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90 Day

Transcript: * DO NOT BUY DURING DETOX Friday Cardio FITNESS GAME PLAN STRATEGIES MINDSET 2 scoops Fast Fuel 2 scoops FIBERMEND Nutrients Packet Almonds DINNER OPTIONS Salad Afternoon Snack * DO NOT BUY DURING DETOX Zone 1 for 2 Minutes Zone 2 for 2 Minutes Zone 3 for 1 Minutes Repeat 10 Times Strategy 1: Plan Meals for the Week 7:00AM: Multivitmin, Omega 3, Pre-Workout, 1/2 liter water 7:30AM: Pogo-Cruizer Park Play 10:30AM: Post-Workout Breakfast Blend, 1/2 liter water 2:00PM: Sexy Salad, 1/2 liter of Water 6:00PM: Greek Yogurt, 1/2 liter of water 9:00PM: Dinner (Protein, Bean, Salad) Multivitamin and Omega 3, 1/2 liter of water 10:00PM: Sleep Beats Onion Broccoli Asparagus Mushroom Carrots Baby Tomatoes Sweet Potato Jalapenos Never Skip Multivitamin or Omega 3 The Race to WIN 90 Day BEGINS with a PLAN! MONDAY 2 Healthy Fats EXERCISE Strategy 3: Avoid Temptation and Focusing on ULTIMATE Goal Chicken Beef Fish Ham Turkey Pork GAME PLAN STRATEGIES Pecans Almonds Walnuts GOAL 4 Tuesday 2 Proteins Balsamic Vinaigrette & Spicy Chipotle Mustard Spinach Broccoli Carrots Hemp Seed Hummus Corn Creamed vegetables Canned vegetables Bananas Figs Prunes Oranges Conventional beef Pork Luncheon meats Hot Dogs Sausage Bacon Eggs Shellfish Soybeans Ketchup Mustard Relish Soy Sauce Barbecue Sauce Chocolate Iodized Salt White of Brown Sugar Ketchup Mustard Relish Soy Sauce Barbecue Sauce Chocolate SATURDAY Strategy 2: If I Feel Hungry, CHUG Water Before Deciding to Eat LIST Avocado Hummus Hemp Seed DETOX - JUST SAY NO BREAKFAST OPTIONS YOURSELF = Biggest Barrier to Success Total Cereal *Greek Yogurt Protein Powder Craisins Almond Milk Hemp Seed http://www.lifetime-weightloss.com/90daytryit Free Weight Area BEAST-MODE Active Metabolic Assessment Guidelines 8 Vegetables StairMaster Elliptical Treadmill Condiments Strategy 1: Set Alarm in Phone THURSDAY Chicken Turkey Ham Fish * Egg Beans SUNDAY FUNDAY 10% body fat and 145 lbs by November 2th, 2013 Zone 2 for 50 Minutes Strategy 1: Saturday Night, Have Fun, Dinner Cheat, Recharge Zone 1 for 2 minutes Zone 2 for 1 minutes REPEAT 16 times 7:00AM Core & Stability Advanced Training Area 10:00AM: Sleep in, Multivitamin, Omega 3, Breakfast, 1/2 liter water 11:00AM: Ride Horses or Go to LAKE 2:00PM: Tasty Tacos, 1/2 liter of Water 6:00PM: Greek Yogurt 9:00PM: Dinner (Protein, Bean & Salad) Multivitamin and Omega 3 10:00PM: Sleep Pogo-cruiser Park Play Register 9AM or 6PM Spinach Kale Squash Zucchini Cucumber Red Pepper Yellow Pepper Orange Pepper Red Peppers SCHEDULE StairMaster Elliptical Treadmill GOAL 2 Raspberries Blackberries Blueberries Strawberries *Orange Apples Pineapple Kiwi *Banana SATURDAY 30 min before Workout: Generation UCAN, Almond Milk and Dynamic Greens GOAL 1 Cardio FITNESS 1 Protein Drink 6 Liters of Water a Day Omega 3 Multivitamins Black Kidney Lima Pinto FRIDAY 7AM Iodize Salt White of Brown Sugar Honey Agave Nectar Maple Syrup Corn Syrup Sucralose (Splenda) Aspartame Saccharin Candy Desserts Margarine Butter Shortening Hydrogenated oils Canola oil Corn oil Vegetable oil Mayonnaise Peanuts Gluten (wheat, rye, barley, spelt, kamut) Cow dairy (milk, cheese, cottage cheese, cream, yogurt, ice cream) Coffee Black Tea Soda Alcohol Energy Drinks THURSDAY 7AM STABILITY & CORE DINNER LUNCH 6:00AM: Multivitamin, Omega 3, Breakfast, 1/2 liter water 6:30AM: Pre-Workout (on the way to gym) 7:00AM: Stability & Crazy Core 10:30AM: Post-Workout Breakfast Blend, 1/2 Liter Water 11:00AM: Work Start 2:00PM: Sexy Salad, 1/2 liter of Water 6:00PM: Greek Yogurt 8:00PM: Work End 9:00PM: Dinner (Protein, Bean & Salad) Multivitamin and Omega 3 10:00PM: Sleep 2 Fruits Each Week TRY IT TUESDAY Raintree Greenbelt Park 10 Parkside Circle Allen, TX 75013 ONCE A WEEK VICE Active Metabolic Assessment Guidelines Sunday Funday BREAKFAST Active Metabolic Assessment Guidelines POST WORKOUT BLEND WEDNESDAY MONDAY 7:30 AM * Whole Grain Tortillas 1 Carb SEXY SALAD or TASTY TACOS DETOX DIET NUTRITION WEDNESDAY 7AM 1. Focus ONE day at a Time 2. Stick to DETAILED Plan RIDE HORSES 7:00AM: Multivitamin, Omega 3, Breakfast, 1/2 liter water 8:00AM: Work Start 12:00PM: Sexy Salad, 1/2 liter of Water 4:00PM: Work End, Snack, 1/2 liter of water 8:00PM: Multivitamin and Omega 3, Go out for Dinner, HAVE FUN 6:00AM: Multivitamin, Omega 3, Breakfast, 1/2 liter water 6:30AM: Pre-Workout (on the way to gym) 7:00AM: Stability & Crazy Core 9:00AM: Try It Tuesday 10:30AM: Post-Workout Breakfast Blend, 1/2 Liter Water 11:00AM: Work Start 2:00PM: Tasty Tacos, 1/2 liter of Water 6:00PM: Greek Yogurt 8:00PM: Work End 9:00PM: Dinner (Protein, Bean & Salad) Multivitamin and Omega 3 10:00PM: Sleep LUNCH OPTIONS ALWAY in STALK or 1 Bean Strategy 2: Keep Supplements by Toothbrush Strategy 3: Add to Detailed Plan 2 scoops fast fuel 2 scoops FIBERMEND Detox Nutrient Packet Omega 3 Multivitamins WATER SKI 6:00AM: Multivitamin, Omega 3, Breakfast, 1/2 liter water 6:30AM: Pre-Workout (on the way to gym) 7:00AM: Cardio Fitness 10:30AM:

90-Day Presentation

Transcript: Or maybe.. Easier access than Tibet Located in western Sichuan Approximately size of New York State or 1/2 Italy Population: 78% Tibetans 3 types of landscape dominate this region: Snow capped peaks Alpine forests Deep river valleys "Or worry, but know that worrying is as effective as trying to solve an algebra equation by chewing bubble gum." Is It Authenticity? You'll be OK. Most dangerous High Energy January - April: Once a month Non-stop Multi-day flying Multi-day Direct flight with Hopper Familiar with tourist and $$$ Find "The Unbeaten Path" Don't settle for the $$$ ticket Italy Sample: Florence + Rome Info from the pros Please be safe. SO GO!! Use Your Contacts! Bhutan "The real troubles in your life are apt to be things that never crossed your worried mind, the kind that blindside you at 4 p.m. on some idle Tuesday." Gathering Information Find A Path It's crazy and unsafe! Shane's findings Find me my security! OMG! Travel: Off The Beaten Path = Dominica Save Money and Go Farther What if I can't drive there? Meet and keep contacted with other travelers Indonesia Example - Mary Schmich The Far Zone But be willing to risk a little for a great reward. The "Out There" Zone Kenya Broadcasting your interests... A local's view World is like this! I swears! Find a driver. My Highlights 712 Miles Indonesia Find some tickets. Italy Sample: Off The Trail Snow capped Peak Where I'm researching. Epicenter - Mary Schmich Garze Tibetan Autonomous Prefecture More in touch Find most direct cheapest flights. Find the cheap days and hang out in a new city while you wait. Bosnia Shane's Crazy Zone Theory Finding a good one. Feeling Out The Marketing! My Worst Case? Find your purpose Closer To Culture? Garze Tibetan Autonomous Prefecture Documentaries Get out there. Low Cost Unique Cultures Here’s my route, what would you change to better my experience? How are you going to make my experience unique? Low energy / Relaxing Tanzania Beggars $600 New Guinea Intense Experiences - Find the best day to fly. Expensive Sacred Headwaters What's your car like? AC? Pickpockets - Find a cheaper city to fly through Amazing Experiences Traditions Warm welcomes Don’t know tourists or scandals Unique Luxury? Svalbar Persevered Nature? High Energy Less comfort Need focus on culture to communicate Low Communication. Switzerland Amazing encounters

90 Day Presentation Miller

Transcript: First 90 Days Elizabeth Miller SIHP Head of School Candidate Objectives Your overall goals or whatever text from your spreadsheet will set the tone to start the presentation Objectives Approach Phases of Planning Year explain phases or just do a nice image & move along to the sub topics > Phase 1 Phase 1 Study & Research Phase 1 Focus: Through the first 30 days I will engage with key HOS and network team members; I will learn expectations for SIHP and my role, and understand the resources available to me. I will study and research all key components of HP school design and invest in integrating myself into the HP model and team. Phase 2 Phase 2 Community Building & School Model Planning Phase 2 Focus: Through the second 30 days I will begin building the SIHP community through beginning the hiring process, engaging with our founding families, and planning for the onboarding of our families and preparation of our staff. I will partner with NY-based HP schools to observe the summer preparation process and begin crafting SIHP's summer training vision. Phase 3 Phase 3 School Model Implementation Phase 3 Focus: In September, I will participate in the HP school experience at our existing schools as much as possible to: (1) see HP systems and schooling in action, (2) understand HP's approach to staff development and school management, and (3) build rapport with my HOS colleagues while fleshing out my vision for SIHP. We will also continue SIHP community-building efforts and I will spend time ensuring our DOO and I have opportunities to norm our lens for strong systems and events. Phase 4 Phase 4 Reflection, Evaluation, and Planning Phase 4 Focus: In the last week of my first 90-days I will reflect, research, and plan based on all I've learned, observed, planned, and envisioned for SY22-23. This time will be used to assess progress against anticipated first 90-day outcomes and to plan in-depth for the next 90 days. This will also be a time to learn more about anything I may not feel clear on, and invest in stepping back before we continue pushing ahead to our SIHP launch. This time to evaluate progress, learn, and plan will enable our SIHP team to ensure we are prioritizing purposefully and progressing on-pace against our year-long goals. Phase 5 & Beyond Phase 5 & Beyond Purposeful Planning & Execution; Ongoing Evaluation & Reflection In Phases 5-10, the focus will be on ensuring the rest of our planning year is structured to achieve all prioritized outcomes to ensure a strong SY22-23 launch. This includes operational planning and set-up, instructional management and teacher development/evaluation planning, and ensuring all staff, family, and student structures are in place. HP Curriculum & Instruction Curriculum Overall words Could include: "goals" "people" "considerations" Trial Phase 1 Unexpected result Phase 2 The pivot Phase 3 The pivot Phase 4 SIHP Community Overall Stuff Systems New Office Phase 1 Expansion Phase 2 Expansion Phase 3 Expansion Phase 3 Hiring OR if you just want to build out two examples, we can move this bubble on the home page and make it a more summative or "looking ahead" bubble Hiring

Interview Day Presentation

Transcript: 15th largest metropolitan area in the U.S. Unique Culture Music, Dance, Reading, Coffee . . . Less rain than New York City, Houston, or Chicago (more days with rain) Sports Mariners, Sounders, Seahawks Safety and Quality History Mike Westley, Intensivist Residencies Internal Medicine General Surgery Radiology Anesthesiology Internships Preliminary: medicine, surgery Categorical: medicine, surgery Transitional year Structure: 4 Ward teams 1 Hospitalist 1 Resident 2 Interns 1 Med Student Wards Rounding: “One piece flow” Resident and attending alternate between interns for rounds “One piece flow”: Interns go over labs, notes, exam patient, create a note, present the patient to team, and update patient of plans, and finish the daily note “in flow” Internship at VM something about learning opportunities??, scholarly activity???, Library resources??? Morning Report – Case based, emphasis on evidence based medicine and board review One Intern Report per week during Morning Report Medical Librarian with specific EBM component Noon Conference Board review, led mostly by specialists Hospital Report Case-based inpatient report Grand Rounds on Friday mornings Simulation Curriculum Coding Curriculum Kaizen: Japanese for “improvement” Hospitalist, Rich Davis with team members Hospitalist group: Similar to a “Ward Attending” at some university settings Different from community programs with multiple off-site attendings - Full-time inpatient teaching role (no ‘competing interests’) - Minimizes attending education (attending knows system well) - Adherence to safety and quality performance enhanced Paul Smith, General Internist Quality Improvement and Patient Safety Conference with cyclic curriculum based on core IM subject material. Case based with focus on IM Board Review. Lead by subspecialty faculty and general internists. Fellowships Advanced Endoscopy Hepatology Hepato-Pancreato-Biliary Surgery Pelvic Surgery Regional Anesthesia Urology Who are we at VM? Mason Clinic established in 1918. Virginia Mason Hospital is founded in 1920. The first interns begin training in 1925. Actual residents Wards American Board of Internal Medicine: 5 year pass rate on boards in 97% ACP MKSAP Board review series Free to all second year residents. Board review course: Can be funded through your professional stipend. Admission system: Teams admit 7AM-7PM every other day Only one admitting team on weekend days One day off in each week Nightfloat covers 7PM-7AM Nightfloat patients evenly distributed in the AM No 24 hour shifts!!! Virginia Mason Medical Center Roger Bush, Hospitalist Internal Medicine Residency Program is officially established in 1939, the first in the Pacific Northwest. 2 senior residents and 2 interns per rotation Staffed by Full time Nocturnist Attending Senior Residents rotate days and both work the days the interns are off. Seniors have total of 10 days off during Night Float Block. Interns work roughly 5 days on and 2 days off. Total of 8 days off during block. Wards Joy Bucher, General Internist Carrie Horwitch, General Internist Daily Schedule NIGHT FLOAT Dave, our intensivist, also our river guide! Graduate Medical Education WARDS: Daily Schedule Conference Schedule WARDS: Daily Schedule The Emerald City Randi Morrison, Hospitalist Educational Conferences Internal Medicine Leadership Team WARDS: Daily Schedule Lower Floors Team C Team D Seattle Structure: Each hospital floor is specialized Michael Soung, General Internist Upper Floors Team A Team B Rounds are lead by senior resident. Cellphones and mobile computers improve efficient work rounds Interns present to residents, hospitalists facilitate - RN’s and other team members always sought for input/participation Non-profit primary and specialty care 500 physicians, 400 beds 9 Satellite clinics Including Bailey Boushay House Benaroya Research Institute Nationally and internationally recognized for the Virginia Mason Production System Alvin Calderon, Program Director Intern Caps: Wards: 8 patient contacts per day total 3 admissions max. on admitting day 4 admissions max on Sat or Sun Night Float: 4 admissions for each 12 hr shift per intern

90 day

Transcript: H&H Dining Services Cohort A - 90 Day CPI Presentation 15 Minute Break Policy "Go To GEMBA" CPI Overview "Don't look with your eyes, look with your feet. Don't think with your head, think with your hands." -Taiichi Ohno CPI Launch Day 1: : GEMBA Review Day 2: Narrowing Down and Developing the CPI Topic Day 3: Creating Scope Document and Designating Responsibilities Launch Before CPI No standardized process in place. Honor system, no Kronos punch required. "Where are you supposed to be?" Before CPI The Goal The Goal Create a standardized process for effectively monitoring 15 minute breaks which can be used by all managers in all dining locations. 30 Days First 30 Days Manager Survey "Progress cannot be generated when we are satisfied with existing situations." -Taiichi Ohno Manager Survey Manager Results 13 manager responses 6 questions 9 managers said that employees return from break on time less than 20% of the time. Manager Tracking of 15 Minute Breaks Employee Tardiness Time Trial First Time Trial Reasoning for the time trial. Time trial process 3 day observation DeNeve morning crew Real Shift Snap Shot 60 Days 60 Day Recap Employee Survey "Absorb what is useful, Discard what is not, Add what is uniquely your own." -Bruce Lee Employee Survey 129 team members surveyed Gauge team member thoughts on current process Team Member Survey Employee Morale When co-workers come back late from their break... PLEASE RATE YOUR AGREEMENT TO THE FOLLOWING STATEMENTS: Negative Effects Break Template 90 Days "You never change things by fighting the existing reality. To change something, build a new model that makes the existing model obsolete." -Buckminster Fuller 90 Day Recap Second Time Trial Second Time Trial Time trial process with new procedure Reasoning for the time trial. Reasoning for the time trial. Time trial process Time trial process 3 day observation DeNeve morning crew 2 day observation 3 day observation DeNeve morning crew DeNeve morning crew Real Shift Snap Shot Challenges & Feedback Manager Observations & Employee Feedback Visual Board Finances Analysis 90 Day Time Trial 30 Day Time Trial Average Time Over: 2 Minutes Average Time Over: 7 Minutes $20.06=average hourly rate $2.34=wasted labor/15 min break $4.68=wasted labor/2 15 min breaks $140.20=30 employees per shift $982.94=per week $51,112.88=per year for one shift $102,225.76=per year for two shifts $20.06=average hourly rate $0.67=wasted labor/15 min break $1.34=wasted labor/2 15 min breaks $40.12=30 employees per shift $280.84=per week $14,603.68=per year for one shift $29,207.36=per year for two shifts Average Labor Saved: $73,018.40 Next Steps "Little things make the big things happen." -John Wooden What's Next? Future Goals Visual Board HR Meeting Training Questions? Questions? Thank You!! Topic

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