RNC 2012: Paul Ryan Accepts 'Calling Of My Generation'

Republican vice presidential nominee, Rep. Paul Ryan, left and Republican presidential nominee Mitt Romney waves to delegates after his speech at the Republican National Convention in Tampa, Fla., on Thursday, Aug. 30, 2012. (AP Photo/Charlie Neibergall)

Republican presidential nominee Mitt Romney acknowledges delegates before speaking at the Republican National Convention in Tampa, Fla., on Thursday, Aug. 30, 2012. (AP Photo/Jae C. Hong)

Republican vice presidential nominee, Rep. Paul Ryan and his wife Janna salute delegates following Republican presidential nominee Mitt Romney's speech during the Republican National Convention in Tampa, Fla., on Thursday, Aug. 30, 2012. Behind is Mitt Romney and his wife Ann. (AP Photo/Charlie Neibergall)

Mitt Romney

Republican presidential nominee Mitt Romney waves to delegates before speaking at the Republican National Convention in Tampa, Fla., on Thursday, Aug. 30, 2012. (AP Photo/David Goldman)

Mitt Romney

Republican presidential nominee Mitt Romney acknowledges delegates before speaking at the Republican National Convention in Tampa, Fla., on Thursday, Aug. 30, 2012. (AP Photo/David Goldman)

Mitt Romney

Republican presidential nominee Mitt Romney addresses the Republican National Convention in Tampa, Fla., on Thursday, Aug. 30, 2012. (AP Photo/J. Scott Applewhite)

Mitt Romney

Republican presidential nominee Mitt Romney hugs a supporter as he walks to the stage during the Republican National Convention in Tampa, Fla., on Thursday, Aug. 30, 2012. (AP Photo/J. Scott Applewhite)

Republican presidential nominee Mitt Romney makes his way through delegates before speaking at the Republican National Convention in Tampa, Fla., on Thursday, Aug. 30, 2012. (AP Photo/Charlie Neibergall)

Ann Romney, wife of U.S. Republican presidential nominee Mitt Romney, cheers as Olympians are introduced during the Republican National Convention in Tampa, Fla., on Thursday, Aug. 30, 2012. (AP Photo/Charlie Neibergall)

Republican vice presidential nominee, Rep. Paul Ryan, right, and his wife Janna applaud during Florida Senator Marco Rubio's speech during the Republican National Convention in Tampa, Fla., on Thursday, Aug. 30, 2012. (AP Photo/Lynne Sladky)

Republican vice presidential nominee, Rep. Paul Ryan, right, along with Ann Romney, wife of U.S. Republican presidential nominee Mitt Romney, left, applaud during Florida Senator Marco Rubio's speech at the Republican National Convention in Tampa, Fla., on Thursday, Aug. 30, 2012. (AP Photo/Lynne Sladky)

Marco Rubio

Florida Senator Marco Rubio addresses the Republican National Convention in Tampa, Fla., on Thursday, Aug. 30, 2012. (AP Photo/Charles Dharapak)

Florida Senator Marco Rubio addresses delegates during the Republican National Convention in Tampa, Fla., on Thursday, Aug. 30, 2012. (AP Photo/Charlie Neibergall)

Marco Rubio

Florida Senator Marco Rubio addresses the Republican National Convention in Tampa, Fla., on Thursday, Aug. 30, 2012. (AP Photo/J. Scott Applewhite)

Clint Eastwood

Actor Clint Eastwood addresses the Republican National Convention in Tampa, Fla., on Thursday, Aug. 30, 2012. (AP Photo/J. Scott Applewhite)

Actor Clint Eastwood speaks to an empty chair while addressed delegates during the Republican National Convention in Tampa, Fla., on Thursday, Aug. 30, 2012. (AP Photo/Lynne Sladky)

Tom Stemberg, founder and former CEO of Staples speaks to delegates during the Republican National Convention in Tampa, Fla., on Thursday, Aug. 30, 2012. (AP Photo/Charlie Neibergall)

Bob White

Chairman of the Romney-Ryan Campaign Bob White addresses the Republican National Convention in Tampa, Fla., on Thursday, Aug. 30, 2012. (AP Photo/J. Scott Applewhite)

Pam Finlayson

Pam Finlayson addresses the Republican National Convention in Tampa, Fla., on Thursday, Aug. 30, 2012. (AP Photo/J. Scott Applewhite)

Frantz Placide and Sean Duffy, center, listen to Former Florida Governor Jeb Bush, left, as he speaks during the Republican National Convention in Tampa, Fla., on Thursday, Aug. 30, 2012.during the Republican National Convention in Tampa, Fla., on Thursday, Aug. 30, 2012. (AP Photo/Lynne Sladky)

Jeb Bush

Former Florida Governor Jeb Bush addresses the Republican National Convention in Tampa, Fla., on Thursday, Aug. 30, 2012. (AP Photo/Jae C. Hong)

Former Florida Governor Jeb Bush steps onstage to speak to delegates at the Republican National Convention in Tampa, Fla., on Thursday, Aug. 30, 2012. (AP Photo/Lynne Sladky)

Oscar Poole

Oscar Poole from Ellijay, Ga., wears his hat at the Republican National Convention in Tampa, Fla., on Thursday, Aug. 30, 2012. (AP Photo/David Goldman)

Newt Gingrich, Callista Gingrich

Former House Speaker Newt Gingrich and his wife Callista addresses the Republican National Convention in Tampa, Fla., on Thursday, Aug. 30, 2012. (AP Photo/Charles Dharapak)

Former House Speaker Newt Gingrich and his wife Callista walk onto the stage to speak to delegates during the Republican National Convention in Tampa, Fla., on Thursday, Aug. 30, 2012. (AP Photo/Charlie Neibergall)

Former House Speaker Newt Gingrich and his wife Callista speak to delegates during the Republican National Convention in Tampa, Fla., on Thursday, Aug. 30, 2012. (AP Photo/Charlie Neibergall)

Herman Cain recites the Pledge of Allegiance during the Republican National Convention in Tampa, Fla., on Thursday, Aug. 30, 2012. (AP Photo/Charlie Neibergall)

Connie Mack

Rep. Connie Mack, R-Fla., addresses the Republican National Convention in Tampa, Fla., on Thursday, Aug. 30, 2012. (AP Photo/J. Scott Applewhite)

Senator Scott Brown, R-Mass., answers questions during a press conference in Tampa, Fla., on Thursday, Aug. 30, 2012. (AP Photo/Patrick Semansky)

Stagehands make final adjustments to the expanded stage where Republican presidential nominee Mitt Romney will accept his party's nomination later tonight a the Republican National Convention in Tampa, Fla., on Thursday, Aug. 30, 2012. (AP Photo/Jae C. Hong)

Protesters yell as Republican vice presidential nominee, Rep. Paul Ryan addresses the Republican National Convention in Tampa, Fla., on Wednesday, Aug. 29, 2012. (AP Photo/Jae C. Hong)

A delegate holds up a mask of Republican vice presidential nominee, Rep. Paul Ryan during the Republican National Convention in Tampa, Fla., on Wednesday, Aug. 29, 2012. (AP Photo/David Goldman)

Jeb Bush

FILE In this Aug. 27, 2012 file photo, former Florida Gov. Jeb Bush looks at the convention floor from the podium during a microphone check at the Republican National Convention in Tampa, Fla. (AP Photo/J. Scott Applewhite, File)

Stagehands make final adjustments to the expanded stage where Republican presidential nominee Mitt Romney will accept his party's nomination later tonight a the Republican National Convention in Tampa, Fla., on Thursday, Aug. 30, 2012. (AP Photo/J. Scott Applewhite)

Paul Ryan

Republican vice presidential nominee, Rep. Paul Ryan waves toward the delegates during the Republican National Convention in Tampa, Fla., on Wednesday, Aug. 29, 2012. (AP Photo/J. Scott Applewhite)

Paul Ryan

Republican vice presidential nominee, Rep. Paul Ryan addresses the Republican National Convention in Tampa, Fla., on Wednesday, Aug. 29, 2012. (AP Photo/J. Scott Applewhite)

Sam Ryan yawns in his mother's arms while Janna listen to her husband Republican vice presidential nominee, Rep. Paul Ryan's speech during the Republican National Convention in Tampa, Fla., on Wednesday, Aug. 29, 2012. Right is Charlie Ryan. (AP Photo/Charlie Neibergall)

Ann Romney, wife of U.S. Republican presidential nominee Mitt Romney, applauds with Republican vice presidential nominee, Rep. Paul Ryan's wife during Paul Ryan's speech during the Republican National Convention in Tampa, Fla., on Wednesday, Aug. 29, 2012. (AP Photo/Charlie Neibergall)

Republican vice presidential nominee, Rep. Paul Ryan speaks to delegates during the Republican National Convention in Tampa, Fla., on Wednesday, Aug. 29, 2012.(AP Photo/Charlie Neibergall)

Condoleezza Rice

Former Secretary of State Condoleezza Rice addresses the Republican National Convention in Tampa, Fla., on Wednesday, Aug. 29, 2012. (AP Photo/Charles Dharapak)

Susana Martinez

New Mexico Governor Susana Martinez addresses the Republican National Convention in Tampa, Fla., on Wednesday, Aug. 29, 2012. (AP Photo/J. Scott Applewhite)

Condoleezza Rice

Former Secretary of State Condoleezza Rice addresses the Republican National Convention in Tampa, Fla., on Wednesday, Aug. 29, 2012. (AP Photo/J. Scott Applewhite)

Mike Huckabee

Former governor of Arkansas Mike Huckabee addresses the Republican National Convention in Tampa, Fla., on Wednesday, Aug. 29, 2012. (AP Photo/J. Scott Applewhite)

Mike Huckabee

Former governor of Arkansas Mike Huckabee addresses the Republican National Convention in Tampa, Fla., on Wednesday, Aug. 29, 2012. (AP Photo/J. Scott Applewhite)

Mike Huckabee

Former governor of Arkansas Mike Huckabee addresses the Republican National Convention in Tampa, Fla., on Wednesday, Aug. 29, 2012. (AP Photo/J. Scott Applewhite)

Republican vice presidential nominee, Rep. Paul Ryan's wife Janna, left, sits next to his mother Betty Ryan Douglas during the Republican National Convention in Tampa, Fla., on Wednesday, Aug. 29, 2012. (AP Photo/Charlie Neibergall)

Tim Pawlenty

Former Minnesota Governor Tim Pawlenty addresses the Republican National Convention in Tampa, Fla., on Wednesday, Aug. 29, 2012. (AP Photo/J. Scott Applewhite)

Rob Portman

Ohio Senator Rob Portman addresses the Republican National Convention in Tampa, Fla., on Wednesday, Aug. 29, 2012. (AP Photo/J. Scott Applewhite)

Rob Portman

Ohio Senator Rob Portman addresses the Republican National Convention in Tampa, Fla., on Wednesday, Aug. 29, 2012. (AP Photo/J. Scott Applewhite)

John Thune

South Dakota Senator John Thune gestures to the delegates during the Republican National Convention in Tampa, Fla., on Wednesday, Aug. 29, 2012. (AP Photo/Charles Dharapak)

Rob Portman

Ohio Senator Rob Portman waves to the delegates during the Republican National Convention in Tampa, Fla., on Wednesday, Aug. 29, 2012. (AP Photo/J. Scott Applewhite)

Ohio Senator Rob Portman waves to delegates before his speech during the Republican National Convention in Tampa, Fla., on Wednesday, Aug. 29, 2012. (AP Photo/Lynne Sladky)

Arizona Senator John McCain, left, shakes hands with former Pennsylvania Sen. Rick Santorum during the Republican National Convention in Tampa, Fla., on Wednesday, Aug. 29, 2012. (AP Photo/Charlie Neibergall)

John Thune

South Dakota Senator John Thune waves to the delegates during the Republican National Convention in Tampa, Fla., on Wednesday, Aug. 29, 2012. (AP Photo/Charles Dharapak)

John McCain

Arizona Senator John McCain gestures as he walks up to the podium during the Republican National Convention in Tampa, Fla., on Wednesday, Aug. 29, 2012. (AP Photo/Charles Dharapak)

John McCain

Sen. John McCain, R-Ariz., waves after addressing the Republican National Convention in Tampa, Fla., on Wednesday, Aug. 29, 2012. (AP Photo/J. Scott Applewhite)

John McCain

Sen. John McCain, R-Ariz., smiles before addressing the during the Republican National Convention in Tampa, Fla., on Wednesday, Aug. 29, 2012. (AP Photo/J. Scott Applewhite)

Washington Representative Cathy McMorris Rodgers speaks to delegates during the Republican National Convention in Tampa, Fla., on Wednesday, Aug. 29, 2012. (AP Photo/Charlie Neibergall)

Rand Paul

Sen. Rand Paul, R-Ky., addresses the Republican National Convention in Tampa, Fla., on Wednesday, Aug. 29, 2012. (AP Photo/Charles Dharapak)

Kentucky Senator Rand Paul addresses delegates at the Republican National Convention in Tampa, Fla., on Wednesday, Aug. 29, 2012. (AP Photo/Charlie Neibergall)

Mitch McConnell

Senate Minority Leader Mitch McConnell of Kentucky addresses to the Republican National Convention in Tampa, Fla., on Wednesday, Aug. 29, 2012. (AP Photo/Charles Dharapak)

Mitch McConnell

Senate Minority Leader Mitch McConnell of Kentucky waves to delegates after addressing the Republican National Convention in Tampa, Fla., on Wednesday, Aug. 29, 2012. (AP Photo/J. Scott Applewhite)

A video honoring of Rep. Ron Paul, R-Texas, is displayed during the Republican National Convention in Tampa, Fla., on Wednesday, Aug. 29, 2012. (AP Photo/J. Scott Applewhite)

Cindy McCain, wife of Arizona Senator John McCain, waits for the start of the Republican National Convention in Tampa, Fla., on Wednesday, Aug. 29, 2012. (AP Photo/Charlie Neibergall)

Ishwar Singh

Ishwar Singh delivers the invocation during the Republican National Convention in Tampa, Fla., on Wednesday, Aug. 29, 2012. (AP Photo/J. Scott Applewhite)

Ayla Brown

Ayla Brown signs the National Anthem during the Republican National Convention in Tampa, Fla., on Wednesday, Aug. 29, 2012. (AP Photo/J. Scott Applewhite)

Paul Ryan, Janna Ryan

Republican vice presidential candidate, Rep. Paul?Ryan, R-Wis., and wife Janna appear on stage at the Wisconsin delegation's Beers and Brats event, Wednesday, Aug. 29, 2012, in Tampa, Fla. (AP Photo/Mary Altaffer)

Paul Ryan

Republican vice presidential nominee, Rep. Paul Ryan of Wisconsin checks out the TelePrompTer during this podium sound check during the Republican National Convention in Tampa, Fla., on Wednesday, Aug. 29, 2012. (AP Photo/J. Scott Applewhite)

John McCain

Sen. John McCain clowns around on the podium during sound check the Republican National Convention in Tampa, Fla., on Wednesday, Aug. 29, 2012. (AP Photo/Jae C. Hong)

Former New York mayor Rudy Giuliani is interviewed on the convention floor before the Republican National Convention in Tampa, Fla., on Wednesday, Aug. 29, 2012. (AP Photo/Lynne Sladky)

Paul Ryan

Republican vice presidential candidate, Rep. Paul Ryan, R-Wis. gestures during a walk through ahead of his delivering a speech at the Republican National Convention, Wednesday, Aug. 29, 2012 in Tampa, Fla. (AP Photo/Charles Dharapak)

Paul Ryan, Sam Ryan, Liza Ryan, Charlie Ryan

CAPTION CORRECTION, CORRECTS ORDER OF CHILDREN'S NAMES TO SAM, LIZA AND CHARLIE, NOT CHARLIE, LIZA AND SAM - Republican vice presidential candidate, Rep. Paul Ryan, R-Wis., smiles at his children, from left, Sam, Liza, and Charlie, during a walk through ahead of his delivering a speech at the Republican National Convention, Wednesday, Aug. 29, 2012, in Tampa, Fla. (AP Photo/Mary Altaffer)

John McCain

A reporter, left, tries to interview Sen. John McCain, R-Ariz., as he walks the floor of the Republican National Convention, Wednesday, Aug. 29, 2012, in Tampa, Fla. (AP Photo/Mary Altaffer)

Catherine Akin, of Jasper, Fla., a demonstrators participate in a protest rally in the rain, Wednesday, Aug. 29, 2012, in Tampa, Fla. Protestors gathered in Tampa to march in demonstration against the Republican National Convention. (AP Photo/Patrick Semansky)

A worker walks down the isle to collect trash on the floor at the Republican National Convention in Tampa, Fla., on Wednesday, Aug. 29, 2012. (AP Photo/David Goldman)

Marco Rubio

Sen. Marco Rubio, R-Fla., picks up the gavel after a sound check on the main stage at the Republican National Convention in Tampa, Fla., on Wednesday, Aug. 29, 2012. (AP Photo/J. Scott Applewhite)

Former Secretary of State Condoleezza Rice looks over the main stage during a sound check at the Republican National Convention in Tampa, Fla., on Wednesday, Aug. 29, 2012. (AP Photo/J. Scott Applewhite)

Tim Pawlenty

Former Minnesota Governor Tim Pawlenty looks over the main stage during a sound check at the Republican National Convention in Tampa, Fla., on Wednesday, Aug. 29, 2012. (AP Photo/J. Scott Applewhite)

Police officers watch demonstrators marching through the streets of Tampa, Fla., to protest the Republican National Convention on Monday, Aug. 27, 2012. Here's what tens of thousands of visitors in Tampa during the Republican National Convention will see this week: police. Lots of them. They're seemingly on every street corner. Officers riding bicycles, horses and golf carts that look like baby Humvees. (AP Photo/Patrick Semansky)

Police officers patrol, Tuesday, Aug. 28, 2012, in Tampa, Fla. Here's what tens of thousands of visitors in Tampa during the Republican National Convention will see this week: police. Lots of them. They're seemingly on every street corner. Officers riding bicycles, horses and golf carts that look like baby Humvees. (AP Photo/Patrick Semansky)

Condoleezza Rice

Former Secretary of State Condoleezza Rice sits down for a television interview on the floor of the Republican National Convention in Tampa, Fla., Wednesday, Aug. 29, 2012. (AP Photo/David Goldman)

New Jersey Governor Chris Christie addresses the Republican National Convention in Tampa, Fla. on Tuesday, Aug. 28, 2012. (AP Photo/J. Scott Applewhite)

Chris Christie

New Jersey Governor Chris Christie addresses the Republican National Convention in Tampa, Fla. on Tuesday, Aug. 28, 2012. (AP Photo/J. Scott Applewhite)

New Jersey Governor Chris Christie addresses the Republican National Convention in Tampa, Fla., on Tuesday, Aug. 28, 2012. (AP Photo/J. Scott Applewhite)

Ann Romney

Ann Romney, wife of U.S. Republican presidential nominee Mitt Romney, reacts as he walks up to the podium to address the Republican National Convention in Tampa, Fla., on Tuesday, Aug. 28, 2012. (AP Photo/Charles Dharapak)

Mitt Romney, Ann Romney

U.S. Republican presidential nominee Mitt Romney hugs his wife Ann after she addressed the Republican National Convention in Tampa, Fla., on Tuesday, Aug. 28, 2012. (AP Photo/Charlie Neibergall)

Mitt Romney, Ann Romney

Ann Romney is kissed by her husband Republican presidential nominee Mitt Romney during the Republican National Convention in Tampa, Fla. on Tuesday, Aug. 28, 2012. (AP Photo/J. Scott Applwhite)

Ann Romney

Ann Romney, wife of U.S. Republican presidential candidate Mitt Romney addresses the Republican National Convention in Tampa, Fla. on Tuesday, Aug. 28, 2012. (AP Photo/J. Scott Applewhite)

Ann Romney

Ann Romney, wife of Republican presidential candidate, former Massachusetts Gov. Mitt Romney arrives on stage to deliver a speech at the Republican National Convention on Tuesday, Aug. 28, 2012 in Tampa, Fla. (AP Photo/Evan Vucci)

Ted Cruz

Senate candidate Ted Cruz, of Texas, addresses the Republican National Convention in Tampa, Fla., on Tuesday, Aug. 28, 2012. (AP Photo/Charlie Neibergall)

Ted Cruz

Senate candidate Ted Cruz of Texas addresses the Republican National Convention in Tampa, Fla., on Tuesday, Aug. 28, 2012. (AP Photo/J. Scott Applewhite)

Nikki Haley

South Carolina Governor Nikki Haley addresses the Republican National Convention in Tampa, Fla., on Tuesday, Aug. 28, 2012. (AP Photo/J. Scott Applewhite)

Nikki Haley

South Carolina Governor Nikki Haley addresses the Republican National Convention in Tampa, Fla., on Tuesday, Aug. 28, 2012. (AP Photo/J. Scott Applewhite)

Artur Davis

Former Representative Artur Davis addresses the Republican National Convention in Tampa, Fla., on Tuesday, Aug. 28, 2012. (AP Photo/J. Scott Applewhite)

Artur Davis

Former Representative Artur Davis addresses the Republican National Convention in Tampa, Fla., on Tuesday, Aug. 28, 2012. (AP Photo/J. Scott Applewhite)

Rick Santorum

Former Pennsylvania Senator Rick Santorum speaks to delegates during the Republican National Convention in Tampa, Fla., on Tuesday, Aug. 28, 2012. (AP Photo/Charlie Neibergall)

Protester

A protester yells out while Former Pennsylvania Senator Rick Santorum speaks during the Republican National Convention in Tampa, Fla., on Tuesday, Aug. 28, 2012. (AP Photo/Charlie Neibergall)

Protester

A protester is led away while Former Pennsylvania Senator Rick Santorum speaks during the Republican National Convention in Tampa, Fla., on Tuesday, Aug. 28, 2012. (AP Photo/Charlie Neibergall)

Former Pennsylvania Senator Rick Santorum introduces his wife Karen during his speech during the Republican National Convention in Tampa, Fla., on Tuesday, Aug. 28, 2012. (AP Photo/Charlie Neibergall)

Scott Walker

Wisconsin Gov. Scott Walker waves to delegates during the Republican National Convention in Tampa, Fla., on Tuesday, Aug. 28, 2012. (AP Photo/J. Scott Applewhite)

Scott Walker

Wisconsin Gov. Scott Walker addresses Republican National Convention in Tampa, Fla., on Tuesday, Aug. 28, 2012. (AP Photo/J. Scott Applewhite)

Brian Sandoval

Nevada Gov. Brian Sandoval addresses the Republican National Convention in Tampa, Fla., on Tuesday, Aug. 28, 2012. (AP Photo/J. Scott Applewhite)

Texas Governor Rick Perry poses with delegates during the Republican National Convention in Tampa, Fla., on Tuesday, Aug. 28, 2012. (AP Photo/Charlie Neibergall)

Phil Archuletta

Small business owner Phil Archuletta addresses the Republican National Convention in Tampa, Fla., on Tuesday, Aug. 28, 2012. (AP Photo/J. Scott Applewhite)

Kyle Welch, Lillian Welch

Kyle Welch from Cambridge, Mass., cheer as his 1-year-old daughter Lillian sleeps during the Republican National Convention in Tampa, Fla., on Tuesday, Aug. 28, 2012. (AP Photo/Jae C. Hong)

Bob McDonnell

Virginia Governor Bob McDonnell addresses the Republican National Convention in Tampa, Fla., on Tuesday, Aug. 28, 2012. (AP Photo/J. Scott Applewhite)

Virginia Governor Bob McDonnell addresses delegates during the Republican National Convention in Tampa, Fla., on Tuesday, Aug. 28, 2012. (AP Photo/Charlie Neibergall)

Bev Gray

Small business owner Bev Gray addresses the Republican National Convention in Tampa, Fla., on Tuesday, Aug. 28, 2012. (AP Photo/J. Scott Applewhite)

Oklahoma Governor Mary Fallin waves to candidates during the Republican National Convention in Tampa, Fla., on Tuesday, Aug. 28, 2012. (AP Photo/Charlie Neibergall)

Oklahoma Governor Mary Fallin speaks to delegates during the Republican National Convention in Tampa, Fla., on Tuesday, Aug. 28, 2012. (AP Photo/Charlie Neibergall)

Cathy McMorris Rodgers

Representative Cathy McMorris Rodgers, R-Wash., addresses the Republican National Convention in Tampa, Fla., on Tuesday, Aug. 28, 2012. (AP Photo/J. Scott Applewhite)

Kelly Ayotte

Sen. Kelly Ayotte, R-N.H., waves to the delegates before addressing the Republican National Convention in Tampa, Fla., on Tuesday, Aug. 28, 2012. (AP Photo/J. Scott Applewhite)

Former House Speaker Newt Gingrich arrives at the Republican National Convention in Tampa, Fla., on Tuesday, Aug. 28, 2012. (AP Photo/Charlie Neibergall)

Small business owner Jack Gilchrist speaks to delegates during the Republican National Convention in Tampa, Fla., on Tuesday, Aug. 28, 2012. (AP Photo/Charlie Neibergall)

John Kasich

Ohio Governor John Kasich addresses the Republican National Convention in Tampa, Fla., on Tuesday, Aug. 28, 2012. (AP Photo/J. Scott Applewhite)

Mia Love

Mayor of Saratoga Springs, Utah, Mia Love waves to candidates following her speech during the Republican National Convention in Tampa, Fla., on Tuesday, Aug. 28, 2012. (AP Photo/Lynne Sladky)

Mia Love

Mayor of Saratoga Springs, Utah, Mia Love speaks to delegates during the Republican National Convention in Tampa, Fla., on Tuesday, Aug. 28, 2012. (AP Photo/Charlie Neibergall)

Actress Janine Turner speaks to delegates during the Republican National Convention in Tampa, Fla., on Tuesday, Aug. 28, 2012. (AP Photo/Charlie Neibergall)

Jan Brewer

Arizona Gov. Jan Brewer arrives on the floor at the Republican National Convention in Tampa, Fla., on Tuesday, Aug. 28, 2012. (AP Photo/Charles Dharapak)

Scott Walker

Wisconsin Gov. Scott Walker reacts as he casts his states votes for former Massachusetts Gov. Mitt Romney during the Republican National Convention in Tampa, Fla., on Tuesday, Aug. 28, 2012. (AP Photo/J. Scott Applewhite)

Delegates gather in the Tampa Bay Times Forum during the Republican National Convention in Tampa, Fla., on Tuesday, Aug. 28, 2012. (AP Photo/Jae C. Hong)

Scott Walker

Wisconsin Gov. Scott Walker talks to delegates on the floor at the Republican National Convention in Tampa, Fla., on Tuesday, Aug. 28, 2012. (AP Photo/Charles Dharapak)

Scott Romney

Scott Romney, right, brother of U.S. Republican presidential candidate Mitt Romney, reacts at the Republican National Convention in Tampa, Fla., on Tuesday, Aug. 28, 2012. (AP Photo/Charles Dharapak)

John Kasich

Ohio Gov. John Kasich speaks at the Republican National Convention in Tampa, Fla., on Tuesday, Aug. 28, 2012. (AP Photo/Charles Dharapak)

Michele Bachmann

Minnesota Representative Michele Bachmann, second right, listens as Minnesota delegates casts their vote during the Republican National Convention in Tampa, Fla., on Tuesday, Aug. 28, 2012. (AP Photo/Charlie Neibergall)

Delegates from Kentucky casts their votes for presidential candidate Mitt Romney during the Republican National Convention in Tampa, Fla., on Tuesday, Aug. 28, 2012. (AP Photo/Lynne Sladky)

Scott Romney, Rick Snyder.

Michigan delegate Scott Romney, center with a note pad, and the rest of Michigan delegates react at the Republican National Convention in Tampa, Fla., on Tuesday, Aug. 28, 2012. At right is Michigan Gov. Rick Snyder. (AP Photo/Charles Dharapak)

House Speaker John Boehner of Ohio, taps a gavel during the Republican National Convention in Tampa, Fla., on Tuesday, Aug. 28, 2012. (AP Photo/Charlie Neibergall)

Fredi Simpson

Washington state delegate Fredi Simpson cheer during the Republican National Convention in Tampa, Fla., on Tuesday, Aug. 28, 2012. (AP Photo/David Goldman)

John Sununu

Committee on Rules Chairman John Sununu addresses delegates during the Republican National Convention in Tampa, Fla., on Tuesday, Aug. 28, 2012. (AP Photo/Lynne Sladky)

Don Genhart

California delegate Don Genhart fashions his cowboy boots at the Republican National Convention in Tampa, Fla., on Tuesday, Aug. 28, 2012. (AP Photo/Jae C. Hong)

Sol Grosskopf

Wisconsin delegate Sol Grosskopf from Shawano wearing cheesehead talks on the phone during the Republican National Convention in Tampa, Fla., on Tuesday, Aug. 28, 2012. (AP Photo/Charles Dharapak)

A delegate from Texas holds up an anti-Obama sign during the Republican National Convention in Tampa, Fla., on Tuesday, Aug. 28, 2012. (AP Photo/Charlie Neibergall)

Bryan Daugherty

With Ron Paul's autograph on his hat, Maine delegate Bryan Daugherty from Bangor looks at his smart phone at the Republican National Convention in Tampa, Fla., on Tuesday, Aug. 28, 2012. (AP Photo/David Goldman)

Mick Cornett

Oklahoma City Mayor Mick Cornett waves to the Oklahoma delegation during the Republican National Convention in Tampa, Fla., on Tuesday, Aug. 28, 2012. (AP Photo/J. Scott Applewhite)

Bill Haslam

Tennessee Gov. Bill Haslam, center, talks to delegates on the floor at the Republican National Convention in Tampa, Fla., on Tuesday, Aug. 28, 2012. (AP Photo/David Goldman)

North Carolina delegates cheer during the Republican National Convention in Tampa, Fla., on Tuesday, Aug. 28, 2012. (AP Photo/Jae C. Hong)

Bob Fish

Delegate Bob Fish from Parkersburg, W. Va., pledges at the Republican National Convention in Tampa, Fla., on Tuesday, Aug. 28, 2012. (AP Photo/Charles Dharapak)

A volunteer places pamphlets on chairs in Montana's delegation seating area before the start of the Republican National Convention in Tampa, Fla., on Tuesday, Aug. 28, 2012. (AP Photo/Lynne Sladky)

Tim Babcock, Tom Hogan

Former Montana Gov. Tim Babcock, left, Tom Hogan (FL) lead the Pledge of Allegiance during the Republican National Convention in Tampa, Fla., on Tuesday, Aug. 28, 2012. (AP Photo/J. Scott Applewhite) <em><strong>CORRECTION</strong>: A former version of this caption misstated Hogan's title.</em>

Texas delegates recite the Pledge of Allegiance during the Republican National Convention in Tampa, Fla., on Tuesday, Aug. 28, 2012. (AP Photo/Charlie Neibergall)

Reice Preibus

Chairman of the Rebpulican National Convention Reice Preibus gavels the second session of the Republican National Convention to order in Tampa, Fla., on Tuesday, Aug. 28, 2012. (AP Photo/J. Scott Applewhite)

Bruce Thompson

Bruce Thompson of San Diego, Calif. fashions his hat at the Republican National Convention in Tampa, Fla., on Tuesday, Aug. 28, 2012. (AP Photo/Jae C. Hong)

Diane Sawyer, Ann Romney

Diane Sawyer, left, interviews Ann Romney, wife of U.S. Republican presidential candidate Mitt Romney, on the floor before the session of the Republican National Convention in Tampa, Fla., on Tuesday, Aug. 28, 2012. (AP Photo/Jae C. Hong)

US-VOTE-2012-REPUBLICAN CONVENTION

Former republican presidential candidate Newt Gingrich and his wife Callista appear on stage during a sound check at the Tampa Bay Times Forum in Tampa, Florida, on August 28, 2012 during the Republican National Convention. The 2012 Republican National Convention is expected to host 2,286 delegates and 2,125 alternate delegates from all 50 states, the District of Columbia and five territories. AFP PHOTO Stan HONDA (Photo credit should read STAN HONDA/AFP/GettyImages)

2012 Republican National Convention: Day 2

TAMPA, FL - AUGUST 28: U.S. Sen. Kelly Ayotte (R-NH) stands on stage during a soundcheck with stage manager Howard Kolins during the Republican National Convention at the Tampa Bay Times Forum on August 28, 2012 in Tampa, Florida. Today is the first full session of the RNC after the start was delayed due to Tropical Storm Isaac. (Photo by Scott Olson/Getty Images)

2012 Republican National Convention: Day 2

TAMPA, FL - AUGUST 28: New Jersey Gov. Chris Christie, who will give the keynote address and his wife Mary Pat Christie stand on stage for a soundcheck during the Republican National Convention at the Tampa Bay Times Forum on August 28, 2012 in Tampa, Florida. Today is the first full session of the RNC after the start was delayed due to Tropical Storm Isaac. (Photo by Scott Olson/Getty Images)

Jeb Bush

Former Florida Gov. Jeb Bush looks at the convention floor from the podium during a microphone check at the Republican National Convention in Tampa, Fla., on Monday, Aug. 27, 2012. (AP Photo/J. Scott Applewhite)

In the dimmed lights, state delagate signs are seen on the convention floor after an abbreviated session of the Republican National Convention in Tampa, Fla., on Monday, Aug. 27, 2012.(AP Photo/David Goldman)

2012 Republican National Convention Delayed By Tropical Storm Isaac

TAMPA, FL - AUGUST 27: Musician Beau Davidson performs during a sound check during the Republican National Convention at the Tampa Bay Times Forum on August 27, 2012 in Tampa, Florida. The RNC is scheduled to convene today, but will hold its first full session tomorrow after being delayed due to Tropical Storm Isaac. (Photo by Mark Wilson/Getty Images)

Alex Casetta, a delegate from Denver, Colo., wears a Pro-Life button on his hat following the opening session of the Republican National Convention in Tampa, Fla., on Monday, Aug. 27, 2012. (AP Photo/Lynne Sladky)

Reince Priebus

Chairman of the Republican National Committee Reince Priebus speaks to delegates during an abbreviated session the Republican National Convention in Tampa, Fla., on Monday, Aug. 27, 2012. (AP Photo/J. Scott Applewhite)

Jeremy Blosser

Jeremy Blosser from Ft. Worth, Texas stands next a mirrored wall on the convention floor after an abbreviated session of the Republican National Convention in Tampa, Fla., on Monday, Aug. 27, 2012. (AP Photo/Jae C. Hong)

Delegates from Texas pray during an abbreviated session of the Republican National Convention in Tampa, Fla., on Monday, Aug. 27, 2012. (AP Photo/Charles Dharapak)

Delegates watch a video presentation during an abbreviated session of the Republican National Convention in Tampa, Fla., on Monday, Aug. 27, 2012. (AP Photo/David Goldman)

Delegates from the state of Ohio listen to Chairman of the Republican National Committee Reince Priebus during the abbreviated opening session of the Republican National Convention in Tampa, Fla., on Monday, Aug. 27, 2012. (AP Photo/Lynne Sladky)

Delegates watch a video presentation during an abbreviated session of the Republican National Convention in Tampa, Fla., on Monday, Aug. 27, 2012. (AP Photo/Charles Dharapak)

John Boehner, Diane Sawyer

House Speaker John Boehner of Ohio, left, talks to Diane Sawyer on the floor of the Republican National Convention in the Tampa Bay Times Forum in Tampa, Fla., on Monday, Aug. 27, 2012. (AP Photo/J. Scott Applewhite)

John Boehner

House Speaker John Boehner of Ohio, talks to reporters on the floor of the Republican National Convention in the Tampa Bay Times Forum in Tampa, Fla., on Monday, Aug. 27, 2012. (AP Photo/J. Scott Applewhite)

US-VOTE-2012-REPUBLICAN CONVENTION

American political consultant Karl Rove (L) and Senator Orrin Hatch from Utah (R) share a word at the Tampa Bay Times Forum in Tampa, Florida, during final preparations for the opening of the Republican National Convention on August 27, 2012. Due to tropical storm Isaac, the convention will come to order later today, Monday August 27th, and then immediately recess until the afternoon on Tuesday, August 28th. AFP PHOTO Brendan SMIALOWSKI (Photo credit should read BRENDAN SMIALOWSKI/AFP/GettyImages)

2012 Republican National Convention Delayed By Tropical Storm Isaac

TAMPA, FL - AUGUST 27: A sign for the Republican National Convention hangs outside Tampa Bay Times Forum on August 27, 2012 in Tampa, Florida. The Republican National Convention is scheduled to convene briefly August 27, and delayed its first full session until August 28 because of Tropical Storm Isaac. (Photo by Spencer Platt/Getty Images)

Mitch McConnell

Senate Minority Leader Mitch McConnell of Ky. bchecks out the stage at the Republican National Convention inside the Tampa Bay Times Forum, Monday, Aug. 27, 2012, in Tampa, Fla. (AP Photo/J. Scott Applewhite)

2012 Republican National Convention Delayed By Tropical Storm Isaac

TAMPA, FL - AUGUST 27: Stage workers continue to make last-minute adjustments to the main stage at the Tampa Bay Times Forum on the abbreviated first day of the Republican National Convention August 27, 2012 in Tampa, Florida. Organizers decided to delay the start of the convention as the projected path of Tropical Storm Isaac' put the storm blowing past Tampa and into the Gulf of Mexico. (Photo by Chip Somodevilla/Getty Images)

A Coast Guard patrol boat cruises past the Tampa Bay Times Forum in Tampa, Fla., Monday, Aug. 27, 2012. The start of the Republican National Convention, being held at the facility, has been delayed because of the approaching tropical storm Isaac. (AP Photo/Dave Martin)

Judy Griffin, of Georgia, takes photos while wearing a hat with Republican Party buttons during the 2012 Tampa Bay Host Committee's welcoming event for the delegates of the Republican National Convention on Sunday, Aug. 26, 2012 at Tropicana Field in St. Petersburg, Fla. (AP Photo/The Tampa Tribune, Chris Urso, Pool)

Republican presidential candidate and former Massachusetts Gov. Mitt Romney campaign buttons are displayed ahead of the Republican National Convention in Tampa, Fla., on Sunday, Aug. 26, 2012. (AP Photo/Jae C. Hong)

Herman Cain

Supporters cheer as former Republican presidential candidate, businessman Herman Cain, speaks during a Unity Rally Sunday Aug. 26, 2012, in Tampa, Fla. (AP Photo/Chris O'Meara)

US-VOTE-2012-REPUBLICAN CONVENTION

William Temple (C), in colonial dress, and other Tea Party supporters cheer at the Tea Party Unity Rally at The River at Tampa Bay Church ahead of the Republican National Convention, in Tampa, Florida, on August 26, 2012. AFP PHOTO / ROBYN BECK (Photo credit should read ROBYN BECK/AFP/GettyImages)

US-VOTE-2012-REPUBLICAN CONVENTION

Supporters of US Republican presidential contender Ron Paul react during his speech at a rally at the Sun Dome of the University of South Florida in Tampa, Florida, on August 26, 2012. Thousands of Ron Paul supporters gathered in Sun Dome to show support for their candidate. AFP PHOTO/MLADEN ANTONOV (Photo credit should read MLADEN ANTONOV/AFP/GettyImages)

US-VOTE-2012-REPUBLICAN CONVENTION

A supporter of the US Republican presidential contender Ron Paul waves his portrait during a rally at the Sun Dome of the University of South Florida in Tampa, Florida, on August 26, 2012. Thousands of Ron Paul supporters gathered in Sun Dome to show support for their candidate. AFP PHOTO/MLADEN ANTONOV (Photo credit should read MLADEN ANTONOV/AFP/GettyImages)

US-VOTE-2012-REPUBLICAN CONVENTION

Supporters wave banners and a portret of US Republican presidential contender Ron Paul during a rally at the Sun Dome of the University of South Florida in Tampa, Florida, on August 26, 2012. Thousands of Ron Paul supporters gathered in Sun Dome to show support for their candidate. AFP PHOTO/MLADEN ANTONOV (Photo credit should read MLADEN ANTONOV/AFP/GettyImages)

Tampa Prepares For Republican National Convention And Potential Hurricane

TAMPA, FL - AUGUST 26: South Carolina Gov. Nikki Haley waves while standing at the podium with Stage manager Howard Kolins (R) ahead of the Republican National Convention at the Tampa Bay Times Forum on August 26, 2012 in Tampa, Florida. The RNC is scheduled to convene on August 27 and will hold its first session on August 28 as Tropical Storm Isaac threatens disruptions due to its proximity to the Florida peninsula. (Photo by Chip Somodevilla/Getty Images)

G.E. Smith

Guitarist G.E. Smith rehearses at the Republican National Convention inside of the Tampa Bay Times Forum in Tampa, Fla., on Sunday, Aug. 26, 2012. (AP Photo/Lynne Sladky)

Scott Kiss

Worker Patrick Gayle of Kissimmee, Fla. wipes the mirror-sided camera stands on the floor of the Republican National Convention in the Tampa Bay Times Forum in Tampa, Fla., on Sunday, Aug. 26, 2012. (AP Photo/Charlie Neibergall)

Workers prepare the stage for the Republican National Convention inside the Tampa Bay Times Forum, Saturday, Aug. 25, 2012, in Tampa, Fla. (AP Photo/J. Scott Applewhite)

Jason Chaffetz

Rep. Jason Chaffetz, R-Utah, stands on the stage during preparation for the Republican National Convention festivities inside the Tampa Bay Times Forum, Saturday, Aug. 25, 2012, in Tampa, Fla. (AP Photo/J. Scott Applewhite)

Workers prepare the stage for the Republican National Convention inside the Tampa Bay Times Forum, Saturday, Aug. 25, 2012, in Tampa, Fla. (AP Photo/J. Scott Applewhite)

Jason Chaffetz

Rep. Jason Chaffetz, R-Utah, gets a look at the stage during preparation for the Republican National Convention festivities inside the Tampa Bay Times Forum, Saturday, Aug. 25, 2012, in Tampa, Fla. (AP Photo/J. Scott Applewhite)

Workers prepare the stage for the Republican National Convention inside the Tampa Bay Times Forum, Saturday, Aug. 25, 2012, in Tampa, Fla. (AP Photo/J. Scott Applewhite)

Anthony Batri, from Largo, Fla., unfurls banners as preparations are made ahead of the Republican National Convention in Tampa, Fla., on Saturday, Aug. 25, 2012. (AP Photo/Dave Martin)

Workers prepare the stage for the Republican National Convention inside the Tampa Bay Times Forum in Tampa, Fla., on Saturday, Aug. 25, 2012. The political convention begins on Monday, Aug. 27th. (AP Photo/Dave Martin)

Workers prepare the stage for the Republican National Convention inside the Tampa Bay Times Forum in Tampa, Fla., on Saturday, Aug. 25, 2012. The political convention begins on Monday, Aug. 27th. (AP Photo/Dave Martin)

Riggers load nets full of balloons for the Republican National Convention festivities inside the Tampa Bay Times Forum, Friday, Aug. 24, 2012, in Tampa, Fla. (AP Photo/J. Scott Applewhite)

Riggers load nets full of balloons for the Republican National Convention festivities inside the Tampa Bay Times Forum, Friday, Aug. 24, 2012, in Tampa, Fla. (AP Photo/J. Scott Applewhite)

Tampa Prepares For Republican National Convention And Potential Hurricane

TAMPA, FL - AUGUST 23: Video displays that will be used during the Republican National Convention are tested at the Tampa Bay Times Forum on August 23, 2012 in Tampa, Florida. The Republican convention is scheduled to begin in less than a week although Tropical Storm Isaac is threatening possible disruptions due to its proximity to the Florida peninsula. (Photo by Win McNamee/Getty Images)

Members of the media conduct interviews on the floor after the unveiling of the stage and podium for the 2012 Republican National Convention, Monday, Aug. 20, 2012, at the Tampa Bay Times Forum in Tampa, Fla. (AP Photo/Scott Iskowitz)

Reince Priebus, Willan Harris

Republican National Committee Chairman Reince Priebus, left, and convention CEO William Harris unveil the stage and podium for the 2012 Republican National Convention, Monday, Aug. 20, 2012, at the Tampa Bay Times Forum in Tampa, Fla. (AP Photo/Scott Iskowitz)

Reince Priebus, Willan Harris

Republican National Committee Chairman Reince Priebus, left, and convention CEO William Harris unveil the stage and podium for the 2012 Republican National Convention, Monday, Aug. 20, 2012, at the Tampa Bay Times Forum in Tampa, Fla. (AP Photo/Scott Iskowitz)

GOP Previews Site Of Republican National Convention

TAMPA, FL - AUGUST 20: Republican National Committee Chairman Reince Priebus unveils the stage inside of the Tampa Bay Times Forum in preparation for the Republican National Convention on August 20, 2012 in Tampa, Florida. Thousands will decend on Tampa for the four day convention which takes place August 27-30. (Photo by Tim Boyles/Getty Images)

GOP Previews Site Of Republican National Convention

TAMPA, FL - AUGUST 20: News media report on the unveiling of the stage inside of the Tampa Bay Times Forum in preparation for the Republican National Convention on August 20, 2012 in Tampa, Florida. Thousands will decend on Tampa for the four day convention which takes place August 27-30. (Photo by Tim Boyles/Getty Images)

GOP Previews Site Of Republican National Convention

TAMPA, FL - AUGUST 20: A worker walks past the stage inside of the Tampa Bay Times Forum in preparation for the Republican National Convention on August 20, 2012 in Tampa, Florida. Thousands will decend on Tampa for the four day convention which takes place August 27-30. (Photo by Tim Boyles/Getty Images)

GOP Previews Site Of Republican National Convention

TAMPA, FL - AUGUST 20: A woman walks in front of the stage inside of the Tampa Bay Times Forum in preparation for the Republican National Convention on August 20, 2012 in Tampa, Florida. Thousands will decend on Tampa for the four day convention which takes place August 27-30. (Photo by Tim Boyles/Getty Images)

This photo taken Monday, Aug. 13, 2012 shows downtown Tampa, Fla. The Tampa Bay Times Forum, right, is the location of the Republican National Convention, which will be held Aug. 27-30. Traffic caused by road closures and protests are a concern of downtown workers and residents. (AP Photo/Tamara Lush)

Protesters Demonstrate During The Republican National Convention

TAMPA, FL - AUGUST 27: Code Pink protesters goad people waiting in line to enter Ybor City's Cuban Club which is reported to be hosting a party attended by U.S. Sen. Marco Rubio (R-FL), former Florida Governor Jeb Bush and others as the Republican National Convention is set to begin on August 27, 2012 in Tampa, Florida. The Code Pink demostrators were accusing the people attending the party of being rich as well as supporters of presumptive Republican presidential nominee, former Massachusetts Governor Mitt Romney. (Photo by Joe Raedle/Getty Images)

Texas delegates gather in the Tampa Bay Times Forum during the Republican National Convention in Tampa, Fla., on Tuesday, Aug. 28, 2012. (AP Photo/Jae C. Hong)

US-VOTE-2012-REPUBLICAN CONVENTION

Anti-Mitt Romney protesters march through the streets in Tampa, Florida, on August 26, 2012 ahead of the Republican National Convention. The 2012 Republican National Convention was scheduled to be held at the Tampa Bay Times Forum from August 27-30, 2012, but was cut short by one day due to incoming severe weather and possible hurricane conditions. AFP PHOTO Robyn BECK (Photo credit should read ROBYN BECK/AFP/GettyImages)

Source: http://www.huffingtonpost.com/2012/08/30/rnc-2012_n_1841839.html

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Health reform: How community health centers could offer better access to subspecialty care

Public release date: 30-Aug-2012
[ | E-mail | Share ]

Contact: Enrique Rivero
erivero@mednet.ucla.edu
310-794-2273
University of California - Los Angeles Health Sciences

FINDINGS:
The Affordable Care Act will fund more community health centers, making primary care more accessible to the underserved. But this may not necessarily lead to better access to subspecialty care.

In a new study, researchers from the David Geffen School of Medicine and Robert Wood Johnson Foundation Clinical Scholars program at UCLA and colleagues investigated the ways in which community health centers access subspecialty care. They identified six major models and determined which of those six offered the best access:

Tin cup
Center providers rely on personal relationships with informal networks of subspecialists (the most prevalent model).

Hospital partnership
Center has a contract with a community hospital for subspecialty care.

Buy your own
Center hires subspecialists.

Telehealth
Telecommunications equipment is used to connect patients with subspecialists.

Teaching community
Centers train primary-care resident physicians and integrate subspecialists as faculty.

Integrated system
Centers are integrated with local government health systems or safety-net hospitals having subspecialist networks.

Of the six, the researchers found that the "integrated system" model offered the most comprehensive access to subspecialty care.

IMPACT:
Payment reform is needed to move community health centers toward becoming part of integrated systems. Two new initiatives of the Centers for Medicare and Medicaid Services (CMS) can help. First, the State Innovation Models initiative will provide $275 million for states to plan, design and test new payment and delivery system models that aim to involve all payers and providers in the state. Also, the CMS has issued guidance describing pathways for how states can design and implement integrated care models for Medicaid populations. The new research offers guidance for states in creating such models.

###

AUTHORS:
Katherine Neuhausen of the division of general internal medicine and health services research and RWJF Clinical Scholar at the David Geffen School of Medicine at UCLA; Kevin Grumbach of UC San Francisco; and Andrew Bazemore and Robert L. Phillips of the Robert Graham Center for Policy Studies in Primary Care.

JOURNAL:
The research is published in the August issue of the journal Health Affairs.

---

[ | E-mail | Share ]

?

AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert! system.

Public release date: 30-Aug-2012
[ | E-mail | Share ]

Contact: Enrique Rivero
erivero@mednet.ucla.edu
310-794-2273
University of California - Los Angeles Health Sciences

FINDINGS:
The Affordable Care Act will fund more community health centers, making primary care more accessible to the underserved. But this may not necessarily lead to better access to subspecialty care.

In a new study, researchers from the David Geffen School of Medicine and Robert Wood Johnson Foundation Clinical Scholars program at UCLA and colleagues investigated the ways in which community health centers access subspecialty care. They identified six major models and determined which of those six offered the best access:

Tin cup
Center providers rely on personal relationships with informal networks of subspecialists (the most prevalent model).

Hospital partnership
Center has a contract with a community hospital for subspecialty care.

Buy your own
Center hires subspecialists.

Telehealth
Telecommunications equipment is used to connect patients with subspecialists.

Teaching community
Centers train primary-care resident physicians and integrate subspecialists as faculty.

Integrated system
Centers are integrated with local government health systems or safety-net hospitals having subspecialist networks.

Of the six, the researchers found that the "integrated system" model offered the most comprehensive access to subspecialty care.

IMPACT:
Payment reform is needed to move community health centers toward becoming part of integrated systems. Two new initiatives of the Centers for Medicare and Medicaid Services (CMS) can help. First, the State Innovation Models initiative will provide $275 million for states to plan, design and test new payment and delivery system models that aim to involve all payers and providers in the state. Also, the CMS has issued guidance describing pathways for how states can design and implement integrated care models for Medicaid populations. The new research offers guidance for states in creating such models.

###

AUTHORS:
Katherine Neuhausen of the division of general internal medicine and health services research and RWJF Clinical Scholar at the David Geffen School of Medicine at UCLA; Kevin Grumbach of UC San Francisco; and Andrew Bazemore and Robert L. Phillips of the Robert Graham Center for Policy Studies in Primary Care.

JOURNAL:
The research is published in the August issue of the journal Health Affairs.

---

[ | E-mail | Share ]

?

AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert! system.

Source: http://www.eurekalert.org/pub_releases/2012-08/uoc--hrh083012.php

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2nd Yosemite visitor dies of rodent-borne illness

FRESNO, Calif. (AP) ? A second person has died of a rare, rodent-borne disease after staying in one of Yosemite National Park's most popular lodging areas, prompting federal officials to step up efforts to locate and warn recent visitors.

"I know they are actively trying to notify people," said Capt. Charles Higgins, director of the Office of Public Health for the National Park System.

Federal epidemiologists learned over the weekend of the fatality. That case and another brings to four the number of people who have contracted Hantavirus Pulmonary Syndrome, which can be carried by dust particles that come into contact with the urine, saliva or feces of an infected deer mouse.

Earlier this month a man from Alameda County in the San Francisco Bay Area died and a woman from Southern California was sickened after staying in infected tent cabins in Yosemite's popular Curry Village, a family friendly area with the park's lowest-cost accommodations.

In each of the four cases, visitors stayed in the Curry Village "Signature Tent Cabins," canvas-sided lodging insulated against the elements. The four people known so far to have contracted the illness stayed around the same time in June.

Yosemite officials are warning those who stayed in the village's tent cabins from mid-June through the end of August to beware of any symptoms of hantavirus, which can include fever, aches, dizziness and chills. Park officials warn anyone with these flu-like symptoms to seek medical help immediately. There is no specific treatment for the respiratory illness.

Federal health officials say symptoms may develop up to six weeks after exposure to urine, droppings or saliva of infected rodents. Of the 587 documented U.S. cases since the virus was identified in 1993, about one-third proved fatal.

Thousands of people visit the park every month, so it would be impossible to track everyone who had set foot in Curry Village, officials said.

Curry Village is the most popular and economical lodging area in the park, a picturesque assemblage of rustic cabins at the base of the 3,000-foot promontory Glacier Point. Of the 408 tent cabins in the village, 91 are of the "signature" variety where the four cases had stayed, which feature more amenities than the others.

It was not clear how many people stayed in the cabins in the period in which park officials are warning visitors.

Park spokesman Scott Gediman said the Delaware North Company, which runs the park's lodging facilities, is working to shore up cabins to protect park-goers.

"There are rodents and some are infected and that's what happens," Gediman said. "This is a wilderness setting. It has nothing to do with the cleanliness of the cabins."

This year's deaths mark the first such fatalities in park visitors, although two others were stricken in a more remote area in 2000 and 2010, officials said.

___

Online:

CDC on hantavirus: http://www.cdc.gov/hantavirus

Source: http://news.yahoo.com/2nd-yosemite-visitor-dies-rodent-borne-illness-060224989.html

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Planning Fl Playing Golf Vacation Package S

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Source: http://www.docstoc.com/docs/127080323/Planning-Fl-Playing-Golf-Vacation-Package-S

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Congress looks at cutting military sports sponsorships

WASHINGTON --

So far, congressional efforts to put the brakes on military sponsorship of NASCAR races, bass fishing, pro wrestling and other sporting events have gone nowhere.

But the effort could gain new life as pressure builds for lawmakers to rein in federal spending.

The military, which regards its sponsorship of sporting events as a valuable recruiting tool, is expected to spend at least $80 million this year on such efforts. But a growing number of lawmakers say the spending should stop in the face of budget deficits.

An effort to end the funding narrowly lost in the House last month, by a 216-202 vote. The measure drew strong opposition from lawmakers from NASCAR country. The National Football League, Major League Baseball and the National Basketball Association were among the sports leagues that wrote to House Speaker John Boehner, R-Ohio, to oppose an end to the funding.

Still, the measure drew more support than it did a year earlier. And Mary Catherine Ott of the National Guard Association of the United States said this week, "We anticipate having to have this fight again next year."

During the recent debate, Rep. Jack Kingston, R-Ga., called himself "as pro-military as they get" but teamed up with Rep. Betty McCollum, D-Minn., to try to end the funding.

Noting that his district has plenty of NASCAR fans, he told colleagues, "They're saying to me, 'We're pro-NASCAR, but we realize the situation in America today is that for every dollar we spend, 40 cents is borrowed.' " McCollum has questioned whether the spending is an effective recruiting tool.

Rep. Bill Posey, R-Fla., responded during the debate: "We have a volunteer military and they have to advertise for recruits somewhere. ? Do you think they should advertise at the philharmonic? Or maybe you think they should advertise at the ballet."

The Army recently announced that it was ending sponsorship of a NASCAR team after a decade but will continue to sponsor National Hot Rod Association drag racing and the Army All-American Bowl, a high school football game.

John Myers, director of marketing for the Army Marketing and Research Group, said Thursday that ending sports sponsorship would "limit our ability to do our job, which is to recruit high-quality young people."

Source: http://www2.journalnow.com/news/2012/aug/18/wsmain02-congress-looks-at-cutting-military-sports-ar-2528561/

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Go to trade school, young man

• 

About two years ago, I got a call from a dear college friend. We chatted for a long time, catching up on each others? lives. Among the news was that her son Tim had just graduated from college with a degree in civil engineering.

?That?s wonderful!? I said. ?Where is he working??

There was a short silence. ?Well, actually, he?s working at the gardening department of Home Depot,? she admitted. ?He couldn?t find a job as a civil engineer.?

This conversation stayed with me because it illustrates the problems so many highly qualified, highly educated college graduates are facing in today?s job market. Competition for employment is intense in a depressed economy, and many young people are unable to fulfill their dreams and realize their ambitions.

This is why an article on soaring trade school enrollment caught my eye. The article discusses how much in demand skilled workers have become, with paychecks comparable or exceeding those with college degrees. The students attending these schools range from young people right out of high school to older unemployed college-educated workers returning to school to learn a trade.

Once upon a time it was simple: Like clockwork, ambitious kids graduated from high school, attended the college or university of their choice, graduated, found a job in their field and worked steadily throughout their adult years.

This recession (some call it a depression) has changed all that. Too many ambitious college-educated young people emerge into a workforce that cannot support them and does not want them. Even before the 2008 market crash, there was a glut of overly degreed workers. And now we hear sad stories all over the nation every June about how newly minted graduates fight for jobs as baristas at Starbucks. Meanwhile their earning potential is crippled ? crippled, often for life ? by crushing student loan debt.

But it?s more than just a depressed economy. Over the last few decades, the media, government and of course universities have convinced us that the only way to be happy, productive and successful is to get a college degree in ? anything. Those who opted for vocational school were considered second-class citizens.

To fulfill their expectations, students take out tens or hundreds of thousands of dollars in student loans to get degrees in Equality Studies or English Literature, only to discover upon graduation that there are few jobs in those areas. Their ego might be boosted, but not their earnings potential.

I come from a family that values education to the nth degree. My parents sacrificed and went deeply into debt to send their children to college. Now that they?re older, they simply cannot fathom that the situation has changed for their grandchildren and that the single-minded pursuit of a degree may no longer be the best option in today?s economy. The world my parents grew up in is gone. With the current job market, I feel it is irresponsible to push college on young people without regard to their prospects for employment after graduation.

This is the issue facing our 16-year-old daughter, who expressed a strong interest in two separate fields of study: library science and nannying. She loves books, and she loves children. What to do?

I explained that most librarians are employed by county governments, and library funding has been cut drastically by financially strapped counties all over the nation. Whereas her targeted nanny school has a long waiting list of families seeking accredited nannies. Our daughter decided that her prospects for employment are much higher as an accredited nanny than as a degreed librarian.

To young people thinking about their future, I urge you to ask yourself this question: Are you going to college because you have a burning career ambition only a college degree will fulfill? Or are you going to college because you?re ?supposed? to, even though you haven?t yet decided on a field of study?

My husband and I ? who both have master?s degrees in the sciences but who make our living with a woodcraft business ? met dozens of people during our college years who hadn?t declared a major. Their goals were vague. They were simply in college because it was the thing to do, and it was expected of them.

But college costs have soared, making such vague goals a mighty pricey thing. According to CNNMoney, ?For more than two decades, colleges and universities across the country have been jacking up tuition at a faster rate than costs have risen on any other major product or service ? four times faster than the overall inflation rate and faster even than increases in the price of gasoline or health care. The result: After adjusting for financial aid, the amount families pay for college has skyrocketed 439 percent since 1982.?

Whereas my daughter can emerge from nanny school, credentialed and qualified, for significantly less than $10,000. Her employment prospects are near 100 percent, and her earning potential is tremendous.

My friend?s son chose the field of civil engineering because he?s a responsible young man who was trying to maximize his earning potential in order to one day support a family. It was not necessarily because of his burning desire to be a civil engineer. Ironically he now feels he can?t pursue marriage until such time as his job situation improves.

For young people today, I urge you to realistically consider your future based on the jobs market versus the cost of education. If you truly want to be a doctor, by all means begin the educational process to fulfill that ambition. But if you?re not sure what you want to do, I beg you not to waste your money (or your parents? money) on overpriced educational institutions that will shackle you in debt and provide you with a useless degree ? especially when your friends who went to vocational school are earning over $70,000 a year.

As a side note, my friend?s son Tim has returned to school. Machinist?s school. With his knowledge of civil engineering, being a machinist is a natural fit; and he believes it will provide better job opportunities. You see, he met a young lady, and they?d like to get married and start a family. Tim knew he couldn?t support a family while working at the gardening department of Home Depot.

It?s a smart young man who learns from his mistakes. I urge other young people (and their parents) to learn from Tim?s. College is not a requirement for a fulfilled life.

Find out more in Whistleblower magazine?s April 2012 issue: ?THE COLLEGE ILLUSION: Why chasing a degree so often ends in financial and educational chaos?

• 

Source: http://mobile.wnd.com/2012/08/go-to-trade-school-young-man/

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Forum for completely Out of Character (OOC) discussion, based around whatever is happening In Character (IC). Discuss plans, storylines, and events; Recruit for your roleplaying game, or find a GM for your playergroup.
Only Dee and I are to post in this thread. I'll be talking to her a lot, because A) she is my Co-GM, and B) well, she is friggin amazing and I love her to absolute bits.

I'm sure this doesn't really need explaining does it? This'll be where you'll find all the important news regarding the roleplay. So...yeah!

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