DOE Fast Tracks Inspection of Completed ER No. 1-94 Projects

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The Department of Energy (DOE), through its Electric Power Industry Management Bureau – Rural Electrification Administration and Management Division (EPIMB-REAMD) has successfully inspected 74%, or 53 of the 72 development projects that have been implemented by various Local Government Units (LGUs) hosting generating facilities or power plants funded under the Energy Regulations No. 1-94 (ER No. 1-94) Program. These inspections are in line with DOE Secretary Alfonso G. Cusi’s policy issuances, DC2018-08-0021, which redirects the administration of the ER No. 1-94 Program to LGUs, as well as the first Implementation Advisory Letter on the guidelines for the direct remittance of financial benefits by Generation Companies to their host communities starting CY 2019.

Under the ER No. 1-94 or Benefits to Host Communities Program, pertinent LGUs are entitled to avail of financial benefits for hosting energy resources and/or energy-generating facilities within their territorial jurisdiction.

The Program provides for Generation Companies and/or energy resource developers to set aside PhP 0.01 per kilowatt-hour of their total electricity sales as financial benefits to host communities, which shall be allocated to three types of funds: one-half of one centavo for the Electrification Fund of the concerned Distribution Utilities; one-fourth of one centavo for the Development and Livelihood Fund; and another one-fourth of one centavo for the Reforestation, Watershed Management, Health and/or Environment Enhancement Fund of the host LGUs.

“The Department has been working hard to complete the close-out of ER No. 1-94 projects so that the succeeding financial benefits will benefit the host communities directly,” Sec. Cusi said.

He further added that the direct remittance of financial benefits to host communities would lead to a considerable increase in public sector projects to be realized by host LGUs and their Distribution Utilities, which would redound to the benefit of their respective constituents and customers.

EPIMB-REAMD has been tasked to complete the inspection of the remaining 19 ER No. 1-94 projects within 2019.

Examsnap Guide: Cisco CCNP Routing and Switching Certification and Its Exams

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CCNP R&S is among the five levels of the entire Cisco certification program. Precisely, it is under a professional level. The Cisco Certified Network Professional Routing and Switching credential confirms the competence to plan, troubleshoot, implement, and verify wide-area and local-area enterprise networks and to collaborate with the professionals on advanced video, wireless, security, and voice solutions.

CCNP R&S is suitable for those IT professionals who have at least one-year networking experience and want to advance their skills further. These specialists are going to work effectively on complex network solutions independently. Those individuals who achieve this certificate have actually demonstrated that they have the abilities needed in enterprise roles, such as a systems engineer, a support engineer, and a network technician.

Visit Website https://www.examsnap.com/ for more details.

To apply for the Cisco Certified Network Professional Routing and Switching certification, you need to hold the current CCNA Routing and Switching or any Cisco CCIE credential.

How to achieve Cisco CCNP R&S certification?

As it was mentioned, getting the CCNP Routing & Switching credential is the next step after receiving CCNA R&S, which is an associate-level certification. To become CCNP R&S certified, you must take and pass three exams:

300-101 ROUTE

300-135 TSHOOT

300-115 SWITCH

Therefore, it is very important that you take exam preparation seriously and prepare thoroughly for these testsin order to pass them and gain your certification. Examsnapis the best place to start your CCNP R&S certification exam preparation. Here, you will get exam dumps, which have been approved by the certified professionals who have taken and passed these tests with high scores.

Details of CCNP R&S certification exams

You will have to concentrate on three exams. All the CCNP R&S certified professionals have passed them. This is a proof that they have acquired the knowledge to plan, verify, troubleshoot,and implement both small and large enterprise networks and also work successfully in corporation with the specialists on progressive video, security, voice, and wireless solutions.Let us now look at each CCNP R&S certificationexam in more detail.

300-101 ROUTE

As its name suggests, 300-101 ROUTE is an exam that is focused on route technologies. Compared to the other two CCNP R&S certification tests, Cisco 300-101 contains more questions. This is the main reason why most candidates find it a bit challenging to pass this exam at their first attempt. However, the individuals who make use of braindumps from Examsnap are more likely to excel in this test. These exam dumps are compiled by Cisco experts and are verified by certified professionals. You can also answer exam questions from Examsnap to see your level of knowledge before attempting 300-101 ROUTE.

Cisco 300-101 ROUTE contains 45-65 questions that should be answered within 120 minutes. The available languages are English and Japanese.

300-115 SWITCH

The 300-115 SWITCH exam revolves around switching technologies. To pass this test, you must learn how to plan, verify, and configure the implementation of the advanced switching solutions. Be sure to prepare thoroughly. Otherwise, you will not be able to get the passing score. Use different study resources and materials when learning for this exam. Examsnap is one of the leading preparation resources. Take a lot of practice tests to understand how the questions are framed and how to answer them.

Cisco 300-115 SWITCH consists of between 30 and 40 questions, and you must choose English or Japanese to write. There are 120 minutes to complete this exam.

300-135 TSHOOT

The 300-135 TSHOOT exam is dedicated to troubleshooting. To pass this test, you have to know how to plan and carry out daily maintenance or switched and routed networks in a small and large enterprise environment. Passing this certification examalso shows that you can use an ITIL-compliant approach.

Cisco 300-135 TSHOOT include a total of about 15-25 questions. The exam duration is 120 minutes. English and Japanese are available languages for this test.

Recertification

All the Cisco professional-level certifications are valid for only 3 years. Therefore, an IT specialist is required to recertify after every three years. You should visit the official website and find the options of recertification. In general, you must pass one of the exams or to achieve a higher credential.

As this certification requires three tests, you will have to pay for each one. The prices may sometimes vary from country to country or state to state depending on the taxation policies. Check this information before registering.

Preparation for CCNP R&S certification exams

Examsnap offers a wide variety of exam dumps and practice tests for the candidates who have enrolled for the Cisco certification program and are learning for the exams. It is recommended that you take as many practice tests as possible when preparing for your real Cisco exams. That way, you will master the tricks of how the questions are likely to appear in the test.

Exam dumps make it easier for you to be ready for the CCNP R&S certification tests. It is not even necessary to go through specific training. With verified braindumps from Examsnap, you don’t need to read a lot of books. Exam dumps are the best way to feel confident and work on your weak areas.

Career opportunities

The IT professionals with the CCNP Routing and Switching credential can work as support engineers, network engineers, network technicians, or systems engineers. This certification opens many doors for great opportunities.

Conclusion

The CCNP Routing and Switching certification is highly valued globally and it is one of the most desired Cisco professional-level certificates. Enroll for the Cisco certification program today and prove your skills by passing the three exams. You can become a Cisco certified professional!

Solving The Home Health Care Puzzle Successfully

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If you want to solve the health care puzzle of US that is the buzzword now with the changes brought in by the CMS, you will have to consider piecing together all those things that involves non-medical home care.

 You will have to focus on the social and economic determinants as well of health.

 Apart from that you will need to consider the palliative care that is designed to enhance the end-of-life comfort of the members as well.

When you have placed all these pieces together at their designated place in the puzzle, you will have to glue them using communication, culture and data.

There is a continual expansion of the Medicare Advantage program which ideally all the home health care agencies are uniquely positioned to capitalize on. This will play an important role in solving the puzzle.

For this you will need to know the broader aspect of health care integration, the potential hospice MA carve-in as well as the Primary Cares First Initiative that is launched by the Centers for Medicare and Medicaid Services. In addition to that you will need to know several other topics of conversation such as:

 The integration of Kindred at Home

 Rise of the pay-provider model and

 The shift from volume to value-based home health care.

The thing that will really intrigue you is the integration of the payer and the provider around a home and the member.

You will have to do a lot of work to understand how the payer and provider integrate and how they partner. You will also have to be adequately knowledgeable about some of the new payment models such as:

 Bundled payments

 ACOs and

 The Comprehensive Primary Care Initiative.

All of these factors will align the provider for home health care Philadelphia with the care receiver as well as the outcomes that the providers are trying to produce.

In most of the cases the providers usually take the risk in trying to align the community-pharmacy partnership, population health and the community based efforts. This will help the provider to support the patients between and even prevent doctor visits.

 Another exciting thing about the puzzle is the integration around the home that is where the patients live. This is a very personal place that will have a lot of contextual features of the lives and different aspects of the patients. In fact, it is this setting that will help the home health care provider to create a bigger impact and produce a more holistic improvement in the lives of the patients and people they serve.

 Another very thing about working for a Medicare Advantage plan is that there will be a lot more flexibility regarding how the providers support and engage home health care.

All in all, such a puzzle will not only be fun to solve but will also help you to be more creative, cooperative and comprehensive while all the time you will be able to be around that rules of traditional Medicare. MA and non-medical home care

These days, typically it is more about MA and non-medical home care. As far as MA is concerned it is of course more flexible as it was always in this space. However, the magic lies in trying to reach out to people where they live because you will need to understand the impact and influence of their social, behavioral as well as physical health needs.

The CMS has afforded some of the flexibility with its MA plans along with a few supplemental benefits.

 This provides a huge opportunity to the home health care service providers to be much more proactive than before regarding meeting patients where they live both literally and figuratively.

 This does not only involve meeting them in their homes but also involves meeting them along with the barriers as well as the personal and mental challenges that they face.

 This means they can be isolated, mentally depressed and even have problems with transportation. It could also be that they do not have healthy food to eat.

All these things form the bigger pieces of the puzzle that when fixed will give you a better picture but will place you a broader puzzle.

It is this specific area that you should focus now. This involves how you will pull all those remaining pieces together so that you can help your member in the true and best possible way.

The significant CMS moves

If you look at the historical perspective you will see that fairly recently the CMS has made some moves that suggests that hospice may be carved into Medicare Advantage. The policymakers even were encouraged to test this idea and put it into their policies. This is how the Value-Based Insurance Design or VBID was born and is expected to roll out in 2021.

However, the parameters of these are still not clear but you can expect it will be better and most effective to eventually carve in hospice into MA. As of now there is a forced choice between the two:

 Curative treatment or

 Palliative treatment.

According to type of treatment offered the payment too comes from different sources for that particular treatment. Well, this can result in forced choice delays care which in turn may create a great deal of anxiety for those patients suffering with advanced illness.

However, the idea behind carving hospice into MA is to provide a more seamless transition.

Therefore, theoretically and over time such an approach will stay and prove to be better in the fields of home care, home health, palliative care and hospice.

The main thing is that you do not have to go through the problems of having to change payers.

More importantly, you do not have to change the networks and all other things. In addition to that you are also not forced to make any of these decisions which may eventually make your feel that you are giving up something.

Therefore, CMS is really making an investment internally to create a better home health care system that could be ideally called the enterprise clinical operating model.