Friday, August 31, 2012

How Frank Venegas Jr. keeps employee passion ... - Smart Business

Frank Venegas Jr.

Frank Venegas Jr., founder, chairman and CEO, The Ideal Group Inc.

Frank Venegas Jr.?s company, The Ideal Group Inc., was facing what you would call, well, not an ideal situation.

The year was 2008. Even if your company didn?t file for bankruptcy or face an existential threat, you probably had a bottoming-out point about that time or thereafter. At some point, your company probably reached a nadir, and you knew the only place to go was up.

The Ideal Group?s low point came when the company had to slash nearly 14 percent of its workforce. For founder, chairman and CEO Venegas, the staff reduction was a fork in the road. He could have chipped away at his staff little by little, reducing the short-term trauma level, but potentially forcing his company to go through multiple rounds of demoralizing cuts.

Or he could take the lump-sum approach, get it all the cuts over with at once, causing more short-term trauma, but beginning the healing process sooner.

Venegas chose the latter approach.

?At that point, we were probably operating the company at 30 percent larger than what it needed to be,? Venegas says. ?What we told everyone was ?Here is where we are at, we are going to cut it really hard and heavy, and we are going to do it one time, instead of doing it every month.? And we were fortunate because we were able to hold true to that. We did it once, and we held on.?

As the saying goes, laws are like sausages; you really don?t want to know how they are made ? you really don?t want to know how staff cuts are made. It?s a stomach-turning process for just about every business leader to decide why one group should remain employed and other group members should lose their jobs.

But in uncertain times, information is your company?s lifeblood. Venegas quickly realized that if his industrial manufacturing, distribution and solutions company was to recover and emerge stronger, he?d have to lead the way.

That meant keeping his remaining employees in the loop regarding the company?s status, why the cuts were happening and, perhaps most importantly, the reasons to get excited about the future.

?You can?t do much about the short-term morale of the remaining people,? Venegas says. ?The only thing you can do is keep them up on what you?re doing as a company, and be honest and forthright. You try to give them new opportunities whenever possible, and really establish an entrepreneurial culture where people have the ability to try new things and make some mistakes along the way.?

Create a culture

Employees do come to work for a paycheck. They rely on your company for the money that provides food, shelter and other basic life necessities. So to say money has nothing to do with fulfillment of employees is flat-out wrong. Money is a factor.

However, it?s a basic factor. If you can?t provide competitive wages, the discussion regarding talent retention ends there. But if you can satisfy an employee?s financial requirements, employment does become about something else.

In short, once the money matter is settled, fulfillment is a matter of engagement. Employees want opportunities to think, create and innovate. They want a leadership group that is responsive to their input.

Employee engagement is increasingly critical when a company has to do more with less.

Ideal?s staff cuts were the product of a customer base that was about 70 percent automotive. When the U.S. auto industry took a historic nosedive during the depths of the recession, the ripple effect hit Ideal. While the company was able to endure the shock better than some of its competitors, sales slipped to under $100 million in 2009, making cuts necessary.

While those left behind had to deal with the collective morale damage and other fallout, Venegas saw an opportunity. Ideal had to do more with less, but the opportunity was there for his remaining staff to flex its entrepreneurial muscles and demonstrate their versatility.

Entrepreneurship is something that has always been a part of Ideal?s culture, but Venegas realized the time was right to embrace the concept anew.

?When you walk in here, and see the way the company looks, the way we run the company, it doesn?t take you a long time to realize that we are a highly entrepreneurial and change-oriented company,? Venegas says. ?We?re like a Silicon Valley company in that we do things far differently than anybody else.?

The key to developing and maintaining a focus on innovation within a company is to educate employees, which is as simple ? and as complicated ? as communicating with them. You have to reveal your vision, your strategy, your methods and, when possible, your financial numbers, to your people.

If you can paint a detailed picture regarding where the company stands, and where each person fits into the larger picture, you stand a much better chance of motivating employees and keeping the idea stream flowing.

Venegas likes to keep his employees apprised of where the company stands financially, whether the numbers show a profit or a loss. Though some leaders might look at a financial loss and see something that would damage employee motivation, Venegas believes the act of informing employees is a motivator in and of itself.

?You get people to buy into an entrepreneurial culture by making money,? he says. ?So for our purposes, we want our people to know whether we are making money or not. We run a monthly financial statement for each of the six companies that we have, and those are reviewed not only by senior management but also by the people who lead those companies ? which we call BUMs, or business unit managers. They are in charge of their balance sheet, P&L and the whole deal.

?You just make it really clear for everyone to see whether you are doing well or not so well. Everybody should be able to hold their eyes open and take a look.?

Informed employees have a better idea of how to formulate new ideas that walk in step with what the company needs. They feel more empowered to take calculated risks, live with the consequences, and if the plan fails, to turn it into a learning experience for next time.

?We don?t box many people into any particular role,? Venegas says. ?My brother and I own the company, and I guess we were taught how to take things apart and put them back together. A lot of times, if we didn?t need this part or that part for a given project, we didn?t get it.

?So we were always looking at how we could build things faster, less expensive and more reliable. That is a concept we?re always trying to pass on to our people here.?

Feed their careers

Venegas believes employees want four things out of an employer, apart from financial compensation: consistency, opportunities to express their ideas, opportunities for promotion and the chance for longevity.

?My CFO just celebrated her 15th anniversary here,? Venegas says. ?When she initially came to work for me, she was a graduate intern from the University of Michigan. Obviously, she wasn?t the CFO when she first started, but she grew into that position, she demonstrated great learning habits, and it has been a real blessing to have her here.?

To Venegas, the long tenure of his CFO reinforces the importance of career development as an employee motivator. In particular, Venegas values hands-on employee development that coaches his team to think, create and innovate in a real-world setting, formulating ideas that will be relevant to the company moving forward.

?Our career development operates every single day,? he says. ?We are a very well-managed company. The key, I believe, is to set your missions in a very clear way, establish performance metrics and go through them frequently. We go through them not only on a monthly basis, but on a weekly basis.?

Venegas also has his team conduct frequent meetings. Though many business heads view meetings as one of the biggest time-wasters on the company schedule, Venegas still sees value in getting a group of people together in a room to exchange ideas, and share what is working and not working in the company?s operations.

?People say meetings are a waste of time, and that is their opinion,? he says. ?But here, it really gives us time to open up and talk. Here, our meetings are pretty open, and you can say what you want. When someone proposes an idea for a new project, we start out with a white board, and begin listing the pros and cons. There is no particular recipe regarding the how and why of the projects we pick, the things we are going to go after.

?But I do find that it is pretty apparent over the course of the meeting whether it makes sense or not. We can generally see whether we?re filling the white board with reasons why we should do something, or reasons why we shouldn?t do it.?

As long as the conversation remains respectful and all viewpoints are considered, Venegas says his team will come to a consensus on how to proceed. If there are any disagreements or conflicts, those have to be addressed in order to get everyone back on the same page.

Motivating employees means respecting them ? their work, their opinions, their careers, their ideas. Venegas has promoted that viewpoint at Ideal, and it has helped lead the company out of the recession to $201 million in revenue last year.

?We look at our company values during our meetings, and our mission statement, and from there it?s really not that hard to put together what we have to do in order to be a success. I remind our people ? and sometimes, I have to remind myself ? that we went through this whole recession, and we?re still here. We remain strong, and we didn?t have the problems of some of our competitors and other companies.?

How to reach: The Ideal Group Inc., (313) 849-0000 or www.weareideal.com

The Venegas file

Frank Venegas Jr.

Founder, chairman and CEO

The Ideal Group Inc.

History: I started the business 33 years ago because I won a Cadillac in a card draw. I sold it a few days later, took the money, put it in my banking account and started Ideal.

What is the best business lesson you?ve learned?

My grandfather always told me that if you do what the boss doesn?t want to do, you?ll have a job every time. Also, you need to create a reason why you?re in business. Do what someone else in the market isn?t doing. You could be in the window-washing business, but it might be how you present yourself. Maybe it?s how you let customers inspect the final product. But you do something a little different, and that draws the customers back to you.

What traits or skills are essential for a business leader?

Have integrity and don?t lie. I?d say that?s the most important thing by far. Once you?re not honest, no one wants to work for you.

What is your definition of success?

Being happy in anything and everything you do and seeing everybody around me fulfilled. I lost $18 million on a business deal in 1998. I did something that I should have thought harder about. The company made it back, not because I was a great leader, but because of the people who work for me. It takes a whole bunch of effort from a whole lot of people to keep a company happy.

Source: http://www.sbnonline.com/2012/09/how-frank-venegas-jr-keeps-employee-passion-burning-bright-at-the-ideal-group/

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Tournament within a tournament in Boston

Rickie Fowler tees off on the fourth hole during the Pro Am round of the Deutsche Bank Championship golf tournament at TPC Boston in Norton, Mass., Thursday, Aug. 30, 2012. (AP Photo/Michael Dwyer)

Rickie Fowler tees off on the fourth hole during the Pro Am round of the Deutsche Bank Championship golf tournament at TPC Boston in Norton, Mass., Thursday, Aug. 30, 2012. (AP Photo/Michael Dwyer)

Tiger Woods watches his shot from the 11th tee during the Pro Am round of the Deutsche Bank Championship golf tournament at TPC Boston in Norton, Mass., Thursday, Aug. 30, 2012. (AP Photo/Michael Dwyer)

Nick Watney tosses his ball while waiting to tee off on the fourth hole during the Pro Am round of the Deutsche Bank Championship golf tournament at TPC Boston in Norton, Mass., Thursday, Aug. 30, 2012. (AP Photo/Michael Dwyer)

Webb Simpson lines up a putt on the 10th green during the Pro Am round of the Deutsche Bank Championship golf tournament at TPC Boston in Norton, Mass., Thursday, Aug. 30, 2012. (AP Photo/Michael Dwyer)

Steve Stricker watches his shot from the ninth tee during the Pro Am round of the Deutsche Bank Championship golf tournament at TPC Boston in Norton, Mass., Thursday, Aug. 30, 2012. (AP Photo/Michael Dwyer)

(AP) ? This was exactly what Rickie Fowler wanted to hear.

"I'd pick him," a voice called out behind the ninth green Thursday at the TPC Boston, causing Fowler to look over his shoulder and smile.

Too bad this pronouncement came from the caddie for Justin Rose, and not Ryder Cup captain Davis Love III, who now has the increasingly difficult decision of picking four players to fill out his American team.

The 99-man field in the Deutsche Bank Championship, which starts Friday, feels a lot smaller than that. This is the second event in the FedEx Cup playoffs as it moves closer to the Tour Championship and a shot at the $10 million bonus. But at least for the first few days, the chatter in a half-dozen players who face what amounts to the final audition before Love announces his picks Tuesday in New York.

Fowler is one of those players trying to make an impression. So is Hunter Mahan, who played two groups behind him in the pro-am. And right behind Mahan was Nick Watney, who wasn't even part of the Ryder Cup equation until he won The Barclays on Sunday. That made him No. 1 in the FedEx Cup standings, which made him happy. And it made Watney part of the Ryder Cup conversation, which made him ... well, he's not sure what to think.

Watney was such a long shot to make the Ryder Cup team a week ago that he hasn't been measured for a team uniform, and when Love hosted an informal dinner at the PGA Championship three weeks ago for potential Ryder Cup players, Watney didn't even get invited.

"For all I know, I'm not even in the conversation," Watney said. "I'm really not sure. All I can do is go and try to play my best. I know that's watered down and cliche, but it's really true. I'm not really shooting for any number or, 'If I finish in the top 10 I'll make it' because I'm just not sure. I guess I'll just to continue my momentum.

"And if I get that call, I could probably walk to Indy just as fast as fly because I'll be super, super excited."

Indianapolis, where the BMW Championship will be played next week, is the third stop in the playoffs. Getting to Crooked Stick is the goal for some three dozen players at the TPC Boston, because only the top 70 move on.

Among those on the bubble are Vijay Singh (No. 59), Pat Perez (No. 65), Sean O'Hair (No. 74) and Jason Day (No. 88).

Tiger Woods, whose injury-filled season a year ago kept him out of the playoffs, returns to the Deutsche Bank Championship. He won on the TPC Boston in 2006, the year before the FedEx Cup began. Woods fell to No. 3 in the standings because of a dismal weekend at Bethpage, and because players are grouped by their FedEx Cup seeding, he will play the opening two rounds with Watney and Brandt Snedeker, another Ryder Cup possibility.

Woods has talked to Love about the potential picks, and he has an idea what kind of player the captain is considering. But he's not saying, except for the idea that having too many guys from whom to choose is not the worst thing.

"It's nice that we have some depth, and we have some young talent out there to choose from, and we have some guys that are playing well, too, which is great," he said.

Woods pointed out that Paul Azinger came up with this model of waiting three weeks for the captain to make his picks, allowing players extra time to show their form.

"It can give guys an opportunity to play well in big events ? two playoff events ? but it also showcases guys who are hot, and that's the whole idea is to get guys that are hot," Woods said. "That's the thing that basically Davis and I have been talking about. And I'm sure we'll continue to talk."

It's also given some players time to break into a cold sweat.

Mahan looked to be on the team all year, especially after winning the Match Play Championship and the Houston Open, moving up to No. 4 in the world and making him the highest-ranked American. He has only had one top 10 since then, however, narrowly missed out on earning on the eight qualifying spots after the PGA Championship and didn't do himself any favors by missing the cut at The Barclays.

A small group of reporters was waiting on Mahan when he finished his pro-am on Thursday, and Mahan didn't need to hear a question to know what they wanted.

He also has a plan for the Deutsche Bank Championship.

"The last couple of weeks, I've tried not to think about it. I've tried to relax and play, and I don't feel that's me," he said. "I need to accept it and get excited about it. I do have a chance to make the team. I need to be a little more aggressive with it, relish the opportunity and not hide from it. It's there. It's going to take energy for me not to think about. Hey, I'd rather be in the mix for the Ryder Cup than not."

Steve Stricker and Jim Furyk are in the mix, though most indications are they are good bets to be picked. That would leave two spots for any combination of Fowler, Mahan, Watney, Snedeker, Dustin Johnson and perhaps someone who might win this week, such as Bo Van Pelt or even Bill Haas.

"Playing golf is all I can do," Fowler said. "I don't want the pick to be hard for Davis. ... I hope to play well and make the pick easier."

Fowler's three goals going into the year were to win on the PGA Tour for the first time, get to the Tour Championship for the first time and play in another Ryder Cup. He only has the first goal out of the way. He still controls whether he reaches the next goal.

The Ryder Cup?

That's wide open, making the next four days about more than another big tournament with an $8 million purse and a chance at a $10 million bonus.

Associated Press

Source: http://hosted2.ap.org/APDEFAULT/347875155d53465d95cec892aeb06419/Article_2012-08-30-Deutsche%20Bank/id-110cd333f98b4c3b90c17306d6db858e

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Thursday, August 30, 2012

From darkness to gold: Blinded Navy swimmer ready to race

Lt. Brad Snyder lost his sight in an IED explosion in Afghanistan last year. The Navy officer will once again represent the U.S., this time at the London 2012 Paralympics.

By Bill Briggs, NBC News contributor

The man who views only black today is visualizing all the colors of his London swims. In his mind, he sees the aqua-blue pool frothy with wakes, the home stretch of the lane lines painted red, and the dark, wide mouths of roaring fans.

Behind prosthetic blue eyes ? replacements for the natural pair he lost after an explosion in Afghanistan nearly a year ago???Navy Lt. Brad Snyder soaks in the scenery of a dream realized. The 2012 Paralympics open today in Britain. Snyder races for gold Friday.

Already, though, he can glimpse a distinct, happy glow.

Related: 'Meet the Superhumans': Paralympians burst onto world stage?

?During the Olympics, I read about the races, about (Michael) Phelps and (Ryan) Lochte and Missy Franklin. I heard the commentary and used that to pull out the details to produce this image,? Snyder said. ?But instead of reading about Lochte, I just implanted myself in there.


?I imagine stepping onto the block, hearing ?take your mark,? the sound of the start, hopping in the pool then just being smooth and strong down the middle of the lane, executing some good turns, and hitting the pad at the end. I?m imagining success. I?m imagining the good feeling that comes with competing well.?

As an elite athlete???among blind swimmers he is No. 1 in the world at three freestyle distances (50-, 100- and 400-meters)???Snyder draws such mental pictures as a preparation tool. As a result, nothing in or around the London pool, he said, should feel unfamiliar.

Lt. Brad Snyder, blinded by an IED explosion in Afghanistan, is now training for the London 2012 Paralympics.

But in a life being rebuilt after severe injury, this ironic tactic is simply how the man endures.

?I?ll tell you a little story,? said his mother, Valarie Snyder. ?He was describing his apartment to me: ?It has the most beautiful rooftop view.? That?s how our conversations go all the time. It?s been rare that he gets down, and even then he apologizes for it: ?Sorry I was in a bad mood.? ?

Related: Veterans push Paralympics back to battlefield roots
Related:?Wounded warrior seeks glory representing America in London

The bright side is never far off. But total darkness came in a single stride. On Sept. 7, 2011, the former Navy bomb defuser was rushing forward to help two Afghan soldiers wounded in an initial IED blast. In his dash, Snyder stepped on a second hidden bomb in an irrigation ditch spanning a farm field. His eyes were irreparably damaged by the detonation and later were removed by a surgeon.

Once a member of the Naval Academy swim team, Snyder returned to the water about a month later???this time, seeking a familiar, soft place in a world suddenly filled with surprise, hard edges.

?I was there the first day he got back in the pool,? his mother recalls. ?Just to see the sheer joy on his face. On the ride home afterward he told me: ?I can do this, mom. I can swim competitively. Everything new that I can do just makes me realize: this isn?t such a bad thing.? ?

The warm water also rekindled an ultra-competitive, inner furnace, driving Snyder to begin training in Baltimore with Brian Loeffler, head swimming coach at Loyola University. His new goal: earn a spot on the U.S. Paralympic swim team and compete at the world?s second-largest sporting event, the Paralympics. He punched his London ticket in June after a series of spectacular sprints at the time trials in Bismarck, N.D.

He strolls into London?s Olympic Stadium today with 226 other disabled American athletes???one of 20 active or former service members on the U.S. team, and one of six wounded during combat in Iraq or Afghanistan.

?There?s a girl who was in a coma for four years. There are people dealing with moderate cerebral palsy,? Snyder said. ?It puts everything in perspective when I?m contending with my own little issue to see what everybody on the team puts up with. It humbles you. Every person on the roster is one of the most amazing people I?ve met.?

Yet each teammate also is an accomplished athlete who outperformed hundreds of Paralympic hopefuls to make the cut. For context, simply peruse two of Snyder?s post-injury times. In the 50-meter freestyle: 26.54 seconds ? better than 10 Olympians who swam in London; and in the 100-meter freestyle: 57.75???quicker than three 2012 Olympians.

The 100-meter free on Friday offers Snyder his first crack at a medal, and it unleashes an aggressive schedule of seven events over nine days. In addition to his three world-best times, he?s currently ranked No. 2 among blind swimmers in the 100-meter butterfly and No. 4 in the 200-meter individual medley. For each event, Loeffler works as Snyder?s ?tapper,? using a walking cane to touch Snyder?s shoulders to alert him that the wall is near and that a flip turn or final push is required.

?His order of events sets up well since the sprints are early in the week (and) I do expect he will do well in his early events,? said Loeffler, who also serves as the co-head coach of the American Paralympic swim team. ?(But) we have focused his training toward the 400 free.?

For Snyder, his coach and his family, that is the race of races, scheduled for Sept. 7???exactly one year to the day he stepped on the bomb.

?It?s difficult to imagine and quantify the emotions I?ll be running through that day. But it?s going to be a moment that I?m going to enjoy. Because to me, competing on that day means that I was presented a challenge and I experienced some success in my transition to blindness. I conquered my adversity to some extent. Obviously, the adversity is not conquered. I?m still blind at the end of the day,? Snyder said. ?But it means I?ve walked the path from being chained to the bed at exactly a year ago to competing on an international level at event like the Paralympics. It means I won a little bit.?

All of the people who huddled near that bed last September at Bethesda Naval Hospital outside Washington, D.C. will be in the crowd in London???his two brothers, his sister, an aunt and his mother???who calls herself ?a weeper? and who fully expects a gush of tears, win or lose.

?From getting the phone call that morning from his commanding officer to not knowing what we were about to go through to what we went through the past year and then to see all that he has accomplished, well, it?s going to be amazing,? Valarie Snyder said.

?He shared something with me not long ago. He said that every little boy dreams of doing something great in their life in sports. If you?re a runner or a swimmer, you dream of one day going to the Olympics. But when you grow up," she added, "you realize that was just a dream."

?He believes has been given the opportunity to actually fulfill his dream.?

Bill Briggs is a frequent contributor to msnbc.com and author of ?The Third Miracle.??

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Source: http://usnews.nbcnews.com/_news/2012/08/29/13527871-from-darkness-to-gold-blinded-navy-swimmer-set-to-race-at-paralympics?lite

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Google Now update brings public safety alerts, lets sports fans manually pick teams and adds movie listings

Google Now update adds public alerts, lets sports fans manually pick their teams and adds movie listings

If you're sporting Android 4.1 Jelly Bean then one of its most notable features just got better, as an update for the Google Search update is enhancing Google Now (still getting adjusted? check the guide book for a list of commands) functionality in a few key ways. The new version brings public alerts to your Now page, with emergency messages like storm warnings or earthquake alerts, so if you're in range of Hurricane Isaac, it may be worth grabbing sooner rather than later. A more trivial change lets sports fans manually select their favorite teams from 140 pro soccer, baseball, basketball and hockey clubs -- we tried to find our college favorites and were denied, for now. While trying to automatically decipher our preferred squads from searches is nice, it might not be practical when we're just looking up information on our fantasy football players so this should be a help.

It has also added support for movie listings as seen above. Search for a flick that's in theaters and you will not only receive relevant information, but also when and where it's playing in your area. If that's not enough, it can be set to pop up on your "movie days" or when you just happen to be loitering outside a theater. Finally, in a move that should please many prospective Galaxy Note II owners it is ready to work in Korea -- grab the new version of the app at the link below.

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Google Now update brings public safety alerts, lets sports fans manually pick teams and adds movie listings originally appeared on Engadget on Wed, 29 Aug 2012 19:49:00 EDT. Please see our terms for use of feeds.

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Source: http://www.engadget.com/2012/08/29/google-now-emergency-alerts-sports-movies/

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Marijuana activists seek vote to block Los Angeles dispensary ban

LOS ANGELES (Reuters) - Marijuana activists in Los Angeles, the hub of America's medical cannabis industry, said on Wednesday they will submit a petition of 50,000 signatures to block a municipal ban on pot dispensaries from taking effect next week.

The move comes amid a widening dispute over pot shops in California's most populous city. Residents complain dispensaries are a nuisance that draw riffraff, but the store owners say they serve patients with serious diseases like cancer and AIDS.

"We believe that this total ban would not allow for safe access for some of the city's sickest patients," said Rigoberto Valdez, vice president of a local union and a member of the Committee to Protect Patients and Neighborhoods.

The committee said it would turn in 50,000 signatures on Thursday, which would immediately put the ban on hold while officials check if more than 27,000 valid signatures are there to force a March 2013 referendum. Until that vote, the city would be prohibited from enforcing the ban, officials said.

Los Angeles has an estimated 1,000 dispensaries. They have multiplied quickly in recent years, even though pot remains illegal under federal law and the U.S. government has cracked down on several cannabis shops in southern California.

A 14-0 vote last month by the mostly liberal Los Angeles City Council to close down the medical marijuana dispensaries represented a significant blow to the industry in a state where voters in 1996 became the first to allow the drug as medicine. But officials had expected the industry to fight back.

The committee challenging the ban is made up of organized labor for dispensary employees, the shops themselves and patients, said Valdez, vice president of United Food and Commercial Workers local 770. The group supports reducing the number of dispensaries in the city to 100.

Seventeen states and the District of Columbia allow medical marijuana. Voters in Washington state, Colorado and Oregon will decide in November whether to allow recreational use of pot.

Los Angeles City Councilman Jose Huizar, the author of the ordinance to ban dispensaries, said he proposed it due to nuisance complaints from residents and dispensaries selling to recreational users faking a medical ailment.

"I've got parents complaining to me that they're walking with their kids down the street, and there's marijuana smoke either coming from the dispensary or people smoking it on the street outside," Huizar said.

Medical marijuana trade group Patient Care Alliance and 11 patients filed a lawsuit in Los Angeles Superior Court this month seeking to block enforcement of the ban. A judge has not ruled on that request from the group, which is separate from the activists planning to submit signatures on Thursday.

(Reporting By Alex Dobuzinskis; Editing by Cynthia Johnston and David Brunnstrom)

Source: http://news.yahoo.com/marijuana-activists-seek-vote-block-los-angeles-dispensary-003823967.html

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The Fidus Group Offers Commercial Roofing Services in ...

Undetected damage to commercial roofing in Jacksonville can lead to insect infestations, damp conditions, and rot.

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About The Fidus Group ? Jacksonville Home Builders & Roofers

The Fidus Group is a professional roofing contractor and general contracting firm that has built a solid reputation for the quality services they provide for property owners in Jacksonville, St. Augustine, and the rest of Northeast Florida. They value long-term relationships with clients and are committed to delivering lasting customer satisfaction.

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The Fidus Group Offers Commercial Roofing Services in Jacksonville, FL

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Wednesday, August 29, 2012

Legendary US pianist diagnosed with cancer ? RT

U.S. pianist Van Cliburn (Reuters/Alexander Natruskin)

?The Texan Who Conquered Russia? Van Cliburn, who won the first Tchaikovsky Piano Competition at the height of the Cold War, has been diagnosed with advanced bone cancer.

?The 78-year-old piano legend is currently ?resting comfortably at his Texas home under excellent care, his spirits are high,? his long-time friend and publicist Mary Lou Falcone is quoted as saying.

The piano legend has played for international heads of states and for every American President since Harry Truman.

He started taking piano lessons from his mother at the age of 3. His debut with the Houston Symphony Orchestra took place when the prodigy was only 12-years-old. Cliburn studied at Juilliard, won the famed Leventritt Competition and performed with a number of orchestras across the country.

But a real breakthrough in his career came in 1958 when the 23-year-old pianist won one of the world?s most prestigious contests, the first International Tchaikovsky Competition in Moscow.

Since then he has sold out concerts, broke record sales and even prompted an Elvis Presley fan club to change its name to his.

Tired of years of stardom, in the late 1970s Cliburn took a sabbatical, feeling emotionally drained from endless touring. He moved from New York to Fort Worth, and has been living there ever since.

He began playing publicly again in the late 1980s. Until recently he practiced daily and performed limited engagements.

Cliburn won a Grammy Lifetime Achievement Award in 2004, and was presented with the Presidential Medal of Freedom in 2003.

Source: http://rt.com/art-and-culture/news/van-cliburn-cancer-tchaikovsky-718/

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Why Evangelicals Are Supporting Romney

Does evangelical support for Mitt Romney require them evangelicals elevate political partisanship over theological integrity? ?Does this show that evangelicals are willing to compromise their core theological beliefs in service to their political agenda?

I don?t think so ? but some have suggested it does. ?As the Republican national convention is underway, it?s worth revisiting this issue:

Jonathan Merritt wrote back in early June:

What?s surprising in 2012 is the relative lack of anxiety on the other [non-Mormon] side, among evangelicals who for years considered Mormonism a ?cult? that was to be feared, not embraced.

In fact, the relative ambivalence among prominent evangelicals about this new ?Mormon moment? ? and the fact that Romney?s campaign could mainstream Mormonism right into the Oval Office ? could radically shift the dynamics on America?s political and religious landscape.

My friend and Patheos blogger Scot McKnight?said that Merritt ?nails it.? ?He goes on: ?the evangelical voice has grown strangely silent on Romney?s Mormon faith, and it is for one reason: politics too often matters more.?

I disagree. ?Conservative evangelicals (progressive evangelicals are another matter, of course) are supporting Romney because they?re showing a measure of political maturity.

First of all, evangelicals like myself who supported Romney throughout the primary know that other evangelicals were hardly holding their fire when it comes to Mitt?s Mormonism. ?I can?t tell you how many emails and messages I received informing me that Mormonism is a cult and that supporting Romney for the GOP candidacy was doing the devil?s work. ?Robert Jeffress is commonly cited as the voice of the evangelical extreme on this issue,?but while I stringently disagreed with labeling Mormonism a ?cult,? what Jeffress articulated at the Values Voters Summit in 2011 was a reasonable position: Given two equally qualified conservatives candidates, one Mormon and the other evangelical, he would prefer an evangelical. ?But Jeffress made clear even then that, were Romney to win the nomination, he would have Jeffress? full support over against Barack Obama.

Let?s not forget that some Christian conservatives were so concerned by what looked like the increasingly likely prospect of a Romney presidency that they rallied in a Texas conclave in order to come to a consensus on an alternative to support. ?While Romney?s representatives were invited, the conclave was a microcosm of the primary, where social conservatives lurched from one bad candidate to another, in search of a Not-Mitt to support.

Once he won the primary, however, was it hypocritical of conservative evangelicals then to support Romney? ?Are they showing that they care more about the election of a conservative than the salvation of souls?

Of course not. ?There?s no compelling reason to believe that Mitt?s election would lead more people to convert to Mormonism. ?George W. Bush did not make Methodism more popular, and Barack Obama has not made the United Church of Christ more popular. ?There?s no evidence that John F. Kennedy swelled the ranks of the Mormon church, and no one seemed terribly concerned that Joseph Lieberman as Vice President would lead more people to become Jewish.

Granted, you might say, but Mormonism is on the fringe in a way that Methodism and Catholicism are/were not. ?This would ?mainstream? Mormonism, and thus would lead more people to take Mormonism seriously as a religious option. ?To which I say: So what? ?Let them learn about Mormonism and make a decision. ?I?m not afraid of people learning more about Mormonism and its distinctives from historic Christianity. ?And if Americans learn that Mormons are by and large ordinary and honorable people, that?s a good thing, in my book. ?Besides, a Mitt Romney presidency is just as likely to turn people off from Mormonism as it is to turn them on.

Perhaps evangelicals are supporting Romney because they understand that they?re voting for a President and not a Pontiff. ?Perhaps they?re supporting Mitt for the Presidency because, you know, they actually think he?d be a better President than Romney. ?Seems perfectly reasonable to me. ?While I would be uncomfortable with a satanist in the White House because I do fear that his fundamental values and beliefs would lead him to make decisions I would regard as morally objectionable, I have no reason to believe that the distinctive Mormon christology would lead Romney to make the wrong executive decisions.

Evangelicals are supporting Romney because they?re grownups. ?Many wanted someone else to win the primary, but evangelicals are not merely mashing their sour grapes. ?They?re supporting the man who is, by a hundred miles, a far better man for the White House than Barack Obama. ?We recognize the importance of evicting Obama from the White House; we understand they we?re not endorsing a theological but electing an executive; and we?re prioritizing issues like protecting the unborn and rebuilding a flourishing economy and culture over having someone in the White House who thinks about the Trinity in the same way we do.

That?s not hypocrisy. ?It?s maturity.

Romney?s speeches at places like Liberty University have made a difference, as Romney has begun to project the kind of full-orbed vision of American renewal, from its moral and cultural roots to its families and communities and businesses and economy, that conservative evangelicals are eager to support. ?Obama?s decisions and statements with regard to the HHS mandate and same-sex marriage have only strengthened evangelical support for Romney as well.

In the last analysis, evangelicals find themselves facing in this election just as they have for two generations this inexorable logic: (a) Abortion is the supreme moral issue of our time. ?(b) The Democratic Party is unequivocally the party of abortion. ?(c) Electing a Democrat (even a pro-life one, which Obama is not) is strengthening the party of abortion and prolonging the abortion regime in America. ?(d) Ergo, the only hope for serious progress on the abortion issue is in electing Republicans.

But it?s not only the abortion issue. ?On many issues, Romney gives conservative evangelicals the best chance for progress. ?When you consider the fact that he is also a man of extraordinary personal integrity, even more remarkable intelligence and competency, and an extremely successful business leader with precisely the kind of economic experience this country needs, there?s no question why conservative evangelicals would support Romney. ?Because they?re not stupid.

Source: http://www.patheos.com/blogs/philosophicalfragments/2012/08/28/why-evangelicals-are-supporting-romney/

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How Car Hire Services Are Important In Day To Day Life?

By: georgesmith

Brisbanehirecar.net.au is known for its excellent quality services, it offers the best cars for different purposes. A car is very important; it not just helps in easy travelling but also helps in creating good impressions on others. One can hire them at any point of time as per the need, these companies also offer the opportunity to select the car model as per the budget and choice as every car has different rate. One can take the help of online sites to make the bookings so that the best car is chosen. The car hire services help in many things, especially in our day to day life thy help a lot.
One can book them for going to market; many times there are so many things which are needed to be bought from the market. In such times, one can hire them for going to different market areas with ease. Some of these car services also provide drivers; they are so experienced that they help in saving a lot of time. They know all the routes and directions, by taking the shortcuts; they help in reaching to different areas at short span of time. Other than shopping, people can also hire them for going to some event or occasion. They are available on time and help in going to some special function in an easy way. One can travel with family all together and can enjoy the journey in a comfortable way. The main aim of these car hire services is to make sure that the customer reaches desired location on time and with great ease.
Foe business purpose, these cars are best, they help traveling with ease. One can read documents, files or can just take rest during the journey. The car is taken cared by the driver; they ensure that they reach for business deals on time. Even these cars create a good impression on the clients and helps in getting good deals. It is best to book them in advance so that no problem is faced during the last moment; one can take the help of online sites and can make the bookings as per the need. These agencies are available all over the place; one can also select the car by directly going to the company.
The best part of these cars are that they can be booked in odd hours also as their services are available round the clock. Most of the times for airport pick or drop services; they are hired as they help in reaching airport on time. For the pickup they are always waiting with their service which makes the person feel relaxed and great. People like then a lot and hire them for all the big and small reasons. The brisbanehirecar.net.au helps in making the travelling experience much better and exciting, and provides great comfort and easiness during journey.


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Gambia executes 9 death row inmates

BANJUL, Gambia (AP) ? Gambia's government says nine inmates who were on death row have been executed by a firing squad.

President Yahya Jammeh had announced during his end-of-Ramadan speech that his government would execute all the prisoners on death row in a move to curb crime.

The Ministry of Interior issued a statement late Monday saying the executions were carried out the day before after the inmates had lost final court appeals of their death sentences.

Amnesty International confirmed the executions but said they occurred Friday.

The United States said Tuesday it was "greatly concerned." State Department spokeswoman Victoria Nuland condemned the lack of transparency and apparent lack of due process. In a statement, Nuland said the U.S. is urging Jammeh to immediately halt all executions in order to review all Gambia's capital cases to see they accord with domestic and international law.

Source: http://news.yahoo.com/gambia-executes-9-death-row-inmates-214941705.html

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Steel pollution case highlights Italy's slow decline

TARANTO, Italy (Reuters) - The sprawling ILVA steelworks has loomed over the skyline of Taranto and dominated the city's economy for 50 years, but toxic pollution has transformed the site from a symbol of postwar prosperity to an emblem of Italy's long industrial decline.

Following years of uncontrolled environmental abuse, the future of the plant, the largest steel producer in Europe, now hangs in the balance after judges finally stepped in last month and ordered it to clean up or be shut down.

The plant's owners, the family-owned Riva group, must now wait until the end of September for a specially appointed group of experts to decide what action it must take to gain a new environmental certificate allowing continued operation.

As many as 20,000 jobs are at risk in an area already weakened by high unemployment, while officials look for a solution to a problem that has produced abnormal levels of tumors and chronic respiratory disease in the city, located on the "heel" of southern Italy.

"How are people supposed to live?" said former ILVA worker Michele Fiorino, as he stood in Tamburi, a rundown Taranto suburb that stands in the shadow of the plant and where mortality rates are as much as 70 percent above the city average.

"At night when it's hot like this, you've got a choice; sleep with the windows open and risk getting covered in black dust, or closing the windows and turning on the air conditioning, and not everyone around here can afford that," he said.

Behind the immediate health threat, ILVA is a stark example of the suffocating mix of short-term political expediency, poor oversight and endemic corruption that has given Italy the most sluggish economy of any euro zone country over the course of a decade, with average growth of less than one percent a year.

Unlike more modern steel plants in Germany or France, with their advanced filters and safety systems, ILVA's huge smokestacks dump thousands of tons of choking dust on the city every year, giving many of the buildings in Tamburi a distinctive black or dull-red tone.

Emissions of dioxins, benzoapyrene and other cancer-causing chemicals have poisoned fishing and farmland for miles around in what a Taranto court described as an "environmental disaster".

Court documents say the Riva group has made numerous unfulfilled pledges to clean up at the site, and company head Emilio Riva has been convicted twice of environmental offences over the past decade.

However, until magistrates seized key parts of the site at the end of July, no effective action had ever been taken to stop the pollution or make ILVA match environmental standards laid down in European Union regulations.

Giorgio Assennato, head of the ARPA environmental authority in the Puglia region where Taranto is located, said the fact that it took the courts to intervene and shut the plant despite repeated warnings from ARPA and other authorities laid bare a dangerous weakness in regulatory control.

"We have to accept the fact that in Italy you have to turn to the criminal justice system because the system of environmental governance is unbalanced by lobbies, which use improper practices to influence institutions for their own advantage," he said.

"MANNA FROM HEAVEN"

As national elections approach next year, the case of ILVA, one of the few big industrial employers left in the south, underlines the complexity and scale of the challenge that will face any government trying to make the deep structural reforms needed to restore Italy's sclerotic economy.

"The story of Taranto is not just a story of pollution and jobs, it is the story of a country that has been unable to create an alternative to its old heavy industry," said Andrea Colli, a professor at Milan's Bocconi University and a specialist in industrial and business history. "It says a great deal about the wider problems in the Italian economy."

Built by the state-owned Italsider group in the late 1950s during a drive to industrialize the poor and underdeveloped south, ILVA was originally intended to be a specialist maker of steel tubes for Italy's then-booming oil refinery sector.

By the time its furnaces began operations in 1964, political interests had changed the original project and created Italy's fourth large general-purpose steelmaker, aimed in part at providing jobs in an underdeveloped region and incidentally serving as a votes factory for local politicians.

Thousands of agricultural workers left the land for secure and relatively well-paid work in the factory, joining the economic boom that was transforming postwar Italy but which at the same time was leaving the south dangerously dependent on a few isolated industrial mastodons.

"It was like manna from heaven for the region when it opened," said Franco Tocci, who worked at the plant from 1964 until he retired in 1995, a month after ILVA was privatized and sold to the Riva group. "No one talked about pollution until much later."

Environmental concerns counted for little, and the economic justification for the plant played second fiddle to regional development and the political convenience of a large workforce and major industrial site.

The plant's workforce has since fallen from more than 22,000 at its height in the 1980s to just 12,000 today, with another 8,000 workers who depend directly on the plant.

Fears of job losses have continued to hamper action in a region where unemployment stands at 37 percent in some areas and where only one working-age person in three has a job.

Concerns about pollution were easily brushed aside by management, unions and local politicians, despite plentiful evidence of serious problems at the site.

"This has been a problem for 40 years," said Ippazio Stefano, the mayor of Taranto and a doctor who has observed the effect of the pollution at first hand.

"I got my degree in 1970, when ILVA had been operating for 10 years. My thesis was: 'An increase in lung tumors in an industrial city'".

ABUSES

Prosecutors finally acted after a damning series of reports from ARPA and an analysis of dioxin in a sample of local pecorino sheep's cheese commissioned by a local environmental group in 2008 added to growing evidence of abuse.

Documents from the Taranto court that ordered the ILVA plant be put under special administration and cleaned up suggest the problem was deliberately concealed by management.

The court, which initially ran into fierce union and government opposition, accuses the Riva group of obstructing environmental inspectors and knowingly allowing the deadly pollution to continue.

It has placed Emilio Riva and two others under house arrest pending further investigations that involve a number of politicians and public officials.

However, many questions remain about why the problem was allowed to persist without anyone intervening to stop it, and in particular why the plant was granted an environmental clearance in 2011.

Prosecution wiretap evidence cited in the documents alleges that senior executives of the group tried to silence journalists and, in at least one case, pay off an outside expert to provide a favorable environmental assessment of the site.

"There's been no conviction, and it's still unproven of course, but it does seem that there has been corruption involved," Stefano said.

ILVA did not respond to repeated email and telephone requests for comment, but Bruno Ferrante, the former government official named in July to run the plant, has pledged to cooperate with environmental authorities in the clean-up.

Beyond the allegations of individual wrongdoing, the case points to the weakness of the institutions supposed to regulate industry and ultimately ensure that it matches the standards observed by competitors in other countries.

"This is a potential bomb in terms of jobs," said Marco Bentivogli, secretary of the FIM-CISL metalworkers union. "But there shouldn't have to be a choice between jobs and the environment."

(Editing by Will Waterman)

Source: http://news.yahoo.com/analysis-steel-pollution-case-highlights-italys-slow-decline-070931895--finance.html

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General surgeons identify postoperative complications posing strongest readmission risk

General surgeons identify postoperative complications posing strongest readmission risk [ Back to EurekAlert! ] Public release date: 28-Aug-2012
[ | E-mail | Share Share ]

Contact: Sally Garneski
Pressinquiry@facs.org
312-202-5409
American College of Surgeons

Findings published in the Journal of the American College of Surgeons lead researchers to devise a patient safety plan to decrease complications for the benefit of patients and hospitals

Chicago(August 28, 2012) Postoperative complications are the most significant independent risk factor leading to 30-day hospital readmissions among general surgery patients, according to a new exploratory study published in the September issue of the Journal of the American College of Surgeons.

"Hospital readmissions are the tip of the iceberg, but when you dig deeper, it is the postoperative complications that drive readmissions among general surgical patients," said senior study author John F. Sweeney, MD, FACS, chief, division of general and gastrointestinal surgery at Emory University School of Medicine, Atlanta. He also is director of the department of surgery's clinical quality and patient safety program. Dr. Sweeney and his coauthors note that, "Better understanding the predictors of readmission for general surgery patients will allow hospitals to develop programs to decrease readmission rates."

Researchers conducting this retrospective study analyzed patient records from hospitals that were enrolled in the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP), which is the leading nationally validated, risk-adjusted, outcomes-based program to measure and improve the quality of care in private sector hospitals. Data from Emory University Hospital was merged with ACS NSQIP data to identify unplanned readmissions.

Researchers reviewed the records of 1,442 general surgery patients who were operated on between 2009 and 2011. Of them, 163 patients, or 11.3 percent, were readmitted to the hospital within 30 days of discharge. The researchers analyzed type of surgical procedure, postoperative complications, ICD-9 coding data, comorbidities, and patient demographics to identify common risk factors associated with readmissions.

"Surgical patients are different from medical patients because the surgical procedure, in and of itself, places them at risk for readmission to the hospital, above and beyond the medical problems," Dr. Sweeney said.

The study authors said the current focus on hospital readmission rates comes from changing regulations issued by the Centers for Medicare & Medicaid Services (CMS), now holding hospitals responsible for 30-day readmissions for medical diseases with a plan to follow suit for surgical patients. The CMS policy means reduction of hospital reimbursements based on an adjustment factor determined by a hospital's expected and observed 30-day readmission rates.

Researchers examined the reasons for hospital readmission and found specific surgical procedures, the number of postoperative complications each patient experienced, and the severity of complications were leading risk factors for readmission.

"Complex gastrointestinal procedures carry a higher risk of hospital readmission," said Dr. Sweeney. "Pancreatectomy, colectomy, and liver resection have a higher complication rate because of the surgical complexity."

Based on analysis of ICD-9 coding data, researchers reported that gastrointestinal complications carried a high27.6 percentrisk of readmission, while surgical infections reached 22.1 percent. These top two reasons accounted for nearly 50 percent of all readmissions according to the researchers.

Dr. Sweeney and colleagues found the more postoperative complications a patient experiences, the more likely the risk of readmission. "A patient who has one complication is more likely to be readmitted than a patient with no complications," Dr. Sweeney said. "The more complications a patient experiences, the more likely the readmission. In the hospital, a patient who experiences a complication has a lower risk of readmission compared with a patient who develops a complication after going home."

The research team reported that patients who had one or more complications after their operation were four times more likely to be readmitted to the hospital compared with those who had no complications. They found patients with the highest rate of readmissions were those who experienced two postoperative complications.

The study findings showed the median length of hospital stay was five days for patients with no complications; nine days for patients with one complication; and 24 days for patients with three or more complications.

Researchers found that patients with postoperative sepsis or urinary tract infections (UTIs) were about five times more likely to be readmitted than patients without these complications. Postoperative wound infection and postoperative pulmonary complications carried a 3.5 fold increase in readmission rates.

"The leading surgical complications are wound infections, pulmonary complications, and urinary tract infections," Dr. Sweeney said. "UTIs were the worst complication, we found, although they don't happen frequently, but they are associated with the highest risk of readmission," he said.

A reduction in postoperative complications would carry huge financial implications for hospitals, patients, and payers, according to Dr. Sweeney.

Dr. Sweeney reported that the results of this investigation provided a framework for his research team to develop a simple complication-prevention plan that minimizes the risk of surgical patients developing complications. This patient safety approach includes engaging the postoperative care team to start transition-of-care planning earlyespecially for high risk patientsto encourage early discharge from the hospital.

"The biggest bang for the buck is going to be a combination of decrease of complica-tions, and decrease of length-of-stay, resulting in decrease of readmissions," Dr. Sweeney said. "Decreasing complications will benefit the patient, the hospital, and the payer, and will improve quality of care," he said. "It will decrease length-of-stay and decrease hospital readmissions," he concluded.

###

This study was funded in part by a grant from the National Institutes of Health/National Institute on Aging.

About the American College of Surgeons

The American College of Surgeons is a scientific and educational organization of sur-geons that was founded in 1913 to raise the standards of surgical practice and to improve the care of the surgical patient. The College is dedicated to the ethical and competent practice of surgery. Its achievements have significantly influenced the course of scientific surgery in America and have established it as an important advocate for all surgical patients. The College has more than 78,000 members and is the largest organization of surgeons in the world. For more information, visit www.facs.org (.)



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General surgeons identify postoperative complications posing strongest readmission risk [ Back to EurekAlert! ] Public release date: 28-Aug-2012
[ | E-mail | Share Share ]

Contact: Sally Garneski
Pressinquiry@facs.org
312-202-5409
American College of Surgeons

Findings published in the Journal of the American College of Surgeons lead researchers to devise a patient safety plan to decrease complications for the benefit of patients and hospitals

Chicago(August 28, 2012) Postoperative complications are the most significant independent risk factor leading to 30-day hospital readmissions among general surgery patients, according to a new exploratory study published in the September issue of the Journal of the American College of Surgeons.

"Hospital readmissions are the tip of the iceberg, but when you dig deeper, it is the postoperative complications that drive readmissions among general surgical patients," said senior study author John F. Sweeney, MD, FACS, chief, division of general and gastrointestinal surgery at Emory University School of Medicine, Atlanta. He also is director of the department of surgery's clinical quality and patient safety program. Dr. Sweeney and his coauthors note that, "Better understanding the predictors of readmission for general surgery patients will allow hospitals to develop programs to decrease readmission rates."

Researchers conducting this retrospective study analyzed patient records from hospitals that were enrolled in the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP), which is the leading nationally validated, risk-adjusted, outcomes-based program to measure and improve the quality of care in private sector hospitals. Data from Emory University Hospital was merged with ACS NSQIP data to identify unplanned readmissions.

Researchers reviewed the records of 1,442 general surgery patients who were operated on between 2009 and 2011. Of them, 163 patients, or 11.3 percent, were readmitted to the hospital within 30 days of discharge. The researchers analyzed type of surgical procedure, postoperative complications, ICD-9 coding data, comorbidities, and patient demographics to identify common risk factors associated with readmissions.

"Surgical patients are different from medical patients because the surgical procedure, in and of itself, places them at risk for readmission to the hospital, above and beyond the medical problems," Dr. Sweeney said.

The study authors said the current focus on hospital readmission rates comes from changing regulations issued by the Centers for Medicare & Medicaid Services (CMS), now holding hospitals responsible for 30-day readmissions for medical diseases with a plan to follow suit for surgical patients. The CMS policy means reduction of hospital reimbursements based on an adjustment factor determined by a hospital's expected and observed 30-day readmission rates.

Researchers examined the reasons for hospital readmission and found specific surgical procedures, the number of postoperative complications each patient experienced, and the severity of complications were leading risk factors for readmission.

"Complex gastrointestinal procedures carry a higher risk of hospital readmission," said Dr. Sweeney. "Pancreatectomy, colectomy, and liver resection have a higher complication rate because of the surgical complexity."

Based on analysis of ICD-9 coding data, researchers reported that gastrointestinal complications carried a high27.6 percentrisk of readmission, while surgical infections reached 22.1 percent. These top two reasons accounted for nearly 50 percent of all readmissions according to the researchers.

Dr. Sweeney and colleagues found the more postoperative complications a patient experiences, the more likely the risk of readmission. "A patient who has one complication is more likely to be readmitted than a patient with no complications," Dr. Sweeney said. "The more complications a patient experiences, the more likely the readmission. In the hospital, a patient who experiences a complication has a lower risk of readmission compared with a patient who develops a complication after going home."

The research team reported that patients who had one or more complications after their operation were four times more likely to be readmitted to the hospital compared with those who had no complications. They found patients with the highest rate of readmissions were those who experienced two postoperative complications.

The study findings showed the median length of hospital stay was five days for patients with no complications; nine days for patients with one complication; and 24 days for patients with three or more complications.

Researchers found that patients with postoperative sepsis or urinary tract infections (UTIs) were about five times more likely to be readmitted than patients without these complications. Postoperative wound infection and postoperative pulmonary complications carried a 3.5 fold increase in readmission rates.

"The leading surgical complications are wound infections, pulmonary complications, and urinary tract infections," Dr. Sweeney said. "UTIs were the worst complication, we found, although they don't happen frequently, but they are associated with the highest risk of readmission," he said.

A reduction in postoperative complications would carry huge financial implications for hospitals, patients, and payers, according to Dr. Sweeney.

Dr. Sweeney reported that the results of this investigation provided a framework for his research team to develop a simple complication-prevention plan that minimizes the risk of surgical patients developing complications. This patient safety approach includes engaging the postoperative care team to start transition-of-care planning earlyespecially for high risk patientsto encourage early discharge from the hospital.

"The biggest bang for the buck is going to be a combination of decrease of complica-tions, and decrease of length-of-stay, resulting in decrease of readmissions," Dr. Sweeney said. "Decreasing complications will benefit the patient, the hospital, and the payer, and will improve quality of care," he said. "It will decrease length-of-stay and decrease hospital readmissions," he concluded.

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This study was funded in part by a grant from the National Institutes of Health/National Institute on Aging.

About the American College of Surgeons

The American College of Surgeons is a scientific and educational organization of sur-geons that was founded in 1913 to raise the standards of surgical practice and to improve the care of the surgical patient. The College is dedicated to the ethical and competent practice of surgery. Its achievements have significantly influenced the course of scientific surgery in America and have established it as an important advocate for all surgical patients. The College has more than 78,000 members and is the largest organization of surgeons in the world. For more information, visit www.facs.org (.)



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Source: http://www.eurekalert.org/pub_releases/2012-08/acos-gsi082712.php

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