This was a zoom call done on 14th March 2022 detailing why we at Haughton Thornley Medical Centres (HTMC) started to give patients full access to their GP electronic health record and understanding in 2004, what we did and still do, how we did it, what the challenges are that we are facing now in General Practice, the importance of the Partnership of Trust, the practice-based web portal www.htmc.co.uk, how we support understanding by sign-posting to trusted information from the practice, our explicit consent process, what we mean by Responsible Sharing, a description of the consent process that all patients wanting access to their records must complete, some dos and dont's when writing in the notes, how to deal with 3rd Party data (not just redaction), what other providers can do to help when sending notes to GP surgeries including do you need to send everything?, an introduction to the Information Governance strategy for Greater Manchester Combined Authority that has recently been ratified and finally a dedication to Ingrid Brindle who recently passed away and was the Chair of Haughton Thornley Patient Participation Group
20220314 patient access to records and Understanding from April 2022amirhannan
This was a zoom call done on 14th March 2022 detailing why we at Haughton Thornley Medical Centres (HTMC) started to give patients full access to their GP electronic health record and understanding in 2004, what we did and still do, how we did it, what the challenges are that we are facing now in General Practice, the importance of the Partnership of Trust, the practice-based web portal www.htmc.co.uk, how we support understanding by sign-posting to trusted information from the practice, our explicit consent process, what we mean by Responsible Sharing, a description of the consent process that all patients wanting access to their records must complete, some dos and dont's when writing in the notes, how to deal with 3rd Party data (not just redaction), what other providers can do to help when sending notes to GP surgeries including do you need to send everything?, an introduction to the Information Governance strategy for Greater Manchester Combined Authority that has recently been ratified and finally a dedication to Ingrid Brindle who recently passed away and was the Chair of Haughton Thornley Patient Participation Group
Should radiologists use messaging services like WhatsApp for professional purposes? Is this compliant with GDPR and HIPAA? What solutions are available?
m-Health: Engaging Patients at Every TouchpointCognizant
Today, people want fast, easy and secure access to their health records, from wherever they may be and from whatever device they choose. Electronic health records (EHR) can alleviate this issue, and encourage proactive, preventive care, all within a robust, integrated, interoperable, and inclusive health system that serves the best interests of patients, physician practices, hospitals, public health, and the population at large.
20220314 patient access to records and Understanding from April 2022amirhannan
This was a zoom call done on 14th March 2022 detailing why we at Haughton Thornley Medical Centres (HTMC) started to give patients full access to their GP electronic health record and understanding in 2004, what we did and still do, how we did it, what the challenges are that we are facing now in General Practice, the importance of the Partnership of Trust, the practice-based web portal www.htmc.co.uk, how we support understanding by sign-posting to trusted information from the practice, our explicit consent process, what we mean by Responsible Sharing, a description of the consent process that all patients wanting access to their records must complete, some dos and dont's when writing in the notes, how to deal with 3rd Party data (not just redaction), what other providers can do to help when sending notes to GP surgeries including do you need to send everything?, an introduction to the Information Governance strategy for Greater Manchester Combined Authority that has recently been ratified and finally a dedication to Ingrid Brindle who recently passed away and was the Chair of Haughton Thornley Patient Participation Group
Should radiologists use messaging services like WhatsApp for professional purposes? Is this compliant with GDPR and HIPAA? What solutions are available?
m-Health: Engaging Patients at Every TouchpointCognizant
Today, people want fast, easy and secure access to their health records, from wherever they may be and from whatever device they choose. Electronic health records (EHR) can alleviate this issue, and encourage proactive, preventive care, all within a robust, integrated, interoperable, and inclusive health system that serves the best interests of patients, physician practices, hospitals, public health, and the population at large.
Deep Blue Communications is the leader in engineering, installing and supporting hospitality networks that ensure your property opens on time, on budget, with all your technologies working together the way they should - on day one. With over 10 years’ experience, Deep Blue has made the INC 5000 List of the Fastest Growing Companies, emerging as a pioneer in converged networks for properties by seamlessly integrating hospitality, retail and entertainment services. Deep Blue collaborates with you and your technology vendors to design and install the network, manage all 3rd party product integrations and provide ongoing support, streamlining operations with solutions that deliver the best ROI within your budget. We help businesses across the United States, Canada, Mexico and the Caribbean elevate their guest experience. For more information, contact sales@deepbluecommunications.com, call 844-389-2718, or visit www.deepbluecommunications.com.
Keynote Presentation: Mayo Clinic Embraces Social Media to Improve Clinical Practice, Research & Education
Presented by: Dr. Farris Timimi, Medical Director, Mayo Clinic Center for Social Media, Mayo Clinic
Dr. Timimi, a practicing Cardiologist, will share how Mayo Clinic fosters conversations and improves care with patients through social technologies. Dr. Timimi will provide specific case study examples of how The Center for Social Media at Mayo clinic is helping transition the patient-provider relationship from its current transactional nature to the future two-way partnership and open engagement model. Dr. Timimi will also present how social media progresses the patient education process.
www.bdionline.com
Protocols and Evidence based Healthcare: information technology tools to support best practices in health care, information technology tools that inform and empower patients.
People with Chronic Disease needs complete care. The current patient experience will be enhanced with the available technology and by figuring out the ageing population and rising incidence of Chronic Diseases.
Improving the Patient Experience with HIT WebcastIatric Systems
Learn how to improve patient experience, weave patient-facing HIT and engagement protocols into your plans, and create a roadmap to improve patient care.
Information systems for health decision making - a citizen's perspectiveErdem Yazganoglu
We make health decisions everyday. We get our information from the Internet. As a society we are investing large amounts of funding for the health information systems. In this presentation, I tried to look from the perspective of a citizen and tried bringing a different perspective.
Digital Transformation In Healthcare_ Trends, Challenges And Solutions.pdfLucas Lagone
Explore digital transformation in Healthcare, Trends, face challenges, and discover effective solutions for a seamless transition in the healthcare industry.
Future of Health Care Marketing - Digital and Social MED E Talks
Mr Hemant Radhakrishnan,Director -Anvita Tours2Health Pvt Ltd delivered the talk on "Future of Health Care Marketing - Digital and Social " at the 4th International Healthcare Conference - MelanoSite Medetalks 2018
20221112 Over the Horizon Challenges to GP partnership.pptxamirhannan
Talk delivered at the British Association of Pakistani General Practitioners in Nottingham 12th November 2022 exploring the Partnership model and what can we do to improve things
Deep Blue Communications is the leader in engineering, installing and supporting hospitality networks that ensure your property opens on time, on budget, with all your technologies working together the way they should - on day one. With over 10 years’ experience, Deep Blue has made the INC 5000 List of the Fastest Growing Companies, emerging as a pioneer in converged networks for properties by seamlessly integrating hospitality, retail and entertainment services. Deep Blue collaborates with you and your technology vendors to design and install the network, manage all 3rd party product integrations and provide ongoing support, streamlining operations with solutions that deliver the best ROI within your budget. We help businesses across the United States, Canada, Mexico and the Caribbean elevate their guest experience. For more information, contact sales@deepbluecommunications.com, call 844-389-2718, or visit www.deepbluecommunications.com.
Keynote Presentation: Mayo Clinic Embraces Social Media to Improve Clinical Practice, Research & Education
Presented by: Dr. Farris Timimi, Medical Director, Mayo Clinic Center for Social Media, Mayo Clinic
Dr. Timimi, a practicing Cardiologist, will share how Mayo Clinic fosters conversations and improves care with patients through social technologies. Dr. Timimi will provide specific case study examples of how The Center for Social Media at Mayo clinic is helping transition the patient-provider relationship from its current transactional nature to the future two-way partnership and open engagement model. Dr. Timimi will also present how social media progresses the patient education process.
www.bdionline.com
Protocols and Evidence based Healthcare: information technology tools to support best practices in health care, information technology tools that inform and empower patients.
People with Chronic Disease needs complete care. The current patient experience will be enhanced with the available technology and by figuring out the ageing population and rising incidence of Chronic Diseases.
Improving the Patient Experience with HIT WebcastIatric Systems
Learn how to improve patient experience, weave patient-facing HIT and engagement protocols into your plans, and create a roadmap to improve patient care.
Information systems for health decision making - a citizen's perspectiveErdem Yazganoglu
We make health decisions everyday. We get our information from the Internet. As a society we are investing large amounts of funding for the health information systems. In this presentation, I tried to look from the perspective of a citizen and tried bringing a different perspective.
Digital Transformation In Healthcare_ Trends, Challenges And Solutions.pdfLucas Lagone
Explore digital transformation in Healthcare, Trends, face challenges, and discover effective solutions for a seamless transition in the healthcare industry.
Future of Health Care Marketing - Digital and Social MED E Talks
Mr Hemant Radhakrishnan,Director -Anvita Tours2Health Pvt Ltd delivered the talk on "Future of Health Care Marketing - Digital and Social " at the 4th International Healthcare Conference - MelanoSite Medetalks 2018
20221112 Over the Horizon Challenges to GP partnership.pptxamirhannan
Talk delivered at the British Association of Pakistani General Practitioners in Nottingham 12th November 2022 exploring the Partnership model and what can we do to improve things
Dr Krishna Kasaraneni - Primary Care Networksamirhannan
Dr Krishna Kasaraneni talks about the challenges and opportunities of Primary Care Networks and what this means for General Practice and the wider healthcare system
20190712 Health Records Citizens and Genes - Amir Hannanamirhannan
Dr Amir Hannan introduces the conference and its aims with a story from his practice about a couple wanting access to their electronic health records, sharing the latest data from the GP survey and what progress we still need to make to enable many more people to be able to access their electronic health records and gain a better understanding of their healthcare needs
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
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TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
20220314 Patient access to records and understanding from April 2022
1. Patient Access Evergreen Life PHR NHS App
Patients may be able to access their GP electronic health records from April 2022
• Why did we do this?
• How can we do this
responsibly and
safely?
• What safeguards did
we put in place?
• How can we safely
redact information in
the record ?
Haughton Thornley
Medical Centres has
enabled full Records
Access and
Understanding
including free text to
the whole record
since 2004
Over 10,000 patients
(81% of the patient
population has done this)
Monday 14th
March
6:30pm till 8pm
Dr Amir Hannan
Full-time General Practitioner Haughton
Thornley Medical Centres
www.htmc.co.uk @amirhannan
2. Fears for patients and practices
• Practices will get overwhelmed with demand
• Patients will expect errors to be corrected
• Patient will not understand their records
• Patients will increase demands
• Something terrible will happen
• Practices will get sued
• 3rd Party / Harmful data will get shared
• Practitioners will get referred to the GMC
3. One day in 2003….
Example photo – not a true patient
6. HTMC Mission Statement
There for you all your life,
your good health with our support,
empowering you to live well
Managers provide the context for patients, carers and clinicians to excel
8. Facts and Figures
In 2020 in Great Britain Percentage
Have internet access 96% of households
% of adults who have shopped online 87%
Internet connections in households with one adult aged over 65 80%
% of adults used internet banking 76%
Accessed 20th February 2022 https://www.ons.gov.uk/peoplepopulationandcommunity/householdcharacteristics/homeinternetandsocialmediausage/bulletins/internetaccesshouseholdsandindividuals/2020
Accessed 13th March 2022 NHS Digital – Patient Online Services https://digital.nhs.uk/data-and-information/data-tools-and-services/data-services/general-practice-data-hub/patient-online-management-information-pomi
9. Amir Hannan & Glen Griffiths October 2011
Create interest Engage Inform
Activate
Manage
relationship
Reactivate
Build
momentum
Flying,
EMPOWERED
patient
Safety
netting
The EMPOWERED patient
Part of Shared Decision Making
17. Screenshots taken from the Test Patient record: https://tinyurl.com/HTMCTestPatient
Evergreen Life PHR Patient Access
18.
19. Electronic health record
Extended
Access Hub
OOHs
Urgent Care
EPACCs
A&E
Summary Care Record
EMISweb
Ambulance, 111,
District Nurses,
Single Point of
Access
EPACCs
PCNs
Whole electronic health
record read / write with
consent
Would you
mind if I look
at your
electronic
health
record ?
Artificial
Intelligence
Responsible Sharing
20. Electronic health record
Extended
Access Hub
OOHs
Urgent Care
EPACCs
A&E
Summary Care Record
EMISweb
Responsible Sharing
Records Access and
Understanding Safety Checklist
Explicit Consent
Questionnaire
Would you mind if I look at your
electronic health record ?
NW Ambulance,
111, District Nurses,
Single Point of
Access
EPACCs
Artificial
Intelligence
PCNs
Whole electronic health
record read / write with
consent
25. What is our process?
• Assume all patients / carers can have full access
• Engage your Patient Participation Group
• Patients are informed, engaged and activated in the consulting room
• To get the full “records access and understanding”
• Complete Safety Checklist questionnaire
• Opportunity to answer any questions
• Check GP electronic health record
• Add code “Patient Remote Record Access Enabled” to active problems list
• Switch on all the subcomponents for full records access including free text
from 1/1/1900 (for EMIS practices)
• Send an MJOG multimedia-rich message to the patient informing them
• Email their pin numbers to them if not already been given them
• Inform them they can email the practice if they have any issues
• Publish our data every Sunday to monitor the improvement
• We have trained our receptionist to do this and provide support for digital
services
27. Writing in the notes
Do
• See this as an opportunity to help improve understanding for all
• Use templates for common conditions / advice
• State clear facts and when you are stating an opinion
• Follow up with links to signpost to trusted information
• Provide local information how to get the best from the practice / local services
• Refer to previous notes and check if info was useful
Don’t
• Make assumptions you cannot back up later
• Use abbreviations
• Dumb down or over-simplify
• Use doctor speak (unless you know the patient understands)
• Write untruths / lies for fear of repercussions
28. Main exclusion
• Unable to provide consent
• Dementia
• Digital Divide & no family / carer
• No time / resources to devote
• (Lack of interest)
Problem areas
• Severe mental illness
• Child protection
29. How to manage 3rd Party /
Harmful data at point of care
• I will try to remember what you say
• There is an accusation that Mr Y did…..
• Mrs X says Mr Y did…..
30. Redaction software / tool
• Software can help but not “automatic”
• Redaction needs to be end to end tested
• Needs to be foolproof
• Long list of concerns / challenges eg GP to GP
• Relies on human interaction – hence WILL FAIL
• So MANAGE the risk…..
31.
32.
33.
34.
35. To share or not to share…..
• BUT biggest risk is not sharing….
• The Paradigm Shift in Healthcare
39. For latest data at Haughton Thornley Medical Centres please see https://tinyurl.com/HTMCPatientsWhoCanReadDocNotes
40. Type of patient How many have signed up %
Total patients 10,700/13059 81%
Diabetes (type 1 & 2) 809/979 82%
Type 1 Diabetes 72/74 97%
Prediabetes 828/1016 81%
Cancer 351/439 79%
Depression / Anxiety 3510/4068 86%
Carers 396/443 89%
Heart disease 367/464 79%
Pregnant 79/80 98%
Learning disability 62/82 75%
Bengali patients 1440/1611 89%
Asthma 1718/1977 86%
COPD 304/409 74%
Medications ordered online 3729/13059 28%
COVID19 positive 2674/2916 91%
For latest data at Haughton Thornley Medical Centres please see https://tinyurl.com/HTMCPatientsWhoCanReadDocNotes
41. What can other providers do?
• Some correspondence may be harmful or not
shareable
• Clearly mark on all correspondence if information
/ letter they are sending has:
• Harmful data
• 3rd Party data
• Should be redacted
• Think about whether information needs to be
shared or can be kept within internal
documentation with the opportunity for people to
contact you if need be – manage the risk!
