David Behan - Culture change in care
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David Behan, Chief Executive, Care Quality Commission - presentation from Age UK's For Later Life conference, 25th April. For more information: www.ageuk.org.uk/forlaterlife
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Prepare an 8 page data analysis and quality improvement initiative proposal based on a health issue of professional interest to you. The audience for your analysis and proposal is the nursing staff and the interprofessional team who will implement the initiative.
"A basic principle of quality measurement is: If you can't measure it, you can't improve it" (Agency for Healthcare Research and Quality, 2013).
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By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
· Competency 2: Plan quality improvement initiatives in response to routine data surveillance.
· Outline a QI initiative proposal based on a selected health issue and supporting data analysis.
· Competency 3: Evaluate quality improvement initiatives using sensitive and sound outcome measures.
· Analyze data to identify a health care issue or area of concern.
· Competency 4: Integrate interprofessional perspectives to lead quality improvements in patient safety, cost effectiveness, and work-life quality.
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It starts with our company purpose: CVS Health is committed to helping people on their path to better health. To ensure we focus our resources in the most appropriate and impactful manner, we continually assess which issues are most material to address.
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Healthcare is an art and a science. What many in the industry don’t understand is that systems and processes can coexist with personalized care. Quality improvement methods can be as effective in healthcare as they have been in other industries (e.g., agriculture, manufacturing, etc.).
Quality improvement in healthcare is not just achievable, it’s an absolute necessity given the amount of wasteful spending in the U.S. on healthcare. Organizations can reduce this wasteful spending while improving their processes by applying these five guiding principles:
Facilitate adoption through hands-on improvement projects.
Define quality and get agreement.
Measure for improvement, not accountability.
Use a quality improvement framework and PDSA cycles.
Learn from variation in data.
By using these principles and starting small, organizations can quicken the pace of quality improvement in healthcare.
OverviewPrepare an 8 page data analysis and quality improvement .docx
Overview
Prepare an 8 page data analysis and quality improvement initiative proposal based on a health issue of professional interest to you. The audience for your analysis and proposal is the nursing staff and the interprofessional team who will implement the initiative.
"A basic principle of quality measurement is: If you can't measure it, you can't improve it" (Agency for Healthcare Research and Quality, 2013).
Health care providers are on an endless quest to improve both care quality and patient safety. This unwavering commitment requires hospitals and care givers to increase their attention and adherence to treatment protocols to improve patient outcomes. Health informatics, along with new and improved technologies and procedures, are at the core of virtually all quality improvement initiatives. The data gathered by providers, along with process improvement models and recognized quality benchmarks, are all part of a collaborative, continuing effort. As such, it is essential that professional nurses are able to correctly interpret, and effectively communicate information revealed on dashboards that display critical care metrics.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
· Competency 2: Plan quality improvement initiatives in response to routine data surveillance.
· Outline a QI initiative proposal based on a selected health issue and supporting data analysis.
· Competency 3: Evaluate quality improvement initiatives using sensitive and sound outcome measures.
· Analyze data to identify a health care issue or area of concern.
· Competency 4: Integrate interprofessional perspectives to lead quality improvements in patient safety, cost effectiveness, and work-life quality.
· Integrate interprofessional perspectives to lead quality improvements in patient safety, cost effectiveness, and work-life quality.
· Competency 5: Apply effective communication strategies to promote quality improvement of interprofessional care.
· Apply effective communication strategies to promote quality improvement of interprofessional care.
· Communicate evaluation and analysis in a professional and effective manner, writing content clearly and logically with correct use of grammar, punctuation, and spelling.
Assessment Instructions
Preparation
In this assessment, you will propose a quality improvement (QI) initiative proposal based on a health issue of professional interest to you. The QI initiative proposal will be based on an analysis of dashboard metrics from a health care facility. You have one of two options:
Option 1
If you have access to dashboard metrics related to a QI initiative proposal of interest to you:
· Analyze data from the health care facility to identify a health care issue or area of concern. You will need access to reports and data related to care quality and patient safety. If you work in hospital setting, contact the quality management ...
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This document summarizes a debate about the role of the voluntary sector in health and social care. It discusses how the voluntary sector can help move towards a new era of partnership between health and social care. While integrating health and social care seems logical, cultural and structural barriers have prevented it from happening. The voluntary sector is well-positioned to play a big role because charities consider the whole person and all their needs, not just medical issues. The document also examines specific areas where more work is needed, such as how the health service can better partner with charities, how charities can save the health service money through prevention and addressing social determinants of health, and how charities can influence and create systems change within health care
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Read more on http://www.ageuk.org.uk/forlaterlife
Pam creaven int care session july 2014
The document discusses Age UK's Integrated Care Programme, which aims to provide better and lower-cost care for older people. It outlines key barriers to integrated care in England, such as political and organizational challenges. Age UK's programme provides holistic care coordination led by volunteers to help reduce dependency and isolation. It serves as a critical friend to support service redesign and has shown success in locations like Cornwall. Important aspects of the program include data analysis, whole system working, personalization, and non-medical support to help older adults remain independent.
Hospital Food Standards Panel, Dr Liz Jones - Age UK For Later Life conferenc...
Presentation by Dr Liz Jones at Age UK's For Later Life conference on 1 July 2014.
Read more on http://www.ageuk.org.uk/forlaterlife
New models of healthcare, Oliver Wyman at For Later Life 2014
This document discusses establishing an Extensivist model of care to coordinate care for high-cost, high-need patients. It describes how an Extensivist clinic would function, with an Extensivist leading a care team to provide integrated care for patients' medical, behavioral and social needs. It also outlines challenges in implementing this model, such as gaining hospital privileges, changing patient behaviors, and developing new capabilities. The goal is to improve outcomes and lower costs through coordinated, preventative and patient-centered care for the most complex patients.
Integrated care: a revolution in UK health and care practice, Katrina Percy a...
Katrina Percy at Age UK's For Later Life conference on 1 July 2014.
Read more on http://www.ageuk.org.uk/forlaterlife
Integrated care: a revolution in UK health and care practice, Joy at For Late...
Joy at Age UK's For Later Life conference on 1 July 2014.
Read more on http://www.ageuk.org.uk/forlaterlife
Maintaining positive cognitive health, Ian Dreary at For Later Life 2014
Ian Deary at Age UK's For Later Life conference on 1 July 2014.
Read more on http://www.ageuk.org.uk/forlaterlife
Dignity, malnutrition and comfort in later life, Anne Holdoway at For Later L...
This document discusses nutrition and well-being in later life. It notes that malnutrition increases sharply after age 70 and older adults account for most malnutrition in hospitals. Good nutrition can help manage chronic disease and weight, while undernutrition increases disease risk and negatively impacts mood and quality of life. Specific nutrients like vitamins and fatty acids affect well-being and cognition. Towards the end of life, the document questions whether individual needs and preferences of older adults are adequately considered regarding food, which can impact dignity, anxiety and quality of life.
Seen ya rights presentation
Presentation presented at the "Working towards a human rights convention" conference hosted by Age UK and Age International on the 31st July 2013.
Sanchita Hosali, Deputy Director, British Institute of Human Rights
Presentation presented at the "Working towards a human rights convention for older people" conference by Age UK and Age International.
John Williams, Professor of Law, Aberystwyth University
John Williams' presentation from the "Working towards a human rights convention" conference held by Age UK and Age International on the 31st July 2013.
Age UK Local Statistics Tool User Guide
This User Guide introduces the Local Statistics Tool for Age UK Partners and explains how they can get the most out of data for their area.
Yvonne Doyle - High Impact Health Interventions
Yvonne Doyle, Director of Public Health, Public Health England - presentation from Age UK's For Later Life conference, 25th April 2013.
For more information, view: www.ageuk.org.uk/forlaterlife
David Regan - High impact health interventions
David Regan, Director of Public Health, Manchester City Council - presentation from Age UK's For Later Life conference, 25th April.
For more information: www.ageuk.org.uk/forlaterlife
Tom Kirkwood - High impact health interventions
Professor Tom Kirkwood, Associate Dean for Ageing, University of Newcastle - presentation from Age UK's For Later Life conference, 25th April.
For more information: www.ageuk.org.uk/forlaterlife
Nick Goodwin - Bringing integrated care to life
Dr Nick Goodwin, Senior Fellow, The King's Fund - presentation from Age UK's For Later Life conference, 25th April.
For more information: www.ageuk.org.uk/forlaterlife
Julie Mellor - Culture change in care
Dame Julie Mellor DBE - presentation from Age UK's For Later Life conference, 25th April.
For more information: www.ageuk.org.uk/forlaterlife
Pam Creaven - Bringing integrated care to life
Pam Creaven, Services Director, Age UK - presentation from Age UK For Later Life conference, 25th April.
For more information: www.ageuk.org.uk/forlaterlife
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Novas diretrizes da OMS para os cuidados perinatais de mais qualidadeProf. Marcus Renato de Carvalho
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.
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Physiology of Special Chemical Sensation of Taste
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
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David Behan - Culture change in care
- 1. 1 Raising standards, putting people first Our strategy for 2013 to 2016 April 2013
- 2. 2 Our purpose • We make sure health and social care services provide people with safe, effective, compassionate, high-quality care and we encourage care services to improve Our role • We monitor, inspect and regulate services to make sure they meet fundamental standards of quality and safety and we publish what we find, including performance ratings to help people choose care Our purpose and role
- 3. 33 People who use services Professionals Providers Commissioners Regulators Five influences on quality
- 4. 4 We will tackle the following five questions about services: ∀Are they safe? ∀Are they effective? ∀Are they caring? ∀Are they well led? ∀Are they responsive to people’s needs? Five things we will look at
- 5. 5 Changes for 2013/14 set out in our Business Plan We will deliver: New fundamental standards New hospital inspection methods Hospital ratings Begin to develop changes for other sectors Continued involvement of staff, providers, stakeholders, public in the development of our work Next steps
- 6. 5 Changes for 2013/14 set out in our Business Plan We will deliver: New fundamental standards New hospital inspection methods Hospital ratings Begin to develop changes for other sectors Continued involvement of staff, providers, stakeholders, public in the development of our work Next steps
Editor's Notes
- Thousands of people - members of the public, our staff, providers, professionals and others – have given their views during CQC’s consultation on its strategy for the next three years