![]() The cause map’s level of complexity, however, is dictated by how useful each problem element is to determining solutions. The more closely we examine the Columbia disaster, the more elements we can identify that cumulated in a tragic loss of life. While the loss of all seven Columbia crew members upon re-entry may seem like the obvious problem, root cause analysis requires probing deeper to arrive at complex chain of causality with multiple problem sources. ![]() The first step in any root cause analysis approach is to define the problem by asking four critical questions: What is the problem? As with any incident, root cause analysis involves three steps:Įach step will be discussed below in relation to the Columbia disaster. The disintegration and loss of the space shuttle Columbia on re-entry serves as an example of how root cause analysis can be applied to a specific incident. In investigating the incident methodologically, root cause analysis illuminates not only what indications of danger were missed, but also why they were overlooked, while proposing solutions to ensure that the same mistakes are never re-made. ![]() The Columbia disaster thus came as a terrible surprise to those involved, and carried dramatic consequences for NASA’s future missions. Even the errant piece of foam that struck Columbia’s wing during launch had been detected and was deemed not to have been a safety concern well before reentry was attempted. Given its successful prior 27 missions, Columbia benefitted from an experienced command crew at the control center, and from a space vehicle that had been tested and appeared reliable. The Columbia disaster serves as a prime example of the value of root cause analysis precisely because every aspect of the mission had seemed so routine. By Columbia’s twenty eighth launch, engineers had come to see such foam debris as inevitable, presenting at worst an acceptable risk.Īfter spending 16 days in space, Columbia broke apart when reentering Earth’s atmosphere on February 1, 2003, resulting in the total destruction of the orbiter and killing all seven astronauts aboard. Such occurrences were given the name of “foam shedding,” normalizing the process even further. During launch, a briefcase-sized piece of foam insulation broke off from the shuttle’s external tank and struck the left wing, damaging its thermal protection system, which protects the vehicle from the intense heat generated upon reentry.Īlthough such foam shedding was technically listed as a safety issue in the original shuttle design specifications, the same kind of foam insulation had been observed falling off on four previous flights and had caused no serious damage. This notion came to a sudden end during the shuttle’s 28th mission (STS-107). Colombia’s long running success, especially in the wake of the 1986 Challenger explosion signaled to some that human space travel was approaching the point at which it might be considered routine. The first space-worthy space shuttle in NASA’s orbital fleet, Columbia was first launched in April of 1981, and had successfully completed 27 missions by 2003. The Columbia space shuttle was a seasoned veteran of space travel.
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2/24/2024 0 Comments Frankfurt gmt time zoneOrderDate AT TIME ZONE 'Pacific Standard Time' AT TIME ZONE 'Central European Standard Time' AS OrderDate_TimeZoneCET Assign the known offset, then convert to another time zone ![]() OrderDate AT TIME ZONE 'Pacific Standard Time' AS OrderDate_TimeZonePST, The first step is to assign the known offset and then convert to the new time zone: USE AdventureWorks2022 The inputdate values are datetime and are not stored with an offset, but are known to be Pacific Standard Time. The following example converts values between different time zones. Convert values between different time zones OrderDate AT TIME ZONE 'Pacific Standard Time' AS OrderDate_TimeZonePSTī. Use AT TIME ZONE to add offset based on time zone rules when you know that the original datetime values are provided in the same time zone: USE AdventureWorks2022 Add target time zone offset to datetime without offset information While datetimeoffset is not supported in data warehousing in Microsoft Fabric, AT TIME ZONE can still be used with datetime2, as in the following example. Since some information (such as timezone rules) is maintained outside of SQL Server and are subject to occasional change, the AT TIME ZONE function is classed as nondeterministic. Time after 03:00 is regularly presented with the standard time offset (+01:00) Time from the "overlapped interval" is presented with DST offset (before the change) Time before the change has DST offset (+02:00) In that case, points in time that belong to the overlapped interval are presented with the offset before the clock change: /*Ĭhange occurred on October 30th, 2022 at 03:00:00. When the clock is set back, then 2 hours of local time are overlapped onto one hour. Time after 03:00 is presented with the summer time offset (+02:00) Is moved 1 hour ahead and presented with the summer time offset ![]() SELECT CONVERT(DATETIME2(0), 'T01:01:00', 126)ĪT TIME ZONE 'Central European Standard Time' Īdjusted time from the "gap interval" (between 02:00 and 03:00) Time before DST change has standard time offset (+01:00) Moving to DST in "Central European Standard Time" zone:Ĭhange occurred on March 27th, 2022 at 02:00:00. Points in time that are in this gap are converted with the offset after DST change. This duration is usually 1 hour, but it can be 30 or 45 minutes, depending on time zone. When the clock's set ahead, there's a gap in local time equal to the duration of the clock adjustment. RemarksĪT TIME ZONE applies specific rules for converting input values in smalldatetime, datetime, and datetime2 data types that fall into an interval affected by a DST change: ![]() The datetimeoffset value in the target time zone. ![]() A list of installed time zones is also exposed through the sys.time_zone_info (Transact-SQL) view.įor more information about time zones for SQL Server on Linux, see Configure the time zone for SQL Server 2022 on Linux. Time zones installed on the computer are stored in the following registry hive: KEY_LOCAL_MACHINE\SOFTWARE\Microsoft\Windows NT\CurrentVersion\Time Zones. SQL Server relies on time zones that are stored in the Windows Registry. Transact-SQL syntax conventions Syntax inputdate AT TIME ZONE timezoneĪn expression that can be resolved to a smalldatetime, datetime, datetime2, or datetimeoffset value. If inputdate is provided as a datetimeoffset value, then AT TIME ZONE clause converts it into the target time zone using the time zone conversion rules.ĪT TIME ZONE implementation relies on a Windows mechanism to convert datetime values across time zones. When inputdate is provided without offset information, the function applies the offset of the time zone assuming that inputdate is in the target time zone. SQL Server 2016 (13.x) and later Azure SQL Database Azure SQL Managed Instance Azure Synapse Analytics SQL analytics endpoint in Microsoft Fabric Warehouse in Microsoft FabricĬonverts an inputdate to the corresponding datetimeoffset value in the target time zone. ![]() Regardless of the purpose, saving your Instagram images to your device's camera roll is a straightforward process. (I could do a post on how to setup and use git for KSP if folk are interested).Perhaps you wish to preserve the photos you capture using Instagram's in-app camera, or maybe you'd like to save an edited version directly to your phone's photo library. git (and I'm sure other VC tools) is designed to be pushed and pulled, so porting a save to another location/machine is easy (ok copy paste is easy too, but this is easier), and fast (only changed content is moved).ĭisadvantage: you need to know git (or whatever VC tool you choose), which can be a bit odd initially, but using git for KSP purposes only needs the most basic level of git understanding. ![]() My git folder is ~70mb right now and that contains every "backup" of both quicksave and persistent files (600+ versions) going right back to the start of the career AND every version of every craft.way more space efficient. ok not much of a problem in these days of terabyte HDs, but my current career save is 14mb, so keeping a bunch of copies of that starts to mount up. sfs file, even if it doesn't need it.and given OP's experience that might be what was causing things to stop working). KSP just ignores the git folder, so as far as KSP is concerned there is one save file to worry about/parse/load into memory (given KSP's general approach of loading everything into RAM I wouldn't be surprised if it just loads every. The advantages are - it keeps track of the order of things, you don't have to name saves with a version or whatever to keep track of their order. I've been using GIT for KSP for years, and it's never caused a problem. Rather than making manual save copies or the in game alt-f9 method, I highly recommend using a version control (VC) tool to handle keeping the history of both save and craft files. I've never had any issues having that or another other gunk in the save folder. git folder (which is a couple hundred files). But I have other stuff save specific mod settings (Remote Tech, Craft Manger) and a text file of some notes. What bloat do you get in your save folder? Copies of save files? I only ever have the two. So de-bloat it occasionally but more importantly SAVE OFTEN and BACK UP!! Lesson - apparently, if you leave your save folder to get too bloated, you are at risk of a save-corrupting crash. Tinker with a few more things but long story short - I clean out the save folder, leaving just the persistant file in place (the earlier save that I renamed above).īoom, fixed. Try removing some of the more troublesome mods - dont expect much success as game ran fine for several hours before crashing. Eg: go into VAB, everything fine, click initial part, slows down to 1-2FPS. Save loads but any scene containing a part runs terribly slow, 1-2FPS. Savegame corrupted, unable to load career.Īh well, switch to an earlier save, lost 3 hours, not too bad. ![]() No biggie, happens every now and then, its frustrating, but you put up with it if you want to run 200+mods, plus my computer crashes randomly every week or so. I switch vessels, game locks up, computer crashed. KSP is finally complete and stable enough, and my computer sufficient to support the modload I need to create a KSP build that I perceive as 100% feature-complete. Its the big one, the one I've been waiting for since V0.22. Tl dr - periodically empty your save folder! ![]() ![]() The Incompetent Supervillain by Stark is a genius, billionaire, playboy, philanthropist, supervillain. In a universe where Tony’s drive for retribution over Obie’s betrayal turns him into a villain (kinda), he finds himself at a strange impasse with leader of the Avengers, Captain America. Tony Stark: Terrible Villain Extraordinaire by starspangledsproket: ![]() Tony would do anything to save his son, including willingly walking into a trap, getting surgery, betraying his husband and becoming a supervillain. But his loving husband Steve has a few secrets of his own, as Tony is about to discover. Tony Stark lives a double life he’s secretly the supervillain known as Iron Man. Secrets of a Successful Marriage by valtyr: Captain America and Iron Man have history, and in all that time Steve has never truly seen him as the supervillain SHIELD branded him – until now.Basic knowledge of the incursion story arc is helpful to follow along, but the story deviates enough that it’s not necessary. As the Avengers track his movements, and his behavior continues to get more erratic, Steve begins realize that there is more to this than Iron Man is willing to let on. Not with a Bang by captainshellhead & vibraniumstark: Iron Man has stolen the Infinity Gauntlet, and Steve wants to know why. Their relationship will never be the same again… if they both get out of here alive.Įver since Captain America became the all time favourite kidnapee of the armoured supervillain Iron Man, the world had gotten used to seeing him disappear.īut this had been the fourth one in just a two week span, and Steve had a feeling it might be his last. Now Steve, captured and tortured by the man he loves, must sacrifice everything he has to stop Tony from becoming a monster. Steve rushes off to rescue Tony, only to find that Tony has been brainwashed and turned against him. But this happiness is all too brief, as Tony is kidnapped by forces unknown. Living on Your Breath by Avengers have faced Onslaught and come home. (PWP set after episode 1x13, ‘In Deep.’)Įvery organization has team trust-building exercises. IM Ultra by and Tony have only been dating for a month when Tony begins to act strangely and the Avengers begin to get suspicious.īack at Avengers Tower after their dubious success at infiltrating the Cabal, Tony thinks it’s a great time for some sexy villain role-play. ![]() When SHIELD decides to help him “adjust” by getting him a teaching job, Steve is skeptical but then there’s Tony, and Steve finds he doesn’t mind the 21st century so much after all. It’s not going particularly well, if the embarrassingly high number of times he’s been kidnapped in the past six months is any indication. Okay, that one was Tony’s fault, but it was totally an accident.In the meantime, a certain Capsicle is defrosted a year early, and is assigned the task of capturing the notorious Iron Man. He also picks up a teaching job-all Pepper’s fault-and oh, right, becomes a supervillain. When he escapes, he sets out to ruin Stane as completely and ruthlessly as he can, playing up his PTSD and quitting his job to destroy Stane quietly from the outside. Saving the World (Is Totally a Date) by Tony discovers Stane’s betrayal while he’s still being held captive. ONLY REAL BAD GUYS FAIL TO LEAVE COMMENTS AND KUDOS! To learn more about how and for what purposes Amazon uses personal information (such as Amazon Store order history), please visit our Privacy Notice.That’s such a fun trope, isn’t it? Here are some suggestions, including a couple of Tony’s-a-villain-because-reasons. You can change your choices at any time by visiting Cookie Preferences, as described in the Cookie Notice. Click "Continue without accepting" to reject, or "Customize Cookies" to make more detailed advertising choices, or learn more. The 103 third parties who use cookies on this service do so for their purposes of displaying and measuring personalised ads, generating audience insights, and developing and improving products. Cookies store or access standard device information such as a unique identifier. Your choice applies to using first-party and third-party advertising cookies on this service. If you agree, we’ll also use cookies to complement your shopping experience across the Amazon stores as described in our Cookie Notice. We also use these cookies to understand how customers use our services (for example, by measuring site visits) so we can make improvements. We use cookies and similar tools that are necessary to enable you to make purchases, to enhance your shopping experiences, and to provide our services, as detailed in our Cookie Notice. 2/23/2024 0 Comments Google chrome apk downlaod![]() On the new tab page, you will find articles that Chrome selected based on your previous browsing history. Save the file in your device Downloads folder. Chrome creates an experience that is tailored to your interests. Download Google Chrome APK Google Chrome App Download Click on the above link to download Google Chrome APK. Google Chrome is a fast, easy to use, and secure web browser. Chrome has Google Translate built in to help you to translate entire web to your own language with one tap. Google Translate built-in: Quickly translate entire web pages. You can browse and navigate quicker using your voice anywhere, anytime. A Microsoft Windows version was released in September 2008, followed by Linux, macOS, iOS, and Android versions. Use your voice to find answers on-the-go without typing and go hands free. Google Chrome is a free web browser developed by Google. Chrome gives you an actual web browser you can talk to. Download the Chrome APK for Android TV Now open the ES file explorer on your Android TV and choose USB drive to select the APK file. Follow the instructions in the pop-up window to install Google Chrome on Windows PC. exe installation file in the Downloads folder and double click it. Click on the Download button to start downloading Google Chrome for Windows. Chrome also has downloads home right inside Chrome, where you can access all the content you downloaded, even when you are offline. How to download and Install Google Chrome on Windows PC. It keeps your phone safe by showing warnings to you when you attempt to navigate to dangerous sites or download dangerous files.įast downloads and view web pages and videos offline Chrome has a dedicated download button, so you can easily download videos, pictures, and entire webpages with just one tap. Chrome has Google Safe Browsing built-in. Protect your phone with Google Safe Browsing. ![]() You can tap on any word or phrase to start a Google search while still in the page you are enjoying. Chrome also has the “Tap to Search”- feature on most webpages. You can tap on your favorite news sites or social media directly from the new tab page. Chrome is not just fast for Google Search, but designed so you are one tap away from all your favorite content. When you sign in to Chrome, you can save bookmarks, passwords and more in your Google Account, so you can access them on your other devices.Īll your favorite content, one tap away. Browse privately across all your devices.Īccess your Chrome across devices. Use Incognito mode to browse the internet without saving your history. ![]() Choose from personalized search results that instantly appear as you type and quickly browse previously visited web pages. Download now to enjoy the same Chrome web browser experience you love across all your devices.īrowse fast and type less. Designed for Android, Chrome brings you personalized news articles, quick links to your favorite sites, downloads, and Google Search and Google Translate built-in. So you can use it more easily.Google Chrome is a fast, easy to use, and secure web browser. Google Chrome is commonly known in the world of the web. This will not pull down the quality of videos, images, or text. Turn on the data saver button of Google chrome and save up to 60% of mobile data. Google Chrome offers a translator that enables you to change your whole content in your own language. Google shares most of Chrome's source code as part of an open-source project called Chromium. ![]() You can use your voice too for searching instead of typing in the search bar. Google Chrome is a free web browser developed by Google. Watch Data OfflineĬhrome helps you to download your favorite video audio or other such data and save it in the right inside of the downloads home. It also warns you about downloading any dangerous content. Download the fast, secure browser recommended by Google. Get the best of Google Search, and easily sync your bookmarks and passwords with Chrome on your laptop. Now more simple, secure and faster than ever. With a built-in Google Safe Browsing, you acknowledge malicious or unsafe sites. Download the new Google Chrome for your iPhone and iPad. It helps you to get data from mobile, tablet, and PC. Google Chrome syncs all of your devices while signing in you can find bookmarks, passwords, and tabs on all of your devices. Download now to enjoy the same Chrome web browser experience that you love across all your devices. Designed for Android, Chrome brings you personalised news articles, quick links to your favourite sites, downloads, and Google Search and Google Translate built in. You need not save it or browse privately without leaving any hint. Google Chrome is a fast, easy to use and secure web browser. The Cognito mode helps you to search for your required data. Google Chrome work very fast as it shows the instant result that you want to know. Google Chrome offers all browsing elements like that of the PC window and with it also available some specific elements like gestures for mobiles. Google Chrome Apk Features Specific Element 2/23/2024 0 Comments Magnet pro gunsThese types of models are the most efficient to be used with the Pro Ionizer gun as well as for painting. 050436), or 3 body models, filtering water + oil + activated carbon (Bossauto ref. MAGNET MAKING MACHINES Industrial grade manual and electric magnet-making machines and supplies. We recommend to perform the air filtration with 2 body models, filtering water + oil (Bossauto ref. This is our Premier Product The patented design was initially developed for overall shotgun safety in duck. ![]() Aluminum and stainless steel air lines are the most efficient. The combination of ions and air causes the existing particles to be expelled and prevents them to be adhered again to any surface due to their loss of charge. Ionizer PRO comes with a system with an ion generator and a valve which directs compressed air towards the target to be neutralized. In the everyday life of a workshop, many processes may cause static buildup, including sanding, blowing, masking and pre-cleaning but with the ionizer PRO eliminating static you will improve the process of applying metallized, increasing profitability of your workshop by reducing time and material in the vehicle painting process achieving a perfect end result. The Ionizer PRO is an advanced ionizing gun with a wireless system that generates positive and negative ions capable of producing the necessary energy to neutralize static electricity existing on charged surfaces to leave them free of dirt particles, ready to be painted. 2/23/2024 0 Comments Macbook snip tool![]() Next, you will hear a camera-click sound. Hit and hold Shift + Command + 3 at the same time. First, ensure you are on the screen where you want to take an entire screenshot in macOS Ventura. ![]() Now, let's dive into it! #Take Full-Screen Screenshots in macOS Ventura Whether you want to take a full-screenshot, partial screenshot, or screenshot a specific window, you can also get the task done with some keyboard combinations. Like other macOS versions, macOS Ventura also offers you an in-built feature to take screenshots on your Macs. Screenshot on macOS Ventura with the Built-in Feature Screen and webcam recording feature is available.Supporting customizing hotkeys for screen capture.Let you take a screenshot during screen recording.Take screenshots on Mac with simple clicks.Overall, it is worth trying for screen recording and screenshots on Mac! With its help, you can record almost on-screen activities, including recording video conferences, creating video tutorials, capturing high-quality gameplay, etc. If needed, you can make your own GIFs with this software.Īpart from that, it also can act as a Mac screen recorder. You are able to create a screenshot on your Mac screen in 2 simple steps, and export it in PNG format. Coming with a simple user interface, this software is easy to use and friendly to all levels of users. Whether you are going to take a full screenshot on Mac or capture a portion of the Mac screen, you can always rely on a fantastic Mac snipping tool called EaseUS RecExperts. Now, let's get started! Use An Excellent Mac Snipping Tool to Take Screenshots in macOS Ventura - Recommend Here, we will walk you through how to screenshot on macOS Ventura with its built-in snipping tool as well as a great Mac screen capture software. If you are one of them, you have come to the right place. ![]() Recently, Apple released a macOS 13 called macOS Ventura, which includes various new productivity features, refinements, and capabilities. If you are using a macOS Ventura or if you are new to this operating system, you might want to learn some tips for macOS Ventura screenshots or capturing the screen and editing your screenshots. 2/22/2024 0 Comments Oh my mp3 downloadMy Love OH, My Love OH, My Love OH You’ve Captured my Heart My Love OH, My Love OH, My Love OH. Lyrics: Captured My Heart by Minister GUC Verse 1 There’s no day that You don’t Show me Love. Stream and enjoy this incredible song that showcases the immense talent of Fireboy DML and his dedication to creating exceptional music. Fireboy DML, the talented artist releases sensational track titled Oh My. Mp3 Download DOWNLOAD Music Video: Captured My Heart by GUC. ![]() With its infectious melodies and heartfelt lyrics, this track is sure to become a fan favorite and further solidify Fireboy DML's status as a rising star.ĭon't miss out on Fireboy DML's latest masterpiece, "Oh My". The combination of Fireboy DML's soulful vocals and P.Prime's masterful production creates a mesmerizing listening experience that will leave fans wanting more.Īs Fireboy DML continues to make waves in the music industry, "Oh My" serves as a testament to his artistry and ability to consistently deliver hit songs. ![]() With each track, Fireboy DML continues to push boundaries and deliver exceptional music that resonates with listeners.įor "Oh My", Fireboy DML collaborated with the talented producer P.Prime, who skillfully crafted the song's captivating production. "Oh My" marks Fireboy DML's newest release this year, adding to his impressive discography of previously released songs that have captivated audiences worldwide. This enchanting song showcases Fireboy DML's talent and creativity, solidifying his position as one of the industry's top artists. Nigerian and YBNL/Empire signee, music composer and music star, Fireboy DML, surprises fans with his latest single titled "Oh My". 2/22/2024 0 Comments Nasa headquarters map![]() Davy Kirkpatrick, scientist at Caltech/IPAC in Pasadena and lead author of the study. “Without the citizen scientists, we couldn't have created such a complete sample in so short a time,” said J. It was a frantic rush to find as many brown dwarfs as they could so Spitzer could reveal their locations more precisely.įortunately, citizen scientists helped save the day – they discovered dozens of new brown dwarfs. They knew that NASA’s Spitzer Space Telescope was the only operating observatory that could confirm the distances and positions of the brown dwarfs they were interested in, and Spitzer was set to retire in January 2020. While brown dwarfs are millions to billions of years old, this team of professional and citizen scientists had a much shorter deadline to find them. Both worldwide volunteers and high school students in the Pasadena, California, area are listed as co-authors of the study, which was presented at the 237 th meeting of the American Astronomical Society. The Backyard Worlds team also collaborated with Caltech’s Summer Research Connection program to involve high school students in finding brown dwarfs. ![]() Since 2017, citizen scientists have been searching for brown dwarf candidates as part of Backyard Worlds, using data from NASA’s Near-Earth Object Wide-Field Infrared Survey Explorer (NEOWISE) satellite along with all-sky observations collected between 20 under its previous moniker, WISE. The map encompasses a radius of 65 light-years, or about 400 trillion miles, with “close neighbors” inhabiting space within about 35 light-years, or 200 trillion miles. Of course, an astronomer’s idea of a neighborhood is different in space than on Earth. These brown dwarf varieties can have temperatures of up to thousands of degrees Fahrenheit, but the Y dwarfs, which are the coolest, may have below-freezing temperatures and clouds made of water. The result of the new citizen science effort is the most complete map to date of L, T and Y dwarfs in the vicinity of the solar system. Infrared light is invisible to human eyes, but it can reveal tantalizing details about brown dwarfs and other objects throughout the universe. Telescopes can detect brown dwarfs because they emit heat, in the form of infrared light, left over from their formation. By making a complete map of these objects, scientists could find out whether different kinds of brown dwarfs are evenly distributed in our solar system’s neighborhood. And while “brown” is in the name, they would appear magenta or orange-red if a person could see them close up. These objects are balls of gas that are not heavy enough to be stars, since they can’t power themselves through nuclear fusion the way stars do. Scientists tapped into the worldwide network of 150,000 volunteers using Backyard Worlds: Planet 9 to find new examples of brown dwarfs. Is our solar system located in a typical Milky Way neighborhood? Scientists have gotten closer to answering this question, thanks to the NASA-funded Backyard Worlds: Planet 9 project, a “ citizen science” collaboration between professional scientists and members of the public. 2/22/2024 0 Comments Hospital compare star ratings 2021![]() Leapfrog releases its list of top hospitals annually in December. Watson Health 100 Top Hospitals (Formerly Truven, Updated April 12, 2018)ĬMS publishes hospital quality star ratings on Hospital Compare to help patients choose a hospital based on quality performance.CMS HCAHPS Patient Experience Star Rating (Updated May 8, 2018). ![]() CMS Overall Star Ratings (Updated March 7, 2019).Healthgrades Outstanding Patient Experience Ratings and Excellence Awards (Updated May 17, 2019).Healthgrades Patient Safety Ratings and Excellence Awards (Updated May 17, 2019).US News and World Report Best Children's Hospital Rankings (Updated June 18, 2019).US News and World Report Best Hospital Rankings (Updated July 27, 2021).Healthgrades Specialty Excellence Awards and 100 Best Hospitals for Specialty Care (Updated November 5, 2021).Leapfrog Group Hospital Safety Grade (Updated December 15, 2020).Leapfrog Group Top Hospitals (Updated December 9, 2021).NEW: Healthgrades Best Hospitals (Updated February 9, 2022)."Hospitals and health systems are longstanding supporters of transparency and are committed to continuing to work with CMS to advance the goal we share - providing the public with accurate, meaningful information about quality," he added.Download our cheat sheets for summaries on the methodology and metric categories used in some of the biggest hospital quality rating programs. ![]() "We also have encouraged CMS to examine the influence of social drivers of health on star ratings, and consider approaches to ensure the ratings are not unintentionally biased against those hospitals caring for structurally marginalized communities." "For example, while we agree with the intent of CMS' peer grouping approach – that is, to create a more level playing field among hospitals offering differing levels of care – we believe it still needs improvement to ensure it fosters equitable comparisons," Demehin said. "However, we believe that CMS still has work to do to improve the Overall Star Ratings program." "The AHA appreciates many of the recent changes that CMS has made to its Overall Star Ratings program, which have made the ratings easier for patients and hospitals to interpret, more transparent, and more balanced in favor of high-priority topics," said Akin Demehin, AHA's senior director of quality and patient safety policy. ReactionĪfter the release of the rankings, the American Hospital Association (AHA) released a statement saying that while the methodology updates are good, more work still needs to be done.
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