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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 actual Questions

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Symantec Symantec System Recovery 2011

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MOUNTAIN VIEW, CA--(Marketwire - 04/04/11) - Symantec Corp. (NASDAQ:SYMC - information) nowadays announced its approach to provide agencies of perfect sizes with a tailor-made approach to transparent 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 also supplying modern 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 fashion includes an most usurp amalgam 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 rig recuperation promises bendy restoration of physical and digital techniques: http://bit.ly/ftlofu"Symantec presents confirmed technology to support their shoppers ameliorate information, systems and applications to hold away from disruption to their enterprise," observed Amit Walia, vp of product management, Symantec. "Symantec rig recuperation shortens the healing time window with modern facets such because the skill 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 hold a roomy hold an impact on on a traffic and agencies of perfect sizes are liable to downtime. Symantec's 2011 SMB cataclysm Preparedness Survey institute that almost perfect of small agencies surveyed are nonetheless unprepared to cope with a catastrophe and 54 % of SMB customer respondents pronounced they hold switched SMB companies due to unreliable computing methods. similarly, Symantec's 2010 catastrophe restoration Survey, which surveyed enterprise agencies, institute that the time required to ameliorate from an outage is twice as long as respondents perceive it to be.attainable now, Symantec system recuperation 2011 provides right here modern features:

  • All-in-one backup and recuperation USB machine: With modern wizard performance, shoppers can readily transform a USB rig into a bootable Symantec system recovery Disk and into a backup storage equipment, creating an all-in-one backup and healing USB rig to aid 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 roomy numbers of customers from a sole management server. The Symantec gadget restoration management solution can now live 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 exhaust 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 gain 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 necessity to engage with the product after it is set, and i can gain granular restoration in a snap." -- Joseph LaGrosse, director of IT, Pepperweed Consulting.
  • "support for the Microsoft 2010 orbit of server items coupled with a administration solution with x64 pilot ensures I haven't any problems recommending Symantec rig restoration to any individual trying to find a simple to exhaust and control backup solution both as a main, creation backup reply or as a quick rig healing reply for faultfinding server methods. The P2V and V2P facets build this a profitable tool for any individual with a Microsoft or VMware virtualization solution. The capability to fix to distinctive hardware is genius!" -- Mathew Coomber, technical and sales aid manager, Elytis.
  • connected

    connect with Symantec

    About Storage from Symantec Symantec helps groups relaxed and manipulate 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 manipulate 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 region counsel is used or kept. greater recommendation is accessible at www.symantec.com.be watchful TO EDITORS: if you want additional information on Symantec enterprise and its products, gratify consult with the Symantec information elbowroom at http://www.symantec.com/information. perfect 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 live trademarks of their respective house owners.Technorati Tags Symantec, Backup Exec, device recuperation, VMware, backup and recovery, small agencies


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

    Symantec talked about the modern 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 recur to operations and occasions fiscal damage as the skill to generate salary is lost,” pointed out Pramut Sriwichian, Symantec’s country manager for Thailand.

    “In concurrent world, the deserve to build certain 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 all 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 live 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 exhaust of graphic-backup technology to trap a photo of the complete system, lower back-up and healing projects tangle simply a few minutes, the enterprise announced

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

    extra modern points in Symantec rig 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 aid 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 carry out 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 rig healing Linux edition: The Symantec system recovery Linux edition now includes the means to accomplish incremental backups and time table backup jobs.


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

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

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

    note: ESJ’s editors cautiously choose supplier-issued press releases about modern or upgraded items and capabilities. they hold edited and/or condensed this liberate to spotlight key aspects however build 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 rig to aid companies modernize their backup infrastructures and accelerate modern initiatives around virtualization with greater reliability. Symantec backup appliances will also live deployed in as petite as 30 minutes and support companies give protection to suggestions fully, in physical or digital environments, and deduplicate information perfect over the region to expand 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 rig 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 smooth 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 smooth system. With Backup Exec, directors hold a transparent catalog view of their backup sets from which the administrator can opt for a complete backup set or a sole kick in that set and click to fix.
  • Platform Availability: The rig can present protection to key working methods and systems and offers abysmal utility and database pilot for sooner backup and repair.
  • cut back Integration Complexity: The Backup Exec 3600 rig aspects integrated and optimized hardware this is certified to Run the newest Backup Exec 2010 software, and permits a sole factor for technical guide. the exhaust of an advanced installation wizard, the Backup Exec 3600 appliance may also live 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 rig 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 rig includes Symantec’s content-conscious deduplication that can reduce backup quantity and community utilization with the aid of as a all lot as ninety nine percent, getting rid of backup window complications and enabling profitable value replication of statistics to different sites for company continuity. NetBackup additionally has plans to aid 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 sole aspect of support to streamline vicissitude resolution.
  • reduce working charges: dispose of time spent patching and preserving backup servers and their linked accessories.
  • Refresh records headquarters Backup: The NetBackup 5220 rig can act as a sole all-in-one backup server or can scale out for environments that require diverse backup media servers. Compatibility with software versions of NetBackup build it convenient to integrate the rig without disruption.
  • increase virtual computer protection: geared up with Symantec V-Ray expertise, NetBackup appliances permit consumers to eliminate 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 rig 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 aid for Symantec OpenStorage (OST) cloud connectors (e.g., Nirvanix) to exhaust cloud storage as one more tier for cataclysm healing.
  • Availability

    Symantec NetBackup 5220 collection and Backup Exec 3600 sequence home rig are available now in North the usa. both home rig 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 actual Questions

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

    Organizations on the leading edge are also 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 keeping organizations are facing intensifying pressure to shift away from a dependence on volume-based payment and to plunge into value-based keeping delivery, what strategies can aid them lead their organizations to success under modern 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 live pushing hard to compel providers forward into value-based contracting, IT-facilitated continuous performance improvement strategies are looming large as a faultfinding success factor in the shift to value.

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

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

    And while not anyone of that rhetorical forcefulness—some might even summon it saber-rattling—should near as a dumbfound from Verma, it’s also dependable that she fully realizes how challenging the overall transition is turning out to live for the vast majority of patient keeping organizations, which hold more-or-less-contentedly been inhabiting a discounted fee-for-service payment world, even as the discounts hold 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 excessive 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 keeping delivery, in order to achieve significantly improved cost-effectiveness and patient outcomes; everything else has already been tackled. In short, it’s become eminently transparent that clinical and operational transformation cannot betide without the thorough reengineering of core keeping delivery processes.

    Through actual exhaust cases and live demo, outspoken Lee, PhD, Global Industry Leader for Healthcare & Life Sciences, will illustrate the architecture and solution for elevated performance data and AI...

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

    What’s more, the organizations on the leading edge are also 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 live essential to success in achieving transformational change.

    In Asheville, A Comprehensive shove Forward into Value

    One of the patient keeping organizations that has been affecting ahead determinedly in its exhaust 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, hold been helping to lead a comprehensive pains for several years, one that has already borne significant fruit. Back in 2010 and 2011, Mission Health leaders began mapping keeping 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 lanky management, and Dr. DeRienzo, who came in 2013, hold turbocharged efforts in the organization since then. Among other developments, they early on brought on a cadre of 21 lanky management engineers, known as attribute improvement advisors, or QIAs, and hold built an enterprise-wide data warehouse.

    One key tool that the leaders at Mission Health hold 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 expand in plenary sepsis bundle and a 32-percent reduction in mortality from sepsis
  • 12 lung cancer deaths avoided with 37 percent expand 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 expand in depression screening
  • And, in two specific areas—among numerous others—Mission Health leaders hold 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 keeping managers’ skill to efficiently call which patients might live 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 keeping 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 conclude up being readmitted, and allowing them to start their days focusing on those at highest risk for readmission.

    A second very famous 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 tangle steps to respond to emerging patient-flow blockages created by surges in patients presenting in the ED. Now, Burgard reports, “We hold triggers on their home page, so everyone in the hospital knows what surge status we’re in. And once a modern color is triggered”—from a orbit of four colors (green, yellow, orange, red) that argue the degree of blockage—"there’s a all bunch of benchmark work—a lanky 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 benchmark work. It allows us to gain 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 skill to survey 300 patients every day in the flagship hospital’s ED now a benchmark volume that has been made the norm.

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

    At UPMC, Patient rendezvous for Improved Outcomes

    Numerous attribute improvement methodology-infused initiatives are affecting 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 exhaust perfect of them”—especially lanky 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 perfect the terminology around performance improvement methodologies, so they avoid technical terminology here. I hold a black belt in Lean, but I don’t gain into the intricacies,” she testifies. “I institute 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 exhaust whatever tool makes most sense at the time, and hold blended them over time over the 12 years that the Wolff headquarters has been in existence”—referring to the UPMC Wolff headquarters for Quality, Safety, and Innovation—“and over time, we’ve raised the bar and hold introduced things relish Run charts, fishbones [the fishbone tool for root occasions analysis], some of the tools people find useful. But they don’t say, let’s hold a roomy Kaizen on Tuesday afternoon! We’ve been a bit savvy about how they carry out 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 lanky 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 hold 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 hold implemented across the six highest-volume total joint replacement surgery facilities in the UPMC system. “We needed to proceed further in clinical keeping improvement, encompassing from how they prepare patients, to alignment on who were profitable candidates,” Minnier explains.

    And, Minnier says, “One of the things that they erudite early on was that there was pretty incongruous preparation of patients planning to near 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 hold it together. So they did a profitable current-state assessment, using lanky and PDSA approaches. They looked at the current condition of variations, and what types of resources and materials people had in place, and then brought together a modern 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 account about what their keeping at home would live relish after surgery.”

    The initiative began three years ago, with the orthopedic nurse coordinators being brought in two-and-a-half years ago. Those coordinators, also 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 angle in a much more prepared, organized manner, to anticipate what would betide when they got to the hospital and how they’d live taken keeping of.” And, as a result of intensive continuous improvement cycles, “We’ve been able to eliminate pretty much perfect of the variation,” she testifies. “And every sole member of these ortho nurse navigators, they meet on a monthly basis, partake 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 level of credibility as a fellow surgeon; yet at the identical time, he was in a different subspecialty, so he could not live seen as a threat to the joint replacement surgeons. And the results hold 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 agree on the core truths about perfect 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 choose 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 eventual five years of that tenure, reports that “We did a version of PDCA [Plan carry out Check Act—an earlier version of procedure carry out Study Act], which is very smooth to teach, but lacks the rigor and the discipline of lanky and Six Sigma. They would carry out well [at Children’s], but it was hard 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 hold to live really fancy bells and whistles, though I fancy fancy bells and whistles. You can carry out a lot with an surpass spreadsheet. You can carry out a lot with some fairly simple tools. But the more advanced tools become valuable” as organizations rush 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 keeping 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 live compared to the proverbial journey of a thousand miles, the Chicago-based Czajka says that “I would relate that we’re at the very beginning of it, frankly, having been in the industry for 25 years. You survey pockets of much performance, and areas where they haven’t made any progress at all,” she says. “Some organizations are short of staff and mired in taking keeping of increasingly sick patients. So this needs to live a top priority. And we’re looking at a 5-percent growth year-over-year” in hospital costs. “The Medicare fund will live insolvent if they hold on this trajectory.”

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

    Premier’s Czajka has mixed sentiments with regard to the mixing or blending of specific methodologies. “It’s both profitable and bad; you can create some kinds of success, but you carry out lose some things; I’ve personally seen lanky live 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 live made to travail well, she says. The absolutely faultfinding success factor? “Success in this region is always data-driven,” she insists. “And with Six Sigma, you tangle data over time and ogle at it and act. A lot of organizations will survey a blip, for example, bed sores, and will react to it. But it may whirl out to live 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 relish Lean, problem solvers become problem framers. So you necessity to ogle carefully at the data and analyze 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 repose are a team of folks dedicated to data consumption issues. So they hold clinical analysts, data visualization specialists, and a team of data scientists who are applying the right tools and methods, spanning from traditional analytical techniques to advanced computational abysmal learning and everything in between. Their assignment is to exhaust the clinical data, and derive insights”—and perfect 12 clinically focused data specialists report to him.

    And that work—“allowing people to interrogate 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 live readmitted. The model, based on the retrospective analysis of one million discharges, is also 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 keeping 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 live 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 lanky 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, lanky is not a set of tools, it’s a mindset for how you’ll transform your organization. The identical thing is dependable with technology. It perfect rises and falls on leadership. And senior leaders necessity 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 account 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 build much broader progress.”

    Importantly, says Premier Inc.’s Czajka, “It’s crucial to accept that data shouldn’t live the enemy of the good. The data is never going to live perfect,” she says. “Just build certain it’s directionally accurate.” What’s more, she says, “You necessity to train your people to exhaust the data correctly. I can’t expose you how many times I meet with clients and they hold these much data systems they’ve purchased, but no one is trained to travail 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 interrogate people to carry out that.” Working with leaders at that hospital, she was able to gain them to narrow down those 100-some data points to 11 that could live focused on, for process improvement.

    In the end, says UPMC’s Marroquin, “If they perfect are sedate about transforming the way they keeping for patients, they necessity to carry out it in a data-driven way. There has to live a philosophical faith and commitment to carry out that, and then you hold to create a team that’s dedicated to this work. I don’t account this is achievable in an ad hoc way.” Finally, he says, “This travail is not for the faint of heart; it takes time and effort, but if you hold the philosophical faith and institutional commitment, it’s doable.”


    The $188 Billion cost Tag From U.S. Extreme Weather From 2011 To 2012 | killexams.com actual 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 hold 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 medium 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 elevated temperature records were broken in 2012.
  • 34,008 daily elevated 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 age 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 region 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 modern 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 condition was declared a cataclysm area. modern Hampshire and Vermont also 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 troupe of rapidly affecting 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, modern Jersey, Ohio, West Virginia, Virginia, and Washington, D.C. perfect 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 eventual 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 intimidate 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 call that precipitation events across the United States are likely to live heavier. These risks pose sedate threats to their electricity grid, infrastructure, cleanly water, and sewage treatment system in the most affected places.

    The climate-related extreme weather events of the past several years hold become the modern normal. They must act now to reduce the industrial carbon pollution accountable for climate change and aid 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 transparent 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 support from perfect 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 contradict pecuniary assistance to those in need, even after some of them previously requested cataclysm funding for their own states. perfect 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 sedate concerns about whether Congress can both aid cataclysm victims in a timely vogue and travail to aid communities minimize damages from future storms and other extreme weather. In order to aid these communities reduce their vulnerability to extreme weather, Rep. Lois Capps (D-CA) and 37 of her colleagues urged President Obama to denomination a blue ribbon panel to develop a a “community resilience fund” dedicated solely to providing the pecuniary 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 deliver taxpayers money over time.

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

    This headquarters 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 condition and County QuickFacts. The 2006–2010 values are an medium over the five-year period. They compared the percent dissimilarity between the medium 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 headquarters for American Progress. Jackie Weidman is a Special assistant at the Center.



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