Virtual knowledge network NIMHANS Echo : Innovative tele- mentoring model for skilled capacity building in addiction & mental health by Prabhat Chand , NIMHANS, India
Implementation of Online Safety Incident Reporting System in a Tertiary Care Teaching Hospital by Dr. Bijoy Johnson, Dept. of Hospital Administration, KMC Manipal, India
Virtual knowledge network NIMHANS Echo : Innovative tele- mentoring model for skilled capacity building in addiction & mental health by Prabhat Chand , NIMHANS, India
Implementation of Online Safety Incident Reporting System in a Tertiary Care Teaching Hospital by Dr. Bijoy Johnson, Dept. of Hospital Administration, KMC Manipal, India
Multispecialty Physician Networks: Improved Quality and Accountability - The ...EvidenceNetwork.ca
Multispecialty Physician Networks: Improved Quality and Accountability - The “Health Care Neighbourhood”
by Thérèse A. Stukel, Rick Glazier, Sue Schultz, Jun Guan Institute for Clinical Evaluative Sciences Toronto
Funded by: CIHR Emerging Team Grant in Applied Health Services and Policy Research
Presentation by Alan Dubovsky, Chief Patient Experience Officer, Cedars Sinai Medical Center, about their Patient Experience Program. Begins with a review of patient satisfaction scores, clinical performance initiatives, medical outcomes, ongoing research, academic programs, and national awards. Next is a timeline of activites, from building the PX Infrastructure, PX Improvement Projects, Launching PX Skill Building Programs and introducing PX Innovation. Includes details about the Primary functions of the office of Patient Experience:
The measurement, reporting, and analysis of all Patient Feedback and the coordination and implementation of all Patient Experience improvement efforts across the health system. The patient voice is captured through Solicited Feedback, Patient & Family Advisor Programs and Verbatim Feedback. Presentation finishes with a discussion about the Future Of Patient Feedback. Some of those areas: Using patient segmentation to group patients into distinct segments, Asking patients unique questions to understand their primary concerns, Asking planned admissions who helped set their expectations?
Asking new patients what was their prior perception compared to reality?
Individuals’ digital health data—and data with implications for health—is nearly everywhere, collected in electronic medical records, claims records, government health databases, and from consumers and patients using devices, mobile apps, and internet-connected tools. This digital health explosion provides unprecedented opportunities for secondary use (or “re-use”) of this data to improve individual and population health. This panel will explore the ethical and legal challenges raised by re-use of health data for a range of purposes and consider potential solutions to meet these challenges and build trust in responsible re-uses of health data to improve health and well-being.
• Deven McGraw - Partner, Manatt, Phelps & Phillips, LLP
• Julia Bernstein - Business Development & Strategy, Ginger.io
• David Goldsmith - Executive Director, Dossia
• Raffaella Hart, CIP - Vice President, IRB and IBC Services, Biomedical Research Alliance of New York
• Arthur Levin - Co-Founder and Director, Center for Medical Consumers
• Patrick Roohan - Director of the Office of Quality and Patient Safety (OQPS), New York State Department of Health
New York eHealth Collaborative Digital Health Conference
November 17, 2014
Multispecialty Physician Networks: Improved Quality and Accountability - The ...EvidenceNetwork.ca
Multispecialty Physician Networks: Improved Quality and Accountability - The “Health Care Neighbourhood”
by Thérèse A. Stukel, Rick Glazier, Sue Schultz, Jun Guan Institute for Clinical Evaluative Sciences Toronto
Funded by: CIHR Emerging Team Grant in Applied Health Services and Policy Research
Presentation by Alan Dubovsky, Chief Patient Experience Officer, Cedars Sinai Medical Center, about their Patient Experience Program. Begins with a review of patient satisfaction scores, clinical performance initiatives, medical outcomes, ongoing research, academic programs, and national awards. Next is a timeline of activites, from building the PX Infrastructure, PX Improvement Projects, Launching PX Skill Building Programs and introducing PX Innovation. Includes details about the Primary functions of the office of Patient Experience:
The measurement, reporting, and analysis of all Patient Feedback and the coordination and implementation of all Patient Experience improvement efforts across the health system. The patient voice is captured through Solicited Feedback, Patient & Family Advisor Programs and Verbatim Feedback. Presentation finishes with a discussion about the Future Of Patient Feedback. Some of those areas: Using patient segmentation to group patients into distinct segments, Asking patients unique questions to understand their primary concerns, Asking planned admissions who helped set their expectations?
Asking new patients what was their prior perception compared to reality?
Individuals’ digital health data—and data with implications for health—is nearly everywhere, collected in electronic medical records, claims records, government health databases, and from consumers and patients using devices, mobile apps, and internet-connected tools. This digital health explosion provides unprecedented opportunities for secondary use (or “re-use”) of this data to improve individual and population health. This panel will explore the ethical and legal challenges raised by re-use of health data for a range of purposes and consider potential solutions to meet these challenges and build trust in responsible re-uses of health data to improve health and well-being.
• Deven McGraw - Partner, Manatt, Phelps & Phillips, LLP
• Julia Bernstein - Business Development & Strategy, Ginger.io
• David Goldsmith - Executive Director, Dossia
• Raffaella Hart, CIP - Vice President, IRB and IBC Services, Biomedical Research Alliance of New York
• Arthur Levin - Co-Founder and Director, Center for Medical Consumers
• Patrick Roohan - Director of the Office of Quality and Patient Safety (OQPS), New York State Department of Health
New York eHealth Collaborative Digital Health Conference
November 17, 2014
Evidence Based Clinical Decision Support – An Enabler for Clinicians in 21st Century by Dr. Lalit Singh, Director for Content & Product Strategy, Elsevier, India
Large Scale Disaster Management in Healthcare Deploying ICT by Olav Veum Eielsen Anesthesiologist, Director Regional Centre for Medical Emergency Research and Development,
Norway
Current regulations regarding eHealth in Europe by Frank Lievens, Executive Secretariat ISfTeH Director, Managing Director Lievens-Lanckman bvba, Belgium
Innovative Tele-mentoring In Addiction & Mental Health Prabhat Chand MD
Innovative virtual Mentoring model for Skilled capacity building with Collaborative Patient care by connecting NIMHANS HUB to Community Spokes with the help of simple mobile/multipoint videoconference internet.
Postgraduate residency presentation #2 from recruitment to graduationCHC Connecticut
What does the 12-month Nurse Practitioner Residency program look like? This webinar will delve into the details of the structure, design, and content of a 12-month, Federally Qualified Health Center (FQHC) based, postgraduate nurse practitioner residency program. Topics such as recruitment, screening and selection of candidates, core programmatic and curricula elements, and the essential contributions of other staff will be discussed. This webinar will feature speakers from the Community Health Center, Inc.’s first-in-the-nation nurse practitioner residency program and guests from other exemplary programs around the country.
Primary Care Behavioral Health Consultation ServicesMichael Terry
presentation at APNA 2011 Conference in Anaheim CA. Looks at development of a consultation service, the ed/training required and an example of a curricula to address this at the DNP level.
2021-2022 NTTAP Webinar: Building the Case for Implementing Postgraduate NP R...CHC Connecticut
Join us as we discuss the drivers and processes of implementing a postgraduate nurse practitioner residency program at your health center, the benefits of implementing a postgraduate residency program, and the residency tracks for Family, Psychiatric/Mental Health, Pediatric, and Adult-Gerontology Nurse Practitioners.
We will be joined by Charise Corsino, Program Director of the Nurse Practitioner Residency Program, and Nicole Seagriff, Clinical Program Director of the Primary Care Nurse Practitioner Residency Program, from the Community Health Center Inc.
CS547 Wireless Networking and Security Exam 2 Questio.docxrichardnorman90310
CS547 Wireless Networking and Security
Exam 2
Question 1 (10 pts):
Prove that, if every user code is orthogonal to every other user code in CDMA, unwanted signals
can easily be filtered out. Note: you have to show me a generalize proof. Showing me examples of
three or more instances or examples is NOT a proof!
Question 2 (10 pts):
A message needs to be fragmented into 12 frames with each frame having a probability of 92%
of arriving error free. Calculate the probability of the entire message getting through.
Question 3 (10 pts):
Using the Hamming algorithm, determine whether the received 24-bit Hamming code 0x616FB3
is error-free. If it is not error-free and assuming that there is no error masking, fix the error.
Note: read the binary values from left to right, i.e. the leftmost bit is bit # 1.
Question 4 (10 pts):
Using CRC, calculate the transmitted data for a message M = 1011011101001010 and a dividing
polynomial P = x5 + x3 + x2 + 1.
Question 5 (15 pts):
Briefly describe five ways of increasing the capacity of cellular systems.
Question 6 (5 pts):
Explain why a 2-cell or a 5-cell reuse pattern does not exist in symmetrical cellular arrangements.
Question 7 (10 pts):
In satellite communications that follows the free space law, which option will provide more
received power: doubling the effective area of both antennas or doubling the transmission
frequency? Justify your answer.
Question 8 (10 pts):
Choose between FHSS and DSSS and justify your choice with a convincing argument!.
Question 9 (20 points):
Write a two-page research report on “Jamming Satellite Communications.”
For research problems, you are expected to provide a reference section and properly cite your
sources.
1
The Essentials of Baccalaureate Education
for Professional Nursing Practice
October 20, 2008
TABLE OF CONTENTS
Executive Summary 3
Background 5
Nursing Education 6
The Discipline of Nursing 7
Assumptions 8
Roles for the Baccalaureate Generalist Nurse 8
Preparation for the Baccalaureate Generalist Nurse:
Components of the Essentials 10
The Essentials of Baccalaureate Education for Professional Nursing Practice
I. Liberal Education for Baccalaureate Generalist Nursing Practice 10
II. Basic Organizational and Systems Leadership for
Quality Care and Patient Safety 13
III. Scholarship for EvidenceBased Practice 15
IV. Information Management and Application of Patient
Care Technology 17
V. Healthcare Policy, Finance, and Regulatory Environments 20
VI. Interprofessional Communication and Collaboration for
Improving Patient Health Outcomes 22
VII. Clinical Prevention and Population Health 23
VIII. Professionalism and Professional Values 26
IX. Baccalaureate Generalist Nursing Practice 29
Expectations for Clinical Experiences within the Baccalaureate Program 33
2
Summary 35
Glossary 36
References 40
Appendix A: Task Force on the Revis.
NTTAP Webinar: Postgraduate NP/PA Residency: Discussing your Key Program Staf...CHC Connecticut
Expert faculty will discuss the drivers, benefits, and processes of implementing a postgraduate residency training program at your health center. This session will dive deeper into a discussion on the responsibilities of key program staff, preceptors, mentors, and faculty for successful implementation. This webinar will equip participants with a road map to go from planning to implementation and offer an opportunity for coaching support.
Panelists:
• Program Director of the Nurse Practitioner Residency Program, Charise Corsino, MA
• Clinical Program Director of the Nurse Practitioner Residency Program, Nicole Seagriff, DNP, APRN, FNP-BC
Presentation Objectives:
1) Define SBIRT and identify components of this evidence-based intervention for identifying, reducing, & preventing problematic use, abuse & dependence on alcohol & illicit drugs
2) Learn how to use the all the components of the SBIRT app, including, but not limited to the screening, brief interventions & referral to treatment features included in this app
3) Recognize the critical need for more research related to occupational therapy intervention and SBIRT, as well as potential obstacles to implementation of SBIRT in treatment settings & resources for continuing education on this topic.
American Public Health Association- Annual Meeting 2014 Presentation scherala
Title: Using Quantitative Data to focus Medical Home Facilitation Interventions in the Massachusetts Patient Centered Medical Home Initiative (MA PCMHI)
The intersection of opioid use and HIV is well documented. More than one-third of all AIDS cases in the U.S. are directly or indirectly linked to injection drug use. Additionally, dependence and abuse of pain relievers is on the rise; people living with HIV/AIDS who suffer from chronic pain may be at particular risk. Opioids are highly addictive and mortality among illicit opioid users is estimated at 13 times that of the general population. The SPNS Buprenorphine Initiative investigated the effectiveness of integrating buprenorphine opioid abuse treatment into HIV primary care settings.
This Webcast is the first in a series under the new SPNS Integrating HIV Innovative Practices project (www.careacttarget.org/ihip) to assist providers in replicating SPNS work in their sites. This Webcast will introduce providers to the SPNS Buprenorphine Initiative, its findings, its synergy with the National HIV/AIDS Strategy, and provide an overview of opioid use and HIV.
The subsequent Webcast in the series will examine the clinical aspects of buprenorphine therapy, best practices, and implementation guidance. See also Integrating Buprenorphine Therapy Into HIV Primary Care Settings, a monograph on best practices, available at: https://careacttarget.org/content/integrating-buprenorphine-therapy-hiv-primary-care-settings.
1. Lovexair
2. Service model: EducaxAir
3. Benefits of EducaxAir:
For users
For Healthcare Professionals
4. Platform
5. WHEN + WHERE: Clinical Study and Post-Pilot Service delivery
Planning, Launching, and Sustaining Accreditation-worthy Postgraduate NP Resi...CHC Connecticut
Planning, Launching, and Sustaining Accreditation-worthy Postgraduate NP Residency Training Programs
Presented by CHC. Inc. and the Weitzman Institute
January 9, 2019 3:00pm (EST)
Planning, Launching, and Sustaining Accreditation-worthy Postgraduate NP Resi...CHC Connecticut
Planning, Launching, and Sustaining Accreditation-worthy Postgraduate NP Residency Training Programs
Presented by CHC. Inc. and the Weitzman Institute
January 9, 2019 3:00pm (EST)
Organisation and Management of Eye Care Programme Service Delivery ModelsHarsh Rastogi
Eye care program management: Efficient models ensure accessibility, quality, and sustainability, promoting community engagement and optimal vision health.
Similar to Evaluating feasibility of Virtual Mentoring connecting an academic centre by Jayant Mahadevan (20)
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptxR3 Stem Cell
R3 Stem Cells and Kidney Repair: A New Horizon in Nephrology" explores groundbreaking advancements in the use of R3 stem cells for kidney disease treatment. This insightful piece delves into the potential of these cells to regenerate damaged kidney tissue, offering new hope for patients and reshaping the future of nephrology.
Struggling with intense fears that disrupt your life? At Renew Life Hypnosis, we offer specialized hypnosis to overcome fear. Phobias are exaggerated fears, often stemming from past traumas or learned behaviors. Hypnotherapy addresses these deep-seated fears by accessing the subconscious mind, helping you change your reactions to phobic triggers. Our expert therapists guide you into a state of deep relaxation, allowing you to transform your responses and reduce anxiety. Experience increased confidence and freedom from phobias with our personalized approach. Ready to live a fear-free life? Visit us at Renew Life Hypnosis..
Navigating the Health Insurance Market_ Understanding Trends and Options.pdfEnterprise Wired
From navigating policy options to staying informed about industry trends, this comprehensive guide explores everything you need to know about the health insurance market.
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
Evaluating feasibility of Virtual Mentoring connecting an academic centre by Jayant Mahadevan
1. EVALUATING THE FEASIBILITY OF VIRTUAL
MENTORING CONNECTING AN ACADEMIC
CENTRE TO DISTRICT HEALTH PROFESSIONALS
FROM BIHAR IN PROVIDING QUALITY CARE FOR
ALCOHOL USE DISORDERS
Jayant M, Lekhansh S, Ashfaq A, Sunil K*, Narendra Sinha*,A K Shahi*, Prabhat
C, Arun K, Lakshmanan S, Pratima Murthy, Vivek Benegal, Miriam Komaromy#,
Sanjeev Arora#
*State Health Society Bihar
# ECHO Institute USA
Centre for Addiction Medicine, Dept. of Psychiatry, NIMHANS
1
2. Goel et al. 2003
0
5000
10000
15000
20000
25000
Psychiatrists Psychologists Psychiatric
Social
Workers
Psychiatric
Nurses
Current
Required
SHORTAGE OF SKILLED MENTAL
HEALTH PROFESSIONALS IN INDIA
3
5. 5
NEED OF THE HOUR
NEW MODELS
FOR
MANPOWER DEVELOPMENT
AND
DELIVERY OF QUALITY CARE SERVICES
CAN TELEMENTORING BE A
SOLUTION ?
6. Aims
The Medical Officer and Counsellor to be able to:
1. Identify and intervene to address alcohol use
disorder and addiction in the district hospitals.
2. Fortnightly discuss the clinical cases and expert
didactics with NIMHANS multi-disciplinary team
from their work place through VKN NIMHANS
ECHO.
6
7. 22nd Feb-7th March (ONSITE)
ONSITE Training
Centre for Addiction
Medicine
NIMHANS
Participation
Certificate
Training certificate
part 1
Virtual Knowledge Network (ONLINE LIVE)
(March to September fortnightly)
Live Online
Handholding
2nd and 4th Wednesdays
2.30 PM-4PM)
Training
Certificate
FINAL
CERTIFICATE*
*Based on regular participation (>75%), 4 (minimum) Case Presentation & Case
Discussion required to entry into the FINAL ONLINE assessment for a trained
e-certificate in Alcohol addiction
Methods – Blended Training
7
9. Didactic Lectures
Bedside clinical teaching
Emergency case
management
Supportive followed by
independent case
management
Working in a
multidisciplinary team
Learning best practices
Training about public
awareness dissemination
Steps to initiate the
deaddiction services in their
district
Components
9
13. Case discussion and
Expert Didactic
Knowledge Network: NIMHANS Hub and
District hospital Spokes
Weekly LIVE Tele-Mentoring session (VIDEO)
14
Easy to access anywhere: No cost to
participants
Secured, encrypted,
HIPAA compliant
14. Clinical Case Presentation
1. Ms Shalinipriya
2. Dr Sunil
3. Dr Haque
Brief case details should
be informed to CAM,
NIMHANS by email two
days before presentation
Didactic Lecture
Depression:
Identification and
Treatment
Dr. Prabhat Chand
Example of Tele-Health session
25th May 2016
2.30PM
15
17. 27
• Number of trainees who
attended the onsite component –
Phase 1
20
• Number of trainees who
attended the online component –
Phase 2
8
• Number of trainees who gave the
exit exam and received training
completion certificate
Results – Flow of participants
18
18. 18
• 14 Online Sessions over 6 months
• Didactics –
– Opioid, cannabis and benzodiazepine use disorders
– Mental status examination and cognitive functions
– Anxiety, depression and suicide
– Counselling skills and relapse prevention
– Anti-craving agents for alcohol and acute methanol
poisoning
Results - Online component
19. 19
• Instances of participation = 137
• Cases discussed = 50
As per the subjective report of trainees
• Online component contributed 72% of the
TOTAL LEARNING gained from the BLENDED
TRAINING
Results - Online component
20. 20
• Self rated questionnaire – At Baseline, 3
months and 6 months (Assess knowledge,
skills and self efficacy)
• Clinical reporting forms – Number of patients
seen, interventions provided and outcomes
daily and monthly
Assessing Outcomes of VKN NIMHANS
BIHAR ECHO programme
21. VKN NIMHANS BIHAR ECHO Clinicians
Knowledge Skills and Abilities in
Management of Alcohol Use Disorders
0
0.5
1
1.5
2
2.5
3
3.5
4
4.5
5
Details of
alcohol use
Discuss risks
of alcohol
Identifying
triggers and
managing
craving
Prescribing
appropriate
medications
BEFORE TRAINING
AFTER TRAINING
24
22. 22
Outcomes of Treatment of Alcohol Use Disorders
by VKN NIMHANS BIHAR ECHO Clinicians
Cases
screened 2695
Inpatients
536 (19.8%)
Referred to
higher centers
80 (14.9 %)
Severe alcohol
use problems
832 (30.8%)
Follow up 1336
(49.1%)
Other
substances 581
(21.5%)
No deaths
reported
23. • Blended training with virtual mentoring of non
specialist physicians and counselors is feasible,
acceptable and translates to a good standard
of patient care
• Relatively low cost
• Importance of involvement of local leadership
Conclusions AND Lessons
26
25. 25
• Dr. Prabhat Chand, Additional Professor,
Department of Psychiatry, NIMHANS,
Bangalore
• Doctors and Counselors of State Health
Society, Bihar
• Faculty of Centre for Addiction Medicine,
Department of Psychiatry, NIMHANS,
Bangalore
Acknowlegements