isaac, I can change Your-Life
Wednesday, April 18, 2018
Dear User,
Thank you for registering at Ten Forums. To complete your registration, please visit this URL: https://www.tenforums.com/register.php?a=act&u=123416&i=9a3347f6 If you are having problems activating your forum account with the link above then please contact a member of our support staff by replying to this email. All the best, Ten Forums Team -------------------- To stop receiving this email, please visit this URL: https://www.tenforums.com/register.php?do=deleteactivation&u=123416&i=9a3347f6 Please note that all accounts that remain unactivated after three days will be deleted. The Saffa-Method Team Welcome to My Dublin Map on VisitDublin.com. We've created your account and you can now log-in and start building your own map of things to see and do and experience in Dublin. As you explore the website, simply click on the 'Pin To Map' icon to add your chosen pins to your own unique map. There's a Pin linked to each item on the site – from top attractions and tours to restaurants, bars, event and special offers – everything you need to plan your perfect Dublin break. Save your trip ideas, share your plans with friends or simply print your bespoke My Dublin Map to guide you during your visit to Dublin. You can also edit your pins any time you like should you change your mind! Start exploring Dublin through and have fun creating your own My Dublin Map. So, what are you waiting for? Kind regards, Hi billy, Congratulations! You have successfully registered for Crunchbase, the world's most relied upon business information platform. Log in to your account at any time to: Search. Discover the companies, investors, and people you need to know about. Edit. Add and edit information on profile pages to keep Crunchbase up-to-date. Monitor. Follow the profiles you care about to get automatic updates on their activity. Want to dig deeper? Crunchbase Pro gives you more powerful search tools and resources to better understand the market and stay ahead of the curve. Find more information here. Enjoy! - The Crunchbase Team GREETINGS Good morning. Thank you, Mr. Chairman, and good afternoon, ladies and gentlemen. I'd like, first of all, to thank the organizers of this meeting for inviting me here today. It's also a particular pleasure for me to pay my first visit to this beautiful country. GETTING ATTENTION Sometimes, in informal presentations for example, there may be no Chairperson to introduce you, so you may need to get your audience's attention before you start: Can I have your attention, please? So, ladies and gentlemen. OPENING REMARKS, PRESENTING THE PURPOSE The title of my presentation is ... I'd like to talk today about... My topic/subject today is ... I'm here to present/go over ... What I'm going to do is describe to you... What I intend to do is to tell you about… My aim today is to show you... What I want to do is present/take a look at... PRESENTING OUTLINE, ORGANIZATION OF THE PRESENTATION It is important at the beginning to describe the order in which the main points will be made. I have divided my talk/the subject into four sections. I shall divide (up) my talk in the following way. I've broken my talk up into four parts. The first point I'm going to make concerns... The first point I'd like to make is ... The first part of my talk will concern... I'd like firstly to talk about.... First, I'll tell you about... To start with (off), I'll tell you about... To begin (with), I'll tell you about... My second point concerns ... The second part will concern ... My third point concerns ... In the third part I deal with the question of… OR Next, I'd like to show you... After that, I'd like to describe... Then, I'll tell you about... Finally, I'd like to talk a little about... And finally, I shall raise briefly the issue of ... Finally, I shall address the problem of ... And finally, I want to discuss... And to finish off (with), I want to discuss... OPENING THE MAIN SECTION & PROVIDING BACKGROUND Let me start by posing the question ... I'd like to begin by suggesting that ... I'd like to start by drawing your attention to ... Let me begin by noting that... For those of you who are not familiar with... If any of you are outsiders to this subject... As I'm sure many of you already know... MOVING TO A NEW POINT It is important to "signal" that the new point is being introduced. It gives the Then, ... …if we now look at ... …if we (now) turn (our attention) to... …if we (now) move on to... …this then brings us to ... …this then leads u(s) to... …moving on (now) to the question of ... …turning (now ) to ... …can we now turn to... I'd like to bring up the point about... I'd like to bring up the question of... I'd like to mention briefly... At this point... Now I'd like to talk about... Now I'd like to move on to... I'd now like to draw your attention to... Next I'd like to concentrate on... The next point I wish to deal with... I have a point which I'd like to take up. SUMMARIZING THE MAIN IDEA It is helpful to recap on key points you made and signal transition to a new topic. So, ... …we can see then that... …as you can see then... …it seems/appears then that… …what we can see then is that ... …what I'm saying then is that ... …to sum up then... …to tie this up then... …in a nutshell then... …in short then... INTERACTING WITH THE AUDIENCE Is everyone still with me so far? Are you all following me? Any questions? ELABORATING A POINT "Elaborating" means that you are going to develop a point in more detail or expand it into a main issue. I'd like to look at this in a bit more detail. Can I develop this point a bit further? Let me elaborate on this point. Let's look at this problem in a bit more detail... The first aspect of this problem is... POSTPONING "Postponing" means that you are not going to deal with a particular topic immediately but will return to it later on. I'll be returning to this point later. I'll be coming back to this point later. As I'll show later... I'll come to this later... As will be shown later... Later, I'll be coming back to... REFERRING BACK Sometimes you may wish to refer back to some important point. The following expressions will provide coherence to you talk. Getting back to the question of... Coming back now to the issue which I raised earlier... Can I now go back to the question I posed at the beginning? As I said earlier... As I mentioned earlier... As we saw earlier... I'd like now to return to the question... As you will remember... HIGHLIGHTING "Highlighting" means verbal underlining an important issue. You may also use it if you wish to contrast two points. The interesting/significant/important thing about ... is... What you have to remember is … What we have to realize is ... What I find most interesting about ... is... INDICATORS Indicators prepare the audience for introducing a new point or just provide pauses before continuing. Okay... Right… Right then… Good... Now... Now then... Well now... Well then… EXPLAINING TERMINOLOGY …occupational hazards ... that is to say... dangers which apply to certain jobs …occupational hazards ... in other words... dangers which apply to certain jobs What I mean by ... occupational hazards is... dangers which apply to certain jobs …occupational hazards. To put that another way dangers which apply to certain jobs… CONCLUDING Conclusion includes the summary of the main points you made throughout your presentation and corresponds to the outline of your talk presented at the beginning of the presentation. So, the main points that have been made are: ... Let me now try to pull the main threads of this argument together. In conclusion I'd like to say... Just before concluding I'd like to say.... Summing up then... By way of summary, the main points seem to me to be ... Let me end by saying that... I'd like to finish by saying that... So, ... …in summary... …in conclusion... …to summarize (then)... …to conclude (then)... …to sum up (then)... …there are three main... …this report finds... …our new method... …the module system we use... THANKING THE AUDIENCE Thank you. I'll finish there. Thank you. And let me finish there. Thank you. Thank you for your attention. DEALING WITH QUESTIONS At the end of the presentation the speaker should initiate the discussion by "encouraging" the audience to ask questions. Right, I'm sure you've all got lots of questions? Okay, any questions or comments? If you have any questions, I'll try/do my best to answer them. If there are no (more) questions, you may try to give the audience "one more chance": Right then, if there are no further questions, (then) I should like to hand the floor over to our next speaker. Questions, or very often, comments addressed to the speaker may serve several purposes: 1) Just asking... About what you said concerning... I was wondering if I could ask something about... 2) Asking for clarification: I didn't catch what you said. Did you say that...? I was wondering if I understood correctly... 3) Asking for confirmation of the questioner's own ideas: Wouldn't you agree that...? 4) Expressing an opinion for or against the topic: It seems to me that… 5) Showing polite interest in the subject. (NB: Silence may be interpreted as criticism): I thought it was quite interesting how... /what.... RALPH TRAINER: Can I have your attention please -- can I have your attention please -- we hope to st their mics closer to them, that would be great -- and just -- -- a little bit of -- hold the button down, that's a red light it's on. Turn it off when you're done. >> AUDIENCE MEMBER: Richard consumer. Philadelphia. >> RALPH TRAINER: Welcome. >> SPEAKER: Tanya Tiglow. >> SPEAKER: Fred Hess from New Castle Pennsylvania, Disabilities Options. >> SPEAKER: Cassie from Disabled International. >> SPEAKER: Theo Brady, CIL Central PA. >> SPEAKER: Jennifer Howell consumer. >> SPEAKER: Darryl. >> SPEAKER: Steve Williamson from Blair Senior Services. >> RALPH TRAINER: Can everybody hear well back there, raise your hand if you can't hear. We'll try to speak louder I'm Ralph Trainer Village in Motion, chairman. >> PAM MAMARELLA: I'm Pam, from Philadelphia, Vice Chair -- >> SPEAKER: Neal Bisno, president of SIU health care Pennsylvania. >> SPEAKER: Russell Dade from the Pennsylvania Health Care Association representing Dr. Scott Rifkin, who could not be face-to-face. He is on the phone. >> SPEAKER: Good morning Blair, United Health Care. >> SPEAKER: I'm Drew Nagel from the Brain Association of Pennsylvania. >> SPEAKER: Good morning, Barb Polser Liberty Community Connections. >> SPEAKER: Ray with UPMC Health Plan. >> RALPH TRAINER: Welcome to the subcommittee meeting I'm calling them. I'm going pass it back over to Ralph while I make this phone call. >> RALPH TRAINER: Few items -- um, we would ask the members if they can, because of time, to try to limit their responses to questions, to three minutes. >> JEN BURNETT: Okay. I have called in the members on the phone. Ralph, do you want to ask if any members -- we're starting the sub MAAC, if you are on the phone -- if you would -- >> SPEAKER: This is Scott Rifkin. >> JEN BURNETT: Hello Scott. Anyone else? >> SPEAKER: >> JEN BURNETT: Pardon me? Can you repeat your name please. >> SPEAKER: Stella from AARP. >> RALPH TRAINER: Anyone else on the phone? >> SPEAKER: Scott Rifkin. >> JEN BURNETT: We heard you Scott and Russ is also here. If people on the phone could please mute themselves while you're not talking that would be a tremendous help to us. >> RALPH TRAINER: Could you repeat your name please? >> SPEAKER: Tom and Mary. >> JEN BURNETT: Representing caregiver and -- um, we worked with Alzheimer's disease to recruit them. >> RALPH TRAINER: Anyone else on the phone? >> SPEAKER: Julia and Al, from Disabilities Options. >> RALPH TRAINER: Katherine Holl. >> SPEAKER: Yeah Holl. >> JEN BURNETT: Anyone else on the phone? >> SPEAKER: Terry Brennan. >> JEN BURNETT: Got it, Terry. Thank you. >> SPEAKER: >> JEN BURNETT: Okay. Anyone else on the phone? >> RALPH TRAINER: With that being said, I would like to go over a few things, housekeeping things. I said earlier before, if we can restrict our answers to the best we can to 3 minutes. Also, I ask that we respect one another and we respect the audience as well with the people in the public and we try to refrain from using profanity or any other language that may be inflammatory. Also, if we keep our comments limited it gives us more time at the end for possible public comment and so forth. So -- with that being said -- Pam, do you have anything you wish to add? >> PAM MAMARELLA: No. Thanks, Ralph. >> JEN BURNETT: Okay. Our agenda -- I wanted to talk a little bit about the committee member structure because we have had a lot of comments and, inquiries as to how the committee was formed, um, how we made decisions about the committee. And I wanted to talk with the members about those decisions and then, also, to help members of the public who felt like they should be on the committee, who didn't -- weren't included on the committee. We were instructed by the secretary to form an advisory committee for managed long term services and supports that included 51% of people with disabilities, including seniors. And so we said about -- we provided a nomination process which people were nominated to the committee, we had 150 people nominated to the -- to be on the committee. We created sort of a decision process, we made a big chart of them and we, grouped people by geographic area because we wanted to have good geographic representation for the committee. We also look at the non-disability members members who weren't representing disability groups thought of all the associations that -- and different stakeholders that are out there that are relevant and important in the -- in the future managed long term services and supports delivery system. And that included thinking about associations that we meet with frequently. But, what I was really looking for is and -- the secretary was very much in favor of this is to have, members of associations be be the representatives. As an example we asked the Pennsylvania health care association to nominate a member and we asked for a slot we worked with them to -- get a member. The member is Scott Rifkin who is on the phone today and the association staff person here today with us is Russ McDade I wanted to put out there, the thoughtful process of really bringing members who have experience doing this work was to us a really important thing. This is a public committee. It's a sunshined committee as required by law. And members of the public have been very vocal in providing us with feedback. We got a lot of feedback in our first round of documents that were put out for public comment. So we welcome people to come to these committee meetings. We are working on accessibility. And -- accessibility across the board for example, there are wires that need to be taped down and that's our next phase. That's as we do these meetings we're adding protocols to the set up of them, so we start making sure we pay attention to things like that. It was also pointed out to us that we sort of have all of the associations and people who are non-disabled here and people with disabilities over here. We apologize for that. I will talk to my staff about, making sure we set it up this a more integrated way. But I just wanted to put that out there, um, as -- something we are working on. Again, this is a work in progress we welcome your feedback on how we're doing. And in terms of this meeting and the meeting, structure that -- and the communications that we have with the committee. We wanted to hold this meeting today, because we believe that the concept paper which was issued on Wednesday was going to be out last week which would have really compressed the ability for us to get the committee's input on the concept paper. As it turns out, the concept paper we will have Our original plan was to have -- some of you may have been in meetings where I talked about this, original plan was to have, a requirements document that was much more technical difficult about the requirements that we anticipate putting into the RFP for the managed care organizations. But instead, we -- we really beefed up the concept paper to include many of those requirements. I have heard good and bad things about the concept paper that got issued with a press release on Wednesday. The comments I'm getting it's still not detailed enough. And in part, and the secretary really instructed us to do this in part that's because we really want to have detailed feedback before we do issue the RFP. So to the extent that we we're comfortable putting information out there and we're going to talk about all of the sections. Today I'm going to spend morning I would like to spend, um, really walking through this concept paper. All of the elements of the concept paper. You may have also seen there was a press release on Wednesday, actually two press releases that included information about the concept paper. The second one was a DHS specific concept paper that also talked about -- announced the procurement for health choices, Heather -- I want to point out behind me, we have created -- we're moving away from calling this managed long term services and supports we're moving into calling it community health choices. But while we do that, you'll see on our -- I'm sorry, can you just go back to the Logo? Yeah. Back there. The logo, community health choices you can't really read it you can't read it from there there is -- the bottom line underneath the logo it does say managed long term services and supports, we're still going to include it, but it really is not the focus. The focus is really on community. As secretary Dallas said in the press release, we're calling it community choices because we want to highlight community as really the -- one of the main focuses of moving to managed long term services and supports and he, when he speaks publicly, is always referencing our -- one of our main goals which is to move to -- move to a broader Array of community based services. Can you move just to the next slide. So this is the concept paper release. The quote on the bottom, community health choices will allow us to serve more Pennsylvanians who need long term services and supports in the community" and that is a quote from secretary Dallas I hear over and over again. We meet with a lot of people that is one of his -- one of his Mantras. How did we get here? Which is the next slide. I also, just -- before we get started I want to -- I would like to start by -- since we're getting started late, I may have opened up for asking for the public to also introduce yourself but we are half an hour, 25 minutes late. So -- um, we're not going to do that I do want to make notice of a couple of staff that have helped me, in working on managed long term service and supports all the work we're doing. But also help with the meeting -- Janice is over there. In the corner. We have Marilyn Yocum on that side, behind me Peggy morning star our chief final officer, Elaine Smith policy managers and, also helping me I think Sharon Johnson over there in the corner. If you need to reach me the best person to email is Sharon. And I also want to make note that Heather Hallman from the Secretary's office is here with us today. Heather was going to help me with these slides, but -- her voice sounds a little bit like Mickey mouse she lost her voice this morning -- I don't know if it's allergies or what, I'm going to try to walk us through the slides. How did we get here? I'm going to go quickly over some of the things that we have done. We -- yesterday, we actually did a managed long term services and supports community health choices third Thursday Webinar some of this is covered in this, I if you attended that you'll be hearing some of the same things. In February, the governor a announced his plan for making improvements to programs that serve people with disabilities and seniors. And, he talked about managed long term services and supports. That press release is accessible from our home page managed long term services and supports community health choices. I have to get that word -- hoes words out of my mouth really start calling it community health choices. It's available through the DHS community health choices web site. If you go on the DHS web site, main page, there are five big buttons and community health choices is one of those buttons. So, you can just click on the but on, it will take you right straight there. We issued the discussion document in June of 2015. Several months ago. And that was open for comment, public comment for 45 days. During that public comment period, we did receive -- whoever is on the phone could you please mute yourself we're getting some feedback. On the phone, please mute yourself. Thank you. In June early June we received over 800 comments through the public process. And those comments were all incorporated into the concept paper in one way or another. If there are things that you commented on that you really feel strongly about, that didn't make it into the concept paper please give us that feedback. We also held six listening sessions across the Commonwealth in the month of June. We gained a lot of information through that process. The transcripts of those listening sessions are available on the community health choices web site. And then on September 16th, Wednesday, we released the concept paper. Which you have -- it was a handout here but it's also been emailed to all of the members. Heather do you want to go to the next slide. >> RALPH TRAINER: Can I ask everyone here, how many of you were on the webinar yesterday? Raise your hands Okay. >> JEN BURNETT: Many of you were on it. >> RALPH TRAINER: Keep us on our toes, how many of you have been state's web site for this committee.? Goodness gracious >> SPEAKER: Tried. Every time I tried to go on there and I -- pull up the LTSS on there, it goes straight to the MAAC, the main committee I haven't seen anything in there about the subcommittee. >> JEN BURNETT: We are working on linking the MAAC, the sub MAAC -- it's on there, there's a lot of material on there on the sub MAAC all of our archives, materials are on there you may have tried it before, we populated it -- if you tried it up to the first meeting, um, then, it was just a place for us to put stuff. We had not posted anything but now things are posted is that correct? We'll check on it though Fred. >> SPEAKER: I checked it the other day I could not get on it either. >> JEN BURNETT: Can you go to the sub MAAC our sub MAAC page? >> SPEAKER: Yes, I did. >> SPEAKER: I could not find it I could not see it. >> JEN BURNETT: Okay. >> RALPH TRAINER: Fred if you get a chance, give me a call next week. I'll help you run through it. >> SPEAKER: Okay. >> JEN BURNETT: Yeah I do want to make note we have two different web pages. One is the specifically for this committee.? And that is a public -- on the DHS web site under the subcommittees -- the DHS committees area. So that's one area. And that has sort of, all of the -- um, archives and artifacts from what we're doing as a committee. In addition to that, there is a community health choices web site, which has all of the documents that we're publishing for community health choices. I am in the process of -- I have asked our bureau of information systems to link the two. So that if you're on one, there will be a live link to go to the other. If you're on the other, there will be a button that says take me to the community health choices web site. So, there's a little bit of confusion out there I -- I wanted to make sure, I think it if you call Ralph he has been navigating both of them. We're going to go through this very quickly and open it up for committee comments and, um, then, public comment when the committees finish with it. Okay. Heather go to the next slide. Our community health choices goals, we are certainly, um, enhancing opportunities for community based living as one of the foundational goals of what we're doing with moving to community health choices. And it is something we are always talking about when we're in the public. We are looking at -- and looking for feedback on what kind of, things we can put in terms of performance of providers and performance of plans as we go into this procurement process. So any advice you have around that, that would be great. And we want to be -- well we don't want to in any way, hinder innovation we also want to make sure that we are covering everything because this, while we have had a rich history of managed care in Pennsylvania, for the health choices program, that's been around for more than two decades, about two decades and we are going to be building on that infrastructure that is, that has been -- it's actually a nationally acclaimed health plan for Medicaid. It's one that many states look at as really a model of our health choices. We also have close to a decade of behavioral health choices which is the managed care product for behavioral health. We have staff in both those areas that are teaching us in the long term service and supports. How to in OLTL to -- you know what they do. As an example, what is -- what is a readiness review? How does it work? We have a small team that has been doing readiness reviews for years with our program of all inclusive care for the elderly life program, we're going to be learning from them as well. But there's a lot of opportunity in Pennsylvania because of the rich history that we already have in managed care delivery system. The trick is going to be to make sure we get long term services and supports right. We look to all of you to help us to do that. The next goal strengthen coordination of long term services and supports and other types of health care. Right now, they have been completely running on separate tracks we believe there's opportunity for sort of a nexus and an ability to provide better health care to people in the long term service and supports delivery network as well as to provide better long term service and supports and additional services and long term supports to people as they age or acquire a disability to really make those things more connected. Confirm your Business Wire registration Please confirm your Business Wire registration by clicking on the following link: Confirm registration Once you have confirmed your email address, you will have full access to the Business Wire website. Thank you for registering! Dear GSO Customer, Daily tip: Remember, in order to activate your trading area, you need to fund your account. Our recommended amount is Below you will find your login details. Use them to login to your recommended broker and to login to your trading bot. Enter your trading area here Regards,
Thank you for registering at Ten Forums. To complete your registration, please visit this URL: https://www.tenforums.com/register.php?a=act&u=123416&i=9a3347f6 If you are having problems activating your forum account with the link above then please contact a member of our support staff by replying to this email. All the best, Ten Forums Team -------------------- To stop receiving this email, please visit this URL: https://www.tenforums.com/register.php?do=deleteactivation&u=123416&i=9a3347f6 Please note that all accounts that remain unactivated after three days will be deleted. The Saffa-Method Team Welcome to My Dublin Map on VisitDublin.com. We've created your account and you can now log-in and start building your own map of things to see and do and experience in Dublin. As you explore the website, simply click on the 'Pin To Map' icon to add your chosen pins to your own unique map. There's a Pin linked to each item on the site – from top attractions and tours to restaurants, bars, event and special offers – everything you need to plan your perfect Dublin break. Save your trip ideas, share your plans with friends or simply print your bespoke My Dublin Map to guide you during your visit to Dublin. You can also edit your pins any time you like should you change your mind! Start exploring Dublin through and have fun creating your own My Dublin Map. So, what are you waiting for? Kind regards, Hi billy, Congratulations! You have successfully registered for Crunchbase, the world's most relied upon business information platform. Log in to your account at any time to: Search. Discover the companies, investors, and people you need to know about. Edit. Add and edit information on profile pages to keep Crunchbase up-to-date. Monitor. Follow the profiles you care about to get automatic updates on their activity. Want to dig deeper? Crunchbase Pro gives you more powerful search tools and resources to better understand the market and stay ahead of the curve. Find more information here. Enjoy! - The Crunchbase Team GREETINGS Good morning. Thank you, Mr. Chairman, and good afternoon, ladies and gentlemen. I'd like, first of all, to thank the organizers of this meeting for inviting me here today. It's also a particular pleasure for me to pay my first visit to this beautiful country. GETTING ATTENTION Sometimes, in informal presentations for example, there may be no Chairperson to introduce you, so you may need to get your audience's attention before you start: Can I have your attention, please? So, ladies and gentlemen. OPENING REMARKS, PRESENTING THE PURPOSE The title of my presentation is ... I'd like to talk today about... My topic/subject today is ... I'm here to present/go over ... What I'm going to do is describe to you... What I intend to do is to tell you about… My aim today is to show you... What I want to do is present/take a look at... PRESENTING OUTLINE, ORGANIZATION OF THE PRESENTATION It is important at the beginning to describe the order in which the main points will be made. I have divided my talk/the subject into four sections. I shall divide (up) my talk in the following way. I've broken my talk up into four parts. The first point I'm going to make concerns... The first point I'd like to make is ... The first part of my talk will concern... I'd like firstly to talk about.... First, I'll tell you about... To start with (off), I'll tell you about... To begin (with), I'll tell you about... My second point concerns ... The second part will concern ... My third point concerns ... In the third part I deal with the question of… OR Next, I'd like to show you... After that, I'd like to describe... Then, I'll tell you about... Finally, I'd like to talk a little about... And finally, I shall raise briefly the issue of ... Finally, I shall address the problem of ... And finally, I want to discuss... And to finish off (with), I want to discuss... OPENING THE MAIN SECTION & PROVIDING BACKGROUND Let me start by posing the question ... I'd like to begin by suggesting that ... I'd like to start by drawing your attention to ... Let me begin by noting that... For those of you who are not familiar with... If any of you are outsiders to this subject... As I'm sure many of you already know... MOVING TO A NEW POINT It is important to "signal" that the new point is being introduced. It gives the Then, ... …if we now look at ... …if we (now) turn (our attention) to... …if we (now) move on to... …this then brings us to ... …this then leads u(s) to... …moving on (now) to the question of ... …turning (now ) to ... …can we now turn to... I'd like to bring up the point about... I'd like to bring up the question of... I'd like to mention briefly... At this point... Now I'd like to talk about... Now I'd like to move on to... I'd now like to draw your attention to... Next I'd like to concentrate on... The next point I wish to deal with... I have a point which I'd like to take up. SUMMARIZING THE MAIN IDEA It is helpful to recap on key points you made and signal transition to a new topic. So, ... …we can see then that... …as you can see then... …it seems/appears then that… …what we can see then is that ... …what I'm saying then is that ... …to sum up then... …to tie this up then... …in a nutshell then... …in short then... INTERACTING WITH THE AUDIENCE Is everyone still with me so far? Are you all following me? Any questions? ELABORATING A POINT "Elaborating" means that you are going to develop a point in more detail or expand it into a main issue. I'd like to look at this in a bit more detail. Can I develop this point a bit further? Let me elaborate on this point. Let's look at this problem in a bit more detail... The first aspect of this problem is... POSTPONING "Postponing" means that you are not going to deal with a particular topic immediately but will return to it later on. I'll be returning to this point later. I'll be coming back to this point later. As I'll show later... I'll come to this later... As will be shown later... Later, I'll be coming back to... REFERRING BACK Sometimes you may wish to refer back to some important point. The following expressions will provide coherence to you talk. Getting back to the question of... Coming back now to the issue which I raised earlier... Can I now go back to the question I posed at the beginning? As I said earlier... As I mentioned earlier... As we saw earlier... I'd like now to return to the question... As you will remember... HIGHLIGHTING "Highlighting" means verbal underlining an important issue. You may also use it if you wish to contrast two points. The interesting/significant/important thing about ... is... What you have to remember is … What we have to realize is ... What I find most interesting about ... is... INDICATORS Indicators prepare the audience for introducing a new point or just provide pauses before continuing. Okay... Right… Right then… Good... Now... Now then... Well now... Well then… EXPLAINING TERMINOLOGY …occupational hazards ... that is to say... dangers which apply to certain jobs …occupational hazards ... in other words... dangers which apply to certain jobs What I mean by ... occupational hazards is... dangers which apply to certain jobs …occupational hazards. To put that another way dangers which apply to certain jobs… CONCLUDING Conclusion includes the summary of the main points you made throughout your presentation and corresponds to the outline of your talk presented at the beginning of the presentation. So, the main points that have been made are: ... Let me now try to pull the main threads of this argument together. In conclusion I'd like to say... Just before concluding I'd like to say.... Summing up then... By way of summary, the main points seem to me to be ... Let me end by saying that... I'd like to finish by saying that... So, ... …in summary... …in conclusion... …to summarize (then)... …to conclude (then)... …to sum up (then)... …there are three main... …this report finds... …our new method... …the module system we use... THANKING THE AUDIENCE Thank you. I'll finish there. Thank you. And let me finish there. Thank you. Thank you for your attention. DEALING WITH QUESTIONS At the end of the presentation the speaker should initiate the discussion by "encouraging" the audience to ask questions. Right, I'm sure you've all got lots of questions? Okay, any questions or comments? If you have any questions, I'll try/do my best to answer them. If there are no (more) questions, you may try to give the audience "one more chance": Right then, if there are no further questions, (then) I should like to hand the floor over to our next speaker. Questions, or very often, comments addressed to the speaker may serve several purposes: 1) Just asking... About what you said concerning... I was wondering if I could ask something about... 2) Asking for clarification: I didn't catch what you said. Did you say that...? I was wondering if I understood correctly... 3) Asking for confirmation of the questioner's own ideas: Wouldn't you agree that...? 4) Expressing an opinion for or against the topic: It seems to me that… 5) Showing polite interest in the subject. (NB: Silence may be interpreted as criticism): I thought it was quite interesting how... /what.... RALPH TRAINER: Can I have your attention please -- can I have your attention please -- we hope to st their mics closer to them, that would be great -- and just -- -- a little bit of -- hold the button down, that's a red light it's on. Turn it off when you're done. >> AUDIENCE MEMBER: Richard consumer. Philadelphia. >> RALPH TRAINER: Welcome. >> SPEAKER: Tanya Tiglow. >> SPEAKER: Fred Hess from New Castle Pennsylvania, Disabilities Options. >> SPEAKER: Cassie from Disabled International. >> SPEAKER: Theo Brady, CIL Central PA. >> SPEAKER: Jennifer Howell consumer. >> SPEAKER: Darryl. >> SPEAKER: Steve Williamson from Blair Senior Services. >> RALPH TRAINER: Can everybody hear well back there, raise your hand if you can't hear. We'll try to speak louder I'm Ralph Trainer Village in Motion, chairman. >> PAM MAMARELLA: I'm Pam, from Philadelphia, Vice Chair -- >> SPEAKER: Neal Bisno, president of SIU health care Pennsylvania. >> SPEAKER: Russell Dade from the Pennsylvania Health Care Association representing Dr. Scott Rifkin, who could not be face-to-face. He is on the phone. >> SPEAKER: Good morning Blair, United Health Care. >> SPEAKER: I'm Drew Nagel from the Brain Association of Pennsylvania. >> SPEAKER: Good morning, Barb Polser Liberty Community Connections. >> SPEAKER: Ray with UPMC Health Plan. >> RALPH TRAINER: Welcome to the subcommittee meeting I'm calling them. I'm going pass it back over to Ralph while I make this phone call. >> RALPH TRAINER: Few items -- um, we would ask the members if they can, because of time, to try to limit their responses to questions, to three minutes. >> JEN BURNETT: Okay. I have called in the members on the phone. Ralph, do you want to ask if any members -- we're starting the sub MAAC, if you are on the phone -- if you would -- >> SPEAKER: This is Scott Rifkin. >> JEN BURNETT: Hello Scott. Anyone else? >> SPEAKER: >> JEN BURNETT: Pardon me? Can you repeat your name please. >> SPEAKER: Stella from AARP. >> RALPH TRAINER: Anyone else on the phone? >> SPEAKER: Scott Rifkin. >> JEN BURNETT: We heard you Scott and Russ is also here. If people on the phone could please mute themselves while you're not talking that would be a tremendous help to us. >> RALPH TRAINER: Could you repeat your name please? >> SPEAKER: Tom and Mary. >> JEN BURNETT: Representing caregiver and -- um, we worked with Alzheimer's disease to recruit them. >> RALPH TRAINER: Anyone else on the phone? >> SPEAKER: Julia and Al, from Disabilities Options. >> RALPH TRAINER: Katherine Holl. >> SPEAKER: Yeah Holl. >> JEN BURNETT: Anyone else on the phone? >> SPEAKER: Terry Brennan. >> JEN BURNETT: Got it, Terry. Thank you. >> SPEAKER: >> JEN BURNETT: Okay. Anyone else on the phone? >> RALPH TRAINER: With that being said, I would like to go over a few things, housekeeping things. I said earlier before, if we can restrict our answers to the best we can to 3 minutes. Also, I ask that we respect one another and we respect the audience as well with the people in the public and we try to refrain from using profanity or any other language that may be inflammatory. Also, if we keep our comments limited it gives us more time at the end for possible public comment and so forth. So -- with that being said -- Pam, do you have anything you wish to add? >> PAM MAMARELLA: No. Thanks, Ralph. >> JEN BURNETT: Okay. Our agenda -- I wanted to talk a little bit about the committee member structure because we have had a lot of comments and, inquiries as to how the committee was formed, um, how we made decisions about the committee. And I wanted to talk with the members about those decisions and then, also, to help members of the public who felt like they should be on the committee, who didn't -- weren't included on the committee. We were instructed by the secretary to form an advisory committee for managed long term services and supports that included 51% of people with disabilities, including seniors. And so we said about -- we provided a nomination process which people were nominated to the committee, we had 150 people nominated to the -- to be on the committee. We created sort of a decision process, we made a big chart of them and we, grouped people by geographic area because we wanted to have good geographic representation for the committee. We also look at the non-disability members members who weren't representing disability groups thought of all the associations that -- and different stakeholders that are out there that are relevant and important in the -- in the future managed long term services and supports delivery system. And that included thinking about associations that we meet with frequently. But, what I was really looking for is and -- the secretary was very much in favor of this is to have, members of associations be be the representatives. As an example we asked the Pennsylvania health care association to nominate a member and we asked for a slot we worked with them to -- get a member. The member is Scott Rifkin who is on the phone today and the association staff person here today with us is Russ McDade I wanted to put out there, the thoughtful process of really bringing members who have experience doing this work was to us a really important thing. This is a public committee. It's a sunshined committee as required by law. And members of the public have been very vocal in providing us with feedback. We got a lot of feedback in our first round of documents that were put out for public comment. So we welcome people to come to these committee meetings. We are working on accessibility. And -- accessibility across the board for example, there are wires that need to be taped down and that's our next phase. That's as we do these meetings we're adding protocols to the set up of them, so we start making sure we pay attention to things like that. It was also pointed out to us that we sort of have all of the associations and people who are non-disabled here and people with disabilities over here. We apologize for that. I will talk to my staff about, making sure we set it up this a more integrated way. But I just wanted to put that out there, um, as -- something we are working on. Again, this is a work in progress we welcome your feedback on how we're doing. And in terms of this meeting and the meeting, structure that -- and the communications that we have with the committee. We wanted to hold this meeting today, because we believe that the concept paper which was issued on Wednesday was going to be out last week which would have really compressed the ability for us to get the committee's input on the concept paper. As it turns out, the concept paper we will have Our original plan was to have -- some of you may have been in meetings where I talked about this, original plan was to have, a requirements document that was much more technical difficult about the requirements that we anticipate putting into the RFP for the managed care organizations. But instead, we -- we really beefed up the concept paper to include many of those requirements. I have heard good and bad things about the concept paper that got issued with a press release on Wednesday. The comments I'm getting it's still not detailed enough. And in part, and the secretary really instructed us to do this in part that's because we really want to have detailed feedback before we do issue the RFP. So to the extent that we we're comfortable putting information out there and we're going to talk about all of the sections. Today I'm going to spend morning I would like to spend, um, really walking through this concept paper. All of the elements of the concept paper. You may have also seen there was a press release on Wednesday, actually two press releases that included information about the concept paper. The second one was a DHS specific concept paper that also talked about -- announced the procurement for health choices, Heather -- I want to point out behind me, we have created -- we're moving away from calling this managed long term services and supports we're moving into calling it community health choices. But while we do that, you'll see on our -- I'm sorry, can you just go back to the Logo? Yeah. Back there. The logo, community health choices you can't really read it you can't read it from there there is -- the bottom line underneath the logo it does say managed long term services and supports, we're still going to include it, but it really is not the focus. The focus is really on community. As secretary Dallas said in the press release, we're calling it community choices because we want to highlight community as really the -- one of the main focuses of moving to managed long term services and supports and he, when he speaks publicly, is always referencing our -- one of our main goals which is to move to -- move to a broader Array of community based services. Can you move just to the next slide. So this is the concept paper release. The quote on the bottom, community health choices will allow us to serve more Pennsylvanians who need long term services and supports in the community" and that is a quote from secretary Dallas I hear over and over again. We meet with a lot of people that is one of his -- one of his Mantras. How did we get here? Which is the next slide. I also, just -- before we get started I want to -- I would like to start by -- since we're getting started late, I may have opened up for asking for the public to also introduce yourself but we are half an hour, 25 minutes late. So -- um, we're not going to do that I do want to make notice of a couple of staff that have helped me, in working on managed long term service and supports all the work we're doing. But also help with the meeting -- Janice is over there. In the corner. We have Marilyn Yocum on that side, behind me Peggy morning star our chief final officer, Elaine Smith policy managers and, also helping me I think Sharon Johnson over there in the corner. If you need to reach me the best person to email is Sharon. And I also want to make note that Heather Hallman from the Secretary's office is here with us today. Heather was going to help me with these slides, but -- her voice sounds a little bit like Mickey mouse she lost her voice this morning -- I don't know if it's allergies or what, I'm going to try to walk us through the slides. How did we get here? I'm going to go quickly over some of the things that we have done. We -- yesterday, we actually did a managed long term services and supports community health choices third Thursday Webinar some of this is covered in this, I if you attended that you'll be hearing some of the same things. In February, the governor a announced his plan for making improvements to programs that serve people with disabilities and seniors. And, he talked about managed long term services and supports. That press release is accessible from our home page managed long term services and supports community health choices. I have to get that word -- hoes words out of my mouth really start calling it community health choices. It's available through the DHS community health choices web site. If you go on the DHS web site, main page, there are five big buttons and community health choices is one of those buttons. So, you can just click on the but on, it will take you right straight there. We issued the discussion document in June of 2015. Several months ago. And that was open for comment, public comment for 45 days. During that public comment period, we did receive -- whoever is on the phone could you please mute yourself we're getting some feedback. On the phone, please mute yourself. Thank you. In June early June we received over 800 comments through the public process. And those comments were all incorporated into the concept paper in one way or another. If there are things that you commented on that you really feel strongly about, that didn't make it into the concept paper please give us that feedback. We also held six listening sessions across the Commonwealth in the month of June. We gained a lot of information through that process. The transcripts of those listening sessions are available on the community health choices web site. And then on September 16th, Wednesday, we released the concept paper. Which you have -- it was a handout here but it's also been emailed to all of the members. Heather do you want to go to the next slide. >> RALPH TRAINER: Can I ask everyone here, how many of you were on the webinar yesterday? Raise your hands Okay. >> JEN BURNETT: Many of you were on it. >> RALPH TRAINER: Keep us on our toes, how many of you have been state's web site for this committee.? Goodness gracious >> SPEAKER: Tried. Every time I tried to go on there and I -- pull up the LTSS on there, it goes straight to the MAAC, the main committee I haven't seen anything in there about the subcommittee. >> JEN BURNETT: We are working on linking the MAAC, the sub MAAC -- it's on there, there's a lot of material on there on the sub MAAC all of our archives, materials are on there you may have tried it before, we populated it -- if you tried it up to the first meeting, um, then, it was just a place for us to put stuff. We had not posted anything but now things are posted is that correct? We'll check on it though Fred. >> SPEAKER: I checked it the other day I could not get on it either. >> JEN BURNETT: Can you go to the sub MAAC our sub MAAC page? >> SPEAKER: Yes, I did. >> SPEAKER: I could not find it I could not see it. >> JEN BURNETT: Okay. >> RALPH TRAINER: Fred if you get a chance, give me a call next week. I'll help you run through it. >> SPEAKER: Okay. >> JEN BURNETT: Yeah I do want to make note we have two different web pages. One is the specifically for this committee.? And that is a public -- on the DHS web site under the subcommittees -- the DHS committees area. So that's one area. And that has sort of, all of the -- um, archives and artifacts from what we're doing as a committee. In addition to that, there is a community health choices web site, which has all of the documents that we're publishing for community health choices. I am in the process of -- I have asked our bureau of information systems to link the two. So that if you're on one, there will be a live link to go to the other. If you're on the other, there will be a button that says take me to the community health choices web site. So, there's a little bit of confusion out there I -- I wanted to make sure, I think it if you call Ralph he has been navigating both of them. We're going to go through this very quickly and open it up for committee comments and, um, then, public comment when the committees finish with it. Okay. Heather go to the next slide. Our community health choices goals, we are certainly, um, enhancing opportunities for community based living as one of the foundational goals of what we're doing with moving to community health choices. And it is something we are always talking about when we're in the public. We are looking at -- and looking for feedback on what kind of, things we can put in terms of performance of providers and performance of plans as we go into this procurement process. So any advice you have around that, that would be great. And we want to be -- well we don't want to in any way, hinder innovation we also want to make sure that we are covering everything because this, while we have had a rich history of managed care in Pennsylvania, for the health choices program, that's been around for more than two decades, about two decades and we are going to be building on that infrastructure that is, that has been -- it's actually a nationally acclaimed health plan for Medicaid. It's one that many states look at as really a model of our health choices. We also have close to a decade of behavioral health choices which is the managed care product for behavioral health. We have staff in both those areas that are teaching us in the long term service and supports. How to in OLTL to -- you know what they do. As an example, what is -- what is a readiness review? How does it work? We have a small team that has been doing readiness reviews for years with our program of all inclusive care for the elderly life program, we're going to be learning from them as well. But there's a lot of opportunity in Pennsylvania because of the rich history that we already have in managed care delivery system. The trick is going to be to make sure we get long term services and supports right. We look to all of you to help us to do that. The next goal strengthen coordination of long term services and supports and other types of health care. Right now, they have been completely running on separate tracks we believe there's opportunity for sort of a nexus and an ability to provide better health care to people in the long term service and supports delivery network as well as to provide better long term service and supports and additional services and long term supports to people as they age or acquire a disability to really make those things more connected. Confirm your Business Wire registration Please confirm your Business Wire registration by clicking on the following link: Confirm registration Once you have confirmed your email address, you will have full access to the Business Wire website. Thank you for registering! Dear GSO Customer, Daily tip: Remember, in order to activate your trading area, you need to fund your account. Our recommended amount is Below you will find your login details. Use them to login to your recommended broker and to login to your trading bot. Enter your trading area here Regards,
posted by Isaac Hobart at 11:37 AM
0 Comments:
Post a Comment
<< Home