"'I am proud that MaineCare has been working in partnership with other payers to advance payment reform through greater investment in primary care to both improve outcomes for patients and reduce preventable high cost spending in emergency departments and avoidable inpatient admissions.
– Mary C. Mayhew, Commissioner, Maine Department of Health & Human Services
"'I am proud that MaineCare has been working in partnership with other payers to advance payment reform through greater investment in primary care to both improve outcomes for patients and reduce preventable high cost spending in emergency departments and avoidable inpatient admissions.
– Mary C. Mayhew, Commissioner, Maine Department of Health & Human Services
In 2012 I spoke to this outstanding organization in York, PA, in Robert Wood Johnson Foundation's Aligning Forces for Quality program. Now we're getting back together to see how their work and the patient engagement and empowerment movement have both progressed, and what's next. First exploratory meeting.
As patient engagement (aka consumer engagement) earns attention, the question increasingly arises: “Where do we start? What can we do?” More specifically, “What do we mean when we say ‘patient engagement’?” The Patient Activation Measure is a powerful tool for understanding where someone's at and how to interact with them differently.
What happens when bullies use social media?
What happens when a kid (bully or bullied) shoots a video and posts it to YouTube?
And why is she smiling?
Slides to support a conversation with pre-service teachers about bullying issues in and out of school in an increasingly digital environment. Brandon University, Manitoba; 1 February 2012.
Slides to support a master class on making student thinking visible through practical hands-on activities and structured around Dylan Wiliam's work on formative assessment and active learning.
A series of stories woven together to start a conversation with middle and high school students about living our lives on and offline (on The Fourth Screen) more thoughtfully.
This talk focuses primarily on the ideas of Empathy, Empowerment & Persistent Kindness and shares resources teachers can use to lead these sorts of conversations with their own students.
A series of stories woven together to start a conversation with middle and high school students about living our lives on and offline (on The Fourth Screen) more thoughtfully.
This talk focuses primarily on the ideas of Empathy, Empowerment & Persistent Kindness and shares resources teachers can use to lead these sorts of conversations with their own students.
In 2012 I spoke to this outstanding organization in York, PA, in Robert Wood Johnson Foundation's Aligning Forces for Quality program. Now we're getting back together to see how their work and the patient engagement and empowerment movement have both progressed, and what's next. First exploratory meeting.
As patient engagement (aka consumer engagement) earns attention, the question increasingly arises: “Where do we start? What can we do?” More specifically, “What do we mean when we say ‘patient engagement’?” The Patient Activation Measure is a powerful tool for understanding where someone's at and how to interact with them differently.
What happens when bullies use social media?
What happens when a kid (bully or bullied) shoots a video and posts it to YouTube?
And why is she smiling?
Slides to support a conversation with pre-service teachers about bullying issues in and out of school in an increasingly digital environment. Brandon University, Manitoba; 1 February 2012.
Slides to support a master class on making student thinking visible through practical hands-on activities and structured around Dylan Wiliam's work on formative assessment and active learning.
A series of stories woven together to start a conversation with middle and high school students about living our lives on and offline (on The Fourth Screen) more thoughtfully.
This talk focuses primarily on the ideas of Empathy, Empowerment & Persistent Kindness and shares resources teachers can use to lead these sorts of conversations with their own students.
A series of stories woven together to start a conversation with middle and high school students about living our lives on and offline (on The Fourth Screen) more thoughtfully.
This talk focuses primarily on the ideas of Empathy, Empowerment & Persistent Kindness and shares resources teachers can use to lead these sorts of conversations with their own students.
In a world where knowledge is more a verb than a noun how do we foster deep learning in our students? Good questions cause thinking. Unfortunately, many of the questions regularly asked in classrooms focus on knowledge as a noun. This presentation will explore the effective use of thinking and learning tools in the classroom. We will work together to model teaching practices that lead to students co-constructing a networked (real world) rather than hierarchical (artificial) understanding of their world regardless of grade level or discipline.
Participants leave this workshop with a toolkit of research based questioning and thinking strategies they can begin using with their students tomorrow.
A group of educators from the Anderson Union High School & Redding School Districts and share their ideas about learning as a series of visual metaphors.
In a world where knowledge is more a verb than a noun how do we foster deep learning in our students? Good questions cause thinking. Unfortunately, many of the questions regularly asked in classrooms focus on knowledge as a noun. This presentation will explore the effective use of thinking and learning tools in the classroom. We will work together to model teaching practices that lead to students co-constructing a networked (real world) rather than hierarchical (artificial) understanding of their world regardless of grade level or discipline.
Participants leave this workshop with a toolkit of research based questioning and thinking strategies they can begin using with their students tomorrow.
Free weight loss and diet tips for healthy eating and portion control of foodPrab Tumpati
This is a public domain document from the state of Vermont with excellent points on portion control. 20 years ago, a typical bagel was 3” and 140 calories. Today, a typical bagel is 6” and 360 calories.
The larger bagel is an extra 200 calories. Eating 22 extra calories a day equals a weight gain of 23 pounds a year.
As we welcome the new year 2014, it is important to make a resolution to reduce portions as even cutting down by by a small amount a day can add up.
The other very important and often misunderstood aspect of the foods is the glycemic index of foods. For example, a typical bagel has a very high glycemic index of over 70 percent leading what is called "sugar rush" and "sugar crash". This phenomenon is so common that this is what drives the hunger in most people! This also leads to insulin resistance, metabolic syndrome, prediabetes, and diabetes.
How does glycemic index affect us?
Your body quickly digests the starches found in bagels, which causes your blood sugar levels to rise quickly and a few hours later, it leads to the crash. The higher the glycemic index of a food, the more it affects your blood sugar levels. Table sugar or sucrose has a glycemic index of 60, while the glycemic index of bagels averages 70 - a bagel is worse than even sugar. A breakfast rich in high-glycemic foods such as bagels can predispose you to weight gain, type 2 diabetes and heart problems.
In fact, Sumo wrestlers in Japan intentionally eat high glycemic diet for rapid weight gain, and there are reports that body builders in USA are intentionally using this principle of insulin resistance leading quick weight gain for their benefit by using insulin. According to the CDC, a third of all US adults are prediabetic or insulin resistant, and another third have some degree of it!
According to Dr. Prab R. Tumpati, MD, founder of W8MD medical weight loss centers of America, our obsession with low fatty foods as advocated by the failed food pyramid in fact contributed to our expanding waist lines by way of increased insulin resistance which in turn causes weight gain!
If you are overweight or obese, have excess belly fat, or have metabolic syndrome, pre-diabetes, or diabetes, and need help losing weight with health insurance, w8md medical weight loss centers of America can help! Check out our youtube channel with 52 weeks of weight loss and wellness videos at http://www.youtube.com/w8md
Social care information packs
This is a series of short information sheets and matching slide sets about how social care staff can support people with learning disabilities to have better access to health services. They provide an introduction to each area and links to where further information and useful resources can be found.
Since its original inception, Clinician Group has continually expanded its battery of assessment solutions and added new features (such as benchmarking and a comparison modules). With Clinician Group, our assessment solutions have become a preeminent provider of psychological, Annual Wellness Visits and Neurocognitive Assessment programs with services expanding to therapists, general practitioners, researchers and a host of other medical professionals.
Clinician Group help to improve Nationwide Access and the Quality of Health Care Services by providing Innovative New Electronic Assessments and Specialty Healthcare Providers across all geographic regions. Their main goal is to promote Total Patient Care while opening the seeds of communication between the patient and their healthcare provider.
Social care information packs
This is a series of short information sheets and matching slide sets about how social care staff can support people with learning disabilities to have better access to health services. They provide an introduction to each area and links to where further information and useful resources can be found.
Tools to assist clinicians document health education and health literacy related information into the RPMS Electronic Health Record used at all Federal and most Tribal IHS programs.
A handout that illustrates a number of things that IHS pharmacists can use to improve understanding of the health care system through improved health literacy interventions and health communications.
A presentation to describe the purpose for pursuing an IHS personal health record and early plans for development. This is part one of a two part presentation given at the IHS IHIM conference this year.
A basic overview of the Indian Health Service patient education program and description of patient education protocols and codes, documentation, and associate HIT tools.
Powerpoint presentation presented at the 2009 IHS Best Practices meeting in Nashville.
Covers the 5As and documentation of patient education and tobacco health factors in the RPMS EHR.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Title: Sense of Taste
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 structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- 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
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
2. Health Communications
• Effective use of communication and technology by health care and public health
professionals can bring about an age of patient- and public-centered health
information and services. By strategically combining health IT tools and effective
health communication processes, there is the potential to:
• Improve health care quality and safety.
• Increase the efficiency of health care and public health service delivery.
• Improve the public health information infrastructure.
• Support care in the community and at home.
• Facilitate clinical and consumer decision-making.
• Build health skills and knowledge.
3. Health Literacy
• Health Literacy is an objective of Health Communications.
• Health literacy is the degree to which individuals have the capacity to obtain,
process, and understand basic health information and services needed to make
appropriate health decisions.
6. Tools for Assessment
• Health Factors
• http://www.ihs.gov/RPMS/PackageDocs/bjpc/bjpc0200.05o_aum.pdf
• Barriers to Learning
• Learning Preferences
• Confidence
7. Barriers to Learning
• No Barriers • Interpreter needed
• Visually Impaired • FineMotorSkills Deficit
• Blind • Dementia
• Hard of Hearing • Values or Beliefs
• Deaf • Stressors
• Does Not Read English • Low Health Literacy
• Speaks English as a • Cognitive Impairment
second language
9. Patient Confidence
• Confidence is used to assess the likeliness that the
patient will take an active role in managing their health
and well being.
• Ask the patient, “How sure are you that you can
manage and control most of your health
problems.”
10. Patient Confidence
Health Factor Definition
Very Sure The patient is confident that they can take an active role and
manage most of their health problems. The patient is very likely to
achieve their health goals.
Somewhat Sure The patient is at least 70% confident that they can take an active
role and manage most of their health problems. The patient is
likely to achieve their health goals.
Not Very Sure The patient is less than 70% confident that they can take an
active role and manage most of their health problems. Support
and education should be provided to assist them in increasing
their confidence and ability to participate in self care activities.
I do not have any The patient does not acknowledge health problems. It is unlikely
health problems that the patient will be willing to set and achieve health goals at
this time. Emphasis should be placed on providing the patient
with support and education to understand their health problems,
improve their confidence and ability to participate in self care
activities.
12. Teach back
• What did your doctor tell you the medication is for?
• How did your doctor tell you to take the medication?
• What did your doctor tell you to expect?
13. Ask Me 3
• http://www.ihs.gov/healthcommunications/index.cfm?module=dsp_hc_toolkit
• http://www.npsf.org/askme3/
28. My Wellness Handout Report Date: Aug 13, 2010
------------------------------------------------------------------------------
********** CONFIDENTIAL PATIENT INFORMATION [CCL] Aug 13, 2010 **********
DOE,JANIE HRN: 3 CHEROKEE INDIAN HOSPITAL
1 MAIN STREET CHEROKEE, NC 28734
CHEROKEE, NORTH CAROLINA 28719 SMITH, DOCTOR
555-555-5555 828-497-9163
Thank you for choosing CHEROKEE INDIAN HOSPITAL.
This handout is a new way for you and your doctor to look at your health.
______________________________________________________________________
HEIGHT/WEIGHT/BMI - Weight and Body Mass Index are good measures of your
health. Determining a healthy weight and Body Mass Index also depends on
how tall you are.
You are 5 feet and 10 inches tall.
Your last weight was 220 pounds on Aug 03, 2010.
You should have your weight rechecked at your next visit.
______________________________________________________________________
MEDICATIONS - This is a list of medications and other items you are
taking including non-prescription medications, herbal, dietary, and
traditional supplements. Please let us know if this list is not
complete. If you have other medications at home or are not sure if
you should be taking them, call your health care provider to be safe.
1. ALBUTEROL MDI (HFA) 6.7GM Rx#: 1234567 Refills left: 5
Directions: INHALE 2 PUFFS BY MOUTH EVERY 4 HOURS IF NEEDED FOR
BREATHING; **SHAKE WELL BEFORE USING**
2. FLUTICASONE PROP 11O MCG (12GM) Rx#: 1234568 Refills left: 11
Directions: INHALE 1 PUFF 110MCG/INHL BY MOUTH TWICE A DAY
29. Directions: TAKE ONE (1) TABLET BY MOUTH DAILY FOR KIDNEY PROTECTION
! AND BLOOD PRESSURE
4. GLIPIZIDE 10MG TAB Rx#: 1234570 Refills left: 8
Directions: TAKE ONE (1) TABLET BY MOUTH TWICE A DAY
5. METFORMIN= 500MG *PLAIN* TABS Rx#: 1234571 Refills left: 10
Directions: TAKE THREE TABLETS BY MOUTH EVERY MORNING AND TAKE
! TWO TABLETS EVERY EVENING TAKE WITH FOOD FOR DIABETES
TREATMENT
______________________________________________________________________
BLOOD PRESSURE - Blood Pressure is a good measure of health.
Your blood pressure was 110/65 on Aug 10, 2010.
Your blood pressure is good! It is very important to have your blood
pressure checked often.
______________________________________________________________________
SCREEN FOR HUMAN IMMUNODEFICIENCY VIRUS (HIV)
HIV is a virus that causes a serious infection. HIV infection
can cause sickness and death. A person can have HIV for many years
and not know it. Everyone should be tested for HIV when they are
between 13 and 64 years old. According to our records, you have not
had an HIV test. Talk to your provider about how you can get an
HIV test.
______________________________________________________________________
ALLERGIES - It is important to know what allergies and side effects you
have to medicines or foods. Below is a list of allergies that we know of.
Please tell us if there are any that we missed.
30. ______________________________________________________________________
ALLERGIES - It is important to know what allergies and side effects you
have to medicines or foods. Below is a list of allergies that we know of.
Please tell us if there are any that we missed.
NUTS
PENICILLIN - SEVERE EDEMA
______________________________________________________________________
IMMUNIZATION (shot) RECORD - It is important to keep track of your
immunizations.
You received the following immunization(s):
DTaP on 01-Oct-1960
DTP on 11-Feb-2005
Td-ADULT on 06-Jul-2004
Td-ADULT on 07-Jun-2005
IPV on 15-Jun-2005
HEP B PED on 08-Apr-2009
FLU,NOS on 26-Aug-2004
FLU-TIV on 19-Apr-2005
PNEUMO-PS on 01-Nov-2004
PNEUMO-PS on 07-Jun-2005
___________________________
___________________________________________
1 Immunization Due
HEP B ADLT
______________________________________________________________________
31. Your total cholesterol result was 150 mg/dL on Aug 10, 2010.
Your last LDL (bad cholesterol) result was 70 on Aug 10, 2010.
Your last HDL (good cholesterol) result was 40 on Aug 10, 2010.
Your last triglyceride result was 120 on Aug 10, 2010.
LDL (bad cholesterol) should be under 100 mg/dL. Your LDL cholesterol
is good! You should have your cholesterol checked every year.
______________________________________________________________________
DIABETES CARE
HEMOGLOBIN A1c
Hemoglobin A1c is a test that measures your blood sugar control over a
3-month period. You should have this test done every 3-6 months.
Your last A1c test on file was 8.0 done on Aug 10, 2010.
Ask your health care provider how you can keep lowering your A1c.
DIABETES KIDNEY ASSESSMENT
Diabetes can cause kidney damage. There are tests that can see how well your
kidneys are working. Getting these tests at least once a year can help your
health care provider protect your kidneys and lower your risk of getting
kidney damage and dialysis.
Your kidneys were tested on Aug 10, 2010. You will need to have your
kidneys tested again on Aug 10, 2011.
DIABETES EYE EXAM
Diabetes can affect your eyes and vision. Early detection of eye problems
can help you to get the treatment you need to lower your chances of having
problems such as blurred vision or blindness.
32. Your last mammogram was on Nov 07, 2005. It is recommended that you
receive a mammogram every year. Ask your health care provider to order a
mammogram for you.
COLON HEALTH SCREENING
You are up to date for colon health screening. Your next colon health
screening will be due on Apr 05, 2019.
______________________________________________________________________
My Healthcare Goals
ASHTMA - Lifestyle Adaptation
Goal: will avoid too much time outdoors when the pollen is high
______________________________________________________________________
ASK ME 3 - Every time you talk with a doctor, nurse, pharmacist, or other
health care worker, use the Ask Me 3 questions to better understand your
health. Make sure you know the answers to these three questions:
1. What is my main problem?
2. What do I need to do?
3. Why is it important for me to do this?
33. Patient Feedback
• “My son was sick and he had to see so many doctors and this could have helped,
it’s easier to carry a record, instead of trying to remember all the information.”
• “Medication listed would have been helpful because it was hard to remember the
names of them - I can’t even pronounce the names.”
• “(When you can’t) establish a (primary) doctor, you can carry a record to share
with doctors at different clinics to make it easier.”
• “This paper would save people a lot of time, especially with waiting. When I had
problems with my chest my family wanted to take me to (my IHS clinic), I said no,
no. Take me to (the big city hospital). When I got there, they had to call (the IHS
clinic) and it took them forever to get my information. It would be quicker if I had
this.’
34. Provider Feedback
• “"I have been telling patients that they are overweight for years, now they get the
handout and are asking me what weight they should be at”
• "Patients are asking for their immunizations and want to know what their blood
pressure should be”
• “Patients will look at their medications on the list and tell me that they are no
longer taking some of them”
35. PWH at Registration
• Patients go to registration to update
information.
• If a PWH hasn’t been printed in 6 months,
registration prints one out for patients to
review prior to their clinic appointment.
• Patients review the document before their
visit and have time to prepare questions.
• New intake form questions.
36. PWH in the Clinic
• The PWH is generated when the patient
is taken into the clinic room or when they
are checked in.
• The nurse or provider review relevant
information on the PWH such as
immunizations or other preventative
maintenance due.
• Use to reconcile medications.
37. PWH in the Pharmacy
• The pharmacy prints the PWH prior to counseling.
• Use the allergy and medication listing to update
the medication profile in RPMS and to address the
requirements of medication reconciliation
• Can serve as a Personal Medication Record as
required for providing Medication Therapy
Management services.
• Provides the patient with an up-to-date medication
profile to take home.
38. PWH and Meaningful Use
• Patient Reminders
• DENOMINATOR: Number of unique patients 65 years old or older or 5 years older or younger.
• NUMERATOR: Number of patients in the denominator who were sent the appropriate reminder.
• Clinical Summary
• DENOMINATOR: Number of office visits by the EP during the EHR reporting period.
• NUMERATOR: Number of office visits in the denominator for which the patient is provided a clinical
summary within three business days.
• Medication Reconciliation
• DENOMINATOR: Number of transitions of care during the EHR reporting period for which the EP
was the receiving party of the transition.
• NUMERATOR: Number of transitions of care in the denominator where medication reconciliation was
performed.
39. Personal Health Record
• A personal health record, or PHR, is an electronic application through which
patients can maintain and manage their health information (and that of others for
whom they are authorized) in a private, secure, and confidential environment.
• A patient portal is an internet application that allows patients to access their
electronic health records and permits two-way communication between patients
and their healthcare providers.
40. IHS PHR
• Integrated with Master Patient Index
• Real time access to health information
All (patients) who present to the pharmacy shall receive mediation counseling in a private consultation room. This room shall have necessary furnishings and instructional aids and shall be arranged in a manner conducive to effective communication\nDuring counseling the pharmacist shall verify that patients understand the purpose, proper use and expected outcomes of the drug therapy. The pharmacist shall determine patient understanding through patient feedback. Supplemental written information shall be provided when indicated. \nCompliance with this standard shall be assessed by review of documentation of pharmacist counseling in the patients’ medical records and periodic exit interviews to determine effectiveness.\n