A 1930s engineering feat in Honduras is a metaphor for today's
healthcare system, according to several speakers at the December
Institute for Healthcare Improvement National Forum in Orlando,
including Don Berwick, MD, former CMS administrator, and Scott
Weingarten, MD, of director of health services research at Cedars Sinai
Health System in Los Angeles.
The Choluteca Bridge was built by the U.S. Army Corps of Engineers with
such design strength, it could withstand the worst of hurricanes that
affected the area. When Hurricane Mitch came in 1998, it destroyed 150
Honduran bridges, but not the Choluteca Bridge. Instead, the storm
rerouted the Choluteca River. So now, the Choluteca Bridge is useless.
Today's healthcare organizations are like the Choluteca Bridge, because
they were designed and built for a different river, the heavy-duty,
invasive procedures in high volume and serious illness, not for
prevention and health, several speakers said during a recent talk at
the Institute for Healthcare Improvement meeting in Orlando.
Via @HealthLeaders
Thursday, February 21
Wednesday, September 12
Reflection
I was 14 when my father died. I miss everything about him. He taught us that we shouldn’t be people of success; we should be people of values, because that is the only thing that endures. (Robert F. Kennedy, Jr.) What is my goal in life…to seek success or to be a person rooted in values that endure?
Sunday, March 25
Friday, March 2
Thursday, March 1
Tuesday, February 28
Monday, February 27
#daBoot at an Icemen Game
Here is the photo from the Icemen game on Saturday! The game made the history books with the first sold out game for the #FordCenter.
#daBoot and the big week ahead
So, this is a big week this week. I will have been to Turnoni's and an Icemen game in Evansville, Indiana then on to Cincinnati for work, and then on to China for my @UEBusiness international trip for my #MBA. I will be posting pics along the way!!
the foot without #daBoot
here is the awesome progress of the foot without #daBoot, but good news is the swelling is really down!
#daBoot
The story of #daBoot begins here. On my 38th birthday I was a Pump it Up (a party bouncy house place). We were there for my daughter's 6 year old party, her birthday was the day before mine. I came down a big bouncy slide and my foot hit the big pillow at the end wrong. Went to the Ortho Urgent Care the next morning to find out I had a spiral fracture on my big toe, severely sprained ankle and an injured achilles. Well the next set of posts to follow, will be my trips around the world with #daboot. Have fun following!
Sunday, August 14
Microeconomics
So, our professor tells a story how after one of his finals in college he took the book and ran over with his car in the parking lot. I feel like that now with his class in microeconomics. My brain is just made more for marketing!
Friday, June 24
Blueberry Pineapple Dump Cake
Awesome Recipe!!
Blueberry Pineapple Dump Cake
· 1 20 oz can crushed pineapple
· 2 cups of fresh blueberries
· 1 box of your choice of cake mix (I used white)
· ½ cup of melted butter
Drain off the pineapple juice (save it) and then just put the blueberries and pineapple in the bottom of the pain.
Mix the pineapple juice and melted stick of butter with the cake mix – spread over fruit
Optional (Can drizzle brown sugar on top)
Bake at 350F for 45-50 minutes
Blueberry Pineapple Dump Cake
· 1 20 oz can crushed pineapple
· 2 cups of fresh blueberries
· 1 box of your choice of cake mix (I used white)
· ½ cup of melted butter
Drain off the pineapple juice (save it) and then just put the blueberries and pineapple in the bottom of the pain.
Mix the pineapple juice and melted stick of butter with the cake mix – spread over fruit
Optional (Can drizzle brown sugar on top)
Bake at 350F for 45-50 minutes
The new clubhouse



I wish you all could have seen Zoe and Jayden's reaction when we got home yesterday. Zoe just kept saying Oh my and Jayden just kept gasping and saying it's a house! We played in the rain and then it let up. It was worth it to clean up the wet and muddy kids to let them play on their new swingset. It was better than Christmas morning.
Now Zoe has deemed it the 'clubhouse.' Think she is taking that one from Mickey Mouse. =)
Labels:
climb,
clubhouse,
fun,
slide,
summer,
summer fun,
summer pics,
swingset
Beloved Books
My kids are both BOOK HOGS. They love to read and/or be read to. I just love when I see worn out books. It means that a child has loved that book so much until its last days. It signifies this book's story has been loved and cherished. It represents some of the best bonding times with my kiddos and I love spending this precious time with them.
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