texas e-health alliance is a 601 ( c ) ( 6 ) corporation founded in 2009 that brings together the provider , corporate , non-profit and academic health care communities with policymakers in order to create an effective e-health policy for texas .

texas e - health alliance

disclosure : stephen palmer serves on the board of the texas e - health alliance .
the texas e - health alliance interacts regularly with the texas legislature , providing testimony in hearings and briefing members on e - health issues . the legislature held interim hearings during 2016 , and teha provided testimony :
the summer certificate program has also benefited from major support and collaboration from key players in the e - health industry and nonprofits , including seton family of hospitals , the texas e - health alliance , the tmf health quality institute and the texas medical association .
the texas e - health alliance is the state’s leading advocate , from local communities to the national level , for the use of information technology to improve the health care system for patients .
the texas e - health alliance is the premier entity that leaders in the texas legislature , the governor , and various state agencies refer to on matters related to all aspects ofe - health , from health information exchange to telemedicine to remote monitoring .
due to the amount of health care regulation at the state level , there is a significant opportunity to improve the regulatory environment for e - health technologies and services by engaging in state - level e - health advocacy . in texas , the texas e - health alliance ( teha ) has been doing just that for the last 6 years and has achieved a number of wins for the e - health community . e - health communities in other states have the opportunity to mimic the teha strategy at the state level and achieve similar successes in their own states .
the texas e - health alliance is proud to represent the people and companies that make up the health information technology community in texas . we live here , we do business here , and we’re all pitching in to help as texas recovers from hurricane harvey . below is a list of hurricane resources that are related to e - health services , customers and initiatives .
the belief that patients should have quick and easy access to their medical data was behind a texas e - health alliance push behind a health care privacy bill passed in 2011 meant to protect patient data and to help patients get copies of their electronic records more quickly .
the texas hospital association often publishes white papers on issues affecting texas hospitals and the health care of texans .
teha is also the leading resource on what’s happening in the e - health industry . as “the” source for comprehensive information on state issues affecting health information exchanges , telemedicine , remote monitoring , and other e - health issues , teha puts you in the know and at the table to influence the ever evolving world of e - health .
promoting improved healthcare in texas and nationwide by providing vendor - neutral , objective information and resourcs to educate texas policymakers , political leaders and others regarding the role of e - health in the health care delivery system .
texas health services authority : texas’ state hie is working with local health information exchanges in the affected areas . for more information , see here .
nora belcher , executive director of the texas e - health alliance , has been watching the ehr market long enough to come to some very definitive conclusions : it’s typically not medical records themselves that create problems , but more importantly it’s the systems behind them that are difficult .
before getting much further into the discussion , it is important to make sure that we’re on the same page with respect to terminology . by ‘e - health’ , i mean a wide range of information and telecommunications technologies that can enable and support the delivery of health care services . key examples of e - health under this definition include electronic health records , health information exchange , and telemedicine , and a sound e - health policy landscape is a set of laws and public programs that impose minimal restrictions on the appropriate use of e - health tools and services to enable and support the delivery of care .
in addition to policy planning , teha works with the texas medical association on provider education initiatives and is an active participant in the development of health information exchange planning and implementation with the texas health and human services commission and the texas health services authority .
state health information exchange planning and implementation process . teha is a voting member of the texas health services authority’s collaboration council .
the institute of medicine has recently reported that $ 750 billion dollars is wasted in the health care system on an annual basis . that’s one out of every three dollars spent in the united states on health care . members of the texas e - health alliance are committed to implementing technology that improves the health care system for patients . part of that mission includes sharing industry expertise and experience with policymakers , and spreading the message that investing in health information technology makes good financial sense .
students gain experience in the health information technology learning laboratory at the clinical education center at university medical center brackenridge , a member of the seton family of hospitals . they also engage in a two - week practicum with texas - area e - health companies .
teha members gain access to updates on emerging trends that impact the industry through educational sessions , expert presentations , and informational updates on e - health issues .
1115 medicaid transformation waiver : learn how the transformation waiver is making health care in texas more effective and efficient and why renewal is so important for texas hospitals . learn more
provider education initiatives . teha partners with the texas regional extension centers and the texas medical association to improve provider adoption of digital tools .
provider education initiatives . teha partners with the texas regional extension centers and the texas medical association to improve provider adoption of emr / ehr .
teha membership gain access to updates on emerging trends that impact the industry through educational sessions , expert presentations , a speakers’ bureau , and information updates on e - health issues .
rock health : with $ 3 . 4b raised so far , digital health looking strong in 2018
the university of texas at austin certificate program is the first in the nation among those receiving onc health information technology funding to graduate students .
joey berlin , associate editor of texas medicine , prepared this special supplement to action .
“we are thrilled to have gary join our board , ” stated nora belcher , executive director of teha . “his leadership skills and experience in building ica into a successful health information exchange company will be highly valued as we continue to move forward ensuring that the state of texas remains a leader in developing rational health information technology and e - health policies . texas and tennessee are both nationally recognized as leaders in healthcare and gary’s depth of knowledge in healthcare technology and policy will be a great addition to our board . ”
the students were particularly effective because they had gained skills using six different electronic health record systems donated by industry partners , including allscripts , eclinicalworks , e - mds , inc . , ge healthcare , nextgen healthcare and sage .
teha provides various benefits to members including : advocating on behalf of e - health to the legislature and state agencies , providing timely news and updates to members , and facilitating communications efforts with the media and the general public .
the texas hospital association would like to hear from both its members and from the public for whom texan hospitals and health systems work to keep healthy .
tma physician leaders already are working on behalf of their profession and their patients to improve texas health care system . during the upcoming legislative session , tma councils and committees are locking down and promoting health care policies to ensure texas’ patients have access to affordable and high quality health care . here are tma’s testimonies , comments , and letters to state lawmakers . read more
urltoken the main web portal for the state of texas has a hurricane resource page at urltoken .
texas medicaid in perspective : texas medicaid , operated in partnership with the federal government , serves primarily low - income pregnant women and children but also individuals with disabilities and older adults . learn more
jenny currently serves as corporate director , ehealth , for the franciscan missionaries of our lady health system , where she is responsible for the development and implementation of a system - wide e - health and e - business strategy . jenny is also the immediate past chair for the louisiana taskforce on telehealth access . jenny received her bachelor of science degree in information systems and decision sciences from louisiana state university , and her masters degree in information systems with a secondary in accounting from middle tennessee state university .
health information technology program receives $ 2 . 7 million in federal funding , graduates first class of students this summer | ut news | the university of texas at austin
the university of texas at austin ' s new health information technology program has received $ 2 . 7 million as a part of the professional university resources and education for health information technology ( pure hit ) consortium project supported by a grant from the u . s . department of health and human services office of the national coordinator ( onc ) for health information technology .
texas state university is the lead institution for the pure hit consortium and the university of texas school of biomedical informatics is also a partner . total funding for the consortium is $ 5 . 4 million , the largest award in the nation funded for university - based education in health information technology .
digital health solutions are being used across texas as part of the response to hurricane harvey . if you have a story you’d like added to this list , email it to info @ urltoken
expanding telemedicine access . teha works with telemedicine stakeholders and the texas medical board to ensure that telemedicine services are available to patients in need with a focus on those areas that have provider shortages . teha also sits on the governing board of the texla telehealth resource center at texas tech , which is devoted to promoting telehealth in texas and louisiana .
with the passage of the hitech act as part of arra back in 2009 , and the more recent passage of the medicare and chip reauthorization act ( macra ) in 2015 , and just last week of the 21 st century cures act , it can seem like most of the action with respect to e - health policy occurs at the federal level . in a narrow sense , that may be true , but considered more broadly , it is clear that state - level policy - making has a critical and often under - appreciated role to play in enabling a sound e - health policy landscape .
if you’re interested in learning more about teha or becoming a member , please contact nora belcher , the executive director of teha , at nora @ urltoken . if you need assistance developing a plan for state - level e - health advocacy , please contact stephen palmer at stephen . palmer @ urltoken .
medicaid / chip health information exchange at the texas hhsc . teha represents industry as a member of the hhsc advisory committee for this hie project . over 3 million clients served by hhsc will be affected .
the summer certificate program is nine weeks of intensive study training students in fundamental concepts in health information technology , project management and workflow redesign , operational models of health care practice and skill development in the use of various electronic health record systems .
teha promotes awareness and understanding that commercial health information technology delivers measureable economic value .
without continued chip funding , congress risks adding to the uninsured in texas – already the largest number in the nation — and undermining the long - term health and wellness of our nation’s most v . . .
tracie ingram is the rural health officer and state office of rural health program manager for the bureau of primary care and rural health . she has held that position since 2009 and has worked over 27 years in state government . tracie’s experience includes healthcare safety net development , disability services , and community development . she is a specialist in rural health matters , rural health clinics and federally qualified health centers and serves as a primary technical assistance person between the federal department of health and human services and rural louisiana providers . tracie has served on the louisiana telehealth task force for 4 years .
the monetary gap between the house and senate versions of the state budget isn ' t overly large — a separation of about $ 400 million in all funds and $ 2 billion in general revenue . but both plans feature provisions concerning to medicine . so tma highlighted
medicine ' s recommendations for crafting a biennial budget that will promote a healthier texas
in a letter last week to conference committee members , cowritten with the texas pediatric society , texas academy of family physicians , and several other texas physician organizations .
a pilot project in north texas has been focusing on using health information technology to lower chronic heart failure ( chf ) readmission rates . at most hospitals , chf is the no . 1 reason for hospital readmissions .
occupational licensing : texas governor greg abbott has temporarily suspended all necessary statutes and rules to allow licensed health - care providers employed by a hospital and in good standing in another state to practice in texas to assist with disaster response operations . this suspension is in effect until terminated by the office of the governor or until the hurricane harvey disaster declaration is lifted or expires .
deborah has been involved with patient care via telehealth for eight years . currently , deborah is the facility telehealth manager for the thomas e . creek va healthcare system in amarillo , tx . deborah oversees three modalities of telehealth at the va – home telehealth , clinical video telehealth , and store and forward telehealth . previously deborah was employed by texas panhandle centers ( mhmr ) as the telemedicine nurse for rural patients in a 26 county catchment area . deborah holds a bachelor of science degree in nursing from west texas a & m ; university
the texas association of business , a lobbying group that represents the state’s employers , is joining the pro - telemedicine camp : the group just released two surveys ( one of its members , one of the voting public ) totaling more than 750 people that serve as a support to legislation that would allow telemedicine to operate more freely in the state . “texas health care consumers are calling for new . . .
but the biggest problem many see in the industry has been a lack of clear standards and a lack of portability for medical data , sometimes held up for competitive reasons , other times simply a symptom of technical incompatibilities . cerner and epic have made efforts to standardize their ehrs with commonwell health alliance and carequality , which over the last few years have begun to tackle the huge problem of creating open , interoperable platforms that don’t sacrifice privacy and security with lots of work left to do .
a not - for - profit , integrated health system with over 1 , 500 physicians , a medical center , seven regional community hospitals , 140 different service sites , a large multispecialty medical group and a nationally recognized health plan used a health information exchange platform to improve the delivery of lab reports and results .
providers and their staff rely on information available in the electronic medical record ( emr ) system to track and assess the patients’ health and care . modern emrs are connected and have the ability to obtain available patients’ health information from other providers . but even with the advancement in health information exchange capabilities , the information available remains somewhat limited . having access to claims based health information can enhance the information available to providers .
health information technology program receives $ 2 . 7 million in federal funding , graduates first class of students this summer
teha is open to all stakeholders and is constantly seeking to add to the diversity and richness of the health information technology community .
getting acclimated to the regulatory and reimbursement environment for health information technology , especially if you’re new to doing business in texas , can be a real challenge . here at teha , we’ve put together a list of resources to help get you oriented . if you still have questions , reach out to us through our contact page .
a forum - and a podium - for our members to contribute their individual voice to the broader conversation about hit and health care .
the letter vigorously opposed the senate ' s proposed $ 410 million general - revenue reduction to medicaid , as well as the house ' s $ 450 million general revenue cut from health and human services commission contracts , which would heavily affect medicaid managed care and , hence , physician fees . among other requests , it also urged strengthening of the state ' s public health defense and mental health systems .
in the state of texas , a major piece of telemedicine legislation is sitting on governor greg abbott’s desk . known as senate bill 1107 and house bill 2697 , the bill abolishes the requirement that patient - physician relationships be established with an in - person visit before telemedicine can be used . ( update : as expected , abbott signed the bill on saturday . ) texas is the final state of 50 to abolish . . .
teha is a connecting point for health information technology stakeholders to come together and share ideas , gain insights , develop partnerships , and collaborate on solutions .
in addition to its battle to preserve public health funding in the state budget , tma maintained its push for its foremost public health priorities — in some cases , in the face of staunch opposition . unfortunately , some of tma ' s priority measures didn ' t survive last week ' s house deadlines :
beginning in 2006 and continuing through 2009 , the health it industry ramped up , establishing major players in the effort to bring traditional health records to the digital age . the u . s . government’s investment in the space catapulted the industry into a higher gear , speeding adoption of large and complex systems significantly .
editor’s note : in upcoming issues of texas hospitals , we examine the current state of emr implementation as well as what industry experts believe the future of these platforms will look like . this is the first in a series exploring leadership - level concerns as we examine how the last 10 years have played out and why the rollout of digital health records has been so tumultuous , costly and inefficient .
mari robinson recently joined university of texas medical branch as the director of telehealth . in that role , she is assisting with the roll out of the virtual health network , a project to link all ut systems medical campuses to allow for the shared provision of telemedicine throughout the state . prior to joining utmb , she was executive director for the texas medical board , a role in which she oversaw the agency in general , as well as in particular the legal and administrative issues within the agency , to include a staff over 200 , and a budget of over 22 million dollars . before that , she worked for a short time in private practice in the area of civil litigation as well as for the attorney general’s office . she has a law degree from the university of texas school of law , and has previously served as an adjunct instructor in the school’s advocacy program .
membership is open to companies working in health it , as well as provider organizations , nonprofits , and other stakeholder groups . we invite you to join the over 70 organizations that are defining the path forward , for our members and customers across the state of texas , through collaboration and advocacy . we welcome your participation . for more information on becoming a member , go to our member signup page .
to support disaster recovery efforts , healthcare ready , an organization of private health care stakeholders and government response entities , is coordinating with local and federal agencies to ensure that medical gaps in the areas impacted by hurricane harvey are addressed . healthcare ready’s rx open map has been turned on and will provide pharmacy status information for texas and louisiana . sign up for notifications to stay current on their activities here .
by using telemedicine , emergency psychiatrists are always available to this large rural texas region , and response times are typically shorter than emergency programs with onsite psychiatrists . telepsychiatry is a viable solution to many locales around the country that face shortages in psychiatrists .
hospital financing overview : this document is intended to provide a high - level overview of the hospital financing system in texas and the challenges that exist – challenges that threaten hospitals’ continued ability to provide the highest quality care for all texans . learn more
house calls , yoga classes , and community networks are among the value - based innovations making medicaid more patient - centered and more penny - wise . plus . . . recent complaints suggest threats to texas ' ban on corporate practice . read the latest issue
on the maintenance of certification ( moc ) front , tma is hoping senate bill 1148 by sen . dawn buckingham , md ( r - lakeway ) , will soon make similar progress . sb 1148 would prohibit hospitals and health plans from discriminating against physicians based solely on moc and would also bar the texas medical board ( tmb ) from requiring moc for licensure or license renewal . rep . greg bonnen , md ( r - friendswood ) is sponsoring the bill , which was heard in the house public health committee on may 9 . a substitute for the bill is expected to move forward soon .
dr . hall - barrow is the vice president , virtual health and innovation for children’s health , dallas , tx . children’s health is one of the leading pediatric health systems in the country and is utilizing technology to reach children wherever they may be located . since 1997 , dr . hall - barrow has provided leadership in healthcare transformation which has included corporate health , chronic diseases management and telemedicine . she has served as a national and international expert in the field of telemedicine including but not limited to pediatrics , neurology , emergent delivery methods and healthcare mobility . dr . hall - barrow is the immediate past chair of the american telemedicine association pediatric special interest group . in this role , she continues to provide leadership to both new and existing telehealth programs through education , research and service . she has provided guidance on legislation , outreach and collaboration with national organizations including the american academy of pediatrics . she led the first state - wide tele - stroke program for arkansas and initiated the first state - wide image repository and currently oversees the largest school telemedicine program in the country . dr . hall - barrow has published her research in peer reviewed journals , presented nationally and internationally and most recently named one of the most powerful women in health care it by health data management . she holds a doctorate in higher education administration , master’s in kinesiology and bachelors in health education .
students are given opportunities to enhance their professional communication and career development skills . graduates of the program are awarded a certificate as a
health information manager and exchange specialist .
with this system , the physician can see similar information a pharmacist sees when submitting a prescription to the health plan for coverage verification . delivering this vital information directly within the physician’s workflow before the prescription is submitted can be a catalyst to dramatically improve adherence , enabling the physician to identify and address prescription - fill barriers that may hinder pick up at the pharmacy ( e . g . product not covered , prior authorization required ) . in addition , the pharmacy receives direct benefit as they do not have to step out of work flow to address these issues that have been handled upstream before the patient arrives at the pharmacy . the result bridges a significant gap in patient care .
2017 texas hospitals’ policy priorities : hospitals also are required by federal law to provide , at a minimum , a medical screening to anyone who seeks it and to provide stabilization and treatment services for an emergency medical condition , regardless of a patient’s ability to pay . learn more
the health passport is a patient - centered , internet - based , health record system that a health plan in the south - central region of the united states began using in early 2008 . it makes a foster child’s information available to authorized physicians and other stakeholders involved in the child’s care . while the data stored in the passport do not encompass all information included in a complete medical record , it does contain information on patient demographics , physician visits for which claims have been submitted , allergies , lab test results , immunizations and filled prescriptions .
security , however , has been the primary deciding factor for opting out of electronic health records . the practice’s website has been hacked repeatedly , but its sensitive paper records have not .
the 2009 american reinvestment and recovery act , also known as the 2009 stimulus package , created the “meaningful use” standard for health care records , but also planted the problematic seeds that continue to plague implementation .
for example , students in their practicum this summer at the gulf coast regional extension center in houston were deployed by dr . kim dunn to a local nonprofit clinic called shalom that relied completely on paper health records . the students were given one day to overhaul shalom ' s system for monitoring patients with diabetes . they created a new database system for the clinic to add patients and track their health over time .
a large state health information exchange selected a consulting firm to perform a review of all existing state and federal standards , as well as industry developed standards , for healthcare information technology . this landscape review met a critical need for the state’s planners : to identify the relevant architecture , data , exchange , and security standards , models and profiles that support the secure , interoperable exchange of health information among unaffiliated organizations .
health it certificate students participate in a mock clinic in the learning laboratory at the clinical education center at university medical center brackenridge . from left to right : sean el haj , sachin chopra and dustin murders .
workforce plan development to support provider transition to meaningful use . teha is actively engaged in workforce issues in conjunction with other stakeholders such as universities , community colleges , and trade associations . as a result of our work , texas has a coordinated state hit workforce planning process to ensure we have the right workforce for the future .
in addition , meaningful use standards require hospitals to prove that 5 % of their patients engage with their given health portals . with many health portals , the lack of engaging content does not foster a user experience that keeps users coming back . automated delivery of patient - centric content through a technology partner , written at an appropriate level , reduces the administrative burden on providers while helping them to meet required standards for patient engagement .
silverberg believes digital records shift power to insurance companies and the government and don’t offer enough benefits to justify their cost , at least for a practice such as his . texas fertility clinic has tested out systems geared toward infertility practices and silverberg says they were all lacking . and it’s not , he insists , because he’s a luddite .
a groundbreaking transformation is occurring in the delivery of health care in the united states ,
says field .
the college of natural sciences and the school of biological sciences are rapidly responding to this need .
teha is a bipartisan , nonprofit organization committed to being our state’s leading advocate , from local communities to the national level , for the use of information technology to improve the health care system for patients . we are :
the latest legislative effort to establish telemedicine guidelines in texas may finally be what everyone has been waiting for . senator charles schwertner submitted a bill this week created out of months of negotiations between various medical boards , regulatory agencies and industry groups , and it contains a compromise that may finally bring an end to the longtime telemedicine standoff in the . . .
among the problems that emerged after the 2009 - 2011 boom in new ehr software were competing platforms that could not transfer complete medical information with each other , leaky security and tough - to - use software that caused health professionals to spend too much time staring at screens and training instead of treating patients . the wall street journal reported the university of texas md anderson cancer center , for example , cut about 5 percent of its workforce and attributed the decision to expenses caused by implementing an ehr rollout from madison , wisconsin - based epic systems corp , another leading company in the space .
a provider in north texas was seeing a 64 year old female patient , with primary biliary cirrhosis and concurrent alcohol abuse . she was not compliant with office follow up for two years and presented to the office on 12 / 2 / 09 with her daughter manifesting jaundice and confusion consistent with mild hepatic encephalopathy . the patient’s confused mental status prevented a reliable history and the daughter was unaware of medications or pertinent medical history .
installation and deployment of a fully integrated electronic medical records system and a practice management system has had a number of positive effects on a central texas family medical practice . the system provides the practice with electronic charge capture at the point of care which , when combined with integration to a claims clearinghouse , has reduced collection days ( the time from date of service to receipt of funds ) by more than 70 % , from 72 to 20 days .
our first graduates are really impressive ,
says dr . leanne field , director of the program .
they are entering a field that is rapidly growing and will only continue to gain importance as we move toward electronic health records across the country . the industry demand is very high .
health and human services : hhs has applied for waivers from certain conditions on benefits and for extended benefits for harvey’s victims who need help . hhs is also working with the federal government to get approval to issue disaster snap food benefits and emergency snap benefits for people in counties with a federal disaster declaration .
costs were reduced or saved as a result of the information being available at the time of visit with her gastroenterologist . the diagnostic tests that would have been potentially ordered and the costs associated are $ 15 , 191 at the medicare fee schedule for tarrant county , texas in 2010 and the commercial insurance reimbursement ( assumed at 140 % of medicare ) within the community was $ 24 , 086 . since the needed clinical information was available via the hie these expenses were not incurred .
if we are to save critical access hospitals in texas for those who desperately need them , we must do better at supporting those who keep people out of the hospital with telemedicine policies that do not handcuff contracted physicians . to be clear , i would be delighted if the payers would pay a covered service delivered via telemedicine with parity , but i would be satisfied if payers simply allowed physicians to explore telemedicine options without risking their contract and negatively impacting their entire panel of patients .
not only does such a system not exist in 2017 , but some in the health industry think it’s a bad idea entirely . some question whether a trove of information such as this wouldn’t be sure to draw cybercriminals and whether its benefits outweigh costs and disruptions for physicians , hospitals , it departments and even patients .
a large integrated delivery system has been able to show that their patients with chronic conditions can manage their health and avoid hospitalization by using telehealth equipment in their homes . given their rapidly aging patient base , the system has chosen to prioritize working with patients to manage chronic conditions such as diabetes , hypertension and chronic heart failure .
zane burke , president of kansas city - based cerner corp . , which leads the electronic health records space with annual revenue in the billions , says that while the stimulus package was well - intentioned , and created a medicaid - and medicare - incentivized boom in the market from which cerner benefited , it also had unintended effects .
earlier this month , at the final first tuesdays at the capitol event of the 2017 legislative session , tma lobbyist darren whitehurst told physicians he could see the light at the end of the tunnel , but that he ' d have to wait until session was over to say
whether it ' s a train or not .
whether it turns out to be a train or a shining , promising new destination for texas medicine , that mysterious light is now even closer as just two weeks remain until the session adjourns .
this approach has been integrated into a large healthcare system within the state of texas . patients referred to the quitline are proactively contacted and enrolled in free tobacco cessation counseling . nicotine replacement therapy is also available to qualified patients . the project involves an ongoing , collaborative effort with a healthcare system and its ehr vendor to train providers on the proper implementation of an ehr version of the ask - advise - refer method . project outcomes , including referrals to quitline , were monitored by the ehr vendor and compared to state - level quitline enrollment reports .
in rural east texas , a comprehensive psychiatric emergency service is providing 100 % of its psychiatric care via telemedicine . within 15 minutes of arrival at the provider site , a patient is assessed by a registered nurse and a licensed counselor or social worker to determine appropriateness for admissions . the patient is scheduled to see the psychiatrist within 30 minutes via videoconferencing regardless of the hour of day or day of the week . the psychiatrist is also available by phone within 5 minutes . these are maximum response times , and the actual response is often much faster .
in 2013 , dr . kaylen silverberg wrote a blog post on the texas fertility clinic’s website titled , “why doesn’t tfc use electronic medical records ? ” in the post , he listed costs , waste in electronic records that end up printed out on paper anyway , lack of security and an adverse impact on the patient - doctor relationship as factors for opting out entirely from ehrs . more specifically , he says , the systems typically built to handle ehrs are meant for mainstream practices , not for a fertility practice with specialized needs and an even greater need for privacy .
the situation in the field right now is really poor ,
says daniel fritz , one of the summer program graduates who interned with dunn .
these health clinics really need major changes , but if you really sit down and think about the problem you can come up with a solution . we started that day with nothing and came away with something great .
a large state medicaid program was directed by their legislature to develop a claims based electronic health record system , which is available to medicaid providers today . providers can access the information online or download it for offline use or for importing into their own emrs . the information available in the system is used in parallel to information available in the providers emrs and offers the following advantages :
tha is soliciting donations for their tha hospital employee assistance fund , which was established to provide financial assistance to employees of hospitals located in one of the fema - designated disaster areas who experienced significant property loss during hurricane or tropical storm harvey or the ensuing floods . by creating a centralized fund focused specifically on the needs of texas hospital employees , tha will ensure that donations go where they are needed most . in the coming days , tha will share programmatic details as well as materials hospitals can share with employees . in the meantime , donations can be made at tha’s website here .
the program monitors chf patients remotely for 90 days after their hospital discharge . patients are equipped with tools to help identify potential complications that can result in readmissions . they are given vital - sign monitors , tablet devices and applications that link the data to the patients’ electronic health records ( ehr ) . the wireless devices include a pulse oximeter , blood pressure cuff , and weight scale .
to accommodate the multiple care locations and diverse levels of technology maturity that exist across the health system , the system leveraged hie technology using the same data feed to provide information via the web and via auto - print to paper - based physician offices – while offering discrete data integration with a myriad of ehrs to providers who were farther along the adoption curve and had successfully automated their practice and clinical workflow .
the market for electronic medical records ( emrs ) and electronic health records ( ehrs ) is currently about $ 28 billion with more than 1 , 000 companies creating software and systems to manage them . over the last 10 years , the efforts to make digital records happen has mirrored , and in many ways lagged behind , the technological revolution that has put smart phones in every pocket and the internet of things in our homes .
tma is also tackling the corporate practice of medicine with its support of senate bill 833 by sen . bryan hughes ( r - mineola ) , which provides protections for physicians who report that their corporate employer is interfering in the practice of medicine . currently , tmb collects information on these nonprofit health corporations but does not investigate allegations of corporate interference . the legislation is sponsored by rep . morgan meyer ( r - dallas ) .
the project involved using technology to obtain data from the home such as blood pressure and blood glucose , along with other patient information , and then merging that data into their electronic medical records system . this allows the patient’s health care team to monitor , anticipate and prevent avoidable problems . a recent study of the project , looking at health outcomes from 17 , 025 home telehealth patients , found a 25 percent reduction in the average number of days hospitalized and a 19 percent reduction in hospitalizations for patients using home telehealth . the data also showed that for some patients the cost of telehealth services in their homes averaged $ 1 , 600 a year – much lower than in - home clinician care costs . in addition to cost savings , this type of partnership between patients and their medical team can delay the need for institutional care and help maintain independence for an extended time .
a health information exchange ( hie ) provided a wealth of clinical information at the time and place of service allowing for a more accurate assessment of the patient’s medical status during the office visit and prevented the expense of duplicate diagnostic and imaging studies . further , the available laboratory studies available provided a baseline for comparison of subsequent studies . from the medication list it was determined that doxepin was a likely contributor to the patient’s progressive encephalopathy and it was discontinued .
healthcare providers and delivery systems are ideal intervention sites for conducting the recommended ask - advise - refer tobacco cessation protocol with patients . this protocol has implemented in a project designed to improve healthcare provider referrals to a state - funded quitline . the quitline is an evidence - based tobacco cessation intervention that assists patients ready and willing to quit tobacco . the project uses electronic health records ( ehrs ) to assist clinicians with providing tobacco cessation and referral options to patients .
before this program was implemented , data released by the state demonstrated that foster children were being overprescribed psychotropic medications . because these children are repeatedly relocated , physicians are frequently unaware of a child’s existing medication regimen and often prescribe another treatment beyond current therapy . the state had established a practice parameter regarding psychotropic medication use for foster children , and the health plan involved was tasked with monitoring the use of psychotropic medications in the foster care population in direct comparison with state parameters .
the prescription drug monitoring program ( pdmp ) mandate fight is still on . after the sunset advisory commission recommended a sweeping mandate for physicians to check the pdmp before issuing prescriptions for any controlled substances , tma went to work to prevent such burdensome requirements , instead proposing more reasonable solutions to combat drug diversion and doctor - shopping . many of those technology - based solutions are part of senate bill 316 by senator hinojosa , which was awaiting a hearing before the house public health committee at press time .
imagine an online service that could show you a comprehensive , continually updated portrait of your health history . every childhood vaccination , notes and treatments for an emergency hospital stay while on vacation 10 years ago , several years’ worth of psychiatrist visits , even current progress being made for a 10 , 000 - steps - a - day goal from a fitbit fitness tracker . it would be secure from hackers , accessible from any device for you or any medical professional treating you , and very easy to use .
has opened a 24 - hour crisis line for all texans affected by the storm and its aftermath . the toll - free number to access free , confidential counseling services is 1 - 800 - 327 - 7451 . magellan will provide free , confidential counseling services and other resources , such as referrals to local non - profit organizations , shelters and additional community - based support to assist texans as they work to cope with the feelings of fear , sadness , anger and hopelessness related to these kinds of natural disasters . in addition , tip sheets with resources specific to hurricane preparedness , response and recovery can be found on magellan health’s website .
dr . dunn is recognized by her peers as a visionary leader for healthcare reform using quality , information systems and telemedicine . she is a practicing general internist who serves as adjunct faculty at the school of biomedical informatics ( sbmi ) . she founded your doctor program , l . p . ( ydp ) to support a model for accountability in healthcare using standards of practice for information management for quality management while incorporating comprehensive framework for telemedicine into care . prior to joining the sbmi faculty , she was vice chair of internal medicine at utmb and played a leading role in developing the telemedicine program and outcomes management program for the texas prison system . she established the first national center for quality and outcomes research in correctional healthcare . while at sbmi , she lead the development of the applied informatics program with a focus on telemedicine and quality using information systems . she lead the establishment of the regional extension center program at sbmi to incorporate electronic medical records into 1800 practices in 2 years .
optum is offering a free emotional - support help line to affected individuals . the toll - free number , 866 - 342 - 6892 , will be open 24 hours a day , seven days a week , for as long as necessary . the service is free of charge and open to anyone . specially trained optum mental health specialists help people manage their stress and anxiety so they can continue to address their everyday needs . callers may also receive referrals to community resources to help them with specific concerns , including financial and legal matters . along with the toll - free help line , emotional - support resources and information are available online at urltoken .
on a tight time schedule , the firm was able to provide a report to the client regarding standard review findings and then developed an enterprise architecture blueprint ( eab ) for the health information exchange domain over a six - year vision , and an eab lifecycle management plan that ensures certain levels of backwards compatibility as standards evolve . in addition , the firm developed an implementation specification document that can be used by local and regional hies as a technical reference for hie implementation . development of these resources in a timely fashion has allowed the state hie , within limited resources , to establish a state framework that is flexible to allow for local needs , and a life - cycle that will allow the hie to adjust to changes in technology .
may 9 brought another major incremental victory for medicine as senate bill 680 by senator hancock won approval in the house . sb 680 would allow physicians to continue prescribing an effective medication even if a health plan ' s step therapy protocols call for a change in medication . it also would expedite the step therapy override process from 52 days to three days . the house made some changes to the version that passed the senate last month . it now only needs agreement between the two chambers before it can head to governor abbott . the house also ok ' d a measure that would help medicine collaborate on care on may 6 when it passed tma - supported house bill 3124 by rep . lance gooden ( r - terrell ) . hb 3124 would allow physicians in doctor - led accountable care organizations to receive and share physician - specific comparison data and information .
superior health plan is partnering with rubiconmd , a platform that allows primary care providers to access same - day econsults from top medical specialists to improve patient care . through rubiconmd’s digital platform , primary care doctors share relevant , anonymized patient information , ask clinical questions , and receive responses from specialists in over 150 different specialties within hours . this streamlined process enables primary care providers to use these insights to make faster , more informed decisions for their patients . primary care providers who submit econsults on the rubiconmd platform report that doing so often allows them to avoid unnecessary referrals , procedures , and tests , and provide better overall care to their patients . to help with some of the healthcare access challenges that the medical community in areas affected by hurricane harvey will be facing , they are opening up rubiconmd’s econsult platform at no cost for houston - area primary care physicians , nurse practitioners , physician assistants and other relevant clinical first responders through the end of the year . providers can use this link to sign up directly for free access .
we couldn ' t have accomplished this without the incredible support from these partners ,
says field .
teha is a trusted advisor to elected officials and local , state and federal agencies that provides decision makers with objective and relevant feedback on policy and regulatory proposals .
teha is a venue that creates visibility and relevance for its membership by providing them with multiple opportunities for interaction with stakeholders , customers and partners .
a credible industry voice within our state , with a track record of positively impacting public policy .
a guide and a resource when our members are faced with regulatory uncertainty or a lack of information about the state’s hit marketplace .
an active force in that marketplace - one that’s not just reporting the story but actually influencing the state’s policy framework and decision making process .


shake 'n bake , manufactured by kraft foods , is a flavored bread crumb-style coating for chicken and pork .

the product is applied by placing raw meat pieces in a bag containing the coating , closing the bag , and shaking so the particles adhere .

the coated meat is then baked in the oven .

first introduced in 1965 by general foods , it is currently marketed under the kraft brand .

shake ' n bake

such as
shake ' n bake : it ' s better than frying
and
why fry ? shake ' n bake .
shake ' n bake ad ann b . davis ( alice ) pitches shake ' n bake with ' pete the butcher ' in this 1981 general foods
kraft shake ' n bake original chicken seasoned coating mix 4 . 5 oz . box
kraft shake ' n bake crispy buffalo seasoned coating mix 4 . 75 oz . box
kraft shake ' n bake parmesan crusted seasoned coating mix 4 . 75 oz . box
shake ' n bake 4 . 75 oz coating mix italian 1 box / carton each
even the fastest man in the world makes time for a little shake ‘n bake .
shake ' n bake original chicken seasoned coating mix 4 . 5oz ( 2 boxes )
shake n bake chicken seasoned coating mix 4 . 5 oz ( pack of 12 )
the art that is shake ‘n bake transcends all race , religion and species . check out below for awesome pictures of the shake ‘n bake act being caught in the moment .
kraft shake ' n bake hot & spicy seasoned coating mix 4 . 75 oz . box
kraft shake ' n bake original chicken seasoned coating mix 4 . 5 oz . box - urltoken
kraft shake ' n bake original chicken seasoned coating mix 4 . 5 oz . box - kraft recipes
also , if you use bread crumbs instead of shake n bake , you could afford the eggs .
the film titled wilbur & arnold was done by bbdo toronto advertising agency for product : shake ' n bake ( brand : shake ' n bake ) in canada . it was released in feb 1999 .
shake ‘n bake comes from a passion of creating cakes for those moments in life that are cause for celebration .
shake ' n ' bake drumsticks in a pan straight out of the oven sit on a wooden cutting board .
kraft shake n bake seasoned coating mix box , original chicken , 4 . 5 ounce ( pack of 12 )
the film titled shaking chicken was done by y & r ; midwest chicago advertising agency for product : shake ' n bake ( brand : shake ' n bake ) in united states . it was released in feb 1999 .
in the simpsons , homer is seen to like shake n ' bake . when working as a food critic he claims marge ' s cooking only has two moves , shake and bake , to which marge replies
you love shake n ' bake , you used to put it in your coffee .
shake ' n bake seasoned coating mix , original chicken , 4 . 5 - ounce boxes ( pack of 12 )
kraft shake n bake seasoned coating mix box , hot and spicy , 4 . 75 ounce ( pack of 8 )
a wild land firefighter ' s emergency fire shelter is sometimes referred to as a
shake ' n bake bag
.
shake ' n bake is particularly noted for its television commercials in the 1970s , 1980s , and 1990s . the most popular in the series featured the children helping make shake ' n bake with their mothers , enthusiastically exclaiming
and i helped !
me too . it reads like it’s added to all the other ingredients but , the store bought shake ‘n bake is dry .
shake n ' bake confirmed . by wiki page it may be a potentual love interest . ( look all the way down )
look like after frying . they then show that pork chops and chicken are more crispy , more juicy , more plump , and more tender when used with shake n ' bake than frying . they end with
why fry ? shake n ' bake .
milk and egg . beat the egg , stir in milk , dip chicken parts in wet mixture . then roll in shake n bake
shake n ' bake confirmed . by wiki page it may be a potentual love interest . ( look all the way down ) : shield
place in bag and shake to coat . shake off excess breading place on baking sheet .
this is a discussion on anyone know how to do the the jamal crawford shake n bake move ? within the nba 2k last gen forums .
best cakes in south africa ! ! ! we had the privilage of having a shake ' n bake wedding cake . thank you so much robyn !
this is a 1990 shake ' n bake commercial that aired on wcbs channel 2 during the 1990 christmas season presentation of rudolph the red - nosed reindeer .
shake ' n bake is particularly noted for its television commercials in the 1970s , 1980s , and 1990s , starring such child actors as carly schroeder , taylor momsen , and philip amelio . in the ads , the aforementioned children help make shake ' n bake with their mothers , enthusiastically exclaiming
and i helped !
kraft shake ' n bake original chicken lets you enjoy crispy , crunchy chicken without all the unnecessary fat and calories of frying . this coating makes moist and delicious chicken in the oven . low in fat and 100 percent cholesterol free , shake ' n bake is made with enriched wheat flour and a blend of spices that enhances the flavor of chicken . count on kraft shake ' n bake original chicken to help you create a healthy and tasty main dish the whole family will love .
my hubby loves shake and bake and said
tastes just like shake n bake , only better
. great kid food too . tender , moist , no trans fats here folks . i cut the recipe in half and used approx 1 / 2 . . .
ann b . davis ( alice ) pitches shake ' n ' bake with ' pete the butcher ' in this 1981 general foods commercial . what would sam say ?
in march 2004 , bake - n - shake opened its first outlet at stop no . 10 , arera colony , and in doing so proudly pioneered the coffee pub and pizzeria culture in bhopal . bake - n - shake successfully blended the best in western and indian food customs , and introduced bhopal to a matchless culinary experience ! since then , countless customers have delighted in savouring this unique concept , and bake - n - shake has been equally delighted in serving its customers the unrivalled best in bakery products and beverages ! in april 2009 , with the support , love and encouragement of its customers , bake - n - shake opened its second branch at jyoti cineplex , mp nagar
in my opinion , shake ' n bake was the worse thing to happen to chicken . . . it was awful stuff even though the concept was a good one .
choose chicken labeled as
usda certified organic
to ensure that it is free from antibiotics and hormones , recommends the stanford university school of earth sciences . when cooking your chicken coated in shake ' n bake , check that the internal temperature reaches at least 165 degrees fahrenheit with a meat thermometer , advises foodsafety . gov . discard any shake ' n bake that has touched uncooked chicken . if you notice that your shake ' n bake smells unpleasant or has gone moldy , discard it . shake ' n bake breadcrumb mix generally lasts until the expiration date listed on the package or about one year in the pantry or even your freezer ; set your freezer to 0 f . chicken cooked with shake ' n bake should last around four days in the refrigerator , set to 40 f or colder , or four months in the freezer at 0 f .
shake and bake chicken , perfect oven fried chicken for those that can ' t cook . kids can cook too
i believe one of my sisters made breaded chicken using yogurt once . i don ' t know if it was shake - n - bake , but it was pretty tasty .
urltoken : shake ' n bake seasoned coating mix , original chicken , 4 . 5 - ounce boxes ( pack of 12 ) : gourmet seasoned coatings : grocery & gourmet food
i ' m a shake ' n bake hound . i admit it . as far as i ' m concerned , nothing beats the taste of shake ' n bake for yummy chicken . i ' d probably put shake ' n bake on my hamburgers if i could get away with it . i love the stuff . the only problem i have with it is deciding which one to use ! i love them all . i have the original , bbq , extra crispy , plus the ones for fish and pork . it is just too good .
built in 1981 by campanella , shake n ' bake tbd completed a refit in 2016 whereby she was fully reconditioned with fresh paintwork and fitted with the most advanced zero speed stabilisers system .
to sprinkle some
shake
or yae on some
bake
or weed , roll a blunt and smoke it .
shake ' n ' bake
is used in sports vernacular for a kind of play where an offensive player escapes the guard of a defensive player , particularly done in an emphatic or dramatic manner .
the 49 . 82m ( 163’5 ) motor yacht shake n ' bake tbd boasts unlimited luxury combined with a timeless elegance that has made her one of the most popular and distinctive charter yachts on the market .
let the chicken marinate in buttermilk , overnight . add a 1 / 2 cup of flour ( optional ) to some bbq recipe shake and bake . shake and fry . . . forget about baking .
i ' m not a cake person , or at least i wasn ' t until i tried shake ' n bake . ordered some cakes for different events and these cakes were a huge hit 🙌🏼 10 / 10
in 1998 , a new commercial was tried with a different catchphrase ;
i made shake ' n bake , and mama helped
. this was only aired a few times and is the least recognized commercial .
shake and bake bbq spam musubi , bra . i ' m sure there ' s got to be one kid out their named musubi ?
shake ' n bake is a type of flavored breadcrumb mix from kraft foods . it gets its trademark name because of the way that you prepare chicken , namely , by shaking pieces of chicken in a bag filled with the breadcrumbs and then baking them , rather than frying them . not only can you prepare your chicken with shake ' n bake in the typical fashion , you can do so in other ways , as well .
to use : preheat oven to 400 for pork or 425 for chicken . pour some of mixture to large zippered bag . wet each piece of meat and shake off excess water . place in bag and shake to coat . shake off excess breading place on baking sheet . bake pork chops for 15 - 20 minutes . bake bone - in chicken for 40 - 45 minutes . bake boneless chicken for 20 - 25 minutes .
shake n ' bake tbd ' s highly trained crew of 12 offer the ultimate in personalised service and having cruised the world’s oceans , she is proven in seaworthiness and comfort to provide the perfect platform for any charter vacation .
kellogg ' s corn flake crumbs ( plus mayo for me , but you can use other things ) works fine for me . i wouldn ' t be surprised if it were cheaper than shake ' n ' bake too .
in 1998 , a new commercial was tried with a different catchphrase . . .
i made shake ' n bake , and mama helped
. this was on aired a few times and is the least recognized commercial .
how to make : home - made * * shake & bake * * mix . . . ( oven baked chicken legs = start to finish )
stir in dry seasonings with the shake ‘n bake crumbs before dipping the chicken . add in ½ tsp . each of seasonings like oregano , cayenne pepper , garlic powder , cumin or chili powder for more flavor in the chicken coating .
shake ‘n bake is a packaged coating for chicken and other meats . the mixture adds crispiness and flavor to the meat before baking for a quick meal . the basic directions instruct users to dip the chicken or other meat into water before placing them in a bag of crumbs and shaking . the crumb coating comes flavored , but additional methods of spicing up the mixture adds variety to the baked meat . try different seasonings and additions to experiment with your shake ' n bake modifications .
add seasoned breadcrumbs to the shake ‘n bake mix . this gives you more of the coating mixture so you can use more on each piece of chicken for a thicker coating . you also get the additional flavor from the seasoning in the breadcrumbs .
did you here about those stupid pillbillys from tennessee ? they were making some shake and bake in the back seat of their car , and the bottle exploded .
we as family and friends come together to celebrate life and all of its special moments . traditionally , we eat cake to signify a celebration . shake ‘n bake was created to be that little place that knows exactly what “finishing touch” your celebration requires .
this coating makes chicken moist and tasty . the flavor of the chicken is enhanced and it is eye appealing also . very easy to use - just shake and bake .
need a recipe that copies shake ' n bake in a pinch ? here ' s the tsr solution for a quick clone that will give you the same texture and flavor of kraft shake ' n bake using very common ingredients . you may notice the color is a bit different in this clone when compared to the real thing . that ' s because this recipe doesn ' t include beet powder—a hard to find ingredient that lends a red / orange tint to the original . but after you sink your teeth into the chicken baked the same way as described on the shake ' n bake box you ' ll swear it ' s the same stuff . when you ' re ready to get shaking and baking , use this breading on 2 1 / 2 pounds of chicken pieces or on 2 pounds of boneless , skinless chicken breasts .
just as i had thought… . it was not difficult at all . plus making our own shake ‘n bake was super inexpensive . i made enough to keep handy in the pantry . it will be great to have another mix handy to throw a dinner together on the fly .
this copycat shake ‘n bake recipe is going to save you some $ $ ’s . season your pork or chicken with this do it yourself recipe for a fraction of the cost of store bought . my entire family has always enjoyed shake & bake chicken and pork . the kids will always come back for seconds . for years before i learned to cook , i would make a recipe using shake ‘n bake using the store bought boxes . after i had to get frugal with my shopping , i quit buying the popular bread crumb mixture . those little boxes add on quite an expense to our family meals . they are just way too expensive for my grocery budget . occasionally , i will spot a sale and buy a box or two .
i ' ve used ranch dressing to get breadcrumbs to stick to my oven baked chicken nuggets but i don ' t know if the seasonings in the shake and bake would clash .
shake ‘n bake developed from baking the odd cake , or cupcakes , for family and friends for birthdays and weddings . the more orders and constant positive feedback i received , the more i realised how much i wanted this little venture of mine to grow and expand into something more than waiting for the occasional relative’s birthday . creating my own cakes and having the freedom to experiment with new flavours and combinations is something i am passionate about . each cake created by shake ‘n bake is finished off in its own special way . i believe this adds a sense of uniqueness to each and every cake .
shake ' n bake mix already contains several seasonings and comes in a variety of flavors . you can also add some of your own favorite flavors to it by adding cayenne pepper for a kick or some fresh ground herbs like dill , thyme , sage , cumin or curry powder to the breadcrumbs prior to coating your chicken . add some additional crunch to the chicken by mixing some crushed corn flakes or panko breadcrumbs in with the shake ' n bake mixture . drizzle a bit of honey mustard dressing over the cooked chicken for extra flavor . you can also pour some spaghetti sauce over your cooked chicken to create an italian - themed meal .
before preparing your chicken pieces , moisten them so that the breadcrumbs stick to them . although water alone will suffice , a marinade will add flavor to your chicken . in the refrigerator , soak your chicken pieces in a simple brine made with salt and spices or some salad dressing overnight before coating your chicken with shake ' n bake . although marinating the chicken will make it juicier , this isn ' t necessary , and you can glaze the chicken in your favorite marinade , low - fat mayonnaise or tangy barbecue sauce before breading it . cook the chicken immediately after breading it with shake ' n bake to prevent the crumbs from becoming soggy .
n - newt . ripley leans closer . feels like she ' s breathing on coals . the sound was incomprehensible .
the bakery items in bake n shake are the most amazing things to indulge into . the quality of all the products is world class and even the ambience is so positive and very lively . we would love to come here on every weekend if possible . that was all you , thank you so much for your great services .
i ' m thinkin ' if you mess with shakenbake crumb coats outside of its exacting parameters - lightly coated , natural , washed , skin on chicken pieces , you might have some suboptimal , and wet chicken . you could of course shoot for
interesting
results . nobody ever seemed to like the shake and bake bbq introduced way back in the ' 80 ' s . i ' m thinking it could use some sideral engineering . . . we have spam , spam , spam , . . . and spam shake n bake . go make suzhi wit dat !
i just made this but accidentally bought italian bread crumbs so i omitted the parsley basil and oregano . just tasting the mixture it tastes like shake and bake . can’t wait to add it to the chicken for dinner tonight !
terraformers . . . planet engineers . it ' s what we call a shake ' n ' bake colony . they set up atmosphere processors to make the air breathable . . . big job . takes decades . they ' ve already been there over twenty years . peacefully . the door tries to close . ripley slams it back . people are getting annoyed .
this recipe for shake ‘n bake was super tasty . the meat had a slight crisp and the flavors were perfect . just as i suspected… the kiddos were all back for seconds and a couple of them came back for thirds . the hubby and i enjoyed the mix on our pork too . my hub thought it was actually better than the store bought boxed stuff .
dip in milk , coat with flour , then dip in milk again , then shake and bake . the flour supplies the goopiness that normally would be supplied by the egg . if this works let me know so i can patent it .
shake ' n bake original pork flavor contains the following ingredients : enriched wheat flour ( wheat flour , niacin , iron , thiamin mononitrate vitamin b1 , riboflavin ( vitamin b 2 ) , folic acid ) , salt , partially hydrogenated soybean and cottonseed oil , sugar , contains less than 2 % of paprika , dextrose , dried onions , spice , caramel color , yeast , annatto ( color ) , and natural flavor . barbecue flavor shake ' n bake includes sugar , maltodextrin , salt , modified food starch , spice , partially hydrogenated soybean and cottonseed oil , brown sugar , mustard seed flour , dried onions , dried tomatoes , dried garlic , beet powder ( color ) , citric acid , natural flavor , caramel color , vinegar , and sodium silicoaluminate as an anticaking agent .
“shake ‘n bake has been a long sought - after dream of mine . from a very young age , i was constantly in the kitchen using new and different ingredients to create wonderful - tasting cakes . i wanted to create new and exciting things . this is why the majority of my school holidays consisted of me baking cakes and biscuits rather than playing outside or going to the movies with friends .
includes the catchphrases ,
gotta be crispy , gotta be golden , gotta be juicy
and
you just shake then bake , and that chicken ' s so crisp and juicy and golden it makes me look golden , if you know what i mean .
cake is an irresistible dessert often served as a celebratory dish on ceremonial occasions earlier . the concept behind bake n shake is to create a fun , tasty yet superior quality dessert that people can enjoy anytime irrespective of any occasion . our bakery provides cutting - edge designed wedding dessert creations using delicious fruits like , apple , strawberries or other fresh fruits to create mousse cakes , luscious tarts and a variety of handcrafted asian pastries specialties .
your work is . when i received my 21st birthday cake and opened up the box i was honestly blown away . every little detail was noticed . n
jullian & apos ; s friend ;
man , i can & apos ; t believe you hooked up with that girl kirstie , dude she hella fiiine !
jullian ;
i know right .
jullian & apos ; s friend ;
shake and bake
* fist pound *
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last week , my boys spotted chicken legs while we were grocery shopping and asked when the next time we could have that chicken with the crumbs . i quickly snagged a package of chicken legs for the kiddos and some pork chops for the hubby and i . we have really done well with making our copycat hidden valley ranch mix , copycat good seasons italian mix , and also the copycat lipton onion mix so , why not attempt to make our own shake ‘n bake recipe ?
after coating your chicken with shake ' n bake , you can bake it in the oven or grill it on your barbecue to add a bit of smoky flavor to it . grill whole pieces of the coated chicken or cut your chicken into small pieces to create chicken kabobs on skewers . broiling the chicken can give it the flavor of grilling without a barbecue . if you wish to pan fry your coated chicken pieces , use a small amount of vegetable oil that is low in saturated fats like canola oil . because the breadcrumbs add crispness to your chicken , you can remove any skin from the pieces before cooking to eliminate excess fat .
new video ! : nancy sinatra rc cola urltoken and i helped ( 27 times ! ) urltoken i have been searching for 5 yrs . for the mid - 1960 ' s shake n bake commercial with the southern accented girl and can ' t find it anywhere on youtube , the internet or on commercial dvd ' s . this 1976 ad is the closest i can find . i know it ' s out there because i used to have it on a vhs of tv ads .
nascar stock car racing sensation ricky bobby is a national hero because of his
win at all costs
approach . he and his loyal racing partner , childhood friend cal naughton jr . , are a fearless duo - -
shake
and
bake
by their fans for their ability to finish so many races in the # 1 and # 2 positions , with cal always in second place . when flamboyant french formula one driver jean girard challenges
shake
and
bake
for the supremacy of nascar , ricky bobby must face his own demons and fight girard for the right to be known as racing ' s top driver .
i dip chicken in yummy salad dressings and then dredge them in my own homemade
shake & bake
, which is breadcrumbs with whatever seasonings i feel like that day . the major plus is that it ' s approximately 4 million percent less salty that way . my current favorite is an asian sesame dressing . mmmmm .
newt . my n - name ' s newt . nobody calls me rebecca except my dork brother . ripley grins inanely , not wanting to move or speak . . . or break the spell .
great concept , i would correct the round . pictured is an he round with a wp on it . if i had one thing to revise it would be to have two separate rounds , one wp , and the other he crossed over each other . that would be the true shake , and bake . other than technical issues love the shirt . please make more mortar shirts .
a retaliatory action where a man jerks off in a girls purse , closes the purse , and then proceeds to shake the purse so all the contents inside have an even coating of jizz on them .
for so long , i couldn ' t find the bbq glaze in stock anywhere . i was so excited when i found this - - and then so disappointed when i cooked it and it was not the original recipe . that baked into a sticky glaze . this is like a hybrid of that glaze and regular crumbly shake and bake . it ' s weird and gritty and the taste is not pleasant . i feel tricked !
i raised both my boys ( age 26 and 23 ) on bbq glaze shake and bake and it was a highly requested meal . all of a sudden it was gone from the shelves . i found some last week and bought several boxes . it’s the nastiest chicken i’ve ever eaten . the chicken didn’t crisp up and the coating was like jelly . we couldn’t even eat our meal . why do you change recipes that were working fine ? please fix this gross mess .
in a large resealable plastic bag combine the crumbs , oil , salt , paprika , celery salt , pepper , garlic salt , minced garlic , minced onion , basil , parsley and oregano . seal bag and shake all ingredients together .
une fenêtre ( pop - into ) d ' information ( contenu principal de sensagent ) est invoquée un double - clic sur n ' importe quel mot de votre page web . la fenêtre fournit des explications et des traductions contextuelles , c ' est - à - dire sans obliger votre visiteur à quitter votre page web !
a method of making crystal meth in small batches without a heat source . the method involves mixing and shaking ingredients in a container , such as a 2 liter soda bottle . by preparing the drug in small quantities , cookers can avoid purchasing limits on over - the - counter medicines . addicts can also prepare their own supply , bypassing dealers . shake and bake meth can be prepared in bathroom stalls and moving vehicles . the chemical reaction involved in shaking the ingredients can create an explosion , and the drug itself has obvious health risks . also called “one - pot” and “on the go” meth .
preheat oven to 400 degrees f . moisten with water 2 - 1 / 2 lbs bone - in chicken ( 6 to 8 pieces , with or without skin ) or 2 lbs boneless skinless chicken breasts . 1 . shake moistened chicken , 1 to 2 pieces at a time , in shaker bag with one packet of coating mix . discard any remaining mix and bag . 2 . bake at 400 degrees f in ungreased or foil - lined 15 x 10 x 1 - inch baking pan until cooked through . chicken : bone - in : 45 minutes , boneless : 20 minutes . do not cover or turn chicken during baking .
i was wondering that too , thinking that the shake mix was dry but after looking at other copycat recipes and then giving it a go myself - you mix the oil in with all the dry seasonings . the mix still remains “dry” but the oil allows the bread crumbs to brown while the chicken bakes . hope this helps 🙂
wow , i read the reviews and if you work at kraft you need to take notice . the consumers are speaking to you . we do not like the new bbq glaze flavor shake n bake . you need to throw this in the garbage . we want the old recipe bank . it was an actual glaze on the chicken . it was perfect . this new formula is terrible . it tastes awful and has this gritty stuff in it . it cooks to a mush on your chicken . it is soggy mess . my family is very disappointed . i have used the bbq glaze since i was a kid and im 42 years old . please change it back . we the consumers are speaking . i wont be buying this product again . i may even boycott kraft all together . you keep sending generic responses to the reviews of others saying they do not like the new flavor . you really need to see the consumers are wanting it changed back . remember , if you have an awesome product you should not change it . look at coke . they got smart and changed back to the original formula . you need to do the same . lori b
punch it , bishop ! the entire lower level of the station disappears in a fireball . the air vibrates with intense heat waves and concussion . the drop - ship engines fire . ripley is slammed back in her seat . the ship vaults out and up , bishop standing it on its tail , pouring on the gees . ripley and newt see everything shake into a blur .
1 . combine all ingredients in a small bowl and stir to combine . 2 . prepare chicken following the same technique as described on the box of the original mix using 2 1 / 2 lbs . of bone - in chicken ( 6 to 8 pieces , with or without skin ) or 2 lbs . boneless skinless chicken breast halves . preheat your oven to 400 degrees f , then moisten the chicken with water . use a large plastic bag for the coating and use the same steps as described on the original package :
shake moistened chicken , 1 to 2 pieces at a time , in shaker bag with coating mixture . discard any remaining mixture and bag . bake at 400 degrees f in ungreased or foil - lined 15x10x1 - inch baking pan until cooked through . bone - in : 45 minutes / boneless : 20 minutes .
serves 4 .
2x 3 - man 2016 sea - doo gtx limited is 260 jet skis , 1 x 26 ft boston whaler outrage with out board 225hp yamaha , 1 x 19 ft joker clubman with out board 115 hp evinrude , 1 x custom freestyle cruiser 7 m inflatable slide , 1x movies screen fenix 390 x 293 4 : 3 , 9m x 4m ( 2 . 5m deep ) swimming pool , snorkeling gear range of water skis including pro mono , intermediate and beginners 1 x wakeboard 1 x 11’6 stand up paddle board range of inflatable towable toys including 3 man banana scuba - rendezvous diving . 6 sets of dive gear including tanks and weights , on board compressor approved rya training centre with on board pwc instructor . guests can complete their pwc license right from shake and bake tbd’s swim platform , all the entertainment systems including the lighting are totally controlled by ipads by an fully function integrated system .
standard prep ! heat oven to 400degf . moisten 21 / 2 lb . bone - in chicken pieces ( about 6 pieces ) , 2 lb . boneless skinless chicken breasts ( 6 to 8 breasts ) , or 6 to 8 ( 1 / 2 - inch thick ) bone - in or boneless pork chops with water . 1 . shake chicken or chops , 1 piece at a time , with 1 pkt . coating mix in shaker bag . discard bag and any remaining coating mix . 2 . bake on ungreased or foil - covered rimmed baking sheet until done ( minimum internal temperature of 165degf for chicken , or 145degf for pork chops , when tested with meat thermometer ) . bone - in chicken : 45 min . ; boneless chicken , bone - in or boneless pork chops : 20 min . let chops stand 3 min . before serving . do not cover or turn meat while baking .
ripley runs , blindly , with panting intensity verging on hysteria . impressions crash upon her . . . the maze blurring by , sirens howling , the station rocking with explosions , emergency lights flashing , steam blasting , red - hot steel hissing . reality itself is reduced to a concussive series of strobelike instants of relentless forward motion . she sees one of the flares she dropped and turns . sees another , sprinting toward it as the foundations of the world shake .
dave : did you hear what mike did the other night to that chick he hooked up with ? mike : no man , what did he do ? dave : apparently , the girl stopped having sex with him once her boyfriend called and she decided to leave . instead of being blue balled mike jerked off in her purse , zipped it up , and shook it up in retaliation while she was in the bathroom cleaning up . mike : holy shit , he shake and baked her real good . i bet she was pissed .
jerrico , inc . , the parent company for long john silver ' s seafood shoppes , got its start in 1929 as a six - stool hamburger stand called the white tavern shoppe . jerrico was started by a man named jerome lederer , who watched long john silver ' s thirteen units dwindle in the shadow of world war ii to just three units . then , with determination , he began rebuilding . in 1946 jerome launched a new restaurant called jerry ' s and it was a booming success , with growth across the country . then he took a chance on what would be his most successful venture in 1969 , with the opening of the first long john silver ' s fish ' n ' chips . the name was inspired by robert louis stevenson ' s treasure island . in 1991 there were 1 , 450 long john silver seafood shoppes in thirty - seven states , canada , and singapore , with annual sales of more than $ 781 million . that means the company holds about 65 percent of the $ 1 . 2 billion quick - service seafood business . source : top secret recipes by todd wilbur .
silent and endless . the stars shine like the love of god . . . cold and remote . against them drifts a tiny chip of technology . closer shot it is the narcissus , lifeboat of the ill - fated star - freighter nostromo . without interior or running lights it seems devoid of life . the ping of a ranging radar grows louder , closer . a shadow engulfs the narcissus . searchlights flash on , playing over the tiny ship , as a massive dark hull descends toward it .
dark and dormant as a crypt . the searchlights stream in the dusty windows . outside , massive metal forms can be seen descending around the shuttle . like the tolling of a bell , a basso profundo clang reverberates through the hull . close on the airlock door light glares as a cutting torch bursts through the metal . sparks shower into the room . a second torch cuts through . they move with machine precision , cutting a rectangular path , converging . the torches meet . cut off . the door falls inward revealing a bizarre multi - armed figure . a robot welder . figures enter , backlit and ominous . three men in bio - isolation suits , carrying lights and equipment . they approach a sarcophaguslike hypersleep capsule , f . g .
( filtered ) internal pressure positive . assume nominal hull integrity . hypersleep capsules , style circa late twenties . . . his gloved hand wipes at on opaque layer of dust on the canopy . angle inside capsule as light stabs in where the dust is wiped away , illuminating a woman , her face in peaceful repose . warrant officer ripley , sole survivor of the nostromo . nestled next to her is jones , the ship ' s wayward cat .
( voice over ; filtered ) lights are green . she ' s alive . well , there goes out salvage , guys .
she ' s lying in a bed , looking wan , as a female med - tech raises the backrest . she is surrounded by arcane white medical equipment . the med - tech exudes practiced cheeriness .
why don ' t i open the viewport ? watch your eyes . harsh light floods in as a motorized shield slides into the ceiling , revealing a breathtaking vista . beyond the sprawling complex of modular habitats , collectively called gateway station , is the curve of earth as seen from high orbit . blue and serene .
just a couple of days . do you feel up to a visitor ? ripley shrugs , not caring . the door opens and a man enters , although ripley sees only what he is carrying . a familiar large , orange tomcat .
( cooing baby - cat talk ) come here jonesy you ugly old moose . . . you ugly thing . jones patiently endures ripley ' s embarrassing display , seeming none the worse for wear . the visitor sits beside the bed and ripley finally notices him . he is thirtyish and handsome , in a suit that looks executive or legal , the tie loosened with studied casualness . a smile referred to as
winning .
nice room . i ' m burke . carter burke . i work for the company , but other than that i ' m an okay guy . glad to see you ' re feeling better . i ' m told the weakness and disorientation should pass soon . side effects of the unusually long hypersleep , or something like that .
how long was i out there ? they won ' t tell me anything .
( soothing ) well , maybe you shouldn ' t worry about that just yet . ripley grabs his arm , surprising him .
all right . my instinct says you ' re strong enough to handle this . . . fifty - seven years . ripley is stunned . she seems to deflate , her expression passing through amazement and shock to realization of all she has lost . friends . family . her world .
you ' d drifted right through the core systems . it ' s blind luck that deep - salvage team caught you when they . . . are you all right ? ripley coughs suddenly as if choking and her expression becomes one of dawning horror . burke hands her a glass of water from the nightstand . she slaps it away . it shatters with a smash . jones dives , yowling . ripley grabs her chest , struggling as if she is strangling . the med - tech hits a console button .
burke and the med - tech are holding ripley ' s shoulders as she goes into convulsions . a doctor and two techs run in . ripley ' s back arches in agony .
no . . . noooo ! they try to restrain her as she thrashes , knocking over equipment . her ekg races like mad . jones , under a cabinet , hisses wide - eyed .
hold her . . . get me an airway , stat ! and fifteen cc ' s of . . . jesus ! an explosion of blood beneath the sheet covering her chest ! ripley stares at the shape rising under the sheet . tearing itself out of her . her p . o . v . as the sheet rises . a glimpse of the
tight on ripley screaming , snapping up into frame . alone in the darkened hospital room . she gasps for breath , clutching pathetically at her chest . there is no demented horror rigging itself out of her . her eyes snap about wildly , slowly focusing on the reality of her safety . shuddering , bathed in sweat , she kneads her breastbone with the heel of her hand and sobs . a video monitor beside the bed snaps on . a med - tech ' s face .
( faint ) no . . i ' ve slept enough . the med - tech shrugs and switches off . touching a button on the nightstand she opens the viewport , revealing gateway and the turquoise earth . she hugs jones to her and rocks with him like a child , still shattered by the nightmare . shivering . sleep is far off .
we made it , jones . we made it . but at what price ?
sunlight streams in shafts through a stand of poplars , beyond which a verdant meadow is visible . extreme f . g . jones stalks toward a bird hopping among fallen leaves . he leaps . and smack into a wall .
( voice over ) dumbshit . wider angle as jones steps back confused from the high - resolution environmental wall screen , a sort of cinerama video - loop . ripley sits on a bench in what we now see is an atrium off the medical center , still somewhere in the bowels of gateway station . benches . some unenthusiastic potted trees . the sterile corridors visible beyond glass doors b . g . burke enters in his usual mode , casual haste .
sorry . . . i ' ve been running behind all morning . ripley seems healthier now , but still a bit brittle .
well , i was going to wait until after the inquest . . . he opens his briefcase , removing a sheet of printer hard copy , including a telestat photo .
( scanning ) amanda ripley - mcclaren . married name , i guess . age : sixty - six . . . at time of death . two years ago . ( looks at her ) i ' m sorry . ripley studies the photograph , stunned . the face of a woman in her mid - sixties . it could be anybody . she tries to reconcile the face with the little girl she once knew .
( reading ) cancer . hmmmm . they still haven ' t licked that one . cremated . interred parkside repository , little chute , wisconsin . no children . ripley gazes off , into the pseudo - landscape , into the past .
i promised her i ' d be home for her birthday . her eleventh birthday . i sure missed that one . ( pause ) well . . . she has already learned to take my promises with a grain of salt . when it came to flight schedules , anyway . burke nods , a simpatico presence .
you always think you can make it up to somebody . . . later , you know . but now i never can . i never can . let ' s get one thing straight . . . ripley can be one tough lady . but the terror , the loss , the emptiness are , in this moment , overwhelming . she cries silently . burke puts a reassuring hand on her arm .
( gently ) the hearing convenes at 0930 . you don ' t want to be late .
elevator doors part and ripley emerges , in mid - conversation with burke . dollying ahead of them as they move rapidly down the corridor .
look , i believe you , but there are going to be some heavyweights in there . you got feds , you got interstellar commerce commission , you got colonial administration , insurance company guys . . .
just tell them what happened . the important thing is to stay cool and unemotional .
do you people have earwax , of what ? we have been here three hours . how many different ways do you want me to tell the same story ? she faces the eight members of the board of inquiry at a long conference table . gray suits and grim faces . they aren ' t buying . behind ripley on a large video screen , parker grins like a goon from his personnel mugshot . his file prints out next to it . brett ' s face and dossier replace it , and then the others as the scene continues . . . kane , lambert , ash the android traitor , dallas . van leuwen , the icc representative , steeples his fingers and frowns .
look at it from our perspective . you freely admit to detonating the engines of , and thereby destroying , an m - class star - freighter . a rather expensive piece of hardware . . .
( dryly ) forty - two million in adjusted dollars . that ' s minus payload , of course .
the shuttle ' s flight recorder corroborates some elements of your account . that the nostromo set down on lv - 426 , an unsurveyed planet , at that time . that repairs were made . that it resumed its course and was subsequently set for self - destruct . by you . for reasons unknown .
it did not , however , contain any entries concerning the hostile life form you allegedly picked up . ripley sense the noose tightening .
then somebody ' s gotten to it . . . doctored the recorder . who had access to it ? the eca ( extrasolar colonization administration ) representative ( eca rep ) just shakes his head .
would you just listen to yourself for one minute . ripley glares at the eca rep , a woman on the ungenerous side of fifty . van leuwen sighs with exasperation .
the analysis team which went over your shuttle centimeter by centimeter found no physical evidence of the creature you describe . . .
( losing it ) that ' s because i blew it out the goddamn airlock ! ( pause ) like i said .
no . it ' s a rock . no indigenous life larger than a simple virus . ripley grits her teeth in frustration .
i told you , it wasn ' t indigenous . there was an alien spacecraft there . a derelict ship . we homed on its beacon . . .
to be perfectly frank , we ' ve surveyed over three hundred worlds and no one ' s ever reported a creature which , using your words . . . ( read from ripley ' s statement ) . . . ' gestates in a living human host ' and has ' concentrated molecular acid for blood . ' ripley glances at burke , silent at the far end of the table . his expression is grim . her mouth hardens as a bit of the old nail - eating ripley surfaces .
look , i can see where this is going . but i ' m telling you those things exist . back on that planetoid is an alien ship and on that ship are thousands of eggs . thousands . do you understand ? i suggest you find it , using the flight recorder ' s data . find it and deal with it - - before one of your survey teams comes back with a little surprise . . .
( louder , stepping on him ) . . . because just one of those things managed to kill my entire crew , within twelve hours of hatching . . . van leuwen stands , out of patience .
thank you , that will be all . ripley stares him down , glowering at the board .
that ' s not all , goddamnit ! if those things get back here , that will be all . then you can just kiss it good - bye , jack ! just kiss it goodbye . ripley turns sharply away , trembling with frustration and anger . dallas looks back at her from the video screen , his eyes burning from the photograph , as we :
ripley kicks the wall next to burke who is getting coffee and donuts at a vending machine .
they had their minds made up before i even went in there . they think i ' m a head case .
it is the finding of this board of inquiry that warrent officer ellen ripley , noc - 14672 . has acted with questionable judgment and is unfit to hold an icc license as a commercial flight officer . burke watches ripley taking it on the chin , white - lipped but subdued .
said license is hereby suspended indefinitely . no criminal charges will be filed at this time and you are released on own recognizance for a six month period of psychometric probation , to include monthly review by an icc psychiatric tech . . .
dolly back as the conference room door bangs open and ripley strides through . she shrugs off burke ' s restraining arm and catches up to van leuwen walking down the corridor .
( condescendingly ) because i don ' t have to . the people who live there checked it out years ago and they never reported and ' hostile organism ' or alien ship . and by the way , they call it acheron now .
what are you talking about . what people ? van leuwen steps into an elevator with some others , but ripley holds the door from closing .
do you mind ? ripley ' s hand slides off the door , strengthless . tight on her from inside the elevator as the doors close like fate on her lost expression .