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What Kind of Drip Coffee Maker Is Best, Flat Bottom or Cone Shaped?

Glass_Pour_Over_10Cup_64061_iCoffee lovers never compromise with the taste of the coffee they drink. To make sure that they are sipping the finest coffee, there are many measures they take to maintain a great taste. Most of the users like an automatic drip coffee maker because it comes with several great advantages that other type of coffee makers doesn’t provide. You can avail the best drip coffee makers in the market and trust it to provide you with good quality of coffee. Many people prefer going after single serve coffee maker and if I have to be specific Keurig coffee makers are on the top of the list according to Justcoffeemaker – a website which covers the reviews of various types of coffee makers.

However, a major differentiator in the drip coffee makers is the filters you use. There are two main filters which are flat bottom and cone shaped both of which have their own set of pros and cons. If you are someone who uses an automatic brewer, the best choice for you must be the cone shaped filter. Let’s see the detailed review of the Melitta 10-Cup Coffee Maker which is considered as one of the best drip coffee makers with a cone shaped filter.

Review of Melitta 10 Cup Coffee Maker

Below is the detailed review of the Melitta 10 cup coffee maker which will help you in making the decision of its purchase.

Exceptional Settings

The machine comes with some exceptional settings and configuration abilities. You can find all the regular settings along with some other useful ones which will help you in making coffee which tastes great. There are various programs in the machine as well which is just to ensure that you can make a good cup of coffee with the least efforts.

Modern Features

All the modern features are provided in the machine and this is the reason why it is called as one of the best drip coffee makers. If you leave it unattended for sometime, it can shut off automatically without anyone’s assistance which is a great safety feature. You will also find a feature where you can pause the machine to serve the coffee. The availability of such features is great for a coffee maker like this.

Cone Filter

Since this is a machine which is popular for its cone filter, this is a great advantage to have. Cone shaped filters allow you to filter the beans to a little finer than granules which is what most of the people prefer. It is an automatic coffee machine and thus, the cone filter is perfectly suitable for it.

Durable Body

The stainless steel body of the machine is robust and looks beautiful. It is easy to clean from the outside as well as from the inside. The parts are constructed in an ergonomic way and it would look great on your kitchen. Although the machine is not too compact, it is not huge either. If you have a decent amount of space, you can easily accommodate it.

Pros of Melitta 10 Cup Coffee Maker

  • The cone shaped filter provides a good taste of coffee since it enables a better coffee extraction.
  • It can make 10 cups of coffee at once which will be sufficient for your whole family.
  • Multiple types of settings are available for those who want to customize the process.

Cons of Melitta 10 Cup Coffee Maker

  • There are some problems with the temperature settings and at times, it can result in a bitter taste.
  • The coffee filter and the water tank are separate so it can be awkward to open both at times.
The Last Words

As we have seen the detailed review as well as all the pros and cons, it can be said that this is probably among the best drip coffee maker that comes with a cone filter.…

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Want a Healthy Lifestyle? Adopt These 12 Golden Rules

Today, you can turn your lifestyle around to a healthier alternative at any age, any place. The key to making the right changes in your life is for those changes to be as simple as possible. A lot of trends these days are complex and difficult to keep up with. Once you have mastered the art of easing in a healthy change into your lifestyle, there is no stopping you after that!

Before the Rules, Know The New

A popular and effective lifestyle change you’d want to know more about is the NOOM Diet Plan. Unlike various other weight loss programs, this plan focuses not just on the physical aspect of working out but the mental aspect as well. this regimen would make you physically and mentally buff!

It is indeed very important to address even the emotional aspect of weight-related issues that a majority of us may be facing. This, in fact, is where Noom differs from others. All you need is a simple NOOM vs Weight Watchers comparison to know how. To get a better insight, you could check out NOOM vs Weight Watchers compared by Fitnesstep1 to see how the NOOM app helps with the holistic well-being of your body.

12 Stepping Stones to a Healthy Body

Let’s take a look at a few changes that you can make in order to transition into the best version of yourself that you can be. Start off slow, and you will get the hang of it. Consistency is the key to your success!

1. You are what you eat

One of the first things people vow to make a significant change in, is their diet. Now, if you are a sweet tooth, it is almost herculean to stay away from the food that you love. The key is to enjoy yourself in moderation. Eat healthy through the week and make sure you earn your cheat days!

2. Declutter!

This is something that you can take away from Marie Kondo and her extreme organizational behavior. Once you get to get rid of things that you don’t really need but kept anyway, you will feel yourself start to loosen up a bit, after having let things go. Decluttering your space is the first step to decluttering your mind.

3. Set Medical Goals

Who said that fitness is only for the young and nimble? You can aim to lead a healthier lifestyle, even if you have some medical issues (this only applies to less serious issues, please consult your doctor if you require medication and a set regime). Setting goals like a normal weight or a normal sugar level will help you systematically achieve a healthy lifestyle.

4. Workout for You

The gym can be a scary place if you are surrounded by seemingly athletic and fit individuals. The truth is in fact that one excels in the activities that they enjoy. Find your favorite workout routine, set a playlist and have fun as you stay in great form.

5. Pick a Healthier Alternative

Quinoa! That’s just one option you can replace the scary carbs with. Of course, there are a few carbs that you can avoid, but this does not mean that you must avoid all carbs. There is always going to be a healthier option, you only have to look.

6. Sleep!

If you’re in bed right now, reading through this on your phone when you’re meant to be sleeping, then you need to stop right now and get a good night’s sleep. Sleep not only helps a lot when it comes to physical health but good sleep habits clear your mind so you can wake up, ready to face the new day.

7. Hydration, Hydration, Hydration.

Your body loves water. The more you hydrate, the more your body will thank you for it and reciprocate in the manner you wish it to. Make sure you have a constant supply of this energy supplying liquid to stay at the top of your game. Powerade Zero is a popular drink among those who keep keto, as it contains zero calories and near-zero carbs.

8. An Idle Body is the Devil’s Workshop

Or rather, the downfall of your fitness regime. Whether you’re working or you stay home all day, make sure you stay active and don’t become stagnant. Take short brisk walks in between meetings, or take a long leisurely walk with an old friend. Keep moving through the day

9. Keep Aside your Vices

“What’s your poison?” should not be a question that is thrown around a lot anymore. No one should be poisoning themselves, that’s ridiculous! Intoxicants on any kind, be it alcohol or tobacco must reach an all-time low for you to function at your all-time best.

10. Mental Health is Important

This cannot be stressed enough. Extensive research has been done on how mental health is pretty much the most important factor in your well-being. So as long as you are on your road to a fit body, you are on a road to a fit mind and you will be better off if they go hand in hand.

11. Go Green!

While you’re at enhancing your body, why not help the environment as well? Surely, it will be a soul-satisfying experience too, considering the state of the planet right now? Start walking places you usually might have taken a cab to, if it is a close enough distance. Make a few changes like, saying no to plastic or taking your own containers to places. This is also an amazing lifestyle change that anyone can incorporate.

12. Your Life is your Adventure

Don’t pile up all your vacation days to use in your retirement period. Go out, travel, unwind! Always remember that there is no shame in taking a break for a few days. This will give your brain a much-needed break and it will give you the joy of experiencing something new.

Never forget to make yourself your top priority. Make use of these tips, introduce a friend to it so that they can partake in your journey as well. When everything is in your hands, there’s no stopping you from making the right choices for you and for your body.…

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Hospitals in the Digital Era Tap the Expertise of Nursing Informatics Pros

Nurses have long used data to manage and improve patient care.

“Florence Nightingale used informatics,” said Patricia P. Sengstack, DNP, RN-BC, CPHIMS, president of the American Nursing Informatics Association and chief nursing informatics officer for Bon Secours Health System.

Sengstack noted that the founder of modern nursing gathered and analyzed statistics in an effort to improve sanitation and patient care in hospitals. What is relatively new, however, is the use of digital platforms in health care settings to compile and analyze data.

Nurses who work in informatics are responsible for tasks such as customizing EHRs to fit the particular needs of a hospital or clinic, analyzing data to determine ways to improve patient care, and managing the flow of data among health care professionals.

“Florence Nightingale used informatics.”

The International Medical Informatics Association’s Nursing Informatics Special Interest Group defines nursing informatics as the “science and practice that integrates nursing, its information and knowledge, with management of information and communication technologies to promote the health of people, families and communities worldwide.” About 8,000 nurses in the United States work in the informatics field.

While rudimentary electronic health records systems were available as far back as the 1980s, and the American Nursing Credentialing Center has offered certification in nursing informatics since 1992, EHRs did not become widespread until the past few years. The recent boom is due in part to federal Centers for Medicare and Medicaid Services financial incentives to convert. The federal Department of Health and Human Services estimates that about 50 percent of physician offices and 80 percent of hospitals now use EHRs in a way that complies with CMS meaningful use criteria.

Nurses bring the unique perspective of patient care experts to teams that include information technology staff and medical coders.

As more and more health care facilities adopt electronic health records and other electronic recordkeeping and patient care systems, health care facilities are looking for professionals to customize and manage these systems. Nurses bring the unique perspective of patient care experts to teams that include information technology staff and medical coders.

Nurses may draw upon patient care knowledge, for instance, to work with IT specialists to customize an EHR to make sure that a patient’s medication allergy alerts are inserted in the appropriate areas of the patient’s EHR. They also need to make sure the information is transmitted to the right caregivers at the right time throughout the patients’ stay at the hospital.

To excel in the field, nursing informatics professionals need a blend of nursing acumen and technical savvy.

“They need to have a firm grasp on the nursing process – ‘assess, plan, implement and evaluate’ –understand clinical processes, how patients navigate through the health care system, and how care is delivered,” said Sengstack.

Although nurses from all disciplines are drawn to informatics, nurses who have worked in critical care, surgical, or emergency nursing seem especially interested in the field.

“All are areas that are fairly technology intense, so there may be a level of comfort with technology for those of us that have made the transition,” said Sengstack.

Nurses can receive training in informatics in a variety of ways, including on the job training, certificate programs, or graduate degree programs. About 15 percent of nurses working as informatics professionals have a master’s degree in nursing informatics, while 56 percent have a graduate degree in nursing or another field, according to the HIMSS 2011 Nursing Informatics Workforce Survey. Fifteen percent report learning informatics through on-the-job training, and 19 percent have earned certification in nursing informatics from the American Nursing Credentialing Center.

Nearly half of nurses in the informatics field are currently employed in hospitals and other acute care settings, but Sengstack predicts that more and more will work in outpatient settings…

While a nurse can learn about informatics on the job, it is helpful to have a graduate degree in order to learn the theory of informatics, noted Sengstack. Classes in a graduate program in informatics generally include courses in population health, biostatistics, and database management.

Salaries are competitive, with an average salary of $98,702, according to the 2011 HIMSS survey. Nearly half of nurses in the informatics field are currently employed in hospitals and other acute care settings, but Sengstack predicts that more and more will work in outpatient settings, including ambulatory clinics, doctor’s offices, and hospices, as patient care increasingly shifts out of hospitals. What’s more, as patients become more engaged and involved in their own health care, nursing informatics will also focus more on customizing electronic health records systems to include patient involvement and feedback, she said.…

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Is Your EHR Stressing You Out?

When Mark Friedberg, MD, and his team at RAND Corporation surveyed physicians about their job satisfaction in 2013, they were surprised that one area of discontent kept coming up: electronic health records. As we’ve noted before, though doctors appreciate some aspects of using EHRs, the devices are also the culprit for much of their stress.

Sponsored by the American Medical Association and issued this fall, the survey of physicians at 30 medical practices in six states confirmed what other researchers have reported recently about EHR-related stress. Electronic medical records chip away at doctors’ job satisfaction and compound their stress for many reasons, including piling onto their workload, eroding the quality of their care, and making their daily practice less efficient.

“Four of five doctors don’t want to go back to paper records, because there are advantages to having electronic records. They really value the ability to retrieve patient information from another doctor in the practice or from home on the weekend,” says Friedberg, a health policy researcher at RAND.

“But EHRs are a source of stress and frustration for physicians. The big ones are usability and whether they match clinical workflow. They found they are trying to divide their attention between their patient and their computer.”

Stressful Messages

A major source of anxiety comes from EHRs’ messaging systems. Most lack a way to prioritize the scores of messages—from other doctors, patients, or insurance companies—that pour in during the workday. Doctors generally don’t have a staff person who goes through their messages, and they can’t tell which ones are urgent and which can wait.

Not being able to get access to a patient’s medical records from another institution is another frustration. Instead of quickly sharing files electronically, they must be faxed, which makes them unsearchable in an electronic record. It’s one of the key reasons many physicians invested in EHRs, and they are disappointed that the varied systems don’t talk to each other.

Less Time Saved

“Doctors also described their workday being longer, and that has to do with data entry. They might have dictated their notes previously or used a human transcriptionist, and now they are typing notes themselves or using dictation software, but it’s not accurate,” says Friedberg. “It’s not saving them time like they thought it would.”

A study published this fall in the Journal of the American Medical Informatics Association also found that EHRs heighten doctors’ stress. After surveying nearly 400 doctors and managers of 92 clinics, the researchers, led by Stewart Babbott, MD, from the University of Kansas Medical Center, reported that primary care physicians using EHRs with more functions report increased stress and less job satisfaction than doctors who use EHRs with lower functionality.

“Clinicians have limited time,” Heather Haugen said. Haugen is the corporate managing director of The Breakaway Group, a Xerox Company. She is co-author of “Beyond Implementation: A Prescription for Lasting EMR Adoption.”

“They respond well to training that can be accessed 24/7, and is presented in small, manageable chunks. They also prefer the convenience of individual, self-paced learning,” she said, referring to EHR training programs designed to lessen stress on the physician.

Too Much Information

The study highlights several reasons why physicians face mounting stress from EHRs. Several involved time pressure related to using the records. Though they appreciated the richness of patient data in EHRs, physicians have so much information they need to collect from patients during short office visits—including chronic disease management, health maintenance, quality measures, and other documentation. They find themselves racing through appointments to get through it all.

“Clinicians are often given more information than they need- resulting in information overload,” Haugen said. “While it is tempting show off every technological bell and whistle in a new HIT system, we urge clients to initially focus only on tasks required to develop proficiency (not mastery) for regular job performance.”

Another pressure point: trying to communicate with patients, interact with them, assess them, and treat them, all while simultaneously engaging with the EHR to give it all of its requested information. One possible solution: “Longer office visits to accommodate information overload in sites with fully functioning EMR, or designating ‘EMR catch-up’ time … during patient care sessions, deserve consideration,” the JAMIA study authors suggest.

As physicians get more accustomed to using EHRs, some of the stress might dissipate. But researchers from both studies believe highlighting areas of physician stress related to electronic records will give vendors a path to making them more usable—and less frustrating—for doctors.…

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Insights on the ACA: Missing Out on Medicaid Money

Note: ACA Watch is an ongoing, bi-weekly series with aggregated stories and insights on the latest developments regarding the Affordable Care Act. Look out for it every other Thursday.

States that have decided not to expand their Medicaid programs under the Affordable Care Act will lose out on billions of dollars over the next decade, while their residents will pay for the expansion in other states without experiencing any of the benefits, according to a new study released by the Commonwealth Fund. The study – which is the first to calculate the net cost to taxpayers in states refusing to participate in the Medicaid expansion — found that there is both a health care loss to residents of states not expanding Medicaid and an economic loss for state budgets.

Implementation

Report on Lessons from Early Expansion

The Medicare & Medicaid Research Institute (MMRR) published a study that focuses on the experiences and lessons learned by early Medicaid expansion states. MMRR interviewed Medicaid officials from California, Connecticut, the District of Columbia, Minnesota, New Jersey, and Washington, all states that chose to increase Medicaid income eligibility levels in advance of the January 1st optional Medicaid expansion coverage start date. Through these interviews, MMRI looked at enrollment outreach strategies, beneficiary impacts, as well as cost and utilization of services in order to uncover the implementation challenges, and potential lessons for states expanding in 2014. The full report is available here.

State Watch

Louisiana Sets Rule to Deter steering Patients into Managed Care Plans

Regulators in Louisiana are attempting to crack down on a perceived pattern of physicians inappropriately steering patients into particular Medicaid managed-care plans. Doctors caught exerting such influence could be booted from the program or asked to return payments for services they provided, and they face up to $5,000 in fines, according to an emergency rule effective Dec. 1 2013. Visit this page for further details.

Industry Watch

MU Compliance Announcement Sparks Concern, Confusion

Last week, providers thought they were getting relief from next year’s Meaningful Use Stage 2 implementation deadlines. But what many are calling a poorly worded announcement from CMS hid that the agency fully expects all Stage 2 start dates to remain unchanged. Instead, it appears the CMS announcement proposes to push back start dates for Meaningful Use Stage 3, by adding a third year of Stage 2 for those providers who attested for Stage 1 in 2011 or 2012. Visit this page for details.…

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Between an ER and Urgent Care: Urgency Centers

For many Minnesotans, the decision is easy: go to the hospital emergency room and wait for hours, or take their acute health problem to an urgency center. A new health care model that falls between urgent care and the emergency room, urgency centers have been cropping up across the Twin Cities in the past three years.

Urgency centers are similar to urgent care centers, but are staffed by working ER doctors instead of primary care docs as is usual. So Urgency Centers can handle more immediate crises, like broken bones, than urgent care centers. Think of them like a freestanding ER. Some even accept ambulances.

At least four health care systems have gotten in on the action, opening multiple urgency centers staffed by board-certified ER physicians. Most don’t accept patients by ambulance. Instead, they focus on efficiently and effectively treating the 70 percent of ER patients who aren’t usually admitted to the hospital. That means handling myriad issues, from severe headaches and broken bones to concussions and respiratory problems like asthma.

“We felt that health care needed another avenue where patients could access acute care, one that provides the triple aim of great quality, lower cost care, and an excellent patient experience,” says Kurt Belk, an emergency medicine doctor and medical director of three Urgency Rooms in the Twin Cities. “We’ve delivered on all three in that we are a significantly less expensive alternative to emergency rooms, and we are a lot more efficient in providing care.”

In addition to the Urgency Room—which plans to open two more locations in the next 12 to 18 months—North Memorial Medical Center operates one urgency center and recently broke ground on a second. Two other local health care systems operate stand-alone emergency rooms, which do take ambulances.

Belk and his co-workers at Emergency Physicians Professional Association, which staffs five local hospital ERs, started the Urgency Room in 2010. They wanted to provide physicians with a different work environment and more control over their operations. Open 14-hours a day, 365 days a year, the Urgency Room, and urgency centers in general, don’t have to follow some of the time-consuming regulations as a hospital. Providers also aren’t pulled away for critical traumas, heart attacks, or patients with mental illness or addiction—a culprit for increasing wait times.

Patients like urgency centers, too, because fees are often lower than hospitals. They also offer more mobile, consumer-friendly services, like registering from home to speed up intake time or going online to check on wait times. “Our average time from door to discharge is 77 minutes. For most ERs it’s in the 200s,” Belk says.

Another benefit is that patients’ medical records get sent electronically to their own physicians for follow-up care. To make record-sharing seamless, the Urgency Rooms adopted Epic—the same EHR software as other local health care systems, adds Belk.

Urgency centers aren’t sweeping the nation yet, but they are providing an avenue for ER physicians to enter the market. Historically, urgent cares have been the purview of primary care physicians, notes Alan Ayers, who serves on the board of the Urgent Care Association and is vice president of corporate development for Concentra, a Dallas-based health care provider in 38 states.

“They are reflective of the diversity that we see in urgent care,” Ayers says. “Urgent care is a entrepreneurial, physician-driven industry. In Minnesota, they found a successful model that meets medical needs when patients don’t quite need to go to the ER, but they have more acute concerns than would be treated at urgent care.”

Urgency centers might emerge nationwide as a less expensive model for acute care, which starts by keeping less-critical people out of the ER, says Ayers. They also help ERs function more efficiently so they aren’t bogged down with cases of flu, deep lacerations, or dehydration—all problems urgency centers handle well.…

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Why Are EHR Adoption Rates so Low for Dentists?

Despite all the efforts to move health IT forward across all health care spectrums, a large gap still exists: the dental industry.

Adoption of interoperable electronic health record (EHR) systems among dental professionals is dismally low. Many either use basic systems that are not capable of exchanging information outside the practice, or still rely on paper charts. Without interconnectivity, dentists operate inside their own information silos, relying on the patients to communicate important health information that could inform decisions on things such as medication ordering or care plans. And the patients’ general health providers do not have access to diagnostic information that originates at the dentist’s office, such as gum disease, that could impact that patient’s general health.

This digital divide between dentists and general health providers has worsened in recent years as EHR adoption among medical doctors has grown exponentially, thanks to the meaningful use incentive program. Meanwhile adoption among dentists has remained stagnant. But there is evidence those trends may be changing.

Mike Uretz describes what is happening as the “déjà vu of EHRs.” Dentists have faced the same barriers to EHR adoption that medical doctors faced about 10 years ago. But they are now experiencing the same drivers their M.D. counterparts experienced when the medical industry reached its health IT tipping point, said Uretz, executive director of dentalsoftwareadvisor.com, an online resource that tracks innovations in the dental software industry.

One of the biggest barriers to widespread adoption is a lack of incentives to invest in the technology. The majority of dental practices are small mom and pop shops operating on tight budgets without enough surplus for capital investments. And those that have the funding and the desire to go paperless are finding very few options when it comes to systems that meet the unique workflow needs of a dental practice.

EHR adoption among dentists has mostly been limited to large practices and dental service organization members, said Dr. Samson Liu, vice president of clinical affairs at Heartland Dental Care, one of the largest dental service organizations in the U.S.

Liu and colleagues from across the country launched Dentists for Oral Health Innovation in the fall of 2013. The organization’s goal is to expand access to high-quality, cost-effective oral health. A major focus of the organization’s mission is to expand the use of technology. The American Dental Association has also been working on the advancement of dental EHR technology. Its Standards Committee for Dental Informatics has developed a “wish list” of dental EHR functions that practices should look for in a system.

Uretz said he has seen momentum building across the country for dentists to adopt. He said part of that is due to the growing belief that oral health is an important part of overall health. It used to be rare for primary care doctors to exchange data with specialists. They later realized the need to communicate, and the rise of health information exchanges and EHR interoperability made it possible. Now, more medical professionals and dentists are realizing the importance of exchanging information with each other, and are seeking the technology to make those connections possible.

The federal government has also expressed an understanding of how important it is for dentists to be part of the overall health care continuum. But the programs aimed at increasing health IT adoption have not been very favorable to dentists.

Technically, dentists are eligible to qualify for the meaningful use incentive program, but few are participating due to the difficulty. The Dept. of Health and Human Services acknowledges how difficult it is for dentists to qualify. As of early 2011, there were no standalone dental EHRs certified for meaningful use, but a few general EHRs had dental modules. Besides the lack of certified systems, it’s difficult for many dental practices to meet the eligibility criteria.

To qualify, 30 percent of a dentist’s patients must be covered by Medicare. Since Medicare does not cover most dental procedures, very few dentists could qualify for the Medicare meaningful use program.

Data from The Centers for Medicare and Medicaid Services shows the minimal impact the meaningful use program has had on adoption at dental practices. As of October 2013, there were a total of 286,771 eligible professionals who registered for the meaningful use incentive program; dentists accounted for only 346 of total registrants. Only 194 dentists have actually received incentive money so far.

Industry insiders have their eyes on Minnesota, which earlier this year became the first state to adopt a mandate that dentists use EHRs. It’s not yet clear what impact the mandate will have, as the law did not include fines or any other enforcement teeth.

Uretz believes it will not solely be state and federal legislative mandates or incentive programs that promote EHR adoption. It will also be a combination of the accountable care concept moving in to dentistry, and the rising demand from patients, he said.

“The cork’s out of the bottle and there’s a big movement now,” Uretz said. “The dental profession is part of the overall organic health care system. You cannot ignore being part of that system.”…

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