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      "body": "Congratulations @cyrusmark! You received a personal award!\n\n<table><tr><td>https://steemitimages.com/70x70/http://steemitboard.com/@cyrusmark/birthday3.png</td><td>Happy Birthday! - You are on the Steem blockchain for 3 years!</td></tr></table>\n\n<sub>_You can view [your badges on your Steem Board](https://steemitboard.com/@cyrusmark) and compare to others on the [Steem Ranking](https://steemitboard.com/ranking/index.php?name=cyrusmark)_</sub>\n\n\n###### [Vote for @Steemitboard as a witness](https://v2.steemconnect.com/sign/account-witness-vote?witness=steemitboard&approve=1) to get one more award and increased upvotes!",
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    {
      "author": "cyrusmark",
      "body": "@@ -101,16 +101,75 @@\n ZA.png%0A%0A\n+By Cyrus Maaghul%0Ahttps://www.linkedin.com/in/cyrusmaaghul%0A%0A\n The US h\n",
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  "op": [
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      "author": "cyrusmark",
      "body": "@@ -101,16 +101,77 @@\n Nw.jpg%0A%0A\n+By Cyrus Maaghul %0Ahttps://www.linkedin.com/in/cyrusmaaghul%0A%0A%0A\n Salary-t\n",
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      "permlink": "how-a-nursing-dao-and-smart-contracts-will-disrupt-usd12-billion-nursing-staffing-industry",
      "title": "How a Nursing DAO and Smart Contracts will disrupt $12 Billion Nursing Staffing Industry"
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  "block": 3990948,
  "op": [
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    {
      "author": "cyrusmark",
      "body": "https://media.licdn.com/mpr/mpr/AAEAAQAAAAAAAAg9AAAAJGI0ZWExOTdlLTg5NjUtNGU0ZC04ZWMwLTU4NmUwOTg0N2FkNw.jpg\n\nSalary-tracking website Indeed.com states that the national average salary for nursing recruiters in the US is $85,000 a year.  Nice job!  Placement fees (per nurse professional) range from $3,000 to $20,000, depending on the type of position being filled.  Wow!  For doing what, exactly?  Spamming or cold calling nurses? Surfing LinkedIn? Emailing resumes?  Verifying credentials? Are recruiters seriously adding that much value?\n\nIt is no secret that the demand for nurses is growing rapidly worldwide.  In the US alone, demand for nursing is projected to grow at about 6% per annum across allied health, per diem nursing, travel nursing, and locum tenens.  The US nursing and allied health staffing market size is around $12 billion per annum. \n\nThe increase for healthcare and nursing utilization is being driven by an aging population, government programs, and the implementation of readmission mitigation strategies.  Sustained healthcare staffing shortages will continue to drive temporary staffing demand.\n\nThe US nursing staffing market remains substantially fragmented with the top 10 players holding approximately 40% of the market.  No single firm maintains over 10% of the marketplace. \n\nThe US Nursing Staffing Market is Highly Fragmented\n\n\n\nDisruption of disinter-mediating nursing recruiters\n\nThe primary value that recruiters provide is credentialing, vetting, and access. This model is about to be disrupted by way of the Blockchain.\n\nHere is how one might go about doing this:  Create a decentralized, autonomous nursing organization (DANO), utilizing smart contracts and the Blockchain.  Basically, a DAO is a self-governing organization similar to a collaborative, but without the overhead, costs, and politics that come with human-intensive organizations.  Governance can be automated using electronic voting and advanced computerized rule-and-conditions encoded in smart contracts (think apps).  DANO can be equally owned by all of its nurse-members.  By virtual of belonging, nurses share in any and all profits derived from DANO.   The beauty of utilizing the Blockchain is that the value each member brings to the DANO can be easily tracked and verified on a public ledger. Members can sign up and be assigned a unique ID or address on the Blockchain’s publicly verifying registration.   Monthly and annual activity requirements, agreed upon by DANO members, can be monitored via a smart contract with the terms and conditions of membership quantified and approved by electronic vote.  Nurse credentials can be automatically verified using “oracles” connected via APIs available to universities, nursing boards, criminal background services, exclusion lists, and social credibility services such as LinkedIn. \n\nSmart Compliance Contracts fed by the oracle could be developed between the nurses and the DAO, ensuring credentials, criminal records, and social compliance are vetted and updated. This essentially eliminates the manual work required to validate an applicant’s resume and good standing.  Nurse-members with expired credentials, criminal activity, etc., can be placed on suspension via the compliance contract (and cancellation of employment contract) depending on terms and conditions set forth in the Smart Employment Contract.  Now, we just got rid of the back room of the recruiting company.\n\nNurse-members who decide to go on the market could give the DAO permission to give the paying public pseudonymous access to their resumes in return for a viewing fee paid by the viewer which perhaps can be a share in a pool of subscription revenue that hospitals, clinics, and employers pay to access these profiles based on Smart Viewing Contracts established on the DANO Blockchain, by and between DANO and participating employers. \n\nA simple video room utilizing opt-in machine learning oracles to analyze interview content, scoring for future learning and improved match-making, could be added to enhance the interviewing process for both nurse-members and employers.  Each and every step along the recruiting path could be a fee paid to the nurses’ public Blockchain account, perhaps in Bitcoin or some other prevailing digital currency in micro-payments.  This model will disrupt the recruiting landscape where employers incrementally pay to find the proverbial ‘needle in a haystack.’  Nurses will be paid for their time and effort versus payment to the recruiter.  Final employment offers, acceptances, and contract signing could be recorded on the Blockchain, too.\n\nYou clearly see where this is going: Namely, a shift away from commission-based recruiting and control to a nurse-controlled process utilizing a DAO model, Smart Contracts, and the Blockchain, to enforce and ensure credentialing and vetting, recording legal transactions between employee and employer, and the disinter-mediation of recruiters.\n\nThe savings can be significant to the employers and industry at large, perhaps reducing talent acquisition fees by as much as 60-80 percent and shifting control and value to DANO, away from the fragmented recruiting industry. \n\nAll industries must adapt as the Blockchain becomes a viable and efficient way to operate just as the brick and mortar retailers have since the inception of the internet and its inherent powerful online sales.",
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  "block": 3990803,
  "op": [
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      "author": "cyrusmark",
      "body": "https://media.licdn.com/mpr/mpr/AAEAAQAAAAAAAAdqAAAAJGQ0ZTI0ODZmLTk3MTAtNDZjOC04NTYzLWFlY2JlMGYyZGQ1ZA.png\n\nThe US healthcare credentialing and recruiting industry is unnecessary. Currently over $16 billion dollars a year flows to intermediaries and the industry is projected to grow at 6% per annum given changing demographics and emerging healthcare policies. These intermediaries or opportunistic carpetbaggers are largely exploiting inefficiencies. If applied properly, the blockchain could potentially displace the need for credentialing and recruiting firms.\n\nDoctors, nurses, and allied health and other healthcare professionals do not own their individual professional \"record\" or credentials.  Thanks to the blockchain, now for the first time these providers have an opportunity to take back (or self-govern) what is theirs, save the industry billions, and enhance their wealth.\n\nIt is time to build a \"provider-centered\" credentialing, recruiting, and reputation system. The blockchain is exactly what the doctor, PA, or NP should prescribe for themselves.\n\nHealthcare is riddled with hundreds of intermediaries who profit from the inefficiencies in recruitment, employment, credentialing, privileging, and on-boarding.   Verifying credentials, let alone reputation, is a complex process as there is no central source for these services.\n\nGone are the days when providers attended just one healthcare educational institute. Healthcare professionals attend multiple educational institutions, training and certification programs, and on-going continuing education courses to keep up with licensing requirements and the latest in medicine to ensure the preservation of quality and advancement of care. These programs and new models of education and online schools have complicated the process of verifying credentials, hiring, and privileging healthcare professionals.\n\nManual validation of all records from the plethora of brick-and-mortar and virtual institutions is a complex, time consuming, and highly inefficient process. Consequently, a myriad of healthcare compliance, recruiting, and consultancies have positioned themselves right in the middle of this profitable mess to manually validate credentials, references, etc., unnecessarily driving up healthcare costs.  \n\nThe solution?  A healthcare provider credential and reputation blockchain. One of the core characteristics of blockchain technology is the elimination of the middleman or intermediary.  The healthcare provider credential and reputation blockchain would record and maintain the immutable and authentic record of a doctor, nurse, or other healthcare professional's credentials and reputation, providing the industry with one open record of providers’ educational attainment, licensing, and professional reputation, thereby eliminating the need for middlemen.\n\nMoreover, it is envisioned that this same credential and reputation blockchain would be used by educational institutions, hospitals, clinics, continuing education programs, certification groups, law enforcement, etc. Essentially these institutions become “peers” on a peer-to-peer network or blockchain. Participating in the blockchain would earn these institutions digital currency for validating and adding \"blocks\" to the network that are linked to digital educational certificates or other authentication constructs issued by the institutions.  These blocks would be a permanent record and might include expired notices for timed-boxed credentials.\n\nThe blockchain may also include apps that patients and provider institutions might use to post permanent and authenticated reviews of a providers’ performance, establishing the provider’s \"reputation\" equity.  These review block posts would come at an expense to minimize fraudulent reviews. Additionally, existing social network “kudos” such as recommendations and endorsements on LinkedIn could be posted to augment the official record.\n\nEach provider would carry a digital credential portfolio on their smart phone or tablet able to control access to hiring institutions and licensing boards for a fee. Other potential types of data that could be recorded on the blockchain including performance reviews (positive or negative), sanctions, civil lawsuits, and misdemeanors and convictions. \n\nThe blockchain could also be extended to include hospital privileging and payer enrollment certificates (for billing and reimbursement) simplifying the onboarding process and movement within hospital systems.\n\nNow, more than ever before, healthcare professionals are in a great position to unite and reclaim their credentials and reputations by way of a healthcare provider credential and reputation blockchain system that puts them in control of what is rightfully theirs.",
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      "author": "cyrusmark",
      "body": "Turia Pitt is an Australian mining engineer, motivationalist and author. Pitt was competing in an ultramarathon through Western Australia's Kimberley region in 2011 when she was caught in a bushfire. She suffered burns to 65% of her body and had four fingers from her left hand and her right thumb amputated. Pitt was named the New South Wales Premier's Award for Woman of the Year 2014, and she was a finalist for Young Australian of the Year. It was announced on 21 July 2015 that she and long term partner Michael Hoskin were engaged to be married\n\nhttps://scontent-mia1-1.xx.fbcdn.net/v/t1.0-9/13902622_1167899273232697_2156729428291829514_n.jpg?oh=8717633fee457a5c1b7efa2edf3bd0a3&oe=581ECA9E",
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      "author": "cyrusmark",
      "body": "Turia Pitt is an Australian mining engineer, motivationalist and author. Pitt was competing in an ultramarathon through Western Australia's Kimberley region in 2011 when she was caught in a bushfire. She suffered burns to 65% of her body and had four fingers from her left hand and her right thumb amputated. Pitt was named the New South Wales Premier's Award for Woman of the Year 2014, and she was a finalist for Young Australian of the Year. It was announced on 21 July 2015 that she and long term partner Michael Hoskin were engaged to be married\n\nhttps://scontent-mia1-1.xx.fbcdn.net/v/t1.0-9/13902622_1167899273232697_2156729428291829514_n.jpg?oh=8717633fee457a5c1b7efa2edf3bd0a3&oe=581ECA9E",
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      "author": "cyrusmark",
      "body": "Turia Pitt is an Australian mining engineer, motivationalist and author. Pitt was competing in an ultramarathon through Western Australia's Kimberley region in 2011 when she was caught in a bushfire. She suffered burns to 65% of her body and had four fingers from her left hand and her right thumb amputated. Pitt was named the New South Wales Premier's Award for Woman of the Year 2014, and she was a finalist for Young Australian of the Year. It was announced on 21 July 2015 that she and long term partner Michael Hoskin were engaged to be married\n\nhttps://scontent-mia1-1.xx.fbcdn.net/v/t1.0-9/13872754_1130247313713888_826465727826342249_n.jpg?oh=22ebb1c19a93f595e4ba4bd7fc480cba&oe=584FBE37",
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      "author": "cyrusmark",
      "body": "Sophia Loren\n\nhttp://comendocomosolhos.com/wp-content/uploads/2016/02/sophia-loren-33.jpg",
      "json_metadata": "{\"tags\":[\"photography\"],\"image\":[\"http://comendocomosolhos.com/wp-content/uploads/2016/02/sophia-loren-33.jpg\"]}",
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      "author": "cyrusmark",
      "body": "Eating right, exercising, and maintaining a healthy physical and psychological lifestyle are all keys to maintaining your health and beauty but I am most fascinated with those who are naturally beautiful regardless of their lifestyle.   I plan to post what I consider to be naturally beautiful people and hope to get your feedback on what is a natural beauty in your eyes.\n\nhttps://delenacrew.files.wordpress.com/2010/08/worlds-most-beautiful-people-shoot-4.jpg?w=700&h=",
      "json_metadata": "{\"tags\":[\"photography\"],\"image\":[\"https://delenacrew.files.wordpress.com/2010/08/worlds-most-beautiful-people-shoot-4.jpg?w=700&h=\"]}",
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      "parent_permlink": "photography",
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      "body": "Thanks!",
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      "author": "cyrusmark",
      "body": "You are welcome.",
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      "author": "corax",
      "body": "Thanks for this wonderful article.",
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      "author": "msjennifer",
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      "body": "https://scontent-mia1-1.xx.fbcdn.net/t31.0-8/13737520_1159348027421155_3257482120685008284_o.jpg\n\nHealthCombix (a service of http://www.PointNurse.com, LLC)  is an incentivized, block-chain based community care coordination platform licensed (per patient subscription) by ACOs, managed care organizations, and governments.\n\nThe platform supports family, friends, and community-based care through patient “health challenges,” leveraging behavioral economics, social networking, cryptocurrency rewards, and telehealth systems and methods, positively impacting communities by creating an opportunity for the patient’s friends, family, and community to earn a basic income for providing care oversight to augment their existing economic resources and improve self esteem, all the while helping those in need.\n\nIn more detail, the patient's friends, family members, and community support groups are incentivized to join his/her social care network to earn $value rewards for helping patients reach health goals.  Purpose-built kiosks and/or mobile apps are used by patients and caregivers to sign up, record care coordination, behavior, and vital data onto a block-chain network monitored by nurses and smart contracts.  Smart 'commitment' contracts are set up by the PCP and community team for each patient with incentives and rewards for meeting goals.  When goals are met, payouts in digital currency are made that can be redeemed (debit card or vouchers)  by patients and caregivers at participating food, housing, and community outlets. Incentives are designed to encourage long-term engagement by both patient and caregivers.\n\nThe project is underway and we look forward to hearing your comments. \n\nPointNurse amd HealthCombix was founded by Cyrus Maaghul:\nhttps://steemit.com/healthcare/@cyrusmark/how-the-blockchain-will-change-healthcare-introduction",
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      "author": "corax",
      "body": "http://67.media.tumblr.com/fe4c1ab73686e1140d33be8de7781678/tumblr_inline_nkh6vdvKkV1qfj6qb.gif That is a very good tip particularly to those new to the blogosphere. Short but very accurate info... Thank you for sharing this one. A must read post!",
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      "author": "msjennifer",
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      "body": "https://scontent-mia1-1.xx.fbcdn.net/t31.0-8/13737520_1159348027421155_3257482120685008284_o.jpg\n\nHealthCombix (a service of http://www.PointNurse.com, LLC)  is an incentivized, block-chain based community care coordination platform licensed (per patient subscription) by ACOs, managed care organizations, and governments.\n\nThe platform supports family, friends, and community-based care through patient “health challenges,” leveraging behavioral economics, social networking, cryptocurrency rewards, and telehealth systems and methods, positively impacting communities by creating an opportunity for the patient’s friends, family, and community to earn a basic income for providing care oversight to augment their existing economic resources and improve self esteem, all the while helping those in need.\n\nIn more detail, the patient's friends, family members, and community support groups are incentivized to join his/her social care network to earn $value rewards for helping patients reach health goals.  Purpose-built kiosks and/or mobile apps are used by patients and caregivers to sign up, record care coordination, behavior, and vital data onto a block-chain network monitored by nurses and smart contracts.  Smart 'commitment' contracts are set up by the PCP and community team for each patient with incentives and rewards for meeting goals.  When goals are met, payouts in digital currency are made that can be redeemed (debit card or vouchers)  by patients and caregivers at participating food, housing, and community outlets. Incentives are designed to encourage long-term engagement by both patient and caregivers.\n\nThe project is underway and we look forward to hearing your comments. \n\nPointNurse amd HealthCombix was founded by Cyrus Maaghul:\nhttps://steemit.com/healthcare/@cyrusmark/how-the-blockchain-will-change-healthcare-introduction",
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      "author": "corax",
      "body": "May I simply just say what a comfort to find a person that really knows what theyre talking about over the internet. You certainly understand how to bring a problem to light and make it important. More and more people need to look at this and understand this side of your story. I cant believe you are not more popular given that you certainly have the gift https://media.giphy.com/media/awpqNsKuFtXI4/giphy.gif",
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