Dr. David Vaughan
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1. The document discusses building knowledge networks for quality improvement and patient safety in the Irish health service. 2. It emphasizes that networks allow for the exchange of information, contacts, and experience between professionals. This helps disseminate innovation and provide support. 3. The document provides examples of existing networks and resources in Ireland that can be leveraged, such as programs in chronic disease, surgery, and quality improvement. It also discusses challenges around data, IT systems, and culture.
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The Large Data Demonstration Project aims to create a timely and workable national health data network design through a test project. It seeks to concurrently address governance issues and demonstrate improvements in care. The project intends to validate the temporal and cost efficiencies of such a network system. Overall, the demonstration project explores building the foundation for a national Learning Health System to improve American healthcare through increased data sharing and analysis.
Feedback for Emergency Doctors (FED)
Innovative project to leverage routinely collected data to provide feedback to healthcare professionals
Information Literacy – An NMAHP perspective
Heather Strachan
Nursing, Midwifery and Allied Health Professions
eHealth Directorate
NHS Scotland
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Legal and Ethical Aspects of Health Information Management
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Introduction to the Cochrane Collaboration in Middle East (WONCA)
A plenary presentation in the WONCA Congress 2008 in Istanbul, Turkey on the Cochrane activities done or ongoing in Middle East
Sophia Zilber - Mito research and data webinar - June 3, 2021
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Technology will save our minds and bodies
Technology can both help and harm health, but on balance it improves lives. Advances like X-rays and vaccines allow accurate diagnosis and disease prevention. Organ transplants and remote monitoring help save lives and manage conditions. However, medical devices sometimes fail or provide inaccurate information, and many online health sources give wrong advice. Overall, the benefits of medical technology outweigh the risks when properly implemented with oversight.
The patient experience as a catalyst for change
This document summarizes a presentation about using patient experiences to drive improvements in healthcare. It discusses:
1) The potential for learning from negative patient experiences and using them as catalysts for positive change.
2) The emergence of "patient advocates" who partner with healthcare professionals to improve safety and outcomes.
3) Examples of how open communication, transparency, and inclusion of patients can help align culture and expectations to better ensure safe, high-quality care.
Beyond an Apple a Day: Consumer Health Information @ Your Library
Beyond an Apple a Day: Consumer Health Information @ Your LibraryLong Island Library Resources Council
This document provides an overview of a presentation about providing consumer health information services at libraries. It discusses the needs of library patrons for health information, challenges in reference interviews, importance of health literacy, planning a consumer health service, collection development, evaluating online health resources, marketing services, and collaborating with health partners. Key topics include the impact of health literacy on individuals and society, ethics and privacy in consumer health, and resources for librarians.Protecting Informed Decision Making
Digital communications bring opportunity and risk to the therapeutic relationship. Doctors and other health professionals can learn to collaborate in person and online to protect informed decision making. Modified slightly from a talk August 8 2019 at Brigham & Women's Hospital/Dana-Farber Cancer Institute.
20131210 Electronic Health Records - Is the NHS ready? What about patients
On 12th December 2013, Dr Hannan (GP / family physician) along with Marilyn Gollom (patient) presented this talk to Health 2.0 Manchester. You can watch the talk by going to http://www.htmc.co.uk/pages/pv.asp?p=htmc0519.
What SNOMED CT® means to New Zealand
The document discusses SNOMED CT and its importance for New Zealand's health system. It notes that SNOMED CT will enable interoperability between electronic health records, e-prescribing, e-referrals, and clinical decision support. The document also outlines some of the key challenges around implementation, such as ensuring terminology is application-centric and that clinical meaning is well-defined to avoid garbage in, garbage out outcomes for patients.
Slides from Focus on Frailty 2019 conference main plenary sessions
The Wessex Acute Frailty Audit found variability in how hospitals screen for and manage frailty. Screening for frailty sometimes occurred in emergency departments and acute medical units, but practices were inconsistent across sites. The audit aims to improve standards of care for frail patients in hospitals by identifying gaps and encouraging quality improvement. Further work is needed to drive consistency in frailty screening, management and care transitions.
Nursing education
This document discusses trends and issues in nursing that nurses need to study. It defines trends as general directions or movements, especially of events and opinions related to nursing. Issues are important topics or problems for discussion. Some key trends and issues identified include the nursing shortage, patient satisfaction, managed care, evidence-based practice, aging population, genetics, globalization of health, and legal/ethical concerns like terrorism or bioterrorism. The document provides details on several of these topics and their implications for nursing practice, education, and research.
Meeting healthcare challenges: what are the challenges and what is the role o...
The document discusses the challenges facing healthcare systems and the role that e-health can play in addressing these challenges. The major challenges are quality and safety, access, responsiveness, and affordability. E-health can help by providing access to electronic patient records, reducing complexity, optimizing information processing, and increasing efficiency. It can also help with navigation through the healthcare system and engaging patients in their own health. The document advocates for free access to research information and using data to identify at-risk patients in need of care.
Presentation by Simon Denegri (NIHR) and Jennifer Preston (MCRN) to the Nuffi...
The document discusses public involvement in health research and young people. It notes that the National Institute for Health Research (NIHR) sees public involvement as a core principle and has invested millions to support involvement. It provides a working definition of involvement as research being carried out "with" or "by" the public rather than "to", "about", or "for" them. The document also highlights the value involvement can add to ensuring research questions are relevant and outcomes are accessible and useful. It cites examples of involvement contributing to priority setting, study design and delivery, and review of research.
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Organising Health Information in an eHealth Environment - Principles & Concepts
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This document discusses how demographic change can catalyze the knowledge society. It argues that both young and old populations contribute valuable knowledge, with the young providing explorative innovation and the old providing experience and conceptual innovation. An aging workforce is needed as more knowledge is applied and companies collaborate more. However, older workers feel their knowledge is not being utilized. The document advocates for policies that promote lifelong learning and allow older workers to share their knowledge and experience.
Creative connections DCAL
Stephen McGowan is the Head of Creative Industries and Innovation. The document discusses various topics from different decades such as the 1950s, 1960s, 1970s, school days, and WWII. It also mentions creative and cultural industries, government, academia, and various initiatives related to the economy, health, education, social inclusion, arts, libraries, planetariums, museums, and sport.
Arts council ni arts and older people programme
The Arts and Older People Programme aims to increase arts participation among older people in Northern Ireland and address social issues they face like isolation, poverty, and health issues. It is a 3-year, £700,000 programme jointly funded by the Arts Council of Northern Ireland and The Atlantic Philanthropies. So far, over £374,608 has been allocated to 32 community and arts organizations. An interim evaluation found funded projects successfully meet the strategic themes so far but recommended further emphasizing social justice elements in remaining projects.
Ageing creatively bios for chairs and speakers
This document provides brief biographies of the chairs and speakers for the Value Ageing Seminar. It introduces 13 individuals: Professor David Cleland, Minister Carál Ní Chuilín, Mr Conn Murray, Dr Gerry Mulligan, Mr Stephen McGowan, Ms Fionnuala Walsh, Dr Emilio Mordini, Dr. R. Benjamin Knapp, Professor Holly Jimison, Dr Maeve Rea, and Dr Karim Hadjri. For each person it lists their professional roles, qualifications, areas of research or work, and relevant experience related to ageing, technology, health, arts, or public policy.
Ageing creativity abstracts
This document contains abstracts from several presentations at a Value Ageing Seminar. It discusses:
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2) Issues around privacy and ethics with ICT for assisting older adults.
3) Examples of using arts and technology for creative solutions to challenges.
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Julie Doyle - CARDI Conference
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The document outlines an agenda for the Connected Health & Ambient Assisted Living Symposium 2011, which was jointly hosted by BioBusiness, CASALA, and the Netwell Centre. The symposium took place at the Crowne Plaza Hotel in Dundalk and included keynote speakers and presentations on connected health and ambient assisted living technologies from organizations such as NICTA, Alere, ECCH, IDA, UPMC, the HSE, and the University of Ulster.
Andrew Macfarlane - CASALA
This document discusses positioning within the mobile ecosystem and focuses on Nokia, Blackberry, Apple, and Android between 2006 and 2011. It also discusses demographics, economics, technology, healthcare and caring for aging populations. A quote from Ireland's Minister of Health advocates for moving away from hospital-centered care towards more community-based primary care through reallocating resources.
Jw casala 16092011
The document outlines the development of imAtHome, a communication device aimed at older adults living alone. It describes SeniorsAtHome Ltd conducting a feasibility study supported by Waterford City Enterprise Board that showed a need for such a system in Ireland as existing systems were only managed in the UK. They then proved the concept of imAtHome using an Innovation Voucher from Enterprise Ireland. The imAtHome product was developed as a consumer plug and play device that is expandable with accessories. SeniorsAtHome Ltd is now in discussions with distribution partners in the UK, Netherlands, and Germany to go global with the product but this will require additional resources and partnering with a distributor.
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This document discusses connected health and outlines some action steps. It summarizes that connected health involves technologies that allow aging in place and independent living through remote monitoring and care. It explores dimensions of connected health like technical aspects, business models, and timing of engagement. Examples discussed include providing therapeutic support to those with dementia at night using music and images on bedside devices, as well as investigating the unmet needs of older community members. The document proposes holding an electronic town meeting in the first quarter of 2012 in Ireland on connected health, involving various stakeholders to discuss open data, user-centered innovations, and interfaces for connected health.
Declan Bogan - BioBusiness
This document discusses connected health in Ireland. It notes there is no dedicated centre of excellence yet, but several research centres conduct activities in connected health. It outlines academic activities and education courses related to connected health. It also discusses challenges for connected health including commercial perspectives, product roadmaps, marketing, funding. It proposes developing a test bed infrastructure and initiatives to support connected health innovation in Ireland.
Conor O'Byrne - Rigney Dolphin
Rigney Dolphin is an Irish BPO company that established a Connected Health division in 2009. It operates telehealth and remote patient monitoring programs using nurses based in Waterford. The document discusses Rigney Dolphin's role in the healthcare ecosystem, partnerships with organizations like Cleveland Clinic, challenges in the sector around business models and funding, and components of successful telehealth solutions. It emphasizes the importance of collaborations, engaging clinicians, and understanding how large healthcare providers operate in order to deliver effective remote care programs.
Stephen McComb - PA Consulting
The document discusses positioning within the value chain in connected health. It defines the value chain as a series of activities that each provide value for the customer, with the whole being greater than the sum of the parts. It identifies some of the challenges in operating within a value chain, such as defining customers and partners, managing commercial risk, and protecting intellectual property. The document also discusses opportunities for leveraging value chains, such as understanding where real value can be created and minimizing non-value adding activities.
Mark Ledwidge - Heartbeat Trust
This document discusses remote patient monitoring for heart failure patients using the HeartPhone system. It outlines challenges in remote monitoring including low sensitivity of weight-based monitoring alone and the need for an integrated healthcare ecosystem. The HeartPhone system aims to improve on manual monitoring by analyzing daily weight trends combined with other patient-reported data inputs. This enhanced algorithm could improve sensitivity for detecting worsening heart failure and reduce the workload of clinicians. Overall, remote monitoring provides an opportunity to better manage the growing chronic disease population in a sustainable way through an integrated patient-centered care model.
Rodd Bond - Netwell Centre
This document summarizes and discusses several roadmaps and initiatives related to aging populations in Europe and the region of Louth, Ireland. It discusses the landscape of existing roadmaps, challenges and opportunities, and the BRAID roadmap project which takes a vision-based approach. It also summarizes Louth's Age-Friendly Business Strategy and its goals to position the region as a leader in age-friendly business. The document discusses engaging stakeholders in the roadmapping process and outlines an integrated local/regional plan and economic vision for Louth.
Roy Harper - Ulster Hospital
The document discusses using information and communication technologies (ICT) to improve healthcare delivery. It argues that ICT can make healthcare easier, better, and safer by (1) enabling remote patient monitoring to support chronic disease management, (2) integrating disparate clinical records into a single electronic care record to improve access to patient information, and (3) developing innovative connected health solutions to enhance communication between patients and healthcare providers. The author believes that with continued investment and adoption of the right technologies, ICT has great potential to transform healthcare delivery and optimize the use of clinical data.
Ann Coyle - Health Service Executive
The document discusses services for older people in Ireland. It aims to support older people remaining in their homes and communities, provide family carer support, and ensure high quality residential care. Priorities include hospital avoidance, accelerated discharge, residential care avoidance, and improved quality of care and quality of life. Over 360 million is spent annually on home care services. Main reasons for residential care admission are dementia, falls, and stroke. The Health Service Executive has 20 clinical care programs including care of the elderly to improve quality, access, and cost effectiveness of services. Objectives of the elderly clinical care program include improving management of acutely ill older patients, increasing independence at home, reducing falls, and improving education.
John Williams - UPMC
This document discusses using telehealth to manage congestive heart failure (CHF) patients. It provides background on the costs of CHF, highlights some successes of telehealth programs in reducing readmissions and costs. It then describes UPMC's telehealth program for CHF patients, including their goals of reducing readmissions and visits. It outlines their methods, such as medication management and education, and shares some pilot data results. It concludes by discussing next steps like standardizing order sets and exploring telehealth/telemonitoring.
Laurie Orlov - Ageing in Place Technology Watch
This document discusses aging in place technology and its potential to help seniors live independently in their homes. It outlines four categories of aging in place technology: communication and engagement, safety and security, health and wellness, and learning and contribution. The document also discusses barriers to adoption of aging in place technology by seniors and the market potential, which is estimated to be over $20 billion in the US and double globally. It proposes solutions like making offerings easy to use, targeting marketing at baby boomers, and improving referral channels.
Lh 20110920-casala
NICTA is Australia's ICT research center with 700 people working to advance ICT and contribute to globally competitive products and services. The eHealth program at NICTA aims to demonstrate technology, make sense of health data, promote adoption, and engage in significant national health projects.
Australia spends over $1.2 billion on new eHealth initiatives including $400 million for telehealth services, $467 million for electronic health records, and $487 million to improve aged care facilities. This spending is aligned with priorities around aging in place and the $42 billion National Broadband Network.
The eHealth Record system aims to provide electronic health records for all citizens by 2012, though it is still in the early stages of
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Dr. David Vaughan
- 4. Dunning-Kruger Effect. "Overestimation occurs, in part, because people who are unskilled in these domains suffer a dual burden: Not only do these people reach erroneous conclusions and make unfortunate choices, but their incompetence robs them of the metacognitive ability to realize it
- 7. Text Christakis NA; NEJM 357;4 1997
- 8. A system is a network of interdependent components that work together to try to accomplish the aim of the system. A system must have an aim. Without the aim, there is no system. W. Edwards Deming
- 9. The Aim Better Quality Better Access Less Cost
- 11. Berwick, DM. JAMA. 2003;289:1969-1975
- 12. Berwick, DM. JAMA. 2003;289:1969-1975
- 17. How to begin; start small
- 18. Don’t reinvent the wheel
- 34. “ It is not necessary to change. Survival is not mandatory.”