performed an analysis that showed optimal rebalancing could add 0.4% to your annual return.
4. Harvest your capital losses Maybe it is time to sell some funds, ETF, stocks to generate some capital losses? Tax-loss harvesting is a method of reducing your taxes by selling an investment that is trading at a significant loss. Find out if you have any loss carryovers from prior years to be applied against capital gains (from sale of funds, ETF, stocks… in your taxable/brokerage accounts). If your current year’s capital losses exceed your capital gains, you have a net capital loss. You can use up to $3,000 of that loss ($1,500 if you are married filing separately) to offset other taxable income such as your salaries, wages, interest and dividends. If the capital loss is more than $3,000, you can carry over the excess and apply it against capital gains next year.
5. Emergency fund Don’t forget to establish or tune up your emergency fund. This is a good time to set aside money for next year’s cash needs. It is an account that is used to set aside funds to be used in an emergency, such as the loss of a job, an illness or a major expense.
6. Review your insurance policies Do you have a life, disability and long term care insurance? Make sure you and your loved ones are well protected if something happens to you. Your life may have changed (birth, marriage …). If you do have enough coverage it is also a good time simply to review the different types of coverage you have. Whole life or Variable Universal Life may help you reduce your taxes.
7. Health Spending Account Did you maximize your contribution to your healthcare HSA? The interest and earnings in this account are tax free! The maximum contribution for 2015 is $3,350 for an individual and $6,650 for a family ($1,000 catch-up over 55). The contributions are tax deductible and withdraws are non-taxable if they are used for medical expenses. Over the age of 65 you can withdraw funds at your ordinary tax rate (if the distribution is not used for unreimbursed medical expenses). Fidelity estimates that a 65-year-old couple retiring in 2014 will need $220,000 for health care costs in retirement, in addition to expenses covered by Medicare. The HSA can be a great source of tax-free money to pay those bills.
8. Required Minimum Distribution If you are age 70.5 or older, remember to take your required minimum distribution to avoid a potential 50% penalty.
9. 529 Plan Did you contribute to your 529 educational plan for your child/children? You can contribute $14,000 per year (annual limit) for each parent or you can pre-fund in a single instance up to five years’ worth of contributions, up to $70,000 (5 x $14,000). Together, that means a married couple can open a 529 plan with $140,000. Money saved in a 529 plan grows tax-free when used for eligible educational expenses, and some states have additional tax benefits for residents who contribute to a plan in that state.
10. Determine your net worth Add up what you own (home, car, savings, investments…) and subtract what you owe (mortgage, loans, credit cards, …). This will allow you to track your progress year to year. It may also give you some incentive to save more and create a better budget for next year.
11. Check your credit score Go to annualcreditreport.com and request a free credit report from each of the three nationwide credit reporting agencies. You’re entitled to one free report from each agency every 12 months.
12. Check your beneficiaries You can check the beneficiaries on your retirement accounts or insurance policies at any time, but it’s a good idea to do this at least annually.
13. Update your estate plan New baby? Newly married or divorced? Make sure your beneficiary designations reflect any changes. Don’t yet have an estate plan? Make that a new year’s resolution! Estate planning may include updating or establishing a “will” or trust that can help avoid public disclosure of assets in probate.
14. Spending and automated savings – You want to look ahead Did you review your budget and set up automated savings? You may have started the year with a clear budget, but did you to stick to it? Fall can be a good time of the year for your financial checkup and to reflect on your spending and develop a budget for next year. It is also a very good time to put whatever you can on automatic. Bills, recurring payments, even savings—the more you can put on auto pay now, the easier your financial life will be next year. With this year’s facts and figures in front of you, it will be easier to plan and prioritize your expenditures for next year.
Assessment
Conclusion
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Front Matter with Foreword by Jason Dyken MD MBA
“BY DOCTORS – FOR DOCTORS – PEER REVIEWED – FIDUCIARY FOCUSED”
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Filed under: Experts Invited, Insurance Matters, Investing, Portfolio Management | Tagged: 2015 Year-End Financial Checklist, Financial Planning, Investing, Patrick Bourbon CFA | Leave a comment »
And, the Bureau of Labor Statistics (BLS) said …
By Arthur Chalekian GEPC
[Financial Consultant]
U.S. job growth surpassed expectations in October. About 271,000 jobs were created across diverse industries: professional and business services, health care, retail, construction, and others. That was a significantly higher number than predicted by economists who participated in a survey conducted by The Wall Street Journal. They expected to see 183,000 new jobs for October.
BLS revised
The BLS revised August and September jobs numbers higher overall and reported improvement on the wage front, too. Average hourly earnings increased by nine cents during October. For the year, hourly earnings are up 2.5 percent. Rising wages and a 5 percent unemployment rate “appear to indicate the labor market has reached full employment,” reported Barron’s.
Strong employment data supports the idea the Fed will begin to lift the Fed funds rate this year. On Friday, former Chairman of the Federal Reserve Ben Bernanke wrote in his blog:
“Wednesday was something of a trifecta for Fed watchers: Chair Yellen, Board Vice-Chair Stanley Fischer, and Federal Reserve Bank of New York president Bill Dudley (who is also the vice chair of the Federal Open Market Committee) all made public appearances. Moreover, the comments by all three members of the Fed’s leadership explicitly or implicitly supported the idea that a December rate increase by the FOMC is a distinct possibility. (The possibility of a rate increase is even more distinct with this morning’s strong job market report.)”
Markets responded swiftly, according to The Wall Street Journal, as investors repositioned their portfolios in anticipation of a rate hike. While stock market indices remained relatively steady, there was considerable volatility within certain sectors. An expert cited by the publication commented:
“…one of the big rotation trades on Friday was investors taking money out of companies such as utilities and real-estate-investment trusts, and putting it into those that are expected to benefit from higher rates, such as financial companies.”
Conclusion
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Filed under: Health Economics, Investing | Tagged: Arthur Chalekian, Ben Bernanke, Bill Dudley, BLS, Bureau of Labor Statistics, Federal Open Market Committee, FOMC, interest rates, Stanley Fischer | 2 Comments »
ePHI is vulnerable to be compromised in all the states it is in. Whether it is at rest (in databases and files), or in motion (being transmitted through networks), or in use (being updated, or read), or is disposed (discarded paper files or electronic storage media).
Using encryption puts an extra layer of security to ePHI because even if someone gains access or reads ePHI, if it is encrypted then the chances of ePHI getting compromised diminishes. It makes the data unreadable and unusable by unauthorized persons. When ePHI is transmitted through networks, it is possible that it will be accessed by unauthorized persons, thus compromising ePHI. These type of unauthorized access hacking may not be immediately known, but can cause many damages.
Major Mitigation
ePHI should be encrypted and there must also be reasonable and appropriate mechanisms in place to prevent access to ePHI so that it is not accessed by persons or software programs that have not been granted access rights.
There are many different encryption methods and technologies to encrypt data in motion (SSL, VPN) or at rest. Choose the methods and technologies that best meet the physician’s office requirements.
Success criteria
The risk analysis/assessment reports will provide a clear indication of whether these type of risks exists or has been mitigated with appropriate controls.
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Assessment
Auditing logs that track access to ePHI can be verified periodically to check if there has been unauthorized access by persons or software programs that have not been granted access rights.
More
ABOUT
Mr. Shahid N. Shah is an internationally recognized healthcare thought-leader across the Internet. He is a consultant to various federal agencies on technology matters and winner of Federal Computer Week’s coveted “Fed 100″ Award, in 2009. Over a twenty year career, he built multiple clinical solutions and helped design-deploy an electronic health record solution for the American Red Cross and two web-based eMRs used by hundreds of physicians with many large groupware and collaboration sites. As ex-CTO for a billion dollar division of CardinalHealth, he helped design advanced clinical interfaces for medical devices and hospitals. Mr. Shah is senior technology strategy advisor to NIH’s SBIR/STTR program helping small businesses commercialize healthcare applications. He runs four successful blogs: At http://shahid.shah.org he writes about architecture issues; at http://www.healthcareguy.com he provides valuable insights on applying technology in health care; at http://www.federalarchitect.com he advises senior federal technologists; and at http://www.hitsphere.com he gives a glimpse of HIT as an aggregator. Mr. Shah is a Microsoft MVP (Solutions Architect) Award Winner for 2007, and a Microsoft MVP (Solutions Architect) Award Winner for 2006. He also served as a HIMSS Enterprise IT Committee Member. Mr. Shah received a BS in computer science from the Pennsylvania State University and MS in Technology Management from the University of Maryland.
Conclusion
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Filed under: Information Technology | Tagged: encryption, ePHI, HIT, protected health information, Shahid N. Shah MS, SSL, VPN | 1 Comment »
[Staff reporters]
The Princeton University economist Angus Deaton won this year’s Nobel Prize in economic sciences.
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Filed under: Breaking News, Health Economics | Tagged: Angus Deaton, Health Economics, Nobel prize, Princeton University | 1 Comment »
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[Foreword Dr. Phillips MD JD MBA LLM] *** [Foreword Dr. Nash MD MBA FACP]
[Mike Stahl PhD MBA] *** [Foreword Dr.Mata MD CIS] *** [Dr. Getzen PhD]
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Dr. David Edward Marcinko, editor-in-chief, is a next-generation apostle of Nobel Laureate Kenneth Joseph Arrow, PhD, as a health-care economist, insurance advisor, financial advisor, risk manager, and board-certified surgeon from Temple University in Philadelphia. In the past, he edited eight practice-management books, three medical textbooks and manuals in four languages, five financial planning yearbooks, dozens of interactive CD-ROMs, and three comprehensive health-care administration dictionaries. Internationally recognized for his clinical work, he is a distinguished visiting professor of surgery and a recipient of an honorary Bachelor of Medicine–Bachelor of Surgery (MBBS) degree from Marien Hospital in Aachen, Germany. He provides litigation support and expert witness testimony in state and federal court, with medical publications archived in the Library of Congress and the Library of Medicine at the National Institutes of Health.
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Filed under: Book Reviews, Financial Planning, Health Economics, Health Insurance, Health Law & Policy, Healthcare Finance, iMBA, Information Technology, Insurance Matters, Investing, Portfolio Management, Practice Management, Retirement and Benefits, Taxation | Tagged: david marcinko, Financial Planning, Health Economics, Health Insurance, physician investing, Portfolio Management | 1 Comment »
Qualitatively and quantitatively intensive!
By Vitaliy N. Katsenelson CFA
Our investment process at IMA is both qualitatively and quantitatively intensive. Throughout the course of a year we look at hundreds of companies. Most of them receive only a cursory look – we don’t like the business, the valuation is too stretched, or we simply have no insight into the business. We usually glance at them and move on.
But, if we really like the business and/or its valuation, we build a model. Often, just from a cursory look we know that the stock is not cheap enough, but if we really (really!) like the business we’ll invest the time to model it so we can understand it better and set a price at which we want to buy it (and then wait).
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We build models
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We build a lot of models. We built over a hundred models last year (we bought only a handful of stocks). Building models is important for us. Models help us to understand businesses better. They provide insights as to which metrics matter and which don’t. They allow us stress test the business: we don’t just look at the upside but spend a lot of times looking at the downside – we try to “kill” the business. We usually try to drill down to essential operating metrics. If it is a convenience store retailer, we’ll look into gallons of gas sold and profit per gallon. If it is a driller (see our Helmerich & Payne analysis), we look at utilization rates, rigs in service, average revenue per rig per day, etc.
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In the past, when we owned Joseph A. Banks, a model helped us understand the impact maturation of its new stores had on same-store sales (PDF, see slide 49). Half of Joseph A. Banks stores were less than five years old, and their maturation drove significant same-store sales increase for years.
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We looked at American Express before the crisis, which gave us insight into inflated profit margins of the financial sector, and thus we avoided for the most part the carnage in the financials. We thought American Express stock was not cheap enough at the time, but we learned that Amex’s high swipe-fee revenue provided an important buffer to help the company absorb significant loan losses. Amex could have withstood over 10% loan losses on its credit card portfolio and still have remained profitable. This insight gave us the confidence to buy Amex during the crisis.
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Models are important because they help us remain rational. It is only the matter of time before a stock we own will “blow up” (or, in layman’s terms, decline). We can go back to our model and assess whether the decline is warranted. The model then gives us the confidence to make a rational (very key word) decision: buy more, do nothing, or sell.
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Assessment
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Models are frameworks that help us think about the businesses we analyze. We are always aware of John Maynard Keynes’ expression, “I’d rather be vaguely right than precisely wrong.” Models are not a panacea, but they are an important and often invaluable tool. However, models are only as good as their builders and the inputs to them.
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ABOUT
Vitaliy N. Katsenelson, CFA, is Chief Investment Officer at Investment Management Associates in Denver, Colo. He is the author of Active Value Investing (Wiley 2007) and The Little Book of Sideways Markets (Wiley, 2010). His books have been translated into eight languages. Forbes called him – the new Benjamin Graham.
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Conclusion
Your thoughts and comments on this ME-P are appreciated. Feel free to review our top-left column, and top-right sidebar materials, links, URLs and related websites, too. Then, subscribe to the ME-P. It is fast, free and secure.
Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com
OUR OTHER PRINT BOOKS AND RELATED INFORMATION SOURCES:
Front Matter with Foreword by Jason Dyken MD MBA
“BY DOCTORS – FOR DOCTORS – PEER REVIEWED – FIDUCIARY FOCUSED”
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Filed under: Investing, Portfolio Management | Tagged: Helmerich & Payne analysis, Investing, Investment Management Associates, investment models, Vitaliy N. Katsenelson CFA | 1 Comment »
On D-2-C Ads?
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Conclusion
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Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com
OUR OTHER PRINT BOOKS AND RELATED INFORMATION SOURCES:
[Foreword Dr. Hashem MD PhD] *** [Foreword Dr. Silva MD MBA]
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Filed under: Drugs and Pharma, Ethics | Tagged: Big Pharma and Drugs, D2C drugs, Drug Advertisements, www.MCOL.com | 1 Comment »
And … Business Owners
By Robert Whirley CPA
[Alpharetta, GA 30009]
As the end of the year approaches, it is a good time to think of planning moves that will help lower your tax bill for this year and possibly the next. Factors that compound the challenge include turbulence in the stock market, overall economic uncertainty, and Congress’s failure to act on a number of important tax breaks that expired at the end of 2014. Some of these tax breaks ultimately may be retroactively reinstated and extended, as they were last year, but Congress may not decide the fate of these tax breaks until the very end of 2015 (or later). These breaks include, for individuals: the option to deduct state and local sales and use taxes instead of state and local income taxes; the above-the-line-deduction for qualified higher education expenses; tax-free IRA distributions for charitable purposes by those age 70- 1/2 or older; and the exclusion for up-to-$2 million of mortgage debt forgiveness on a principal residence. For businesses, tax breaks that expired at the end of last year and may be retroactively reinstated and extended include: 50% bonus first-year depreciation for most new machinery, equipment and software; the $500,000 annual expensing limitation; the research tax credit; and the 15-year writeoff for qualified leasehold improvements, qualified restaurant buildings and improvements, and qualified retail improvements.
Higher-income earners have unique concerns to address when mapping out year-end plans. They must be wary of the 3.8% surtax on certain unearned income and the additional 0.9% Medicare (hospital insurance, or HI) tax. The latter tax applies to individuals for whom the sum of their wages received with respect to employment and their self-employment income is in excess of an unindexed threshold amount ($250,000 for joint filers, $125,000 for married couples filing separately, and $200,000 in any other case).
The surtax is 3.8% of the lesser of: (1) net investment income (NII), or (2) the excess of modified adjusted gross income (MAGI) over an unindexed threshold amount ($250,000 for joint filers or surviving spouses, $125,000 for a married individual filing a separate return, and $200,000 in any other case). As year-end nears, a taxpayer’s approach to minimizing or eliminating the 3.8% surtax will depend on his estimated MAGI and NII for the year. Some taxpayers should consider ways to minimize (e.g., through deferral) additional NII for the balance of the year, others should try to see if they can reduce MAGI other than NII, and other individuals will need to consider ways to minimize both NII and other types of MAGI.
The 0.9% additional Medicare tax also may require year-end actions. Employers must withhold the additional Medicare tax from wages in excess of $200,000 regardless of filing status or other income. Self-employed persons must take it into account in figuring estimated tax. There could be situations where an employee may need to have more withheld toward the end of the year to cover the tax. For example, if an individual earns $200,000 from one employer during the first half of the year and a like amount from another employer during the balance of the year, he would owe the additional Medicare tax, but there would be no withholding by either employer for the additional Medicare tax since wages from each employer don’t exceed $200,000. Also, in determining whether they may need to make adjustments to avoid a penalty for underpayment of estimated tax, individuals also should be mindful that the additional Medicare tax may be overwithheld. This could occur, for example, where only one of two married spouses works and reaches the threshold for the employer to withhold, but the couple’s combined income won’t be high enough to actually cause the tax to be owed.
We have compiled a checklist of additional actions based on current tax rules that may help you save tax dollars if you act before year-end. Not all actions will apply in your particular situation, but you (or a family member) will likely benefit from many of them. We can narrow down the specific actions that you can take once we meet with you to tailor a particular plan. In the meantime, please review the following list and contact us at your earliest convenience so that we can advise you on which tax-saving moves to make.
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Year-End Tax Planning Moves for Individuals
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Year-End Tax-Planning Moves for Medical Practices, & Business Owners
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Conclusion
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Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com
OUR OTHER PRINT BOOKS AND RELATED INFORMATION SOURCES:
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Front Matter with Foreword by Jason Dyken MD MBA
“BY DOCTORS – FOR DOCTORS – PEER REVIEWED – FIDUCIARY FOCUSED”
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Filed under: Accounting, Experts Invited, Taxation | Tagged: Robert Whirley CPA, Year End Tax Planning for Physicians | 5 Comments »
“Altitude Sickness,” or Value Asphyxiation?
[By Vitaliy N. Katsenelson CFA]
“Asphyxiation is a condition in which the body doesn’t receive enough oxygen.”
That’s how I started another column awhile back , in which I explained how the recent U.S. equity market highs have been creating “altitude sickness,” or value asphyxiation, for investors. If you look down from 30,000 feet, the market is trading at a significant premium to its average long-term valuation, especially if you normalize earnings for sky-high profit margins.
The Trench View
The view from the trenches is not much different. I spend a lot of time looking for new stocks, either by screen or by reading or talking to other value investors. We are all having a hard time finding many stocks of interest. In fact, we’ve been doing a lot more selling than buying.
I often get asked a question: Are we in a bubble? Bubble is a word that has been thrown around a lot lately. There may be an academic definition of what a bubble is — probably something to do with valuations at least a few standard deviations from the mean — but I don’t really care what it is. (Only academics believe in normal distributions.)
The Practitioner’s View
From the practitioner’s perspective, a bubbly valuation occurs when the price-earnings ratio of a company is so high that its earnings will have a hard time growing into investors’ expectations. In other words, the stock is so expensive that investors holding it will find it difficult to realize a positive return for a long time (think of Cisco Systems, Microsoft and Sun Microsystems in 2000). There are some bubbly stocks in the market today. Most years you see some, but today there are probably a few more than usual.
We see a lot of overvalued or fully valued stocks. Expectations (valuations) of those stocks have already more than priced in rosy earnings growth scenarios. If these scenarios play out, investors will likely make very little money, as earnings growth will merely offset P/E compression. But here is where it gets interesting: The line between overvalued and bubbly stocks is often very murky. If the economy’s growth is lower than expected or corporate profit margins revert toward the mean (or, in the situation we have today, decline), the return profiles of these stocks will not be substantially different from those of the bubbly ones. Unfortunately for the value-asphyxiated investor, there are a lot of stocks that fall into this overvalued bucket.
It is very hard for investors to remain disciplined and stick to an investment process. Selling overvalued stocks is hard, because every sell decision brings consequent pain as overvalued stocks that are not aware you’ve sold them keep on marching higher. Just as Pavlov’s dog responded to a bell, the pain of selling teaches us not to sell.
More Pain
If that pain were not enough, cash keeps burning a hole in our portfolios. Cash doesn’t rise in value when everything else is rising; thus investors feel forced to buy. When you are forced into a buy or sell decision, the outcome will usually not be good. Forced buy decisions are usually bad buy decisions. Just because a stock looks less bad than the rest of the market doesn’t make it a good stock. Maybe its peer is trading at 23 times earnings and your pick is trading at “only” 19. Such relative logic is dangerous today, because it anchors you to a transitory environment that may or may not be there for you in the future (most likely not).
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An Annoying Phase
We are in the most annoying phase of the investing calendar: the month when every market strategist and his dog have to make a prediction as to what the market will do next year. To be right in forecasting, you have to predict often. And market strategists do. In fact, they predict so often that no one remembers how often their predictions worked out. I am not knocking the prognosticators: That is their job. They predict and sound smart doing it — just like it’s the barber’s job to cut your hair and pretend he is concentrating on not cutting off your ear.
It is your job, however, not to pay attention to the predictors. They simply don’t know. They may have a gut feeling, but that feeling is worth as much as you pay for it — very little. To time the market, you have to forecast what the economy will do, which is also very difficult. The Fed has 450 economists working full time on that (half of them are Ph.D.s, but I am not going to hold it against them), and they have an amazingly poor track record. Then you have to figure out how other market participants will respond to the economics news — and that is incredibly difficult. Let’s say you nailed both of these tasks. You still need to predict the multitude of random events — a few of which may be very large black swans — that will show up in the next 12 months. There is a reason why they are called “random.”
Assessment
Though it is dangerous to drink the market’s Kool-Aid and celebrate, it is not time to be gloomy either. There is good news for all of us: Cyclical bull markets are here to absolve us from our “buy” sins. Not every stock in your portfolio is marching in rhythm to its fundamentals. Indeed, this market has lifted many stocks while divorcing them from their weak fundamentals. This absolution is temporary: Take advantage of it.
ABOUT
Vitaliy N. Katsenelson, CFA, is Chief Investment Officer at Investment Management Associates in Denver, Colo. He is the author of Active Value Investing (Wiley 2007) and The Little Book of Sideways Markets (Wiley, 2010). His books have been translated into eight languages. Forbes called him – the new Benjamin Graham.
Conclusion
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Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com
OUR OTHER PRINT BOOKS AND RELATED INFORMATION SOURCES:
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Filed under: Investing, Portfolio Management | Tagged: Investing, market bubbles, value investors, Vitaliy N. Katsenelson | Leave a comment »
By Daniel J. Antokal MBA
[Financial Advisor]
As the year draws to a close, there might be a slew of tasks on your to-do list. One task to consider is setting up a meeting with your financial professional to review your investments. If you take the time to get organized now, it may help you accomplish your long-term goals more efficiently.
Here are some steps that might help:
During the meeting with your financial professional, review how your overall investment portfolio fared over the past year and determine whether adjustments are needed to keep it on track.
Here are some questions to consider:
Addressing these issues might help you determine whether your investment strategy needs to change in the coming year.
During the portfolio review process, look at your current asset allocation among stocks, bonds, and cash alternatives. You might determine that one asset class has outperformed the others and now represents a larger proportion of your portfolio than desired. In this situation, you might want to rebalance your portfolio.
The process of rebalancing typically involves buying and selling securities to restore your portfolio to your targeted asset allocation based on your risk tolerance, investment objectives, and time frame. For example, you might sell some securities in an overweighted asset class and use the proceeds to purchase assets in an underweighted asset class; of course, this could result in a tax liability.
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Tax losses
If you own taxable investments that have lost money, consider selling shares of losing securities before the end of the year to recognize a tax loss on your tax return. Tax losses, in turn, could be used to offset any tax gains. When attempting to realize a tax loss, remember the wash sale rule, which applies when you sell a security at a loss and repurchase the same security within 30 days of the sale. When this happens, the loss is disallowed for tax purposes.
If you don’t want to sell any of your current investments but want to change your asset allocation over time, you might adjust future investment contributions so that more money is directed to the asset class you want to grow. Once your portfolio’s asset allocation reaches your desired balance, you can revert back to your previous strategy, if desired. Keep in mind that asset allocation and diversification do not guarantee a profit or protect against loss; they are methods used to help manage investment risk.
Your financial professional can help you understand how your investments may be affected by capital gains and other taxes. You can learn more about current tax laws and rates by visiting www.irs.gov.
After your year-end investment review, you might resolve to increase contributions to an IRA, an employer-sponsored retirement plan, or a college fund next year. With a fresh perspective on where you stand, you may be able to make better choices next year, which could potentially benefit your investment portfolio over the long term.
Conclusion
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Filed under: Financial Planning, iMBA, Investing | Tagged: By Daniel J. Antokal MBA, Year-End Investment Planning | 1 Comment »
Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com
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Filed under: Funding Basics, Investing, Portfolio Management | Tagged: Arthur Chalekian, Elite Financial Partners, European Central Bank, Mario Draghi, People's Bank of China | 2 Comments »
The Top Five [5] Complaints – 2015
Conclusion
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[Mike Stahl PhD MBA] *** [Foreword Dr.Mata MD CIS] *** [Dr. Getzen PhD]
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Filed under: Ethics, Health Insurance, Quality Initiatives | Tagged: Common Health Complaints, mcol.com | 1 Comment »
Our default brain operating system is programmed to make poor financial decisions?
By Rick Kahler MS CFP® http://www.KahlerFinancial.com
If you’ve ever struggled to learn new software or unravel a computer problem, you know that part of the frustration of dealing with technology is its logic. Computers respond according to their default operating systems. If we want them to do something different, they need to be reprogrammed.
In the same way, the default operating systems of our brains are actually programmed to make poor financial decisions. This is normal. Making good financial decisions actually takes a deliberate reprogramming of your internal operating system. Here is why.
Our brains are divided into three sections: the reptilian brain, the mammalian brain, and the prefrontal cortex.
The reptilian brain is the oldest, most primitive part. In a talk at the Financial Therapy Association’s annual conference in July 2015 in San Jose del Cabo, Mexico, Dr. Ted Klontz explained that the reptilian brain continually scans for threats. It is waiting for death to come walking through the doorway, so it lives in anxiety. Since anything positive is not a threat, it’s oblivious to the positive. It also doesn’t understand the concept of the future, but lives only in this moment.
Left to its own programming, then, of course the reptilian brain might have a problem making monthly contributions to a retirement account. Saving for the future isn’t a concept it even understands. Further, it sees taking money out of the checkbook as a threat because that leaves fewer resources to battle death when it comes through the doorway. Making things even worse, the reptilian brain is nearly impossible to change. The best most of us can do is manage it.
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This brings us to the mammalian brain, whose only job is to manage the anxiety of the reptilian brain. It does so in three ways:
Most of us favor one of these three responses to threats, and according to Dr. Klontz we select our preferred response by the age of six. When the mammalian brain responds, it processes exponentially faster than the thinking part of our brain, the prefrontal cortex. Because of the ease with which the mammalian brain responds to threats, 90% of all decisions—including financial ones—are made here.
With the mammalian brain managing the anxiety of the reptilian brain, we have a more sophisticated response to our potential retirement plan contribution. Some of us will verbally fight and defeat any messenger (article, employer, financial advisor, spouse) that suggests we drain our current resources to send money into a black hole. Others will simply flee the messenger by diverting our attention to the Monday night football game or any task at hand. A portion of us will just freeze into a glassy-eyed stare. Nobody is home.
That leaves us with our only hope, the understanding and thinking part of the brain, the prefrontal cortex. This part of our brain doesn’t fully come on line until the mid-twenties. It functions as the parent of the other two brains, but unfortunately it processes information very slowly and with great effort.
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More:
Assessment
Fortunately, this is the brain that is easiest to change. By training it to become aware when the lower parts of the brain are about to make a hair-trigger decision, we can stop the ensuing action long enough to add logic as well as emotion to the process.
More:
Reprogramming the brain takes time, practice, and using resources like education, mentors, advisors, and counseling. Eventually, wise financial choices like saving for retirement can become the new default programming, even in spite of the reptilian brain.
Conclusion
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Filed under: Investing, LifeStyle | Tagged: behavioral economics, behavioral finance, Emotional Intelligence, EQ, IQ, Rick Kahler CFP®, Ted Klontz | 1 Comment »
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Filed under: Health Economics, Health Insurance, Healthcare Finance | Tagged: ACA, Health Economics, Health Entitlements & the Deficit, Health Insurance, Nancy Chockley PhD, NIHCM.org, ObamaCare | 1 Comment »
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Filed under: Book Reviews, Investing, Portfolio Management, Videos | Tagged: Buffett, CFA Institute, Dr. David Marcinko, Education of a Value Investor, Guy Spier, Mohnish Pabrai, Munger, value investing, Vitaliy N. Katsenelson CFA | 1 Comment »
A Motley Fool Interview
ABOUT
Vitaliy N. Katsenelson CFA is Chief Investment Officer at Investment Management Associates in Denver, Colo. He is the author of Active Value Investing (Wiley 2007) and The Little Book of Sideways Markets (Wiley, 2010). His books were translated into eight languages. Forbes Magazine called him “The new Benjamin Graham”.
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Filed under: Investing | Tagged: Forbes, James Early, Motley Fool, stock price, value investing, Vitaliy N. Katsenelson | 1 Comment »
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http://www.BusinessofMedicalPractice.com
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[Education and Certification Program for Financial Advisors]

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Filed under: Book Reviews, Financial Planning, iMBA, Risk Management | Tagged: Dr. David Edward Marcinko MBA, medical risk management, physician focused financial planning | 2 Comments »
Estimations ….
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Conclusion
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Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com
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[Mike Stahl PhD MBA] *** [Foreword Dr.Mata MD CIS] *** [Dr. Getzen PhD]
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Filed under: Health Economics, iMBA | Tagged: Healthcare Retirement Costs, www.MCOL.com | 3 Comments »
[Staff reporters]
According to NEIL IRWIN; it is the 82-Year-Old Banking Law That Stirred a Debate!
What is the Glass-Steagall Act [Banking Act of 1933]?
When people talk about banking, they are talking about two broad classes of activities.
Commercial banking is what happens at your neighborhood branch: You deposit money in a checking or savings account, and the bank uses those deposits to make loans to consumers or small businesses.
Investment banking refers to the kind of banking activity more common on Wall Street, like helping large companies issue stock or bonds in order to fund themselves, and trading securities in hope of making a profit.
The government’s response was the Banking Act of 1933, commonly known as the Glass-Steagall Act (for the bill’s sponsors, Senator Carter Glass of Virginia and Representative Henry Steagall of Alabama), which required that commercial banking and securities activities be separated, not to take place within the same financial institution.
More: The Three Types of Banks
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More:
Assessment
So, here is a look at why the Democratic presidential candidates Bernie Sanders and Martin O’Malley want to reinstate it.
TERMS: Investment Banking DR. MARCINKO
Conclusion
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Filed under: Investing | Tagged: Banking Act of 1933, Commercial banking, Glass Steagall Act, INVESTMENT BANKING | 1 Comment »
Migrating from Volume to … Value
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Assessment
Conclusion
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[Foreword Dr. Hashem MD PhD] *** [Foreword Dr. Silva MD MBA]
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Filed under: Health Insurance, Quality Initiatives | Tagged: Value Based Medical Care | 5 Comments »
An Interesting Innovation
[By Dan Ariely PhD]
I recently learned of an interesting innovation in medical pricing coming from Sweden.
This pamphlet from the healthcare authority states (translated):
“If you have a respiratory problem and you don’t take antibiotics for it during your first visit to the doctor, you have the right to a second visit within five days free of charge”.
Read more about this approach here …
More:
Conclusion
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Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com
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[Mike Stahl PhD MBA] *** [Foreword Dr.Mata MD CIS] *** [Dr. Getzen PhD]
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Filed under: Health Economics | Tagged: Dan Ariely PhD, Swedish Medicine | 1 Comment »
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By Dr. David E. Marcinko MBA MBBS [Hon]
[Publisher-in-Chief]
Your Ashley Madison Account
[Paul recommends to read this email]
But … don’t fall for it!
I just received this email message from sharingservices@aol.com: In this time of medical information and financial advisory data cyber security breaches, here is a warning about personal security, too!
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Unfortunately your data was leaked in the recent hacking of Ashley Madison and I know have your information. I have also used your user profile to find your Facebook page, using this I can now message all of your friends and family members.
If you would like to prevent me from sharing this dirt info with all of your friends and family members (and perhaps even your employers too?) then you need to send 1 bitcoin to the following BTC address.
Bitcoin Address:
1AEJiZFnELwRZVjmVSvDSwUaXNZy4X9bQN
You may be wondering why should you and what will prevent other people from doing the same, in short you now know to change your privacy settings in Facebook so no one can view your friends/family list. So go ahead and update that now (I have a copy if you don’t pay) to stop any future emails like this.
You can buy bitcoin using online exchanges easily. If the bitcoin is not paid within 3 days of 23 Sep 2015 then my system will automatically message all of your friends and family members. The bitcoin address is unique to you.
Consider how expensive a divorce lawyer is. If you are no longer in a committed relationship then think about how this will affect your social standing amongst family and friends. What will your friends and family think about you?
Sincerely,
Paul
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After review, I noted the following faults with this blast message:
* No sender last name.
* Sender blast email service
* Multiple email addresses
* Poor grammar
* I do not have – or ever had – a Facebook account
* I do not have – or ever had – an AM account
Assessment
Note any other “give-aways“? Don’t fall for this ploy. And, don’t be Gullible or Guilty. Forewarned is forearmed.
More:
Conclusion
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Filed under: Information Technology, Risk Management | Tagged: Ashley Madison, Black Hat Hackers, Cyber Security, Data breaches, Facebook, RansomWare | 4 Comments »
Well – Are You?
[By staff reporters]
Assessment
Or – just average?
Conclusion
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Sponsors Welcomed
Credible sponsors and like-minded advertisers are always welcomed.
Filed under: iMBA, Jokes and Puns | Tagged: Are you a Genius? | Leave a comment »
By Arthur Chalekian GEPC
[Financial Consultant]
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Filed under: Investing | Tagged: Arthur Chalekian, Investing | 1 Comment »
ProPublica |
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*** Injured workers are entitled to compensation for permanent disabilities under state workers’ comp laws. More:
*** Price Check: How Companies Value Body Parts*** But – Texas has long allowed companies to opt out and write their own benefit plans. More: Assessment Benefits for the same body part can differ dramatically depending on which company you work for. Conclusion Your thoughts and comments on this ME-P are appreciated. Feel free to review our top-left column, and top-right sidebar materials, links, URLs and related websites, too. Then, subscribe to the ME-P. It is fast, free and secure. Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com OUR OTHER PRINT BOOKS AND RELATED INFORMATION SOURCES:
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[HEALTH INSURANCE, MANAGED CARE, ECONOMICS, FINANCE AND HEALTH INFORMATION TECHNOLOGY COMPANION DICTIONARY SET][Mike Stahl PhD MBA] *** [Foreword Dr.Mata MD CIS] *** [Dr. Getzen PhD] ***
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Filed under: Ethics, Insurance Matters | Tagged: How Companies Value Body Parts, Lena Groeger, Michael Grabell, ProPublica | 2 Comments »
MEDICINE: A Lesson In Efficient Markets
[By Dan Ariely PhD] http://danariely.com
The market for medicine is incredibly interesting. Almost every day we learn something new about a treatment that we thought would work but does not, or about a treatment that we didn’t think would work but does.
Beyond the particular fascination, I think that the medicine market can also teach us important lessons about rationality … read more:
More:
Conclusion
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http://www.BusinessofMedicalPractice.com
[Foreword Dr. Hashem MD PhD] *** [Foreword Dr. Silva MD MBA]
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Filed under: Health Economics, Marketing & Advertising | Tagged: Business of Medical Practice, Dan Ariely PhD, medical marketing, Medicine: A Lesson In Efficient Markets | 5 Comments »
How do I compare my health insurance options during open enrollment?
Daniel J. Antokal MBA
[Financial Advisor]
The decisions you make during open enrollment season regarding health insurance are especially important, since you generally must stick with the options you choose until the next open enrollment season, unless you experience a “qualifying” event such as marriage or the birth of a child. As a result, you should take the time to carefully review the types of plans offered by your employer and consider all the costs associated with each plan.
With most health insurance plans, your employer will pay a portion of the premium and require you to pay the remainder through payroll deductions. When comparing different plans, keep in mind that even though a plan with a lower premium may seem like the most attractive option, it could have higher potential out-of-pocket costs.
You’ll want to review the copayments, deductibles, and coinsurance associated with each plan. This is an important step because these costs can greatly affect what you end up paying out-of-pocket.
When reviewing the costs of each plan, consider the following:
Specific features
You should also assess each plan’s coverage and specific features. For example, are there coverage exclusions or limitations that apply? Which expenses are fully or partially covered? Do you have the option to go to doctors who are outside your plan’s provider network? Does the plan offer additional types of coverage for vision, dental, or prescription drugs?
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Assessment
In the end, when reviewing your options, you’ll want to balance the coverage and features offered under each plan against the plan’s overall cost to determine which plan offers you the best value for your money.
Conclusion
Your thoughts and comments on this ME-P are appreciated. Feel free to review our top-left column, and top-right sidebar materials, links, URLs and related websites, too. Then, subscribe to the ME-P. It is fast, free and secure.
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Filed under: Health Insurance | Tagged: Daniel J. Antokal, Health Insurance, open enrollment | 1 Comment »
No … Really!
By Robert E.H. Khoo MD FRCS(C) FACS
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Conclusion
Your thoughts and comments on this ME-P are appreciated. Feel free to review our top-left column, and top-right sidebar materials, links, URLs and related websites, too. Then, subscribe to the ME-P. It is fast, free and secure.
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Filed under: Health Insurance | Tagged: ACA, HealthCare.Gov, Robert E.H. Khoo MD | 3 Comments »
The CMS Modifications
[By staff reporters]
OUR OTHER PRINT BOOKS AND RELATED INFORMATION SOURCES:
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Filed under: Information Technology, Practice Management | Tagged: CMS, EHRs, meaningful use | 7 Comments »
A Recent Round-Up
“Feds push forward with controversial health rule – The Obama administration is moving ahead with controversial new rules that require doctors to switch to electronic health records or face fees, resisting calls from both parties to delay implementation.”
By Sarah Ferris for The Hill, October 6, 2015
“The Gag Clause is Killing Us – Doctors are barred from discussing safety glitches in software… And what if doctors — your doctor — is unable to make problems with EHR programs public, due to a so-called ‘gag clause’ written into the contract with the software company, which forbids sharing and publishing, in any form, of potentially dangerous flaws in the IT systems? This is already happening.”
By Deirdre Reilly for HealthZette, October 6, 2015
http://www.lifezette.com/healthzette/gag-clause-is-killing-us/
“Hackers target Australian health sector, selling records for A$1,000 – Hackers are targeting the Australian health sector, with fully populated digital health records sold on the black market for up to A$1,000 each [$720 US].”
By Beverley Head for ComputerWeekly.com, October 7, 2015
“Electronic health records software often written without doctors’ input – The reason why many doctors find electronic health records (EHR) difficult to use might be that the software wasn’t properly tested, researchers suggests.”
By Kathryn Doyle for Reuters, October 7, 2015
http://www.reuters.com/article/2015/10/07/us-health-software-ehr-idUSKCN0S11OY20151007
“EHRs provide long-term savings, convenience.”
(no byline), American Dental Association, ADA News, December 6, 2013
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More:
Conclusion
Your thoughts and comments on this ME-P are appreciated. Feel free to review our top-left column, and top-right sidebar materials, links, URLs and related websites, too. Then, subscribe to the ME-P. It is fast, free and secure.
Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com
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[Foreword Dr. Phillips MD JD MBA LLM] *** [Foreword Dr. Nash MD MBA FACP]
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Filed under: Information Technology, Pruitt's Platform | Tagged: Darrell Pruitt DDS, EHRs, electronic medical records | 19 Comments »
By Arthur Chalekian GEPC
[Financial Consultant]
Conclusion
Your thoughts and comments on this ME-P are appreciated. Feel free to review our top-left column, and top-right sidebar materials, links, URLs and related websites, too. Then, subscribe to the ME-P. It is fast, free and secure.
Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com
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Front Matter with Foreword by Jason Dyken MD MBA
“BY DOCTORS – FOR DOCTORS – PEER REVIEWED – FIDUCIARY FOCUSED”
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Filed under: Investing, Portfolio Management | Tagged: Arthur Chalekian, Business Standard, FOMC, Investing, Portfolio Management, Shenzhen Stock Exchange Composite Index | 3 Comments »
I. Community Collaboration
The DocGraph community includes academics, journalists, doctors, entrepreneurs, statisticians and more. Our members have used DocGraph datasets to restructure provider networks, teach classes, start companies, and report on quality metrics. We welcome anyone with passion for healthcare improvement to join us.
If you write about healthcare data and would like to be featured on our blog, or if you are a data scientist interested in publishing research using DocGraph data, please give us a holler too!
II. Open Healthcare Data Advocacy
Our efforts led to the first national Provider Referral data release by the US government. The original “DocGraph Data” has helped researchers, journalists, and companies around the nation to provide data-backed healthcare solutions.
We continue to work with federal, state, private, non-profit, and public entities to create and open healthcare datasets. We believe the release of reliable and current data is vital to the improvement of the healthcare system.
III. The DocGraph Alliance
The DocGraph Alliance is a group of organizations committed to supporting data journalism and data science community efforts.
Its community mission is to encourage an ecosystem of innovators to collaborate and share tools and research methodologies around open healthcare datasets.Support from the Alliance members means the DocGraph Journal can continue providing support for the growing community of data scientists focused on leveraging initiatives of transparency in healthcare.
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Assessment
Visit http://www.docgraph.org today. And, for the premier analytical software built on DocGraph data, visit CareSet.com
Conclusion
Your thoughts and comments on this ME-P are appreciated. Feel free to review our top-left column, and top-right sidebar materials, links, URLs and related websites, too. Then, subscribe to the ME-P. It is fast, free and secure.
Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com
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[Mike Stahl PhD MBA] *** [Foreword Dr.Mata MD CIS] *** [Dr. Getzen PhD]
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Filed under: Information Technology, Research & Development | Tagged: CareSet.com, DocGraph.org, Open Healthcare Data | 2 Comments »
By Terri D. Wright, PhD, MPH
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*** APHA’s Policy Center Creates Tools for A Healthy Future DEAR DAVID – The central challenge of the American Public Health Association is to create the healthiest nation in one generation. APHA’s Center for Public Health Policy was established almost 10 years ago to bring together analytical public health expertise and infuse the public health field with expert materials and tools in response to this challenge. The Center embraces the public health issues that threaten population health. Our work is done through national and state partnerships and by leveraging resources across multiple sectors, including government, philanthropy and non-profit. Fundamental to all that we do: strategies to ensure health equity for all. We invite you to learn about our work and stay abreast of our progress on producing resources for our members and constituents. The following priorities represent our core work to create a healthy nation:
We will keep you updated on our priority issues and encourage you to connect with our team. We invite your feedback as we embark on this journey – phpolicycenter@apha.org |
Sincerely,![]() |
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[Foreword Dr. Phillips MD JD MBA LLM] *** [Foreword Dr. Nash MD MBA FACP]
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Filed under: Ethics, Health Insurance, Health Law & Policy, Research & Development | Tagged: APHA, APHA's Center for Public Health Policy, APHA’s Policy Center, Terri D. Wright PhD MPH, Tools for A Healthy Future | 1 Comment »
By Robert EH Khoo MD FRCS FACS http://www.colondoc.com
Earlier this month I read a Wall Street Journal article about Zeynep Ton’s Good Jobs Index. Who is Zeynep Ton? She is a professor at the Massachusetts Institute of Technology’s Sloan School of Management who has ranked retailers on employee happiness. This was so positive. It was good to hear about businesses concerned about employee happiness and not just about profits and shareholders.
Two weeks later I was dismayed to read about the bruising work environment at Amazon in the New York Times. The article described a work environment toxic to workers overseen by a CEO who has blind to this view.
I was curious. I work in a hospital. Are hospitals ranked according to employee happiness? My health system is recognized as a Great Place to Work and the Fortune 100 Best Companies to Work For.
Last year I left a hospital that was an ideal model of health care in the President’s eyes. Time Magazine had published two articles about that hospital. Yet my experience there as an employee was closer to the abusive atmosphere the New York Times detailed about Amazon.
I imagine that my old workplace could continue avoiding accolades from its employees by following these 14 steps:
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Conclusion
Your thoughts and comments on this ME-P are appreciated. Feel free to review our top-left column, and top-right sidebar materials, links, URLs and related websites, too. Then, subscribe to the ME-P. It is fast, free and secure.
Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com
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[Foreword Dr. Phillips MD JD MBA LLM] *** [Foreword Dr. Nash MD MBA FACP]
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Filed under: Quality Initiatives, Research & Development | Tagged: hospital rankings, Robert EH Khoo MD, Zeynep Ton | Leave a comment »
A Review
By Robert E.H. Khoo MD FRCS(C) FACS
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Conclusion
Your thoughts and comments on this ME-P are appreciated. Feel free to review our top-left column, and top-right sidebar materials, links, URLs and related websites, too. Then, subscribe to the ME-P. It is fast, free and secure.
Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com
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[Mike Stahl PhD MBA] *** [Foreword Dr.Mata MD CIS] *** [Dr. Getzen PhD]
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Filed under: Information Technology | Tagged: HIT, IT, Robert E.H. Khoo, Windows 10 | 1 Comment »