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To help teens learn about budgeting and saving, PASS from American Express has partnered with Junior Achievement, the world's largest financial literacy organization. Details about the partnership will be available later this year. For more information about PASS, visit www. About American Express. American Express is a global services company, providing customers with access to products, insights and experiences that enrich lives and build business success. Learn more at americanexpress. Learn In. Design Tutorials. Live Corner Effects in In. Design. In. Design has always been able to apply corner effects to a frame. However, In. Design CS5 provides a new method of applying corner effects to a frame called Live Corner Effects. With Live Corner Effects, you can visually adjust all corners of a frame or selected corners without the need to enter a dialog box. InDesign introduces the Gap Tool in CS5. It’s one of the selection tools, so it can be found in the Tool Bar with the Selection Tool, direct Selection. Using the Gap Tool.Learn how the scissors tool works and the basic use of the Adobe InDesign scissors tool. This InDesign CC tutorial is all about character. Learn how to use grids to create better looking InDesign layouts. Designing with Grids in InDesign. Using the Gap tool with grids. Aligning objects with the gap tool. InDesign CS5 9m 25s Unlock this full tutorial and more professional InDesign tutorials today.What’s more is that you can apply different Effects to each corner independently of one another. With any rectangular frame selected, click on the yellow box in the upper- right corner of the frame. Diamonds appear in each corner of the frame. Sample video from from online course: Essential Skills for Designers - Working with Images in InDesign More details here: http://courses.yesimadesigner.com. This Basix tutorial will give readers with no or limited InDesign. You may have missed the addition of the Page Tool to InDesign. The Gap Tool in InDesign CS5. Click on any diamond and drag left to right to change the radius of the default rounded corner effect of the frame. Alt+click (Windows) or Option+click (Mac OS) on any of the diamonds to toggle through the available effects that can be applied to the frame. Shift+Alt+Ctrl click (Windows) or Shift+Option+Command+click (Mac OS) on any diamond to change the effect for only a single corner at a time. This is a fantastic improvement from prior versions of In. Design! In addition, note that after applying these effects, the radii of the corners remain accurate and do not distort when changing the size of the frame. The Live Corner Effects diamonds. Multiple Page Sizes. For the first time, In. Design CS5 allows multiple size pages with a single document. The possibilities of this feature are endless. In the figure on the next page, you can see that there are three pages in the document positioned side- by- side, however, the first and third pages are smaller than the second page. This type of document is commonly referred to as a gatefold and can be challenging to create, and to convey to a printer who will be producing this type of a job. Thankfully, In. Design CS5 makes this extremely easy. In. Design CS5 provides a new tool called the Page tool () who’s sole purpose is adjusting the size and position of the selected page. Gap tool lets you adjust the space between objects. DRAWING AND TYPE TOOLS Pen tool lets you draw straight and curved paths. InDesign Tutorial CC2014. Master your skills with InDesign CS5 - Using The New Gap Tool Video-DVD Training Tutorials online. InDesign: Bridging that gap with the gap tool April 13, 2010 6 Comments Written by. Scribd is the world's largest social reading and publishing site. Click on any page in your document with the Page tool to select the page. With the page selected, you’ll see size and position information in the Control panel at the top of the screen. Adjust the size as necessary, and then click and drag on the page with the page tool to adjust it’s location or type in coordinates for the page in the Control panel. An In. Design document with multiple page sizes applied to various pages. The Gap tool. Another tool that is a new addition to In. Design CS5 is the Gap tool (). The job of the Gap tool is to make adjustments to the space between objects or between an object and the margin of the page. The Gap tool is very useful for modifying a layout without needing to recalculate the space between objects. With the Gap tool selected, hover the cursor over the space between two objects or between an object and it’s margin. You’ll notice that space becomes highlighted with a gap indicator displayed within the gap. Click and drag left to right or top to bottom, depending on the orientation of your objects, and you’ll notice that the gap is maintained, but the frame of the objects next to the gap are adjusted accordingly to the distance that you drag. In addition, hold down the Ctrl (Windows) or Command (Mac OS) keys to resize the gap instead of the objects. Hold down Alt (Windows) or Option (Mac OS) to move the gap and related objects at the same time. The new Gap tool. Content Grabber. Adobe In. Design has always given the user great control over positioning graphics within a frame. However, it could often become frustrating having to constantly switch between the Selection tool () and the Direct Selection tool (). In. Design CS5 changes that by introducing the Content Grabber. The Content Grabber is displayed whenever you hover the Selection tool over an existing frame that contains a graphic. Clicking the Content Grabber will immediately select the frames content (the graphic) without the need to switch to the Direct Selection tool. What’s more is that with the Selection tool still selected, you can click and drag to reposition the graphic within the frame as well as resize the graphic within the frame. This feature is bound to be a favorite for all In. Design users! The Content Grabber allows you to reposition a graphic within a frame without the need to switch tools. Improved Transformations. In. Design CS5 provides a number of improvements when transforming objects. First of all, all the transformation tools have been consolidated to one button. Now the Rotate, Scale, and Shear tools can be found directly within the Free transform tool button (). Simply click and hold on the Free Transform tool to display all of the Transformation tools. That being said, they’ve also made it easier to transform objects without the need to select some of the transformation tools. With the Selection tool active, click on a frame to select it. Move the cursor outside of one of the frame’s corners and a rotate indicator is displayed. Simply click and drag to rotate the object. Scaling an object can still be accomplished with the Selection tool active by simply holding down Shift+Ctrl (Windows) or Shift+Command (Mac OS) and dragging one of the corner handles of the frame. In. Design CS5 also allows you to transform multiple selected objects very easily in the same way without having to group the items first. You can also easily distribute multiple selected items on the page by selecting all of them with the Selection tool () and then dragging one of the handles of the selected group of items while holding down the Spacebar on the keyboard. Easily distribute multiple items on a page by selecting the items and then dragging a handle while holding down the spacebar. Spanning and Splitting paragraphs. When working in a text frame defined as a multi- column frame, you can specify that a paragraph can span more than one column of that multi- column text frame. With the text cursor clicked within the paragraph that should span multiple columns, choose an option from the Span Columns drop- down menu in the Control panel. If you don’t see this option, make sure that you are viewing the Paragraph formatting controls in the Control panel. In. Design CS5 also allows you to split a column for instances where you want multiple columns within a single column of a text frame or within a single column text frame. Simply select the text that you’d like to split, then from the Span Columns drop- down menu, choose Split and the number of columns that you’d like to split the selected text into. A paragraph can now span multiple columns in a multi- column text frame or split selected text into multiple columns. This tool is often touted as one of the best things about In. Design CS5, and it. So hopefully with this In. Design tutorial I. However for my readers, a more concise and simplified version of the information there might be helpful. Plus a few tips and tricks can always be helpful, and that. One of the main things that the page tool allows you to do is to resize pages. Instead of having to use a roundabout method of combining two different sized pages into one spread, now it. To do this, all you have to do is click on the page which you would like to resize. A control area will open on the top of the In. Design window, and here you can change the dimensions of your document. In. Design. For instance, if you want to make a tab on the side of your page, you first use the page tool to resize the second page to the right size. Now you want it to be on the bottom rather than the top, so you want drag it with the page tool. You can also divide pages with the page tool. This is a trick that many professionals have mastered, because it saves a lot of time and is actually quite useful. Say you have two pages in your spread very close together, and you want them to be a few millimeters apart. Select one of them with the page tool. Make sure the two options Enable Layout Adjustment and Objects more with page are checked. Move them apart by adding the value of the distance you want into the X value box with a plus sign behind the number (if your page is 1. With that, your pages have shifted. The page tool has many uses in your design work, and with what you. Drupal Website Templates. Client Testimonials. They were very friendly, professional, efficient and attend to all my inquiries in an expeditious manner. The customization of my website was completed in record time. Clement, did an amazing job. I am very pleased with the work and time they have put into my template and the professional outcome of their work. 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Hospital Value- Based Purchasing (VBP) is part of the Centers for Medicare & Medicaid Services’ (CMS’) long- standing effort to link Medicare’s payment system to a value- based system to improve healthcare quality, including the quality of care provided in the inpatient hospital setting. Congress authorized Inpatient Hospital VBP in Section 3. Affordable Care Act. The program uses the hospital quality data reporting infrastructure developed for the Hospital Inpatient Quality Reporting (IQR) Program, which was authorized by Section 5. Medicare Prescription Drug, Improvement, and Modernization Act of 2. HVBP News. CMS Announces Release of FY 2. Hospital VBP Program Results to Hospitals. CMS has announced the release of the Percentage Payment Summary Reports to hospitals for the Fiscal Year (FY) 2. Hospital VBP Program. The FY 2. 01. 6 Hospital VBP Percentage Payment Summary Report provides hospitals their Total Performance Score and value- based incentive payment percentage for each Medicare patient discharge in FY 2. The Hospital VBP Program is funded by a 1. DRG) payments for FY 2. Resulting funds are redistributed to hospitals based on their Total Performance Scores (TPS). The actual amount earned by each hospital depends on the range and distribution of all eligible/participating hospitals’ TPS scores for a FY. Public Utilities Office. The Department of Finance – Public Utilities Office provides services on energy matters to the Minister for Energy, the Western Australian. Medicare Program; Merit-Based Incentive Payment System (MIPS) and Alternative Payment Model (APM) Incentive Under the Physician Fee Schedule, and Criteria for. Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Proposed. Hospital Value-Based Purchasing (VBP) is part of the Centers for Medicare & Medicaid Services’ (CMS’) long-standing effort to link Medicare. It is possible for a hospital to earn back a value- based incentive payment percentage that is less than, equal to, or more than the applicable reduction for that program year. For Fiscal Year (FY) 2. CMS has added the following measures: IMM- 2, Influenza Immunization (Clinical Process of Care domain)CAUTI, Catheter- Associated Urinary Tract Infection (Outcome domain)SSI, Surgical Site Infection Colon Surgery & Abdominal Hysterectomy (Outcome domain)For Fiscal Year (FY) 2. CMS has removed the following measures: AMI- 8a, Primary PCI Received Within 9. Minutes of Hospital Arrival. HF- 1, Discharge Instructions. PN- 3b, Blood Cultures Performed in the Emergency Department Prior to Initial Antibiotic Received in Hospital. SCIP- Inf- 1, Prophylactic Antibiotic Received Within One Hour Prior to Surgical Incision. SCIP- Inf- 4, Cardiac Surgery Patients with Controlled 6. AM Postoperative Serum Glucose. CMS anticipates releasing the FY 2. Hospital VBP Program results to the public during the December 2. Hospital Compare site. CMS will also update the value- based incentive payment adjustment factors for FY 2. Table 1. 6B of the FY 2. Inpatient Prospective Payment System (IPPS) rule. Payment Adjustments. CMS Publishes HVBP- based Incentive Payment Adjustment Factors for FY 2. CMS has continued implementation of the Hospital Value- Based Purchasing (VBP) Program in the FY 2. Inpatient Prospective Payment System (IPPS) rule (see 8. FR 4. 95. 44). In that final rule, CMS relied on the finalized methodology to calculate the value- based incentive payment adjustment factor and the portion of Medicare’s IPPS payments that will be subject to the adjustment factor, which was adopted in the FY 2. IPPS rule (see 7. FR 5. 35. 73- 7. 6). In accordance with the Hospital VBP statute, CMS also updated the applicable percent for the FY 2. Program, which is 1. For more information on these payment- related policies, please refer to the FY 2. IPPS Final Rule and FY 2. IPPS Final Rule in the “Related Links” section below. The value- based incentive payment adjustment factors for the FY 2. Hospital VBP Program may be found in the “Related Links” section below. The link will redirect to the FY 2. IPPS Final Rule Tables page. The FY 2. 01. 6 payment adjustments for the Hospital VBP Program may be found in Table 1. B. Tip: The list of payment adjustment factors is organized by CMS Certification Number (CCN). If you are unsure of your hospital's CCN, please visit the CCN listing at https: //data. Hospital- Compare/Hospital- General- Information/xubh- q. Regulations and Notices. CMS Finalizes Program Provisions for FYs 2. HVBPOn July 3. 1, 2. CMS announced the display of the FY 2. IPPS Final Rule, which included a number of policies related to the Hospital VBP Program. The Public Provider Enrollment data files have key non- sensitive Medicare Provider Enrollment information for providers who are approved to bill Medicare. The Bibb County School District does not discriminate on the basis of race, color, religion, national origin, genetics, disability, or sex in its employment practices. Texas Open-Enrollment Charter School Handbook Texas Education Agency Division of Charter School Administration September 2011 Page 3 of 39. CP/CMS (Control Program/Cambridge Monitor System) is a discontinued a time-sharing operating system of the late 60s and early 70s, known for its excellent performance. Specifically, we finalized payment and operational details for FY 2. We also finalized new policies for FY 2. The final rule also included policies related to certain measures for FY 2. FY 2. 02. 1, including select performance periods and performance standards for those program years. For more information on these payment- related policies, please refer to the FY 2. IPPS Final Rule in the “Related Links” section below. Federal Register. Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long- Term Care Hospital Prospective Payment System and Proposed Policy Changes and Fiscal Year 2. Rates; Quality Reporting Requirements for Specific Providers; Graduate Medical Education; Hospital Notification Procedures Applicable to Beneficiaries Receiving Observation Services; and Technical Changes Relating to Costs to Organizations and Medicare Cost Reports. Start Preamble. Start Printed Page 2. AGENCY: Centers for Medicare and Medicaid Services (CMS), HHS. ACTION: Proposed rule. SUMMARY: We are proposing to revise the Medicare hospital inpatient prospective payment systems (IPPS) for operating and capital- related costs of acute care hospitals to implement changes arising from our continuing experience with these systems for FY 2. Some of the proposed changes would implement certain statutory provisions contained in the Pathway for Sustainable Growth (SGR) Reform Act of 2. Improving Medicare Post- Acute Care Transformation Act of 2. Notice of Observation Treatment and Implications for Care Eligibility Act of 2. We also are providing the estimated market basket update to apply to the rate- of- increase limits for certain hospitals excluded from the IPPS that are paid on a reasonable cost basis subject to these limits for FY 2. We are proposing to update the payment policies and the annual payment rates for the Medicare prospective payment system (PPS) for inpatient hospital services provided by long- term care hospitals (LTCHs) for FY 2. In addition, we are proposing to make changes relating to direct graduate medical education (GME) and indirect medical education (IME) payments to hospitals with rural track training programs. We are proposing to establish new requirements or revise requirements for quality reporting by specific providers (acute care hospitals, PPS- exempt cancer hospitals, LTCHs, and inpatient psychiatric facilities) that are participating in Medicare, including related provisions for eligible hospitals and critical care hospitals (CAHs) participating in the Electronic Health Record (EHR) Incentive Program. We are proposing to update policies relating to the Hospital Value- Based Purchasing (VBP) Program, the Hospital Readmissions Reduction Program, and the Hospital- Acquired Condition (HAC) Reduction Program. We also are proposing to: Implement statutory provisions that require hospitals and CAHs to furnish notification to Medicare beneficiaries, including Medicare Advantage enrollees, when the beneficiaries receive outpatient observation services for more than 2. Frontier Community Health Integration Project Demonstration; and make technical corrections and changes to regulations relating to costs to organizations and Medicare cost reports. DATES: To be assured consideration, comments must be received at one of the addresses provided in the ADDRESSES section, no later than 5 p. EDT on June 1. 7, 2. ADDRESSES: In commenting, please refer to file code CMS- 1. P. Because of staff and resource limitations, we cannot accept comments by facsimile (FAX) transmission. You may submit comments in one of four ways (no duplicates, please): 1. You may (and we encourage you to) submit electronic comments on this regulation to http: //www. Follow the instructions under the “submit a comment” tab. You may mail written comments to the following address ONLY: Centers for Medicare & Medicaid Services, Department of Health and Human Services, Attention: CMS- 1. P, P. O. Box 8. 01. Baltimore, MD 2. 12. Please allow sufficient time for mailed comments to be received before the close of the comment period. By express or overnight mail. You may send written comments via express or overnight mail to the following address ONLY: Centers for Medicare & Medicaid Services, Department of Health and Human Services, Attention: CMS- 1. P, Mail Stop C4- 2. Security Boulevard, Baltimore, MD 2. If you prefer, you may deliver (by hand or courier) your written comments before the close of the comment period to either of the following addresses: a. For delivery in Washington, DC—Centers for Medicare & Medicaid Services, Department of Health and Human Services, Room 4. G, Hubert H. Humphrey Building, 2. Independence Avenue SW., Washington, DC 2. Because access to the interior of the Hubert H. Humphrey Building is not readily available to persons without Federal Government identification, commenters are encouraged to leave their comments in the CMS drop slots located in the main lobby of the building. A stamp- in clock is available for persons wishing to retain a proof of filing by stamping in and retaining an extra copy of the comments being filed.)b. For delivery in Baltimore, MD—Centers for Medicare & Medicaid Services, Department of Health and Human Services, 7. Security Boulevard, Baltimore, MD 2. If you intend to deliver your comments to the Baltimore address, please call the telephone number (4. Comments mailed to the addresses indicated as appropriate for hand or courier delivery may be delayed and received after the comment period. For information on viewing public comments, we refer readers to the beginning of the SUPPLEMENTARY INFORMATION section. Start Further Info. FOR FURTHER INFORMATION CONTACT: Ing Jye Cheng, (4. Donald Thompson, (4. Operating Prospective Payment, MS- DRGs, Wage Index, New Medical Service and Technology Add- On Payments, Hospital Geographic Reclassifications, Graduate Medical Education, Capital Prospective Payment, Excluded Hospitals, Medicare Disproportionate Share Hospital (DSH) Issues, Medicare- Dependent Small Rural Hospital (MDH) Program, and Low- Volume Hospital Payment Adjustment Issues. Michele Hudson, (4. Emily Lipkin, (4. Long- Term Care Hospital Prospective Payment System and MS- LTC- DRG Relative Weights Issues. Mollie Knight (4. Bridget Dickensheets, (4. Rebasing and Revising the LTCH Market Basket Issues. Siddhartha Mazumdar, (4. Rural Community Hospital Demonstration Program Issues. Jason Pteroski, (4. Siddhartha Mazumdar, (4. Frontier Community Health Integration Project Demonstration Issues. Kathryn Mc. Cann Smith, (4. Hospital Notification Procedures for Beneficiaries Receiving Outpatient Observation Services Issues; or Start Printed Page 2. Stephanie Simons, (2. Related Medicare Health Plans Issues. Lein Han, (6. 17) 8. Hospital Readmissions Reduction Program—Readmission Measures for Hospitals Issues. Delia Houseal, (4. Hospital- Acquired Condition Reduction Program and Hospital Readmissions Reduction Program—Program Administration Issues. Joseph Clift, (4. Hospital- Acquired Condition Reduction Program—Measures Issues. James Poyer, (4. 10) 7. Hospital Inpatient Quality Reporting and Hospital Value- Based Purchasing—Program Administration, Validation, and Reconsideration Issues. Cindy Tourison, (4. Hospital Inpatient Quality Reporting—Measures Issues Except Hospital Consumer Assessment of Healthcare Providers and Systems Issues; and Readmission Measures for Hospitals Issues. Kim Spaulding Bush, (4. Hospital Value- Based Purchasing Efficiency Measures Issues. Elizabeth Goldstein, (4. Hospital Inpatient Quality Reporting—Hospital Consumer Assessment of Healthcare Providers and Systems Measures Issues. James Poyer, (4. 10) 7. PPS- Exempt Cancer Hospital Quality Reporting Issues. Mary Pratt, (4. 10) 7. Long- Term Care Hospital Quality Data Reporting Issues. Jeffrey Buck, (4. Cindy Tourison (4. Inpatient Psychiatric Facilities Quality Data Reporting Issues. Deborah Krauss, (4. Lisa Marie Gomez, (4. EHR Incentive Program Clinical Quality Measure Related Issues. Elizabeth Myers, (4. EHR Incentive Program Nonclinical Quality Measure Related Issues. Lauren Wu, (2. 02) 6. Certified EHR Technology Related Issues. Kellie Shannon, (4. Technical Changes Relating to Costs to Organizations and Medicare Cost Reports Issues. End Further Info. End Preamble. Start Supplemental Information. SUPPLEMENTARY INFORMATION: Electronic Access. Inspection of Public Comments: All public comments received before the close of the comment period are available for viewing by the public, including any personally identifiable or confidential business information that is included in a comment. We post all public comments received before the close of the comment period on the following Web site as soon as possible after they have been received: http: //www. Follow the search instructions on that Web site to view public comments. Electronic Access. This Federal Register document is also available from the Federal Register online database through Federal Digital System (FDsys), a service of the U. S. Government Printing Office. This database can be accessed via the Internet at: http: //www. However, beginning in FY 2. IPPS tables and LTCH PPS tables are no longer published in the Federal Register. Instead, these tables generally will be available only through the Internet. The IPPS tables for this proposed rule are available through the Internet on the CMS Web site at: http: //www. Click on the link on the left side of the screen titled, “FY 2. IPPS Proposed Rule Home Page” or “Acute Inpatient—Files for Download”. The LTCHy PPS tables for this FY 2. Internyet on the CMS Web site at: http: //www. For further details on the contents of the tables referenced in this proposed rule, we refer readers to section VI. Operating room. OSCAR Online Survey Certification and Reporting . Executive Summary and Background. A. Purpose and Legal Authority. Summary of the Major Provisions. Summary of Costs and Benefits. B. Acute Care Hospital Inpatient Prospective Payment System (IPPS)2. Hospitals and Hospital Units Excluded from the IPPS3. Long- Term Care Hospital Prospective Payment System (LTCH PPS)4. Critical Access Hospitals (CAHs)5. Payments for Graduate Medical Education (GME)C. Summary of Provisions of Recent Legislation Proposed to be Implemented in this Proposed Rule. American Taxpayer Relief Act of 2. ATRA) (Pub. Pathway for SGR Reform Act of 2. Pub. Improving Medicare Post- Acute Care Transformation Act of 2. |
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December 2016
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