#WINTERTECH

[retrocgads]

USA 1990

[ko-solar]

Embracing the winter wonderland! Imagine snow-covered landscapes with solar sound barriers along the highways and railroads, not just reducing noise but harnessing the power of the sun. ❄️☀️ Green-tech meets snowy scenes for a sustainable and serene journey! 🌿 @ko-solar 🌿

Ko-Solar Web: https://www.ko-solar.com/

Facebook: https://www.facebook.com/solarsoundbarrier/

Instagram: https://www.instagram.com/ko.solar/

LinkedIn: https://www.linkedin.com/company/ko-solar/

Threads: https://www.threads.net/@ko.solar

Tumblr: https://www.tumblr.com/ko-solar

Twitter: https://twitter.com/SolarSoundWall

TikTok: https://www.tiktok.com/@ko.solar

YouTube: https://www.youtube.com/channel/UCvCAByQoq-9s1Pe9rf0dN0A/featured?view_as=public

Google: Ko-Solar - Google Search

[arconinternet]

Orbits: Voyage Through the Solar System v2.1 & v3.01 (DOS, WinterTech, 1991/1994)

You can play them in your browser here - you'll have the option to choose which version. Tip: after selecting one, click the emulated screen to enable mouse controls, and press Esc to disable them and release the mouse.

[rajendra314]

ELECTRONIC WARM BAG POWER CABLE

STOCK AVAILABLE !!!

FOR PRICE AND MORE INFORMATION FOLLOW US ON OUR WHATSAPP CHANNEL :

For any Query:

☎ : +91-9899391155, +91-9910772484

#warmbagpowercable #HeatingAccessories #winterwarmth #techinnovation #electricheat #WinterEssentials #CozyComfort #techgadgets #StayWarm #coldweathergear #techwarmth #PortableHeat #powercable #WinterReady #electricwarmth #GadgetEssentials #WinterTech #warmup #TechAccessories #StayCozy

[acapelladitty]

Fic idea: Heisenberg x Ethan. Maybe Ethan actually takes Karl's offer to join to him and feelings come to light?

Heisenberg: Join me.

Ethan:

[drwhitefox]

YALLLLLLL!!!!! Heisenberg X Ethan ship name.

First Contender: Wintersberg - 🌌

Second Contender: WinterTech - 🎇

GIVE YOUR VOTE NOW!

[appstem]

Playing with FHIR

The JP Morgan Healthcare conference descended on San Francisco last week along with severe rainstorms that helped to end California’s drought but drenched a lot of attendees running frantically from hotel to hotel.

Despite the inclement weather, an estimated 30,000 people were in town to learn about the major trends for the healthcare industry in 2017.

One of the main themes of the conference was how to improve patient engagement and care accessibility by leveraging technology.    There were examples of how tele-health expands a patient’s choice on when and how they receive care and how mobile devices provide an “always-on” communication channel between patients and their care providers.

Technology is proving to be a vital component for a successful disruption of the healthcare industry and I believe that a lot of this innovation will come from start-ups that can approach problems with a fresh perspective.  However, they will still need access to the existing healthcare system in order to gain any traction.

This brings me to the new FHIR standard.

FHIR stands for Fast Health # Resources (pronounced “fire”) and it was created by Health Level Seven International (HL7).

The goal is to provide the industry with an Application Programming Interface “API” for exchanging Electronic Health Records “EHR”.   To write this in one, acronym-laden sentence – FHIR, created by HL7 is an open API for EHR.  Pretty impressive if I have to say so myself.

Here at Appstem, we have started dipping our toes in the sand and working in FHIR sandboxes created by Epic, Cerner and AllScripts and our initial reaction is positive.  We found that this HL7 version is easier to work with because it uses a modern, web-based suite of API technologies including an HTTP-based RESTful protocol, HTML and Cascading Style Sheets for user interface and JSON or XML for exchanging data.

In addition, each basic element of healthcare like patients, admissions, diagnostic reports and medications are accessed via their own resource URL.   This allows the data to stay in its own silo while sitting on top of a super-fast highway with easy to understand road signs.

Let us know if you’re thinking of creating a mobile application that integrates with FHIR.   We’re already enjoying our time in the FHIR sandbox but it’s always more fun with others.

[mujjostore]

Happy Valentine's day!⁠ Life is better when we're going through it together 🎁⁠ ⁠ Photo by @klwsk⁠ ⁠ #mujjo #dutchdesign #valentines #valentinesday #touchscreengloves #leathergloves #wintertech #techaccessories #couplesday

[yourhealthwikihow-blog]

ResQ is Using Games to Fight Opioid Addiction: Interview with Dr. Paul Glimcher

ResQ is Using Games to Fight Opioid Addiction: Interview with Dr. Paul Glimcher

ResQ is Using Games to Fight Opioid Addiction: Interview with Dr. Paul Glimcher

Earlier this year at the Health 2.0 WinterTech Conference, the Robert Wood Johnson Foundation (RWJF) and Catalyst @ Health 2.0 launched the RWJF Opioid Challenge, an initiative aimed at bringing together healthcare and technology innovators to solve a growing epidemic of addiction in the United States. A panel of…

[isaacscrawford]

RWJF Opioid Challenge: You Can Help

By CHELSEA POLANIECKI AND CHANLY PHILOGENE

Opioid overdoses are the leading cause of death for Americans under 50 years old. In fact, the majority of drug overdose related deaths involve an opioid. According to the National Center for Health Statistics, deaths from prescription opioids—drugs like oxycodone, hydrocodone, and methadone—have more than quadrupled since 1999. The U.S. is currently experiencing an opioid epidemic, as more than 2 million Americans have become dependent on, or abused prescription pain pills and street drugs. Substance misuse is not only affecting the users but also their families, friends, and the healthcare system as a whole.

Although improvements have been made to the way opioids are prescribed through clinical practice guidelines, the epidemic has continued to grow. The CDC has made several efforts to combat substance misuse and overdose but there is much more to be done, and you can help. The Robert Wood Johnson Foundation (RWJF) is committed to supporting those affected by this issue and launched the RWJF Opioid Challenge live, at Health 2.0’s Wintertech conference in January 2018. This innovation challenge calls for tech-enabled solutions that help identify resources, facilities, and educational content for support, as well as platforms for connecting patients, caregivers and peers for peer community.

RWJF has teamed up with Catalyst @ Health 2.0 to identify and incentivize the development of  tech-enabled solutions that should aim to support affected individuals (e.g. opioid users, caregivers, peers, family, etc.) and connect them to relevant resources. Every individual faces a different set of challenges, meaning that needs for recovery can be unique and varied.* The challenge is calling on innovators, developers, entrepreneurs and other bright minds to create tools to support those affected by opioid misuse.

In Phase I of the challenge, innovators will develop and design tech-enabled solutions. The judges, who bring a wide range of expertise to the table, will evaluate the submissions to determine the five teams who will move onto Phase II. These finalists will be awarded $5,000 each to create a fully functional application or tool. The finalists will also have an opportunity to demo their technology in front of a captivated audience of 2,000 investors, provider organizations, health plans and members of the media at the Health 2.0 Annual Fall Conference! With $100,000 in total prizes, we encourage innovators to put their best foot forward and create innovative solutions that will help impact the lives of those affected by opioid misuse.

Check out the challenge website to learn more and pre-register to apply to the RWJF Opioid Challenge by March 22nd. Join the fight today and help support and connect those individuals and their families affected by opioid misuse.

*This is not an exercise to develop tools for specific disease interventions or technologies for clinical therapy decision-making.

Chelsea Polaniecki is a Program Manager and Chanly Philogene is an Intern at Catalyst @ Health 2.0.

Article source:The Health Care Blog

[med20]

Healthcare wasn’t exactly priority number one in President Donald Trump’s inaugural address this morning. In fact, despite the apparently looming repeal of the Affordable Care Act, the only reference to healthcare in the whole speech was a vague promise, buried with two or three other vague promises, to "to free the Earth from the miseries of disease”. Whether this is a veiled promise to increase federal investment in medical research remains to be seen, but it doesn’t seem consistent with Trump’s stated goals of slashing the federal budget.

On the day of Trump's inauguration as 45th president of the United States, we're looking back at the question we tried to answer when Trump won back in November: What will a Trump presidency mean for digital health? Now we know more than we did then, but there is still a lot of uncertainty. Read on below for a summary of what we know now about the future of healthcare, interspersed with quotes from those in the know in the world of digital health.

The Affordable Care Act

The biggest, most obvious change to the healthcare landscape under the new regime is the Republican majority's plan to "repeal and replace" the Affordable Care Act, President Obama's landmark healthcare law that's often colloquially referred to as Obamacare. The ACA is a broad piece of legislation best known for its insurance reforms, which set up government exchanges, mandate that individuals have health insurance, and prohibit insurers from discriminating on the basis of pre-existing conditions.

While Republicans have a majority in the House and Senate, they don’t have a filibuster-proof supermajority, which limits what they can do in repealing and replacing Obamacare. They are poised to use the budget reconciliation process, a special set of rules that allows laws that have to do with spending, revenue, and debt to be passed with a simple majority.

While using budget reconciliation will allow the Republicans to dodge a filibuster, it does limit what provisions of Obamacare they can repeal, since they can’t touch certain provisions that don’t require government spending, like the prohibition on pre-existing condition discrimination. Senate rules also limit the use of budget reconciliation to once per year for each category (spending, revenue, and debt). This means that if the Republicans repeal Obamacare without a replacement in place, they will need bipartisan support to craft the replacement unless they wait a whole year to push it though.

It looks like that’s what is going to happen, as the House and Senate have already had the first votes on a budget measure that would repeal much of the law (in fact, a the House and Senate passed a bill to that effect last year, but it was vetoed by President Obama).

The exact nature and the timing of the “replace” half of repeal-and-replace remains unclear. There are Republican plans that have floated around for some time, including one from 2015 by Rep. Tom Price, Trump’s pick for HHS Secretary. That plan, detailed here, relies on a combination of Health Savings Accounts and high-risk pools to keep people insured.

Earlier this week, the Congressional Budget Office came out with a report stating that, if the ACA budget provisions are repealed without either a replacement or a plan to delay the enactment of the bill until a replacement existed, 18 million people could lose their health insurance. Republicans responded to the report by saying that it was irrelevant as it didn’t take their as-yet-unannounced replacement into consideration.

Jodi Daniel, who was the founding director of the Office of Policy at the Office of the National Coordinator and now works as the lead digital health partner at DC law firm Crowell & Moring, said its still too early to really tell.

“What [repeal] looks like is still very murky,” Daniel said during a panel at Health 2.0’s WinterTech event in San Francisco last week. “I don't think, quite frankly, that they have figured it out. It’s really hard to both keep the consumer protections in place and not have a way of paying for it.”

Daniel did say that she expects the shift towards value-based care to continue, despite changes in the administration, and that digital health could have a big role to play in the coming years.

“What I’ve been hearing from Republicans on the Hill is that value-based payment is still a very important approach to figuring out this equation, and I think technology is going to be an important component of that,” she said. “Any products that help support population health management and help support patient behavior management and things like that are still going to be very, very important and very much aligned with healthcare policy that comes out of Washington.”

Daniel even suggested it might not be as haphazard as some fear, given the experience of some people guiding the transition.

“As we are talking about the Trump transition, the folks who are leading the healthcare transition are former HHS Bush appointees who I worked with,” she said. “They understand bureaucracy, they understand the challenges of working in government, they came in in 2001 saying they were going to change all the regulations and they didn't. They tweaked them. And it's a lot of the same folks who are coming back.”

Adam Brickman, Director of Strategic Communication and Public Policy for digital diabetes management company Omada Health, said it’s important to understand what is meant by value-based initiatives when considering what aspects of the ACA should remain.

“I’m actually a little more bullish on the move towards value,” Brickman told MobiHealthNews in an interview. “If you really want to break down the ACA, I think there are two large buckets where you can put a lot of separate initiatives – there’s coverage expansion, individual exchanges, etc. Then there are program delivery reforms. My view on it is that you sort of have to separate out those two buckets.”

Brickman, who previously told MobiHealthNews that Omada would not exist without the ACA, emphasized the need for discernment when evaluating the impact of the ACA. “A lot of the way people talk about ACA and Obamacare, especially if they are negative on it, focuses on coverage expansion elements, especially with the individual mandate,” he said. “But I think that where we are, and what has enabled us as a company to really thrive, are those program delivery reforms.”

Echoing that, fellow panelist Glenn Tullman, the CEO of Livongo Health, said he expected certain aspects of the current healthcare law to stay in place.

“First of all, I don't think it's repeal and replace. I think what we are talking about is rename and kind of re-face this. Trump has already said the primary provisions he wants to keep. I think that's true in Congress,” he said. “ I think value-based payments in Congress have very strong support across the board. And it’s starting to work. They are starting to get companies that are actually delivering measurable results. And that's what the future is going to be about. Remember, the government controls a substantial portion - half - but there's another half. Employers have said it's unsustainable to keep healthcare costs growing. So they are going to do whatever they need to do almost independently of the government. My advice is don't get distracted by tweets. Let's focus on really important stuff.”

Medicare and Medicaid

What will happen to Medicare and Medicaid under President Trump is another unanswered question. Trump promised during his campaign not to make cuts to Medicaid or Social Security, but there are multiple reasons to think he might not keep that promise. One is that Price has slashed both programs in budget proposals he’s recently made to the house, and refused to rule out slashing Medicaid during his confirmation hearing. Another is that Trump’s plans to cut the federal budget by $10 trillion over 10 years are based on a blueprint from the heritage foundation, and that blueprint cuts Medicare and Medicaid both by more than 40 percent to get to its numbers. It also takes a $4 billion bite out of military healthcare spending.

In the digital health world, the question is what will become of the CMS Innovation Center, which supports ACOs and other value-based care reforms. While technically a full repeal of the ACA would destroy the center, a piece in Modern Healthcare quotes a number of policy experts who believe that both sides of the aisle support the Innovation Center and the work it's doing, so it could be safe. The piece also notes that the Medicare Access and CHIP Reauthorization Act, or MACRA, is a bipartisan piece of legislation.

Brickman, too, pointed out the significance of MACRA and said it is among the reasons he is “cautiously optimistic” about the future of healthcare under the Trump administration. “The last thing is people aren't focusing on as much are the reforms with MACRA,” he said. “I can't think of the last time there was a wholly bipartisan piece of healthcare legislation that made it through both the House and the Senate that was signed by the president. And MACRA did."

Telemedicine

While most of the biggest policy changes in telemedicine are on a state level, the new administration will still impact the sector as the question of reimbursement is still not clear, particularly if Medicare and Medicaid budgets change.    

“From a Washington standpoint, we are heading for a heavy focus on managed care, and heavy focus on controlling costs. Telehealth will do well on both of those fronts,” Gary Capistrant, chief policy officer for the American Telemedicine Association told MobiHealthNews in an interview. “There are lot of opportunities, but I think it will important where our new president and new Congress stand; whether they want to deal with that level of detail, or outsource to Medicare and managed care.”

Capistrant said the ACA is just one piece for the telehealth sector to think about, as the greatest consequences to reimbursement will come from decisions on Medicare and Medicaid.

“Under the Trump administration, there will be a heavy focus on Medicare Advantage plans. And while there is a lot of focus on what Donald Trump wants to do, it’s very important what Paul Ryan wants and Orrin Hatch wants and all the others involved. The realities of governing are settling in,” he said. “There are a lot of Republicans that just want to cut government – whether that is CMS and a lot of the work they do on a thousand different levels, or a lot of the insurance management methods that could be cut.”

The FDA

When we looked at the future of the FDA under Trump in November, FDA expert Bradley Merrill Thompson, a partner at Epstein Becker Green, told us digital health folks had room for optimism about Trump's approach to the agency.

"From everything I've heard, Trump is very supportive of technology development, and very concerned about regulatory red tape. So I think we can feel confident that Trump will certainly not increase the regulation of digital health," he told us at the time. "The bottom line is, while the two men seem to disagree on just about everything, it would appear that the two men might actually agree on the need to support the development of digital health, and we can expect a continuation of those policies under the Trump administration."

There have been a few names floated for FDA Commissioner under Trump: Jim O’Neill, managing director at Peter Thiel’s Mithril Capital Management, and Balaji Srinivasan, founder of genomics company Counsyl. Both men are pretty strongly anti-regulation. O’Neill has said that he would like to see the FDA shed its efficacy-evaluating functions and focus only on safety. Srinivasan, in a now-deleted tweet, argued that “a Yelp! for drugs” would be more helpful to consumers than the FDA.

As scary as these sentiments might be for some patients, they could spell positive change for digital health if they led to significant relaxations of FDA clearance requirements. We could see a blossoming of innovations and formerly stalled products rushing quickly to market. Conversely, we could also see a rise in dangerous or irresponsible health devices and apps.

21st Century Cures

While the future of healthcare under Trump is unclear, there do exist opportunities in health innovation on a federal level.

“21st Century Cures Act passed in the lame duck session just a few weeks ago," said Daniel. "So everyone is focused on ACA reform, but there is this huge other agenda, 995 pages of new legislation that just passed, bipartisan, led by Republicans, lots of money for research, changes in the way FDA oversees the review process for technologies and there's also doubling down of interoperability from the health IT space and mental health. ... If folks are sort of looking in this ring over here at what's happening in ACA reform, we have certainty of a lot of other issues that just passed. A lot of people at HHS are going to be spending a lot of time with their heads down trying to figure out how to implement how that law was just passed. If you want to look at where changes are going to come about – research, data analytics, Cancer Moonshot, big data – you can look at things that have already gotten support from Congress and see things that are safe investments.”

[rajendra314]

ELECTRONIC WARM BAG

STOCK AVAILABLE !!!

FOR PRICE AND MORE INFORMATION FOLLOW US ON OUR WHATSAPP CHANNEL :

For any Query:

☎ : +91-9899391155, +91-9910772484

#heatedbag #TechInnovation #WarmthOnTheGo #gadgetlove #WinterEssentials #heattech #PortableWarmth #techgear #wintergadgets #staywarm #electronicheating #techaccessories #InnovationInWarmth #GadgetLovers #wintertech #electronicsforcomfort #staycozy #WinterReady #techinwinter #electronic #electronicwarmbag

[acapelladitty]

How do you think Karl/Ethan's dynamic would work?

This is very difficult to answer because I tend to keep my ideas and fic as canon compliant as I can and Ethan/Karl just...ain't gonna happen lol. So, for the sake of this ask, I'll just pretend that Mia and Rose don't exist and Ethan is just special in his own way w/ regenerative powers as a result of the metamycete infection.

As a pair, they're very verbal. Ethan's quick wit and sarcasm plays off against Karl's hot-headed nature very well and they can engage in some brutal verbal sparring. Physical sparring isn't a done thing as there's no comparison in terms of strength or ability.

When meeting the other lords, Ethan has a dislike of Beneviento since he has a 'thing' about dolls. Much to Karl's chagrin, Ethan shares a more positive relationship with Dimitrescu than anyone could have expected. He is respectful of her and she tolerates him, often commenting that he could do much better than the 'child' he is currently with. Pisses Karl off so fucking much but Ethan is always quick to point out that he's content where he is.

[thissideofdangerous]

Yep, it's been decided. Tech (Carolina) basically walloped me in the muse and said if I won't write her and Bucky together, she's not playing ball anymore. She and Buck are together. Bucky just looked at me and said "Don't argue with the lady. She'll mess with your computer.". Looks like my new ship, the SS WinterTech is going to sail with or without me. In case you wanted to know what Tech looks like: Physical description - Hair: Short, choppy light brown. Still growing in. Follows scar patterning. Skin: Pale Eyes: Blue Nose: Small, lump from being broken in explosion Mouth: Full pout, lower lip marred by scarring. Ears: Small, pinned back. Chin/neck: double chin. Slightly thicker neck. Shoulders: Broad, but slender.

[appstem]

We’re a featured Partner at The Health 2.0 WinterTech Conference

Appstem is excited to be a featured partner at the Health 2.0 WinterTech Conference next month. The event is being held January 11th in San Francisco at the Julia Morgan Ballroom. 

Health 2.0 WinterTech will be held during the nation's leading investment mecca, JP Morgan Week in San Francisco. WinterTech is the place for insider insights on investing trends in health care technology. By bringing together top tech companies, VCs, entrepreneurs, policy makers, and more, the third annual event will highlight the new and unique opportunities available in the fast-rising digital health landscape. 

Appstem will be exhibiting at the conference, please swing by to say hello and hear how we’re helping startups and leading healthcare companies with their mobile and web projects. 

For more information or to register visit: https://events.bizzabo.com/wintertech2017/

Appstem

657 Mission St. Suite 402

San Francisco, CA 94105

www.appstem.com

Contact:

John Mavraides, VP of Business Development

john.mavraides@appstem.com

415.956.7400

[mujjostore]

Ready for the Cold ❄️ - 📸 Shot by @klwsk⁠ ⁠ ⁠ #mujjo #leathergloves #touchscreengloves #wintertech #leatheraccessories #leathercase #leatherwalletcase #dutchdesign