Tag: Excellence


Sir Isaac Newton’s law states that the force equals the product of mass and acceleration. In fact, our fitness excellence also is determined by the muscular force requirements to accelerate our body mass. On this basis, our fitness equation will be ‘Fitness Excellence Equals Mass x Acceleration’.

“We would be perfect if we can soon regain the serenity we possessed on our first day on Earth and, don’t soon acquire the physical capabilities that we would possess (on death bed) on our last day on Earth”. Based on this quote, fitness excellence and healthy longevity can be obtained with mental balance and well trained neuromuscular systems through exercise. In the modern life style, the scopes for exposing the neuromuscular systems to maximum gravitational torques are limited. For example, usage of beds limits exposure to getting up from the floor, in which important deep hip and knee flexion do not occur. Similarly, western closets limit exposure to deep squat, thus people leading prolonged sedentary life style may not have enough Quadriceps flexibility and may not be able to Squat properly during exercise performance. Inflexible tissues can limit acceleration against gravity or to counteract gravity.

All health abnormalities affect the body mass, body composition and muscular strength levels. Thus, our health excellence revolves around fitness excellence. Musculoskeletal biomechanics has revealed that most movements are innately mechanically disadvantageous with effort arm smaller than the resistance arm. Still, this mechanical disadvantage is beneficial to develop muscular strength as there is a constant demand to produce more force to wield the larger resistance arms. To make it more beneficial, regular strength training techniques with periodical progression in the resistance can be of great help.

To optimize body composition and attain an ideal body mass, improving exercise tolerance is crucial to maximize muscular strength and power. As the ability to accelerate our own body increases with different formats and levels of fitness training, there may be plenty of scopes to optimize body composition associated with fat loss. This concept must be strongly inculcated in the minds of clients seeking support from the fitness specialist because the usual approach focuses only on body mass.

There are obese individuals who can take more 5 seconds to get up from the floor (from lying position to standing position) where as fit individuals take equal to or less than 2 seconds to do this task. This is an example that shows the importance of essential strength to accelerate the body against gravity to do very basic movements. People with average fitness levels have been demonstrating standing jump distance that is equal to their own total height. This is another example that shows the importance of improved strength to accelerate the body against gravity to advanced movements. So, while the emphasis should be retention or regaining strength to accelerate our own body mass to basic functional movements, on the other end the body should be prepared to do advanced movements (a) accelerate with better speed – Run, Jump, Throw etc (b) accelerate progressive external loads – Dumbbells, Barbells, Medicine balls etc. As long as the athletic potential is maintained, the exercising individual can maintain excellent anti-gravity strength that is the key determinant of fitness excellence.


Source by Vinodh Rajkumar


"Position the organization to compete on value: it is the new reality."

– National Committee for Quality Healthcare, Pay for Performance PPT Primer (2006)

Most health care professionals would say that providing value – high quality care, timely delivery and patient satisfaction – is their mission. Yet, positioning a health care organization to compete based on the value of its services is a relatively new idea, and one whose time has come – that is, depending on whom you ask.

Many payers are in favor of linking some portion of provider payments to quality and efficiency metrics. As of 2006, more than half the HMOs in the United States offered such "Pay for Performance" provider contracts. Given that in excess of 15 percent of the nation's gross domestic product is now spent on health care insurers are hoping that Pay For Performance (P4P) plans will make patients healthier and ultimately reduce the cost of health care.

Health care consumers also appreciate being able to compare physicians and facilities when making decisions about where to seek care. Unfortunately, P4P measurements of hospitals and health care providers have yet to be standardized, which can be confusing to someone trying to compare reviews from different sources.

Despite these challenges, health care appears to be moving in the direction of consumer-driven selection. As a result, the industry is increasing its measurement of results and its adherence to guidelines. However, in order to compete in this new market, physicians, hospitals, laboratories and other health care organizations must do more than simply measure their processes and report on results. They must demonstrate improvement in these areas over time.

For healthcare organizations, viable and sustainable improvement requires three things:

1. An established system that can be applied to any process, clinical or administrative, to positively impact outcomes and metrics.

2. A methodology that is easily transferable, so health care professionals can learn to apply it to their own processes as they help patients.

3. A common language that drives the process of improvement but is flexible enough to be adapted to the specific culture of each organization.

While P4P provides a venerable stick to grow by, it remains to be seen whether it provides the means to grow. In contrast, a well-designed Performance Excellence program, based on a proven methodology such as Lean Six Sigma, can help health care providers realize dramatic and long-lasting improvements in the areas measured measured by P4P metrics: safety, efficacy, timeliness, efficiency , equality and consumer focus.

Most importantly, Performance Excellence and Pay for Performance share the same goal: to provide high quality patient care with the best possible outcome at the lowest cost. Whether this objective is labeled a value proposition, a mission statement, or just the way health care should be, it's a goal that providers, payers and patients can all support.


Source by Debra Jennings

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