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  1. sesomyort
    sesomyort07-17-2012

    From my knowledge, standing seam metal roofing can go directly atop existing asphalt shingles – that is because they do not leak. There is no need for both felt and an additional underlayment with standing seam metal roofs: felt should be enough…

  2. MovingUpp
    MovingUpp07-17-2012

    how important are roofing felt and underlayment when using standing seam stainless roofing?

  3. http://hcgdietalberta.ca
    http://hcgdietalberta.ca07-25-2012

    Awesome blog! Is your theme custom made or did you download it from somewhere?
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  4. Jean Hernandez
    Jean Hernandez08-18-2012

    If you want to optimize your web site in top position of search engine result pages then first of all you have to understand the basic fundamentals of search engine optimization. Through this article I came to know about the SEO techniques which can be applied after the panda relese for beginners like me.It’s a great post, you really are a good writer! I’m so glad someone like you have the time, efforts and dedication writing, for this kind of article Helpful, And Useful.. Very nice post!

  5. Paula Wilson
    Paula Wilson08-18-2012

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  6. Paula Holmes
    Paula Holmes08-18-2012

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  7. Jesse Brown
    Jesse Brown08-19-2012

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  8. Michelle Owens
    Michelle Owens08-19-2012

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  9. Jeffrey Wright
    Jeffrey Wright08-19-2012

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  10. Kevin Richardson
    Kevin Richardson08-19-2012

    go for: stramark.nl/blog/blogitemof for stramark.nl/blog/online/blogitem and stramark.nl/blog/offline/blogitem

  11. Marie Morales
    Marie Morales08-19-2012

    I was surprised to see your website full of engaging content, top notch work.

  12. Gerald Jones
    Gerald Jones08-19-2012

    Oh yeah on our blog we had to set up a lot of SEO stuff. It got pretty tiring, but of course we stuck through it. And now we have seen a dramatic increase in traffic numbers, comments on articles, and even Google PR.

  13. Larry Jordan
    Larry Jordan08-19-2012

    Where do you actually get your information from? You always have something intriguing to offer.

  14. Janice Alexander
    Janice Alexander08-19-2012

    Impressive article, thanks for sharing.

  15. Lois Price
    Lois Price08-19-2012

    Excellent post, really enjoyed reading it. Thanks.

  16. Jeremy Kennedy
    Jeremy Kennedy08-20-2012

    Though not mentioned in the article, I would like to add dont bother with Page Sculpting. I know Yoast recommends it. Its something you need OCD to fully do anyway since you have to rummage through the files to figure out where Page-Rank can leak from (more link, individual plugins, blogroll, and etc). Locking PR into a single page is quite maddening. Rather, as Google advises, just let it flow.

  17. Alan Reynolds
    Alan Reynolds08-20-2012

    However! I do recommend No Follow Blogroll SEO as adds a nofollow to all blogroll links not in the index.html.

  18. Terry Robertson
    Terry Robertson08-20-2012

    I’ve been spending a lot of time reading here lately and I just wanted to say thanks for your efforts.

  19. Tina Robinson
    Tina Robinson08-20-2012

    Blog commenting is very important especially if the topic itself requires feedback. In this way the company or owner of the site can create new product, system or technology because of the information gathered from the comments. The interaction can also help other people to understand other side of the story.

  20. Judith Rice
    Judith Rice08-20-2012

    Excellent post, thanks for all your efforts.

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    Maria White08-20-2012

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  22. Marie Campbell
    Marie Campbell08-20-2012

    Your writing skills are impressive and your posts always interesting. Great work.

  23. Dennis Smith
    Dennis Smith08-21-2012

    Outstanding website and I truly enjoyed your posts. Thanks a ton.

  24. Earl Moore
    Earl Moore08-21-2012

    Great source of useful information, thank you for your efforts.

  25. Bonnie Price
    Bonnie Price08-21-2012

    Really a nice post with detailed content on blog commenting. It looks very easy to get a link from a blog commenting to your site, but the important thing to keep in mind is content relevancy.

  26. Julie Henderson
    Julie Henderson08-21-2012

    Thanks for posting this. Was really useful for me.

  27. Walter Scott
    Walter Scott08-21-2012

    Looking forward to reading more new posts from you.

  28. Carol Murphy
    Carol Murphy08-21-2012

    Thanks for the informative post, can’t wait to read the rest of your entries here.

  29. Philip Webb
    Philip Webb08-21-2012

    Thanks for this post, was a really interesting read.

  30. Eugene Long
    Eugene Long08-21-2012

    Impressive! It’s good I’ve found your website.

  31. Carlos Gordon
    Carlos Gordon08-21-2012

    I really like your points about consistent messaging and unified goals from both the marketing/promotion and reputation/relationship side of the business. This is increasingly important as the distance between information sets closes up.

  32. Sara Roberts
    Sara Roberts08-21-2012

    Great article Steph,

  33. Wanda Porter
    Wanda Porter08-21-2012

    Thanks a lot, that’s really useful.

  34. Emily Owens
    Emily Owens08-22-2012

    Video was strange but it really cleared things up.

  35. Virginia Jones
    Virginia Jones08-22-2012

    Another excellent post. Thank you and keep up the good work.

  36. Amanda Murray
    Amanda Murray08-22-2012

    That’s quite interesting, thanks a lot.

  37. Carl Stewart
    Carl Stewart08-22-2012

    This article had differentiate the Wikis and the blog precisely. Will wait for other comparison, thanks

  38. David West
    David West08-22-2012

    Looking forward to your future updates. Will that be soon?

  39. Gregory Scott
    Gregory Scott08-23-2012

    Excellent information, thanks!

  40. Christopher Diaz
    Christopher Diaz08-23-2012

    like the blig

  41. Gregory Garcia
    Gregory Garcia08-23-2012

    like the blog thanks alot

  42. Philip Powell
    Philip Powell08-23-2012

    good stuff thanks

  43. Frances Mitchell
    Frances Mitchell08-23-2012

    I certainly appreciate this new forum for communication in this critically important area. Will the new ONC blog be integrated into the current Federal Advisory Committee blog in the future so we do not have to recreate profiles?

  44. Andrea Ramos
    Andrea Ramos08-23-2012

    Yeah, I miss some pictures too, but I enjoyed your post.

  45. Peter Moore
    Peter Moore08-23-2012

    IT is the future of medicine. I am a DoD Primary Care Manager for about 1200 patients, but I am also human and sitting home sick today. Through our secure portal I am able to communicate with patients, renew prescriptions, reschedule appointments, order and reassure patients about lab tests, etc. I can review radiographic studies in my kitchen. One potential stumbler is system intercommunicability; I can talk to the Army but not to Kaiser or Cigna. But we have really good people working on that and I am confident that hurdle will be cleared. The other really huge threat is infosec, but its no different in telemed than it is in banking or proprietary research or other fields requiring secure internet connections.

  46. Robert Lewis
    Robert Lewis08-23-2012

    have bookmark and I will be back for more. Thank you,

  47. Adam Reyes
    Adam Reyes08-23-2012

    I would believe that if you ask any hospital CEO too on budgets about how difficult it is, they would agree as they are having to budget for items for the next year that do not exist today, same thing with devices that consumers/patients will and do use. In summary here, I think a greater awareness and participation with Congress would really help and we may get some better laws out of all of this if they were in the technology loop. I have asked many times for role models, but see none. I like the ones in particular that talk about PHRs and how good they are, and then later I ask when one they are using and I get no answer as they are repeating what they hear and in turn are non participants talking. Participation and talking about problems and success at all levels will truly help. If the folks at the top dont buy in and acknowledge Health IT, well how do you work with the attitude of its for those guys over there and this seems to be all over the place. There are no big white hopes out there anymore, it is all collaboration and input from many sources, just like data is today:) It would be great to have everyone who speaks about what is good and perhaps a fruitful idea to be participants.

  48. Lois Ellis
    Lois Ellis08-23-2012

    Quite interesting, wish I could find posts like this one more often, thanks

  49. Jason Young
    Jason Young08-23-2012

    Sorry for the long first comment here and hope I provided some food for thought and am testing out the new blog:)

  50. Nicole Evans
    Nicole Evans08-24-2012

    Thanks, Justin

  51. Steve Cox
    Steve Cox08-24-2012

    Exciting and really worthy info, cheers.

  52. Christine Martin
    Christine Martin08-24-2012

    Excellent blog. Will be following your updates now. Thanks.

  53. Carolyn Rodriguez
    Carolyn Rodriguez08-24-2012

    Would love to see more updates and posts here at some point.

  54. Randy Gibson
    Randy Gibson08-24-2012

    I admire what you have done here. I love the part where you say you are doing this to give back but I would assume by all the comments that is working for you as well. Do you have any more info on this?

  55. Jean Morris
    Jean Morris08-24-2012

    Hopefully, when we look back fifties years from now we can say this was the point where we finally used best practices and available technology to create an effective, productive health care system that lowered health care cost for all Americans.

  56. Eugene Carter
    Eugene Carter08-24-2012

    Hopefully, when we look back fifty years from now we can say this was the point where we finally used best practices and available technology to create an effective, productive health care system that lowered health care cost for all Americans.

  57. Russell Howard
    Russell Howard08-24-2012

    Similar to me, i like to do blog when i travel too. On train or bus, i like to spend some times to go to my website and post something about my travel.

  58. Harold Howard
    Harold Howard08-24-2012

    Have you tried the CPRS demo at the VA site? It is not as visually appealing as current, Windows-like applications, but at least you can play with it.

  59. Sharon Long
    Sharon Long08-24-2012

    Should be easier.

  60. Victor Reed
    Victor Reed08-25-2012

    Websites you should visit… [...]below you’ll find the link to some sites that we think you should visit[...]……

  61. Lois Boyd
    Lois Boyd08-25-2012

    Some comments to add to those above:1) Do not post sporadically, strive for continuity as this will keep folks coming back for more. There is just so much going on today in the HIT space and likewise so many who are trying to understand the actions taking place at HHS/ONC, that this forum/blog will create a unique opportunity to both get the word out as well as solicit feedback.

  62. Bonnie Torres
    Bonnie Torres08-25-2012

    Once I transitioned to home health it was a whole different world. It seems that this area in healthcare is so behind in terms of HIT. I can say the same for other providers such as hospice, nursing services, therapy centers and small doctors offices. At first glance you can see it falls into a financial issue with hardware and software being the main causes but there are other ways of improving IT in a healthcare practice without having to worry about the financial burden. I am working on a few ideas that I hope will help benefit the provider and the patient. I look forward to learning more on HIT and the input of others on this blog.

  63. Gary Gomez
    Gary Gomez08-25-2012

    I fully agree with the necessity of semantically interoperable data exchange; however, the internet and web-based technologies are rapidly replacing the need for national infrastructures or data integration engines.

  64. Ralph Green
    Ralph Green08-25-2012

    Those with iPhones and other web-enabled handhelds already know what I write to be true. For example, no massive nationwide infrastructure was needed to create the ability for me to know exactly where I am along my route home (or the nearest gas station much less my ability to pay for the gas with my Paypal account) using my iPhone. Apple, Google and Paypals platforms present the information I need seemlessly in real-time and from data sources stored around the country without the US government doing anything other than making the internet available to all of us.

  65. Tammy Rodriguez
    Tammy Rodriguez08-25-2012

    Alex

  66. Donna Wilson
    Donna Wilson08-25-2012

    Keith, what do you mean about have to use extra clicks to see unpopular views? To me, it looks like all the posts are shown, so I dont know what extra clicks youre talking about.

  67. Terry White
    Terry White08-26-2012

    Title… Body By Vi…

  68. Donald Campbell
    Donald Campbell08-26-2012

    Customer Support: Effective or not effective every time you call on a specific issue tracked by a

  69. Carolyn Gordon
    Carolyn Gordon08-26-2012

    Thanks for the info, I will have a read.

  70. Norma Adams
    Norma Adams08-26-2012

    Pictures are too small to tell, but the house looks really nice. David

  71. Andrew Torres
    Andrew Torres08-26-2012

    What a fantastic idea. I am not totally sure if that is going to happen, but who knows. Would you be willing to write another post, but from the opposite vantage point.

  72. Margaret Cooper
    Margaret Cooper08-26-2012

    A significant issue is security and privacy, but this needs to be addressed simply and with current technology. I have had the same ATM four-digit PIN number for years and have never lost a cent.

  73. Phyllis Ortiz
    Phyllis Ortiz08-26-2012

    The article was written in a very transparent manner, allowing us to see exactly what obstacles are in the way. There are obviously many of them, so I will keep this article in mind, during certain calls in the future.

  74. Chris Flores
    Chris Flores08-26-2012

    A Veterans Administration, that had technology up to date, would allow management to see how files overlap in certain situations. The relationships between audits, and how the Debt Collection Dept. works would be an example of how someone in a management position could pull up certain portions of a Veterans file to verify information.

  75. Carlos Morales
    Carlos Morales08-26-2012

    Great story, now if we could all be so lucky. I had a similar issue where Education and debt management took money they said I owed them. Sadly enough, it didnt happen just one time, it happened several times. Every time I would send a message to the VA, I would get a different response. Finally someone stepped in and decided I should have an audit done, and found that in fact, the VA had deducted more than they should have, and they will be manually processing a check next week. Lets just hope they dont do like last time and take it right back out again at the end of the month.

  76. Craig James
    Craig James08-26-2012

    Hello very good post! Useful high-quality information.

  77. Frances Garcia
    Frances Garcia08-27-2012

    I am looking for a house to buy. Since Im a dis-abled veteran, I went on the VA site and found one that was for sale, but was going to be auctioned off on the 21st of April. The site specified that you must be pre-qualified prior to sale and a link sends you to Bank of America to do so. After getting pre-qualified, I called the auction company and was told the house could not be financed, that you have to have the money in an account. You must have CASH. This is pure discrimination! Why is the government doing business with companies who do this? Of course the average veteran can try to buy the house before it goes to auction if he/she wants to pay full or near full price; but after it goes to auction the average veteran or any low income people are shut out! I have contacted the ACLU, but of course the place I really wanted and looked for almost a year to find will be gone before they have time to act. Something should be done about this. Gene Travis

  78. Juan Graham
    Juan Graham08-27-2012

    Thanks for sharing this kind of excellent subject material on your internet site. I noticed it on google. I will check to come back if you publish additional aricles.

  79. Adam Holmes
    Adam Holmes08-28-2012

    That was a very intresting and elaborating post. As a veteran of three years in the Israeli army I can appriciate such good ol stories.

  80. Deborah Robertson
    Deborah Robertson08-28-2012

    Hey! Where by is your rss hyperlink? I woul like to subscribe.

  81. Todd Morris
    Todd Morris08-28-2012

    Keep working ,fantastic job!

  82. Lisa Carter
    Lisa Carter08-28-2012

    sighet, sighetu marmatiei – http://www.sighet.net

  83. Alice Daniels
    Alice Daniels08-28-2012

    Wow i thought this was probably one of the better articles I’ve got talk about on trading thus far. I cannot have any idea that you get your complete information but up! We’re gunna send some folks on to the site look into this post. Fantastic, totally awesome.

  84. Paula Evans
    Paula Evans08-28-2012

    eClinicalWorks is one EMR that is fairly affordable and is even available at Sams Club. One fee includes hardware/software and some services to get your EMR up and running.

  85. Martha Sanders
    Martha Sanders08-28-2012

    Very well posted!nicely done!

  86. Eric Reyes
    Eric Reyes08-28-2012

    Liked the post!will refer again!

  87. Laura Harrison
    Laura Harrison08-28-2012

    Sorry for the huge review, but I’m really loving the new Zune, and hope this, as well as the excellent reviews some other people have written, will help you decide if it’s the right choice for you.

  88. Paula Reyes
    Paula Reyes08-29-2012

    Well posted!will recommend to others!

  89. Ruby Powell
    Ruby Powell08-29-2012

    Still it can be a very frustrating experience dealing with any large entity, govt or private company and trying to find the right person to help you.

  90. Anne Dixon
    Anne Dixon08-29-2012

    Thanks for the hardwork!willrefer again!

  91. Sandra Howard
    Sandra Howard08-29-2012

    Greg

  92. Thomas Marshall
    Thomas Marshall08-29-2012

    Highly recommended!best post!

  93. Nancy Harris
    Nancy Harris08-29-2012

    Very well updated!thanks

  94. Beverly Ramos
    Beverly Ramos08-29-2012

    Extend Rxnorm to have: 1) Drug Classes (could use VA drug classes 2) Drug Interactions (Drug-Drug, Drug-Disease) 3) Formularies

  95. Janet Myers
    Janet Myers08-30-2012

    Very well updated!nice post!

  96. Craig Brooks
    Craig Brooks08-30-2012

    Dr Blumenthal, starting a blog seems like there might be a degree of pacifying the villagers because they may be thinking of burning the castle. Its been two days and no second post? Serious blogs have posts several times a day the authors are engaged and often answer posts to their main blog. Are you actually writing it yourself?

  97. Virginia Shaw
    Virginia Shaw08-30-2012

    ho ho ho! Santa likes your blog a lot! Keep up the great work

  98. Thomas Reed
    Thomas Reed08-30-2012

    Will be back to update myself!nice post!

  99. Deborah Williams
    Deborah Williams08-30-2012

    Hi there, I found your website by means of Google whilst searching at college for a similar topic, your website came up, it looks good. I’ve bookmarked it in my google bookmarks. Thanks

  100. Steve Reyes
    Steve Reyes08-30-2012

    Will refer to your site again!nice post!

  101. Roy Tucker
    Roy Tucker08-30-2012

    I was extremely pleased to locate th is web-site.I desired to thank you for th is fantastic learn!

  102. Kathy Young
    Kathy Young08-30-2012

    Very nicely posted!good job!

  103. Cynthia Wells
    Cynthia Wells08-30-2012

    I have personally dealt with all of these technology transitions across a number of clinical and administrative healthcare environments. In order to be truly accessible to all, including both the metro hospital and the rural clinic, web access is now paramount. It is far more versatile, accessible and much lower in cost. In addition, public acceptance of web based solutions as an accepted business and personal utility is quite high. Proprietary EMR systems will not go to the web quickly simply by their inherent design to generate and protect profits. By going the way of the web, they compromise the true protection that platform dependency affords. By the same measure, Google, RevolutionHealth and other notable web masters have proposed web PHR systems that could easily integrate with provider recordkeeping efforts. They continue to work preparing for what they see as the inevitable migration of medical recordkeeping to the web.

  104. John Morales
    John Morales08-31-2012

    BTW, building accessible, low cost apps that anyone on any platform can use IS possible and CAN support Meaningful Use, NCQA, Medical Home. We are doing it today to demonstrate patient self management of chronic disease and injury.

  105. Carlos Anderson
    Carlos Anderson08-31-2012

    From a patients perspective, I certainly hope meaningful use standards (not merely structure as in roadways) are defined and implemented. I want EHRs fully integrated from my primary care Dr. to one or more specialists to the ER, and even to my dentist (they are now checking BP & pulse because they dont know when their patients last saw a HC professional).

  106. Frances Gibson
    Frances Gibson08-31-2012

    Thanks alot!will recommend.

  107. Lawrence Phillips
    Lawrence Phillips08-31-2012

    Ive been reading through the web ONC website trying to get answers for our 105 bed hospital. Ive got some questions if anybody has answers theyd be appreciated- Id like to talk to a REC but appears that applications are still being accepted, so does this mean I wouldnt be able to find a list of RECs somewhere on the internet to contact?- Is it fair to say that CCHIT is the one our vendor should be getting certified with? I dont see any mention of any others and the certification appears to be something that will be rather complicated and needs to be started rather soon- I see mention of 100s of public comments on ONCs past diliberations are these available to the public? I dont see them posted anywhere- I dont know where to start in finding state (or federal?) agencies that we should be sending electronic immunization and biosurvelliance data to who are they and how do we get their requirements for electronic transmissions?

  108. Jennifer Bailey
    Jennifer Bailey08-31-2012

    Thank you, I really enjoy reading about this case – amazing!

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