The document summarizes the agenda for a GP Summit in 2010 that aimed to address challenges facing general practitioners (GPs) in Malaysia. The summit brought together various primary care organizations to [1] discuss mounting issues impacting GPs, [2] develop consensus on how to establish a robust primary care system, and [3] draft recommendations for the government. The agenda included presentations on the past, present and future of GPs, the Ministry of Health's perspective on integrating GPs, comparisons with other countries' primary care systems, and perspectives from GPs across Malaysia. The goal was to agree on solutions to present to the government regarding how to support GPs through the healthcare reforms.
This document summarizes the final report from the Forum on Teamworking in Primary Healthcare. The forum was convened by several national healthcare organizations to examine teamworking in primary care. The report found evidence that effective teamwork occurs when roles are clearly defined and rewarding, communication is good, and there are shared goals. It identified barriers like competing demands, status differences, and lack of resources. The report provides recommendations to improve teamworking at both the organizational and team member levels. It also highlights several examples of successful teamworking initiatives in UK primary care settings.
Here are the key steps in the Model for Improvement:
1. Form a team who are familiar with the process that needs improvement.
2. Establish clear and measurable aims for the process using a specific time frame.
3. Select changes that you think will result in an improvement.
4. Use PDSA cycles to test changes on a small scale. Plan the test, Do it, Study the results, Act on what is learned. Cycles can be as small as 1 test patient.
5. Implement changes that work on a broader scale, and continue to use PDSA cycles to evaluate impact and guide further improvement.
6. Continuously measure to ensure improvements are sustained over time
"'I am proud that MaineCare has been working in partnership with other payers to advance payment reform through greater investment in primary care to both improve outcomes for patients and reduce preventable high cost spending in emergency departments and avoidable inpatient admissions.
– Mary C. Mayhew, Commissioner, Maine Department of Health & Human Services
The Role And Value Of Primary Care Practiceprimary
This document summarizes discussions from a 2002 conference on building consensus for healthcare reform in Canada. It includes summaries of two presentations:
1. Marie-Dominique Beaulieu's presentation on the role and value of primary care. She defines primary care and argues for strengthening it in Canada. She calls for changes like developing primary care teams with nurses and better information systems.
2. Howard Bergman's presentation in which he argues for strengthening and transforming primary care as the foundation of the healthcare system. He calls for an evidence-based approach and investing in primary care to improve health outcomes. Both agree comprehensive reform is needed, not just changes to primary care itself.
Stratified pathways of care...from concept to innovationNHS Improvement
This document summarizes work done by NHS Improvement to redesign care pathways for cancer patients after initial treatment. It focuses on pathways for breast, colorectal, lung, and prostate cancers. The traditional medical model of long-term follow-up is replaced with a stratified model that classifies patients based on needs. Lower-risk patients are supported to self-manage, while higher-risk patients receive professional-led care. Sites tested various interventions like holistic needs assessments, education events, and remote monitoring. Early results found the stratified model improved patient experience and outcomes while reducing costs compared to traditional follow-up.
This document is a handbook for supervising doctors in training. It provides guidance on supervision best practices for ensuring patient safety, overseeing trainees, and structuring supervision within clinical terms. The handbook covers key topics such as the supervisor's role in patient safety and active supervision of trainees, understanding trainees' competencies, managing trainee well-being, the responsibilities of registrars in supervising, and using the Australian Curriculum Framework to design supervision within a clinical term. The goal is to give supervisors a framework to support trainees' learning and development while meeting clinical demands.
An opportunity to hear how service redesign positively impacts on the patient experience and improves outcomes for both the patient and NHSScotland. Showcasing examples of changes to pathways of care in orthopaedics and community support for people with complex and chronic conditions.
NHS Improvement worked with clinical teams across health and social care to find examples of equality of treatment and outcome regardless of the day of the week.
This guide and case studies give examples ofservice delivery models that are being used across the NHS to deliver clinical services outside the standard working hours and across the weekend period, in many instances.
The service delivery models described respond to service, patient or carer demand and provide benefitsfor both patients,staff and carers. There are three emerging principlesthat could be used to categorise the models being adopted under the following headings:
1. Admission prevention
Servicesthat are designed to care for patientsin their usual place of residence during times of poor health or mental illness.
2. Early diagnosis and intervention
No delay sin assessment, diagnostics and treatment leading to an earlier diagnosis and intervention.
3. Early supported discharge
Patients returning home once they are able to be supported in their own home by services.
This document summarizes the final report from the Forum on Teamworking in Primary Healthcare. The forum was convened by several national healthcare organizations to examine teamworking in primary care. The report found evidence that effective teamwork occurs when roles are clearly defined and rewarding, communication is good, and there are shared goals. It identified barriers like competing demands, status differences, and lack of resources. The report provides recommendations to improve teamworking at both the organizational and team member levels. It also highlights several examples of successful teamworking initiatives in UK primary care settings.
Here are the key steps in the Model for Improvement:
1. Form a team who are familiar with the process that needs improvement.
2. Establish clear and measurable aims for the process using a specific time frame.
3. Select changes that you think will result in an improvement.
4. Use PDSA cycles to test changes on a small scale. Plan the test, Do it, Study the results, Act on what is learned. Cycles can be as small as 1 test patient.
5. Implement changes that work on a broader scale, and continue to use PDSA cycles to evaluate impact and guide further improvement.
6. Continuously measure to ensure improvements are sustained over time
"'I am proud that MaineCare has been working in partnership with other payers to advance payment reform through greater investment in primary care to both improve outcomes for patients and reduce preventable high cost spending in emergency departments and avoidable inpatient admissions.
– Mary C. Mayhew, Commissioner, Maine Department of Health & Human Services
The Role And Value Of Primary Care Practiceprimary
This document summarizes discussions from a 2002 conference on building consensus for healthcare reform in Canada. It includes summaries of two presentations:
1. Marie-Dominique Beaulieu's presentation on the role and value of primary care. She defines primary care and argues for strengthening it in Canada. She calls for changes like developing primary care teams with nurses and better information systems.
2. Howard Bergman's presentation in which he argues for strengthening and transforming primary care as the foundation of the healthcare system. He calls for an evidence-based approach and investing in primary care to improve health outcomes. Both agree comprehensive reform is needed, not just changes to primary care itself.
Stratified pathways of care...from concept to innovationNHS Improvement
This document summarizes work done by NHS Improvement to redesign care pathways for cancer patients after initial treatment. It focuses on pathways for breast, colorectal, lung, and prostate cancers. The traditional medical model of long-term follow-up is replaced with a stratified model that classifies patients based on needs. Lower-risk patients are supported to self-manage, while higher-risk patients receive professional-led care. Sites tested various interventions like holistic needs assessments, education events, and remote monitoring. Early results found the stratified model improved patient experience and outcomes while reducing costs compared to traditional follow-up.
This document is a handbook for supervising doctors in training. It provides guidance on supervision best practices for ensuring patient safety, overseeing trainees, and structuring supervision within clinical terms. The handbook covers key topics such as the supervisor's role in patient safety and active supervision of trainees, understanding trainees' competencies, managing trainee well-being, the responsibilities of registrars in supervising, and using the Australian Curriculum Framework to design supervision within a clinical term. The goal is to give supervisors a framework to support trainees' learning and development while meeting clinical demands.
An opportunity to hear how service redesign positively impacts on the patient experience and improves outcomes for both the patient and NHSScotland. Showcasing examples of changes to pathways of care in orthopaedics and community support for people with complex and chronic conditions.
NHS Improvement worked with clinical teams across health and social care to find examples of equality of treatment and outcome regardless of the day of the week.
This guide and case studies give examples ofservice delivery models that are being used across the NHS to deliver clinical services outside the standard working hours and across the weekend period, in many instances.
The service delivery models described respond to service, patient or carer demand and provide benefitsfor both patients,staff and carers. There are three emerging principlesthat could be used to categorise the models being adopted under the following headings:
1. Admission prevention
Servicesthat are designed to care for patientsin their usual place of residence during times of poor health or mental illness.
2. Early diagnosis and intervention
No delay sin assessment, diagnostics and treatment leading to an earlier diagnosis and intervention.
3. Early supported discharge
Patients returning home once they are able to be supported in their own home by services.
The document discusses quality improvement initiatives at the Memorial Hermann Mischer Neuroscience Institute. It describes how the Institute empowered nurses to help reduce catheter-associated urinary tract infections by 35% through twice-daily rounds to determine if catheters were still needed and increased screening of patients. Transparency of individual nurse performance metrics and support for education and certification helped drive further quality improvements such as 58% reduction in mislabeled specimens and 75% reduction in falls.
An Evironmental Scan of Interprofessional Collaborative Practice and EducationEvan C. Marlatt
This document summarizes an environmental scan of interprofessional collaborative practice and education conducted by Evan C. Marlatt. It begins by thanking the committee members and providing background on interprofessional education and collaborative practice. The research question aims to understand how healthcare programs are aligned with the WHO framework. Surveys were conducted to assess interprofessional education and practice at an academic health sciences campus. The results provide insight into educator mechanisms, curricula, institutional support, working culture, and environmental factors related to interprofessional collaboration. Challenges and implications for further ensuring interprofessional efforts are operationalized are discussed.
This document provides information about the 3rd Annual Medical Affairs Asia Summit taking place from August 26-29, 2014 in Singapore. The summit will feature over 85% new speakers and focus on advancing effective communication and collaboration with internal and external stakeholders. It will include keynote speeches, panel discussions, and workshops on topics like medical affairs strategies, stakeholder engagement, regulatory trends, and collaborating with marketing. The event is aimed at medical affairs professionals in the pharmaceutical and healthcare industries in Asia.
The emergency department at Parkview Noble Hospital saw increasing patient volumes that led to decreased patient experience scores. Nurses proposed addressing patient flow issues and adding staff. They conducted a study of visit trends and collaborated with finance and administration. As a result, 2.4 additional full-time employees were approved for the emergency department, including patient flow coordinators and nurse leaders. These changes have helped improve patient flow and allowed nurses to develop leadership skills.
The document discusses CHI Memorial's efforts to recruit and retain nurses through an intensive RN residency program. It provides new nurses with a thorough orientation and exposure to different departments to find a good fit. The program has a 93% retention rate for its graduates. CHI Memorial is also working to improve the work environment and culture through open communication between nurses and leadership, and by increasing salaries and opportunities for career growth and development.
Junior doctors are essential for the NHS to achieve efficiency savings and engage in leadership, but they are currently disengaged. Junior doctors experience a clinical-managerial divide, high workload due to reduced hours without decreased responsibilities, lack of organizational allegiance, and low morale. Initiatives to encourage clinical leadership through training, career structures, incentives, and information systems could help address this disengagement.
Healthcare -- putting prevention into practiceZafar Hasan
This slidedeck is submitted by Zafar Hasan because one of the trends in medicine for the last 20 years isa focus on prevention and this deck is an outstanding practice primer.
Residents and family members perceived nurse practitioners in long-term care homes positively, seeing them as providing both resident- and family-centered care as well as enhancing the overall quality of care. Nurse practitioners were seen as establishing caring relationships, providing informational and emotional support, facilitating participation in decision-making, improving access to timely care, and helping to prevent unnecessary hospitalizations. The perceptions of residents and family members aligned with concepts of person-centered and relationship-centered care.
This document summarizes an article aimed at helping healthcare provider boards improve their understanding and oversight of patient experience. It provides guidance on measuring patient experience, including highlighting areas that are important to patients but have seen little progress. The summary emphasizes that focusing on patient experience is critical for an organization's reputation and quality of care, as well as a board's statutory duty. It signposts board members to sections of the report that provide practical recommendations on discussing patient experience intelligence and insights from other healthcare leaders.
Magnet hospitals are healthcare facilities recognized for nursing excellence. This document outlines the history and development of Magnet designation. It discusses the importance of Magnet status and the benefits it provides like lower nurse turnover, higher job satisfaction, and better patient outcomes. The document details the original 14 Forces of Magnetism and the ANCC's updated 5 forces model. It also reviews the prerequisites, application process, and requirements for maintaining Magnet recognition.
Steven Boyages on Clinical Governance in AustraliaIQPC Australia
This interview with Steven Boyages from the Clinical Education and Training Institute NSW explores the culture of effective hospital management and identifies the common risk areas within corporate governance.
This slide show provides a summary of Larkin Community Hospital and our plans for Larkin University.
Larkin Community Hospital is one of 12 designated statutory teaching hospitals in Florida. We offer the largest number of training programs for Osteopathic Physicians in the United States (offering training in more than 30 different specialties). We sponsor an allopathic residency program in Psychiatry, an Advanced Education in General Dentistry Residency Program, an American Society of Health System Pharmacists Accredited Pharmacy Residency Program and a Podiatric Medicine and Surgery Residency Program. In addition, our School of Nursing offers a Registered Nurse Associate Degree program and our College of Biomedical Sciences offers a Post-Baccalaureate Biomedical Sciences Degree program.
Our hospital is also the home of:
• The Miami Neuroscience Center at Larkin, a state of the art facility which specializes in Gamma Knife Radiosurgery. This 25 member team, led by world renowned neurosurgeon Dr. Aizik Wolf, has performed over 8000 procedures during the past 20 years. Gamma Knife is a non-invasive state of the art neurological procedure used to treat brain tumors, head and neck cancer, and neurological conditions, such as trigeminal neuralgia and Arteriovenous Malformations.
• The Center for Advanced Orthopedics at Larkin, which specializes in advanced orthopedic surgery using the latest multimodal perioperative pain management modalities and state of art technology and instrumentation with advanced robotic technology. The center, led by world renowned orthopedic surgeon Dr. Carlos Lavernia, includes an outcomes-oriented robust research component with an ongoing prospective surgical registry and a comprehensive rehabilitation department.
The document discusses the patient-centered medical home (PCMH) model for healthcare delivery. It defines key principles of the PCMH model, including having a personal primary care physician, care coordination by an interdisciplinary team, and a focus on comprehensive, high-quality care. The document argues that the PCMH model should be adopted now because the current healthcare system is broken and unsustainable due to rising costs and quality issues. It also outlines how various stakeholders could benefit from the PCMH model through things like improved health outcomes, reduced costs, and enhanced care coordination.
News from the Coal Face: There’s light at the end of the tunnel. Presented by Dr Andrew Miller, General Practitioner, at HINZ 2014, 11 November 2014, 4.30pm, Marlborough Room
Occupational therapists can provide significant benefits and cost savings within reablement programs. Their training allows them to personalize reablement services based on an individual's medical, physical, and psychological needs. Multiple studies show that occupational therapist involvement leads to reduced home care needs, improved outcomes for patients, and healthcare cost reductions of up to 50%. If local authorities want to achieve the best results and cost benefits from reablement, they need to involve occupational therapists and their specialized skills.
Improving Patient Flow conference will explore strategies to manage capacity and demand across the healthcare system. Over two days, the conference will present case studies and lessons learned from facilities that have implemented initiatives to improve patient flow. Attendees will learn practical solutions for change management, strategies to balance quality and efficiency, and methods for using performance indicators to enhance patient care. Pre-conference and post-conference workshops will provide an in-depth look at understanding and controlling patient flow, and embedding key performance indicators at the frontlines.
Enhancing the quality of life for palliative care cancer patients in Indonesi...UniversitasGadjahMada
Palliative care in Indonesia is problematic because of cultural and socio-economic factors. Family in Indonesia is an integral part of caregiving process in inpatient and outpatient settings. However, most families are not adequately prepared to deliver basic care for their sick family member. This research is a pilot project aiming to evaluate how basic skills training (BST) given to family caregivers could enhance the quality of life (QoL) of palliative care cancer patients in Indonesia. The study is a prospective quantitative with pre and post-test design. Thirty family caregivers of cancer patients were trained in basic skills including showering, washing hair, assisting for fecal and urinary elimination and oral care, as well as feeding at bedside. Patients’ QoL were measured at baseline and 4 weeks after training using EORTC QLQ C30. Hypothesis testing was done using related samples Wilcoxon Signed Rank. A paired t-test and one-way ANOVA were used to check in which subgroups was the intervention more significant. The intervention showed a significant change in patients’ global health status/QoL, emotional and social functioning, pain, fatigue, dyspnea, insomnia, appetite loss, constipation and financial hardship of the patients. Male patient’s had a significant effect on global health status (qol) (p = 0.030); female patients had a significant effect on dyspnea (p = 0.050) and constipation (p = 0.038). Younger patients had a significant effect in global health status/ QoL (p = 0.002). Patients between 45 and 54 years old had significant effect on financial issue (p = 0.039). Caregivers between 45 and 54 years old had significant effect on patients’ dyspnea (p = 0.031). Thus, it is concluded that basic skills training for family caregivers provided some changes in some aspects of QoL of palliative cancer patients. The intervention showed promises in maintaining the QoL of cancer patients considering socioeconomic
and cultural challenges in the provision of palliative care in Indonesia.
OCNZ Aug 2012 Regional Conference Scope of Practice ReformOCNZ
Stiofan Mac Suibhne presentation on the proposed scope of practice schema for the NZ osteopathic profession. Overview of the legislative framework and demographic changes driving the healthcare agenda.
OIA Texas 2014 Keynote Emma Fairs OCNZ @OsteoRegulationOCNZ
The Osteopathic Council of New Zealand is the statutory regulatory authority for the NZ profession and is responsible for determining scopes of practice and developing competencies frameworks.
The ethics of performance monitoring-private sector perspectiveDavid Quek
Increasingly medical practice is coming under intense scrutiny as to what is appropriate and affordable care, including serious considerations of patient safety issues and protection. Medical professionalism must be consciously adhered to as we try and find the best health care for our patients at the best value and outcomes for our patients themselves, and also for society at large. In view of escalating health care costs, physician autonomy to practice as he or she likes or deems fit has now come under siege with more and more performance monitoring, not just for appropriateness, but also for outcomes, necessity and cost-effectiveness. Physician' vested interests must be tempered with evidence-based benefits or at least be associated with no increase in harm or incur affordability issues. Fraudulent physician malfeasance are now being uncovered via whistle-blowers, or through greater more meticulous audit of various validated performance measures, and those physicians found to have flouted these due to pecuniary self-interests, overuse of tests or procedures have been found guilty and sanctioned with heavy fines, return of reimbursements as well as imprisonment, and erasure from medical registries and the removal of license to practice.
The document discusses quality improvement initiatives at the Memorial Hermann Mischer Neuroscience Institute. It describes how the Institute empowered nurses to help reduce catheter-associated urinary tract infections by 35% through twice-daily rounds to determine if catheters were still needed and increased screening of patients. Transparency of individual nurse performance metrics and support for education and certification helped drive further quality improvements such as 58% reduction in mislabeled specimens and 75% reduction in falls.
An Evironmental Scan of Interprofessional Collaborative Practice and EducationEvan C. Marlatt
This document summarizes an environmental scan of interprofessional collaborative practice and education conducted by Evan C. Marlatt. It begins by thanking the committee members and providing background on interprofessional education and collaborative practice. The research question aims to understand how healthcare programs are aligned with the WHO framework. Surveys were conducted to assess interprofessional education and practice at an academic health sciences campus. The results provide insight into educator mechanisms, curricula, institutional support, working culture, and environmental factors related to interprofessional collaboration. Challenges and implications for further ensuring interprofessional efforts are operationalized are discussed.
This document provides information about the 3rd Annual Medical Affairs Asia Summit taking place from August 26-29, 2014 in Singapore. The summit will feature over 85% new speakers and focus on advancing effective communication and collaboration with internal and external stakeholders. It will include keynote speeches, panel discussions, and workshops on topics like medical affairs strategies, stakeholder engagement, regulatory trends, and collaborating with marketing. The event is aimed at medical affairs professionals in the pharmaceutical and healthcare industries in Asia.
The emergency department at Parkview Noble Hospital saw increasing patient volumes that led to decreased patient experience scores. Nurses proposed addressing patient flow issues and adding staff. They conducted a study of visit trends and collaborated with finance and administration. As a result, 2.4 additional full-time employees were approved for the emergency department, including patient flow coordinators and nurse leaders. These changes have helped improve patient flow and allowed nurses to develop leadership skills.
The document discusses CHI Memorial's efforts to recruit and retain nurses through an intensive RN residency program. It provides new nurses with a thorough orientation and exposure to different departments to find a good fit. The program has a 93% retention rate for its graduates. CHI Memorial is also working to improve the work environment and culture through open communication between nurses and leadership, and by increasing salaries and opportunities for career growth and development.
Junior doctors are essential for the NHS to achieve efficiency savings and engage in leadership, but they are currently disengaged. Junior doctors experience a clinical-managerial divide, high workload due to reduced hours without decreased responsibilities, lack of organizational allegiance, and low morale. Initiatives to encourage clinical leadership through training, career structures, incentives, and information systems could help address this disengagement.
Healthcare -- putting prevention into practiceZafar Hasan
This slidedeck is submitted by Zafar Hasan because one of the trends in medicine for the last 20 years isa focus on prevention and this deck is an outstanding practice primer.
Residents and family members perceived nurse practitioners in long-term care homes positively, seeing them as providing both resident- and family-centered care as well as enhancing the overall quality of care. Nurse practitioners were seen as establishing caring relationships, providing informational and emotional support, facilitating participation in decision-making, improving access to timely care, and helping to prevent unnecessary hospitalizations. The perceptions of residents and family members aligned with concepts of person-centered and relationship-centered care.
This document summarizes an article aimed at helping healthcare provider boards improve their understanding and oversight of patient experience. It provides guidance on measuring patient experience, including highlighting areas that are important to patients but have seen little progress. The summary emphasizes that focusing on patient experience is critical for an organization's reputation and quality of care, as well as a board's statutory duty. It signposts board members to sections of the report that provide practical recommendations on discussing patient experience intelligence and insights from other healthcare leaders.
Magnet hospitals are healthcare facilities recognized for nursing excellence. This document outlines the history and development of Magnet designation. It discusses the importance of Magnet status and the benefits it provides like lower nurse turnover, higher job satisfaction, and better patient outcomes. The document details the original 14 Forces of Magnetism and the ANCC's updated 5 forces model. It also reviews the prerequisites, application process, and requirements for maintaining Magnet recognition.
Steven Boyages on Clinical Governance in AustraliaIQPC Australia
This interview with Steven Boyages from the Clinical Education and Training Institute NSW explores the culture of effective hospital management and identifies the common risk areas within corporate governance.
This slide show provides a summary of Larkin Community Hospital and our plans for Larkin University.
Larkin Community Hospital is one of 12 designated statutory teaching hospitals in Florida. We offer the largest number of training programs for Osteopathic Physicians in the United States (offering training in more than 30 different specialties). We sponsor an allopathic residency program in Psychiatry, an Advanced Education in General Dentistry Residency Program, an American Society of Health System Pharmacists Accredited Pharmacy Residency Program and a Podiatric Medicine and Surgery Residency Program. In addition, our School of Nursing offers a Registered Nurse Associate Degree program and our College of Biomedical Sciences offers a Post-Baccalaureate Biomedical Sciences Degree program.
Our hospital is also the home of:
• The Miami Neuroscience Center at Larkin, a state of the art facility which specializes in Gamma Knife Radiosurgery. This 25 member team, led by world renowned neurosurgeon Dr. Aizik Wolf, has performed over 8000 procedures during the past 20 years. Gamma Knife is a non-invasive state of the art neurological procedure used to treat brain tumors, head and neck cancer, and neurological conditions, such as trigeminal neuralgia and Arteriovenous Malformations.
• The Center for Advanced Orthopedics at Larkin, which specializes in advanced orthopedic surgery using the latest multimodal perioperative pain management modalities and state of art technology and instrumentation with advanced robotic technology. The center, led by world renowned orthopedic surgeon Dr. Carlos Lavernia, includes an outcomes-oriented robust research component with an ongoing prospective surgical registry and a comprehensive rehabilitation department.
The document discusses the patient-centered medical home (PCMH) model for healthcare delivery. It defines key principles of the PCMH model, including having a personal primary care physician, care coordination by an interdisciplinary team, and a focus on comprehensive, high-quality care. The document argues that the PCMH model should be adopted now because the current healthcare system is broken and unsustainable due to rising costs and quality issues. It also outlines how various stakeholders could benefit from the PCMH model through things like improved health outcomes, reduced costs, and enhanced care coordination.
News from the Coal Face: There’s light at the end of the tunnel. Presented by Dr Andrew Miller, General Practitioner, at HINZ 2014, 11 November 2014, 4.30pm, Marlborough Room
Occupational therapists can provide significant benefits and cost savings within reablement programs. Their training allows them to personalize reablement services based on an individual's medical, physical, and psychological needs. Multiple studies show that occupational therapist involvement leads to reduced home care needs, improved outcomes for patients, and healthcare cost reductions of up to 50%. If local authorities want to achieve the best results and cost benefits from reablement, they need to involve occupational therapists and their specialized skills.
Improving Patient Flow conference will explore strategies to manage capacity and demand across the healthcare system. Over two days, the conference will present case studies and lessons learned from facilities that have implemented initiatives to improve patient flow. Attendees will learn practical solutions for change management, strategies to balance quality and efficiency, and methods for using performance indicators to enhance patient care. Pre-conference and post-conference workshops will provide an in-depth look at understanding and controlling patient flow, and embedding key performance indicators at the frontlines.
Enhancing the quality of life for palliative care cancer patients in Indonesi...UniversitasGadjahMada
Palliative care in Indonesia is problematic because of cultural and socio-economic factors. Family in Indonesia is an integral part of caregiving process in inpatient and outpatient settings. However, most families are not adequately prepared to deliver basic care for their sick family member. This research is a pilot project aiming to evaluate how basic skills training (BST) given to family caregivers could enhance the quality of life (QoL) of palliative care cancer patients in Indonesia. The study is a prospective quantitative with pre and post-test design. Thirty family caregivers of cancer patients were trained in basic skills including showering, washing hair, assisting for fecal and urinary elimination and oral care, as well as feeding at bedside. Patients’ QoL were measured at baseline and 4 weeks after training using EORTC QLQ C30. Hypothesis testing was done using related samples Wilcoxon Signed Rank. A paired t-test and one-way ANOVA were used to check in which subgroups was the intervention more significant. The intervention showed a significant change in patients’ global health status/QoL, emotional and social functioning, pain, fatigue, dyspnea, insomnia, appetite loss, constipation and financial hardship of the patients. Male patient’s had a significant effect on global health status (qol) (p = 0.030); female patients had a significant effect on dyspnea (p = 0.050) and constipation (p = 0.038). Younger patients had a significant effect in global health status/ QoL (p = 0.002). Patients between 45 and 54 years old had significant effect on financial issue (p = 0.039). Caregivers between 45 and 54 years old had significant effect on patients’ dyspnea (p = 0.031). Thus, it is concluded that basic skills training for family caregivers provided some changes in some aspects of QoL of palliative cancer patients. The intervention showed promises in maintaining the QoL of cancer patients considering socioeconomic
and cultural challenges in the provision of palliative care in Indonesia.
OCNZ Aug 2012 Regional Conference Scope of Practice ReformOCNZ
Stiofan Mac Suibhne presentation on the proposed scope of practice schema for the NZ osteopathic profession. Overview of the legislative framework and demographic changes driving the healthcare agenda.
OIA Texas 2014 Keynote Emma Fairs OCNZ @OsteoRegulationOCNZ
The Osteopathic Council of New Zealand is the statutory regulatory authority for the NZ profession and is responsible for determining scopes of practice and developing competencies frameworks.
The ethics of performance monitoring-private sector perspectiveDavid Quek
Increasingly medical practice is coming under intense scrutiny as to what is appropriate and affordable care, including serious considerations of patient safety issues and protection. Medical professionalism must be consciously adhered to as we try and find the best health care for our patients at the best value and outcomes for our patients themselves, and also for society at large. In view of escalating health care costs, physician autonomy to practice as he or she likes or deems fit has now come under siege with more and more performance monitoring, not just for appropriateness, but also for outcomes, necessity and cost-effectiveness. Physician' vested interests must be tempered with evidence-based benefits or at least be associated with no increase in harm or incur affordability issues. Fraudulent physician malfeasance are now being uncovered via whistle-blowers, or through greater more meticulous audit of various validated performance measures, and those physicians found to have flouted these due to pecuniary self-interests, overuse of tests or procedures have been found guilty and sanctioned with heavy fines, return of reimbursements as well as imprisonment, and erasure from medical registries and the removal of license to practice.
Future Solutions in Australian Healthcare White Paper 18Aug14Eric d'Indy
The Future Solutions in Australian Healthcare White Paper summarizes the perspectives of 21 healthcare thought leaders on the current state and major challenges facing the Australian healthcare system. It identifies 6 key challenges: 1) disparities in funding models, goals and outcomes; 2) uneven workforce utilization and increasing specialization; 3) a complex, uncoordinated and fragmented system of care; 4) ingrained inertia toward improvement and innovation; 5) an aging population and complex medical advancements; and 6) modern lifestyles and external influences on the system. The white paper analyzes these challenges and proposes opportunities for solutions, including aligning funding with long-term vision and outcomes, repurposing and rebalancing the workforce, integrating and coordinating stakeholders
Integrating Pharmacists - JCU - Assoc Prof Sophie CouzosEthanFrench1
The IPAC Project aimed to integrate pharmacists into Aboriginal Community Controlled Health Services (ACCHS) in Australia to improve chronic disease management for Aboriginal and Torres Strait Islander patients. Pharmacists provided medication reviews, education, and collaborated with primary care teams at 18 ACCHS sites over 15 months. Evaluations found that pharmacists improved medication adherence and knowledge, identified prescribing issues, and supported self-management. Staff and patients reported pharmacists enhanced holistic care and care coordination.
Health Care Reform (The Affordable Care Act) .docxisaachwrensch
Health Care Reform (The Affordable Care Act)
“
ANA believes that health care is a basic human right (ANA, 1989, ANA, 1998, ANA 2005). Thus, ANA reaffirms its support for a restructured health care system that assures universal access to a standard package of essential health care services for all citizens and residents.”
“ANA believes that the development and implementation of health policies that reflect the six Institute of Medicine (IOM) aims (Safe/Effective/Patient-centered/Timely/Efficient/Equitable) and are based on outcomes research will ultimately save money.”
“The system must be reshaped and redirected away from the overuse of expensive, technology-driven, acute, hospital-based services in the model we now have, to one in which a balance is struck between high-tech treatment and community-based and preventive services, with emphasis on the latter. The solution is to invert the pyramid and focus more on primary care, thus ultimately requiring less costly secondary and tertiary care.”
Activity:
Please read the attached Health Policy Brief on Basic Health Program and “Nursing’s Role in healthcare reform” from American Nurse Today.
Please go to
www.rnaction.org
, go to the Take Action tab above to access the following information regarding health care reform and the new Affordable Care Act. Scroll down the page to the heading Resources and Supreme Court Challenge to learn more about the health care reform and how it affects you as a nurse and as an individual with a family. Check out all the different information.
HealthCare.gov
Keeping health care reform healthy, patients informed
New Animation Explains Changes Coming for Americans Under Obamacare
(7/13)
Health Care Transformation: The Affordable Care Act and How it Affects Nurses
(3/12)
Health Care Reform Legislation Timeline
ANA Policy and Provisions of Health Reform Law
National Conference of State Legislatures Health Reform Site
Kaiser Family Foundation Health Reform Page
The Supreme Court Decision Matters for Registered Nurses, their Families, and their Patients
ANA Analysis: Supreme Court Arguments on the ACA
ANA to Supreme Court: ‘Individual Mandate’ Needed to Make Health Reform Work
Then proceed to the Kaiser Foundation to watch the following:
http://kff.org
““Health Care Reform Hits Main Street on the Kaiser Foundation website or Youtube. (2010)
“New Animation Explains Changes Coming to Americans under Obamacare” (2013) Youtube or Kaiser Foundation
“
Health insurance Explained: YouToons Have it Covered”
(
2014) Youtube or Kaiser Foundation
If you would like more information regarding the ACA, the Kaiser Foundation is a great source and cover many issues.
http://kff.org
Link:
http://kff.org/health-reform/press-release/new-animation-explains-changes-coming-for-americans-under-obamacar.
FINAL APPROVED Digital transformation of the health sector - summary record o...SochaBlue
The document discusses the opportunities and challenges of digital transformation in the health sector. It states that transformation is fundamentally a cultural change where technology provides tools to improve healthcare outcomes. While the role of doctors will change with new technologies, they are unlikely to be replaced. For health systems to successfully adopt digital tools, organizations need capabilities in their workforce, an understanding of customer needs, and courage to change practices. Key drivers of digital health include rising healthcare costs of aging populations and a shift towards preventative care models over the traditional treatment of sickness.
This document describes a pilot program introducing a health psychologist into a urology team to take advantage of "teachable moments" for lifestyle behavior change. The program aims to improve patient outcomes through evidence-based interventions around cancer testing, screening, and treatment. By capitalizing on opportunities during medical consultations, the program hopes to motivate patients to make lifestyle changes that can prevent cancer and other health issues. Initial work has focused on establishing the service, identifying where teachable moments can occur, and developing materials to assess patient behaviors and deliver lifestyle advice.
The document summarizes the student's internship experience at Upstate Cardiology. Some key points:
- Upstate Cardiology provides care to many low-income and high-risk patients by accepting patients denied care elsewhere and working with patients on payment plans or charity care. This increases access to preventative care.
- The practice has a strong patient-centered culture where staff are caring, patient, and focused on quality. They use patient surveys to assess quality of care.
- To further improve quality, the student suggests limiting electronic medical record use during appointments to increase patient interaction.
- To improve heart health outcomes cost-effectively, the student proposes a policy of promoting healthy behaviors through educational materials
Prof David Hunter - Meeting the Challenge - Does the new NHS promote or hinde...Cumbria Partnership
This document discusses challenges facing healthcare systems and the English NHS in particular. It notes that the case for recent NHS reforms is unproven and may have increased bureaucracy rather than reducing it. Competition rules are preventing coordination and integration of services. Lastly, it emphasizes that truly addressing long-term conditions requires integrated care across services rather than focusing on individual organizations.
The document discusses issues facing the health system in New Zealand and the vision and goals of the Health Management System Collaborative (HMSC). Key issues include an aging population, workforce shortages, and financial pressures. The HMSC aims to establish an integrated individual-centric health information system to improve care coordination and outcomes. The collaborative procurement process involves strong clinical engagement and aims to identify innovative solutions not limited by existing systems. Challenges include addressing privacy concerns while enabling information sharing and engaging existing vendors in the opportunities presented.
The document summarizes the author's internship experience at Upstate Cardiology. Some key points:
- Upstate Cardiology focuses on providing equitable access to care regardless of patients' ability to pay. They provide preventative care that reduces long-term costs.
- The practice has a patient-centered organizational culture where staff are dedicated to quality. They conduct surveys to assess quality from patients' perspectives.
- To further improve quality, the author suggests limiting physicians' computer use during consultations to focus more on human interaction.
- As heart disease is a leading cause of death, the author proposes a low-cost policy of health education through flyers, provider training, and community events to promote
This document summarizes a presentation about building market share through employed physician engagement at Ozarks Medical Center. It describes how OMC recruited specialists but physicians operated independently. A physician council was formed to improve culture and processes, identify barriers to referrals, and standardize protocols. Studies found referral delays in some specialties. Changes improved access and patient satisfaction. Market share increased from 44.1% to 54.5% from 2008 to 2012 after employing physicians and aligning culture and processes.
The document discusses the Philippines' healthcare sector and its potential role in the global healthcare industry. It notes that while the Philippines faces domestic challenges in healthcare access, it also has opportunities to export healthcare services due to its skilled workforce and developing facilities. The 1st Philippine Global Healthcare Forum aims to address issues around balancing domestic healthcare needs with opportunities in medical tourism and exporting healthcare labor. It will explore how to transform healthcare from a public expenditure to an engine of economic growth.
The document provides an overview and agenda for the 1st Philippine Global Healthcare Forum on developing a sustainable and globally competitive Philippine healthcare system. [END SUMMARY]
This document provides an overview of a study on implementing total quality management (TQM) in the healthcare sector in India. It includes an abstract that describes the rising costs and pressures in healthcare that have led organizations to adopt quality management approaches like TQM. The introduction discusses issues in healthcare quality and the need for reforms. The document then proposes a model for TQM implementation that identifies key factors like leadership, momentum, teamwork, training, focus on core processes, and measures.
The document provides tips and tools for registered dietitians working in interdisciplinary primary care settings. It outlines a proposed model for nutrition services with the RD responsible for overall management and the most in-depth nutrition counselling. It describes assessing community needs, nutrition screening, referral processes, nutrition advice and counselling. A typical nutrition counselling process is outlined including pre-screening referrals, initial visits, nutrition planning visits, follow-up visits and coordinating with the interdisciplinary team. Various tools developed in a demonstration project are also included to support RDs.
The document discusses self-management of chronic conditions and its importance for sustainability of healthcare systems. It notes that:
- Chronic conditions will rise dramatically, with many people having multiple conditions.
- Expectations of care quality will increase as standards that are currently seen as inadequate will be viewed as inhumane.
- For healthcare systems to be sustainable, chronic conditions must be managed differently by empowering self-management supported by technology and expertise when needed.
Scope of Practice & Credentialling in Osteopathic Practice Stiofan Mac Suibhn...OCNZ
This document discusses the need for osteopathy in New Zealand to reform its scope of practice framework. It notes that the profession is maturing and diversifying, and the current scope does not adequately reflect this. It proposes introducing general, vocational and extended scopes of practice to recognize different levels of training and specialization. Specific vocational scopes discussed include gerontology, pain management and paediatrics. Formal postgraduate training requirements are recommended for entry to vocational scopes. This is intended to better guide career development, improve quality of care, and ensure competence in specialist areas of practice.
Filex 2012 building referral networks presentationMax Martin
This document discusses building successful referral networks between the fitness industry and health sector. It provides an overview of the recent history of fitness programs in Australia that have aimed to improve population health. While initiatives have increased awareness, a systematic and effective referral approach is still lacking. The document proposes developing a multi-disciplinary exercise referral system within new primary care networks to help address current barriers to referrals between fitness providers and healthcare professionals. Practical tips are offered for standardizing screening, managing liability concerns, and strengthening relationships with allied health professionals.
Understanding your heart health with your heloAlan Teh
To fully use your HELO you need to understand basic heart function, physiology and even some basic ECG knowlege. This presentation should help all HELO users.
The document announces a seminar on prostate cancer treatment to be held on June 13, 2015 at the Hilton Petaling Jaya Hotel in Selangor, Malaysia. Assoc. Prof. Dr. Marniza bte Saad of University Malaya Medical Centre will give a lecture on the past, present, and future of prostate cancer treatment. Dr. Adlinda bte Alip will present a case study, and there will be a Q&A session. Lunch will be provided afterwards. RSVPs are requested by June 8. The document also provides biographical information on Assoc. Prof. Dr. Marniza bte Saad, noting her medical education and positions at University Malaya
Guide to GST for Healthcare services (16 Nov)Alan Teh
This document provides a summary of the Malaysian Goods and Services Tax (GST) treatment of healthcare services. It outlines that healthcare services provided by the government are not subject to GST, while those provided by private healthcare facilities and professionals are generally exempt or zero-rated. Services provided outside of private healthcare facilities or not by employees may be standard-rated. It also discusses the GST treatment of supplies like medicines, diagnostic tests, and non-healthcare services provided by private facilities.
The Malaysian Oncological Society and the European Society for Medical Oncology will be holding a joint conference to share the highlights of the ESMO 2014 Congress with South-East Asian delegates.
The conference will be held in Penang, Malaysia from 23-25 January 2015 and the theme is "Precision Medicine in Cancer Care".
Official website: http://esmomos2015penang.com.my/
For Malaysian doctors: The Medico-Legal Society of Malaysia (MLSM) and the Kuala Lumpur Regional Centre for Arbitration (KLRCA) would like to invite you for a dialogue with Datuk Seri Gopal Sri Ram on the topic "Has the Law Forced Doctors to Practice Defensive Medicine?"
Guide to GST for Healthcare Services (Malaysia)Alan Teh
This document provides a guide on the Goods and Services Tax (GST) treatment of healthcare services in Malaysia. It outlines that healthcare services provided by the government are not subject to GST, while most services provided by private healthcare facilities are exempt from GST. Some services, such as those provided under contract by non-employee healthcare professionals at private facilities, or certain pharmaceutical services, are standard rated and subject to GST.
The document provides information about an upcoming Goods and Services Tax (GST) in Malaysia, including its implementation date of April 1, 2015 at a rate of 6%. It outlines that GST will replace existing sales and service taxes. Healthcare services are discussed, with those provided by government being outside the scope of GST and those provided by private licensed facilities being exempt from GST. The impact on doctors at government hospitals is that they will not be eligible for GST registration if only providing exempt healthcare services, and thus cannot claim GST incurred on items like clinic rental.
Malaysian students' international test scores have declined in recent years, registering drops in reading ability and science scores, though mathematics scores improved. This signals an increasing deterioration in Malaysia's education system according to international benchmarks, where Malaysia now ranks 52nd out of 65 countries. The Education Minister responded that if people are unhappy with the system, they can choose to send their children overseas for schooling.
The document provides an overview of Malaysia's Personal Data Protection Act 2010. It discusses key aspects of the Act including the establishment of a Personal Data Protection Commissioner, the 7 data protection principles, and requirements around notice, consent, disclosure, security, retention, data integrity and access. It also discusses some examples of data breaches and penalties for non-compliance. The Act aims to regulate the processing of personal data and protect privacy as digital data and internet usage continues to grow significantly.
This document discusses snoring and obstructive sleep apnea (OSA). It notes that OSA is a clinical condition where the upper airway collapses intermittently during sleep. Risk factors include obesity, age, hypertension, and diabetes. Untreated OSA can lead to increased risks of hypertension, heart attack, stroke, and premature death. Diagnosis involves questionnaires, physical examination, and sleep studies. Treatment aims to reduce symptoms and health risks.
Multiple myeloma is a cancer of plasma cells that produce abnormal antibodies. It causes bone destruction and can damage the kidneys and suppress the bone marrow. While the cause is unknown, risk factors include age, family history, and exposure to radiation. Symptoms include bone pain, fatigue, recurrent infection, and kidney problems. Diagnosis involves blood and urine tests and a bone marrow biopsy. Staging uses tests such as MRI, blood tests, and bone surveys. Treatment may include chemotherapy, steroids, radiation, stem cell transplants, and newer drugs that target specific pathways in myeloma cells. While not yet curable, novel agents have improved survival rates and quality of life compared to conventional chemotherapy alone.
A survey was conducted of 57 medical professionals from various backgrounds with 5-25 years of experience. The survey found:
- 71% found it difficult to maintain medical records
- 66% had limited ways to connect with patients
- 86% had limited ways to follow up with patients
- 84% experienced scheduling inefficiencies
- 75% found missed appointments bothersome
- 82% felt revenue did not compensate for time/effort
The majority used paper-based records and phone/face-to-face consultation. Only 27% were satisfied with current systems and most felt electronic systems could save time and improve research/identification of patients. Respondents viewed healthcare IT systems as important/necessary to reduce paperwork
The document is a registration form and information for the 1st National Stem Cell Congress in Kuala Lumpur, Malaysia from October 29-30, 2012. It provides details on registration fees, how to register, instructions for submitting scientific poster presentations, and an overview of the scientific programme which will include plenary lectures, symposia, and a plenary discussion on various stem cell topics. Prof. Datuk Dr. A Rahman A Jamal invites participants to join the congress to consolidate knowledge in stem cell research and interact with international speakers.
The document provides information about the Asia-Pacific Conference on Human Genetics to be held from December 5-8, 2012 in Kuala Lumpur, Malaysia. It includes details about registration fees, invited international faculty, the scientific program schedule, accommodation options at the conference hotel, and contact information for the conference secretariat. A call for abstract submissions is also announced with a deadline of September 5, 2012.
Role of cancer genomics and next generation sequencing.pptx 2Alan Teh
Dr Jimmy Lin PhD will give an afternoon lecture at Ampang Hospital on Tuesday, September 25th from 1-2pm in the Seminar Room on the 3rd floor. Dr Lin is the founder and president of Rare Genomics Institute and is affiliated with Washington University in St Louis, USA.
The document announces a workshop on haemostasis from September 10-11, 2012 at Universiti Teknologi MARA in Selayang Campus. The workshop will feature speakers like Geoff Kershaw and Dr. Jameela Sathar discussing topics like acquired factor inhibitors, clinical approach to coagulation, pre-analytical and analytical problems, and lupus anticoagulant. It also provides information on registration fees and instructions to apply for registration by email.
‘वोटर्स विल मस्ट प्रीवेल’ (मतदाताओं को जीतना होगा) अभियान द्वारा जारी हेल्पलाइन नंबर, 4 जून को सुबह 7 बजे से दोपहर 12 बजे तक मतगणना प्रक्रिया में कहीं भी किसी भी तरह के उल्लंघन की रिपोर्ट करने के लिए खुला रहेगा।
04062024_First India Newspaper Jaipur.pdfFIRST INDIA
Find Latest India News and Breaking News these days from India on Politics, Business, Entertainment, Technology, Sports, Lifestyle and Coronavirus News in India and the world over that you can't miss. For real time update Visit our social media handle. Read First India NewsPaper in your morning replace. Visit First India.
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Here is Gabe Whitley's response to my defamation lawsuit for him calling me a rapist and perjurer in court documents.
You have to read it to believe it, but after you read it, you won't believe it. And I included eight examples of defamatory statements/
An astonishing, first-of-its-kind, report by the NYT assessing damage in Ukraine. Even if the war ends tomorrow, in many places there will be nothing to go back to.
El Puerto de Algeciras continúa un año más como el más eficiente del continente europeo y vuelve a situarse en el “top ten” mundial, según el informe The Container Port Performance Index 2023 (CPPI), elaborado por el Banco Mundial y la consultora S&P Global.
El informe CPPI utiliza dos enfoques metodológicos diferentes para calcular la clasificación del índice: uno administrativo o técnico y otro estadístico, basado en análisis factorial (FA). Según los autores, esta dualidad pretende asegurar una clasificación que refleje con precisión el rendimiento real del puerto, a la vez que sea estadísticamente sólida. En esta edición del informe CPPI 2023, se han empleado los mismos enfoques metodológicos y se ha aplicado un método de agregación de clasificaciones para combinar los resultados de ambos enfoques y obtener una clasificación agregada.
Acolyte Episodes review (TV series) The Acolyte. Learn about the influence of the program on the Star Wars world, as well as new characters and story twists.
1. GP SUMMIT 2010
THEME: GPs AT THE CROSSROADS
Over the past several months, the Primary Care Providers’ Coalition (PCPC involving MMA, AFPM,
PCDOM, Qualitas, KDM, & Society of FMS) has met several times to discuss the mounting challenges
afflicting the GPs, which have arisen in the recent past few years. A GP Summit was felt to be timely and
necessary to help focus our attention as to the realities of these challenges and problems.
The PCPC felt that this GP Summit should come together to help evolve a robust yet nimble but cost-
effective primary care-led healthcare system. This Summit should provide the initial impetus to establish a
strong network or coalition of GPs who can provide the highest standards of General Practice, within a
restructured healthcare system. We must come together collectively and represent ourselves with one
voice rather than to become divided and self-serving. We must establish strong lobbying power to help
protect our profession and our position from unreasonable challenges and top-down regulatory oversight
which are unfair or which are too micromanaging or potentially discriminating.
We have planned a programme with the objective of getting as many like-minded primary care doctors as
possible to come together to share their thoughts and viewpoints as to what these problems are, how we
perceive these changes or challenges and how these can impact on our livelihood and future. Perhaps
we need to come together to redefine what constitutes a GP for the future. We must reiterate our
strengths and contributions, our worth, rather than to be saddled with perceived weaknesses that have
been dumped against us. But we must be prepared to change for the better, for higher quality primary
care practices.
The ultimate goal is to arrive at some form of a consensus statement or document, which we can then
present to the government, to convey our frustration, our viewpoints and some possible solutions, even
suggest some possible alternate plans for restructuring.
Among the more worrisome challenges are:
1. The impact of the implementation of the private healthcare facilities and services act and the
continuing effects on GP practice;
2. The possible implementation of newer regulations and Acts which can impact on our practice,
e.g. Medical Act 2010, Medical Devices Act?
3. Changing position of the MOH on the future of Private Primary Care Practice; 1Care for
1Malaysia Health reform, single payer system (NHFS).
We also need to comprehensively review of the current and future challenges of the GP's.
By looking at cross border experiences, we can review alternative approaches, which encourage greater
physician buy-in of the reform plans. We need to explore the possible contributory roles of government
agencies (MOH, EPU, MOF etc.) to extend financial assistance in the form of outright start-up or matching
grants, tax relief or incentives or exemptions, and see how these can support efforts to raise the
standards of care delivered in the private sector. Simply mandating changes, regulations or threats would
not help to create a collaborative atmosphere of cooperation or synergy.
We also need to get the authorities to clearly define the role of MOH in the private sector, more
specifically in the sector of Primary Care. How would the proposed integration of primary care services be
implemented? Would the government’s public sector amenities be corporatised or privatised to an outside
agency with the MOH reducing its role to that of regulatory function? Would public sector amenities be
given priority in the distribution of patients, at the expense of GPs. Would GPs be marginalized?
We also need to send a very clear and strong message to the government concerning the problems the
private GP's are in and what needs to be done. Let’s all rally together and unite for a common good!
Supported by a generous unrestricted educational grant from Sanofi-Aventis (Winthrop)
2. ORGANISING COMMITTEE
Advisor : Dr David KL Quek
President MMA
Organising Chairperson : Dr Inderjit Singh Ludher
President Academy of Family Physicians
Committee Members : Dato’ Dr NKS Tharmaseelan
Honorary General Secretary, MMA
Dato’ Dr Mohan Singh
PPS Chairman, MMA
Dato’ Dr Noorul Ameen
Director, Qualitas Medical Group Sdn Bhd
Dato’ Dr M Thuraiappah
Academy of Family Physician
Dr Molly Cheah
Primary Care Doctors Organisation of Malaysia
(PCDOM)
Dr Sudha Nanthan
Secretary, Academy of Family Physicians
Dr Noor Azizah Tahir
Head, Family Medicine Department,
Cyberjaya University College of Medical
Sciences
Dr V Joseph
Koperasi Doktor Malaysia (KDM)
3. GP SUMMIT 2010 : Programme
Time Saturday, 14 August 2010
7.30 – 8.30 am Arrivals & Registration
8.30 – 9.00 am P1 – Overview (Dr David KL Quek, MMA)
Why are we here? What’s expected of this first GP Summit? Where do we see our future
as medical practitioners in Malaysia? Should we agree to the proposed integration of the
primary care service? Does the government via its various agencies need to incentivise the
GPs to enhance our services? Roles of EPU, MOF, MOH, matching grants or tax
incentives, breaks for EHR (H/CIS); Quality enhancement programs; structural or allied
health improvement programs; seamless CPD programs; Objective of Summit: Develop a
consensus blueprint document to present to the MOH and Minister
9.30 – 10.00 am P2 - GPs: Past, Present and Future (Dato’ Dr Noorul Ameen)
Scanning the Scenario for GPs—past to future of primary care providers; Shrinking
income, Diminishing pie, growing intense competition, Realities vis-à-vis current
challenges; Regulations, Funding, Training, Patient Safety, Quality issues; Public Private
Integration, likely scenarios, uncertain future
9.30 -10.00 am P3 - Whither the GP? MOH’s Perspective (Dr Safura)
Role of GPs in the 1Care for 1Malaysia Health restructuring; Integration of GPs into
Public Sector Primary care—how, who, when? What are the roles of Family Medicine
Specialists, Members of Academy of Family Physician diploma? Are they to be de facto
in charge, controlling other GPs? If this is selective and not inclusive, why should the
public contribute to an untried system, which reduces choice, and may not ensure fairness
and equity? Would all GPs be required to become a FMS? Isn’t this potentially increasing
healthcare costs? If so why should GPs buy into such a system? What goals and objectives
have not yet been achieved, since GPs now look about >60% of all primary care patients
in the country? Are there indicators, which have shown inferiority of our current system
compared with other countries’? Credentialing—another layer of bureaucracy? MSQH?
Who pays who? How much? Co-payment for prescriptions, for ‘special care’, chronic
disease management?
10.00 – 10.30 am P4 – Comparative GP systems – US, Australia, Singapore (Dr IS Ludher,
AFPM)
A review of what’s happening around good established GP practices in the region.
Credentialing, CPD/CME programmes, HIS/EHR systems, scopes of practice,
reimbursement mechanisms, GP fees and remuneration
10.30 – 10.50 am MORNING TEA BREAK
10.50 – 12.20 am P5 - Whither the GP? Perspectives from GPs
Views, practical and reality bites from representative GPs from Sabah, Sarawak, Kedah,
Johor, Kuala Terengganu, KlangValley
12.30 – 1.00 pm LUNCH
1.00 – 6.00 pm SANOFI-AVENTIS-WINTHROP MEDICAL SYMPOSIUM
1.00 – 1.30 pm Keynote Address (Dr David Quek)
1.30 – 2.00 pm Managing Allergic Rhinitis in a Primary Care Setting (Dr Ong Chun Chiang)
4. GP SUMMIT 2010 : Programme (Con’t)
2.00 2.30
1.00 – 6.00 pm What they don’t teach you in Medical School & GI Fellowship – The
SANOFI-AVENTIS-WINTHROP MEDICAL SYMPOSIUMRole of Diet in Gut
Dysfunction (Dr Yin Thing Phee)
2.30 – 3.00 pm What’s your legal standing in Malaysia today? (Dr Milton Lum)
3.00 – 3.30 pm Q&A
3.30 – 4.00 pm TEA BREAK
4.00 – 4.30 pm Men’s Health: Sexually Active Men with LUTS – IS there hope? (Prof George Lee Eng
Geap)
4.30 – 5.00 pm Metabolic Issues in the Primary Setting (Dr Alex Tan)
5.00 – 5.30 pm Non-alcoholic Fatty Liver Disease (NAFLD) – What physicians should know (Dr Ong
Tze Zen)
5.30 – 6.00 pm Q&A
6.30 – 10.00 pm Prayers, Breaking of Fast Dinner (Courtesy Sanofi-aventis)
Time Sunday, 15 August 2010
8.30 – 9.00 am P6 – Quality & Patient Safety Issues in GP/FP (Dato’ Dr M Thuraiappah,
AFPM)
Quality In Practice, AFPM diploma, Family medicine specialist diplomas, CPD
programmes
How can the GP improve further, evolution of smart clinics, chronic disease management,
clinic clusters
9.00 – 10.15 am Breakout Session 1 Workshops: Groups of 30-50 GPs
WS1: Scope of Practice (Value-added services/income streams/gatekeepers?)
Dr Inderjit Singh Ludher & Dr Ravi Naidu
WS2: Reimbursement & Fees (including Capitation vs Fee-for-service, grants for
upgrading of services)
Dato’ Dr Noorul Ameen & Dr S R Manalan
WS3: Training & Quality (QIP, Accreditation, Credentialing, CPD/CME)
Dato’ Dr M Thuraiappah & Dr Noor Azizah Tahir
10.15 – 10.45 am MORNING TEA BREAK
10.45 – 12.00 pm Breakout Session 2 Workshops: Groups of 30-50 GPs
WS4: How do we move forward? (How do we as GPs improve ourselves & our
livelihoods?)
Dr Sudhananthan
WS5: National Health Policy (Integration, Restructuring & Change, are we ready,
agreeable?)
Dr David Quek
WS6: Health Information Systems (Electronic Health Records (EHR) &
Information technology enhancements in GP practice; Common platform for National
HIS framework?)
Dr Molly Cheah & Dr P Vythilingam
12.00 – 1.00 pm Report of Workshops, Summary, Plan of Action, GP Summit Consensus
Declaration, Dispersal
1.00 – 2.00 pm FAREWELL LUNCH
5. REGISTRATION FORM
GP SUMMIT 2010
THEME: GPs AT THE CROSSROADS
Date : 14-15 August 2010
Venue: One World Hotel
First Avenue, Bandar Utama City Centre
47800 Petaling Jaya
Selangor Darul Ehsan
Registration Fee: (Inclusive of presentation materials, coffee/tea break and lunch)
Registration Fee: RM 50.00
Full Name : Dato’/Prof/Dr/Mr/Ms/Mrs
Full Address: ……………………………………………………………………………………………………………………………………………………………..
I/C No: Old: ……………………………….....................................New: .................................................................................
Tel No: Off: ...………………......................... House: …………………............................ Phone:…………….............................
Fax No: Off: ……………………….......................................................... House: ………………................................................
E-mail Address: …………………………………….….……...............................................................................................................
Please tick if you require:-
Vegetarian meals
Enclosed is a cheque/bank draft for RM ……………… made in favour of ‘Malaysian Medical Association’ and mail it to:
Malaysian Medical Association
4th Floor MMA House
124 Jalan Pahang
53000 Kuala Lumpur
For further information please contact:
MMA Secretariat
Tel: 03-4041 1375
Fax: 03-4041 8187, 40419929
E-mail: pps@mma.org.my
IMPORTANT NOTE: ONLY PARTICIPANTS WHO HAVE REGISTERED AND PAID IN FULL WILL BE ENSURED SEMINAR MATERIALS. THE SEMINAR
MATERIALS FOR WALK-IN AND NON-PAID REGISTERED PARTICIPANTS SHALL BE GIVEN ON A FIRST-COME FIRST- SERVED BASIS.
PARTICIPANTS MUST BE REGISTERED IN THE MAIN CONFERENCE. THERE IS NO ADDITIONAL REGISTRATION FEE FOR THE WORKSHOPS.
6. one world hotel
first avenue, off dataran bandar utama
47800 petaling jaya
selangor, malaysia
Photos courtesy of one world hotel, selangor