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The AAFP has developed five principles regarding SDoH to ensure that SDoH are appropriately accounted for in the payment and measurement design of APMs so that practices have adequate support to improve quality and outcomes for all patients.

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The Vision for the EveryONE Project

The vision of the American Academy of Family Physicians (AAFP) is to transform health care to achieve optimal health for everyone. To achieve this, the AAFP is taking a leadership role in addressing diversity and the social determinants of health as they impact individuals, families and communities. To help realize this vision, the AAFP launched The EveryONE Project to help family physicians take action and confront health disparities head on. The EveryONE Project focuses on providing family physicians and their practice teams with education and resources, advocating for health equity , promoting workforce diversity, and collaborating with other disciplines and organizations to advance health equity.

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The AAFP has developed five principles regarding SDoH to ensure that SDoH are appropriately accounted for in the payment and measurement design of APMs so that practices have adequate support to improve quality and outcomes for all patients.

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by Michael Janzen
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Building a tiny house on a trailer is one way to avoid certain limitations that are often unavoidable when building on permanent foundations. For example, while building codes can be a great guide for building a safe home, I’ve never heard of a planning department expressing any desire to examine a tiny house on a trailer.

It makes sense actually – tiny houses on trailers can move to and from different communities; who would inspect them?The truth is tiny houses exist in a grey area between traditional houses and travel trailers.

But this scale of home is not entirely without limits. If you want to be able to pull your house down a highway without a special permit, it must conform to certain size limits. In most U.S. states this maximum size is 13.5-feet tall, 8.5-feet wide, and 40-feet long – 65-feet maximum including the tow vehicle. Extra care must be taken to squeeze the house into this semi-trailer sized imaginary space.

Below is a simple drawing that shows how quickly everything adds up. You can instantly see why so many tiny houses have roof pitches that are no steeper and 12/12 (45-degrees) and walls that are a bit shorter than 8-feet. At first the design challenge seems daunting, but as you browse through all the different homes people have built, you can see that there is still quite a bit you can do within the box.

Commercial travel trailers are designed to be lightweight and aerodynamic. Tiny houses are typically built from heavy building materials,like normal houses. This can make it much more comfortable to live in year-round but every foot in length adds-up and increases the requirements for the trailer and tow vehicle.

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is about 19-feet long and weighs just shy of 6,000 pounds empty. Add your belongings and you might start pushing 8,000 pounds. Now theoretically double the length to the 40-foot road limit – you could be talking about a house that weighs 16,000+ pounds, which would require a really big pickup to tow. This is not unthinkable of course, they build pickup trucks that can pull trailers that size; but it is an important consideration to make before committing to that scale.

Building tiny houses on trailers can provide a lot of flexibility and freedom; but like every design challenge, it doesn’t come without trade-offs. While you may not have to talk with building inspectors, you are pretty much on your own to build a safe and strong home on your own.

It’s best to use building codes as guides and add extra reinforcement like earthquake and hurricane straps – after all the house will encounter 60 MPH winds and road vibrations. For some this may sound adverselychallenging – to others it sounds like music to their ears. In either case try starting your design process from these practical size and weight limits.

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Washington (D.C.) St. John’s College High School five-star defender Mekhail Sherman narrowed down his list of nearly 30 scholarship offers this past Sunday when he announced his top 10 schools.

Clemson made the cut for the elite class of 2020 prospect, as did Alabama, Georgia, South Carolina, Auburn, Notre Dame, Penn State, Ohio State, Oklahoma and Michigan.

The Clemson Insider caught up with Sherman, who explained why he included the Tigers in his top group.

“They are included because they’re known for their front seven and their D-line especially to be headhunters, and that fits my style completely,” Sherman said. “Also they have the academics to support me as well.”

Sherman (6-3, 235) is ranked by Rivals as a top-10 prospect in the 2020 class regardless of position.

He received an offer from Clemson in May and said the Tigers are recruiting him as a hybrid outside linebacker/defensive end.

“I would be placed in position due to player personnel, such as a front change or what not,” he said.

Sherman has stayed in touch with Clemson cornerbacks coach Mike Reed, his area recruiter, since the Tigers offered.

“We mainly talk about the campus and when I’m going to visit,” Sherman said, “and sometimes we stray away from football and hit the family.”

Sherman is circling Saturday, Oct. 20 as a potential Clemson visit date.

“Maybe during the fall when they play NC State, but nothing is set in stone,” he said when asked about visiting Clemson.

Sherman is looking to make his commitment decision around this time next year, when he will be a rising senior.

He will consider several factors heavily as he evaluates his college options between now and then.

“Academics, defensive scheme, their plan for me, the lifestyle of the campus for athletes and non-athletes, and so forth,” Sherman said of the criteria for his decision.

Rivals ranks Sherman as the No. 1 prospect in D.C., No. 2 outside linebacker and No. 8 overall prospect for the 2020 class.

Sherman recorded 51 tackles, 18 tackles for loss, seven sacks, two pass breakups and an interception last season en route to MaxPreps Sophomore All-American honors.

Clemson has also offered Sherman’s teammate at St. John’s College High, 2020 four-star cornerback Luke Hill.

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