Manual The Interview (Contracts of the Father Book 1)

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Reimbursement is also among the topics the innovation leader addresses. With the launch of the Mayo Clinic Platform last year, the Rochester, Minnesota, healthcare system has grand plans for innovation, including a partnership with Google. Yet to achieve potential cost, quality, and patient experience benefits, other issues also have to be addressed. With the recent Project Nightingale debacle involving Google, the spotlight on data privacy is shining more brightly than ever.

And there are other challenges for innovators to navigate including reimbursement and potential obstacles created by electronic health vendors, including Epic and Cerner. The Mayo Clinic Platform is a coordinated portfolio approach to create new platform ventures, taking advantage of emerging technologies such as artificial intelligence, connected healthcare devices, and natural language processing, according to the organization.

The first venture under the auspices of the Platform is a strategic initiative to improve healthcare through insights and knowledge derived from data. In part one of the interview , Halamka discussed what he hopes to accomplish at Mayo; in part two, he addresses how he plans to tackle some of the tougher aspects of innovation. His comments have been lightly edited for clarity and brevity.

HealthLeaders: In your blog , you talk about using a platform for innovation. Could you explain the concept to our readers? Halamka: [Here are] some personal examples. My father-in-law passed away three years ago, and he needed home hospital services. Have you ever tried to arrange home care for a loved one?

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It's hard. It's not like what Airbnb is as a platform [where you] click three times [and book] a room.

So, imagine there's a platform for home care. You go to a website, say "here are the issues that I have," and suddenly the equipment and supplies that you need, the telemetry and the services … "automagically" create a home care experience for you. It leverages the fact that [an entity like Mayo Clinic] productized—and made easily accessible and repeatable—a set of services. No such aggregation exists today. Or imagine that you have a chronic disease and you have wearable [devices], and a wearable could actually be used for cardiology event detection, mental health issues, neurology issues, cognition issues, all sorts of things.

You [may] already have an Apple watch or a Fitbit or something. Where do you send the data? I don't send it anywhere. What if there was a place you could send [the data] and then these value-added services backed by the right algorithms would be provided to you?

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What matters most to you? If you are a minor, you may apply for the dissolution of the marriage:. This does not include marriages concluded in accordance with Hindu, Muslim or other religious rites. For a customary marriage to be recognised as a valid marriage, it has to have been entered into before 15 November However, if entered into after 15 November it must comply with the following requirements:.

The parents of a prospective spouse who is a minor must consent to the marriage. If the parents or legal guardian cannot consent, a Commissioner of Child Welfare can be approached for consent. Where consent is refused by either of the parents, the legal guardian or the Commissioner of Child Welfare, only a judge of the High Court may consider granting consentIf either of the prospective spouses is already a spouse in a civil marriage, a customary marriage cannot be entered into during the subsistence of the civil marriage. A similar provision is also applied to customary marriages entered into from 1 December Although there is no restriction on the number of customary marriages that a man may enter into, no further customary marriage may be entered into unless an order of court regulating the future matrimonial property system of his marriages has been obtained.

Customary marriages must be registered within three months of taking place. This can be done at any office of the Department of Home Affairs or through a designated traditional leader in areas where there are no Home Affairs offices.

The following people should present themselves at either a Home Affairs office or a traditional leader in order to register a customary marriage:. In the event that the spouses were minors or one was a minor at the time of the customary marriage, the parents should also be present when the request to register the marriage is made.

If a male person is already in a customary marriage and wishes to enter into another customary marriage he has to, at his own cost, get a court order from a competent court which will regulate his future matrimonial property system.