Explains about how information is being exchanged , dynamics of healthcare and future of healthcare. For more information visit: http://www.transformhealth-it.org/
Quick outlook around E-Health and will cover e-health ecosystem challenges, case studies and industry gaps, and the importance of low power and reliable sensors for better healthcare.
Quick outlook around E-Health and will cover e-health ecosystem challenges, case studies and industry gaps, and the importance of low power and reliable sensors for better healthcare.
Alan McDermott, Regional Director Patients and Information, NHS England
Masood Nazir, National Clinical Lead, Patient Online NHS England
Trevor Fossey, NHS England Patient Working Together Group
Presentation of Leanne Wells, CEO, Consumers Health Forum of Australia, at the Health Care & Social Media Summit 2015 Plenary Session, "Who owns your Big Data?"
NuLife Virtual revolutionizes the treatment of behavioral health conditions with our customer-focused, community-driven healthcare platform by modernizing how treatment is delivered and long-term health is managed. NuLife provides recovery professionals continuous innovation via tools to expand their reach, foster active engagement and improve outcomes for people in and seeking recovery. The NuLife platform provides an affordable, stigma-free environment to positively impact the lives of both members and their families affected by substance use and mental health challenges.
mHealth Israel_Top Health Industry Issues of 2021_Will a Shocked System Emerg...Levi Shapiro
Presentation by PwC Health Research Institute for mHealth Israel, February 17, 2021: Top Health Industry Issues of 2021...Will a Shocked System Emerge Stronger?
Key Sections:
1) Rightsizing after virtual visit explosion
2) Changing clinical trials
3) Easing physician burden with digital
4) Healthcare forecast for 2021
5) Reshaping health portfolios
6) Resilient and responsive supply chains
7) Inter-Operability
Alan McDermott, Regional Director Patients and Information, NHS England
Masood Nazir, National Clinical Lead, Patient Online NHS England
Trevor Fossey, NHS England Patient Working Together Group
Presentation of Leanne Wells, CEO, Consumers Health Forum of Australia, at the Health Care & Social Media Summit 2015 Plenary Session, "Who owns your Big Data?"
NuLife Virtual revolutionizes the treatment of behavioral health conditions with our customer-focused, community-driven healthcare platform by modernizing how treatment is delivered and long-term health is managed. NuLife provides recovery professionals continuous innovation via tools to expand their reach, foster active engagement and improve outcomes for people in and seeking recovery. The NuLife platform provides an affordable, stigma-free environment to positively impact the lives of both members and their families affected by substance use and mental health challenges.
mHealth Israel_Top Health Industry Issues of 2021_Will a Shocked System Emerg...Levi Shapiro
Presentation by PwC Health Research Institute for mHealth Israel, February 17, 2021: Top Health Industry Issues of 2021...Will a Shocked System Emerge Stronger?
Key Sections:
1) Rightsizing after virtual visit explosion
2) Changing clinical trials
3) Easing physician burden with digital
4) Healthcare forecast for 2021
5) Reshaping health portfolios
6) Resilient and responsive supply chains
7) Inter-Operability
National Conference on Health and Domestic Violence. Plenary talk Paul Grundy
explaining how the Patient Centered Medical Home (PCMH) platform for healthcare deliver is more likely to support domestic violence prevention and creat a safer environment than the FFS episode of care system we are in now. The medical Home is a home for the data where the all the data goes and is held accountable this idea was first articulated by Dr. Calvin C.J. Sia, a Honolulu-based pediatrician in 1967.
This concept of the medical home was integrated with Ed Wagners Chronic disease Model and Thomas Bodenheimer Kevin Grumbach advanced/proactive primary care at the request of the Patient Centered Primary care Collaborative into a set of principles Know as the Joint principles of the Patient centered medical home.
The patient-centered medical home (PCMH), is a team based health care delivery set of principles led by a physician that provides comprehensive and continuous medical care to patients with the goal of obtaining maximized health outcomes. It is "an approach to providing comprehensive primary care for children, youth and adults" The provision PCMH medical homes allow better access to health care, increase satisfaction with care, and improve health. Joint principles that define a PCMH have been established through the cohesive efforts of the American Academy of Pediatrics (AAP), American Academy of Family Physicians (AAFP), American College of Physicians (ACP), and American Osteopathic Association (AOA).[10] Care coordination is an essential component of the PCMH. Care coordination requires additional resources such as health information technology, and appropriately trained staff to provide coordinated care through team-based models. Additionally, payment models that compensate PCMHs for their effort devoted to care coordination activities and patient-centered care management that fall outside the face-to-face patient encounter may help encourage coordination.
Consumerism, Innovation and Best Practices to Thrive in the Future of HealthJustin Barnes
May 1, 2019 University of Toronto, Dalla Lana School of Public Health, The Institute of Health Policy, Management and Evaluation (IHPME) Keynote speaker Justin Barnes, a health innovation strategist and co-founder of Health Innovation Think Tank, will provide yet another integral perspective focused on the ways in which we can scale up and implement evidence-based changes in health care technology on a global scale. Having testified before Congress on more than twenty occasions delivering statements on virtual care, alternative payment methods, consumerism, connected health and the globalization of healthcare, Justin offers thought leadership for the university, the healthcare community as well as other key stakeholders.
Consumer Driven Health – IHPME Research Day
Looks to the Future of Health Care
The trend towards consumer driven health, whether it be mobile apps, wearable devices, or easy access to electronic health records, is changing the landscape of our health care system and the way we think about care.
Patient Centered Medical home talk at WVUPaul Grundy
To employers the cost of healthcare is now a business issue and this talk is about what one large buyer IBM did to drive transformation via broad coalition with other large employers to form the Patient Centered Medical Home movement and the covenant between buyer and provider away from the garbage we now buy episodic uncoordinated disintegrated care. In the change of convenient conversation we have worked with the Primary care providers to give us coordinated, integrated, accessible and compressive care with a set of principles know as the Patient centered medical home.
A Patient Centered Medical Home (PCMH) happens when primary care healers keeping that core healing relationship with their patients step up to become specialists in Family and Community Medicine. The move is to the discipline of leading a team that delivers population health management, patent centered prevention, care that is coordination, comprehensive accessible 24/7 and integrated across a deliver system. PCMH happens when the specialists in Family and Community Medicine wake up every morning and ask the question how will my team improve the health of my community today?
All over the world three huge factors are in play that is driving the concept of Patient Centered Medical Home. They are:
1) Cost and demography
2) Information technology and data (information that is actionable will equal a demand for accountability by the payer or buyer of the care)
3) Consumer demand to engage healthcare differently (at least as well as they can their bank- on line) have a question about lab results why not e-mail?
But at its core it is a move toward integration of a healing relationship in primary care and population management all at the point of care with the tools to do just that.
Similar to Transforming Healthcare Through Connected Health Technology - A story from The United States (20)
Implementation of Online Safety Incident Reporting System in a Tertiary Care Teaching Hospital by Dr. Bijoy Johnson, Dept. of Hospital Administration, KMC Manipal, India
Large Scale Disaster Management in Healthcare Deploying ICT by Olav Veum Eielsen Anesthesiologist, Director Regional Centre for Medical Emergency Research and Development,
Norway
Virtual knowledge network NIMHANS Echo : Innovative tele- mentoring model for skilled capacity building in addiction & mental health by Prabhat Chand , NIMHANS, India
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
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NDIS and Community 24/7 Nursing Care is a specific type of support that may be provided under the NDIS for individuals with complex medical needs who require ongoing nursing care in a community setting, such as their home or a supported accommodation facility.
Explore our infographic on 'Essential Metrics for Palliative Care Management' which highlights key performance indicators crucial for enhancing the quality and efficiency of palliative care services.
This visual guide breaks down important metrics across four categories: Patient-Centered Metrics, Care Efficiency Metrics, Quality of Life Metrics, and Staff Metrics. Each section is designed to help healthcare professionals monitor and improve care delivery for patients facing serious illnesses. Understand how to implement these metrics in your palliative care practices for better outcomes and higher satisfaction levels.
Transforming Healthcare Through Connected Health Technology - A story from The United States
1. Transforming Healthcare Through Connected Health
Technology - A Story from the United States
Robert L. Jesse, MD, PhD
Professor, Internal Medicine – Cardiology
Virginia Commonwealth University Health System
and
Chief, Office of Academic Affiliations
Veterans Health Administration
1
4. Why Healthcare Must Transform
• Priorities are changing:
– People will embrace health as a personal attribute
– Cost to the individual will be an important driver
– Commoditization will occur at multiple levels
– Quality will be a given – Efficiency will be the rule
– Individuals will own and manage all of their data
– Trusted health information will be the new currency
– Access will be defined through engagement
4
5. Re-Envisioning Healthcare
• Health care becomes personalized according to an
individual’s needs and values – “Precision Health”
– Still evidence-based care… but individualized for me
– Quality for an ‘n of 1’ + safety and prevention of harm
• Control shifts from health systems to the individual
– Individuals own the entirety of their health information
• That record is agnostic to the source and inclusive of all
data generated by providers and by the individual
– Access is defined by whom patients choose to help:
• Support health promotion, prevention and well being
• Navigate complex healthcare decisions
5
6. • Team-based care - PCMH (VA calls it PACT)
– Moving from encounters to sustained relationships
• Transactional coherent health information
• Health Management Platforms vs EMRs
• Data big and small
• Relationship-based care is Connected health
Innovations Driving Healthcare Change
6
7. Connected Health
Connected Health is about sustaining the relationship
between patient and healthcare system beyond the
traditional bricks and mortar walls and thus
empowering patients to manage their own health
7
7
8. VA Connected Health Technologies
Proudly Serving Veterans since 1984
Telehealth Services
• Clinical Video Telehealth
• Home Telehealth
• Store and Forward
Telehealth
8
My HealtheVet Patient
Portal
• VA Secure Messaging
• VA Blue Button
• Veterans Health Library
• Rx Refill/TrackingVA Mobile Health
• Patient Mobile Apps
• Provider Mobile Apps/ Devices
• Annie – Text Messaging
The Phone
The Smart Phone
The Dumb Phone !
8
9. Telehealth Services
Services Provided in 2014:
2.1 million episodes of care to 717,000 VA patients
45% of these patients live in rural areas
– 150,000 patients case-managed by home telehealth
– 250,000 patients used clinical video telehealth between
VA clinics
– 4,000+ received clinical video telehealth visits directly
into their homes
– 380,000 used store and forward telehealth technology
– 75,000 implanted devices monitored remotely
9
9
11. 11
VA App Store http://mobile.va.gov/appstore
VA Mobile: There’s an App for That
11
12. Telehealth Services - Impact
Travel Reduction Savings:
Clinical Video Telehealth
$34.45 per consultation
Store and Forward Telehealth
$38.81 per consultation
12
Home Telehealth
54% reduction in bed days of
care
32% reduction in hospital
admissions
$2,000 savings per annum
per patient
Video Tele-Mental Health
35% reduction in acute
psychiatric bed days of care
12
14. The Health Care Reality
Health care is an information business
• It’s increasing - and increasingly complicated
• Most of which patients can’t access
…or understand
The current Healthcare industry
thrives on information asymmetry
14
15. • Patients engage (us) as partners in their care
– We focus on preventive health
– We focus on chronic disease management
– We focus on patient outcomes
– They demand convenient, local and timely care
– They demand complementary/alternative care
– They demand readily available information
• including the ability to contribute to that data set
Changing Dynamics of Healthcare
15
16. What Will Healthcare of the Future Be?
Healthcare is an information business
Coherent and transactional - Logistics and scale
Data big and small – not just in the EMR
As information asymmetry is reduced then
Commoditization accelerates - the role of AI
Managing data and information exchange is the
new value proposition in healthcare
Connected Health is the platform for this
16
Clinical Video Telehealth (CVT)
Real-time video consultation that covers over 45 clinical specialties including: Tele-Intensive Care, TeleMental Health, TeleCardiology, TeleNeurology, TeleSurgery, Women’s Telehealth, Tele-Primary Care, TeleSCI care, TeleAmputation Care, TeleAudiology, TeleSpeech, Remote Nursing Home Consultation, TelePathology, etc. (45 specialties)
Home Telehealth (HT)
Care and case management of chronic conditions and provision of non-institutional care support to patients. Uses in-home and mobile technologies to manage diabetes, chronic heart failure, hypertension, obesity, traumatic brain injury, depression, etc.
Store and Forward Telehealth (SFT)
TeleRetinal Imaging, TeleDermatology, TeleWound Care, TeleSpirometry, Tele-Sleep Studies
Clinical Video Telehealth (CVT)
Real-time video consultation that covers over 45 clinical specialties including: Tele-Intensive Care, TeleMental Health, TeleCardiology, TeleNeurology, TeleSurgery, Women’s Telehealth, Tele-Primary Care, TeleSCI care, TeleAmputation Care, TeleAudiology, TeleSpeech, Remote Nursing Home Consultation, TelePathology, etc. (45 specialties)
Home Telehealth (HT)
Care and case management of chronic conditions and provision of non-institutional care support to patients. Uses in-home and mobile technologies to manage diabetes, chronic heart failure, hypertension, obesity, traumatic brain injury, depression, etc.
Store and Forward Telehealth (SFT)
TeleRetinal Imaging, TeleDermatology, TeleWound Care, TeleSpirometry, Tele-Sleep Studies
highly rural areas - Alaska – western states
This drives our investment in technology –
“80% don’t need to be physically touched” Dr Grossman