In this edition....Summaries of innovation projects
Resident transfers from aged care facilities to emergency departments: Can they be avoided?
NSW Trauma App
Queensland’s Digital Hospital
Investigating the relationship between emotional intelligence and transformation leadership in Nurse Managers
Embedding Consumer Engagement in Organisational Governance — Moving Consumers on Committees from Tokenistic to Having an Impact
UK Report Alcohol’s Impact on Emergency Services
Showcases digital health implementation in Ontario
hospitals.
Each story is focused around a key challenge,
an explanation of the process taken to address it, and
a reflection on the impact
Showcases digital health implementation in Ontario
hospitals.
Each story is focused around a key challenge,
an explanation of the process taken to address it, and
a reflection on the impact
Un nuovo perspective dedicato all'importanza della trasparenza nel settore sanità, con un confronto internazionale - A cura di Daniela Scaramuccia, Partner, e Nunzio Guida, Associate dell'ufficio di Milano Dicembre
Summary -- Patient Centered Medical Home the Necessary Foundation for Accountable Care and Population Management.
In the next 10 years, we will be living in 1) mobile world 2) in the middle of an aging and chronic disease epidemic and 3) data. But , we will also have the ability to analyze data in a cognitive way this will do for doctors’ minds what X-ray and medical imaging have done for their vision. How? By turning data into actionable information. Take, for instance, IBM’s intelligent supercomputer, Watson. Watson can analyze the meaning and con-text of human language and quickly process vast amounts of information. With this in-formation, it can suggest options targeted to a patient’s specific circumstances.
We need the basic foundation to support this transformation a system integrator where data at the level of a patients flows and is held accountable and that model is the Patient Centered Medical Home. (PCMH) starts to happen when clinicians/ healers step up to comprehensive relationship based care empowered by tools to manage the data and communicate effectively. This move to PCMH level care requires the discipline of leading a team that delivers population health management, patent centered prevention, care that is coordination, comprehensive accessible 24/7 and integrated across a deliver system and all of that is power by data made into meaningful information.
But at its core it is a move toward integration of a healing relationship in primary care and population management all at the point of care with the tools to do just that.
The Patient-Centered Medical Home (PCMH) lies at the center of the effort to get at population health, integrated and coordinated care. PCMH is where the Primary care healer leads an organization that delivers clinician-led primary care, with comprehensive, accessible, holistic, coordinated, evidence-based coordination and management. In the USA this is now the standard in the US Veterans Administration and the US Military and under the ACA.
Engaging the hard_to_engage_through_innovative_channelsGeorge Van Antwerp
A presentation from the Care Continuum Alliance (CCA) that I gave with Aetna 2 years ago. I found it posted online and decided to share it.
http://www.carecontinuumalliance.org/theforum11/Presentations/Engaging_the_Hard_to_Engage_Through_Innovative_Channels.pdf
Patient relationship management on the cloudComidor
Healthcare organizations have realized that having long-term relationships with their customers can help improve their satisfaction and general health. As a result they want to build strong relationships with their patients.The best way to achieve that is the use of Patient Relationship Management (PRM).
The system of delivery within health care has always been on the change and rise due
to technology along with self-care, health care, development, education, and creating a healthy society. As the old saying goes, “where there is good health there is also good financial wealth” and this is where the formation of the ACA took place and a new integrated delivery system created.
The Future of Personalizing Care Management & the Patient ExperienceRaphael Louis Vitón
Actionable segmentation model findings - by Raphael Louis Vitón & Dream team of industry experts, physicians and leaders from Blue Cross, GEHealthCare, RingLeaderVentures, Maddock Douglas, Dr.Daniel Friedland, etc working on improving health outcomes by Personalizing the Care Management business model for Better Outcomes & Better Economics (through patient empowerment)
Perficient Perspectives: The Evolution of Social Media in HealthcarePerficient, Inc.
Healthcare organizations continue to navigate the transforming healthcare industry and identify new avenues to engage with consumers outside of the facility walls. In a fast-paced, information-dominated world, successfully interacting with consumers may seem like a daunting task. The key is to connect with consumers where they are and provide them with actionable health and wellness information they need to live a healthier life.
When you think of social media in healthcare you might think it is a tool for marketing, but it goes much farther than that. Sure, social media can be used to attract and retain consumers, but social media can also be a powerful tool to reduce healthcare costs and help with chronic disease and population health management.
Healthcare organizations are in varying stages of becoming social enterprises, from social innovators like Mayo Clinic to those beginning the journey to developing a comprehensive social media strategy.
In this perspective, we take a look at the evolution of social media in healthcare and discuss what social media in healthcare will look like in the future.
The patient-centered medical home (PCMH), an approach designed to rebuild primary care and improve care coordination, has become a major focus of healthcare reform. Thousands of physicians are already participating in medical home pilot projects across the country. Now is the time for practices to investigate the information technology tools that will help them medical home certification requirements.
Change Champions & Associates February 2016 Newsletter sharing innovations in health care from around Australia and NZ
12 pages of the latest innovation news
+
Info about Change Champions forthcoming events with more details at http://www.changechampions.com.au.
Un nuovo perspective dedicato all'importanza della trasparenza nel settore sanità, con un confronto internazionale - A cura di Daniela Scaramuccia, Partner, e Nunzio Guida, Associate dell'ufficio di Milano Dicembre
Summary -- Patient Centered Medical Home the Necessary Foundation for Accountable Care and Population Management.
In the next 10 years, we will be living in 1) mobile world 2) in the middle of an aging and chronic disease epidemic and 3) data. But , we will also have the ability to analyze data in a cognitive way this will do for doctors’ minds what X-ray and medical imaging have done for their vision. How? By turning data into actionable information. Take, for instance, IBM’s intelligent supercomputer, Watson. Watson can analyze the meaning and con-text of human language and quickly process vast amounts of information. With this in-formation, it can suggest options targeted to a patient’s specific circumstances.
We need the basic foundation to support this transformation a system integrator where data at the level of a patients flows and is held accountable and that model is the Patient Centered Medical Home. (PCMH) starts to happen when clinicians/ healers step up to comprehensive relationship based care empowered by tools to manage the data and communicate effectively. This move to PCMH level care requires the discipline of leading a team that delivers population health management, patent centered prevention, care that is coordination, comprehensive accessible 24/7 and integrated across a deliver system and all of that is power by data made into meaningful information.
But at its core it is a move toward integration of a healing relationship in primary care and population management all at the point of care with the tools to do just that.
The Patient-Centered Medical Home (PCMH) lies at the center of the effort to get at population health, integrated and coordinated care. PCMH is where the Primary care healer leads an organization that delivers clinician-led primary care, with comprehensive, accessible, holistic, coordinated, evidence-based coordination and management. In the USA this is now the standard in the US Veterans Administration and the US Military and under the ACA.
Engaging the hard_to_engage_through_innovative_channelsGeorge Van Antwerp
A presentation from the Care Continuum Alliance (CCA) that I gave with Aetna 2 years ago. I found it posted online and decided to share it.
http://www.carecontinuumalliance.org/theforum11/Presentations/Engaging_the_Hard_to_Engage_Through_Innovative_Channels.pdf
Patient relationship management on the cloudComidor
Healthcare organizations have realized that having long-term relationships with their customers can help improve their satisfaction and general health. As a result they want to build strong relationships with their patients.The best way to achieve that is the use of Patient Relationship Management (PRM).
The system of delivery within health care has always been on the change and rise due
to technology along with self-care, health care, development, education, and creating a healthy society. As the old saying goes, “where there is good health there is also good financial wealth” and this is where the formation of the ACA took place and a new integrated delivery system created.
The Future of Personalizing Care Management & the Patient ExperienceRaphael Louis Vitón
Actionable segmentation model findings - by Raphael Louis Vitón & Dream team of industry experts, physicians and leaders from Blue Cross, GEHealthCare, RingLeaderVentures, Maddock Douglas, Dr.Daniel Friedland, etc working on improving health outcomes by Personalizing the Care Management business model for Better Outcomes & Better Economics (through patient empowerment)
Perficient Perspectives: The Evolution of Social Media in HealthcarePerficient, Inc.
Healthcare organizations continue to navigate the transforming healthcare industry and identify new avenues to engage with consumers outside of the facility walls. In a fast-paced, information-dominated world, successfully interacting with consumers may seem like a daunting task. The key is to connect with consumers where they are and provide them with actionable health and wellness information they need to live a healthier life.
When you think of social media in healthcare you might think it is a tool for marketing, but it goes much farther than that. Sure, social media can be used to attract and retain consumers, but social media can also be a powerful tool to reduce healthcare costs and help with chronic disease and population health management.
Healthcare organizations are in varying stages of becoming social enterprises, from social innovators like Mayo Clinic to those beginning the journey to developing a comprehensive social media strategy.
In this perspective, we take a look at the evolution of social media in healthcare and discuss what social media in healthcare will look like in the future.
The patient-centered medical home (PCMH), an approach designed to rebuild primary care and improve care coordination, has become a major focus of healthcare reform. Thousands of physicians are already participating in medical home pilot projects across the country. Now is the time for practices to investigate the information technology tools that will help them medical home certification requirements.
Change Champions & Associates February 2016 Newsletter sharing innovations in health care from around Australia and NZ
12 pages of the latest innovation news
+
Info about Change Champions forthcoming events with more details at http://www.changechampions.com.au.
Presenters at this seminar will showcase their innovations programs and share their knowledge on outpatient service improvement with 20 minute presentations on topics such as:
1. Reconciling demand and capacity to drive throughput and reduce wait lists
· managing ratio and discharge strategies to generate capacity
· contribution of activity based funding as a driver for improved service delivery
· data collection as a tool for predicting future resource requirements
2. Improving referrals, referral management, bookings and scheduling etc (eg through centralised hubs etc)
3 . Successful pathways that cover the continuum of care from referral to discharge
4. Innovations in service and care integration (including acute, hospital avoidance, ambulatory, intermediary, primary care networks, GP Super Clinics, community and outreach services)
5. Clinical redesign and flow improvement strategies
6. Patient focused models of care (including nurse/allied health led, reduce burden of patient transport etc)
7. Stakeholder engagement strategies that have delivered demonstrable outcomes for outpatients
· public private partnerships
· new business models that create opportunities to improve capacity
8. Information technologies as a tool for supporting the integrated delivery of efficient outpatient services
Presentationen användes vid workshop 13 maj 2013 arrangerat av AS3. Tema: Använda LinkedIn i din jobbsökning. Materialet får ej kopieras utan vårt medgivande.
RECOMMENDING AN EVIDENCE-BASED PRACTICE CHANGEWALDEN U.docxaudeleypearl
RECOMMENDING AN EVIDENCE-BASED PRACTICE CHANGE
WALDEN UNIVERSITY
JULY 28, 2019
Recommending an Evidence-Based Practice Change
My Facilityl is focused on providing quality healthcare to all patients regardless of their differences.
The facility is has a culture of embracing change as long as it helps in improving the patients’ health outcomes.
However, since our hospital is a community-based health service facility, there are some of things that need to be changed.
The healthcare facility offers cancer services including screening and management services. Screening is offered to the community occasionally when the facility organizes cancer awareness where they get more cancer professionals from other hospitals to help provide screening services to the people.
Recommending an Evidence-Based Practice Change
The problem facing the healthcare facility currently is the lack of cancer screening awareness among the community members and enough oncologists.
Cancer screening services require advanced technology and machines to ensure detection and diagnosis of cancer.
Cancer is one of the top diseases causing high mortality rates around the world presently.
The federal and national government are the key stakeholders who need to provide the hospitals with funds for purchase of cancer screening machines and hiring of enough oncologists.
The risk involved with this change is the cancer screening costs which might not be affordable to all people.
Organization Description and Readiness for Change
Recommending an Evidence-Based Practice Change
Increasing cancer screening awareness can be done in the community especially in various institution where many people come together.
Cancer screening awareness can also be increased by passing the information on importance of screening in social media and also for every patient that visits the hospital.
Cancer screening services should also be done freely to attract more people to go for screening services.
The facility can implement these changes by training all the nursing staffs and physicians on cancer screening information so they can pass the information to all the people they interact with and attend.
*
Recommending an Evidence-Based Practice Change
One of the measurable outcomes that can be achieved with the implementation of cancer screening awareness is the early detection of different types of cancers like colorectal, breast, cervical, prostate, among others (Alfa Scientific Designs, 2017).
The second outcome is the education on prevention strategies that people could adopt to help prevent cancer by educating the people on some of the cancer risk factors (Alfa Scientific Designs, 2017).
The awareness can also help in acknowledging the existence of screening services in the healthcare facility.
Knowledge of the early signs associated among the public could also be achieved through awareness campaigns.
Overall Quality Improvement in Processes: Continuous quality improvement initiat ...
While the cost of living in an assisted living community is often a shock to perspective residents, it is important to understand the value proposition of any facility you are considering to fully appreciate what your money is paying for. At United Methodist Communities, our non-profit, faith based mission insures that the costs of your care, pay for your care, and not corporate profits. Visit https://umcommunities.org/
RUNNING HEAD: Progress Report1
Senior Project Progress Report
Melonie Lindsey
HCA 459
Vicki Sowle
June 2, 2014
Topic:
The topic that I selected for my senior project was “challenges of employee recruitment and retention of health care professionals”. I chose this topic because it is a growing problem among the healthcare institutions. The professionals who are capable of delivering best efforts in health care institutions are less in number and the opportunities that they have in this modern world are a lot. The human resources department of health care institutions adapt many modern ways to overcome these challenges. It is very interesting to understand such modern methods of human resources department for employee retention. At the same time, it’s interesting to visualize how the employees react to the actions performed by the human resources department of such healthcare institutions. In case the human resources department is unable to retain their employees irrespective of the hard measures taken by them, the backup plans executed by them in such cases are also worth studying.
Organization Specific Rationale:
New York Presbyterian is the health care organisation that I have selected for my senior project. This health care organisation is one of the top medical service providers in US. They have won several awards for maintaining good quality in delivering the health care services. The latest award that they have won is the “Energy Star Award” from EPA. This health care organisation offers a wide variety of medical services for their patients. The staff of this organisation is highly capable of delivering the best results. (http://nyp.org/, n.d.)
There are several challenges and opportunities that impact the balance between the health care costs for this organisation. Although NYP (New York Presbyterian) is a known name in medical field, it has to enforce several strict measures to control the cost and maintain steady income. The services offered by NYP are high class services so it’s not necessary that all the insurance plans cover it. Therefore only a specific category of patients can afford to have a treatment from this hospital. The running cost of the medical equipment installed in this hospital is also very high therefore the government aides are often necessary for this hospital. The salaries of the staff (including doctors) is also a major expense for the organisation.
NYP does not compromise with the quality of the health care services. Although the cost is directly proportional to the quality, the organisation manages its cost in such a way that the reputation of the hospital is never at stake. The multiple awards that are received by NYP is a result of the consistent reputation of the hospital is never at stake. The multiple awards that are received by NYP is a result of the consistent quality delivery. (http://nyp.org/services/index.html, n.d.)
Training:
The intended audience for this training can include t.
In November 2013, the Government published “Hard Truths”, its response to the Public Inquiry into the
failings at Mid Staffordshire NHS Foundation Trust. This establishes beyond any lingering doubt the importance of the fundamental principles of quality and safety of care.
At the same time, the NHS is having to manage the significant pressures on precious but reducing resources – staff time as well as funding. Anything that diverts resources from direct patient care must be justified.
It is in this context that we have seen renewed interest in the need to reduce unnecessary burden and bureaucracy which gets in the way of direct patient care, starting initially on the burden generated by national data collections.
DQ1Sierra CossanoMy change proposal is being implemented in thDustiBuckner14
DQ1
Sierra Cossano
My change proposal is being implemented in the ICU. The intervention is implementing communication tools and processes that are evidence based to improve nursing sensitive indicators in the ICU. The internal stakeholders are the ICU staff and the hospital. The external stakeholders are the community that is served by the hospital. Our hospital works off of a relationship-based care (RBC) model. RBC is a culture transformation model and an operational framework that improves safety, quality, patient satisfaction, and staff satisfaction by improving every relationship within an organization (Gallison & Kester, 2018). The core of workforce engagement is the reignighting of joy and meaning for nurses. The joy and satisfaction in having a sense of accomplishment and significance in the work through processes leading to successful outcomes. RBC speaks to how we treat patients, family, and each other. Internal stakeholders all work off this model in this organization. However, covid greatly challenged relationship based care principles by limiting how we interact with each other and our patient families. That in person piece is missing for many patients still. In this organizational transition back to pre-covid practices, meetings, and policies staff are looking for guidance to unify and strengthen the workforce. It is a good segway into external stakeholders. Our nurses and other staff are also members of the community served by the hospital. Therefore, the internal stakeholders all face the real fact that they too receive their care here and have an interest in the quality of care provided. This community funded hospital has been influenced by local donors, architects and artists. Donors play a large role in celebrating the staff and creating this sense of meaning and significance for hospital staff. In a relationship based care model, these gestures serve a huge purpose and allow the hospital to recognize staff in unique ways. The positive factor here is that the nurses have come out of this powerless feeling covid left them with. Small gestures that build trust between nursing and management create a more productive work environment. This is done through clear concise communication, open discussion, and acting on feedback from staff.
Gallison, B., & Kester, W. T. (2018). Connecting Holistic Nursing Practice With Relationship-based Care: A Community Hospital’s Journey. Nurse Leader, 16(3), 181–185. https://doi-org.lopes.idm.oclc.org/10.1016/j.mnl.2018.03.007
DQ1
Virginia Gallardo
Stakeholder involvement is crucial for the successful implementation of the change proposal project. Stakeholders are those who are interested in the change proposal project, such as nurses, patients, and suppliers. They can affect or be affected by the organization's actions, objectives, and policies (Lubbeke et al., 2019). We must assess our work environment to identify all relevant stakeholders. Failure to do so can negatively affect the project ...
Read about some of the innovative solutions we offer for better healthcareCGI
Delivering healthcare is one of the most complex human activities. In recent decades, major transitions have taken place in diagnostics, pharmaceuticals and treatments resulting in shorter length of stay in healthcare facilities. The current transition to more personalised care and to longer term managed care pathways means that healthcare IT systems are changing direction. But this change may not happen smoothly.
QIPP end of life care event report - Great practice showcase – Birmingham (28 February 2012) - 05 September 2011
The Midlands and East QIPP end of life care great practice showcase event was held in February 2012. It brought together over 80 commissioners, end of life care managers and clinical staff to learn more about the tools and resources available to meet the QIPP challenge at end of life.
The event report summarises the key learning from the day, including an overview of presentations, links for further information on marketplace exhibitors and good practice case studies looking at:
Find your 1% campaign
e-Learning for care homes in the East of England
Time to Talk initiative across NHS East Midlands
The use of mobile working devices for Birmingham hospice staff.
Publication by the National End of Life Programme which became part of NHS Improving Quality in May 2013
The Future of Specialized Health Care ProvidersJosinaV
This project is for the game-changers and rabble-rousers working within health care to create much needed transformation within the industry. For those that are frustrated with the way things are and seek a better future, this project is an example of the power of foresight to provoke deep insights and inform thoughtful strategic directions.
This project was completed by Phouphet Sihavong, Uma Maharaj, and Josina Vink as part of Ontario College of Art and Design University’s (OCADU) Master of Design in Strategic Foresight and Innovation (SFI) program in Toronto, Ontario.
9 Actionable Healthcare Tweets from HIMSS 2015Buddy Scalera
9 tweets and action items for healthcare marketers and content strategists, as developed by Marilyn Cox @MarilynECox (Oracle) and Buddy Scalera @MarketingBuddy.
Be sure to visit: http://www.slideshare.net/americanregistry
Collaborated with the Mayo Clinic's Centre for Innovation on a team project to envision a 2035 future for specialized healthcare providers. Researched trends and drivers from a social, technological, economic, political, environment and values perspective and applied strategic foresight/futures methods to create possible future outcomes. Designed strategies to influence a positive future and mitigate against negative outcomes. The final report was used by the clinic as an innovation input for their multi-year strategic planning activities.
Check out the very latest on innovations projects from Australia and around the world....and then there are our bespoke soft skills workshops designed to support managers in VUCA workplaces
Over the last decade we have seen an increasing emphasis on improving efficiency an cutting waste in healthcare. In this seminar, the focus is on showcasing successful initiatives to improve patient flows, especially those where there is evidence of sustainability over time.
A practical seminar that's designed to help you pick up tips for improving consumer and carer engagement. REGISTRATIONS OPEN at http://www.changechampions.com.au
Are you ground down from working in an aggressive environment where your manager is also stressed to the max?
Are you under constant pressure and fighting to stay on top of what you need to do?
Are you leading a team fatigued by change with more on the horizon?
Are you providing services where patient/client/customer demand cannot be adequately met?
Working in health (and other industries) is challenging and often stressful. There are heavy workloads, insufficient
resources to meet demands as well as high expectations from patients. When you combine these pressures with the complexity and risk of the work, the inherent emotional labour and constant change, resilience becomes a key requisite for working effectively. Register at http://www.changechampions.com.au
How do you manage your energy every day?
If you are over trying to manage your time so that you can do everything on your wish list on time all the time, this workshop might be for you.
Are you ground down from working in an aggressive environment where your manager is also stressed to the max?
Are you under constant pressure and fighting to stay on top of what you need to do?
Are you leading a team fatigued by change with more on the horizon?
Are you providing services where patient/client/customer demand cannot be adequately met?
Working in health (and other industries) is challenging and often stressful. There are heavy workloads, insufficient resources to meet demands as well as high expectations from patients. When you combine these pressures with the complexity and risk of the work, the inherent emotional labour and constant change, resilience becomes a key requisite for working effectively.
Register as an individual or rally the team and enjoy a 20% discount on the registration
fee when you register 4 or more people at once.
This full day workshop is for those of you who are still trying to fathom the value of using social media and how your clients or customers might benefit. It will also help you to navigate in a benefit focused approach the plethora of platforms that are on offer
"Glenn is remarkably knowledegable in this area. An excellent presentation, easy to listen to, informative and comfortable environment to ask questions and feel heard and respected" - Sally Wade, Operations Manager, Corangamite Libraries Corporation, VIC
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
How many patients does case series should have In comparison to case reports.pdfpubrica101
Pubrica’s team of researchers and writers create scientific and medical research articles, which may be important resources for authors and practitioners. Pubrica medical writers assist you in creating and revising the introduction by alerting the reader to gaps in the chosen study subject. Our professionals understand the order in which the hypothesis topic is followed by the broad subject, the issue, and the backdrop.
https://pubrica.com/academy/case-study-or-series/how-many-patients-does-case-series-should-have-in-comparison-to-case-reports/
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
We understand the unique challenges pickleball players face and are committed to helping you stay healthy and active. In this presentation, we’ll explore the three most common pickleball injuries and provide strategies for prevention and treatment.
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
Welcome to Secret Tantric, London’s finest VIP Massage agency. Since we first opened our doors, we have provided the ultimate erotic massage experience to innumerable clients, each one searching for the very best sensual massage in London. We come by this reputation honestly with a dynamic team of the city’s most beautiful masseuses.
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
Change Champions Associates December 2015 Newsletter
1. 33% of the 2880 in this study
could have been treated in
the community sets the
scene for further research.
While noting the complexities
around defining avoidable
transfers, they cite benefits
such as the impact on emer-
gency department over-
crowding and savings on
costly emergency transfers.
More details at
http://onlinelibrary.wiley.com/
doi/10.1111/1742-
6723.12433/abstract
Residents from aged care
facilities make up a large
number of hospital
emergency department
presentations. In their
recently published research
Julia Morphet et al(2015)
note that in 2010 over
180,000 older people were
living in residential aged
care. And, in what seems
like a transfer merry go
round, it is estimated that up
40% of this vulnerable
groups were transferred
from nursing home to
emergency department
and back to their facility
without a hospital
admission.
Morphet et al acknowledge
that evidence exists that
increasing primary care
services within residential
aged care facilities can
reduce avoidable
emergency department
transfers.
This retrospective study by
Morphet et al:
▪described the
characteristics of residents
of aged care facilities
transferred to 2 large
metropolitan hospital
emergency departments
in south eastern Melbourne,
Victoria. and;
▪evaluated the
appropriateness and cost
of these presentations.
Their major finding that over
Morphet J, Innes K, Griffiths DL,
Crawford K, Williams A
Emergency Medicine Australasia
Resident transfers from aged care facilities to
emergency departments: Can they be avoided?
NSW Trauma App
The NSW Trauma app has
been developed to reduce
unwarranted clinical
variation by providing of
point of care access to
up-to-date, evidence
based information, ena-
bling the delivery of optimal
care to injured patients.
This innovative app includes
user friendly trauma re-
sources for both adult and
paediatrics, eg:
▪Localised guideline
repository
▪Specific burn injury
resources
▪Interactive checklists
Clinical timestamps
▪Trauma related medical
calculators
▪Detailed NSW health facility
information.
The NSW Trauma app has
been downloaded over
2400 times the iTunes App
store and Google Play. From
preliminary evaluations there
is on average 11 active users
per day, spending on
average 5 minutes accessing
trauma and burns guidelines,
clinical calculators and
facility information.
A comprehensive evaluation
on the impact of the app
towards trauma care will be
conducted in the coming
months. (cont page 2)
December 2015
Innovation Round Up
Summaries of research
published in open source
and links to some of the
interesting innovations
project we have gathered
from Australia and over-
seas in 2015.
Inside this issue:
Resident Transfers to
EDs
1
NSW Trauma App 1
PAH Digital Hospital 2
EI & Nurse Managers 2
Consumer
Engagement in
Organisational
Governance
3
UK—Impact of
Alcohol on
Emergency Services
4
Upcoming Events 5
Change Champions & Associates
INNOVATION ROUND UP
2. The Princess Alexandra
Hospital (PAH) in
Queensland has
become Australia’s first
large-scale digital hospi-
tal. Becoming a digital
hospital will put the PAH at
the forefront of healthcare
innovation and technology
and will lead to better care
for its patients.
As a digital hospital the
healthcare team will
document and access
medical information (such
as patient details, reason
for admission, medical
history and any allergies) on
computers instead of
using paper files.
New digital bedside
patient monitoring
devices will automatically
upload vital signs and
observations, such as
blood pressure,
temperature and heart
rate, directly to each
patient’s secure
electronic medical
record.
Becoming a digital
hospital will help:
▪Patients to get home
sooner by empowering
staff with fast access to
information.
▪Health care professionals
to spend more time caring
for patients and less time
doing paperwork
▪The health service
to optimise its world class
medical research and
to reduce its
environmental footprint.
http://
metrosouth.health.qld.gov.au/
princess-alexandra-hospital/digital-
hospital
behaviour of effective
leaders, then what
predisposes an individual
to behave in this way?
There is growing evidence
that that emotional
Intelligence is a major
catalyst in pre-empting
transformational
leadership behaviours.
Perroud and Stewart’s
paper aims to explore
emotional intelligence as
the “concept of
possibility” to ignite
transformational leader
According to Katrina
Perroud from Lyndoch
Warrnambool, Victoria and
Deb Stewart, School of
Management, Victoria
University, many studies on
leadership have resulted in
the belief that
transformational
leadership behaviour is
central to effective
leadership and subsequent
positive organizational
outcomes.
If transformational
leadership is the preferred
behaviour.
The study seeks to explore
whether there is a
relationship between
emotional intelligence
and transformational
leadership in Nurse
Managers.
Although the sample size
is small, the article makes
stimulating reading.
http://www.anzam.org/wp-
content/uploads/pdf-
man-
ager/1968_PERROUDKATRIN
A_215.PDF
Queensland’s Digital Hospital
Investigating the relationship between
emotional intelligence and transformation
leadership in Nurse Managers
NSW Trauma App (cont from front page)
The NSW Trauma app is currently being adopted by the international trauma
community with users downloading the app from Australia,
Canada, Ireland, New Zealand, United Kingdom, and the United States.
http://www.aci.health.nsw.gov.au/make-a-difference/access/nsw-trauma-app?
utm_content=buffercc95e&utm_medium=social&utm_source=facebook.com&utm_campaign=buf
fer
Page 2
Change Champions & Associates December 2015
Contemporary literature
suggests that effective
leadership is central to
organisational success.
The NSW Trauma App is
currently being adopted by
the international trauma
community
3. Embedding Consumer Engagement in Organisational Governance
— Moving Consumers on Committees from Tokenistic to Having an Impact
Page 3
Change Champions & Associates December 2015
Melbourne Health is a large metropolitan health service with a complex governance
structure involving more than 60 committees. Consumer engagement in governance
committees has been a priority over the last 5 years in order to increase transparency,
maintain a person-centred focus in discussions and provide an external perspective on
decision making.
The journey of embedding consumer participation within this structure has been one that
has taken considerable commitment and support from staff at all levels of the organisation.
In 2011, 5 governance committees had a consumer representative. By 2015 this had
increased to over 35 with more than 6 additional committees actively seeking to recruit
consumers.
Consumer representation is now actively sought in all levels of the organisation – including
local area improvement projects and smaller working groups. Initial steps taken in this space
were seen by some as tokenistic and many challenges were faced by both staff and
consumers. Since that time significant progress has been made, a culture of seeking and
valuing consumer feedback has been cultivated and the model of support for engagement
has been refined.
Keys to success include:
Executive Leadership: Strong support from senior leadership was imperative, particularly in
the initial phases of embedding consumer engagement in committees.
Strategic Priority: Embedding Patient and Consumer Experience within the Melbourne Health
Strategic Plan 2015 -20 highlights the value placed on partnering with and empowering
patients, consumers and carers.
Empowering staff to support consumers: Tools and resources were developed to enable
staff to better understand their role in consumer engagement. In addition, a number of
education sessions have been run with key staff including the NUM group and
Transformation and Quality representatives. Clinical staff and managers are supported to
recruit consumers, develop and complete Consumer Position Descriptions and complete
informal interview in order to clarify expectations from both the committee and consumer’s
perspective. Developing partnership at this level increases engagement and mutual
understanding of each other’s roles.
Consumer Support and Training: Developing a structured approach to consumer support
and training – including regular information sessions on key topics, networking opportunities
and mentoring was important for ensuring consumers across the organisation remained sup-
ported and connected.
Support Structures: All committees are asked to nominate a ‘support person’ in addition to
the Chair. Support staff are responsible for ensuring the consumer is confident in their role,
has the information they need and the opportunity to ask questions or debrief as required.
Support staff are required to complete an annual discussion with their consumer representa-
tive – reviewing the impact of their role and support provided.
Feedback & Improvement: Seeking and responding to feedback from both staff and con-
sumers is key to ensuring ongoing improvement in this space. Each year an evaluation of
consumers on committees is completed. In November 2014, almost all consumers, carers,
committee chairs and support people (n = 41) indicated that consumer involvement in their
committee or working group was positive. Themes identified included the benefit of promot-
ing a patient view point, and helping to challenge us to think differently. Opportunities for
improvement including training and support for both groups were also identified.
By Varnia Muys, Community Engagement Manager, Melbourne Health, Victoria
4. This recent UK report demonstrates how
public drunkenness makes emergency
service people’s lives and jobs harder.
Perhaps the most shocking finding of
the survey was how widespread
drunken physical, sexual and verbal
abuse of emergency services staff is.
Police and ambulance crews suffer the
worst. Three quarters of police
respondents, and half of ambulance
respondents, had been injured in
alcohol-related incidents.
Between a third and a half of all service
people had suffered sexual harassment
or abuse at the hands of intoxicated
members of the public.
Ambulance staff were particularly at
risk, with 51% reporting sexually-related
incidents, but the numbers were
concerningly high across all services.
This has created a culture of fear in the
emergency services, particularly for
those out on the streets. 78% of police
feel at risk of drunken assaults,
compared to 65% of ambulance staff.
But even Emergency Department
Consultants within hospitals believe
themselves to be in danger, with 35%
concerned about the possibility of
physical attack.
http://www.ias.org.uk/uploads/
Alco-
hols_impact_on_emergency_services_full_re
port.pdf?utm_source=The+King%27
UK Report Alcohol’s Impact on Emergency Services
Keen to Share Your Innovation Project?
All you need to do is suc-
cinctly write up your article.
Succinct is the key word. If
can fit your key points into
anywhere from 150-300
words, you are most likely
to keep our busy readers
attention. Our readers also
like photos, graphics, links to
videos and any other
information you are willing
to share.
Submit your article to
info@changechampions.c
om.au
All articles are reviewed
prior to publication.
Sorry we do not publish
anything commercial, but
you can advertise here.
The next issue of Change
Champions & Associates
Innovation Round Up will
be distributed on 1
February 2016.
If you are working on an
innovation project and
think it might be suitable
for our readers, we are
keen to hear from you.
Page 4
Change Champions & Associates December 2015
Change Champions & Associates Supports
World Venous Thrombosis Day, 13 October 2016
5. Submissions that address the following topics now invited:
Statewide or organisation wide approaches to improve access to care and
patient safety by systematically embedding health literacy into strategy
and operations.
Value and build the capacity of consumers and carers to contribute to the
development of health literacy initiatives.
Showcase programs where health literacy is effectively integrated into
planning, implementation and evaluation.
Showcase the impact of education programs to improve health literacy for
care providers on:
Communication capability
High risk situations including care transitions, information about
medications etc
Specific patient groups
Share information novel tools and resources that have been successfully
used to improve health literacy.
Useful, culturally appropriate information about health and health care for con-
sumers and carers
CALL FOR ABSTRACTS OPEN UNTIL 15 DECEMBER 2015.
Health Literacy 2016
Preventing Unnecessary Emergency Department
Transfers for Older People
This seminar addresses opportunities and challenges by showcasing strategic
approaches and innovations programs that assist to:
alleviate demand and capacity pressures on hospital emergency depart-
ments (ED)
enable older people living in the community/residential aged care
(RACF’s) to receive timely, appropriate urgent care
assist vulnerable older people to avoid potentially unnecessary transfers to
hospital emergency departments.
The call for abstracts outlines an extensive list of topic areas of interest to our
audience of clinicians, managers innovators, program and network managers
working across the spectrum of facilities and the continuum of care.
CALL FOR ABSTRACTS OPEN UNTIL 15 FEBRUARY 2016
Page 5
Change Champions & Associates December 2015
CALLS FOR ABSTRACTS OPEN
Submit at info@changechampions.com.au
6. Page 6
Improving
Consumer and Carer
Engagement in Health Care
29 February, 2016
Pavilion Room, The Arts Centre
100 St Kilda Rd, Melbourne Victoria
Early Bird Registration Now Open
Download the program and Book Online at
http://www.changechampions.com.au NOW
7. Hospital After Hours, Sydney, late May
2016
A Healthy Culture is a Happy Productive
Hospital, Melbourne, October 2016
Improving Service Integration and
Medication Safety in Mental Health,
Sydney 2016
Page 7
Change Champions & Associates December 2015
Improving Patient Flows, Gold Coast 2016
SEMINARS IN PLANNING FOR 2016
Here’s a snapshot of some of the 2 day events we are
planning for 2016. More news in our February 2016 edition.
8. Page 8
In this full day introductory workshop, you will:
Gain an overview of the science and value of emotional intelligence
Consider the impact on performance of positive and negative emotions in the workplace
including the impact on individuals, productivity and organizational outcomes
Understand six competencies of the Genos International model of emotional intelligence
for leaders
Participate exercises where you try working with the competencies for emotional intelligence
Discover some tips and develop an action plan for improving your own emotional intelligence
Take away your Genos International Introduction to Emotional Intelligence work book
“I’ve learned that people will forget what you said, people will forget what you
did but people will never forget how they made you feel”
Maya Angelou
Melbourne, Adelaide, Canberra & Your Facility 2016
REGISTER at http://www.changechampions.com.au
Emotional Intelligence for Leaders
9. Page 9
Agile Project Management
for Health Care
COURSE REGISTRATION 2016
With Accredited Trainer, Julie Faoro
Melbourne, Adelaide, Sydney and Brisbane
The course will:
Explain how to lay the foundations for successful agile projects
Explain how an agile project is managed
Clarify the different management styles needed for successful agile projects
(compared to "traditional" projects)
Provide integration with PRINCE2®.
Improve time-to-market and project success rates while simultaneously
accelerating results by encouraging stakeholder involvement, feedback and
effective controls.
Achieve better communication and control over projects and adapt project
plans without disrupting the project budget, timescale and scope.
Develop professionalism in employees and include agile certification in em-
ployee professional development scheme
Who should attend?
Project Managers, Project Officers, Managers, and team leaders from
government, health, aged care and not for profit sectors
Any area of the health care system that wish to introduce change on time
and on budget.
More details at http://www.changechampions.com.au
10. Change Champions & Associates
PO Box 302
Kew VIC 3101
Mobile: 0467635150
E-mail:
info@changechampions.com.au
Web:
www.changechampions.com.au
Change Champions & Associates designs and produces seminars for
health professionals. We also showcase leadership development,
practice development, service and quality improvement initiatives
across the spectrum of health and interrelated facilities and the across
the continuum of care.
We are a small coalition of the committed, working with our partners to
deliver a great seminar experience. We are for cost recovery, rather
than not not for profit.
In collaboration with our consultants, we aim to provide valuable and
practical learning experiences for a broader range of professionals from
all sectors. These opportunities will include workshops, in houses at your
facility no matter where (we are strong supporters of those in rural and
remote areas), group and individual coaching sessions delivered by
accredited professionals.
By the end of 2016, our website will be redeveloped to enable a more
interactive relationship with our supporters, streamline our seminar
registration process and provide better functionality to enable
networking and the sharing of innovation projects in Australia and New
Zealand and beyond.
About Change Champions & Associates
Put your best foot forward in 2016!
If you are under the pump and not sure that you are managing as
well as you could, this online program, Sustain Success, will help you to
build your resilience at work and beyond.
Best of all its easy! There is no need to ask your manager for
permission for time off to attend a course. No need to feel
embarrassed about your capacity to cope. No need to consider
withdrawing or watering down decision making because you feel that
your ability and your confidence are living on different planets.
Developed by revered, organisational psychologist, Kathryn McEwen,
here's an opportunity to reflect on the way work pressure impacts on
the way you function at work and beyond. You can complete the
program, in your own time and at your own pace.
Better, you will be supported by a Resilience at Work accredited
coach. This is not a one size fits all program. One 75 minute
individualised coaching session is included in the program but for an
additional fee you may book
additional sessions.
Coaching sessions are held face
to face in Victoria and by tele-
phone or skype elsewhere.
Sustain Success Online Resilience Program
Bitten off More than you can
Chew??
info@changechampions.com.au