231 Front Street, Lahaina, HI 96761 info@givingpress.com 808.123.4567

Stats Show Initiative To Cut Hospital Readmissions Is A Success But Critics

first_imgStats Show Initiative To Cut Hospital Readmissions Is A Success. But Critics Say Numbers Hide Darker Truth. The program — a part of the Affordable Care Act — created financial penalties for hospitals whose readmissions exceed the national average for patients with certain ailments. But even though the research shows it helped improve rates, critics say that’s because hospitals are taking shortcuts that don’t help the patient. Meanwhile, Ascension Health and Providence St. Joseph Health are the latest to spark rumors about a possible merger. Stat: The Data Are In, But Debate Rages: Are Hospital Readmission Penalties A Good Idea? For two years, Saint Anthony Hospital here has celebrated its top-rated “A” grade from the national Leapfrog Group that evaluates hospital safety records. But this fall, when executives opened a preview of their score, they got an unwelcome surprise: a “C.” Hospitals take their ratings seriously, despite hospital industry experts’ skepticism about their scientific methodology and studies showing that scores may not have a huge influence on patient behavior. In a highly competitive market, no one wants to be a “C”-rated safety hospital any more than a “C”-rated restaurant for cleanliness. (Gold, 12/11) Modern Healthcare: Reports: Ascension And Providence St. Joseph In Talks To Merge This is part of the KHN Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription. Kaiser Health News: In Era Of Increased Competition, Hospitals Fret Over Ratings Modern Healthcare: Hospitals And Health Plans Are Increasingly Investing In Consumer-Oriented Services To Stay Competitive. Ascension is in talks to combine with Providence St. Joseph Health, another nonprofit system, in a merger that would create a combined health system with 191 hospitals in 27 states and annual revenue of $44.8 billion, the Wall Street Journal reported. …The health system is now the second-largest in Wisconsin. (Hauer and Boulton, 12/10) Two major hospital systems are in talks about a possible merger that would create the largest U.S. owner of hospitals, as a series of deals shape up to further consolidate control of the health-care landscape. Ascension and Providence St. Joseph Health, both nonprofits, are talking about combining, according to people familiar with the discussions. A deal would create an entity of unprecedented reach, with 191 hospitals in 27 states and annual revenue of $44.8 billion, based on the most recent fiscal year. That would dethrone the nation’s largest pure hospital operator, HCA Healthcare Inc., which owns 177 hospitals and ended 2016 with $41.5 billion in revenue. (Evans and Wilde Mathews, 12/10) Ascension Health and Providence St. Joseph Health are in talks to merge and create the nation’s largest hospital chain, the Wall Street Journal reported on Sunday.A merger between St. Louis-based Ascension and Providence out of Renton, Washington would give the combined not-for-profit entity 191 hospitals in 27 states and annual revenue of $44.8 billion. The deal would put the merged company ahead of HCA, which has 177 hospitals and reported $41.5 billion in 2016, according to Modern Healthcare data. (12/10) Minnesota Public Radio: ‘They Threw Us To The Wind’: Mayo Hospital Closures Rankle Small Towns Milwaukee Journal Sentinel: Possible Merger Would Put Columbia St. Mary’s And Wheaton Franciscan In Largest Hospital Company, Wall Street Journal Reports The policy, known as the Hospital Readmissions Reduction Program, created financial penalties for hospitals whose readmissions exceed the national average for patients suffering from heart failure, heart attacks, and pneumonia. In recent years it has been expanded to include other conditions. Its aim was to encourage hospitals to deliver stepped-up care to severely ill patients even after they leave the hospital, in the hope of preventing return visits that result in more anguish for patients and skyrocketing costs for everyone else. (Ross, 12/11) And in other hospital news — A Catholic Health Initiatives and Dignity Health combination that would form a not-for-profit powerhouse exemplifies a traditional health system mega-merger under a newly popular two-pronged leadership approach. More than a year after announcing plans to align, CHI and Dignity late last week signed a definitive agreement to merge, potentially creating the nation’s largest not-for-profit hospital company. The new health system would include 139 hospitals, more than 159,000 employees and 25,000 physicians and other advanced practice clinicians. (Kacik and Bannow, 12/9) Mayo announced this summer that it would close its LeRoy clinic after key staffers left, though its pharmacy remains open. … This scenario is playing out in towns across the state as Mayo closes or trims service at smaller clinics throughout its Minnesota health care network, leaving some Mayo patients concerned about getting to a doctor and questioning the clinic’s commitment to the people in its service area. (Richert, 12/10) The Wall Street Journal: Hospital Giants In Talks To Merge To Create Nation’s Largest Operator Modern Healthcare: CHI-Dignity Will Have To Overcome Some Financial Challenges To Make Their Merger Work. Hospitals and health plans are increasingly investing in consumer-oriented services to remain competitive as patients and members shop more for their care. Most healthcare executives currently focus at least part of their strategic plan on consumerism, and they expect that will only continue to grow in the years ahead, according to respondents to Modern Healthcare’s most recent CEO Power Panel survey. (Castellucci, 12/9) last_img read more

Canadian Tire profit dips on onetime charge but tops expectations

first_img Twitter More Facebook Recommended For You’We were experiencing headwinds’ — Canopy Growth stock heads south on poor sales ramp-upDefining the future of Canadian competitiveness: How partnerships between industry and educational institutions can help lead the way forwardTrans Mountain construction work can go ahead as National Energy Board re-validates permitsDavid Rosenberg: Deflation is still the No. 1 threat to global economic stability — and central banks know itBank of Canada drops mortgage stress test rate for first time since 2016 February 14, 20196:58 AM ESTLast UpdatedFebruary 14, 20197:16 AM EST Filed under News Retail & Marketing Canadian Tire profit dips on one-time charge, but tops expectations CFO to retire at end of year Email Reddit Share this storyCanadian Tire profit dips on one-time charge, but tops expectations Tumblr Pinterest Google+ LinkedIn ← Previous Next → Sponsored By: center_img What you need to know about passing the family cottage to the next generation 0 Comments advertisement Join the conversation → Canadian Tire took a one-time charge related to its financial services deal with Scotiabank.Bloomberg Comment The Canadian Press TORONTO — Canadian Tire Corp. Ltd. reported a dip in its fourth-quarter profit compared with a year ago, as it took a one-time charge related to its financial services deal with Scotiabank.The retailer says it earned a profit attributable to shareholders of $254.3 million or $3.99 per diluted share for the 13-week period ended Dec. 29, compared to a profit of $275.7 million or $4.10 per diluted share a year earlier.Revenue totalled $4.13 billion, up from $3.92 billion.Canadian Tire says its normalized earnings for the quarter, which exclude the $50-million financial services charge, amounted to $4.78 per diluted share, up from $4.10 per diluted share a year ago.Analysts on average had expected a profit of $4.69 per share, according to Thomson Reuters Eikon.The company also announced that Dean McCann, its chief financial officer, will retire at the end of the year. Featured Storieslast_img read more

WatchWere getting a look at the true state of Canadas economy —

first_img Related Stories Reddit March 1, 20195:09 PM EST Filed under News Economy Comment Facebook Twitter Email Thank goodness the Trudeau government abandoned its promise to balance the budget in 2019: We’d be looking at a recession if it hadn’t. Statistics Canada’s new tally of economic output should prompt gut checks all over Ottawa, from the central bank to the Prime Minister’s Office to the opposition benches. Everyone appears to have overestimated Canada’s ability to generate economic growth without the nitrous boost of zero interest rates. The world beating economy of 2017 wilted in the face of Donald Trump’s trade wars, weaker oil prices, and somewhat higher borrowing costs.  In 2017, Prime Minister Justin Trudeau boasted about leading the strongest economy in the Group of Seven. For now, he oversees one of the weakest More Gross domestic product slowed to an annual rate of 0.4 per cent over the final three months of 2018, compared with two per cent in the third quarter, StatCan reported on Friday. Government spending, an unusually large accumulation of inventories, and household expenditures barely outweighed a big drop in investment, avoiding a contraction. Overall, GDP expanded 1.8 per cent last year, compared with three per cent in 2017, when Prime Minister Justin Trudeau boasted about leading the strongest economy in the Group of Seven. For now, he oversees one of the weakest. Not good. The Bank of Canada warned last month that we had slid into a soft patch. However, the central bank’s idea of a weaker fourth quarter was an annual growth rate of 1.3 per cent, the estimate from its latest outlook, published last month. Dismal data out today gives Liberals licence to spend, spend, spend in this Federal Budget Canada’s economy slows a lot more than expected Oops, Statistics Canada appears to have released key economic data almost half an hour early The miss suggests the economy isn’t running as hot as policy makers thought, which could prompt them to slow, or even stop, their march to higher interest rates. We won’t have to wait long to find out, as the central bank’s next policy announcement is set for Wednesday. Lynn Patterson, a deputy governor, is scheduled to deliver an update on the central bank’s thinking at an event in Hamilton the following day. “The GDP report in unambiguously weak,” said Sébastien Lavoie, a former Bank of Canada economist who now works at Laurentian Bank in Montreal. “It clearly increases the risk that the BoC might not be able to increase its policy rate during 2019.”Some already are saying that Stephen Poloz, the Bank of Canada governor, erred in orchestrating five interest-rate increases between July, 2017 and October, 2018. (Policy makers left the benchmark rate unchanged at meetings in December and January.) Maybe only a few hikes would have sufficed to keep a lid on inflation? Consumer spending grew at the weakest rate in a decade and output related to housing plunged at an annual rate of almost 15 per cent, the most since the financial crisis. Before you blame the central bank for the slowdown, keep in mind that the policy rate was a ridiculously low 0.5 per cent in early 2017, and the current rate is only 1.75 per cent. Poloz is no John Crow, the former Bank of Canada governor known for putting low inflation ahead of economic growth. The current head of the central bank said all along that he knew households would be sensitive to higher interest rates, if only because borrowing costs had been so low for so long. There were good arguments for raising interest rates even higher, yet Poloz resisted. He knew the economy wasn’t ready. But central bankers have sensitivities of their own. They internalized the lessons of the financial crisis and were determined not to repeat their mistakes. Canadian households were borrowing at rates that could only end in disaster. They had to end that mania or risk a wave of personal defaults. The policy rate remains below the neutral rate, the setting at which the Bank of Canada estimates that monetary policy is neither encouraging or discouraging borrowing. In other words, money still is on sale, so interest rates aren’t the problem. If you feel the need to blame an authority for this slump, you might take a look around the PMO or the finance minister’s office. Ahead of last year’s budget, virtually every industry association called on the government to do something about competitiveness. The uncertain future of the North American Free Trade Agreement and the country’s inability to build pipelines was hurting business sentiment, and U.S. tax cuts had erased an advantage that Canada had enjoyed for years. The Bank of Canada acknowledged this by cutting its outlook to reflect the likelihood that business investment would be diverted to North America’s largest economy. Trudeau and Finance Minister Bill Morneau did nothing. The 2018 budget had little to say about competitiveness. They made up for it in the fall economic statement, cutting taxes on investment and promising to cut regulation. But the damage was done: Investment in machinery and equipment dropped almost five per cent in the fourth quarter, the second consecutive quarterly decline. Monetary policy needed more help from fiscal policy at the start of last year, but the government didn’t provide any. The Opposition might seek to exploit that failure, but if it does, it would have to explain how its constant nagging about budget deficits is helping matters: The latest GDP figures show that austerity would only hurt the economy now. The recovery from the Great Recession, and then the recovery from the oil shock, were fuelled by household debt. During that time, neither the Conservatives nor the Liberals did enough to nurture an economy that would be capable of powering through turbulence. Now, as the stimulants wear off, we are getting a look at the true state of Canada’s economy. It’s no world beater, that’s for sure.   • Email: kcarmichael@nationalpost.com | Twitter: center_img Bank of Canada eyeing high consumer debt when pondering interest rate hikes Path back to neutral interest rates is ‘highly uncertain,’ Bank of Canada’s Poloz says Stephen Poloz’s dashboard: The latest charts that matter most to the Bank of Canada Kevin Carmichael We’re getting a look at the true state of Canada’s economy — and it’s no world beater Kevin Carmichael: Statistics Canada’s new tally of gross domestic product should prompt gut checks all over Ottawa Share this storyWe’re getting a look at the true state of Canada’s economy — and it’s no world beater Tumblr Pinterest Google+ LinkedIn 96 Comments Join the conversation →last_img read more

Peugeot unveils allelectric coupe concept with some muscle car DNA and 600

Source: Charge Forward The French automaker Peugeot has unveiled an interesting new all-electric concept vehicle ahead of the 2018 Paris Motor Show: an all-electric coupe concept with some muscle car DNA and an impressive powertrain. more…

Tesla Version 9 update getting closer to release now fixes one of

Tesla’s version 9 software update is expected to be the automaker’s most extensive update in two years and recent leaks showed that it appears to be behind in the development process.We have learned that the update is finally getting closer to release with a look at the latest build with new features and fixes, including Tesla fixing one of the biggest issues with Model 3’s navigation UI. more… Source: Charge Forward

RetroTastic Peugeot eLegend Concept Beautifies Paris

Peugeot Presents Stunning e-LEGEND Concept With 100 kWh Battery Source: Electric Vehicle News 2019 Peugeot 3008 And 508 Plug In For Paris Motor Show Author Liberty Access TechnologiesPosted on October 2, 2018Categories Electric Vehicle News Peugeot Hopes That France Revives Incentives For PHEVs The Pininfarina-styled 504 Coupe makes the leap into the 21st century through a lovely throwback concept.With 120 years of automotive history behind it, Peugeot is one of the oldest players in the business and the creator of some truly beautiful cars. At the end of the 1960s, the company with the lion badge teamed up with Pininfarina to design the lovely 504 Coupe, and now Peugeot is ready to unveil a modern equivalent in the shape of the e-Legend.More Peugeot News Debuting at next month’s Paris Motor Show, the concept looks to the past to see into the future of Peugeot as the one-off is entirely electric and uses an advanced autonomous driving system. The double headlights are a nod to the coupe’s source of inspiration, as is the square front fascia with a grille added just for décor since it doesn’t serve an actual purpose with the concept lacking a combustion engine.Carved into the coupe’s bodywork, the wheel arches housing the 19-inch alloys not only look cool, but also serve a second purpose as the front ones incorporate an air passage to boost airflow. The piece of black trim at the bottom of the rear pillar is more than just a throwback to the 504 Coupe since it also contains a screen showing a personalized greeting as well as the charge level.Inside, the retro theme continues as the e-Legend adopts a minimalist layout linking to the basic interiors of cars from yesteryear. The conventional controls have been replaced by a 6-inch touchscreen and a rotary knob, while to the left of the steering wheel is a digital toggle bar displaying various available commands configurable based on the driving mode.The concept is a tech-fest, featuring 29-inch screens in the doors and 12-inch displays embedded into the sun visors. There’s also a massive 49-inch curved display, and together with other screens plastered all over the cabin, the e-Legend has a total of 16 displays of different sizes.Peugeot installed a massive 100-kWh battery pack providing enough juice for 373 miles (600 kilometers) in the new WLTP cycle. Should you be in a hurry, it only takes 25 minutes to recharge the battery enough for 311 miles (500 km) of range.The electric setup offers a more than generous 456 horsepower (340 kilowatts) and a massive 590 pound-feet (800 Newton-meters) of torque distributed to both axles to help the e-Legend reach 62 mph (100 kph) from a standstill in less than four seconds before topping out at 137 mph (220 kph).A production version based on the new 508 would be nice, but it’s only a pipe dream as Peugeot has no plans to create a road-going equivalent of the e-Legend.Additional Images Here read more

Tesla Put California On The Automotive Map In US

first_img MKBHD Releases Tesla Factory Tour With Musk Will Nevada join other states with the Model Y?The US DOE’s Office of Energy Efficiency & Renewable Energy released interesting an image of states that actually produce light-duty vehicles in volume.The is currently no competition for Michigan, which exceeds 2 million per year, but it’s worth noting that thanks to Tesla (and Model 3), California stayed in business. Otherwise, the position would be negligible after the closing of the NUMMI plant in Fremont (currently the Tesla Factory) by Toyota.“In 2017 just over two million light-duty vehicles were produced in the state of Michigan. Indiana, Kentucky, and Ohio produced between one and two million light-duty vehicles. Ten other states produced light-duty vehicles in 2017 while 36 states had no light-duty vehicle production.” The main question is whether Tesla will build the Model Y at the Gigafactory in Nevada, which ultimately would put the state in the game? A few other states, as well as California, are also possible.Source: energy.gov New Drone Flyover Of Tesla’s Massive Lathrop Facility Plug-In Electric Car Sales To Surpass 500,000 This Month In Californiacenter_img See Also Author Liberty Access TechnologiesPosted on November 24, 2018Categories Electric Vehicle News Source: Electric Vehicle Newslast_img read more

Tesla implements innovative way to avoid gas cars Icing Superchargers

first_imgSource: Charge Forward Following several issues at Supercharger stations where gas-powered cars were blocking access, Tesla is now implementing an innovative way to avoid ‘Icing’ Superchargers and make sure the spots are always ready for Tesla vehicles. more…The post Tesla implements innovative way to avoid gas cars ‘Icing’ Superchargers appeared first on Electrek.last_img

Freudenberg develops lightweight plastic housing to seal against electromagnetic radiation

first_imgSource: Charge Forward,Tesla Model S shines among luxury models in used car sales stats.Source: Electric Vehicle News,Tesla is going to launch a new insurance program set to launch next month, according to Elon Musk. The program comes as many Tesla buyers are complaining about the price of insurance for Tesla’s vehicles. more…Subscribe to Electrek on YouTube for exclusive videos and subscribe to the podcast.https://www.youtube.com/watch?v=2LVEtRE51hUThe post Tesla is going to launch a new insurance program next month, says Elon Musk appeared first on Electrek. Source: Charge Forward Source: Charge Forward,The Aston Martin Rapide that happens to be electricSource: Electric Vehicle News,Vintage Electric Bikes out of San Jose California is a boutique e-bike firm that specializes in great looking retro e-bikes that go surprisingly fast. This week I got to demo their whole lineup from their Cafe 750W pedal assist commuter to their Tracker which looks and feels like a small 3kW motorcycle and took me up a mountain at over 30 mph.There’s so much to like about these bikes… more…Subscribe to Electrek on YouTube for exclusive videos and subscribe to the podcast.https://www.youtube.com/watch?v=2LVEtRE51hUThe post Vintage Electric Bikes: Great looks and incredible power make these ebikes head turners appeared first on Electrek. Two weeks ago, Tesla removed the $35k Model 3 from their website, making it an “off-menu” item.  When asked, they couldn’t answer how long the model would be available – causing many, including Electrek, to assume that this was an attempt to “kill” the car.It looks like that death won’t pan out yet, as today during Tesla’s Q1 earnings call, CEO Elon Musk made the promise that the 35k Model 3 “is there and will remain there” for sale for an indefinite time period. more…Subscribe to Electrek on YouTube for exclusive videos and subscribe to the podcast.https://www.youtube.com/watch?v=2LVEtRE51hUThe post Tesla promises to keep selling $35k Model 3, though claims few are ordering it appeared first on Electrek. Source: Charge Forward,Follow us in real time as we fill you in with the juicy details.Source: Electric Vehicle News,Money-making or money-losing quarter?Source: Electric Vehicle News,After market close today, Tesla released its financial results and shareholders letter for the first quarter of 2019.We are updating this post with all the details from the financial results and shareholders letter. more…Subscribe to Electrek on YouTube for exclusive videos and subscribe to the podcast.https://www.youtube.com/watch?v=2LVEtRE51hUThe post Tesla (TSLA) releases Q1 results: net loss of $702 million, Model 3 margin at ~20% appeared first on Electrek. Source: Charge Forward,For the past decade, Tesla has operated with only one vehicle assembly factory, but it’s currently building a new one in China and is considering another one in Germany, according to Elon Musk. more…Subscribe to Electrek on YouTube for exclusive videos and subscribe to the podcast.https://www.youtube.com/watch?v=2LVEtRE51hUThe post Tesla is currently considering a factory in Germany appeared first on Electrek. Source: Charge Forward,Daimler will convert its existing factory in Portland to manufacture the company’s all-electric Freightliner trucks, Daimler Trucks North America CEO Roger Nielsen said today. more…Subscribe to Electrek on YouTube for exclusive videos and subscribe to the podcast.https://www.youtube.com/watch?v=2LVEtRE51hUThe post Daimler to make all-electric Freightliner trucks at converted Portland factory appeared first on Electrek.last_img read more

China leads global market in nickel for EV batteries

first_imgThe Chinese market for EV battery nickel increased 253 percent in January 2019 compared to January 2018, according to a report from research firm Adamas Intelligence. China is now the largest market for battery nickel in passenger EVs. The growth is being driven by a shift from Lithium Iron Phosphate (LFP) to Nickel Cobalt Manganese Oxide (NCM) 523/622 cathodes. In January 2018, Japan and the U.S. were first and second in the EV battery nickel market. The U.S. has since passed Japan and is now second to China.Source: Adamas Intelligence Source: Electric Vehicles Magazinelast_img read more