url stringclasses 1
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https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000249.pdf | 9 | 10 | Advancing Policies for Quality Malnutrition Care in Older Adults: A Toolkit for State LegislatorsThe Cost of Malnutrition /
Malnourished older adults make more visits to physicians,
hospitals, and emergency rooms15 and are more likely to have
increased rates of medical complications, including falls,
delayed... |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000249.pdf | 10 | 11 | Advancing Policies for Quality Malnutrition Care in Older Adults: A Toolkit for State LegislatorsA Blueprint for Success in Achieving
Quality Malnutrition Care /
To coalesce key stakeholders and focus attention on older
adult malnutrition, the Defeat Malnutrition Today coalition and
Avalere Health led the de... |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000249.pdf | 11 | 12 | Advancing Policies for Quality Malnutrition Care in Older Adults: A Toolkit for State Legislators
Goal 3: Generate Clinical Research on Malnutrition Quality of Care
Strategies8Recommendations8 Comments for State Legislators
Identify and Fill Research
Gaps by Conducting and
Disseminating Relevant
Research• C... |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000249.pdf | 12 | 13 | Advancing Policies for Quality Malnutrition Care in Older Adults: A Toolkit for State LegislatorsTaking Policy Action on
Older Adult Malnutrition /
State Legislation
Several states have taken the lead in legislative actions related to older adult malnutrition, including resolutions recognizing
Malnutrition A... |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000249.pdf | 13 | 14 | Advancing Policies for Quality Malnutrition Care in Older Adults: A Toolkit for State LegislatorsProclamations and Partners
State governors and officials have made proclamations to support Malnutrition Awareness WeekTM. In 2020, state proclamations
were issued in Alabama, Florida, Massachusetts, Nevada, New Je... |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000249.pdf | 14 | 15 | Advancing Policies for Quality Malnutrition Care in Older Adults: A Toolkit for State LegislatorsConnecticut
FloridaState Best Practices /
Connecticut legislators held a roundtable discussion focused on the impact of malnutrition. It was hosted by two state
policymakers and several key stakeholders, including ... |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000249.pdf | 15 | 16 | Advancing Policies for Quality Malnutrition Care in Older Adults: A Toolkit for State LegislatorsA malnutrition network of 24 stakeholder groups worked together to advocate for passage of a bill in 2016 to establish a
Malnutrition Commission focused on older adults. The network also worked to identify nominati... |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000249.pdf | 16 | 17 | Advancing Policies for Quality Malnutrition Care in Older Adults: A Toolkit for State LegislatorsA network of stakeholders successfully advocated for passage of Ohio Senate Bill 245, which established the Ohio Malnutrition
Prevention Study Commission. The Commission was required to convene for a single term fr... |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000249.pdf | 17 | 18 | Advancing Policies for Quality Malnutrition Care in Older Adults: A Toolkit for State LegislatorsA Quality Focus for
Malnutrition Care /
With the ever-increasing proportion of older adults in the US
population, it is important to promote public health policies—
like high-quality malnutrition care—that help kee... |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000249.pdf | 18 | 19 | Advancing Policies for Quality Malnutrition Care in Older Adults: A Toolkit for State LegislatorsConclusion and Call to Action /
The time for state policymakers to enact these changes is now! Policy actions like the establishment of a Malnutrition
Prevention Commission for Older Adults, recognition of Malnutri... |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000249.pdf | 19 | 20 | Advancing Policies for Quality Malnutrition Care in Older Adults: A Toolkit for State LegislatorsAppendix A: Federal Nutrition
Assistance Programs Serving Older
Adults and Opportunities for State
Legislators /
Program Eligible
populationType of assistance No. of older adult
participants in 2017Total federa... |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000249.pdf | 20 | 21 | Advancing Policies for Quality Malnutrition Care in Older Adults: A Toolkit for State LegislatorsAppendix B: Stakeholders and
Resources for Older Adult Meals
and Food Assistance /
Stakeholders Involved in Administering Selected Nu trition Assistance Programs That
Directly Provide Meals and Food to Older Adul... |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000249.pdf | 21 | 22 | Advancing Policies for Quality Malnutrition Care in Older Adults: A Toolkit for State LegislatorsAppendix C: Qualified Clinical Data
Registries (QCDRs) /
A Qualified Clinical Data Registry (QCDR) is a Centers for Medicare & Medicaid Services (CMS) approved registry that collects
data from reporting clinicians... |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000249.pdf | 22 | 23 | Advancing Policies for Quality Malnutrition Care in Older Adults: A Toolkit for State LegislatorsAppendix D: State Costs of
Disease-Associated Malnutrition /
Estimated Annual Costs and Per Capita Costs by State of Disease-Associated Malnutrition for Adults Aged 65 Years and Older22
STATEANNUAL COSTS
(AGED 65... |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000249.pdf | 23 | 24 | Advancing Policies for Quality Malnutrition Care in Older Adults: A Toolkit for State LegislatorsAppendix E: Example of Legislation
to Establish State Malnutrition
Prevention Commission /
The following—Massachusetts Senate Bill S.1147: An Act Establishing a Commission on Malnutrition Prevention—can be
adapte... |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000249.pdf | 24 | 25 | Advancing Policies for Quality Malnutrition Care in Older Adults: A Toolkit for State LegislatorsAppendix F: Example of Legislation
to Expand Scope of State Council
on Aging /
The following—Virginia Senate Bill No. 1437—can be adapted as needed to meet state legislative needs. In this bill,
the scope of an e... |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000249.pdf | 25 | 26 | Advancing Policies for Quality Malnutrition Care in Older Adults: A Toolkit for State LegislatorsAppendix G: Sample Press Release
for Malnutrition Commission
Legislation /
New Legislation Introduced to Help End Malnutrition in STATE
[Date] – [City, State] – The [State Malnutrition Coalition/Nutrition Stakehol... |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000249.pdf | 26 | 27 | Advancing Policies for Quality Malnutrition Care in Older Adults: A Toolkit for State LegislatorsAppendix H: Malnutrition Policy
Through the Decade /
2013
Malnutrition quality partnership begins with goal of improving care for
hospitalized older adults (quality partnership later evolves to become
Malnutrit... |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000249.pdf | 27 | 28 | Advancing Policies for Quality Malnutrition Care in Older Adults: A Toolkit for State Legislators2019, December
Massachusetts Commission on Malnutrition Prevention Among Older Adults
issues their 2nd state report2017Appendix H: Malnutrition Policy
Through the Decade (cont.) /
2017, March
U.S. Administration... |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000249.pdf | 28 | 29 | Advancing Policies for Quality Malnutrition Care in Older Adults: A Toolkit for State LegislatorsAppendix I: Sample Resolution
Recognizing Malnutrition
Awareness WeekTM /
Older adults are one of the groups at greatest risk for malnutrition. However, there are other groups who are vulnerable
to, and can be im... |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000249.pdf | 29 | 30 | Advancing Policies for Quality Malnutrition Care in Older Adults: A Toolkit for State LegislatorsAppendix J: Sample Constituent
Communication Resource /
Sponsoring/Co-Sponsoring HB/SB #### Establishing a Malnutrition Prevention Study Commission
Dear Constituents,
Malnutrition is a serious and costly public hea... |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000249.pdf | 30 | 31 | Advancing Policies for Quality Malnutrition Care in Older Adults: A Toolkit for State LegislatorsAppendix K: Sample Social Media /
The topic of older adult malnutrition can be important to your constituents. Use these sample social media posts to help
increase awareness about the problem of older adult malnutr... |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000249.pdf | 31 | 32 | Advancing Policies for Quality Malnutrition Care in Older Adults: A Toolkit for State LegislatorsSurgery
• Malnutrition can make recovery from surgery more challenging. Policies like Enhanced Recovery After Surgery (ERAS) help
ensure surgery candidates are well nourished pre- and post-op. https://www.defeatmal... |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000249.pdf | 32 | 33 | Advancing Policies for Quality Malnutrition Care in Older Adults: A Toolkit for State LegislatorsAppendix L: Sample Op-ed /
When you hear the word “malnutrition,” do you think of faraway countries? Unfortunately, here in [State] and across
America, malnutrition also has a face, and it is often marked by wrink... |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000249.pdf | 33 | 34 | Advancing Policies for Quality Malnutrition Care in Older Adults: A Toolkit for State LegislatorsAppendix M: Sample Graphics /
Figure 1: Malnutrition is a Critical Public and Patient Safety Issue (national data)
Malnutrition is Highest in Older Adults5
Protein-Calorie Malnutrition Related Hospital Stays per 10... |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000249.pdf | 34 | 35 | Advancing Policies for Quality Malnutrition Care in Older Adults: A Toolkit for State LegislatorsAppendix N: Sample Malnutrition
and Food Insecurity Screening Tool /
The Ohio Department of Health (ODH) recently convened a multi-
stakeholder statewide commission to look at malnutrition in
Ohio, and issued a re... |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000249.pdf | 35 | 36 | Advancing Policies for Quality Malnutrition Care in Older Adults: A Toolkit for State Legislators
1 Hager ER, et al. Pediatrics. 2010;126(1): e26-e32.
2 Gundersen C, et al. Public Health Nutr. 2017;20(8):1367-71. FOOD INSECURITY
SCREENING TOOL1 , 2
1. Within the last 12 months, I worried whether my food wou... |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000249.pdf | 36 | 37 | Advancing Policies for Quality Malnutrition Care in Older Adults: A Toolkit for State LegislatorsAppendix O: Sample Resolution
to Support Addressing Older
Adult Malnutrition as Part of
Quality Healthcare /
WHEREAS, malnutrition is an under-recognized and growing health crisis, with 20-50% of patients malnou... |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000249.pdf | 37 | 38 | Advancing Policies for Quality Malnutrition Care in Older Adults: A Toolkit for State LegislatorsAppendix P: Glossary of Terms /
Enteral nutrition26: tube feeding for a person not able to eat any or enough food due to an illness or decreased appetite,
difficulties swallowing, or some type of surgery that inte... |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000249.pdf | 38 | 39 | Advancing Policies for Quality Malnutrition Care in Older Adults: A Toolkit for State LegislatorsQuality indicator36: measurable element of practice performance for which there is evidence or consensus that it can be
used to assess the quality, and hence change in the quality, of care provided
Quality measures... |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000249.pdf | 39 | 40 | Advancing Policies for Quality Malnutrition Care in Older Adults: A Toolkit for State LegislatorsResources /
Studies/Papers
• Addressing Disease-Related Malnutrition in Hospitalized Patients: A Call for a National Goal (2015)
http://bit.ly/2015-DAMpaper
• Aging Policy: Preventing, Treating Malnutrition to... |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000249.pdf | 40 | 41 | Advancing Policies for Quality Malnutrition Care in Older Adults: A Toolkit for State LegislatorsResources (cont.) /
• Food Is Medicine Advocacy Toolkit
http://bit.ly/FIMC-advocacy
• Letter to CMS from House Members on Quality Measure
http://bit.ly/CMS-2019-malletter
• Malnutrition Policy Fact Sheet
http... |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000249.pdf | 41 | 42 | Advancing Policies for Quality Malnutrition Care in Older Adults: A Toolkit for State LegislatorsReferences /
1. Snider JT, Linthicum MT, Wu Y , et al. Economic burden of community-based disease-associated malnutrition in the
United States. JPEN J Parenter Enteral Nutr. 2014;38(2 Suppl):77S-85S. doi:10.1177... |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000249.pdf | 42 | 43 | Advancing Policies for Quality Malnutrition Care in Older Adults: A Toolkit for State LegislatorsReferences (cont.) /
18. Schneider SM, Veyres P , Pivot X, et al. Malnutrition is an independent factor associated with nosocomial infections. Br J
Nutr. 2004;92(1):105-111. doi:10.1079/BJN20041152
19. Demling RH.... |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000249.pdf | 43 | 44 | Advancing Policies for Quality Malnutrition Care in Older Adults: A Toolkit for State Legislators36. Agency for Healthcare Research and Quality. Practice Facilitation Handbook. Published May 2013. Accessed January 1,
2021. https://www.ahrq.gov/ncepcr/tools/pf-handbook/mod4.html .
37. Lawrence M, Olesen F . In... |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000249.pdf | 44 | 45 | Advancing Policies for Quality Malnutrition Care in Older Adults: A Toolkit for State Legislators May 2021 |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000250.pdf | 0 |
Mainstreet Community Services Association Inc. (MCSA, Inc.)
Board of Directors Meeting
April 17, 2018
7:30 PM
The April 2018 Board of Directors meeting was canceled . The next board meeting is scheduled for
Tuesday, May 15 , 2018 .
Minutes recorded by Anita Williams , Secretary
MCSA, Inc. ... |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000251.pdf | 0 | Villa la A ngostur a 20 de febrero de 2017
1 Vi Vi 24ll
· VOZ RADICAL ·
Para vos
Hacia un arco socialdemócrata
Boletín Informativo desde Villa La Angostura N° 175
Desde la Villa
Nuestro Código Urbano
¿Qué pasaría si un enfermo grave recibe u... |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000251.pdf | 1 | Villa la A ngostur a 20 de febrero de 2017
2 Consecuentemente, hace que la emergencia, ahora, sea la de la subsistencia del código mencionado. Porque
permite cosas contrarias al bien de todos. Nos pone en emergencia urbana.
Un ejemplo de esto, es lo que pasa con un desarrollo de lote en Manzan... |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000251.pdf | 2 | Villa la A ngostur a 20 de febrero de 2017
3 urbano. A favor de los desarrolladores y privados, y en contra de nuestra historia e interés común (que
parece el menos común de los intereses).
El Consejo Consultivo abund a en “podrá solicitar la asistencia de diferentes reparticiones municipales,... |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000251.pdf | 3 | Villa la A ngostur a 20 de febrero de 2017
4 de Estados orgullosos que mantengan la unidad como medio para avanzar en la promoción humana y social
que aún es posible (por eso en Escocia el deseo de ser independiente va junto con el apoyo de ingreso en la
Unión Europea).
………………………………… …………..……()... |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000251.pdf | 4 | Villa la A ngostur a 20 de febrero de 2017
5 Venezolano, y los ―libros y libras‖ que s u gobierno entrega a los chicos para que estudien; Wi -Fi inicialmente
lo pronuncia en español, ―güifi‖, pero se mete en un berenjenal cuando intenta pronunciarlo en inglés:
primero dice ―guaifei‖ y después ―gu... |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000251.pdf | 5 | Villa la A ngostur a 20 de febrero de 2017
6 Parafraseando el título del famoso libro de John Reed sobre la Revolución rusa, los 17 días que lleva Donald
Trump en el poder están estremeciendo al mundo. Su llegada es un hecho sin precedentes en la historia de la
Casa Blanca. Se cuestiona todo y n... |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000251.pdf | 6 | Villa la A ngostur a 20 de febrero de 2017
7 Alfonsín por Ginzo
1982 – 3 de abril
Sí, el día anterior había sido la toma de las Malvinas. Pocas veces había visto en la calle manifestaciones
tan expresivas de patriotismo, de identidad nacional y de alegría popular. Es que era una reconquista qu... |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000251.pdf | 7 | Villa la A ngostur a 20 de febrero de 2017
8 Y había algo más que me comprometía emotivamente: la presencia de mi sobrino Miguelito en el frente
de combate. El día que empezó el cañoneo de los ingleses a la isla, 1° de mayo de 1982, fui corriendo al
Comando de Paseo Colón a anotarme como voluntar... |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000251.pdf | 8 | Villa la A ngostur a 20 de febrero de 2017
9 surja la fumata blanca que primero confirme que no ha habido exclusiones, y que después se vote por nuestra
identidad por vía de urna.
Allí, debería discutirse el tema mayor: nuestra identidad partidaria, y no nuestra convenienc ia coyuntural.
Esto ... |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000251.pdf | 9 | Villa la A ngostur a 20 de febrero de 2017
10
|
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000255.pdf | 0 | Telefónica podría concluir 2016 con 14 OMV
afiliadas para México
Para finalizar este año Telefónica México ha adelantado que espera sumar seis nuevos
Operadores Móviles Virtuales (OMV) que ofrecerán servicios LTE –Long Term Evolution– o de
cuarta generación, lo que haría que la empresa estuviera unida a 14 marcas par... |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000256.pdf | 0 | Jeff Arp, CPCU, ARM- P
Loss Control Specialist
Kelly Beets, ARM -P
Senior Loss Control Consultant |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000256.pdf | 1 | WHAT IS RISK TRANSFER?
|
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000256.pdf | 2 | When to
do Risk
Transfer?Construction projects / Sub contractors
Special Events
Professional services
Outsourced functions
Property leases
Permits
Recreational activities |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000256.pdf | 3 | Why Do
Risk
Transfer?•Avoid confusion and
disagreements after a loss.
•Rely on experts that can handle the risk better.
•Source of payment for claims.
•Protects your loss experience and MIRMA.
•Loss Control Evaluation
|
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000256.pdf | 4 | How is Risk Transfer Accomplished?
Written Contract
that Includes
Hold harmless
agreementCOI listing the
CITY as an AI
Requiring the
appropriate AI
endorsementsOther
insurance
requirements |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000256.pdf | 5 | HOLD
HARMLESS
AGREEMENTS
|
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000256.pdf | 6 | ____ shall DEFEND, indemnify, and hold harmless Promise
the entity and its officers, agents, employees, volunteers, invitees
and lessees Who
from and against any and all liability, loss, damage, expense,
costs (including without limitation costs and fees of litigation) of
every natureWhat
arising out of or related t... |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000256.pdf | 7 | Did You Intend to
Agree to this?“Each party agrees to waive any
immunity….”
“…total liability of the contractor shall
not exceed 20% of contractor total fee……”
“...CLIENT agrees to cover the cost of
the CONTRACTOR’s applicable insurance deductible, not to exceed $5,000.”
“Owner agrees to compensate…”
“To the fulles... |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000256.pdf | 8 | MINIMUM
INSURANCE
COVERAGE &
REQUIREMENTS
IN A CONTRACT |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000256.pdf | 9 | Minimum
Insurance
Coverage
Requirements1. CGL limits of $1,000,000
each occurrence / $2,000,000
general aggregate c overage
shall be at least as broad as ISO CG 00 01 covering CGL on an “occurrence” basis including,
broad form property damage and bodily injury, personal & advertising injury, contractual liabilit... |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000256.pdf | 10 | Other Insurance
Coverage RequirementsOngoing & Completed Operations
Builders Risk
Professional LiabilityInland Marine
X,C,U
Pollution Legal LiabilityBoiler & Machinery
Liquor Liability
Property Ins.- Cause of Loss
Special FormOthers: Aircraft Liability,
Hangers Keepers… |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000256.pdf | 11 | Minimum
Insurance Coverage Requirements2. Automobile Liability
for all owned, non- owned
and hired automobiles and other vehicles with a combined single limit of $1,000,000 minimum |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000256.pdf | 12 | Minimum
Insurance
Coverage
Requirement s3. WC with statutory limits
required by Federal or State
Law and Employers’ Liability
with minimum limit of $1M.
Coverage A
Statutory benefits
Make sure all
subcontractors are covered
N/A to sole proprietor
Coverage B
$1M common coverage
|
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000256.pdf | 13 | Insurance
Contract
Requirements 4. Prior to activities commencing the
______________ shall furnish the City
with a certificate of insurance evidencing the required coverages,
conditions, and limits required by this
agreement, have the City, its officers, agents, volunteers, lessees, invites, and employees covered ... |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000256.pdf | 14 | Insurance
Contract
Requirements 5. Umbrella or Excess Liability may
satisfy minimum liability limits required above for Commercial
General Liability under and Umbrellas
or Excess Liability policy. There is no minimum Per Occurrence limit of liability under the Umbrellas or Excess Liability: however, the Annual Aggr... |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000256.pdf | 15 | Insurance
Contract
Requirements 6. Claims- Made Policies
If any of the required policies provide
coverage on a claims -made basis:
The retroactive date must be shown and must be before the date of the
contract or the beginning of contract work.
Insurance must be maintained, and
evidence of insurance must be
provid... |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000256.pdf | 16 | Insurance
Contract
Requirements 7. All policies, including
umbrellas or excess, of insurance must be on a primary basis, non- contributory with
any other insurance (including primary, excess, self -insurance,
or any other basis) carried by the city.
8. No provision of this
agreement shall constitute a waiver of t... |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000256.pdf | 17 | Insurance
Contract
Requirements9. If the contractor maintains broader coverage and/or higher limits than the minimums shown, the CITY requires and
shall be entitle to the broader
coverage and/or high limits
maintained by the
CONTRACTOR. Any available
insurance proceeds in excess of the specified minimum limits of... |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000256.pdf | 18 | CERTIFICATE
OF
INSURANCE
|
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000256.pdf | 19 | What is a
Certificate of
Insurance?Document that verifies the existence of insurance
Information OnlyNot a contract
Does not give rights to the
certificate holder
Does not change the policy
Additional insured information |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000256.pdf | 20 | Names Match
With Contract
CGL occur not claims made
Additional Insured
Status
NO “X”Policy #CheckPolicyDates
CGL CheckLimits
Auto Liability Auto Check
Limit
Statutorylimits
List the
Member by name & monitorSignedCopied |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000256.pdf | 21 | ADDITIONAL
INSURED
ENDORSEMENTS |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000256.pdf | 22 | Why are we asking for them?
|
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000256.pdf | 23 | Named Insured Wording
•“Named Insured”- The person or entity to whom
an insurance policy is issued.
•The Named Insured is the primary indemnitee
under the insurance policy for which the
insurance policy provides coverage and the duty
to defend.
•Provides coverage for claims arising out of “your” ongoing operations. |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000256.pdf | 24 | Additional Insured Endorsement
Intent
•Modifies the definition of “Named Insured”.
•“Who is an insured” is amended to include as an
insured any person or organization for whom you are preforming operations when such persons or organizations have agreed in writing in a contract or agreement that any person or organiza... |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000256.pdf | 25 | Additional Insured Status
A person or entity who can make
claims directly against the insurance policy that was procured and paid for by someone else. |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000256.pdf | 26 | Be
Careful!You do not want to be
the “Named Insured ”
or an “ Additional
Named Insured”
You want to be an
“Additional Insured ”
ornamed as
additional insured” . |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000256.pdf | 27 | Construction AI Endorsements For:
Ongoing Operations
Additional Insured –Owners, Lessees or
Contractors –Schedule Person or Organization 20 10 04 13
Owners, Lessees or Contractors -Automatic
Status When Required in Construction
Agreement with You 20 33 04 13
Additional Insured- Owners, Lessees or
Contractors Automa... |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000256.pdf | 28 | Construction AI Endorsements For:
Completed Operations
Additional Insured –Owners, Lessees or
Contractors –Schedule Person or Organization 20 37 04 13
Owners, Lessees or Contractors -Automatic
Status When Required in Construction
Agreement with You20 39 12 19
Additional Insured- Owners, Lessees or
Contractors Autom... |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000256.pdf | 29 | Other Endorsements
CG 20 01 Primary and Noncontributory
CG 20 11 Managers or Lessors of Premises
CG 20 12 State or Political Subdivisions - Permits
CG 20 26 Designated Persons or Organizations
CG 20 31 Engineers, Architects, or Surveyors |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000256.pdf | 30 | Sample
Additional
Insured
Endorsements
|
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000256.pdf | 31 | RISK TRANSFER
PROCESS
VS.
MIRMA
COVERAGE
PACKET |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000256.pdf | 32 | Coverage
PacketGeneral Liability
Exclusion:#24
a.Tractor pulls , lawn tractor races, lawn
mowers.
b. Bicycles (BMX events). Bicycles in a
competition, or bicycles in an exhibition
involving professional riders. This
exclusion does not apply to a bicycle
competition involving the mere usage of a “Member’s” unmod... |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000256.pdf | 33 | Coverage
PacketGeneral Liability Exclusion: #24
d. Any climbing wall over ten feet in height .
This exclusion does not apply to climbing walls
that overhang a swimming pool, or specifically
designed and manufactured to be used at an
aquatic facility.
-alpine tower, zip lines, ropes course , or any
other struct... |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000256.pdf | 34 | Coverage
ConditionMIRMA’ s coverage will
apply if all of the following
conditions are met, and then our coverage applies only as excess over all other available coverages: |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000256.pdf | 35 | Coverage
Condition •The event, activity, or facility is
operated by an independent contractor, not an “employee ”.
•A fireworks show must be conducted by an independent fireworks operator as established by RSMo
320.106- 161. |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000256.pdf | 36 | The independent
contractor or sponsoring organization signs an agreement saving the “member” harmless from any and all liability arising out of the event, activity, or facility. Coverage
Condition |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000256.pdf | 37 | Coverage
Condition•The independent contractor or
sponsoring organization
furnishes the “Member ”with a
certificate of insurance
evidencing an in force CGL with combined single limit of
$1m per occurrence and
furnishes a copy of an endorsement, or other policy language that names the
“Member ”as an additional
in... |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000256.pdf | 38 | Risk
Transfer Process•A Climbing wall
over ten feet tall
must meet the
requirements of MO Revised
Statutes Section
316.203.1
•Amusement Ride -provide
thrills or excitement.
•Has to have an
operator .
|
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000256.pdf | 39 | Coverage
Packet -
Exceptio
n•This exclusion does not
apply to climbing walls that overhang a swimming pool, are specifically designed and manufactured to be used at an aquatic facility, and are
installed per the
manufacturer’s requirements and specifications.
•NEW! on the annual
evaluation –THE AREA
MUST BE ROPED... |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000256.pdf | 40 | Coverage
Packet-
Exclusion•Exclusion #23
•The ownership, operation of, or in any way connected
with, including the sponsorship, organization, oversight or planning of any event, activity, property or facility (permanent or temporary), involving or designed to involve:
a. Motorcycles, dirt bikes, go -carts, or scoote... |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000256.pdf | 41 | Coverage
Packet -
Exclusiond. Poker Runs, speed contests, or any racing
events involving boats
e. Firearms competitions among multiple
agencies, including but not limited to: law enforcement officers, members of tactical units such as SWAT, SERT, SRT, ERT, or the public.
f. Any inflatable bounce house, slide or s... |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000256.pdf | 42 | Coverage
Packet -
Exclusiong. Inflatable bubble balls that partially
or fully enclose the user.
FYI a Cole County business paid $45
million for a broken neck.
•This exclusion does not apply to a “Member” owned
property or facility used in the course of ordinary municipal operations, or for static “automobile” or... |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000256.pdf | 43 | Coverage
Packet -
Exclusion
|
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000256.pdf | 44 | •Exclusion 18
•The ownership, operation or use of any public
swimming pool which is loaned, rented or leased to a third party for exclusive use; unless the “Member”
provides lifeguards, for that specific use , who are
certified or licensed by a nationally recognized certification or licensing organization. |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000256.pdf | 45 | COMMERCIAL
PROPERTY
COVERAGEIMPORTANT: per the MIRMA
Coverage Packet, D. EXCLUDED
PROPERTY -This coverage does
not apply to the following types of
excluded property:
15. New buildings or structures, and additions, repairs, maintenance or
remodeling to existing buildings or structures, during the course of constr... |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000256.pdf | 46 | •Completed Operations coverage on
construction projects like, new building, or
structures, and additions, repairs, maintenance or remodeling to existing
buildings or structures, during the course of construction.
•Ensure that the coverage for completed operations meets state statutory limits. In Missouri the statut... |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000256.pdf | 47 | COMMERCIAL
PROPERTY
COVERAGE22. Any building owned by a
“Member ”or any building that a
“Member ”has an equity interest
in that is occupied by any other
entity for the manufacturing,
assembly, fabrication or finishing of products, the refinishing of the
goods or products of others, or operated as a bowling ... |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000256.pdf | 48 | COMMERCIAL
PROPERTY
COVERAGE•Any building as described in the
paragraph above will be treated as newly acquired property as per SECTION IV –SPECIAL
CONDITIONS, F. NEWLY ACQUIRED PROPERTY under this
Coverage Part once the building is no
longer occupied by another entity for
the manufacturing, assembly,
fabricati... |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000256.pdf | 49 | COMMERCIAL
PROPERTY
COVERAGE•This exclusion does not apply
to senior citizen programs or
concession operations located
at golf courses, ball fields or
other recreational facilities or
located in buildings used for
regional fairs.
•This exclusion also does not
apply to restaurants located in facilities that a... |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000256.pdf | 50 | SPECIAL EVENT
LIABILITY
INSURANCE |
https://digitalcorpora.s3.amazonaws.com/corpora/files/CC-MAIN-2021-31-PDF-UNTRUNCATED/zipfiles/0000-0999/0000.zip | 0000256.pdf | 51 | •Organization not able to obtain liability coverage.
•Special Event Liability Program: Not -for-profit
fund raising events, automobile shows, musical
performances, community festivals, instructors of park and recreation department classes
•www. eventinsure.com
•Fill out application online
•Contact: Joy Cummings or Da... |
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