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ST0-136 exam Dumps Source : Symantec System Recovery 2011 Technical(R) Assessment

Test Code : ST0-136
Test denomination : Symantec System Recovery 2011 Technical(R) Assessment
Vendor denomination : Symantec
: 111 real Questions

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Symantec Symantec System Recovery 2011

Symantec gadget restoration offers bendy recovery of actual and digital techniques | killexams.com real Questions and Pass4sure dumps

MOUNTAIN VIEW, CA--(Marketwire - 04/04/11) - Symantec Corp. (NASDAQ:SYMC - information) nowadays announced its approach to provide agencies of All sizes with a tailor-made approach to limpid up their records, gadget and software recovery challenges to stronger meet stringent recuperation time ambitions and maintain their enterprise up and running. As a piece of its broader downtime remediation strategy, Symantec is moreover supplying current recovery updates and platform assist to Symantec system healing 2011, previously Backup Exec device recovery, for each actual and digital environments.Symantec's downtime remediation way includes an most preempt mixture of options to remedy consumers' recovery challenges:

  • Symantec device restoration offers finished gadget restoration in minutes, even to assorted hardware, bare metal, remote areas or digital environments, to lower company downtime
  • Symantec Backup Exec eliminates backup home windows and helps shoppers meet recovery factor ambitions via granular recovery of actual and digital environments
  • Symantec ApplicationHA allows automated monitoring and restoration for virtual applications running in VMware
  • click on to Tweet: Symantec tackle recuperation promises bendy restoration of physical and digital techniques: http://bit.ly/ftlofu"Symantec presents confirmed technology to champion their shoppers improve information, systems and applications to maintain away from disruption to their enterprise," observed Amit Walia, vp of product management, Symantec. "Symantec tackle recuperation shortens the healing time window with current facets such because the ability to seriously change a USB gadget into a recuperation disk and extra flexibility to the customizable recovery disk wizard."Symantec analysis shows that mess ups can tolerate a stout tolerate an repercussion on on a traffic and agencies of All sizes are liable to downtime. Symantec's 2011 SMB cataclysm Preparedness Survey establish that almost All of miniature agencies surveyed are nonetheless unprepared to cope with a catastrophe and 54 % of SMB customer respondents pronounced they tolerate switched SMB companies due to unreliable computing methods. similarly, Symantec's 2010 catastrophe restoration Survey, which surveyed enterprise agencies, establish that the time required to improve from an outage is twice as long as respondents perceive it to be.attainable now, Symantec system recuperation 2011 provides prerogative here current features:

  • All-in-one backup and recuperation USB machine: With current wizard performance, shoppers can readily transform a USB tackle into a bootable Symantec system recovery Disk and into a backup storage equipment, creating an all-in-one backup and healing USB tackle to abet in the reduction of boot time and velocity up the healing system.
  • stronger centralized management: Symantec gadget recuperation management reply is a incredibly scalable solution designed to centrally control stout numbers of customers from a unique management server. The Symantec gadget restoration management solution can now breathe installed to and hosted on windows Server 2008 R2 sixty four-bit environments.
  • more desirable customizable recuperation disk wizard: further flexibility has been introduced to the customizable healing disk wizard with the election to select an ISO picture because the source for a customized restoration disk. this is in particular useful for higher traffic groups that already utilize a customised version of the Symantec device healing Disk and would want to expend it because the supply for future adjustments to their recuperation atmosphere.
  • Platform support: Symantec gadget recuperation comprises up-to-date assist for the newest Microsoft windows, Linux, VMware, Microsoft Hyper-V, and Citrix XenServer working programs and applications
  • aiding fees

  • "We had loads of success testing the beta of Symantec device restoration and understand it will deserve their techniques again up and working at once in the event of a catastrophe or outage." -- Timothy Reider, system administrator, mothers nutritional center.
  • "Symantec gadget healing is an efficient reply that has the skill to quickly retrieve their systems. I infrequently exigency to engage with the product after it is set, and i can deserve granular restoration in a snap." -- Joseph LaGrosse, director of IT, Pepperweed Consulting.
  • "support for the Microsoft 2010 range of server items coupled with a administration solution with x64 usher ensures I haven't any problems recommending Symantec tackle restoration to any individual trying to find a simple to expend and control backup solution both as a main, creation backup reply or as a quick tackle healing reply for critical server methods. The P2V and V2P facets do this a advantageous appliance for any individual with a Microsoft or VMware virtualization solution. The capability to fix to distinctive hardware is genius!" -- Mathew Coomber, technical and sales abet manager, Elytis.
  • connected

    connect with Symantec

    About Storage from Symantec Symantec helps groups relaxed and maneuver their suggestions-driven world with storage administration, electronic mail archiving and backup & restoration solutions.About Symantec Symantec is a world chief in offering safety, storage and methods management options to aid consumers and agencies relaxed and maneuver their tips-driven world. Their application and features protect in opposition t greater dangers at greater aspects, greater fully and efficiently, enabling self faith at any station counsel is used or kept. greater counsel is accessible at www.symantec.com.be vigilant TO EDITORS: if you want additional information on Symantec enterprise and its products, please consult with the Symantec information latitude at http://www.symantec.com/information. All costs referred to are in U.S. greenbacks and are legitimate best within the u.s..Symantec and the Symantec emblem are trademarks or registered logos of Symantec agency or its associates within the U.S. and different international locations. other names may breathe trademarks of their respective house owners.Technorati Tags Symantec, Backup Exec, device recuperation, VMware, backup and recovery, miniature agencies


    Symantec gadget recovery 2013 launched to sanctuary home windows Server 2012 and vSphere 5.1 | killexams.com real Questions and Pass4sure dumps

    Symantec talked about the current version of system recuperation is even more efficient and more convenient to manage with simplified installing, efficient backup and reconciliation, free centralized administration, and more straightforward issue diagnosis. 

    Symantec system healing 2013 continues to allow organizations to fix physical and digital programs in minutes, even to bare metallic, assorted hardware, far off locations, or virtual environments, Symantec announced.

    “IT groups these days kisser hardware, software and software downtime, lasting brief intervals of time to shutting down the company for days on a regular groundwork. with out ample planning and preparation, any classification of downtime can compromise a revert to operations and reason fiscal damage as the skill to generate salary is lost,” pointed out Pramut Sriwichian, Symantec’s country manager for Thailand.

    “In concomitant world, the deserve to do inevitable regular access to key purposes is paramount. Symantec device recuperation 2013 gives SMBs with least expensive utility availability by way of simplifying healing of both physical and virtual platforms.”

    Symantec device recovery 2013 grants sophisticated backup and catastrophe recuperation for servers, pcs, laptops, and virtual machines that permit corporations to retrieve from downtime or disasters in minutes.

    With patented restore Anyware technology, IT directors can swiftly repair precisely what they need, when and where they want it–together with whole actual and virtual machines to naked steel or diverse hardware as well as information, folders, and granular utility objects. Symantec system healing additionally gives pass-platform physical-to-virtual (P2V), digital-to-virtual (V2V), and virtual to-actual (V2P) recoveries, a crucial complement to actual and virtual environments.

    as soon as the info to breathe backed up, a backup agenda, and a backup destination had been set, Symantec gadget healing begins backup automatically. as a result of Symantec system recovery makes expend of graphic-backup technology to trap a photo of the complete system, lower back-up and healing projects boost simply a few minutes, the enterprise announced

    Symantec device healing 2013 adds abet for the windows Server 2012, home windows eight, and vSphere 5 structures and a current monitoring device, system recuperation computer screen. The tackle healing computer screen doesn't require a committed server, however can computer screen the backup of a couple of servers and desktops centrally with one device operating windows. It makes backup progress and the status of the backup tackle seen with its fundamental user interface, making it convenient for non-IT experts to use.

    extra current points in Symantec tackle healing 2013

    - UEFI support: Symantec system recovery now allows boot from UEFI (Unified Extensible Firmware Interface) besides BIOS.

    - 64 bit support:  Full sixty four bit abet is now blanketed.

    - sensible Reconciliation:  Backups and reconciliation are correctly completed through tracking changed blocks. The reconcile time is greatly decreased to seconds via getting rid of the deserve to achieve a complete reconcile in situations of crashes or abrupt shutdowns. 

    o Incremental Backup with out reconcile – Backups are at least 35 % sooner than Symantec device healing 2011

    -- plenary Backup – Backups are at the least 15 percent quicker than Symantec gadget healing 2011

    -- Incremental Backup with reconcile – Backups are at least 750 percent sooner than Symantec system healing 2011

    - up to date Symantec tackle healing Linux edition: The Symantec system recovery Linux edition now includes the means to effect incremental backups and time table backup jobs.


    Symantec Simplifies Backup and healing with current V-Ray-Enabled Backup appliances | killexams.com real Questions and Pass4sure dumps

    Symantec Simplifies Backup and recovery with current V-Ray-Enabled Backup appliances

    commercial enterprise backup appliances aid companies modernize backup infrastructures, accelerate virtualization initiatives.

    note: ESJ’s editors cautiously pick supplier-issued press releases about current or upgraded items and capabilities. they tolerate edited and/or condensed this liberate to spotlight key aspects however do no claims as to the accuracy of the vendor's statements.

    Symantec Corp. has launched Backup Exec 3600 and NetBackup 5220 commercial enterprise backup home tackle to aid companies modernize their backup infrastructures and accelerate current initiatives around virtualization with greater reliability. Symantec backup appliances will moreover breathe deployed in as runt as 30 minutes and champion companies give protection to suggestions fully, in physical or digital environments, and deduplicate information All over the station to enlarge efficiency and in the reduction of fees.

    Backup Exec 3600: Visibility and content material-mindful Deduplication across actual and virtual programs

    fitted with Symantec V-Ray technology, Backup Exec 3600 tackle gives the equal exciting visibility into digital environments as Backup Exec 2010 software to permit corporations to pace restoration instances and in the reduction of storage prices. Symantec Backup Exec 3600 is the primary all-in-one backup appliance with integrated client and goal data deduplication for protecting virtual and physical machines for midsized agencies with confined IT staff. Backup Exec 3600 will assist the upcoming unencumber of VMware vSphere 5 and is the only reply attainable with Backup Exec on optimized hardware and application.

    Backup Exec 3600 is an light and professional backup appliance designed to reduce IT complexity via providing:

  • virtual Server Visibility: Backup Exec embedded V-Ray technology makes information and utility recovery an light system. With Backup Exec, directors tolerate a limpid catalog view of their backup sets from which the administrator can opt for a complete backup set or a unique remonstrate in that set and click to fix.
  • Platform Availability: The tackle can present protection to key working methods and systems and offers abysmal utility and database usher for sooner backup and repair.
  • cut back Integration Complexity: The Backup Exec 3600 tackle aspects integrated and optimized hardware this is certified to flee the newest Backup Exec 2010 software, and permits a unique ingredient for technical guide. the expend of an advanced installation wizard, the Backup Exec 3600 appliance may moreover breathe up and running in minutes.
  • total insurance plan: along with advanced technologies corresponding to supply and target deduplication, the Backup Exec appliances additionally comprises Symantec essential gadget coverage for complete virus and malware security coverage.
  • NetBackup 5220: All-in-one Backup tackle Protects digital and actual systems

    Symantec NetBackup 5220 is a scalable backup appliance for commercial enterprise businesses with each customer and target deduplication designed to accelerate backups for physical and digital methods. based on NetBackup 7.1, the tackle includes Symantec’s content-conscious deduplication that can reduce backup quantity and community utilization with the aid of as a whole lot as ninety nine percent, getting rid of backup window complications and enabling Good value replication of statistics to different sites for company continuity. NetBackup additionally has plans to abet VMware vSphere 5 in the subsequent unencumber due out later this yr.

    With the NetBackup 5220 equipment, organizations can:

  • boost Backup Reliability: integrated and optimized hardware offers legit efficiency and a unique aspect of champion to streamline hardship resolution.
  • reduce working charges: dispose of time spent patching and preserving backup servers and their linked accessories.
  • Refresh records hub Backup: The NetBackup 5220 tackle can act as a unique all-in-one backup server or can scale out for environments that require diverse backup media servers. Compatibility with software versions of NetBackup do it convenient to integrate the tackle without disruption.
  • increase virtual computer protection: geared up with Symantec V-Ray expertise, NetBackup appliances permit consumers to eradicate aspect tools, raise the reliability of restoration, and maximize storage reductions.
  • Simplify far flung workplace coverage: in the reduction of the hardware & preservation required to protect remote offices with an tackle that performs backups, outlets deduplicated records, and replicates data offsite.
  • transform cataclysm recuperation Readiness: The NetBackup 5220 comprises tape-out capabilities, the computerized photograph replication characteristic for quicker recovery at alternate websites, and abet for Symantec OpenStorage (OST) cloud connectors (e.g., Nirvanix) to expend cloud storage as one more tier for cataclysm healing.
  • Availability

    Symantec NetBackup 5220 collection and Backup Exec 3600 sequence home tackle are available now in North the usa. both home tackle will roll out in additional countries in a phased approach over the subsequent yr. latest NetBackup and Backup Exec clients can repurpose present licenses to install the NetBackup 5220 or Backup Exec 3600, respectively.

    For additional information in regards to the Backup Exec 3600 equipment, talk over with http://www.symantec.com/business/backup-exec-3600-equipment. For more information in regards to the NetBackup 5220 appliance is attainable here.


    ST0-136 Symantec System Recovery 2011 Technical(R) Assessment

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    ST0-136 exam Dumps Source : Symantec System Recovery 2011 Technical(R) Assessment

    Test Code : ST0-136
    Test denomination : Symantec System Recovery 2011 Technical(R) Assessment
    Vendor denomination : Symantec
    : 111 real Questions

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    Olympic Marathons: Performance Improvement Initiatives abet to Power the Long Race | killexams.com real questions and Pass4sure dumps

    Organizations on the leading edge are moreover strategically leveraging information technology and data analytics as a key facilitator to continuous performance improvement, particularly on the clinical side

    At a time when the leaders of patient supervision organizations are facing intensifying pressure to shift away from a dependence on volume-based payment and to plunge into value-based supervision delivery, what strategies can abet them lead their organizations to success under current paradigms? With Seema Verma herself, Administrator of the Centers for Medicare & Medicaid Services (CMS), bluntly warning hospital, medical group, and health system leaders that she and her fellow senior federal healthcare officials will breathe pushing difficult to compel providers forward into value-based contracting, IT-facilitated continuous performance improvement strategies are looming big as a critical success factor in the shift to value.

    Indeed, speaking during a webinar on August 27 sponsored by the Accountable supervision Collaborative, Verma responded to questions about CMS’s ail to push provider organizations to boost on two-sided risk in the context of the agency’s accountable supervision organization (ACO) programs, particularly the Medicare Shared Savings Program (MSSP).

    Asked by the webinar host, label McClellan, M.D., director of the Duke-Margolis hub for Health Policy and co-chairman of the Accountable supervision Learning Collaborative, about provider feedback on the proposed changes to the MSSP ACO program, Verma responded, “I think many people recognize that it’s time to boost that next step and it’s time to evolve the program; it’s been six years. They moreover understand that there may breathe providers that are not ready. But, their focus is to drudgery with providers that are earnest about making the investments and providing better supervision for lower cost.” What’s more, she intoned, “We’re trying to transition the structure to inspirit providers to boost on risk because they know that is going to deliver better outcomes.”

    And while not anyone of that rhetorical forcefulness—some might even convene it saber-rattling—should approach as a dumbfound from Verma, it’s moreover righteous that she fully realizes how challenging the overall transition is turning out to breathe for the vast majority of patient supervision organizations, which tolerate more-or-less-contentedly been inhabiting a discounted fee-for-service payment world, even as the discounts tolerate progressively bitten more deeply into their operating revenues.

    The reality? On the hospital and health system side of the industry, hospital senior leaders long ago shaved off immoderate expenses when it came to such areas as the supply chain and facilities management. And what remains to tackle now is the Moby Dick of operations: reworking processes at the core of patient supervision delivery, in order to achieve significantly improved cost-effectiveness and patient outcomes; everything else has already been tackled. In short, it’s become eminently limpid that clinical and operational transformation cannot happen without the thorough reengineering of core supervision delivery processes.

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    In that context, larger numbers of hospital and health system (and a few medical group) leaders tolerate plunged ahead over the past decade-plus, and tolerate moved to incorporate the expend of formal performance improvement methodologies, among them lean management, Six Sigma, the Toyota Production System for healthcare, and PDSA (Plan achieve Study Act, formerly PDCA, or design achieve Check Act) cycles of improvement, in order to achieve clinical and operational transformation. In practice, the attribute leaders at most patient supervision organizations tolerate liberally mixed the expend of various methodologies, while others tolerate relied primarily on one methodology, but tolerate allowed the blending of concepts from others.

    What’s more, the organizations on the leading edge are moreover strategically leveraging information technology and data analytics as a key facilitator to continuous performance improvement, particularly on the clinical side. Indeed, they are finding IT facilitation to breathe essential to success in achieving transformational change.

    In Asheville, A Comprehensive push Forward into Value

    One of the patient supervision organizations that has been moving ahead determinedly in its expend of IT-facilitated continuous performance improvement strategies is Mission Health, a six-hospital, 11,000-employee health system based in Asheville, North Carolina.

    There, Chris DeRienzo, M.D., Mission Health’s chief attribute officer, and Dawn Burgard, director of clinical performance improvement, tolerate been helping to lead a comprehensive ail for several years, one that has already borne significant fruit. Back in 2010 and 2011, Mission Health leaders began mapping supervision delivery processes, adding in an analytics platform in 2013 and 2014. Burgard, who came to Mission Health in 2012, with a master black belt in Six Sigma and a certification in lean management, and Dr. DeRienzo, who came in 2013, tolerate turbocharged efforts in the organization since then. Among other developments, they early on brought on a cadre of 21 lean management engineers, known as attribute improvement advisors, or QIAs, and tolerate built an enterprise-wide data warehouse.

    One key appliance that the leaders at Mission Health tolerate built has been a dashboard called the Ambulatory CPM Explorer Dashboard, which is bringing near-real-time data to physicians. Among the accomplishments in the past few years:

  • A 20-percent enlarge in plenary sepsis bundle and a 32-percent reduction in mortality from sepsis
  • 12 lung cancer deaths avoided with 37 percent enlarge in screening
  • 9 fewer rib fracture deaths and $350,000 in reduced direct costs
  • A 42-percent reduction in in-hospital stroke mortality
  • 11,000 more women screened for breast cancer, 6,000 more people screened for colorectal cancer, and a seven-fold enlarge in depression screening
  • And, in two specific areas—among numerous others—Mission Health leaders tolerate leveraged performance improvement cycles to build and optimize key initiatives. One has been the creation of the organization’s Readmissions Predictor initiative, which has dramatically enhanced ambulatory supervision managers’ ability to efficiently foretell which patients might breathe at the highest risk for readmission, following discharge. That initiative began in early 2017, and has been led directly by Dr. DeRienzo and by Mission Health’s CIO, John Brown.

    Spending over a year to build, test, and validate the program, Mission Health leaders created a dashboard that uses smart algorithms to provide supervision managers with up-to-the-minute data every morning at the start of the workday, helping them to determine which individuals, post-discharge, are most likely to quit up being readmitted, and allowing them to start their days focusing on those at highest risk for readmission.

    A second very primary initiative, which began a year and a half ago, has involved applying the Explorer Dashboard to monitor patient flux into and through the emergency department, and to boost steps to respond to emerging patient-flow blockages created by surges in patients presenting in the ED. Now, Burgard reports, “We tolerate triggers on their home page, so everyone in the hospital knows what surge status we’re in. And once a current color is triggered”—from a range of four colors (green, yellow, orange, red) that witness the degree of blockage—"there’s a whole bunch of measure work—a lean term that involves the standardization of the elimination of variation in processes—that teams and managers are expected to do, depending on surge level,” she says. “That’s the power of measure work. It allows us to deserve into that predictive space and helps us to become more efficient with the way they staff.” Using this set of processes, patient volume surging that had peaked at 4 percent of patients who left before being seen, in the summer of 2016, is now down to 1 percent, with the ability to see 300 patients every day in the flagship hospital’s ED now a measure volume that has been made the norm.

    The core recipe, DeRienzo notes, has included the following: a dependable enterprise data warehouse; a dependable data visualization environment; “more structure in clinical program leadership among physicians, nurses, and administrators”; a cadre of lean management engineers; and, “trusted advisors.”

    At UPMC, Patient appointment for Improved Outcomes

    Numerous attribute improvement methodology-infused initiatives are moving ahead as well at the 40-hospital UPMC health system, based in Pittsburgh. There, says Tami Minnier, R.N., M.S.N., UPMC’s chief attribute officer, “We expend All of them”—especially lean management, Six Sigma, and PDSA principles and strategies. But, she quickly adds, “Coming into healthcare from manufacturing, I erudite early on that healthcare wasn’t quite ready for All the terminology around performance improvement methodologies, so they avoid technical terminology here. I tolerate a black belt in Lean, but I don’t deserve into the intricacies,” she testifies. “I establish that it turned people off. They had people say, ‘We don’t build cars.’”

    Instead, Minnier has helped to lead forward a number of initiatives, and, she says, “We expend whatever appliance makes most sense at the time, and tolerate blended them over time over the 12 years that the Wolff hub has been in existence”—referring to the UPMC Wolff hub for Quality, Safety, and Innovation—“and over time, we’ve raised the bar and tolerate introduced things fondness flee charts, fishbones [the fishbone appliance for root reason analysis], some of the tools people find useful. But they don’t say, let’s tolerate a stout Kaizen on Tuesday afternoon! We’ve been a bit savvy about how they achieve it.”

    And, as one of her key partners in those endeavors, MaCalus Hogan, M.D., vice chair of orthopedic surgery, and medical director for outcomes and registries at the Wolff Center, says, “I’ve been educated in the lean environment and erudite a lot from Tami and her team. Efficiency is key” in every endeavor, he says. “And in the surgical environment, things are geared around doing things well and efficiently.” Together, Minnier and Dr. Hogan tolerate been leading an initiative that has significantly improved both patient engagement, and improved clinical and satisfaction outcomes, around the entire cycle around total hip and knee replacement surgery, which they and their colleagues tolerate implemented across the six highest-volume total joint replacement surgery facilities in the UPMC system. “We needed to evanesce further in clinical supervision improvement, encompassing from how they prepare patients, to alignment on who were Good candidates,” Minnier explains.

    And, Minnier says, “One of the things that they erudite early on was that there was pretty discordant preparation of patients planning to approach in for hip or knee replacement. Some doctors and their offices did this really fantastic job of preparing their patients for surgery, and some didn’t quite tolerate it together. So they did a Good current-state assessment, using lean and PDSA approaches. They looked at the current status of variations, and what types of resources and materials people had in place, and then brought together a current model of change, centered around an orthopedic nurse coordinator in every site. That role was to protect and prepare every patient for surgery, and most importantly, to think about what their supervision at home would breathe fondness after surgery.”

    The initiative began three years ago, with the orthopedic nurse coordinators being brought in two-and-a-half years ago. Those coordinators, moreover referred to as “navigators,” ensure an orderly, comprehensive process to prepare patients and provide them with online education. Leveraging the organization’s patient portal, MyUPMC, office physicians can prescribe educational materials during the office visit, just as they’d prescribe medications. And, she says, “The process improvement of having an ortho nurse coordinator, coupled with the technology support, really allowed patients to arrive at a preoperative side in a much more prepared, organized manner, to anticipate what would happen when they got to the hospital and how they’d breathe taken supervision of.” And, as a result of intensive continuous improvement cycles, “We’ve been able to eradicate pretty much All of the variation,” she testifies. “And every unique member of these ortho nurse navigators, they meet on a monthly basis, share each other’s practices, they’ve become a resource group unto themselves. That’s how you perpetuate and sustain change.”

    In the context of the joint replacement improvement process, Dr. Hogan and Minnier saw clearly the odds of Hogan’s being a foot and ankle surgeon rather than being a joint replacement surgeon. As such, he brought into the process a smooth of credibility as a fellow surgeon; yet at the identical time, he was in a different subspecialty, so he could not breathe seen as a threat to the joint replacement surgeons. And the results tolerate been impressive: consistent educational and preparational processes, improved patient satisfaction, and in many cases, enhanced recovery outcomes.

    The Power of Harnessing Analytics

    Industry leaders interviewed for this article correspond on the core truths about All this: that using formal improvement strategies, of whatever specific type, will succumb results; and that piece of the power of this to achieve clinical transformation is in effectively harnessing IT and data analytics to facilitate such work.

    “In my experience, it doesn’t really matter which methodology you choose, but that you pick an improvement methodology or methodologies, and stick with your strategies; it’s the discipline that matters,” says George Reynolds, M.D., the clinical informatics executive advisor for CHIME (the Ann Arbor, Mich.-based College of Healthcare Information Management Executives), and principal in Reynolds Healthcare Advisers, LLC. Dr. Reynolds, who served as the CMIO at Children’s Hospital & Medical Center, in Omaha, Nebraska, for 11 years, and CIO for the ultimate five years of that tenure, reports that “We did a version of PDCA [Plan achieve Check Act—an earlier version of design achieve Study Act], which is very light to teach, but lacks the rigor and the discipline of lean and Six Sigma. They would achieve well [at Children’s], but it was difficult to maintain the changes.”

    Meanwhile, Dr. Reynolds says firmly, leveraging data and analytics to power performance improvement cycles is “absolutely central to everything you do. And it doesn’t necessarily tolerate to breathe really fancy bells and whistles, though I admire fancy bells and whistles. You can achieve a lot with an outstrip spreadsheet. You can achieve a lot with some fairly simple tools. But the more advanced tools become valuable” as organizations swagger forward into deeper and broader efforts.

    Early on in the Proverbial Journey of 1,000 Miles

    What remains disconcerting is how far behind most U.S. patient supervision organizations are starting out, says Robin Czajka, service line vice president for cost management at the Charlotte-based Premier Inc. Asked where she thinks the healthcare industry is, if this phenomenon could breathe compared to the proverbial journey of a thousand miles, the Chicago-based Czajka says that “I would train that we’re at the very genesis of it, frankly, having been in the industry for 25 years. You see pockets of considerable performance, and areas where they haven’t made any progress at all,” she says. “Some organizations are short of staff and mired in taking supervision of increasingly sick patients. So this needs to breathe a top priority. And we’re looking at a 5-percent growth year-over-year” in hospital costs. “The Medicare fund will breathe insolvent if they maintain on this trajectory.”

    What’s more, says Mary Frances Butler, a senior adviser at the Chicago-based repercussion Advisors consulting firm, the smooth of progress in this locality “will depend on the kind of hospital.” There is a continuum of advancement, she notes, “from miniature community hospitals, All the way up to the mega-systems fondness Intermountain and Geisinger [the Salt Lake City-based Intermountain Health and the Danville, Pa.-based Geisinger Health], who tolerate been at it a long time. Intermountain is an specimen of a leader in this. And, to the extent that leader organizations tolerate been able to facilitate conversations through the C-suite and into the IT group, to deserve out of their silos,” they’ve made greater progress, she notes.

    Premier’s Czajka has mixed sentiments with admiration to the mixing or blending of specific methodologies. “It’s both Good and bad; you can create some kinds of success, but you achieve lose some things; I’ve personally seen lean breathe efficient when done rigorously,” she says. “But as long as it’s cyclical, monitored, and sustainable, and as long as there are checks and balances,” any combination of methodologies can breathe made to drudgery well, she says. The absolutely critical success factor? “Success in this locality is always data-driven,” she insists. “And with Six Sigma, you boost data over time and determine at it and act. A lot of organizations will see a blip, for example, bed sores, and will react to it. But it may turn out to breathe a special-cause variation, maybe they got an unusual surge of admissions from a nursing home or something. When you start to employ a system fondness Lean, problem solvers become problem framers. So you exigency to determine carefully at the data and dissect it, and act over time.”

    The Power of Data-Focused Teams

    One lesson shared by those in the trenches is the power of creating and nurturing purpose-specific teams focused intensively on the management of data to power performance improvement, particularly in the clinical area. Oscar Marroquin, M.D., a practicing cardiologist and epidemiologist in Pittsburgh, has been helping to lead a team of data experts there. That team, of about 25 data specialists, was first created five years ago. Of those, half are IT- and infrastructure-focused, and, says Dr. Marroquin, “The ease are a team of folks dedicated to data consumption issues. So they tolerate clinical analysts, data visualization specialists, and a team of data scientists who are applying the prerogative tools and methods, spanning from traditional analytical techniques to advanced computational abysmal learning and everything in between. Their job is to expend the clinical data, and derive insights”—and All 12 clinically focused data specialists report to him.

    And that work—“allowing people to request questions to generate opportunities”—has paid off handsomely. Among the advances has been the creation of a data model that predicts the chances that patients who are being discharged will breathe readmitted. The model, based on the retrospective analysis of one million discharges, is moreover helping case managers to more effectively prepare patients for discharge, specifically by ensuring that patients being discharged are promptly scheduled for follow-up visits with their primary supervision physicians. “If those patients are seen within 30 days of discharge,” he notes, “there’s a 50-percent reduction in their 30-day rate of readmission.” The program is now vigorous in six UPMC hospitals.

    What it Really Means to breathe Data-Driven

    Those industry leaders interviewed for this article are agreed on what healthcare IT leaders should know both about the adoption of performance improvement methodologies generally, as well as about the leveraging of IT and data to achieve success in clinical and operational transformation.

    “If you’re going to embark on a lean Six Sigma-driven journey, it rises and falls based on leadership,” says Mission Health’s Burgard. “We know that the methodologies work. But I always say, lean is not a set of tools, it’s a mindset for how you’ll transform your organization. The identical thing is righteous with technology. It All rises and falls on leadership. And senior leaders exigency to understand the methodology and the tools. That applies to technology, too.”

    “I’ve been really impressed with the degree of partnership of their CIO John Brown, with their PI team,” says her colleague DeRienzo. “When I think about continuous improvement, there’s so much overlap between the improvement processes and the data processes. And by driving alignments across the entire system, including across the different teams, we’ve been able to do much broader progress.”

    Importantly, says Premier Inc.’s Czajka, “It’s crucial to accept that data shouldn’t breathe the enemy of the good. The data is never going to breathe perfect,” she says. “Just do confident it’s directionally accurate.” What’s more, she says, “You exigency to train your people to expend the data correctly. I can’t order you how many times I meet with clients and they tolerate these considerable data systems they’ve purchased, but no one is trained to drudgery well with it. And,” she says, “figure out the data points that will actually drive improvement. I went into a member hospital that had about 100 data points they were asking people to focus on, in a dashboard. You can’t request people to achieve that.” Working with leaders at that hospital, she was able to deserve them to narrow down those 100-some data points to 11 that could breathe focused on, for process improvement.

    In the end, says UPMC’s Marroquin, “If they All are earnest about transforming the way they supervision for patients, they exigency to achieve it in a data-driven way. There has to breathe a philosophical faith and commitment to achieve that, and then you tolerate to create a team that’s dedicated to this work. I don’t think this is achievable in an ad hoc way.” Finally, he says, “This drudgery is not for the faint of heart; it takes time and effort, but if you tolerate the philosophical faith and institutional commitment, it’s doable.”


    The $188 Billion charge Tag From U.S. Extreme Weather From 2011 To 2012 | killexams.com real questions and Pass4sure dumps

    By Daniel J. Weiss and Jackie Weidman

    The United States was subjected to many severe climate-related extreme weather over the past two years. In 2011 there were 14 extreme weather events — floods, drought, storms, and wildfires — that each caused at least $1 billion in damage. There were another 11 such disasters in 2012. Most of these extreme weather events reflect piece of the unpaid bill from climate change — a tab that will only grow over time.

    CAP recently documented the human and economic toll from these devastating events in their November 2012 report “Heavy Weather: How Climate Destruction Harms Middle- and Lower- Income Americans.” Since the release of that report, the National Oceanic and Atmospheric Administration, or NOAA, has updated its list of “billion-dollar”-damage weather events for 2012, bringing the two-year total to 25 incidents.

    From 2011 to 2012 these 25 “billion-dollar damage” weather events in the United States are estimated to tolerate caused up to $188 billion in total damage. [1] The two costliest events were the September 2012 drought — the worst drought in half a century, which baked nearly two-thirds of the continental United States — and superstorm Sandy, which battered the northeast coast in late October 2012. The four recently added disastrous weather events were severe tornadoes and thunderstorms.

    Here is an update of vital extreme weather event data after the addition of these four events:

  • 67 percent of U.S. counties and 43 states were affected by “billion-dollar damage” extreme weather events in 2011 and 2012.
  • 1,107 fatalities resulted from these 25 extreme weather events in 2011 and 2012.
  • Up to $188 billion in damage was caused by these severe weather events in 2011 and 2012.
  • $50,346.58 was the unconcerned household income in counties declared a cataclysm due to these weather events — 3 percent below the U.S. median household income of $51,914. [2]
  • 356 all-time tall temperature records were broken in 2012.
  • 34,008 daily tall temperature records were set or tied throughout 2012, compared to just 6,664 daily record lows — a ratio of 5-to-1.
  • 19 states had their warmest year ever in 2012.
  • Below are descriptions of each of the four weather events in 2012 that were not included in their previous report.

    April 12: Tornadoes

    Nearly 100 tornadoes touched down across Kansas and other midwest states over a two-day era in mid-April 2012, resulting in six deaths. Extensive damage to schools, hospitals, businesses, and homes was estimated to cost $1.8 billion. Many towns were without power for extended periods of time. Fourteen counties in Kansas were declared cataclysm areas because of the storms. Households in these disaster-declared counties earn, on average, an annual income of $47,027–9 percent below the U.S. median household income.

    April 28: severe Storms

    Severe weather in Oklahoma and surrounding states caused at least $4 billion in damage and one confirmed fatality in late April 2012. Storm damage throughout the locality was primarily caused by 38 confirmed tornadoes and severe hail. Oklahoma was most heavily impacted — six Oklahoma counties were declared cataclysm areas in the wake of the storm. Households in the counties that were cataclysm areas earn, on average, an annual income of $39,638 — a staggering 24 percent below the U.S. median household income.

    May 25: severe Storms

    Twenty-seven confirmed tornadoes touched down over a broad swath of the United States, including from Oklahoma to current Hampshire. The tornadoes and outburst of severe hail, straight-line winds, and thunderstorms caused one fatality and approximately $2.5 billion in damage. Most of the damage occurred in Oklahoma and the entire status was declared a cataclysm area. current Hampshire and Vermont moreover had some disaster-declared counties. Households in these disaster-declared counties earn, on average, an annual income of $45,431–12 percent below the U.S. median household income.

    June 29: Derecho

    A derecho is a “widespread, long-lived wind storm that is associated with a party of rapidly moving showers or thunderstorms,” according to the National Oceanic and Atmospheric Administration. Such a storm ravaged eastern and northeastern states in June 2012. It caused 28 fatalities and ripped through a 700-sqaure-mile swath of the mid-Atlantic region, leaving 3.4 million homes there without power. The storm caused at least $3.8 billion in damage in 215 counties in Maryland, current Jersey, Ohio, West Virginia, Virginia, and Washington, D.C. All were declared cataclysm areas.

    These events, along with the seven other “billion-dollar” weather events in 2012, made it the second-most-extreme weather year on record, according to the U.S. Climate Extremes Index.

    NASA climatologist Gavin Schmidt says that when it comes to higher temperatures and extreme weather, “what matters is this decade is warmer than the ultimate decade, and that decade was warmer than the decade before. The planet is warming. The reason is because they are pumping increasing amounts of carbon dioxide into the atmosphere.”

    The U.S. National Climate Assessment draft released in January 2013 indicates that the effects of climate change will continue to threaten the health and vitality of their communities as extreme weather becomes more frequent and/or severe. One of the report’s key findings is that U.S. coastal communities are particularly vulnerable to sea-level rise, storms, floods, and subsequent erosion. And scientists foretell that precipitation events across the United States are likely to breathe heavier. These risks pose earnest threats to their electricity grid, infrastructure, clean water, and sewage treatment system in the most affected places.

    The climate-related extreme weather events of the past several years tolerate become the current normal. They must act now to reduce the industrial carbon pollution answerable for climate change and abet communities become more resilient to the coming storms, floods, droughts, heat waves, and wildfires.

    Disaster Relief

    Disaster relief has suddenly become a partisan issue. This became overwhelmingly limpid during recent debates in the Senate and the House of Representatives over the cataclysm Relief Appropriations Act (H.R. 152), which provided $50.7 billion in emergency aid for superstorm Sandy victims. [3] The measure was passed by Congress and signed by President Barack Obama on January 29, 2013 — an unacceptable 91 days after the storm devastated the northeast corridor.

    Despite passing with champion from All but one voting Democrat in the House and Senate, the vast majority of Republicans in each chamber opposed essential aid to hurricane victims. These conservative lawmakers attempted to negate fiscal assistance to those in need, even after some of them previously requested cataclysm funding for their own states. All 36 Republican senators who voted against the Sandy aid bill are from states that experienced at least one “billion-dollar damage” extreme weather event in the past two years. In fact, 98 percent of lawmakers in either chamber who voted against the bill — 211 of the 216 Republicans — represent states that experienced at least one “billion-dollar damage” extreme weather event in the past two years.

    The debate over congressional passage of cataclysm recovery assistance raises earnest concerns about whether Congress can both aid cataclysm victims in a timely fashion and drudgery to abet communities minimize damages from future storms and other extreme weather. In order to abet these communities reduce their vulnerability to extreme weather, Rep. Lois Capps (D-CA) and 37 of her colleagues urged President Obama to designate a blue ribbon panel to develop a a “community resilience fund” dedicated solely to providing the fiscal and technical assistance to vulnerable communities hit by extreme weather events. Dedicated funding for predisaster mitigation will protect lives, shield middle- and lower-income households from the worst impacts of extreme weather, and rescue taxpayers money over time.

    For more information on this proposal, please see CAP’s December 2012 column “An Ounce of Prevention: Increasing Resiliency to Climate-Related Extreme Weather.”Methodology

    This hub for American Progress analysis compiled data from multiple sources. Extreme weather events data were from the National Oceanic and Atmospheric Administration’s National Climatic Data Center, or NCDC. Counties affected by each event were compiled from the Federal Emergency Management Agency’s Declared Disasters database.

    In order to assess income levels for the most affected counties, they used median household income (2006–2010) data and number of households (2006–2010) data from the U.S. Census Bureau’s status and County QuickFacts. The 2006–2010 values are an unconcerned over the five-year period. They compared the percent inequity between the unconcerned annual median household incomes for the affected counties in each weather event to the U.S. median — $51,914. They accounted for the population of each county when calculating these values. The cost per household was calculated by taking the cost of the event divided by the total number of households for each event.

    Endnotes

    [1] The National Oceanic and Atmospheric Administration will release final 2013 cataclysm cost estimates in mid-2013.

    [2] U.S. median income figures are based on the 2005–2010 Census Bureau average.

    [3] This was the second installment of Sandy aid. The first installment of $9.7 billion was passed on January 1, 2013.

    Daniel J. Weiss is a Senior Fellow and Director of Climate Strategy at the hub for American Progress. Jackie Weidman is a Special helper at the Center.



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