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TBS: Suleiman of Maya |
Posted by: The Black Sword - February 12th, 2017, 11:13 - Forum: Pitboss 36
- Replies (43)
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I like Imp, spi, ind, and phi. All of them seem like they should be significantly improved in the medieval era. The raw strength of Fin and Org means they may still be competitive but I don't think I want to play them.
Civs don't feel very powerful, except for Portugal or the Dutch, which are map dependent.
Let's go with:
1. Suleiman(Phi/Imp) of Maya
2. Ghandi (Spi/Phi) of China
3. Justinian (Imp/Spi) of Mongolia
4. Augustus(Imp/Ind) of Greece
5. Lizzy (Fin/Phi) of Portugal
6. Roosevelt(Ind/Org) of Dutch
7. Asoka(Org/Spi) of Eygpt
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NG1 - St Francis Hospital - Lurker and Private |
Posted by: Bacchus - February 12th, 2017, 08:56 - Forum: The Gaming Table
- Replies (9)
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This is a lurker thread for this: http://www.realmsbeyond.net/forums/showt...p?tid=8646
Next post reserved for posting discussions out of the negotiating rooms.
Should be fun. I'm not posting confidential instructions here so that lurkers can have fun figuring out who's after what as well.
Sides:
Bennett, CEO -- Myki
Marshall, CFO -- Vnosikov,
MacNamara, Vice president for Nursing -- Gavagai
Mason, Chief of Medicine -- AdrienIer
Parker, representative senior attending physician -- Rho21
On the table:
ISSUE I. SHOULD THE MMM BE EXPANDED TO ALL INPATIENT SERVICES IN THIS BUDGET YEAR? SUCH A CHANGE WILL REQUIRE MAJOR ORGANIZATIONAL RESTRUCTURING, AS WELL AS BUDGETARY CHANGES. THESE ARE OUR OPTIONS: - Option A. Expand the MMM in its current design to all inpatient services in this budget year.
- Option B. Create a fully collaborative physician-nurse management model instead of the MMM. This will take at least a year and could create significant conflict in many areas of the hospital.
- Option C. Increase the nurses' role in an amended MMM and then expand to all inpatient services a year from now. Use the year to reinforce the nurses' increased administrative and medical role, through cross-disciplinary planning and training.
- Option D. Do not expand the MMM; continue it just as a demonstration.
ISSUE II. IF THE MMM IS EXPANDED, EITHER NOW OR IN ONE YEAR, WHO WILL HAVE THE FINAL DECISION ON PRACTICE NORMS? - Option A. Administrative Model. Physician practices must meet national DRG and cost-efficient norms; a minimum of outlier cases will be tolerated. Decisions will focus on potential fiscal impacts and cost savings, with heavy emphasis on better use of medical staff. Final decisions on practice norms will be determined by the chief of medical staff, the CEO, and the CFO.
- Option B. MMM Model. All physicians on the medical staff (including the attending physicians) will establish and apply the norms. Case records will be reviewed by the medical chief of each department, and broad categories of accepted performance for outliers will be allowed.
- Option C. Potential MMM Model, with increased role for nurses. Hospital norms of practice will be determined by a multi-disciplinary team of physicians, senior nurses, and ancillary service representatives, and will be approved by the CEO. Nurses will have input into treatment and discharge decisions, and will be accountable for bedside decisions if a physician is not available. Case records in each department will be reviewed weekly by a departmental multidisciplinary team.
ISSUE III. IF ST. FRANCIS ADOPTS SOME FORM OF THE MMM, WHO SHOULD TAKE THE LEAD IN TRAINING OTHER MEDICAL SERVICES IN THE HOSPITAL-WIDE IMPLEMENTATION OF THE MODEL? - Option A. This is a quality-of-care issue for patients and staff alike. It is a perfect role for nurse managers to show their professional leadership and skills in working with other medical professionals.
- Option B. This is a financial management issue. The CFO and the MIS staff should train medical staff -- physicians, nurses, and ancillary services staff -- in how to initiate and maintain appropriate records.
- Option C. Chief of the medical staff and the chief of medicine should plan and manage this important transition. Physicians are responsible for medicine, and they should be the leaders in explaining any new medical management processes throughout the hospital.
- Option D. The CEO is responsible for integrating financial and quality-ofcare issues at St. Francis. It's up to the CEO to decide on the appropriate process.
ISSUE IV. IF AN EXPANDED MMM IS ADOPTED -- EITHER IMMEDIATELY OR IN ANOTHER YEAR -- SIGNIFICANT ADDITIONAL BUDGETARY RESOURCES WILL BE NEEDED OVER THE NEXT FEW YEARS. THIS MEANS THAT TOUGH DECISIONS HAVE TO BE MADE ABOUT NEW BUDGETARY PRIORITIES, BECAUSE THERE WILL NOT BE ENOUGH MONEY TO DO EVERYTHING. THESE PACKAGES OF PRIORITIES ARE APPROXIMATELY EQUIVALENT, ALTHOUGH MOST PROPOSALS TEND TO REFLECT THE DIFFERING INTERESTS OF DIFFERENT HOSPITAL CONSTITUENCIES. THE BOARD EXPECTS BENNETT, AS CEO, TO RECOMMEND PRIORITIES REGARDING NEW EXPENDITURES. BENNETT, IN TURN, NEEDS TO GET AGREEMENT FROM THE PARTICIPANTS AT THIS MEETING. THE OPTIONS THAT HAVE BEEN PROPOSED ARE AS FOLLOWS: - Package 1 MIS coordinator and technicians * Physician administrator for the MMM * New equipment for the operating room * Nurse discharge coordinator
- Package 2 Dollars for nurses’ salaries and staff upgrades * Nurse co-administrator for the MMM * Nurse discharge coordinator * MIS technicians, but under nursing supervision
- Package 3 Physician administrator for MMM * New operating room * MIS coordinator and technicians
- Package 4 CEO flexible fund and final budget decision making * Physician administrator for MMM * Nursing salaries and staff upgrades * MIS technicians
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NG1 - St Francis Hospital - Game thread |
Posted by: Bacchus - February 12th, 2017, 08:34 - Forum: The Gaming Table
- Replies (132)
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Set-up and rules
This is the rules and game thread for RB's first try of a forum-based negotiation game. Players should read this post carefully as it provides a short summary of the situation, links to all the materials and explains the process.
Another day dawns over St Francis Hospital, a large and illustrious US health institution. The hospital has been recently feeling some financial pressures and the Board is awaiting a recommendation from the management on how to react. In the recent years, the hospital has been trialling a "Managed Medical Model" (MMM), which has been a success by some accounts, and the immediate issue at stake is whether to roll out MMM to the entire hospital, if yes, how, and if no, then what model to adopt. Coming up with an agreed recommendation is the management's last chance to influence the Board's decision in a predictable way, if no agreement is reached, it's all up to chance and politics and no-one is sure what course the Board will adopt, it could be potentially ruinous to the hospital.
The situation and the participants are described in greater detail here: https://drive.google.com/file/d/0B8jd1HT...sp=sharing
The management has to consider four issues, and the resulting agreement must address all four. That is, even if management feels that adopting MMM is not the best way forward, they should still recommend how MMM could be adopted best, if the Board decided to go ahead with it. Not providing a recommendation here would leave the Board in the dark and risk something completely random being but in place.
For the Board to seriously consider management's recommendation, an agreement has to be signed by at least 4 of the 5 participating parties. Any agreement of only 3 managers is as good as no agreement at all.
Confidential instructions outlining specific agendas for each manager will be sent via PM around 1700 GMT on Monday 13th. As with the general instructions, they will come in a form of a link to a PDF file hosted on Google Drive.
On 1800 GMT on Monday 13th, a post in this thread will indicate that the parties can start negotiating.
Negotiation will take place in this thread, for any public communication and in three private "rooms" allowing for a subset of parties to discuss matters in secret. No discussion of the game should take place outside of these channels. Further detail on the functioning of the rooms is provided below. Character does not need to be maintained for the purposes of this game, you can refer to each other either by forum name or role name.
Confidential instructions are confidential -- the parties are strictly prohibited from sharing their instructions with each other, or quoting verbatim from them, or otherwise attempting to use the instructions to lend credence to their position. Conversely, should any attempt of this sort be made, other parties should consider it a regular negotiating gambit. Please just don't do this, as it takes away the very point of the game.
During negotiation, a player can formally agree to a recommendation to the Board, by posting it in red: I-A; II-B; III-C; IV-Package 4. A player can be a signatory to a single agreement at a time, a later indication of agreement overrides all prior ones.
Negotiation will conclude on Thursday 16th at 1800 GMT.
If any agreement has at least 4 signatories as of end of negotiations, it will be submitted to the Board, otherwise no agreement is reached. Note that if any agreement has had 4 signatories prior to the end of negotiations, but since the parties' formal positions have changed, it is up to the parties to return to that agreement, should they wish to do so, before the end of negotiations.
Private negotiations
Three rooms are provided for the purposes of private negotiations. A party can only every be admitted to one of these, so it's easy to remember which one. The rooms are hosted via the means of a Google Doc, feel free to inspect them prior to the start of negotiations: Room 1,Room 2, Room 3. I suggest bookmarking these, albeit they will also be provided at the top of this post.
Any party wishing to enter an empty room, provided it is not present in any room already, can obtain access by posting in the game thread in green: "Enter Room [X]". Once in the room, please follow rules as written.
Once a room is occupied, additional parties can be invited by existing occupants by posting in green: "Invite [ForumName] to Room [X]", all occupants must consent before a new party can enter. Be careful with this.
Invitations can be extended in advance to save time, so for example: "Enter Room [X], Invite [ForumName] and [ForumName] to Room [X]", the invitees should take care of the list of participants.
Once you want to switch to another room, or give the other party space, post "Vacate Room [X]" and carry out all the clean-up instructions as specified in the rules
Players
MYKI -- Bennet, CEO
Vnosikov -- Marshall, CFO
AdrienIer -- Mason, Chief of Medicine
Gavagai -- McNamara, Head of Nursing
Rho21 -- Parker, senior attending physician
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Random questions |
Posted by: MrBiscuits - February 11th, 2017, 15:16 - Forum: Caster of Magic
- Replies (654)
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Awesome mod. The only problem is I'm not very good at it, I can't even beat it on normal.
Anyway I have a couple of questions:
Is it a good idea to pack as many cities in as you can on a landmass or have fewer cities with a higher maximum population? Is having overlapping tiles worked a good idea?
I don't quite understand the Astrologer 50% overland spell bonus. Which spells count as overland? Is it a discount to the cost?
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[Spoilers] The Crack'd Pot Civ |
Posted by: Mr. Cairo - February 10th, 2017, 17:31 - Forum: Pitboss 36
- Replies (56)
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Password: malaz
For Reference
Options:
1. Frederick of America
Org, Phi
Navy Seal, Mall
2. Asoka of Egypt
Org, Spi
WC, Obelisk
3. Julius Caesar of Germany
Org, Imp
Panzer, Assembly Plant
4. Justinian of Mongolia
Spi, Imp
Keshik, Ger
5. Gandhi of China
Phi, Spi
Cho-Ko-Nu, Pavilion
6. Suleiman of Maya
Phi Imp
Holkan Ball Court
7. Elizabeth of Portugal
Fin, Phi
Carrack, Feitora
8. Roosevelt of Dutch
Ind Org
East Ind Dike
9. Victoria of Russia
Fin Imp
Cossack Research Inst
10. Mansa Musa of Arabia
Fin, Spi
Camel Archer, Madrassa
11. Darius of Japan
Fin, Org
Samurai, Shale Plant
12. Ragnar of England
Agg, Fin
Redcoat, Stock Exchange
13. Alexander of Ethiopia
Agg, Phi
Oromo, Stele
14. Boudica of Ottomans
Agg, Cha
Jannisary, Hamman
15. Pericles of Korea
Cre, Phi
Hwacha, Seowon
16. Genghis Khan of Aztecs
Agg, Imp
Jaguar Warrior, Sac Altar
17. Montezuma of France
Agg, Spi
Musketeer, Salon
18. Hammurabi of Holy Roman Empire
Agg, Org
Landsknecht, Rathaus
19. Napoleon of Spain
Org, Cha
Conquistador, Citadel
20. Augustus Caesar of Greece
Ind, Imp
Phalanx, Odeon
21. Catherine of Khmer
Cre, Imp
Ballista Ele, Baray
Traits:
Aggressive: Free Combat I promotion of melee and gunpowder units. Barracks and Drydock
Creative: +2 Culture per city. Library, Theater and Colosseum
Expansive: +2 Health per city and, in BtS, 25 percent faster production of Worker. Granary and Harbor
Financial: +1 Commerce on tiles with 2 already
Industrious: Wonder production bonus of +50%. Forge
Organized: Civic upkeep reduced 50 percent. Lighthouse, Factory and Courthouse
Philosophical: Great person point bonus of +100%. University
Spiritual: There is no anarchy when changing civics. Temple
Imperialistic: Great General emergence rate increased 100 percent, settler production bonus of +50%
Protective: Archery and Gunpowder Units receive free Drill I and City Garrison I. Walls and Castle
Charismatic: +1 Happiness per city, -25% experience needed for unit promotions, +1 Happiness from Monument and Broadcast Tower
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Fortress Lightning |
Posted by: Seravy - February 10th, 2017, 10:30 - Forum: Caster of Magic
- Replies (12)
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It was mentioned last week that the Fortress Lightning is weird for non-Chaos wizards, so here is the question :
Do we want to keep it a lightning bolt, or do we want to replace the effect and sound with something else?
I assume we want an Arcane spell's effect which means Heroic Shout (Recall Hero) is the only one - dispel would look silly- but for sound we might want to pick something else. Or is there some more suitable effect I'm overlooking? Of course we also need to update the help text to say something like "magic blast" instead of lightning, I'm not sure - I guess this depends on what visual and sound effect we pick.
The damage and armor piercing property would stay unchanged.
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[spoilers] OT4E's crusade |
Posted by: OT4E - February 9th, 2017, 23:43 - Forum: Pitboss 36
- Replies (59)
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Hi all.
So Medieval start here is.
My experience in this era only came from online teamers. We played a lot of them and I must admit theu were much more exciting than regular ancient cataphants slaughters. Castles, samurais, chokonus, trebutchets and knights...
But this is going to be different game, though I tried to bring in some difference instead of regular farming fest.
Player list:
- OT4E, Roosvelt/Dutch
- chumchu, Mansa/Arabia
- TBS, Suleiman/Maya
- Gavagai, Victoria/Russia
- GJ, Ghandi/China
- Mr. Cairo, Darius/Japan
Password:
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WW: Mimefia! Signups and Discussion - CANCELLED |
Posted by: Qgqqqqq - February 9th, 2017, 16:02 - Forum: The Gaming Table
- Replies (7)
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Premise:
Scum win if they get lynched, town win if they are equal to scum numbers at any point.
We'll be doing nightless, with scum needing to have their kills ready by EoD or else random kills. Scum are required to kill on a certain number of nights, and will always have the option.
Days will be 48 or 72h, depending on feedback, with an option to swap down to 48 if I relieve unanimous PM's to that effect after a certain time.
Game will start 1-2 weeks after 45 ends, depending on player burnout and any requirements.
Signups:
1. AdrienIer
2. Dp101
3. Rowain
4. Zenzao
5.
6.
7.
8.
9. ?tom? (message)
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