Web conference explaining California's new pediatric hospice and Palliative Care Benefit. In two parts: palliative care for children explained and what is the wiaiver?
The document summarizes research on underinsurance in Kansas. It defines underinsurance and describes methods used, including surveys and interviews. Key findings include:
- Many underinsured individuals did not realize their coverage was inadequate until facing medical bills. While some considered their plans good, the reality was different.
- Underinsurance disproportionately affected those with high health needs or low incomes. Monthly out-of-pocket costs ranged from $420-1,500 on average.
- Consequences of underinsurance included financial strain, medical debt, bankruptcy, deferred or forgone care, and difficulties paying for basic needs.
Bridging the Distance - Communicating to Distance Family Members During Palli...Service Design TO
The document describes a research project exploring how to better communicate with distant family members during palliative care. It outlines the researcher's personal experience with her father's cancer diagnosis and treatment. It then discusses the need to better support distant family members given demographic trends like an aging population, changing family structures, and greater reliance on digital communication. The researcher proposes a service design methodology incorporating systems thinking and foresight to develop a more human-centered solution. Primary research with patients, families and experts is planned to understand current experiences.
Top Caregiving Resources to Empower CaregiversBrightStar Care
Here are 7 resources which will empower caregivers – with information, knowledge of available programs and tools necessary to make good decisions for their loved ones and themselves.
This document is a newsletter from Phoenix Children's Hospital Foundation from Spring 2014. It discusses several stories of hope involving patients who found optimism through the care they received at Phoenix Children's Hospital during difficult medical situations. It also discusses the need to expand the emergency department and trauma center due to increasing demand. Additionally, it profiles a neurosurgeon at the hospital who is passionate about brain tumor research. The newsletter aims to highlight how the hospital provides hope to patients and families and how community support helps fund innovative programs and care.
Talks On the Hill about the ACA and Primary care transformation by : Kevin Grumbach, University of California, San Francisco; Paul Grundy, IBM; Craig Jones, Vermont Blueprint for Health; and Jeffrey Schiff, Minnesota Department of Human Services. Melinda Abrams of The Commonwealth Fund and Ed Howard of the Alliance co-moderated.
Arizona Moves Backward on Health Care Coveragejoshuaoehler
Nearly 10,000 working parents in Arizona are scheduled to lose their health insurance through the KidsCare Parents program on September 30, 2009 due to the state legislature's failure to appropriate funding. This will negatively impact families' health and strain community health centers. Advocates call on lawmakers to understand how their budget cuts have real life consequences for families who may be forced to quit jobs or spend down savings to qualify for Medicaid instead of paying premiums under KidsCare Parents.
Over 50 million Americans suffer from persistent pain and pain affects more Texans than other major health issues. Pain remains poorly treated due to factors like inadequate provider training and government policies. While most pain can be effectively treated, less than 1% of the NIH's budget is spent on pain research. The Texas Pain Advocacy and Information Network (TxPAIN) works to improve pain management in Texas through education, advocacy and policy initiatives. It is affiliated with the Alliance of State Pain Initiatives, a national network of organizations dedicated to promoting effective pain relief.
Welcome to our first of health law newsletter of 2016 - it’s a bumper edition!
We have articles covering a wide range of current topics including an update on the Court of Appeal handed down judgment on the controversial case of Reaney v University Hospital of North Staffordshire Trust, the new NICE guidelines on end of life care, an update on recent judgments on deprivation of liberty cases, the changing GMC guidance and much more…
https://www.brownejacobson.com/Health/training-and-resources/legal-updates/2016/01/health-law-newsletter-january-2016
The document summarizes research on underinsurance in Kansas. It defines underinsurance and describes methods used, including surveys and interviews. Key findings include:
- Many underinsured individuals did not realize their coverage was inadequate until facing medical bills. While some considered their plans good, the reality was different.
- Underinsurance disproportionately affected those with high health needs or low incomes. Monthly out-of-pocket costs ranged from $420-1,500 on average.
- Consequences of underinsurance included financial strain, medical debt, bankruptcy, deferred or forgone care, and difficulties paying for basic needs.
Bridging the Distance - Communicating to Distance Family Members During Palli...Service Design TO
The document describes a research project exploring how to better communicate with distant family members during palliative care. It outlines the researcher's personal experience with her father's cancer diagnosis and treatment. It then discusses the need to better support distant family members given demographic trends like an aging population, changing family structures, and greater reliance on digital communication. The researcher proposes a service design methodology incorporating systems thinking and foresight to develop a more human-centered solution. Primary research with patients, families and experts is planned to understand current experiences.
Top Caregiving Resources to Empower CaregiversBrightStar Care
Here are 7 resources which will empower caregivers – with information, knowledge of available programs and tools necessary to make good decisions for their loved ones and themselves.
This document is a newsletter from Phoenix Children's Hospital Foundation from Spring 2014. It discusses several stories of hope involving patients who found optimism through the care they received at Phoenix Children's Hospital during difficult medical situations. It also discusses the need to expand the emergency department and trauma center due to increasing demand. Additionally, it profiles a neurosurgeon at the hospital who is passionate about brain tumor research. The newsletter aims to highlight how the hospital provides hope to patients and families and how community support helps fund innovative programs and care.
Talks On the Hill about the ACA and Primary care transformation by : Kevin Grumbach, University of California, San Francisco; Paul Grundy, IBM; Craig Jones, Vermont Blueprint for Health; and Jeffrey Schiff, Minnesota Department of Human Services. Melinda Abrams of The Commonwealth Fund and Ed Howard of the Alliance co-moderated.
Arizona Moves Backward on Health Care Coveragejoshuaoehler
Nearly 10,000 working parents in Arizona are scheduled to lose their health insurance through the KidsCare Parents program on September 30, 2009 due to the state legislature's failure to appropriate funding. This will negatively impact families' health and strain community health centers. Advocates call on lawmakers to understand how their budget cuts have real life consequences for families who may be forced to quit jobs or spend down savings to qualify for Medicaid instead of paying premiums under KidsCare Parents.
Over 50 million Americans suffer from persistent pain and pain affects more Texans than other major health issues. Pain remains poorly treated due to factors like inadequate provider training and government policies. While most pain can be effectively treated, less than 1% of the NIH's budget is spent on pain research. The Texas Pain Advocacy and Information Network (TxPAIN) works to improve pain management in Texas through education, advocacy and policy initiatives. It is affiliated with the Alliance of State Pain Initiatives, a national network of organizations dedicated to promoting effective pain relief.
Welcome to our first of health law newsletter of 2016 - it’s a bumper edition!
We have articles covering a wide range of current topics including an update on the Court of Appeal handed down judgment on the controversial case of Reaney v University Hospital of North Staffordshire Trust, the new NICE guidelines on end of life care, an update on recent judgments on deprivation of liberty cases, the changing GMC guidance and much more…
https://www.brownejacobson.com/Health/training-and-resources/legal-updates/2016/01/health-law-newsletter-january-2016
The document discusses alternatives to nursing home care as the population of younger patients in nursing homes is growing. It notes that many younger patients could be cared for at home or in assisted living facilities instead of nursing homes. However, budget cuts have led states to prioritize short-term nursing home care over long-term home care. While home care is more cost-effective long-term, it is more expensive initially as caregivers need training. The document advocates that with legal advocacy, many younger patients have alternatives to nursing home care like independent living facilities or at-home care.
Introduction to the new health laws! A PPT for audiences that have average literacy (7-8th grade reading level). Actually, I showed it to a group of people with post-grad education, and they liked it. You will too. Please customize it freely and use your name if you want to present it to others. You're welcome to give me constructive feedback so I can continue to evolve it.
As citizens of a culture that worships youth, most of us find it nearly impossible to admit our own mortality, much less make plans for that eventuality. Denial, however, offers no protection from the inevitable.
The document discusses social justice issues related to uninsured immigrants and healthcare access in the United States. It notes that the uninsured immigrant population faces barriers like unfamiliarity with the healthcare system, language barriers, and difficulty obtaining health insurance or paying costs out of pocket. As a result, uninsured immigrants are less likely to receive timely and effective care, more likely to delay needed care, and have worse health outcomes. This violates principles of beneficence, non-maleficence, and justice. Improving healthcare access and education for immigrants could help address these issues.
The West Fresno Health Care Coalition provides health services and support to underserved communities based on principles of prevention, family support, and strengthening individual and community assets. They work to strengthen families through partnerships and programs focused on health, education, advocacy, and green space access. The coalition addresses issues like health disparities, access to care and healthy foods through a variety of programs tailored for at-risk groups.
LegalHealth is a nonprofit medical-legal partnership that began 15 years ago and now works with 26 hospitals in New York City. It started with one hospital partner and now serves patients at most major public hospitals and healthcare systems. LegalHealth places attorneys in hospitals to address patients' legal issues that impact their health, such as immigration status preventing access to healthcare or housing disputes exacerbating medical conditions. Over the years, it has expanded its services, trained healthcare professionals, advocated for policy changes, and served as a model for medical-legal partnerships nationwide.
This document provides information about recent activities and events at New Jersey Federally Qualified Health Centers (FQHCs). It begins with a letter from the President & CEO of the New Jersey Primary Care Association reflecting on the past year and highlighting their work supporting FQHCs. It then discusses various FQHC events from the past few months, including breast cancer awareness events, health center expansions and awards, and community outreach programs. The document promotes upcoming training opportunities through the NJPCA and their partnership with RWJ on Project ECHO for expanding specialty care access at FQHCs.
Speakers: Jenny Holladay, Regional Emergency Management Specialist, U.S. Department of Health –
Administration for Children & Families in Region 10
Lewissa Swanson, Regional Emergency Management Specialists, HHS/Administration for
Children and Families
Presenters will provide an overview of the final recommendations made by the National Commission on
Children and Disasters report submitted to the White House and Congress. The presentation will
highlight identified gaps in planning for children and recommendations that have already been
implemented, including developing and enhancing partnerships. The Commission was required to study
a broad range of domestic policy areas related to the needs of children affected by disasters, including: Child welfare, Child care, Housing (sheltering, intermediate, long-term), Evacuation and Transportation,
Elementary and Secondary Education, Juvenile Justice, and State and Local Emergency Management.
This document provides instructions for replicating a cavity prevention program integrating oral health services into WIC nutrition appointments. The program removes barriers to preventive dental care for low-income families by [1] delivering brief oral health exams and fluoride varnish through WIC visits, eliminating time and travel costs, [2] providing exams and treatment at no cost to clients, and [3] contracting with independent dental hygienists who bill Medicaid to provide financially sustainable services. Over 500 clients received preventive care in the first 3 months of the program.
The Fund for a Healthy Maine (FHM) allocates funds from Maine's annual tobacco settlement payments to support health programs aimed at disease prevention. It accounts for only 0.7% of Maine's total healthcare spending but funds critical programs in areas like smoking prevention and cessation, childcare, oral health, substance abuse treatment, and school-based health centers. Greater investment in prevention through the FHM has the potential to dramatically reduce chronic disease and healthcare costs over the long term.
Court-Based Child Welfare Reforms: Improved Child/Family Outcomes and Potenti...Madeline Daniels
The document summarizes a presentation about the Family Wellness Court in Santa Clara County, California. The FWC uses a trauma-informed approach to work with parents struggling with substance abuse issues. It provides comprehensive services to support parents' recovery and reunification with children, with the goals of reducing substance-exposed births, engaging parents in treatment, and creating a system of care for affected children. Key aspects of the FWC model include therapeutic court hearings, multi-disciplinary teams, and a wide array of services for parents and children. Data shows positive outcomes for parents served and their children.
This document provides information about planning and paying for health care needs in retirement. It discusses the rising costs of health care and long-term care services. Some key points include: a couple retiring at 65 will need about $240,000 on average to cover medical costs throughout retirement; 1/3 of people turning 65 will need at least 3 months of nursing home care; and the average daily rate for a private nursing home room in 2012 was $248. The document also summarizes different long-term care options like nursing homes, assisted living facilities, and home health care services.
The Family Opportunity Act (FOA) passed in North Dakota in April 2007, expanding Medicaid eligibility up to 200% of the federal poverty level. It was sponsored by state senators and signed into law by the governor. Passing the FOA required education efforts with families, legislators, and providers over several years. While advocates had hoped for a higher income threshold, the FOA still helped many children with special needs access health coverage in North Dakota. Ongoing outreach is needed to maximize enrollment and ensure families understand how to apply.
The document summarizes Community Health of South Florida Inc.'s (CHI) celebration of National Health Center Week through a series of events including health fairs and forums. It discusses the importance of preventative healthcare and enrolling in the Affordable Care Act. While the Ebola virus poses little risk in the US due to standard precautions, people are still encouraged to see a doctor if experiencing symptoms and wash their hands regularly to help prevent the spread of disease.
Learn Valuable Information for Getting Paid to Take Care of Your Family Membe...BestHomeCare
The need for home care is constantly growing and, as a result, providing care for a family member or friend has become much more common than it was just a few years ago. Most family caregivers are unaware of the opportunity they have to get paid for taking care of a family member or friend. The state of Minnesota and Federal Government sponsor programs designed to compensate caregivers for their services. This paper outlines these programs to help friend and family caregivers find the appropriate method for getting paid to take care of a loved one.
The document summarizes programs funded by the Fund for a Healthy Maine prior to the 2012-2013 biennium. It lists various departments within the Department of Health and Human Services (DHHS) that received funding, including the Centers for Disease Control, Office of Child and Family Services, Office of Substance Abuse, and Office of MaineCare Services. It also lists other state departments and programs that received funding, such as the Department of Education's School Breakfast Program, the Attorney General's office, the Department of Public Safety, and the Department of Administrative and Financial Affairs. Quality child care and bone marrow screenings programs previously received funding but saw it eliminated in 2012-2013.
The Cincinnati Health Department is working to improve infant mortality rates and children's health. Through early intervention programs like home visits and partnerships, the infant mortality rate for CHD clients has decreased to the national average of 7.1. Additionally, CHD is collaborating with UC and CPS on a study examining how traffic pollution exacerbates asthma in schoolchildren and implementing an anti-idling campaign to reduce children's exposure and guide future public health actions. Dr. Maseru was also honored by the NAACP for his work in community service.
1. The document discusses the four main types of health insurance in the United States: private insurance, Social Security, Medicare, and Medicaid.
2. It provides details on the history and evolution of each type over time, including implicit and explicit rationing approaches.
3. A key issue raised is the future affordability and sustainability of programs like Social Security and Medicare as the population ages and medical costs rise. Long term nursing home care is also discussed as a major cost problem.
The document discusses Nick Snow's accomplishments and intention to spread compassion through philanthropic efforts like party fundraisers and bake sales. It mentions people like Delaney, Beverly, Georgia, Johanna, Grace, Natalie, and Samuel who help or are helped by Nick's work, with the goal of infiltrating communities with $1 million of good starting today by becoming a generation that spots compassion.
This document provides a framework for implementing palliative care in a large medical institution. It describes an organization as a mechanical system with concrete parts that can be engineered for change, such as processes and tools. It also discusses how innovations diffuse through an organization, with early adopters, late adopters, and those in the middle. Leadership is key to driving organizational change by taking actions that influence staff. The case study of MD Anderson Cancer Center's successful introduction of palliative care services illustrates applying this framework in practice.
The document discusses alternatives to nursing home care as the population of younger patients in nursing homes is growing. It notes that many younger patients could be cared for at home or in assisted living facilities instead of nursing homes. However, budget cuts have led states to prioritize short-term nursing home care over long-term home care. While home care is more cost-effective long-term, it is more expensive initially as caregivers need training. The document advocates that with legal advocacy, many younger patients have alternatives to nursing home care like independent living facilities or at-home care.
Introduction to the new health laws! A PPT for audiences that have average literacy (7-8th grade reading level). Actually, I showed it to a group of people with post-grad education, and they liked it. You will too. Please customize it freely and use your name if you want to present it to others. You're welcome to give me constructive feedback so I can continue to evolve it.
As citizens of a culture that worships youth, most of us find it nearly impossible to admit our own mortality, much less make plans for that eventuality. Denial, however, offers no protection from the inevitable.
The document discusses social justice issues related to uninsured immigrants and healthcare access in the United States. It notes that the uninsured immigrant population faces barriers like unfamiliarity with the healthcare system, language barriers, and difficulty obtaining health insurance or paying costs out of pocket. As a result, uninsured immigrants are less likely to receive timely and effective care, more likely to delay needed care, and have worse health outcomes. This violates principles of beneficence, non-maleficence, and justice. Improving healthcare access and education for immigrants could help address these issues.
The West Fresno Health Care Coalition provides health services and support to underserved communities based on principles of prevention, family support, and strengthening individual and community assets. They work to strengthen families through partnerships and programs focused on health, education, advocacy, and green space access. The coalition addresses issues like health disparities, access to care and healthy foods through a variety of programs tailored for at-risk groups.
LegalHealth is a nonprofit medical-legal partnership that began 15 years ago and now works with 26 hospitals in New York City. It started with one hospital partner and now serves patients at most major public hospitals and healthcare systems. LegalHealth places attorneys in hospitals to address patients' legal issues that impact their health, such as immigration status preventing access to healthcare or housing disputes exacerbating medical conditions. Over the years, it has expanded its services, trained healthcare professionals, advocated for policy changes, and served as a model for medical-legal partnerships nationwide.
This document provides information about recent activities and events at New Jersey Federally Qualified Health Centers (FQHCs). It begins with a letter from the President & CEO of the New Jersey Primary Care Association reflecting on the past year and highlighting their work supporting FQHCs. It then discusses various FQHC events from the past few months, including breast cancer awareness events, health center expansions and awards, and community outreach programs. The document promotes upcoming training opportunities through the NJPCA and their partnership with RWJ on Project ECHO for expanding specialty care access at FQHCs.
Speakers: Jenny Holladay, Regional Emergency Management Specialist, U.S. Department of Health –
Administration for Children & Families in Region 10
Lewissa Swanson, Regional Emergency Management Specialists, HHS/Administration for
Children and Families
Presenters will provide an overview of the final recommendations made by the National Commission on
Children and Disasters report submitted to the White House and Congress. The presentation will
highlight identified gaps in planning for children and recommendations that have already been
implemented, including developing and enhancing partnerships. The Commission was required to study
a broad range of domestic policy areas related to the needs of children affected by disasters, including: Child welfare, Child care, Housing (sheltering, intermediate, long-term), Evacuation and Transportation,
Elementary and Secondary Education, Juvenile Justice, and State and Local Emergency Management.
This document provides instructions for replicating a cavity prevention program integrating oral health services into WIC nutrition appointments. The program removes barriers to preventive dental care for low-income families by [1] delivering brief oral health exams and fluoride varnish through WIC visits, eliminating time and travel costs, [2] providing exams and treatment at no cost to clients, and [3] contracting with independent dental hygienists who bill Medicaid to provide financially sustainable services. Over 500 clients received preventive care in the first 3 months of the program.
The Fund for a Healthy Maine (FHM) allocates funds from Maine's annual tobacco settlement payments to support health programs aimed at disease prevention. It accounts for only 0.7% of Maine's total healthcare spending but funds critical programs in areas like smoking prevention and cessation, childcare, oral health, substance abuse treatment, and school-based health centers. Greater investment in prevention through the FHM has the potential to dramatically reduce chronic disease and healthcare costs over the long term.
Court-Based Child Welfare Reforms: Improved Child/Family Outcomes and Potenti...Madeline Daniels
The document summarizes a presentation about the Family Wellness Court in Santa Clara County, California. The FWC uses a trauma-informed approach to work with parents struggling with substance abuse issues. It provides comprehensive services to support parents' recovery and reunification with children, with the goals of reducing substance-exposed births, engaging parents in treatment, and creating a system of care for affected children. Key aspects of the FWC model include therapeutic court hearings, multi-disciplinary teams, and a wide array of services for parents and children. Data shows positive outcomes for parents served and their children.
This document provides information about planning and paying for health care needs in retirement. It discusses the rising costs of health care and long-term care services. Some key points include: a couple retiring at 65 will need about $240,000 on average to cover medical costs throughout retirement; 1/3 of people turning 65 will need at least 3 months of nursing home care; and the average daily rate for a private nursing home room in 2012 was $248. The document also summarizes different long-term care options like nursing homes, assisted living facilities, and home health care services.
The Family Opportunity Act (FOA) passed in North Dakota in April 2007, expanding Medicaid eligibility up to 200% of the federal poverty level. It was sponsored by state senators and signed into law by the governor. Passing the FOA required education efforts with families, legislators, and providers over several years. While advocates had hoped for a higher income threshold, the FOA still helped many children with special needs access health coverage in North Dakota. Ongoing outreach is needed to maximize enrollment and ensure families understand how to apply.
The document summarizes Community Health of South Florida Inc.'s (CHI) celebration of National Health Center Week through a series of events including health fairs and forums. It discusses the importance of preventative healthcare and enrolling in the Affordable Care Act. While the Ebola virus poses little risk in the US due to standard precautions, people are still encouraged to see a doctor if experiencing symptoms and wash their hands regularly to help prevent the spread of disease.
Learn Valuable Information for Getting Paid to Take Care of Your Family Membe...BestHomeCare
The need for home care is constantly growing and, as a result, providing care for a family member or friend has become much more common than it was just a few years ago. Most family caregivers are unaware of the opportunity they have to get paid for taking care of a family member or friend. The state of Minnesota and Federal Government sponsor programs designed to compensate caregivers for their services. This paper outlines these programs to help friend and family caregivers find the appropriate method for getting paid to take care of a loved one.
The document summarizes programs funded by the Fund for a Healthy Maine prior to the 2012-2013 biennium. It lists various departments within the Department of Health and Human Services (DHHS) that received funding, including the Centers for Disease Control, Office of Child and Family Services, Office of Substance Abuse, and Office of MaineCare Services. It also lists other state departments and programs that received funding, such as the Department of Education's School Breakfast Program, the Attorney General's office, the Department of Public Safety, and the Department of Administrative and Financial Affairs. Quality child care and bone marrow screenings programs previously received funding but saw it eliminated in 2012-2013.
The Cincinnati Health Department is working to improve infant mortality rates and children's health. Through early intervention programs like home visits and partnerships, the infant mortality rate for CHD clients has decreased to the national average of 7.1. Additionally, CHD is collaborating with UC and CPS on a study examining how traffic pollution exacerbates asthma in schoolchildren and implementing an anti-idling campaign to reduce children's exposure and guide future public health actions. Dr. Maseru was also honored by the NAACP for his work in community service.
1. The document discusses the four main types of health insurance in the United States: private insurance, Social Security, Medicare, and Medicaid.
2. It provides details on the history and evolution of each type over time, including implicit and explicit rationing approaches.
3. A key issue raised is the future affordability and sustainability of programs like Social Security and Medicare as the population ages and medical costs rise. Long term nursing home care is also discussed as a major cost problem.
The document discusses Nick Snow's accomplishments and intention to spread compassion through philanthropic efforts like party fundraisers and bake sales. It mentions people like Delaney, Beverly, Georgia, Johanna, Grace, Natalie, and Samuel who help or are helped by Nick's work, with the goal of infiltrating communities with $1 million of good starting today by becoming a generation that spots compassion.
This document provides a framework for implementing palliative care in a large medical institution. It describes an organization as a mechanical system with concrete parts that can be engineered for change, such as processes and tools. It also discusses how innovations diffuse through an organization, with early adopters, late adopters, and those in the middle. Leadership is key to driving organizational change by taking actions that influence staff. The case study of MD Anderson Cancer Center's successful introduction of palliative care services illustrates applying this framework in practice.
This document provides information about Naomi House and jacksplace, which are children's hospices that provide care and support for life-limited children and their families. The hospices offer respite care, end of life care, bereavement support, and support services in the family home. They rely on voluntary donations to fund their services, as over 85% of their income comes from donations. The document encourages various ways to volunteer or fundraise to support the hospices.
Hiring an experienced, trusted advisor can be the difference between success and failure. That’s why the members of our Healthcare Expert Advisory Group have been there, done that.
Our Healthcare Expert Advisory Group members have served as system leaders, successfully designing and implementing strategic solutions to healthcare’s ever-changing challenges. We’ve been in your shoes and understand the intricacies of the most complex organizations. Our team has overseen, from the inside, how strategy is designed and successfully implemented. Whether you’re looking for operational excellence, strategic planning, financial strategy, or leadership development, our experts have the experience and expertise to help you achieve results.
This document discusses best practices for developing a digital strategy through user engagement. It recommends conducting research such as user testing, interviews, and surveys to understand user needs, priorities, and preferences. This will help determine digital priorities and frameworks. Insights should then be translated into actionable recommendations and quick/long-term plans to improve the digital experience. Engaging users directly is important to ensure digital tools meet real needs rather than just assumed needs.
The document discusses pediatric healthcare advocacy and the concept of a "Child-Centered Medical Home." It explains that advocating for children is different than for adults due to their medical, emotional, and long-term needs. The medical home model aims to provide accessible, coordinated, compassionate care centered around the personal physician. Advocates should strive to meet these goals and provide value by supporting children and families through education, resources, and navigating the complex healthcare system. Chronic and acute illnesses present different advocacy challenges in terms of caregiver needs, treatment decisions, and learning about the condition over time or urgently.
The document discusses the value of hospice care within the Medicare system. It notes that recent statistical analyses found hospice generated cost savings in a patient's last six months of life and up to a year of hospice enrollment. The document then proposes examining these results from different perspectives within the serious illness care continuum, including from primary care physicians and considering diversity, equity and inclusion. Expert hospice and palliative care clinicians would discuss the importance of earlier access to such care in a patient's disease trajectory, as well as the
The purpose of this Health Policy Study is to better understand adolescents’ views on what are considered core components of the medical home and identify barriers to promoting adolescent health in relation to the medical home.
In addition, this study sought to better understand the needs and challenges in providing adolescents with access to medical homes—from the perspective of both adolescents and experts in adolescent health and medical home policy. To accomplish these goals, researchers conducted focus groups with adolescents, presented these findings to experts, and gathered experts’ reactions to the adolescents’ perspectives. This report includes a detailed description of the methods used for this study, followed by a summary of key focus group findings and the expert reactions to these findings.
Palliative Care vs. Curative Care - December 2023VITASAuthor
The goal of this webinar was to educate healthcare professionals about the differences between palliative and curative care while exploring the history and philosophy of the hospice movement.
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The document discusses several reasons why many elderly patients do not die at home as is their preference for end-of-life care. Cultural taboos or not wanting to burden family can influence a patient's choice. Additionally, the physical issues requiring nursing care that occur at the end of life make dying at home difficult. Limited Medicare coverage for in-home care and high costs also present barriers. As nurses, supporting patients' end-of-life wishes involves coordinating spiritual care, clarifying care plans, and acting as a liaison between patients and families. Ensuring comfort and that wishes are followed provides a positive experience.
The Value Proposition of Hospice | VITASVITASAuthor
The goal of this webinar was to help hospice and healthcare professionals discover the evidence-based benefits of hospice care, while gaining key insights on hospice eligibility guidelines, how hospice differs from other types of care, and how the Medicare Hospice Benefit helps patients facing advanced illness.
The document discusses the financial burden faced by families of children with cancer. It notes that while treatment has improved survival rates, cancer is still the second leading cause of death for children in the US. The diagnosis often results in significant costs, including direct medical costs and indirect costs from lost income or productivity due to caregiving responsibilities. Parents frequently need to reduce work hours or quit jobs entirely to care for their child, resulting in lost wages and benefits. The document outlines the various coping strategies families employ, such as taking on debt, but also notes that securing assistance can be challenging due to fragmented resources that have varying eligibility criteria. It highlights the role of Family Reach in providing flexible grants to address multiple family needs like housing, food and
This document discusses children and youth with special health care needs (CYSHCN). It provides information on the prevalence of CYSHCN in the US from national survey data. It describes how CYSHCN are more likely to experience adverse childhood experiences and health disparities. The document also discusses social determinants of health, minoritized CYSHCN populations, evolution of public policy, unique needs of CYSHCN families, life course approach, mental health challenges, health care financing challenges, Medicaid/CHIP coverage, medical home model, importance of family engagement, care coordination challenges, educational supports, transition planning needs, and conclusions regarding maternal and child health programs supporting CYSHCN.
The goal of this webinar was to educate healthcare professionals about advance directives and advance care planning,
including the types and purposes of legal documents that govern patients’ decisions and
preferences.
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The document discusses treatment and outcomes of neonatal abstinence syndrome (NAS). It summarizes a presentation by two doctors on NAS treatment. It then describes a study examining outcomes of a palliative early treatment model for NAS at Greenville Memorial Hospital. The model involved early low-dose methadone treatment for opioid exposed newborns in a low-acuity nursery setting. Results showed lower length of stay, less weight loss and medical complications compared to national averages, with total hospital costs averaging $5,909 per case.
This document provides a summary of a presentation about palliative care efforts in Delaware. It discusses the difference between palliative care and hospice, current palliative care programs available in Delaware, and opportunities for expansion. Key points include:
- Palliative care aims to improve quality of life by relieving symptoms for patients with serious illnesses, while hospice focuses on the last 6 months of life after curative treatments stop.
- Delaware has several palliative care programs in hospitals, home care, and long-term care settings, but access could be expanded by having palliative specialists in all hospitals and outside of hospitals.
- Opportunities remain to improve palliative care in Delaware through increasing the number of board
The goal of this webinar is to help hospice and healthcare professionals understand the history, philosophy and practice of hospice care and palliative care, including common myths and misconceptions, common diagnoses for hospice referrals, identification of hospice-eligible patients, reimbursement for hospice services, and the benefits of advance care planning and early referrals.
The document discusses several models of health and wellness, including definitions from WHO and various theorists. It outlines the US healthcare delivery system, including levels of care from preventative to continuing care. Settings of care are discussed from school-based to home health. Factors driving a shift to more community and home-based care include costs, demographics, and consumer preferences. The future of healthcare is discussed in terms of evidence-based practice, electronic health records, and alternative therapies.
The document discusses transitions from pediatric to adult healthcare for young adults with neurologic conditions like Lennox-Gastaut syndrome. It notes that only 40% of youth discuss transition plans with providers. The document outlines current barriers to transition including unwillingness to change providers, lack of experienced adult providers, and differences between pediatric and adult systems. It emphasizes the importance of setting expectations to drive healthcare change and improving transition processes and outcomes.
The document discusses the concept of a medical home and its benefits for patients and families. A medical home provides coordinated, comprehensive, and family-centered care. It aims to involve families in care coordination and empower them as experts. The medical home also links patients and families to community resources to help address their medical, social, and educational needs.
This document discusses the benefits and importance of pediatric palliative care (PPC). PPC aims to improve quality of life for seriously ill children and their families through expert symptom management, skilled communication, and well-coordinated care. It delivers on improving quality of life, strengthening communication and decision making, and reducing costs by matching treatment to patient goals. PPC is essential but access remains limited and programs need to expand their integrated and community-based services to meet growing needs. Effective messaging emphasizes PPC provides an extra layer of support without replacing curative care. Additional resources are available to help develop and improve PPC programs and services.
The goal of this webinar was to help hospice and healthcare professionals understand the history, philosophy, and practice of hospice and palliative care.
The goal of this webinar is to help hospice and healthcare professionals understand the history, philosophy, and practice of hospice and palliative care, including common misconceptions, typical diagnoses for hospice referrals, identification of hospice-eligible patients, reimbursement for hospice services, and the
benefits of advance care planning and early referrals.
- Low birth weight babies face greater health risks such as developmental difficulties, complications, and premature death compared to normal weight babies. Their families also experience more distress and burden, especially with prematurity, medical complications, and long hospital stays.
- Certain populations such as African Americans, Native Americans, and those from lower socioeconomic backgrounds are at higher risk of poor birth outcomes such as low birth weight. The percentage of low birth weight babies is nearly double for non-Hispanic black/African Americans compared to non-Hispanic whites.
- Medicaid and CHIP programs in Texas provide health coverage for low-income families and children to help cover medical expenses and keep kids healthy. These services are low-cost or free for
The document provides an overview of gerontological and community-based nursing, defining key terms related to aging populations, outlining factors that influence aging and national health goals, and describing the roles and scope of practice for gerontological nurses who provide care for older adults in various settings.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
ABDOMINAL TRAUMA in pediatrics part one.drhasanrajab
Abdominal trauma in pediatrics refers to injuries or damage to the abdominal organs in children. It can occur due to various causes such as falls, motor vehicle accidents, sports-related injuries, and physical abuse. Children are more vulnerable to abdominal trauma due to their unique anatomical and physiological characteristics. Signs and symptoms include abdominal pain, tenderness, distension, vomiting, and signs of shock. Diagnosis involves physical examination, imaging studies, and laboratory tests. Management depends on the severity and may involve conservative treatment or surgical intervention. Prevention is crucial in reducing the incidence of abdominal trauma in children.
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.
Histololgy of Female Reproductive System.pptxAyeshaZaid1
Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
Adhd Medication Shortage Uk - trinexpharmacy.comreignlana06
The UK is currently facing a Adhd Medication Shortage Uk, which has left many patients and their families grappling with uncertainty and frustration. ADHD, or Attention Deficit Hyperactivity Disorder, is a chronic condition that requires consistent medication to manage effectively. This shortage has highlighted the critical role these medications play in the daily lives of those affected by ADHD. Contact : +1 (747) 209 – 3649 E-mail : sales@trinexpharmacy.com
Thyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptx
Chpccwebconference50109
1. Fundamentals of Pediatric Palliative Care California’s Pediatric Palliative Care Benefit Leslie Adams MSW, LICSW Lori Butterworth Devon Dabbs Gay Walker RN, CHPC
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6. Pediatric palliative and/or hospice care is both a philosophy and an organized method for delivering competent, compassionate and consistent care to children with chronic, complex and/or life-threatening conditions and their families. This care focuses on enhancing quality of life , minimizing suffering , optimizing function and providing opportunities for personal and spiritual growth. National Hospice and Palliative Care Organization (2009)
7. Pediatric palliative care can be delivered concurrently with life-prolonging care or as the main focus of care and is treatment that should be started early in the trajectory of the condition. It preserves the integrity of the family during the disease progression, addressing anticipatory grief and bereavement support following the death. Children’s Hospice and Palliative Care Coalition (2007)
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12. Curative treatment Palliative treatment D E A T H Bereavement Historical Model of Palliative Care Diagnosis
13. Curative treatment Palliative treatment D E A T H Bereavement Alternative Model of Palliative Care Diagnosis
14. Curative treatment Palliative treatment Death Pediatric Model of Palliative Care DIAGNOSIS Loss
15. Curative treatment Palliative treatment Waiver: Getting in Earlier DIAGNOSIS Loss
16. Palliative Care, Hospice, Home Health Home health provides skilled care and is rehab oriented. The philosophy is to empower patient toward independence through intermittent visits at home. Hospice care provides interdisciplinary team expertise at end of life, including pain and symptom management. The philosophy is to focus on quality of life. Palliative Care may include both of these services.
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18. Patient and Family Outcomes Child receives expert pain and symptom management With End of Life Choices, parents are better prepared. (Dussel, Journal of Pain and Symptom Management, 2009) Better communication, parents have better understanding, feel better understood (Hays, JPM, 2006) Increased continuity of care (Hays, JPM, 2006)
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21. Community Based Palliative Care Coordination California’s Pediatric Palliative Care Benefit Lori Butterworth and Devon Dabbs
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34. California’s Pediatric Palliative Care Benefit Part 2 – The Waiver Year 1 (300) July 2009 Alameda Monterey San Diego Santa Clara Santa Cruz Year 2 (801) January 2010 Alameda Monterey San Diego Santa Clara Santa Cruz Humboldt Marin Orange Sacramento San Francisco Sonoma Year 3 (1802) January 2011 Alameda Monterey San Diego Santa Clara Santa Cruz Humboldt Marin Orange Sacramento San Francisco Sonoma Fresno Los Angeles
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37. The Case for Coordinated Care Identified by Waiver Advisory Group as the most critical unmet need for children with life-threatening conditions and their families. Goal: Developing a reimbursable Care Coordination service CCS Case Managers – average 1 case manager to 700/1,000 children - Agency Based Case Managers work within institution/agency CCS Nurse Liaison – New Position Community Based Care Coordinator – New Position – average caseload 1/20
38. Keystone to Success STATE PLAN/EPSDT Services See Numbered Letter Waiver Services Care Coordination Respite Care Bereavement Counseling Expressive therapies Family Training Community Services Family + Care Coordinator Coordination of Services
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40. Children’s Hospice and Palliative Care Coalition Mission Statement The mission of Children’s Hospice and Palliative Care Coalition is to ensure compassionate, comprehensive care for children with life-threatening conditions. Together with their families, we speak out for those too little or too sick to speak for themselves, and create programs that directly improve the quality of their lives. We need your voice! Join us…everyone is welcome!
41. Children’s Hospice and Palliative Care Coalition We need your voice! Join us…everyone is welcome! Individual Membership $50 Organizational Membership $500 Legislative Advocate: Terri Cowger Hill, Cowger and Associates A voice for children in Sacramento!
42. Children’s Medical Services Branch California Children’s Services Waiver Analysis Branch Jill M Abramson, MD MPH FAAP, Section Chief, Program Development Children's Medical Services, DHCS 1515 K St. , Ste 400 Sacramento, CA 95814 916-327-2487 [email_address] California State Department of Healthcare Services
43. To find the best in others; To give of one's self; To leave the world a bit better, To know even one life has breathed easier because you have lived - This is to have succeeded. Ralph Waldo Emerson
The historical or traditional model of palliative care was described and made popular by the Canadian board of health in 1989. It describes attempts to cure and palliative care as separate and distinct entities, or two separate worlds that are mutually exclusive. This has often been referred to as a switch from curative or life prolonging care to palliative care.
Hope and Hope can live imperceptively a long side of loss. .
Please send us your stories of its use – successful and unsuccessful