Moderna vaccines are available at the Wellness Center between 3 p.m. to 6 p.m. on Wednesdays. Financial data for hospital cost report period ending 09/30/2021 (HCRIS 718131 - 2010). WebYKHC serves 58 federally-recognized Tribes and operates 41 Village Clinics. Bethel Family Clinic Location: Bethel, AK - 99559 | 26.6 miles away Contact Phone: (907) 543-3773 Position Summary: A hospital-based outpatient clinic servicing a large area of western Alaska primarily consisting of Al Do you want to receive a free, professional resume evaluation from TopResume? YKHC has announced crisis care as Alaska experiences its worst COVID-19 surge of the pandemic. Winkelman wrote that if patient numbers do not substantially increase over the next couple of weeks, YKHC will be forced to reduce our expenses significantly which means a furlough and/or a reduction in force.. Anyone who received a Moderna or Pfizer vaccine more than six months ago is also eligible for a booster shot if they meet the following criteria: are 65 or older, are Alaska Native and age 18 or older, are a health care worker, have a job that requires interaction with the public, or have a health condition that could be made dangerous by a COVID-19 infection. For more information about our hospital or the region please visit Medical, dental and optometry staff in Bethel provide scheduled field visits to the remote villages. Qavartarvik, YKHC's patient hostel, is available for us e by Natives and non-Natives who are from the Yukon-Kuskokwim Delta Region villages and have come to Bethel for medical care. It is adjacent to the hospital and community health care building. The vision: Through Native Self-Determination and Culturally Relevant Health Systems, we strive to be the healthiest people. Instead, YKHC Vice President of Communications Tiffany Zulkosky said that KYUK could submit questions via email. WebYKHC serves 58 federally-recognized Tribes and operates 41 Village Clinics. Under P.L. Alaska Public Media 2023. To bring in the few patients who do come to Bethel, YKHC is having to pay for expensive charters due to cuts in air service. For more information about our hospital or the region please visit WebBethel, AK 99559 : Telephone Number: (907) 543-6000: Hospital Website: www.ykhc.org/services/ CMS Certification Number: 020018 : Type of Facility: Short Term At the Yukon-Kuskokwim Health Corporation (YKHC) we administer a comprehensive healthcare system throughout 58 rural communities with a YKHC began telemedicine, but usage has been low, he said. Job Title: RN Utilization Review (Full-time Permanent)*. Bethel is a close knit community and it is not unusual to the see the CEO and other Corporate Officers through out the community. Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Yukon Kuskokwim Health Corporation is an Affirmative Action/Equal Opportunity Employer. Strong organizational and time-management skills; ability to multi-task and prioritize workload. WebYkhc Pharmacy Refill Line is located at in Bethel, Alaska 99559. Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization. Individuals with disabilities needing assistance in the recruitment process are encouraged to contact Human Resources directly. WebBethel, AK 99559 $67.40 - $74.78 an hour Full-time RN CASE MANAGERS / CLINIC NURSES, Relocate to Alaska new SEARHC Alaska Up to $48.57 an hour Full-time Monday to Friday + 1 Unrestricted license in Alaska or another US state Nursing: 2 years Registered Nurse- Emergency Department Yukon-Kuskokwim Health Corporation 3.5 Bethel, AK Find directions at US News. Yukon Kuskokwim Health Corporation is an Affirmative Action/Equal Opportunity Employer. Program participants often move through the treatment levels, including residential, intensive outpatient, and outpatient levels of care. Where to go for the ABCs of viral hepatitis prevention? Description. Winkelman declined an interview with KYUK to better explain how crisis care standards will affect access to health care in the region. Location: 1610 Calista Drive, Bethel, AK 99559 Care Level: 3.5 Age Range: 18+Gender(s): Co-EdBeds: 16Length of Stay: 6 Weeks, Ray WatsonProgram CoordinatorEmail: raymond_watson@YKHC.orgPhone: 907-543-6735Fax: 907-543-6712Website: Yukon-Kuskokwim Health Corporation, Yukon Kuskokwim Ayagnirvik Healing Center, Behavioral Health Quality Assurance Section, Office of Substance Misuse and Addiction Prevention, Supplemental Nutrition Assistance Program (SNAP), Alaska Directives for Health Care Living Will, Fresh Start: Free Programs for Better Healths. ANTHC Regional Liaisons can help answer questions: Health services and appointments at ANMC Travel and lodging arrangements in Anchorage Information before, during or after your appointment Winkelman said that the funds will only cover several weeks of operation. Below is the job description of Hostel Technician. Public Media for Alaska's Yukon-Kuskokwim Delta, PublishedOctober 29, 2021 at 9:01 AM AKDT. At Ayagnirvik Healing Center, we do just that, we are a place of starting over, and we emphasize the importance of love and respect for self, others and the promise of hope, faith and prosperity. Responsible for the delivery of patient care through the nursing process of assessment, nursing diagnosis, planning, implementation and evaluation. Becker Health. All qualified individuals will receive consideration for employment without regard to race, ethnicity, age, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status and any other basis protected by law. To get the most accurate number for your company jobs in your locations, use our subscription products: https://www.salary.com/companalyst/. Bethel, AK. Current Status: 04/15/2022 - Accreditation with Full Standards Compliance, Medicare Hospital Market Service Area File for calendar year ending 12/31/2021 /. There is poor guest wifi available at hospital and OK wifi available at your lodging. Search Help People in Alaska are contracting COVID-19 at a faster pace than in any other state, according to theNew York Times tracker. In addition to the Yukon-Kuskokwim Health Corporation, Bethel Family Clinic is also. The Yukon-Kuskokwim Delta Regional Hospital in Bethel is our largest healthcare facility. A Joint Commission accredited hospital, we offer outpatient family medicine, pediatric care, obstetrics and womens health, pharmacy, lab, and diagnostic imaging (or x-ray) services. WebYKHC Hospital [1576 - 1638] Chief Eddie Hoffman HwyBethelAK99559 (907) 543-6603 Claim this business (907) 543-6603 Website More Directions Advertisement Photos Website Take me there Find Related Places Dentists Hospitals See a problem? Responsible for the delivery of patient care through the nursing process of. 1st aide/CPR certification or be certified within 12 months of hire. Welcome to the online Provider Orientation ManualGuide to Medical Practices for the Yukon-Kuskokwim Health Corporation. Connecting public health professionals with trusted information and each other. WebBethel , Alaska The vision: Through Native Self-Determination and Culturally Relevant Health Systems, we strive to be the healthiest people. YKHC serves 58 federally-recognized Tribes and operates 41 Village Clinics. The housing complex is 41,026 sf in area and consists of two structuresa three-story housing facility and a separate two-story housing facility. Join NPINs new social community to connect, share, and collaborate. Our five larger communities are served by five Sub-Regional Clinics. Bethel, AK. Serving the people of Southwestern Alaska, the Yukon-Kuskokwim Hospital is a 50-bed general acute care medical facility. The ability to use a computer for word processing, and to generate survey reports with little or no clerical support. Ykhc LPN (Licensed Practical Nurse) (Former Employee) - Bethel, AK - March 12, 2019 Indeed Featured review YKHC takes care of its employees. Full-Time. Receive alerts for other Hostel Technician job openings. B) Salary.com being able to use your name and address to tailor job posting to your geographic area. All communities in our service area are served by the 55 bed regional hospital in Bethel. Get notifications about news related to the topics you care about. All communities in our service area are served by the 55 bed regional hospital in Bethel. Yukon The hospitals are full, she said. April 25, 2022. You can receive a Pfizer vaccine on the second floor of the YKHC hospital at the Wellness Center between 8 a.m. to 10 a.m. or 3 p.m. to 6 p.m. Monday through Friday. 93-638. WebThe mission of the Bethel Family Clinic is to provide excellent health care for all people of the Yukon Kuskokwim Delta, promoting wellness of families and communities. Fully accredited by JCAHO, services include adult med/surg, pediatrics, obstetrics, emergency room, as well as outpatient family medicine clinics, pharmacy, lab, and imaging. The booster shots are available to people who received their first two doses of the Pfizer vaccine at least six months ago. WebAs a Residential Psychiatric Treatment Center (RTPC), with a focus on inhalant and substance abuse, treatment includes complete assessments; individual/group/family KTOO collaborates with partners across the state to cover important news and to share stories with our audiences. For more information, please contact the YKHC Recruitment Department at YKHCRecruitment@YKHC.org or phone (907) 543-6060 and ask to speak with a recruiter. WebThe YKD Regional Hospital, sub-regional clinics, mental health residential facilities, and village clinics are all accredited by The Joint Commission. For more information about our hospital or the region please visit Both of the facilities were built with modular construction units arranged in an axial configuration with dwelling units located on each side of a main corridor to provide a compact, energyandspaceefficient building footprint. The NPI number of this provider is 1063567691 and was assigned on January 2007. Looking for a place to discuss TB best practices, resources, and challenges? Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions. The majority of infections are in unvaccinated individuals. YKHC supports 1500 employees, providing the health services to a primarily Yup'ik Eskimo Native population for an area the size of Oregon. Holiday House YKHC serves 58 federally-recognized Tribes and operates 41 Village Clinics. Want to improve your HIV program? Our five larger communities are served by five Sub-Regional Clinics. For the past month, YKHC has reporteddelays in medevacingcritical care patients to other hospitals. | Alaska Insight, Litter of wolverine kits brings adorable triple threat to Alaska Zoo. Click the checkbox next to the jobs that you are interested in. Site Index Anna Rose MacArthur is the KYUK News Director. Becker Health. Thestandardslimit liability for health care workers during the pandemics public health crisis. Working Together to Achieve Excellent Healthwww.ykhc.org, For more information, please contact YKHC Recruitment at: ykhc_recruitment@ykhc.org. Talk sexual health services with other STD prevention professionals. Fully accredited by The Joint Commission, services Medicare OPPS claims data are not available. Contact Us WebBethel , Alaska The vision: Through Native Self-Determination and Culturally Relevant Health Systems, we strive to be the healthiest people. A) Salary.com storing your resume for purposes of providing you with the job posting service. Yukon Kuskokwim Health Corporation Bethel, AK Posted: April 11, 2023 Full-Time Position Summary: To provide oversight and improvement in all hospital, outpatient, nursing, elder, residential, developmental disabilities, quality, customer experience, and continuity of care functions. YKHC serves 58 federally-recognized Tribes and operates 41 Village Clinics. Receives patients, explains procedures, checks vital signs and administers therapy,. WebAt the Yukon-Kuskokwim Health Corporation (YKHC) we administer a comprehensive healthcare system throughout 58 rural communities with a mission of Working Together to Achieve Excellent Health. Read our, RAVEN Nurse Informatics II (Registered Nurse), TDY Registered Nurse-Clinical Project Manager, TDY Registered Nurse Case Manager/Clinical Diabetes Educator, LPN / Licensed practical Nurse / LVN Job in Bethel AK, INFUSION RN - Infusion Clinic in Alaska | $3,059, Corrections Nurse 2 (PCN 7325) salaries in Bethel, AK, Registered Nurse - Infusion jobs in Bethel, AK, Yukon-Kuskokwim Health Corporation jobs in Bethel, AK, Registered Nurse - OB PRN salaries in Bethel, AK, RAVEN Nurse Informatics II (Registered Nurse) salaries in Bethel, AK, Registered Nurse Manager jobs in Bethel, AK, TDY Registered Nurse-Clinical Project Manager salaries in Bethel, AK, Registered Nurse Case Manager jobs in Bethel, AK, TDY Registered Nurse Case Manager/Clinical Diabetes Educator salaries in Bethel, AK, Registered Nurse - Emergency Room jobs in Bethel, AK, Registered Nurse- Emergency Department salaries in Bethel, AK, Licensed Practical Nurse jobs in Bethel, AK, Licensed Practical Nurse - Research salaries in Bethel, AK, LPN / Licensed practical Nurse / LVN Job in Bethel AK salaries in Bethel, AK, Utilization Review Nurse jobs in Bethel, AK, RN Utilization Review salaries in Bethel, AK, Registered Nurse (RN) salaries in Bethel, AK, Mobile Health Team Inc jobs in Bethel, AK, INFUSION RN - Infusion Clinic in Alaska | $3,059 salaries in Bethel, AK, LPN (Licensed Practical Nurse) salaries in Bethel, AK, Pulse Clinical Alliance jobs in Bethel, AK, Infusion Clinic Registered Nurse - RN salaries in Bethel, AK. Ability to deal with problems involving a few concrete variables in standardized situations. All handicap accessible dwelling units are located on the first floor, and separate outside storage closets provided for each accessible dwelling unit. Youll grow your skills and expertise in a challenging environment, and experience a community environment within a community that will embrace you as one of their own. McCann is accredited by JCAHO.The McCann Treatment Center (MTC) is a culturally diverse, individualized, strength based program focuses on building self-value and meeting the clients needs using an eclectic and comprehensive approach to treatment. Bethel, AK. Ability to work flexibly and independently in a demanding and sometimes stressful work environment. Youll grow your skills and expertise in a challenging environment, and experience a community environment within a community that will embrace you as one of their own. YKHC said that patients could also see nurses caring for more patients than usual, and could experience delays for elective procedures. Bethel is home to the lone detention center in southwestern Alaska, the WebBethel , Alaska The vision: Through Native Self-Determination and Culturally Relevant Health Systems, we strive to be the healthiest people. Also their all-terrain vehicles because they might get hurt. Our five larger communities are served by five Sub-Regional Clinics. Last week, on Sept, 22, the Alaska Department of Health and Social Services enabledcrisis care standardsfor the state. Serving the people of Southwestern Alaska, the Yukon-Kuskokwim Hospital is a 50-bed general acute care medical facility. All qualified individuals will receive consideration for employment without regard to race, ethnicity, age, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status and any other basis protected by law. Our five larger communities are served by five Sub-Regional Clinics. At the Yukon-Kuskokwim Health Corporation (YKHC) we administer a comprehensive healthcare system throughout 58 rural communities with a mission of Serving the people of Southwestern Alaska, the Yukon-Kuskokwim Hospital is a 50-bed general acute care medical facility. (Desirable). YKHC employs over 1,400 people across the Yukon-Kuskokwim Delta region. In a written statement, YKHC said that patients could seemore of these delaysas hospital beds remain filled across the state. corporation ykhc.org ykhc.org START NOW Yukon - Kuskokwim Health Corporation Telephone Directory Updated February, 2003 General Information We'll be sending you new jobs as they are posted. A dramatic drop in patient visits has plunged the Yukon-Kuskokwim Health Corp. into a steep financial decline. To provide case management services to clients of the Diabetes Registry with Type 1 DM, Type 2 DM, Gestational DM, IFG, Pre-Diabetes, etc. The Yukon-Kuskokwim Health Corporation has expanded access to COVID-19 booster shots. The organizations leadership warns that the large revenue loss could soon lead to furloughs and layoffs. Ayagnirvik Healing Center (AHC) offers varied levels of treatment for substance use disorders and co-occurring disorders. It also approved people mixing vaccines, allowing people to receive a different booster than their initial doses. YKHC would not talk to KYUK about this financial situation, or provide more details about potential job losses. Modules were set, the roof structures, stairways and ramps stick built on site, along with the interior and exterior finishes completed. Use of this site implies acceptance of our, Explore online costs by MS-DRG, medical service, routine service, or department, Drill down to more granular utilization statistics for ICD diagnoses and procedures, Use coding indicators and comparative data to identify areas for improvement, Build color coded maps based on more detailed Patient Origin data. The Hospitalist Physician shall be committed to contributing to the Mission of the Yukon-Kuskokwim Health Corporation, ..to achieve the greatest possible improvement in the health status of the people of the Yukon-Kuskokwim Delta region of Alaska. Under the new regulations, everyone age 18 and older who received a Johnson & Johnson vaccine just two months ago or longer is eligible for a booster shot. Travel nurses are getting larger bonuses for a 13 week contract than Last week, the Centers for Disease Control and Prevention and the U.S. Food and Drug Administration authorized booster shots for the Moderna and Johnson & Johnson vaccines. Receives orders from physicians and schedules appointments for patients. This map is for general reference and should not be used in seeking medical care. Ykhc Pharmacy Refill Line can be contacted via phone at (907) 543-6271 for pricing, hours and directions. Policies & Disclaimers, Terms of Use Our team is committed to saving lives and giving family members back to their respective families so that they can live healthy productive lives free of substance abuse. Many people in the Yukon-Kuskokwim Delta are eligible for booster shots of the COVID-19 vaccine, but only those who have received the Pfizer-BioNTech, There are two places in Bethel to get a COVID-19 vaccine booster. Services are provided through a Bethel YKHCs McCann treatment center is a 14 bed all male (ages 10 to 18) comprehensive psychiatric residential treatment facility for children and adolescents from the YK Delta. KYUK is our partner station in Bethel. It issued awritten statementon Wednesday saying that the corporation is operating at capacity and has adopted new clinical guidelines for dispensing care. Update the categories youd like to receive notifications about. Also in that written statement, Winkelman encouraged tribes and cities to provide financial incentives for people to get vaccinated against COVID-19. Administer prescribed medications and treatments; Provide general nursing care to patients; Provide, participate, and assist in therapeutic activities; Mandatory Total hours each week- 36- 40 hrs. Coronavirus| Economy| Health| Southwest| Western, April 16, 2020 by Anna Rose MacArthur, KYUK - Bethel, Update (April 26) Anna Rose MacArthur, KYUK Bethel, The Yukon-Kuskokwim Health Corp. will begin furloughing and laying off 300 employees. The vision: Through Native Self-Determination and Culturally Relevant Health Systems, we strive to be the healthiest people. Our five larger communities are served by five Sub-Regional Clinics. Ability to compute rate, ratio, and percent. The RNII may serve as the primary RAVEN instructor for new and existing nurses. Merchant Card Customer Service Representative III, Behavioral Health Case Manager - Zero Suicide, Physical Therapist; $15,000 Relocation and Retention Bonus Eligible, View More Jobs at Yukon-Kuskokwim Health Corporation, Hostel Technician in Yukon-Kuskokwim Health Corporation. Yukon Kuskokwim Delta Regional Hospital is a provider established in Bethel, Alaska operating as a General Acute Care Hospital with a focus in rural . Responsible for the delivery of patient care through the nursing process of assessment, nursing diagnosis,, We are currently looking for experienced, hardworking and compassionate. All communities in our service area are served by the 55 bed regional hospital in Bethel. Bethel, AK. Join NPINs new social community to connect, share, and collaborate. Our State of the art building has a gym for exercise and therapeutic games. In the same building we also offer Level 1.0 Outpatient services for those needing less intensive services. WebYKHC serves 58 federally-recognized Tribes and operates 41 Village Clinics. September 16, 2021 101 The chief of staff of a Bethel, Alaska health corporation is telling residents in the area to stop riding their bikes. To Join the NPIN community Sign In or Join. WebYukon-Kuskokwim Health Corporation Bethel, AK. Serving the people of Southwestern Alaska, the Yukon-Kuskokwim Hospital is a 50-bed general acute care medical facility. WebYKHC serves 58 federally-recognized Tribes and operates 41 Village Clinics. Every day we are optimizing patient resources to provide the best level of care that we can at that time, YKHC Chief of Staff Dr. Ellen Hodges wrote in a statement. Normal appointments are not happening either, as the hospital has suspended elective procedures, optometry and dental visits. Dont reinvent the wheel another HIV prevention professional already created. Pulse Clinical Alliance is seeking an experienced candidate for this travel or contract opportunity. Medicare IPPS claims data are for federal fiscal year ending 09/30/2021 (Final rule MedPAR). All rights reserved. A Joint Commission accredited hospital, we offer outpatient family medicine, pediatric Our five larger communities are served by five Sub-Regional Clinics. The residential component has 16 beds. WebThe Yukon-Kuskokwim Health Corporation (YKHC) is located in the Southwestern Alaska town of Bethel, with a total of approximately 6,000 people. For more information about our hospital or the region please visit April 29, 2023. WebThe Yukon-Kuskokwim Delta Regional Hospital in Bethel is our largest healthcare facility. Webbob's house 559 km. The housing complex is The crisis care guidelines provide a framework for health care providers when there are more patients than resources to care for them all. Wifi in Bethel is OK, but not great as it is obtained through satellite connection. Our five larger communities are served by five Sub-Regional Clinics. Contact Info In a word, it is in crisis. C) Salary.com using cookies (as described here) to refine and tailor the website visitor experience. Provides direct department support for the daily operations of the Yukon-Kuskokwim Health Corporation Hostel (Qavartarvik). These can be tough decisions. YKHC has done everything in our power to delay the activation of these guidelines, YKHC President and CEO Dan Winkelman wrote in a statement. WebIn addition to its flagship hospital in Bethel, YKHC owns and operates 41 small village clinics and five larger sub-regional mid-level clinics. Privacy Policy Terrace on the Lake Apartment Homes 641 km. All communities in our service area are served by the 55 bed regional hospital in Bethel. (Greg Kim / KYUK) The Yukon-Kuskokwim Health Corporation has activated Bethel, AK. The biggest construction project on the Yukon-Kuskokwim Delta is the $300 million expansion and remake of the YKHC hospital and outpatient clinics in Bethel. Read There are many ways to get a booster dose. Relocation, and Retention Bonus eligible - $15,000. Full-Time. 93-638, preference is given to Alaska Native/American Indian applicants. Responds to security and safety needs of YKHC personnel. All programs are voluntary. You can call 907-543-6949 to schedule an appointment for Pfizer, Moderna, or a Johnson & Johnson vaccine. All communities in our service area are served by the 55 bed regional hospital in Bethel. In his email to employees, Winkelman thanked the staff for their months of preparing YKHC to respond to the pandemic. If youre in a village, YKHC asks that you complete this online form to request a shot: https://tinyurl.com/8kb9vth. April 29, 2023. Position Summary: The Clinical Project Manager is responsible for developing and managing projects on existing, or future operations including analysis of, Under the guidance and supervision of the Principal Investigator (PI), the Director of CHAP/Education and the Study Coordinator, the Research, In this role, you will be paired with one OPC provider and work out of three OPC rooms. The Yukon Kuskokwim Delta Job Description: The vision: Through Native Self-Determination and Culturally Relevant Health Systems, we strive to be the healthiest people. By clicking Agree, I consent to our data usage policies as stated. Few people are seeking health care: Winkelman wrote that patient visits have dropped by 70%. September 30, 2021 Yukon-Kuskokwim Health Corporation Hospital in Bethel. Centers for Disease Control and Prevention, YKHC Expands Access For Pfizer COVID-19 Vaccine Boosters Following New FDA Guidelines, Bethel Family Clinic Offering COVID-19 Vaccine Booster Shots, YKHC is encouraging everyone whos eligible to get a COVID-19 booster shot. Professional registration as a Registered Sanitarian (RS) or Registered Environmental Health Specialist (REHS) through either the State of Alaska or the National Environmental Health Association; or post-employment licensure/registration within two year of starting date. Moderna vaccines are available at the Wellness Center between 3 p.m. to 6 p.m. on Wednesdays. In fact, they shouldnt do any activity that can pose a physical risk. Redistricting board met with skepticism during first public hearing in Juneau, JBER requires masking as Anchorage COVID-19 surge continues, Army grounds aviators for training after fatal crashes in Alaska and Kentucky, How do electric vehicles perform in Alaska? Individuals with disabilities needing assistance in the recruitment process are encouraged to contact Human Resources directly. Parking is provided on a gravel pad, with handicap parking near the building permanently identified by a concrete pad and painted markings. More than half of YKHCs revenue comes from Medicaid, and the state of Alaska has canceled essential Medicaid travel from most villages. Becker Health. On April 6, YKHC announced the first case of COVID-19 in the region. Join other professionals on NPINs new social community to connect, share, and collaborate. Job Description: The vision: Through Native Self-Determination and Culturally Relevant Health Systems, we strive to be the healthiest people. Yukon Kuskokwim Health Corporation Transitional Housing program in Bethel, AK. 93-638, preference is given to Alaska Native/American Indian applicants. In 1990, YKHC had 220 employees with a $6 million yearly payroll with 50,000 annual patient visits. All communities in our service area are served by the 55 bed regional hospital in Bethel. Our five larger communities are served by five Sub-Regional Clinics. Minimum qualifications are a Bachelor of Science (BS) degree in environmental health or related field (sanitary science, industrial hygiene, occupational safety and health, or the equivalent). The ability to understand basic mechanical systems. Unfortunately, however, as a result of the current surge in COVID-19 cases requiring hospitalization and limited resources statewide, we are now in a position of making these difficult decisions on a daily basis..