Weight Loss – Three Great and Easy Exercises You Can Do Anywhere! | Holidays and Vacations

Exercise is essential for weight loss or maintenance for most of us, but can be hard to fit into the schedule. Even for those of us with routines, they are disrupted by celebrations, holidays, and vacation. And for those of us who travel on business, it’s close to seemingly impossible at times. Here are three simple exercises that you can do anywhere and that require no other equipment than perhaps a pair of shoes or sneakers.Walking is a great exercise almost anyone can do. You can walk almost anywhere. My parents even walk at the mall during inclement weather and I even do lots of walking in airports between connecting flights. Walking during lunch at work is a time honored tradition at many places. Many a person has kicked a weight loss program off with walking during lunch.Climbing is a superb exercise, and although I don’t recommend climbing trees or mountains for everyone, climbing a few flights of stairs is great exercise. I’ll often climb instead of taking the elevator, and have been known to climb 40 flights in hotels after work! Of course you can also use an indoor stair climber, available in many hotels and most health clubs.Running is much more intense, but requires only a pair or sneakers or running shoes and can be done almost anywhere. I prefer outdoors but indoors on a treadmill works well too, especially in hotels as most seem to have one and when the weather is foul outside. Running is an intense workout compared to walking and just about anything else and is a great way to burn calories quickly.Of course be sure to get your doctors permission before starting any exercise program, and start slowly. Weight loss and fitness is not a sprint, it’s a life long marathon. The key is consistency. You need to regularly exercise, and since these three exercises can be done almost anywhere, you have no excuses.Unfortunately to really lose weight you need exercise and some control over what you eat. Just exercise combined with excess eating just doesn’t cut it for most people, at least after your early 20s. You don’t need a formal diet necessarily, just like you don’t need a formal fitness program, but some self control. Skipping 2nds and 3rds at dinner and having an occasion turkey sandwich or salad for lunch should do for most people, as long as you stay active!

Healthcare Reform, Key Initiatives – Timing and Implications | healthcare

Healthcare Reform OverviewThe Patient Protection and Affordable Care Act will have a profound effect on healthcare providers, including reductions in reimbursement to hospitals and physicians; focus on value based purchasing – higher quality and lower costs; financial incentives and penalties tied to clinical quality outcomes and a transition away from fee-for-service payment to bundled payments and Accountable Care Organizations (ACOs).Healthcare Providers: Recommended ResponsesHealthcare organizations developing plans to respond to reform initiatives must create a path for the organization that:
Aligns the board, executive staff, medical staff, and clinical staff
Implements measurement, monitoring and benchmarking systems for costs and quality
Streamlines processes to enhance clinical outcomes and reduce costs
Integrates information technology, including electronic health record technology, with clinical and administrative processes to support care management across all settings
Focuses on improving clinical performance through evidence based medicineIt will be critical for organizations to get a clear understanding of their strengths and weaknesses relative to each reform initiative.Thriving under reform initiatives will require organizations to evaluate the entirety of their business, optimizing operations in all areas to enhance net revenues and reduce labor, supply, drugs and other costs. The goal should be to achieve or beat ‘best’ quartile performance.Hospitals must continue to improve quality while increasing cost effectiveness.Hospitals should undertake an in-depth evaluation of what service lines are crucial for their success – and which lines might be scaled back or divested based on funding limitations.Healthcare reform will forever alter the landscape of medical care in the U.S.Hospitals will have to align medical staff to address quality of care and comprehensive performance improvement under healthcare reform measures.An organization’s ability to collaborate with physicians to redesign clinical processes, minimize unnecessary services, lower readmission rates, and reduce hospital acquired conditions will be critical to their success under reform.Hospitals now not only need margins to meet their missions, they need margins to meet the demands of reform.Short-term and long-term savings from critical performance improvements will help position organizations to succeed under reform and beyond.While many of the ramifications of healthcare reform and its effect on hospitals remain to be seen, one thing is certain: there will be less money in the system to go around.


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