Dr. Ashish Jha's slides from the Center for Health Journalism webinar "Does ‘Pay for Performance’ Work?" 6.28.16
http://www.centerforhealthjournalism.org/content/does-pay-performance-work
This document discusses managing admission volume for the Scottish Ambulance Service. It shows that over time, the percentage of unscheduled cases managed by telephone or face-to-face assessment has increased from 28% to 38%. The non-conveyance rate for ambulance incidents handled by the Integration Joint Boards has also increased from 0% to nearly 50% from 2018-2019. Interventions like governance processes, clinical guidelines, and professional support have helped with this. Data is also presented on response rates varying between most and least deprived areas, top reasons for calls, and opportunities to further reduce conveyance rates through expanded community support services for patients.
APSA 2012 members insight survey - results finalapsa_australia
These are the survey results from the inaugural annual Australian Pharmaceutical Suppliers Association (APSA) member insight survey. A total of 18 people responded out of a population of 163 members.
Managing Worker Fitness and the Economic Benefit Thereof
We have heard this over and over: ‘Your human capital is your greatest asset’, but
how do we manage our greatest asset to deliver peak performance and be happy? This paper will present findings on how an investment in the health and safety of workers could return an economic benefit.
Have you ever wondered why two brands of pharmaceuticals with similar efficacy and safety measures are prescribed differently? Often this is more influenced by emotion than rational thinking.
Find out more https://goo.gl/e3yMcl
Care providers face growing pressure to maintain margins amidst significant market disruption. New tech-enabled models of care delivery are emerging to address inefficiencies in areas such as obesity management. This slideshare outlines ProjectVision's research into the core methods for implementing a scalable, cost-effective framework for weight management that focuses on managing non-adherence risk.
DAV & SPC Presentation Module 3 - Team 14oenterprises
The document discusses DAV's use of statistical process control (SPC) to monitor and improve the quality of its document processing. It analyzes error rate data from the Policy Extension Group over 30 weeks, finding the process to be out of control with errors ranging from 2-15%. It recommends DAV identify areas requiring high quality, examine low performing groups more closely to understand underlying reasons for issues, and pursue continuous improvement and quality cost reduction through tailored methodology like Six Sigma.
This document discusses managing admission volume for the Scottish Ambulance Service. It shows that over time, the percentage of unscheduled cases managed by telephone or face-to-face assessment has increased from 28% to 38%. The non-conveyance rate for ambulance incidents handled by the Integration Joint Boards has also increased from 0% to nearly 50% from 2018-2019. Interventions like governance processes, clinical guidelines, and professional support have helped with this. Data is also presented on response rates varying between most and least deprived areas, top reasons for calls, and opportunities to further reduce conveyance rates through expanded community support services for patients.
APSA 2012 members insight survey - results finalapsa_australia
These are the survey results from the inaugural annual Australian Pharmaceutical Suppliers Association (APSA) member insight survey. A total of 18 people responded out of a population of 163 members.
Managing Worker Fitness and the Economic Benefit Thereof
We have heard this over and over: ‘Your human capital is your greatest asset’, but
how do we manage our greatest asset to deliver peak performance and be happy? This paper will present findings on how an investment in the health and safety of workers could return an economic benefit.
Have you ever wondered why two brands of pharmaceuticals with similar efficacy and safety measures are prescribed differently? Often this is more influenced by emotion than rational thinking.
Find out more https://goo.gl/e3yMcl
Care providers face growing pressure to maintain margins amidst significant market disruption. New tech-enabled models of care delivery are emerging to address inefficiencies in areas such as obesity management. This slideshare outlines ProjectVision's research into the core methods for implementing a scalable, cost-effective framework for weight management that focuses on managing non-adherence risk.
DAV & SPC Presentation Module 3 - Team 14oenterprises
The document discusses DAV's use of statistical process control (SPC) to monitor and improve the quality of its document processing. It analyzes error rate data from the Policy Extension Group over 30 weeks, finding the process to be out of control with errors ranging from 2-15%. It recommends DAV identify areas requiring high quality, examine low performing groups more closely to understand underlying reasons for issues, and pursue continuous improvement and quality cost reduction through tailored methodology like Six Sigma.
University of Utah Health: Operational Predictive Analytics Year 1 ResultsUniversity of Utah
One of health care’s biggest ideas is predictive analytics — looking at large amounts of data to predict future patient behavior or outcomes. Jeff Young, Associate Director in Decision Support, worked with a multi-disciplinary team to put predictive analytics into action. Here, he shares why innovation is nothing without the team.
Pistoia Alliance conference April 2016: Mini Startup Challenge: AgewellPistoia Alliance
AgeWell Biometrics provides a cloud-based analytics platform that collects biometrics data from seniors to analyze fall risks and provide care recommendations. One in three seniors fall each year, with 50% of falls being preventable. The platform acquires biometrics data, analyzes it using their Equilibrium cloud system, and reports actionable recommendations to care providers. They currently offer their assessment and decision support tool, and plan to expand their product line to include predictive tools and a broader geriatric insight platform. Their business model offers the platform on a fixed service fee basis or metered pay-per-use pricing.
The document summarizes the results of a survey measuring the impact of COVID-19 on the reputation of various industries in Canada. The key findings are:
- Nursing/long-term care homes, retirement homes, and meat packing facilities are suffering clear reputational damage from their response to COVID-19.
- Grocery stores, hospitals, and pharmacies received the strongest positive ratings for their response and are building their reputation. Restaurants also received high marks.
- While most industries saw improved perceptions from April to May 2020, construction, banks, internet service providers, and electricity utilities saw statistically significant improvements in their reputation impact scores.
This report analyzes a provider's E&M coding patterns compared to state and national benchmarks across multiple categories. The provider exceeds benchmarks for initial hospital visits and initial inpatient consultations, but codes below benchmarks for established office visits, observation care, nursing facility visits, and discharge days. The report also includes risk scores and comparisons of coding frequencies and RVUs for the provider versus peers.
As the global biosimilars market opens up, what do physicians faced with choosing between prescribing a brand-name biologic or biosimilar think – and know?
Getting Fit for the Future: Community Hospitals in a Time of Transitionathenahealth
Community hospitals face many challenges including declining patient volumes, rising expenses, and Medicaid expansion in some states but not others. To thrive, community hospitals should focus on four key strategies: 1) Get control over their financials by improving billing and collections; 2) Build patient loyalty through patient engagement portals and retention efforts; 3) Improve clinician loyalty and alignment by utilizing physician extenders appropriately; and 4) Prioritize high-return projects like wellness visits and reducing readmissions. Partnerships with companies providing integrated technology and services solutions can help smaller hospitals address these challenges and build a sustainable future.
This document summarizes the results of a survey of Arkansas business leaders on their economic confidence. It finds that a majority expect sales revenues and wages to increase slightly in the next six months. While revenues are projected to rise, headcounts and capital expenditures are expected to remain steady. Overall economic conditions are seen as slightly improving compared to six months ago and anticipated to continue doing so. However, the healthcare and pharmaceutical industry is viewed more negatively. Consumer confidence is cited as having the strongest impact on economic growth but remains flat nationally. Regulation and compliance costs were also noted as a significant burden for companies.
Software Advice IndustryView: Patient Perspectives on TelemedicineSoftware Advice
Three-quarters of patients surveyed were moderately or extremely interested in using telemedicine for virtual visits instead of in-person visits. When asked about their most recent virtual visit, patients favored the high quality of care and convenience of not having to travel to appointments. However, some patients missed the in-person interaction compared to virtual visits. Overall, current telemedicine users reported that the technology improved their satisfaction with and involvement in their medical care.
PMRC USA 2017 - Mobile Forecasting in the Age of Personalized MedicineSKIM
How can the pharma industry harness in-the-moment mobile forecasting to get closer to the point of prescription? To answer this question, we presented a case study at the Pharma Market Research Conference (PMRC) USA 2017, which was held on Feb 1-2, 2017 in Parsippany, New Jersey.
Leah Binder Presentation on Leapfrog Group on Maternity CareTherese Gratia
1) The document discusses innovations in maternity care, focusing on data from The Leapfrog Group on key measures of maternity quality such as early elective deliveries, C-section rates, and episiotomies.
2) Early elective deliveries have declined significantly from 17% to 1.9% due to efforts to reduce them, though C-section rates still vary between states and purchasers can help further improve quality through payment reform and benefits design.
3) Maternity care quality appears unaffected by hospital type and The Leapfrog Group is a nonprofit that publicly reports on hospital performance and safety to empower purchasers and consumers.
The 2014 Algae Industry Survey found that:
1) Over 80% of respondents believe that algae-based fuels will be cost-competitive with fossil fuels by 2020.
2) Production of algae fuels, feeds, plastics and other products is expected to increase in the coming years as more than 70% of producers plan to expand production in 2014.
3) Continued job growth is anticipated, with the number of people working in algae-related jobs expected to more than double by 2020.
The document discusses the high costs Americans pay for patented drugs compared to other countries, with Americans paying 58% more than Switzerland and up to 118% more than Italy. It notes that regulations, limited competition, a lack of innovation, brick and mortar pharmacies, and an inefficient distribution system contribute to high drug prices. It also includes a quote that a drug one cannot afford is neither safe nor effective for the consumer.
Mgsi -medical billing Company presentationecare India
Welcome to MGSI LLC. We are one of the leading providers of medical billing & coding services. Partner with us to manage your medical bills & revenue cycles.
A survey of the algae industry conducted by the Algae Biomass Organization (ABO) broadly shows high expectations for continued growth in the sector as well as increased production of a wide range of algae-derived products.
Both delegates and those connecting to the MALG conference digitally are invited to take part in a Twitter Poll that considers questions to be discussed during the panel debate on the day.
The 2013 Algae Industry Survey conducted by the Algae Biomass Organization found:
1) There was significant optimism in the algae industry that algae fuels will be price competitive with fossil fuels by 2020 and that production and hiring will increase in both the short and long term.
2) 91% of respondents believed that algae-based fuels will be cost-competitive by 2020, with nearly 1 in 4 producers expecting prices below $3 per gallon.
3) Expanding production capacity, cost-efficient systems, and harvesting/extraction were key industry challenges and priorities.
Drug Forecasting in the Age of Personalized Medicine – The Only Way is Mobile!SKIM
An innovative approach to drug forecasting – in-the-moment mobile research enables collection of robust data close to the point of prescription. Applied to forecasting the advantages are significant – individualized data accounts for the increasingly personalized approaches to treatment based on bio-markers. Furthermore, the mobile platform enables collection of more qualitative information to supplement the quantitative, delivering robust yet holistic outcomes.
Politico Pro Health Care Briefing: Drug Safety and the Trump FDACVS Health
Opening remarks by Thomas M. Moriarty, Executive Vice President, Chief Strategy Officer and General Counsel at the Politico Pro Health Care Briefing: Drug Safety and the Trump FDA, April 5, 2017.
For more on CVS Health's work to ensure access to affordable drugs, visit: http://cvshealth.com/thought-leadership/drug-costs-efficiency-and-the-future-of-the-fda
Dr Ashish Jha: lessons from organisational changeNuffield Trust
Dr Ashish Jha, Harvard School of Public Health, presenting at the Nuffield Trust Health Policy Summit, explores how change happens, drawing on examples from Accountable Care Organisations in the USA.
2016 Economic Forecast: Insights from Small and Mid-Sized Business OwnersD&B B2B
The Pepperdine Private Capital Markets Project at the Graziadio School of Business and Management is the first simultaneous, comprehensive, and on-going investigation of the major private capital market segments. The research seeks to understand the true cost of private capital across market types and the investment expectations of privately-held business owners; providing lenders, investors and the businesses that depend on them with critical data to make optimal investment and financing decisions, and better determine where the opportunities to create lasting economic value may be realized.
The document provides information on United Therapeutics Corporation, a biotechnology company focused on developing therapies for chronic and life-threatening diseases. It includes an overview of the company, analysis of its financial performance and growth outlook, as well as comparisons to competitors. Key points discussed are United Therapeutics' diverse product portfolio, patent protection for major drugs, expanding markets for pulmonary arterial hypertension treatment, and improving profitability and margins in recent years.
University of Utah Health: Operational Predictive Analytics Year 1 ResultsUniversity of Utah
One of health care’s biggest ideas is predictive analytics — looking at large amounts of data to predict future patient behavior or outcomes. Jeff Young, Associate Director in Decision Support, worked with a multi-disciplinary team to put predictive analytics into action. Here, he shares why innovation is nothing without the team.
Pistoia Alliance conference April 2016: Mini Startup Challenge: AgewellPistoia Alliance
AgeWell Biometrics provides a cloud-based analytics platform that collects biometrics data from seniors to analyze fall risks and provide care recommendations. One in three seniors fall each year, with 50% of falls being preventable. The platform acquires biometrics data, analyzes it using their Equilibrium cloud system, and reports actionable recommendations to care providers. They currently offer their assessment and decision support tool, and plan to expand their product line to include predictive tools and a broader geriatric insight platform. Their business model offers the platform on a fixed service fee basis or metered pay-per-use pricing.
The document summarizes the results of a survey measuring the impact of COVID-19 on the reputation of various industries in Canada. The key findings are:
- Nursing/long-term care homes, retirement homes, and meat packing facilities are suffering clear reputational damage from their response to COVID-19.
- Grocery stores, hospitals, and pharmacies received the strongest positive ratings for their response and are building their reputation. Restaurants also received high marks.
- While most industries saw improved perceptions from April to May 2020, construction, banks, internet service providers, and electricity utilities saw statistically significant improvements in their reputation impact scores.
This report analyzes a provider's E&M coding patterns compared to state and national benchmarks across multiple categories. The provider exceeds benchmarks for initial hospital visits and initial inpatient consultations, but codes below benchmarks for established office visits, observation care, nursing facility visits, and discharge days. The report also includes risk scores and comparisons of coding frequencies and RVUs for the provider versus peers.
As the global biosimilars market opens up, what do physicians faced with choosing between prescribing a brand-name biologic or biosimilar think – and know?
Getting Fit for the Future: Community Hospitals in a Time of Transitionathenahealth
Community hospitals face many challenges including declining patient volumes, rising expenses, and Medicaid expansion in some states but not others. To thrive, community hospitals should focus on four key strategies: 1) Get control over their financials by improving billing and collections; 2) Build patient loyalty through patient engagement portals and retention efforts; 3) Improve clinician loyalty and alignment by utilizing physician extenders appropriately; and 4) Prioritize high-return projects like wellness visits and reducing readmissions. Partnerships with companies providing integrated technology and services solutions can help smaller hospitals address these challenges and build a sustainable future.
This document summarizes the results of a survey of Arkansas business leaders on their economic confidence. It finds that a majority expect sales revenues and wages to increase slightly in the next six months. While revenues are projected to rise, headcounts and capital expenditures are expected to remain steady. Overall economic conditions are seen as slightly improving compared to six months ago and anticipated to continue doing so. However, the healthcare and pharmaceutical industry is viewed more negatively. Consumer confidence is cited as having the strongest impact on economic growth but remains flat nationally. Regulation and compliance costs were also noted as a significant burden for companies.
Software Advice IndustryView: Patient Perspectives on TelemedicineSoftware Advice
Three-quarters of patients surveyed were moderately or extremely interested in using telemedicine for virtual visits instead of in-person visits. When asked about their most recent virtual visit, patients favored the high quality of care and convenience of not having to travel to appointments. However, some patients missed the in-person interaction compared to virtual visits. Overall, current telemedicine users reported that the technology improved their satisfaction with and involvement in their medical care.
PMRC USA 2017 - Mobile Forecasting in the Age of Personalized MedicineSKIM
How can the pharma industry harness in-the-moment mobile forecasting to get closer to the point of prescription? To answer this question, we presented a case study at the Pharma Market Research Conference (PMRC) USA 2017, which was held on Feb 1-2, 2017 in Parsippany, New Jersey.
Leah Binder Presentation on Leapfrog Group on Maternity CareTherese Gratia
1) The document discusses innovations in maternity care, focusing on data from The Leapfrog Group on key measures of maternity quality such as early elective deliveries, C-section rates, and episiotomies.
2) Early elective deliveries have declined significantly from 17% to 1.9% due to efforts to reduce them, though C-section rates still vary between states and purchasers can help further improve quality through payment reform and benefits design.
3) Maternity care quality appears unaffected by hospital type and The Leapfrog Group is a nonprofit that publicly reports on hospital performance and safety to empower purchasers and consumers.
The 2014 Algae Industry Survey found that:
1) Over 80% of respondents believe that algae-based fuels will be cost-competitive with fossil fuels by 2020.
2) Production of algae fuels, feeds, plastics and other products is expected to increase in the coming years as more than 70% of producers plan to expand production in 2014.
3) Continued job growth is anticipated, with the number of people working in algae-related jobs expected to more than double by 2020.
The document discusses the high costs Americans pay for patented drugs compared to other countries, with Americans paying 58% more than Switzerland and up to 118% more than Italy. It notes that regulations, limited competition, a lack of innovation, brick and mortar pharmacies, and an inefficient distribution system contribute to high drug prices. It also includes a quote that a drug one cannot afford is neither safe nor effective for the consumer.
Mgsi -medical billing Company presentationecare India
Welcome to MGSI LLC. We are one of the leading providers of medical billing & coding services. Partner with us to manage your medical bills & revenue cycles.
A survey of the algae industry conducted by the Algae Biomass Organization (ABO) broadly shows high expectations for continued growth in the sector as well as increased production of a wide range of algae-derived products.
Both delegates and those connecting to the MALG conference digitally are invited to take part in a Twitter Poll that considers questions to be discussed during the panel debate on the day.
The 2013 Algae Industry Survey conducted by the Algae Biomass Organization found:
1) There was significant optimism in the algae industry that algae fuels will be price competitive with fossil fuels by 2020 and that production and hiring will increase in both the short and long term.
2) 91% of respondents believed that algae-based fuels will be cost-competitive by 2020, with nearly 1 in 4 producers expecting prices below $3 per gallon.
3) Expanding production capacity, cost-efficient systems, and harvesting/extraction were key industry challenges and priorities.
Drug Forecasting in the Age of Personalized Medicine – The Only Way is Mobile!SKIM
An innovative approach to drug forecasting – in-the-moment mobile research enables collection of robust data close to the point of prescription. Applied to forecasting the advantages are significant – individualized data accounts for the increasingly personalized approaches to treatment based on bio-markers. Furthermore, the mobile platform enables collection of more qualitative information to supplement the quantitative, delivering robust yet holistic outcomes.
Politico Pro Health Care Briefing: Drug Safety and the Trump FDACVS Health
Opening remarks by Thomas M. Moriarty, Executive Vice President, Chief Strategy Officer and General Counsel at the Politico Pro Health Care Briefing: Drug Safety and the Trump FDA, April 5, 2017.
For more on CVS Health's work to ensure access to affordable drugs, visit: http://cvshealth.com/thought-leadership/drug-costs-efficiency-and-the-future-of-the-fda
Dr Ashish Jha: lessons from organisational changeNuffield Trust
Dr Ashish Jha, Harvard School of Public Health, presenting at the Nuffield Trust Health Policy Summit, explores how change happens, drawing on examples from Accountable Care Organisations in the USA.
2016 Economic Forecast: Insights from Small and Mid-Sized Business OwnersD&B B2B
The Pepperdine Private Capital Markets Project at the Graziadio School of Business and Management is the first simultaneous, comprehensive, and on-going investigation of the major private capital market segments. The research seeks to understand the true cost of private capital across market types and the investment expectations of privately-held business owners; providing lenders, investors and the businesses that depend on them with critical data to make optimal investment and financing decisions, and better determine where the opportunities to create lasting economic value may be realized.
The document provides information on United Therapeutics Corporation, a biotechnology company focused on developing therapies for chronic and life-threatening diseases. It includes an overview of the company, analysis of its financial performance and growth outlook, as well as comparisons to competitors. Key points discussed are United Therapeutics' diverse product portfolio, patent protection for major drugs, expanding markets for pulmonary arterial hypertension treatment, and improving profitability and margins in recent years.
HealthCheck360 provides a 5-step wellness program to help employers reduce rising healthcare costs. The program uses biometric screenings and a proprietary scoring system to identify and stratify health risks among employees. Participants receive targeted interventions based on their risk level, such as health coaching or condition management. HealthCheck360 analyzes data to track results over time, showing reductions in health risks, healthcare claims costs, and medical cost trends compared to benchmarks. The program aims to keep healthy employees healthy while improving health and managing costs for those with risks or conditions.
The document discusses using metrics and analytics to improve physician practice management at ENT and Allergy Associates. It provides examples of key metrics tracked such as cash collections, charges entered, days in accounts receivable. Metrics are reviewed daily, monthly, and quarterly and shared with staff. The practice uses analytics to evaluate processes, set benchmarks and goals. Physician productivity reports aggregate data on procedures, office visits, audio collections and compare individuals to practice averages. Benchmarking and peer grouping allows practices to track growth and identify opportunities.
Learn about 2016 trends in government and private healthcare spending, employer costs, and the patient-as-consumer movement that's spurring new provider models.
Health Datapalooza 2013: Uses of CMS Data in Rapid-Cycle Innovation - Rocco P...Health Data Consortium
Health Datapalooza IV: June 3rd-4th, 2013
Uses of CMS Data in Rapid-Cycle Innovation
Moderator:
Kavita Patel, Managing Director for Clinical Transformation and Delivery, Brookings Institution
Speakers:
Rocco Perla, Director, Learning and Diffusion Group, Centers for Medicare & Medicaid Services
Hoangmai Pham, Director, Division of Accountable Care Organization Populations, Centers for Medicare & Medicaid Services
Will Shrank, Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women’s Hospital, Harvard Medical School
Farzad Mostashari, National Coordinator for Health Information Technology (ONC), US Department of Health and Human Services
The rapid proliferation of health data and improved usability has led to a sea change in how new health programs are designed, implemented and evaluated and in the speed in which innovation can occur. In this session, officials from the Centers for Medicare & Medicaid Services and the Office of the National Coordinator for Health Information Technology will describe specific government programs or functions that rely on rapid use of data to support patient targeting, feedback and learning, and highlight developments in data use that will promote innovation to deliver higher quality care at lower costs to patients.
This session is eligible for continuing education credit.
Healthcare Sector Update - October 2015Duff & Phelps
The document provides an overview of performance in the healthcare services and pharmaceutical/medical device/life sciences sectors. In the healthcare services sector, the best performing subsectors over the past three months were other services (up 14.6%), home care/hospice (up 1.1%) and physician practice management (up 0.8%), while the worst were assisted living (down 26%), diagnostic imaging (down 24%) and clinical laboratories (down 22%). The pharmaceutical/medical device sector performed worse than the broader market, with diagnostic imaging devices and infection prevention devices among the best, and lab instrumentation, surgical devices and pharmaceuticals among the worst. Recent political commentary negatively impacted share prices in the healthcare industry.
RESULTADOS DE LA EVALUACIÓN CENSAL DE ESTUDIANTES 2018 APLICADO AL SEGUNDO GRADO DE SECUNDARIA, SEGÚN EL DISTRITO EN EL QUE SE UBICA LA IIEE, UBICADOS DE ACUERDO AL ORDEN DE MÉRITOS ALCANZADO.
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.
1) Results-based financing was introduced in Afghanistan's health system in 2010 to improve poor health indicators by paying health facilities for additional and higher quality services, especially for the poor.
2) An impact evaluation found that key indicators like antenatal care, postnatal care, and skilled birth attendance increased significantly more in facilities using results-based financing compared to similar control facilities.
3) The longer results-based financing was in place, the greater the improvements in health services. Quality of care also improved in hospitals using results-based financing approaches.
1) Results-based financing was introduced in Afghanistan's health system in 2010 to improve poor health indicators by paying providers for additional and higher quality health services, especially for the poor.
2) An impact evaluation found that key indicators like antenatal care visits, postnatal care visits, and skilled birth attendance significantly increased more in facilities using results-based financing compared to similar control facilities.
3) The longer results-based financing was in place, the greater the gains were in health service coverage indicators. Quality of care in hospitals also improved after introducing results-based financing.
Healthcare Sector Update - December 2015Duff & Phelps
While the S&P 500 increased 4.6% over the last three months, several factors drove far greater appreciation of diagnostic imaging device shares, which outperformed the S&P by 26%. However, challenges that stifle future performance provide an overhang.
Current job trends in the RN labor market, where the jobs are, and estimates of future demand.
Presenters: Joanne Spetz, Professor at the
Philip R. Lee Institute for Health Policy Studies, University of California, San Francisco;
Teri Hollingsworth, Vice President, Human Resources Services,
Hospital Association of Southern California;
Judee Berg, Executive Director of the California Institute for Nursing & Health Care
Multi-state stories:Insights from the frontrunners of stunting reductionPOSHAN
Presented at on 'Strengthening National, State and District-level Actions for Nutrition: Insights from the National Family Health Survey Data' on 13th December, 2017 at IIC, New Delhi.
Visit the POSHAN website for more: www.poshan.ifpri.info
JOB SATISFACTION OF NURSES AND THEIR PRODUCTIVITYMD DILNAWAZ
This document discusses a study on job satisfaction among nurses and its relationship to productivity. It begins with an introduction explaining the importance of job satisfaction in predicting worker motivation and retention. The objectives of the study are then outlined as determining nurses' level of job satisfaction, measuring the relationship between satisfaction and productivity, and identifying factors influencing satisfaction. The methodology section notes that a questionnaire and interviews were used to collect data from nurse participants. Most of the document consists of tables displaying nurses' responses about different aspects of their jobs and levels of satisfaction in various areas. These include work environment, autonomy, relationships, recognition, promotion opportunities, supervision, pay, and factors like staffing and development. The references cited research on the topics of employment and the influence
Why Healthcare Costing Matters to Enable Strategy and Financial PerformanceHealth Catalyst
According to Moody’s Investment Service Analysis, not-for-profit hospital margins are at an all-time low of 1.6% while the American Hospital Association has found that 30% of all hospitals have negative margins. Financial pressures are continuing to increase in an environment of rising costs, lower payments, an aging population, higher patient responsibility and changing consumer demands. Now more than ever healthcare providers need to have an accurate picture of their costing information to enable precise, strategic decisions that will improve financial performance.
Activity-based costing has the power to do just that. In this webinar Steve Vance, SVP, Professional Services, Health Catalyst explores different costing methodologies and discusses why activity-based costing is the preferable method to manage margins because it directly ties services to their costs. Many healthcare organizations base their costs on generalized drivers such as relative value units (RVUs) through their chargemaster rather than on specific activities associated with their services, leading to inaccurate assumptions and poor decisions.
View this webinar to learn:
- Why activity-based costing should be your core tool for improving financial performance.
- The differences and implications between costing methodologies.
- How to leverage data from an Electronic Data Warehouse (EDW) and automate processes while improving accuracy.
- Ways that you can make strategic decisions using clinical and operational data when tied to costing data.
- Activity-based costing use cases such as contract negotiations, pricing decisions, population health management (PHM), and process improvement efforts
We hope that you will view the webinar and learn from the depth and breadth of Steve’s extensive financial experience.
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More info: https://www.centerforhealthjournalism.org/content/employee-health-insurance-failing-americans
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Dylan Scott's slides from the Center for Health Journalism webinar, "Putting Medicaid to Work" 7.17.18
More info: https://www.centerforhealthjournalism.org/content/putting-medicaid-work
Angela Rachidi's slides from the Center for Health Journalism webinar, "Putting Medicaid to Work" 7.17.18
More info: https://www.centerforhealthjournalism.org/content/putting-medicaid-work
Judith Solomon's slides from the Center for Health Journalism webinar, "Putting Medicaid to Work" 7.17.18
More info: https://www.centerforhealthjournalism.org/content/putting-medicaid-work
Stephanie Armour: "Will Obamacare survive the latest Trump maneuver?"reportingonhealth
Stephanie Armour's slides from the Center for Health Journalism webinar, "Will Obamacare survive the latest Trump maneuver?" 6.18.18
More info: https://www.centerforhealthjournalism.org/content/obamacare-really-back-legal-limbo
Timothy Jost: "Will Obamacare survive the latest Trump maneuver?"reportingonhealth
Timothy Jost's slides from the Center for Health Journalism webinar, "Will Obamacare survive the latest Trump maneuver?" 6.18.18
More info: https://www.centerforhealthjournalism.org/content/obamacare-really-back-legal-limbo
Dr. Aaron Kesselheim: "Runaway Train: America’s Drug Price Problem"reportingonhealth
Dr. Aaron Kesselheim's slides from the Center for Health Journalism webinar, "Runaway Train: America’s Drug Price Problem," 5.15.18
More info: https://www.centerforhealthjournalism.org/content/runaway-train-americas-drug-price-problem
Katie Thomas: "Runaway Train: America’s Drug Price Problem"reportingonhealth
Katie Thomas' slides from the Center for Health Journalism webinar, "Runaway Train: America’s Drug Price Problem," 5.15.18
More info: https://www.centerforhealthjournalism.org/content/runaway-train-americas-drug-price-problem
David Mitchell: "Runaway Train: America’s Drug Price Problem"reportingonhealth
David Mitchell's slides from the Center for Health Journalism webinar, "Runaway Train: America’s Drug Price Problem," 5.15.18
More info: https://www.centerforhealthjournalism.org/content/runaway-train-americas-drug-price-problem
Lois Beckett: "Outgunned: America’s Public Health Crisis"reportingonhealth
Lois Beckett's slides from the Center for Health Journalism webinar, "Outgunned: America’s Public Health Crisis," 3.13.18
More info: https://www.centerforhealthjournalism.org/content/outgunned-americas-public-health-crisis
David Hemenway: "Outgunned: America’s Public Health Crisis"reportingonhealth
David Hemenway's slides from the Center for Health Journalism webinar, "Outgunned: America’s Public Health Crisis," 3.13.18
More info: https://www.centerforhealthjournalism.org/content/outgunned-americas-public-health-crisis
Satisfying Spa Massage Experience at Just 99 AED - Malayali Kerala Spa AjmanMalayali Kerala Spa Ajman
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For the most result-oriented Russian Spa treatment in Ajman, visit our Massage Center. Our Russian therapists are skilled in various techniques to address health concerns. Our body-to-body massage is efficient due to individualized care and high-grade massage oils.
VEDANTA AIR AMBULANCE SERVICES IN REWA AT A COST-EFFECTIVE PRICE.pdfVedanta A
Air Ambulance Services In Rewa works in close coordination with ground-based emergency services, including local Emergency Medical Services, fire departments, and law enforcement agencies.
More@: https://tinyurl.com/2shrryhx
More@: https://tinyurl.com/5n8h3wp8
English Drug and Alcohol Commissioners June 2024.pptxMatSouthwell1
Presentation made by Mat Southwell to the Harm Reduction Working Group of the English Drug and Alcohol Commissioners. Discuss stimulants, OAMT, NSP coverage and community-led approach to DCRs. Focussing on active drug user perspectives and interests
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Health Tech Market Intelligence Prelim Questions -Gokul Rangarajan
The Ultimate Guide to Setting up Market Research in Health Tech part -1
How to effectively start market research in the health tech industry by defining objectives, crafting problem statements, selecting methods, identifying data collection sources, and setting clear timelines. This guide covers all the preliminary steps needed to lay a strong foundation for your research.
This lays foundation of scoping research project what are the
Before embarking on a research project, especially one aimed at scoping and defining parameters like the one described for health tech IT, several crucial considerations should be addressed. Here’s a comprehensive guide covering key aspects to ensure a well-structured and successful research initiative:
1. Define Research Objectives and Scope
Clear Objectives: Define specific goals such as understanding market needs, identifying new opportunities, assessing risks, or refining pricing strategies.
Scope Definition: Clearly outline the boundaries of the research in terms of geographical focus, target demographics (e.g., age, socio-economic status), and industry sectors (e.g., healthcare IT).
3. Review Existing Literature and Resources
Literature Review: Conduct a thorough review of existing research, market reports, and relevant literature to build foundational knowledge.
Gap Analysis: Identify gaps in existing knowledge or areas where further exploration is needed.
4. Select Research Methodology and Tools
Methodological Approach: Choose appropriate research methods such as surveys, interviews, focus groups, or data analytics.
Tools and Resources: Select tools like Google Forms for surveys, analytics platforms (e.g., SimilarWeb, Statista), and expert consultations.
5. Ethical Considerations and Compliance
Ethical Approval: Ensure compliance with ethical guidelines for research involving human subjects.
Data Privacy: Implement measures to protect participant confidentiality and adhere to data protection regulations (e.g., GDPR, HIPAA).
6. Budget and Resource Allocation
Resource Planning: Allocate resources including time, budget, and personnel required for each phase of the research.
Contingency Planning: Anticipate and plan for unforeseen challenges or adjustments to the research plan.
7. Develop Research Instruments
Survey Design: Create well-structured surveys using tools like Google Forms to gather quantitative data.
Interview and Focus Group Guides: Prepare detailed scripts and discussion points for qualitative data collection.
8. Sampling Strategy
Sampling Design: Define the sampling frame, size, and method (e.g., random sampling, stratified sampling) to ensure representation of target demographics.
Participant Recruitment: Plan recruitment strategies to reach and engage the intended participant groups effectively.
9. Data Collection and Analysis Plan
Data Collection: Implement methods for data gathering, ensuring consistency and validity.
Analysis Techniques: Decide on analytical approaches (e.g., statistical
Ensure the highest quality care for your patients with Cardiac Registry Support's cancer registry services. We support accreditation efforts and quality improvement initiatives, allowing you to benchmark performance and demonstrate adherence to best practices. Confidence starts with data. Partner with Cardiac Registry Support. For more details visit https://cardiacregistrysupport.com/cancer-registry-services/
The Importance of Black Women Understanding the Chemicals in Their Personal C...bkling
Certain chemicals, such as phthalates and parabens, can disrupt the body's hormones and have significant effects on health. According to data, hormone-related health issues such as uterine fibroids, infertility, early puberty and more aggressive forms of breast and endometrial cancers disproportionately affect Black women. Our guest speaker, Jasmine A. McDonald, PhD, an Assistant Professor in the Department of Epidemiology at Columbia University in New York City, discusses the scientific reasons why Black women should pay attention to specific chemicals in their personal care products, like hair care, and ways to minimize their exposure.
Basics of Electrocardiogram
CONTENTS
●Conduction System of the Heart
●What is ECG or EKG?
●ECG Leads
●Normal waves of ECG.
●Dimensions of ECG.
● Abnormalities of ECG
CONDUCTION SYSTEM OF THE HEART
ECG:
●ECG is a graphic record of the electrical activity of the heart.
●Electrical activity precedes the mechanical activity of the heart.
●Electrical activity has two phases:
Depolarization- contraction of muscle
Repolarization- relaxation of muscle
ECG Leads:
●6 Chest leads
●6 Limb leads
1. Bipolar Limb Leads:
Lead 1- Between right arm(-ve) and left arm(+ve)
Lead 2- Between right arm(-ve) and left leg(+ve)
Lead 3- Between left arm(-ve)
and left leg(+ve)
2. Augmented unipolar Limb Leads:
AvR- Right arm
AvL- Left arm
AvF- Left leg
3.Chest Leads:
V1 : Over 4th intercostal
space near right sternal margin
V2: Over 4th intercostal space near left sternal margin
V3:In between V2 and V4
V4:Over left 5th intercostal space on the mid
clavicular line
V5:Over left 5th intercostal space on the anterior
axillary line
V6:Over left 5th intercostal space on the mid
axillary line.
Normal ECG:
Waves of ECG:
P Wave
•P Wave is a positive wave and the first wave in ECG.
•It is also called as atrial complex.
Cause: Atrial depolarisation
Duration: 0.1 sec
QRS Complex:
•QRS’ complex is also called the initial ventricular complex.
•‘Q’ wave is a small negative wave. It is continued as the tall ‘R’ wave, which is a positive wave.
‘R’ wave is followed by a small negative wave, the ‘S’ wave.
Cause:Ventricular depolarization and atrial repolarization
Duration: 0.08- 0.10 sec
T Wave:
•‘T’ wave is the final ventricular complex and is a positive wave.
Cause:Ventricular repolarization Duration: 0.2 sec
Intervals and Segments of ECG:
P-R Interval:
•‘P-R’ interval is the interval
between the onset of ‘P’wave and onset of ‘Q’ wave.
•‘P-R’ interval cause atrial depolarization and conduction of impulses through AV node.
Duration:0.18 (0.12 to 0.2) sec
Q-T Interval:
•‘Q-T’ interval is the interval between the onset of ‘Q’
wave and the end of ‘T’ wave.
•‘Q-T’ interval indicates the ventricular depolarization
and ventricular repolarization,
i.e. it signifies the
electrical activity in ventricles.
Duration:0.4-0.42sec
S-T Segment:
•‘S-T’ segment is the time interval between the end of ‘S’ wave and the onset of ‘T’ wave.
Duration: 0.08 sec
R-R Interval:
•‘R-R’ interval is the time interval between two consecutive ‘R’ waves.
•It signifies the duration of one cardiac cycle.
Duration: 0.8 sec
Dimension of ECG:
How to find heart rhytm of the heart?
Regular rhytm:
Irregular rhytm:
More than or less than 4
How to find heart rate using ECG?
If heart Rhytm is Regular :
Heart rate =
300/No.of large b/w 2 QRS complex
= 300/4
=75 beats/mins
How to find heart rate using ECG?
If heart Rhytm is irregular:
Heart rate = 10×No.of QRS complex in 6 sec 5large box = 1sec
5×6=30
10×7 = 70 Beats/min
Abnormalities of ECG:
Cardiac Arrythmias:
1.Tachycardia
Heart Rate more than 100 beats/min
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THE SPECIAL SENCES- Unlocking the Wonders of the Special Senses: Sight, Sound...Nursing Mastery
Title: Unlocking the Wonders of the Special Senses: Sight, Sound, Smell, Taste, and Balance
Introduction:
Welcome to our captivating SlideShare presentation on the Special Senses, where we delve into the extraordinary capabilities that allow us to perceive and interact with the world around us. Join us on a sensory journey as we explore the intricate structures and functions of sight, sound, smell, taste, and balance.
The special senses are our primary means of experiencing and interpreting the environment, each sense providing unique and vital information that shapes our perceptions and responses. These senses are facilitated by highly specialized organs and complex neural pathways, enabling us to see a vibrant sunset, hear a symphony, savor a delicious meal, detect a fragrant flower, and maintain our equilibrium.
In this presentation, we will:
Visual System (Sight): Dive into the anatomy and physiology of the eye, exploring how light is converted into electrical signals and processed by the brain to create the images we see. Understand common vision disorders and the mechanisms behind corrective measures like glasses and contact lenses.
Auditory System (Hearing): Examine the structures of the ear and the process of sound wave transduction, from the outer ear to the cochlea and auditory nerve. Learn about hearing loss, auditory processing, and the advances in hearing aid technology.
Olfactory System (Smell): Discover the olfactory receptors and pathways that enable the detection of thousands of different odors. Explore the connection between smell and memory and the impact of olfactory disorders on quality of life.
Gustatory System (Taste): Uncover the taste buds and the five basic tastes – sweet, salty, sour, bitter, and umami. Delve into the interplay between taste and smell and the factors influencing our food preferences and eating habits.
Vestibular System (Balance): Investigate the inner ear structures responsible for balance and spatial orientation. Understand how the vestibular system helps maintain posture and coordination, and explore common vestibular disorders and their effects.
Through engaging visuals, interactive diagrams, and insightful explanations, we aim to illuminate the complexities of the special senses and their profound impact on our daily lives. Whether you're a student, educator, or simply curious about how we perceive the world, this presentation will provide valuable insights into the remarkable capabilities of the human sensory system.
Join us as we unlock the wonders of the special senses and gain a deeper appreciation for the intricate mechanisms that allow us to experience the richness of our environment.
NURSING MANAGEMENT OF PATIENT WITH EMPHYSEMA .PPTblessyjannu21
Prepared by Prof. BLESSY THOMAS, VICE PRINCIPAL, FNCON, SPN.
Emphysema is a disease condition of respiratory system.
Emphysema is an abnormal permanent enlargement of the air spaces distal to terminal bronchioles, accompanied by destruction of their walls and without obvious fibrosis.
Emphysema of lung is defined as hyper inflation of the lung ais spaces due to obstruction of non respiratory bronchioles as due to loss of elasticity of alveoli.
It is a type of chronic obstructive
pulmonary disease.
It is a progressive disease of lungs.
4. +
Why is Pay for Performance attractive?
Has tremendous face validity
Works in other industries
Aligns incentives for better care:
Allows providers to do well when doing good
5. +
Incentives 1.0: What did we try?
Premier P4P
Began 2003
Small dollars
Process measures
8. +
And the news is discouraging too…
Headlines over the past 5 years:
“Health Affairs article finds Medicare’s pay-for-
performance did not spur quality improvement”
“New NEJM Report: Pay-for-performance…a bust”
“Paying doctors for quality doesn’t work”
“Medicare’s policy did not reduce infection rates”
9. +
What is the ACA doing for P4P?
A variety of new programs
Value-based purchasing
Hospital Readmissions Reduction Program
Hospital-Acquired Condition Reduction
Now: MACRA and MIPS
14. +
Which hospitals are getting penalized?
6.3% 5.7%
15.1%
20.9%
23.4%
17.8%
16.0%
7.2%
21.0%
30.4%
37.1%
27.0%
0%
5%
10%
15%
20%
25%
30%
35%
40%
Percentage Black Percentage
Hispanic
Divorced/never
married
Less than High
School Diploma
Lowest Quartile
of Household
Income
Medicaid
Enrollment
Low readmission rate hospital High readmission rate hospital
Barnett et al., JAMA IM 2015
15. +
ACA Reform #2: VBP (aka P4P)
Up to 2% of Medicare payments tied to:
Broad set of quality measures:
Processes
Outcomes
Patient Experience
Efficiency
17. +
Impact of VBP on Patient Experience
64
69
71
50
55
60
65
70
75
80
85
90
95
100
2008 2009 2010 2011 2012 2013 2014
PercentofPatientsRatingtheirHospital'9&10'
Pre-VBP Slope=
+1.46% per year
Post-VBP Slope=
+0.55% per year
Onset of VBP
18. +
What have we learned?
Incentives can move the needle
Simple measures
Narrowly focused
They can have unintended consequences
We need to understand the tradeoffs
Do they make care meaningfully better?
Jury remains out
19. +
Let’s reframe
Old question: “Does pay-for-performance work?”
New question: “How do we get pay-for-performance to
work?”
20. +
Incentives 2.0: What might it look like?
Bigger incentives?
Target a small number of outcomes?
Especially over the longer run
Across a broader set of measures
Structure it more simply
Play into intrinsic motivations
More nuanced approach to the safety net
This is an example of the variations in outcomes for acute myocardial infarction for Medicare patients entering a hospital in 2010. There are hospitals where outcomes are four times worse than those in other hospitals.
Similarly, for cancer care – we see large variations in cancer-related death rates across medical centers, across states, and across regions.
While the data are less well defined, there is plenty of reason to believe that there are clinically meaningful variations in use of evidence-based chemotherapy regimens, approaches to cancer surgeries, and other types of effective cancer care across different local healthcare markets.
Given these variations – there is a broad consensus that care is clearly suboptimal. In some instances, there may be “overuse” of un-necessary treatments – but for many critical conditions, the problem of “under use” is far more prevalent and problematic. Patients often fail to get evidence-based treatments.
This is why policymakers and private payers turned to P4P: it has tremendous face validity.
The notion is simple: align the incentives for better care. In the old “fee-for-service” world (which is still dominant in cancer care), you got paid more to do more. Providers generally didn’t get paid more to do “better” (that is, to be more evidence based).
It works in most industries: higher quality providers of services get to charge more, deliver better services
While P4P has been around for a very long time, it has gotten substantial traction in healthcare over the past 10 years
So have the efforts with P4P gone? These headlines tell the tale.
Even as of August, 2014, in the NEJM – the latest disappointing story on P4P from England on hospital care – it didn’t work.
If you synthesize the broader field of P4P and its impact: the evidence is underwhelming. It doesn’t appear to work.
See sheet 1 in attached Excel file. Numbers are fudged a bit from Arnie’s paper, but starting and final rates are exact.
Targeted conditions include: AMI, CHF, PNA (excluded hip/knee and COPD)
Data for odds ratios are found in Sheet 8 of the “Data for UCSF talk” excel file.
Sheet 2 in accompanying data file.
From Irini’s unpublished HCAHPS trends paper.
Sheet 1 in accompanying data file.
The conversation on P4P has changed. It is no longer – does P4P work in healthcare? Because the alternatives are not palatable:
Alternative #1 – status quo – not sustainable
Alternative #2 – purely shift risk-taking to providers (i.e. bundled payments, capitation) without substantial quality targets. While this is more viable (and where we are heading) in the short run, lack of P4P and lack of robust quality targets will create substantial political and clinical problems with such models.
Therefore, the real question we need to ask ourselves is: what do we need to do to get P4P to work?