Health & Medicine Policy Research Group hosted a forum, “Health Reform and the Health Care Safety Net: Challenges and Opportunities,” on July 9 to explore the potential impact of health reform on the health care safety net nationally and in Illinois specifically.
The forum explored challenges and opportunities presented by health reform in Illinois, and examined the impact on community health centers, safety net hospitals, the health workforce, and vulnerable populations. Speakers included
*Michael McRaith, Director, Illinois Department of Insurance
*Julie Hamos, Director, Illinois Department of Healthcare and Family Services
*Claudine Swartz, Assistant Vice President for Policy, National Association of Public Hospitals and Health Systems (NAPH)
*Bill Foley, CEO, Cook County Health & Hospitals System
*Philippe Largent, VP for Government Affairs, IL Primary Healthcare Association
*Linda Murray, Chief Medical Officer, Cook County Department of Public Health, President-Elect, APHA
*Roberta Rakove, Senior Vice President, Government Affairs, Sinai Health System
A rural county in New England achieved the highest health rankings and lowest mortality rates in its state over 40 years despite higher poverty levels. A corporate health initiative employing a similar program increased healthy participation by 15% and reduced annual cost growth to under 4% with over a 3:1 return on investment. Key success factors included trained health coaches to engage users, actionable health assessments, and structured prevention programs. For accountable care to succeed, health systems must effectively engage patients to own their health and develop personalized prevention plans with high participation levels.
This document summarizes an approach called Agentic Health that provides population health assessment and engagement services. It trains Care Partners to conduct comprehensive health assessments and engage patients. The approach includes pre-populating assessments with existing data, producing reports for patients, providers and employers, and aggregating data to support quality improvement. Economics show the approach can be cost-effective with contributions over 17% at scale. The document outlines a consultation approach to help organizations pilot and implement the services.
This document provides an overview of a curriculum on chlamydia. It outlines 7 learning objectives covering the epidemiology, pathogenesis, clinical manifestations, diagnosis, treatment, prevention counseling, and public health measures for chlamydial infection. The curriculum contains multiple lessons, the first of which discusses the epidemiology of chlamydia in the US, including that it is the most commonly reported STD with an estimated 3 million cases annually and higher reported rates in females. It provides data on state-specific chlamydia rates and trends in rates by sex from 1984-2003.
The document summarizes key findings from India's Annual Health Survey (AHS) on reproductive health indicators. It reports that the total fertility rate (TFR) varies significantly across India's 9 AHS states, from a low of 2.3 in Uttarakhand to a high of 3.7 in Bihar. The TFR also varies substantially between rural and urban areas within each state. Additionally, the TFR ranges from 1.7 to 5.9 across the 284 districts surveyed, indicating large inter-district differences.
The document discusses the slowing of global economic growth and identifies several risks and policy challenges. It notes that growth is moderating in both developed and developing economies, with a risk of double-dip recession. Downside risks include the sovereign debt crisis, high unemployment, and financial sector fragility. Policy responses recommended include coordinated short-term stimulus focused on job creation and medium-term reforms.
Health & Medicine Policy Research Group hosted a forum, “Health Reform and the Health Care Safety Net: Challenges and Opportunities,” on July 9 to explore the potential impact of health reform on the health care safety net nationally and in Illinois specifically.
The forum explored challenges and opportunities presented by health reform in Illinois, and examined the impact on community health centers, safety net hospitals, the health workforce, and vulnerable populations. Speakers included
*Michael McRaith, Director, Illinois Department of Insurance
*Julie Hamos, Director, Illinois Department of Healthcare and Family Services
*Claudine Swartz, Assistant Vice President for Policy, National Association of Public Hospitals and Health Systems (NAPH)
*Bill Foley, CEO, Cook County Health & Hospitals System
*Philippe Largent, VP for Government Affairs, IL Primary Healthcare Association
*Linda Murray, Chief Medical Officer, Cook County Department of Public Health, President-Elect, APHA
*Roberta Rakove, Senior Vice President, Government Affairs, Sinai Health System
Health & Medicine Policy Research Group hosted a forum, “Health Reform and the Health Care Safety Net: Challenges and Opportunities,” on July 9 to explore the potential impact of health reform on the health care safety net nationally and in Illinois specifically.
The forum explored challenges and opportunities presented by health reform in Illinois, and examined the impact on community health centers, safety net hospitals, the health workforce, and vulnerable populations. Speakers included
*Michael McRaith, Director, Illinois Department of Insurance
*Julie Hamos, Director, Illinois Department of Healthcare and Family Services
*Claudine Swartz, Assistant Vice President for Policy, National Association of Public Hospitals and Health Systems (NAPH)
*Bill Foley, CEO, Cook County Health & Hospitals System
*Philippe Largent, VP for Government Affairs, IL Primary Healthcare Association
*Linda Murray, Chief Medical Officer, Cook County Department of Public Health, President-Elect, APHA
*Roberta Rakove, Senior Vice President, Government Affairs, Sinai Health System
Henry Schein is celebrating its 75th anniversary. It has grown from a small pharmacy founded during the Great Depression to a Fortune 500 company and the largest distributor of healthcare products to office-based practitioners in North America and Europe. Over the years, Henry Schein has expanded through acquisitions, increased its product and service offerings, and provided innovative solutions to help customers run successful practices. Looking to the future, Henry Schein aims to continue growing strategically while preserving its values and commitment to customers, employees, and communities.
A rural county in New England achieved the highest health rankings and lowest mortality rates in its state over 40 years despite higher poverty levels. A corporate health initiative employing a similar program increased healthy participation by 15% and reduced annual cost growth to under 4% with over a 3:1 return on investment. Key success factors included trained health coaches to engage users, actionable health assessments, and structured prevention programs. For accountable care to succeed, health systems must effectively engage patients to own their health and develop personalized prevention plans with high participation levels.
This document summarizes an approach called Agentic Health that provides population health assessment and engagement services. It trains Care Partners to conduct comprehensive health assessments and engage patients. The approach includes pre-populating assessments with existing data, producing reports for patients, providers and employers, and aggregating data to support quality improvement. Economics show the approach can be cost-effective with contributions over 17% at scale. The document outlines a consultation approach to help organizations pilot and implement the services.
This document provides an overview of a curriculum on chlamydia. It outlines 7 learning objectives covering the epidemiology, pathogenesis, clinical manifestations, diagnosis, treatment, prevention counseling, and public health measures for chlamydial infection. The curriculum contains multiple lessons, the first of which discusses the epidemiology of chlamydia in the US, including that it is the most commonly reported STD with an estimated 3 million cases annually and higher reported rates in females. It provides data on state-specific chlamydia rates and trends in rates by sex from 1984-2003.
The document summarizes key findings from India's Annual Health Survey (AHS) on reproductive health indicators. It reports that the total fertility rate (TFR) varies significantly across India's 9 AHS states, from a low of 2.3 in Uttarakhand to a high of 3.7 in Bihar. The TFR also varies substantially between rural and urban areas within each state. Additionally, the TFR ranges from 1.7 to 5.9 across the 284 districts surveyed, indicating large inter-district differences.
The document discusses the slowing of global economic growth and identifies several risks and policy challenges. It notes that growth is moderating in both developed and developing economies, with a risk of double-dip recession. Downside risks include the sovereign debt crisis, high unemployment, and financial sector fragility. Policy responses recommended include coordinated short-term stimulus focused on job creation and medium-term reforms.
Health & Medicine Policy Research Group hosted a forum, “Health Reform and the Health Care Safety Net: Challenges and Opportunities,” on July 9 to explore the potential impact of health reform on the health care safety net nationally and in Illinois specifically.
The forum explored challenges and opportunities presented by health reform in Illinois, and examined the impact on community health centers, safety net hospitals, the health workforce, and vulnerable populations. Speakers included
*Michael McRaith, Director, Illinois Department of Insurance
*Julie Hamos, Director, Illinois Department of Healthcare and Family Services
*Claudine Swartz, Assistant Vice President for Policy, National Association of Public Hospitals and Health Systems (NAPH)
*Bill Foley, CEO, Cook County Health & Hospitals System
*Philippe Largent, VP for Government Affairs, IL Primary Healthcare Association
*Linda Murray, Chief Medical Officer, Cook County Department of Public Health, President-Elect, APHA
*Roberta Rakove, Senior Vice President, Government Affairs, Sinai Health System
Health & Medicine Policy Research Group hosted a forum, “Health Reform and the Health Care Safety Net: Challenges and Opportunities,” on July 9 to explore the potential impact of health reform on the health care safety net nationally and in Illinois specifically.
The forum explored challenges and opportunities presented by health reform in Illinois, and examined the impact on community health centers, safety net hospitals, the health workforce, and vulnerable populations. Speakers included
*Michael McRaith, Director, Illinois Department of Insurance
*Julie Hamos, Director, Illinois Department of Healthcare and Family Services
*Claudine Swartz, Assistant Vice President for Policy, National Association of Public Hospitals and Health Systems (NAPH)
*Bill Foley, CEO, Cook County Health & Hospitals System
*Philippe Largent, VP for Government Affairs, IL Primary Healthcare Association
*Linda Murray, Chief Medical Officer, Cook County Department of Public Health, President-Elect, APHA
*Roberta Rakove, Senior Vice President, Government Affairs, Sinai Health System
Henry Schein is celebrating its 75th anniversary. It has grown from a small pharmacy founded during the Great Depression to a Fortune 500 company and the largest distributor of healthcare products to office-based practitioners in North America and Europe. Over the years, Henry Schein has expanded through acquisitions, increased its product and service offerings, and provided innovative solutions to help customers run successful practices. Looking to the future, Henry Schein aims to continue growing strategically while preserving its values and commitment to customers, employees, and communities.
This annual report summarizes Henry Schein's performance in 2007. Some key points:
- Net sales reached a record $5.9 billion, a 17.3% increase over 2006. Income from continuing operations was $235 million, a 28.6% increase.
- All four business groups - Dental, Medical, International, and Technology - posted double-digit sales gains. The Dental group had sales of $2.46 billion.
- The company grew through acquisitions including Becker-Parkin Dental Supply and W&J Dunlop Ltd (animal health in the UK).
- Henry Schein was named one of America's Most Admired Companies by Fortune and
This annual report summarizes Corning Inc.'s financial performance in 2001, which saw a significant downturn from 2000 due to challenging conditions in the telecommunications sector and global economic weakness. Net sales fell 12% to $6.3 billion and the company reported a net loss of $5.5 billion compared to net income of $409 million in 2000. Corning took actions to reduce costs, including eliminating 12,000 jobs and closing plants. However, the company ended 2001 with $2.2 billion in cash and believes it is well positioned financially and strategically for long-term growth opportunities in key markets like optical fiber and displays.
The 2000 Annual Report summarizes Henry Schein's financial performance and operations. It states that Henry Schein is the largest distributor of healthcare products and services in North America and Europe, serving over 650,000 practitioners. The report highlights that net sales increased to $2.38 billion in 2000, operating income grew to $127.6 million, and earnings per share rose to $1.67. It also details Henry Schein's distribution network and capabilities.
Henry Schein is the largest distributor of healthcare products and services to office-based healthcare practitioners in North America and Europe. In 2002, Henry Schein achieved record financial results with net sales of $2.8 billion, operating income of $196 million, and net income of $117 million. The company expects continued growth through increasing penetration of existing customers, gaining new customers, and cross-selling between its business groups that serve the dental, medical, veterinary, and technology markets.
- Net sales increased significantly from $4.74 billion in 1999 to $7.13 billion in 2000. Net income increased slightly from $515.8 million in 1999 to $422 million in 2000.
- The Telecommunications segment saw the largest increase in revenues from $2.96 billion in 1999 to $5.12 billion in 2000, driving the overall revenue growth.
- Pro forma diluted earnings per share, which excludes certain one-time items, increased from $0.67 in 1999 to $1.23 in 2000 despite a smaller increase in net income, reflecting share repurchases.
The document discusses key issues related to health reform implementation for safety net health systems. It provides an overview of the National Association of Public Hospitals and Health Systems (NAPH), which advocates for safety net hospitals. The document outlines provisions of the Affordable Care Act related to coverage expansion, exchanges, provider payments, and innovation opportunities. It identifies challenges and questions for safety net health systems to consider regarding health reform implementation.
On June 14, 2010, Health & Medicine Policy Research group (HMPRG) hosted a forum, “The State’s Fiscal Crisis: Changing Our Collective Response.” With over 70 attendees, the forum explored the impact of the State’s budget and recent cuts on health and human services in Illinois. Participants heard from panel speakers about how we might collectively respond to the crisis and ensure responsible and adequate funding for education, health, and human services in Illinois. Materials from the forum can be found on the HMPRG website (www.hmprg.org)
Presentation to Knowledge Innovation Network, University of Warwick 2009-12-03 focuses on the organizational aspects of successfully crowdsourcing ideas and creating value from collective intelligence in, across and beyond the enterprise
The document summarizes a rally held in support of Social Security. It provides details on the various speakers which included representatives from AgeOptions, Health & Medicine Center for Long-Term Care Reform, Senior Community Service Employment Program, Access Living, Illinois Alliance for Retired Americans, and the National Coalition to Strengthen Social Security. The speakers emphasized the importance of Social Security and shared personal stories of how Social Security benefits have helped them and their families. Congresswoman Jan Schakowsky also spoke about growing income inequality in the US and encouraged attendees to voice their support for Social Security to Senator Durbin. Over 150 people attended the rally, including various demographic groups who would be impacted.
On June 14, 2010, Health & Medicine Policy Research group (HMPRG) hosted a forum, “The State’s Fiscal Crisis: Changing Our Collective Response.” With over 70 attendees, the forum explored the impact of the State’s budget and recent cuts on health and human services in Illinois. Participants heard from panel speakers about how we might collectively respond to the crisis and ensure responsible and adequate funding for education, health, and human services in Illinois. Materials from the forum can be found on the HMPRG website (www.hmprg.org)
On June 14, 2010, Health & Medicine Policy Research group (HMPRG) hosted a forum, “The State’s Fiscal Crisis: Changing Our Collective Response.” With over 70 attendees, the forum explored the impact of the State’s budget and recent cuts on health and human services in Illinois. Participants heard from panel speakers about how we might collectively respond to the crisis and ensure responsible and adequate funding for education, health, and human services in Illinois. Materials from the forum can be found on the HMPRG website (www.hmprg.org)
The document summarizes Illinois' fiscal crisis and budget challenges. It notes that Illinois faces a $13.7 billion operating deficit for FY2011, equal to 52.2% of its general revenue fund appropriations. To address this, Illinois relies heavily on one-time revenues like debt issuance, fund sweeps, and federal stimulus funds. Over the long term, Illinois has seen the loss of high-paying manufacturing jobs replaced with lower paying service jobs without benefits. This has contributed to economic problems and budget deficits that Illinois has struggled to adequately address through recurring revenues and spending priorities.
On June 14, 2010, Health & Medicine Policy Research group (HMPRG) hosted a forum, “The State’s Fiscal Crisis: Changing Our Collective Response.” With over 70 attendees, the forum explored the impact of the State’s budget and recent cuts on health and human services in Illinois. Participants heard from panel speakers about how we might collectively respond to the crisis and ensure responsible and adequate funding for education, health, and human services in Illinois. Materials from the forum can be found on the HMPRG website (www.hmprg.org)
This is a presentation prepared for The Chicago Partnershipon Public Health at the Chicago Department of Health, on November 20, 2009. HMPRG's Executive Director, Margie Schaps and Development Officer, Karin Pritikin were on a panel along with Gordon Mayer from Community Media Workshop and Christine Capaiuolo, freelance writer and social media consultant. The topic broadly addressed how NPOs and government agencies can/should use social media. HMPRG provided a case study about our recent launch into social media channels. The PowerPoint deconstructs the anatomy of our sites --what lives where and how it is accessed.
Presented at the Older HealthCare Workers Conference co-hosted by Health & Medicine Policy Research Group and the Great Lakes Centers for Occupational and Environmental Safety and Health (University of Illinois at Chicago, School of Public Health)
Presented at the Older HealthCare Workers Conference co-hosted by Health & Medicine Policy Research Group and the Great Lakes Centers for Occupational and Environmental Safety and Health (University of Illinois at Chicago, School of Public Health)
Presented at the Older HealthCare Workers Conference co-hosted by Health & Medicine Policy Research Group and the Great Lakes Centers for Occupational and Environmental Safety and Health (University of Illinois at Chicago, School of Public Health)
The Palmetto Project aims to put innovative ideas to work in South Carolina. It has established several initiatives to improve healthcare access and outcomes, including the South Carolina Immunization Partnership, Communicare, and AccessNET Provider Collaborative & Patient Navigator Network. These initiatives utilize partnerships, political techniques, community involvement, and care coordination to increase immunization rates, provide care to the uninsured, and improve outcomes for patients with chronic diseases. Data collection and management systems have also been implemented to facilitate coordination between providers.
The document summarizes efforts to strengthen the regional health care safety net across 7 counties in northern Illinois. A initiative began in 2006 to address problems in the safety net through policy analysis and comprehensive solutions. Key priorities identified through a regional summit in 2009 included developing a regional data sharing program, referral network, new financing schemes for the safety net, and ensuring comprehensive services. Next steps involved developing recommendations and seeking funding and leadership to implement an "enabling mechanism" to support the regional safety net.
Access DuPage provides comprehensive medical services to low-income and uninsured residents of DuPage County, Illinois through a collaboration of 225 organizations. They enroll eligible persons in the program, assign them to a medical home, and provide access to services across the healthcare continuum. In the current year, the program has served over 9,600 members and provides significant health benefits while maintaining a direct cost per member of $391.49, well below average insurance rates.
This annual report summarizes Henry Schein's performance in 2007. Some key points:
- Net sales reached a record $5.9 billion, a 17.3% increase over 2006. Income from continuing operations was $235 million, a 28.6% increase.
- All four business groups - Dental, Medical, International, and Technology - posted double-digit sales gains. The Dental group had sales of $2.46 billion.
- The company grew through acquisitions including Becker-Parkin Dental Supply and W&J Dunlop Ltd (animal health in the UK).
- Henry Schein was named one of America's Most Admired Companies by Fortune and
This annual report summarizes Corning Inc.'s financial performance in 2001, which saw a significant downturn from 2000 due to challenging conditions in the telecommunications sector and global economic weakness. Net sales fell 12% to $6.3 billion and the company reported a net loss of $5.5 billion compared to net income of $409 million in 2000. Corning took actions to reduce costs, including eliminating 12,000 jobs and closing plants. However, the company ended 2001 with $2.2 billion in cash and believes it is well positioned financially and strategically for long-term growth opportunities in key markets like optical fiber and displays.
The 2000 Annual Report summarizes Henry Schein's financial performance and operations. It states that Henry Schein is the largest distributor of healthcare products and services in North America and Europe, serving over 650,000 practitioners. The report highlights that net sales increased to $2.38 billion in 2000, operating income grew to $127.6 million, and earnings per share rose to $1.67. It also details Henry Schein's distribution network and capabilities.
Henry Schein is the largest distributor of healthcare products and services to office-based healthcare practitioners in North America and Europe. In 2002, Henry Schein achieved record financial results with net sales of $2.8 billion, operating income of $196 million, and net income of $117 million. The company expects continued growth through increasing penetration of existing customers, gaining new customers, and cross-selling between its business groups that serve the dental, medical, veterinary, and technology markets.
- Net sales increased significantly from $4.74 billion in 1999 to $7.13 billion in 2000. Net income increased slightly from $515.8 million in 1999 to $422 million in 2000.
- The Telecommunications segment saw the largest increase in revenues from $2.96 billion in 1999 to $5.12 billion in 2000, driving the overall revenue growth.
- Pro forma diluted earnings per share, which excludes certain one-time items, increased from $0.67 in 1999 to $1.23 in 2000 despite a smaller increase in net income, reflecting share repurchases.
The document discusses key issues related to health reform implementation for safety net health systems. It provides an overview of the National Association of Public Hospitals and Health Systems (NAPH), which advocates for safety net hospitals. The document outlines provisions of the Affordable Care Act related to coverage expansion, exchanges, provider payments, and innovation opportunities. It identifies challenges and questions for safety net health systems to consider regarding health reform implementation.
On June 14, 2010, Health & Medicine Policy Research group (HMPRG) hosted a forum, “The State’s Fiscal Crisis: Changing Our Collective Response.” With over 70 attendees, the forum explored the impact of the State’s budget and recent cuts on health and human services in Illinois. Participants heard from panel speakers about how we might collectively respond to the crisis and ensure responsible and adequate funding for education, health, and human services in Illinois. Materials from the forum can be found on the HMPRG website (www.hmprg.org)
Presentation to Knowledge Innovation Network, University of Warwick 2009-12-03 focuses on the organizational aspects of successfully crowdsourcing ideas and creating value from collective intelligence in, across and beyond the enterprise
The document summarizes a rally held in support of Social Security. It provides details on the various speakers which included representatives from AgeOptions, Health & Medicine Center for Long-Term Care Reform, Senior Community Service Employment Program, Access Living, Illinois Alliance for Retired Americans, and the National Coalition to Strengthen Social Security. The speakers emphasized the importance of Social Security and shared personal stories of how Social Security benefits have helped them and their families. Congresswoman Jan Schakowsky also spoke about growing income inequality in the US and encouraged attendees to voice their support for Social Security to Senator Durbin. Over 150 people attended the rally, including various demographic groups who would be impacted.
On June 14, 2010, Health & Medicine Policy Research group (HMPRG) hosted a forum, “The State’s Fiscal Crisis: Changing Our Collective Response.” With over 70 attendees, the forum explored the impact of the State’s budget and recent cuts on health and human services in Illinois. Participants heard from panel speakers about how we might collectively respond to the crisis and ensure responsible and adequate funding for education, health, and human services in Illinois. Materials from the forum can be found on the HMPRG website (www.hmprg.org)
On June 14, 2010, Health & Medicine Policy Research group (HMPRG) hosted a forum, “The State’s Fiscal Crisis: Changing Our Collective Response.” With over 70 attendees, the forum explored the impact of the State’s budget and recent cuts on health and human services in Illinois. Participants heard from panel speakers about how we might collectively respond to the crisis and ensure responsible and adequate funding for education, health, and human services in Illinois. Materials from the forum can be found on the HMPRG website (www.hmprg.org)
The document summarizes Illinois' fiscal crisis and budget challenges. It notes that Illinois faces a $13.7 billion operating deficit for FY2011, equal to 52.2% of its general revenue fund appropriations. To address this, Illinois relies heavily on one-time revenues like debt issuance, fund sweeps, and federal stimulus funds. Over the long term, Illinois has seen the loss of high-paying manufacturing jobs replaced with lower paying service jobs without benefits. This has contributed to economic problems and budget deficits that Illinois has struggled to adequately address through recurring revenues and spending priorities.
On June 14, 2010, Health & Medicine Policy Research group (HMPRG) hosted a forum, “The State’s Fiscal Crisis: Changing Our Collective Response.” With over 70 attendees, the forum explored the impact of the State’s budget and recent cuts on health and human services in Illinois. Participants heard from panel speakers about how we might collectively respond to the crisis and ensure responsible and adequate funding for education, health, and human services in Illinois. Materials from the forum can be found on the HMPRG website (www.hmprg.org)
This is a presentation prepared for The Chicago Partnershipon Public Health at the Chicago Department of Health, on November 20, 2009. HMPRG's Executive Director, Margie Schaps and Development Officer, Karin Pritikin were on a panel along with Gordon Mayer from Community Media Workshop and Christine Capaiuolo, freelance writer and social media consultant. The topic broadly addressed how NPOs and government agencies can/should use social media. HMPRG provided a case study about our recent launch into social media channels. The PowerPoint deconstructs the anatomy of our sites --what lives where and how it is accessed.
Presented at the Older HealthCare Workers Conference co-hosted by Health & Medicine Policy Research Group and the Great Lakes Centers for Occupational and Environmental Safety and Health (University of Illinois at Chicago, School of Public Health)
Presented at the Older HealthCare Workers Conference co-hosted by Health & Medicine Policy Research Group and the Great Lakes Centers for Occupational and Environmental Safety and Health (University of Illinois at Chicago, School of Public Health)
Presented at the Older HealthCare Workers Conference co-hosted by Health & Medicine Policy Research Group and the Great Lakes Centers for Occupational and Environmental Safety and Health (University of Illinois at Chicago, School of Public Health)
The Palmetto Project aims to put innovative ideas to work in South Carolina. It has established several initiatives to improve healthcare access and outcomes, including the South Carolina Immunization Partnership, Communicare, and AccessNET Provider Collaborative & Patient Navigator Network. These initiatives utilize partnerships, political techniques, community involvement, and care coordination to increase immunization rates, provide care to the uninsured, and improve outcomes for patients with chronic diseases. Data collection and management systems have also been implemented to facilitate coordination between providers.
The document summarizes efforts to strengthen the regional health care safety net across 7 counties in northern Illinois. A initiative began in 2006 to address problems in the safety net through policy analysis and comprehensive solutions. Key priorities identified through a regional summit in 2009 included developing a regional data sharing program, referral network, new financing schemes for the safety net, and ensuring comprehensive services. Next steps involved developing recommendations and seeking funding and leadership to implement an "enabling mechanism" to support the regional safety net.
Access DuPage provides comprehensive medical services to low-income and uninsured residents of DuPage County, Illinois through a collaboration of 225 organizations. They enroll eligible persons in the program, assign them to a medical home, and provide access to services across the healthcare continuum. In the current year, the program has served over 9,600 members and provides significant health benefits while maintaining a direct cost per member of $391.49, well below average insurance rates.
Panelist PPT. Presented at the Safety Net Summit, June 23, 2009, hosted by Health & Medicine Policy Research Group (HMPRG) and the U.S. Health Resources and Services Administration (HRSA)
This document outlines the process and goals of a regional health care safety net summit. It provides background on the initiative, including key terminology, assumptions, and demographic data of the region. It also summarizes ongoing efforts to strengthen the safety net and the Chicago Metropolitan Agency for Planning's GoTo 2040 plan, which includes recommendations to integrate health policy into regional planning. The document introduces preliminary recommendations that will be discussed at the summit to continue progressing the initiative.
PPT on Building Collaborative Partnerships for the the Regional Health Care Safety Net in Northeastern Illinois. Presented at the Safety Net Summit, June 23, 2009, hosted by Health & Medicine Policy Research Group (HMPRG) and the U.S. Health Resources and Services Administration (HRSA)
Panelist PPT. Presented at the Safety Net Summit, June 23, 2009, hosted by Health & Medicine Policy Research Group (HMPRG) and the U.S. Health Resources and Services Administration (HRSA)
Panelist PPT. Presented at the Safety Net Summit, June 23, 2009, hosted by Health & Medicine Policy Research Group (HMPRG) and the U.S. Health Resources and Services Administration (HRSA)
More from Health & Medicine Policy Research Group (17)
PGx Analysis in VarSeq: A User’s PerspectiveGolden Helix
Since our release of the PGx capabilities in VarSeq, we’ve had a few months to gather some insights from various use cases. Some users approach PGx workflows by means of array genotyping or what seems to be a growing trend of adding the star allele calling to the existing NGS pipeline for whole genome data. Luckily, both approaches are supported with the VarSeq software platform. The genotyping method being used will also dictate what the scope of the tertiary analysis will be. For example, are your PGx reports a standalone pipeline or would your lab’s goal be to handle a dual-purpose workflow and report on PGx + Diagnostic findings.
The purpose of this webcast is to:
Discuss and demonstrate the approaches with array and NGS genotyping methods for star allele calling to prep for downstream analysis.
Following genotyping, explore alternative tertiary workflow concepts in VarSeq to handle PGx reporting.
Moreover, we will include insights users will need to consider when validating their PGx workflow for all possible star alleles and options you have for automating your PGx analysis for large number of samples. Please join us for a session dedicated to the application of star allele genotyping and subsequent PGx workflows in our VarSeq software.
Computer in pharmaceutical research and development-Mpharm(Pharmaceutics)MuskanShingari
Statistics- Statistics is the science of collecting, organizing, presenting, analyzing and interpreting numerical data to assist in making more effective decisions.
A statistics is a measure which is used to estimate the population parameter
Parameters-It is used to describe the properties of an entire population.
Examples-Measures of central tendency Dispersion, Variance, Standard Deviation (SD), Absolute Error, Mean Absolute Error (MAE), Eigen Value
Histololgy of Female Reproductive System.pptxAyeshaZaid1
Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
Giloy in Ayurveda - Classical Categorization and SynonymsPlanet Ayurveda
Giloy, also known as Guduchi or Amrita in classical Ayurvedic texts, is a revered herb renowned for its myriad health benefits. It is categorized as a Rasayana, meaning it has rejuvenating properties that enhance vitality and longevity. Giloy is celebrated for its ability to boost the immune system, detoxify the body, and promote overall wellness. Its anti-inflammatory, antipyretic, and antioxidant properties make it a staple in managing conditions like fever, diabetes, and stress. The versatility and efficacy of Giloy in supporting health naturally highlight its importance in Ayurveda. At Planet Ayurveda, we provide a comprehensive range of health services and 100% herbal supplements that harness the power of natural ingredients like Giloy. Our products are globally available and affordable, ensuring that everyone can benefit from the ancient wisdom of Ayurveda. If you or your loved ones are dealing with health issues, contact Planet Ayurveda at 01725214040 to book an online video consultation with our professional doctors. Let us help you achieve optimal health and wellness naturally.
Discover the benefits of homeopathic medicine for irregular periods with our guide on 5 common remedies. Learn how these natural treatments can help regulate menstrual cycles and improve overall menstrual health.
Visit Us: https://drdeepikashomeopathy.com/service/irregular-periods-treatment/
Breast cancer: Post menopausal endocrine therapyDr. Sumit KUMAR
Breast cancer in postmenopausal women with hormone receptor-positive (HR+) status is a common and complex condition that necessitates a multifaceted approach to management. HR+ breast cancer means that the cancer cells grow in response to hormones such as estrogen and progesterone. This subtype is prevalent among postmenopausal women and typically exhibits a more indolent course compared to other forms of breast cancer, which allows for a variety of treatment options.
Diagnosis and Staging
The diagnosis of HR+ breast cancer begins with clinical evaluation, imaging, and biopsy. Imaging modalities such as mammography, ultrasound, and MRI help in assessing the extent of the disease. Histopathological examination and immunohistochemical staining of the biopsy sample confirm the diagnosis and hormone receptor status by identifying the presence of estrogen receptors (ER) and progesterone receptors (PR) on the tumor cells.
Staging involves determining the size of the tumor (T), the involvement of regional lymph nodes (N), and the presence of distant metastasis (M). The American Joint Committee on Cancer (AJCC) staging system is commonly used. Accurate staging is critical as it guides treatment decisions.
Treatment Options
Endocrine Therapy
Endocrine therapy is the cornerstone of treatment for HR+ breast cancer in postmenopausal women. The primary goal is to reduce the levels of estrogen or block its effects on cancer cells. Commonly used agents include:
Selective Estrogen Receptor Modulators (SERMs): Tamoxifen is a SERM that binds to estrogen receptors, blocking estrogen from stimulating breast cancer cells. It is effective but may have side effects such as increased risk of endometrial cancer and thromboembolic events.
Aromatase Inhibitors (AIs): These drugs, including anastrozole, letrozole, and exemestane, lower estrogen levels by inhibiting the aromatase enzyme, which converts androgens to estrogen in peripheral tissues. AIs are generally preferred in postmenopausal women due to their efficacy and safety profile compared to tamoxifen.
Selective Estrogen Receptor Downregulators (SERDs): Fulvestrant is a SERD that degrades estrogen receptors and is used in cases where resistance to other endocrine therapies develops.
Combination Therapies
Combining endocrine therapy with other treatments enhances efficacy. Examples include:
Endocrine Therapy with CDK4/6 Inhibitors: Palbociclib, ribociclib, and abemaciclib are CDK4/6 inhibitors that, when combined with endocrine therapy, significantly improve progression-free survival in advanced HR+ breast cancer.
Endocrine Therapy with mTOR Inhibitors: Everolimus, an mTOR inhibitor, can be added to endocrine therapy for patients who have developed resistance to aromatase inhibitors.
Chemotherapy
Chemotherapy is generally reserved for patients with high-risk features, such as large tumor size, high-grade histology, or extensive lymph node involvement. Regimens often include anthracyclines and taxanes.
Nano-gold for Cancer Therapy chemistry investigatory projectSIVAVINAYAKPK
chemistry investigatory project
The development of nanogold-based cancer therapy could revolutionize oncology by providing a more targeted, less invasive treatment option. This project contributes to the growing body of research aimed at harnessing nanotechnology for medical applications, paving the way for future clinical trials and potential commercial applications.
Cancer remains one of the leading causes of death worldwide, prompting the need for innovative treatment methods. Nanotechnology offers promising new approaches, including the use of gold nanoparticles (nanogold) for targeted cancer therapy. Nanogold particles possess unique physical and chemical properties that make them suitable for drug delivery, imaging, and photothermal therapy.
Travel Clinic Cardiff: Health Advice for International TravelersNX Healthcare
Travel Clinic Cardiff offers comprehensive travel health services, including vaccinations, travel advice, and preventive care for international travelers. Our expert team ensures you are well-prepared and protected for your journey, providing personalized consultations tailored to your destination. Conveniently located in Cardiff, we help you travel with confidence and peace of mind. Visit us: www.nxhealthcare.co.uk
Know the difference between Endodontics and Orthodontics.Gokuldas Hospital
Your smile is beautiful.
Let’s be honest. Maintaining that beautiful smile is not an easy task. It is more than brushing and flossing. Sometimes, you might encounter dental issues that need special dental care. These issues can range anywhere from misalignment of the jaw to pain in the root of teeth.
The biomechanics of running involves the study of the mechanical principles underlying running movements. It includes the analysis of the running gait cycle, which consists of the stance phase (foot contact to push-off) and the swing phase (foot lift-off to next contact). Key aspects include kinematics (joint angles and movements, stride length and frequency) and kinetics (forces involved in running, including ground reaction and muscle forces). Understanding these factors helps in improving running performance, optimizing technique, and preventing injuries.
Pictorial and detailed description of patellar instability with sign and symptoms and how to diagnose , what investigations you should go with and how to approach with treatment options . I have presented this slide in my 2nd year junior residency in orthopedics at LLRM medical college Meerut and got good reviews for it
After getting it read you will definitely understand the topic.
- Video recording of this lecture in English language: https://youtu.be/Pt1nA32sdHQ
- Video recording of this lecture in Arabic language: https://youtu.be/uFdc9F0rlP0
- 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
Travel vaccination in Manchester offers comprehensive immunization services for individuals planning international trips. Expert healthcare providers administer vaccines tailored to your destination, ensuring you stay protected against various diseases. Conveniently located clinics and flexible appointment options make it easy to get the necessary shots before your journey. Stay healthy and travel with confidence by getting vaccinated in Manchester. Visit us: www.nxhealthcare.co.uk
Ageing, the Elderly, Gerontology and Public Health
Health reform and workforce issues murray
1. Workforce Issues :
Patient Protection
& Affordable Care
Act - 2010
Linda Rae Murray M.D. MPH
Cook County Department of Public Health
2. U.S. HEALTH WORKFORCE, 2004
Health
professions &
Health Care Occupations
Settings
4.5 million 4.2 million
8.6 million
other health
health
workers professionals
professionals The U.S. health
workforce consists of
over 17 million
workers and
comprises almost
12% of the total
workforce.
3. Average Annual Number of
Physician Visits per Capita, 2007
8
7.5
7.0
7
6.3 6.3 6.3
* Americans have fewer 6
5
5.8
5.7
5.0
4.7
physicians 4
4.0
3.8
2.8
3
2
* We see them less often 1
0
GER ITA** AUS FR OECD CAN* NETH UK NZ SWITZ US* SWE*
Median
* About 70% are specialists Number of Practicing Physicians
per 1,000 Population, 2007
and only 30% primary care
4 3.9 3.9 3.9
3.7
3.6
3.5
3.4
3.2
*Most OCED nations have 3 2.8
2.5
2.4
2.3
2.2
50-60% primary care 2
doctors 1
0
NETH NOR SWITZ ITA SWE* GER FR OECD AUS* UK US NZ CAN
Median
4. Obesity (BMI>30) Prevalence Among
Mortality Amenable to Health Care Adult Population, 2007
34.3
35
30
26.5
25 24.0
20
15.4
15 13.6
11.2
10.5 10.2 9.9
10 9.0
8.1
5
0
US* NZ UK CAN GER** NETH FR* SWE ITA NOR SWITZ
Potential Years of Life Lost Because of
Diabetes
per 100,000 Population, 2007
99
100
80
64
60
Generally speaking: the
37
health status of Americans is 40 36 36 35 33 31 29
25
WORSE than comparable 20
19
nations. 0
US** NZ** NOR* SWE* OECD GER* NETH ITA* FR* UK SWITZ*
Median
5. Flexner Report : 100 Years
• Published in June, 1910
• Brother of the President of the
Rockerfeller Institute
• Reformed medical education
• Modeled after John Hopkins
– Which was modeled on Germany
• Schools eagerly cooperated in
survey hoping for funds
7. Impact of the Flexner Report
Number of Medical
Schools • Flexner report saw a
51% decrease in
200
160 166 medical schools after
150 it was issued
Flexner Report 1910
100 81
• Driven by a $500
75
52 million investment in
50 reforming medical
schools
0
1850 1870 1900 1904 1922
8. Flexner Report
… The Negro must be educated not for his own
sake, but for ours. He is, as far as the human eye
can see, a permanent factor in the nation. He has
rights and due value as an individual. But he has
besides the tremendous importance that belongs
to a potential source of contagion….. Of the seven
medical schools for Negroes in the United States,
five are at this moment in no position to make any
contribution of value to the problem…
9. Flexner Report
… the upbuilding of Howard and Meharry
profit the nation more than the
inadequate maintenance of a larger
number of schools. They are of course,
unequal to the need and opportunity.”
10. Patient Protection & Affordable Care Act:
TITLE V - Health Workforce Provisions
• National Workforce Commission
• Increasing supply of health care workforce
• Enhancing education & training
• Public Health Sciences Track
• Supporting Existing Workforce
• Strengthening Primary Care & other
workforce improvements
• Other stuff
11. National Workforce Commission
• Establishes a National Health Care Workforce Commission to serve as a national
resource to:
– Determine whether the demand for health care workers is being met;
– Identify barriers to coordination and encourage innovation;
– Disseminate information on retention practices for health care professionals and;
– Shall review current and projected health care workforce supply and demand and
make recommendations regarding healthcare workforce priorities, goals and policies.
• The Commission shall communicate and coordinate with a variety of federal
agencies and departments……. Public health professionals are included in the
definition of health care workforce and the definition of health professionals.
Public health workforce capacity is also included in the high priority areas list.
12. National Workforce Commission
• State Health Care Workforce Development Grants: Establishes a
competitive healthcare workforce development grant program to enable
State partnerships to complete comprehensive planning and to carry out
activities leading to coherent and comprehensive health care workforce
development strategies at the State and local levels.
– Authorizes $8 million for planning grants and $150 million for
implementation grants for FY 2010 and such sums for each subsequent
year.
• Health Care Workforce Assessment: Codifies the existing National Center
for Health Care Workforce Analysis (HRSA) to provide for the development
of information describing the health care workforce and the analysis of
related issues and collect, analyze and report data related to programs
under this title. The National Center and relevant regional and State
centers and agencies shall collect labor and workforce information and
provide analyses and reports to the Commission.
13. Increasing Supply of Health Care
Workforce
• Support for pediatrics, pediatric sub-specialties, child, adolescent
mental & behavioral health
• Establishes a public health & allied health workforce loan
repayment program to eliminate critical public health workforce
shortages in Federal, State, local and tribal public health agencies.
• Authorizes the Secretary to make grants or enter into contracts to
award scholarships to mid-career public health and allied health
professionals to enroll in degree or professional training programs.
Authorizes $60 million for these programs in FY 2010 and such
sums as necessary for FY 2011 - 2015.
• Strengthens National Health Service Corps
• Support for Nurse Managed Health Clinics
14. Enhancing education & training
• Primary care training
– Medical students, residents, physician assistants , CME for primary care
physicians
• Training for faculty to teach primary care
• Training in community based settings
• Plan, develop and operate interdisciplinary graduate degree programs in
public health and other health professions
• Capacity building in primary care
– Direct care worker, dentistry (general, pediatric & public health) as doctors
and mid-level
– Geriatric training
– Mental & Behavioral health
– Cultural competency, prevention, public health proficiency
– Nursing education (midwives, faculty)
– Community Health workers
15. Public Health Sciences Track
• Directs the Secretary (subject to the availability of appropriations)
to establish an Epidemiology and Laboratory Capacity Grant
Program to award grants to eligible entities to assist public health
agencies in improving surveillance for and response to infectious
diseases and other conditions of public health importance.
Authorizes $190 million for each year of fiscal years 2010 - 2013 to
carry out this section.
• Authorizes funding for fellowship training in applied public health
epidemiology, public health laboratory science, public health
informatics, and expansion of the epidemic intelligence service in
order to address documented workforce shortages in State and
local health departments. Authorizes, for each of fiscal years 2010
through 2013, $5 million for epidemiology fellowship training
programs, $5 million for laboratory fellowship training programs;
$5 million for the Public Health Informatics Fellowship Program;
and $24,500,000 for expanding the Epidemic Intelligence Service
16. Support existing workforce
• Loan repayments & fellowships
– Medically underserved areas
• Area Health Education Centers
• Workforce Diversity
• Primary Care provider training
– Training in public health, health promotion,
chronic disease management, mental and
behavioral health
17. Other Workforce Improvements
• Family to family health information centers
• Training of Personal or Home Care Aides
• Teaching Health Centers Development grants
• Increased payments to primary care providers
• Rural physician training
• School based health centers
• Patient Navigator programs
• Increased funding Community Health Centers
• Increased funding Trauma Centers (40% for
safety net centers)
19. Paul Bertau Cornely M.D. MPH
1906 - 2002
• First Black DrPH
(University of Mich)
• First Black doctorate in
anatomy
• First Black President of
American Public Health
Association
• First Black President of
Physician’s Forum
• One of the founders of
the Medical Committee
for Human Rights
20. Status of Black Physicians in 1932
• Blacks were 2.5% of
all physicians
• Population ratios
MD: Pop
– 1 Black doc : 2,988
Blacks
– 1 white doc : 727
whites
21. Golden Period for Black Physicians
1900 - 1920
• Number of Black physicians DOUBLED
– 1900 : 1,734 Black physicians
– 1920 : 3,885 Black physicians
• HIGH POINT 1920
– Blacks were 2.68% of all physicians
– 1 Black MD : 2,694 Black people
• UNTIL around 1970-80
• Today : 2010
– 4.0% of all U.S. physicians are Black (30,598)
26. ALL DELIBERATE
SPEED:
In 2005 African-
Americans, Native
Americans and
Latinos made up
25% of the U.S.
population…. But
comprised only 6%
of the physician
population.
27.
28. Percentage of Mental Health
Workforce by Race , Ethnicity 2005
Race, Total U.S. Physicians Psychiatrists Psychologists Social
Ethnicity Population Workers
White 67.0 77 81 93 92
Latino 14.0 4 5 3 3
Black 13.0 5 3 2 4
Asian 5 14 11 2 1
American 1.5 0.1 0.1 0.3 0.2
Indian/Alask
Source: Miranda, J. (2008) American Journal of Psychiatry 165:1102
29. Standard Primary Care Year
Estimates for 2008 Graduates
Source: Bowman : Rural & Remote Health 2008 : 8(3)
30. Principles of Patient-Centered Medical Home*
• Personal Physician: on going relationship providing first
contact, continuous & comprehensive care
• Physician-directed medical practice: physician leads team
• Whole person orientation: responsible for directing all care
and arranging for referrals
• Coordination and/or integration of care: across all types of
care (ambulatory – nursing home)
• Quality & Safety: care plans, evidence based medicine,
performance measures, mutual participation
• Enhanced access: open scheduling, expanded hours, use
new tech methods for communication
• Payment: added value of medical care home
* American Academy of Family Physicians, American Academy of Pediatrics,
American College of Physicians, American Osteopathic Association
31. Crisis in the Workforce
• Still feudal crafts
• Medical home vs. primary care
• Accountable care organizations
• Not simply a question of
shortages & mal-distribution
• Need to transform how we
practice
• Requires fundamental
transformation of our Medical
Care System into a Health Care
System
• Health care is a human right
• Requires a “Flexnerian”
investment in education across
disciplines