This document summarizes a presentation on reducing corporate health care costs. It discusses how the current US healthcare payment system lacks efficacy data and incentives are misaligned, focusing on costs rather than value. It advocates capturing real-time treatment data to identify effective treatments. Integrating conventional and alternative approaches could drive value by reducing costs for chronic conditions, which account for 75% of expenditures. Next steps proposed include collecting health data, creating a business model to analyze the data and reduce costs of self-insured plans.
Asian Integrated Medical Sdn Bhd (AIM) aims to offer integrative medicine, conventional plus complementary and alternative medicine – a holistic medicine approach designed to meet your health goals.
Ruthann Russo - Integrative Population Health Management - White Paper Part 2Ruthann Russo
This document discusses the value of Integrative Health Services Programs (IHSP) in healthcare system strategic planning. Key points:
- Hospital expenditures are approximately $650 billion annually and a hospital with an IHSP offering integrative health modalities could increase revenue by 5-10% depending on the patient population.
- An IHSP is a program created by a hospital or healthcare system that integrates safe and effective complementary and alternative medicine with conventional medicine to be delivered to inpatients or outpatients.
- For an IHSP, the most fundamental criteria are ensuring only safe and effective practices are included based on evidence-based research on safety and efficacy. Common safe and effective modalities include meditation,
National Benchmark Survey Physician Referral Programs November 2011Cary Wing
The survey found that over 70% of fitness facilities offer physician referral programs (PRPs), most commonly for weight management, diabetes, and cardiac rehab. While over 70% of facilities track outcomes like weight and blood pressure, very few monitor the financial aspects of PRPs such as return on investment. Physician referrals are received most often from family practice doctors, but referrals come from a wide range of specialties. Most facilities receive fewer than 50 physician referrals per year.
Operational research is the scientific study of operations aimed at improving decision-making. It originated from military planning in World War II and has since expanded to various industries. In public health, operational research uses analytical methods to identify health program problems, potential solutions, and test solutions to inform evidence-based decisions around programs. It involves interdisciplinary teams that study issues like disease screening, outbreak response, and health behavior programs. Societies like IFORS and journals promote the field. Overall, operational research integrates data analysis into program management to enhance monitoring and evaluation.
This document summarizes the findings of a study that assessed how aligned 25 countries' healthcare systems are with value-based healthcare (VBHC). The study evaluated countries based on 17 indicators across 4 domains: enabling context/policies, outcomes/costs measurement, integrated/patient-focused care, and outcome-based payment. Most countries are in the early stages of aligning with VBHC. While some countries like the US are making progress, fully implementing VBHC requires fundamental changes to entrenched fee-for-service models and will take time across all systems.
Dr. Barry White, former HSE National Director, Clinical Strategy and ProgrammesInvestnet
The document discusses issues with the modern healthcare system including a reductionist approach, unrealistic expectations of health, and the failure to address behavioral factors. It argues that defining health as complete well-being has medicalized society and generated unnecessary demand. Bloodletting was the dominant medical practice for over 2000 years based on the ancient humoral theory but provided no improvement in life expectancy. While reductionism led to advances in the 20th century, a holistic approach is also needed. The key is developing self-awareness among both patients and clinicians to reconcile physical, psychological and social well-being.
1. The document discusses health economics principles as they relate to radiation oncology, including concepts of scarcity, opportunity cost, efficiency, and equity in healthcare resource allocation.
2. Models of healthcare systems and cost analysis methods are presented, including Donabedian and newer integrated practice unit models. Cost-effectiveness is analyzed for various cancer types and treatment techniques.
3. Clinical examples show increased cost-effectiveness of intensity-modulated radiation therapy (IMRT) over conventional RT for anal cancer and head and neck cancer, and proton beam therapy for select pediatric cancers. Advanced techniques require higher investment but can improve outcomes and reduce adverse effects.
This document discusses situation analysis and priority setting in healthcare planning. It describes situation analysis as the first stage of planning, which involves analyzing the current healthcare situation to understand problems and their causes. Key aspects of a situation analysis include population characteristics, infrastructure, health needs, available services, and resource efficiency. Priorities are then set based on criteria like health impact, equity, and public demand. Objectives are established in a hierarchy from goals to targets. The document provides examples of techniques used for situation analysis and priority setting.
Asian Integrated Medical Sdn Bhd (AIM) aims to offer integrative medicine, conventional plus complementary and alternative medicine – a holistic medicine approach designed to meet your health goals.
Ruthann Russo - Integrative Population Health Management - White Paper Part 2Ruthann Russo
This document discusses the value of Integrative Health Services Programs (IHSP) in healthcare system strategic planning. Key points:
- Hospital expenditures are approximately $650 billion annually and a hospital with an IHSP offering integrative health modalities could increase revenue by 5-10% depending on the patient population.
- An IHSP is a program created by a hospital or healthcare system that integrates safe and effective complementary and alternative medicine with conventional medicine to be delivered to inpatients or outpatients.
- For an IHSP, the most fundamental criteria are ensuring only safe and effective practices are included based on evidence-based research on safety and efficacy. Common safe and effective modalities include meditation,
National Benchmark Survey Physician Referral Programs November 2011Cary Wing
The survey found that over 70% of fitness facilities offer physician referral programs (PRPs), most commonly for weight management, diabetes, and cardiac rehab. While over 70% of facilities track outcomes like weight and blood pressure, very few monitor the financial aspects of PRPs such as return on investment. Physician referrals are received most often from family practice doctors, but referrals come from a wide range of specialties. Most facilities receive fewer than 50 physician referrals per year.
Operational research is the scientific study of operations aimed at improving decision-making. It originated from military planning in World War II and has since expanded to various industries. In public health, operational research uses analytical methods to identify health program problems, potential solutions, and test solutions to inform evidence-based decisions around programs. It involves interdisciplinary teams that study issues like disease screening, outbreak response, and health behavior programs. Societies like IFORS and journals promote the field. Overall, operational research integrates data analysis into program management to enhance monitoring and evaluation.
This document summarizes the findings of a study that assessed how aligned 25 countries' healthcare systems are with value-based healthcare (VBHC). The study evaluated countries based on 17 indicators across 4 domains: enabling context/policies, outcomes/costs measurement, integrated/patient-focused care, and outcome-based payment. Most countries are in the early stages of aligning with VBHC. While some countries like the US are making progress, fully implementing VBHC requires fundamental changes to entrenched fee-for-service models and will take time across all systems.
Dr. Barry White, former HSE National Director, Clinical Strategy and ProgrammesInvestnet
The document discusses issues with the modern healthcare system including a reductionist approach, unrealistic expectations of health, and the failure to address behavioral factors. It argues that defining health as complete well-being has medicalized society and generated unnecessary demand. Bloodletting was the dominant medical practice for over 2000 years based on the ancient humoral theory but provided no improvement in life expectancy. While reductionism led to advances in the 20th century, a holistic approach is also needed. The key is developing self-awareness among both patients and clinicians to reconcile physical, psychological and social well-being.
1. The document discusses health economics principles as they relate to radiation oncology, including concepts of scarcity, opportunity cost, efficiency, and equity in healthcare resource allocation.
2. Models of healthcare systems and cost analysis methods are presented, including Donabedian and newer integrated practice unit models. Cost-effectiveness is analyzed for various cancer types and treatment techniques.
3. Clinical examples show increased cost-effectiveness of intensity-modulated radiation therapy (IMRT) over conventional RT for anal cancer and head and neck cancer, and proton beam therapy for select pediatric cancers. Advanced techniques require higher investment but can improve outcomes and reduce adverse effects.
This document discusses situation analysis and priority setting in healthcare planning. It describes situation analysis as the first stage of planning, which involves analyzing the current healthcare situation to understand problems and their causes. Key aspects of a situation analysis include population characteristics, infrastructure, health needs, available services, and resource efficiency. Priorities are then set based on criteria like health impact, equity, and public demand. Objectives are established in a hierarchy from goals to targets. The document provides examples of techniques used for situation analysis and priority setting.
This document outlines Dan Hausman's critique of economic evaluations of health that rely on eliciting and aggregating individual preferences. Hausman argues that preferences are an unreliable guide to the value of health states for several reasons. People's preferences can be distorted by cognitive flaws and irrelevant factors. They are also often uninformed since health states are unfamiliar alternatives. Rather than relying on preferences, Hausman believes health economists should directly evaluate health states based on their effects on well-being, opportunities, autonomy, and other considerations.
The document provides an overview of healthcare delivery and operations in clinical settings. It discusses ambulatory care including primary care delivered in outpatient settings like clinics and physicians' offices. It also covers emergency care settings. The document contrasts ambulatory and emergency care with hospital inpatient care and describes the management of hospital operations.
Stephen Morgan, M.D.
Senior Vice President, Chief Medical Information Officer
Carilion Clinic
iHT2 case studies and presentations illustrate challenges, successes and various factors in the outcomes of numerous types of health IT implementations. They are interactive and dynamic sessions providing opportunity for dialogue, debate and exchanging ideas and best practices. This session will be presented by a thought leader in the provider, payer or government space.
Seminar on ethics committee, cultural concernsPriyanka Tambe
This document discusses ethics committees, cultural concerns, and truth telling in medical research and patient care. It provides details on the roles and responsibilities of ethics committees in ensuring ethical and lawful experimentation. It describes how cultural barriers like language and religion can impact patient care, and the importance of understanding different cultures. The document also discusses the ethics of truth telling patients their diagnosis and errors, exceptions for patients who don't want information or those who may harm themselves, and allowing patients to plan for receiving bad news.
The document discusses essential components for transforming healthcare delivery systems. It identifies leadership, collaboration, balancing regulation and creativity, health information systems, and research as key elements. It provides examples of research studying the adoption of evidence-based practices and the impact of interventions on outcomes like costs, falls, and pain management.
1) The document discusses challenges and prospects for innovation in traditional medicine systems in India. It analyzes the traditional medicine innovation system through the framework of national innovation systems.
2) Key issues addressed include the limited accessibility and high cost of modern medicine for many Indians, leading 70% to rely on traditional systems like Ayurveda. However, traditional medicine suffers from a lack of integration with science and technology.
3) The study aims to understand the role of various actors in developing traditional medicine, its socio-economic impacts, policies around intellectual property rights and regulation, and factors affecting its viability, to improve public health through innovation.
4. health human resources as part of health service managementSanjiv Rajak
The document discusses key issues related to health human resources (HRH) in Bangladesh. It notes that HRH are critical to health systems but there are several problems, including shortages, maldistribution between urban and rural areas, skill-mix imbalances, and weak career prospects. Specifically, there are not enough health workers to meet WHO thresholds. Distribution is skewed towards cities, and skill levels do not match the recommended ratios of doctors, nurses, and other staff. Working conditions are also negative due to overwork and lack of incentives. [END SUMMARY]
An enhanced care management program achieved lower health care costs through broader outreach, personalized health coaching, and engagement of higher-risk populations. A randomized controlled trial of 175,000 individuals found that the enhanced program led to a $7.96 lower average monthly medical cost per member and over a 4:1 return on investment. Key aspects of the enhanced program included targeting a wider range of chronic and preference-sensitive conditions, more frequent outreach, and deeper health coaching relationships.
To create a mechanism to allow the patient or the patient’s designated representative to participate in the consideration of ethical issues that arise in the care of the patient; to provide an organization and mechanism for the consideration of ethical issues arising in the care of patients; and to provide education to care givers and patients on ethical issues in health care.
Engines of Success for U.S. Health Reform?
Eric B. Larson, MD, MPHVice President for Research, Group Health Executive Director, Group Health Research Institute
This document provides an overview of health systems and healthcare systems. It defines key concepts like health, determinants of health, and the difference between health systems and healthcare systems. Health systems aim to promote health and include efforts beyond direct medical services, while healthcare systems focus specifically on delivering healthcare services. The document also discusses public health and its role in improving population health through prevention and health policy.
Recent Advances in Evidence Based Public Health PracticePrabesh Ghimire
This product is the result of compilation from various sources. I acknowledge all direct and indirect sources although they have not been mentioned explicitly in the document.
Why Electronic Health Records are Ill Suited for Population Health 012616infomc
Electronic health records are ill-suited for population health management for several reasons. EHRs were designed to manage patient data within individual healthcare systems and have limited ability to track health information from outside sources or support integrated care across multiple providers. Population health management requires more sophisticated technology that can perform functions like enrollment tracking, provider networking, utilization review, claims processing, and quality reporting that are beyond the scope of most EHRs. While EHRs are important for individual medical practices, organizations taking on financial risk for patient populations need systems designed for the specific demands of population health management.
Electronic health records have limitations for supporting effective population health management and care coordination required by health homes. While EHRs are designed for documenting care within provider systems, health homes require sophisticated technology to perform functions like comprehensive care planning, collecting a wide range of health data, and supporting continuous care workflows across multiple provider systems. Unlike EHRs, health management systems can enroll and track populations, establish networks, coordinate referrals, perform utilization review, and monitor quality/outcomes on a larger scale.
This document discusses strategies for achieving whole system change towards universal health coverage through primary healthcare renewal. It outlines that removing user fees, improving drug supply, maintaining health worker motivation, strengthening supervision and the gatekeeping role of primary care facilities requires considering the interlinkages of a system-level intervention. Whole system change to achieve good health at low cost requires effective primary care, fair financing, new health worker roles and payment mechanisms, and essential drug supply. Primary healthcare increases access, manages common health issues, prevents diseases, focuses on the individual and avoids unnecessary care. Universal health coverage aims to ensure all people obtain needed health services without financial hardship and requires raising funds, reducing financial barriers, allocating funds efficiently, meeting priority needs through integrated care
Healthcare administrators direct the operation of hospitals, health systems, and other organizations. They plan, direct, and manage finances, staff, and compliance with regulations. Healthcare administrators typically have a bachelor's degree and work in various medical facilities, insurance companies, and government offices. As the backbone of healthcare facilities, administrators improve efficiency and quality of care while dealing with changing regulations, technology, and healthcare delivery systems.
The document discusses evidence based healthcare and the process of evidence based medicine. It describes the 5 step process as asking questions, acquiring information, appraising the quality of evidence, applying the results, and assessing performance. Simple skills can help focus questions and basic rules can improve ability to critique literature. Simple math, not complex statistics, can help clearly describe study results.
The document provides an overview of different frameworks for conceptualizing health systems. It describes the World Health Organization's definition of a health system as including all organizations, people, and actions aimed at promoting, restoring, or maintaining health. It also outlines WHO's six building blocks of a health system: service delivery, health workforce, information, medical products/vaccines/technology, financing, and governance. Additionally, it summarizes key components of health systems from the perspectives of the World Bank, including financing, payment, organization of service delivery, regulation, persuasion, politics, ethics, and values.
The document discusses population health management and achieving healthy communities. It outlines major issues with the US healthcare system like uneven access to care. Real reform requires a focus on prevention, continuous care relationships, and evidence-based decisions. Population health management programs aim to maintain and improve people's health across different risk levels. Barriers to population health include fragmented care and misaligned incentives. Patient-centered medical homes and accountable care organizations show promise by emphasizing coordinated, team-based care. Automation and health information technology can help strengthen these models and drive effective population health management.
Health Economics In Clinical Trials - Pubricapubrica101
Pubrica specializes in Health Economics in Clinical Trials, offering comprehensive support to ensure the economic aspects of your trial are effectively managed. From cost-effectiveness analysis to budgeting and reimbursement strategies, we help you optimize the economic outcomes of your trial. With Pubrica's expertise, you can navigate the complex landscape of health economics in clinical trials with confidence.
For more information, please refer to our service- https://pubrica.com/blog/research/health-economics-in-clinical-trials/ & Order now - https://pubrica.com/order-now/
Contact Our UK Medical Author’s;
Our email id – sales@pubrica.com
Contact No. +91 9884350006
This document outlines Dan Hausman's critique of economic evaluations of health that rely on eliciting and aggregating individual preferences. Hausman argues that preferences are an unreliable guide to the value of health states for several reasons. People's preferences can be distorted by cognitive flaws and irrelevant factors. They are also often uninformed since health states are unfamiliar alternatives. Rather than relying on preferences, Hausman believes health economists should directly evaluate health states based on their effects on well-being, opportunities, autonomy, and other considerations.
The document provides an overview of healthcare delivery and operations in clinical settings. It discusses ambulatory care including primary care delivered in outpatient settings like clinics and physicians' offices. It also covers emergency care settings. The document contrasts ambulatory and emergency care with hospital inpatient care and describes the management of hospital operations.
Stephen Morgan, M.D.
Senior Vice President, Chief Medical Information Officer
Carilion Clinic
iHT2 case studies and presentations illustrate challenges, successes and various factors in the outcomes of numerous types of health IT implementations. They are interactive and dynamic sessions providing opportunity for dialogue, debate and exchanging ideas and best practices. This session will be presented by a thought leader in the provider, payer or government space.
Seminar on ethics committee, cultural concernsPriyanka Tambe
This document discusses ethics committees, cultural concerns, and truth telling in medical research and patient care. It provides details on the roles and responsibilities of ethics committees in ensuring ethical and lawful experimentation. It describes how cultural barriers like language and religion can impact patient care, and the importance of understanding different cultures. The document also discusses the ethics of truth telling patients their diagnosis and errors, exceptions for patients who don't want information or those who may harm themselves, and allowing patients to plan for receiving bad news.
The document discusses essential components for transforming healthcare delivery systems. It identifies leadership, collaboration, balancing regulation and creativity, health information systems, and research as key elements. It provides examples of research studying the adoption of evidence-based practices and the impact of interventions on outcomes like costs, falls, and pain management.
1) The document discusses challenges and prospects for innovation in traditional medicine systems in India. It analyzes the traditional medicine innovation system through the framework of national innovation systems.
2) Key issues addressed include the limited accessibility and high cost of modern medicine for many Indians, leading 70% to rely on traditional systems like Ayurveda. However, traditional medicine suffers from a lack of integration with science and technology.
3) The study aims to understand the role of various actors in developing traditional medicine, its socio-economic impacts, policies around intellectual property rights and regulation, and factors affecting its viability, to improve public health through innovation.
4. health human resources as part of health service managementSanjiv Rajak
The document discusses key issues related to health human resources (HRH) in Bangladesh. It notes that HRH are critical to health systems but there are several problems, including shortages, maldistribution between urban and rural areas, skill-mix imbalances, and weak career prospects. Specifically, there are not enough health workers to meet WHO thresholds. Distribution is skewed towards cities, and skill levels do not match the recommended ratios of doctors, nurses, and other staff. Working conditions are also negative due to overwork and lack of incentives. [END SUMMARY]
An enhanced care management program achieved lower health care costs through broader outreach, personalized health coaching, and engagement of higher-risk populations. A randomized controlled trial of 175,000 individuals found that the enhanced program led to a $7.96 lower average monthly medical cost per member and over a 4:1 return on investment. Key aspects of the enhanced program included targeting a wider range of chronic and preference-sensitive conditions, more frequent outreach, and deeper health coaching relationships.
To create a mechanism to allow the patient or the patient’s designated representative to participate in the consideration of ethical issues that arise in the care of the patient; to provide an organization and mechanism for the consideration of ethical issues arising in the care of patients; and to provide education to care givers and patients on ethical issues in health care.
Engines of Success for U.S. Health Reform?
Eric B. Larson, MD, MPHVice President for Research, Group Health Executive Director, Group Health Research Institute
This document provides an overview of health systems and healthcare systems. It defines key concepts like health, determinants of health, and the difference between health systems and healthcare systems. Health systems aim to promote health and include efforts beyond direct medical services, while healthcare systems focus specifically on delivering healthcare services. The document also discusses public health and its role in improving population health through prevention and health policy.
Recent Advances in Evidence Based Public Health PracticePrabesh Ghimire
This product is the result of compilation from various sources. I acknowledge all direct and indirect sources although they have not been mentioned explicitly in the document.
Why Electronic Health Records are Ill Suited for Population Health 012616infomc
Electronic health records are ill-suited for population health management for several reasons. EHRs were designed to manage patient data within individual healthcare systems and have limited ability to track health information from outside sources or support integrated care across multiple providers. Population health management requires more sophisticated technology that can perform functions like enrollment tracking, provider networking, utilization review, claims processing, and quality reporting that are beyond the scope of most EHRs. While EHRs are important for individual medical practices, organizations taking on financial risk for patient populations need systems designed for the specific demands of population health management.
Electronic health records have limitations for supporting effective population health management and care coordination required by health homes. While EHRs are designed for documenting care within provider systems, health homes require sophisticated technology to perform functions like comprehensive care planning, collecting a wide range of health data, and supporting continuous care workflows across multiple provider systems. Unlike EHRs, health management systems can enroll and track populations, establish networks, coordinate referrals, perform utilization review, and monitor quality/outcomes on a larger scale.
This document discusses strategies for achieving whole system change towards universal health coverage through primary healthcare renewal. It outlines that removing user fees, improving drug supply, maintaining health worker motivation, strengthening supervision and the gatekeeping role of primary care facilities requires considering the interlinkages of a system-level intervention. Whole system change to achieve good health at low cost requires effective primary care, fair financing, new health worker roles and payment mechanisms, and essential drug supply. Primary healthcare increases access, manages common health issues, prevents diseases, focuses on the individual and avoids unnecessary care. Universal health coverage aims to ensure all people obtain needed health services without financial hardship and requires raising funds, reducing financial barriers, allocating funds efficiently, meeting priority needs through integrated care
Healthcare administrators direct the operation of hospitals, health systems, and other organizations. They plan, direct, and manage finances, staff, and compliance with regulations. Healthcare administrators typically have a bachelor's degree and work in various medical facilities, insurance companies, and government offices. As the backbone of healthcare facilities, administrators improve efficiency and quality of care while dealing with changing regulations, technology, and healthcare delivery systems.
The document discusses evidence based healthcare and the process of evidence based medicine. It describes the 5 step process as asking questions, acquiring information, appraising the quality of evidence, applying the results, and assessing performance. Simple skills can help focus questions and basic rules can improve ability to critique literature. Simple math, not complex statistics, can help clearly describe study results.
The document provides an overview of different frameworks for conceptualizing health systems. It describes the World Health Organization's definition of a health system as including all organizations, people, and actions aimed at promoting, restoring, or maintaining health. It also outlines WHO's six building blocks of a health system: service delivery, health workforce, information, medical products/vaccines/technology, financing, and governance. Additionally, it summarizes key components of health systems from the perspectives of the World Bank, including financing, payment, organization of service delivery, regulation, persuasion, politics, ethics, and values.
The document discusses population health management and achieving healthy communities. It outlines major issues with the US healthcare system like uneven access to care. Real reform requires a focus on prevention, continuous care relationships, and evidence-based decisions. Population health management programs aim to maintain and improve people's health across different risk levels. Barriers to population health include fragmented care and misaligned incentives. Patient-centered medical homes and accountable care organizations show promise by emphasizing coordinated, team-based care. Automation and health information technology can help strengthen these models and drive effective population health management.
Health Economics In Clinical Trials - Pubricapubrica101
Pubrica specializes in Health Economics in Clinical Trials, offering comprehensive support to ensure the economic aspects of your trial are effectively managed. From cost-effectiveness analysis to budgeting and reimbursement strategies, we help you optimize the economic outcomes of your trial. With Pubrica's expertise, you can navigate the complex landscape of health economics in clinical trials with confidence.
For more information, please refer to our service- https://pubrica.com/blog/research/health-economics-in-clinical-trials/ & Order now - https://pubrica.com/order-now/
Contact Our UK Medical Author’s;
Our email id – sales@pubrica.com
Contact No. +91 9884350006
Achieving Rapid Cost Reduction and Revenue Improvement by Engaging Clinicians...PYA, P.C.
PYA Principal Kent Bottles, MD, gave the keynote address, “Achieving Rapid Cost Reduction & Revenue Improvement by Engaging Clinicians & Administrators,” at the recent Healthcare Financial Management Association’s (HFMA) 2014 Fall Institute in Bloomington, Indiana. In the presentation, he talked about how to engage physicians in all of the efforts needed to respond to the Affordable Care Act and healthcare payment reform.
The document provides an update from the North Carolina Association of Pharmacists (NCAP) executive director on various pharmacy issues in 2011. It discusses the roles pharmacists should play in healthcare reform, such as in accountable care organizations and medical homes. It also addresses immunization expansion, medication adherence costs, and challenges to evolving pharmacy practice. Financial and membership data for NCAP from 2009-2010 is presented.
Behavioral Health Staff in Integrated Care SettingsCHC Connecticut
Webinar broadcast on Feb 27, 2019 - 3:00PM EST
Delivering behavioral health services as a part of an integrated team is crucial to providing comprehensive primary care services. Focusing on the vital role of behavioral health, experts will share the key elements that maximize the contributions of these team members through structured approaches to screening, the use of “warm hand offs” to ensure connection to primary care, and implementing a robust group of treatment programs to enhance access and improve outcomes. This session will also discuss the day-to-day operation of a behavioral health program and detail the data and clinical dashboard that supports the work of these vital team members. There has been tremendous progress from health centers across the country in the integrating behavioral health, this webinar will share how integrated behavioral health can advance the team’s capability to provide effective and high quality care to complex patient populations.
This document summarizes the proceedings of an advisory panel meeting to discuss potential research topics for improving healthcare systems and patient outcomes. It provides an overview of the Patient-Centered Outcomes Research Institute's (PCORI) mission to fund research that discovers new information, allows for better decision making, and leads to better patient outcomes. Key areas of focus for potential research include care for chronic conditions, cancer, palliative care, pregnancy, and patients with multiple chronic conditions. The document discusses criteria for prioritizing research topics and provides brief summaries of 15 potential research topics for the advisory panel to review and rate.
This document provides an overview of the Heal n Cure medical wellness center and its Inspire program. Key points include:
- Heal n Cure offers primary care services through board certified physicians to treat the underlying causes of illness.
- The Inspire program implements recommendations to deliver multi-component wellness care including behavioral changes, medical treatment, education and personalized plans.
- Research shows the Inspire program reduces healthcare costs by decreasing urgent visits and invasive treatments for conditions like obesity, diabetes and heart disease treated through the program.
The document discusses the role of nurses and different models of care. It covers topics like the nursing process, assessment, biomedical and holistic models. The biomedical model focuses on the physical body, while the holistic model sees individuals as complex with psychological, social, cultural and spiritual factors influencing health. Over time, perspectives have shifted from biomedicine to recognize broader determinants. Public health aims to improve health through prevention, health promotion, and empowering individuals and communities. The document examines how nursing's role and understanding of health has evolved in relation to changes in models of care and public policy.
Engaging your patients & community in healthcare reform effortsRenown Health
1⁄2 FTE
Programs: Monthly lunch meetings with speakers; social events; newsletter;
volunteer opportunities; recognition events.
Benefits: Sense of community, camaraderie, purpose, connection to BH.
Major benefit to Development, Volunteers, Community Relations
22
Mini-Medical School
Began: 2001
Goal: Educate the community about health and wellness in an engaging, fun way.
Format: 6 weekly 2-hour sessions with MDs, RNs, other clinicians.
Topics: Heart disease, cancer, diabetes, women’s health, men’s health, nutrition.
Participants: 150-200 community members per session.
Cost: $
The Near Future of Healthcare Delivery - 2015 Policy Prescriptions® SymposiumCedric Dark
The symposium is designed for clinicians – physicians, nurses, nurse practitioners, physician assistants, and students – and healthcare executives interested in expanding their scope of knowledge about currently popular health policy topics.
Pharmacy's Emerging Role in Accountable Care Organizations (ACO)Parata Systems
Your pharmacy is an excellent partner for accountable care organizations. ACOs are formed by doctors, hospitals and other healthcare providers to improve health outcomes and lower overall medical expenses for a targeted patient population. Reimbursements are tied to patient outcomes.
ACOs’ highest-risk and highest-cost patients are those managing chronic illnesses and taking multiple medications a day. When your pharmacy can improve and track adherence – a key driver of readmission prevention and overall health – you are a valuable partner to help ACOs prevent unnecessary medical care.
Jamie Hale serves as the Chief Pharmacy Officer for Cornerstone Health Care where he is responsible for the development and integration of pharmaceutical care services in the Accountable Care Organization. He transitioned to Cornerstone in December 2012 after a 15 year career at Wake Forest Baptist Health, where he last served as Director of Pharmacy.
Download the full audio webinar at http://bit.ly/pharmacyACO.
The document outlines a presentation on marketing to referring physicians. It discusses the traditional model of in-person visits and events and how physician satisfaction is declining due to increased paperwork and stress. A new integrated marketing plan is proposed for Cooper University Hospital that focuses on building relationships through a quarterly publication called the South Jersey Medical Report, enhanced website content, social media, and a physician liaison program. Initial results showed an increase in referrals from non-Cooper physicians who are now more willing to refer patients to Cooper for cancer, heart, and neuroscience care.
The document outlines an agenda for a presentation on new models for aligning value-based incentives with physicians, systems, and payers. The agenda includes discussions on Humana's commitment to population health, Transcend's partnership framework and value-based reimbursement models, a physician perspective from Chauhan Medical Center in Florida, and how Saint Luke's Health System in Kansas City is preparing for the transition from fee-for-service models. An interactive session will examine organizational readiness to transform from volume-based to value-based care through discussions on clinical integration, leadership capabilities, physician engagement, market strength, and relationships with business partners.
As new payment models emerge that emphasize value over volume, providers are being compelled to look more closely at how to motivate patients—especially those with multiple chronic conditions—to actively manage their care, make better decisions and change behaviors. This editorial webinar will explore the relationships between engagement and improved health outcomes, greater patient satisfaction and better resource utilization. Our panel of experts will share proven strategies for building patients' confidence, disseminating self-management tools and making the best use of your care team.
The document discusses primary care and its role in an effective healthcare system. It outlines that primary care provides integrated, accessible care that focuses on prevention, chronic disease management, and care coordination. This results in better health outcomes and lower costs compared to healthcare systems without a strong primary care foundation. The principles of good primary care are described, including access, continuity, comprehensive team-based care, community orientation, and evidence-based practice. The patient-centered medical home model aims to incorporate these primary care principles.
Key Principles and Approaches to Populaiton Health mManagement - HAS Session 21Health Catalyst
Population Health Management is in its early stages of maturity, suffering from inconsistent definitions and understanding, and is overhyped by vendors and ill-defined by the industry. And yet, many systems are moving forward in innovative pioneering ways to address this growing trend. In this session, you will hear from two very different, successful health systems: a physician-led group and a large integrated delivery system. They will share their best practices, learnings, and different approaches to population health management.
The Chronic Care Model provides a framework to improve care for patients with chronic illnesses. It emphasizes productive interactions between informed, activated patients and prepared practice teams. The model includes six core elements: community resources, self-management support, delivery system design, decision support, clinical information systems, and organized healthcare systems. Studies show practices that more fully implement the model through interventions experience improved quality of care and patient outcomes. Randomized controlled trials demonstrate the Chronic Care Model is effective across different chronic conditions. While implementation presents challenges, the evidence indicates the Chronic Care Model can successfully redesign care for chronic illness.
This document discusses the rising costs of health care and challenges of managing care. It defines health care systems and managed care, which aims to reduce costs and improve quality. The objectives are to understand health and managed care, opportunities and threats to health care systems, and challenges like rising costs and shortage of professionals. Data was collected through questionnaires on costs and challenges from patients and families. The conclusion is that individuals cannot rely solely on the health care system and must also focus on self-care due to rising costs and quality challenges facing the system.
Similar to Cfo Magazine Nura Life Sciences Webinar Presentation On Integrative Medicine For Self Insured Payors (20)
April 16 sasb delta series financials iw gs & standards overviewLeland Lehrman
The document provides an agenda for an event discussing sustainability accounting standards for the financial sector. It includes sessions on integrating environmental, social, and governance (ESG) factors into investment analysis and valuation, the development of SASB standards for different financial industries through working groups, and current gaps in sustainability reporting among financial companies. The event aims to help financial firms improve their ESG disclosure and performance.
M-Cam Presentation to the Federal Reserve re: intangible asset collateralizationLeland Lehrman
This document discusses capital flows in the knowledge economy and financing intangible asset-rich enterprises. It notes that intangible assets like patents, trademarks, and copyrights have been important for incentivizing innovation for centuries. While often thought of as a modern concept, intangible assets were also crucial in the 19th century, fueling disputes and serving as reparations. The document argues that two misconceptions have emerged: that innovation is only for small businesses due to lack of collateral, and that intangible assets require government funding. It aims to correct these views and outline a more efficient private market approach to financing innovation.
The document is a report from WWF published in September 2012 that provides criteria for responsible investment in agricultural, forest, and seafood commodities. It identifies key environmental and social risks posed by these commodity sectors and establishes performance criteria for companies. The foreword notes that while demand is growing for these soft commodities, their production can significantly impact the environment and communities. It argues that investors need to properly understand these impacts and that the report provides a framework to evaluate companies' sustainability performance. The foreword emphasizes that responsible production in these sectors offers opportunities for mainstream investment through competitive advantages like cost reductions and market access.
This document summarizes a report on financial stability and systemic risk. It discusses the need for improved understanding of broader systemic risks, better governance of financial markets and institutions, and clearer fiduciary responsibility. The report examines six areas of the financial system - over-the-counter markets, institutional investors, stock exchange listing requirements, banking regulations, rating agencies, and insurance solvency rules - and argues that principles of sustainable finance can inform policies to increase stability and resilience in each of these areas. It aims to foster discussion between policymakers and the sustainable finance community on building a financial system that supports long-term sustainable growth.
The document summarizes the results of the Independent Research in Responsible Investment Survey 2012. It provides key findings on the role of independent SRI and CG research in integrated analysis. It also lists the questions asked in the survey related to corporate governance research, SRI research, sales and client relations, research innovation, asset managers, and quoted companies.
2. CFO Playbook
on Health Care Cost Management
Guests:
• Wayne H. Miller, founder and CEO of Nura Life
Sciences
• Dr. Leonard A. Wisneski, MD, FACP, clinical professor
of medicine at George Washington University Medical
Center, adjunct faculty in the division of integrative
physiology at Georgetown University
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3. CFO Playbook
on Health Care Cost Management
• Self-funded corporate health care plans lack efficacy
data.
• As a result, the 50-year-old health care payment
system has become dysfunctional.
• What is needed is an EVA approach to health care
cost management which focuses on value.
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4. CFO Playbook
on Health Care Cost Management
• Why is efficacy data missing?
• The health care system was never built to collect the
data.
• U.S. HHS official: “We don’t have a way to pay for
things that work.”
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5. CFO Playbook
on Health Care Cost Management
Anecdote from an official at a Fortune 100 company
that spends $100 million per month on health care:
“We don’t have any data.”
No quantitative basis of how we will allocate the
$1.2 billion health care budget.
This is how the self-insurer health care
ecosystem works.
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6. CFO Playbook
on Health Care Cost Management
• The backbone of the health care payment system is
coding.
• Coding is based on how much training a
doctor/practitioner has gone through, plus how much
time a treatment takes.
• But no data is collected related to telling companies
whether what they are paying for what works.
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7. CFO Playbook
on Health Care Cost Management
• The embedded dysfunction of the health care
payment system influences the behavior of
constituents.
• As a result, it is nearly impossible to create incentives
to help create a more efficient system.
• In addition, the current payment system does not
capture the activities of more than one million
practitioners that work in the integrated medicine field.
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8. CFO Playbook
on Health Care Cost Management
• Until you access the data where it lives in
the process, you will be unable to build
efficiency into the system.
• Currently, the system pays for the time of
the activity, not the value.
• As a result, incentives are misaligned.
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9. CFO Playbook
on Health Care Cost Management
• If real-time, health-treatment data is
captured, that information would help
corporations drill down into which treatments
work and which ones don’t.
• Integrated medicine is a multidisciplinary
approach to health care, similar to the way a
money manager uses a portfolio approach to
diversify risk.
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10. CFO Playbook
on Health Care Cost Management
• How does having this data reduce corporate
health care costs?
• Using an integrated approach that includes
conventional and alternative medical
treatments drives value into your capital
spending.
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11. CFO Playbook
on Health Care Cost Management
Capturing the data is something only the private
sector can do.
Private sector capital is at risk.
Corporations know how to use data to
drive efficiencies.
This is similar to a supply chain exercise,
which corporations regularly control.
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12. CFO Playbook
on Health Care Cost Management
• Some self-funded plan data can be found:
Existing third-party administrators;
Mining claims data.
• However, there are system snags:
Treatment innovation that is more
expensive is more acceptable;
Treatment innovation that is less
expensive cannot be measured or value
quantified.
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13. CFO Playbook
on Health Care Cost Management
• Budgeting & forecasting health care costs have
traditionally relied on increasing last year’s
spending.
• Yet the forecasting goal should be to reduce
last year’s expenditures related to chronic
conditions by 20% (chronic conditions account
for 75% of all corporate expenditures).
• Compensation incentives should drive this
cost-reduction effort.
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14. CFO Playbook
on Health Care Cost Management
Dr. Leonard Wisneski
A presentation within today’s presentation that
will:
Define integrated medicine for corporate
executives;
Highlight research results from the
Bravewell Collaborative;
Identify chronic pain as being paramount
to lost employee time.
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16. A ROSE BY ANY OTHER
NAME
• Integrative Medicine- Universities, Public
• Complementary and Alternative Medicine
(CAM) - Government
17. National Center for Complementary &
Alternative Medicine (NCCAM)
1. Formed in 1998 by Public Law 105-277
2. Authorization
a) Conduct scientific research on CAM
b) Train researchers
c) Disseminate authoritative information about
CAM to the public and health professionals
d) 15 R 25 grants were awarded between 2000-2003
in order to support the incorporation of CAM
information into allopathic health professions
schools curricula at the undergraduate, graduate,
and continuing education levels
18. Definition of CAM
NCCAM
Health promotion, illness prevention,
and healing practices that are outside
what is considered to be conventional
medicine.
19. NCCAM
“Integrative Medicine should integrate the
most effective treatments for patients by
combining both conventional and
alternative approaches to address all
aspects of health and wellness – biological,
psychological, social, and spiritual.”
20. Consortium of Academic Health Centers
for Integrative Medicine (51 med schools)
“The practice of medicine that reaffirms the
importance of the relationship between
practitioner and patient, focuses on the whole
person, is informed by evidence, and makes
use of all appropriate therapeutic approaches,
healthcare professionals, and disciplines to
achieve optimal health and healing.”
21. NIH/NCCAM
CLASSIFICATION OF CAM
1. Whole Medical 2. Mind-Body
Systems Medicine
• Traditional • Biofeedback
Chinese Medicine • Hypnosis
• Ayurveda • Meditation
• Homeopathic • Prayer
Medicine • Others
• Others
22. NIH/NCCAM
CLASSIFICATION OF CAM
3. Biologic-Based 5. Energy Therapies
Therapies • Therapeutic Touch
• Dietary Therapy • Qi Gong
• Herbal Medicine • Bioelectric Field
• Neutraceuticals Manipulation
4. Manipulative/Body • Reiki
Based Methods • Diagnostic Devices
• Osteopathic • Therapeutic Devices
Manipulation
• Chiropractic
Medicine
• Massage Therapy
23. Integrative Medicine:
Proposed Classification
1. Conventional Diagnostics and Therapeutics
2. Traditional Medical Systems
3. Bioenergetic Medicine
4. Nutritional Based Therapeutics
5. Manipulative/Body-Based Therapies
24. THE EMERGING
PHILOSOPHY OF MEDICINE
• Remember the Healing Power of Nature
• View the Whole Person
• Identify and Treat the Cause
• The Physician Is a Teacher
• Prevention Is the Best Cure
25. “Students must have sufficient knowledge of the
commonly employed alternative remedies to
counsel patients about those that are harmful,
those that might interact adversely with
prescribed medications, those that are harmless
and can be used with impunity, and those that
have been shown to be beneficial.”
Jordan J. Cohen, President of AAMC
Academic Medicine, June 2000
26. RECENT HISTORICAL MILESTONES
President Clinton establishes the White House
Commission on Complementary and Alternative
Medicine Policy (2000).
Founding of the Consortium of Academic Health
Centers for Integrative Medicine (2000).
Formation of the Integrated Healthcare Policy
Consortium (2001)
Institute of Medicine CAM Conference (2003)
Institute of Medicine CAM Conference (2009)
Integrative Medicine in America Report (2012)
27. SPECIALTY CENTERS FOR CAM
RESEARCH AND PRACTICE
Several academic centers including:
• University of • University of
Colorado Pennsylvania
• Harvard University
• Emory University
• Johns Hopkins
University • Georgetown
• University of University
Maryland • Oregon Health
• UCLA Sciences University
• University of Arizona • Scripps
• Others
28.
29. SITE SELECTION AND METHODS
• 60+ sites identified from Bravewell Clinical Network,
Consortium of Academic Health Centers for
Integrative Medicine and suggested by IM leaders
• 29 chosen to represent the field
• Directed by MD, other doctoral level provider or nurse
• In operation at least three years
• Significant patient volume
• Prior clinical contributions to the field
• Sites only delivering non-conventional care not included
• Directors responded to REDCap-based questionnaire
• Site visits made by study team for qualitative data
30. WHO WE ARE
• AFFILIATIONS
• 27 centers affiliated with a specific hospital
• 26 centers affiliated with a healthcare system
• 25 centers affiliated with a medical school
• 1 center affiliated with a nursing college
• CARE MODELS
• 26 offer consultative care
• 18 offer comprehensive care
• 13 offer primary care
• 15 offer inpatient services at affiliated hospital
• RESEARCH AND EDUCATION
• 25 centers involved in research and 25 in provider education
31.
32.
33. THE NUMBERS GAME
• 29 Centers
• Questioned about treatment of
• 20 Medical Conditions
• Using
• 34 Interventions
• YIELDS A LOT OF NUMBERS!!!
34.
35.
36.
37. CONCLUSIONS AND NEXT STEPS
• Integrative Medicine is an established part of
healthcare in the US with increasing acceptance
and demand
• Integrative Medicine is truly integrative
• Integrative Medicine is being practiced in diverse
sites with high concordance for specific conditions
suggesting practice is evidence-informed
• Prospective outcomes data and cost-effectiveness
data should be collected
• Systems to further identify and share best practices
among centers and practitioners should be
developed
39. IHPC
• Broad coalition of healthcare organizations,
clinicians, patients and educators
• IHPC advocates for public policy that ensures
all Americans access to safe, high quality,
integrative, whole person healthcare
• Integrative healthcare includes conventional,
complementary and alternative disciplines in a
collaborative effort to influence the future of
healthcare delivery in the United States
40. IHPC Mission
To direct the national healthcare agenda towards
a health-oriented, integrative system, ensuring
all people access to the full range of safe and
regulated conventional, complementary, and
alternative healthcare professionals, therapies,
and products, and to the building blocks of
health, including clean air, water, and a healthy
food supply.
41. IHPC Accomplishments
• National Policy Dialogue 2001
(Georgetown University)
• National Educational Dialogue 2004
(Georgetown University)
• National Stakeholders Conference 2010
(Georgetown University)
• Responsible for several inclusions in ACA
• Congressional Briefings 2011-2012
42. Affordable Care Act
• Section 2706: Non-discrimination in healthcare
• Section 3502: Inclusion of CAM practitioners in the
Medical Home
• Section 4001: National Prevention, Health Promotion,
and Public Health Council
• Section 4206: Demonstration projects concerning
individualized wellness plans
• Section 5001: National Healthcare Workforce
Commission
• Section 6301: Patient-Centered Outcomes Research
• Section 2301: Coverage for freestanding birth center
services
43.
44. CFO Playbook
on Health Care Cost Management
Next steps:
• Collect data;
• Create a business model that funnels the right
health care data into your working capital;
• Reduce total cost of self-insured health care
plans.
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45. CFO Playbook
on Health Care Cost Management
Special invitations to CFOs
• Create a list of 10 clinical conditions/areas on
which your company spends the most amount
of money.
• Send the list to Wayne Miller who will produce
a cost comparison between your current
expense and the potential savings derived from
a self-funded plan that includes conventional
and integrated medicine.
Email: healthcare@cfo.com
Email subject line: Health Care Cost
Comparison
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46. CFO Playbook
on Health Care Cost Management
Special invitations to CFOs
• If you already understand the benefits of an
EVA approach to health care plans, and would
like to find out more about participating in a
demonstration project to lower your plan costs
contact Wayne Miller.
Email: healthcare@cfo.com
Email subject line: Interested in
Demonstration Project
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47. CFO Playbook
on Health Care Cost Management
Special invitations to CFOs and their colleagues:
• Join the discussion about using an EVA approach
to reduce self-funded health care costs
Discussion Group on LinkedIn:
http://linkd.in/QGhmy4
All participants in today’s webcast are pre-
approved to join the LinkedIn discussion
group.
Stay tuned to our next CFO Playbook Webcast on
Thurs., Oct. 10, starting at 2 pm Eastern time –
The CFO Playbook on Risk Management: Best
Practices from the London Olympics
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