Quoted from bumblethru

.............and YES.....he had a little boy and a little girl next to him!!

Nice touch!! ;

Quoted from BuckStrider

Think Boxy would have a problem if a Republican POTUS circumvented Congress and signed 21 executive orders against abortion with a group of mothers and newborns behind him as he signed them?

I think he would.

Quoted from bumblethru

boxy would just RE-DIRECT and call them right wing nuts!!
that's what boxy does when he doesn't have a graph, a poll, a paste/copy or a substantial come back.

Quoted from bumblethru

http://news.blogs.cnn.com/2013/01/16/obama-to-announce-gun-control-proposals-shortly/?hpt=hp_c1



Updated at 12:22 p.m. ET] The announcement is over, and Obama is signing the 23 executive actions. These orders are in addition to laws that Obama wants Congress to pass. Here, according to the White House, are what the 23 executive actions will do, without congressional approval:

1. "Issue a presidential memorandum to require federal agencies to make relevant data available to the federal background check system."

2. "Address unnecessary legal barriers, particularly relating to the Health Insurance Portability and Accountability Act, that may prevent states from making information available to the background check system."

3. "Improve incentives for states to share information with the background check system."

4. "Direct the attorney general to review categories of individuals prohibited from having a gun to make sure dangerous people are not slipping through the cracks."

5. "Propose rulemaking to give law enforcement the ability to run a full background check on an individual before returning a seized gun."

6. "Publish a letter from ATF to federally licensed gun dealers providing guidance on how to run background checks for private sellers."

7. "Launch a national safe and responsible gun ownership campaign."

8. "Review safety standards for gun locks and gun safes (Consumer Product Safety Commission)."

9. "Issue a presidential Memorandum to require federal law enforcement to trace guns recovered in criminal investigations."

10. "Release a DOJ report analyzing information on lost and stolen guns and make it widely available to law enforcement."

11. "Nominate an ATF director."

12. "Provide law enforcement, first responders, and school officials with proper training for active shooter situations."

13. "Maximize enforcement efforts to prevent gun violence and prosecute gun crime."

14. "Issue a presidential memorandum directing the Centers for Disease Control to research the causes and prevention of gun violence."

15. "Direct the attorney general to issue a report on the availability and most effective use of new gun safety technologies and challenge the private sector to develop innovative technologies."

16. "Clarify that the Affordable Care Act does not prohibit doctors asking their patients about guns in their homes."

17. "Release a letter to health care providers clarifying that no federal law prohibits them from reporting threats of violence to law enforcement authorities."

18. "Provide incentives for schools to hire school resource officers."

19. "Develop model emergency response plans for schools, houses of worship and institutions of higher education."

20. "Release a letter to state health officials clarifying the scope of mental health services that Medicaid plans must cover."

21. "Finalize regulations clarifying essential health benefits and parity requirements within ACA exchanges."

22. "Commit to finalizing mental health parity regulations."

23. "Launch a national dialogue led by Secretaries Sebelius and Duncan on mental health."

Quoted from bumblethru

boxy would just RE-DIRECT and call them right wing nuts!!
that's what boxy does when he doesn't have a graph, a poll, a paste/copy or a substantial come back.

Quoted from Box A Rox

Yea... these orders really SUCK!


10. "Release a DOJ report analyzing information on lost and stolen guns and make it widely available to law enforcement." We hate those (costumed) law enforcement types... screw em!

Quoted Text

Psychotherapy Notes47. A covered entity must obtain an individual’s authorization to use or disclose psychotherapy notes with the following exceptions48:

The covered entity who originated the notes may use them for treatment.
A covered entity may use or disclose, without an individual’s authorization, the psychotherapy notes, for its own training, and to defend itself in legal proceedings brought by the individual, for HHS to investigate or determine the covered entity’s compliance with the Privacy Rules, to avert a serious and imminent threat to public health or safety, to a health oversight agency for lawful oversight of the originator of the psychotherapy notes, for the lawful activities of a coroner or medical examiner or as required by law.

Quoted Text

EHR | Health Maintenance Protocol eHealth

HealthWatcher automates sending those easy-to-forget reminders to your patients with medical advice and health care best practices

Providing sound health maintenance means including a full array of counseling, screening, and other preventive services designed to minimize the risk of premature sickness and death and to assure optimal physical, mental, and emotional health throughout the natural lifecycle. Today's leading EHR systems offer a wide variety of electronic health record (eHealth or EHR) features to optimize workflow and patient safety. For example, screening tests and physician counseling are important tools for identifying common yet potentially serious injuries, illnesses and diseases that can be prevented or cured with early intervention.

EHR Helps Obtain Successful Health Compliance Outcomes

EHR (eHealth) provides you the tools for successful management of patient populations, conditions, and preventive health routines ensuring patient compliance and preventive care. The HealthWatcher tool allows for customized profiles and protocols to ensure your practice complies with best practices and your patients adhere to your medical advice.

eHealth Maintenance Tailored to Your Practice Needs

With ADP AdvancedMD EHR, you can tailor your health maintenance solution to fit the unique needs of different groups of patients. For example, you can customize health maintenance information by diagnosis or by payer to accommodate carrier guidelines. Find out how ADP AdvancedMD can help your support staff quickly identify and reach out to patients who are due for tests or procedures.

Utilize Continuity of Care Protocols for Better Safety, Health Maintenance & Compliance
Our HealthWatcher (eHealth maintenance) module is part of our EHR and is a tool that helps the practice and provider follow continuity of care protocols. We support care plans, guidelines and protocols for the management of specific conditions based on factors such as age, sex, diagnosis and lab result values.

Benefits of HealthWatcher Maintenance in the EHR
Generates alerts for appointment recall, prescription refills and laboratory orders
Protocols can contain one or a series of tasks, renewable based on user-defined intervals
Health maintenance protocols can be assigned to an individual or group of patients

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A Supportive Public Climate

The intersection of interests noted above was an important factor in creating an environment within which reactionary reforms could take place. However other environmental factors also played an important role in creating conditions whereby the desires for progressive reform could be co-opted. For example, the goals of the Reagan Administration were well received in some quarters of the National Institute of Mental Health (NIMH). In the 1980s, the NIMH started to come under the leadership of a different cohort of individuals. While the NIMH had originally been led by individuals who had come of age during the Great Depression, the leaders of the 1980s had come of age later. The result was that while the former cohort had been committed to innovations in government al social policy, the latter generation tended to be less interested in actual social policy and more supportive of measures to reduce the cost to the federal government (Armour, 1989, 187).

The Administrations goals of fiscal restraint also received support from the general public due to the perception of a federal government too prone to waste revenues and not address other basic concerns, such as crime prevention. Certain forms of social welfare spending, such as programs for the mentally ill, were perceiv ed as wasteful and thus easy targets for budget cuts (Gans, 1995; Katz, 1989). In contrast, other social programs, such as Social Security, were perceived as being "earned" by the recipients, and thus equitable. Despite the fact that the average Social Se curity recipient receives more in return than they pay into the system, programs such as this are perceived as being a pension for which the recipient has already paid. As such, they are less susceptible to cuts than categorical spending programs, such as community mental health treatment centers. Indeed, Social Security funding per beneficiary increased under the Reagan Administration (Levitan, 1990, 30). Mental health policy lacks the widespread public support that benefits Social Security (Armour, 1989 , 186). In light of this, it is not surprising that the Reagan Administration was able to cut these programs relatively easily (186-7).

The concerns of the general public were also mobilized in the context of fear over the possibility of a patient committing a violent or otherwise anti-social act. Media attention paid to the problems of the mental health system tended to concentrate in two areas: the growing homelessness problem of the early 1980s and the possibility of criminal acts committed by deinsitutionalized patients. Throughout the 1970s and 1980s, hundreds of thousands of mentally ill people concentrated in the inner cities. With the rise of gentrification during the 1980s, many of them became displaced from their relatively affordable housing and were unable to fin d new accommodations. Many of these patients had lost contact with family members and were unable to work, and many did not have health insurance. Thus, they were unable to receive mental health services in the private sector. Media coverage of the growin g homeless problem helped to pressure legislators in many states to rewrite commitment laws to extend the net and make the streets "safer."

This media attention played into, and supported, the growing perception of violent crime as a problem in the United States. The Reagan Administration answered this general alarm by calling for quick and severe punishment of offenders. For those offenders who were not mentally ill, prison was normally seen as the solution (Gans, 1995). For the mentally ill however, involuntary committment seemed the best answer. Either way, quick removal of individuals threatening the social order fit well with the administration's "law and order" stance (LaFond and Durham, 1992, 114).

The new laws, however, were not intended to make it easier to commit the dangerous mentally ill. Rather, the new laws had more general application and made it easier to commit those only considered a threat (Lafond & Durham, 1992, 11. In addition to this, many of the existing liberal justices began to rule on a "right of treatment" clause rather than a straight civil libertarian viewpoint. The result was that at both the state and federal level, the court became increasingly reluctant to strike down legislation that broadened the definition of who was eligible for involuntary commitment (119). Again, this more stringent approach meshed well with the "law and order" stance taken by the administration.