End of-life barbara coombs-q1
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The document discusses issues with end-of-life care, arguing that treatment plans often do not reflect a patient's values and that doctors are not well-trained in making imminent death peaceful and painless by focusing on palliative care instead of prolonging life. It suggests doctors should spend more time ensuring treatment aligns with what patients want and be better equipped to ease suffering at life's end.
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Q5 supports forcompaniesandindividuals
Companies and individuals need support to make wellness programs successful. Companies require guidance on evidence-based programs, assistance tailoring programs to their workforce, and help with implementation and evaluation. They also need financial incentives. Individuals need leadership buy-in, incentives for participation, peer support, education, and multiple access options.
Question 8
Transportation systems impact health outcomes in several ways:
1. Vehicle emissions and traffic congestion negatively impact air quality, which can lead to increased health risks like cancer, heart disease, and susceptibility to disease.
2. Lack of access to affordable and reliable public transportation makes it difficult for people to access healthcare.
3. Communities can improve health by developing equitable transportation networks that provide safe walking, biking, and public transit options for all residents to access services and enable healthy lifestyles.
TEDMED Great Challenge Medical Communication: John Cox Q4 Response
Given the short time for medical appointments, effective communication between doctors and patients is challenging. Visible Health aims to address this by encouraging ongoing collaboration between doctors and patients using mobile apps and digital content. Their approach involves providing preparatory information to patients before visits, discussing personalized digital materials during visits to enhance understanding, and allowing patients access to shared information after visits to facilitate adherence and follow up questions. The goal is to improve medical communication both within and beyond the constraints of brief appointment times through technology-enabled engagement at all stages of care.
Q4 not effectiveandreasons
While about half of U.S. companies offer wellness programs, many question their effectiveness, as some programs like health assessments and telephonic coaching have shown limited results. Wellness incentives also often do not achieve their goals of encouraging employees to participate or change behaviors. Additional resources on corporate wellness trends are available from organizations like Metlife and ShapeUp.
Q10 innovation inwellness
Partnering with university researchers allows companies to explore new methods and technologies without large investments. Researchers study health and wellness programs to understand what works and often partner on studies. Partnerships range from student employees to opening data for research. Example partnerships found social influence affects weight loss and being on active teams increases physical activity. Additional resources provide information on partnering benefits and research studies.
Q9 all employees
The document discusses ways to make wellness programs accessible and beneficial to all employees. It suggests using smartphones, cell phones, direct mail, on-site clinics, and managers to reach those without computers. It also recommends starting with basic education, leveraging healthy employees as role models, and using an encouraging rather than intimidating approach to engage all, including older or at-risk populations. The document advocates using social aspects to help employees participate and set an example for one another. It notes that social wellness programs effectively engage difficult populations and unite dispersed groups. Finally, it shares that KeyBank found this type of program achieved higher participation than others and positively impacted employees.
Group 2 question 2
Genevieve Fridlund Dunton is an Assistant Professor in the Department of Preventive Medicine at the University of Southern California. She holds a Ph.D and MPH. Her title and affiliation indicate she likely conducts research and teaches in the field of preventive medicine and public health.
Poverty robert atkins_16605
The document discusses the effectiveness of various anti-poverty programs in helping youth development. It finds that some programs like the Children's Aid Society Carrera Adolescent Pregnancy Prevention Program and Quantum Opportunities Program led to improved outcomes for teens, while others like the 21st Century Community Learning Centers showed no benefits or even increased behavioral issues. Successful programs tend to provide caring adult relationships, engagement, skill-building activities, and structure over the long-term.
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Q5 supports forcompaniesandindividuals
Companies and individuals need support to make wellness programs successful. Companies require guidance on evidence-based programs, assistance tailoring programs to their workforce, and help with implementation and evaluation. They also need financial incentives. Individuals need leadership buy-in, incentives for participation, peer support, education, and multiple access options.
Question 8
Transportation systems impact health outcomes in several ways:
1. Vehicle emissions and traffic congestion negatively impact air quality, which can lead to increased health risks like cancer, heart disease, and susceptibility to disease.
2. Lack of access to affordable and reliable public transportation makes it difficult for people to access healthcare.
3. Communities can improve health by developing equitable transportation networks that provide safe walking, biking, and public transit options for all residents to access services and enable healthy lifestyles.
TEDMED Great Challenge Medical Communication: John Cox Q4 Response
Given the short time for medical appointments, effective communication between doctors and patients is challenging. Visible Health aims to address this by encouraging ongoing collaboration between doctors and patients using mobile apps and digital content. Their approach involves providing preparatory information to patients before visits, discussing personalized digital materials during visits to enhance understanding, and allowing patients access to shared information after visits to facilitate adherence and follow up questions. The goal is to improve medical communication both within and beyond the constraints of brief appointment times through technology-enabled engagement at all stages of care.
Q4 not effectiveandreasons
While about half of U.S. companies offer wellness programs, many question their effectiveness, as some programs like health assessments and telephonic coaching have shown limited results. Wellness incentives also often do not achieve their goals of encouraging employees to participate or change behaviors. Additional resources on corporate wellness trends are available from organizations like Metlife and ShapeUp.
Q10 innovation inwellness
Partnering with university researchers allows companies to explore new methods and technologies without large investments. Researchers study health and wellness programs to understand what works and often partner on studies. Partnerships range from student employees to opening data for research. Example partnerships found social influence affects weight loss and being on active teams increases physical activity. Additional resources provide information on partnering benefits and research studies.
Q9 all employees
The document discusses ways to make wellness programs accessible and beneficial to all employees. It suggests using smartphones, cell phones, direct mail, on-site clinics, and managers to reach those without computers. It also recommends starting with basic education, leveraging healthy employees as role models, and using an encouraging rather than intimidating approach to engage all, including older or at-risk populations. The document advocates using social aspects to help employees participate and set an example for one another. It notes that social wellness programs effectively engage difficult populations and unite dispersed groups. Finally, it shares that KeyBank found this type of program achieved higher participation than others and positively impacted employees.
Group 2 question 2
Genevieve Fridlund Dunton is an Assistant Professor in the Department of Preventive Medicine at the University of Southern California. She holds a Ph.D and MPH. Her title and affiliation indicate she likely conducts research and teaches in the field of preventive medicine and public health.
Poverty robert atkins_16605
The document discusses the effectiveness of various anti-poverty programs in helping youth development. It finds that some programs like the Children's Aid Society Carrera Adolescent Pregnancy Prevention Program and Quantum Opportunities Program led to improved outcomes for teens, while others like the 21st Century Community Learning Centers showed no benefits or even increased behavioral issues. Successful programs tend to provide caring adult relationships, engagement, skill-building activities, and structure over the long-term.
End of-life barbara coombs-q7
The document does not contain any text to summarize. It only contains bullet points and line breaks, providing no information about the topic, main ideas, or essential details. Therefore, no meaningful 3-sentence summary can be generated from the given document.
Q6 incentives
Employers are increasingly using wellness incentives to encourage healthy behaviors. Incentives can be financial, in the form of rewards or penalties, or social, through competitions and recognition. The document discusses trends in the use of incentives, including an average annual incentive amount of $375. It also notes that the Affordable Care Act allows the use of incentives up to 30% of premiums. Recommendations include using smaller, real-time rewards and combining financial with social incentives for better outcomes.
Group 1 question 4
Dr. Genevieve Fridlund Dunton is an assistant professor in the Department of Preventive Medicine at the University of Southern California. The document lists obesity rates by US state according to the CDC, with the highest rates in southern states like Mississippi, Louisiana, and Alabama, and the lowest in West Coast and New England states. It also notes disparities in obesity rates between racial/ethnic groups, education and income levels, and built environments.
Q8 fairness
Employers are increasingly using incentives to encourage participation in wellness programs like health risk assessments and biometric screenings. However, there is debate around penalizing employees who do not participate. While wellness programs have support, tying rewards or penalties to health standards or insurance premiums is controversial. Participation-based incentives should promote health education and healthy behaviors, not focus on health status, and participation should be voluntary without penalizing those unable to participate due to barriers.
TEDMED Great Challenges Caregiver Crisis, Barry Jacobs: Question #5 Response
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To learn more visit www.tedmed.com/GreatChallenges.
Great Challenges Medical Error Karen Scott Q4 Hand Washing
This document discusses the challenges of improving hand hygiene compliance in healthcare settings. It notes that while hand washing is clearly important before surgery, it can be more difficult to maintain attentiveness in other situations like patient rounds. To improve compliance, strong leadership that prioritizes hand hygiene and uses secret shopper data collection to monitor compliance monthly can help drive rates above 95% and potentially reduce infection rates, as seen at one hospital. A few other international programs aimed at hand hygiene are also cited.
Rop alex drane_q9
Health care providers should first understand patients with disabilities by listening to their unique concerns. They should ensure all communication channels are accessible and check that feedback is being received from all patients, including those with disabilities. Doctors also need to receive and act on feedback from rating tools that capture a diverse range of patient experiences, especially those from patients with disabilities who often feel misunderstood.
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Rop alex drane_q10
Children and adolescents could play a more active role in their own healthcare through initiatives like a family-friendly national walking competition between counties with tax rebates for winners. Starting the school day an hour later or sending kids to bed an hour earlier could also help since lack of sleep often leads to overeating and weight gain due to feeling excessively hungry. The document discusses potential public health strategies focused on encouraging physical activity and improved sleep habits for children and families.
Rop alex drane_q8
The document discusses how to integrate patients' cultural, religious, and socio-economic backgrounds into their care plans to support their treatment. It recommends starting by allowing patients to share what matters most to them, as research shows life factors are often universal, then creating systems to address what matters collectively.
Rop alex drane_q7
The document discusses how social media can be used to improve health and healthcare. It suggests harnessing people's collective efforts through coordinated social media campaigns to promote issues like end-of-life planning. It also recommends using tools like Thunderclap to amplify messages and challenges readers to provide positive alternatives to negative health messages they see online.
Group 2 question 5
Genevieve Fridlund Dunton is an assistant professor in the Department of Preventive Medicine at the University of Southern California. Her research focuses on promoting physical activity through environmental and policy interventions. Some strategies she recommends include offering free programming and improving park facilities, safety, and amenities to encourage physical activity for all ages and abilities.
Group 2 question 1
The document discusses the potential for using mobile phones and mobile health apps to promote physical activity. It notes that over 60% of adults worldwide and 75% of US high school students own a mobile phone. Mobile phones offer opportunities for mobile surveying, sensing, health apps, and social networking to track and encourage physical activity. However, there are also challenges to address like establishing an evidence base, protecting privacy, ensuring safety from toxic exposures, and determining whether people will actually use mobile health apps.
Group 1 question 1
Genevieve Fridlund Dunton is an Assistant Professor in the Department of Preventive Medicine at the University of Southern California. She holds a Ph.D and MPH. Her title and affiliation indicate she likely conducts research and teaches in the field of preventive medicine and public health.
Question 9
Religion and faith can be leveraged to improve the health of people living in poverty in three ways:
1. Regular religious or spiritual practices like prayer and meditation have been shown to reduce stress and mitigate the harmful effects of poverty on health.
2. Many faith traditions view caring for the poor as a central belief, and religious institutions often collaborate with secular groups to alleviate poverty.
3. Interfaith organizations focused on addressing the root causes of poverty, like Fighting Poverty with Faith, bring together over 50 faith-based groups around this issue.
Question 10
Countries around the world have made considerable strides in weakening the connection between poverty and ill health by working together toward the United Nations Millennium Development Goals. The goals, established in 2000, aimed to halve extreme poverty and improve health care access by 2015. While challenges remain, estimates show the goal of halving extreme poverty was achieved in 2010. Deaths from diseases like tuberculosis and malaria have also declined significantly in the past decade. Individual country examples compiled by the UN showcase the incredible progress made toward each development goal.
Poverty robert atkins_16607
The top 10 contributing factors that cause poverty to have a negative impact on health are:
1) People who live in poverty tend to live in poor neighborhoods with fewer opportunities.
2) Residents have diminished access to healthcare and nutritious foods.
3) There are fewer resources for youth activities and development.
Gc best practices_miteshpatel_q10
While best practices standards can prevent complacency, they may also slow innovation by satisfying underlying incentives to maintain the status quo. To encourage continued improvement, we must identify areas where standards have reduced innovation and alter incentives to promote further innovation for better patient care.
Gc best practices_miteshpatel_q6
Health care costs are rising rapidly, making it difficult for providers to ignore costs. Hospitals and doctors must find ways to provide high-value care that balances reducing costs with improving patient outcomes. The Affordable Care Act aims to expand insurance coverage, so providers need tools to deliver cost-conscious care that creates value for both patients and the healthcare system.
Gc best practices_miteshpatel_q3
Best practice guidelines are designed for populations but can be challenging for individual patients. Providers should focus on creating value for patients. The researchers created a tool called "The Value Framework" to help providers decide if interventions will create value for their individual patients by incorporating clinical judgment into guidelines.
Gc best practices_miteshpatel_q2
To improve current practices, organizations must first measure performance through a system that provides continuous feedback. A more flexible IT infrastructure is needed to create such a system. Comparison between groups can help drive improvement, but must be implemented carefully to ensure successful use and avoid unintended consequences.
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End of-life barbara coombs-q7
The document does not contain any text to summarize. It only contains bullet points and line breaks, providing no information about the topic, main ideas, or essential details. Therefore, no meaningful 3-sentence summary can be generated from the given document.
Q6 incentives
Employers are increasingly using wellness incentives to encourage healthy behaviors. Incentives can be financial, in the form of rewards or penalties, or social, through competitions and recognition. The document discusses trends in the use of incentives, including an average annual incentive amount of $375. It also notes that the Affordable Care Act allows the use of incentives up to 30% of premiums. Recommendations include using smaller, real-time rewards and combining financial with social incentives for better outcomes.
Group 1 question 4
Dr. Genevieve Fridlund Dunton is an assistant professor in the Department of Preventive Medicine at the University of Southern California. The document lists obesity rates by US state according to the CDC, with the highest rates in southern states like Mississippi, Louisiana, and Alabama, and the lowest in West Coast and New England states. It also notes disparities in obesity rates between racial/ethnic groups, education and income levels, and built environments.
Q8 fairness
Employers are increasingly using incentives to encourage participation in wellness programs like health risk assessments and biometric screenings. However, there is debate around penalizing employees who do not participate. While wellness programs have support, tying rewards or penalties to health standards or insurance premiums is controversial. Participation-based incentives should promote health education and healthy behaviors, not focus on health status, and participation should be voluntary without penalizing those unable to participate due to barriers.
TEDMED Great Challenges Caregiver Crisis, Barry Jacobs: Question #5 Response
Barry Jacobs weighs in on the Question #5 of the Great Challenges, Role of the Caregiver: What can we learn from the practical and emotional knowledge and experience of caregivers, which is different from that of the medical team?
To learn more visit www.tedmed.com/GreatChallenges.
Great Challenges Medical Error Karen Scott Q4 Hand Washing
This document discusses the challenges of improving hand hygiene compliance in healthcare settings. It notes that while hand washing is clearly important before surgery, it can be more difficult to maintain attentiveness in other situations like patient rounds. To improve compliance, strong leadership that prioritizes hand hygiene and uses secret shopper data collection to monitor compliance monthly can help drive rates above 95% and potentially reduce infection rates, as seen at one hospital. A few other international programs aimed at hand hygiene are also cited.
Rop alex drane_q9
Health care providers should first understand patients with disabilities by listening to their unique concerns. They should ensure all communication channels are accessible and check that feedback is being received from all patients, including those with disabilities. Doctors also need to receive and act on feedback from rating tools that capture a diverse range of patient experiences, especially those from patients with disabilities who often feel misunderstood.
TEDMED Great Challenges Caregiver Crisis, Barry Jacobs: Q1 Ten Contributing F...
Barry Jacobs weighs in on the Question #1 of the Great Challenges, Caregiver Crisis: Name the top 10 contributing factors for the Great Challenge, “The Caregiver Crisis”?
To learn more visit www.tedmed.com/GreatChallenges.
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Rop alex drane_q10
Children and adolescents could play a more active role in their own healthcare through initiatives like a family-friendly national walking competition between counties with tax rebates for winners. Starting the school day an hour later or sending kids to bed an hour earlier could also help since lack of sleep often leads to overeating and weight gain due to feeling excessively hungry. The document discusses potential public health strategies focused on encouraging physical activity and improved sleep habits for children and families.
Rop alex drane_q8
The document discusses how to integrate patients' cultural, religious, and socio-economic backgrounds into their care plans to support their treatment. It recommends starting by allowing patients to share what matters most to them, as research shows life factors are often universal, then creating systems to address what matters collectively.
Rop alex drane_q7
The document discusses how social media can be used to improve health and healthcare. It suggests harnessing people's collective efforts through coordinated social media campaigns to promote issues like end-of-life planning. It also recommends using tools like Thunderclap to amplify messages and challenges readers to provide positive alternatives to negative health messages they see online.
Group 2 question 5
Genevieve Fridlund Dunton is an assistant professor in the Department of Preventive Medicine at the University of Southern California. Her research focuses on promoting physical activity through environmental and policy interventions. Some strategies she recommends include offering free programming and improving park facilities, safety, and amenities to encourage physical activity for all ages and abilities.
Group 2 question 1
The document discusses the potential for using mobile phones and mobile health apps to promote physical activity. It notes that over 60% of adults worldwide and 75% of US high school students own a mobile phone. Mobile phones offer opportunities for mobile surveying, sensing, health apps, and social networking to track and encourage physical activity. However, there are also challenges to address like establishing an evidence base, protecting privacy, ensuring safety from toxic exposures, and determining whether people will actually use mobile health apps.
Group 1 question 1
Genevieve Fridlund Dunton is an Assistant Professor in the Department of Preventive Medicine at the University of Southern California. She holds a Ph.D and MPH. Her title and affiliation indicate she likely conducts research and teaches in the field of preventive medicine and public health.
Question 9
Religion and faith can be leveraged to improve the health of people living in poverty in three ways:
1. Regular religious or spiritual practices like prayer and meditation have been shown to reduce stress and mitigate the harmful effects of poverty on health.
2. Many faith traditions view caring for the poor as a central belief, and religious institutions often collaborate with secular groups to alleviate poverty.
3. Interfaith organizations focused on addressing the root causes of poverty, like Fighting Poverty with Faith, bring together over 50 faith-based groups around this issue.
Question 10
Countries around the world have made considerable strides in weakening the connection between poverty and ill health by working together toward the United Nations Millennium Development Goals. The goals, established in 2000, aimed to halve extreme poverty and improve health care access by 2015. While challenges remain, estimates show the goal of halving extreme poverty was achieved in 2010. Deaths from diseases like tuberculosis and malaria have also declined significantly in the past decade. Individual country examples compiled by the UN showcase the incredible progress made toward each development goal.
Poverty robert atkins_16607
The top 10 contributing factors that cause poverty to have a negative impact on health are:
1) People who live in poverty tend to live in poor neighborhoods with fewer opportunities.
2) Residents have diminished access to healthcare and nutritious foods.
3) There are fewer resources for youth activities and development.
Gc best practices_miteshpatel_q10
While best practices standards can prevent complacency, they may also slow innovation by satisfying underlying incentives to maintain the status quo. To encourage continued improvement, we must identify areas where standards have reduced innovation and alter incentives to promote further innovation for better patient care.
Gc best practices_miteshpatel_q6
Health care costs are rising rapidly, making it difficult for providers to ignore costs. Hospitals and doctors must find ways to provide high-value care that balances reducing costs with improving patient outcomes. The Affordable Care Act aims to expand insurance coverage, so providers need tools to deliver cost-conscious care that creates value for both patients and the healthcare system.
Gc best practices_miteshpatel_q3
Best practice guidelines are designed for populations but can be challenging for individual patients. Providers should focus on creating value for patients. The researchers created a tool called "The Value Framework" to help providers decide if interventions will create value for their individual patients by incorporating clinical judgment into guidelines.
Gc best practices_miteshpatel_q2
To improve current practices, organizations must first measure performance through a system that provides continuous feedback. A more flexible IT infrastructure is needed to create such a system. Comparison between groups can help drive improvement, but must be implemented carefully to ensure successful use and avoid unintended consequences.
Q7 heather provino response 12 11 28
Employers are looking for creative solutions to rising healthcare costs, such as wellness programs that reward employees for participating in health-promoting activities or meeting health benchmarks. These outcomes-based programs can be both effective and ethical by giving employees a choice to partner with their employer in one of two ways - either financially or by meeting health goals, allowing individuals to make a personal choice on how to contribute to affordable healthcare.
Q8 heather provino response 12 11 28
Corporate wellness programs aim to promote employee health but penalizing those who don't participate with higher insurance premiums is unfair and makes the programs the employee's responsibility rather than an optional benefit provided by the employer. While wellness is important, mandating participation transfers costs to employees and away from the company.
Q11 protect privacy
Employee privacy can be protected in wellness programs sold to large employers. Vendors of these programs are usually required by law to comply with HIPAA privacy guidelines through a Business Associate Agreement. This ensures employee health data receives the same protections as other online healthcare services. However, wellness programs marketed directly to consumers may not offer the same formal privacy protections.
Q7 ethical
This document discusses whether outcomes-based wellness programs that provide financial incentives for meeting health goals are effective and ethical. While some studies found no effect of incentives on outcomes like smoking cessation or weight loss, other research found incentives significantly increased smoking cessation rates. Employers argue incentives encourage responsibility, while advocates worry incentives unfairly shift costs to the sick and health factors are not fully under an individual's control.
Q3 effectivewellnessprogramsofdiffsize
This document describes effective wellness programs from different institutions:
- Saddleback Church launched "The Daniel Plan" encouraging weight loss through community support and education on health metrics. Over 15,000 people participated and lost 250,000 pounds in one year.
- The state of Nebraska offered discounted health insurance and preventive care to employees who enrolled in wellness programs, completed health screenings, and online health assessments, achieving high participation rates and health improvements.
- KeyBank partnered with ShapeUp to offer team-based physical activity challenges to employees, combining health screenings, coaching, and incentives to boost engagement and average weight loss.
- These successful programs emphasized social support, education on individual health risks, and
Q2 benchmarks for successful wellness programs
The document outlines 7 benchmarks for successful wellness programs: 1) senior leadership support to demonstrate priority and serve as role models, 2) an operating plan with goals aligned to company objectives, 3) measurable health improvements through metrics like BMI, disease prevention, and absenteeism, 4) demonstrable return on investment between $2-3 for every $1 spent, 5) peer encouragement and social support through networks, 6) achieving critical mass of participation through variety and viral recruitment, 7) regular participant satisfaction surveys and program enhancements.
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End of-life barbara coombs-q1
- 1. •
- 2. #1
- 3. #2
- 4. #3
- 5. #4
- 6. #5
- 7. #6
- 8. #7
- 9. #8
- 10. #9 • Too little time and effort goes into ensuring a treatment plan that reflects the patient’s values and desires.
- 11. #10 • Doctors aren’t sufficiently trained and encouraged to make the all-important transition from postponing death to making an imminent death peaceful and painless.