Data-driven Health Behavior Change and mHealth
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The document discusses how data-driven health behavior change and mobile health technologies can help companies drive behavior change, lower medical costs, and increase productivity by incorporating evidence-based research and best practices. It provides examples of how mobile devices can be used to improve medication adherence and target communications to individuals based on their health conditions and behaviors. The document also outlines areas like smoking, medication adherence, and obesity that have the greatest potential for cost savings through behavior change interventions.
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outcomes 2015 pcpcc Evidence Report
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1) Patients want more involvement in treatment decisions and to feel that doctors provide information on options and consider their preferences.
2) Variation exists in treatment approaches and outcomes across different regions of the UK, and identifying unwarranted variations is important for improving care quality.
3) Shared decision making requires clinicians and patients to discuss experiences of illness, social circumstances, risk attitudes, values, preferences, diagnoses, prognoses, and treatment options to make informed healthcare choices.
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Rob Reid, Senior Investigator at Group Health Research Institute, explains the journey taken by Group Health in support of integrated primary care. A case study in how primary care can be delivered effectively and efficiently to a population, Rob laid out the challenges facing general practice in the States, and how Group Health worked to improve the situation for both patients and the workforce.
HCAD 650 Healthcare Ethics
Dr. Y misdiagnosed and overprescribed medication to patient X, which led to their death from a heart attack. This was a case of medical malpractice and unintentional tort. As a healthcare ethics consultant, I would provide training to Dr. Y on the four principles of healthcare ethics: autonomy, beneficence, non-maleficence, and justice. Training should cover informed consent, doing what is best for the patient, avoiding harm, and fairness. The goal is to prevent future ethical violations and protect patient safety.
CHAPTER 1 family medicine.pptx
The document discusses primary care and its role in an effective healthcare system. It outlines that primary care provides integrated, accessible care that focuses on prevention, chronic disease management, and care coordination. This results in better health outcomes and lower costs compared to healthcare systems without a strong primary care foundation. The principles of good primary care are described, including access, continuity, comprehensive team-based care, community orientation, and evidence-based practice. The patient-centered medical home model aims to incorporate these primary care principles.
Hcad 650 healthcare ethics
Dr. Y misdiagnosed and overprescribed medication to Patient X, which led to their death from a heart attack. This was a case of medical malpractice and unintentional tort. Patient X's family could sue Dr. Y for negligence, having to prove that Dr. Y deviated from the standard of care by misreading the medication instructions and that this caused Patient X's death. Healthcare ethics principles of autonomy, beneficence and non-maleficence were violated. Providers must respect patient autonomy, act in their best interest, and do no harm. Ongoing training in healthcare ethics is important to avoid such violations and ensure principles of justice, respect and fairness are followed.
Health 3.0 Leadership Conference: Population Health in Detroit with David Law
Health 3.0 Leadership Conference: Population Health in Detroit with David LawCenter for Public Health Practice & Leadership at UC Berkeley
In Spring 2013, we are on the precipice of dramatic, disruptive change in the health field that offers an unprecedented opportunity and challenge to transform health care and population health.
We know that traditional public health approaches along with more and better health care are not enough to improve health outcomes, equity, and cost. We must also:
- implement sustainable, fundamental "upstream" changes that address the root causes of disease and disability; and
- transform the way we deliver health care to ensure access to quality, affordable health care for all.
Enjoy this Bright Spot presentation with David Law of Joy-Southfield Community Development Corporation, which was presented at the 2013 Annual Leadership Conference, co-sponsored by the Center for Health Leadership (CHL) and the California Pacific Public Health Training Center (CALPACT) at UC Berkeley's School of Public Health.
To learn more about this event, please visit:
http://calpact.org/index.php/en/events/leadership-conference
Learn more about CALPACT:
http://calpact.org/
Learn more about the CHL:
http://chl.berkeley.edu/Being Tuned into the Fiscally Constrained Hydraulic Health System of the Futu...
Being Tuned into the Fiscally Constrained Hydraulic Health System of the Futu...MaRS Discovery District
1. The document discusses the future of medicine and healthcare systems. It predicts that healthcare will increasingly be driven by evidence, outcomes data, and public input.
2. New technologies like genomics, nanotechnology, and minimally invasive procedures will replace some drugs and procedures. Healthcare will also increasingly move to the community with more surgical procedures done in outpatient settings.
3. Healthcare systems will need to innovate to address challenges like chronic diseases, changing disease patterns from climate change, and controlling costs while improving outcomes. Innovation will require aligning different stakeholders and using a matrix approach to prioritize research.Presentation1
The document discusses key aspects of implementing a disease management program including:
1. Encouraging early detection of diseases through various forms of advertising and utilizing guidelines from organizations like the CDC and WHO.
2. Providing incentives for patients to proactively manage their health like lower costs, support groups, and easy access to their medical records.
3. Addressing factors like ensuring quality of care through measurements, making facilities accessible, and emphasizing the importance of prescription management.
Disease Management
The document discusses key aspects of implementing an effective disease management program, including encouraging early detection of diseases, providing patient incentives, establishing physician incentives, selecting appropriate facilities, measuring quality of care, managing prescription benefits, and using case management strategies. It emphasizes preventing disease through screening, education, and lifestyle changes can improve patients' health while lowering overall healthcare costs. Future directions include increased use of electronic medical records and data analytics to track outcomes and continuously improve programs.
Ship ps4 h - cdc 1422 october 2015 final
This document summarizes a presentation on integrating public health into clinical systems. It discusses how chronic illnesses are leading causes of death in Minnesota due to preventable behaviors like smoking, poor diet, and inactivity. Two-thirds of Minnesota adults are overweight or obese, and tobacco use remains high. The Minnesota Solution established a Statewide Health Improvement Program to make healthy choices easier through policy, systems, and environmental changes. This program helped lower obesity rates compared to other states. A new federal grant will help four Minnesota communities address obesity, diabetes and heart disease through healthcare and community strategies.
Matching the Research Design to the Study Question
This document discusses matching research designs to study questions in comparative effectiveness research (CER). It notes that the appropriate research design depends on factors like who is asking the question, the amount of existing evidence, and whether the focus is on individual outcomes or system-level decisions. Both experimental and non-experimental designs have important roles to play in CER. An ideal CER enterprise would support a variety of study designs, methods research, data infrastructure, and efforts to translate evidence into practice.
download10a5ed36a05f68739c53ff0000b8561d.pptx
The document summarizes key points from the 2019 American Diabetes Association Medical Nutrition Therapy consensus report. It discusses how nutrition therapy is effective for improving outcomes like A1C and is a covered Medicare benefit. It also emphasizes that a one-size-fits-all approach does not work and nutrition recommendations should be individualized and aligned with medical management. New topics in the 2019 report include prediabetes, various eating patterns, diabetes remission, technology-enabled tools, and personalized nutrition approaches.
Screening, Brief Intervention and Referral to Treatment (SBIRT)
Screening, Brief Intervention and Referral to Treatment (SBIRT)California School-Based Health Alliance
Here are the 11 DSM-5 criteria for substance use disorder filled in with the blank (___) replaced with "alcohol":
1. Alcohol is often taken in larger amounts or over a longer period than was intended.
2. There is a persistent desire or unsuccessful efforts to cut down or control alcohol use.
3. A great deal of time is spent in activities necessary to obtain alcohol, or recover from its effects.
4. Craving, or a strong desire or urge to use alcohol
5. Recurrent alcohol use resulting in a failure to fulfill major role obligations at work, school, or home.
6. Continued alcohol use despite having persistent or recurrent social or interpersonal problems causedEvidence based medicine
The document discusses evidence based healthcare and the process of evidence based medicine. It describes the 5 step process as asking questions, acquiring information, appraising the quality of evidence, applying the results, and assessing performance. Simple skills can help focus questions and basic rules can improve ability to critique literature. Simple math, not complex statistics, can help clearly describe study results.
Mental Health Advocacy and Research
Health Consumers' Council's Manager of Advocacy and Research and Murdoch's Dr Norman Stomski co-presented on a recent project where 60 de-identified advocacy cases were analysed for themes and to explore how advocacy supported the mental health consumer patient journey.
Healthcare_Discussion_Dec29final
This was a discussion on healthcare reform between various medical professionals, students, patients, and insurers.
1. Dr. Donna Beck, a naturopathic physician, shared her experience being unable to get credentialed by an HMO despite being a qualified doctor, showing the system prioritizes insurance companies over patients.
2. A patient described the high costs and difficulties navigating their health plan, showing the system is complex and lacks transparency.
3. The group agreed the system needs reform to focus on prevention, wellness, nutrition education, and making care accessible, patient-centered, and driven by consumer needs rather than insurance profits.
Weitzman 2013: PCORI: Transforming Health Care
This document summarizes a presentation given by Joe Selby on the Patient-Centered Outcomes Research Institute (PCORI). It discusses PCORI's mission to fund comparative clinical effectiveness research that is guided by patients and other stakeholders. Key points include: PCORI's focus on research questions of interest to patients and providers; its criteria for funding proposals, including patient-centeredness and engagement; and its plans to significantly increase funding for such research over time. Examples are given of funded pilot projects involving community health centers.
Medical Governance, Health Policy, and Health Sector Reform in the Philippines
Suggested citation:
Domingo, Albert Francis E. "Medical Governance, Health Policy, and Health Sector Reform in the Philippines.” De La Salle Health Sciences Institute (DLSHSI). DLSHSI College of Medicine, Dasmarinas, Cavite. 27 Jun. 2014. Lecture.
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Health 3.0 Leadership Conference: Population Health in Detroit with David Law
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Data-driven Health Behavior Change and mHealth
- 1. Data-driven Health Behavior Change and mHealth M. Courtney Hughes, PhD mHealth Conference Chicago, IL March 30-31, 2011
- 2. Introduction • Approach Health helps companies: – Drive behavior change – Incorporate evidence-based research and industry best practices – Lower medical costs & increase productivity – Demonstrate ROI • Background: – Experience with health IT companies, health plans, PBMs, program vendors – Published studies in health behavior change, workplace health – PhD, University of Washington; MS, University of Michigan; BBA, University of Notre Dame 2
- 3. The Time Has Never Been Better… 3 Challenges Opportunities Rising healthcare costs 75% due to unhealthy, modifiable behaviors Engaging members Ubiquitous mobile devices Strong interest in improving health behaviors Cost-effective customization Readily available data Effective communication algorithms
- 4. Capturing Population More patient data is available than ever before. EMR, PHR Pharma Claims Survey (HRA, QoL) Medical Claims mDevices (Events, ODLs) Lab Values 4
- 5. Health Behavior: Medication Adherence • 30-50% patients are nonadherent with medication • Medication nonadherence costs our nation over $100B / year • Mobile devices can help improve adherence 5
- 6. Identification & Targeting • Current poor adherers - missed refills, no med response, missed appts • Individuals at risk for future poor adherence - psych problems, side effects, asymptomatic disease, cost, treatment complexity • Prioritize participants within target groups 6 Preventable disease, death Chronic Costly Dependent
- 7. Tailored Message for High-Impact 7 Drug-specific • Emphasizes value of drug/regimen • Explains effect of adherence Elicit patient feelings • Costs often a concern (direct & indirect) • Psych meaning of med (stigma, addiction) Customize regimen • According to patient’s wishes • Suggest therapeutic interchange
- 8. Optimizing Delivery 8 Optimal combination modes Patient Spouse Care Manager Parent Target Optimal Recipient Timing should be immediate Start Med times Days 1 2 43 1 2 3
- 9. Example 1: Diabetes Patients 9 • Multiple meds: 1 message or several? • Time of day: weekday vs. weekends Source: CareSpeak Communications
- 10. Example 2: MI Patient Text, Day 1: “Heart attack patients may benefit from taking a beta blocker like Atenolol. These drugs assist in the healing process and help prevent another heart attack.” Optional Reminder Text, Daily: “Please remember to take your Atenolol today.” Call, Day 6: How do you feel about taking Atenolol? Text, Day 28: “Congratulations on refilling your Atenolol. You are helping yourself stay healthy and prevent another heart attack.” 10
- 11. Where to Focus for Greatest Impact Behaviors • Smoking • Medication Adherence • Prev Care • Physical Activity • Diet Conditions • Heart Disease • Cancer • Diabetes • Hypertension • High Cholesterol • Obesity • Depression Characteristics • Age • Gender • Education • Income • Prior behavior • Readiness for change 11 *Cost information from Medical Expenditure Panel Survey, 2008
- 12. Behavior Change Cost Impact Behavior Prevalence Rate Annual Cost / Afflicted Individual Cost Reference Population Medical Costs Medication Nonadherence 30.0% $1500 Med Care, 2005 Allergy, 2007 $4.5M Obesity 38.9 1700 JOEM, 2010 6.6M Smoking 19.6* 2432 CDC, 2007 4.8M *Hughes et al., Am J Health Prom, 2010 **Conservative estimate based on articles in Health Psych, 2011, Am J Prev Med 2009, J Am Coll Health 2008 Population: 10,000 12 Smoking prevalence drops 5% to 18.6** --> Population savings = $243,200
- 13. What’s Next? • Determining optimal level of interactivity • Patient or provider initiation? • Activity feedback 13 Source: Halo Monitoring, DePaul University
- 14. mchughes@approachhealth.com Healthy Behaviors. Healthy Returns. Contact: