Saturday, November 7, 2020

National Month Calendar

40 out of 5 stars 48. Our line of promotional items makes it easy to create a personalized calendar full of fun company team building ideas for staff marketing ideas to bring in new customers ways to support causes and fundraising.

National Nutrition Month Food Bank Of Central Eastern North Carolina

National Folic Acid Awareness Week 17-23.

National month calendar. A full list of Commemorative Months and Month Long Observances. Time of Remembrance and Reconciliation for Those Who Lost Their Lives during the Second World. 10 OFF our products use coupon code CALENDAR January February Cervical Cancer Screening Month National Birth Defects Awareness Month National Glaucoma Awareness Month Thyroid Disease Awareness Month National Blood Donor Month National Random Action Month 4-10.

Treaty of Guadalupe Hidalgo. National Mom and Pop Business Owners Day. National Day of Prayer.

National Get Up Day. Online Calendar is a place where you can create a calendar online for any country and for any month and year. 2021 National Holiday Health Observance Calendar January Family Fit Lifestyle Month Healthy Weight Week January 17-23 2021 February American Heart Month National Cancer Prevention Month National Canned Food Month National Snack Food Month America Saves Week February 22-26 2021 National Wear Red Day February 5 2021.

Kayla Colgrove MS RDN ACSM-CPT. It provides resources for selected national food-themed days weeks and months. We provide 2020 holiday calendar with state and national holidays for more than twenty-five countries which includes Australia Brazil Canada China France Germany Hong Kong India Indonesia Italy Japan.

At National Today we love celebrating 189 May holidays. We hope this provides you inspiration for blogs tweets programs and articles. National Doctors Day.

Find out which national days and awareness days are happening in the coming days weeks and months and never miss another awareness event again. In addition our research team continues to uncover the origins of existing National Days as well as discover new exciting days for everyone to celebrate. Calendar with 2021 Celebrations and Holidays of United States.

For a visual calendar click here. W e now track nearly 1500 National Days National Weeks and National Months. National awareness months employee appreciation events and national days are also a creative way to highlight your name and logo.

National Day Calendar is the authoritative source for fun unusual and unique National Days. Military Spouse Appreciation Day. The merry month of May celebrates spring in full swing and boasts a number of seasonal foodie and pop culture days.

Healthy Weight Week 24-30. Calendar with 2021 Celebrations and Holidays of United States. You can either download or print these calendars.

ORMAT National Parks 2021 wall calendar 12-month wall calendar 2021 yearly wall calendar and desk calendar premium thick paper 85 x 11 large monthly wall calendar 2021. Nebraska Extensions Calendar of Food Days Weeks and Months is a monthly web-based food-themed calendar.

Friday, November 6, 2020

Cost Of Inpatient Psychiatric Care

Schizophrenia treatment 8509 for 111days and 5707 for 74 days respectively. How much does private mental health treatment cost in the UK.

Costs And Use Of Mental Health Services Before And After Managed Care Health Affairs

Of Primary Care Behavioral Health Integration Cambridge Health Alliance.

Cost of inpatient psychiatric care. Depression treatment 6990 for 84 days and 3616 for 44 days. Bipolar disorder treatment 7593 for 94 days and 4356 for 55 days. F601 df1344 P.

A 2017 report from the Health Care Cost Institute showed that the average negotiated price of an acute mental health admission was 9293 for a commercially insured patient who stayed on average for a week. Find many median middle payments here physician office visits 102 average cost for 15-minute appt for an established patient 99213 CT MRI x-ray lab tests and more. A study of 2006 data estimated that community-based hospitals charged on average between 8393 and 21793 for inpatient psychiatric care and that these charges were approximately 25 times.

Bipolar disorder treatment 7593 for 94days and 4356 for 55days. 21 NHS reference costs for mental health services We have drawn on the NHS Trust and Primary Care Trusts combined to report on the NHS reference costs of selected mental health services1 All costs have been uprated to 201415 prices using the HCHS pay prices inflators. Initial evaluations usually cost between 250 350 and follow-ups are 100 to 200 for 30- to 60-minute sessions.

Total societal costs including the cost of IPCC were lower for IPCC at neuropsychiatric sites 82454 vs 116651 P. The average cost to deliver care was highest for Medicare and lowest for the uninsured. Because prices vary according to psychologist Dr.

The IPF PPS PC PRICER makes all reimbursement calculations applicable under the IPF PPS including all payment adjustments and outlier adjustments. Your costs in Original Medicare 1484 Deductible for each Benefit period. Spending on mental illness treatment accounts for 89 billion of total health spending In 2013 non-institutionalized spending on mental illness amounted to 89 billion according to data from the Bureau of Economic Analysiss Health Care Satellite Account.

Remember to inquire about payment options BEFORE starting treatment. The most recent IPF PPS PC Pricers are found under Related Links at the bottom of this page. A one hour crisis psychotherapy visit averaged 185.

Depression treatment 6990 for 84 days and 3616 for 44 days. Schizophrenia treatment 8509 for 111 days and 5707 for 74 days respectively. The average daily cost can range from 300 400 per day without insurance.

It informed CCHR that The unit cost per overnight bed day for our inpatient wards is 40411 For the purposes of this exercise the figure of 429 is going to be used to demonstrate costs. Jan Maier RN MPH. Inpatient psychiatric facilities across the country face 17 billion a year in compliance costs stemming from outdated regulations and inconsistent surveys from private and state agencies.

Mental health care inpatient Medicare Part A Hospital Insurance covers mental health care services you get in a hospital that require you to be admitted as an inpatient. When you do the maths using this figure the weekly cost of. We have provided an indication of the cost of mental health treatment based on the prices published by several of the major providers of private surgery.

Psychiatric Inpatient Routine Cost Analysis Final Report Prepared for Fred Thomas PhD. Although clinical outcome results did not change hospital days at the remaining sites were lower for IPCC patients 998 hospital days for IPCC vs 1289 for standard VA care. Drug use disorder treatment 4591 for 52 days and 3422 for 37 days.

Centers for Medicare Medicaid Services 7500 Security Boulevard C3-19-16 Baltimore MD 21244-1850 Prepared by Jerry Cromwell PhD. And alcohol use disorder. Drug use disorder treatment 4591 for 52 days and 3422 for 37 days.

The average cost to deliver care was highest for Medicare and lowest for the uninsured. Payment is expected at each appointment. An ongoing 60 minute psychotherapy visit 90837 cost.

Thats less than half of Feilens bill.

Thursday, November 5, 2020

Vivify Health Crunchbase

Log-in is only allowed for authorized users. Why cant the patient take a blood pressure reading.

Vivify Crunchbase Company Profile Funding

Try Pro free Solutions.

Vivify health crunchbase. Programs are reimbursable by Medicare and private insurers. Envision Healthcare and LabCorp are the most recent investors. Manage your chronic health conditions such as asthma diabetes cholesterol COPD and high blood pressure with our newly upgraded easy-to-use and patient-friendly Vivify Health app.

UnitedHealths Optum acquired Vivify Health. Vivify sits in the remote patient monitoring space providing connected devices and other technologies to track at-risk patients at home. Connected Health Conference 2019 Exhibitor Oct.

Is the blood pressure cuff the wrong size. Vivify Health is transforming healthcare with the markets most comprehensive patient-centered connected care platform spanning from remote monitoring of high-risk patients and patient activation to population and employee health. How does a patient take a manual blood pressure reading.

Vivifys platform is the digital pathway to collaborative care on demand with a focus on ease of use for employees members patients and providers. Vivify Health is transforming healthcare by replacing episodic approaches with the markets most complete patient-centered and holistic connected care platform. UNITEDHEALTH GROUP EMBRACES TELEHEALTH WITH VIVIFY.

Number of Current Team Members 6. Fully turnkey options available. Vivify Health is actively using 39 technologies for its website according to BuiltWith.

Vivify Health Vivify Health delivers a cloud-based device-agnostic and ecosystem-connected remote care management platform. Crunchbase Company Profile. Discover how we can help you launch and scale comprehensive effective remote care programs that create exceptional clinical and financial ROI for chronic and post-acute care as well as wellness management.

Founded in 2009 Vivify has compiled an impressive track record with CHRISTUS Health TX RWJ Health NJ Trinity Health MI Centura Health CO and other large systems plus home care. Vivify Health has 6 current team members including Founder CEO Eric Rock. Founded in 2009 Vivify Health is the leader in connected care management and patient engagement for better outcomes and ROI.

Vivify Health has raised a total of 234M in funding over 5 rounds. They most recently attended or will attend Connected Health Conference 2019 on Oct 16 2019. Vivify Health has participated in 2 events.

This is the place to bring your passion for discovery and your drive for excellence because were focused on virtualizing healthcare through connected care management and patient engagement. UnitedHealthcare UnitedHealthcare helps people live healthier lives by simplifying the health care experience. When you join Vivify Health you become part of a company thats growing rapidly while also delivering some of the most innovative solutions in health care today.

Eric Rock Founder CEO. If you are not an authorized user please exit immediately. Doug Stewart Chief Financial Officer.

Vivify Health uses 36 technology products and services including HTML5 Google Analytics and jQuery according to G2 Stack. In accordance with requirements of data protection laws we hereby inform you that personally identifiable information will be handled in log files for legal security and costs reasons. Venture Round - Vivify Health.

1 Remote Patient Monitoring Platform for Outpatient Medical Practices. Their latest funding was raised on Feb 26 2016 from a Venture - Series Unknown round. With customers that include some of the nations largest and most progressive health systems and employers Vivifys mobile cloud-based platform delivers a pathway to holistic remote care management through.

In theory such interventions will help reduce the number. With new features such as scheduled visit reminder notification virtual waiting room enhanced security options and improved performance Vivify health app can help you stay on top of your health targets. How do I use the True Metrix Glucose Meter.

For the best experience use Google Chrome version 500 or later or Microsoft Edge. Ed Gillen VP of. It has also been conservative in its venture funding with 234 million to date and its last big round from LabCorp and others in 2014 CrunchBase.

Companies People Investors Funding Rounds Acquisitions Schools Events Hubs Saved. Vivify Health delivers a cloud-based device-agnostic and ecosystem-connected remote care management platform. Click here to access our online help regarding supported internet browsers.

These include Viewport Meta IPhone Mobile Compatible and Google Analytics. Vivify Health is funded by 4 investors.

Nursing Improvement Ideas

5 Ways To Prepare For Your Nursing Interview 3 Set goals for yourself and work toward achieving them Keep a record of what you have done to meet your yearly professional goals. Below weve gathered some of the most realistic original and least expensive ideas for helping residents enjoy their time in thenursing home.

Great Quality Improvement Ideas In Nursing That You Can Use In Your Writing And Make It Powerful Check It Out Now Ht Research Proposal Nursing Research Nurse

A review of the notes youve written throughout the semester gets your brain spewing out great ideas.

Nursing improvement ideas. Nurses are instrumental in improving the quality of patient care through innovative ideas based on observations at the bedside and knowledge of best-practices. An innovative idea may serve to help one patient overcome a disturbing symptom while innovation applied in clinical practice could lead to quality improvement initiatives that end up benefiting many patients. If you are worried about the quality of the nursing service write about any of these topics.

See if you can get a couple viable nursing capstone project ideas. The application of competence-oriented tasks before the qualification exam. Start with your class notes.

If youre looking for ideas about different options and what you might like to do next this page could help you. A growing number of progressive hospitals are implementing simple yet effective changes in patient care as part of a national initiative called Transforming Care at the Bedside TCAB that envisions a new model of bedside care. Our members represent more than 60 professional nursing specialties.

Clinical utility of a cardiac skills checklist for teens. Appointments Discharges Follow-Up Care and Emergency Department Service. TCAB is also addressing fundamental health quality issues.

Set targets aimed at making improvements in these four categories. These research topics in nursing are an excellent choice for many students. Nursing Quality Improvement Topics.

Examples of Quality Improvement Projects in Operational Efficiencies in a Medical Facility. Seek out opportunities even if you are scared to build up your weak areas. With SkillSurvey Reference TM more than 1100 healthcare organizations are getting insightful feedback from references on their nursing candidates including HCAHPS-related behaviors and verbatim comments on a candidates specific areas of.

Youll also want to dig up a few of your past nursing essay s term papers and case studies. Improving the quality of pain management in children. When choosing a topic the capstone project might be based on.

10 Ways to Improve Work Performance As A Nurse. Some areas of nursing use specific skills more than other areas. A sample list of ideas for a nursing capstone project.

An analysis of the human pain limits. Summarize quality improvements made the previous year in regard to the above four categories and outline the efforts in the upcoming year that will continue to drive improvements in those categories. Nursing homes senior organizations community programs and government agencies are all working toward improving residents quality of life.

Examples of Quality Improvement Projects in Managing and Increasing Efficiencies for Patient Service. Allnurses is a Nursing Career Support site. IMPROVING PATIENT CARE Ideas for Optimizing Your Nursing Staff Wise utilization of your nursing staff will improve efficiency patient care and.

Look into the Future Set some professional goals. What does it take to improve nursing care. The need to reduce errors enhance organizational efficiency adapt to constant industry.

A generalization of previously completed work. Our mission is to Empower Unite and Advance every nurse student and educator. Examples of Quality Improvement Projects in Surgical Outcomes.

Since 1997 allnurses is trusted by nurses around the globe. Rather than compiling a long list of all the various roles to be found within nursing weve tried to separate roles into groups of attributes interests and strengths. One of the best ways to ensure that youre hiring a top nursing candidate is to thoroughly check their references.

Tuesday, November 3, 2020

Beaumont Medical Center Royal Oak

The goal of our program is to provide a structured educational environment for the training of internists and in doing so provide each trainee with an experience of such high quality that heshe has the. Communicates with physicians and mid-level providers within the practice in a timely and efficient manner while exhibiting the Beaumont Health Standards.

Beaumont Hospital Royal Oak 100 Hospitals Health Systems With Great Neurosurgery And Spine Programs 2015

Beaumont Hospital Royal Oak.

Beaumont medical center royal oak. Woodward Gastroenterology 1695 12 Mile Road Suite 220 Berkley MI 48072 Map 248-545-6100. 13 Mile Road First floor. 13 Mile Road Royal Oak MI 48073 PET scheduling.

Woodward Gastroenterology 3535 West 13 Mile Road Medical Office Building 301 Royal Oak MI 48073 Map 248-551-7773. Discharge Medical Program Outpatient Pharmacy. Imaging Center 248-551-3401 Phone 248-551-3404 Fax Second floor.

Mississippi Baptist Medical Center Jackson MS. Our transplant team works closely with Gift of Life Michigan the states organ and tissue recovery program as well as other regional organ recovery programs to provide our patients access to. Signs and dates all entries in the medical record appropriately to identify role as Medical Scribe.

Approximately 60 of our graduates pursue pediatric subspecialty fellowship training and have. Ophthalmic Specialists of Michigan301 West 13 Mile Road Madison Heights MI 48071 Directions. Search available jobs or submit your resume now by visiting this link.

Allergy Immunology Associates of Michigan 4350 Jackson Road Suite 260 Ann Arbor MI 48103 Map 734-434-3007. With more than 50 residency programs across our eight hospital system over 800 residents each year transition into a successful medical career. Ophthalmic Specialists of Michigan33400 6 Mile Road Livonia MI 48152 Directions.

18 Beaumont Imaging Center Royal Oak4 3581 W. We are proud that graduates of the Beaumont Health Pediatric Residency Program consistently have achieved their career goals in competitive pediatric practices and postgraduate fellowship training programs. Lab Clin Path Microbiology RO Shift.

Pathology Associates of Center Illinois Springfield IL. Our goal is to prepare our fellows for a leadership role in academic and clinical cardiology. After hours pediatric clinic.

Performs a variety of routine or specialized tests and procedures for use by physicians in diagnosis and treatment of patients in. This job is offensive or discriminatory. Allergy Immunology Associates of Michigan 4350 Jackson Road Suite 370 Ann Arbor MI 48103 Map 734-434-3007.

Laboratory - Medical Building Royal Oak. The Interventional Cardiology Fellowship at Beaumont Hospital Royal Oak is a one-year ACGME-accredited program. Access Medical Center Patient Access Representative II Patient Access Registration Patient Access Specialist II.

Tracks status and results of lab x-ray or other evaluations completed on patient. Address Royal Oak MI. Beaumont Health Royal Oak MI.

Beaumont Hospital Royal Oak is accredited by Medicare and the United Network for Organ Sharing the federally-funded organization that manages the nations organ transplant system. See reviews photos directions phone numbers and more for St Clair Medical Center locations in Royal Oak MI. Breast Imaging 248-551-3364 Phone 248-551-3369 Fax 19 Beaumont Hospital Royal Oak 3601 W.

Our medical and professional education programs span the entire healthcare continuum across our eight hospital system and includes a strong affiliation with Oakland University William Beaumont School of Medicine. Beaumont Hospital Royal Oak. Select a reason for reporting this job.

View all jobs at Beaumont Health Report Job. Michigan Community Blood Center Grand Rapids MI. An optional second year based upon availability allows expanded research opportunities and advanced interventional training.

Mohanpal Dulai 2006. Beaumont Health is Hiring. Practice Locations Phone Distance.

Patient and Family Experience. Cleveland Clinic Cleveland OH. Royal Oak MI 48073.

Beaumont Hospital Royal Oak 3601 West 13 Mile Road Royal Oak MI 48073 Public Pathway to Hospital Entrance. The Internal Medicine Residency at Beaumont Hospital Royal Oak is provided for physicians who desire a career in general internal medicine or one of its subspecialties. Pediatric Residency Royal Oak-Graduate Career Paths Beaumont.

248-898-5785 248-898-5000 Phone 20 Beaumont Medical Park Dearborn 1.

Top Knee Replacement Surgeons Near Me

Compare doctors read patient reviews background information and more. Read more on how to choose the proper surgeon for you.

Best Knee Replacement Surgeon In Ahmedabad Gujarat Rajasthan Knee Surgeon Near Me Top 10 Knee Replacement Surgeon Types Knee Surgery Knee Specialist Doctor Exercise After Knee Replacement Knee Pain Doctor In Ahmedabad

Deciding to undergo a knee replacement is a major step toward reclaiming an active lifestyle.

Top knee replacement surgeons near me. Search by zip code doctors name or hospital name to find the surgeon closest to you. All of our orthopedics actually face a rigorous 50-Point Inspection which includes customer reviews history complaints ratings satisfaction trust cost and general excellenceYou deserve only the best. A knee surgeon is a professional that deals with surgical treatments of the knee.

Here we reveal their choices with a selection of. Hood is one of the best at knee surgery. Find a private knee surgeon near you including the top knee consultants and specialists in the UK.

Physicians Surgeons Orthopedics Medical Clinics Physicians Surgeons Surgery-General 1 54. Book an appointment today. Book an appointment today.

According to the British Orthopaedic Association to become an orthopaedic surgeon. Some surgeons also offer Expedited Appointments look for the orange icon on their locator listing. He was first recommended to me by a friend who is a medical researcher.

Research and find the best doctors for Knee Replacement in Omaha. Explore other popular Health Medical near you from over 7 million businesses with over 142 million reviews and opinions from Yelpers. Find the best ones in Mississippi so you can find the surgeon that is right for you and your needs.

OrthoONE at Swedish Medical Center. 799 E Hampden Ive been seeing Dr. Orthopedic surgery is becoming ever more common as advancements allow for better hip and knee replacements which of course makes the demand for orthopedic surgeons higher.

But he is no longer with Tulsa Bone and Joint. 3 Best Orthopedics in Raleigh NC Expert recommended Top 3 Orthopedics in Raleigh North Carolina. Arthroplasty surgical replacement of joints such as knee replacement surgery Repair and reconstructive surgery to repair injured or damaged muscles and tendons Corrective surgery to restore function and mobility to poorly aligned musculoskeletal anatomy How do you become an orthopaedic surgeon.

To identify the countrys very best knee replacement surgeons we canvassed the views of almost 40 leading consultants from around the country. Best Hospitals for Knee Replacement in New Jersey These New Jersey hospitals are evaluated on how well they perform Knee Replacement using data such as. Best knee replacement surgeon in Denver CO.

All of our physicians are highly trained experts in their specialities seeing hundreds of patients a year and treating them with the most advanced treatments and technologies. Something as important as a hip replacement or any other orthopedic surgery cant be left to. 6122 E 61st St.

Knee injuries and conditions require highly specialized care and treatment and therefore a knee surgeon focuses only on the surgical treatment of the joint. Orthopedic surgery is becoming ever more common as advancements allow for better hip and knee replacements which of course makes the demand for orthopedic surgeons higher. Hip and knee replacement hip and knee reconstruction sports medicine robotic surgery 3400 Old Milton Pkwy Suite C290 Alpharetta 30005 770-667-4343 Keith Lamberson MD.

Tulsa Orthopaedic Associates Inc. Youre probably thinking Where are the best knee replacement surgeons near me Our Surgeon Locator tool lists surgeons all across the country who use our technology. Find the best ones in New Hampshire so you can find the surgeon that is right for you and your needs.

Orthopedists Podiatrists Sports Medicine 303 789-2663. Would love to find out if he is still in practice. Research and find the best doctors for Knee Replacement in Saint Louis.

Rothman Orthopaedic Institute is a trusted provider of knee replacement surgeries. Compare doctors read patient reviews background information and more. Best Hospitals for Knee Replacement Also known as knee arthroplasty a knee replacement is a surgical procedure for patients with degenerative arthritis or a severe knee.

Steve Horan for over 10 years. Find the best Orthopedists near you on Yelp - see all Orthopedists open now. Tejas Gandhi is the best knee replacement surgeon near me in Ahmedabad Gujarat.

3 Best Orthopaedic Surgeons in Manchester UK Expert recommended Top 3 Orthopaedic Surgeons in Manchester UK. Something as important as a hip replacement or any other orthopedic surgery cant be left to. All of our orthopaedic surgeons actually face a rigorous 50-Point Inspection which includes local reviews history business standards ratings satisfaction trust price and their trading excellenceOnly the bees knees.

Health Finance Direct

National health expenditures are derived from government and non-government sources and are used to finance a wide array of programs and services. Indirect Costs on the other hand cannot be specifically associated with a particular unit or department.

Healthcare Finance Direct Archives Globalfintechseries

Healthcare Finance Direct HFD has been offering alternative payment solutions in elective healthcare since 2009.

Health finance direct. Raising funds for health. Some health care finance concepts have a general meaning while others relate specifically to the health care sector. Manage your account view transaction history and make a payment all in one place.

The World Health Organization defines a well-functioning health financing system as one that raises adequate funds for health in ways that ensure people can use needed services and are protected from financial catastrophe or impoverishment associated with having to pay for them. Direct costs directly attributable to the cost object any until for which a separate cost measurement is desired. Health financing levers to move closer to universal health coverage lie in three interrelated areas.

For 11 years we have partnered with large organizations like. Indirect cost in healthcare. In most tropical nations health care financing is supplied by a mix of governmental spending private mostly out-of-pocket spending and external aid.

Type the code shown above. The Institute for Health Metrics and Evaluation IHME defines development assistance for health as all financial and in-kind contributions provided by global health channels to improve health in developing countries including grants as well as concessionary loans provided with no interest or at a rate significantly lower than the going market rate. When patients dont have the cash or dont have the credit everyone loses.

The governments commitment to achieve UHC was also demonstrated during several high level meetings and. Just pick the interest rate or the loan term that best suits your needs and get a mortgage that is truly tailored to your individual goals. At the extreme without the necessary funds no health workers would be employed no medicines would be available and no health promotion or prevention would take place.

Health financing is fundamental to the ability of health systems to maintain and improve human welfare. Manage your account view transaction history and make a payment all in one place. Reducing financial barriers to access through prepayment and subsequent pooling of funds in preference to direct out-of-pocket payments.

Health financing involves not only methods of raising money for health care but also allocation of those funds. Health Care Financing Health systems require financial resources to accomplish their goals. Direct Costs are specifically associated with a particular unit or department or patient.

The WHO member states agreed on the development of their health-financing systems by strengthening the role of prepayment for health care while diminishing direct payments which were seen as one of the barriers to access to health care. The major expenses of most health care systems are human resources care at hospitals and medications. Healthcare Finance News is the industrys business newspaper offering healthcare financial managers comprehensive news coverage of the unprecedented financial challenges faced by healthcare providers and payers in light of skyrocketing healthcare costs regulatory developments and diminishing reimbursements.

Healthcare Finance Direct offers pay-over-time plans that allow practices to accept more patients without worrying about getting paid. The submitted code is incorrect. Direct cost in healthcare.

Health care finance is a branch of finance that helps patients and health care beneficiaries pay for medical expenses in the short and long terms. With Direct Financials MyChoice Mortgage we dont choose the terms of your loan you do. However financing is much more than simply generating funds.

Blue Cross Blue Shield In Network

You now can offer a single regional benefit plan through BCBSRI. When you go to a doctor or provider who doesnt take your plan we say theyr...