“Louisville, KY . . . A Great City Of Cause And Effect” by Dianne H. Timmering

Louisville, KY is a great city of cause and effect—filled with the power of innovation, a real testing ground for live feedback on products, services, technologies—a testing ground for the fluent edgy ideas and new venture offspring, concept-building from one vision to creation, with entrepreneurs in the making, a knowing, a passionate drive of unstoppable thought leaders with toes in the revolutionary waters of experiment willing to challenge the healthcare experience for generations to come. We need to capitalize on this ointment in our cultural fabric, and not give it to another.

Dianne H. Timmering

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“Integrity Of Time” by Dianne H. Timmering

My morning thought is about the integrity of time. When used wisely it is your greatest ally – the fuel of propulsion to the fullness of accomplishment not only with professional pursuits or creative forays, but indelible family moments that prosper lines of new joy.

@DHTimmering

 

“We are US…A Healthcare Marathon Finish” by Dianne H. Timmering

It’s a year later and I still reflect on my time in the race. The race for what—healthcare’s idiosyncrasies of uncertainty, day to day where one word from Washington, whether it becomes regulatory discretionary review or legislative speculation still rings with resonance of possible impact shuttering those it impacts the most— the impoverished, the elderly, the disabled, the rich, the poor, the hopeless—you see everyone has their own healthcare story because I suppose any one rich, or even moderately so, could suddenly be poor if they encountered the worse that could happen in the navel of unscripted sickness.

But that is not what this blog is about. It’s about finishing the race—the New York marathon of 26.2 miles I mean, just, and I mean just under 6 hours—a miracle of sorts for someone who trained with a little bit of a little. —I hate to run, I mean I really do, but the little bit of practice that my mind would allow me to have, combined with the larger aggravated power of hot yoga gave me the breath and endurance of muscle and brain-conditioning to make it through.

Well that isn’t exactly the truth–because we had a plan, a cause, and a mental superpower called PUSH. It was my colleague who said we run 11 minutes and walk 3, run 11, walk 3, pace ourselves—never to deter, never NEVER to veer from this strategic plan—and he was right. And it was the people of New York city—the #Brooklyners, and the #Manhattanites, and the #Queenstown folks, and the precious child who handed us that slice of banana in the #Bronx for so much needed potassium, and the women along the 23rd mile who said did we need a chip with salt as music selection slid into our ears goading us on, fighting for us, pointing us toward the finish, as it seemed like every new Yorker was—those beautiful incredible amazing “citizens” and immigrants who they are—loving, pushing for a good finish. Americans all of them, no matter their legendary heritage, in melting pot fashion of hope—for we are a hopeful nation, rugged individualists. We can’t help ourselves—it is who we are. US.

  1. US. Us — the U.S.—the United States of America.

We are… US.

I finished—with 6 of my professional colleagues who inspired me every day in their deeper commitment to training than what I was willing to do—, knowing in the end, hoping, that I would fight no matter what even if I had to crawl across the finish line. Which is what my colleague and I almost did—he had a busted tendon and I just tired out—my muscles and his clenching up, believe it or not, 800 meters from the finish line. 800 meters was like running the whole 26.2 miles all over again. But we fought through it and we pushed and we pounded to get there—and we crossed that evasive — where are you!? –— line.

I suppose it’s like anything, or any “deal” worth finishing—business, civic, political or otherwise—as my colleague always says—it’s the last 5 yards. And it was the last five yards—and it seems there are no exceptions to this rule.

In healthcare, with its upside down uncertainty, the race is longer, I am finding out, even beyond the 5 yards. But many of the current healthcare business “deals” to try to even conceive of a future are at the 5 yard line— and even then that is only a new start.

But the good kind of one.

NOW, today, we have a chance to finish more than a marathon but re-create a brave new world of healthcare, and in our case long-term-care for the in-coming magnificent barrage of the aged and elderly, those who were conceived after the worst of times of WWII, who became the best of times, the best creations of life, to refill the “slots” of so many lost. But again life comes and it goes, and there is death, but there is also rebirth and they deserve what “US” can give them. They deserve our marathon finish, so that we can give them theirs.

So, if we can get the muscles moving right, the knees to cooperate, the insoles inside the shoes to stay put, the jellies, powders, and goopy proteins, combined with the rigor of a strategic plan, tenacity, ferocity, a little bit of blood, and a molecule of faith, we can finish any race, any deal, anything; and I mean anything. Let us finish the race…., so a new one can begin.

Dianne H. Timmering, MBA, MFA, CNA

“Revolutionaries Fight Back – Defending Those Who Can’t Take Care of Themselves” b y Dianne H. Timmering

When a risky strategy is your only ally …. Business, Politics and the spiritual salve that holds it together.

Who will take care of those who can’t take care of themselves?

By Dianne H. Timmering

July 2017

Legislative victory!: Senate Bill 4 – Medical Review Panels! Kentucky gets tort reform! A form of civil practical justice to resolve frivolous unmerited litigation that elicits equity and fairness, and a professional determination of the facts alongside the truth of our intent.

 Excerpt: The truth is, at the core, compassionate imperfect care is the best kind of care and often very difficult care to give. We fought for both policy and legislative victories; not because we want “protection” from the accountability of care, but so that we can give it.

These two victories are about the freedom-filled rights of our U.S. Constitution and Preamble—we the people—as it was meant to exist with the fair distribution of logic, observant of rational considerations and judgement. For Medical Review Panels, our first step in the tort reform odyssey, litigation will now be considered by an expert panel, for both sides, the defendant and the plaintiff, the patient and the provider, with the right to a free trial! Tort reform in the form of panel equality, and urban-rural, in the form of accurate designation, are ultimately both economic issues of mightiness to expand healthcare innovation, retain patient fairness, restore caregiver confidence and keep solvent the industry that gives life and hope to the Least of Us. Dianne H. Timmering

July 2017 – Starting July 1, 2017, after years of a battle, a plan, a struggle and finally a revolutionary win, both Medical Review Panels and Urban-Rural reclassification took effect in the commonwealth of Kentucky.

The financial impact from unfiltered litigious cruelty is not yet known although as the first line of defense against unscrupulous carpetbaggers, its financial relevancy will reveal itself over time. Regardless of this critical point, perhaps it is the emotional breath that will follow our July first momentum, during our own national freedom of independence, which will be a beacon of hopeful relief for our Signature leaders and other “valiants” who take care of the elders of our times.

Policy victory!: Kentucky gets urban/rural re-classification after 14 years of inactivity –a significant change to meet the critical care needs of so many vulnerable aged Kentuckians and compete for wage competitiveness for the care-giver gifts of care.

The Rural to Urban re-classification, unchanged for more than a decade—a “material injustice” by a former governing body, is simply an issue of updating the system to allow providers to be reimbursed under the appropriate demographic area. For years, un-reimbursable care-ratio dollars have been unclaimed even though we have given the care anyway. Now dedicated long-term care providers can not only better care for our precious “consumer,” but find the beloved care-giver at a competitive wage rate that has turned out, the national shortage of care-givers, to be one our greatest nemeses of care delivery. We were an industry on the “brink of failure” not because of lack of supply and demand, or even operationally but because of litigious extortion and payment unfairness!

But neither of these revolutionary wins came without a cost: they took a fight, a strategy, a boldness and intentional risk, even without the assurance of any kind of win. The SignatureNation, and others, have been involved in both this legislative (MRPs) and policy effort (Urban/Rural) for more than a decade – in incipient development, maturation, and advocacy. As healthcare leaders of today must often do, we CHOSE the path of involvement for it was the only way to enact the change we needed for an industry almost on the “brink of failure” (the American Healthcare Association phraseology).

Both were decidedly long-term strategies because nothing short-term was working in the current legislative and executive branch governmental make-up. To get what we needed to battle industry pressures and unnecessary headwinds, we pivoted in 2014 from a strategy of defense to offense, deciding to get to the root of why nothing was happening, why such antiquated regulatory restrictions (urban/rural re-classification) and tort reform efforts were consistently meeting unmerited opposition.

We made the bold move to be out-in-front, to begin the effort to change the make-up of the governmental landscape. Not because of Democrat or Republican leanings, but because as “Health-o-crats”, we needed to change the foothold of inertia and old political ways which were driving our business to the edge of calamity.

We are fighting now for the same thing on the federal level even with an influx of baby boomers and a “sicker” patient population coming in. Where will our people go?

Fighting seemed right not only because of an expanding marketplace in Kentucky, but because of Signature’s more than decade old mission of hope and vision of “compassion-care” rescuing communities and elders who needed us. My precious mother passed away of acute Parkinson’s disease in a Signature center and I am forever grateful that they took loving care of her, because at home, we simply couldn’t anymore; and moreover, didn’t know how.

A revolutionary strategy must be bold and resolute.

With intention, we supported a dark-horse gubernatorial candidate as well as legislative candidates who supported our issues; we built relationships, educated politicians about our vulnerable patient population, invited them to our facilities, discerned ebbs and flows of underlying opposition, and pivoted at key junctures which significantly increased the odds for a win regardless how risky the strategy had become.

When, for example SB4 (Medical Review Panels) finally hatched out of the House in late February 2017, we, among others, were a part of it until last minutes of the final vote. We co-led the umbrella consortium with the KY Business Chamber, the Kentucky Hospital Assoc., Leading Age and the KAHCF (SNF Assoc.), co-drafting legislation, fighting back against dilution, drawing a line in the sand when we thought the strength of the review panel was dead. Signature leaders and CEOs from across the state battled for a strong bill with courage, fortitude and collaboration, pivoting when needed, holding resolve when demanded.

The Kentucky team was not afraid to get involved in the future of its own destiny!

It was time. We fought for a structure for fair and equitable judgement as the ubiquitous nature of healthcare engagement is based on human ethics, social determinants, expanding sickness of co-morbidities and good human intent. The truth is, at the core, compassionate imperfect care is the best kind of care and often very difficult care to give.

The MRP vote, tenuous when it finally happened – 51 – 46 passing via a simple majority—was a zenith moment, a penetration of time, when business, God and politics all worked together for a common good.

What stood out to me of course was the first amendment right of spiritual freedom, when Jason Nemes, one of the bill’s architects and an ally, who in the end wanted a good bill and one that would withstand a constitutional challenge, but give fairness to both sides with expedited “pay-outs” for someone found to be indeed injured or neglected, it was his invocation of something sacred to me, something I co-founded and built with my co-partner, Joe Steier. Jason said that long term care companies are good, do care for a vulnerable population, and are targets. He then singled out Signature Healthcare for our spiritualty pillar – the caregiver beauty of soul, united with the SHC chaplain corps, unique to our industry, focused on whole patient well-being—in volume and reach, in width and depth for a deeper sense of human wellness. That we were a company, “trying to do right.”

Maybe through our model and vision to change the landscape of long-term care forever, our trials of purpose forge a trail for those who follow behind. We are perfecting the model of equal parts – business, God and politics to make it a whole, for healthcare is not driven by these buckets in single domains. Good policy drives productive business strategy with the ethereal iron impact of spirituality, tying the salve of patient possibility and the infrastructure of sustainable business with real hope in healing.

Mistakes do happen. We know this and own it. Our community is frail. Our framework of care for the elderly resident is through the core of Sacred Six engagement, state of the art clinical training combined with spiritual hope in medicine against growing chronic sickness and the highest levels of frailty. We love our residents, and our intent is to take the best care of them. The MRP does two things – it elicits equity and fairness, and a professional determination of the facts alongside the truth of our intent. It allows the facts to come out, for the unemotional truth to be told and considered. We just want the fairness of what a Medical Review Panel could and will bring to the discussion beyond the automatic lever of accusation, but the relevancy of the good intent of care and the full details around the situation. And it doesn’t preclude the plaintiff to due process and the right to a trial.

As the fourth of July coincides with the enactment of this legislation, these two moments are about the freedom-filled rights of our U.S. Constitution and Preamble—we the people—as it was meant to exist with the fair distribution of logic, observant of rational considerations and ultimate judgement. For Medical Review Panels, our first step in the tort reform odyssey, litigation will now be considered by an expert panel, for both sides, the defendant and the plaintiff, the patient and the provider. Tort reform in the form of panel equality, and urban-rural, in the form of accurate designation, are ultimately both economic issues of mightiness to expand healthcare innovation, retain patient fairness, restore caregiver confidence and keep solvent the industry that gives life and hope to the Least of Us.

These are RevolutionaryTimes.

UPDATE!: But the fight goes on. The MRP bill is a good one—with measured and fair authority for both sides (the plaintiff and the defendant) with no 7th amendment violation; the right to a free trial is NOT in jeopardy – the designated time periods allow for the facts to be heard—a visceral wall against frivolous litigation. Medical Review Panels not only expedite the evaluation of a patient’s claim and help detect whether it has merit, but can expedite a “pay-out” for someone found to be indeed injured or neglected and does not stop access to a fair trial or the courts. But still the fight goes on…..

Dianne H. Timmering, MBA, MFA, CNA

“Too Fast, Too Soon, But Exactly the Right Plan – A Commentary” by Dianne H. Timmering

#WeareKY

The recent strategy from the Governor’s administration, while ideal and brilliant as they reached into the inner-workings of the legislative process to determine procedurally what they could do with a supermajority in both chambers in the first five days, it was simply – too much, too fast, too soon.

But it wasn’t wrong.

And reasons for tort reform, namely Medical Review Panels, not passing this week, because it will during the regular session in February, we strongly believe, had to do with other “powers,” I see that now, rather than totally having to do with complications of understanding its “language” as currently written. First of all, in an unprecedented Saturday move, seven bills passed the House, and as we understand it, the Governor will sign them all or already has, in the 10 day period to follow. It was just a lot.To be clear and fair, the MRP bill submitted in the Senate by Dr. Alvarado, a good friend of ours, was legislation de-shelved from a few years back and enhanced, written in fact so it would easily defy a constitutional challenge. It did not have all the “teeth” we wanted, but that was and will be tweakable in future amendments or regulatory enhancements in the following session.

Regardless of your politics, it was incredulously and profoundly fantastic to find a current Governor unconcerned about a future election and only focused on the fact that for decades key business pro-legislation had been held up by a previous legislature mired in broken-down years of cronyism. The new legislative supermajority is now steeped with the vicissitudes of opportunity going for “broke” in the first five days of the legislative session. Who could blame them!?

Their intent was to pass: Prevailing wage repeal, Right to Work, a form of Tort Reform and a few other “tee-ed” up policies which have been both “alive” and “dead” on the docket for years.

Simply, Kentucky business is mad and the government is responding, finally. Even as you listen to the declining statistics around businesses and doctors leaving the commonwealth or never coming in the first place, because of government restrictions and regulatory laws where businesses would find themselves challenged even before opening their doors; there is hope.

The irony is that Kentucky is a poor state and needs business with jobs, good paying jobs but instead it seems we have relied on the perpetuation of the “welfare” state where coveted tax dollars go to those who presumptively needed the most help (good in social theory, but is it true?).

Many make fun of “trickle-down” economics from the supply-side brigade, but the truth is that the right kind of economic policy does trickle-down into job opportunity, food on the table, purposeful paths and new taxes for local and state governments to truly help those in need, sustain a real Medicaid dollar for our elders, those with mental health needs, helpless children, etc., not just for those who have learned to maneuver around in the current system and take advantage of its antediluvian ways.

(That’s why in the dismantling of Medicaid expansion in its current form, the new waiver will require able bodied folks to work and pay a co-pay, while taking care of the “least among us.”)

The Governor’s, and House and Senate leaderships’ strategy was surreal – pushing through prevailing wage repeal (ensuring wages are more representative of actual wages paid in respective regions) and Right to Work which could unleash international companies across the borders of our “map” with immediacy, especially with the new coggled mindset from the incoming Trump administration for jobs to stay in the confines of the U.S. manufacturing legacy. So timing could prove as fruitful as God’s timing even when it seems that opportunity is lost.

Medical Review panels, for example, did not pass this week, not because of opposition but for the following reasons – one being that the bill had facets to it about which the new members needed to be educated including defining some of its “language.”

But I personally think, in reflection after the last 72 hours, it had much more to do with something else and that is what DID pass on Saturday, was very emotional to many and the House leadership “chose” to slow down MRPs because of the outcry from the labor unions against the Right to Work law, as well as the emotionality around Senate Bill #5 and HB 2 (the Ultrasound Informed Consent Act).

I watched the governor very compassionately meet and converse with a big protest of labor union workers on Saturday morning who had gathered in the Rotunda. Truly, the labor union folks touched my heart. The governor in his wisdom, listened to the leaders, even if he disagreed, but honored their voices. Labor unions will still exist, they just can’t require a worker to join and pay dues to keep their job. We are surrounded by states with Right to work laws – it was time. And now new business will come to our borders.

But an even bigger reason may have had to do with the more controversial SB 5 and HB 2. When I was in Frankfort on Friday, that was the buzz because of its nature – after the 20th week, no abortion can take place and HB2 mandates an ultrasound. Regardless of where one stands on these issue, both sides respected, there was opposition to this bill, but it seems that the five-day strategy benefited this passage.

Objectively speaking, high emotion with a cross-section of bills from both the social and business sectors sidelined MRPs, now a priority left on the agenda for the following month. The governor knows its importance to us!, Leader Hoover, others, the head of the Health and Welfare committee ….

A group of healthcare leaders, the KHA, the KAHCF, met with Chairwoman Addia Wuchner of H&W, a former nurse, in a private meeting on Friday after the chamber adjourned. She was quiet, but asked us to trust her, saying very little beyond that, but giving every indication that MRPs will pass just that there was different work ahead for the immediate moment.

Now, seeing what did pass, and intuiting on the momentum of the week, the reasons for her statement have come now to more of a divine light to me.

Leader Hoover has performed perfectly this week, allowing his “youngest” members to flex a little bit of questioning muscle. They deserve their “day in court” (pardon the pun), but with it so close to the endzone, especially with the outcry of the business community, and what is truly best for the state of healthcare, as well as a long be-speckled past of attempts at passage even with due process and a right to a jury trial in-tact, and the Governor’s mandate for tort reform beginning with the passage of Medical Review panels, it is time for it to pass. It seems to me that politics and business definitely overlap – it involves, strategy, timing, patience and well, politics.

Next steps – Members will privately caucus now, the veterans educating the new, as will we educate, before the House chamber meets again on Feb. 7, and MRPs will find its light of day. It doesn’t mean we won’t have to watch for any opposition by the trial attorneys but we will fight with fortitude and win.

The truth is – tort reform is a not even a healthcare issue (although you could make the case that it is life or death depending on access to the right care and insurance rate affordability); it is so much grander, it is a pro-business indication of a thriving community allowed to innovate, set prices (another reason we need it – bc SNF can’t even set our own prices to overcome litigation unfairness), contain costs and operate within the parameters of set strategic mission and passionate cause.

Let a measure of supply and demand do its job as an organic indicator of good and bad business. Let our quality of care speak for itself, or not. At the end of the day, tort reform is a pro-business magna carta – a form of freedom and definitely an open portal for “life-rafts” to not only survive but cross streams through the opening doors of Kentucky—no longer needing to be pried open, but with a swan-like grace, opening, welcoming, and ready.

By Dianne H. Timmering, MBA, MFA, CNA

#WeAreKY

 

“An Inaugural Two Week Reflection” by Dianne H. Timmering

As I reflect back on this past inauguration weekend, I specifically remember four White House transitions. The first when President Herbert Walker Bush won the White House in 1988, the next, a Republican to Democratic transition with President William Jefferson Clinton in 1993, and then in 2001 when President George W. Bush, Jr. won the White House (with the “hanging chad” debate), and again in 2008 when President Barak Obama captured it back.

And now this one, another, although one that I viewed on and off as millions did, from the television set, like it was the sixties again, and the first man was landing on the moon.

At first crack of trying to express my emotional response, it felt very much the same, even though the news media may give the impression that there are first times for certain momentous inaugural moments. The protests were always brisk from the opposing team who had lost, the loss still so raw in the sinews of the mind that the heart had to protest like a purging of pent-up fury. Like before, like now.The 2001 inaugural was especially heated because of, well, “chad”, which ultimately decided who won Florida and therefore the Electoral College, and with it the election—the centuries-old democratic process, the deciding determinant as to who would rule the nation. The protests were especially broad in 2001. I remember swimming upstream inside of such angst—beyond angst’s reach to fix what it thought should have been different—and understanding the unresolved disdain for the bifurcated system, its own checks and balance of power between the urban populace and the rural rest.

This past weekend, I watched as the Trumps and Obamas walked out of the capitol building, the new president now the world leader, the former one, with his lovely wife, walking to Executive One, no longer Marine One. Oddly, I had the same ping that I had had when president and Mrs. Bush got on the helicopter in 1993, when the Clintons were taking power. I was enlightened by this tug, that Republican or Democrat it was still poignant as the change of power is historic in its peaceful swap. Even though I disagreed with many of his policies and overly burdensome regulatory mandates, President Obama was still my president too. For example, I thought one of the best was to give millions of undocumented long-standing immigrants citizenship, a celebration of America’s hard-working melting pot, who would now work freely, when they already have been, meet American workforce growing demands, and pay taxes. It was overturned but I am still hopeful for redemption for them, even for those this weekend who were denied entry due from some of the most war-torn worlds.

40 Syrian refugees alone are slated this year to relocate in Bowling Green, Kentucky. I am hopeful commonsense compassion resumes it course as the new administration’s footing settles, and certain elements of the recent travel ban are quickly vetted for those immigrants very deserving of refuge – but in the short-term, thank God for Canada’s open arms.

I actually worked on the inaugural committee in 1989, co-editor of the inaugural guidebook – the depiction of all the official inaugural events in a concentrated linear order – location, date, time. We worked night and day and my boss actually would have preferred if we had stayed the night in nearby cots so that we didn’t lose any travel time. Any inaugural only has about a two month planning window. I have a memory of Chuck Norris coming by and encouraging us – it was the 80s, and that was big-time!

In 1989, cell phones were brand new – and I had one as big as a shoe box but so proud to have been “important enough” (a woman of the 80s!) to have been able to use the technological advancement of portal communication. I would have never expected how small phones would become, but then who knows really from day to day with the speed of new sound and spirited inventions.

We staffers were behind the scenes then, as they are now, as you saw them running around last past weekend in the background of the television viewing. Not much really has changed even though everything does. The parade—the same, the presidential viewing box, the lunch, the ceremony, the elegant Balls–

In 1989, in my division, we were also responsible for not only who got invited to the parade viewing box, but its infrastructure as well. It was a very cold day that day in January, and there was no heat in the box (a big mistake!), so the kids, and grandkids and eventually the new president and newly appointed not-yet-confirmed cabinet, as well as press secretary Marlin Fitzwater, and Chief of Staff, Andy Card, eventually left the stands for warmer places. I must admit that I secreted away and watched the parade from the 4th floor of the Old Executive Office Building next to the White House and fell asleep, warm and tired curled up in a large window sill, while the parade was trumping down 16th Pennsylvania Avenue.

That night I attended the ball at the Omni Shoreham with a friend, who was also helping with “advance” work for the newly minted George H.W. Bush. I remember the dark velvety 80s poofy, shoulder-pad extravaganza I wore and my friend running to get me from admiring the ballroom pageantry so we could lead the president to the stage, the dance, and again, out the door. The president had I think 11 or 12 other balls to attend so timing was key.

A funny moment I do remember is when we were leaving seeing the famous Ricky Shroeder, who was the little kid in The Champ and the 80s show, Silver Spoons, very famous at the time, who had found champagne to his liking, getting in a limousine and people running up to him because there was an actor in Hollywood who was actually a Republican. I say that tongue and cheek of course, and yet with full accuracy of my memory of such a time.

There are stories I promise you from this past inaugural, similar to the ones I am sharing with you – richer, funnier, more or less poignant, sorrowful, angst-filled, hopeful, angry, glad or resigned to the fact of the new President. Wherever you stand, in this menagerie of emotion, rest assured that while it all seems new or unexpected, fiery or surreal, a blessing or the apocalypse, the truth is that inaugurals and their “moments” ring with more similarities than differences, even when debating crowd size.

The question now is only—will the new president actually lead and hear and perform around his “messaging” in concert with the “forgotten man and woman.” An editorial comment – I do like his unabashed approach of transparency which in my 30 year political tenure has not existed with such potency, good or bad. People do want the truth and he brought an element of this new thematic approach, the irony of it, in boldness to Washington. So now let’s see if “the truth” of something can make better public policy.

A new president comes out firing. And mistakes will be made. Let words and actions evolve with the forces of spiritual, judicial and legislative oversight… Take a deep breath. Wait with every controversy of a promised election. Like his approach or not, let’s see if some of his raw blanket statements blend well for many in a nation of need. Only time will have those secrets, daily revealed now that we are beyond Day one and 100 days ensues.

By Dianne H. Timmering

Stay tuned for more – next blog “Trumped! – these are revolutionary times, where will HC stand or fall?”

Dianne H. Timmering, MBA, MFA, CNA

“The Truth About Tort Reform” – #WeAreKY by Dianne H. Timmering

The truth is – tort reform is a not even a healthcare issue (although you could make the case that it is life or death depending on access to the right care and insurance rate affordability); it is so much grander, it is a pro-business indication of a thriving community allowed to innovate, set prices (another reason we need it – bc SNF can’t even set our own prices to overcome litigation unfairness), contain costs and operate within the parameters of set strategic mission and passionate cause.

Let a measure of supply and demand do its job as an organic indicator of good and bad business. Let our quality of care speak for itself, or not. At the end of the day, tort reform is a pro-business magna carta – a form of freedom and definitely an open portal for “life-rafts” to not only survive but cross streams through the opening doors of Kentucky—no longer needing to be pried open, but with a swan-like grace, opening, welcoming, and ready.

#WeAreKY

Dianne H. Timmering, MBA, MFA, CNA

“Poetry Memoir of a Warm Day on December 26, 2016 in Louisville KY” By Dianne H. Timmering

2:20 p.m. I walk in shorts.

The sky is busy. The clouds race across using the stable blue for a sweeping canvas. So much to write. It roars and the wind carries it sounds. I am listening but I can’t make it out. The pines blow and wave and add to the shouts of the hemisphere. Listen out loud. A warning? Or a beckoning that life is ready to be lived in. 

A day stuck in time. The trees claw at the sky. Give me the fruit of my arms so I can live again. 

No portals today but smashed heavens one a top of the other knowing it is close and a good place to be. For those who have gone before us. To emulate its same rules and passions on this planet.  Thy will be done. On this earth as in the heavens. 

The leaves dance on her asphalt path-guided floor. Skip. Every sound is a note, every note a word. Decoding the earth. I value her.

The sounds are coming from inside the portal – waste no time, He says. El Shaddai – He is the boss

This particular cloud portal moves. Like a giant hand – the earth like its own pod or time-castle. A lunar capsule to a new land. Where they come from it or we pass through. I am not sure.

 With a rise (qum!) of suddenness, the pressure was gone and I could breathe. Gone, no more compression at all, and with immediacy. Only healed. Maybe it was physically and emotionally calming or both, but regardless the pain was no more and I could leap again.

To sustain my “miracle”, I discerned to continue to breathe deeply, meditate (working on this as a practice), be present to the condition, and take the supplement of turmeric – a miracle spice on so many different levels including brain health, mind clarity and a functioning heart…qum!

If more people understood they could pray for themselves, would we see more healings, more understanding of where to seek help, especially with the “right” words spoken over the need?

Aramaic words give me the control of peace. qum! Rise!

Salu witiheb ikon b’au wtiSkxun Mt7:7-11 Luke 11:9

Ask and it will be given to you, seek and you will find Mt:7-11 Luke 11:9

Amen.

Dianne H. Timmering, MBA, MFA, CNA

“Heart Palpitations: Praying for Myself In Original Words of God – Aramaic” by Dianne H. Timmering

I was having heart palpitations…

Does true healing or emotional freedom require the right words with intentional presence? On this occasion I said them in Aramaic – an original language of God and the angels…

Itlabbabi brati amar-na qum!

Take heart, my daughter, I am saying to you, rise!

The power of the Ask and the right words of prayer.

Let me explain – Most recently, after finishing the New York marathon last month, I have had some of my more irregular heartbeats, an occurrence that I have had for years even with an assuredly healthy heart. I tend to hold my breath when I am thinking about something, like I am on a plateau of a mesa in an Arizona spring, in a different realm of air, where I don’t think I need any, like I am okay in any depth of the ocean. But then suddenly I find myself without, and I realize I’m not breathing, but gasping, and an angry heart erupts.

Sometimes it’s intercession for someone, or flat out stress – The day of the marathon, for example, just before the race, I had a bad one. Now the stress of running a marathon, training, preparation, worry that you are ready, enough “goos” in my running belt?, have I had enough protein to endure, fear you won’t make it …, is an easy indicator that that was the cause. But the last one I had had while previously training was so beat against my chest that I had to stop running and almost crawl back to my house.

I know how to calm a heart. Breathing through it. Big gulps of what is given freely. Coaching myself.

A couple of weeks after the race, I was in hot yoga and had to leave the studio because of such an event. I suppose stress is a direct impact of influence on just how fast it flutters and how long it is, but then one day this past week, it felt as though someone was stomping across the sternum climbing up a hill, spikes in the snow.

In a study of miracles we are researching, I decided to employ one of the miracle patterns we have de-coded – the power of the Ask, the right words of prayer, how said, what prayer language, when, even the essence of the healing touch, trying to hear God on what to do about a hammering heart …

Zeli baSlama wahwaiti xalima

Go in peace, and be healed… He said.

I said those words over myself – a tap to my sternum, an Ask for healing, an affirmation in Aramaic that I was…. Itlabbabi brati amar-na qum!

by Dianne H. Timmering, MBA, MFA, CNA