The document discusses disruptive innovation in healthcare and proposes business model innovations that could lower costs and increase accessibility. It suggests that healthcare costs could be reduced by decentralizing services away from expensive general hospitals and towards focused solution shops and clinics specializing in particular diseases. Disruptive business models like these may help transform healthcare by applying the principles of disruptive innovation.
Presentation based on Harvard Business Review article: "What is Disruptive Innovation?", by Clayton M. Cristensen, Michael E. Raynor, and Rory McDonald – December, 2015 issue.
The theory of disruptive Innovation was introduced in the article: "Disruptive Technologies: Catching the Wave", by Joseph L. Bower and Clayton M. Christensen from the HBR january–february 1995 issue.
An interesting summary of the key takeaways from the famous innovation management book "The innovator's dilemma". The book won Global Business Book Award and was the best business book of the year in 1997.
Disruptive Innovation describes a process by which a product or service takes root initially in simple applications at the bottom of a market and then relentlessly moves upmarket, eventually displacing established competitors.
Presentation based on Harvard Business Review article: "What is Disruptive Innovation?", by Clayton M. Cristensen, Michael E. Raynor, and Rory McDonald – December, 2015 issue.
The theory of disruptive Innovation was introduced in the article: "Disruptive Technologies: Catching the Wave", by Joseph L. Bower and Clayton M. Christensen from the HBR january–february 1995 issue.
An interesting summary of the key takeaways from the famous innovation management book "The innovator's dilemma". The book won Global Business Book Award and was the best business book of the year in 1997.
Disruptive Innovation describes a process by which a product or service takes root initially in simple applications at the bottom of a market and then relentlessly moves upmarket, eventually displacing established competitors.
The theory of disruptive innovation has proved to be a powerful way of thinking about innovation-driven growth. Many leaders of small, entrepreneurial companies praise it as their guiding star; so do many executives at large, well-established organizations, including Intel, Southern New Hampshire University, and Salesforce.
But just what is Disruptive Innovation? Which companies are considered to be causing "disruption"?
In this meetup, we will explore the basic tenets of disruptive innovation. Then we will look at some of today's companies and their services and discuss if they are disruptive or not.
Lastly, we will look a bit deeper into the theory and see if what we have learned so far allows us to more accurately predict which businesses will grow.
This presentation is on the theory of disruption by Clayton Christensen. While it is easy to explain why bad companies fail it is hard to understand how good companies, who are supposedly do everything right, fail in the end. The theory of disruption offers different ways of thinking to capture this phenomenon.
I explain the theoretical foundations and present a popular example of a new market disruption (the iphone). In the end the different key points of disruption are summarized.
Berkeley Method of Innovation LeadershipIkhlaq Sidhu
Berkeley Method of Innovation Leadership. A method and language to adapt, do new things, change culture, match strategy, set innovation mindset and psychology.
Crossing the Chasm - What's New, What's NotGeoffrey Moore
Managing Director, Geoffrey Moore Consulting
Venture Partner, Mohr Davidow Ventures
Chairman Emeritus, TCG Advisors, The Chasm Institute and The Chasm Group
Member of the Board of Directors, Akamai Technologies and several pre-IPO Companies
Geoffrey Moore is an author, speaker, and advisor who splits his consulting time between start-up companies in the Mohr Davidow portfolio and established high-tech enterprises, most recently including Salesforce, Microsoft, Intel, Box, Aruba, Cognizant, and Rackspace.
Moore’s life’s work has focused on the market dynamics surrounding disruptive innovations. His first book, Crossing the Chasm, focuses on the challenges start-up companies transitioning from early adopting to mainstream customers. It has sold more than a million copies, and its third edition has been revised such that the majority of its examples and case studies reference companies come to prominence from the past decade. Moore’s most recent work, Escape Velocity, addresses the challenge large enterprises face when they seek to add a new line of business to their established portfolio. It has been the basis of much of his recent consulting.
Irish by heritage, Moore has yet to meet a microphone he didn’t like and gives between 50 and 80 speeches a year. One theme that has received a lot of attention recently is the transition in enterprise IT investment focus from Systems of Record to Systems of Engagement. This is driving the deployment of a new cloud infrastructure to complement the legacy client-server stack, creating massive markets for a next generation of tech industry leaders.
Moore has a bachelors in American literature from Stanford University and a PhD in English literature from the University of Washington. After teaching English for four years at Olivet College, he came back to the Bay Area with his wife and family and began a career in high tech as a training specialist. Over time he transitioned first into sales and then into marketing, finally finding his niche in marketing consulting, working first at Regis McKenna Inc, then with the three firms he helped found: The Chasm Group, Chasm Institute, and TCG Advisors. Today he is chairman emeritus of all three.
To find out more about Geoffrey Moore please visit:
More information about Geoffrey Moore:
http://www.geoffreyamoore.com
Geoffrey Moore on LinkedIn:
http://www.linkedin.com/in/geoffreyamoore
Geoffrey Moore on Twitter:
http://www.twitter.com/geoffreyamoore
Geoffrey Moore on Google Plus:
http://gplus.to/geoffreyamoore
HBR's 10 must reads on Innovation. The author is Peter Drucker, the founder of modern management. The most innovative business ideas come from methodically analyzing seven areas of opportunity. You have to identify the opportunity and need a leap of imagination to arrive at the right response.
A brief description of the Clayton Christensen's concept of disruptive technology and how it helps us to understand why companies go bankrupt under conditions of technological change.
Open Innovation: New Opportunities, New Challenges
Many companies are moving beyond the basics of open innovation making this new paradigm of innovation even more complex, challenging – and rewarding. This is the outset for this session with Stefan Lindegaard in which we get into these topics:
• the essentials: What open innovation is and why it matters?
• an overview of the mindset and skills needed to succeed with open innovation
• insights from companies on the leading edge of open innovation
As organizations seek their footing in a turbulent business environment, they require strong leaders at the helm. The rapid changes associated with digital disruption can be disorienting, so many of us assume the leadership handbook must be completely rewritten for the digital age.
Is it possible the leadership challenges of the digital world are more the same than different but we are overly focused on what’s different because we are so alarmed by the threats to the status quo?
Crossing The Chasm by Geoffrey A. MooreSameer Mathur
"Crossing The Chasm" is of biblical importance to anybody who has curiosity regarding the operations of B2B scenario. For book summary by Prof. Sameer Mathur, check here.
Complete Business Frameworks Toolkit - Strategy, Marketing, Operations, Consu...Flevy.com Best Practices
Download this primer now from slideshare.
Full version here:
https://flevy.com/browse/business-document/complete-consulting-frameworks-toolkit-644
This is a very comprehensive document with over 350+ slides--covering 51 common management consulting frameworks and methodologies (listed below in alphabetical order). A detailed summary is provided for each business framework. The frameworks in this deck span across Corporate Strategy, Sales, Marketing, Operations, Organization, Change Management, and Finance.
These frameworks and templates are the same used by top tier consulting firms. With this comprehensive document in your back pocket, you can find a way to address just about any problem that can arise in your organization.
The level of detail varies by framework, depending on the nature of the management model. Examples, templates, and case studies are provided.
FULL LIST OF MANAGEMENT CONSULTING FRAMEWORKS & METHODOLOGIES:
1. ABC Analysis
2. Adoption Cycle ( Consumer Adoption Curve)
3. Ansoff Market Strategies
4. Balanced Scorecard
5. BCG Growth-Share Matrix
6. Benchmarking
7. Blue Ocean Strategy
8. Break-even Analysis
9. Business Unit Profitability
10. Economics of Scale
11. Environmental Analysis
12. Experience Curve
13. Cluster Analysis
14. Company & Competitor Analysis
15. Consumer Decision Journey ( McKinsey Consumer Decision Journey)
16. Core Competence Analysis
17. Cost Structure Analysis
18. Customer Experience
19. Customer Satisfaction Analysis
20. Customer Value Proposition
21. Fiaccabrino Selection Process
22. Financial Ratios Analysis
23. Gap Analysis
24. Industry Attractiveness & Business Strength Assessment
25. Key Purchase Criteria
26. Key Success Factors (KSF)
27. Market Sizing & Share
28. McKinsey 7-S
29. Net Present Value
30. PEST Analysis
31. Porter Competition Strategies
32. Porter's Five Forces
33. Portfolio Strategies
34. Price Elasticity
35. Product Life Cycle
36. Product Substitution
37. Relative Cost Positioning
38. Rogers' Five Factors
39. Scenario Techniques
40. Scoring Models
41. Segment Attractiveness
42. Segmentation & Targeting
43. Six Thinking Hats
44. Stakeholder Analysis
45. Strengths & Weaknesses Analysis
46. Structure-Conduct-Performance (SCP)
47. SWOT Analysis
48. SWOT Strategies
49. Treacy / Wiersema Market Positioning
50. Value Chain Analysis
51. Venkat Matrix
Agile innovation and Thinking Like a StartupChris Chan
Many enterprises are struggling to innovate whilst smaller startups are disrupting the market. Existing organisational business models work well in a known and predictable environment. However, these approaches fail when applied to an uncertain and changing environment.
In this session I will discuss the different approaches and how an organisation can balance a portfolio that both can exploit existing opportunities while enable the exploration of new opportunities.
I will draw on my experience working with some innovation teams in an enterprise and how we are re-focusing agile back to its roots and thinking like a startup to evolve the way we work.
Participants will also gain an understanding how Design Thinking/Human Centred Design, Lean Startup, Agile and Business Model Innovation can blended together to transform the way you work to enable innovation within larger enterprises.
Cutting it costs and improving business performanceCAST
A Conversation with Kelly Cannon, former Vice President, Shared Application
Services at Kaiser Permanente, CIO, Enterprise Infrastructure at Nationwide
Insurance, and CIO at Wausau Insurance.
The theory of disruptive innovation has proved to be a powerful way of thinking about innovation-driven growth. Many leaders of small, entrepreneurial companies praise it as their guiding star; so do many executives at large, well-established organizations, including Intel, Southern New Hampshire University, and Salesforce.
But just what is Disruptive Innovation? Which companies are considered to be causing "disruption"?
In this meetup, we will explore the basic tenets of disruptive innovation. Then we will look at some of today's companies and their services and discuss if they are disruptive or not.
Lastly, we will look a bit deeper into the theory and see if what we have learned so far allows us to more accurately predict which businesses will grow.
This presentation is on the theory of disruption by Clayton Christensen. While it is easy to explain why bad companies fail it is hard to understand how good companies, who are supposedly do everything right, fail in the end. The theory of disruption offers different ways of thinking to capture this phenomenon.
I explain the theoretical foundations and present a popular example of a new market disruption (the iphone). In the end the different key points of disruption are summarized.
Berkeley Method of Innovation LeadershipIkhlaq Sidhu
Berkeley Method of Innovation Leadership. A method and language to adapt, do new things, change culture, match strategy, set innovation mindset and psychology.
Crossing the Chasm - What's New, What's NotGeoffrey Moore
Managing Director, Geoffrey Moore Consulting
Venture Partner, Mohr Davidow Ventures
Chairman Emeritus, TCG Advisors, The Chasm Institute and The Chasm Group
Member of the Board of Directors, Akamai Technologies and several pre-IPO Companies
Geoffrey Moore is an author, speaker, and advisor who splits his consulting time between start-up companies in the Mohr Davidow portfolio and established high-tech enterprises, most recently including Salesforce, Microsoft, Intel, Box, Aruba, Cognizant, and Rackspace.
Moore’s life’s work has focused on the market dynamics surrounding disruptive innovations. His first book, Crossing the Chasm, focuses on the challenges start-up companies transitioning from early adopting to mainstream customers. It has sold more than a million copies, and its third edition has been revised such that the majority of its examples and case studies reference companies come to prominence from the past decade. Moore’s most recent work, Escape Velocity, addresses the challenge large enterprises face when they seek to add a new line of business to their established portfolio. It has been the basis of much of his recent consulting.
Irish by heritage, Moore has yet to meet a microphone he didn’t like and gives between 50 and 80 speeches a year. One theme that has received a lot of attention recently is the transition in enterprise IT investment focus from Systems of Record to Systems of Engagement. This is driving the deployment of a new cloud infrastructure to complement the legacy client-server stack, creating massive markets for a next generation of tech industry leaders.
Moore has a bachelors in American literature from Stanford University and a PhD in English literature from the University of Washington. After teaching English for four years at Olivet College, he came back to the Bay Area with his wife and family and began a career in high tech as a training specialist. Over time he transitioned first into sales and then into marketing, finally finding his niche in marketing consulting, working first at Regis McKenna Inc, then with the three firms he helped found: The Chasm Group, Chasm Institute, and TCG Advisors. Today he is chairman emeritus of all three.
To find out more about Geoffrey Moore please visit:
More information about Geoffrey Moore:
http://www.geoffreyamoore.com
Geoffrey Moore on LinkedIn:
http://www.linkedin.com/in/geoffreyamoore
Geoffrey Moore on Twitter:
http://www.twitter.com/geoffreyamoore
Geoffrey Moore on Google Plus:
http://gplus.to/geoffreyamoore
HBR's 10 must reads on Innovation. The author is Peter Drucker, the founder of modern management. The most innovative business ideas come from methodically analyzing seven areas of opportunity. You have to identify the opportunity and need a leap of imagination to arrive at the right response.
A brief description of the Clayton Christensen's concept of disruptive technology and how it helps us to understand why companies go bankrupt under conditions of technological change.
Open Innovation: New Opportunities, New Challenges
Many companies are moving beyond the basics of open innovation making this new paradigm of innovation even more complex, challenging – and rewarding. This is the outset for this session with Stefan Lindegaard in which we get into these topics:
• the essentials: What open innovation is and why it matters?
• an overview of the mindset and skills needed to succeed with open innovation
• insights from companies on the leading edge of open innovation
As organizations seek their footing in a turbulent business environment, they require strong leaders at the helm. The rapid changes associated with digital disruption can be disorienting, so many of us assume the leadership handbook must be completely rewritten for the digital age.
Is it possible the leadership challenges of the digital world are more the same than different but we are overly focused on what’s different because we are so alarmed by the threats to the status quo?
Crossing The Chasm by Geoffrey A. MooreSameer Mathur
"Crossing The Chasm" is of biblical importance to anybody who has curiosity regarding the operations of B2B scenario. For book summary by Prof. Sameer Mathur, check here.
Complete Business Frameworks Toolkit - Strategy, Marketing, Operations, Consu...Flevy.com Best Practices
Download this primer now from slideshare.
Full version here:
https://flevy.com/browse/business-document/complete-consulting-frameworks-toolkit-644
This is a very comprehensive document with over 350+ slides--covering 51 common management consulting frameworks and methodologies (listed below in alphabetical order). A detailed summary is provided for each business framework. The frameworks in this deck span across Corporate Strategy, Sales, Marketing, Operations, Organization, Change Management, and Finance.
These frameworks and templates are the same used by top tier consulting firms. With this comprehensive document in your back pocket, you can find a way to address just about any problem that can arise in your organization.
The level of detail varies by framework, depending on the nature of the management model. Examples, templates, and case studies are provided.
FULL LIST OF MANAGEMENT CONSULTING FRAMEWORKS & METHODOLOGIES:
1. ABC Analysis
2. Adoption Cycle ( Consumer Adoption Curve)
3. Ansoff Market Strategies
4. Balanced Scorecard
5. BCG Growth-Share Matrix
6. Benchmarking
7. Blue Ocean Strategy
8. Break-even Analysis
9. Business Unit Profitability
10. Economics of Scale
11. Environmental Analysis
12. Experience Curve
13. Cluster Analysis
14. Company & Competitor Analysis
15. Consumer Decision Journey ( McKinsey Consumer Decision Journey)
16. Core Competence Analysis
17. Cost Structure Analysis
18. Customer Experience
19. Customer Satisfaction Analysis
20. Customer Value Proposition
21. Fiaccabrino Selection Process
22. Financial Ratios Analysis
23. Gap Analysis
24. Industry Attractiveness & Business Strength Assessment
25. Key Purchase Criteria
26. Key Success Factors (KSF)
27. Market Sizing & Share
28. McKinsey 7-S
29. Net Present Value
30. PEST Analysis
31. Porter Competition Strategies
32. Porter's Five Forces
33. Portfolio Strategies
34. Price Elasticity
35. Product Life Cycle
36. Product Substitution
37. Relative Cost Positioning
38. Rogers' Five Factors
39. Scenario Techniques
40. Scoring Models
41. Segment Attractiveness
42. Segmentation & Targeting
43. Six Thinking Hats
44. Stakeholder Analysis
45. Strengths & Weaknesses Analysis
46. Structure-Conduct-Performance (SCP)
47. SWOT Analysis
48. SWOT Strategies
49. Treacy / Wiersema Market Positioning
50. Value Chain Analysis
51. Venkat Matrix
Agile innovation and Thinking Like a StartupChris Chan
Many enterprises are struggling to innovate whilst smaller startups are disrupting the market. Existing organisational business models work well in a known and predictable environment. However, these approaches fail when applied to an uncertain and changing environment.
In this session I will discuss the different approaches and how an organisation can balance a portfolio that both can exploit existing opportunities while enable the exploration of new opportunities.
I will draw on my experience working with some innovation teams in an enterprise and how we are re-focusing agile back to its roots and thinking like a startup to evolve the way we work.
Participants will also gain an understanding how Design Thinking/Human Centred Design, Lean Startup, Agile and Business Model Innovation can blended together to transform the way you work to enable innovation within larger enterprises.
Cutting it costs and improving business performanceCAST
A Conversation with Kelly Cannon, former Vice President, Shared Application
Services at Kaiser Permanente, CIO, Enterprise Infrastructure at Nationwide
Insurance, and CIO at Wausau Insurance.
An Entrepreneur's Perspective: Lessons Learned Building an Electronic Medical...Jonathan Baran
Lessons learned starting and scaling a healthcare IT company that integrates with major electronic medical record marketplaces. Presented at the 2019 Epic App Orchard Conference.
Quality Medical Care presentation made to a major Pharm mfgr in 1998 at a national meeting. Purpose is to explain how pharm company could use gov mandates to add value to contracts with MCOs.
Budget 2015-16 Evoked Astounding Reactions on Social MediaSimplify360
The Union Budget for the financial year 2015-2016 has seen a sudden change in approach. This time the focus has shifted from a middle class society friendly outcome to a more growth focused one. The trending topics on Twitter revolved around taxation, education, infrastructure, insurance and banking. However, the trend seemed to differ according to the needs of a particular place or segment of citizens in the society.
However, the budget also saw a number of negative trends such as anti-poor, increasing service tax and more. The sectors which received the most negative trend were taxation and education. This presentation gives you a complete idea about how the budget was represented on social media, by various sections of the society.
Documentation of Medical Necessity Automated Guidelines for Healthcare Rei...Denis Gagné
Automated Guidelines Healthcare Reimbursement Series
Reducing friction in the reimbursement process is an important challenge faced by healthcare organizations today. Many of them are looking for technology to reduce inefficiencies and cut costs while improving the visibility of integrated patient and clinical data. Trisotech addresses the issue with an easy to use business modeling and automation platform.
Business modeling and automation is a mature technology based on open standards that has proven its value in a wide range of industries. In healthcare, it enables clinical, business and IT personnel to collaborate in a visual environment to document, communicate and automate healthcare guidelines. The technology can be integrated with hospital information systems using FHIR and CDS Hooks. Automating these complex workflows can improve efficiency, allowing resources to be allocated to more challenging problems. Issues can be identified and resolved in real-time with the logic underlying all decisions transparently available to the organization.
To illustrate the capabilities of business modeling and automation for healthcare reimbursement, we will demonstrate how it can be used by payors and providers alike in a series of three webinars.
Documentation of Medical Necessity for CMS Home Services
Audits for medical necessity can be a headache and a financial burden to providers. Problems are often traced to issues such as incomplete documentation and incorrect coding. In this third webinar, we will demonstrate how business models can be used to meet Centers for Medicare and Medicaid Services (CMS) rules for home health care. These models can serve as documentation, especially when supported by decision models for disease severity and therapeutic decision-making. In addition, the models can schedule renewals when needed, reducing interruptions in patient care.
Webinar Deck for 2018 Health Technology & Impact on InsuranceThe Digital Insurer
Listen to an experienced, global panel of insurance professionals present, discuss and answer your questions on the theme of “Health Technology & Impact on Insurance”.
Brought to you by The Digital Insurer and sponsored by KPMG.
Orthopaedic Device Industry Business Models: 2020 and BeyondApril Bright
During last year’s closing keynote, Dr. Wael Barsoum underscored the importance of producing transformational, innovative products to stay competitive and maintain a strong company and a healthy supply chain. This year, Dr. Bill Tribe will shine the “innovation lens” on the value of transforming your business.
Dr. Tribe co-authored the often-cited “Medical Devices: Equipped for the Future?” study in which the orthopaedics sector is called out specifically as facing an extreme combination of forces — none of which come as a surprise or are new, but when viewed holistically (as in the image below), paint a rather obvious picture of the need for companies to respond. As you can see, orthopaedics is the only sector with 4 of 5 “hot” areas…and in this case, the odd one out (regulatory scrutiny) is still marked “critical.”
From a top-down view, the five “disruptors” listed above are acute (power shift to payors, regulatory scrutiny, unclear sources of innovation, new healthcare delivery models, need to serve lower socio-economic classes). They impact the overall orthopaedic industry intensely – but how are they impacting you? Dr. Tribe’s Keynote Address will take into account the uniqueness of the OMTEC audience: large and small OEMs, Suppliers and Service Providers.
As stated in the A.T. Kearney study, “Each company faces a different set of headwinds…while the macro-factors held true, individual experiences and prioritization depended on factors such as market geography, product life cycles and go-to-market strategies. The most effective strategies are therefore likely to be company specific.”
What will be your business model in 2020? 2025?
Will you be considering cost-structure, deployment of inventory, commercial logistics, quality and regulatory frameworks, R&D, innovation and data collection?
Dr. Tribe will break down the issues and share potential approaches to help you navigate toward a more relevant and lucrative business model – regardless of where you are in the process.
Healthcare Billing and Reimbursement: Starting from ScratchDale Sanders
The healthcare billing environment in the US is a disaster. It creates huge waste in care and cost. As presented at the Cayman Islands International Healthcare Conference in October 2010, this slide deck suggests what the billing system might look like, if we could start over.
Similar to Clayton Christensen Innovative Prescription (20)
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
1. The Innovator’s Prescription: How Disruptive Innovation Can Transform Health Care Clayton Christensen Harvard Business School [email_address] 06/09/09 Copyright Clayton M. Christensen
2. Disruptive Innovations create asymmetric competition 06/09/09 Copyright Clayton M. Christensen Performance Time Sustaining innovations Incumbents nearly always win 60% on $500,000 45% on $250,000 Entrants nearly always win Non-consumers or Non-consuming occasions Different measure Of Performance Time Disruptive Innovations: Competing against non-consumption 40% on $2,000 20% Pace of Technological Progress
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4. What is a business model, and how is it built? 06/09/09 Copyright Clayton M. Christensen THE VALUE PROPOSITION: A product that helps customers do more effectively, conveniently & affordably a job they’ve been trying to do PROCESSES : Ways of working together to address recurrent tasks in a consistent way: training, development, manufacturing, budgeting, planning, etc. PROFIT FORMULA : Assets & fixed cost structure, and the margins & velocity required to cover them RESOURCES: People, technology, products, facilities, equipment, brands, and cash that are required to deliver this value proposition to the targeted customers
7. 06/09/09 Copyright Clayton M. Christensen Centralization followed by decentralization is common Long-distance telecommunication Higher education Music recording & distribution Movies / video Retailing Steelmaking
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9. 06/09/09 Copyright Clayton M. Christensen The pursuit of profit and differentiation in head-on competition amongst similar business models adds functionality and (generally) cost. Disruptive decentralization is the mechanism that reduces cost.
10. 06/09/09 Copyright Clayton M. Christensen The decentralization that follows centralization is only beginning in healthcare Surgical suites High-speed multi-channel testers Imaging: MRI, CT, PET Scanners
11. 3. New Value Network 06/09/09 Copyright Clayton M. Christensen Three Enablers of Disruption Non-consumers or Non-consuming occasions Different measure Of Performance Time 1. Simplifying Technology 2. Business model Innovation Performance Time
12. Disruption is facilitated when historically valuable (and expensive) expertise becomes commoditized 06/09/09 Copyright Clayton M. Christensen Experimentation & problem-solving Rules-Based Probabilistic Pattern Recognition
13. Molecular diagnostics, imaging technology, and data analysis are the technological enablers of disruption in health care. 06/09/09 Copyright Clayton M. Christensen Intuitive Medicine Precision Medicine Empirical Medicine Imaging & molecular diagnostics
14. The Traditional General Hospital Is Not a Viable Business Model 06/09/09 Copyright Clayton M. Christensen Value Proposition: Don’t know what’s wrong? We can address any problem you bring Resources Processes Profit formula
15. 06/09/09 Copyright Clayton M. Christensen Polishing Dept. Turning machines Hobbing department Tapping equipment Boring machines Stamping machines De-burring machines Annealing furnace Shipping Department Cut-off saws Office area Storage Path taken by product A A starts here Path taken by product B B starts here
16. 06/09/09 Copyright Clayton M. Christensen Lebanon Maysville Fremont Tiffin Saginaw Sandusky Pontiac Essex Lima 160 100 20 40 80 320 10 1.0 2.0 4.0 5.0 6.0 8.0 10.0 3.0 Plant Scale (sales in $millions) Overhead Burden Rate Economies of scale and countervailing costs of product-line complexity 1 product family 2 product families 4 product families 8 product families 16 product families Economies of Scale: Burden rate drops 15% for each doubling Cost of Complexity: Burden rate increases 27% for each doubling of product families (2) (2) (5) (6) (10) (10) (20) (4) (4)
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18. Disruption of the hospital business model 06/09/09 Copyright Clayton M. Christensen Disjointed VAP Clinic Disjointed Solution Shop Today Coherent Solution Shop Hypo-thesis Treat-ment Coherent Value-Adding Process Clinics: Orthopedic, hernia, eye, etc. Stage 1 Primary care physicians disrupt solution shops Stage 2 Physicians’ assistants disrupt physicians
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20. Sources & magnitude of cost differences: Specialty vs. General Hospitals 06/09/09 Copyright Clayton M. Christensen 9.0 2.7 75 1 $7,000 $2,300 $6030 $1600 $670 $600 $300 $100 General Hospital Shouldice Hospital (hernia repair) Cost of materials & supplies Cost of direct labor Overhead burden Total cost for equivalent length of stay # service families offered Overhead burden rate
21. Disruptive business model innovation in physicians’ practices 06/09/09 Copyright Clayton M. Christensen Value Proposition: The solution to any problem starts here Resources Processes Profit formula Value Proposition: Fast, convenient resolution of rules-based acute disorders Resources Processes Profit formula
24. Who can pull this off where there are no IFFPs?? 06/09/09 Copyright Clayton M. Christensen Employer integration into primary care High-D insurance & HSAs Regulation permitting financial incentives for health
25. Business models for chronic care 06/09/09 Copyright Clayton M. Christensen Diagnosis Adherence Complications Type II Diabetes Schizophrenia Epilepsy Parkinson’s disease Asthma Some cancers Ulcerative colitis Chronic Back pain Alzheimer’s Disease Intuitive : Requires coherent solution shop Rules-Based: Individual doctor can diagnose and prescribe evidence-based therapy Type I diabetes Hypothyroidism Cystic Fibrosis Hypertension Congestive heart failure Hyperlipidemia Osteoporosis Celiac disease
26. Business models for adherence in chronic care Type I Diabetes Addictions Type II Diabetes Asthma Congestive heart failure Obesity Hypertension Osteoporosis Cancer HIV Myopia Crohn’s disease Chronic back pain Ulcerative colitis Infertility Degree to which behavior change is required Minimal Extensive Motivation to adhere to therapy Strong: quickly feel consequences Weak: Complications are deferred
27. Business models for ongoing care Type I Diabetes Addictions Type II Diabetes Asthma Congestive heart failure Obesity Hypertension Osteoporosis Cancer HIV Myopia Crohn’s disease Chronic back pain Ulcerative colitis Infertility Doctor’s office User Networks Employer- Managed Care Degree to which behavior change is required Minimal Extensive Motivation to adhere to therapy Strong: quickly feel consequences Weak: Complications are deferred
28. 06/09/09 Copyright Clayton M. Christensen Electronic Medical Records, not an Individual, Must Coordinate Care
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30. 06/09/09 Copyright Clayton M. Christensen Complexity of diagnosis & treatment Time Disruption among healthcare institutions General Hospitals Lower Doctors’ Offices Cost of venue Outpatient Clinics Patients’ homes
31. 06/09/09 Copyright Clayton M. Christensen Complexity of diagnosis & treatment Time Disruption among healthcare providers Specialist Physicians Patients & families Cost of provider Nurse Practitioners & physicians’ assistants Lower General Physicians
32. 06/09/09 Copyright Clayton M. Christensen Centralization followed by decentralization: Long distance communication