This presentation will address efforts by the ATTC Network to decrease the gap between research and practice and to influence understanding of factors that enhance uptake of innovations. This presentation outlines how pairing research with innovative dissemination techniques can enhance the use of EBPs related to MAT. The presentation will provide an overview of the Buprenorphine Suite, a training product designed by the ATTC Network to provide the SUD treatment field with the tools to access and adopt NIDA treatment protocols. Additionally this presentation will identify research undertaken by the Network which identifies barriers to providing MAT to minority populations.
This study evaluated the effectiveness of a semi-tailored facilitator intervention to support implementation of chronic disease management programs in Danish general practices. 189 practices were randomly allocated to receive the intervention in 2011 or 2012. The intervention consisted of up to three one-hour visits from a facilitator to discuss topics related to chronic care. The primary outcome was the number of annual chronic disease checkups per patient. Secondary outcomes included use of diagnostic coding, patient stratification, and other process measures. Results showed no difference between groups for the primary outcome, but some secondary outcomes favored the intervention group, such as higher reported use of diagnostic coding and earlier signup for a patient management software. The authors concluded the low-intensity intervention was unlikely to substantially improve
Medipex innovation awards 2015 press releaseScott Miller
The document summarizes the winners of the eleventh annual Medipex NHS Innovation Awards and Showcase. Seven teams were awarded across five categories for their innovative projects that improve patient care and make NHS services more efficient. The winners included mobile apps to improve doctor training feedback and patient communication, and initiatives to deliver intravenous treatments and orthotics at home. The awards recognize pioneering ideas developed collaboratively between NHS staff, universities, charities, and businesses.
Implementing contingency management for hepatitis b vaccination among people ...Anthea Martin
This document provides an overview of a PhD thesis examining the use of contingency management to promote hepatitis B vaccination among people in treatment for heroin dependence. It discusses positioning contingency management as both evidence-based and within a Foucauldian framework. The research uses Foucauldian discourse analysis to analyze consultations where contingency management is used, identifying technologies of power and self. Preliminary findings describe features of these technologies. Future analysis includes further coding the full dataset and a dispositif analysis connecting macro and micro levels. The thesis contributes novel perspectives on soft paternalism and nudge theory in drug policy and the development of Foucauldian discourse analysis methodology.
This study evaluated the impact of integrating a substance abuse treatment program into population-based behavioral health care. The program identified individuals at risk for medical issues from substance use disorders and engaged them in treatment. Participants had 16% fewer ER visits and 67% fewer hospitalizations after treatment compared to before. Healthcare costs for participants dropped 46% on average after treatment. The findings suggest integrating substance abuse treatment programs into population health strategies can increase enrollment in treatment and reduce costs.
Interventions to change providers' practice in cameroon h hopkinsACT Consortium
Presentation by Heidi Hopkins
Cross-cutting analysis Lead, ACT Consortium
Senior Lecturer in Malaria & Diagnostics at London School of Hygiene & Tropical Medicine
Answering key questions on malaria drug delivery: 8 years of researchACT Consortium
Presentation by David Schellenberg
Director, ACT Consortium
Professor of Malaria & International Health at London School of Hygiene & Tropical Medicine
This document provides a case study on Lingraphica's online therapy software. It was used in a long-term care facility to improve patient outcomes and satisfaction. The study found improved cognitive function, mood, communication skills, and engagement for patients. Clinicians benefited from improved documentation and treatment tools. Administrators saw benefits from improved tracking of activities, outcomes and costs. Overall, the software was found to provide widespread benefits to patients, clinicians and administrators in the long-term care setting.
This study evaluated the effectiveness of a semi-tailored facilitator intervention to support implementation of chronic disease management programs in Danish general practices. 189 practices were randomly allocated to receive the intervention in 2011 or 2012. The intervention consisted of up to three one-hour visits from a facilitator to discuss topics related to chronic care. The primary outcome was the number of annual chronic disease checkups per patient. Secondary outcomes included use of diagnostic coding, patient stratification, and other process measures. Results showed no difference between groups for the primary outcome, but some secondary outcomes favored the intervention group, such as higher reported use of diagnostic coding and earlier signup for a patient management software. The authors concluded the low-intensity intervention was unlikely to substantially improve
Medipex innovation awards 2015 press releaseScott Miller
The document summarizes the winners of the eleventh annual Medipex NHS Innovation Awards and Showcase. Seven teams were awarded across five categories for their innovative projects that improve patient care and make NHS services more efficient. The winners included mobile apps to improve doctor training feedback and patient communication, and initiatives to deliver intravenous treatments and orthotics at home. The awards recognize pioneering ideas developed collaboratively between NHS staff, universities, charities, and businesses.
Implementing contingency management for hepatitis b vaccination among people ...Anthea Martin
This document provides an overview of a PhD thesis examining the use of contingency management to promote hepatitis B vaccination among people in treatment for heroin dependence. It discusses positioning contingency management as both evidence-based and within a Foucauldian framework. The research uses Foucauldian discourse analysis to analyze consultations where contingency management is used, identifying technologies of power and self. Preliminary findings describe features of these technologies. Future analysis includes further coding the full dataset and a dispositif analysis connecting macro and micro levels. The thesis contributes novel perspectives on soft paternalism and nudge theory in drug policy and the development of Foucauldian discourse analysis methodology.
This study evaluated the impact of integrating a substance abuse treatment program into population-based behavioral health care. The program identified individuals at risk for medical issues from substance use disorders and engaged them in treatment. Participants had 16% fewer ER visits and 67% fewer hospitalizations after treatment compared to before. Healthcare costs for participants dropped 46% on average after treatment. The findings suggest integrating substance abuse treatment programs into population health strategies can increase enrollment in treatment and reduce costs.
Interventions to change providers' practice in cameroon h hopkinsACT Consortium
Presentation by Heidi Hopkins
Cross-cutting analysis Lead, ACT Consortium
Senior Lecturer in Malaria & Diagnostics at London School of Hygiene & Tropical Medicine
Answering key questions on malaria drug delivery: 8 years of researchACT Consortium
Presentation by David Schellenberg
Director, ACT Consortium
Professor of Malaria & International Health at London School of Hygiene & Tropical Medicine
This document provides a case study on Lingraphica's online therapy software. It was used in a long-term care facility to improve patient outcomes and satisfaction. The study found improved cognitive function, mood, communication skills, and engagement for patients. Clinicians benefited from improved documentation and treatment tools. Administrators saw benefits from improved tracking of activities, outcomes and costs. Overall, the software was found to provide widespread benefits to patients, clinicians and administrators in the long-term care setting.
An enhanced care management program achieved lower health care costs through broader outreach, personalized health coaching, and engagement of higher-risk populations. A randomized controlled trial of 175,000 individuals found that the enhanced program led to a $7.96 lower average monthly medical cost per member and over a 4:1 return on investment. Key aspects of the enhanced program included targeting a wider range of chronic and preference-sensitive conditions, more frequent outreach, and deeper health coaching relationships.
This document summarizes research on population-wide drug-based strategies for malaria elimination in three African countries. Key findings include:
1) Mass drug administration (MDA) reduced malaria infection prevalence in Zambia when added to standard care, showing potential to accelerate elimination.
2) Mass test and treat (MTAT) had modest impact on incidence due to limits of current diagnostics.
3) High population coverage was achieved for MDA, focal MDA, and MTAT strategies.
4) Preliminary data found MDA and focal MDA costs were comparable to MTAT and could decrease without research components.
5) Population-wide strategies may be useful in some settings as part of a comprehensive
This document discusses evidence-based practice (EBP) and its application to a case study of a patient with diabetic peripheral neuropathy. It begins by defining EBP and outlining its key principles. It then presents the case study, formulating the clinical question using the PICO framework. It describes searching relevant literature databases using search terms derived from the PICO elements to address the clinical question. The goal is to evaluate pharmacological and alternative treatments like acupuncture for diabetic peripheral neuropathy based on the best available evidence.
Leveraging Patient Support Programs in Biologic-Biosimilar Competitive LandscapeAlex Xiaoguang Zhu
Biologics are facing intense competition from biosimilars. In this competitive landscape, strategic levers for both branded biologics and biosimilars typically include payor strategy, promotion and new formulation. As patients become more engaged and patient-centricity is on the rise, there is an increased opportunity to leverage patient support programs as additional strategic lever. This presentation will cover five key learnings that we have uncovered while conducting multi-phase patient support program research for both branded biologics and biosimilars.
PCOMS and an Acute Care Inpatient Unit: Quality Improvement and Reduced Readm...Barry Duncan
High psychiatric readmission rates continue while evidence suggests that care is not perceived by patients as “patient centered.” Research has focused on aftercare strategies with little attention to the inpatient treatment itself as an intervention to reduce readmission rates. Quality improvement strategies based on patient-centered care may offer an alternative. We evaluated outcomes and readmission rates using a benchmarking methodology with a naturalistic data set from an inpatient psychiatric facility (N 2,247) that used a quality-improvement strategy called systematic patient feedback. A systematic patient feedback system, the Partners for Change Outcome Management System (PCOMS), was used. Overall pre-post effect sizes were d 1.33 and d 1.38 for patients diagnosed with a mood
disorder. These effect sizes were statistically equivalent to RCT benchmarks for feedback and depression.
Readmission rates were 6.1% (30 days), 9.5% (60 days), and 16.4% (180 days), all lower than national benchmarks. We also found that patients who achieved clinically significant treatment outcomes were less likely to be readmitted. We tentatively suggest that a focus on real-time patient outcomes as well as care that is “patient centered” may provide lower readmission rates.
A PROSPECTIVE STUDY OF DRUG UTILIZATION PATTERN AND EVALUATION USING WHO GUI...M.Arumuga Vignesh
This document describes a prospective study conducted to evaluate drug utilization patterns and prescribing practices in a government hospital in India using WHO prescribing indicators. Data was collected from 282 patient records over 6 months across various wards. The study aimed to promote rational drug use, avoid polypharmacy, prevent antibiotic resistance, and estimate disease prevalence. Key metrics analyzed included the average number of drugs per prescription, percentage of generics prescribed, consultation times, and drug availability. The findings could provide insights into prescribing quality and opportunities for improvement.
PCMH implementation, highly associated with important outcomes for both patients and providers. The rate of emergency department visits was significantly
lower in sites with more PCMH effective implementation. Efficient PCMH implementation favorably associated with patient satisfaction, staff burnout, quality of care, and use of health care services.
This presentation describes the objectives, approach and application of Drug Utilization studies in Pharmacotherapeutics. This emphasizes on how to conduct a drug utilization studies.
TACT: a trial of interventions to improve the use of malaria rd ts hreyburnACT Consortium
The document describes the TACT trial which evaluated methods to improve adherence to malaria testing guidelines in Tanzania. It involved developing and testing interventions including additional training for health workers, as well as training and information for communities. The results found that the combination of health worker and community interventions led to significantly improved uptake of malaria testing and adherence to test results compared to standard training alone.
Medical Related information reconciliation when a patient sees many providers or transfers between health facilities is challenging. Lack of updated and correct information is a key concern for patient safety during a health and illness trajectory [1]. Errors, near misses and adverse medication events are too common, particularly whne transfers between hospitals, nursing home and home are frequent, or engagement of multiple specialties is common [2]. Lack of effective informatics support can be harmful to a person’s health, leading to suffering, increased use of health care resources and increased costs.
As a case for interactive discussion, we have chosen information exchanges related to medication, prescription-based as well as over the counter drugs. This challenging chain of activities includes: (a) prescribing on paper or electronically by several medical specialists, (b) transcribing by sending and interpreting prescriptions in the pharmacy, (c) dispensing medication by brand name or generic substitution, (d) acquiring over the counter medication, (e) administering medication as a user, and (f) observing effects and side-effects. The risk of missing information leading to mistakes in the chain of activities in medication management is likely to increase as complex medication regimes become common due to demographic developments, co-morbidities or more personalized treatment. Potentials in patient activation and relevant informatics tools for medication reconciliation need further exploration.
Anne MOEN Institute for Health and Society, Faculty of Medicine, University of Oslo, NORWAY
Catherine CHRONAKI HL7 Foundation, Brussels, BELGIUM
Christian NØHR, Aalborg University, DENMARK
Line Helen LINSTAD Norwegian Center for eHealth Research, Tromsø, NORWAY
Petter HURLEN Akershus University Hospital, NORWAY
This workshop will expose clinicians and administrators to research-based technology-assisted care interventions that practitioners can add to their tool kit to complement treatment services. Technology-based care is a rapidly evolving field that may: use different formats, such as audio, video, animations, and/or other multimedia; be customized to patients; and be web-based and accessed using computers, tablets, or smart phones. The presenter will provide an introduction to technology-assisted care and show case at least two interventions for substance abuse treatment providers.
This document summarizes key findings about value-based purchasing models from a systematic review of the research literature. It finds that value-based purchasing initiatives aim to improve quality, slow healthcare spending growth, and reduce unnecessary care through the use of financial incentives linked to provider performance on defined quality measures. Common models include pay for performance programs, accountable care organizations, and bundled payment programs. The document also examines which elements, such as stakeholder engagement and use of evidence-based quality measures, are associated with more effective value-based purchasing programs. However, it notes that firm conclusions about the impact of these programs are difficult to make due to variations in methodology and program design across studies.
A study on effect of cme programs in improving doctors medical practice__BHAV...Bhavik Amin
Download this ppt . It is prepared after doing survey of 36 doctors in Ahmedabad circle.It contains useful information on Type ,facilities and current scenerio of CME program and effect of CME program on doctors medical practice.
This document summarizes information on patient engagement and telemedicine. It defines patient engagement as involving patients in decisions about their health and using interventions to promote healthy behaviors. When there are multiple treatment options, shared decision making uses decision aids to help patients choose based on their values. Research shows patient engagement can lower costs by reducing hospital admissions. Telemedicine uses technology to deliver healthcare remotely and can increase access, especially for rural patients, while improving outcomes and reducing costs. The document recommends establishing a task force to advance telemedicine in Maryland.
The document discusses various topics related to physical therapy (PT) practice. It notes that in 2014, PTs can avoid PQRS penalties by reporting 3 quality measures for 50% of patients, and the number of measures required to receive bonuses will increase from 3 to 9. It also eliminates reporting via measures groups through claims. The document discusses focusing on developing quality measures for PT, payment models that promote value, and public policy initiatives to advance the role of PT in areas like disease management. It also discusses improving access, eliminating self-referral profits, and ensuring an adequate PT workforce.
This document provides an updated review of evidence from prospective evaluation studies of Patient-Centered Medical Home (PCMH) interventions in the United States. It finds that investing in primary care through the PCMH model consistently results in improved quality of care, better patient experiences, and reductions in hospital and emergency department utilization. Several major evaluations also found that PCMH interventions reduced total healthcare expenditures. Section 1 summarizes data on cost outcomes from various PCMH programs, finding reductions in utilization and overall costs. Section 2 provides more details on the individual PCMH models.
Capella university improving quality of care and patient safety assignment ...DrWillow1
This presentation focuses on developing a safety improvement plan using the Teach-back Method to prevent medication errors through enhanced patient-provider communication and education. Poor communication is a leading cause of errors. The plan aims to evaluate patient comprehension by having them explain medication instructions in their own words. Audience members like nurses and doctors will learn the Teach-back Method to improve engagement with patients and reduce errors. Their successful adoption of this role is critical to the plan's success.
Multi criteria decision analysis for healthcareSunhong Kwon
Multi-criteria decision analysis (MCDA) is a process used to evaluate multiple criteria in healthcare decision making. Three key aspects of MCDA are summarized:
1. MCDA identifies criteria like clinical benefits, safety, costs, and other factors to evaluate healthcare interventions. Studies consider criteria like disease severity, population affected, clinical guidelines, and costs.
2. Interventions are measured and scored on each criterion using evidence and expert opinion. Scores are often on predefined scales.
3. Criteria weights reflecting importance are generated, commonly using analytic hierarchy process or defined scales. Weights involve multiple stakeholders.
Sensitivity analysis assesses uncertainty, though many studies do not report this. MCD
Redefining the role of patient support programs: Shifting the focus towards p...SKIM
Presented by:
Alex Zhu, Manager
Ariel Herrlich, Analyst
The recent shift toward consumerism and patient empowerment is driving companies to reevaluate the role and design of patient support programs. Historically, pharmaceutical manufacturers implemented support programs largely as a way to address patient non-adherence.
These programs were often single-based solutions designed to meet mass market needs. Next generation patient support programs will go beyond simple adherence to address holistic disease management through individualized, patient-centric service offerings.
Using a case study, we illustrated:
- How to evaluate your current patient support program offerings, using a combination of standard and non-standard metrics and exercises
- Re-define what “value” means in a world of patient-centricity and personalized care
- Assess the impact/ROI of potential new service offerings and enhancements
This document summarizes key findings from a 2010 report on hospital benefit plans and strategies. It found that healthcare employers increased employee cost sharing in 2010 through significant plan design changes rather than raising premium contributions. Deductibles rose up to 36% for individuals and 33% for families compared to 2009. However, less than half of respondents offered health risk assessments or wellness incentives to employees, indicating a focus on sick care over long-term health. The report analyzed data from 142 healthcare plan sponsors to understand benefit trends and strategies.
This document discusses leadership theories and challenges in leading improvement efforts. It provides an overview of characteristics of effective leaders according to various perspectives from research and prominent business leaders. It then discusses common characteristics of effective leaders in schools and districts, such as establishing a clear vision, understanding the environment, strategic planning, developing talent, learning orientation, integrity, and achieving results. The document also outlines theories and models for creating change in organizations and using data to stimulate improvement efforts.
Global mobility is increasing due to push and pull factors that motivate people to move. Three key drivers of increasing global mobility are the growth of emerging markets, more global firms operating in foreign markets, and an increasing international assignee population, especially in emerging markets. The document discusses how these trends will impact where global organizations operate and how they manage international talent. It also profiles the rise of "Generation I" employees who are itinerant, innovative, and have an international mindset.
An enhanced care management program achieved lower health care costs through broader outreach, personalized health coaching, and engagement of higher-risk populations. A randomized controlled trial of 175,000 individuals found that the enhanced program led to a $7.96 lower average monthly medical cost per member and over a 4:1 return on investment. Key aspects of the enhanced program included targeting a wider range of chronic and preference-sensitive conditions, more frequent outreach, and deeper health coaching relationships.
This document summarizes research on population-wide drug-based strategies for malaria elimination in three African countries. Key findings include:
1) Mass drug administration (MDA) reduced malaria infection prevalence in Zambia when added to standard care, showing potential to accelerate elimination.
2) Mass test and treat (MTAT) had modest impact on incidence due to limits of current diagnostics.
3) High population coverage was achieved for MDA, focal MDA, and MTAT strategies.
4) Preliminary data found MDA and focal MDA costs were comparable to MTAT and could decrease without research components.
5) Population-wide strategies may be useful in some settings as part of a comprehensive
This document discusses evidence-based practice (EBP) and its application to a case study of a patient with diabetic peripheral neuropathy. It begins by defining EBP and outlining its key principles. It then presents the case study, formulating the clinical question using the PICO framework. It describes searching relevant literature databases using search terms derived from the PICO elements to address the clinical question. The goal is to evaluate pharmacological and alternative treatments like acupuncture for diabetic peripheral neuropathy based on the best available evidence.
Leveraging Patient Support Programs in Biologic-Biosimilar Competitive LandscapeAlex Xiaoguang Zhu
Biologics are facing intense competition from biosimilars. In this competitive landscape, strategic levers for both branded biologics and biosimilars typically include payor strategy, promotion and new formulation. As patients become more engaged and patient-centricity is on the rise, there is an increased opportunity to leverage patient support programs as additional strategic lever. This presentation will cover five key learnings that we have uncovered while conducting multi-phase patient support program research for both branded biologics and biosimilars.
PCOMS and an Acute Care Inpatient Unit: Quality Improvement and Reduced Readm...Barry Duncan
High psychiatric readmission rates continue while evidence suggests that care is not perceived by patients as “patient centered.” Research has focused on aftercare strategies with little attention to the inpatient treatment itself as an intervention to reduce readmission rates. Quality improvement strategies based on patient-centered care may offer an alternative. We evaluated outcomes and readmission rates using a benchmarking methodology with a naturalistic data set from an inpatient psychiatric facility (N 2,247) that used a quality-improvement strategy called systematic patient feedback. A systematic patient feedback system, the Partners for Change Outcome Management System (PCOMS), was used. Overall pre-post effect sizes were d 1.33 and d 1.38 for patients diagnosed with a mood
disorder. These effect sizes were statistically equivalent to RCT benchmarks for feedback and depression.
Readmission rates were 6.1% (30 days), 9.5% (60 days), and 16.4% (180 days), all lower than national benchmarks. We also found that patients who achieved clinically significant treatment outcomes were less likely to be readmitted. We tentatively suggest that a focus on real-time patient outcomes as well as care that is “patient centered” may provide lower readmission rates.
A PROSPECTIVE STUDY OF DRUG UTILIZATION PATTERN AND EVALUATION USING WHO GUI...M.Arumuga Vignesh
This document describes a prospective study conducted to evaluate drug utilization patterns and prescribing practices in a government hospital in India using WHO prescribing indicators. Data was collected from 282 patient records over 6 months across various wards. The study aimed to promote rational drug use, avoid polypharmacy, prevent antibiotic resistance, and estimate disease prevalence. Key metrics analyzed included the average number of drugs per prescription, percentage of generics prescribed, consultation times, and drug availability. The findings could provide insights into prescribing quality and opportunities for improvement.
PCMH implementation, highly associated with important outcomes for both patients and providers. The rate of emergency department visits was significantly
lower in sites with more PCMH effective implementation. Efficient PCMH implementation favorably associated with patient satisfaction, staff burnout, quality of care, and use of health care services.
This presentation describes the objectives, approach and application of Drug Utilization studies in Pharmacotherapeutics. This emphasizes on how to conduct a drug utilization studies.
TACT: a trial of interventions to improve the use of malaria rd ts hreyburnACT Consortium
The document describes the TACT trial which evaluated methods to improve adherence to malaria testing guidelines in Tanzania. It involved developing and testing interventions including additional training for health workers, as well as training and information for communities. The results found that the combination of health worker and community interventions led to significantly improved uptake of malaria testing and adherence to test results compared to standard training alone.
Medical Related information reconciliation when a patient sees many providers or transfers between health facilities is challenging. Lack of updated and correct information is a key concern for patient safety during a health and illness trajectory [1]. Errors, near misses and adverse medication events are too common, particularly whne transfers between hospitals, nursing home and home are frequent, or engagement of multiple specialties is common [2]. Lack of effective informatics support can be harmful to a person’s health, leading to suffering, increased use of health care resources and increased costs.
As a case for interactive discussion, we have chosen information exchanges related to medication, prescription-based as well as over the counter drugs. This challenging chain of activities includes: (a) prescribing on paper or electronically by several medical specialists, (b) transcribing by sending and interpreting prescriptions in the pharmacy, (c) dispensing medication by brand name or generic substitution, (d) acquiring over the counter medication, (e) administering medication as a user, and (f) observing effects and side-effects. The risk of missing information leading to mistakes in the chain of activities in medication management is likely to increase as complex medication regimes become common due to demographic developments, co-morbidities or more personalized treatment. Potentials in patient activation and relevant informatics tools for medication reconciliation need further exploration.
Anne MOEN Institute for Health and Society, Faculty of Medicine, University of Oslo, NORWAY
Catherine CHRONAKI HL7 Foundation, Brussels, BELGIUM
Christian NØHR, Aalborg University, DENMARK
Line Helen LINSTAD Norwegian Center for eHealth Research, Tromsø, NORWAY
Petter HURLEN Akershus University Hospital, NORWAY
This workshop will expose clinicians and administrators to research-based technology-assisted care interventions that practitioners can add to their tool kit to complement treatment services. Technology-based care is a rapidly evolving field that may: use different formats, such as audio, video, animations, and/or other multimedia; be customized to patients; and be web-based and accessed using computers, tablets, or smart phones. The presenter will provide an introduction to technology-assisted care and show case at least two interventions for substance abuse treatment providers.
This document summarizes key findings about value-based purchasing models from a systematic review of the research literature. It finds that value-based purchasing initiatives aim to improve quality, slow healthcare spending growth, and reduce unnecessary care through the use of financial incentives linked to provider performance on defined quality measures. Common models include pay for performance programs, accountable care organizations, and bundled payment programs. The document also examines which elements, such as stakeholder engagement and use of evidence-based quality measures, are associated with more effective value-based purchasing programs. However, it notes that firm conclusions about the impact of these programs are difficult to make due to variations in methodology and program design across studies.
A study on effect of cme programs in improving doctors medical practice__BHAV...Bhavik Amin
Download this ppt . It is prepared after doing survey of 36 doctors in Ahmedabad circle.It contains useful information on Type ,facilities and current scenerio of CME program and effect of CME program on doctors medical practice.
This document summarizes information on patient engagement and telemedicine. It defines patient engagement as involving patients in decisions about their health and using interventions to promote healthy behaviors. When there are multiple treatment options, shared decision making uses decision aids to help patients choose based on their values. Research shows patient engagement can lower costs by reducing hospital admissions. Telemedicine uses technology to deliver healthcare remotely and can increase access, especially for rural patients, while improving outcomes and reducing costs. The document recommends establishing a task force to advance telemedicine in Maryland.
The document discusses various topics related to physical therapy (PT) practice. It notes that in 2014, PTs can avoid PQRS penalties by reporting 3 quality measures for 50% of patients, and the number of measures required to receive bonuses will increase from 3 to 9. It also eliminates reporting via measures groups through claims. The document discusses focusing on developing quality measures for PT, payment models that promote value, and public policy initiatives to advance the role of PT in areas like disease management. It also discusses improving access, eliminating self-referral profits, and ensuring an adequate PT workforce.
This document provides an updated review of evidence from prospective evaluation studies of Patient-Centered Medical Home (PCMH) interventions in the United States. It finds that investing in primary care through the PCMH model consistently results in improved quality of care, better patient experiences, and reductions in hospital and emergency department utilization. Several major evaluations also found that PCMH interventions reduced total healthcare expenditures. Section 1 summarizes data on cost outcomes from various PCMH programs, finding reductions in utilization and overall costs. Section 2 provides more details on the individual PCMH models.
Capella university improving quality of care and patient safety assignment ...DrWillow1
This presentation focuses on developing a safety improvement plan using the Teach-back Method to prevent medication errors through enhanced patient-provider communication and education. Poor communication is a leading cause of errors. The plan aims to evaluate patient comprehension by having them explain medication instructions in their own words. Audience members like nurses and doctors will learn the Teach-back Method to improve engagement with patients and reduce errors. Their successful adoption of this role is critical to the plan's success.
Multi criteria decision analysis for healthcareSunhong Kwon
Multi-criteria decision analysis (MCDA) is a process used to evaluate multiple criteria in healthcare decision making. Three key aspects of MCDA are summarized:
1. MCDA identifies criteria like clinical benefits, safety, costs, and other factors to evaluate healthcare interventions. Studies consider criteria like disease severity, population affected, clinical guidelines, and costs.
2. Interventions are measured and scored on each criterion using evidence and expert opinion. Scores are often on predefined scales.
3. Criteria weights reflecting importance are generated, commonly using analytic hierarchy process or defined scales. Weights involve multiple stakeholders.
Sensitivity analysis assesses uncertainty, though many studies do not report this. MCD
Redefining the role of patient support programs: Shifting the focus towards p...SKIM
Presented by:
Alex Zhu, Manager
Ariel Herrlich, Analyst
The recent shift toward consumerism and patient empowerment is driving companies to reevaluate the role and design of patient support programs. Historically, pharmaceutical manufacturers implemented support programs largely as a way to address patient non-adherence.
These programs were often single-based solutions designed to meet mass market needs. Next generation patient support programs will go beyond simple adherence to address holistic disease management through individualized, patient-centric service offerings.
Using a case study, we illustrated:
- How to evaluate your current patient support program offerings, using a combination of standard and non-standard metrics and exercises
- Re-define what “value” means in a world of patient-centricity and personalized care
- Assess the impact/ROI of potential new service offerings and enhancements
This document summarizes key findings from a 2010 report on hospital benefit plans and strategies. It found that healthcare employers increased employee cost sharing in 2010 through significant plan design changes rather than raising premium contributions. Deductibles rose up to 36% for individuals and 33% for families compared to 2009. However, less than half of respondents offered health risk assessments or wellness incentives to employees, indicating a focus on sick care over long-term health. The report analyzed data from 142 healthcare plan sponsors to understand benefit trends and strategies.
This document discusses leadership theories and challenges in leading improvement efforts. It provides an overview of characteristics of effective leaders according to various perspectives from research and prominent business leaders. It then discusses common characteristics of effective leaders in schools and districts, such as establishing a clear vision, understanding the environment, strategic planning, developing talent, learning orientation, integrity, and achieving results. The document also outlines theories and models for creating change in organizations and using data to stimulate improvement efforts.
Global mobility is increasing due to push and pull factors that motivate people to move. Three key drivers of increasing global mobility are the growth of emerging markets, more global firms operating in foreign markets, and an increasing international assignee population, especially in emerging markets. The document discusses how these trends will impact where global organizations operate and how they manage international talent. It also profiles the rise of "Generation I" employees who are itinerant, innovative, and have an international mindset.
Core Characteristics of Effective Change AgentsKelly Maxwell
This document outlines the core characteristics of effective change agents in education. It lists 11 key characteristics - moral purpose, personal vision-building, commitment, capacity for inquiry, high abstract thinking skills, knowledge and mastery, collaboration, resiliency, interpersonal skills - and provides questions under each to help reflect on strengths and areas for growth. The overall purpose is to help educators evaluate their abilities and mindsets needed to drive positive change within their schools and better serve students.
This document summarizes a presentation on medication-assisted treatment for opioid addiction. It discusses the history of treatment approaches, including the development of methadone and buprenorphine maintenance therapies. Studies show that agonist therapies like methadone and buprenorphine are more effective at retaining patients in treatment and reducing illicit opioid use than non-medication approaches. While both methadone and buprenorphine are effective, buprenorphine has a safer side effect profile but its effectiveness may be limited by lower monitoring and adherence compared to methadone treatment. The document reviews several studies demonstrating the benefits of long-term agonist therapy over detoxification or short-term medication approaches for opioid
This document discusses resistance to change and how to overcome it. It notes that resistance often occurs in large-scale programs due to a lack of early stakeholder engagement. It identifies three common root causes of resistance: not believing the problem needs fixing, not being ready for change, and doubting a solution will work locally. The document proposes a three-step approach to addressing resistance: diagnosing root causes through interviews, engaging stakeholders to understand problems, and involving stakeholders in developing and implementing solutions. It advocates communication, embedding stakeholder input, and having a consistent change approach.
The document summarizes a presentation about communicating change to students. It discusses different styles of handling change, perceptions of those styles, and provides tips for leading change including acknowledging feelings, investigating options, implementing changes, and creating a new culture. It also outlines Kotter's 8 steps for leading organizational change.
Six steps to implementing Change Management SuccessfullyArvind Parthiban
This document outlines six steps to implement effective change management: 1) Identify the desired change, 2) Sell stakeholders on the value of change management, 3) Define what constitutes a change, 4) Assign roles and responsibilities like a Change Advisory Board, 5) Define a process for handling changes, and 6) Define key performance indicators to measure success. It emphasizes communicating the reasons for change, having clearly defined change types and approval processes, and regularly reporting on metrics.
This document discusses managing organizational change. It begins with an agenda that includes experiencing change, types of change, planning for change, implementation and assessment. It then discusses change versus transition, the change curve, identifying an organization's culture and past experiences with change. It defines different types of change and provides tips for planning change such as considering why change is needed and developing a clear communication plan. It stresses the importance of preparing for change, collecting information, implementing plans and assessing impact. The overall message is that successful change management requires planning, communication and monitoring.
IABC Best Practices in Communicating Change CarolineKealey
Links from the presentation include:
"Did You Know Shift Happens" https://www.youtube.com/watch?v=PcZg51Il9no
"uO Exam Set Up" https://www.youtube.com/watch?v=NWsZphzIccA
Dialogue for Organizational PerformanceConroy Fourie
The document discusses the importance of robust dialogue in organizations. It makes three key points:
1) Robust dialogue is important for effective decision making, innovation, and competitive advantage as it surfaces reality and different perspectives. It requires open-mindedness, candor over harmony, and informality.
2) Informality is critical for candor and debate, which invites questions and critical thinking. Robust dialogue ends with agreement and accountability.
3) Leaders must model robust dialogue and reward performance to encourage open exchange of ideas instead of political discussions where reality is avoided. Asking questions can help avoid jumping to conclusions.
This document discusses giant magnetoresistance and its applications. It begins with a history of magnetoresistance discovery in 1857. It then covers ferro magnetic materials, spintronics concepts like spin dependent conduction. It describes giant magnetoresistance using schematics of magnetic multilayers and the first evidence of GMR. Applications discussed include spin valves used in hard drive read heads, MRAM for data storage, and spin transistors. Future areas of research mentioned are magnetic switching transistors, next-gen low power MRAM, and integrating spintronics with semiconductors.
Characteristics of effective international managersA Oneessays
This document discusses the characteristics of effective international managers. It begins by explaining how globalization has increased the need for international managers. An international manager is someone who manages divisions across geographical regions and understands the goals of the company. Effective international managers have skills in areas like social intelligence, self-efficacy, and cultural adaptation. They also have international knowledge, can communicate collaboratively, and are oriented towards different cultures. Training programs are important for developing skills in foreign languages, cultural assimilation, and dealing with different situations. International managers must also maintain high ethical standards of integrity, accountability, and leadership when working across borders.
Review of motivational interviewing techniques and strategies most useful at each phase of change. NBCC, NAADAC, CAADAC, and California Board of Behavioral Sciences approved Mental Health continuing education and addictions counselor training series. Narrated versions and CEUs available at http://www.allceus.com
This document discusses best practices for communicating changes to users. It recommends communicating changes in advance, in context within the user interface, and in perpetuity through documentation. It also suggests being human, communicating across multiple channels, giving users choice and involvement in the process, and leveraging the community to communicate changes for you. The overarching message is that communicating changes effectively aids user success and is an important part of any product.
The document discusses change management and how to effectively manage change within an organization. It covers common reactions to change like resistance and doubt. It also discusses the importance of leadership involvement, communication, and training to help transition people through change. Key aspects of change management include defining the current and future states, identifying stakeholders, creating a vision and roadmap, addressing resistance, and monitoring progress.
Six tips of characteristics to build your effective change leadershipAndre Vonk
This document outlines six key characteristics of effective change leaders:
1. Low levels of anxiety and emotional stability. Change leaders must feel secure and be in a positive mood to adapt well to change.
2. Action orientation and confidence. Change leaders are energized by action and believe in their ability to succeed despite risks of the unknown.
3. Openness and diversity of experiences. Change leaders are receptive to new ideas and maintain multiple perspectives to see opportunities.
4. Risk tolerance through risk management. Change leaders take calculated risks while mitigating dangers through careful planning and analysis.
Hiring for these traits and cultivating them in a team's culture allows organizations to identify new opportunities and adapt quickly to
This document provides information about effective workplace communication. It discusses the importance of using clear, concise, and correct communication in professional settings. Workplace communication needs to have these characteristics because employers and colleagues value efficient communication. A clear and concise style can be achieved by choosing the appropriate language and phrasing for the purpose and audience. The three essential features of effective workplace communication are using an appropriate style, polite tone, and accurate presentation free of errors. The document provides examples and explanations of these concepts.
Failure of changes, characteristics of effective changeDr. Ajith Sundaram
The document describes Kotter's 8-step model for leading change and reasons why organizational changes may fail. It then provides a case study of how Norfolk Southern railroad applied the model to improve safety culture. Katie created urgency around safety, formed a guiding coalition called the "Iceberg Group" to develop a new safety vision. They communicated the vision at daily briefings and overcame barriers by appealing to workers' families. Short-term wins from reduced injuries built momentum. The culture change aims to make safety improvements permanent through ongoing leadership from the Iceberg Group.
This document discusses organizational change and transition management. It explains that organizational change requires planning for human, process and technological objectives to support new visions, while transition management focuses on helping people psychologically deal with and adapt to change. The stages of transition are outlined as having a clear vision, endings, a neutral zone, and a new beginning. Key aspects of guiding people through each stage are described, such as establishing clarity, addressing concerns, normalizing difficulties, and celebrating successes.
National frontier and rural attc workforcemikewilhelm
This document discusses the National Frontier and Rural ATTC and its goals of promoting telehealth technologies in addiction treatment. It aims to prepare students, adopt telehealth services, and help rural providers implement telehealth. Definitions of telehealth, telemedicine, and synchronous/asynchronous communications are provided. Research on telehealth interventions is summarized, and several telehealth programs (CBT4CBT, TES, Motiv8, MES, cMET/CBT/CM, MyStudentBody) are described. The document discusses a needs assessment to understand current telehealth use and interest among treatment providers and recovery programs.
NONPF - 1NURSE PRACTITIONER CORE COMPETENCIES April 201.docxkendalfarrier
NONPF - 1
NURSE PRACTITIONER CORE COMPETENCIES
April 2011
Amended 2012*
Task Force Members
Anne C. Thomas, PhD, ANP-BC, GNP - Chair
M. Katherine Crabtree, DNSc, FAAN, APRN-BC
Kathleen R. Delaney, PhD, PMH-NP
Mary Anne Dumas, PhD, RN, FNP-BC, FAANP
Ruth Kleinpell, PhD, RN, FAAN, FCCM
M. Cynthia Logsdon, PhD, WHNP-BC, FAAN
Julie Marfell, DNP, FNP-BC, FAANP
Donna G. Nativio, PhD, CRNP, FAAN
Note: Terms in bold are defined within the glossary found at the end of the competencies.
Preamble
In August 2008, NONPF endorsed the evolution of the Doctorate of Nursing Practice (DNP) as the entry
level for nurse practitioner (NP) practice (NONPF, 2008a). Nurse practitioner education, which is based
upon the NONPF competencies, recognizes that the student’s ability to show successful achievement of
the NONPF competencies for NP education is of greater value than the number of clinical hours the
student has performed (NONPF, 2008b).
The Nurse Practitioner Core Competencies (NP Core Competencies) integrate and build upon existing
Master’s and DNP core competencies and are guidelines for educational programs preparing NPs to
implement the full scope of practice as a licensed independent practitioner. The competencies are
essential behaviors of all NPs. These competencies are demonstrated upon graduation regardless of the
population focus of the program and are necessary for NPs to meet the complex challenges of translating
rapidly expanding knowledge into practice and function in a changing health care environment.
Nurse Practitioner graduates have knowledge, skills, and abilities that are essential to independent
clinical practice. The NP Core Competencies are acquired through mentored patient care experiences
with emphasis on independent and interprofessional practice; analytic skills for evaluating and
providing evidence-based, patient centered care across settings; and advanced knowledge of the
health care delivery system. Doctorally-prepared NPs apply knowledge of scientific foundations in
practice for quality care. They are able to apply skills in technology and information literacy, and engage
in practice inquiry to improve health outcomes, policy, and healthcare delivery. Areas of increased
knowledge, skills, and expertise include advanced communication skills, collaboration, complex decision
making, leadership, and the business of health care. The competencies elaborated here build upon
previous work that identified knowledge and skills essential to DNP competencies (AACN 1996; AACN,
2006; NONPF & National Panel, 2006) and are consistent with the recommendations of the Institute of
Medicine’s report, The Future of Nursing (IOM, 2011).
At completion of the NP program, the NP graduate possesses the nine (9) core competencies regardless
of population focus.
* Amended as result of additional validation through the 2011-2012 Population-Focused Competencies Task Force.
Competencies 7, 6, & 7 .
This document discusses community pharmacy practice and the implementation of professional pharmacy services. It provides statistics on community pharmacies and pharmacists in different countries. It then outlines frameworks for implementing services, including preparation, testing, and sustainability stages. Professional services discussed include disease management, participating in therapeutic decisions, and medication reviews. The justification given for further research is the need to understand real-world implementation challenges. The objectives are to analyze implementation frameworks, explore the implementation process in pharmacies, and develop tools to measure implementation outcomes like fidelity.
This document discusses a program called SCOSI that aims to reduce opioid misuse and optimize safe opioid use through physician education. SCOSI blends academic detailing visits from clinical pharmacists with data from South Carolina's prescription drug monitoring program (SCRIPTS). The academic detailing visits will provide evidence-based education on pain management and opioid prescribing. SCOSI seeks to increase physician awareness and use of the SCRIPTS database to inform treatment decisions and conduct prescribing self-audits. By combining these two strategies, SCOSI intends to serve as a national model for optimizing pain management and increasing safe opioid prescribing.
A harm minimization approach to substance abuse treatment has three main objectives: 1) To minimize harm to individuals and communities from drug use, 2) To reduce hazardous drug use patterns in the community, and 3) To prevent initiation of harmful drug use especially among youth. Examples of harm reduction strategies include needle exchange programs, opioid substitution therapy, and overdose prevention programs. Research on therapeutic communities shows benefits for those who complete treatment, though dropout rates are high, suggesting multiple treatment attempts may be needed. Relapse prevention therapy aims to reduce relapse risk by addressing cravings, thoughts, and high-risk situations. Effective substance abuse treatment is individualized, readily available, and addresses multiple needs through continual assessment and modification.
Encouraging best practice and improve the rational use of medicinesMeTApresents
This presentation looks at the priorities for the work of the Medicines Transparency Alliance (MeTA) Jordan Council. It was made by Dr Lama Al Homoud at the launch of MeTA Jordan in May 2009
The medication-assisted treatment (MAT) program is a comprehensive approach to addressing substance use disorders that combines medications with therapy and support services. MAT utilizes FDA-approved medications to alleviate withdrawal symptoms, reduce cravings, and normalize brain chemistry.
A feasibility study to examine the adoption of CBT techniques and their impact on clinical practice in the community pharmacy environment
Led by the AHSN Network
Day One, Pop-up University 8, 11.00
Evaluating the impact of HTA and ‘better decision-making’ on health outcomescheweb1
This document outlines a conceptual framework for assessing the impact of health technology assessments (HTA). It begins by discussing what is already known about evaluating HTA, including the limited literature on long-term effects and barriers to implementation. The document then presents two case studies and proposes a theory-driven, realist approach to impact assessment using configurations of context, mechanism, and outcomes. Interviews and primary data collection are suggested to test an initial program theory regarding how and why HTA influences policy and practice. The goal is to produce guidance on effective implementation by understanding what works, for whom, and in what contexts.
Implementation science aims to study methods to promote the uptake of evidence-based practices into routine healthcare. It focuses on evaluating the process of implementation and its impact on the targeted evidence-based practice. Implementation studies commonly employ mixed quantitative and qualitative methods to evaluate the process, formative outcomes, and summative impact of implementation strategies. Key outcomes include measures of adoption rates, fidelity, costs and sustainability of implementing evidence-based practices into real-world healthcare settings.
This document discusses the importance of treatment for opioid use disorders. It notes the rise in prescription pain medication abuse and related harms like overdoses. Treatment options like medication-assisted treatment with drugs like methadone and buprenorphine combined with counseling can effectively treat opioid addiction, improving health and social outcomes. The Substance Abuse and Mental Health Services Administration promotes such evidence-based treatment approaches and prevention efforts to address the prescription drug abuse epidemic.
Pharmacovigilance involves collecting data on adverse drug reactions to monitor drug safety. Data is used for signal generation and strengthening, drug regulation, and education. It applies to national drug policy, clinical regulation, practice, and public health programs. The WHO program collects international data in Vigibase, the largest database, to identify safety signals and advise authorities. Future prospects include e-health solutions, standardized systems connected to medical records, and a publicly accessible global safety database.
The document discusses the methodology for adapting clinical practice guidelines at KNH hospital. It describes adapting existing high-quality guidelines from other contexts rather than developing new ones. The ADAPTE process is used, which involves setting up a working group, appraising relevant guidelines using AGREE II, adapting them based on the local population and context, assessing the adapted guideline, and finalizing the new guideline. The goal is to improve healthcare practices and decisions through implementing systematically adapted evidence-based guidelines.
School and community social influence programming for preventing tobacco and ...Health Evidence™
Health Evidence hosted a 90 minute webinar on substance use prevention and treatment interventions in children and adolescents, funded by the Canadian Centre on Substance Abuse. This webinar presented key messages and implications for practice.
This webinar focussed on interpreting the evidence in the following review, which synthesizes evidence related to social influence programming:
Skara, S. & Sussman, S. (2003). A review of 25 long-term adolescent tobacco and other drug use prevention program evaluations. Preventive Medicine (37) 451-474.
The document discusses using local data from a study in Uganda to inform policy and practice around community-based distribution of injectable contraceptives in Africa. The study found that non-clinical community health workers can safely and effectively administer injectable contraceptives. This local data was then used to garner interest, inform policy changes in Uganda and Madagascar, and scale up programs. Further research is exploring expanding this model to other contexts.
A study on drug utilisation evaluation of Bronchodilators using defined daily...Dr. Afreen Nasir
Conference proceeding: Nasir A. A study on drug utilisation evaluation of Bronchodilators using a defined daily dose method. Pharmacy Education Journal [Internet]. 2023 Aug;23(5):23–24. Available from: https://doi.org/10.46542/pe.2023.235.138
Similar to ATTC Network's Efforts to Address Resistance to Medication-Assisted Treatment (20)
In 2010, University of Labor and Social Affairs (ULSA) has partnered with Asian Social Institute (ASI), Bureau of Social Protection- Ministry of Labor, Invalids and Social Affairs to implement Social Work Development Project in Vietnam approved by Vietnamese Government by 2010 (called Project 32). In this project, ULSA was received technical transfer by ASI that focused on building up training programs and completing curricula. Continuously from 2011- 2014, in the process of cooperation with the ASI, ULSA was the focal point for coordinating universities across the country use the training programs and curricula in order to train national core lecturers as Project 32’s purpose; at the same time, ULSA also organized and trained for head officers who work in social work field without social work background (including plenty of heads of Centers for Rehabilitation, Labor, and Social education). Social work with drug addicts is one of a part of this training program. The entire contents of this program were conveyed through the lectures in all the courses. Officially there are 100 head officers and about 120 national core lecturers were trained per year. From 2015 until now, although our cooperation with ASI is ended, ULSA annually still coordinates with the Bureau of Social Protection to continue using resources from lecturers, curriculum and textbook to build capacity for MOLISA officers with various levels from local to central.
The Network Coordinating Office supports the Addiction Technology Transfer Centers (ATTC) Network by coordinating meetings, webinars, and projects to facilitate collaboration. It also serves as a liaison between the ATTCs and other organizations, and maintains websites and databases to connect stakeholders and disseminate resources. The office aims to strengthen the Network through mobilizing its members and acting as a gateway to share information.
The National Focus Area ATTCs
work with ATTC Regional Centers to
serve as subject matter experts, provide information on the latest research-based best practices, and coordinate efforts on four topics of national focus. Learn more about these four Centers and their areas of expertise.
This presentation provides information on the role of the Addiction Technology Transfer Center (ATTC) National Office and its mission within the ATTC Network.
This document provides information about the Addiction Technology Transfer Center (ATTC) Network Orientation in 2010. It discusses the purpose and history of the ATTC Network, its relationship with the US government, its structure including regional centers and committees, and photos of some of the ATTC leadership in attendance at the orientation.
This presentation will address efforts by the ATTC Network to decrease the gap between research and practice and to influence understanding of factors that enhance uptake of innovations. This presentation outlines how pairing research with innovative dissemination techniques can enhance the use of EBPs related to MAT. The presentation will provide an overview of the Buprenorphine Suite, a training product designed by the ATTC Network to provide the SUD treatment field with the tools to access and adopt NIDA treatment protocols. Additionally this presentation will identify research undertaken by the Network which identifies barriers to providing MAT to minority populations.
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Giloy in Ayurveda - Classical Categorization and SynonymsPlanet Ayurveda
Giloy, also known as Guduchi or Amrita in classical Ayurvedic texts, is a revered herb renowned for its myriad health benefits. It is categorized as a Rasayana, meaning it has rejuvenating properties that enhance vitality and longevity. Giloy is celebrated for its ability to boost the immune system, detoxify the body, and promote overall wellness. Its anti-inflammatory, antipyretic, and antioxidant properties make it a staple in managing conditions like fever, diabetes, and stress. The versatility and efficacy of Giloy in supporting health naturally highlight its importance in Ayurveda. At Planet Ayurveda, we provide a comprehensive range of health services and 100% herbal supplements that harness the power of natural ingredients like Giloy. Our products are globally available and affordable, ensuring that everyone can benefit from the ancient wisdom of Ayurveda. If you or your loved ones are dealing with health issues, contact Planet Ayurveda at 01725214040 to book an online video consultation with our professional doctors. Let us help you achieve optimal health and wellness naturally.
Pictorial and detailed description of patellar instability with sign and symptoms and how to diagnose , what investigations you should go with and how to approach with treatment options . I have presented this slide in my 2nd year junior residency in orthopedics at LLRM medical college Meerut and got good reviews for it
After getting it read you will definitely understand the topic.
Computer in pharmaceutical research and development-Mpharm(Pharmaceutics)MuskanShingari
Statistics- Statistics is the science of collecting, organizing, presenting, analyzing and interpreting numerical data to assist in making more effective decisions.
A statistics is a measure which is used to estimate the population parameter
Parameters-It is used to describe the properties of an entire population.
Examples-Measures of central tendency Dispersion, Variance, Standard Deviation (SD), Absolute Error, Mean Absolute Error (MAE), Eigen Value
5-hydroxytryptamine or 5-HT or Serotonin is a neurotransmitter that serves a range of roles in the human body. It is sometimes referred to as the happy chemical since it promotes overall well-being and happiness.
It is mostly found in the brain, intestines, and blood platelets.
5-HT is utilised to transport messages between nerve cells, is known to be involved in smooth muscle contraction, and adds to overall well-being and pleasure, among other benefits. 5-HT regulates the body's sleep-wake cycles and internal clock by acting as a precursor to melatonin.
It is hypothesised to regulate hunger, emotions, motor, cognitive, and autonomic processes.
The skin is the largest organ and its health plays a vital role among the other sense organs. The skin concerns like acne breakout, psoriasis, or anything similar along the lines, finding a qualified and experienced dermatologist becomes paramount.
Are you looking for a long-lasting solution to your missing tooth?
Dental implants are the most common type of method for replacing the missing tooth. Unlike dentures or bridges, implants are surgically placed in the jawbone. In layman’s terms, a dental implant is similar to the natural root of the tooth. It offers a stable foundation for the artificial tooth giving it the look, feel, and function similar to the natural tooth.
Discover the benefits of homeopathic medicine for irregular periods with our guide on 5 common remedies. Learn how these natural treatments can help regulate menstrual cycles and improve overall menstrual health.
Visit Us: https://drdeepikashomeopathy.com/service/irregular-periods-treatment/
Travel Clinic Cardiff: Health Advice for International TravelersNX Healthcare
Travel Clinic Cardiff offers comprehensive travel health services, including vaccinations, travel advice, and preventive care for international travelers. Our expert team ensures you are well-prepared and protected for your journey, providing personalized consultations tailored to your destination. Conveniently located in Cardiff, we help you travel with confidence and peace of mind. Visit us: www.nxhealthcare.co.uk
Summer is a time for fun in the sun, but the heat and humidity can also wreak havoc on your skin. From itchy rashes to unwanted pigmentation, several skin conditions become more prevalent during these warmer months.
PGx Analysis in VarSeq: A User’s PerspectiveGolden Helix
Since our release of the PGx capabilities in VarSeq, we’ve had a few months to gather some insights from various use cases. Some users approach PGx workflows by means of array genotyping or what seems to be a growing trend of adding the star allele calling to the existing NGS pipeline for whole genome data. Luckily, both approaches are supported with the VarSeq software platform. The genotyping method being used will also dictate what the scope of the tertiary analysis will be. For example, are your PGx reports a standalone pipeline or would your lab’s goal be to handle a dual-purpose workflow and report on PGx + Diagnostic findings.
The purpose of this webcast is to:
Discuss and demonstrate the approaches with array and NGS genotyping methods for star allele calling to prep for downstream analysis.
Following genotyping, explore alternative tertiary workflow concepts in VarSeq to handle PGx reporting.
Moreover, we will include insights users will need to consider when validating their PGx workflow for all possible star alleles and options you have for automating your PGx analysis for large number of samples. Please join us for a session dedicated to the application of star allele genotyping and subsequent PGx workflows in our VarSeq software.
NAVIGATING THE HORIZONS OF TIME LAPSE EMBRYO MONITORING.pdfRahul Sen
Time-lapse embryo monitoring is an advanced imaging technique used in IVF to continuously observe embryo development. It captures high-resolution images at regular intervals, allowing embryologists to select the most viable embryos for transfer based on detailed growth patterns. This technology enhances embryo selection, potentially increasing pregnancy success rates.
NAVIGATING THE HORIZONS OF TIME LAPSE EMBRYO MONITORING.pdf
ATTC Network's Efforts to Address Resistance to Medication-Assisted Treatment
1. Closing the gap between research and practice:
Successful technology transfer strategies in combating
resistance to medication-assisted treatment
Addressing Resistance to
Medication-Assisted Treatment
An ATTC Network Panel Presentation
American Association for the Treatment
of Opioid Dependence (AATOD)
2012 National Conference
2. Panel Agenda
• About the Addiction Technology
Transfer Center (ATTC) Network
• Utilizing Medication-Assisted
Treatment (MAT)
• NIDA/SAMHSA Blending Initiative
Overview: A focus on medication-
assisted treatment
• MAT in Special Populations
5. The ATTC Network’s Vision
All professionals who address the needs of individuals with, or
who are at risk of having, substance use disorders will utilize
effective, culturally responsive practices that lead to improved
healthcare and long-term health and wellness.
8. Panel Agenda
• About the Addiction Technology
Transfer Center (ATTC) Network
• Utilizing Medication-Assisted
Treatment (MAT)
• NIDA/SAMHSA Blending Initiative
Overview: A focus on medication-
assisted treatment
• MAT in Special Populations
9. Medication-Assisted
Treatment (MAT) is the use
of medication, combined
with counseling and
behavioral therapies, to
provide a whole patient
approach to the treatment
of substance use disorders.
(http://www.dpt.samhsa.gov )
10. Medications for Alcohol Dependence
Naltrexone (ReVia®, Vivitrol®, Depade®)
Disulfiran (Antabuse®)
Acamprosate Calcium (Campral®)
Medications for Opioid Dependence
Methadone
Buprenorphine (Suboxone® and
Subutex®)
Naltrexone
11. Research has Demonstrated that MAT is Effective
Clinical trials have demonstrated efficacy of MAT for opioid
dependent patients (Bickel et al., 1988; Amass et al., 2004; Ling et al., 2010).
MAT is cost effective & provides more health benefits than
providing treatment without medication (M. Connock et al., 2007)
Research to date confirms lower risk of abuse, overdose, and
toxicity and diminished withdrawal symptoms when using
medication assisted treatment (Burns et al., 2009).
Published by SAMHSA as Treatment Improvement Protocol (TIP)
43, MAT is a widely recognized evidence based practice.
12. MAT is Not Widely Utilized to Tx SUDs
According to SAMHSA, only 22.3% of patients seeking
treatment for a SUD received medication-assisted treatment
in the form of Methadone or Buprenorphine (SAMHSA, N-SSATS
Report, 2008).
The University of Georgia’s National Treatment Center Studies
found that out of the programs responding to the study only:
14.3% used Buprenorphine,
10.7% used Methadone,
15.2% used Naltrexone, and
16.5% used Disulfiram
(Knudsen et al., 2010 – from a 2007 study)
13. If MAT is effective, why isn’t it more widely used?
Two-thirds of organizations' efforts to
implement change fail (Damschroder et al., 2009).
14. If MAT is effective, why isn’t it more widely used?
Treatment philosophy may influence MAT
adoption. For example, persons endorsing a 12-
step model perceive less interest in addiction
medication (McGovern et al., 2004).
Lack of knowledge from physicians
about medication assisted
treatment (Mark et al., 2003).
15. If MAT is effective, why isn’t it more widely used?
SAMHSA surveys of physicians who
have been certified to prescribe
buprenorphine indicate that
complexity of induction, medication
costs, and regulatory limits have posed
barriers to prescribing (Thomas et al., 2008).
16. If MAT is effective, why isn’t it more widely used?
What do you think?
What is your experience?
17. Strategies to Increase the Use of MAT
Address Attitudes
Providers' perceptions about the beliefs of their peers are likely to
influence use of medications to treat opiate dependence (Rieckmann et al.,
2007).
Offer Training
Training improves staff attitudes and beliefs (Johnson et al., 2005; Knudsen et
al., 2005; Rieckmann et al., 2011).
Increase Opportunities for Experience
Experience with medications (for counselors) leads to more positive
perspectives (Thomas et al., 2003; Knudsen et al., 2005).
18. Strategies to Increase the Use of MAT
Participate in Research Networks
Research network participation helps promote positive attitudes toward
EBPs (Campbell et al., 2003; Levant et al., 2008).
Integrate Appropriate Structural and Procedural Supports in
Physicians’ Office Settings
While physician knowledge of effectiveness and an organization’s
positive attitude toward medications are important, physicians are
dependent on structural and procedural supports in their office settings
to allow for MAT (Wallack et al., 2010).
20. Strategies to Increase the Use of MAT
What the ATTC Network is Doing …
Examples of Product Development Strategies
• Curricula
• Marketing/Outreach Materials
Examples of Educational Strategies
• Online Courses, Regional Presentations & Trainings
• Learning Collaboratives
Examples of Organizational Change Strategies
• Process Improvement
• Coaching
Examples of Systems Transformation Efforts
• Collaborations with state officials to address varying state requirements,
regulations and funding
21. Panel Agenda
• About the Addiction Technology
Transfer Center (ATTC) Network
• Utilizing Medication-Assisted
Treatment (MAT)
• NIDA/SAMHSA Blending Initiative
Overview: A focus on medication-
assisted treatment
• MAT in Special Populations
22. NIDA/SAMHSA
Blending Initiative
Overview: A Focus on Medication-
Assisted Treatment
Thomas E. Freese, Ph.D.
University of California – Los Angeles
Pacific Southwest ATTC
tfreese@mednet.ucla.edu
23. NIDA/SAMHSA
Blending Initiative
According to Webster’s Dictionary
definition
To Blend means:
a. combine into an integrated whole;
b. produce a harmonious effect
http://www.merriam-webster.com/dictionary/blend
24. What is the Blending Initiative?
• GOAL: To move important scientific findings into
mainstream addiction treatment
• Developed in 2001, NIDA and SAMHSA’s Center
for Substance Abuse Treatment came together to
work on a common vision:
– Improve substance use disorder treatment and
accelerate the dissemination of research-based
findings into community-based practice.
25. The NIDA/SAMHSA Blending
Initiative encompasses three
components:
• Regional Blending Conferences
• State Agency Partnerships
• Blending Teams
26. Regional Blending Conferences
• Enhance bi-directional communication
among:
• researchers,
• practitioners,
• and policy-makers
• Share innovative scientific findings about
drug abuse and addiction
• Convene in different regions of the country
27. State Agency Partnerships
• NIDA and SAMHSA work closely with federal
and state policy-makers to help identify
strategies to accelerate the adoption of
science-based practices.
28. Blending Teams
• Use NIDA research findings to design user-
friendly science-based tools for use in treatment
settings soon after research results are published.
• Teams include members from:
– SAMHSA-CSAT Addiction Technology Transfer Center
(ATTC) Network,
– NIDA researchers, and
– Community treatment providers participating in the
NIDA Drug Abuse Treatment Clinical Trials Network
(CTN).
29. Blending Process
Selected CTN protocols
or other NIDA
Research
Hand-Off Meeting
Create the charge for Blending Team
Blending Team
Develop dissemination strategies and products
32. A Focus on Medication-Assisted
Treatment
BUPRENORPHINE/NALOXONE
33. Buprenorphine Treatment:
A Training for Multidisciplinary
Addiction Professionals
Buprenorphine and Buprenorphine/Naloxone
Help Patients Quit Opiate Abuse Goal: to disseminate
information and
enhance awareness
among multi-
disciplinary addiction
professionals about
buprenorphine
treatment
http://www.nida.nih.gov/NIDA_notes/NNvol19N3/Successful.html
34. Buprenorphine Treatment:
A Training for Multidisciplinary
Addiction Professionals
Products in Package:
– 6-hour classroom training including a training
manual, PowerPoint slides, and the short movie,
“Put Your Smack Down! A Video About
Buprenorphine”
– Annotated bibliography and research articles
35. Short-Term Opioid Withdrawal
Using Buprenorphine
Goal: to instruct treatment providers about
the 13-day buprenorphine intervention.
Buprenorphine/Naloxone
Product in Package:
– 4-hour classroom
training program
including
PowerPoint slides
and a CD Buprenorphine
36. Results: Present and Opioid
Negative 0001 (Inpatient)
Clonidine Bup/Nx
% of Individuals present at end of taper
90
80
70
60
50
40
30
20
10
0
Day 3-4 Day 7-8 Day 10-11 Day 13-14
% of opioid free urines
37. Results: Present and Opioid
Negative 0002 (Outpatient)
Clonidine Bup/Nx
% of Individuals present at end of taper
90
80
70
60
50
40
30
20
10
0
Day 3-4 Day 7-8 Day 10-11 Day 13-14
% of opioid free urines
38. Buprenorphine Treatment for Young
Adults: Findings and Strategies from a
NIDA Clinical Trials Network Study
Goal: to present the results of a
buprenorphine trial conducted with young
adults.
Product in Package:
3-hour classroom
training program
including PowerPoint
slides and a CD
41. The ATTC Network has:
• Completed 764 Blending Product Trainings from
January 2005-September 2011 (with a total of
15,958 people)
– 134 Buprenorphine Treatment (3,317 people)
– 18 Short Term Opioid Withdrawal Using
Buprenorphine (801 people)
– 22 Buprenorphine for Young Adults (318
people)
42. The ATTC Network has:
• Printed and distributed 567,000 brochures
introducing each of the Blending Initiatives
materials to the field
• Recruited and prepared trainers in every
ATTC Region to teach the Blending Initiative
materials
• Developed and distributed ancillary products
to enhance the reach of the official NIDA
products, such as curriculum infusion
packages for addiction studies educators at
colleges and universities.
43. The ATTC Network has:
• Presented information on the Blending
Initiative at State, Regional, and National
conferences to:
– Increase awareness about the training
materials
– Identify new opportunities to train
using the blending products
44. Products Currently
Under Development
1. POATS (Prescription Opioid Addiction
Treatment Study)**
2. Onsite HIV Rapid Testing Blending
Initiative
45. Product
Dissemination
Download the Products for FREE! Find upcoming trainings offered
through SAMHSA’s ATTC Network!
Go to http://www.attcnetwork.org/blendinginitiative
46. Panel Agenda
• About the Addiction Technology
Transfer Center (ATTC) Network
• Utilizing Medication-Assisted
Treatment (MAT)
• NIDA/SAMHSA Blending Initiative
Overview: A focus on medication-
assisted treatment
• MAT in Special Populations
47. MAT with Special Populations
Erin Hobbs, M.P.A.
University of Missouri – Kansas City
ATTC National Office
hobbse@umkc.edu
48. Agenda
• Overview of the Project
• Data Collection
• Products Developed
• Next Steps
49. Overview of the Project
Purpose of the Project
SAMHSA grant (TI-10-014) to increase awareness, provide
education, and promote access to medication-assisted treatment
(MAT) in four specific racial and ethnic minority populations:
African Americans Hispanic/Latinos
Asian/Pacific Native Americans/
Islanders Alaska Natives
50. Overview of the Project
Purpose of the Project
Goals of the Grant:
1. Collect data and resources to inform the development of
products
2. Develop outreach materials for each of the special
populations
3. Create training programs for MAT providers designed to
enhance professionals’ knowledge and skills related to
reaching and educating the special populations about MAT
4. Plan for additional trainings and dissemination of materials
52. Agenda
• Overview of the Project
• Data Collection
• Products Developed
• Next Steps
53. Literature Review
• Four Annotated Bibliographies Completed
March 2011 by SALIS
• Focused on marketing and persuasion
strategies to promote access to and
utilization of healthcare services in general,
and BH treatment in particular for each of
the four special populations
54. Environmental Scan
• Completed March 2011 Facilities Reporting Pharmacotherapy Use,
2002 - 2007
• Overview of the relative 60%
use and growth in use of 40%
MAT among treatment
20%
facilities captured in the
N-SSATS survey 0%
2002 2003 2004 2005 2006 2007
Any Pharmacotherapy Antabuse
Naltrexone Buprenorphine
Metadone
55. Focus Group Goals
1. To understand the perceived benefits and barriers of MAT
2. To identify attitudes, values and social norms surrounding
substance use
3. To learn how experiences and perspectives with MAT differ
among various cultural groups
4. To prepare the substance abuse treatment workforce to
engage minority populations in MAT
56. Study Design- Overview
• 8 qualitative focus groups, 90 minutes each
• Four minority populations
– African American
– American Indian
– Asian American/Pacific Islander
– Hispanic/Latino
• 10-12 participants per group using MAT for 6 months
• Outpatient behavioral health clinics & substance abuse
treatment centers
• New York, Los Angeles (2), Honolulu, Chicago,
Oklahoma City (2), Seattle
57. Participants
• 68 participants 14
12
– 15 African American
10
– 18 Asian American 8
Female
– 19 Hispanic Latino 6 Male
– 16 Native American/ 4 Transgender
American Indian 2
0
Afr. Asian H/L Native
Age Distribution of Participants Am. Am. Am.
25
20 • Primarily
15 unemployed
Participants
10 • Mostly high school
5 educated
0
20s 30s 40s 50s 60s 70s 80s
58. Broad Themes
Benefits/Barriers related to MAT
Motivation to use MAT
Role of Family/Significant others
Access to treatment/Barriers
Self-Efficacy
Influence of provider/clinic
MAT as drug v. MAT as medication
59. Provider Online Survey
Provider Online Survey
• Survey sent to 510 individuals in
September 2011
• 42% response rate
• Average age = 47 (26~76)
• Average years in field = 13.5 (1~41)
• Purpose:
√ Assess provider opinions regarding the use of MAT in the treatment of
patients or clients with substance use disorders, and
√ Assess the extent to which counselors and clinicians are comfortable
using different types of communication approaches to talk to their
clients about using MAT as part of their treatment recovery plan.
64. Outreach Materials Pilots
Four 60-minute Pilot Focus Groups, 20 Participants
• Phoenix, AZ (2)
• Kansas City, MO
• Jefferson City, MO
Purpose of groups were to assess for:
Intellectual capacity – was information presented in a way recipients could
easily understand?
Knowledge acquisition – were the materials effective in improving
recipients’ knowledge of MAT?
Readiness to Change – were the materials effective in improving recipients
willingness to utilize MAT?
General Appearance – were the materials visually appealing and formatted
for ease of use?
66. Training Program
Online Courses
A training program designed to enhance treatment and medical professionals’
general knowledge of medication-assisted treatment (MAT) and improve
providers’ skills related to reaching and educating identified minority
populations about MAT.
Two Courses:
1. MAT with Special Populations for
Treatment Professionals
(NAADAC, NBCC and NASW)
2. MAT with Special Populations for
Medical Professionals
(CME)
67. Training Program
MAT with Special Populations
(for Treatment Professionals) ATTCeLearn.org
• 3 Required Core Modules
(2 hours each)
• 4 Special Population Modules
(1.5 hours each)
• Narrated Presentations,
Videos, Readings, Quizzes, Homework
Pilot Completed in March 2012
• 114 participants
– Clinical Supervisors
– Clinicians Now Open for Enrollment!
– Recovery Specialists
69. Training Program
MAT with Special Populations
(for Medical Professionals)
• 3 Required Core Modules
(2 hours each)
• 4 Special Population Modules
(1.5 hours each)
• Narrated Presentations,
Videos, Readings, Quizzes, Homework
Currently in Pilot (Concludes April 30, 2012)
• 140 participants
– Physicians
– Medical Faculty
– Other Medical Professionals (PAs, Nurses..)
71. Agenda
• Overview of the Project
• Data Collection
• Products Developed
• Next Steps
72. Next Steps
• Data currently being developed into two academic
papers, one based upon focus group methodology, one
focused on client identity and recovery
• Poster at College on Problems of Drug Dependence
(CPDD), June 2012 in Palm Springs, CA
• Marketing and distribution of outreach materials to
providers
• eBlasts
• Postcards
• Web Banners
• Promotion of
Online Training Program
73. Panel Questions?
Closing the gap between research and practice:
Successful technology transfer strategies in combating
resistance to medication-assisted treatment
Panel Agenda
• About the Addiction Technology Transfer Center (ATTC) Network
• Utilizing Medication-Assisted Treatment (MAT)
• NIDA/SAMHSA Blending Initiative Overview: A focus on
medication-assisted treatment
• MAT in Special Populations
Erin Hobbs Thomas Freese Laurie Krom
hobbse@umkc.edu tfreese@mednet.ucla.edu kroml@umkc.edu