Bni 121 Education Slot

[Nayra Waddles]

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For those that don't know, each week at a BNI meeting (and others) there is a short educational slot. This week I was asked to put something together around the lines of looking out for each other personally and not just about referrals and business. This is what I wrote and delivered.

Our inner mind, our subconscious is really good at protecting us, and as business people we are trained, shown or told that people only want to deal with successful people. It would be weak or risky to our business, to us, to show that we are not OK. And of course us blokes are worse for risking showing we are not OK.

This became really apparent to me last year. August time and business was very slow. There was particular stress at chateaux Hypnosis as I had not contributed to the household expenses for nearly 4 weeks.

And during that time we, my partner and I, went for a walk and met someone I had done some work with, a client. He raved on about how he was seeing my social media posts and how he was so pleased I was doing so well, so busy, so successful. If looks could have killed......

Since then I have taken on a more personal approach to the information I put out there, showing some vulnerabilities, showing the people I trust when I am not OK. Not for overall consumption of course as people are still drawn to work with successful people and we don't want to break that. And you can still be successful at what you do but not OK.

But don't forget we are also interacting with people, real people with real lives and not just the one we are conditioned to show to the world. Listen, really listen when you have your one to ones and be prepared to ask questions, sometimes awkward and difficult questions. People who are not OK will give off signs, sometimes very subtle, that they need some help, some support, or just a beer and a chat.

As Education Coordinator of BNI Burton from 2017-2019, I've prepared many weekly education slots and hand-outs. Some of these scripts I have written myself, and some have been taken from other websites such as BNIEducation.com. Below are a selection of these on a range of topics, free to use for BNI Members and other Education Coordinators. I have updated these a few times since, including in 2020 during the Covid-19 pandemic.

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Today, the Centers for Medicare & Medicaid Services (CMS) took a critical step to advance health equity and access to care, awarding the first 200 of 1,000 Medicare-funded physician residency slots to enhance the health care workforce and fund additional positions in hospitals serving underserved communities. Approximately three-quarters of the new positions will be for primary care and mental health specialties.

The Fiscal Year (FY) 2022 Inpatient Prospective Payment System (IPPS) final rule established policies to implement 1,000 new Medicare-funded physician residency slots to qualifying hospitals authorized by the Consolidated Appropriations Act, 2021, phasing in 200 slots per year over five years. In allocating these new residency slots, CMS prioritized hospitals with training programs in geographic areas demonstrating the greatest need for additional providers, as determined by Health Professional Shortage Areas. The first round of 200 residency positions awarded today are to 100 teaching hospitals across 30 states, the District of Columbia, and Puerto Rico, and they will be effective July 1, 2023.

Section 1886(h) of the Act, as added by section 9202 of the Consolidated Omnibus Budget Reconciliation Act (COBRA) of 1985 (Pub. L. 99-272) and implemented in regulations at existing 413.75 through 413.83, establish a methodology for determining payments to hospitals for the costs of approved graduate medical education (GME) programs. Section 1886(h)(2) of the Act, as added by COBRA, sets forth a payment methodology for the determination of a hospital-specific, base-period per resident amount (PRA) that is calculated by dividing a hospital's allowable costs of GME for a base period by its number of residents in the base period. The base period is, for most hospitals, the hospital's cost reporting period beginning in FY 1984 (that is, the period of beginning between October 1, 1983, through September 30, 1984). Medicare direct GME payments are calculated by multiplying the PRA times the weighted number of full-time equivalent (FTE) residents working in all areas of the hospital (and non-hospital sites, when applicable), and the hospital's Medicare share of total inpatient days.

Section 1886(h)(4)(F) of the Act established limits on the number of allopathic and osteopathic residents that hospitals may count for purposes of calculating direct GME payments. For most hospitals, the limits were the number of allopathic and osteopathic FTE residents training in the hospital's most recent cost reporting period ending on or before December 31, 1996.

The Affordable Care Act amended section 1886(h)(4)(E) of the Act for direct GME purposes (and section 1886(d)(5)(B)(iv) of the Act for IME purposes), effective July 1, 2010, to allow a hospital to count residents training in nonprovider settings if the residents are engaged in patient care activities and if the hospital incurs the costs of the stipends and fringe benefits of the resident during the time the residents spend in that setting. In addition, effective July 1, 2009, for direct GME purposes only, the time residents spend in certain nonpatient care activities that occur in a nonprovider setting that is primarily engaged in furnishing patient care may also be counted. For IME purposes, residents training in nonprovider settings must spend their time in patient care activities in order to be counted. The implementing regulations at 413.78(g) for direct GME and at 412.105(f)(1)(ii)(E) for IME require that the hospital must either have a written agreement with the nonprovider setting, or the hospital must pay for the costs of the stipends and fringe benefits of the residents concurrently during the time the residents spends in that setting.

Section 126 requires that in order to receive additional FTE resident cap slots a hospital must qualify in at least one of the following four categories: (1) hospitals in rural areas (or treated as being located in a rural area under the law), (2) hospitals training a number of residents in excess of their GME cap, (3) hospitals in states with new medical schools or branch campuses, and (4) hospitals that serve areas designated as health professional shortage areas (HPSAs). Additionally, Section 126 requires that at least 10 percent of the cap slots go to hospitals in each of the four categories, and that no single hospital can receive more than 25 FTE resident cap slots.

Each year, prior to the beginning of the application period, HPSA public ID and score information current as of November will be posted below to assist hospitals in the application process for the coming year. HPSA IDs will include geographic and population (primary care and mental health) HPSAs that are in designated or proposed for withdrawal status. The Section 126 application review process includes prioritization of applications based on HPSA score. Only these HPSA IDs are applicable and used for prioritization of Section 126 applications. Applications for fiscal year 2025 will open in January 2024 and will be due March 31, 2024.

In the FY 2022 IPPS final rule with comment period, we state that we will post a file on the CMS website containing an extract of the HCRIS cost report worksheets on which the FTE counts, caps, and PRAs, if any, would have been reported, starting with cost reports beginning in 1995. As a first step to determine possible eligibility to receive a replacement PRA or new FTE caps, the hospital must consult the HCRIS web posting first. Refer to section II.B.5.e. of the FY 2022 IPPS final rule with comment period for additional information, including how to use the HCRIS posting.

Hi! Yes, Adalo does offer a free six month educational subscription on the Professional plan. When the end of your six months is up you will need to reach back out to Adalo and explain why you still need continued access for educational purposes. To begin please reach out to Adalo about it. Just as a heads up, they will need proof that you go to a educational institution in order to gain access and you will need a credit card to sign up for the subscription, you will not be charged however. On regards to the conference as @charleshope stated you will need to reach out to Adalo on that. I would recommend using a seperate email for the ticket to avoid that error. If not I can try and initiate a ticket for you. Happy building!

the app will collect quantitative data, in a nutshell for a research project that will have international participants.

From my understanding the app could also have a chat option, as well as a booking option and databases, enable everything to be in one place

As Education Co-ordinator at BNI Positively Wellington my role is to inspire our members and improve their networking skills. Each week I present a learning piece created here in New Zealand about networking in our country. This covers off networking issues such as:

I put together a box with the 5 points Graham made regarding the new mind-set developing amongst networkers. It was something the members could take away with them and refer to at their office or place of work whilst using it as a receptacle for pens/paperclips etc. I drew on the talents in my chapter to create the education slot.

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