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What does it mean when someone says you re killin me Smalls? Line from the movie "The Sandlot,"  meant  to show extreme frustration towards someone's ineptitude or clueless-ness, sometimes both.  You ' re killing me ,  Smalls definition  by Urban Dictionary. Nov 27, 2014   Urban Dictionary Those that design health care are indeed killing us small practices, small hospitals, and small health care - and we let them do it. The health care financial design is toxic to small practices. Only those with extremes of ineptitude or clueless-ness could do so. Or perhaps they are so dominated by those larger, more organized, and most powerful that they cannot see the damage being done. More confirmation of small health value and neglect AAFP has no excuse. Half of members are in small practices and have consistently been paid the least for family practice and are paid 15% less where they practice and suffer the most cost of delivery increases. In fact AAFP supports the innovation

Amongst various preparation that is required for preparing a hospital for accreditation, training of staff is perhaps the most important for implementation. Staff needs to be trained on various policies and procedures documented by the hospital to address NABH standards. Some of the topics require only an orientation while for some a detailed training may be required along with practical demonstration or drills. Here is a list of various training topics that are relevant for accreditation  Quality Indicators for NABH accreditation preparation S.N. Training topic Coverage Relevant to A.       Training topics related to Access, Assessment and Continuity of Care 1.          Scope of hospital services Clinical services offered by the hospital Services not in scope All staff, especially staff of front office and admission 2.          Registration and admission of patient Admission policies Managing during non-availability of beds Handling un-identified patients