Jortberg B.T.,Aurora University |
Fleming M.O.,Baton Inc |
Fleming M.O.,Louisiana State University |
Fleming M.O.,Tulane University
Journal of the Academy of Nutrition and Dietetics | Year: 2014
Health care in the United States is the most expensive in the world; however, most citizens do not receive quality care that is comprehensive and coordinated. To address this gap, the Institute for Healthcare Improvement developed the Triple Aim (ie, improving population health, improving the patient experience, and reducing costs), which has been adopted by patient-centered medical homes and accountable care organizations. The patient-centered medical home and other population health models focus on improving the care for all people, particularly those with multiple morbidities. The Joint Principles of the Patient-Centered Medical Home, developed by the major primary care physician organizations in 2007, recognizes the key role of the multidisciplinary team in meeting the challenge of caring for these individuals. Registered dietitian nutritionists (RDNs) bring value to this multidisciplinary team by providing care coordination, evidence-based care, and quality-improvement leadership. RDNs have demonstrated efficacy for improvements in outcomes for patients with a wide variety of medical conditions. Primary care physicians, as well as several patient-centered medical home and population health demonstration projects, have reported the benefits of RDNs as part of the integrated primary care team. One of the most significant barriers to integrating RDNs into primary care has been an insufficient reimbursement model. Newer innovative payment models provide the opportunity to overcome this barrier. Inorder to achieve this integration, the Academy of Nutrition and Dietetics and RDNs must fully understand and embrace the opportunities and challenges that the new health care delivery and payment models present, and be prepared andempowered to lead the necessary changes. All stakeholders within the health care system need to more fully recognize andembrace the value and multidimensional role of the RDN on the multidisciplinary team. The Academy's Patient-Centered Medical Home/Accountable Care Organizations Workgroup Report provides a framework for the Academy, its members, and key partners to use to achieve this goal. © 2014 Academy of Nutrition and Dietetics.
Fennell L.P.,Baton Inc |
Boldor D.,Louisiana State University
Biomass and Bioenergy | Year: 2014
Sweet sorghum (Sorghum bicolor (L.)) biomass has been touted as an important bioenergy crop that can be converted into various biofuels. In order to minimize storage losses, and to optimize the processing parameters during biochemical or thermochemical conversion, the sorghum bagasse obtained after pressing the sugar-containing juice may need to be dried to specific moisture levels. In this study, the performance of a continuous microwave drying system using a traveling wave applicator was investigated with respect to moisture reduction, power consumption, and overall efficiency. The parameters investigated were microwave power level (0, 200, 600, and 1000W) and ambient drying temperature (25°C and 55°C). A control test was performed using hot air alone (25°C and 55°C) during sample drying. The initial moisture contents were obtained through conventional hot air oven drying at 130°C. The drying rate of microwave drying was compared to conventional oven drying and the control. It was determined that even though the highest drying rates were obtained at the highest power setting (1000W), when accounting for the power consumed by the drying system, including fans, motors, and ambient air heater, the highest efficiency was obtained at a comparatively low power setting (200W) and using just ambient temperature (25°C). The drying rate for microwave drying was significantly higher than conventional drying. The results of this study can be used to design continuous microwave drying systems that can be more efficient and with higher throughputs than conventional air-blown systems. © 2014 Elsevier Ltd.
Saller S.P.,Colorado State University |
Saller S.P.,Baton Inc |
Ronayne M.J.,Colorado State University |
Long A.J.,U.S. Geological Survey
Hydrogeology Journal | Year: 2013
Karst aquifers exhibit a dual flow system characterized by interacting conduit and matrix domains. This study evaluated the coupled continuum pipe-flow framework for modeling karst groundwater flow in the Madison aquifer of western South Dakota (USA). Coupled conduit and matrix flow was simulated within a regional finite-difference model over a 10-year transient period. An existing equivalent porous medium (EPM) model was modified to include major conduit networks whose locations were constrained by dye-tracing data and environmental tracer analysis. Model calibration data included measured hydraulic heads at observation wells and estimates of discharge at four karst springs. Relative to the EPM model, the match to observation well hydraulic heads was substantially improved with the addition of conduits. The inclusion of conduit flow allowed for a simpler hydraulic conductivity distribution in the matrix continuum. Two of the high-conductivity zones in the EPM model, which were required to indirectly simulate the effects of conduits, were eliminated from the new model. This work demonstrates the utility of the coupled continuum pipe-flow method and illustrates how karst aquifer model parameterization is dependent on the physical processes that are simulated. © 2013 Springer-Verlag Berlin Heidelberg.
Morgan Jr. M.L.,Baton Inc
International Conference on Nuclear Engineering, Proceedings, ICONE | Year: 2012
This paper establishes a method for integrating real-time and historic plant data into thermal performance characterization tools. Many nuclear plants utilize data collection software that integrates with off the shelf spreadsheet programs. It is shown here that standard heat balance and condenser performance models can be constructed within the spreadsheet programs to utilize plant data in an effort to develop a strong understanding of overall Balance of Plant (BOP) performance. This method also allows the user to create operational scenarios to predict performance and to illustrate the potential for gain in electrical generation. © 2012 by ASME.
Madhyannapu R.S.,Baton Inc |
Puppala A.J.,University of Texas at Arlington
Journal of Geotechnical and Geoenvironmental Engineering | Year: 2014
This paper discusses both design methodology and construction procedures for stabilizing expansive subsoils of moderate active depths, using deep soil mixing (DSM) technology/construction. These procedures were derived as a part of the research focusing on the evaluation of effectiveness of DSM technology in mitigating shrink-and-swell behaviors of expansive subsoils under actual field conditions. The design methodology formulated was based on an analytical model proposed for a DSM-treated composite section by modifying the existing heave prediction model for untreated and unsaturated expansive soils. The required area treatment ratio was determined based on the target heave magnitude for the composite section. Design charts were developed depicting estimated heave for increasing treatment area ratios and for various initial swell pressures. Based on this design methodology, DSM construction was implemented under actual field conditions at two test sites. Upon construction, both test sections were instrumented and monitored. In addition, nondestructive tests were also conducted at select time periods. Results from both instrumentation and nondestructive tests revealed that the DSM technology was effective in mitigating shrink-and-swell behaviors of expansive soils. Also, the analytical model used in the present research study has provided reasonable predictions of in situ swelling behavior of composite and untreated sections. © 2014 American Society of Civil Engineers.
Fleming M.O.,Baton Inc |
Haney T.T.,Baton Inc
Cleveland Clinic Journal of Medicine | Year: 2013
Patients, particularly the old and frail, are especially vulnerable at the time of hospital discharge. Fragmentation of care, characterized by miscommunications and lack of follow-up, can lead to oversights in diagnosis and management. The frequent result is avoidable rehospitalization. Amedisys, a home health and hospice organization, created and tested a care transitions initiative for its impact on patients' quality of life and avoidable rehospitalizations. The initiative was carried out in three academic institutions with 12 months of observation. The results suggested reduced hospital readmissions and a critical role for the home health industry in improving patient outcomes and reducing costs.
Baton Inc | Date: 2016-09-14
Baton Inc | Date: 2016-09-22
Baton Inc | Date: 2012-01-03
Simulation software teaching enterprise resource planning concepts; downloadable electronic publications in the nature of an instruction guide for using simulation software for teaching enterprise resource planning concepts. Software documentation in the nature of a printed procedure guide for using simulation software for teaching enterprise resource planning concepts. Educational services, namely, providing online seminars, classes and workshops in the field of enterprise resource planning concepts. Technical support, namely, troubleshooting of computer software problems for simulation software that teaches enterprise resource planning concepts.