General information and trends in continuing medical education (CME), based on Accreditation Council for Continuing Medical Education (ACCME) 2012 Annual Report data and general market analysis for trends impacting education participation.
Continuing Medical Education Market Statistics & Trends -- July 2014Charge Ahead Marketing
General information and trends in continuing medical education (CME), as well as key takeways that those trends necessitate, based on Accreditation Council for Continuing Medical Education (ACCME) 2013 Annual Report data (released July 2014) and general market analysis for trends impacting participation in education across health care.
Presentation given on June 8, 2010 at the GAME Conference in Montreal covering the evolving role of Social Media and Networking in Continuing Medical Education and Continuing Physician Professional Development
Continuing Medical Education Market Statistics & Trends -- July 2014Charge Ahead Marketing
General information and trends in continuing medical education (CME), as well as key takeways that those trends necessitate, based on Accreditation Council for Continuing Medical Education (ACCME) 2013 Annual Report data (released July 2014) and general market analysis for trends impacting participation in education across health care.
Presentation given on June 8, 2010 at the GAME Conference in Montreal covering the evolving role of Social Media and Networking in Continuing Medical Education and Continuing Physician Professional Development
Patient Engagement is more that an patient portal
Connected Health tools are available to enhance engagement
Personalization is needed to engage
How patient engagement technologies fit with population health
Helping those lacking health and digital literacy and access
The future is bright for Personal Connected Health
Patient Engagement is growing in importance as consumer expectations of healthcare providers change and as portals and other technologies improve. Early studies show affects on outcomes for patient engagement technologies
To make remote monitoring devices interoperable, we must examine a variety of use cases and the current evidence of their effectiveness. The presentation is from the January 2020 IHE Connectathon in Cleveland, Oho.
Implementation of Online Safety Incident Reporting System in a Tertiary Care Teaching Hospital by Dr. Bijoy Johnson, Dept. of Hospital Administration, KMC Manipal, India
Riff: A Social Network and Collaborative Platform for Public Health Disease S...Taha Kass-Hout, MD, MS
A hybrid (event-based and indicator-based) platform designed to streamline the collaboration between domain experts and machine learning algorithms for detection, prediction and response to health-related events (such as disease outbreaks or pandemics). The platform helps synthesize health-related event indicators from a wide variety of information sources (structured and unstructured) into a consolidated picture for analysis, maintenance of “community-wide coherence”, and collaboration processes. The platform offers features to detect anomalies, visualize clusters of potential events, predict the rate and spread of a disease outbreak and provide decision makers with tools, methodologies and processes to investigate the event.
Healthcare Communications Study Among Physicians: Medical Monitor 2013Joshua Spiegel
Where do physicians get their information? What’s the best way to reach these important healthcare stakeholders? Find out with our Physician Healthcare Communications report.
WHO Implementation Research Program on Factors Explaining Success and Failure...RBFHealth
A presentation by Maryam Bigdeli, delivered during "Transforming Health Systems Through Results-Based Financing," an event held during the Third Global Symposium on Health Systems Research in Cape Town on September 30, 2014. This event was hosted by the Health Results Innovation Trust Fund at The World Bank, in partnership with the PBF Community of Practice in Africa.
Evaluation of IC initiatives - challenges, approaches and evaluation of Engla...Sax Institute
This presentation from Nicholas Mays, Professor of Health Policy, Director, Policy Innovation Research Unit, Department of Health Services Research & Policy focuses on the challenges, approaches and evaluation of England's Pioneers.
Population Health Management: Enabling Accountable Care in Collaborative Prov...Salus One Ed
This document provides the reader information about population health management (PMH), how it relates to incentive payments for healthcare providers and their health insurance partners (commercial and government). See details about required transformation of care delivery methods, typical accountable care payment models, how to achieve incentives, partnerships between state government (public health) and community shared services needs and necessary technology and data to achieve it.
When the Human Genome Project was declared complete back in 2003, there were high expectations set for genomic medicine. However, it has taken over a decade to begin moving from vision to reality. Today, the number of success stories remains relatively small, but they do stretch across the healthcare ecosystem, incorporating the prediction of drug responses, the diagnosis of diseases and the identification of targeted therapies. Stakeholders ranging from patients, healthcare providers and payers, researchers, diagnostic companies, policy-makers, life sciences businesses and governments now believe genomic medicine to be a potential game-changer
Trends and approaches in medical education in the digital age Natalie Lafferty
The use of technology has become ubiquitous in medical education. Educational technologies have increased access to learning resources but there are also challenges and personal development needs for both staff and students to be considered. This presentation that I gave to the Galway Area Medical Education group at Galway Medical School on 7 March 2013 considers some of the emerging trends in using technology in medical education and approaches to their implementation with examples from across the continuum of medical education.
Laura Briz Ponce, Juan A. Juanes and Francisco J. García-Peñalvo
VisualMed System
Research Group in InterAction and eLearning (GRIAL)
University of Salamanca
Patient Engagement is more that an patient portal
Connected Health tools are available to enhance engagement
Personalization is needed to engage
How patient engagement technologies fit with population health
Helping those lacking health and digital literacy and access
The future is bright for Personal Connected Health
Patient Engagement is growing in importance as consumer expectations of healthcare providers change and as portals and other technologies improve. Early studies show affects on outcomes for patient engagement technologies
To make remote monitoring devices interoperable, we must examine a variety of use cases and the current evidence of their effectiveness. The presentation is from the January 2020 IHE Connectathon in Cleveland, Oho.
Implementation of Online Safety Incident Reporting System in a Tertiary Care Teaching Hospital by Dr. Bijoy Johnson, Dept. of Hospital Administration, KMC Manipal, India
Riff: A Social Network and Collaborative Platform for Public Health Disease S...Taha Kass-Hout, MD, MS
A hybrid (event-based and indicator-based) platform designed to streamline the collaboration between domain experts and machine learning algorithms for detection, prediction and response to health-related events (such as disease outbreaks or pandemics). The platform helps synthesize health-related event indicators from a wide variety of information sources (structured and unstructured) into a consolidated picture for analysis, maintenance of “community-wide coherence”, and collaboration processes. The platform offers features to detect anomalies, visualize clusters of potential events, predict the rate and spread of a disease outbreak and provide decision makers with tools, methodologies and processes to investigate the event.
Healthcare Communications Study Among Physicians: Medical Monitor 2013Joshua Spiegel
Where do physicians get their information? What’s the best way to reach these important healthcare stakeholders? Find out with our Physician Healthcare Communications report.
WHO Implementation Research Program on Factors Explaining Success and Failure...RBFHealth
A presentation by Maryam Bigdeli, delivered during "Transforming Health Systems Through Results-Based Financing," an event held during the Third Global Symposium on Health Systems Research in Cape Town on September 30, 2014. This event was hosted by the Health Results Innovation Trust Fund at The World Bank, in partnership with the PBF Community of Practice in Africa.
Evaluation of IC initiatives - challenges, approaches and evaluation of Engla...Sax Institute
This presentation from Nicholas Mays, Professor of Health Policy, Director, Policy Innovation Research Unit, Department of Health Services Research & Policy focuses on the challenges, approaches and evaluation of England's Pioneers.
Population Health Management: Enabling Accountable Care in Collaborative Prov...Salus One Ed
This document provides the reader information about population health management (PMH), how it relates to incentive payments for healthcare providers and their health insurance partners (commercial and government). See details about required transformation of care delivery methods, typical accountable care payment models, how to achieve incentives, partnerships between state government (public health) and community shared services needs and necessary technology and data to achieve it.
When the Human Genome Project was declared complete back in 2003, there were high expectations set for genomic medicine. However, it has taken over a decade to begin moving from vision to reality. Today, the number of success stories remains relatively small, but they do stretch across the healthcare ecosystem, incorporating the prediction of drug responses, the diagnosis of diseases and the identification of targeted therapies. Stakeholders ranging from patients, healthcare providers and payers, researchers, diagnostic companies, policy-makers, life sciences businesses and governments now believe genomic medicine to be a potential game-changer
Trends and approaches in medical education in the digital age Natalie Lafferty
The use of technology has become ubiquitous in medical education. Educational technologies have increased access to learning resources but there are also challenges and personal development needs for both staff and students to be considered. This presentation that I gave to the Galway Area Medical Education group at Galway Medical School on 7 March 2013 considers some of the emerging trends in using technology in medical education and approaches to their implementation with examples from across the continuum of medical education.
Laura Briz Ponce, Juan A. Juanes and Francisco J. García-Peñalvo
VisualMed System
Research Group in InterAction and eLearning (GRIAL)
University of Salamanca
Learn how we used EthosCE Learning Management System with mobile devices to automate continuing medical education (CME) and grand rounds at the University of Pennsylvania School of Medicine.
79% use by healthcare professionals; 4.5 rating on ease of use; eliminated 6 month CME certificate generation backlog.
In a new report, SVB Analytics examines the challenges facing stakeholders in the U.S. healthcare system, the solutions made possible by technology advancements and opportunities for entrepreneurs and investors.
Learn more here: http://www.svb.com/Blogs/Alex_Lee/Digital_Health__Mapping_Digital_Health_Solutions/
Submission Id ab299d7c-b547-4cf3-958a-07922ca71f2765 SIM.docxdeanmtaylor1545
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Patience Nehikhare
healthcaredeliverysystemchanges.docx
Summary
1175 Words
Running Head: HEALTHCARE DELIVERY SYSTEM
THE U.S. HEALTHCARE DELIVERY SYSTEM 2
Healthcare Delivery System
Patience Nehikhare
Grand Canyon University
December 22, 2019
The U.S. Healthcare Delivery System
There is a rapid change within the healthcare system in the United States. The
changes that have occurred were made for the purpose of improving quality,
rewarding value and not volume, as well as integrating and coordinating the care
(Seshamani & Sen, 2018). As such, this paper will seek to put into consideration
current healthcare laws within the U.S. and the nurse’s role within this continuously
changing environment; the manner in which quality measures and pay for performance
affect patient outcomes. Furthermore, the emerging trends in the healthcare system,
professional nursing leadership, and management roles will be discussed.
The Emerging Health Care Laws and their Effects on Nursing Practice
One of the most crucial healthcare legislat ions that has been enacted in the United
States since the inception of Medicare and Medicaid in 1965 is the Affordable Care
Act (Obama, 2016). The ACA was enacted in 2010. Issues relat ing to affordability,
ease of access, and the care quality within the United States healthcare system were
some of the driving factors that formed the list of many t ime spanning challenges
that compiled the init iat ion of this legislat ion. Between 2010 to 2015 there was a
decrease in the number of uninsured cit izens in the U.S. by forty three percent as an
effect of the Affordable Care Act.
The payment systems in healthcare are undergoing some changes and the access to
care has also improved (Obama, 2016). The ACA promotes preventive healthcare
models that put emphasis on quality care, primary care, and the funding of community
health init iat ives (Lathrop and Hodnicki, 2014). Millions of previously uninsured cit izens
are also provided insurance coverage and also some healthcare areas that need
reforms so as to meet the needs of patients’ improved healthcare outcomes are
highly focused by the act. The act has an effect on nursing practice in several ways.
The first effect is that the act creates a high demand for healthcare professionals
that are sufficiently trained to provide healthcare services that are up to the acts’
standards. The second effect is that Advanced Practice Registered Nurses (APRNs)
who hold the Doctor of Nursing Practice (DNP) are required to be prepared so that
they can meet the increased needs through the provision of leadership skills in
community health centers. These professionals are also held accountable for direct ing
and advocating for future init iates as well as ser.
Revenue at Risk: Understanding Financial Impacts of Quality ReportingBill Presley
Jodi Frei, Northwestern Medical Center Vermont, and I co-presented at the MUSE Executive Institute on Revenue at Risk: Understanding Financial Impacts of Quality Reporting. The Executive Institute featured many amazing CXO's discussing the changing landscape of revenue cycle management and how finance, quality, and IT departments are converging on revenue cycle.
Though pay for performance is the common theme, the logistics of programs including Value Based Purchasing (VBP), Inpatient Quality Reporting (IQR), Hospital Acquired Condition (HAC) Reduction Program, Readmission Reduction, MACRA, MIPS and APMs, are very different. In this session, the specifics of each Quality Program including reporting requirements, scoring methodologies, and associated incentives and penalties will be covered. In addition, tools to track performance and quantify financial risk will be shared.
Reimbursement in this era of health care reform is challenging. We all seek success under this new normal in health care. Optimizing revenue capture in a quality reimbursement model requires acquisition of new knowledge and the use of new tools and strategies. Join us in the conversation; share your strategies; learn from others.
From High Hopes to HITECH: Money and Meaningful Use. Centricity Healthcare User Group. This presentation covers meaningful use, IT Adoption, interoperability, network effects, transparency and better outcomes from the use of Health Information Technology.
Presentation at national SHSMD Conference in Chicago, 2010. Jeff Segall and Marcus Gordon discuss the roles on their organizations in marketing to consumers versus physicians with examples of integrated marketing campaigns.
Harness Your Clinical and Financial Data with an Enterprise Health Informat...Perficient, Inc.
The importance of Enterprise Health Information Exchange (EHIE) as a key way to empower your physicians and patients and demonstrate meaningful use of electronic health records:
- Present the business case for EHIE as an important architecture that matters to progressive health systems
- Take a look at some of the market-leading EHIE architectures and products
- Provide real exam...ples of organizations that are using EHIE to improve their operations
Providers know that successful care coordination is key to enhancing patient outcomes and better personalizing their experience. At its root, care coordination starts with effective communication, and healthcare organizations are increasingly turning to innovative technology solutions to solve their needs. To improve their care teams’ communication, coordination, and data capture capabilities, two of New York City’s leading healthcare organizations worked with two cutting edge tech solutions providers to design and implement innovative pilots as a part of the New York Digital Health Accelerator program. Utilizing real-life case studies, the panelists will discuss the design and implementation of the pilots, and lessons learned from their participation in the program.
• Anuj Desai - Vice President of Market Development, New York eHealth Collaborative
• Joseph Mayer, MD - Founder & CEO, Cureatr Inc.
• Patricia Meisner, MS, MBA - CEO & Co-Founder, ActualMeds
• Ken Ong, MD, MPH - Chief Medical Informatics Officer, New York Hospital Queens
• Victoria Tiase, MSN, RN - Director, Informatics Strategy, NewYork-Presbyterian Hospital
New York eHealth Collaborative Digital Health Conference
November 17, 2014
Similar to Continuing Medical Education Market Info -- August 2013 (20)
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
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
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Title: Sense of Taste
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 structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
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.
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.
2. Physician participation up 6% 2012 vs. 2011, activities up ~4%
Internet enduring materials account for 27% of activities and 38.5% of
physician participations
◦ Average participation vs. registration rates are 30-45% (based on ancedotal conversations)
Online CME activities with commercial support in 2012
◦ Live: 516 events (↓84%), 14,391 total participants (↓85%), avg = 28 MD participants
◦ Enduring: 5,563 events (↓2%), 1,179,941 (↓3%) total participants, avg = 212 MD participants
Online CME activities without commercial support in 2011
◦ Live: 1,637 events (↑41%), 37,120 total participants, (↑44%), avg = 23 MD participants
◦ Enduring: 19,135 events (↓2%), 3,460,463 total participants (↑12%), avg = 181 MD participants
2011 vs. 2012
◦ Enduring ↓2%, courses ↑9% (↑20% since 2010), regular series ↑2%, PICME ↑15% (↑65% since 2010)
◦ Commercially supported performance improvement activities ↓10% (78 vs. 86)
3. Physician participation flat (down 1%) 2012 vs. 2011, activities down 7%
Internet enduring materials account for small portion of data
◦ ↓20%, only 5% of activities and 3.4% of physician participations
Courses account for 61% of activities and 24% of physician participations
◦ Number of courses ↓4%, total participants ↓3%, avg = 22 MD participants
◦ Shows how difficult it is for state associations to get attendees to their events
Regularly scheduled series are 29% of activities and 70% of physician
participations
◦ Number of regularly scheduled series ↓4%, avg = 137 MD participants
Other items of note
◦ Performance improvement activities up 73% (342 vs. 250)
◦ 25,000+ courses offered by state-accredited providers, 2,000+ online enduring materials
4. Mobile is a driving force
◦ 81% use smartphones (Manhattan Research, 2011)
◦ 47% are digital omnivores – use smartphone, tablet and PC for clinical work (Epocrates, 2013)
◦ 62% use tablets for professional purposes (Manhattan Research, 2012)
◦ 25% use tablets in their practices, 21% more expect to in next year (CompTIA, 2011)
◦ 38% use medical apps on daily basis, and will grow to 50% in next year (CompTIA, 2011)
◦ MedScape Mobile 3 million+ users, Epocrates 1 million+ active members
Increase in usage of social media and number of influencers
◦ 90% use social media professionally or personally (QuantiaMD, Frost & Sullivan, others; 60-90% depending on study)
◦ New guidance released in 2013 from JAMA, ACP
◦ Key channel to reach influencers: physician-bloggers, medical associations, hospitals, advocacy groups
Adjusting to new and evolving requirements
◦ Maintenance of certification (http://www.abms.org/maintenance_of_certification/ABMS_MOC.aspx)
◦ Depending on state, credits are required in risk management, ethics, HIV, end of life, pain management
(http://www.medscape.org/public/staterequirements)
5. Hospitals and health systems are increasing their influence
Higher percentage of graduates choose hospital-owned practice settings (MGMA, 2011)
Higher reimbursements, administrative costs of private practice, Medicare populations, and other reasons
Total number of doctors employed by hospitals ↑75% since 2000
(MGMA, 2011)
Medical practices owned by hospitals ↑90%+ since 2005 to 49.5% of all
practices (MGMA, 2011)
Health insurance reform puts more emphasis on risk-based payment approaches, hospitals that own physician
groups can shift patients away from higher-cost hospital care into outpatient network and share savings
http://www.healthecareers.com/article/why-hospitals-are-stepping-up-their-physician-hiring/168115
http://money.cnn.com/2012/07/11/smallbusiness/doctors-employment-survey/index.htm
• 4.65MM MD participations in Regularly Scheduled Series in 2012
• 2.34MM non-MD participations in Regularly Scheduled Series
• 46,453 total CME activities from accredited hospitals/health systems
• 27,059 total CME activities from accredited schools of medicine
• 24,583 total CME activities from accredited MD membership organizations
6. Hospitals and health systems
26K+ courses, 13K+ regularly scheduled series, 3K+ online enduring activities
367K+ hours of instruction
3.2MM MD participations, 1.96 non-MD participations
Schools of medicine
10K+ courses, 7+K regularly scheduled series, 8K+ online enduring activities
3.2MM MD participations, 1.62MM non-MD participations
Physician membership organizations
12K+ courses, 200+ regularly scheduled series, 3K+ online enduring activities
3.1MM MD participations (2.2 in 2011), 1.3MM (1.06 in 2011) non-MD participations
These three types of providers account for:
• 73% of all CME activities
• 66% of all MD participations
• 48% of all non-MD participations
7. Physician shortages in key therapeutic areas
◦ Graduating physicians selecting primary care has declined in each year of the past decade (MGMA, 2011)
◦ Oncology, mental health, primary care, dental, and more
Key shortages in primary care and mental health
◦ 5,900 Health Professional Shortage Areas (HSPA) for primary care (HRSA, 2013)
◦ 3,800 HSPAs for mental health (HRSA, 2013)
◦ http://www.hrsa.gov/shortage/
Growth of PAs and NPs in care delivery system
◦ PAs: 81,000+ in 2012 will grow to 140,000+ by 2020 (AAPA); NPs: 148,000+ NPs in 2012 ↑ 12% from 2008 (AANP)
◦ Growing influence due to physician shortages, healthcare needs in rural areas, new patients due to healthcare reform
From New Nurse Practitioner to Primary Care Provider, 1/19/12, http://www.medscape.com/viewarticle/756444
“The United States today faces a crisis in access to primary healthcare. Millions of newly insured people will soon
seek additional healthcare. They will confront the current and projected shortfall of primary care providers to
deliver that care.”
Nurse practitioners look to fill gap with expected spike in demand for health services, 5/13/12,
http://www.washingtonpost.com/national/health-science/nurse-practitioners-look-to-raise-profile-fill-gap-from-
doctor-shortage/2012/05/12/gIQAHmHYLU_story.html
“A fully enabled nurse practitioner workforce will increase access to quality health care, improve outcomes and
make the health-care system more affordable for patients all across America,”
8. Clinicians will complete a growing % of education internally
◦ Higher employment and thousands of activity options from hospitals/health systems and schools of medicine
◦ Education on other topics (training, IT, compliance, credentialing) will drive higher utilization of internal processes
(online and offline) that also deliver CME, as well as employer-provided mobile devices and content
◦ Financial reward and quality measures increasingly linked to clinical performance
◦ http://www.newyorker.com/reporting/2012/08/13/120813fa_fact_gawande
Physician shortages will drive growth in mobile utilization
◦ Busier schedules and growing clinical applications for tablets facilitate use of these devices for education
◦ http://healthland.time.com/2012/08/16/doctors-using-ipads/
◦ http://www.informationweek.com/healthcare/mobile-wireless/doctors-tablet-use-almost-doubles-in-201/240000469
Changing state licensure requirements make membership organizations
a default go-to resource
Non-MDs will make up a higher % of education activity participants and
drive interest in interprofessional education activities