text:
The drive to be sexy: Prejudice and core motivations in women's self-sexualization
Jill Allen, Sarah J. Gervais
The sexualization of girls and women has reached extremely high levels in Western culture. Sexualization is a form of prejudice which occurs when 1) a person's value comes from sex appeal, 2) a person's physical attractiveness is equated with sexiness, 3) a person is made into a thing for others' sexual use, or 4) sexuality is imposed on a person. Recent research suggests that girls and women are not only sexualized by other people, but may also engage in self-sexualization. However, little empirical and theoretical attention has examined the causes of self-sexualization, which we conceptualize as any action taken by an individual that intentionally highlights his or her sexualized features. We integrate the current literature on sexualization (e.g., enjoyment of sexualization resulting from the positive hedonic nature and affect) and introduce a theoretical model of self-sexualization identifying the antecedents and consequences of self-sexualizing behaviors. Our theory elaborates and extends previous considerations of sexualization by introducing a model of self-sexualization that isolates specific social motives driving girls' and women's self-sexualizing behavior and introduces possible routes to negative consequences, including an indirect route which operates by eliciting prejudice from others. By examining the core social motives of power and belonging, we gain critical insight into when, why, and with what short-term and long-term consequences girls and women self-sexualize. Theoretical and practical implications for the future of self-sexualization research are discussed, including suggestions for empirical tests of the proposed model and implications for prejudice.
The Psychology of Prejudice
Interdisciplinary Perspectives on Contemporary Issues
Nova Science Publishers, Inc.
Psychology(all)
Fingerprint Dive into the research topics of 'The drive to be sexy: Prejudice and core motivations in women's self-sexualization'. Together they form a unique fingerprint.
Drive Medicine & Life Sciences
prejudice Social Sciences
Motivation Medicine & Life Sciences
human being Social Sciences
social attraction Social Sciences
sexuality Social Sciences
appeal Social Sciences
Pleasure Medicine & Life Sciences
Allen, J., & Gervais, S. J. (2012). The drive to be sexy: Prejudice and core motivations in women's self-sexualization. In The Psychology of Prejudice: Interdisciplinary Perspectives on Contemporary Issues (pp. 77-112). Nova Science Publishers, Inc..
The drive to be sexy : Prejudice and core motivations in women's self-sexualization. / Allen, Jill; Gervais, Sarah J.
The Psychology of Prejudice: Interdisciplinary Perspectives on Contemporary Issues. Nova Science Publishers, Inc., 2012. p. 77-112.
Allen, J & Gervais, SJ 2012, The drive to be sexy: Prejudice and core motivations in women's self-sexualization. in The Psychology of Prejudice: Interdisciplinary Perspectives on Contemporary Issues. Nova Science Publishers, Inc., pp. 77-112.
Allen J, Gervais SJ. The drive to be sexy: Prejudice and core motivations in women's self-sexualization. In The Psychology of Prejudice: Interdisciplinary Perspectives on Contemporary Issues. Nova Science Publishers, Inc. 2012. p. 77-112
Allen, Jill ; Gervais, Sarah J. / The drive to be sexy : Prejudice and core motivations in women's self-sexualization. The Psychology of Prejudice: Interdisciplinary Perspectives on Contemporary Issues. Nova Science Publishers, Inc., 2012. pp. 77-112
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Miami Workers' Compensation Lawyers | Morales & Cerino, P.A.
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Were you injured on the job? Contact Morales & Cerino, P.A. at (305) 340-2630 or through the form on our website — we are available 24/7 to discuss the details of your case!
Workplace injuries are not limited to stereotypically dangerous jobs. A person who works in an office can be injured just as easily as a construction worker. Regardless of your occupation, if you were injured while performing duties directly related to your job, Morales & Cerino, P.A. is available to help recover your workers' compensation settlement.
If you were injured while working, you are entitled to workers' compensation. The medical bills and lost wages following an on-the-job injury contribute to significant financial stress for the injured person and their family.
Our Miami workers' compensation lawyers are committed to recovering your finances following an injury. Contact Morales & Cerino, P.A. to discover your options. Call (305) 340-2630 or complete the form on our website to request a free consultation. Se habla español.


'Leeton, one of the researchers on the project, captures the excitement in fertility science at a time when male infertility had no treatment, fallopian tube blockage could seldom be treated in women and there was no such thing as a sperm bank.' – Conscience: The Newsjournal of Catholic Opinion, vol.25, no.1, 2014.
In Test Tube Revolution: The Early History of IVF, John Leeton, himself a key participant in the development of in vitro fertilisation, tells the story of his friend Carl Wood, the early days of IVF, and the battle between research teams in Australia and the United Kingdom to create and implement this profoundly important medical procedure.
This is the remarkable and inspiring story of one of the great medical achievements of the twentieth century.
Test Tube Revolution was launched by Alan Trounson at Monash University, Clayton, on 16 September 2013. Read the full launch speech.
John Leeton was described by Carl Wood as the 'linchpin' of the Monash IVF program. He developed and managed the early Monash clinical research programs, which included the world's first IVF pregnancy, many of the world's earliest IVF babies, the world's first donor egg baby and Australia's first IVF surrogate pregnancy. He retired in 2001 and was awarded a Member of Australia in 2002 for his contribution to women's health.


SGS Football aims to develop footballers who are disciplined, skilful and who demonstrate PRIDE values both on and off the pitch. Training sessions held every day of the week, are led by our coaches, Mr Selvakumar and Mr Salim Moin who are both former national players. SGS footballers pride themselves on training hard, playing beautiful football, and developing an undying thirst for victory, while always upholding the values of fair play as the Serangoon Garden Way.
Over the years, the boys were well rewarded for their indomitable spirit, such as when the B Division emerged 4th in the School Premier League Football Competition in 2017, while the C Division emerged 3rd in the Nationals in 2018.
We forge ahead on the journey to help our soccer boys reach for the stars.


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Home News PUNJAB GOVERNMENT ANNOUNCED TO END SUBSIDY ON METRO BUS SERVICE
PUNJAB GOVERNMENT ANNOUNCED TO END SUBSIDY ON METRO BUS SERVICE
Posted By: Rumaisa Viqason: February 08, 2019 No Comments
The government of Punjab has on the whole announced to end subsidy on Metro Bus fares that all the way cost billions of rupees annually. This normally means that around the scale of the 331,000 passengers as who travel by metro buses in Lahore, Rawalpindi and Multan every day. They will now have to pay that is to be more than the current fares so that the government can cut its fiscal deficit. This decision was announced by the Punjab Finance Minister Makhdoom Hashim Bakht in the timeline of the brief press talk on Thursday.
It was address in the media that the provincial government bears a burden of Rs 12 billion every year as in terms of fare subsidy on Lahore, as well as Multan and Rawalpindi Metro projects. It is to be mentioned that the Lahore Metro Bus Service from now onwards as being run from Shahdara to Gajjumata as would be charged on a stop-to-stop basis. He hence maintained on that these rationalization cuts in fares that would not burden the masses, and so as the government subsidy that will also decrease.
What is the Opposition's Reaction?
PML-N has on the whole reacted strongly that is to be expected that the Metro projects were its brainchild. It argues on with the access that the cut in fare subsidy on top of these projects will put hence more burden on the masses and will be adding away with the financial woes. PML-N leaders criticized the PTI government's decision as being the side of one against the universal norms. Pakistan Peoples Party (PPP) is on the scale yet to break its silence on this issue.
Introduction about Punjab Metro Bus Project:
The PML-N-led government in the place of Punjab as months before the general elections 2013! It all started a mass transit project in its political fort, Lahore. The idea was to purposely give its supporters something that will make them forget the government's failure in the view of Sasti Roti, Peeli Taxi, Ashiyana Housing schemes and so many more.
Lahore Metro Bus Service was launched in February 2013 as the medium project that covers the 27km-long route from Gajjumata to Shahdara. It was built with the worth of around Rs 30 billion and causes approximately the charges of Rs 4.2 billion in an annual loss to the Punjab government. Rawalpindi-Islamabad mass transit project was on the wjole built at a cost of approximately Rs 39 billion and the government was on the scale paying a subsidy of Rs 2 billion on top of the project. Multan metro project cost around with maximum Rs 29 billion while the subsidy required to keep it going is counted to be Rs 2.1 billion annually. At the same time the cost of the Orange Line project has reached Rs 250 billion, and it is yet to be finalized. When it comes to run this project of the 27 Kilometre-long automated rapid transit project, it will put a burden of cost around Rs 3.5 billion on the national exchequer.
UBER AND CAREEM BANNED ONLINE RIDE HAILING SERVICES ACROSS SINDH
GET TO KNOW ABOUT MOST AWAITED AVENGERS ENDGAME 2019
Rumaisa Viqas
I am a courteous, and adequately professional writer who knows how it's done.

redpajama_set_name: RedPajamaCommonCrawl


I know this might come as shocking news for many of you, but kids do not grow up wanting to be hospital administrators. If one were to poll a group of kindergartners, the five year olds would respond with professions such as doctor, nurse, maybe even an occasional accountant. Hospital administrator… not so much.
In 2010 administration decided to expand our organizations intern program. We hoped that putting our leaders in a position of mentor and teacher would help them to" sharpen the saw". Based on the quality of young adults that have spent some time at KSB this summer, and the positive feedback we have received from the professionals they spent time with, we made a great decision.
Hopefully these students will take away some valuable life lessons and consider a career in healthcare. Congratulations and best wishes in your future endeavors!
I can identify with your thought process here. I didn't know administrative health care careers existed when I was a young person. I fell into it by "chance" as a file clerk in a hospital and loved the environment immediately. Then, when the department I was working in had an intern, she invited me to go to school with her and meet the Health Sciences Department staff and tour. I did and enrolled in the Health Information Managment program. You have done a good thing by opening up our intern program. Although very resource intensive for the directors, it's very necessary for our future growth and much needed talent in our fields. They will never know if we don't show them. Thanks for your forward thinking to make KSB the best for all of us.


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City College boxer wins Junior ABA title
FE Week campus round up
Fri 9th Sep 2011, 4.39
One of City College Brighton and Hove's sporting apprentices, Archie Hutchins, has recently been crowned ABAE Junior Champion. Archie has been an Advanced Apprenticeship in Sporting Excellence (AASE) student at the college since the scheme began last year.
Archie's hard work paid off when he beat John Newell of Shannon ABC by 27 points to 20 in the 2011 Junior ABAE Championships finals in Kent. "Archie's proved himself to be the best boxer in his age group in Britain and to say I'm thrilled is an understatement." said his coach, Adam Haniver.


Sometimes things go easy and sometimes we have to struggle for them. We struggle for many things: good grades, a job, a person, freedom or even our lives. Ones may sarcrifice a day and others might spend a whole lifetime for those things he is striving for. These powerful photos are extremely touching and do perfectly visualise the thought.
There's this place called Earth. It can often be pretty surprising.
On this small planet, sometimes immense pain can lead to happiness.
But far too often, this place can be unbelievably treacherous.
Different perspective makes everything look different. The photographs may change your thinking about some things that are going around the earth or even around you. You see, it's important to understand what are we fighting for and why are we doing it. Once you have decided, just don't forget never to give up on your challenge, because if you are striving for it now, then it's already worth it. It is only a picture for us and for someone it is everything.
Humans and nature conspire to destroy homes.
And just surviving childhood can be a struggle.
A whole life can change in a flash, no matter where you grow up.
The world we've come to love can often seem to collapse around us.
And in an instant, everything is gone.
So we may sometimes feel powerless.
Wanting nothing else but to fight back even when facing all but impossible odds.
But sometimes everything can be too much to handle.
Sometimes the world seems to hate who it is.
And sometimes it may even seem truly heartless, especially for those born into unfortunate circumstances.
But in the face of the truly terrible suffering of this world, all we can do is try.
And dare to conquer this complex life.
Or make the world seem a bit more magical.
While always remembering to help those who simply can't help themselves.
Even if that means having the decency to be a bit more mindful, especially of those who have been left behind.
With the world as it is, we all sometimes need to be reminded not to jump.
But there are moments even amongst the greatest despair when the world proves that it's all worth it.
When the small blue dot we live on reveals its true beauty, and when we'd never think of jumping.


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Go North Weekend - 27 March
Stable Staff
Dining and Hospitality
Membership and Offers
Reciprocal Fixtures
Cheltenham & South West Syndicate
Autumn Fixtures
It's Superhero Day at Carlisle on Easter Saturday!
Press Release 30th March 2018 Carlisle
It is 'Superhero Day' at Carlisle Racecourse on Saturday and the course's leading trainer will be looking to continue his own super run of form over the jumps.
Northern Ireland's Stuart Crawford has no fewer than five runners at Carlisle's annual Easter Family Fun Day.
With a superhero theme, there will be a host of fun activities for all the family in the paddock, including a zip slide, climbing wall and arts and crafts.
And there will be plenty of not-to-be-missed action on the track as many leading trainers and jockeys – who have displayed their very own super powers at Carlisle this season – return seeking more glory.
None more so than Crawford who leads the way at Cumbria's premier racecourse this season with four wins from seven runners, including a double at Carlisle last Sunday.
Among his hopes will be Elusive Theatre who boasts two places in his last three outings, including a win at Cheltenham in December.
The seven-year-old will be ridden by JJ Slevin in the 2m4f Novices Chase. Slevin also takes charge of the Crawford-saddled Our Valentina, who won by a head at Carlisle back in December, and Verona's Opera who similarly tasted victory at Carlisle when romping home by five lengths at October's Red Rum Day meeting.
Crawford's young mare Lilys Gem is entered for only her second ever race and will be under the command of Brian Hughes – Carlisle's leading jump jockey of 2017/18.
Hughes scored a double at the course last Sunday, to take his tally to nine winners this season, and he has a runner in all seven races on Saturday.
No fewer than three of those – the Sandy Thomson-saddled Donna's Delight, Donald McCain's nine-year-old Volcanic and the Ian Duncan-trained Finaghy Ayr – have all won at Carlisle in the past. Finaghy Ayr is on a great run having placed in all three races since his Carlisle triumph.
McCain has three runners including Princess Mononoke in the Mares' Handicap Hurdle. The promising seven-year-old is again under the command of McCain's daughter Abbie who rode her to victory over the same 2m1f distance at Sedgefield in January.
Molly Dingwall, Carlisle Racecourse's General Manager, said: "We have another brilliant day of jumps racing here at Carlisle with seven races and no fewer than 67 runners. It should be a cracking Easter Saturday meeting.
"Together with the action on the track – and it will be wonderful to see so many leading trainers and jockeys here again – we have a whole host of family-themed activities for all ages.
"We have chosen a superhero theme this year and we look forward to seeing many young superheroes in fancy dress. We are also supporting Jigsaw – Cumbria's Children's Hospice. There will be volunteers out around the course so please support this vital charity in any way you can."
Gates open on Saturday at 11.40am. First race is 1.40pm and the last race is 5.10pm. Adult tickets are £15 (in advance) or £18 (on the day).All under 18s get in free when accompanied by an adult.
TIZZARD TEAM PONDER OPTIONS
ROUND UP: HALA HALA ATHMANI IMPRESSES
CARLISLE RACEDAY ROUND-UP: SWOON LOOKS ONE TO FOLLOW FOR STOUTE, WHILE MCMANOMAN STRIKES ONCE AGAIN
Company registered in England No. 02909409.
Email info.carlisle@thejockeyclub.co.uk or call 01228 554700. To book tickets, call 0344 579 3002.
Durdar Rd, Carlisle, Cumbria, CA2 4TS, UK


Outreach supports are provided to adults (18 and over) living with or suspected with FASD in order to develop life skills.
Edmonton, Red Deer, Wetaskiwin and Wainwright area.
There is no cost for access to this ministry.
Funding is provided by the FASD Networks in the relevant region.
Direct support is provided, including community outreach to the child, and advocacy/information sharing to assist children and their families affected by FASD.
Funding is provided though Children and Family Services (Red Deer and Wetaskiwin) and through the Network for Wainwright.
Direct support and mentorship to the youth is provided; emphasizing on teaching social and life skills.
Funding is provided through the Network.
How do I access the ministry?
Red Deer FASD Service Coordinator (403) 347-8844.
The First Steps Ministry was initiated to help women who are at risk of giving birth to a child with FASD. First Steps is a 3 year relationship based mentorship program.
Service is provided in the community, with home visits and transportation support as needed (e.g., doctor's appointments and addiction counselling appointments).
Funding for this Ministry was initially provided by the McDaniel Family Foundation. Funding is now provided by the Edmonton & Area Child and Family Service, and the Edmonton and Area Featl Alcohol Network.
How do I access this ministry?
Call the First Steps Ministry Intake Worker at (780) 378-2535.
Denise Plesuk, Ministry Manager (780) 471-1122.
Lisa phoned me early one morning, barely able to contain her excitement. Lisa had some news she wanted to share, and she was anxious to talk with me. Lisa shared that she was pregnant and she knew she could tell me this without worry of my judgement or criticism. Even though this was not Lisa's first pregnancy, in some ways she said it felt like it was. The circumstances were not ideal, but she felt safe and ready to embrace the joys and challenges this time.
When Lisa came in to the First Steps Ministry 2 years earlier, her life was very different. Lisa was 8 months pregnant, she was homeless, had no money, and had been using both drugs and alcohol throughout her pregnancy. Lisa was grieving after her mother was murdered through domestic violence, and had reached out to no one. In fact, Lisa had not been to see any health care providers during her entire pregnancy.
During her journey with First Steps Lisa was supported through the delivery of her little girl and was helped to get stable funding, housing and addictions support. Lisa was able to create a safe home for her daughter and was successful in working with Children's Services to maintain custody of her daughter.
Lisa told me she was ready to do everything she could to have a healthy pregnancy this time. Lisa wanted to book a prenatal doctor's appointment and to get connected to Health For Two, as soon as possible. Lisa also made arrangements with her outreach addictions worker to be sure she could stay on track, and she and her boyfriend were asking about counselling supports to strengthen their relationship. Lisa was full of hope for her future and for her children.
The Step by Step Ministry was created to address the needs and issues facing mothers and fathers, who are suspected of or have been diagnosed with FASD, and parenting children (with or without FASD). The Ministry supports parents with basic living/parenting skills and expands their supports. This is a 3 year one-on-on mentorship program.
Funding for this Ministry was initially provided by the McDaniel Family Foundation. Funding is now provided by the Edmonton & Area Child and Family Service.
Call the Step by Step Ministry Intake Worker at (780) 975-4896.
Debra has been involved with the Step by Step Ministry for 2 years and has been going through a difficult time. She was having a high risk pregnancy as she had health issues and was parenting 5 children. Debra's oldest child has mental health issues and was turning 18 years old. Debra was under a lot of stress as her daughter was on expensive medication that she could not afford and the child was having negative behaviors. Her child would no longer be on her health care plan with the Assured Income for the severely handicapped once she turned 18 years old.
The Step by Step Ministry Mentor helped Debra by assisting her with transitioning her oldest daughter into adulthood. This was done by assisting Debra in applying for financial help and finding appropriated respite care for her daughter. As a result of this added support , she was able to obtain medication and financial help for her child.
The respite care was started before the delivery of her 6 child, therefore giving her time to recover from labor. Debra was more relieved and was able to enjoy her time at home knowing that she didn't have to worry about these obstacles anymore.
Coaching Families helps families learn about and respond to the needs of their children (up to the age of 18) who are affected by or are strongly suspected of being affected by Fetal Alcohol Spectrum Disorder (FASD).
This Ministry is available to parents, step-parents, grandparents, foster or adoptive parents, or any adult responsible for a child or children who have been exposed to alcohol pre-natally.
This Ministry is designed to work with families for 6-18 months.
This service is usually provided in the community with mentors visiting clients in their homes.
Call the Coaching Families Intake Line at (780) 975-4896.
Families with children with Fetal Alcohol Spectrum Disorder (FASD) will be more stable and can handle problems related to FASD better.
Families with children with FASD will be connected to supports in the community.
This Ministry also works in the community to raise awareness about FASD.
"I learned to look at my daughter from a different point of view. I learned a lot about FASD through both workers who worked with our family. They were supportive yet truthful, and asked tough questions to help us move forward.
Provides mentorship supports to youth aged 14 to 19 years who are affected by FASD (Fetal Alcohol Spectrum Disorder) to help them access community supports and make a successful transition into adulthood. Mentors work with youth for a period of up to 3 years.
Youth between the ages of 14 to 19 who have been diagnosed with Fetal Alcohol Spectrum Disorder can access this Ministry. If a youth has involvement with the Justice System, is between the ages of 14 and 19, and is suspected of having FASD but does not have a diagnosis, they will be considered for the Ministry.
Services are provided in the community. Staff may assist with transportation for the youth to attend appointments.
Initially funded by the McDaniel Family Foundation, this Ministry is now funded by the Edmonton Fetal Alcohol Network and the Sign of Hope fundraising campaign.
Contact the Ministry Intake Worker at (780) 378-2508.
Denise Plesuk, Ministry Manager: (780) 477-1999.
The McDaniel Youth Ministry aims to provide mentorship, support and advocacy for youth and young adults affected by FASD as they transition into adulthood. Community Outreach Workers provide both one-to-one and group based mentorship to enhance and encourage the development of necessary life skills through engaging, client-driven and relationship-based practice. Working in collaboration with the youth and their other supports, Community Outreach Workers assist in identifying goals and the strategies to achieve them, as well as identifying and connecting youth with life-long community resources that can continue to assist them once they have transitioned from the Ministry.
How do I access these Ministries?
Red Deer (403) 347-8844 and ask to speak to the FASD intake worker.


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CHAPTER 336--S.F.No. 2974
relating to health; amending provisions for electronic health record technology; providing for administrative penalties; defining significant disruption to normal operations; appropriating money;
amending Minnesota Statutes 2009 Supplement, sections 62J.495, subdivisions 1a, 3, by adding a subdivision; 62J.497, subdivisions 4, 5; proposing coding for new law in Minnesota Statutes, chapter 62J.
Minnesota Statutes 2009 Supplement, section 62J.495, subdivision 1a, is amended to read:
Subd. 1a.
(a) "Certified electronic health record technology" means an electronic health record that is certified pursuant to section 3001(c)(5) of the HITECH Act to meet the standards and implementation specifications adopted under section 3004 as applicable.
(b) "Commissioner" means the commissioner of health.
(c) "Pharmaceutical electronic data intermediary" means any entity that provides the infrastructure to connect computer systems or other electronic devices utilized by prescribing practitioners with those used by pharmacies, health plans, third-party administrators, and pharmacy benefit managers in order to facilitate the secure transmission of electronic prescriptions, refill authorization requests, communications, and other prescription-related information between such entities.
(d) "HITECH Act" means the Health Information Technology for Economic and Clinical Health Act in division A, title XIII and division B, title IV of the American Recovery and Reinvestment Act of 2009, including federal regulations adopted under that act.
(e) "Interoperable electronic health record" means an electronic health record that securely exchanges health information with another electronic health record system that meets requirements specified in subdivision 3, and national requirements for certification under the HITECH Act.
(f) "Qualified electronic health record" means an electronic record of health-related information on an individual that includes patient demographic and clinical health information and has the capacity to:
(1) provide clinical decision support;
(2) support physician order entry;
(3) capture and query information relevant to health care quality; and
(4) exchange electronic health information with, and integrate such information from, other sources.
Minnesota Statutes 2009 Supplement, section 62J.495, subdivision 3, is amended to read:
Interoperable electronic health record requirements.
To meet the requirements of subdivision 1, hospitals and health care providers must meet the following criteria when implementing an interoperable electronic health records system within their hospital system or clinical practice setting.
(a) The electronic health record must be a qualified electronic health record.
(b) The electronic health record must be certified by the Office of the National Coordinator pursuant to the HITECH Act. This criterion only applies to hospitals and health care providers only if a certified electronic health record product for the provider's particular practice setting is available. This criterion shall be considered met if a hospital or health care provider is using an electronic health records system that has been certified within the last three years, even if a more current version of the system has been certified within the three-year period.
(c) The electronic health record must meet the standards established according to section 3004 of the HITECH Act as applicable.
(d) The electronic health record must have the ability to generate information on clinical quality measures and other measures reported under sections 4101, 4102, and 4201 of the HITECH Act.
(e) The electronic health record system must be connected to a state-certified health information organization either directly or through a connection facilitated by a state-certified health data intermediary as defined in section 62J.498.
(e) (f) A health care provider who is a prescriber or dispenser of legend drugs must have an electronic health record system that meets the requirements of section 62J.497.
Minnesota Statutes 2009 Supplement, section 62J.495, is amended by adding a subdivision to read:
State agency information system.
Development of state agency information systems necessary to implement this section is subject to the authority of the Office of Enterprise Technology in chapter 16E, including, but not limited to:
(1) evaluation and approval of the system as specified in section 16E.03, subdivisions 3 and 4;
(2) review of the system to ensure compliance with security policies, guidelines, and standards as specified in section 16E.03, subdivision 7; and
(3) assurance that the system complies with accessibility standards developed under section 16E.03, subdivision 9.
Development and use of uniform formulary exception form.
(a) The commissioner of health, in consultation with the Minnesota Administrative Uniformity Committee, shall develop by July 1, 2009, a uniform formulary exception form that allows health care providers to request exceptions from group purchaser formularies using a uniform form. Upon development of the form, all health care providers must submit requests for formulary exceptions using the uniform form, and all group purchasers must accept this form from health care providers.
(b) No later than January 1, 2011, the uniform formulary exception form must be accessible and submitted by health care providers, and accepted and processed by group purchasers, through secure electronic transmissions. Facsimile shall not be considered secure electronic transmissions.
Electronic drug prior authorization standardization and transmission.
(a) The commissioner of health, in consultation with the Minnesota e-Health Advisory Committee and the Minnesota Administrative Uniformity Committee, shall, by February 15, 2010, identify an outline on how best to standardize drug prior authorization request transactions between providers and group purchasers with the goal of maximizing administrative simplification and efficiency in preparation for electronic transmissions.
(b) By January 1, 2014, the Minnesota Administrative Uniformity Committee shall develop the standard companion guide by which providers and group purchasers will exchange standard drug authorization requests using electronic data interchange standards, if available, with the goal of alignment with standards that are or will potentially be used nationally.
(c) No later than January 1, 2011 2015, drug prior authorization requests must be accessible and submitted by health care providers, and accepted by group purchasers, electronically through secure electronic transmissions. Facsimile shall not be considered electronic transmission.
[62J.498] HEALTH INFORMATION EXCHANGE.
Subdivision 1.
The following definitions apply to sections 62J.498 to 62J.4982:
(a) "Clinical transaction" means any meaningful use transaction that is not covered by section 62J.536.
(c) "Direct health information exchange" means the electronic transmission of health-related information through a direct connection between the electronic health record systems of health care providers without the use of a health data intermediary.
(d) "Health care provider" or "provider" means a health care provider or provider as defined in section 62J.03, subdivision 8.
(e) "Health data intermediary" means an entity that provides the infrastructure to connect computer systems or other electronic devices used by health care providers, laboratories, pharmacies, health plans, third-party administrators, or pharmacy benefit managers to facilitate the secure transmission of health information, including pharmaceutical electronic data intermediaries as defined in section 62J.495. This does not include health care providers engaged in direct health information exchange.
(f) "Health information exchange" means the electronic transmission of health-related information between organizations according to nationally recognized standards.
(g) "Health information exchange service provider" means a health data intermediary or health information organization that has been issued a certificate of authority by the commissioner under section 62J.4981.
(h) "Health information organization" means an organization that oversees, governs, and facilitates the exchange of health-related information among organizations according to nationally recognized standards.
(i) "HITECH Act" means the Health Information Technology for Economic and Clinical Health Act as defined in section 62J.495.
(j) "Major participating entity" means:
(1) a participating entity that receives compensation for services that is greater than 30 percent of the health information organization's gross annual revenues from the health information exchange service provider;
(2) a participating entity providing administrative, financial, or management services to the health information organization, if the total payment for all services provided by the participating entity exceeds three percent of the gross revenue of the health information organization; and
(3) a participating entity that nominates or appoints 30 percent or more of the board of directors of the health information organization.
(k) "Meaningful use" means use of certified electronic health record technology that includes e-prescribing, and is connected in a manner that provides for the electronic exchange of health information and used for the submission of clinical quality measures as established by the Center for Medicare and Medicaid Services and the Minnesota Department of Human Services pursuant to sections 4101, 4102, and 4201 of the HITECH Act.
(l) "Meaningful use transaction" means an electronic transaction that a health care provider must exchange to receive Medicare or Medicaid incentives or avoid Medicare penalties pursuant to sections 4101, 4102, and 4201 of the HITECH Act.
(m) "Participating entity" means any of the following persons, health care providers, companies, or other organizations with which a health information organization or health data intermediary has contracts or other agreements for the provision of health information exchange service providers:
(1) a health care facility licensed under sections 144.50 to 144.56, a nursing home licensed under sections 144A.02 to 144A.10, and any other health care facility otherwise licensed under the laws of this state or registered with the commissioner;
(2) a health care provider, and any other health care professional otherwise licensed under the laws of this state or registered with the commissioner;
(3) a group, professional corporation, or other organization that provides the services of individuals or entities identified in clause (2), including but not limited to a medical clinic, a medical group, a home health care agency, an urgent care center, and an emergent care center;
(4) a health plan as defined in section 62A.011, subdivision 3; and
(5) a state agency as defined in section 13.02, subdivision 17.
(n) "Reciprocal agreement" means an arrangement in which two or more health information exchange service providers agree to share in-kind services and resources to allow for the pass-through of meaningful use transactions.
(o) "State-certified health data intermediary" means a health data intermediary that:
(1) provides a subset of the meaningful use transaction capabilities necessary for hospitals and providers to achieve meaningful use of electronic health records;
(2) is not exclusively engaged in the exchange of meaningful use transactions covered by section 62J.536; and
(3) has been issued a certificate of authority to operate in Minnesota.
(p) "State-certified health information organization" means a nonprofit health information organization that provides transaction capabilities necessary to fully support clinical transactions required for meaningful use of electronic health records that has been issued a certificate of authority to operate in Minnesota.
Health information exchange oversight.
(a) The commissioner shall protect the public interest on matters pertaining to health information exchange. The commissioner shall:
(1) review and act on applications from health data intermediaries and health information organizations for certificates of authority to operate in Minnesota;
(2) provide ongoing monitoring to ensure compliance with criteria established under sections 62J.498 to 62J.4982;
(3) respond to public complaints related to health information exchange services;
(4) take enforcement actions as necessary, including the imposition of fines, suspension, or revocation of certificates of authority as outlined in section 62J.4982;
(5) provide a biennial report on the status of health information exchange services that includes but is not limited to:
(i) recommendations on actions necessary to ensure that health information exchange services are adequate to meet the needs of Minnesota citizens and providers statewide;
(ii) recommendations on enforcement actions to ensure that health information exchange service providers act in the public interest without causing disruption in health information exchange services;
(iii) recommendations on updates to criteria for obtaining certificates of authority under this section; and
(iv) recommendations on standard operating procedures for health information exchange, including but not limited to the management of consumer preferences;
(6) other duties necessary to protect the public interest.
(b) As part of the application review process for certification under paragraph (a), prior to issuing a certificate of authority, the commissioner shall:
(1) hold public hearings that provide an adequate opportunity for participating entities and consumers to provide feedback and recommendations on the application under consideration. The commissioner shall make all portions of the application classified as public data available to the public at least ten days in advance of the hearing. The applicant shall participate in the hearing by presenting an overview of their application and responding to questions from interested parties;
(2) make available all feedback and recommendations gathered at the hearing available to the public prior to issuing a certificate of authority; and
(3) consult with hospitals, physicians, and other professionals eligible to receive meaningful use incentive payments or subject to penalties as established in the HITECH Act, and their respective statewide associations, prior to issuing a certificate of authority.
(c) When the commissioner is actively considering a suspension or revocation of a certificate of authority as described in section 62J.4982, subdivision 3, all investigatory data that are collected, created, or maintained related to the suspension or revocation are classified as confidential data on individuals and as protected nonpublic data in the case of data not on individuals.
(d) The commissioner may disclose data classified as protected nonpublic or confidential under paragraph (c) if disclosing the data will protect the health or safety of patients.
(e) After the commissioner makes a final determination regarding a suspension or revocation of a certificate of authority, all minutes, orders for hearing, findings of fact, conclusions of law, and the specification of the final disciplinary action, are classified as public data.
[62J.4981] CERTIFICATE OF AUTHORITY TO PROVIDE HEALTH INFORMATION EXCHANGE SERVICES.
Authority to require organizations to apply.
The commissioner shall require an entity providing health information exchange services to apply for a certificate of authority under this section. An applicant may continue to operate until the commissioner acts on the application. If the application is denied, the applicant is considered a health information organization whose certificate of authority has been revoked under section 62J.4982, subdivision 2, paragraph (d).
Certificate of authority for health data intermediaries.
(a) A health data intermediary that provides health information exchange services for the transmission of one or more clinical transactions necessary for hospitals, providers, or eligible professionals to achieve meaningful use must be registered with the state and comply with requirements established in this section.
(b) Notwithstanding any law to the contrary, any corporation organized to do so may apply to the commissioner for a certificate of authority to establish and operate as a health data intermediary in compliance with this section. No person shall establish or operate a health data intermediary in this state, nor sell or offer to sell, or solicit offers to purchase or receive advance or periodic consideration in conjunction with a health data intermediary contract unless the organization has a certificate of authority or has an application under active consideration under this section.
(c) In issuing the certificate of authority, the commissioner shall determine whether the applicant for the certificate of authority has demonstrated that the applicant meets the following minimum criteria:
(1) interoperate with at least one state-certified health information organization;
(2) provide an option for Minnesota entities to connect to their services through at least one state-certified health information organization;
(3) have a record locator service as defined in section 144.291, subdivision 2, paragraph (i), that is compliant with the requirements of section 144.293, subdivision 8, when conducting meaningful use transactions; and
(4) hold reciprocal agreements with at least one state-certified health information organization to enable access to record locator services to find patient data, and for the transmission and receipt of meaningful use transactions consistent with the format and content required by national standards established by Centers for Medicare and Medicaid Services. Reciprocal agreements must meet the requirements established in subdivision 5.
Certificate of authority for health information organizations.
(a) A health information organization that provides all electronic capabilities for the transmission of clinical transactions necessary for meaningful use of electronic health records must obtain a certificate of authority from the commissioner and demonstrate compliance with the criteria in paragraph (c).
(b) Notwithstanding any law to the contrary, a nonprofit corporation organized to do so may apply for a certificate of authority to establish and operate a health information organization under this section. No person shall establish or operate a health information organization in this state, nor sell or offer to sell, or solicit offers to purchase or receive advance or periodic consideration in conjunction with a health information organization or health information contract unless the organization has a certificate of authority under this section.
(1) the entity is a legally established, nonprofit organization;
(2) appropriate insurance, including liability insurance, for the operation of the health information organization is in place and sufficient to protect the interest of the public and participating entities;
(3) strategic and operational plans clearly address how the organization will expand technical capacity of the health information organization to support providers in achieving meaningful use of electronic health records over time;
(4) the entity addresses the parameters to be used with participating entities and other health information organizations for meaningful use transactions, compliance with Minnesota law, and interstate health information exchange in trust agreements;
(5) the entity's board of directors is composed of members that broadly represent the health information organization's participating entities and consumers;
(6) the entity maintains a professional staff responsible to the board of directors with the capacity to ensure accountability to the organization's mission;
(7) the organization is compliant with criteria established under the Health Information Exchange Accreditation Program of the Electronic Healthcare Network Accreditation Commission (EHNAC) or equivalent criteria established by the commissioner;
(8) the entity maintains a record locator service as defined in section 144.291, subdivision 2, paragraph (i), that is compliant with the requirements of section 144.293, subdivision 8, when conducting meaningful use transactions;
(9) the organization demonstrates interoperability with all other state-certified health information organizations using nationally recognized standards;
(10) the organization demonstrates compliance with all privacy and security requirements required by state and federal law; and
(11) the organization uses financial policies and procedures consistent with generally accepted accounting principles and has an independent audit of the organization's financials on an annual basis.
(d) Health information organizations that have obtained a certificate of authority must:
(1) meet the requirements established for connecting to the Nationwide Health Information Network (NHIN) within the federally mandated timeline or within a time frame established by the commissioner and published in the State Register. If the state timeline for implementation varies from the federal timeline, the State Register notice shall include an explanation for the variation;
(2) annually submit strategic and operational plans for review by the commissioner that address:
(i) increasing adoption rates to include a sufficient number of participating entities to achieve financial sustainability; and
(ii) progress in achieving objectives included in previously submitted strategic and operational plans across the following domains: business and technical operations, technical infrastructure, legal and policy issues, finance, and organizational governance;
(3) develop and maintain a business plan that addresses:
(i) plans for ensuring the necessary capacity to support meaningful use transactions;
(ii) approach for attaining financial sustainability, including public and private financing strategies, and rate structures;
(iii) rates of adoption, utilization, and transaction volume, and mechanisms to support health information exchange; and
(iv) an explanation of methods employed to address the needs of community clinics, critical access hospitals, and free clinics in accessing health information exchange services;
(4) annually submit a rate plan to the commissioner outlining fee structures for health information exchange services for approval by the commissioner. The commissioner shall approve the rate plan if it:
(i) distributes costs equitably among users of health information services;
(ii) provides predictable costs for participating entities;
(iii) covers all costs associated with conducting the full range of meaningful use clinical transactions, including access to health information retrieved through other state-certified health information exchange service providers; and
(iv) provides for a predictable revenue stream for the health information organization and generates sufficient resources to maintain operating costs and develop technical infrastructure necessary to serve the public interest;
(5) enter into reciprocal agreements with all other state-certified health information organizations to enable access to record locator services to find patient data, and transmission and receipt of meaningful use transactions consistent with the format and content required by national standards established by Centers for Medicare and Medicaid Services. Reciprocal agreements must meet the requirements in subdivision 5; and
(6) comply with additional requirements for the certification or recertification of health information organizations that may be established by the commissioner.
Application for certificate of authority for health information exchange service providers.
(a) Each application for a certificate of authority shall be in a form prescribed by the commissioner and verified by an officer or authorized representative of the applicant. Each application shall include the following:
(1) a copy of the basic organizational document, if any, of the applicant and of each major participating entity, such as the articles of incorporation, or other applicable documents, and all amendments to it;
(2) a list of the names, addresses, and official positions of the following:
(i) all members of the board of directors, and the principal officers and, if applicable, shareholders of the applicant organization; and
(ii) all members of the board of directors, and the principal officers of each major participating entity and, if applicable, each shareholder beneficially owning more than ten percent of any voting stock of the major participating entity;
(3) the name and address of each participating entity and the agreed-upon duration of each contract or agreement if applicable;
(4) a copy of each standard agreement or contract intended to bind the participating entities and the health information organization. Contractual provisions shall be consistent with the purposes of this section, in regard to the services to be performed under the standard agreement or contract, the manner in which payment for services is determined, the nature and extent of responsibilities to be retained by the health information organization, and contractual termination provisions;
(5) a copy of each contract intended to bind major participating entities and the health information organization. Contract information filed with the commissioner under this section shall be nonpublic as defined in section 13.02, subdivision 9;
(6) a statement generally describing the health information organization, its health information exchange contracts, facilities, and personnel, including a statement describing the manner in which the applicant proposes to provide participants with comprehensive health information exchange services;
(7) financial statements showing the applicant's assets, liabilities, and sources of financial support, including a copy of the applicant's most recent certified financial statement;
(8) strategic and operational plans that specifically address how the organization will expand technical capacity of the health information organization to support providers in achieving meaningful use of electronic health records over time, a description of the proposed method of marketing the services, a schedule of proposed charges, and a financial plan that includes a three-year projection of the expenses and income and other sources of future capital;
(9) a statement reasonably describing the geographic area or areas to be served and the type or types of participants to be served;
(10) a description of the complaint procedures to be used as required under this section;
(11) a description of the mechanism by which participating entities will have an opportunity to participate in matters of policy and operation;
(12) a copy of any pertinent agreements between the health information organization and insurers, including liability insurers, demonstrating coverage is in place;
(13) a copy of the conflict of interest policy that applies to all members of the board of directors and the principal officers of the health information organization; and
(14) other information as the commissioner may reasonably require to be provided.
(b) Within 30 days after the receipt of the application for a certificate of authority, the commissioner shall determine whether or not the application submitted meets the requirements for completion in paragraph (a), and notify the applicant of any further information required for the application to be processed.
(c) Within 90 days after the receipt of a complete application for a certificate of authority, the commissioner shall issue a certificate of authority to the applicant if the commissioner determines that the applicant meets the minimum criteria requirements of subdivision 2 for health data intermediaries or subdivision 3 for health information organizations. If the commissioner determines that the applicant is not qualified, the commissioner shall notify the applicant and specify the reasons for disqualification.
(d) Upon being granted a certificate of authority to operate as a health information organization, the organization must operate in compliance with the provisions of this section. Noncompliance may result in the imposition of a fine or the suspension or revocation of the certificate of authority according to section 62J.4982.
Reciprocal agreements between health information exchange entities.
(a) Reciprocal agreements between two health information organizations or between a health information organization and a health data intermediary must include a fair and equitable model for charges between the entities that:
(1) does not impede the secure transmission of transactions necessary to achieve meaningful use;
(2) does not charge a fee for the exchange of meaningful use transactions transmitted according to nationally recognized standards where no additional value-added service is rendered to the sending or receiving health information organization or health data intermediary either directly or on behalf of the client;
(3) is consistent with fair market value and proportionately reflects the value-added services accessed as a result of the agreement; and
(4) prevents health care stakeholders from being charged multiple times for the same service.
(b) Reciprocal agreements must include comparable quality of service standards that ensure equitable levels of services.
(c) Reciprocal agreements are subject to review and approval by the commissioner.
(d) Nothing in this section precludes a state-certified health information organization or state-certified health data intermediary from entering into contractual agreements for the provision of value-added services beyond meaningful use.
(e) The commissioner of human services or health, when providing access to data or services through a certified health information organization, must offer the same data or services directly through any certified health information organization at the same pricing, if the health information organization pays for all connection costs to the state data or service. For all external connectivity to the respective agencies through existing or future information exchange implementations, the respective agency shall establish the required connectivity methods as well as protocol standards to be utilized.
State participation in health information exchange.
A state agency that connects to a health information exchange service provider for the purpose of exchanging meaningful use transactions must ensure that the contracted health information exchange service provider has reciprocal agreements in place as required by this section. The reciprocal agreements must provide equal access to information supplied by the agency as necessary for meaningful use by the participating entities of the other health information service providers.
[62J.4982] ENFORCEMENT AUTHORITY; COMPLIANCE.
Penalties and enforcement.
(a) The commissioner may, for any violation of statute or rule applicable to a health information exchange service provider, levy an administrative penalty in an amount up to $25,000 for each violation. In determining the level of an administrative penalty, the commissioner shall consider the following factors:
(1) the number of participating entities affected by the violation;
(2) the effect of the violation on participating entities' access to health information exchange services;
(3) if only one participating entity is affected, the effect of the violation on the patients of that entity;
(4) whether the violation is an isolated incident or part of a pattern of violations;
(5) the economic benefits derived by the health information organization or a health data intermediary by virtue of the violation;
(6) whether the violation hindered or facilitated an individual's ability to obtain health care;
(7) whether the violation was intentional;
(8) whether the violation was beyond the direct control of the health information exchange service provider;
(9) any history of prior compliance with the provisions of this section, including violations;
(10) whether and to what extent the health information exchange service provider attempted to correct previous violations;
(11) how the health information exchange service provider responded to technical assistance from the commissioner provided in the context of a compliance effort; and
(12) the financial condition of the health information exchange service provider including, but not limited to, whether the health information exchange service provider had financial difficulties that affected its ability to comply or whether the imposition of an administrative monetary penalty would jeopardize the ability of the health information exchange service provider to continue to deliver health information exchange services.
The commissioner shall give reasonable notice in writing to the health information exchange service provider of the intent to levy the penalty and the reasons for them. A health information exchange service provider may have 15 days within which to contest whether the facts found constitute a violation of sections 62J.4981 and 62J.4982, according to the contested case and judicial review provisions of sections 14.57 to 14.69.
(b) If the commissioner has reason to believe that a violation of section 62J.4981 or 62J.4982 has occurred or is likely, the commissioner may confer with the persons involved before commencing action under subdivision 2. The commissioner may notify the health information exchange service provider and the representatives, or other persons who appear to be involved in the suspected violation, to arrange a voluntary conference with the alleged violators or their authorized representatives. The purpose of the conference is to attempt to learn the facts about the suspected violation and, if it appears that a violation has occurred or is threatened, to find a way to correct or prevent it. The conference is not governed by any formal procedural requirements, and may be conducted as the commissioner considers appropriate.
(c) The commissioner may issue an order directing a health information exchange service provider or a representative of a health information exchange service provider to cease and desist from engaging in any act or practice in violation of sections 62J.4981 and 62J.4982.
(d) Within 20 days after service of the order to cease and desist, a health information exchange service provider may contest whether the facts found constitute a violation of sections 62J.4981 and 62J.4982 according to the contested case and judicial review provisions of sections 14.57 to 14.69.
(e) In the event of noncompliance with a cease and desist order issued under this subdivision, the commissioner may institute a proceeding to obtain injunctive relief or other appropriate relief in Ramsey County District Court.
Suspension or revocation of certificates of authority.
(a) The commissioner may suspend or revoke a certificate of authority issued to a health data intermediary or health information organization under section 62J.4981 if the commissioner finds that:
(1) the health information exchange service provider is operating significantly in contravention of its basic organizational document, or in a manner contrary to that described in and reasonably inferred from any other information submitted under section 62J.4981, unless amendments to the submissions have been filed with and approved by the commissioner;
(2) the health information exchange service provider is unable to fulfill its obligations to furnish comprehensive health information exchange services as required under its health information exchange contract;
(3) the health information exchange service provider is no longer financially solvent or may not reasonably be expected to meet its obligations to participating entities;
(4) the health information exchange service provider has failed to implement the complaint system in a manner designed to reasonably resolve valid complaints;
(5) the health information exchange service provider, or any person acting with its sanction, has advertised or merchandised its services in an untrue, misleading, deceptive, or unfair manner;
(6) the continued operation of the health information exchange service provider would be hazardous to its participating entities or the patients served by the participating entities; or
(7) the health information exchange service provider has otherwise failed to substantially comply with section 62J.4981 or with any other statute or administrative rule applicable to health information exchange service providers, or has submitted false information in any report required under sections 62J.498 to 62J.4982.
(b) A certificate of authority shall be suspended or revoked only after meeting the requirements of subdivision 3.
(c) If the certificate of authority of a health information exchange service provider is suspended, the health information exchange service provider shall not, during the period of suspension, enroll any additional participating entities, and shall not engage in any advertising or solicitation.
(d) If the certificate of authority of a health information exchange service provider is revoked, the organization shall proceed, immediately following the effective date of the order of revocation, to wind up its affairs, and shall conduct no further business except as necessary to the orderly conclusion of the affairs of the organization. The organization shall engage in no further advertising or solicitation. The commissioner may, by written order, permit further operation of the organization as the commissioner finds to be in the best interest of participating entities, to the end that participating entities will be given the greatest practical opportunity to access continuing health information exchange services.
Denial, suspension, and revocation; administrative procedures.
(a) When the commissioner has cause to believe that grounds for the denial, suspension, or revocation of a certificate of authority exist, the commissioner shall notify the health information exchange service provider in writing stating the grounds for denial, suspension, or revocation and setting a time within 20 days for a hearing on the matter.
(b) After a hearing before the commissioner at which the health information exchange service provider may respond to the grounds for denial, suspension, or revocation, or upon the failure of the health information exchange service provider to appear at the hearing, the commissioner shall take action as deemed necessary and shall issue written findings and mail them to the health information exchange service provider.
(c) If suspension, revocation, or administrative penalty is proposed according to this section, the commissioner must deliver, or send by certified mail with return receipt requested, to the health information exchange service provider written notice of the commissioner's intent to impose a penalty. This notice of proposed determination must include:
(1) a reference to the statutory basis for the penalty;
(2) a description of the findings of fact regarding the violations with respect to which the penalty is proposed;
(3) the nature and amount of the proposed penalty;
(4) any circumstances described in subdivision 1, paragraph (a), that were considered in determining the amount of the proposed penalty;
(5) instructions for responding to the notice, including a statement of the health information exchange service provider's right to a contested case proceeding and a statement that failure to request a contested case proceeding within 30 calendar days permits the imposition of the proposed penalty; and
(6) the address to which the contested case proceeding request must be sent.
Coordination.
(a) The commissioner shall, to the extent possible, seek the advice of the Minnesota e-Health Advisory Committee, in the review and update of criteria for the certification and recertification of health information exchange service providers when implementing sections 62J.498 to 62J.4982.
(b) By January 1, 2011, the commissioner shall report to the governor and the chairs of the senate and house of representatives committees having jurisdiction over health information policy issues on the status of health information exchange in Minnesota, and provide recommendations on further action necessary to facilitate the secure electronic movement of health information among health providers that will enable Minnesota providers and hospitals to meet meaningful use exchange requirements.
Fees and monetary penalties.
(a) The commissioner shall assess fees on every health information exchange service provider subject to sections 62J.4981 and 62J.4982 as follows:
(1) filing an application for certificate of authority to operate as a health information organization, $10,500;
(2) filing an application for certificate of authority to operate as a health data intermediary, $7,000;
(3) annual health information organization certificate fee, $14,000;
(4) annual health data intermediary certificate fee, $7,000; and
(5) fees for other filings, as specified by rule.
(b) Administrative monetary penalties imposed under this subdivision shall be credited to an account in the special revenue fund and are appropriated to the commissioner for the purposes of sections 62J.498 to 62J.4982.
FEDERAL FUNDING.
To the extent that the commissioner of health applies for additional federal funding to support the commissioner's responsibilities of developing and maintaining state-level health information exchange under section 3013 of the HITECH Act, the commissioner of health shall ensure that applications are made through an open process that provides health information exchange service providers equal opportunity to receive funding.
Sec. 10.
NONSUBMISSION OF HEALTH CARE CLAIM BY CLEARINGHOUSE; SIGNIFICANT DISRUPTION.
A situation shall be considered a significant disruption to normal operations that materially affects the provider's or facility's ability to conduct business in a normal manner and to submit claims on a timely basis under Minnesota Statutes, section 62Q.75, if:
(1) a clearinghouse loses, or otherwise does not submit, a health care claim as required by Minnesota Statutes, section 62J.536; and
(2) the provider or facility can substantiate that it submitted a complete claim to the clearinghouse within provisions stated in contract or six months of the date of service, whichever is less.
This section expires January 1, 2012.
APPROPRIATION; HEALTH INFORMATION EXCHANGE OVERSIGHT.
$104,000 in fiscal year 2011 is appropriated from the state government special revenue fund to the commissioner of health for the duties required under Minnesota Statutes, sections 62J.498 to 62J.4982. Base funding shall be $97,000 in fiscal year 2012 and $97,000 in fiscal year 2013.
Presented to the governor May 11, 2010
Signed by the governor May 13, 2010, 10:10 a.m.


text:
Sven Christ (* 9. Dezember 1973 in Biel/Bienne) ist ein ehemaliger Schweizer Fussballspieler und aktueller Trainer.

Christ begann seine Karriere beim FC Biel. Ab der Saison 2003/04 spielte er als Innenverteidiger beim FC Aarau in der Axpo Super League, für den er bereits von 1994 bis 1997 und 1998/99 tätig gewesen war. Er hatte einen Vertrag bis 2007 und verlängerte diesen nach erfolgreichem Ligaerhalt des Vereins um ein Jahr bis 2008. Christ war der Captain der 1. Mannschaft.

In der Saison 2008/09 wurde Christ Trainer beim 2. Liga interregional-Club FC Sursee. Zur Saison 2009/10 wechselte er als Trainer zum Erstligisten FC Schötz. Im Juni 2010 wurde er Cheftrainer beim SC Cham. Vom September 2012 bis Im Juli 2014 war er als Trainer des FC Baden tätig. Danach übernahm er die Nachfolge von René Weiler beim FC Aarau in der Raiffeisen Super League.

Vereine als Aktiver
 2003/04 von 1. FSV Mainz 05 zum FC Aarau
 2001/02 von Lausanne-Sports zum 1. FSV Mainz 05
 1999/2000 von FC Aarau zu Lausanne-Sports
 1998/99 von Grasshoppers zum FC Aarau
 1997/98 von FC Aarau zu Grasshoppers
 1994/95 von FC Grenchen zum FC Aarau
 1991–94 FC Grenchen
 1981–91 FC Biel

Einzelnachweise

Fußballspieler (FC Biel-Bienne)
Fußballspieler (FC Grenchen)
Fußballspieler (FC Aarau)
Fußballspieler (Grasshopper Club Zürich)
Fußballspieler (FC Lausanne-Sport)
Fußballspieler (1. FSV Mainz 05)
Fußballtrainer (FC Aarau)
Schweizer
Geboren 1973
Mann
Fußballtrainer (FC Baden)
Fußballtrainer (SC Cham)
Fußballtrainer (FC Schötz)
Fußballtrainer (FC Sursee)

redpajama_set_name: RedPajamaWikipedia


text:
Metro Nashville to close offices early during NFL Draft
WSMV Staff Reports
Chuck Morris
Multimedia Managing Editor - Web
NASHVILLE, TN (WSMV) - Nashville Mayor David Briley announced Thursday that Metro government will be closing its offices and departments early during the NFL Draft.
Briley said the closings at 3 p.m. on Thursday, April 25 and Friday, April 26 for non-essential personnel to help ensure traffic flow downtown during the draft.
Metro is also encouraging its departments and agencies to consider alternative work locations for those non-essential employees on April 25 and 26, if possible.
"The NFL Draft is predicted to bring an additional 100,000 people to the downtown core each day," said Briley in a news release. "To help mitigate traffic concerns, Metro will close early on these two days for non-essential personnel. I encourage downtown businesses to consider similar plans. I also would like to thank all of the essential employees across multiple departments who will be working to support the event."
Briley is also encouraging downtown companies that have work-from-home capabilities to do so on April 25 and 26. If working from home is not possible, companies should consider staggered and flexible work hours.
The NFL Draft Committee and the Nashville Convention & Visitors Corp have continued to work in close coordination with Metro and the State of Tennessee to ensure the best logistical approach for building and executing the event.
The Rock 'n' Roll Nashville Marathon is also taking place downtown over the weekend. The Marathon expo is April 25 and 26, and racer packet pickup will happen Friday evening.
David Briley
Nfl Draft Committee
Visitors Corp


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Q: Cannot insert the value NULL into column ... Exception issues I'm having issues with a database uploadscript. It basically just adds all entities from a backup source to the database.
However, as some fields of the new database are non-existent in the old data source, I assign them default values. See screenshot below for examples, the string property CCP1_description (and the similarly named descriptions below that) are being set to "Enter description here."
However, when I save the entity, I get an Exception saying that the description field is not allowed to be NULL. Which it clearly isn't.
See screenshot for code + Exception

Here's a snippet from my database creation script, it shows how the columns have been set up:
...
[CCP1_description] nvarchar(max)  NOT NULL,
[CCP2_description] nvarchar(max)  NOT NULL,
[EP1_description] nvarchar(max)  NOT NULL,
[EP2_description] nvarchar(max)  NOT NULL,
[EP3_description] nvarchar(max)  NOT NULL,
[EP4_description] nvarchar(max)  NOT NULL,
[EP5_description] nvarchar(max)  NOT NULL,
...

If I check my temp variable when debugging, I can clearly see the content of the description fields (all are ""Enter description here. like they should be.

I know that a lot of things can cause this exception; but I don't see the root cause of this issue. Can someone shed some light on this? I have no idea why this exception is thrown...
I found many open questions with the same error, but I think this is a different situation because my fields are not databasegenerated, nor are they PK or IDENTITY fields. They are not empty when the entity is being constructed, and the object that is being added actually has the correct values.
UPDATE
I just noticed that the first 83 entities are added correctly. The exception is thrown on the 84th time the code is executed (and a lot of times after that.
Which means the issue is probably within another property field.
I checked all the fields, the only null values I encounter are added in fields that have been set nullable in the database and entity framework.
And now I really don't get why an exception is thrown on the description fields.
UPDATE 2
It seems this application was coded by Salvador Dali.
I reworked the code, but this time, I commented out the .AddObject(temp); line. Which means the entities are created, but never added to the db context. The db.SaveChanges(); call should then actually be redundant and do nothing at all.
Or so I though. Turns out, my entities are still being added. I stepped through the entire code execution, it never uses the db context in any way except for the db.SaveChanges();, yet it still all gets added.
Conversely, if I only start adding the entities after a counter has reached 100 (which means only item 100, 101, 102, ... will be saved, all the rest will not be added), it stil keeps adding the other entities as well.
I have no clue at all. Literally none. I'll update the post once I know more.
FINAL UPDATE
I managed to find a workaround (see my answer below). However, I'm still looking for an explanation why this is happening. If anyone can explain this to me, I'll award them the answer to this question.

A: I've managed to get a bit further in the code. I've changed the order of operations. It used to be:
//1. initialize temp
//2. fill in temp; field by field.
//3. if any missing (required) fields are encountered during step 2, then continue the foreach loop and take the next element (no save)
//4. else, add to database ad save changes

Somehow, And I cannot explain this, the entitiy gets saved automatically. If I run the exact same code as above but without the .AddObject() function, it still gets added.
So I changed my code to:
//1. Find all fields that will be needed for the entity
//2. If any required field is stille empty, continue the foreach loop
//3. initialize temp (inline initialization with all properties)
//4. Add object and save.

This doesn't really solve the original problem, it's just a workaround. If anyone can provide me with an explanation why these entities are being added, I will accvept that as the solution to my problem.

redpajama_set_name: RedPajamaStackExchange


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PennSound and the Beinecke collaborate
PennSound's partnership with our colleagues at the Beinecke Library has led to the wide availability of recordings made many years ago by Lee Anderson. Today we introduce our PennSound/Beinecke page within the PennSound web archive. Many thanks, once again, to Nancy Kuhl at Yale.
Bergvall in 'Wire' features PennSound
a screenshot of "Wire: Adventures in Modern Music" (6/2/11)
"A vast archive of historic and contemporary recordings of readings, podcasts, and now also videos, featuring a growing list of international poets (mostly English language focus). PennSound is co-run from Philadelphia by the poet, scholar and broadcaster Charles Bernstein and Al Filreis, director of Kelly Writers House." Link: http://www.thewire.co.uk/articles/6752/
Coolidge on Kerouac
Clark Coolidge's PennSound page is one I happily recommend. I think my favorite set of recordings there is from his March 2000 reading at the University of California at Santa Cruz, hosted by Peter Gizzi. Peter's introduction — also among the recordings — is itself a fine introduction to Coolidge's life and importance to contemporary poetics. After the reading Coolidge took a few questions. Someone asked about burn-out (a writer reaching the end of writing) and Coolidge responded by speaking of Kerouac's line, Where pain don't take you by surprise. Coolidge discusses Kerouac's line and Kerouac, and then he re-reads the poem in which Kerouac's idea occurs. The Coolidge-Kerouac connection is edifying. Here's the recording. And here is Coolidge's essay on Kerouac's sound or "babble flow," which I ask my students to read. Here's a sampling of the babble flow: "Black black black black bling bling bling bling black black black black bling bling bling bling black black black black bling bling bling...." The essay was first published in the January/February 1995 issue of American Poetry Review.
Creeley reading at CUE Art Foundation, January 18, 2005
screenshot of video of Robert Creeley reading at CUE in 2005
The recording of this reading was segmented into thirteen poems just yesterday. Go here to see the special PennSound page devoted to this event:
When I Think (2:22): MP3
War (0:59): MP3
Talking (1:08): MP3
Paul (1:49): MP3
Old Song (0:53): MP3
Oh, do you remember (2:22): MP3
Mediterranean I (1:17): MP3
Mediterranean II (1:39): MP3
Jumping with Jackson (1:23): MP3
Shimmer (4:01): MP3
Sad Walk (1:32): MP3
The Red Flower (2:54): MP3
Old Story from The Diary of Francis Kilver (1:13): MP3
Digitizing Creeley's reel-to-reel tapes
Robert Creeley and son Will (photo by Bruce Jackson)
Will Creeley sent us at PennSound this great note after hearing a PoemTalk episode about one of his father's poems:
I saw word of this latest episode via PennSound's excellent & useful Twitter feed, and figured it was a good opportunity to say thank you again to Al, Charles and everyone at PennSound & Kelly Writers House for taking in our big cardboard boxes and digitizing the reel-to-reel recordings inside with such care and precision.
Harry Mathews, 'Yes, But We're Different' & other talks (1997)
Harry Mathews came to the University of Pennsylvania to give a performance/talk on February 26, 1997, an event hosted by the "Friends of the Library" group, which is an open-minded organization the library's supporters and external overseers. Ruth and Marvin Sackner (Penn alumni) are close to the staff of the library, and have collaborated from time to time on exhibitions of concrete, visual, and sound poetry and also of artists' books. I attended Mathews's 1997 reading but cannot quite remember how it came about: I'm guessing that Bob Perelman, the Sackners', and very possibly Dan Traister (the brilliant and super-eclectic special collections librarian) were all involved. Someone had the forethought to record the event. The sound isn't perfect, especially during the Q&A. Nonetheless, the newly segmented reading is certainly worth a listen.
David Bromige reads at Buffalo in 1992
On January 29, 1992, David Bromige read a great many short pieces at a reading he gave at Buffalo. The recording has long been available at Bromige's PennSound page, but today for the first time it has been segmented. The segmentations are, as I say, quite new, so if readers and listeners have suggestions for improvement or correction, please by all means pass them along to me (afilreis [at] jacket2.org) and we will apply the fix. PennSound is, to say the least, an ongoing and interative process. Here now are the poems Bromige read that night:
George Oppen at San Francisco State, 1972
We at PennSound are pleased to present a segmented recording of George 's May 3, 1972, reading at San Francisco State University. The recording was then broadcast on KPFA (Berkeley) on June 2, 1972. Follow this link to PennSound's George Oppen author page. The readings are presented in chronological order, beginning with our earliest recording dated 1963.
Jennifer Moxley's formalist lounge
We at PennSound have segmented Jennifer Moxley's reading in the Segue Series at the Bowery Poetry Club (New York), October 6, 2007. Click here for links to the recordings - the complete reading and individual poems by title.
Richard Tuttle and Mei-Mei Berssenbruge
New York poetry reading, Dec. 18, 2010
Tuttle gave a very rare poetry reading with Berssenbrugge at the Sue Scott Gallery in New York,


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Clive Davis Pre-Grammy Gala to Return in 2023, Event Will Honor Atlantic Records Execs Julie Greenwald, Craig Kallman
Greenwald and Kallman will receive the Salute to Industry Icons Award at the event held the night before the Grammy Awards.
By Mesfin Fekadu
Mesfin Fekadu
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Clive Davis Jamie McCarthy/Getty Images for Gabrielle's Angel Foundation
Clive Davis' white-hot pre-Grammy gala is returning for the first time since 2020 and the event will honor Atlantic Records executives Julie Greenwald and Craig Kallman.
The Recording Academy and Davis announced Thursday that Greenwald and Kallman will receive the 2023 Grammy Salute to Industry Icons Award at the powerhouse event Feb. 4, 2023, a night before the 65th annual Grammy Awards.
Kallman is the CEO and chairman of Atlantic Records and Greenwald is the CEO and chairman of the newly formed Atlantic Music Group, the home to Atlantic Records and 300 Elektra, a merger of 300 Entertainment and Elektra Music Group. Artists signed to the label include Bruno Mars, Cardi B, Lizzo, Ed Sheeran, Missy Elliott, Coldplay, Jack Harlow, Kodak Black, Janelle Monáe and YoungBoy Never Broke Again. Atlantic earned 40 nominations at the upcoming Grammys and will celebrate its 75th anniversary next year.
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"Respected across the music community, Julie and Craig have fostered the careers of an incredible range of talent," Recording Academy CEO Harvey Mason Jr. said in a statement. "They both have a passion and love for music, and they are constantly pushing the music industry forward with their transformative work with the artist community.
Davis added that he's "personally known Julie and Craig for many years and it's so very exciting to celebrate their exceptional creativity and achievements" at this year's gala.
Sean "Diddy" Combs is the most recent Grammy Salute to Industry Icons honoree, earning the award at Davis' 2020 event, held weeks before the world shut down because of the COVID-19 pandemic. In his fiery 50-minute speech, Combs called out the Grammys for dissing rap and R&B stars in its major categories and earned a standing ovation from Beyoncé, Jay-Z and several other music industry players in the audience.
Others who have received the honor from Davis and the academy include Jay-Z, Berry Gordy, Irving Azoff, Sir Richard Branson, Debra L. Lee and Ahmet Ertegun.
Davis' popular party is well-attended and the audience is packed with A-listers from all fields, including iconic musicians, contemporary pop stars, Oscar-winning actors, sports figures, politicians, CEOs and more.
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Chris Stapleton, Babyface and Sheryl Lee Ralph Tapped for Super Bowl LVII Pregame Entertainment
Billie Eilish, BTS and Khalid Songs Are the Best Music to Fall Asleep to, Study Says
Stephen Stills, Graham Nash, Neil Young, Melissa Etheridge Remember David Crosby: "His Music and Legacy Will Inspire Many"
David Crosby, The Byrds and Crosby, Stills & Nash Founder, Dies at 81


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Q: iOS Web View Gets Stuck when ever the app goes to background and comes to foreground We have a web-view which hosts a web action sheet with a timer. Whenever there is a navigation to a different app and back to our app, the timer gets stuck and the web action sheet becomes unresponsive.
Any solutions or work around to solve this issue ?

A: Use the following function to create a timer that keeps working when the app is in background:
func executeAfterDelay(delay: TimeInterval, completion: @escaping(()->Void)){
    backgroundTaskId = UIApplication.shared.beginBackgroundTask(
        withName: "BackgroundSound",
        expirationHandler: {[weak self] in
            if let taskId = self?.backgroundTaskId{
                UIApplication.shared.endBackgroundTask(taskId)
            }
        })

    let startTime = Date()
    DispatchQueue.global(qos: .background).async {
        while Date().timeIntervalSince(startTime) < delay{
            Thread.sleep(forTimeInterval: 0.01)
        }
        DispatchQueue.main.async {[weak self] in
            completion()
            if let taskId = self?.backgroundTaskId{
                UIApplication.shared.endBackgroundTask(taskId)
            }
        }
    }
}


Colin is the managing director of Berry Wealth Management.
He has worked in financial services for over 36 years, and is currently working towards chartered status. Colin specialises in long-term care, is listed as a later life advice specialist, and is also a member of both the Personal Finance Society and the Chartered Insurance Institute.


text:
Cleveland Guardians Game Recaps
It would have been more exciting if the Cleveland Guardians had won today's game, but at the end of the day it was beautiful outside and we got to watch a game, right?
Or, "Guardians unable to overcome early deficit in 5-2 loss"
By Matt Schlichting@MattSchlichting Sep 26, 2021, 5:22pm EDT
Share All sharing options for: It would have been more exciting if the Cleveland Guardians had won today's game, but at the end of the day it was beautiful outside and we got to watch a game, right?
Cleveland's offense fizzled on the heels of last night's outburst as the Guardians fell to the Chicago White Sox 5-2. While some hitters punished Sox pitchers the rest of the offense stagnated.
Triston McKenzie allowed three runs in two and a third innings before yielding to the bullpen. Cleveland — shutout by White Sox starter Lucas Giolito through six — scored in the seventh and eighth innings.
Look, it'd be a lot cooler if the Guardians had won, but at least Billy Hamilton stole home!
Billy steals home! pic.twitter.com/o7vJ8S6yGT
— White Sox Talk (@NBCSWhiteSox) September 26, 2021
It's getting a little bit tough to find interesting and fun ways to recap meaningless September games. That's not a complaint — I remain delighted to be able to do this on Sundays. I'm just not sure how much more I can analyze a young team that played like one.
That is one way to view this team; another is that several starting pitchers, an improving Josh Naylor, and the manager missed much of the season. Despite those challenges, one of the youngest teams in baseball still battled to somewhere near .500.
I feel like it's been a tough year for silver linings, but I'm going to take this one.
Our standout performer on the day was Myles Straw. The presumptive starting CF for next year slapped four hits and reached on an error while continuing to play swanky defense. That combined with a .350 OBP in the leadoff spot is also a nice, comforting balm after another September loss.
Corner Pieces
Harold Ramirez poked a home run off the top of the right field wall in the 8th inning. While the distance may not have been impressive there are no cheap home runs off of Craig Kimbrel.
In the bottom of the ninth, Liam Hendriks swiped at a comebacker and nearly snared it. It ricocheted to Tim Anderson, who fielded it and fired to first for the out.
Anthony Gose pitched again! He tossed a scoreless fifth inning and struck out two, surrendering one hit. Rejoice.
DeMarlo Hale gave an honest if slightly blunt appraisal of McKenzie's performance today. Asked about the starter's performance, Hale immediately noted lack of command as the primary issue. McKenzie walked three today, further exacerbating the unusual number of walks that he has yielded to the White Sox, specifically. i dunno it could just be bad juju you guys...
On a serious note: it's always fascinated me to see how managers handle questions about a player's performance. I think there is something to be said for a guy who just tells you what he thinks, but then again I don't run baseball teams.
The score read 4-2 for a hot minute in the seventh inning. José Ramírez grounded into what was, at first, a fielder's choice. He appeared to leg out the backend of a would-be double play as Oscar Mercado scampered home from third. Upon further review, New York declared Ramírez out and the run void as the out ended the inning.
Cleveland and Kansas City play a make-up game starting at 1:10 tomorrow afternoon.
Daniel Espino is our No. 4 Guardians prospect. Who should be No. 5? Espino set the world on fire in 2021 as one of the top strikeout artists in the minors
George Valera is our No. 1 Guardians prospect. Who should be No. 2? The legend grows with every flipped bat