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On July 29, 2022 the Centers for Medicare and Medicaid Services (CMS) released a notice of proposed rulemaking (NPRM) related to changes in the Medicare Program Physician Fee Schedule for 2013. Among the proposals in this lengthy document are those related to the Promoting Interoperability Program for physician practices, the successor to the Meaningful Use of Electronic Health Record (EHR) technology that was originally rooted in the 2009 HITECH Act. This program has been evolving over the years and this NPRM proposes some meaningful changes to the public health reporting component which would first be used for calendar year 2023. An earlier NPRM for hospitals was recently approved for implementation in 2013 with little or no change from the NPRM.

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Microsoft recently seemed to propose that Open Source software didn’t belong in the Windows app store. Excuse me? After the news broke, Giorgio Sardo, Microsoft’s General Manager of the Microsoft Store, argued on Twitter that it wasn’t Microsoft’s intent. “We absolutely want to support developers distributing successful OSS apps. In fact, there are already fantastic OSS apps in the Store! The goal of this policy is to protect customers from misleading listings.” Predictably, confusion results. And the kerfuffle over FairEmail and the Google Play Store earlier this year is a good example of how this sort of confusion is not entirely new, leading to questions about intent. I’ve talked with developers and business managers about their experience in preparing software packages for commercial app stores. Universally, everyone reports having issues with app stores’ packaging. These include...

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Gaming is a big industry. Some studies suggest neurodiverse kids may be even more focused on gaming than other kids. I would tell a neurodiverse high school or college kid that If you learn C, you may be able to learn the basics of, for example, writing efficient drivers for a graphics card, or to make efficient file I/O routines to optimize their favorite game. I would also be honest that it takes time and effort to learn, but that it's worth the effort. Once you learn it, you have greater control of things like hardware. For learning C, I recommend a neurodiverse kid to install a beginner-friendly Linux distro, and then find some tutorials on the net. I also recommend breaking down things step by step, and drawing diagrams of, for example, pointers. I did that to better understand the concept, and it worked for me. In the end, that's what it's about: Find a learning method that works for you, no matter what teachers and other students may say, and use it to learn the open source skill that interests you. It can be done, and anyone can do it.

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Open source is one of the most important technology trends of our time. It’s the lifeblood of the digital economy and the preeminent way that software-based innovation happens today. In fact, it’s estimated that over 90% of software released today contains open source libraries. There's no doubt the open source model is effective and impactful. But is there still room for improvement? When comparing the broader software industry’s processes to that of open source communities, one big gap stands out: productivity management. By and large, open source project leads and maintainers have been slow to adopt modern productivity and project management practices and tools commonly embraced by startups and enterprises to drive the efficiency and predictability of software development processes. It’s time we examine how the application of these approaches and capabilities can improve the management of open source projects for the better.

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