Presentation given by Eric C. Schneider, MD, Senior Vice President for Policy and Research of The Commonwealth Fund at the University of Michigan Institute for Healthcare Policy and Innovation in Ann Arbor, MI on December 7, 2017.
Population health management real time state-of-health analysispscisolutions
To lower health costs, physician networks and medical homes must employ a closed loop population management program that focus on patient SOH stratification, chronic disease management, care coordination and incentive management. This approach will enable them to consistently reduce ER and inpatient admissions, which are the greatest expenditures in health care today.
Impact of Health Systems Strengthening on HealthHFG Project
Leaders in low- and middle-income countries (LMICs) require timely and compelling evidence about how to strengthen their health systems to improve the health and well-being of their citizens. Yet, evidence on how to strengthen health system performance to achieve sustainable health improvements at scale, particularly toward Ending Preventable Child and Maternal Deaths (EPCMD), fostering an AIDS-Free Generation (AFG), and Protecting Communities against Infectious Diseases (PCID) is limited. The evidence that does exist is scattered, insufficiently analyzed, and not widely disseminated. Without evidence, decision-makers lack a sound basis for investing scarce health funds in health systems strengthening (HSS) in an environment of competing investment options.
USAID is committed to advancing the evidence base on HSS and this commissioned report clearly demonstrates that HSS can improve health in LMICs.
This report, based on a review of systematic reviews of the effects on health of HSS, presents a significant body of evidence linking HSS interventions to measureable impact on health for vulnerable people in LMICs. Making decisions on who delivers health services and where and how these services are organized is important to achieve priority health goals such as EPCMD, AFG, and PCID. The findings of this report document the value of investing in HSS.
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.
Making happier, healthier patients
The link between happiness and health is well documented. More accurately referred to as subjective wellbeing, it’s been demonstrated that a positive outlook is
not only the result of good health, but the cause of it.
The Future of Personalizing Care Management & the Patient ExperienceRaphael Louis Vitón
Actionable segmentation model findings - by Raphael Louis Vitón & Dream team of industry experts, physicians and leaders from Blue Cross, GEHealthCare, RingLeaderVentures, Maddock Douglas, Dr.Daniel Friedland, etc working on improving health outcomes by Personalizing the Care Management business model for Better Outcomes & Better Economics (through patient empowerment)
The world is becoming easier to understand through numbers. They can tell us how much an individual makes in a country, how many people are in that country, and how long these people can expect to live on average. But what about the more subjective concepts? How do we measure and understand happiness? Success? Gallup-Healthway's Global Well-Being Index has broken it down to people’s perception of five key elements in their life.
www.twitter.com/stinsondesign
www. facebook.com/stinsondesign
www.stinsondesign.com
Peter L. Slavin, M.D., 2015 Leadership in Academic Medicine Lectureuabsom
Peter L. Slavin, M.D., president of Massachusetts General Hospital, presented “The Future of Academic Medicine” on Thursday, Aug. 6 as the featured speaker for the 2015 Leadership in Academic Medicine Lecture, sponsored by UAB Medicine.
Population health management real time state-of-health analysispscisolutions
To lower health costs, physician networks and medical homes must employ a closed loop population management program that focus on patient SOH stratification, chronic disease management, care coordination and incentive management. This approach will enable them to consistently reduce ER and inpatient admissions, which are the greatest expenditures in health care today.
Impact of Health Systems Strengthening on HealthHFG Project
Leaders in low- and middle-income countries (LMICs) require timely and compelling evidence about how to strengthen their health systems to improve the health and well-being of their citizens. Yet, evidence on how to strengthen health system performance to achieve sustainable health improvements at scale, particularly toward Ending Preventable Child and Maternal Deaths (EPCMD), fostering an AIDS-Free Generation (AFG), and Protecting Communities against Infectious Diseases (PCID) is limited. The evidence that does exist is scattered, insufficiently analyzed, and not widely disseminated. Without evidence, decision-makers lack a sound basis for investing scarce health funds in health systems strengthening (HSS) in an environment of competing investment options.
USAID is committed to advancing the evidence base on HSS and this commissioned report clearly demonstrates that HSS can improve health in LMICs.
This report, based on a review of systematic reviews of the effects on health of HSS, presents a significant body of evidence linking HSS interventions to measureable impact on health for vulnerable people in LMICs. Making decisions on who delivers health services and where and how these services are organized is important to achieve priority health goals such as EPCMD, AFG, and PCID. The findings of this report document the value of investing in HSS.
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.
Making happier, healthier patients
The link between happiness and health is well documented. More accurately referred to as subjective wellbeing, it’s been demonstrated that a positive outlook is
not only the result of good health, but the cause of it.
The Future of Personalizing Care Management & the Patient ExperienceRaphael Louis Vitón
Actionable segmentation model findings - by Raphael Louis Vitón & Dream team of industry experts, physicians and leaders from Blue Cross, GEHealthCare, RingLeaderVentures, Maddock Douglas, Dr.Daniel Friedland, etc working on improving health outcomes by Personalizing the Care Management business model for Better Outcomes & Better Economics (through patient empowerment)
The world is becoming easier to understand through numbers. They can tell us how much an individual makes in a country, how many people are in that country, and how long these people can expect to live on average. But what about the more subjective concepts? How do we measure and understand happiness? Success? Gallup-Healthway's Global Well-Being Index has broken it down to people’s perception of five key elements in their life.
www.twitter.com/stinsondesign
www. facebook.com/stinsondesign
www.stinsondesign.com
Peter L. Slavin, M.D., 2015 Leadership in Academic Medicine Lectureuabsom
Peter L. Slavin, M.D., president of Massachusetts General Hospital, presented “The Future of Academic Medicine” on Thursday, Aug. 6 as the featured speaker for the 2015 Leadership in Academic Medicine Lecture, sponsored by UAB Medicine.
Bobby Milstein, PhD, MPH, director of the ReThink Health and visiting scientist at MIT Sloan School of Management, gave the October 9 Grand Rounds on the Future of Public Health at Columbia's Mailman School of Public Health. Dr. Milstein's talk, "Beyond Reform and Rebound: Frontiers for Rethinking and Redirecting Health System Performance," was part of this year's Grand Rounds series focusing on the decline in the health status of the U.S. population compared to peer nations, as well as the opportunities for public health leadership that are needed to close this gap. While at the Mailman School, Dr. Milstein also met with a group of doctoral students and Prof. Ronald Bayer to discuss approaches to effectively improve health systems in the United States.
Visit the events page to find out more, http://www.mailman.columbia.edu/events/grand-rounds.
Many factors affect a healthcare organization’s ability to provide quality patient care. But the most powerful key to better patient outcomes isn’t vanguard medical technology, an organization’s number of specialty providers, or even add-on programs designed to promote preventative care. Instead, recent research and practical in-the-field experience demonstrates that healthcare
organizations can create the most profound improvements in patient care and satisfaction levels simply by improving employee engagement.
The future of patient data the danish perspective 2018Future Agenda
The Danish perspective on implications from the future of patient data - insights from discussions in Copenhagen
Denmark is recognised as one of the leading nations for healthcare and is at the forefront of digital transformation in the sector. As new challenges and opportunities emerge over the next decade this article considers what the core drivers of change may be and explores how developments in the availability and use of more and better patient data may impact the Danish health system. Linking together previous research, a recent related Future Agenda initiative and insights from a number of expert discussions in Copenhagen, it then examines the pivotal issues that will affect healthcare providers in the future and considers how the wider sharing of exemplary data can change delivery models.
Given the overall dynamics, many conclude that Denmark is one of the most connected, well-funded and healthy nations in the world. The advent of more and better health data should therefore have additional impact. So, what about the future? How will the global changes underway impact and enhance the Danish system? Moreover, what will be the national vs regional response?
A recent global project exploring the future of patient data was undertaken by Future Agenda in partnership with leading organisations around the world. (www.futureofpatientdata.org) Twelve events across many different healthcare systems brought together over 300 experts to debate the primary shifts for the next decade as well as explore their implications. Within this, several shared ambitions in a number of different countries were identified – many of which can already be seen as existing assets of the Danish system: Good quality patient data, common access to it, and means of interacting with both the information and the different communities who form the full care system.
As the first phase of a subsequent series of more regional, national dialogues, in June 2018 additional discussions were undertaken with healthcare experts in Copenhagen to uncover more detail. Hosted by DTU Business, the aim was to both respond to the global context from the Future of Patient Data project and debate what the implications may be for Denmark. In particular, a core objective was to identify what are the primary issues for the Danish healthcare system for the next decade.
Connected Health Presentationo May 2016 finalPhillip Thomas
"Connected Health is often mentioned as a solution for the many challenges that healthcare is facing -- among which are rising costs, aging populations, higher chronic disease rates, and growing expectations for more affordable and higher-quality care. Added to this is the complexity that is caused when healthcare works in silos and the promise of interoperability still seems like a distant vision. Our session on May 24th will discuss current strategies being implemented in connected health, as well as gaps, and possible solutions.”
Managed Care within Health Care covers a variety of information from nursing homes, policies, Medical, Medicare, out of pocket, and partial payment, management, contracts, government, and the Social Security State Fund. Within this working paper I will discuss a few of these mechanisms that are applied and utilized within ‘Managed Care’ today. A system within a system that brings in 25% of the United States debt.
Healthcare Industry Taxonomy for the Population Health EraDave Chase
See https://www.linkedin.com/pulse/population-health-investments-catastrophically-misaligned-dave-chase for background on taxonomy
Created for The Future Health Ecosystem Today by Cascadia Capital and Dave Chase
In October 2014, INTEGRATED's Bill Jessee presented "Where Is Healthcare Going? And How Will We Get There?" at Iowa Hospital Association's annual meeting. The presentation focuses on the forces shaping healthcare today, the delivery system changing in response to the environment, and what this all means for hospitals and physicians.
The changing landscape of health care in the US -- drivers and outcomesGregory Travis
The United States has the worst health care outcomes among its OECD peers. It also has the highest health care costs within the OECD. What are the reasons for this and what changes can we anticipate going forward?
The goal of this webinar is to help healthcare professionals improve care coordination for patients with advanced illness and to reduce hospital readmissions and length of stay (LOS).
Bobby Milstein, PhD, MPH, director of the ReThink Health and visiting scientist at MIT Sloan School of Management, gave the October 9 Grand Rounds on the Future of Public Health at Columbia's Mailman School of Public Health. Dr. Milstein's talk, "Beyond Reform and Rebound: Frontiers for Rethinking and Redirecting Health System Performance," was part of this year's Grand Rounds series focusing on the decline in the health status of the U.S. population compared to peer nations, as well as the opportunities for public health leadership that are needed to close this gap. While at the Mailman School, Dr. Milstein also met with a group of doctoral students and Prof. Ronald Bayer to discuss approaches to effectively improve health systems in the United States.
Visit the events page to find out more, http://www.mailman.columbia.edu/events/grand-rounds.
Many factors affect a healthcare organization’s ability to provide quality patient care. But the most powerful key to better patient outcomes isn’t vanguard medical technology, an organization’s number of specialty providers, or even add-on programs designed to promote preventative care. Instead, recent research and practical in-the-field experience demonstrates that healthcare
organizations can create the most profound improvements in patient care and satisfaction levels simply by improving employee engagement.
The future of patient data the danish perspective 2018Future Agenda
The Danish perspective on implications from the future of patient data - insights from discussions in Copenhagen
Denmark is recognised as one of the leading nations for healthcare and is at the forefront of digital transformation in the sector. As new challenges and opportunities emerge over the next decade this article considers what the core drivers of change may be and explores how developments in the availability and use of more and better patient data may impact the Danish health system. Linking together previous research, a recent related Future Agenda initiative and insights from a number of expert discussions in Copenhagen, it then examines the pivotal issues that will affect healthcare providers in the future and considers how the wider sharing of exemplary data can change delivery models.
Given the overall dynamics, many conclude that Denmark is one of the most connected, well-funded and healthy nations in the world. The advent of more and better health data should therefore have additional impact. So, what about the future? How will the global changes underway impact and enhance the Danish system? Moreover, what will be the national vs regional response?
A recent global project exploring the future of patient data was undertaken by Future Agenda in partnership with leading organisations around the world. (www.futureofpatientdata.org) Twelve events across many different healthcare systems brought together over 300 experts to debate the primary shifts for the next decade as well as explore their implications. Within this, several shared ambitions in a number of different countries were identified – many of which can already be seen as existing assets of the Danish system: Good quality patient data, common access to it, and means of interacting with both the information and the different communities who form the full care system.
As the first phase of a subsequent series of more regional, national dialogues, in June 2018 additional discussions were undertaken with healthcare experts in Copenhagen to uncover more detail. Hosted by DTU Business, the aim was to both respond to the global context from the Future of Patient Data project and debate what the implications may be for Denmark. In particular, a core objective was to identify what are the primary issues for the Danish healthcare system for the next decade.
Connected Health Presentationo May 2016 finalPhillip Thomas
"Connected Health is often mentioned as a solution for the many challenges that healthcare is facing -- among which are rising costs, aging populations, higher chronic disease rates, and growing expectations for more affordable and higher-quality care. Added to this is the complexity that is caused when healthcare works in silos and the promise of interoperability still seems like a distant vision. Our session on May 24th will discuss current strategies being implemented in connected health, as well as gaps, and possible solutions.”
Managed Care within Health Care covers a variety of information from nursing homes, policies, Medical, Medicare, out of pocket, and partial payment, management, contracts, government, and the Social Security State Fund. Within this working paper I will discuss a few of these mechanisms that are applied and utilized within ‘Managed Care’ today. A system within a system that brings in 25% of the United States debt.
Healthcare Industry Taxonomy for the Population Health EraDave Chase
See https://www.linkedin.com/pulse/population-health-investments-catastrophically-misaligned-dave-chase for background on taxonomy
Created for The Future Health Ecosystem Today by Cascadia Capital and Dave Chase
In October 2014, INTEGRATED's Bill Jessee presented "Where Is Healthcare Going? And How Will We Get There?" at Iowa Hospital Association's annual meeting. The presentation focuses on the forces shaping healthcare today, the delivery system changing in response to the environment, and what this all means for hospitals and physicians.
The changing landscape of health care in the US -- drivers and outcomesGregory Travis
The United States has the worst health care outcomes among its OECD peers. It also has the highest health care costs within the OECD. What are the reasons for this and what changes can we anticipate going forward?
The goal of this webinar is to help healthcare professionals improve care coordination for patients with advanced illness and to reduce hospital readmissions and length of stay (LOS).
The Future of the American Healthcare Delivery System in an Era of ChangePYA, P.C.
PYA Principal Dr. Kent Bottles, who is also PYA Analytics' Chief Medical Officer, gave the keynote address, "The Future of the American Healthcare Delivery System in an Era of Change at the Healthcare Business Intelligence Summit," September 19, 2013, in Minneapolis. Dr. Bottles discussed four key trends affecting the American healthcare delivery system: the Affordable Care Act (“ACA”), the digital revolution, big data, and social media. He examined how these trends together affect the way hospitals, providers, payers, employers, and government agencies adapt to the changing healthcare environment.
Wendy Mayer, VP of Worldwide Innovation at Pfizer presented this at the Health Hackathon at Cornell Tech on April 9, 2015 to the audience of Cornell, MIT, Harvard, and Weill students. #HealthHack2015
Rock Report: Personalization in Consumer Health by @Rock_HealthRock Health
Overview of personalization in healthcare, including opportunities, barriers and case studies related to a market estimated to reach $450B+ by 2015. Purchase the report here: https://gumroad.com/l/XxcA
Presented by Steve Mills, IBM Senior Vice President, Group Executive, Software & Systems Group
Learn more: http://www.ibm.com/software/products/en/category/health-social-programs
The goal of this webinar is to help healthcare professionals improve care coordination for patients with advanced illness and to reduce hospital readmissions and length of stay (LOS).
Architecture Before Experience - EuroIA Amsterdam 2016 Bogdan Stanciu
Spending $9.715 per capita (The World Bank, 2013), the United States sits on top of the world of total health expenditures, but ranks only 33rd in population health. With 165.169 mHealth applications available for download to more than two-thirds of Americans who own a smartphone, one might think the digital revolution is going to cure everyone. However, the healthcare industry is failing the care model. Facing disruption in an open, competitive marketplace, the big insurance and big pharma, along with the hospital-based medical systems are trying to ride the wave of digital transformation in the most archaic way: adding a digital silo to their organisational chart. Battling conflicting workflows, poor integrations of a wide range of applications, and legacy policies and infrastructure, digital is as challenged as its peers in the marketing, patient experience, physician relationships, and consumer product departments to produce a comprehensive strategy for transformation. The good news is that medical systems are just that: systems. And like every other systems in the world, they can be designed.
Presentation: Leading the Change In Healthcare Education and Delivery: how to surmount the barriers.
Presented by: Dalal Haldeman, Senior Vice President, Marketing and Communications, John Hopkins Medicine
What does the triple aim really mean and how do we get there? How can strong brands in healthcare influence outcomes, research and patient wellbeing for a healthier future in America and in the world.
The aim of this educational symposium was to discuss why we should seek value across the health care system and how we can apply existing research methods to measure the value of services. While considerable political attention in developed countries continues to be focused on drug spending, there is also growing awareness of the significant contribution of non-drug components of health care (e.g., hospital services and inefficient care delivery) to overall spending growth and patient affordability. At the same time, there is growing interest in making greater use of value assessment and value-based payment to control spending and better align it with care quality. In order to promote greater value, and to do so in ways that respond to the needs of payers and patients, it is essential to assess value across both drug- and non-drug interventions and health care services. This panel will offer expert viewpoints to identify and discuss gaps in value information, rationale and approaches to track and reduce system-wide low value care, and research methods for how to measure health care services.
The Mis-measure of Health Care: Can Measurement, Improvement, and Cost Reduct...The Commonwealth Fund
Slides from the lecture "The Mis-measure of Health Care: Can Measurement, Improvement, and Cost Reduction be Reunited?" which was delivered by Eric Schneider MD on Wednesday, May 1, 2019 at The MacLean Center for Clinical Medical Ethics at The University of Chicago.
A presentation delivered by Eric Schneider, MD on November 13, 2018 to the National Association of Medicaid Directors. ‘Deaths of Despair’ (suicide, alcohol, and drug overdose) are up in every state. Why do they matter, and what might guide state responses?
A presentation delivered by Eric Schneider MD, FACP at the Association of American Medical Colleges' 2018 Integrating Quality Conference. Dr. Schneider presented as part of the "Building Capacity for Quality Improvement & Clinical Innovation at AMCs" panel.
Panel Description:
Clinical innovation and continuous quality improvement are critical to success in today’s health care system with its shift to value-based care delivery and financing models. While there is a need to implement, evaluate, and scale successful QI efforts and clinical innovations, there is wide variation in how health systems are supporting this work. This session will include presentations by leaders from three AMCs describing their institutions’ various approaches to supporting QI and innovation activities, including staffing, funding, evaluation, and scaling. The session will begin with an overview of a proposed framework for understanding the differences and intersections between QI, implementation, systems redesign, and innovation. The speakers will then share their perspectives on some of the core organizational competencies needed to support QI and innovation activities, including opportunities for career pathways. Finally, there will be an opportunity for participants to share their own successes and challenges to supporting QI and innovation at their institutions, and to provide feedback on opportunities for continuing this work.
Disruptive Innovation in Health Care: A Path to High Quality, Affordable Care?The Commonwealth Fund
Talk delivered by Eric Schneider, MD, MSc, FACP to the Anthem Advisory Board on April 11, 2018. Dr. Schneider discussed the challenges facing the U.S. health care system and the potential for disruptive innovation.
Using International Comparisons to Guide Performance ImprovementThe Commonwealth Fund
Slides deck used during Dr. Eric C. Schneider's keynote presentation at the Institute for Governance of Private and Public Organizations (IGOPP) conference in Quebec on 10/27/2017.
Eric Schneider, MD, MSc, FACP is the Senior Vice President for Policy and Research at The Commonwealth Fund.
Using Measurement to Improve Performance: Insights from ScorecardsThe Commonwealth Fund
A presentation given by Eric Schneider and
Douglas McCarthy of The Commonwealth Fund to the Utah State Legislature – Health and Human Services Committee on
August 23, 2017.
Evaluation in an Era of Digital Technology Innovation: Reflections for Phi...The Commonwealth Fund
Slides presented by Eric C. Schneider, MD, at the 2016 Grantmakers in Aging annual conference on Oct. 27, 2016.
Eric C. Schneider, MD, MSc, FACP, is the Senior Vice President for Research and Policy at The Commonwealth Fund.
The Commonwealth Fund is a private foundation that aims to promote a high performing health care system that achieves better access, improved quality, and greater efficiency, particularly for society's most vulnerable, including low-income people, the uninsured, minority Americans, young children, and elderly adults.
A presentation given by Eric Schneider, M.D., M.Sc., Senior Vice President for Policy and Research at The Commonwealth Fund at Health 2.0 ( #health2con) on September 26, 2016.
More information about Project Sage can be found here: http://www.sagehealthadvisor.com
David Blumenthal, MD, MPP, President of The Commonwealth Fund, presents on evaluating innovative programs at the CMS Quality Conference on Nov. 30, 2015.
International Health Policy and Practice: Comparing the U.S. and Canada on Ac...The Commonwealth Fund
Dr. Eric Schneider's presentation on international health policy and practice. This presentation was delivered at the 2015 AcademyHealth Annual Research Meeting on June 14, 2015.
Aiming for a Higher Performing Health Care System: Learning from Cross-Nation...The Commonwealth Fund
Robin Osborn, Vice President and Director, International Program in Health Policy and Innovation at The Commonwealth Fund, discusses international health care systems. These slides were presented at the Queen’s Health Policy Change Conference, May 6, 2015 in Toronto, Canada.
Five years have passed since the Affordable Care Act was enacted, and we’re well into the second year of full implementation. In this set of slides, Commonwealth Fund president, David Blumenthal, reviews what's happened so far, and what's next.
What is the point of small housing associations.pptxPaul Smith
Given the small scale of housing associations and their relative high cost per home what is the point of them and how do we justify their continued existance
A process server is a authorized person for delivering legal documents, such as summons, complaints, subpoenas, and other court papers, to peoples involved in legal proceedings.
ZGB - The Role of Generative AI in Government transformation.pdfSaeed Al Dhaheri
This keynote was presented during the the 7th edition of the UAE Hackathon 2024. It highlights the role of AI and Generative AI in addressing government transformation to achieve zero government bureaucracy
Russian anarchist and anti-war movement in the third year of full-scale warAntti Rautiainen
Anarchist group ANA Regensburg hosted my online-presentation on 16th of May 2024, in which I discussed tactics of anti-war activism in Russia, and reasons why the anti-war movement has not been able to make an impact to change the course of events yet. Cases of anarchists repressed for anti-war activities are presented, as well as strategies of support for political prisoners, and modest successes in supporting their struggles.
Thumbnail picture is by MediaZona, you may read their report on anti-war arson attacks in Russia here: https://en.zona.media/article/2022/10/13/burn-map
Links:
Autonomous Action
http://Avtonom.org
Anarchist Black Cross Moscow
http://Avtonom.org/abc
Solidarity Zone
https://t.me/solidarity_zone
Memorial
https://memopzk.org/, https://t.me/pzk_memorial
OVD-Info
https://en.ovdinfo.org/antiwar-ovd-info-guide
RosUznik
https://rosuznik.org/
Uznik Online
http://uznikonline.tilda.ws/
Russian Reader
https://therussianreader.com/
ABC Irkutsk
https://abc38.noblogs.org/
Send mail to prisoners from abroad:
http://Prisonmail.online
YouTube: https://youtu.be/c5nSOdU48O8
Spotify: https://podcasters.spotify.com/pod/show/libertarianlifecoach/episodes/Russian-anarchist-and-anti-war-movement-in-the-third-year-of-full-scale-war-e2k8ai4
Many ways to support street children.pptxSERUDS INDIA
By raising awareness, providing support, advocating for change, and offering assistance to children in need, individuals can play a crucial role in improving the lives of street children and helping them realize their full potential
Donate Us
https://serudsindia.org/how-individuals-can-support-street-children-in-india/
#donatefororphan, #donateforhomelesschildren, #childeducation, #ngochildeducation, #donateforeducation, #donationforchildeducation, #sponsorforpoorchild, #sponsororphanage #sponsororphanchild, #donation, #education, #charity, #educationforchild, #seruds, #kurnool, #joyhome
This session provides a comprehensive overview of the latest updates to the Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (commonly known as the Uniform Guidance) outlined in the 2 CFR 200.
With a focus on the 2024 revisions issued by the Office of Management and Budget (OMB), participants will gain insight into the key changes affecting federal grant recipients. The session will delve into critical regulatory updates, providing attendees with the knowledge and tools necessary to navigate and comply with the evolving landscape of federal grant management.
Learning Objectives:
- Understand the rationale behind the 2024 updates to the Uniform Guidance outlined in 2 CFR 200, and their implications for federal grant recipients.
- Identify the key changes and revisions introduced by the Office of Management and Budget (OMB) in the 2024 edition of 2 CFR 200.
- Gain proficiency in applying the updated regulations to ensure compliance with federal grant requirements and avoid potential audit findings.
- Develop strategies for effectively implementing the new guidelines within the grant management processes of their respective organizations, fostering efficiency and accountability in federal grant administration.
Jennifer Schaus and Associates hosts a complimentary webinar series on The FAR in 2024. Join the webinars on Wednesdays and Fridays at noon, eastern.
Recordings are on YouTube and the company website.
https://www.youtube.com/@jenniferschaus/videos
Advancing Research to Reduce Low-value Health Care
1. Advancing Research to
Reduce Low-value Health Care
University of Michigan Institute for
Healthcare Policy and Innovation
Ann Arbor, MI
December 7, 2017
Eric C. Schneider, MD, MSc, FACP
Senior Vice President for Policy and Research
The Commonwealth Fund
@ericschneidermd
2. Agenda
2
1. US health care: the value challenge
2. How can better value in health care be achieved?
3. Thoughts about future research on value
3. Defining Value:
The good, the bad, and …
• Traditional clinical model
• Services a doctor believes could benefit
a patient
• Appropriateness model
• For clinical indications, those services
for which scientific evidence and
clinical expert opinion determines that
benefits exceed risks
• Patient-preference model
• Services a patient chooses to receive
after being adequately informed of
alternatives
4. Mirror, Mirror 2017: International Comparison
Reflects Flaws and Opportunities for Better U.S
Health Care
5. Health Care Spending as a Percentage of
GDP, 1980–2014
0
2
4
6
8
10
12
14
16
18
1980 1982 1984 1986 1988 1990 1992 1994 1996 1998 2000 2002 2004 2006 2008 2010 2012 2014
United States (16.6%)
Switzerland (11.4%)
Sweden (11.2%)
France (11.1%)
Germany (11.0%)
Netherlands (10.9%)
Canada (10.0%)
United Kingdom (9.9%)
New Zealand (9.4%)
Norway (9.3%)
Australia (9.0%)
Percent
GDP refers to gross domestic product.
Source: OECD Health Data 2016. Data are for current spending only, and exclude spending
on capital formation of health care providers.
6. Health Care System Performance Scores
of Eleven High-Income Countries
Source: Schneider et al. Mirror, Mirror 2017:
Note: See the methodology appendix for a description of how the performance score is calculated.
UK AUS
NETH
NZ NOR
SWIZ SWE GER
CAN
FRA
US
Eleven-country average
Higher performing
Lower performing
7. More Than One-Quarter of Insured Adults Were Underinsured in 2016
12 13
22 23 23
28
0
10
20
30
2003 2005 2010 2012 2014 2016
* Underinsured defined as insured all year but experienced one of the following: out-of-pocket costs, excluding premiums, equaled 10% or
more of income; out-of-pocket costs, excluding premiums, equaled 5% or more of income if low-income (<200% of poverty); or deductibles
equaled 5% or more of income. Data: Commonwealth Fund Biennial Health Insurance Surveys (2003, 2005, 2010, 2012, 2014, and 2016).
Percent adults ages 19–64 insured all year who were underinsured*
Source: S. R. Collins, M. Z. Gunja, and M. M. Doty, How Well Does Insurance Coverage Protect Consumers from Health
Care Costs? Findings from the Commonwealth Fund Biennial Health Insurance Survey, 2016, The Commonwealth Fund,
8. Both Federal Deficit and Medicare Spending Will Nearly Double In Coming Years
(Dollars in Billions)
Note: Net Medicare spending is defined as mandatory Medicare spending minus income from premiums
and other offsetting receipts.
$-
$200
$400
$600
$800
$1,000
$1,200
$1,400
$1,600
2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027
Projected Net
Medicare Spending
(billions of dollars)
Projected Defict With
Tax Bill, no dynamic
scoring (billions of
dollars)
Projected Deficit
Without Tax Bill
(billions of dollars)
Source: Congressional Budget Office, Joint Committee on Taxation, and Commonwealth
Fund analysis.
9. Overuse May Cost U.S. Over
$300 Billion Annually
Colla et al. JGIM 2014
10. Defining Value:
The good, the bad, and the costly…
• Health outcomes-cost model
• “Health outcomes achieved per dollar
spent”
• Features of the model
• Numerator measures condition-specific,
multidimensional health outcomes
• Denominator is aggregate spending for a
‘cycle of care’ for the condition
• Requires longitudinal measurement
• Defined for patient groups with similar
needs
• Agnostic to process of care
• Accountability?
Porter, NEJM 2009
11. Agenda
11
1. US health care: the value challenge
2. How can better value in health care be
achieved?
3. Thoughts about future research on value
12. Options: Direct Changes to Care
Delivery
• Changing practice decisions of professionals, staff, and
organizational managers
• Improvement collaboratives, campaigns
• Cyclical process improvement
• Clinical decision support at point of care
• Challenges
• Incremental and very modest changes
• Usual focus on increasing use of evidence-based practices
rather than de-implementation of low-value care
• Difficult to spread and scale even when interventions succeed
in one place
• Resistance to change and limited sustainability because of
environment, organization, social dynamics, and individual
habit
16. Quality Improvement
Levels of Intervention
16
System/Environment
Institution/Organization
Group/Team
Clinician
SHARP
END OF CARE
17. What Can Other Industries Teach
Health Care about Achieving Value?
Core
Optimizing current
approaches
Transformational
New and potentially
disruptive delivery and
payment systems
Adjacent
Innovation for
existing delivery and
payment systems
Existingsystems
&stakeholders
Newsystems
&stakeholders
Existing process &
service improvement
New processes &
services
18. What is Needed for a Disruptive
Innovation?
CH Christenson. The Innovator’s Prescription 2009
A technological enabler Cellular data internet,
digital sensors, secure
messaging platforms
An innovative business
model
Intensive home-based care
for high-need, high-cost
patients
An economically
coherent value network
Medicare Advantage
Risk-sharing contracts
Coordination with primary
care, ED, and hospital
20. The IT-enabled Consumer Vision:
A Digital Health Advisor (DHA)
Imagine an app designed to help people
deal with health problems, whether large
or small…
It could answer routine questions;
streamline everyday interactions with
doctors’ offices, pharmacies, therapists,
and other parts of the health care system;
and empower people to achieve their
health goals by delivering personalized
coaching on diet, exercise, and sleep.
And by informing users about health
insurance options, available local
providers, and prices for services, the app
could help people select the most
appropriate health plan, schedule visits,
shop for the least costly medications or lab
tests, arrange for home care services, and
manage deductibles…
Source: http://www.commonwealthfund.org/publications/blog/2016/may/envisioning-a-digital-health-
advisor
Image: http://www.keenan.com/2016/consumer-
healthcare-tools-can-drive-informed-decisions/
21. The Path to Value is Not Always Easy to
Discern
• The “Bankograph”1 (1961)
• The “Yes” Machine2 (1969)
• A bet and a blizzard
• Shared networking3
21
1.Staff Hc. Automated Teller Machines. 2010; http://www.history.com/topics/inventions/automated-teller-machines.
Accessed May 29, 2015.;
2. Bátiz-Lazo B. A Brief History of the ATM how automation changed retail banking. The Atlantic. Online: The Atlantic;
2015.;
3. McAndrews JJ. The Evolution of Shared ATM Networks. Business Review. 1991.
22. Agenda
22
1. US health care: the value challenge
2. What can U.S. do to increase value in health care?
3. Thoughts about future research on value
23. Research Opportunities:
Development, Testing, Evaluation
• Develop, test, and evaluate novel tools and their
implementation by care delivery organizations to
increase value
• Describe and evaluate potentially disruptive
platforms and business models not currently part
of the incumbent health care system
• Study the impact of value-enhancing innovations
on populations
24. Measuring the Effects of Value-enhancing
Interventions and Business Models: A Menu
Technology
•Feasibility
•Functionality
•Unexpected
Bugs
Workflow
•Take up
•Use Patterns
•Stickiness
•Safety
•Unintended
Consequences
•Costs
Clinical
•Adherence to
Treatment
•Use of Health
Services
•Quality of
Care
•Patient
Engagement
•Patient
Experience
•Provider
Experience
Person/Life
•Social Relationships
•Quality of Life
•Caregiver experience
•Self-Efficacy
•Functioning
•Health Status
•Emotional Status
26. Conclusion: Two Roads to High Value
• Decision-modifying interventions implemented for
clinicians AND new potentially disruptive business
models built around technology enablers and new
payment incentives
• Evaluate more than just health outcomes and cost–
understanding business model design and
implementation are crucial
27. Thank you!
University of Michigan Institute for
Healthcare Policy and Innovation
Ann Arbor, MI
December 7, 2017
Eric C. Schneider, MD, MSc, FACP
Senior Vice President for Policy and Research
The Commonwealth Fund
@ericschneidermd