Session Four: Exploring the financial mechanisms that can be harnessed to increase investment in
dementia.
Mr. George Vradenburg, Convenor, The Global CEO Initiative on Alzheimer's and Chairman of USAgainstAlzheimer’s & World Dementia Council Member
MassTLC BCBSMA, Dana Safran Analytics presentationMassTLC
This document discusses the importance of good data and performance measurement in improving healthcare quality, outcomes, and affordability. It notes that while process measures for diabetes care are high, outcomes are still lacking. Healthcare spending is growing much faster than wages or inflation, demonstrating an economic imperative to address costs. The document then outlines components of an alternative contract model between physicians and hospitals that ties payment to quality performance and cost control goals like global budgets tied to inflation. It provides low back pain referrals as an example of using data analysis to improve practice patterns and reduce wasteful care.
Keeping the Pediatric Population Healthy (Steve Aen)Ashleigh Kades
Speaker Presentation from U.S. News Healthcare of Tomorrow leadership summit, November 2-4, 2016 in Washington, DC. Find out more about this forum at www.usnewshot.com.
Consumer directed health plans (CDHPs) aim to lower health care costs by giving members financial incentives to reduce discretionary care and seek lower-cost providers through the use of tax-favored savings accounts. CDHPs typically have high deductibles and out-of-pocket limits but protect against catastrophic costs. Health savings accounts (HSAs) are owned by employees and portable, while health reimbursement arrangements (HRAs) are owned and funded by employers. Research shows CDHP members are more cost-conscious consumers but there is no clear evidence of adverse selection effects on risk pools.
This document discusses how home health care can help reduce hospital readmissions. It notes that 10-25% of inpatient discharges result in readmission, with over half of Medicare readmissions related to circulatory diseases. Home health agencies can help through nursing assessments, health teaching, and clinical interventions after hospitalization. The document recommends selecting agencies based on outcome measures reported on the Home Health Compare website, such as management of heart failure symptoms and improvement in ambulation. It provides an example of the type of results reported but does not endorse any specific agency.
The document discusses the impact of medical spending growth on guaranteed renewable health insurance. It notes that future medical spending growth is difficult to predict and that stocks are not a good hedge against unpredictable spending growth. The document recommends that to fund long-term health care obligations, risk-free assets like low-risk Treasury bonds should be used instead of risky stocks or alternative investments.
Most Medicare patients report having a usual source of care and being able to schedule timely doctor appointments. Few seniors had problems finding a new doctor in 2012, with most not seeking one. Less than 1% of physicians have formally opted out of Medicare, of which 42% are psychiatrists. About 9 in 10 physicians accept new Medicare patients at a rate equal to or higher than those with private insurance. Congress has overridden 16 scheduled cuts to Medicare payments to physicians since 2003 due to the Sustainable Growth Rate formula. Repealing the SGR would cost $115 billion over 10 years.
NASHP conference: Learning the ABCs of APCs and Medical Homes. Advance Primary Care (APC) or medical home models in both managed and fee for service delivery systems. Speakers will describe a variety of strategies that states are using to support primary care providers by connecting them to necessary resources including care coordination, public health and social services.
The Health Payer Council, headed up by Roger Green and Associates, Inc. (RG+A) takes a look at the perceptions medical directors and pharmacy directors of different cost management and payer strategies. Take a look.
MassTLC BCBSMA, Dana Safran Analytics presentationMassTLC
This document discusses the importance of good data and performance measurement in improving healthcare quality, outcomes, and affordability. It notes that while process measures for diabetes care are high, outcomes are still lacking. Healthcare spending is growing much faster than wages or inflation, demonstrating an economic imperative to address costs. The document then outlines components of an alternative contract model between physicians and hospitals that ties payment to quality performance and cost control goals like global budgets tied to inflation. It provides low back pain referrals as an example of using data analysis to improve practice patterns and reduce wasteful care.
Keeping the Pediatric Population Healthy (Steve Aen)Ashleigh Kades
Speaker Presentation from U.S. News Healthcare of Tomorrow leadership summit, November 2-4, 2016 in Washington, DC. Find out more about this forum at www.usnewshot.com.
Consumer directed health plans (CDHPs) aim to lower health care costs by giving members financial incentives to reduce discretionary care and seek lower-cost providers through the use of tax-favored savings accounts. CDHPs typically have high deductibles and out-of-pocket limits but protect against catastrophic costs. Health savings accounts (HSAs) are owned by employees and portable, while health reimbursement arrangements (HRAs) are owned and funded by employers. Research shows CDHP members are more cost-conscious consumers but there is no clear evidence of adverse selection effects on risk pools.
This document discusses how home health care can help reduce hospital readmissions. It notes that 10-25% of inpatient discharges result in readmission, with over half of Medicare readmissions related to circulatory diseases. Home health agencies can help through nursing assessments, health teaching, and clinical interventions after hospitalization. The document recommends selecting agencies based on outcome measures reported on the Home Health Compare website, such as management of heart failure symptoms and improvement in ambulation. It provides an example of the type of results reported but does not endorse any specific agency.
The document discusses the impact of medical spending growth on guaranteed renewable health insurance. It notes that future medical spending growth is difficult to predict and that stocks are not a good hedge against unpredictable spending growth. The document recommends that to fund long-term health care obligations, risk-free assets like low-risk Treasury bonds should be used instead of risky stocks or alternative investments.
Most Medicare patients report having a usual source of care and being able to schedule timely doctor appointments. Few seniors had problems finding a new doctor in 2012, with most not seeking one. Less than 1% of physicians have formally opted out of Medicare, of which 42% are psychiatrists. About 9 in 10 physicians accept new Medicare patients at a rate equal to or higher than those with private insurance. Congress has overridden 16 scheduled cuts to Medicare payments to physicians since 2003 due to the Sustainable Growth Rate formula. Repealing the SGR would cost $115 billion over 10 years.
NASHP conference: Learning the ABCs of APCs and Medical Homes. Advance Primary Care (APC) or medical home models in both managed and fee for service delivery systems. Speakers will describe a variety of strategies that states are using to support primary care providers by connecting them to necessary resources including care coordination, public health and social services.
The Health Payer Council, headed up by Roger Green and Associates, Inc. (RG+A) takes a look at the perceptions medical directors and pharmacy directors of different cost management and payer strategies. Take a look.
Implementing a Population Health Model (Hon Pak)Ashleigh Kades
Speaker Presentation from U.S. News Healthcare of Tomorrow leadership summit, November 2-4, 2016 in Washington, DC. Find out more about this forum at www.usnewshot.com.
Presentation given at the Foundation's Jan. 26 Research and Policy Forum by Richard Wexler, MD, director of Patient Support Strategies for the Foundation.
What's Next in RWE_Amy Rudolph_Novartis_mHealth IsraelLevi Shapiro
Overview of the
- Healthcare ecosystem complexity increasing rapidly
- Pharma industry is facing a crisis: trends shaping the industry
- RWE complements RCTs and captures implementation of innovation
- RWE is one component of the integrated evidence needed for stakeholders
- Integrated Evidence: Optimizing patient access
- Integrated Evidence: Label expansion
- Maximizing the value of data requires a scalable platform and expertise
The survey found several significant trends among US physicians in 2014:
- Physician income decreases were associated with being younger, more satisfied, and encouraging to the field, while increases were associated with being older, less satisfied, and discouraging.
- Satisfied physicians tended to be younger, work fewer hours, and have more privately insured patients, while dissatisfied physicians were older, worked longer hours, owned solo practices, and said patients delayed treatment more.
- Use of physician assistants increased from 25% to 30% from 2012 to 2014, and physician preference between PAs and nurse practitioners was split equally.
- High overhead, reimbursement cuts, and administrative hassles were the top reasons cited for
PPT: Adverse Drug Events Among the ElderlyTelligen
This document summarizes a study that used Medicare claims data to identify populations at high risk for adverse drug events (ADEs) and their rates of hospital utilization. The study found that 8.2 million beneficiaries, or 20.7% of Medicare patients, were at high risk due to taking 3 or more medications, including opioids, anticoagulants, or diabetes medications. These high-risk patients experienced ADEs leading to hospital visits at a rate of 46.28 per 1,000 people. While anticoagulants had the smallest proportion of high-risk users, they had the highest rates of hospital utilization and ADEs. The study provides insight into medication use patterns and outcomes that can help target
Pharmacoeconomic Assessment through Market Approval and Beyond: Theory and Op...Medpace
Pharmacoeconomic assessment of a drug, medical device, or other healthcare product can take on many forms and occur at multiple points in the development cycle. Cost-effectiveness analysis, a major component of pharmacoeconomic assessment, has traditionally occurred in the later phases of product development—either as a piggy-back to a phase III or pivotal clinical trial, or peri-authorization.
This document discusses the business case for implementing worksite wellness programs. It finds that such programs can reduce healthcare costs by 26% and lower worker absenteeism and disability costs by 28-30% by encouraging early detection and treatment of diseases. Employees participating in wellness programs average 1.2 fewer days of lost productivity per year compared to non-participating employees. The document advocates for employers to replace a reactive healthcare payment model with proactive wellness screenings and education to improve employee health and productivity over the long term.
Readmissions are a heightened focus under the Affordable Care Act. Initiatives are in place to reduce hospital admission through improving transition in care. During this course the speaker will discuss CMS quality initiatives, care transition, projects and barriers. This presentation reviews the key elements to tackling Avoidable Readmissions.
1. Learn to summarize the CMS quality initiative for healthcare reform related to hospital readmissions
2. Learn to identify underlying causes and barriers related to readmissions
3. Learn to state current CMS research projects and pilot programs
4. Learn to identify hospital and SNF strategies for collaboration
The document discusses the OECD Recommendation on Health Data Governance. It notes that better policy frameworks are needed to make more effective use of health data. The recommendation was developed over two years with input from governments, civil society, and industry. It aims to establish national health data governance frameworks, promote privacy and data security, and enable cross-country research and statistics. The recommendation includes provisions around transparency, consent, oversight, and monitoring progress on implementation.
This policy paper outline examines whether states should be required to cover routine HIV screening under Medicaid benefit packages. It will discuss the issue in the context of one state. The background section provides an overview of the HIV/AIDS epidemic in the US and current testing recommendations. It also outlines initiatives by the Office of National AIDS Policy and the Division of HIV/AIDS Prevention. The paper will compare policy options of making HIV screening an optional or required Medicaid service and make a recommendation.
This document describes Patient Code Software (PtCS), a real-time clinical decision support tool developed by Academic Technology Ventures to reduce diagnostic errors. PtCS integrates a patient's key medical data like labs, imaging reports and vital signs to help providers make more accurate diagnoses. A field study at a 630-bed hospital found PtCS increased documented comorbidities by 75% and case mix index, while decreasing mortality rates, lengths of stay, and saving $450k annually through improved documentation efficiency. The document outlines PtCS' benefits of improving care quality and financial performance for hospitals while facing no direct competition in the healthcare IT field.
This report collects data, surveys and commentary on U.S. physicians. It includes data on supply & demand, regulatory impacts, compensation & reimbursement, outlook & satisfaction, practice environment and employment.
Home Care Compliance Program Presentation (sound embed)wedas4jc
I custom designed this PowerPoint template for our agency and I put together the presentation. Since Compliance can be a dull subject, the Compliance Manager wanted to me to create a “fun feel” presentation. You will notice that in the music clip on one of the slides and some of the graphics. Please view in slide show mode to get the best feel of the presentation and to hear the sound.
How to Engage Physicians in Best Practices to Respond to Healthcare Transform...PYA, P.C.
PYA Principal Kent Bottles, MD, spoke about physician engagement when it comes to value payment models during “How to Engage Physicians in Best Practices to Respond to Healthcare Transformation” at the Georgia Society of Certified Public Accountants’ (GSCPA) 2016 Healthcare Conference, February 11, 2016. Dr. Bottles discussed the difficulty of weaning physicians from fee-for-service payment models and the often-unappreciated reasoning behind the shift to value-based payment models. He also highlighted MACRA, MIPS, patient satisfaction surveys, Physician Compare, and the ProPublica Surgeon Scorecard.
This document provides information and strategies for managing narcotic medication in workers' compensation claims. It discusses the national opioid epidemic and risks of overprescribing narcotics. Tools are presented to assess claimant risk and monitor narcotic treatment, including screening tools, opioid agreements, urine drug testing, and prescription monitoring programs. Guidelines are offered for initiating, following up on, and weaning patients from narcotic treatment. The roles of medical professionals, claim managers, and pharmacy benefit managers in optimizing narcotic medication management are also reviewed.
The document describes a prototype for a web-based clinical form that can be used across electronic medical record (EMR) systems to capture standardized data on patients with multiple chronic conditions. The form automatically populates patient data, expands/collapses based on patient conditions, provides clinical guidelines, and classifies medications. User testing found high ratings for usefulness, ease of use, and productivity benefits. While the prototype shows promise, further work is needed to better integrate it within EMRs and allow two-way sharing of data.
Hitting the Sweet Spot with Predictive Analytics (David Shulkin)Ashleigh Kades
Speaker Presentation from U.S. News Healthcare of Tomorrow leadership summit, November 2-4, 2016 in Washington, DC. Find out more about this forum at www.usnewshot.com.
John Willgoss has over 30 years of experience as a social worker in Gloucestershire. He holds a BSc in Social Work, a diploma in palliative care, and a certificate in social services. Currently he works independently conducting assessments for adult social care and as a best interests assessor. Previously he held various social work roles including working with adults, in hospitals, palliative care, and disabilities. He has experience in assessment, care planning, reviews, safeguarding, and multi-agency work.
This document summarizes a conference on automotive customer relationship management. It discusses presentations from various automotive manufacturers and dealers on using emerging online tools and search strategies to enhance customer relationships and generate leads. A highlight was a case study by Ralph Paglia of Courtesy Chevrolet, who has had great success integrating internet marketing into his dealership's strategy. The conference showed how the industry has progressed from initial skepticism of the internet to embracing online methods of building brands and managing customer relationships.
Implementing a Population Health Model (Hon Pak)Ashleigh Kades
Speaker Presentation from U.S. News Healthcare of Tomorrow leadership summit, November 2-4, 2016 in Washington, DC. Find out more about this forum at www.usnewshot.com.
Presentation given at the Foundation's Jan. 26 Research and Policy Forum by Richard Wexler, MD, director of Patient Support Strategies for the Foundation.
What's Next in RWE_Amy Rudolph_Novartis_mHealth IsraelLevi Shapiro
Overview of the
- Healthcare ecosystem complexity increasing rapidly
- Pharma industry is facing a crisis: trends shaping the industry
- RWE complements RCTs and captures implementation of innovation
- RWE is one component of the integrated evidence needed for stakeholders
- Integrated Evidence: Optimizing patient access
- Integrated Evidence: Label expansion
- Maximizing the value of data requires a scalable platform and expertise
The survey found several significant trends among US physicians in 2014:
- Physician income decreases were associated with being younger, more satisfied, and encouraging to the field, while increases were associated with being older, less satisfied, and discouraging.
- Satisfied physicians tended to be younger, work fewer hours, and have more privately insured patients, while dissatisfied physicians were older, worked longer hours, owned solo practices, and said patients delayed treatment more.
- Use of physician assistants increased from 25% to 30% from 2012 to 2014, and physician preference between PAs and nurse practitioners was split equally.
- High overhead, reimbursement cuts, and administrative hassles were the top reasons cited for
PPT: Adverse Drug Events Among the ElderlyTelligen
This document summarizes a study that used Medicare claims data to identify populations at high risk for adverse drug events (ADEs) and their rates of hospital utilization. The study found that 8.2 million beneficiaries, or 20.7% of Medicare patients, were at high risk due to taking 3 or more medications, including opioids, anticoagulants, or diabetes medications. These high-risk patients experienced ADEs leading to hospital visits at a rate of 46.28 per 1,000 people. While anticoagulants had the smallest proportion of high-risk users, they had the highest rates of hospital utilization and ADEs. The study provides insight into medication use patterns and outcomes that can help target
Pharmacoeconomic Assessment through Market Approval and Beyond: Theory and Op...Medpace
Pharmacoeconomic assessment of a drug, medical device, or other healthcare product can take on many forms and occur at multiple points in the development cycle. Cost-effectiveness analysis, a major component of pharmacoeconomic assessment, has traditionally occurred in the later phases of product development—either as a piggy-back to a phase III or pivotal clinical trial, or peri-authorization.
This document discusses the business case for implementing worksite wellness programs. It finds that such programs can reduce healthcare costs by 26% and lower worker absenteeism and disability costs by 28-30% by encouraging early detection and treatment of diseases. Employees participating in wellness programs average 1.2 fewer days of lost productivity per year compared to non-participating employees. The document advocates for employers to replace a reactive healthcare payment model with proactive wellness screenings and education to improve employee health and productivity over the long term.
Readmissions are a heightened focus under the Affordable Care Act. Initiatives are in place to reduce hospital admission through improving transition in care. During this course the speaker will discuss CMS quality initiatives, care transition, projects and barriers. This presentation reviews the key elements to tackling Avoidable Readmissions.
1. Learn to summarize the CMS quality initiative for healthcare reform related to hospital readmissions
2. Learn to identify underlying causes and barriers related to readmissions
3. Learn to state current CMS research projects and pilot programs
4. Learn to identify hospital and SNF strategies for collaboration
The document discusses the OECD Recommendation on Health Data Governance. It notes that better policy frameworks are needed to make more effective use of health data. The recommendation was developed over two years with input from governments, civil society, and industry. It aims to establish national health data governance frameworks, promote privacy and data security, and enable cross-country research and statistics. The recommendation includes provisions around transparency, consent, oversight, and monitoring progress on implementation.
This policy paper outline examines whether states should be required to cover routine HIV screening under Medicaid benefit packages. It will discuss the issue in the context of one state. The background section provides an overview of the HIV/AIDS epidemic in the US and current testing recommendations. It also outlines initiatives by the Office of National AIDS Policy and the Division of HIV/AIDS Prevention. The paper will compare policy options of making HIV screening an optional or required Medicaid service and make a recommendation.
This document describes Patient Code Software (PtCS), a real-time clinical decision support tool developed by Academic Technology Ventures to reduce diagnostic errors. PtCS integrates a patient's key medical data like labs, imaging reports and vital signs to help providers make more accurate diagnoses. A field study at a 630-bed hospital found PtCS increased documented comorbidities by 75% and case mix index, while decreasing mortality rates, lengths of stay, and saving $450k annually through improved documentation efficiency. The document outlines PtCS' benefits of improving care quality and financial performance for hospitals while facing no direct competition in the healthcare IT field.
This report collects data, surveys and commentary on U.S. physicians. It includes data on supply & demand, regulatory impacts, compensation & reimbursement, outlook & satisfaction, practice environment and employment.
Home Care Compliance Program Presentation (sound embed)wedas4jc
I custom designed this PowerPoint template for our agency and I put together the presentation. Since Compliance can be a dull subject, the Compliance Manager wanted to me to create a “fun feel” presentation. You will notice that in the music clip on one of the slides and some of the graphics. Please view in slide show mode to get the best feel of the presentation and to hear the sound.
How to Engage Physicians in Best Practices to Respond to Healthcare Transform...PYA, P.C.
PYA Principal Kent Bottles, MD, spoke about physician engagement when it comes to value payment models during “How to Engage Physicians in Best Practices to Respond to Healthcare Transformation” at the Georgia Society of Certified Public Accountants’ (GSCPA) 2016 Healthcare Conference, February 11, 2016. Dr. Bottles discussed the difficulty of weaning physicians from fee-for-service payment models and the often-unappreciated reasoning behind the shift to value-based payment models. He also highlighted MACRA, MIPS, patient satisfaction surveys, Physician Compare, and the ProPublica Surgeon Scorecard.
This document provides information and strategies for managing narcotic medication in workers' compensation claims. It discusses the national opioid epidemic and risks of overprescribing narcotics. Tools are presented to assess claimant risk and monitor narcotic treatment, including screening tools, opioid agreements, urine drug testing, and prescription monitoring programs. Guidelines are offered for initiating, following up on, and weaning patients from narcotic treatment. The roles of medical professionals, claim managers, and pharmacy benefit managers in optimizing narcotic medication management are also reviewed.
The document describes a prototype for a web-based clinical form that can be used across electronic medical record (EMR) systems to capture standardized data on patients with multiple chronic conditions. The form automatically populates patient data, expands/collapses based on patient conditions, provides clinical guidelines, and classifies medications. User testing found high ratings for usefulness, ease of use, and productivity benefits. While the prototype shows promise, further work is needed to better integrate it within EMRs and allow two-way sharing of data.
Hitting the Sweet Spot with Predictive Analytics (David Shulkin)Ashleigh Kades
Speaker Presentation from U.S. News Healthcare of Tomorrow leadership summit, November 2-4, 2016 in Washington, DC. Find out more about this forum at www.usnewshot.com.
John Willgoss has over 30 years of experience as a social worker in Gloucestershire. He holds a BSc in Social Work, a diploma in palliative care, and a certificate in social services. Currently he works independently conducting assessments for adult social care and as a best interests assessor. Previously he held various social work roles including working with adults, in hospitals, palliative care, and disabilities. He has experience in assessment, care planning, reviews, safeguarding, and multi-agency work.
This document summarizes a conference on automotive customer relationship management. It discusses presentations from various automotive manufacturers and dealers on using emerging online tools and search strategies to enhance customer relationships and generate leads. A highlight was a case study by Ralph Paglia of Courtesy Chevrolet, who has had great success integrating internet marketing into his dealership's strategy. The conference showed how the industry has progressed from initial skepticism of the internet to embracing online methods of building brands and managing customer relationships.
The document is an annual report from the National Minority Supplier Development Council (NMSDC) for 2014. It summarizes that in 2014, NMSDC restructured its network of regional affiliates from 36 to 24 to better allocate resources and serve members. A new initiative called Z.O.N.E. was also launched to measure affiliate performance. Additionally, a study found that NMSDC-certified minority business enterprises generate over $400 billion annually and support over 2.2 million jobs. The report provides statistics on NMSDC membership, certified minority-owned businesses, and their representation and impact across industries.
Significance of Questions on Doctrine - Herbert E. DouglassprimesteCuvantul
May 11, 2013 - Sacramento Central SDA Church - Dr. Herb Douglass spoke about the significance of the book that divided the Adventists after 1957.
Multumesc fratelui Douglass pentru fisierul PPT!
, "We have now before us the alpha of this danger. The omega will be of a most startling nature." Selected Messages, vol.1, 197
What is the Omega?
•In the context of the alpha crisis, Ellen White describes a vision about the soon coming omega apostasy among Adventists. "The enemy of souls has sought to bring in the supposition that a great reformation was to take place among Seventh-day Adventists, and that this reformation would consist in giving up the doctrines which stand as the pillars of our faith, and engaging in a process of reorganization. Were this reformation to take place, what would result? The principles of truth that God in His wisdom has given to the remnant church, would be discarded. Our religion would be changed. The fundamental principles that have sustained the work for the last fifty years would be accounted as error. A new organization would be established. Books of a new order would be written. A system of intellectual philosophy would be introduced. The founders of this system would go into the cities, and do a wonderful work. The Sabbath of course, would be lightly regarded, as also the God who created it. Nothing would be allowed to stand in the way of the new movement. The leaders would teach that virtue is better than vice, but God being removed, they would place their dependence on human power, which, without God, is worthless. Their foundation would be built on the sand, and storm and tempest would sweep away the structure." Selected Messages, vol. 1, 204, 205.
A reformation inspired by the devil was to take place, and it would consist "in giving up the doctrines which stand as the pillars of our faith."
What are the pillars of our Adventist faith? They are as follows:
•The nature of Christ
•The sanctuary service
•The spirit of prophecy
•The Three Angels' Messages (exposing the papacy, Babylon, ecumenism, explaining the Sabbath-Sunday-question, exalting the law of God, etc.)
•The state of the dead and the exposure of spiritualism
"I was shown three steps—the First, Second, and Third Angels' Messages. Said my accompanying angel, 'Woe to him who shall move a block or stir a pin of these messages. The true understanding of these messages is of vital importance. The destiny of souls hangs upon the manner in which they are received.' I was again brought down through these messages, and saw how dearly the people of God had purchased their experience. It had been obtained through much suffering and severe conflict. God had led them along step by step, until He had placed them upon a solid, immovable platform. I saw individuals approach the platform and examine the foundation. Some with rejoicing immediately stepped upon it. Others commenced to find fault with the foundation. They wished improvements made, and then the platform would be more perfect, and the people much happier. Some stepped off the platform to examine it and declared it to be laid wrong. But I saw that nearly all sto
This document discusses the transition from Local Involvement Networks (LINks) to Local HealthWatch organizations and the role of HealthWatch England. Key points:
1) Local HealthWatch organizations will replace LINks and have an expanded role, including a seat on health and wellbeing boards to influence decisions.
2) HealthWatch England will be an independent consumer champion located within the Care Quality Commission to represent patients nationally and provide leadership to Local HealthWatch.
3) Pathfinder programs and action learning sets will help support the transition from LINks to Local HealthWatch and allow sharing of best practices.
The document discusses the need for global collaboration to conquer Alzheimer's disease. It notes that knowing is not enough and we must apply what we know. It advocates changing the dialogue around Alzheimer's to focus on the disease rather than just the patient. Key needs for "disease interception" are identified, including increased investment in basic science, incentivizing innovators, improving diagnostic tools and biomarkers, establishing clinical trial registries, building translational infrastructure between registries and trial-ready cohorts, using relevant outcomes measures, and creating a synchronized regulatory environment. The presentation promotes the Global Alzheimer's Platform as a way to foster data sharing, collaboration, and building a "global connectome" to accelerate progress on Alzheimer's.
Este documento discute la posibilidad de una gran apostasía en la Iglesia Adventista del Séptimo Día basada en advertencias proféticas. Señala que una nueva generación de ministros no está familiarizada con las enseñanzas históricas y que algunos líderes más viejos parecen haber adoptado doctrinas calvinistas. También menciona que algunos miembros que se aferran a las enseñanzas históricas están siendo acusados de causar divisiones. El documento sugiere que quienes introducen cambios doct
This annual report from Ranken Jordan Pediatric Bridge Hospital discusses their mission of transitioning sick children from hospital to home. It provides the story of Deven, a baby who was not expected to survive but was able to go home thanks to care at Ranken Jordan. It discusses the hospital's growth and plans for expansion to care for more children, including increasing awareness of their services and a new branding campaign. Major donors who supported the hospital in the past year are also recognized.
This document appears to be a list of names, companies, and contact information. It includes the first name, last name, and company of over 200 individuals. The companies listed cover a wide range of industries including pharmaceuticals, financial services, consumer goods, technology, and more. This document could be used for networking, recruiting, or other business development purposes.
The document provides an overview of the global health innovation process from idea to implementation. It discusses 6 key challenge areas for innovators: identifying needs, understanding markets, developing products, sales/distribution, defining business models, and securing funding. The document also profiles various organizations that have developed global health solutions and discusses limitations of the research.
The document discusses Canada's orphan drug regulatory framework and opportunities to improve access to rare disease drugs across Canada. It advocates for a life-cycle approach and managed access schemes where drugs are approved with evidence collection requirements. Traditional health technology assessment limits orphan drug access by rejecting drugs that are not cost-effective based on small clinical trials. The document recommends performance-based managed access programs with national guidelines and risk-sharing between provinces, patients, and companies to improve access while collecting long-term evidence on benefits, harms, and costs.
The document discusses the importance of early clinical recruitment planning for drug development programs. It notes that delays in recruitment can significantly increase costs and impact revenue opportunities due to later market entry. Early planning allows consideration of factors like disease characteristics, enrollment population size, competition, and protocol challenges that influence feasibility. Comprehensive recruitment programs costing 1-12% of delay costs can help avoid delays and ensure timely trial completion and drug approval.
Ethical Implications of Orphan Drug Research IncentivesKuldeep Badoniya
1. This presentation will go over the implications of research incentives limited to orphan drugs.
2. It will demonstrate the case and summarize the key points from a high level. Furthermore, this will provide a basis on how to address the the dilemmas.
NOTE - This presentation was made as part of an assignment for a Course PME 542 (Regulation and Compliance in the Pharmaceutical Industry) at Stevens Institute of Technology, Hoboken, New Jersey
Prepared By - Jing Mi, Ali Raza and Kuldeep Badoniya
This document discusses Canada's regulatory framework for orphan drugs and opportunities to improve pan-Canadian access to treatments for rare diseases. It outlines the need for a life-cycle approach and managed access programs to balance innovation, effectiveness, risk, and access given uncertainties surrounding orphan drugs. Such programs have proven effective internationally and in some Canadian jurisdictions. The document calls on health ministers to implement a pan-Canadian managed access program now to ensure timely, equitable access for rare disease patients.
Quality and Safety in Healthcare in an Age of AusterityJammi Nagaraj Rao
The document discusses quality and safety in healthcare amid austerity. It notes that while public health expenditure in the UK has remained steady since 2009, the percentage of GDP spent on health is low. It also discusses how austerity can lead to the "Micawber Syndrome" of trying to achieve high quality, good access, and low costs, which often results in failure to achieve any of those goals. The document advocates for medical leadership focused on patient needs and safety rather than targets, in order to maintain quality during austere times. It argues that eliminating low-value practices can help free up resources to improve quality.
Ascendis Pharma is a biopharmaceutical company developing its TransCon technology to create long-acting prodrug therapies. It has three drug candidates in clinical trials for growth hormone deficiency, hypoparathyroidism, and achondroplasia. Its lead candidate, TransCon hGH, is in Phase 3 trials for growth hormone deficiency and top-line data is expected in Q1 2019. Analysts have rated Ascendis Pharma stock a "Buy" based on the potential of its TransCon technology to improve treatment outcomes for multiple rare diseases.
The document outlines Public Health England's strategic marketing priorities and approach for 2014-2017. It discusses focusing marketing efforts locally, through partnerships, and ensuring activities are evidence-based and transparent. It also describes developing "on demand" digital public health products and allocating spending based on a new model that scores health topics on several impact factors. The approach will organize activities by lifestage, integrating with screening programs, and potentially restructuring some brands under a single national brand.
Global Dementia Legacy Event: Raj Long, Senior Regulatory OfficerDepartment of Health
Raj Long presented on regulatory challenges for dementia treatment development and proposed innovative regulatory approaches. Key challenges included the prolonged time required for R&D, uncertainties around classifying and measuring dementia, and regulatory variances between geographies. These factors increase costs and risks for pharmaceutical companies, deterring investment. To address this, Long suggested regulatory designations to expedite review, adaptive development and licensing models, increased international regulator collaboration, incentives for developers, and public-private partnerships to accelerate cure discovery by 2025. Current approaches were deemed insufficient given the high risks and costs of dementia R&D.
Quality and Safety in Healthcare in an Age of AusterityJammi Nagaraj Rao
The document discusses quality and safety in healthcare amid austerity. It notes that while public health spending in the UK has remained steady since 2009, the percentage of GDP spent on health is low. It also discusses how austerity can lead organizations to focus too narrowly on targets, prioritizing cost containment over quality and access to care. However, the document argues that eliminating low-value practices can actually help maintain quality by freeing up resources. Focusing on high-value care through eliminating unnecessary tests and treatments is akin to decluttering to make more effective use of limited space and resources.
A Rare International Dialogue (Saturday May 11, 2019)
Translating Research into Care and Treatment, Winning the Race to Diagnosis
Reducing the Diagnostic Odyssey for Children: How A Global Commission is Helping Shape the Path Forward - Peter Jones, Microsoft Health
Orphan Drugs – the Challenges and Benefits of Navigating FDA’s Regime Governi...Michael Swit
Webinar sponsored by The Weinberg Group on Orphan Drugs, covering these topics:
The Basics of the Orphan Drug Act
Benefits of Orphan Drug status
Exclusivity
Protocol assistance, tax credits, and research grants
When is an indication is “rare”?
Orphan Drug Designation Requests – ensuring yours
robust and persuasive
Approval criteria for orphan products – how they
compare to non-orphan products
Challenges in the Orphan Drug Process
The document discusses strategies for successful global drug development. It focuses on navigating FDA accelerated approval programs, new frontiers in personalized medicine, and evolving regulatory paradigms for digital health. The presentation provides an overview of key FDA expedited programs like fast track designation and breakthrough therapy designation. It also examines how regulators are adapting approaches to personalized medicine and digital health technologies.
The document discusses forming a working group to address the growing problem of drug resistance. The working group would examine factors contributing to drug resistance, differences between diseases and regions, and implications for stakeholders. The goal is to generate policy recommendations for funders, agencies, and developing country policymakers to create a systematic response to drug resistance and slow its spread.
The FDA is seeking input on modernizing its regulations and practices for clinical trials to address increased complexity and globalization of trials. It is asking how it can encourage innovative methods to build quality into trials and eliminate challenges posed by its regulations. A public hearing was held in April where several industry speakers presented, including the CEO recommending regulatory harmonization and relief from IND safety letters. Comments can be submitted to the FDA until May 31. The newsletter then discusses two research topics - a FDA guidance on IRB continuing review criteria, emphasizing the sponsor's role in providing study-wide information, and state laws regarding consent for research with pregnant minors.
Mr. Thomas J. Chapel - Measure that Make a Difference! WHY Measure and WHAT t...John Blue
Measure that Make a Difference! WHY Measure and WHAT to Measure! - Mr. Thomas J. Chapel, Chief Evaluation Officer, Centers for Disease Control and Prevention (CDC), from the 2015 NIAA Antibiotic Symposium - Stewardship: From Metrics to Management, November 3-5, 2015, Atlanta, Georgia, USA.
More presentations at http://swinecast.com/2015-niaa-symposium-antibiotics-stewardship-from-metrics-to-management
In this presentation, OHE's Mestre-Ferrandiz summarizes what is known about innovation, both challenges and incentives, and applies this to efforts to encourage the development of new antibiotics.
The document discusses options for formulary development in middle-income countries. It presents a framework that considers both macro-level decision making factors related to health system design and micro-level factors related to individual health technologies. A case study of Mexico is used to illustrate the framework. The case study finds that Mexico could improve its process by more systematically considering factors like health priorities, equity, quality of life, and regional differences. It also notes inconsistencies between different institutions and a lack of coordination in assessment processes.
MediMeals Investor Presentation - February 2017Cory Glazier
Clinical trials have proven irrevocably that heart disease and diabetes can be reversed through deliberate nutritional therapy with a shift to consuming a whole food, plant-based diet.
MediMeals is an evolutionary health service that makes it as easy for doctors to prescribe scientifically proven meal regimens as it has been to prescribe pharmaceuticals and surgery in the past.
We get nutritionally precise, delicious meals to our patients nationwide, on doctor's orders.
We have reduced the learning curve and time constraints to upgrading diet. Healing the body with food has never been as accessible.
Similar to Global Dementia Legacy Event: Mr. George Vradenburg (20)
No voice unheard, no right ignored: consultation for people with learning dis...Department of Health
The document outlines proposals to strengthen the rights of people with mental health needs, learning disabilities, and autism in the UK. It discusses 5 key areas for reform: 1) the right to independent living and community inclusion, 2) the right to have one's wishes heard and decisions challenged, 3) rights under the Mental Health Act, 4) the right to control one's own support through personal budgets, and 5) improved coordination between health and social services. The consultation seeks public input on these proposals to ensure laws and policies fully respect the rights of those with mental health conditions or disabilities.
Creating digital tools for mental health and employment support: the discover...Department of Health
This report maps out the needs of potential users of an online mental health and work assessment and support service, suggests key user groups and presents a set of design principles for any a potential future service.
Creating digital tools for mental wellbeing and employment support: pre-alpha...Department of Health
This slide-deck reports on the second phase user research and testing. It presents refined design briefs that can be used to inform future alpha stages and design of a future service. These are themed according to the three core user groups identified in the first phase:
(i) finding work
(ii) in and out of work
(iii) managing work.
Further information on:
- user testing details
- mock-ups of potential digital tools for people finding work
- mock-ups of potential digital tools for people moving in and out of work
- mock-ups of potential digital tools for people managing work
Global Dementia Legacy Event: Canada & France: Dr Etienne Hirsch & Dr Yves Jo...Department of Health
Session Five: The next goal – towards Canada, France, Japan and the United States.
Canada & France: Dr Etienne Hirsch, Director, Institute for Neurosciences, Cognitive sciences, Neurology and Psychiatry at INSERM and the French alliance for life and health science Aviesan & Dr Yves Joanette CIHR, Scientific Director, Canadian Institutes of Health Research (CIHR), Institute of Aging & World Dementia Council Member
Feature presentation - The economic case for action
Professor Martin Knapp, Director, Health &
Personal Social Services Research Unit, London School of Economics & Kings College London
Session Four: Exploring the financial mechanisms that can be harnessed to increase investment in
dementia.
Professor Andrew Lo, MIT Sloan Professor of Finance
Marc Wortman, Executive Director, Alzheimer’s Disease International (ADI) Department of Health
Session Three: To explore ways in which we can increase investment in innovation. Part 2 presents a case study of innovation across the globe and the need to continue global collaboration
Marc Wortman, Executive Director, Alzheimer’s Disease International (ADI)
Session Three: To explore ways in which we can increase investment in innovation. Part 2 presents a case study of innovation across the globe and the need to continue global collaboration
DY Suharya, Executive Director of Alzheimer's Indonesia
The International AD Research Funder Consortium (IADRFC) aims to foster collaboration and data sharing between Alzheimer's disease research organizations through developing partnerships, standard templates, and influencing the international research agenda. The Global Alzheimer's Association Interactive Network (GAAIN) is a collaborative effort to provide researchers worldwide access to a vast repository of Alzheimer's research data by establishing a central data infrastructure and engaging data partners. GAAIN will transform heterogeneous local data into a common data model and terminology to allow integrated analysis across datasets.
Session 3: To explore ways in which we can increase investment in innovation. In part 1 panellists will highlight ways in which they are seeking to tackle barriers and find solutions, including through big data, patient involvement in clinical trials and social investment.
Mr. Stephen Johnston, Co-Founder, Aging2.0 & Partner, Generator Ventures
Session 3: To explore ways in which we can increase investment in innovation. In part 1 panellists will highlight ways in which they are seeking to tackle barriers and find solutions, including through big data, patient involvement in clinical trials and social investment.
Mr. Tom Wright CBE, Group CEO, Age UK
Session Two: Barriers to investment in research to find a disease modifying therapy or cure for dementia
Dr Neil Buckholtz , Director of Neuroscience, the National Institute on Aging (NIA), National Institutes of Health (NIH)
Global Dementia Legacy Event: Ms Inez Jabalpurwala, President and CEO, Brain ...Department of Health
Session Two: Barriers to investment in research to find a disease modifying therapy or cure for dementia
Ms Inez Jabalpurwala, President and CEO, Brain Canada Foundation
Session Two: Barriers to investment in research to find a disease modifying therapy or cure for dementia.
Elisabetta Vaudano DVM PhD, Coordinator Scientific Pillar, Principal Scientific Manager, Innovative Medicines Initiative
Session Two: Barriers to investment in research to find a disease modifying therapy or cure for dementia.
John Ryan, Acting Director of the European Commission Public Health Directorate
Session Two: Barriers to investment in research to find a disease modifying therapy or cure for dementia.
Professor Lefkos Middleton, Professor of Neurology, Neuroepidemiology and Ageing Research at School of Public Health, Imperial College London
Dr Shekhar Saxena, Director of the Department of Mental Health and Substance Abuse at World Health Organization (WHO) & Technical Advisor to the World Dementia Council
Presentation given at the Department of Health Improving Hospital Food event by Dr Ailsa Brotherton, Honorary Secretary of British Association for Parenteral and Enteral Nutrition
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
share - Lions, tigers, AI and health misinformation, oh my!.pptxTina Purnat
• Pitfalls and pivots needed to use AI effectively in public health
• Evidence-based strategies to address health misinformation effectively
• Building trust with communities online and offline
• Equipping health professionals to address questions, concerns and health misinformation
• Assessing risk and mitigating harm from adverse health narratives in communities, health workforce and health system
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPsychoTech Services
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
2. Mobilizing the Needed Resources
Increasing our Productivity
Increasing Investor
Reward/Reducing their Risk
Innovative Finance Mechanisms
and Approaches
2
3. Increasing our Productivity
Global Alzheimer’s Platform
3Examples only, not comprehensive
U.K.
Dementia
Platform
Global Goals: Longitudinal Data, Biomarkers/Diagnostics, New Targets,
Reduce Time/Cost to Market, Regulatory Alignment
4. Increasing Investor
Reward/Reducing Risk
4
Mechanism Example
Reward: Extension of
Exclusivity/IP Period
Orphan Drug Policy Changes
Risk: Shortening
Development Times
HIV/AIDS; Biomarkers +
Conditional Approval; Trial-
Ready Infrastructure
Both: Reduce Uncertainty Accelerated and Globally
Aligned Regulatory Pathways
►Here are mechanisms to change the risk/reward
equation
►Each has been done elsewhere; we can do it
8. THANK YOU
8
Maike Stenull, Johnson & Johnson
Luc Truyen, Janssen (a Johnson & Johnson Company)
Cynthia Duggan, New York Academy of Sciences
The Member Companies of
The Global CEO Initiative on Alzheimer’s