Weitzman 2013 Relative patient benefits of a hospital-PCMH collaboration with...CHC Connecticut
Anuj K Dalal presents information on a PCORI research grant: Relative patient benefits of a hospital-PCMH collaboration within an ACO to improve care transitions.
Weitzman 2013: PCORI: Transforming Health CareCHC Connecticut
This document summarizes a presentation given by Joe Selby on the Patient-Centered Outcomes Research Institute (PCORI). It discusses PCORI's mission to fund comparative clinical effectiveness research that is guided by patients and other stakeholders. Key points include: PCORI's focus on research questions of interest to patients and providers; its criteria for funding proposals, including patient-centeredness and engagement; and its plans to significantly increase funding for such research over time. Examples are given of funded pilot projects involving community health centers.
The document discusses partnering with patients in healthcare to improve safety and quality. It notes that health services are required to partner with patients at the individual, service, and organizational levels. The overarching aim of partnering is to improve patient experience and care. Common partnering strategies include collecting feedback through surveys, complaints, and patient narratives. The research aims to assess the effectiveness of these feedback methods and develop a method to analyze feedback data and link it to service improvements. Interviews with health staff revealed challenges and opportunities around various feedback methods and using data to drive quality improvements.
In first of two-part series, Pamela Greenhouse explores the differences and similarities of the Patient and Family Centered Care Methodology and Practice (PFCC M/P) and leean process improvement approachs, such as Lean, Six Sigma and Toyota. She believes that the PFCC M/P can be the unifying theme for health care, incorporating both process improvement and performance improvement.
PFCC Methodology and Practice: Deliver Ideal Care Experiences and Outcomes…By...EngagingPatients
The document describes the Patient and Family Centered Care (PFCC) methodology used at UPMC, a large integrated health system. The six-step PFCC methodology involves: 1) defining the care experience, 2) forming a guiding council, 3) observing the current state through shadowing, 4) identifying touchpoints through a working group, 5) creating a shared vision for an ideal experience, and 6) implementing improvement projects. The methodology aims to improve outcomes and experiences by engaging patients and families in co-designing care and breaking down silos between care providers. Examples of successful PFCC projects that improved discharge processes and communication through bedside rounding are provided.
Weitzman 2013: State Health Policy Initiatives as Drivers for Improving Care...CHC Connecticut
Sue Birch presents on State Health Policy Initiatives as Drivers for Improving Care Outcomes: Colorado's Accountable Care Collaborative at the 2013 Weitzman Symposium
Documenting Your Clinical Efforts In a Way that Countstatetomika
Liudmila N. Schafer, M.D., F.A.C.P.
Associate Professor
Department of Internal Medicine
Division of Hematology and Oncology
Winthrop P. Rockefeller Cancer Institute
U.A.M.S.
Weitzman 2013 Relative patient benefits of a hospital-PCMH collaboration with...CHC Connecticut
Anuj K Dalal presents information on a PCORI research grant: Relative patient benefits of a hospital-PCMH collaboration within an ACO to improve care transitions.
Weitzman 2013: PCORI: Transforming Health CareCHC Connecticut
This document summarizes a presentation given by Joe Selby on the Patient-Centered Outcomes Research Institute (PCORI). It discusses PCORI's mission to fund comparative clinical effectiveness research that is guided by patients and other stakeholders. Key points include: PCORI's focus on research questions of interest to patients and providers; its criteria for funding proposals, including patient-centeredness and engagement; and its plans to significantly increase funding for such research over time. Examples are given of funded pilot projects involving community health centers.
The document discusses partnering with patients in healthcare to improve safety and quality. It notes that health services are required to partner with patients at the individual, service, and organizational levels. The overarching aim of partnering is to improve patient experience and care. Common partnering strategies include collecting feedback through surveys, complaints, and patient narratives. The research aims to assess the effectiveness of these feedback methods and develop a method to analyze feedback data and link it to service improvements. Interviews with health staff revealed challenges and opportunities around various feedback methods and using data to drive quality improvements.
In first of two-part series, Pamela Greenhouse explores the differences and similarities of the Patient and Family Centered Care Methodology and Practice (PFCC M/P) and leean process improvement approachs, such as Lean, Six Sigma and Toyota. She believes that the PFCC M/P can be the unifying theme for health care, incorporating both process improvement and performance improvement.
PFCC Methodology and Practice: Deliver Ideal Care Experiences and Outcomes…By...EngagingPatients
The document describes the Patient and Family Centered Care (PFCC) methodology used at UPMC, a large integrated health system. The six-step PFCC methodology involves: 1) defining the care experience, 2) forming a guiding council, 3) observing the current state through shadowing, 4) identifying touchpoints through a working group, 5) creating a shared vision for an ideal experience, and 6) implementing improvement projects. The methodology aims to improve outcomes and experiences by engaging patients and families in co-designing care and breaking down silos between care providers. Examples of successful PFCC projects that improved discharge processes and communication through bedside rounding are provided.
Weitzman 2013: State Health Policy Initiatives as Drivers for Improving Care...CHC Connecticut
Sue Birch presents on State Health Policy Initiatives as Drivers for Improving Care Outcomes: Colorado's Accountable Care Collaborative at the 2013 Weitzman Symposium
Documenting Your Clinical Efforts In a Way that Countstatetomika
Liudmila N. Schafer, M.D., F.A.C.P.
Associate Professor
Department of Internal Medicine
Division of Hematology and Oncology
Winthrop P. Rockefeller Cancer Institute
U.A.M.S.
This workshop will look at patient care pathways and demonstrate how simulation can combine process flow across; services, clinical best practice and the progression of patients through disease states, to test the impact of improvement initiatives on patient care, outcomes, costs and resource utilization.
Using examples from recent projects on simulating care pathways within HIV services, and simulating future service needs for dementia care, we show the results of combining disease progression with service utilization.
In the workshop, we’ll consider what the ideal pathway model would look like and invite you to work with us to build a pathway using our latest technology.
Clinical pathways are multidisciplinary plans that embed evidence-based best practices into patient care to improve outcomes and efficiency. They originated from process mapping in engineering and were later adapted for healthcare. Clinical pathways standardize care for common conditions while allowing flexibility for individual patients. When combined with clinical practice guidelines, pathways can reinforce evidence-based practices and support clinical decision making. However, pathways must be carefully implemented and evaluated to ensure they do not discourage personalized care or reduce quality.
Over half of patients at a rehabilitation hospital reported wanting greater involvement in their care decisions. To address this, the hospital conducted patient and family shadowing where observers followed patients to experience care from their perspective. This identified themes like explanations during rounds and involvement in discharge plans. A post-intervention survey found a statistically significant improvement in patients feeling involved in care decisions and clinically relevant improvements in understanding doctor explanations and recommending the hospital. Engaging medical leaders and balancing data with reflection time led doctors to change practices without formal rules.
The document outlines strategies to optimize patient care for autologous stem cell transplant (ASCT) in multiple myeloma patients. It discusses the importance of:
1) Shared decision making to help patients understand their treatment options and make informed choices.
2) Thorough patient education using consistent resources across care sites to prepare patients for the transplant process.
3) Early identification of a caregiver to support patients through transplant and recovery.
This resource summarizes the eight recommendations outlined in the Institute of Medicine's a new consensus study entitled, Improving Diagnosis in Health Care. The recommendations are aimed at making diagnoses more accurate, reliable, efficient, and safe. This work is a continuation of the IOM’s Quality Chasm series.
This document provides an overview of transitions of care, including definitions, models, and best practices. It describes transitions as the movement of patients between healthcare settings or providers. Poor transitions can lead to adverse outcomes for patients and increased costs. Several evidence-based models are described that aim to improve transitions through elements like medication reconciliation, discharge planning, and post-discharge follow up. These models have demonstrated reductions in readmissions and healthcare utilization. The document provides resources for additional information on improving the quality of patient transitions.
The document discusses Project ECHO and its mission to expand access to specialty healthcare for common and complex diseases in rural and underserved areas. Project ECHO uses teleconferencing and case-based learning to train primary care clinicians to treat and manage conditions like hepatitis C. An evaluation showed primary care clinicians trained through Project ECHO achieved similar treatment outcomes for hepatitis C as specialists at a university medical center, improving access to care for rural and minority populations.
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
PFCC INFOGRAPHIC: Six Steps to Patient EngagementEngagingPatients
The challenges of creating patient and family-centered care seem daunting. However, the PFCC Innovation Center of UPMC demonstrates it's easier than you think. In this infographic, you see it begins by engaging patients through a simple six step process.
This document discusses improvements made to cancer treatment timelines at Counties Manukau Health (CMH) in New Zealand over the past year. It summarizes that CMH was not meeting the Ministry of Health's target of treating 85% of cancer patients within 62 days of referral, performing at only 52%. A team was formed to improve the six largest cancer pathways. Their analysis found opportunities to speed up the time between a patient's first specialist appointment and multidisciplinary meeting. Changes such as standardizing meeting templates, earlier diagnostic scans, and improved handoffs have increased CMH's treatment rate to an average of 76.4% and reduced variability in wait times.
The best of clinical pathway redesign - practical examples of delivering bene...NHS Improvement
The examples here showcase just some of the innovations that have enabled thousands of patients to enjoy better health and well-being thanks to practicalservice improvements implemented on various clinical pathways
The document discusses clinical pathways, which are multidisciplinary plans that embed evidence-based best practices into patient care to improve outcomes and efficiency. Clinical pathways aim to standardize care for specific patient groups, coordinate care across specialties, and reduce variation. They define processes, timing, targets, and allow for measuring variations to make improvements. Implementing clinical pathways provides benefits like supporting evidence-based care, quality, risk management, and resource optimization, though controlled studies on their effects are still limited.
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.
Lannes - Improving health worker performance The patient-perspectivelaurencelannes
PBF programs in developing countries aim to improve health worker performance through financial incentives tied to meeting targets. This document analyzes data from a PBF program in Rwanda to assess its impact on patient satisfaction. It finds that PBF had a positive effect on satisfaction with clinical services by improving productivity, availability, and competencies of health workers. PBF also positively impacted satisfaction with non-clinical dimensions, suggesting it incentivized improvements in those areas as well. The study concludes PBF can be an effective strategy for increasing patient satisfaction if programs include assessing satisfaction in their incentive mechanisms.
Standard of care / Standard of Practice / Clinical Guideline/ Clinical Pathway Naz Usmani
A very brief presentation about the clinical process improvements including practices, standards of care , guideline and pathway . I have reflected upon the basic differences between them . Hope it is useful
This document provides guidance for developing clinical practice guidelines at the Royal Children's Hospital in Melbourne, Australia. It outlines a 17 step process for guideline development that involves identifying a topic, forming an authoring team, reviewing evidence, drafting content, obtaining stakeholder feedback, finalizing and approving the guideline, implementing it, and evaluating its impact. Key principles include developing guidelines through a multidisciplinary process, basing them on the best available research evidence, and involving consumers throughout. The overall goal is to improve healthcare quality and outcomes for patients.
The document outlines recommendations to improve the discharge process at Valley Medical Center (VMC) by focusing on communication, prioritization, and standardization. Key stakeholders identified common barriers including waiting for ancillary services, transportation, and discharge orders. The top five recommendations were prioritized based on cost, effectiveness, and feasibility to streamline the discharge process and help VMC better fulfill its mission.
More than half of hospitals faced penalties for excess readmissions under the Hospital Readmission Reduction Program. The average penalty increased from 0.61% last year to 0.73% of Medicare payments this year, and the percentage of penalized hospitals rose from 66% to 78%. Transitional care programs aim to reduce readmissions by improving communication between providers, educating patients on medication and care plans, and ensuring follow-up visits occur. Measures of success include rates of readmission, follow-up visits, and patient understanding of their care.
This document discusses improving patient involvement in clinical research. It outlines potential advantages of patient involvement including better understanding patient needs, identifying trial hurdles and relevant outcomes, and improving trial protocols and recruitment. Challenges to patient involvement include a lack of experience, unclear rules for collaborating with advocacy groups, and balancing patient wishes with feasibility. The document describes Janssen collaborating with advocacy groups on a prostate cancer trial after they identified recruitment issues. It also discusses overcoming barriers through codes of practice and measuring outcomes of collaboration developed with EUPATI.
Palliative care services into an existing oncology programme by john weruKesho Conference
This study assessed clinician understanding of integrating palliative care into an oncology program. Clinicians were surveyed on indicators of successful integration across clinical processes, education, research, and ethics. Clinical processes had the highest agreement rate. Recommendations include the need for palliative care training, research, and integrated co-management to improve patient outcomes and experiences.
Innovation in Care Delivery: The Patient JourneyJane Chiang
The document describes innovations in care delivery at Massachusetts General Hospital aimed at improving the patient experience. It discusses the implementation of innovation units to test changes to care delivery and identifies three key areas of focus: implementing relationship-based care, enhancing the role of the attending nurse, and standardizing processes. The goals are to improve patient and staff satisfaction, clinical quality, and reduce costs.
Anne Bracken Univ of South AL - aco rural healthSamantha Haas
1) Accountable Care Organizations (ACOs) are groups of doctors, hospitals, and other care providers who come together voluntarily to give coordinated high quality care to their patients.
2) ACOs aim to improve care and lower costs through improved care coordination and preventative care. They are paid for keeping their patients healthy instead of paying for each test and procedure.
3) For ACOs to be successful, providers need organizational capabilities like managing risk, using electronic health records, tracking performance measures, and engaging patients in self-care.
This workshop will look at patient care pathways and demonstrate how simulation can combine process flow across; services, clinical best practice and the progression of patients through disease states, to test the impact of improvement initiatives on patient care, outcomes, costs and resource utilization.
Using examples from recent projects on simulating care pathways within HIV services, and simulating future service needs for dementia care, we show the results of combining disease progression with service utilization.
In the workshop, we’ll consider what the ideal pathway model would look like and invite you to work with us to build a pathway using our latest technology.
Clinical pathways are multidisciplinary plans that embed evidence-based best practices into patient care to improve outcomes and efficiency. They originated from process mapping in engineering and were later adapted for healthcare. Clinical pathways standardize care for common conditions while allowing flexibility for individual patients. When combined with clinical practice guidelines, pathways can reinforce evidence-based practices and support clinical decision making. However, pathways must be carefully implemented and evaluated to ensure they do not discourage personalized care or reduce quality.
Over half of patients at a rehabilitation hospital reported wanting greater involvement in their care decisions. To address this, the hospital conducted patient and family shadowing where observers followed patients to experience care from their perspective. This identified themes like explanations during rounds and involvement in discharge plans. A post-intervention survey found a statistically significant improvement in patients feeling involved in care decisions and clinically relevant improvements in understanding doctor explanations and recommending the hospital. Engaging medical leaders and balancing data with reflection time led doctors to change practices without formal rules.
The document outlines strategies to optimize patient care for autologous stem cell transplant (ASCT) in multiple myeloma patients. It discusses the importance of:
1) Shared decision making to help patients understand their treatment options and make informed choices.
2) Thorough patient education using consistent resources across care sites to prepare patients for the transplant process.
3) Early identification of a caregiver to support patients through transplant and recovery.
This resource summarizes the eight recommendations outlined in the Institute of Medicine's a new consensus study entitled, Improving Diagnosis in Health Care. The recommendations are aimed at making diagnoses more accurate, reliable, efficient, and safe. This work is a continuation of the IOM’s Quality Chasm series.
This document provides an overview of transitions of care, including definitions, models, and best practices. It describes transitions as the movement of patients between healthcare settings or providers. Poor transitions can lead to adverse outcomes for patients and increased costs. Several evidence-based models are described that aim to improve transitions through elements like medication reconciliation, discharge planning, and post-discharge follow up. These models have demonstrated reductions in readmissions and healthcare utilization. The document provides resources for additional information on improving the quality of patient transitions.
The document discusses Project ECHO and its mission to expand access to specialty healthcare for common and complex diseases in rural and underserved areas. Project ECHO uses teleconferencing and case-based learning to train primary care clinicians to treat and manage conditions like hepatitis C. An evaluation showed primary care clinicians trained through Project ECHO achieved similar treatment outcomes for hepatitis C as specialists at a university medical center, improving access to care for rural and minority populations.
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
PFCC INFOGRAPHIC: Six Steps to Patient EngagementEngagingPatients
The challenges of creating patient and family-centered care seem daunting. However, the PFCC Innovation Center of UPMC demonstrates it's easier than you think. In this infographic, you see it begins by engaging patients through a simple six step process.
This document discusses improvements made to cancer treatment timelines at Counties Manukau Health (CMH) in New Zealand over the past year. It summarizes that CMH was not meeting the Ministry of Health's target of treating 85% of cancer patients within 62 days of referral, performing at only 52%. A team was formed to improve the six largest cancer pathways. Their analysis found opportunities to speed up the time between a patient's first specialist appointment and multidisciplinary meeting. Changes such as standardizing meeting templates, earlier diagnostic scans, and improved handoffs have increased CMH's treatment rate to an average of 76.4% and reduced variability in wait times.
The best of clinical pathway redesign - practical examples of delivering bene...NHS Improvement
The examples here showcase just some of the innovations that have enabled thousands of patients to enjoy better health and well-being thanks to practicalservice improvements implemented on various clinical pathways
The document discusses clinical pathways, which are multidisciplinary plans that embed evidence-based best practices into patient care to improve outcomes and efficiency. Clinical pathways aim to standardize care for specific patient groups, coordinate care across specialties, and reduce variation. They define processes, timing, targets, and allow for measuring variations to make improvements. Implementing clinical pathways provides benefits like supporting evidence-based care, quality, risk management, and resource optimization, though controlled studies on their effects are still limited.
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.
Lannes - Improving health worker performance The patient-perspectivelaurencelannes
PBF programs in developing countries aim to improve health worker performance through financial incentives tied to meeting targets. This document analyzes data from a PBF program in Rwanda to assess its impact on patient satisfaction. It finds that PBF had a positive effect on satisfaction with clinical services by improving productivity, availability, and competencies of health workers. PBF also positively impacted satisfaction with non-clinical dimensions, suggesting it incentivized improvements in those areas as well. The study concludes PBF can be an effective strategy for increasing patient satisfaction if programs include assessing satisfaction in their incentive mechanisms.
Standard of care / Standard of Practice / Clinical Guideline/ Clinical Pathway Naz Usmani
A very brief presentation about the clinical process improvements including practices, standards of care , guideline and pathway . I have reflected upon the basic differences between them . Hope it is useful
This document provides guidance for developing clinical practice guidelines at the Royal Children's Hospital in Melbourne, Australia. It outlines a 17 step process for guideline development that involves identifying a topic, forming an authoring team, reviewing evidence, drafting content, obtaining stakeholder feedback, finalizing and approving the guideline, implementing it, and evaluating its impact. Key principles include developing guidelines through a multidisciplinary process, basing them on the best available research evidence, and involving consumers throughout. The overall goal is to improve healthcare quality and outcomes for patients.
The document outlines recommendations to improve the discharge process at Valley Medical Center (VMC) by focusing on communication, prioritization, and standardization. Key stakeholders identified common barriers including waiting for ancillary services, transportation, and discharge orders. The top five recommendations were prioritized based on cost, effectiveness, and feasibility to streamline the discharge process and help VMC better fulfill its mission.
More than half of hospitals faced penalties for excess readmissions under the Hospital Readmission Reduction Program. The average penalty increased from 0.61% last year to 0.73% of Medicare payments this year, and the percentage of penalized hospitals rose from 66% to 78%. Transitional care programs aim to reduce readmissions by improving communication between providers, educating patients on medication and care plans, and ensuring follow-up visits occur. Measures of success include rates of readmission, follow-up visits, and patient understanding of their care.
This document discusses improving patient involvement in clinical research. It outlines potential advantages of patient involvement including better understanding patient needs, identifying trial hurdles and relevant outcomes, and improving trial protocols and recruitment. Challenges to patient involvement include a lack of experience, unclear rules for collaborating with advocacy groups, and balancing patient wishes with feasibility. The document describes Janssen collaborating with advocacy groups on a prostate cancer trial after they identified recruitment issues. It also discusses overcoming barriers through codes of practice and measuring outcomes of collaboration developed with EUPATI.
Palliative care services into an existing oncology programme by john weruKesho Conference
This study assessed clinician understanding of integrating palliative care into an oncology program. Clinicians were surveyed on indicators of successful integration across clinical processes, education, research, and ethics. Clinical processes had the highest agreement rate. Recommendations include the need for palliative care training, research, and integrated co-management to improve patient outcomes and experiences.
Innovation in Care Delivery: The Patient JourneyJane Chiang
The document describes innovations in care delivery at Massachusetts General Hospital aimed at improving the patient experience. It discusses the implementation of innovation units to test changes to care delivery and identifies three key areas of focus: implementing relationship-based care, enhancing the role of the attending nurse, and standardizing processes. The goals are to improve patient and staff satisfaction, clinical quality, and reduce costs.
Anne Bracken Univ of South AL - aco rural healthSamantha Haas
1) Accountable Care Organizations (ACOs) are groups of doctors, hospitals, and other care providers who come together voluntarily to give coordinated high quality care to their patients.
2) ACOs aim to improve care and lower costs through improved care coordination and preventative care. They are paid for keeping their patients healthy instead of paying for each test and procedure.
3) For ACOs to be successful, providers need organizational capabilities like managing risk, using electronic health records, tracking performance measures, and engaging patients in self-care.
Roadmap to the Patient-Centered Medical HomePYA, P.C.
This document provides an overview of the patient-centered medical home (PCMH) model and how to implement it. It defines PCMH and its core standards and requirements for certification. It outlines the benefits of PCMH including improved quality, lower costs, and increased patient satisfaction. It discusses financial and operational considerations for practices transitioning to PCMH, and provides guidance on implementing specific PCMH functions like quality improvement, access to care, transitional care management, referral tracking, pre-visit planning, and population health management. The presentation aims to provide medical practices a roadmap to achieving PCMH recognition and reaping its benefits.
Care Coordination - Northwest Medical Partnerspedenton
This document discusses care coordination in the medical home. It defines care coordination as organizing patient care activities between multiple participants to facilitate appropriate healthcare delivery. Effective care coordination involves numerous participants exchanging information and integrating care activities. The care coordination model aims to deliver the right services, in the right order and setting. Key elements of the model include assuming accountability for coordination, providing patient support, developing relationships and agreements with other providers, and improving connectivity through information sharing.
2021-2022 NTTAP Webinar: Fundamentals of Comprehensive CareCHC Connecticut
Join us as we discuss the core concepts of team-based care and introduce elements of team-based care that builds upon these basics to support your teams in advancing their capability to provide satisfying and effective care to complex patient populations. .
We will be joined by Margaret Flinter, Senior Vice President/Clinical Director for Community Health Center, Inc., and both Thomas Bodenheimer, MD, Physician and Founding Director, and Rachel Willard Grace, Director, from the Center for Excellence in Primary Care.
How to Define Effective and Efficient Real World TrialsTodd Berner MD
This document discusses strategies for designing effective and efficient real-world clinical trials. It covers topics such as using real-world evidence to inform clinical trial design, the differences between efficacy and effectiveness, challenges around representativeness in trial populations, and the value of pragmatic clinical trials. It also discusses leveraging electronic health records for condition-specific prompts and clinical decision support to improve performance and quality of care.
How to design effective and efficient real world trials TB Evidence 2014 10.2...Todd Berner MD
This document discusses strategies for designing effective and efficient real-world clinical trials. It covers topics such as using real-world evidence to inform clinical trial design, the differences between efficacy and effectiveness, challenges in defining quality metrics, and strategies for improving performance within healthcare systems. The document provides information on pragmatic clinical trials and how real-world evidence could reduce costs compared to traditional clinical trials.
Accountability and the Advanced Practice Nursebodo-con
This document discusses the importance of accountability and quality for advanced practice nurses (APNs). It outlines expectations for APNs to demonstrate how their work achieves desired health outcomes and to be accountable to patients, employers, and the public. Quality in healthcare is defined as the likelihood of desired health outcomes. The document also discusses frameworks for measuring quality at different levels and indicators that can be used to evaluate APN roles, processes, and outcomes.
This document summarizes a presentation given on rural health initiatives for primary care centers and eye care centers in East India. It discusses the Alchemist model of providing healthcare services to rural populations through a hybrid model of primary healthcare centers and eye care hospitals. Key aspects of the model include general medical care, diagnostic labs, pharmacies, eye refraction services, surgeries and outreach camps. 12 centers have been established across West Bengal, Bihar, Jharkhand and Odisha serving a population of 27 crore people. The workflow, infrastructure, outreach activities and expansion process are outlined. Examples of specific centers in Habra, Arrah and Chatra are also highlighted.
Grand rounds are a teaching methodology where physicians present clinical cases to colleagues, residents, and medical students. During grand rounds, physicians discuss a patient's medical history, presentation of symptoms, diagnostic testing and imaging results, treatment plans, and learning objectives. The goal is to enhance medical education and support collaborative care across specialties. Modern grand rounds also use data-driven approaches and technology to continuously improve patient outcomes and healthcare value.
The document outlines CDHB's Vision 2020 which focuses on supporting people to take greater responsibility for their health through primary care and community services while making specialist services more responsive to primary care. It then discusses the development of clinical pathways through clinician-led workgroups to improve referral processes, access to investigations, and clinical management across the health system in Canterbury.
Write a 3 page evidence-based health care delivery plan for one .docxowenhall46084
Write a 3 page evidence-based health care delivery plan for one component of a heart failure clinic.
Nursing within an organization is a critical component of health care delivery and is an essential ingredient in patient outcomes (Kelly & Tazbir, 2014). The concern for quality care that flows from evidence-based practice generates a desired outcome. Without these factors, a nurse cannot be an effective leader. It is important to lead not only from this position but from knowledge and expertise.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
Competency 2: Explain the accountability of the nurse leader for decisions that affect health care delivery and patient outcomes.
Describe accountability tools and procedures used to measure effectiveness.
Competency 3: Apply management strategies and best practices for health care finance, human resources, and materials allocation decisions to improve health care delivery and patient outcomes.
Develop an evidence-based plan for health care delivery.
Competency 4: Apply professional standards of moral, ethical, and legal conduct in professional practice.
Apply professional and legal standards in support of a care plan.
Competency 5: Communicate in manner that is consistent with the expectations of a nursing professional.
Write content clearly and logically, with correct use of grammar, punctuation, mechanics, and current APA style.
In an effort to improve the patients' health literacy concerning heart failure, it is important that the clinic staff and the hospital staff present a consistent, evidence-based message on self-care to these patients and their families in order to decrease acute exacerbation and re-admissions. Review current evidence for clinical practice guides or protocols when developing your patient teaching plans and materials. Consider the following:
What does the patient know about the disease process as a baseline?
What does the patient need to do understand as far as the best self-care processes?
Can the patient identify proper medication compliance?
Is there a financial issue that affects compliance?
Who buys and prepares the food in the home?
Can the patient verbalize when to seek medical assistance?
Instructions
Deliverable:
Develop an evidence-based plan for health care delivery.
Scenario:
The hospital where you work has an issue with increased readmissions within 30 days of discharge. After examining the core measures, it was found that heart failure was the most common core measure disease process experiencing the highest rate of readmissions. The leadership team has given your team the charge of developing a nurse-run outpatient heart failure clinic. The purpose of this clinic is to ensure that discharge education is presented to the patient in an orderly, consistent manner and complies with evidence-based practice protocol.
Cadth symposium 2015 d3 pro presentation apr 2015 - for debCADTH Symposium
This document summarizes a presentation on implementing patient reported outcomes (PROs) to improve patient-centered care. It discusses collecting PRO data through distress screening tools and patient satisfaction surveys, analyzing the data, and using it to select and evaluate quality improvement initiatives. PROs are outcomes that patients report on issues like symptoms, experience of care, and quality of life. The presentation outlines the benefits of PROs, Saskatchewan Cancer Agency's implementation including two PRO tools and progress to date, and lessons learned around using a phased approach and technology to gather and apply PRO evidence to enhance care.
1) Quality assurance in nursing aims to ensure effective and safe patient care through setting standards, monitoring performance, and improving care.
2) It involves defining quality, establishing a quality assurance cycle to identify issues and implement changes, and using techniques like audits and appraisals.
3) Ensuring quality faces challenges from issues like nursing shortages, evolving health needs, and expanding medical knowledge that require continuous adaptation.
This document discusses fundamentals of quality in healthcare. It defines key terms like quality assurance, quality of care, and factors driving attention to quality like limited resources and patient demands. It describes Donabedian's framework for assessing quality, which looks at structure, process and outcomes. Achieving quality requires accessible, efficient and acceptable services. Ensuring quality involves continuous quality improvement approaches like plan-do-check-act cycles and evidence-based medicine. The goal is to provide high quality care through ongoing evaluation and improvement.
This document discusses fundamentals of quality in healthcare. It defines key terms like quality assurance, total quality management, and continuous quality improvement. It explains that quality can be assessed based on structure, process, and outcomes. Structure looks at the environment where care is provided. Process examines the care provided by practitioners. Outcomes assess the benefits achieved by patients. Achieving quality requires accessible, efficient, and acceptable services based on current knowledge. Continuous efforts are needed to monitor, assess, and improve healthcare quality.
The Dream Template is a tool being developed by a health center's Clinical Practice Committee to standardize patient documentation and ensure complete data collection for reporting requirements. The template incorporates elements for the subjective, objective, assessment, and plan components of a patient encounter, and includes features such as clinical guidelines, screening tools, billing functions, and patient education materials. Successful implementation of The Dream Template is expected to improve quality of care, reimbursement amounts, and revenues by facilitating consistent documentation across all patient visits. A team including physicians, nurses and quality staff will develop and test the template, with the goal of creating an efficient documentation process that meets the needs of clinicians and reporting obligations.
Patient engagement is evolving to include a composite of practices that impact patient behaviors and health. Contemporary models of patient engagement include the HIMSS 5 phases of patient engagement and the Regional Primary Care Coalition's 6 dimensions of patient engagement. Meaningful Use Phase 3 identifies key priorities around patient access to health records and secure messaging. Barriers to patient engagement include defining engagement and integrating diverse engagement tools and technologies.
This presentation by the Bureau of Health Information to the Royal Australasian College of Physicians looks at using clinical outcome data to improve patient care.
It examines:
Why measure and report on performance?
- Accountability and quality improvement
What is performance really?
- It is not a measure of what the system is, it is a measure of how well the system does
Whose performance is it anyway?
- Attributing results to providers, units or sectors requires a careful assessment
Communicating Effectively: Strategies to Ensure the Quality of Communication...TraceByTWSG
Blair Wright (The White Stone Group, Inc.) presenting to Massachusetts Association of Hospital Access Managers (MAHAM) on how the quality of communicating with patients is directly linked to the perceived quality of care.
The document discusses bladder retraining for overactive bladder. It provides objectives to equip individuals with self-mastery tools to retrain their bladders, empower them as healthcare advocates, and understand combination therapy. It then describes overactive bladder and its causes, treatments including behavioral changes and bladder retraining. Bladder retraining is a six-week program where individuals time their urination to gradually increase the time between trips to the bathroom. Tips are provided to help stick with the program and manage any setbacks. Resources from the North American Menopause Society are also shared.
This document provides tips for managing incontinence from the National Association for Continence. It recommends maintaining a healthy diet and lifestyle by drinking enough fluids, avoiding irritants like caffeine and smoking, and keeping bowels regular. It also suggests keeping a bladder diary, practicing safe toileting like using a bedside commode and limiting evening fluids, and choosing protective undergarments and pads suited to the individual's needs and severity of incontinence. Proper product selection considers physical functionality, absorbency needs, sizing, breathability, and cost-effectiveness to support comfort and skin health.
Medicare and Medicaid coverage for absorbent products and catheters varies, with Medicare covering up to 200 catheters and one catheter and lubricant package per month for qualified patients. Private insurance coverage also varies based on company, policy structure, diagnosis, and care protocol, sometimes covering costs completely, partially, or not at all. Health savings accounts and flexible spending accounts may reimburse costs by submitting a receipt, pending approval from the administrator. State Medicaid coverage also differs regarding coverage of incontinence products.
Family caregivers play an important role in recognizing and addressing incontinence in their loved ones. They should educate themselves about the symptoms, severity, and potential causes of incontinence. It is important for caregivers to discuss toileting needs openly with patients and ask simple questions to understand their situation better. Proper care involves assessing continence status, documenting any changes, and screening for physical functionality, incontinence severity, and degree of assistance needed with toileting.
The document provides tips for skin wellness for those requiring continence care. It recommends gently washing the perineal area from front to back daily and after any incontinent episodes using a fragrance-free, dye-free no-rinse wash cloth. It also advises applying a moisture barrier cream after washing to protect the skin and using a barrier film spray to form a moisture barrier and reduce chaffing, choosing an alcohol-free product. The tips stress paying attention to allergies when choosing products and using absorbent products to rapidly wick away moisture between episodes to minimize skin contact.
This document discusses product sizing and selection for continence care. It notes that absorbents should be customized to each individual's needs and fit is essential. It describes different product types for women and men, including pads, guards, undergarments, protective underwear, and briefs, which come in various sizes and absorbencies. The document provides advice on selecting the appropriate product based on a person's leakage level, discretion needs, mobility, and day versus night usage.
Products can be worn around the clock as modern nonwoven fabrics allow skin to breathe through breathable side panels. Reusable absorbents are not necessarily better for skin than disposable options, as today's disposables wick away moisture and trap heat using advanced materials while preventing skin from being rewet. Disposable incontinence products provide an affordable and effective option for managing bladder and bowel incontinence.
The document is a presentation by the National Association For Continence about bladder health. It discusses what the bladder is, why bladder health is important, common urinary problems like stress incontinence and overactive bladder, risk factors, treatment options, and when to seek help. It encourages getting educated about symptoms and finding an expert to address bladder health issues.
English Drug and Alcohol Commissioners June 2024.pptxMatSouthwell1
Presentation made by Mat Southwell to the Harm Reduction Working Group of the English Drug and Alcohol Commissioners. Discuss stimulants, OAMT, NSP coverage and community-led approach to DCRs. Focussing on active drug user perspectives and interests
Solution manual for managerial accounting 18th edition by ray garrison eric n...rightmanforbloodline
Solution manual for managerial accounting 18th edition by ray garrison eric noreen and peter brewer_compressed
Solution manual for managerial accounting 18th edition by ray garrison eric noreen and peter brewer_compressed
Digital Health in India_Health Informatics Trained Manpower _DrDevTaneja_15.0...DrDevTaneja1
Digital India will need a big trained army of Health Informatics educated & trained manpower in India.
Presently, generalist IT manpower does most of the work in the healthcare industry in India. Academic Health Informatics education is not readily available at school & health university level or IT education institutions in India.
We look into the evolution of health informatics and its applications in the healthcare industry.
HIMMS TIGER resources are available to assist Health Informatics education.
Indian Health universities, IT Education institutions, and the healthcare industry must proactively collaborate to start health informatics courses on a big scale. An advocacy push from various stakeholders is also needed for this goal.
Health informatics has huge employment potential and provides a big business opportunity for the healthcare industry. A big pool of trained health informatics manpower can lead to product & service innovations on a global scale in India.
Research, Monitoring and Evaluation, in Public Healthaghedogodday
This is a presentation on the overview of the role of monitoring and evaluation in public health. It describes the various components and how a robust M&E system can possitively impact the results or effectiveness of a public health intervention.
India Medical Devices Market: Size, Share, and In-Depth Competitive Analysis ...Kumar Satyam
According to TechSci Research report, “India Medical Devices Market Industry Size, Share, Trends, Competition, Opportunity and Forecast, 2019-2029,” the India Medical Devices Market was valued at USD 15.35 billion in 2023 and is anticipated to witness impressive growth in the forecast period, with a Compound Annual Growth Rate (CAGR) of 5.35% through 2029. This growth is driven by various factors, including strategic collaborations and partnerships among leading companies, a growing population, and the increasing demand for advanced healthcare solutions.
Recent Trends
Strategic Collaborations and Partnerships
One of the most significant trends driving the India Medical Devices Market is the increasing number of collaborations and partnerships among leading companies. These alliances aim to merge the expertise of individual companies to strengthen their market position and enhance their product offerings. For instance, partnerships between local manufacturers and international companies bring advanced technologies and manufacturing techniques to the Indian market, fostering innovation and improving product quality.
Browse over XX market data Figures and spread through XX Pages and an in-depth TOC on " India Medical Devices Market.” - https://www.techsciresearch.com/report/india-medical-devices-market/8161.html
Fit to Fly PCR Covid Testing at our Clinic Near YouNX Healthcare
A Fit-to-Fly PCR Test is a crucial service for travelers needing to meet the entry requirements of various countries or airlines. This test involves a polymerase chain reaction (PCR) test for COVID-19, which is considered the gold standard for detecting active infections. At our travel clinic in Leeds, we offer fast and reliable Fit to Fly PCR testing, providing you with an official certificate verifying your negative COVID-19 status. Our process is designed for convenience and accuracy, with quick turnaround times to ensure you receive your results and certificate in time for your departure. Trust our professional and experienced medical team to help you travel safely and compliantly, giving you peace of mind for your journey.www.nxhealthcare.co.uk
Mental Health and well-being Presentation. Exploring innovative approaches and strategies for enhancing mental well-being. Discover cutting-edge research, effective strategies, and practical methods for fostering mental well-being.
The facial nerve, also known as cranial nerve VII, is one of the 12 cranial nerves originating from the brain. It's a mixed nerve, meaning it contains both sensory and motor fibres, and it plays a crucial role in controlling various facial muscles, as well as conveying sensory information from the taste buds on the anterior two-thirds of the tongue.
This particular slides consist of- what is Pneumothorax,what are it's causes and it's effect on body, risk factors, symptoms,complications, diagnosis and role of physiotherapy in it.
This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
Here is a summary of Pneumothorax:
Pneumothorax, also known as a collapsed lung, is a condition that occurs when air leaks into the space between the lung and chest wall. This air buildup puts pressure on the lung, preventing it from expanding fully when you breathe. A pneumothorax can cause a complete or partial collapse of the lung.
TEST BANK FOR Health Assessment in Nursing 7th Edition by Weber Chapters 1 - ...rightmanforbloodline
TEST BANK FOR Health Assessment in Nursing 7th Edition by Weber Chapters 1 - 34.
TEST BANK FOR Health Assessment in Nursing 7th Edition by Weber Chapters 1 - 34.
TEST BANK FOR Health Assessment in Nursing 7th Edition by Weber Chapters 1 - 34.
CHAPTER 1 SEMESTER V COMMUNICATION TECHNIQUES FOR CHILDREN.pdfSachin Sharma
Here are some key objectives of communication with children:
Build Trust and Security:
Establish a safe and supportive environment where children feel comfortable expressing themselves.
Encourage Expression:
Enable children to articulate their thoughts, feelings, and experiences.
Promote Emotional Understanding:
Help children identify and understand their own emotions and the emotions of others.
Enhance Listening Skills:
Develop children’s ability to listen attentively and respond appropriately.
Foster Positive Relationships:
Strengthen the bond between children and caregivers, peers, and other adults.
Support Learning and Development:
Aid cognitive and language development through engaging and meaningful conversations.
Teach Social Skills:
Encourage polite, respectful, and empathetic interactions with others.
Resolve Conflicts:
Provide tools and guidance for children to handle disagreements constructively.
Encourage Independence:
Support children in making decisions and solving problems on their own.
Provide Reassurance and Comfort:
Offer comfort and understanding during times of distress or uncertainty.
Reinforce Positive Behavior:
Acknowledge and encourage positive actions and behaviors.
Guide and Educate:
Offer clear instructions and explanations to help children understand expectations and learn new concepts.
By focusing on these objectives, communication with children can be both effective and nurturing, supporting their overall growth and well-being.
India Home Healthcare Market: Driving Forces and Disruptive Trends [2029]Kumar Satyam
According to the TechSci Research report titled "India Home Healthcare Market - By Region, Competition, Forecast and Opportunities, 2029," the India home healthcare market is anticipated to grow at an impressive rate during the forecast period. This growth can be attributed to several factors, including the rising demand for managing health issues such as chronic diseases, post-operative care, elderly care, palliative care, and mental health. The growing preference for personalized healthcare among people is also a significant driver. Additionally, rapid advancements in science and technology, increasing healthcare costs, changes in food laws affecting label and product claims, a burgeoning aging population, and a rising interest in attaining wellness through diet are expected to escalate the growth of the India home healthcare market in the coming years.
Browse over XX market data Figures spread through 70 Pages and an in-depth TOC on "India Home Healthcare Market”
https://www.techsciresearch.com/report/india-home-healthcare-market/15508.html
Hypertension and it's role of physiotherapy in it.Vishal kr Thakur
This particular slides consist of- what is hypertension,what are it's causes and it's effect on body, risk factors, symptoms,complications, diagnosis and role of physiotherapy in it.
This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
Here is summary of hypertension -
Hypertension, also known as high blood pressure, is a serious medical condition that occurs when blood pressure in the body's arteries is consistently too high. Blood pressure is the force of blood pushing against the walls of blood vessels as the heart pumps it. Hypertension can increase the risk of heart disease, brain disease, kidney disease, and premature death.
At Malayali Kerala Spa Ajman, Full Service includes individualized care for every client. We specifically design each massage session for the individual needs of the client. Our therapists are always willing to adjust the treatments based on the client's instruction and feedback. This guarantees that every client receives the treatment they expect.
By offering a variety of massage services, our Ajman Spa Massage Center can tackle physical, mental, and emotional illnesses. In addition, efficient identification of specific health conditions and designing treatment plans accordingly can significantly enhance the quality of massaging.
At Malayali Kerala Spa Ajman, we firmly believe that everyone should have the option to experience top-quality massage services regularly. To achieve that goal we offer cheap massage services in Ajman.
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2. Centers of Excellence in Continence Care:
Goals and Objectives
• Create a credible, legitimate vehicle to facilitate consumer
access to high quality care
• Establish a fair and transparent process for all applicants, also
acceptable to payers and the public at large
• Remain loyal to our mission as a patient advocate and
representative.
• Own a database of patient satisfaction ratings to create and
maintain benchmarks for continuous quality improvement
• Manage a self-sustaining enterprise, without undue
distraction to our ongoing education programs
• Strengthen NAFC’s reputation as an independent and credible
source to guide the consumer in seeking healthcare
4. Proving correct: The whispers among women
A landmark multicenter
study published in 2007:
Documented stringently
defined success rates –
including patient
satisfaction scores - of
49% for the Burch and
66% for the fascial sling
two years post-op,
deteriorating to 22% and
30%, respectively five
years out.
5. Many Communities Lack Specialty Trained,
Experienced Doctors
And while the new
subspecialty in Female
Pelvic Medicine &
Reconstructive Surgery,
administered jointly by
ABU and ABOG, will help
with consistent,
comprehensive fellowship
training, numbers will
remain small and largely
contained in academic
medical centers.
6. A Growing Interest in Measuring
Consumer Perceptions
This study surveys over 250,000
households representing over
450,000 consumers in the
contiguous 48 states and the District
of Columbia. From the households
surveyed, 3200 hospitals named by
consumers are analyzed and ranked
based on their Core Based Statistical
Areas (CBSAs) as defined by the U.S.
Census Bureau, with the winning
facilities being ranked the highest:
Top of mind perceptions (image,
reputation, advertising recall, etc.)
but not detailed, actionable data,
especially for multidisciplinary care
that may include community
providers.
7. Standards for Patient Satisfaction
• Outcomes that fail to meet patient expectations and dissuade
consumers from seeking diagnosis and treatment
• The focus of payers on penalties for NEVER events and readmissions
instead of patient satisfaction with quality of care and outcomes
• Fragmentation, competition, and disagreement among providers as
to preferred, evidence-based protocols for diagnosis and treatment
• Providers lacking experience and/or sufficient surgical training
Misdiagnosis
Misinformation
Poorly executed choices and patient selection for certain
procedures
The need for costly repeat surgeries and second opinion
8. Provider Centered
Outcomes
Patient Centered
Outcomes
Pad use Cough stress test
Voiding frequency Pelvic floor distress
inventory questionnaire
Health-Related Quality
of Life questionnaire
POP-Q system
Global impressions of
improvement
Post-void residual urine
volume
Improvement in
symptoms, including
new complications
Overall satisfaction,
including pain
management
Confidence in the
treatment technology
and willingness to
recommend to others
Cleanliness, ease of
navigating, and safety
of the facility including
signage, parking, etc.
Education about one’s
condition and
involvement in
treatment plans
Satisfaction with
quality of nursing care
Access to one’s doctor
for appointment times
and dates desired by
the patient
Adequate preparation
by the clinic or
discharge nurse for
self-care by patient
COE: Establishing a New Set of Benchmarks
9. The COE Requirements
1. Demonstrated commitment to excellence by upper management,
in both clinical services and research.
2. Organization-wide quality improvement and safety initiatives
operative.
3. Verification of experience: >150 PFD surgical cases lifetime and
>100 surgical cases in the most recent 12 months by each
primary operating physician, post fellowship training.
4. An organization, with a Medical Director of the Pelvic Floor
Clinic/Department
5. Integrated, full-time, multi-disciplinary team including
gynecologists, urologists, colorectal surgeons,
gastroenterologists, nurse practitioners, physical/occupational
therapists trained in PFD diagnosis and treatment
6. Full line of diagnostic and therapeutic equipment, e.g.
urodynamics
10. The COE Requirements (cont.)
7. Fellowship trained PFD surgeons and evidence of ongoing medical
society involvement
8. Standardized, clinical pathways and protocols, including
perioperative care practice guidelines in writing
9. Formally trained, designated nurses and allied health
professionals, e.g., SUNA or WOCN nurse training and
certification.
10. Patient education materials in print and online and a
demonstrated commitment to community health literacy
11. Means of computerized tracking of all PFD patients for at least
two year follow-up data and analysis
12. No litigation pending or in the most recent three years involving
patient harm or abuse.
11. 1. Go to www.nafc.org, click on the logo in the
lower left corner, and then click on “Process” to review
the requirements. Make sure you meet case volume
requirements. Two or more physicians must apply
together, with a hospital where surgeries are
performed.
2. Download the physician and institutional application
forms. These must be returned with CVs and an
organizational chart illustrating how the Center fits into
the clinic’s or institution’s reporting structure.
How To Apply
12. The COE Application and Review Process
Step #1: Hospital ($1,500) and Physicians ($300 each) submit
separate applications
Step #2: Surveys are mailed to a sample of patients (95% Confidence
Level, +/- 10% Confidence Interval)
Step #3: Survey analysis and interpretation: PowerPoint presentation
and discussion
Step #4: Site Visit
Step #5: Report and Recommendation to the Committee
Step #6: Designation, Rejection, or 2-Year Provisional
Step #7: Three Year Designation ($4,500 hospital fees plus $700
physician fees)
13. Month 1 – Obtain and complete applications. Applications are submitted
with application fees ($300 MD and $1,500 hospital).
Month 2 – Applications reviewed by NAFC, entered in database, and
any missing information requested.
Month 3 – Applicants generate mailing list of patients and provide to
mailing house for NAFC survey.
Month 4 – Survey is mailed.
Month 5 – Results are tabulated. Site visit is scheduled
Month 6 – Site visit takes place. Survey results shared.
Month 7 – Full report is written and submitted to Review Committee.
Month 8 – Review Committee discusses and issues questions or
requests of applicants or approves.
Month 9 – Press release is issued. Certificate is shipped for framing and
display. Website sections are created. Balance of fees are paid.
Timeframe for Completing Application Reviews and
Center of Excellence Designation
14. Patient Survey Structure
Overall Patient Experience and
Health Status Following
Treatment
Patient Satisfaction with
Facility (including scheduling,
nursing staff, check-in,
discharge, etc.)
Patient Satisfaction with
Physician (including evidence
of shared decision-making)
15. Two-Day Site Visit Itinerary
Each Applicant Physician
Administrative Manager
Nursing Supervisor, Clinic Nurses
Physical Therapist
Collaborative Physicians (e.g., Colorectal Surgeon)
Research Nurse Coordinator
Sr. VP Operations for the Facility/COO/CEO
Manager of Contracting Services
Director of Marketing and Media Relations
Department Chairman
Pelvic Floor Clinic Medical Director
Patient Ombudsman/Patient Guest Services
Nurse Practitioner – Patient Education or Pessary Specialist
16. Evidence of a demonstrated commitment to excellence, in both
clinical services and in research
Quality improvement and patient safety initiatives that are fully
operative
Verification of PFD experience and training claims of physician
applicants
Evidence of a team that functions as an organizational unit, with
its own medical director
Evidence of access to multi-disciplinary talent, with PFD training
in diagnosis and treatment
Site Visit: Topics Covered
17. Leadership involvement in medical societies
Written standards of care and clinical pathways
Formally trained and/or certified nurses on staff
Use of objective, up to date patient education materials and
commitment to community education
Means of tracking patient outcomes >/= 2 years
Full line of diagnostics and therapeutic equipment
No litigation involving patient abuse or malpractice </= 3 years
Site Visit (continued)
22. Mission of NAFC
As one of the world’s largest, oldest, and most prolific public
education and patient advocacy organizations in the field, it is
NAFC’s mission: 1) to educate the public about the causes,
diagnosis categories, treatment options, and management
alternatives for bladder and bowel control problems, voiding
dysfunction and related pelvic floor disorders; 2) to network with
other organizations and agencies to elevate the visibility and
priority given to these areas; and 3) to advocate on behalf of
patients who suffer from such symptoms as a result of disease or
other illness, obstetrical, surgical or other trauma, or deterioration
due to the aging process itself. NAFC is broadly funded by
consumers, healthcare professionals and industry.
23. Constituency Served
- Men, Women, and Older
Children and Teens
- Young mothers
- Young adults who have
sustained SCI accidents
- People with neurological
diseases and conditions (PD,
MS, stroke survivors, etc.)
- The elderly and infirmed
- Menopausal women
- Post-prostatectomy men
25. NAFC’s Advocacy Voice
• Urging FDA approval of new,
advanced medications and
devices to give patients
access to proven, advanced
technology…and sustain their
hope
• Urging AMA to assign discrete
codes to new products
• Urging CMS and private
payers to provide coverage
and reimbursement of
treatment options
26. Helping Consumers Find An Expert
• Consumers are increasingly
distrustful of health information
online:
• Competing sources of information
use different metrics,
methodologies and data sources,
fielding contradictory and
confusing quality data
• Word of mouth (50%) and
physician referrals (38%) still
drive the majority of doctor
selection by consumers,
especially when choosing
specialists or facilities for medical
procedures. Two in five rely on
multiple sources. Only 3-11% rely
on online provider databases.
27. Influential Trends
- The call for improving safety (IOM, 1999)
- Growing focus on patient centered healthcare
- Application of evidence-based healthcare (“Not about us without
us”)
- Shifting more costs and responsibility for self-care onto the patient
Earlier paper out of OHSU documented that over their lifetime, 11% of all women undergo surgery for SUI or prolapse and 29% have repeat surgery.
Durability is clearly lacking. And recurrent surgery carries a lower success rate because of scar tissue and all the risks of hospitalization and surgery.
FACT: A hospital patient in the US is more likely to die from a medical error than flying on an airplane!
Meanwhile, doctors kept quoting 90-95% success rates to their patients!
Press-Ganey on patient satisfaction down to departments and doctor level
Outcomes: Word of mouth folklore about failed surgery
Pay-for-performance is really about cost containment more than quality
Up to 200 different surgical procedures
Until 2011, female pelvic medicine and reconstructive surgery was not a Board recognized subspecialty. The new subspecialty will be administered jointly by the American Board of Obstetrics and Gynecology (ABOG) and the American Board of Urology (ABU). But there are only 1,200 members of AUGS and 500 of SUFU, with much overlap. How many of the 30,000 actively practicing general OBGYNs are performing incontinence surgery, especially with the advent of minimally invasive procedures, many with minimal training and low cumulative experience?
Health Affairs, Nov/Dec 2008
H.T Tu and J. R. Lauer, Center of Studying Health System Change, December 2008.
WSJ 12/12/2011- 20% of PCP compensation in MA is based on patient satisfaction scores
PHOs making a comeback?
Hospitals cutting out payers and contracting coverage directly with large employers