At the RACMA Conference Talked about how to use machine learning to improve patient feedback as well as building the rules engine to advise on patient experience improvement. Here are some of the slides and stories shared at the conference which seem to be received very well.
Dr Avi Ratnanesan is the Chief Executive Officer of Energesse, a leading firm that specialises in improving patient experience and customer experience in healthcare. Energesse provides thought leadership in patient-centred innovation and technology solutions including MES Experience for real-time patient feedback and PanSensic for free-text analytics of patient stories.
There is no doubt patient experience is one of the most crucial factors in the Healthcare industry. Check out factors that influence patient satisfaction scores and how to use patient experience data more actionable.
The patient experience describes an individual's experience of illness/injury and how healthcare treats them. Good patient experience is very helpful for healthcare industry. Many hospitals and clinics use patient experience surveys to identify where they stand in the term of Patient Experience.
Patient Experience Measures: Past and FutureBivarus
What is the value of measuring the patient experience? Kevin Schulman, MD shares data on why measuring the patient experience is important in today's changing healthcare environment.
This resource summarizes the eight recommendations outlined in the Institute of Medicine's a new consensus study entitled, Improving Diagnosis in Health Care. The recommendations are aimed at making diagnoses more accurate, reliable, efficient, and safe. This work is a continuation of the IOM’s Quality Chasm series.
Dr Avi Ratnanesan is the Chief Executive Officer of Energesse, a leading firm that specialises in improving patient experience and customer experience in healthcare. Energesse provides thought leadership in patient-centred innovation and technology solutions including MES Experience for real-time patient feedback and PanSensic for free-text analytics of patient stories.
There is no doubt patient experience is one of the most crucial factors in the Healthcare industry. Check out factors that influence patient satisfaction scores and how to use patient experience data more actionable.
The patient experience describes an individual's experience of illness/injury and how healthcare treats them. Good patient experience is very helpful for healthcare industry. Many hospitals and clinics use patient experience surveys to identify where they stand in the term of Patient Experience.
Patient Experience Measures: Past and FutureBivarus
What is the value of measuring the patient experience? Kevin Schulman, MD shares data on why measuring the patient experience is important in today's changing healthcare environment.
This resource summarizes the eight recommendations outlined in the Institute of Medicine's a new consensus study entitled, Improving Diagnosis in Health Care. The recommendations are aimed at making diagnoses more accurate, reliable, efficient, and safe. This work is a continuation of the IOM’s Quality Chasm series.
Patient & Family Advisory Councils: the Business Case for Starting a PFAC & P...EngagingPatients
This webinar was presented on March 12, 2015 by Barbara Lewis. It looks at the prevalence and roles that Patient & Family Advisory Councils (PFACs) are playing in U.S. hospitals today, and builds a business case for their implementation:
Gamification as a means to manage chronic diseaseEngagingPatients
UPMC is exploring ways to better engage patients through shared decision making and new approaches to encourage patients and their families to take control of their health. This presentation describes a pilot program UPMC has initiated to leverage gamification as a means to manage chronic heart failure.
Closing the Loop: Strategies to Extend Care in the EDEngagingPatients
This HIMSS15 presentation discusses the challenges faced in hospital emergency departments and offers insights for implementing a process to follow up with discharged ED patients to enhance outcomes and satisfaction,while optimizing utilization and reducing risk.
The State of Consumer Healthcare: A Study of Patient ExperienceProphet
There is a vital change happening in healthcare: People are demanding to be treated as savvy consumers, who deserve choices, convenience and fair prices. The same revolution of consumerism that’s shaking up the way the world buys financial services, airline tickets and groceries is finally underway in healthcare. And as healthcare options multiply, this trend will only accelerate. Providers who are ready to respond by creating a strong patient experience are going to win, and those who aren’t will be left behind.
This presentation explains findings from the patient experience study which was conducted to understand the consumer healthcare experience by assessing the gap between patient and providers’ expectations and perceptions, and arm institutions with the ability to assess their own organization, define a successful strategy, and deliver on it.
View the webinar here: http://bit.ly/1RLgTFX
On November 17, 2015 the ICU Collaborative Faculty held a National Call to determine the 2016 National Improvement Initiative. Two topics were presented: Dr. Yoanna Skrobik advocated on the side of Pain, Agitation and Delirium. Dr. Claudio Martin and Cathy Mawdsley advocated for working on End of Life Care. Callers voted at the end of the call and chose the new topic led by Dr. Skrobik: Managing “PAD” in your ICU patient: assessment, treatment and prevention.
Patient satisfaction is about the Total Quality of the Patient Encounter (TQE). TQE is the sum of Patient Experience (as defined by CMS) plus Patient Satisfaction as defined by all of the non CMS related touchpoints.
Purpose of the Call:
By the end of this webinar you will: •Hear about the changes to the MedRec in Home Care GSK
•Hear about the broader home care concepts as it relates to MedRec
•Receive practical tips and insights from the field
Purpose of the Call:
•Provide an overview of the MARQUIS toolkit components, informed by medication reconciliation best practices, designed to help hospitals improve the quality of their medication reconciliation processes
•Preview the preliminary results of the MARQUIS study in order to understand the effects of a mentored quality improvement intervention on medication reconciliation errors
•Discuss lessons learned from study sites that have implemented the MARQUIS program and how they might be applied to Canadian hospitals, including an exploration of barriers to implementation and how to overcome them
•Make the case for provinces, health systems, and hospitals to invest in medication reconciliation quality improvement efforts, and why physicians need to play a major role in these efforts.
Watch the webinar: http://bit.ly/1ji1voq
6. Advanced Access and Predictive AnalyticsMichele Molden
Christopher Scaven, Renuka Sundaresan, David Sweeney, and Jordan Holland - Exploring an innovative access model that flips conventional scheduling theory on its side and sidesteps traditional access barriers.
Patient Satisfaction : The Indispensable OutcomeCare Analytics
As we move into the future, the measurement of patient satisfaction is becoming less of a luxury and more of a necessity for medical groups and facilities. It is increasingly important that a patient-satisfaction program be done well, using sound protocol and methods.
Survey findings can also be used for accreditation and marketing. In this era of increasing competition and high patient demand for health care excellence, medical groups and skilled nursing facilities cannot afford to forgo the insights they can derive from patient-satisfaction surveys.
Bookends of the Patient Experience: Improvement Strategies from Admission to ...TraceByTWSG
In this webinar, Yvonne Chase of Mayo Clinic shares strategies to improve patient experience across the continuum of care - from pre-service to post-servcie activities. This presentation shares tools and processes used to streamline patient access, coordinate patient care and conduct patient follow-up post discharge - all while monitoring patient interactions to ensure clear and accurate communication from the first point of contact to the last.
Purpose of the Call:
•Introduce the quality audit month
•Describe front line experience with using audit tool and key learning
•Respond to questions about the tool and the audit month
Why patient satisfaction matters Care AnalyticsCare Analytics
To advance the patient experience, providers must understand patient needs and address targeted opportunities within patient populations. Care Analytics provides meaningful and actionable insights into every aspect of patient perception. We work with facilities across the globe to collect feedback through real-time point of care tablet based assessments. We provide straight-forward steps focusing on the key drivers of exceptional patient experiences. Our model is based on the marriage of big data and years of experience with improving patient satisfaction.
Patient & Family Advisory Councils: the Business Case for Starting a PFAC & P...EngagingPatients
This webinar was presented on March 12, 2015 by Barbara Lewis. It looks at the prevalence and roles that Patient & Family Advisory Councils (PFACs) are playing in U.S. hospitals today, and builds a business case for their implementation:
Gamification as a means to manage chronic diseaseEngagingPatients
UPMC is exploring ways to better engage patients through shared decision making and new approaches to encourage patients and their families to take control of their health. This presentation describes a pilot program UPMC has initiated to leverage gamification as a means to manage chronic heart failure.
Closing the Loop: Strategies to Extend Care in the EDEngagingPatients
This HIMSS15 presentation discusses the challenges faced in hospital emergency departments and offers insights for implementing a process to follow up with discharged ED patients to enhance outcomes and satisfaction,while optimizing utilization and reducing risk.
The State of Consumer Healthcare: A Study of Patient ExperienceProphet
There is a vital change happening in healthcare: People are demanding to be treated as savvy consumers, who deserve choices, convenience and fair prices. The same revolution of consumerism that’s shaking up the way the world buys financial services, airline tickets and groceries is finally underway in healthcare. And as healthcare options multiply, this trend will only accelerate. Providers who are ready to respond by creating a strong patient experience are going to win, and those who aren’t will be left behind.
This presentation explains findings from the patient experience study which was conducted to understand the consumer healthcare experience by assessing the gap between patient and providers’ expectations and perceptions, and arm institutions with the ability to assess their own organization, define a successful strategy, and deliver on it.
View the webinar here: http://bit.ly/1RLgTFX
On November 17, 2015 the ICU Collaborative Faculty held a National Call to determine the 2016 National Improvement Initiative. Two topics were presented: Dr. Yoanna Skrobik advocated on the side of Pain, Agitation and Delirium. Dr. Claudio Martin and Cathy Mawdsley advocated for working on End of Life Care. Callers voted at the end of the call and chose the new topic led by Dr. Skrobik: Managing “PAD” in your ICU patient: assessment, treatment and prevention.
Patient satisfaction is about the Total Quality of the Patient Encounter (TQE). TQE is the sum of Patient Experience (as defined by CMS) plus Patient Satisfaction as defined by all of the non CMS related touchpoints.
Purpose of the Call:
By the end of this webinar you will: •Hear about the changes to the MedRec in Home Care GSK
•Hear about the broader home care concepts as it relates to MedRec
•Receive practical tips and insights from the field
Purpose of the Call:
•Provide an overview of the MARQUIS toolkit components, informed by medication reconciliation best practices, designed to help hospitals improve the quality of their medication reconciliation processes
•Preview the preliminary results of the MARQUIS study in order to understand the effects of a mentored quality improvement intervention on medication reconciliation errors
•Discuss lessons learned from study sites that have implemented the MARQUIS program and how they might be applied to Canadian hospitals, including an exploration of barriers to implementation and how to overcome them
•Make the case for provinces, health systems, and hospitals to invest in medication reconciliation quality improvement efforts, and why physicians need to play a major role in these efforts.
Watch the webinar: http://bit.ly/1ji1voq
6. Advanced Access and Predictive AnalyticsMichele Molden
Christopher Scaven, Renuka Sundaresan, David Sweeney, and Jordan Holland - Exploring an innovative access model that flips conventional scheduling theory on its side and sidesteps traditional access barriers.
Patient Satisfaction : The Indispensable OutcomeCare Analytics
As we move into the future, the measurement of patient satisfaction is becoming less of a luxury and more of a necessity for medical groups and facilities. It is increasingly important that a patient-satisfaction program be done well, using sound protocol and methods.
Survey findings can also be used for accreditation and marketing. In this era of increasing competition and high patient demand for health care excellence, medical groups and skilled nursing facilities cannot afford to forgo the insights they can derive from patient-satisfaction surveys.
Bookends of the Patient Experience: Improvement Strategies from Admission to ...TraceByTWSG
In this webinar, Yvonne Chase of Mayo Clinic shares strategies to improve patient experience across the continuum of care - from pre-service to post-servcie activities. This presentation shares tools and processes used to streamline patient access, coordinate patient care and conduct patient follow-up post discharge - all while monitoring patient interactions to ensure clear and accurate communication from the first point of contact to the last.
Purpose of the Call:
•Introduce the quality audit month
•Describe front line experience with using audit tool and key learning
•Respond to questions about the tool and the audit month
Why patient satisfaction matters Care AnalyticsCare Analytics
To advance the patient experience, providers must understand patient needs and address targeted opportunities within patient populations. Care Analytics provides meaningful and actionable insights into every aspect of patient perception. We work with facilities across the globe to collect feedback through real-time point of care tablet based assessments. We provide straight-forward steps focusing on the key drivers of exceptional patient experiences. Our model is based on the marriage of big data and years of experience with improving patient satisfaction.
"When our Patient Experience measures improved, so did our Quality and Safety measures" - Sir Robert Naylor, CEO, University College London Hospitals NHS Trust, Sustainable Health Transformation 2014
The emerging healthcare environment requires expanded patient access while delivering optimal outcomes and cost. As healthcare moves form a fee for service model to alternative delivery and payment models, there are opportunities for physical therapy to revolutionize the delivery of musculoskeletal medicine. Physical therapists are uniquely qualified to spearhead musculoskeletal care through direct access with the potential to improve patient satisfaction and outcomes while limiting unneeded medical care. While this model has been described in the military, there are few descriptions of this PT First approach in the private payer arena. This session will provide the attendee with a multifaceted perspective on the impact of physical therapy in emerging, collaborative healthcare models. Approaches to payers and employers with the business implications will be presented that influence these new models. Key strategies to implement a scalable, best practice model will be discussed including the logistical challenges and corollary solutions in the private arena. We will discus our experience implementing novel delivery models for management of neck, back, shoulder and knee pain. The session will deliver practical solutions to the challenges of implementing, assessing, and adapting a theoretical construct to a working viable program. Finally, the session will discuss how the use of a a large Patient Outcomes Registry and analysis of “big data” can drive best practice and inform development of the program.
Don Berwick’s ‘Triple Aims of Healthcare’ emphasises the pursuit of improved patient experience as top priority for healthcare systems. However, leaders are challenged with having a clear ‘process’ for improving patient experience. Data collection is often fragmented, person-dependent, inconsistently applied and not reported in real-time. Results take 3 to 18 months before being communicated back to the wards, resulting in a lack of accountability, transparency and meaningful change.
Results obtained in the NSW Bureau of Health Information surveys led Western Sydney Local Health District to improve its strategy around measurement of patient experience. Facilitating the collection of timely and granular feedback was needed. Implementation of a new patient survey system (MES Experience) in August 2016 provided a combination of real-time data collection and the unique 6E Framework (experience, emotions, engagement, execution, excellence and evolution) which is now guiding and driving quality improvements and meaningful change for consumers.
Patient’s experience, improve the quality health3zsaddique
Putting patients first requires more than world-class clinical care – it requires care that addresses every aspect of a patient’s encounter with Hospital, including the patient’s physical comfort, as well as their educational, emotional, and spiritual needs. A team of professionals should serves as an advisory resource for critical initiatives across the Hospital health system. In addition, it should provide resources and data analytics; identify, support, and publish sustainable best practices; and collaborate with a variety of departments to ensure the consistent delivery of patient-centered care.
Acute hospitals end of life care best practiceNHSRobBenson
Delivering reliable best practice in an acute hospital setting for patients whose recovery is uncertain. Including details of the AMBER care bundle. Presentation from Anita Hayes and colleagues from England's National End of Life Care Programme as part of the Department of Health's QIPP end of life care workstream seminar series at Healthcare Innovation Expo 2011
A presentation on Malaysian Cancer Care Initiative 2017 hosted by Ramsay Sime Darby Asia. With an increased focus on involving patients to improve safety and quality as well as implementing sustainable cost-effective improvements, person-centred care is key.
ISS Service Innovation Leadership Seminar, 28 March - Mrs Chew Kwee TiangNUS-ISS
ISS Service Innovation Leadership Seminar, 28 March - "Design Thinking and Service Innovation - The Khoo Teck Puat Hospital's Journey" by Mrs Chew Kwee Tiang, CEO, Khoo Tech Puat Hospital
NTTAP Webinar Series - April 13, 2023: Quality Improvement Strategies in a Te...CHC Connecticut
Join us for a webinar on quality improvement in team-based care!
Building a quality improvement (QI) infrastructure within team-based care is an organizational strategy that will establish a culture of continuous improvement across departments and improve quality in all domains of performance.
Participants will learn about:
• QI infrastructure
• Facilitating QI committees
• Coach training within health centers
Faculty will also provide an example of how trained coaches use QI tools to test and implement changes within an organization.
Rob Reid: Redesigning primary care: the Group Health journeyThe King's Fund
Rob Reid, Senior Investigator at Group Health Research Institute, explains the journey taken by Group Health in support of integrated primary care. A case study in how primary care can be delivered effectively and efficiently to a population, Rob laid out the challenges facing general practice in the States, and how Group Health worked to improve the situation for both patients and the workforce.
3 Strategies for Maximizing Service Line Efficiency, Quality and ProfitabilityWellbe
Maximizing service line efficiency, quality and profitability is a hot topic, particularly with rising patient care demands, changing reimbursement models, and estimated physician shortfalls. This webinar takes a look at three solutions beginning in the operating room and expanding to the entire patient care journey.
1st solution: A unique clinical and operational service model focused on the specialization of qualified, reimbursable clinical labor to optimize surgeon involvement and reduce OR costs.
2nd solution: Taking a holistic view of the service line through the patient care journey to produce a value stream map to understand the current state. Assisting staff with comparing this current state to the ideal future state, comparing national benchmarks and clinical best practices helps your staff innovate and co-create an individualized plan to get your service line to a higher level.
3rd solution: Utilizing dashboard metrics of the critical to success factors, to sustain and improve your service line.
As a participant, you will be able to:
• Identify key operational and clinical indicators of orthopedic service line efficiency
• Describe how Surgical First Assists can add value in the OR
• List the steps in developing and/or evaluating or building an orthopedic service line
• Describe how metrics/dashboards assist in sustaining change and improvement of orthopedic service line
About the Speaker:
Miki Patterson, PHD ONP, Senior Director of Orthopedics in Intelligent CareDesign at Intralign
Dr. Patterson is a certified orthopedic nurse practitioner and brings over 25 years of clinical experience in healthcare, consulting, direct advanced orthopedic patient care, teaching, NIH level, qualitative and quantitative research and publishing. She is a past president of the National Association of Orthopedic Nurses (NAON) and continues to be nationally recognized for leadership and advancing orthopedic care.
Check out the very latest on innovations projects from Australia and around the world....and then there are our bespoke soft skills workshops designed to support managers in VUCA workplaces
Patient Experience Roundtable Sydney 2018 Leading Change & Transformation in ...Dr Avnesh Ratnanesan (Avi)
Energesse and The Beryl Institute's Patient Experience Roundtable brought together executive senior patient experience champions from around Australia to brainstorm and collaborate on the most important issues affecting organisations in patient experience.
A step by step guide on how to holistically improve patient experience, adaptable for any healthcare setting. This training is presented by Dr Avnesh Ratnanesan, who is a thought-leader and expert on practical methods for improving patient experience and consumer engagement in the health setting.
Dr Avi Ratnanesan is the Chief Executive Officer of Energesse, a leading firm that specialises in improving patient experience and customer experience in healthcare. Energesse provides thought leadership in patient-centred innovation and technology solutions including MES Experience for real-time patient feedback and PanSensic for free-text analytics of patient stories.
Energesse and Palladium Executive Breakfast Series.
The healthcare ecosystem is becoming increasingly complex and consumer/patient needs and expectations are escalating. The drive to create a more sustainable healthcare system means that industry players are forced to deliver new models of care whilst developing more sustainable business models under ever more stringent budgetary conditions. As cost cutting and reengineering efforts reach diminishing returns, it has become obvious that the solution to this complex set of issues is to reframe the problem, working backwards from patients and health consumers to build models that deliver compelling experiences to consumers/patients and superior societal health outcomes.
Before we change actions or activities within the healthcare, the first point is to understand how staff and consumers think about the system we are in now.
This presentation will focus on how outcomes and major issues in the National Health Services (NHS UK) are measured using patient and staff experiences. It will also describe how latest technologies are being utilized to measure success in these areas.
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
Telehealth psychology is a digital approach that offers psychological services and mental health care to clients remotely, using technologies like video conferencing, phone calls, text messaging, and mobile apps for communication.
How many patients does case series should have In comparison to case reports.pdfpubrica101
Pubrica’s team of researchers and writers create scientific and medical research articles, which may be important resources for authors and practitioners. Pubrica medical writers assist you in creating and revising the introduction by alerting the reader to gaps in the chosen study subject. Our professionals understand the order in which the hypothesis topic is followed by the broad subject, the issue, and the backdrop.
https://pubrica.com/academy/case-study-or-series/how-many-patients-does-case-series-should-have-in-comparison-to-case-reports/
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
Health Education on prevention of hypertensionRadhika kulvi
Hypertension is a chronic condition of concern due to its role in the causation of coronary heart diseases. Hypertension is a worldwide epidemic and important risk factor for coronary artery disease, stroke and renal diseases. Blood pressure is the force exerted by the blood against the walls of the blood vessels and is sufficient to maintain tissue perfusion during activity and rest. Hypertension is sustained elevation of BP. In adults, HTN exists when systolic blood pressure is equal to or greater than 140mmHg or diastolic BP is equal to or greater than 90mmHg. The
1. Dr Avnesh Ratnanesan Founder & CEO avnesh@energesse.com
AI & THE PATIENT EXPERIENCE
2. 2
OUTLINE
1.1 The AI Dilemma
2.2 Patient experience in healthcare
3.3 PX improvement technologies
4.4 AI in Australian Use Cases
5.5 Future AI solution – PXme
6.6 Trial opportunity
3. 3
LEADING SPECIALISTS IN PATIENT EXPERIENCE
CSIRO Health
& Biosecurity
Western Sydney LHD
South West Sydney LHD
5. 5
HEALTHCARE QUADRUPLE AIMS
1. Don Berwick et al Health Affairs 2008 Triple Aim, Insitute of Healthcare Improvement 2. Bodenheimer et al Annals of Family Medicine 2014
Health
Outcomes
Clinician (Staff)
Experience
Value
(Revenue/Cost)
Patient
Experience
6. 6
What shapes PX?
The sum of all interactions = Human + Environment + Technology experiences
9. 9Jiang F, Jiang Y, Zhi H, et al Artificial intelligence in healthcare: past, present and futureStroke and Vascular Neurology 2017;2:doi: 10.1136/svn-2017-000101
https://svn.bmj.com/content/2/4/230
AI UTILISATION IN HEALTHCARE
18. 18
FREE TEXT COMMENTS
“Nurse Sarah was pleasant but the doctor was very
rushed and I did not understand his advice.
The exit door slams all night, I haven’t been able to
sleep for 5 days since my operation”.
AI & Unstructured Datasets – Qualitative Patient Comments
24. Project Goal
Improve ACCESS to care for adult patients with
BACK PAIN referred to Westmead Hospital
Neurosurgical Clinics through a COST EFFECTIVE
PATIENT CENTRED service by August 2018.
26. • 62 year old with LBP pain > 2 years
• Currently unable to work
• GP referred to Neurosurgical clinics at
Westmead Hospital
REFERRAL TRIAGED
APPOINTMEN
T GIVEN
PATIENT
SEEN
FOLLOW-UP
CARE
PROVIDED
“No
communication
How long will I
wait?”
“No
communication…m
y
pain is increasing”
“Why do I
have to wait
so long in
clinic?”
“Has care been
organised for
me…when will
my pain
settle?”
27.
28. Number of
Responses
Kindness &
Respect
Involvement in
Care
Clear
Communication
Pre
Implementation
76 60 68
Benchmark 85 85 85
Patient Experience Heat
Map
“I wait for ever…
No customer care…
No one really cares”
29. 2) 15%
Out of Area
3) Only
1% RECEIVE
LETTER
for their appointment
4) 24%
of patients do not
receive a text
message reminder
5) Cost of DNA
$400 LOST per 15 min
appointment
“9 weeks to be
advised…
correspondence
rude”
31. Patient Experience Heat Map
April 2018 98 97 94
May 2018 87 87 100
June 2018 97 97 97
Kindness &
Respect
Involvement in
Care
Clear
Communication
September 2017 76 60 68
Benchmark 85 85 85
Post Implementation of Solutions
32. Questions 5: Did staff explain things in a way you could
understand?
PREMS Results
PRE POST
Improvement
by 50%
33. Questions 7: How likely are you to recommend the service?
PREMS Results
PRE POST
YES!
37. 37
TRANSLATE AI DATA TO IMPROVEMENT
Wisdom
Knowledge
Information
Data VOICE/ TEXT/ IMAGES
ACTIONS & INTELLIGENCE
REPORTS
OUTCOMES, EXPERIENCES
& VALUE
40. 40
PXme (PX MATURITY EVALUATION)
0% - 25% 25.01% - 50% 50.01% - 75% 75.01% - 90% 90.01% - 100%
Stage 1: Limited Stage 2: Ad-Hoc Stage 3: Organised Stage 4: Managed Stage 5: Leaders
No patient feedback
Very limited capability
and partnership with
consumers
Lack of leadership,
structure and KPIs,
Limited staff
engagement and
training
Undefined complaints
processes and service
recovery
Few improvements to
safety and quality, not
focused on PX
Ad-hoc, basic patient
surveys and
complaints process
Lack of capability and
little partnership with
consumers
Some PX initiatives
planned but lack of
PX leadership and
structure, unaligned
strategic plan and
KPIs,
Insufficient staff
engagement and
broad training
Few improvements
for safety and quality
and PX.
Established survey
and complaints
process
Some partnership
with consumers
PX initiatives planned
but requiring
formalised PX
leadership, structure,
& metrics, some
targeted training
Some staff
engagement and
pockets of
accountability
Increasing
improvements to PX
but not hardwired into
culture as yet.
Strong PX
measurement
platform enabling
deep insights that
guide targeted
improvements, highly
defined complaints
process
Strong consumer
partnership,
formalised PX
structure and
leadership, strategic
plan and PX KPIs
High buy-in, staff
receive targeted
training, are engaged
and ‘own’ the PX.
PX is hardwired into
culture and is
sustainable.
Strong PX
measurement
platform enabling
deep insights that
guide targeted
improvements
Industry leaders in PX
and consumer
partnership, best
practice PX structure
and highly engaged
leadership
Staff are highly skilled
in PX and ‘own’ the
PX, with full
accountability.
PX is hardwired into
culture and
improvements are
sustainable.
41. 41
PX MATURITY SCORE
www.energesse.com
o The Overall PX Maturity Score is
56.97%.
o This places the organisation at the
Early Organised (Stage 3) stage of
maturity.
42. 42
IT RECOMMENDATIONS: MAPS PX GAPS TO APPS
Internet of Things (IoT), Artificial Intelligence (AI), Augmented & Virtual
Reality, Big Data, Blockchain & Mobility
Slides will be available through the college portal
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Slides will be available through the college portal
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Case Study
When Western Sydney began to accelerate the patient experience improvement 3 years ago, we initially started the journey by measuring all the strengths & gaps using an earlier version of the PX Maturity Model.
In the last 2 years of working together, they have been gradually been addressing the gaps and have improved their district wide patient experience score from 72% (based on similar qs in the BHI survey) to 87% (May 2018). These results were published in this article earlier this year, so imagine if a strategic methodology can help an entire health district of 5 hospitals, numerous clinics and 9000 staff make a positive change, imagine what this methodology can do for your organisation.
Requires a ‘Systems Thinking’ approach
Structured Data
In the Net Promoter Score philosophy,
Only delighted and excited customers become promoters, for you to grow your business and customer base, particularly by word-of-mouth. This is even more importantly now that customers are becoming less loyal to brands, unless they feel an authentic connection.
How do we do that with all the ‘noise’ in the digital world
PanSensic has algorightms that can analyse keywords and phrases
This could also be seen readily in another question of how likely patients would recommend this service pre and post implementation of solutions with an alomost 30% increase in patient likelihood.
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I often find that clients feel like if they’re measuring patient feedback well, and their surveys are thorough and statistically significant, then they’re improving the patient experience. This couldn’t be further from the truth.
The problem is many managers want to do something quick and think to tactically, sometimes just to please their supervisor. The knee jerk reaction is therefore to conduct a survey, because that’s what everyone else is doing. The truth is conducting surveys or collecting patient feedback or stories in real-time is only one part of an overall patient experience improvement program. In fact, it is only 1 of 6 major parts in an improvement program.
Therefore just measurement is NOT improvement.
While they have all the supporting structures to gather data, they are often challenged with how to manage the data – they don’t know what to do with the data, how to get buy-in to the data, how to action the data into strategies and solutions. Data needs to be actioned into clear, structured and targeted improvements to make an impact.
Energesse has developed a guiding framework called the 6Es. Borne through 6 years of R&D specializing in this field to address this challenge for clients.
But you’ll hear more about that later on.
Slides will be available through the college portal
Lead them down one funnel which leads to one solution only. If they have to choose between too many things its too hard.