"How Scientific Wellness will Drive The Future of Health" - Nathan Price (Pro...Hyper Wellbeing
"How Scientific Wellness will Drive The Future of Health" - Nathan Price (Professor, Institute of Systems Biology)
Delivered at the inaugural Hyper Wellbeing Summit, 14th November 2016, Mountain View, California.
For more information including details of subsequent events, please visit http://hyperwellbeing.com
The summit was created to foster a community around an emerging industry - Wellness as a Service (WaaS). Consumer technologies, in particular wearables and mobile, are powering a consumer revolution. A revolution to turn health and wellness into platform delivered services. A revolution enabling consumer data-driven disease risk reduction. A revolution extending health care past sick care towards consumer-led lifelong health, wellness and lifestyle optimization.
WaaS newsletter sign-up http://eepurl.com/b71fdr
@hyperwellbeing
Social Media - 4 1/2 Reasons WHY for physicians in integrated careTed Eytan, MD, MS, MPH
An Ignite presentation to the Kaiser Permanente / Group Health Physicians Medicine and Management class of 2012. The WHY for physicians in an integrated care system to engage in social networking in leadership.
This is a 508-Compliant version of the "PHR's: What are they good for" presentation I gave at the AHRQ Annual Conference. See http://www.tedeytan.com/tag/ahrq for a full view of these slides.
Introduction to a panel of architects, public heath professionals, and civic leaders about designing for health. Hosted by American Institute of Architects, Washington, DC, on October 8, 2014
Purchasing Renewable Energy Credits in Washington, DC USA - Climate Literacy:...Ted Eytan, MD, MS, MPH
Information about renewable energy credits, how they differ from carbon offsets, and cost to switch to renewable energy, in Washington, DC, from the course Climate Literacy: Navigating Climate Change Conversations ( see https://www.coursera.org/course/climateliteracy )
Transportation and Total Health - Arlington Mobility Lab Lunch and LearnTed Eytan, MD, MS, MPH
Why would a physician and a health system executive be interested in transportation? A conversation with nationally recognized Arlington, VA Mobility lab, and myself and Keith Montgomery, Executive Director of the Center for Total Health
"How Scientific Wellness will Drive The Future of Health" - Nathan Price (Pro...Hyper Wellbeing
"How Scientific Wellness will Drive The Future of Health" - Nathan Price (Professor, Institute of Systems Biology)
Delivered at the inaugural Hyper Wellbeing Summit, 14th November 2016, Mountain View, California.
For more information including details of subsequent events, please visit http://hyperwellbeing.com
The summit was created to foster a community around an emerging industry - Wellness as a Service (WaaS). Consumer technologies, in particular wearables and mobile, are powering a consumer revolution. A revolution to turn health and wellness into platform delivered services. A revolution enabling consumer data-driven disease risk reduction. A revolution extending health care past sick care towards consumer-led lifelong health, wellness and lifestyle optimization.
WaaS newsletter sign-up http://eepurl.com/b71fdr
@hyperwellbeing
Social Media - 4 1/2 Reasons WHY for physicians in integrated careTed Eytan, MD, MS, MPH
An Ignite presentation to the Kaiser Permanente / Group Health Physicians Medicine and Management class of 2012. The WHY for physicians in an integrated care system to engage in social networking in leadership.
This is a 508-Compliant version of the "PHR's: What are they good for" presentation I gave at the AHRQ Annual Conference. See http://www.tedeytan.com/tag/ahrq for a full view of these slides.
Introduction to a panel of architects, public heath professionals, and civic leaders about designing for health. Hosted by American Institute of Architects, Washington, DC, on October 8, 2014
Purchasing Renewable Energy Credits in Washington, DC USA - Climate Literacy:...Ted Eytan, MD, MS, MPH
Information about renewable energy credits, how they differ from carbon offsets, and cost to switch to renewable energy, in Washington, DC, from the course Climate Literacy: Navigating Climate Change Conversations ( see https://www.coursera.org/course/climateliteracy )
Transportation and Total Health - Arlington Mobility Lab Lunch and LearnTed Eytan, MD, MS, MPH
Why would a physician and a health system executive be interested in transportation? A conversation with nationally recognized Arlington, VA Mobility lab, and myself and Keith Montgomery, Executive Director of the Center for Total Health
Internet - Social Media - Twitter adoption across the generations - dataTed Eytan, MD, MS, MPH
Data compiled from the excellent Pew Internet & American Life Project Surveys since 2005 showing trends in adoption of the Internet, social networking services, and more recently, Twitter. Data is adjusted for the entire population (not just internet users), to give a more realistic picture from a health care perspective
2014.03.06 Welcome - Transportation Techies - Center for Total HealthTed Eytan, MD, MS, MPH
Why is a health system interested in active transportation? Welcome to Transportation Techies Meetup, hosted at the Kaiser Permanente Center for Total Health, Washington, DC USA
Keshav Tyagi - MPHc Protecting the Health of the Transgender PopulationTed Eytan, MD, MS, MPH
"The Need for a Non-Discrimination Statement to Protect the Health of the Transgender Population in the State of Massachussetts," by Keshav Tyagi, Keck School of Medicine, University of Southern California, Master of Public Health Program
Presentation to Kaiser Permanente Government Relations Workshop November 6, 2015, Pasadena California, covering the Kaiser Permanente Center for Total Health, Social Innovation, and the KPLantern Project.
"Resilient people and companies face reality with staunchness, make meaning of hardship instead of crying out in despair, and improvise solutions from thin air. Others do not. This is the nature of resilience, and we will never completely understand it" - Harvard Business Review 2002
Kaiser Permanente's Innovation Journey, presented by Marilyn Chow and Ted EytanTed Eytan, MD, MS, MPH
The Kaiser Permanente Innovation System is people, spaces, tools, networks, methodologies that an organization has in place to support continuous innovation. It’s in our DNA, which means that any problem we encounter, whether identified by our senior leaders or our frontline staff, is seen as an opportunity to make patient care better, more affordable, more accessible.
With that in mind, we would like to spend the next 30 minutes introducing you to five innovations that are portrayed on the Center’s digital walls, and to people here from Kaiser Permanente who you’ll want to meet and learn more from.
Presentation given at the DC Health Innovation Summit, part of DC Health Innovation Week, 2011 (http://tedeytan.com/tag/dc-health-innovation-week)
Intro to Kaiser Permanente Center for Total Health and Social InnovationTed Eytan, MD, MS, MPH
The Center for Total Health is Kaiser Permanente's Social Innovation Center. This presentation was given to the American College of Preventive Medicine Corporate Roundtable, meeting in Washington, DC, to introduce the Center, Social Innovation, and Total Health for individuals and communities. Thanks for having me!
Presentation to the 2015 LGBTQ Health Care Speaker Series for knowledgeable providers - Kaiser Permanente. Given from the Kaiser Permanente Center for Total Health, Washington, DC USA
This is a presentation from the 2009 Customer Based Marketing Strategies Conference by Dan Dunlop and Mark Shelley. Dan is president of Jennings, a healthcare marketing firm based in Chapel Hill, NC. To visit Dan's blog go to http://thehealthcaremarketer.wordpress.com.
Why Clinical Quality Should Drive Healthcare Business StrategyHealth Catalyst
Health systems feel mounting pressure to demonstrate ROI from analytics investments but are faced with inefficacies and delays. Fortunately, the Rapid Response Analytics Solution delivers a 10x increase in analytics productivity and a 90 percent decrease in the time required to develop new analytic insights. The Rapid Response Analytics Solution solves these tough analytics problems through two primary elements: curated, modular data kits called DOS Marts; and Population Builder, a powerful self-service tools that lets any time of user, from physician executive to frontline nurse, explore data and quality build cohorts of patients without relying on IT staff and with no need for sophisticated and customized SQL and data science coding.
This paper is based on the deliberations and recommendations of the World Health Assembly (See Assembly document WHA61/14 and resolution WHA61.19), and WHO Executive Board Resolutions EB124.R5 on Climate Change and Health, as well as the World Health Day report on Climate Change and Health (http://www.who.int/world-health-day/previous/2008/en/index.html).
Internet - Social Media - Twitter adoption across the generations - dataTed Eytan, MD, MS, MPH
Data compiled from the excellent Pew Internet & American Life Project Surveys since 2005 showing trends in adoption of the Internet, social networking services, and more recently, Twitter. Data is adjusted for the entire population (not just internet users), to give a more realistic picture from a health care perspective
2014.03.06 Welcome - Transportation Techies - Center for Total HealthTed Eytan, MD, MS, MPH
Why is a health system interested in active transportation? Welcome to Transportation Techies Meetup, hosted at the Kaiser Permanente Center for Total Health, Washington, DC USA
Keshav Tyagi - MPHc Protecting the Health of the Transgender PopulationTed Eytan, MD, MS, MPH
"The Need for a Non-Discrimination Statement to Protect the Health of the Transgender Population in the State of Massachussetts," by Keshav Tyagi, Keck School of Medicine, University of Southern California, Master of Public Health Program
Presentation to Kaiser Permanente Government Relations Workshop November 6, 2015, Pasadena California, covering the Kaiser Permanente Center for Total Health, Social Innovation, and the KPLantern Project.
"Resilient people and companies face reality with staunchness, make meaning of hardship instead of crying out in despair, and improvise solutions from thin air. Others do not. This is the nature of resilience, and we will never completely understand it" - Harvard Business Review 2002
Kaiser Permanente's Innovation Journey, presented by Marilyn Chow and Ted EytanTed Eytan, MD, MS, MPH
The Kaiser Permanente Innovation System is people, spaces, tools, networks, methodologies that an organization has in place to support continuous innovation. It’s in our DNA, which means that any problem we encounter, whether identified by our senior leaders or our frontline staff, is seen as an opportunity to make patient care better, more affordable, more accessible.
With that in mind, we would like to spend the next 30 minutes introducing you to five innovations that are portrayed on the Center’s digital walls, and to people here from Kaiser Permanente who you’ll want to meet and learn more from.
Presentation given at the DC Health Innovation Summit, part of DC Health Innovation Week, 2011 (http://tedeytan.com/tag/dc-health-innovation-week)
Intro to Kaiser Permanente Center for Total Health and Social InnovationTed Eytan, MD, MS, MPH
The Center for Total Health is Kaiser Permanente's Social Innovation Center. This presentation was given to the American College of Preventive Medicine Corporate Roundtable, meeting in Washington, DC, to introduce the Center, Social Innovation, and Total Health for individuals and communities. Thanks for having me!
Presentation to the 2015 LGBTQ Health Care Speaker Series for knowledgeable providers - Kaiser Permanente. Given from the Kaiser Permanente Center for Total Health, Washington, DC USA
This is a presentation from the 2009 Customer Based Marketing Strategies Conference by Dan Dunlop and Mark Shelley. Dan is president of Jennings, a healthcare marketing firm based in Chapel Hill, NC. To visit Dan's blog go to http://thehealthcaremarketer.wordpress.com.
Why Clinical Quality Should Drive Healthcare Business StrategyHealth Catalyst
Health systems feel mounting pressure to demonstrate ROI from analytics investments but are faced with inefficacies and delays. Fortunately, the Rapid Response Analytics Solution delivers a 10x increase in analytics productivity and a 90 percent decrease in the time required to develop new analytic insights. The Rapid Response Analytics Solution solves these tough analytics problems through two primary elements: curated, modular data kits called DOS Marts; and Population Builder, a powerful self-service tools that lets any time of user, from physician executive to frontline nurse, explore data and quality build cohorts of patients without relying on IT staff and with no need for sophisticated and customized SQL and data science coding.
This paper is based on the deliberations and recommendations of the World Health Assembly (See Assembly document WHA61/14 and resolution WHA61.19), and WHO Executive Board Resolutions EB124.R5 on Climate Change and Health, as well as the World Health Day report on Climate Change and Health (http://www.who.int/world-health-day/previous/2008/en/index.html).
This address concluded the Third Annual Destination Chicago Program, where 20 incoming Feinberg Medical Students visit community organizations across Chicago to learn about community health and advocacy. This address was given to program participants and open to rest of the incoming class at the Northwestern School of Medicine.
Clinical Integration: A Value-Based Model for Better CareHealth Catalyst
For many who work on the front lines of delivery system reform, clinical integration is not just a generic phrase to describe health care professionals working more closely together. It describes the enormous day-to-day efforts that allow hospitals and physicians to collaborate on improving quality and efficiency, while keeping the focus on clinical care and the patient.
Join Holly Rimmasch, Executive Vice President and Chief Clinical Officer at Health Catalyst, as she shares this framework and model for greater value care delivery.
Holly will discuss:
The key functions of a clinically integrated system
The key roles and processes critical to sustained improvement methodology
The importance of the organizational structure in supporting systemic improvement
We look forward to you joining us.
Sustainability Day is a national day of action across the health sector. Each year NHS Trusts, Clinical Commissioning Groups, Hospitals and organisations take action to highlight the important role sustainable development can play in health service delivery. The National Campaign is supported by those key bodies and groups charged with leading sustainable development across healthcare. This campaign includes this national website which has case studies, tool-kits, news, information and resources to educate and support organisations to embed sustainability in service delivery.
Along with our national website the Campaign team organise a series of Roadshows across England which bring together health professionals to discuss challenges and solutions to overcoming barriers faced when embedding sustainable development both on the front line and within the organisation. The Campaign also includes the national annual awards which showcases the best examples from across England around sustainable development in healthcare.
The Campaign continues to showcase action, supporting healthcare organisations to deliver change in times of turbulence; to continually engage within the changing landscape of the NHS, public health and social care systems in the UK; to excite and inspire the leaders of the future to take action to embed climate adaptation into their business as usual models.
Clearly identifies the root cause of skyrocketing health cost and what companies and employees can do to reduce cost of health care.
You will learn proven strategies used successfully to reduce company health cost for over 20 years.
HPRC and PGH hosted a pre-conference session at CleanMed 2017 focused on the realities of healthcare plastics recycling. The event included an overview of the issue, some of the work PGH and HPRC are doing to help increase healthcare recycling, and then some in-depth advice from the trenches from Mayo Clinic, HealthPartners, and Gundersen Health System. For more information, go to hprc.org.
This is a slideshow for a ten minute talk on system leadership challenges in health and social care, aimed at elected members as part of a "system challenges" workshop
Hazardous Chemicals in Health Care - Resources for Healthy Children www.scribd.com/doc/254613619 - For more information, Please see Organic Edible Schoolyards & Gardening with Children www.scribd.com/doc/254613963 - Gardening with Volcanic Rock Dust www.scribd.com/doc/254613846 - Double Food Production from your School Garden with Organic Tech www.scribd.com/doc/254613765 - Free School Gardening Art Posters www.scribd.com/doc/254613694 - Increase Food Production with Companion Planting in your School Garden www.scribd.com/doc/254609890 - Healthy Foods Dramatically Improves Student Academic Success www.scribd.com/doc/254613619 - City Chickens for your Organic School Garden www.scribd.com/doc/254613553 - Huerto Ecológico, Tecnologías Sostenibles, Agricultura Organica www.scribd.com/doc/254613494 - Simple Square Foot Gardening for Schools - Teacher Guide www.scribd.com/doc/254613410 - Free Organic Gardening Publications www.scribd.com/doc/254609890 ~
Similar to #GreenHC - Environmental Stewardship in Health Care (20)
Group of slides related to metabolic health, low carbohydrate diets, low carbon diets, the "sustainable diet" and epidemiologic trends shaping the health of our nation.
Second re-submission, 3rd submission total, to Unicode for inclusion in the 2020 Unicode standard, March, 2019, updated March 12, 2019 with additional requested footnote, not reflected in this version (slideshare doesn't allow re-uploads anymore)
Proposal for new valid emoji sequence: Transgender Flag: version 4 for 2019Ted Eytan, MD, MS, MPH
The following is a proposal to the Unicode Consortium for a SWJ sequence, to be recommended for general interchange (RGI). The Transgender Flag would complement the Rainbow Flag as a representation of non-cis gender identities and intersex people. Submitted to the Unicode consortium, March, 2018, for inclusion in the 2019 standard.
2018.02.22 Designing Healthy and Safe Health Care Spaces for LGBTQ PeopleTed Eytan, MD, MS, MPH
Presentation for LGBTQ health series for Kaiser Permanente physicians, nurses, staff, on designing healthy and safe health care facilities for all humans.
Proposal for new valid emoji sequence: Transgender Symbols and Pride FlagTed Eytan, MD, MS, MPH
Version 3, Proposal to Unicode Consortium for Transgender symbol inclusion in 2018 emoji character set. Detailed technical specification included this time.
2016.11.17 Walking at Work: The What, Why & How of Walking MeetingsTed Eytan, MD, MS, MPH
Presentation given with AmericaWalks on November 17, 2016
"Walking is a great way to incorporate more physical activity into your daily routine. One way to make sure you are getting the recommended amount of steps is to turn meetings at work into walking meetings. This webinar explores the what, why and how of walking meetings and learn from examples of businesses and organization that have put them into practice. - See more at: http://americawalks.org/walking-at-work-the-what-why-how-of-walking-meetings-november-17-2016-webinar/#sthash.V97AwZMP.dpuf"
Update of presentation on using social media as a health professional, given to the students of the Kaiser Permanente School of Allied Health Sciences, Richmond, CA, USA
KP in DC : Quest for Total Health (Center for Total Health Overview)Ted Eytan, MD, MS, MPH
Presentation given by myself and Keith Montgomery, Executive Director, about the Kaiser Permanente Center for Total Health to Kaiser Permanente colleagues, December 10, 2015
Presentation given to the Professional Convention Management Association - Capital Chapter, Washington, DC, as part of a program on hosting healthy meetings, at the Kaiser Permanente Center for Total Health
Total Health, Being a Transgender ally and Unconscious bias HLTH 471 - univ...Ted Eytan, MD, MS, MPH
Presentation to HLTH 471 - Women's Health - at University of Maryland, Shady Grove, with faculty Sabrina Matoff-Stepp, PhD., on the social determinants of health for transgender individuals and transgender women specifically + a view into the Kaiser Permanente Center for Total Health, in Washington, DC USA
Presentation at Transportation Techies, August 20, 2015, at Walk Hack Night on the work of the Kaiser Permanente Center for Total Health to install and analyze data from multiple population sensors, including ones using infrared and computed video technology.
Population sensors have great promise to promote physical activity compared to wearable devices, which can be expensive, impact privacy, and have low uptake and use.
Total Health and Innovation: Demystifying Medicare 2015 Summer AcademyTed Eytan, MD, MS, MPH
Presentation at the Kaiser Family Foundation, Washington, DC USA, National Academy of Social Insurance, in collaboration with the Alliance of Community Health Plans
Walls, Ceilings, Closet Doors (Things Worth Shattering): Total Health and Soc...Ted Eytan, MD, MS, MPH
2015 Update on the Kaiser Permanente Center for Total Health, the Social Innovation Center of Kaiser Permanente, including examples of social movements and interventions that have been born or amplified since 2011.
7 Minute "Shift and Share" Presentation given at "Strength Beyond our Walls" event with RWJF Nurse Executive Fellows, showing the example of a vulnerable population (people who are transgender or gender non-conforming) and hidden strengths (transformational leadership and compassion and acceptance for others)
On December 10, 2014, The Kaiser Permanente Center for Total Health and National Center for Transgender Equality are hosting a Community Clinician Roundtable for providers who care for transgender patients in the Washington, DC, MD, VA community. The roundtable will include physicians, nurses, therapists, attorneys, and health care staff who support this population.
#transformKP: Total Health and Social Innovation (for Labor Management Partne...Ted Eytan, MD, MS, MPH
Presentation given to the Kaiser Permanente Labor Management Partnership all hands meeting, December 2, 2014, in San Francisco, California. "The Labor Management Partnership (LMP) is the largest and longest-lasting partnership of its kind in the country. Created in 1997, it is based on a series of agreements between the Coalition of Kaiser Permanente Unions, made up of 27 union locals, Kaiser Permanente and the Permanente medical groups in each region. Today, it covers almost 100,000 union members and tens of thousands of managers and physicians."
Creating the case for involving members (patients) at the organizational and governance level of the health system. Given for the Kaiser Permanente Digital Workforce Group who now include a member on their Executive Governance Group.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
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.
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
263778731218 Abortion Clinic /Pills In Harare ,ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group of receptionists, nurses, and physicians have worked together as a teamof receptionists, nurses, and physicians have worked together as a team wwww.lisywomensclinic.co.za/
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
3. We’re here from the future.
kp.org/centerfortotalhealth | @kptotalhealth
4. To heal, you have to not harm
NHS England
KP
0.8675'MtCO2e 5.04'MtCO2e'
(energy'only)
9'million'members
178,000'employees
37'hospitals
611'medical'office'buildings'
607'other'faciliGes
52'million'people
MtCO2e : Metric Tonne (ton) Carbon Dioxide Equivalent, 2010 Reporting Year
Source: http://www.theclimateregistry.org/ ; http://www.sdu.nhs.uk/sd_and_the_nhs/
7. !24/7 access worldwide
!9,000,000 members can
–email their doctor
–check lab test results
–order prescription refills
–manage appointments
patient | 21st century
11. It happens here
Photo: M.V. Jantzen - http://www.flickr.com/photos/mvjantzen/8464490630/
12. It happens here
La Mesa Medical Offices, California Photograph: Ted Eytan, MD, http://www.flickr.com/photos/taedc/8382776635/
13. “Dream Grounds for a Dream Hospital”
Why.
Source: http://kasierpermanentehistory.org ; Joe Bialowitz, MS, HEM, Senior Environmental Stewardship Consultant, Kaiser Permanente
14. “Showcases of modern, green hospital design”
Why.
Source: http://xnet.kp.org/centralvalley/pages/green_features/green_features.html ; http://xnet.kp.org/newscenter/pressreleases/scal/
2012/011712sandiegosolar.html
17. How - Better food
Source: http://www.nytimes.com/2010/09/22/dining/22doctors.html
18. How - Better food
! 190 tons of fruits and
vegetables served to
patients sustainably
produced (50% of total)
! Milk, yogurt free of rBGH
! Cage-free shelled eggs
! Partnership with UCSF,
John Muir, others for
Regional Produce
Sourcing Project
Source: http://www.nytimes.com/2010/09/22/dining/22doctors.html
19. How - Better food
! 190 tons of fruits and
vegetables served to
patients sustainably
produced (50% of total)
! Milk, yogurt free of rBGH
! Cage-free shelled eggs
! Partnership with UCSF,
John Muir, others for
Regional Produce
Sourcing Project
Source: http://www.nytimes.com/2010/09/22/dining/22doctors.html
20. How - Safer Chemicals
!Steam instead of chemical sterlization of
endoscopes
!PVC-free carpet
!PVC-free and DEHP-free IV bags and tubing
!PVC-free and DEHP-free PCA sets
!Green Seal-certified cleaning products
Source: http://xnet.kp.org/newscenter/pressreleases/nat/2012/011912ecofriendlyIVbags.html
22. How - Better care models: Blood pressure control
60%
73%
85%
2005 2006 2007 2008
KP member
US 90th %
Source: Zhou YY, Kanter MH, Wang JJ, Garrido T. Improved Quality At Kaiser Permanente Through E-Mail Between Physicians And Patients.
Health Affairs. 2010;29(7):1370-1375. Available at: http://content.healthaffairs.org/cgi/content/abstract/29/7/1370 [Accessed July 7, 2010].
23. How - Better care models: Blood pressure control
60%
73%
85%
2005 2006 2007 2008
+ email
US 90th %
Significant? How
about p<0.0001
Source: Zhou YY, Kanter MH, Wang JJ, Garrido T. Improved Quality At Kaiser Permanente Through E-Mail Between Physicians And Patients.
Health Affairs. 2010;29(7):1370-1375. Available at: http://content.healthaffairs.org/cgi/content/abstract/29/7/1370 [Accessed July 7, 2010].
25. Environmentally responsible, too
Health Affairs, May 2011: “Kaiser
Permanente Study Finds Use of
Electronic Health Records
Reduces Carbon Emissions,
Waste and Water Consumption”
PotenGal'CO2'emissions'reducGons'as'
much'as'1.7'million'tons'across'the'enGre'
U.S.'populaGon'
Source: Turley M, Porter C, Garrido T, et al. Use of electronic health records can improve the health care industry’s environmental
footprint. Health affairs (Project Hope). 2011;30(5):938-46. Available at: http://content.healthaffairs.org/cgi/content/abstract/30/5/938
[Accessed January 3, 2012].
26. “Kaiser (Permanente) is so far past faxing
orders that they’re into sustainable apples”
-Jess Jacobs, April, 2013, TEDMED
http://http://jessjacobs.me/my-intravenous-lecture/
For whom
27. seeing that there is a long list of crazy
administrative headaches shows how very
broken the communication process is for
every single step of getting healthcare.
http://http://jessjacobs.me/my-intravenous-lecture/
@jess_jacobs
For whom
29. Catalyzed by…
!“Only one health insurer,
Kaiser Permanente, has a
strong climate position.”
Source: Insurer Climate Risk Disclosure Survey: 2012 Findings and Recommendations - Ceres -
https://www.ceres.org/resources/reports/naic-report/view
30. Catalyzed by…
Source: Insurer Climate Risk Disclosure Survey: 2012 Findings and Recommendations - Ceres -
https://www.ceres.org/resources/reports/naic-report/view
! “If greenhouse gas
emissions continue to
increase, climate change will
cause health effects that will
directly impact Kaiser
Permanente’s ability to fulfill
our promise of quality,
affordable care.”
31. Catalyzed by…
Vision'for'Environmental'Stewardship'&'
Guideline'for'Climate'Change
Source: Kaiser Permanente Environmental Stewardship, Strategies, Principles, and Guidelines;
http://blog.epa.gov/blog/2009/10/15/healthy-health-care-leader-kaiser-permanente/ Ted Eytan, MD
! “If greenhouse gas
emissions continue to
increase, climate change will
cause health effects that will
directly impact Kaiser
Permanente’s ability to fulfill
our promise of quality,
affordable care.”
32. Catalyzed by…
Vision'for'Environmental'Stewardship'&'
Guideline'for'Climate'Change
Source: Kaiser Permanente Environmental Stewardship, Strategies, Principles, and Guidelines;
http://blog.epa.gov/blog/2009/10/15/healthy-health-care-leader-kaiser-permanente/ Ted Eytan, MD
! “If greenhouse gas
emissions continue to
increase, climate change will
cause health effects that will
directly impact Kaiser
Permanente’s ability to fulfill
our promise of quality,
affordable care.”
33. Healthier Hospitals #youcandoittoo
!healthierhospitals.org
!@hhiorg
The Healthier Hospitals Initiative (HHI) is a national campaign to
lead change in the health care sector. Twelve influential U.S. health
systems have joined with Health Care Without Harm (HCWH), Practice
Greenhealth and the Center for Health Design (CHD) to provide a free
way for hospitals to incorporate environmentally friendly practices
into daily operations. By sharing win-win strategies, and collective
sustainability experience, hospitals see results quickly in improved
health of patients, staff and their communities, reduced environmental
impact, and considerable financial savings.
LEANER
ENERGY
HEALTHIER
FOOD
LESS
WASTE
ENGAGED
LEADERSHIP
SAFER
CHEMICALS
SMARTER
PURCHASING
Leading Communities to a Healthier Future
34. KAISER PERMANENTEREDUCING, RE-USING & RECYCLING TO ELIMINATE WASTE
Hospitals in the U.S. annually generate more than 5.9 million tons of waste,much of which comes from scarce natural resources and ends up in our nation’s
landfills where wastes emit greenhouse gases and other pollutants. In addition
to standard waste products—paper, cardboard, bottles and cans—health care
has unique waste streams such as electronic equipment, infectious waste,radiological waste and other hazardous waste, such as solvents, that must be
properly managed and treated in order to protect both the environment and
public health. Cutting waste within the health care setting reduces operating
costs while lowering exposure risks for health care workers and often creating
good jobs for people in the local recycling industry.
Kaiser Permanente has set an ambitious waste reduction target to re-use,
recycle or compost at least 40% of our waste materials by the end of 2015(excluding construction and demolition debris, where we often achieve muchhigher rates of recycling on a typical project).
Examples of Kaiser Permanente’s rigorous waste reduction initiatives include:
Recycling or composting non-medical wasteSafely re-using medical devices
Purchasing products high in recycled content and recyclabilityBuilding efficiency into our care delivery system
Recycling and Composting Non-Medical WasteKaiser Permanente makes a priority of involving our staff and physicians inefforts to reduce the use of plastic bags, single-use water bottles, and officepaper. Our organization is rolling out efforts to compost food as well as papertowel waste in several of our facilities and office buildings.
In Southern California, Kaiser Permanente and Goodwill Industries havejoined forces to collect and recycle many of the waste materials generatedby Kaiser Permanente. Each year, the two organizations also host a series of
region-wide community waste and donation campaigns to recycle, reduce and
re-use thousands of pounds of electronics, clothing and other items.
Many Kaiser Permanente hospitals have developed innovative programsto recycle blue wrap, the material used to preserve the sterility of medical
instruments. The material feels like soft paper, but is actually made fromheavy-duty polypropylene plastic that can take years to disintegrate inlandfills. Blue wrap can be recycled into wash buckets, lawn furniture,flowerpots, squirt bottles, plastic lumber for picnic tables and thousands of
other commonly used products.
KAISER PERMANENTE
PROMOTING SUSTAINABLE FARMING AND FOOD CHOICES
Locally grown, sustainably farmed and produced food choices are good for the
environment and for people’s health. Kaiser Permanente offers sustainable food
choices on patient menus and in cafeterias and vending machines at many of
our hospitals and medical centers. We support the development of local and
sustainable food systems as a public health tool.
At Kaiser Permanente, we recognize that sustainable food promotes good
health by reducing the prevalence of synthetic pesticides and chemicals in
the food stream and the environment and by fostering the availability and
consumption of locally grown, fresh food choices. We advance sustainable
farming and food choices through these efforts:
Increasing sourcing of locally grown, sustainably farmed and produced food in
Kaiser Permanente hospitals, cafeterias and vending machines
Sponsoring farmers’ markets as a means to promote access to fresh, local produce
and support investments in local economies
Increasing awareness about toxins in the food chain
Collaborating with other major health care systems and non-governmental
organizations to accelerate improvements in sustainable food procurement
throughout the health care sector
Sourcing Locally Grown, Sustainable Food
As part of their mission of healing, health care providers have a responsibility to
their patients, employees, visitors and the communities they serve to offer food
options in their patient meals, cafeterias and vending machines that support
overall health. At Kaiser Permanente, we recognize that the way food is produced,
processed, packaged, distributed and consumed in the United States has significant
impacts on human health and the environment. We are working to shift the food
system in a more sustainable direction by increasing our sourcing of locally grown
and sustainably produced food options.
Kaiser Permanente devotes approximately 16 percent of our overall food
spending to sustainable food across the organization, nearly two times as much
sustainable food as most other hospital systems of our size. By the end of year
2015, that number is expected to grow to 20 percent.
Kaiser Permanente has developed specific sustainability criteria within each
food category which align with the Green Guide for Healthcare Food Service
Credits, a benchmarking tool for sustainable food in health care. Some
examples include: food produced within 250 miles of the Kaiser Permanente
facility; produced without pesticides, antibiotics or added hormones; and
certified as sustainably produced by a third-party eco-label. Food products
must meet at least one of these criteria to be considered sustainable, though
preference is given to products that meet multiple criteria for sustainability.
KAISER PERMANENTEFINDING SAFER ALTERNATIVES TO HARMFUL CHEMICALS
Exposure to toxic chemicals in everyday life has increasingly become a health
concern. More than 80,000 chemicals are used in commerce today, and onlya small fraction has been tested for effects on human health. There is growing
evidence that environmental exposures to some chemicals contribute to cancer,
asthma, reproductive disorders and other heath impacts.
Kaiser Permanente is committed to researching and sourcing saferalternatives to products used in health care settings such as cleaners, solvents,
disinfectants, plastics used in medical devices and building materials, flameretardants and formaldehyde.
The organization promotes safer alternatives to harmful chemicals in four ways:
Sourcing products with safer ingredients
Adding to the body of knowledge through research into health effects ofchemical exposures
Informing public policy and decision-making pertaining to safer chemical useCollaborating with other major health care systems and non-governmental
organizations to accelerate improvements in safer chemical use throughout the
health care sector
Sourcing Safer Products
In 2006, Kaiser Permanente created an Environmental Purchasing Policy insupport of its social mission to improve the health of its members and thecommunities it serves. The policy requires that the principles of environmentally
preferred purchasing be applied to all major purchasing decisions.
To further embed these principles in its decision-making process, Kaiser
Permanente developed the Sustainability Scorecard in 2010 as a way to rate
medical supplies on how eco-friendly and non-toxic they are. The scorecard
is the first of its kind for health care and enables Kaiser Permanente tobetter choose products that reduce environmental and human healthimpacts while also encouraging our suppliers to increase their offerings of
eco-friendly supplies.
With coordination by Practice Greenhealth, Kaiser Permanente made theSustainability Scorecard available to the health care industry’s largest grouppurchasing organizations (GPOs) representing an estimated $135 billion in
annual purchasing volume. This significant leveraging power is helping toadvance an economy where the production and use of chemicals are notharmful for humans or the environment.
KAISER PERMANENTE
RESPONDING TO CLIMATE CHANGE
Greenhouse gas emissions are a known contributor to climate change and the
rise of pollution and disease. At Kaiser Permanente, we realize that we have a
responsibility to try to limit our greenhouse gas emissions, even while growing
our health care services.
With nearly 78 million square feet of real estate across nine states, Kaiser
Permanente is aware that our environmental footprint is substantial. That’s why
we have set an aggressive goal to reduce our greenhouse gas emissions by 30
percent by the year 2020 (compared to 2008). By lessening our reliance on fossil
fuels and reducing our overall energy consumption, we are working to minimize
our impact on the climate. The fact that this also reduces operating costs is
good news for our members.
Kaiser Permanente follows a two-pronged approach to reducing greenhouse
gas emissions:
Maximize energy efficiency through green building solutions in new and existing facilities
Increasing use of on-site and off-site clean and renewable energy solutions
Maximizing Energy Efficiency Through Greenbuilding Solutions
Recognizing the link between the health of the environment and human health,
we have sought to make our health care facilities among the “greenest” and
most sustainable around. To that end, Kaiser Permanente has played a key role in
developing nationally recognized green building strategies for the health care sector.
Working with architects, engineers and public health care advocates, Kaiser
Permanente helped to design and pilot test strategies for the Green Guide for
Health Care and the more recent Leadership in Energy and Environmental Design
(LEED) for Healthcare rating system — both premier tools for building facilities
that are healthier for employees, patients, communities and the environment.
Several of Kaiser Permanente’s buildings have received the U.S. Environmental
Protection Agency’s Energy Star certification. This signifies that a building’s
energy performance rates in the top 25 percent of facilities nationwide.
In 2012, Kaiser Permanente adopted a policy to pursue LEED Gold certification
for all new major building projects. The Westside Medical Center in Portland,
Ore., set to open in 2013, will be among the first LEED gold-certified hospitals
in the Portland area, using green power sourcing and water-conservation
features. One of our California data centers was the first (and currently the
only) data center in the world to achieve LEED EB—Leadership in Energy and
Environmental Design for Existing Buildings—Platinum certification.
Finding Safe Alternatives to Harmful Chemicals
Exposure to toxic chemicals in everyday life has increasingly become a health
concern. Unfortunately, many products used within the health care industry
contain harmful chemicals—products such as cleaners, solvents, disinfectants,
plastics, and building materials such as flooring and paint. At Kaiser Permanente,
we’re committed to researching and sourcing safer alternatives to reduce harmful
exposure to our patients, staff, and communities.
Our Sustainability Scorecard was developed in 2010 as a way to rate our suppliers
on how eco-friendly and non-toxic their products are. It encourages our suppliers
to increase their offerings of environmentally responsible products and enables
Kaiser Permanente to better choose products that are safer for our patients, staff
and communities. Most of our environmentally preferable product choices—such
as intravenous bags manufactured without PVC and DEHP—are either cost
neutral or cost less than the more toxic products.
Reducing Greenhouse Gas Emissions
Greenhouse gas emissions contribute to climate change and the rise of pollution
and disease. As a health care provider, we understand that it’s our responsibility
to try to limit our greenhouse gas emissions, even as we increase our health care
services. By reducing our reliance on fossil fuels, we are working to mitigate
climate change and create healthier communities.
Kaiser Permanente has been at the forefront of embracing clean energy solutions,
developing standards for sustainable building in health care, and looking for ways to
cut back our energy consumption.We have deployed 15 megawatts of solar power
and four megawatts of fuel cell energy across our facilities, part of a larger plan to
use sustainable energy sources to reduce the total greenhouse gas emissions of Kaiser
Permanente’s operations by 30 percent by the year 2020 (compared to 2008).
Environmental
Stewardship
Many of the solutions that are good for people’s health
are also good for the planet.
At Kaiser Permanente, we recognize
that healthy communities and a healthy
environment are critical to the health and
wellness of every person. Creating these
has always been central to our mission.
We are dedicated to environmental
stewardship, and we aspire to provide
health care services in a manner that
protects and enhances the environment
and the health of communities now and
for future generations.
Kaiser Permanente has been committed
to the environment since our founding
in the early 1940s. Our Environmental
Stewardship program is part of our
Community Benefit work and is
anchored in promoting the health of our
communities. Healthier communities
with healthier people are more resilient
to disease. By eliminating or mitigating
environmental contributors to disease, we
help people lead healthier lives.
To encourage healthy environments,
we lead or support innovative efforts
throughout our organization to decrease
waste and pollutants, conserve water and
energy, promote sustainable agriculture
and food procurement, and take steps to
reduce our carbon footprint.
kp.org/green