This document outlines the evolution of the learning health system over 5 chapters from the 1970s to the present. It discusses early databases and online networks in the 1980s that hinted at a new approach for sharing patient information. Foundations were established in the 1990s through electronic medical records, registries, and decision support tools. A vision for a national health information infrastructure emerged in the 2000s along with policies to promote it. The current focus is on building out this infrastructure through health information exchange platforms and other technologies, though challenges around privacy, standards, and financing remain.
The document summarizes the work of the Department of Learning Health Sciences at the University of Michigan, which focuses on continuous learning and improvement at both the organizational and individual level in healthcare systems. It describes the concept of a Learning Health System, which uses data and analytics from every patient encounter to rapidly study and adapt the system. The department is working to create a scalable and replicable diabetes-focused Learning Health System within the University of Michigan Health System through engaging stakeholders across the university and convening symposia. The goal is to establish learning cycles and a supporting platform that enables efficient continuous learning and improvement.
The document summarizes the evolution of the Department of Medical Education at UMMS into the new Department of Learning Health Sciences. The new department broadens the scope to focus on learning at different scales from individual to organization-wide. It aims to advance the science of learning applied to health through research, education, and promoting continuous learning and improvement within health systems to make them "learning health systems". Realizing this vision requires overcoming challenges through new learning sciences and building collaborations across different fields.
The document discusses the vision for a learning health system (LHS) as presented by Charles Friedman and Joshua Rubin. Some key points:
- An LHS aims to continuously and routinely study and improve health systems using data from every patient experience.
- It envisions health data being used at large scales across organizations to generate insights, inform best practices, and drive improvements in 17 months vs the traditional 17 years.
- Realizing an LHS requires overcoming challenges like establishing learning cycles across problems, and developing common infrastructure/platforms to support learning at scale across different levels.
- The authors propose establishing departments, programs, and journals to advance the science of learning health and educate a new workforce to develop
The Department of Learning Health Sciences, University of Michigan Medical School: A First-of-Its Kind Department
Chaired by Charles P. Friedman, PhD
Prepared for the MIDAS Symposium, October 6, 2015
Dear all
Please go through the slides if you want to know something about "Core competencies for public health informatics".
I think these slides will be useful for you.
This document discusses various methods and tools for collecting, processing, and analyzing nursing data and information. It describes different sources of information like libraries, databases, and search engines. It also discusses ethical issues around copyright and fair use. Common data collection methods in nursing include questionnaires, interviews, and electronic documentation. Quantitative data is analyzed statistically while qualitative data requires identifying themes. Cohort and case-control studies are described as common research designs.
This document summarizes a seminar on health informatics presented by Pinki Barman. It defines health informatics as the application of information science and technology to support health and healthcare. It discusses the goals of health informatics in providing solutions for processing data, information and knowledge in medicine. Key aspects covered include data acquisition, storage, communication, manipulation and display. Health informatics involves clinical and non-clinical personnel, administrators, educators, IT professionals and others. Examples of health information applications and characteristics of health information systems are also summarized. The document concludes with definitions and elements of nursing informatics and its purposes and advantages.
The document summarizes the work of the Department of Learning Health Sciences at the University of Michigan, which focuses on continuous learning and improvement at both the organizational and individual level in healthcare systems. It describes the concept of a Learning Health System, which uses data and analytics from every patient encounter to rapidly study and adapt the system. The department is working to create a scalable and replicable diabetes-focused Learning Health System within the University of Michigan Health System through engaging stakeholders across the university and convening symposia. The goal is to establish learning cycles and a supporting platform that enables efficient continuous learning and improvement.
The document summarizes the evolution of the Department of Medical Education at UMMS into the new Department of Learning Health Sciences. The new department broadens the scope to focus on learning at different scales from individual to organization-wide. It aims to advance the science of learning applied to health through research, education, and promoting continuous learning and improvement within health systems to make them "learning health systems". Realizing this vision requires overcoming challenges through new learning sciences and building collaborations across different fields.
The document discusses the vision for a learning health system (LHS) as presented by Charles Friedman and Joshua Rubin. Some key points:
- An LHS aims to continuously and routinely study and improve health systems using data from every patient experience.
- It envisions health data being used at large scales across organizations to generate insights, inform best practices, and drive improvements in 17 months vs the traditional 17 years.
- Realizing an LHS requires overcoming challenges like establishing learning cycles across problems, and developing common infrastructure/platforms to support learning at scale across different levels.
- The authors propose establishing departments, programs, and journals to advance the science of learning health and educate a new workforce to develop
The Department of Learning Health Sciences, University of Michigan Medical School: A First-of-Its Kind Department
Chaired by Charles P. Friedman, PhD
Prepared for the MIDAS Symposium, October 6, 2015
Dear all
Please go through the slides if you want to know something about "Core competencies for public health informatics".
I think these slides will be useful for you.
This document discusses various methods and tools for collecting, processing, and analyzing nursing data and information. It describes different sources of information like libraries, databases, and search engines. It also discusses ethical issues around copyright and fair use. Common data collection methods in nursing include questionnaires, interviews, and electronic documentation. Quantitative data is analyzed statistically while qualitative data requires identifying themes. Cohort and case-control studies are described as common research designs.
This document summarizes a seminar on health informatics presented by Pinki Barman. It defines health informatics as the application of information science and technology to support health and healthcare. It discusses the goals of health informatics in providing solutions for processing data, information and knowledge in medicine. Key aspects covered include data acquisition, storage, communication, manipulation and display. Health informatics involves clinical and non-clinical personnel, administrators, educators, IT professionals and others. Examples of health information applications and characteristics of health information systems are also summarized. The document concludes with definitions and elements of nursing informatics and its purposes and advantages.
The document provides an introduction to health surveillance and health informatics presented by Abhishek Singh. It defines health surveillance as the systematic collection, analysis and use of health data for decision-making. Health informatics is defined as using information management and technology to organize and deliver health services. The document discusses the purposes and types of health surveillance. It also discusses key concepts and applications of health informatics including sources of health information like censuses, disease registers, and population surveys.
The document discusses clinical informatics and how it can improve healthcare. It is presented by Iris Thiele Isip Tan, a professor and chief of the UP Medical Informatics Unit. Clinical informatics uses information and technology to enhance healthcare outcomes, improve patient care, and strengthen the clinician-patient relationship. It can assemble complete patient information, apply medical knowledge, and use decision support and other technologies to improve safety and prevent errors in healthcare delivery.
The document outlines a presentation on clinical nursing education. It discusses the current issues in clinical education based on a literature review. The presenter observed the current practice of clinical nursing education at Hospital sites and identified several problems. Specifically, clinical instructors spent little time with students, did not evaluate different aspects of students' clinical work, and students were poorly motivated and not properly following ethical guidelines. To address these issues, the presenter recommends establishing an empowered clinical education system, improving orientation and preparation of students, conducting proper teaching, and implementing effective evaluation and feedback. The review helped the presenter understand global trends, challenges, and the need to innovate clinical nursing education practices in Ethiopia.
his is the first in a series of interactive webinars designed to build capacity in the basic principles of knowledge translation and implementation science.
WATCH-ON DEMAND: https://goo.gl/hnp8gi
Here are 3 potential barriers that could have caused a delay in implementing the research findings supporting the use of saline over heparin for maintaining peripheral IV catheters:
1. Lack of awareness or accessibility of the existing research evidence among clinicians. Medical research takes time to disseminate into practice.
2. Resistance to change long-standing practices without a compelling clinical practice guideline or recommendation from a major organization. The ASHP policy from 2006 helped address this.
3. Potential economic barriers if hospitals had invested in heparin products and switching to saline-only maintenance required a change in supplies and protocols. Standardizing on the lower cost saline may have faced resistance.
This document discusses key reports advocating for changes in nursing education to better prepare nurses for contemporary practice. It summarizes recommendations from organizations like the Institute of Medicine, National League for Nursing, American Association of Colleges of Nursing, and Quality and Safety Education for Nurses initiative. These recommendations call for embracing evidence-based teaching, developing the science of nursing education, emphasizing interprofessional collaboration, and integrating informatics and quality improvement into nursing curricula. The document also provides examples of learning activities educators can use to examine their curriculum and ensure it aligns with these contemporary practice recommendations.
This document discusses consumer demand for health information and how technology can help meet those needs. It explores health literacy and eHealth initiatives to promote access to information. Approaches by health organizations to provide education include patient portals, social media, websites and mobile apps. Challenges include the digital divide and ensuring information is understandable. Future directions may include more audio/video and personalized behavior change tools to improve disease management.
The document discusses the nursing process and its components. The nursing process is a systematic approach used by nurses to identify client needs and plan care. It involves assessment, planning, implementation, and evaluation. Assessment involves collecting both subjective and objective data from various sources to understand a client's health status. This data is then validated, organized, interpreted, and documented. The overall goal of the nursing process is to provide individualized, holistic care to clients.
Nursing informatics is defined as the integration of nursing science, computer science, and information science to manage and communicate data, information, knowledge, and wisdom in nursing practice. It aims to support nurses, nursing practice, and patients through technology and access to information. Key aspects of nursing informatics include using technology to support clinical practice, administration, education, and research in nursing. It also involves ensuring privacy and security of patient health information stored and shared electronically.
Kate Bukowski
ProCare Health Limited
(Friday, 3.00, Innovation in Practice 3)
Explores two domains which, on the surface, may seem very different – the US policy directing metrics to measure HIT adoption across the nation and the implementation and utilisation of a practice management system auditing tool (Dr Info) within a region of New Zealand’s general practices. Yet, when looked at under a different view, there are similarities which drive the use of HIT to improve results that engage patients in self-management of their health and clinicians in population health management. Both can improve the delivery of healthcare and provide value for money but both also need support and systems that foster innovation at a patient and practice level. This will continue to be an issue as the health workforce ages and becomes smaller. It is therefore crucially important how we utilise and train our workforce, that they have HIT systems that support their work with the approach that through showing results and improving results, clinicians will engage and want to use the technology to improve their practice. At the same time patients will need support to self-manage their conditions through the utilisation of patient portals and other innovative HIT initiatives.
Public Health informatics, Consumer health informatics, mHealth & PHRs (Novem...Nawanan Theera-Ampornpunt
Presented at the M.S. and Ph.D. Programs in Data Science for Health Care, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on November 11, 2019
Building the Health Workforce as We Transform the Delivery System, presented by Mary D. Naylor, PhD, RN, Marian S. Ware Professor in Gerontology, University of Pennsylvania School of Nursing
This document calls for international collaboration to develop a mobile application (mICF) based on the International Classification of Functioning, Disability and Health (ICF) framework to improve continuity of care and strengthen health systems. It discusses how the mICF could incorporate ICF-related information to provide a holistic overview of patients and allow information sharing between providers. An international group of 25 partners is sought to provide feedback and analyze data to help define and develop the mICF project.
This document provides an overview of electronic health records (EHR) and related concepts. It discusses how EHRs are useful for storing and processing large amounts of health data. The document also describes the components and benefits of EHR systems, including their ability to integrate information from different hospital departments. Some concerns with EHRs include issues with converting paper records digitally and ensuring data integrity and security. The document outlines the types of clinical data typically contained in EHRs and some challenges in implementing EHR systems.
> HTA and Real World Evidence (RWE)
> Why RWE? - Limitations with RCT
> RCT v/s RWE
> Definition of RWE
> Sources of RWE
> Advantages of RWE
> Application of Real World Data (RWD) in RWE
> Benefits of RWD in RWE
> Why Data Sharing is Important?
> Important Stakeholders
> How to Encourage Data Sharing?
> Benefits of Data Sharing
> Case Studies
> Data Privacy Scenario
> Data Security in India
> Regulatory Perspectives Around RWD/RWE
> Way Forward
This document outlines the thesis proposal for assessing the health information system in the Buea Health District of Cameroon. The proposal includes an introduction that provides background on health information systems and identifies problems with Cameroon's system. The objectives are to assess the adequacy of the Buea Health District's health information system and identify areas for improvement. The methodology describes a descriptive survey design involving health organizations in the district. Data will be collected using the WHO health metrics network assessment tool and analyzed to evaluate the system's components and overall adequacy. The proposal also includes chapters on literature review, methodology, and references.
This chapter discusses ethics and ethical decision-making in nursing informatics. It introduces various theoretical approaches to healthcare ethics like principlism, casuistry, virtue ethics, and care ethics. New technologies are creating new ethical dilemmas around issues like privacy, confidentiality, and informed consent. The chapter advocates using ethical decision-making models and the nursing code of ethics to navigate these challenges. As healthcare and information technologies continue advancing, it is crucial for professionals to make judicious, ethical decisions.
AMIA 2013: Teaching and learning with mobile devices in nursing education Glynda Doyle
- BCIT nursing students and approximately 75% of faculty now use mobile devices to access educational resources and support teaching in classrooms and clinical settings.
- Surveys showed support for continued use of the uCentral mobile application, which provides peer-reviewed healthcare information to support student decision making.
- The use of mobile devices and apps is being explored as a way to improve patient safety by decreasing medical errors and supporting evidence-based nursing education and practice.
Medical informatics is the application of computers, communications, and information technology to medicine. It aims to improve patient care, medical education, and research. Key areas of medical informatics include telemedicine, knowledge management through databases and guidelines, decision support, and electronic health records. Implementation faces challenges like changing clinician behavior and raising awareness, but factors like increased technology, specialization, and costs are driving more use of informatics in healthcare.
Health Record Banks are Essential for Effective Health Information Infrastruc...WCIT 2014
The document discusses how current health information exchange efforts are failing to achieve comprehensive electronic patient records and effective prevention and population health. It proposes that health record banks can address these challenges by providing a centralized repository for complete patient records, incentivizing electronic health record adoption, and generating revenue to fund prevention services. The Health and Prevention Promotion Initiative (HAPPI) would combine a community prevention organization with a health record bank in order to achieve the goals of a successful health information infrastructure and the "Triple Aim" of better health, better care, and lower costs. Next steps include piloting HAPPI programs with external funding and disseminating lessons learned.
This document discusses health information systems (HISs). It defines health as the well-being of a person's physical, mental, and social condition. HISs gather, store, and transmit individuals' and organizations' health-related data, including hospitals, laboratories, and disease surveillance systems. This is done to increase the efficiency of health services and improve personal health. When establishing a HIS, many rules and regulations must be followed to protect individuals' privacy and ensure the accuracy of protected health information. Resources, indicators, data sources, data management, and dissemination and use are all important aspects of developing and maintaining an effective HIS.
The document provides an introduction to health surveillance and health informatics presented by Abhishek Singh. It defines health surveillance as the systematic collection, analysis and use of health data for decision-making. Health informatics is defined as using information management and technology to organize and deliver health services. The document discusses the purposes and types of health surveillance. It also discusses key concepts and applications of health informatics including sources of health information like censuses, disease registers, and population surveys.
The document discusses clinical informatics and how it can improve healthcare. It is presented by Iris Thiele Isip Tan, a professor and chief of the UP Medical Informatics Unit. Clinical informatics uses information and technology to enhance healthcare outcomes, improve patient care, and strengthen the clinician-patient relationship. It can assemble complete patient information, apply medical knowledge, and use decision support and other technologies to improve safety and prevent errors in healthcare delivery.
The document outlines a presentation on clinical nursing education. It discusses the current issues in clinical education based on a literature review. The presenter observed the current practice of clinical nursing education at Hospital sites and identified several problems. Specifically, clinical instructors spent little time with students, did not evaluate different aspects of students' clinical work, and students were poorly motivated and not properly following ethical guidelines. To address these issues, the presenter recommends establishing an empowered clinical education system, improving orientation and preparation of students, conducting proper teaching, and implementing effective evaluation and feedback. The review helped the presenter understand global trends, challenges, and the need to innovate clinical nursing education practices in Ethiopia.
his is the first in a series of interactive webinars designed to build capacity in the basic principles of knowledge translation and implementation science.
WATCH-ON DEMAND: https://goo.gl/hnp8gi
Here are 3 potential barriers that could have caused a delay in implementing the research findings supporting the use of saline over heparin for maintaining peripheral IV catheters:
1. Lack of awareness or accessibility of the existing research evidence among clinicians. Medical research takes time to disseminate into practice.
2. Resistance to change long-standing practices without a compelling clinical practice guideline or recommendation from a major organization. The ASHP policy from 2006 helped address this.
3. Potential economic barriers if hospitals had invested in heparin products and switching to saline-only maintenance required a change in supplies and protocols. Standardizing on the lower cost saline may have faced resistance.
This document discusses key reports advocating for changes in nursing education to better prepare nurses for contemporary practice. It summarizes recommendations from organizations like the Institute of Medicine, National League for Nursing, American Association of Colleges of Nursing, and Quality and Safety Education for Nurses initiative. These recommendations call for embracing evidence-based teaching, developing the science of nursing education, emphasizing interprofessional collaboration, and integrating informatics and quality improvement into nursing curricula. The document also provides examples of learning activities educators can use to examine their curriculum and ensure it aligns with these contemporary practice recommendations.
This document discusses consumer demand for health information and how technology can help meet those needs. It explores health literacy and eHealth initiatives to promote access to information. Approaches by health organizations to provide education include patient portals, social media, websites and mobile apps. Challenges include the digital divide and ensuring information is understandable. Future directions may include more audio/video and personalized behavior change tools to improve disease management.
The document discusses the nursing process and its components. The nursing process is a systematic approach used by nurses to identify client needs and plan care. It involves assessment, planning, implementation, and evaluation. Assessment involves collecting both subjective and objective data from various sources to understand a client's health status. This data is then validated, organized, interpreted, and documented. The overall goal of the nursing process is to provide individualized, holistic care to clients.
Nursing informatics is defined as the integration of nursing science, computer science, and information science to manage and communicate data, information, knowledge, and wisdom in nursing practice. It aims to support nurses, nursing practice, and patients through technology and access to information. Key aspects of nursing informatics include using technology to support clinical practice, administration, education, and research in nursing. It also involves ensuring privacy and security of patient health information stored and shared electronically.
Kate Bukowski
ProCare Health Limited
(Friday, 3.00, Innovation in Practice 3)
Explores two domains which, on the surface, may seem very different – the US policy directing metrics to measure HIT adoption across the nation and the implementation and utilisation of a practice management system auditing tool (Dr Info) within a region of New Zealand’s general practices. Yet, when looked at under a different view, there are similarities which drive the use of HIT to improve results that engage patients in self-management of their health and clinicians in population health management. Both can improve the delivery of healthcare and provide value for money but both also need support and systems that foster innovation at a patient and practice level. This will continue to be an issue as the health workforce ages and becomes smaller. It is therefore crucially important how we utilise and train our workforce, that they have HIT systems that support their work with the approach that through showing results and improving results, clinicians will engage and want to use the technology to improve their practice. At the same time patients will need support to self-manage their conditions through the utilisation of patient portals and other innovative HIT initiatives.
Public Health informatics, Consumer health informatics, mHealth & PHRs (Novem...Nawanan Theera-Ampornpunt
Presented at the M.S. and Ph.D. Programs in Data Science for Health Care, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on November 11, 2019
Building the Health Workforce as We Transform the Delivery System, presented by Mary D. Naylor, PhD, RN, Marian S. Ware Professor in Gerontology, University of Pennsylvania School of Nursing
This document calls for international collaboration to develop a mobile application (mICF) based on the International Classification of Functioning, Disability and Health (ICF) framework to improve continuity of care and strengthen health systems. It discusses how the mICF could incorporate ICF-related information to provide a holistic overview of patients and allow information sharing between providers. An international group of 25 partners is sought to provide feedback and analyze data to help define and develop the mICF project.
This document provides an overview of electronic health records (EHR) and related concepts. It discusses how EHRs are useful for storing and processing large amounts of health data. The document also describes the components and benefits of EHR systems, including their ability to integrate information from different hospital departments. Some concerns with EHRs include issues with converting paper records digitally and ensuring data integrity and security. The document outlines the types of clinical data typically contained in EHRs and some challenges in implementing EHR systems.
> HTA and Real World Evidence (RWE)
> Why RWE? - Limitations with RCT
> RCT v/s RWE
> Definition of RWE
> Sources of RWE
> Advantages of RWE
> Application of Real World Data (RWD) in RWE
> Benefits of RWD in RWE
> Why Data Sharing is Important?
> Important Stakeholders
> How to Encourage Data Sharing?
> Benefits of Data Sharing
> Case Studies
> Data Privacy Scenario
> Data Security in India
> Regulatory Perspectives Around RWD/RWE
> Way Forward
This document outlines the thesis proposal for assessing the health information system in the Buea Health District of Cameroon. The proposal includes an introduction that provides background on health information systems and identifies problems with Cameroon's system. The objectives are to assess the adequacy of the Buea Health District's health information system and identify areas for improvement. The methodology describes a descriptive survey design involving health organizations in the district. Data will be collected using the WHO health metrics network assessment tool and analyzed to evaluate the system's components and overall adequacy. The proposal also includes chapters on literature review, methodology, and references.
This chapter discusses ethics and ethical decision-making in nursing informatics. It introduces various theoretical approaches to healthcare ethics like principlism, casuistry, virtue ethics, and care ethics. New technologies are creating new ethical dilemmas around issues like privacy, confidentiality, and informed consent. The chapter advocates using ethical decision-making models and the nursing code of ethics to navigate these challenges. As healthcare and information technologies continue advancing, it is crucial for professionals to make judicious, ethical decisions.
AMIA 2013: Teaching and learning with mobile devices in nursing education Glynda Doyle
- BCIT nursing students and approximately 75% of faculty now use mobile devices to access educational resources and support teaching in classrooms and clinical settings.
- Surveys showed support for continued use of the uCentral mobile application, which provides peer-reviewed healthcare information to support student decision making.
- The use of mobile devices and apps is being explored as a way to improve patient safety by decreasing medical errors and supporting evidence-based nursing education and practice.
Medical informatics is the application of computers, communications, and information technology to medicine. It aims to improve patient care, medical education, and research. Key areas of medical informatics include telemedicine, knowledge management through databases and guidelines, decision support, and electronic health records. Implementation faces challenges like changing clinician behavior and raising awareness, but factors like increased technology, specialization, and costs are driving more use of informatics in healthcare.
Health Record Banks are Essential for Effective Health Information Infrastruc...WCIT 2014
The document discusses how current health information exchange efforts are failing to achieve comprehensive electronic patient records and effective prevention and population health. It proposes that health record banks can address these challenges by providing a centralized repository for complete patient records, incentivizing electronic health record adoption, and generating revenue to fund prevention services. The Health and Prevention Promotion Initiative (HAPPI) would combine a community prevention organization with a health record bank in order to achieve the goals of a successful health information infrastructure and the "Triple Aim" of better health, better care, and lower costs. Next steps include piloting HAPPI programs with external funding and disseminating lessons learned.
This document discusses health information systems (HISs). It defines health as the well-being of a person's physical, mental, and social condition. HISs gather, store, and transmit individuals' and organizations' health-related data, including hospitals, laboratories, and disease surveillance systems. This is done to increase the efficiency of health services and improve personal health. When establishing a HIS, many rules and regulations must be followed to protect individuals' privacy and ensure the accuracy of protected health information. Resources, indicators, data sources, data management, and dissemination and use are all important aspects of developing and maintaining an effective HIS.
This document discusses Utah's strategies for improving population health through statewide clinical and public health data interoperability. It outlines Utah's shared vision for using data exchanges across EHRs, HIEs and public health to support population health goals. Key strategies discussed include developing a shared statewide health IT plan and governance model for a master person index to facilitate identity management and data sharing. The document also highlights challenges in making public health systems more interoperable and developing analytics to support diverse population health needs.
Intel - eHealth 2013 - 3rd industry and hit finalAgora Group
The document discusses how the third industrial revolution is transforming healthcare access and quality through increased connectivity and mobility. It notes that industries established over a century are being rearchitected in under a decade due to technologies like smartphones, tablets, wireless networks and cloud computing. This new era of "super-mobile" physicians is driving higher utilization of mobile devices to access patient information and collaborate remotely. The document advocates for identifying collaborative care workflows that could be improved through real-time data sharing and communication enabled by mobile health tools.
Crowds Care for Cancer Challenge Webinar Slideshealth2dev
The document provides information about a challenge to create new tools to help cancer survivors manage their health after treatment. The challenge is sponsored by the Office of the National Coordinator for Health Information Technology and the National Cancer Institute. The challenge will have two phases - the first involves submitting wireframes and explanations of proposed apps, and selected finalists will then develop functioning apps and crowdfunding campaigns for them in the second phase. Winners will receive cash prizes and recognition. The goal is to spur innovation in tools that address survivor care needs and facilitate communication between survivors and healthcare providers.
Undiagnosed hypertension, also known as "HIPS", is a significant problem. This document discusses strategies for health centers to address undiagnosed hypertension through quality improvement projects. It recommends benchmarking hypertension prevalence, establishing criteria to identify potentially undiagnosed patients, using EHR data to find these patients, and implementing plans like standardized protocols and expanded care teams to diagnose and treat them. It describes NACHC's Million Hearts project which successfully tested algorithms for identifying undiagnosed hypertensive patients across several health centers.
Early diagnosis and prevention enabled by big data geneva conference finale-Marefa
The presentation provides an overview of how digital health or use of data processing and telecommunication infrastructure can contribute to the early diagnosis and prevention of diseases.
MEASURE Evaluation’s Health Information System Strengthening ModelMEASURE Evaluation
This PowerPoint presentation provides an updated overview of MEASURE Evaluation’s Health Information System Strengthening Model, or the HISS Model. The slides describe the purpose of the model and each of the model’s areas and sub-areas.
This document provides an overview of health informatics and the role of librarians. It defines key terms like electronic health records, health information technology, and meaningful use. It discusses stages of meaningful use and how health informatics tools can improve care delivery and outcomes. The document also explores potential roles for librarians in areas like patient education, training, and research support within the health informatics field.
The document discusses New Zealand's national eHealth initiatives and priorities. It outlines the goals of establishing a core set of personal health information for all New Zealanders electronically by 2014 to improve healthcare quality and safety. Key programs include implementing health identity standards, developing universal medication lists and e-prescribing capabilities, and establishing clinical data repositories accessible across care settings. Governance involves multiple groups providing oversight and accountability for achieving the eHealth plan.
Low Functional health literacy is a problem affecting 90 million residents of the United States. Among the 90 million, 36% are adults who have “below basic” health literacy skills. Assessing health literacy is important in improving health behaviors, health outcomes, and perceived communication barriers related to health. The Patient Protection and Affordable Care Act enacted in 2010 brought about changes that demand a more coordinated approach to manage health care services. This research focused on the efforts being made to promote health literacy at Medicaid health homes such as Greater Buffalo United Accountable Healthcare Network (GBUAHN). This research consisted of observation of Patient Health Navigator interactions with patients in order to identify best practices of health literacy initiatives within GBUAHN. Results suggest best practices include promoting and establishing relationship to effectively enhance patients understanding of all their healthcare needs. This study suggests that GBUAHN should continue making use of recommendations related health literacy promotion while exploring areas of improvement as noted on scorecard. Patient Health Navigators are engaging patient in manner that will establish adherence within patients.
Psychiatrist - Saviour of the Cash Trapped NHS - Akmal Makhdum and Hashim RezaJP Rajendran
This document discusses the changing landscape of the NHS from 1997-2010 and the increasing financial pressures it faces. It outlines several key changes and initiatives over this period that aimed to improve outcomes, standards of care, and increase transparency and accountability. However, it questions whether an "information revolution" and increased monitoring can be sustained indefinitely given the NHS budget has more than tripled without corresponding increases in quality and outcomes. It suggests psychiatrists may need to take on more leadership roles to develop new care models and business opportunities to help ensure the future sustainability of mental health services.
5th Annual Early Age Onset Colorectal Cancer Summit - Session II: Family History Ascertainment in the US - What Steps are Needed to Improve the Well Documented Less Than Optimal Status of this Situation?
Health Record Banks: Business ConsiderationsWCIT 2014
This document discusses health record banks as a potential solution for collecting and sharing patient health information. It explains that big data has value if there is a large, comprehensive set of electronic patient records in a central repository. However, funding health information infrastructure through taxes is unpopular and relying on potential healthcare savings is difficult. Health record banks could provide a sustainable business model by generating revenue from stakeholders while giving patients control over their data and prioritizing privacy. The model shows potential for health record banks to be profitable without requiring captured healthcare savings.
C603 regional health observatory-its role in the generation and dissemination...Ramon Martinez
The Regional Health Observatory (RHO) of the Pan American health Organization (PAHO) is presented, highlighting its objective, functions and components. Its role as a mean to facilitate access to health data, disseminate health information and evidence to support decision-making in public health is also illustrated. Nowadays, the Health Observatory is an essential and key health information resource for PAHO, Member States, public health professionals and civil society.
Personal health records (PHRs) allow individuals to access and manage their medical information through online patient portals or applications. PHRs can be integrated with electronic health records and offer benefits like improved preventative care through reminders, increased opportunities for self-management of conditions, and better disease management through secure messaging with providers. However, early implementations of PHRs in the UK saw low adoption rates due to flaws in design, a lack of inclusiveness, and patients not being technically proficient. For PHRs to be successful, they must be patient-centric and easy to use.
The document summarizes the key accomplishments and privacy challenges of the New Mexico Health Information Collaborative (NMHIC). It discusses how NMHIC was established in 2004 with funding from government agencies and community matching funds to create a statewide health information exchange. It describes the major privacy issues encountered, including balancing data sharing for treatment while respecting patient privacy and developing a hybrid consent model. It also outlines lessons learned around the importance of stakeholder engagement, education, and public trust for a sustainable health information exchange.
An updated introduction to the PaRIS project, why it matters, how it works, its timeline, and the key issues it addresses. Contact us at paris_survey@oecd.org to learn more.
1. The document discusses guidelines for quality documentation and reporting in healthcare settings. It addresses the importance of records for communication, assessment, education, research, auditing, legal purposes and more.
2. Effective record keeping is important for individuals, practitioners, nurses, and authorities. Records provide health histories, guide treatment, show progress, allow for planning and evaluation, and serve administrative and legal needs.
3. Proper documentation includes writing facts based on observations, being accurate, complete, organized and confidential. Records should be maintained according to various principles and guidelines.
Similar to The Learning Health System in 5 Chapters - Guest speaker, William A. Yasnoff (20)
The document outlines an agenda for a University of Michigan Learning Health System Collaboratory event. The agenda includes: welcome remarks, introductions and background on the LHS Collaboratory, a discussion of its vision, mission, value and opportunities, a closing activity, and adjournment. Testimonials will be provided by representatives from various UM schools. The LHS aims to link discovery to better health outcomes through continuous learning and knowledge sharing between data, knowledge and practice. Realizing this vision poses sociotechnical challenges that require cross-disciplinary collaboration and leadership.
This document discusses the potential for mobile health technologies to improve care for cardiovascular disease. It provides an overview of advances in mobile devices and their capabilities. A model is presented where mobile technologies can support care by enabling risk assessment, monitoring of conditions like blood pressure and sodium intake, and remote patient monitoring for conditions like heart failure. Two case studies are described that used mobile apps to help lower sodium intake through location-based alerts and remote monitoring in heart failure patients. The conclusion is that mobile technologies provide new opportunities for just-in-time interventions and passive monitoring of pre-clinical disease states.
The document discusses the Michigan Surgical Quality Collaborative (MSQC), which aims to establish a learning health system for improving surgical care in Michigan. It describes the MSQC learning health system cycle, which involves collecting data, analyzing it, learning from it, disseminating best practices, and evaluating and supporting continuous quality improvement. It provides details on how the MSQC works, including the data it collects, how sites are analyzed and monitored, and how knowledge is shared. It discusses the MSQC's focus on reducing surgical site infections in colectomy patients and the initiatives developed from analyzing the data. Finally, it outlines the MSQC's future plans to further leverage technology, anchor care around patients, and create an epicenter
This document summarizes a presentation by Joshua Rubin on realizing a learning health system. It discusses the concept of a learning health system where every health experience and decision helps to improve health. It outlines key components like assembling relevant data, analyzing it, disseminating results, and changing practice. Stakeholders in this system include patient groups, insurers, universities, delivery networks, and the tech industry. Over 100 organizations have endorsed the core values of a learning health system. The presentation closes by emphasizing collaboration as a driver of better health outcomes through technology, policy, people and culture working together.
Caren Stalburg, MD, MA presented to the 2016 annual Snow meeting of the Michigan Section of the American Congress of Obstetricians and Gynecologists (ACOG) about her program to train Michigan providers about the new Breast Density Notification Law (http://www.midensebreasts.org/).
Dr. Stalburg is Division Chief and Clinical Assistant Professor in the Division of Professional Education in the Department of Learning Health Sciences and Assistant Professor of Obstetrics and Gynecology in the University of Michigan Medical School.
This document discusses the history and current uses of simulation-based education for training family medicine physicians. It outlines how simulation has been used to teach technical skills like central line placement. Studies show this training improves physicians' skills and knowledge, and leads to better patient outcomes like fewer infections. Future trends may include more system-based training using simulations of electronic health records. Training is also expected to focus more on non-technical skills like communication and decision-making. Overall, simulation-based education is poised to play a growing role in technical and non-technical skills training for family medicine.
Simulation-based education is increasingly being used to train technical skills. Current applications include using simulators to improve skills like central line placement and lumbar punctures. Research shows this approach can help address gaps in skills, improve patient outcomes, and reduce costs. Future trends may include more targeted simulators for specific specialties or procedures, and expanding training to areas beyond technical skills like communication. Barriers like cost and faculty time may be addressed through self-directed online training modules.
1) The document discusses a briefing on learning health systems presented at an AMIA symposium.
2) It outlines the challenges of realizing a learning health system that can continuously learn from all patient data and experiences to rapidly improve practices.
3) The briefing describes efforts by the Learning Health Community coalition of 91 organizations to develop standards and governance to enable learning health systems, and proposes that realizing these systems may require a new field of "cyber-social learning systems."
The document outlines strategies for transforming educational efforts into scholarship. It discusses defining educational scholarship, identifying opportunities to turn teaching work into scholarship projects, and sharing strategies for success, including considering dissemination venues and planning next steps. The document provides an overview of developing scholarly projects, from refining a study question to selecting appropriate designs, methods, and outcomes.
This document provides an overview of the national Learning Health Community framework and Learning Health for Michigan. The objectives are to understand the evolving national framework, become familiar with the vision and core values, learn about stakeholders working toward the shared vision, and gain insight into how research networks can integrate with health data sharing infrastructure. It acknowledges contributions from various individuals and organizations. It discusses how a learning health system platform can support multiple simultaneous learning cycles through common infrastructure. It emphasizes that such a platform needs capabilities for both gathering and applying knowledge (not just gathering). Specific platform elements discussed include mechanisms for communities of interest, use cases, standard components, and refinement/testing. The document outlines functions needed for a "brain" within the system to organize, manage
This document provides an overview of the national landscape for learning health systems. It discusses the vision of a learning health system where continuous learning and improvement is built into routine healthcare through research and data sharing. It outlines some of the challenges to realizing this vision like fragmentation and misaligned incentives. It also describes the emergence of a multi-stakeholder movement and Learning Health Community working to advance this vision through collaboration. Key initiatives of this movement include establishing core values, enabling standards and structures for learning from health data, and supporting various learning health projects.
The University of Michigan Medical School established the Patient Safety and Quality Leadership (PASQUAL) Scholars Program to create a community of clinical partners who can effectively collaborate with engineers and safety professionals to improve patient safety and quality of care. The program provides faculty and staff an 8-month curriculum covering quality improvement, patient safety, leadership, teaching and scholarship. Scholars identify an existing or new quality/safety project and work in interprofessional teams. Graduates are well positioned to lead quality/safety initiatives and collaborate with engineering professionals to positively impact healthcare outcomes.
This document summarizes a presentation on proposed changes to the informed consent process. The key proposed changes include shortening consent forms to only include the most relevant details, publicly posting consent documents for clinical trials, and allowing for broad consent for secondary use of biospecimens including de-identified samples. The goals of the proposed changes are to build more trust in the consent process and make it more meaningful. However, it is unclear if the changes will fully achieve these goals given challenges such as the open-ended nature of consent agreements. The presentation also discusses empirical studies conducted on community perspectives and issues regarding public health biobanks and consent.
Joshua Rubin's presentation for the Lilly sponsored AMIA Clinical Decision Support Working Group on August 25, 2015.
https://www.amia.org/education/webinars/learning-health-system-informing-clinical-decisions-learning-every-patient-every
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Test bank for karp s cell and molecular biology 9th edition by gerald karp.pdfrightmanforbloodline
Test bank for karp s cell and molecular biology 9th edition by gerald karp.pdf
Test bank for karp s cell and molecular biology 9th edition by gerald karp.pdf
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10 Benefits an EPCR Software should Bring to EMS Organizations Traumasoft LLC
The benefits of an ePCR solution should extend to the whole EMS organization, not just certain groups of people or certain departments. It should provide more than just a form for entering and a database for storing information. It should also include a workflow of how information is communicated, used and stored across the entire organization.
These lecture slides, by Dr Sidra Arshad, offer a simplified look into the mechanisms involved in the regulation of respiration:
Learning objectives:
1. Describe the organisation of respiratory center
2. Describe the nervous control of inspiration and respiratory rhythm
3. Describe the functions of the dorsal and respiratory groups of neurons
4. Describe the influences of the Pneumotaxic and Apneustic centers
5. Explain the role of Hering-Breur inflation reflex in regulation of inspiration
6. Explain the role of central chemoreceptors in regulation of respiration
7. Explain the role of peripheral chemoreceptors in regulation of respiration
8. Explain the regulation of respiration during exercise
9. Integrate the respiratory regulatory mechanisms
10. Describe the Cheyne-Stokes breathing
Study Resources:
1. Chapter 42, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 36, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 13, Human Physiology by Lauralee Sherwood, 9th edition
Histololgy of Female Reproductive System.pptxAyeshaZaid1
Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
Breast cancer: Post menopausal endocrine therapyDr. Sumit KUMAR
Breast cancer in postmenopausal women with hormone receptor-positive (HR+) status is a common and complex condition that necessitates a multifaceted approach to management. HR+ breast cancer means that the cancer cells grow in response to hormones such as estrogen and progesterone. This subtype is prevalent among postmenopausal women and typically exhibits a more indolent course compared to other forms of breast cancer, which allows for a variety of treatment options.
Diagnosis and Staging
The diagnosis of HR+ breast cancer begins with clinical evaluation, imaging, and biopsy. Imaging modalities such as mammography, ultrasound, and MRI help in assessing the extent of the disease. Histopathological examination and immunohistochemical staining of the biopsy sample confirm the diagnosis and hormone receptor status by identifying the presence of estrogen receptors (ER) and progesterone receptors (PR) on the tumor cells.
Staging involves determining the size of the tumor (T), the involvement of regional lymph nodes (N), and the presence of distant metastasis (M). The American Joint Committee on Cancer (AJCC) staging system is commonly used. Accurate staging is critical as it guides treatment decisions.
Treatment Options
Endocrine Therapy
Endocrine therapy is the cornerstone of treatment for HR+ breast cancer in postmenopausal women. The primary goal is to reduce the levels of estrogen or block its effects on cancer cells. Commonly used agents include:
Selective Estrogen Receptor Modulators (SERMs): Tamoxifen is a SERM that binds to estrogen receptors, blocking estrogen from stimulating breast cancer cells. It is effective but may have side effects such as increased risk of endometrial cancer and thromboembolic events.
Aromatase Inhibitors (AIs): These drugs, including anastrozole, letrozole, and exemestane, lower estrogen levels by inhibiting the aromatase enzyme, which converts androgens to estrogen in peripheral tissues. AIs are generally preferred in postmenopausal women due to their efficacy and safety profile compared to tamoxifen.
Selective Estrogen Receptor Downregulators (SERDs): Fulvestrant is a SERD that degrades estrogen receptors and is used in cases where resistance to other endocrine therapies develops.
Combination Therapies
Combining endocrine therapy with other treatments enhances efficacy. Examples include:
Endocrine Therapy with CDK4/6 Inhibitors: Palbociclib, ribociclib, and abemaciclib are CDK4/6 inhibitors that, when combined with endocrine therapy, significantly improve progression-free survival in advanced HR+ breast cancer.
Endocrine Therapy with mTOR Inhibitors: Everolimus, an mTOR inhibitor, can be added to endocrine therapy for patients who have developed resistance to aromatase inhibitors.
Chemotherapy
Chemotherapy is generally reserved for patients with high-risk features, such as large tumor size, high-grade histology, or extensive lymph node involvement. Regimens often include anthracyclines and taxanes.
Are you looking for a long-lasting solution to your missing tooth?
Dental implants are the most common type of method for replacing the missing tooth. Unlike dentures or bridges, implants are surgically placed in the jawbone. In layman’s terms, a dental implant is similar to the natural root of the tooth. It offers a stable foundation for the artificial tooth giving it the look, feel, and function similar to the natural tooth.
Know the difference between Endodontics and Orthodontics.Gokuldas Hospital
Your smile is beautiful.
Let’s be honest. Maintaining that beautiful smile is not an easy task. It is more than brushing and flossing. Sometimes, you might encounter dental issues that need special dental care. These issues can range anywhere from misalignment of the jaw to pain in the root of teeth.
How to Control Your Asthma Tips by gokuldas hospital.Gokuldas Hospital
Respiratory issues like asthma are the most sensitive issue that is affecting millions worldwide. It hampers the daily activities leaving the body tired and breathless.
The key to a good grip on asthma is proper knowledge and management strategies. Understanding the patient-specific symptoms and carving out an effective treatment likewise is the best way to keep asthma under control.
DECLARATION OF HELSINKI - History and principlesanaghabharat01
This SlideShare presentation provides a comprehensive overview of the Declaration of Helsinki, a foundational document outlining ethical guidelines for conducting medical research involving human subjects.
Travel vaccination in Manchester offers comprehensive immunization services for individuals planning international trips. Expert healthcare providers administer vaccines tailored to your destination, ensuring you stay protected against various diseases. Conveniently located clinics and flexible appointment options make it easy to get the necessary shots before your journey. Stay healthy and travel with confidence by getting vaccinated in Manchester. Visit us: www.nxhealthcare.co.uk
Summer is a time for fun in the sun, but the heat and humidity can also wreak havoc on your skin. From itchy rashes to unwanted pigmentation, several skin conditions become more prevalent during these warmer months.