Presentation by Bonnie Britton, MSN, RN, ATAF Telehealth Program Administrator, Vidant Health and Seth VanEssendelft, Vice-President for Financial Services, Vidant Medical Center
Presentation by Kirby Farrell, President and CEO, Broad Axe Technology Partners and Andy Archer, MSc, MBA, Vice President, Broad Axe Technology Partners
Presentation by Mike Brett, MD, Medical Director for LIFE Programs, Lutheran Senior Life and Kelly Besecker, Vice President, Sales & Marketing, A-Frame Digital
Extending US Healthcare Capacity with ClickMedixClickMedix
As US begins its shift in healthcare payment and delivery models, technology-enabled solutions become ever-more relevant to achieve faster and better outcome-based care, with less resources. This presentation presents a mobile health system in the context of enabling health providers in the US to do more, with less.
Community-based Chronic Care ManagementBrent Feorene
A PowerPoint used in a webinar that (1) describes the importance of community-based chronic care management today and in the future; and (2) details programs that have worked. A video of the webinar is available at our web site www.housecallsolutions.com.
Presentation by Kirby Farrell, President and CEO, Broad Axe Technology Partners and Andy Archer, MSc, MBA, Vice President, Broad Axe Technology Partners
Presentation by Mike Brett, MD, Medical Director for LIFE Programs, Lutheran Senior Life and Kelly Besecker, Vice President, Sales & Marketing, A-Frame Digital
Extending US Healthcare Capacity with ClickMedixClickMedix
As US begins its shift in healthcare payment and delivery models, technology-enabled solutions become ever-more relevant to achieve faster and better outcome-based care, with less resources. This presentation presents a mobile health system in the context of enabling health providers in the US to do more, with less.
Community-based Chronic Care ManagementBrent Feorene
A PowerPoint used in a webinar that (1) describes the importance of community-based chronic care management today and in the future; and (2) details programs that have worked. A video of the webinar is available at our web site www.housecallsolutions.com.
ClickMedix Introduction and Case Studies 2014ClickMedix
ClickMedix enables health organizations to provide continuous and coordinated care to patients through mobile technologies while improving patient outcomes at lower costs.
Clinicspectrum is a healthcare service/consulting company helping Medical offices, Hospitals and ACOs to reduce operational cost up to 30% with its unique Hybrid Workflow Model™ with use of back office services and technology products.
We are happy to launch our unique web-based Chronic Care Management Platform and discuss details about Chronic Care Management in this presentation.
How To Go From Telehealth Startup To Telehealth EnterpriseVSee
For more information of the presentation such as recording and transcript, please visit:
https://vsee.com/blog/go-telehealth-startup-telehealth-enterprise/
For other webinars:
https://vsee.com/webinars/
Or join our Linkedin Group: https://www.linkedin.com/groups/Telehealth-Failures-Secrets-Success-13500037/about
Or Join our Facebook Group:
https://www.facebook.com/groups/tfssgroup/?ref=group_cover
Presentation by Janet S. Wright, MD, FACC, Executive Director, Million Hearts Initiative, Centers for Disease Control and Prevention and Centers for Medicare and Medicaid Innovation Center
ClickMedix Introduction and Case Studies 2014ClickMedix
ClickMedix enables health organizations to provide continuous and coordinated care to patients through mobile technologies while improving patient outcomes at lower costs.
Clinicspectrum is a healthcare service/consulting company helping Medical offices, Hospitals and ACOs to reduce operational cost up to 30% with its unique Hybrid Workflow Model™ with use of back office services and technology products.
We are happy to launch our unique web-based Chronic Care Management Platform and discuss details about Chronic Care Management in this presentation.
How To Go From Telehealth Startup To Telehealth EnterpriseVSee
For more information of the presentation such as recording and transcript, please visit:
https://vsee.com/blog/go-telehealth-startup-telehealth-enterprise/
For other webinars:
https://vsee.com/webinars/
Or join our Linkedin Group: https://www.linkedin.com/groups/Telehealth-Failures-Secrets-Success-13500037/about
Or Join our Facebook Group:
https://www.facebook.com/groups/tfssgroup/?ref=group_cover
Presentation by Janet S. Wright, MD, FACC, Executive Director, Million Hearts Initiative, Centers for Disease Control and Prevention and Centers for Medicare and Medicaid Innovation Center
Presentation by Joyce Green Pastors, RD, MS, CDE, Diabetes Nutrition Specialist, Virginia Center for Diabetes Professional Education and Assistant Professor of Medical Education in Internal Medicine, University of Virginia School of Medicine
Presentation by Robin A. Felder, PhD, Professor and Associate Director of Clinical Chemistry and Pathology, former Director of the Medical Automation Research Center and Chair, Medical Automation
Presentation by Lashanna Brunson, MS, BCBA, Research Coordinator, Parent Implemented Training for Autism through Telemedicine, Center for Excellence in Disabilities, West Virginia University
Utah Diabetes Telehealth Program --
Wednesday, August 19, 2009
12:00 p.m. - 1:00 p.m. (MDT)
To participate visit http://health.utah.gov/diabetes/telehealth/telehealth.html
Carol Rasmussen, MSN, NP-C, CDE is a nurse practitioner with many years of experience treating patients with diabetes. Currently Ms. Rasmussen practices at the Exodus Healthcare Network in Magna, Utah and also serves on the AADE Editorial Advisory Board for The Diabetes Educator publication. Moreover, Ms. Rasmussen received the Legislative Leadership Award from the American Association of Diabetes Educators at their 2009 Conference in Atlanta.
Her presentation will cover the challenges of increasing access to diabetes education and strategies for overcoming such obstacles, as well as various tools/resources/programs from AADE.
The Evolution of Consumer Driven Health PlansPaladina Health
The Evolution of Consumer Driven Health Plans White Paper will prepare you for the following regarding the shift to true healthcare consumerism:
- What types of employer-sponsored health plans exist and what employers should consider
- The impact of consumer driven health plans (CDHPs) and high deductible health plans (HDHPs) in controlling healthcare costs
- What models challenge the fee-for-service delivery system and why employers need to explore them
For more information contact: Slideshare@marcusevans.com
Presentation delivered by Donna Medina, Regional Director,OSF Hospice and Homecare Foundation at the marcus evans Home Care Leadership Summit held on July 13 & 14 2015 in Palm Beach FL.
Learn how Hahnemann University Hospital reduced readmissions at the Center for Advanced Heart Failure Care by over 20%. This is a follow up to our Fall 2014 webinar with more data and outcomes to reveal. During this discussion, you’ll learn the positive impact a Readmissions Reduction program can have for a hospital including financial, care delivery, and care team collaboration improvements.
Star Ratings are increasingly challenging to maintain and improve upon each year. It is incredibly important to improve upon programs each year. What you were doing last year may not earn you the same Star Rating due to increasing cut points. Focusing on pharmacy measures and the patients with diabetes may be a great way to improve upon those ratings.
PatientBond presentation at the AHIP 2019 Consumer Experience & Digital Healt...Brent Walker
Enhancing Consumer-Centered Health Care: Lessons from Retail
This presentation discusses how health insurance companies, hospitals and health systems can apply consumer products/retail industry approaches, such as psychographic segmentation and digital engagement, to drive desired behaviors
Similar to Improving the Quality of Care: Reducing Readmissions (20)
Third of three presentations on "What is Telehealth, Why Telehealth and Telehealth Demo" as part of the Pennsylvania Telehealth Roundtable that took place on September 30, 2014.
First of three presentations on "What is Telehealth, Why Telehealth and Telehealth Demo" as part of the Pennsylvania Telehealth Roundtable that took place on September 30, 2014.
Second of three presentations on "What is Telehealth, Why Telehealth and Telehealth Demo" for the Pennsylvania Telehealth Roundtable that took place on September 30, 2014.
Presentation by Sherilyn Pruitt, MPH, U.S. Department of Health and Human Services, Health Resources and Services Administration, Office of Rural Health Policy, Office for the Advancement of Telehealth
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
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micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
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Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
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2 Case Reports of Gastric Ultrasound
Evaluation of antidepressant activity of clitoris ternatea in animals
Improving the Quality of Care: Reducing Readmissions
1.
2.
Examining the “Boomerang Effect”
Discussing financial implications for
Telehealth
Discussing Vidant Health’s Telehealth
Program and outcomes
Questions and Answers
2
5.
81 y.o: CVD, HF, DM, Arthritis
Exacerbation of Heart Failure
◦ Not following his diet
◦ Not taking all of his medications (8 meds)
◦ Not keeping PCP visits
◦ Low engagement level
8 HF ER visits and 6 hospitalizations < 12 mos.
5
6.
Told he will be d/c home tomorrow
PCP not alerted that Mr. Doe was hospitalized
Given new prescriptions
Told to schedule a PCP appt. in the next month
6
7.
Patient education:
◦ Smoking cessation
◦ Diabetes care
◦ Nutrition and cooking advice to him and his wife
◦ Must take BP meds even if he feels fine
◦ How to take his diuretics
7
8.
Forgets most of what was told to him @ D/C
Can’t remember much/feeling OK-
Not consistently compliant with diet, medication
Doesn’t make PCP appointment
8
9.
Patient issues
◦ Don’t understand their medications
◦ Don’t understand how to follow prescribed diet
◦ Can’t afford their medications
◦ Can’t afford foods to follow their diet
◦ Low engagement level
9
10.
Hospital issues:
Focus: inside walls of the hospital
Post d/c service focus: HH & LTC
Incorrect or absent medication reconciliation
Extremely limited system of care transitions
Brief & fragmented patient education
PCP not contacted during hospitalization
Fragmented communication between
clinics/specialists/hospital
◦ Dictate to patients vs. engage them in their care
◦
◦
◦
◦
◦
◦
◦
10
11.
12. To enhance the quality of life for
the people and communities we
serve, touch and support.
12
16.
Expand access to care
Improve healthcare value
Continuum of care
Best utilize capacity
Connect with local employers
Improve physician network
Improve employer health plan cost position
Develop care models of the future
16
21. Hey Norton - you
will get out of your
telehealth program
exactly what you
put into it!
21
22. VH Telehealth Conceptual Model
Diagnostic
Transitions
In Care
Chronic Disease Mgt.
Friends & Family
22
September 2012
23.
Access to Telehealth and care management for
hi-risk hi-cost patients
Reduce 30-day readmissions, hospital bed
days and ER visits
Improve clinical outcomes
Improve the patient’s perception of care
Improve quality of health information
23
24.
Population:
In-patient CVD and Pulmonary patients
PAM Level I & II
Frequent ER visits/hospitalizations
Medicare/self pay/un/underinsured
Services:
In-home medication reconciliation
Home Safety Assessment
Daily Biometric data monitoring
Weekly telephonic assessment, education,
coaching
LOS:
3 months
24
25.
Access to Telehealth and care coordination for hi
& medium-risk VMG patients
Increase patient access to care
Improve quality of health information and
communication between hospital- home – PCP
Improve clinical outcomes
Improve the patient’s perception of care
Reduce health care costs
25
26.
Population:
Clinic based patients
PAM Level I & II – VMG Patients
PAM Level III with frequent ED/hospitalizations
Transfer from Transition in Care Program
monitoring
Services:
In-home medication reconciliation
Home Safety Assessment
Daily Biometric data monitoring
Daily telephonic assessment, education,
coaching as needed
Bi-weekly assessment, education, coaching
LOS:
6 months
26
27.
Population:
Graduates of TH TIC, TH CDM
VH Employees
Contracted Services (Nash, BasisHealth)
Services:
Self management monitoring
Biometric data monitoring
Fee for service
LOS:
TBD
27
28.
Clinical Data
◦ LDL, BP, Pulse, Height, Weight, HgA1c, oxygen
saturation
Patient Satisfaction
Financial Outcomes- 90 days pre TH, during
TH, 30 days post TH
◦ Hospitalizations
◦ Bed Days
28
38.
Lower hospitalization cost
Readmission aversion
More effective and efficient care
Improved access to care at the appropriate levels
Greater patient satisfaction
38
39.
Reduces readmissions penalties exposure
Capacity – increasing CMI & fewer lost admissions
Expands margins
Reduces bad debt losses
Improved discharge planning process
Reduces employer health plan costs
Creates value proposition
Created retail opportunities
39
40.
At Hospital Discharge:
◦ D/C with the same medications & education
◦ Cardiologist & hospitalist make referral to TH
◦ TH referral received by Telehealth Team
◦ In-hospital enrollment
◦ PCP visit appt. made
◦ Home visit appt. made
40
41.
Patient conducts reading. Wt. increased by 2
lbs.
TH RN calls patient to review medication and
diet compliance
See - Feel Change
TH RN provides nutrition counseling
41
42.
Objective data:
◦ Wt. increased by 4 pounds
◦ O2 sat. decreased to 92%
◦ BP slightly elevated @ 145/90
Subjective data:
◦ Reporting SOB and ankle edema
42
43.
Actions
◦ TH RN calls patient, conducts health assessment and
provides education
◦ Discovers patient ate Country Ham last night
◦ Didn’t take his Lasix because he had no money
◦ See - Feel Change
◦ TH RN contacts PCP
◦ PCP instructs pt. to come to clinic today
43
44.
Conducting in-home med. rec. & providing RPM
services result in:
◦ Early identification and tx of disease exacerbation
◦ Reduced hospitalizations
◦ Reduced bed days
◦ Reduced ER visits
◦ Reduced health care costs
◦ Ending the Boomerang Effect
◦ Active engaged patients
44
Seth, I can do this and you can write down notes.Who is our audience….MDs, RNs, CFO, CEO, What organizations have implemented remote patient monitoring?How many organizations plan to implement remote patient monitoring in the next 6 mos? 12 mos?Rationale for reducing hospital readmissions
Reimbursement does not necessarily align with new care models. Creation of incremental value is not necessarily captured by the creatorReform penalties are retrospective and often based on lagging dataNot all capacity can be reprogramedIt is all relative – we are all getting better!
Reimbursement does not necessarily align with new care models. Creation of incremental value is not necessarily captured by the creatorReform penalties are retrospective and often based on lagging dataNot all capacity can be reprogramedIt is all relative – we are all getting better!
If you start using telehealth at this point in Mr. Doe’s episode of care, you will start with Remote Patient Monitoring from Mr. Doe’s home.