Preventing Readmissions Virtually: Telemedicine & Your FacilityRelyMD
RelyMD co-founder and director of virtual health, Dr. Bobby Park presents during LeadingAge NC's 2017 Annual Conference. View these slides to learn how nursing homes and CCRCs are utilizing telemedicine to decrease hospitalizations and save on costs for their facility.
The document discusses several potential applications of remote presence technology in healthcare settings. It describes how remote presence can be used to increase specialist coverage in intensive care units, provide supplemental physician rounds on medical and surgical floors, enable timely specialty consultations in the emergency department, and allow hospitals to provide outreach to smaller, remote facilities. Implementing these remote presence applications could help improve patient safety, clinical outcomes, healthcare access and efficiency, and physician and staff satisfaction.
The document discusses several potential applications of remote presence technology in healthcare settings. It describes how remote presence can be used to increase specialist coverage in intensive care units, provide supplemental physician rounds on medical and surgical floors, enable timely specialty consultations in the emergency department, and allow hospitals to provide outreach to smaller, remote facilities. Implementing these remote presence applications could help improve patient safety, clinical outcomes, healthcare access and efficiency, and physician and staff satisfaction.
The document discusses integrating genomic testing and remote cancer advisory services to improve cancer diagnosis and treatment in developing countries. It outlines several barriers to international patients accessing these services, including lack of knowledge, high costs, language barriers, and difficulty interpreting genomic test results. An integrated service is proposed that would provide genomic testing, remote advisory support from major US cancer centers, and diagnostic decision support to address these barriers. This could help minimize diagnostic errors and improve outcomes for patients in developing countries.
This document summarizes the services provided by Specialists On Call, a teleneurology company. It provides 24/7 neurology consultations to over 180 hospitals in 21 states via telemedicine. It has over 55 neurologists and performs over 40,000 emergency neurology consultations annually, more than any traditional provider. Teleneurology allows hospitals to treat stroke and other neurologic emergency patients with consistent, high-quality care.
The average disposition time from the emergency department to inpatient admission at St. Vincent Williamsport Hospital is 94 minutes, which is longer than the desired time of 60 minutes or less. Prolonged disposition times can compromise patient care, increase costs, and decrease hospital ratings. To help address this issue, recommendations include ensuring the inpatient nurse transfers patients from the emergency department within 30 minutes of bed assignment and implements a standardized handoff process. Key deliverables to track this work are a handoff reporting tool, time data collection tool, and bed placement checklist.
Check this A+ tutorial guideline at
https://www.uopassignments.com/hlt-520-grand-canyon-university
For more classes visit
http://www.uopassignments.com/
This document discusses post-intensive care syndrome (PICS), a condition experienced by many survivors of critical illness involving new or worsening impairments in physical, cognitive, or mental health status after leaving the ICU. It provides an overview of PICS, noting that evidence in recent decades has shown PICS to be a significant problem. The document discusses how certain evidence-based ICU interventions like maintaining light sedation levels and early mobilization may help reduce risks for PICS. It promotes upcoming issues of the publication that will provide more information on PICS and the roles of various professionals in addressing it.
Preventing Readmissions Virtually: Telemedicine & Your FacilityRelyMD
RelyMD co-founder and director of virtual health, Dr. Bobby Park presents during LeadingAge NC's 2017 Annual Conference. View these slides to learn how nursing homes and CCRCs are utilizing telemedicine to decrease hospitalizations and save on costs for their facility.
The document discusses several potential applications of remote presence technology in healthcare settings. It describes how remote presence can be used to increase specialist coverage in intensive care units, provide supplemental physician rounds on medical and surgical floors, enable timely specialty consultations in the emergency department, and allow hospitals to provide outreach to smaller, remote facilities. Implementing these remote presence applications could help improve patient safety, clinical outcomes, healthcare access and efficiency, and physician and staff satisfaction.
The document discusses several potential applications of remote presence technology in healthcare settings. It describes how remote presence can be used to increase specialist coverage in intensive care units, provide supplemental physician rounds on medical and surgical floors, enable timely specialty consultations in the emergency department, and allow hospitals to provide outreach to smaller, remote facilities. Implementing these remote presence applications could help improve patient safety, clinical outcomes, healthcare access and efficiency, and physician and staff satisfaction.
The document discusses integrating genomic testing and remote cancer advisory services to improve cancer diagnosis and treatment in developing countries. It outlines several barriers to international patients accessing these services, including lack of knowledge, high costs, language barriers, and difficulty interpreting genomic test results. An integrated service is proposed that would provide genomic testing, remote advisory support from major US cancer centers, and diagnostic decision support to address these barriers. This could help minimize diagnostic errors and improve outcomes for patients in developing countries.
This document summarizes the services provided by Specialists On Call, a teleneurology company. It provides 24/7 neurology consultations to over 180 hospitals in 21 states via telemedicine. It has over 55 neurologists and performs over 40,000 emergency neurology consultations annually, more than any traditional provider. Teleneurology allows hospitals to treat stroke and other neurologic emergency patients with consistent, high-quality care.
The average disposition time from the emergency department to inpatient admission at St. Vincent Williamsport Hospital is 94 minutes, which is longer than the desired time of 60 minutes or less. Prolonged disposition times can compromise patient care, increase costs, and decrease hospital ratings. To help address this issue, recommendations include ensuring the inpatient nurse transfers patients from the emergency department within 30 minutes of bed assignment and implements a standardized handoff process. Key deliverables to track this work are a handoff reporting tool, time data collection tool, and bed placement checklist.
Check this A+ tutorial guideline at
https://www.uopassignments.com/hlt-520-grand-canyon-university
For more classes visit
http://www.uopassignments.com/
This document discusses post-intensive care syndrome (PICS), a condition experienced by many survivors of critical illness involving new or worsening impairments in physical, cognitive, or mental health status after leaving the ICU. It provides an overview of PICS, noting that evidence in recent decades has shown PICS to be a significant problem. The document discusses how certain evidence-based ICU interventions like maintaining light sedation levels and early mobilization may help reduce risks for PICS. It promotes upcoming issues of the publication that will provide more information on PICS and the roles of various professionals in addressing it.
Glenda Pearson CV October 2015 - Google DocsGlenda Pearson
Glenda Pearson provides her contact information and experience as a Clinical Research Associate. She has over 20 years of experience as a registered nurse and clinical research coordinator. Her roles have included clinical site management, establishing relationships with sponsors and vendors, ensuring compliance with regulations, and educating patients. She believes in the ability of research to cure disease and has extensive knowledge of clinical trials and good clinical practice guidelines.
The document summarizes different types of genetic and genomic testing reports, including how variants are classified. It discusses fragile X DNA testing, microarrays, next generation sequencing, and whole exome sequencing. Variants are classified as pathogenic, likely pathogenic, variants of uncertain significance (VUS), likely benign, or benign. The document uses a case report to demonstrate how more information can be obtained over time to reclassify a VUS. It also discusses reporting guidelines for incidental findings from genetic testing and limitations of direct-to-consumer genetic testing.
Bariatric surgery and copra ossicon 2016 presentationAbhishek Katakwar
The document discusses issues related to medical negligence and litigation faced by bariatric surgeons, highlighting several court cases where doctors were found guilty of negligence. It provides an overview of the key factors that contribute to negligence claims, such as lack of informed consent, non-adherence to protocols, and inadequate patient education. The document also offers guidance to bariatric surgeons on minimizing litigation risks and ensuring best practices for patient selection, evaluation, counseling and follow-up.
How To Safely Implement A Fast Track Programensteve
The document discusses how to safely implement a fast track recovery program in a hospital. It outlines key steps such as getting agreement from different hospital disciplines on evidence-based fast track interventions, educating staff, regularly reviewing implementation, and measuring outcomes like length of stay, readmission rates, and patient/staff satisfaction. It also discusses prehabilitation, perioperative fluid management, and creating an optimal postoperative ward environment to enhance recovery.
The document summarizes the impact of the AFHCAN telehealth project in Alaska over 8 years. It discusses how telehealth has helped address Alaska's unique geographic challenges by enabling healthcare access for remote communities. Key points include:
- Telehealth has helped prevent unnecessary patient travel in about 80% of specialty consultations and 20% of primary care cases, saving an estimated $14 million in travel costs annually.
- Wait times for specialty consults have been reduced from over 4 months to within a few weeks on average.
- Telehealth has enabled improved care coordination and post-operative follow-up for remote patients.
- It has also helped address provider shortages in rural areas and reduce costs associated with provider recruitment
This document discusses implementing a telestroke program in rural hospitals in Kentucky. It analyzes stroke rates and outcomes in two rural counties. The majority of residents are in the high risk age ranges of 40-59 and most stroke victims are aged 60-79. Implementing a telestroke program using Neurocall would allow remote neurologists to consult via video on stroke cases within 14 minutes of admission. This could improve outcomes for rural stroke patients by increasing treatment rates with clot-busting drugs and reducing costly transfers.
The document discusses the use of telehealth for integumentary health, specifically wound care. Telehealth allows specialists to provide care to rural areas and consult on wound cases remotely. It can decrease travel costs and time for patients and facilities. The summary provides an overview of telehealth applications like real-time video consults and store-and-forward photo documentation that allow specialists to monitor wound status and provide recommendations to improve wound management. Studies found telehealth wound consultations to be accurate and effective with few changes needed upon in-person examination.
This document discusses how telehealth and real-time analytics can help critical care achieve better health outcomes, better care, and lower costs. It describes how monitoring patients and gaining situation awareness is important for critical care. Real-time data analytics can help clinicians understand a patient's current physiological status and trajectory. Pattern recognition in patient data may help identify issues earlier. The challenges of big data in healthcare including volume, velocity, variety and veracity are discussed. Technologies that provide real-time situation awareness and predictive analytics could help improve patient care and outcomes in the ICU.
For more information contact: Slideshare@marcusevans.com
Presentation delivered by Donna Medina, Regional Director,OSF Hospice and Homecare Foundation at the marcus evans Home Care Leadership Summit held on July 13 & 14 2015 in Palm Beach FL.
Avado CEO Dave Chase's presentation to the Collaborative Health Consortium's weekly Pilots and Collaborations Webinar. Dave is doing some leading edge thinking on collaborative care.
This document discusses the hospitalist model and debunks myths about it. It summarizes research showing that hospitalists can reduce length of stay and costs without harming quality of care. While primary care physicians initially had concerns about loss of continuity and poor communication, studies show patient, family, and physician satisfaction are preserved or improved with hospitalists. For hospitals, hospitalists can increase efficiency and market share. The model has grown significantly since being introduced.
An audit is a thorough examination of healthcare processes and outcomes aimed at quality improvement. It involves comparing objectives and realities to identify opportunities to enhance care. Auditing an ICU involves examining structures, processes, and outcomes using quality indicators and comparing performance internally over time and externally to other ICUs. Key reasons to audit an ICU include improving patient safety and outcomes, enhancing team performance, and ensuring efficient resource use. Audit findings should be used to standardize care, learn from mistakes, and apply strategies to both clinical work and teamwork.
An audit examines processes and outcomes in intensive care to identify opportunities for quality improvement. It involves comparing objectives and reality by assessing structure, process, and outcomes. Auditing an ICU's performance is important for patient safety, professional development of staff, and efficient use of resources. Key indicators that should be audited include adherence to evidence-based practices for conditions like sepsis, ventilation protocols to prevent pneumonia, and checklists for procedures like central line insertion. Collecting data on adverse events through confidential reporting allows teams to learn from mistakes and standardize care processes. Implementing care "bundles" that group several evidence-based practices for a given condition can help improve outcomes more than single interventions alone. Regular auditing is essential for ongoing assessment and
When digital medicine becomes the medicine (2/2)Yoon Sup Choi
The study assessed the quality and accuracy of care provided by 8 major commercial telemedicine companies for common acute illnesses. Standardized patients presented 6 conditions and completed 599 virtual visits total. The completeness of histories and physical exams ranged from 51.7-82.4% across companies. Correct diagnoses were provided in 65.4-93.8% of visits. Adherence to clinical guidelines for management decisions was 54.3% overall but varied significantly between conditions and companies, from 34.4-66.1% across companies. Greater variation was seen for viral infections than musculoskeletal conditions. This suggests the quality of telemedicine can differ substantially between providers.
This document discusses strategies to prevent and manage delirium in critically ill patients. It outlines the ABCDEF bundle which includes assessing, preventing, and managing pain, both spontaneous awakening and breathing trials, minimizing sedation, assessing and preventing delirium, early mobility and exercise, and engaging family members. Screening for delirium using the CAM-ICU tool and implementing non-pharmacological interventions can reduce length of hospital stay, duration of mechanical ventilation, and mortality. Widespread use of protocols and bundles that incorporate these strategies may help address the high cost and poor outcomes associated with delirium.
This document summarizes the work of Dr. Elizabeth Alpern and the Pediatric Emergency Care Applied Research Network (PECARN) to develop an emergency care visit registry using data from electronic health records. The registry collects over 60 quality performance measures across multiple pediatric emergency departments. It provides timely reports to individual clinicians and sites on their performance benchmarks compared to peers. The registry data has been used to study topics like antibiotic prescribing patterns and identify opportunities to improve sepsis screening and management. The goal is to continuously evaluate and improve pediatric emergency care through data-driven quality improvement efforts.
preoperative preparation of surgical patient tsedalemekete1
This document outlines a seminar on patient safety and preoperative preparation of surgical patients. It discusses key topics like prevalence of adverse healthcare events, strategies for improving patient safety including checklists, preoperative assessment of patients, specific preparation for common medical conditions, obtaining consent, and arranging operating lists. It also describes systems for assessing patient risk like the American Society of Anesthesiologists scoring system. The overall goal is to understand how to optimize patient safety and condition before surgery.
What We're Working On Now: Getting the "System" to be a Real System for Heart...3GDR
The document discusses the efforts of Partners HealthCare to create an integrated system for managing heart failure patients. It outlines several components of the heart failure program including enrollment numbers in remote monitoring programs over time, readmission outcomes, and an overview of the heart failure population within Partners. It also discusses challenges in patient identification, engagement, determining the most effective care delivery approach, managing patients efficiently across different care settings and providers, and integrating different systems and communications channels.
Kaiser Permanente developed a bundled approach to improve care transitions called the Transition Care Journey. The bundle includes risk stratification, a dedicated phone number for post-discharge questions, standardized discharge summaries, medication management, and follow-up appointments and calls. Implementation of the bundle in Northwest Kaiser led to reductions in readmission rates, medication list errors, and time to primary care follow-up. It also improved communication between hospitalists, primary care physicians, and specialists. The bundled approach is being spread to other Kaiser regions nationally.
Glenda Pearson CV October 2015 - Google DocsGlenda Pearson
Glenda Pearson provides her contact information and experience as a Clinical Research Associate. She has over 20 years of experience as a registered nurse and clinical research coordinator. Her roles have included clinical site management, establishing relationships with sponsors and vendors, ensuring compliance with regulations, and educating patients. She believes in the ability of research to cure disease and has extensive knowledge of clinical trials and good clinical practice guidelines.
The document summarizes different types of genetic and genomic testing reports, including how variants are classified. It discusses fragile X DNA testing, microarrays, next generation sequencing, and whole exome sequencing. Variants are classified as pathogenic, likely pathogenic, variants of uncertain significance (VUS), likely benign, or benign. The document uses a case report to demonstrate how more information can be obtained over time to reclassify a VUS. It also discusses reporting guidelines for incidental findings from genetic testing and limitations of direct-to-consumer genetic testing.
Bariatric surgery and copra ossicon 2016 presentationAbhishek Katakwar
The document discusses issues related to medical negligence and litigation faced by bariatric surgeons, highlighting several court cases where doctors were found guilty of negligence. It provides an overview of the key factors that contribute to negligence claims, such as lack of informed consent, non-adherence to protocols, and inadequate patient education. The document also offers guidance to bariatric surgeons on minimizing litigation risks and ensuring best practices for patient selection, evaluation, counseling and follow-up.
How To Safely Implement A Fast Track Programensteve
The document discusses how to safely implement a fast track recovery program in a hospital. It outlines key steps such as getting agreement from different hospital disciplines on evidence-based fast track interventions, educating staff, regularly reviewing implementation, and measuring outcomes like length of stay, readmission rates, and patient/staff satisfaction. It also discusses prehabilitation, perioperative fluid management, and creating an optimal postoperative ward environment to enhance recovery.
The document summarizes the impact of the AFHCAN telehealth project in Alaska over 8 years. It discusses how telehealth has helped address Alaska's unique geographic challenges by enabling healthcare access for remote communities. Key points include:
- Telehealth has helped prevent unnecessary patient travel in about 80% of specialty consultations and 20% of primary care cases, saving an estimated $14 million in travel costs annually.
- Wait times for specialty consults have been reduced from over 4 months to within a few weeks on average.
- Telehealth has enabled improved care coordination and post-operative follow-up for remote patients.
- It has also helped address provider shortages in rural areas and reduce costs associated with provider recruitment
This document discusses implementing a telestroke program in rural hospitals in Kentucky. It analyzes stroke rates and outcomes in two rural counties. The majority of residents are in the high risk age ranges of 40-59 and most stroke victims are aged 60-79. Implementing a telestroke program using Neurocall would allow remote neurologists to consult via video on stroke cases within 14 minutes of admission. This could improve outcomes for rural stroke patients by increasing treatment rates with clot-busting drugs and reducing costly transfers.
The document discusses the use of telehealth for integumentary health, specifically wound care. Telehealth allows specialists to provide care to rural areas and consult on wound cases remotely. It can decrease travel costs and time for patients and facilities. The summary provides an overview of telehealth applications like real-time video consults and store-and-forward photo documentation that allow specialists to monitor wound status and provide recommendations to improve wound management. Studies found telehealth wound consultations to be accurate and effective with few changes needed upon in-person examination.
This document discusses how telehealth and real-time analytics can help critical care achieve better health outcomes, better care, and lower costs. It describes how monitoring patients and gaining situation awareness is important for critical care. Real-time data analytics can help clinicians understand a patient's current physiological status and trajectory. Pattern recognition in patient data may help identify issues earlier. The challenges of big data in healthcare including volume, velocity, variety and veracity are discussed. Technologies that provide real-time situation awareness and predictive analytics could help improve patient care and outcomes in the ICU.
For more information contact: Slideshare@marcusevans.com
Presentation delivered by Donna Medina, Regional Director,OSF Hospice and Homecare Foundation at the marcus evans Home Care Leadership Summit held on July 13 & 14 2015 in Palm Beach FL.
Avado CEO Dave Chase's presentation to the Collaborative Health Consortium's weekly Pilots and Collaborations Webinar. Dave is doing some leading edge thinking on collaborative care.
This document discusses the hospitalist model and debunks myths about it. It summarizes research showing that hospitalists can reduce length of stay and costs without harming quality of care. While primary care physicians initially had concerns about loss of continuity and poor communication, studies show patient, family, and physician satisfaction are preserved or improved with hospitalists. For hospitals, hospitalists can increase efficiency and market share. The model has grown significantly since being introduced.
An audit is a thorough examination of healthcare processes and outcomes aimed at quality improvement. It involves comparing objectives and realities to identify opportunities to enhance care. Auditing an ICU involves examining structures, processes, and outcomes using quality indicators and comparing performance internally over time and externally to other ICUs. Key reasons to audit an ICU include improving patient safety and outcomes, enhancing team performance, and ensuring efficient resource use. Audit findings should be used to standardize care, learn from mistakes, and apply strategies to both clinical work and teamwork.
An audit examines processes and outcomes in intensive care to identify opportunities for quality improvement. It involves comparing objectives and reality by assessing structure, process, and outcomes. Auditing an ICU's performance is important for patient safety, professional development of staff, and efficient use of resources. Key indicators that should be audited include adherence to evidence-based practices for conditions like sepsis, ventilation protocols to prevent pneumonia, and checklists for procedures like central line insertion. Collecting data on adverse events through confidential reporting allows teams to learn from mistakes and standardize care processes. Implementing care "bundles" that group several evidence-based practices for a given condition can help improve outcomes more than single interventions alone. Regular auditing is essential for ongoing assessment and
When digital medicine becomes the medicine (2/2)Yoon Sup Choi
The study assessed the quality and accuracy of care provided by 8 major commercial telemedicine companies for common acute illnesses. Standardized patients presented 6 conditions and completed 599 virtual visits total. The completeness of histories and physical exams ranged from 51.7-82.4% across companies. Correct diagnoses were provided in 65.4-93.8% of visits. Adherence to clinical guidelines for management decisions was 54.3% overall but varied significantly between conditions and companies, from 34.4-66.1% across companies. Greater variation was seen for viral infections than musculoskeletal conditions. This suggests the quality of telemedicine can differ substantially between providers.
This document discusses strategies to prevent and manage delirium in critically ill patients. It outlines the ABCDEF bundle which includes assessing, preventing, and managing pain, both spontaneous awakening and breathing trials, minimizing sedation, assessing and preventing delirium, early mobility and exercise, and engaging family members. Screening for delirium using the CAM-ICU tool and implementing non-pharmacological interventions can reduce length of hospital stay, duration of mechanical ventilation, and mortality. Widespread use of protocols and bundles that incorporate these strategies may help address the high cost and poor outcomes associated with delirium.
This document summarizes the work of Dr. Elizabeth Alpern and the Pediatric Emergency Care Applied Research Network (PECARN) to develop an emergency care visit registry using data from electronic health records. The registry collects over 60 quality performance measures across multiple pediatric emergency departments. It provides timely reports to individual clinicians and sites on their performance benchmarks compared to peers. The registry data has been used to study topics like antibiotic prescribing patterns and identify opportunities to improve sepsis screening and management. The goal is to continuously evaluate and improve pediatric emergency care through data-driven quality improvement efforts.
preoperative preparation of surgical patient tsedalemekete1
This document outlines a seminar on patient safety and preoperative preparation of surgical patients. It discusses key topics like prevalence of adverse healthcare events, strategies for improving patient safety including checklists, preoperative assessment of patients, specific preparation for common medical conditions, obtaining consent, and arranging operating lists. It also describes systems for assessing patient risk like the American Society of Anesthesiologists scoring system. The overall goal is to understand how to optimize patient safety and condition before surgery.
What We're Working On Now: Getting the "System" to be a Real System for Heart...3GDR
The document discusses the efforts of Partners HealthCare to create an integrated system for managing heart failure patients. It outlines several components of the heart failure program including enrollment numbers in remote monitoring programs over time, readmission outcomes, and an overview of the heart failure population within Partners. It also discusses challenges in patient identification, engagement, determining the most effective care delivery approach, managing patients efficiently across different care settings and providers, and integrating different systems and communications channels.
Kaiser Permanente developed a bundled approach to improve care transitions called the Transition Care Journey. The bundle includes risk stratification, a dedicated phone number for post-discharge questions, standardized discharge summaries, medication management, and follow-up appointments and calls. Implementation of the bundle in Northwest Kaiser led to reductions in readmission rates, medication list errors, and time to primary care follow-up. It also improved communication between hospitalists, primary care physicians, and specialists. The bundled approach is being spread to other Kaiser regions nationally.
Aligning Incentives for Patient Engagement: Enabling Widespread Implementation of Shared Decision Making
May 24, 2013
John E. Wennberg, The Dartmouth Institute
This document provides information about the National Emergency Laparotomy Audit (NELA) and some key performance metrics for emergency bowel surgery cases at Lewisham and Greenwich NHS Trust for the period of April to June 2022. It summarizes that 100% of high-risk cases received consultant-led care, all high-risk patients went to HDU/ITU post-op, and the best practice tariff was achieved. It encourages clinicians to risk score patients pre-operatively, consider recruiting eligible patients to the FLO-ELA trial, and provides contact details for the research team. It also reviews trauma-related services including out of hours orthopedic reviews, fascia iliaca blocks, and regional anesthesia training opportunities
Ellen bolch & max stachura advanced telehomecareSamantha Haas
RightHealth provides remote patient monitoring and chronic disease management using technologies like remote monitoring devices, video visits, electronic health records, and clinical decision support. Their population health model focuses on chronic disease management through risk stratification, physician-led care teams, and care coordination across settings. Studies show their program reduces hospital readmissions and Medicare charges. They propose a bundled payment program to further monitor and prevent rehospitalizations for certain conditions over 90 days post-discharge. Background literature supports telehealth tools for caregiver support, independent living for elders, and positive quality perceptions of telehomecare. Video conferencing can allow inspection for signs like edema or depression and detect changes from a baseline. Some patients feel video is better for openness while
Bridget Keyes has over 20 years of experience in nursing and case management. She is currently the Manager of Case Management at Robert Wood Johnson University Hospital, where she oversees utilization management activities and works to ensure compliance with guidelines. Previously, she held case manager positions at Memorial Sloan Kettering Cancer Center, where she coordinated patient care across settings and payer systems. She has a Bachelor of Science in Nursing, a Bachelor of Arts, an Executive MPA, and is a certified case manager.
Telemedicine in Skilled Nursing Facilities by Reza SadeghianReza Sadeghian
This document discusses using telemedicine in skilled nursing facilities to help avoid unnecessary hospitalizations. It finds that two-thirds of nursing home residents are on Medicaid and most are also enrolled in Medicare. These residents frequently experience avoidable hospitalizations, which are expensive and disruptive. The document outlines a study using telemedicine carts equipped with examination tools to help nurse practitioners manage acute changes in residents' conditions and palliative care assessments remotely rather than transferring residents to hospitals unnecessarily. The study found the telemedicine approach helped avoid hospital transfers 60% of the time with estimated cost savings of $396,000.
Sophisticated Prehospital Stroke Systems of CarePSOW
1. Kerry Ahrens discusses the importance of building a stroke system of care in Wisconsin to improve patient outcomes through faster treatment times.
2. Stroke is a leading cause of disability and costs $34 billion annually in the US. Building regional stroke systems can help optimize patient care through protocols to administer tPA within 30 minutes and transfer patients with large vessel occlusions to interventional centers within 90 minutes.
3. Effective collaboration between EMS, hospitals, and healthcare agencies is essential to establish standardized processes and monitor performance metrics to continually improve the efficiency of stroke care delivery.
1) The study examined whether increased ICU occupancy on the day of patient admission was associated with increased inpatient mortality.
2) Using data from over 198,000 patients admitted to 108 ICUs, the study found no significant relationship between ICU census on the day of admission and inpatient mortality or discharge destination.
3) The results suggest that ICUs are able to maintain consistent patient outcomes even during periods of high occupancy, functioning as "high-reliability organizations."
Similar to Health IT Summit New York 2014 - Presentation with Daniel Barchi, SVP & CIO, Yale-New Haven Health System (20)
1) Hackensack University Medical Center is part of a large healthcare network in New Jersey serving over 6 million people. It has received numerous awards and recognition for clinical excellence.
2) The presentation discusses HackensackUMC's strategies for managing risk-based care and consumerism, which includes a focus on patient engagement, care coordination across settings, and using technology like EHRs and analytics to improve outcomes and reduce costs.
3) HackensackUMC is managing care for over 100,000 beneficiaries through its Medicare ACO, a Blue Cross ACO, and an Aetna Medicare Advantage plan. It aims to shift care toward prevention and meet the growing demands of consumerism through increased access,
The U.S. healthcare system is the most expensive yet least effective compared to other industrialized nations. While some areas of the U.S. have high quality care, it is not universal. The document discusses leveraging design thinking and positive deviance to spread best practices more widely. It emphasizes starting with a compelling vision, building trust through networks rather than strict workflows, using data to measure important outcomes, and developing skills and resources to build capacity for change. Spreading ideas requires a social as well as scientific approach.
The document discusses Cleveland Clinic's strategy for managing patient populations beyond meaningful use requirements. It provides an overview of Cleveland Clinic including its size and services. It then summarizes the history of Cleveland Clinic's patient portal called MyChart, highlighting growth in usage and new features added over time. Finally, it outlines Cleveland Clinic's growth strategy, which includes increasing transparency by providing access to medical records and surveys, improving access to care through online services, and engaging patients through collection of patient entered data.
Development and implementation of a system to support prediction of suicide risk in the Department of Veterans Affairs - DR. Robert Bossarte and Paul Bradley
The document discusses participatory health care and the need to shift from the current health care system to one focused on health. It notes that the health care problem stems from issues with care delivery design rather than a lack of medical innovation. The Center for Innovation at Mayo Clinic is working to transform health care delivery and the patient experience through human-centered design, collaboration, and rapid experimentation. Some of their projects include connected care apps and redesigning prenatal care to reduce visits and increase patient connectivity. The document advocates for engaging patients in their own health and activating them as partners in health care through tools that provide autonomy, mastery and purpose.
The document discusses Illumina's role in advancing precision medicine through next-generation sequencing and data analytics. It notes that while sequencing costs have decreased dramatically, challenges remain in interpreting, integrating, and analyzing the large volumes of genomic and other healthcare data. Illumina aims to develop comprehensive, patient-centric analytics platforms and knowledgebases to help address these challenges and enable more effective prevention, diagnosis, and treatment based on a patient's genetics, environment, and lifestyle. The success of these efforts will be measured by improvements in patient outcomes, healthcare costs and efficiencies, and changes in clinical practice guided by integrated genomic and clinical data analysis.
This document discusses partnering for success in healthcare IT leadership. It provides strategies for building trusted relationships, embracing change, and shifting the focus from technology management to strategic business partnerships. Approaches include being open, a problem solver, agile, and willing to empower teams and make difficult decisions. The changing role of the healthcare IT leader is also addressed, such as anticipating change, having strong change management skills, and developing a broad industry network to address challenges from resistors. The overall message is that partnership, communication, and adaptability are key for healthcare IT leaders to successfully guide their organizations through a rapidly changing environment.
This document summarizes a presentation about setting vision and strategy for health IT leaders in dynamic times. It discusses exploring new leadership skills required for effective collaboration. It also addresses aligning technology strategies with organizational services and objectives. Additionally, it covers representing the organization to external partners to achieve business goals while leveraging technology. The presentation provides approaches for health IT leaders to develop an organizational vision and strategy that can adapt to changing conditions.
The document discusses developing talent and effective teams in healthcare leadership. It provides tips for leaders such as acting as a role model who embraces learning, celebrating outcomes and learning from assignments, building sustainable processes for development where managers coach their people, and leveraging problems as opportunities for learning. Developing talent requires focusing on culture through employee engagement, rewards and recognition, and building a positive organizational reputation. The presentation was given by Liz Johnson and Geoff Brown at a CHIME leadership forum on developing healthcare talent and teams.
The document discusses top cybersecurity risk mitigation strategies presented at a CHIME Leadership Education and Development Forum. It provides an overview of resources from the Department of Homeland Security and FBI that can help with gathering threat intelligence and establishing situational awareness. It emphasizes that proper user training, monitoring, and access management are important for risk mitigation. It also stresses the importance of the "people factor" and how human awareness and behavior are key to creating an effective human firewall against cybersecurity threats.
This document summarizes a presentation on cybersecurity threats facing healthcare organizations. It discusses how threat actors have evolved tactics like spear phishing and malware to target individuals. The presentation outlines the typical stages of an attack from initial reconnaissance to exfiltration of data. It provides recommendations for technical defenses like multifactor authentication and network segmentation as well as cultural changes like leadership support and security awareness training. Case studies from Emory Healthcare show the types of attacks blocked each month and techniques used to manage risk through frameworks and continuous improvement.
The Internet of Things (IoT) allows physical objects to be connected to the internet and to collect and exchange data. This enables remote monitoring and control of those objects over existing network infrastructure. It creates opportunities to more closely integrate the physical world with information systems, resulting in improved efficiency, accuracy, and economic benefits.
This document summarizes a presentation given by Doug Fridsma on meaningful use and precision medicine. Some key points from the presentation include:
- Meaningful use focused on EHR adoption over interoperability. Standards development received little funding.
- Health IT should be viewed as an ultra-large scale system like a city, not just software, with decentralized control, data sharing standards, and emphasis on the patient experience.
- Moving forward will require structured data standards, full export of patient records, and testing exchanges between systems to improve interoperability for precision medicine and new payment models.
- EHRs will not be the most important health IT - areas like consumer devices, precision medicine, and
Sajid Ahmed presented on the implementation of an EHR system at Martin Luther King Jr Community Hospital on a limited budget and tight timeline. The hospital was established through a public-private partnership between LA County and UCLA. Key strategies for successful implementation included aligning the culture, processes and people; allowing the processes to drive the EHR design rather than the other way around; and focusing on the hospital's mission when facing challenges. Through extensive planning and vendor management, the EHR went live on time and on budget to support the hospital's opening.
This document provides an overview of Dignity Health's strategies for achieving Meaningful Use objectives across their large health system. It discusses their centralized governance structure and tools for tracking progress. Significant attention is given to challenging objectives like patient electronic access, summary of care exchange, and public health reporting. The document outlines communication plans, education provided to sites, and techniques for monitoring metrics and preparing strong audit defenses.
The document discusses healthcare leadership and the implementation of electronic medical records (EMRs). It notes that in 1999, the Institute of Medicine reported that medical errors resulted in 44,000 preventable deaths annually in the US. As of 2009, only 1.5% of hospitals and 4% of physician practices had fully implemented EMR systems. The document emphasizes that successful EMR implementation requires focusing on people first by engaging user leaders, getting everyone onboard, and setting clear ground rules. It also stresses the importance of moving quickly with an aggressive schedule, capitalizing on moments of crisis to drive change, and clear communication throughout the process.
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إضغ بين إيديكم من أقوى الملازم التي صممتها
ملزمة تشريح الجهاز الهيكلي (نظري 3)
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تتميز هذهِ الملزمة بعِدة مُميزات :
1- مُترجمة ترجمة تُناسب جميع المستويات
2- تحتوي على 78 رسم توضيحي لكل كلمة موجودة بالملزمة (لكل كلمة !!!!)
#فهم_ماكو_درخ
3- دقة الكتابة والصور عالية جداً جداً جداً
4- هُنالك بعض المعلومات تم توضيحها بشكل تفصيلي جداً (تُعتبر لدى الطالب أو الطالبة بإنها معلومات مُبهمة ومع ذلك تم توضيح هذهِ المعلومات المُبهمة بشكل تفصيلي جداً
5- الملزمة تشرح نفسها ب نفسها بس تكلك تعال اقراني
6- تحتوي الملزمة في اول سلايد على خارطة تتضمن جميع تفرُعات معلومات الجهاز الهيكلي المذكورة في هذهِ الملزمة
واخيراً هذهِ الملزمة حلالٌ عليكم وإتمنى منكم إن تدعولي بالخير والصحة والعافية فقط
كل التوفيق زملائي وزميلاتي ، زميلكم محمد الذهبي 💊💊
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THE SACRIFICE HOW PRO-PALESTINE PROTESTS STUDENTS ARE SACRIFICING TO CHANGE T...indexPub
The recent surge in pro-Palestine student activism has prompted significant responses from universities, ranging from negotiations and divestment commitments to increased transparency about investments in companies supporting the war on Gaza. This activism has led to the cessation of student encampments but also highlighted the substantial sacrifices made by students, including academic disruptions and personal risks. The primary drivers of these protests are poor university administration, lack of transparency, and inadequate communication between officials and students. This study examines the profound emotional, psychological, and professional impacts on students engaged in pro-Palestine protests, focusing on Generation Z's (Gen-Z) activism dynamics. This paper explores the significant sacrifices made by these students and even the professors supporting the pro-Palestine movement, with a focus on recent global movements. Through an in-depth analysis of printed and electronic media, the study examines the impacts of these sacrifices on the academic and personal lives of those involved. The paper highlights examples from various universities, demonstrating student activism's long-term and short-term effects, including disciplinary actions, social backlash, and career implications. The researchers also explore the broader implications of student sacrifices. The findings reveal that these sacrifices are driven by a profound commitment to justice and human rights, and are influenced by the increasing availability of information, peer interactions, and personal convictions. The study also discusses the broader implications of this activism, comparing it to historical precedents and assessing its potential to influence policy and public opinion. The emotional and psychological toll on student activists is significant, but their sense of purpose and community support mitigates some of these challenges. However, the researchers call for acknowledging the broader Impact of these sacrifices on the future global movement of FreePalestine.
Philippine Edukasyong Pantahanan at Pangkabuhayan (EPP) CurriculumMJDuyan
(𝐓𝐋𝐄 𝟏𝟎𝟎) (𝐋𝐞𝐬𝐬𝐨𝐧 𝟏)-𝐏𝐫𝐞𝐥𝐢𝐦𝐬
𝐃𝐢𝐬𝐜𝐮𝐬𝐬 𝐭𝐡𝐞 𝐄𝐏𝐏 𝐂𝐮𝐫𝐫𝐢𝐜𝐮𝐥𝐮𝐦 𝐢𝐧 𝐭𝐡𝐞 𝐏𝐡𝐢𝐥𝐢𝐩𝐩𝐢𝐧𝐞𝐬:
- Understand the goals and objectives of the Edukasyong Pantahanan at Pangkabuhayan (EPP) curriculum, recognizing its importance in fostering practical life skills and values among students. Students will also be able to identify the key components and subjects covered, such as agriculture, home economics, industrial arts, and information and communication technology.
𝐄𝐱𝐩𝐥𝐚𝐢𝐧 𝐭𝐡𝐞 𝐍𝐚𝐭𝐮𝐫𝐞 𝐚𝐧𝐝 𝐒𝐜𝐨𝐩𝐞 𝐨𝐟 𝐚𝐧 𝐄𝐧𝐭𝐫𝐞𝐩𝐫𝐞𝐧𝐞𝐮𝐫:
-Define entrepreneurship, distinguishing it from general business activities by emphasizing its focus on innovation, risk-taking, and value creation. Students will describe the characteristics and traits of successful entrepreneurs, including their roles and responsibilities, and discuss the broader economic and social impacts of entrepreneurial activities on both local and global scales.
This document provides an overview of wound healing, its functions, stages, mechanisms, factors affecting it, and complications.
A wound is a break in the integrity of the skin or tissues, which may be associated with disruption of the structure and function.
Healing is the body’s response to injury in an attempt to restore normal structure and functions.
Healing can occur in two ways: Regeneration and Repair
There are 4 phases of wound healing: hemostasis, inflammation, proliferation, and remodeling. This document also describes the mechanism of wound healing. Factors that affect healing include infection, uncontrolled diabetes, poor nutrition, age, anemia, the presence of foreign bodies, etc.
Complications of wound healing like infection, hyperpigmentation of scar, contractures, and keloid formation.
Gender and Mental Health - Counselling and Family Therapy Applications and In...PsychoTech Services
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
How to Setup Default Value for a Field in Odoo 17Celine George
In Odoo, we can set a default value for a field during the creation of a record for a model. We have many methods in odoo for setting a default value to the field.
A Free 200-Page eBook ~ Brain and Mind Exercise.pptxOH TEIK BIN
(A Free eBook comprising 3 Sets of Presentation of a selection of Puzzles, Brain Teasers and Thinking Problems to exercise both the mind and the Right and Left Brain. To help keep the mind and brain fit and healthy. Good for both the young and old alike.
Answers are given for all the puzzles and problems.)
With Metta,
Bro. Oh Teik Bin 🙏🤓🤔🥰
24. A Single Patient’sExperience
5-day default patient view
Full hospitalization view
Multiple hospitalizations view
1
4
3
2
25. Palliative and End of Life Care
“I was rounding in 11 NP and noted a patient whose rothman indexwas in the red that was in a decline(47.5 to 28.7). I spoke with the RN who shared with me the patient has had a change in MS. I further evaluated the patient and found him to be tachypneic, tachycardic and hypoxic. The patient was being taken off the floor for a cardiac echo. I stopped the transfer. The patient's skin color was ashen and he was unable to speak based upon his shortness of breath. I suggested to the PA that we obtain an ABG : 7.51/24/57/18.2/91.2. The wife decided (pt was 56 with end stage cancer) not to intubate and place him on a ventilator. He was made comfort measures.
This could have had a different outcome if the patient had coded and was intubated with an admission to the ICU. This would have been traumatic not only to the patient but the family as well.”
YNHH SWAT Nurse e-mail , Mon 6/4/2012 9:59 AM
26. Better PatientCare Leads toReduced Variation in Cost
Case Type
Oncology patients with at least one overnight stay transferred to ICU and expired in ICU
Cost Savings
Intervention
RRT Nurse consults RI prior to transfer, immediate intervention, patient not transferred, receives Palliative Care measures in Oncology Unit and expires on Oncology Unit
Non Intervention Cases
95 patients, at least one overnight stay on the Oncology Unit, then transferred to and expired on ICU (7/11/11 –5/31/13)
Cost and Goal Metrics
•Patients transferred to ICU and expired: Total cost per case $30,965
•Patients not transferred to ICU and expired: Total cost per case $5,590
•Cost difference per case:Difference: $25,375
•GOAL: 50% of transferred patients receive palliative care
$1.27M