This document discusses strategies for hospital partnerships and care coordination. It describes approaches to more effectively serve populations outside hospitals, including bringing together treatment providers, community groups, and others. One model mentioned is Health Enterprise Zones (HEZs). The document outlines characteristics of today's healthcare system and drivers transforming it, including new models of coordinated and population-based care. It provides examples of partnerships and programs at Carroll Hospital and Access Carroll, a community health center, to integrate services and coordinate care for low-income populations.
Network physicians, hospitals, and other care continuum providers work collaboratively in active clinical process improvement programs across service lines and specialties to define, establish, implement, monitor, evaluate and periodically update the processes of:
- Evidence-based medicine
- Beneficiary engagement
- Care coordination
- Conservation of healthcare resources
- Clinical data reporting
Sills MR. Overview of the SAFTINet Program. Presented to the Emergency Department Research Committee, Department of Pediatrics, University of Colorado School of Medicine. 6 January 2015.
Presented by Stephen Cha, MD, MHS of the Centers for Medicare and Medicaid Services at the annual meeting of the Asthma Regional Council of New England, June 13, 2013, Shrewsbury, MA.
Network physicians, hospitals, and other care continuum providers work collaboratively in active clinical process improvement programs across service lines and specialties to define, establish, implement, monitor, evaluate and periodically update the processes of:
- Evidence-based medicine
- Beneficiary engagement
- Care coordination
- Conservation of healthcare resources
- Clinical data reporting
Sills MR. Overview of the SAFTINet Program. Presented to the Emergency Department Research Committee, Department of Pediatrics, University of Colorado School of Medicine. 6 January 2015.
Presented by Stephen Cha, MD, MHS of the Centers for Medicare and Medicaid Services at the annual meeting of the Asthma Regional Council of New England, June 13, 2013, Shrewsbury, MA.
This presentation examines the link between quality cancer care and equity.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
How do medicaid waivers expand the possibilities of whole person care 032117Jennifer D.
With the changing landscape in healthcare right now it's important to know how Medicaid Waivers and Whole Person Care can help secure positive outcomes.
Stephen Morgan, M.D.
Senior Vice President, Chief Medical Information Officer
Carilion Clinic
iHT2 case studies and presentations illustrate challenges, successes and various factors in the outcomes of numerous types of health IT implementations. They are interactive and dynamic sessions providing opportunity for dialogue, debate and exchanging ideas and best practices. This session will be presented by a thought leader in the provider, payer or government space.
Well Care Health Plans, Inc.
Presentation to Georgia House Children's Mental Health Study Committee
October 20, 2015
Dauda Griffin, MD
Behavioral Health Medical Director
Remedios Roderiguez, Senior Director
Behavioral Health Operations
NHS Quality conference - Lesley GoodburnAlexis May
“Insight and involvement – creating the difference that makes a difference”
How to collate, aggregate and triangulate patient experience, clinical effectiveness and safety data across GP practices, NHS England, CCGs and providers to create themes and trends and make improvements to services based on patient and clinical feedback.
Practical considerations in enabling new models of care, pop up uni, 10am, 3 ...NHS England
Expo is the most significant annual health and social care event in the calendar, uniting more NHS and care leaders, commissioners, clinicians, voluntary sector partners, innovators and media than any other health and care event.
Expo 15 returned to Manchester and was hosted once again by NHS England. Around 5000 people a day from health and care, the voluntary sector, local government, and industry joined together at Manchester Central Convention Centre for two packed days of speakers, workshops, exhibitions and professional development.
This year, Expo was more relevant and engaging than ever before, happening within the first 100 days of the new Government, and almost 12 months after the publication of the NHS Five Year Forward View. It was also a great opportunity to check on and learn from the progress of Greater Manchester as the area prepares to take over a £6 billion devolved health and social care budget, pledging to integrate hospital, community, primary and social care and vastly improve health and well-being.
More information is available online: www.expo.nhs.uk
Integration of Policy, Practice and Partnership with Julie Wood, MDsfary
From the the first Annual National Conference on Tobacco and Behavioral Health, which occurred May 19-20, 2014 in Bethesda, MD and was hosted by the Central East Addiction Technology Transfer Center, a program of The Danya Institute. You can see videos from the conference on our website www.ceattc.org (go to “Tobacco and Behavioral Health Resources” under “Special Topics”).
Panel will focus on the necessary partnerships to integrate tobacco prevention and tobacco cessation in community and health systems. Three perspectives will be shared: Public Health, Primary Care, and Behavioral Health.
Julie Wood, MD, is the Vice President for Health of the Public and Interprofessional Activities, American Academy of Family Physicians
The CMS Innovation Center held the third in a series of webinars for potential applicants interested in applying to Health Care Innovation Awards Round Two. The webinar held on Tuesday, June 18, 2013 from 1:30–3:00pm EDT, focused on the remaining two of the four innovation categories.
- - -
CMS Innovations
http://innovations.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
This presentation examines the link between quality cancer care and equity.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
How do medicaid waivers expand the possibilities of whole person care 032117Jennifer D.
With the changing landscape in healthcare right now it's important to know how Medicaid Waivers and Whole Person Care can help secure positive outcomes.
Stephen Morgan, M.D.
Senior Vice President, Chief Medical Information Officer
Carilion Clinic
iHT2 case studies and presentations illustrate challenges, successes and various factors in the outcomes of numerous types of health IT implementations. They are interactive and dynamic sessions providing opportunity for dialogue, debate and exchanging ideas and best practices. This session will be presented by a thought leader in the provider, payer or government space.
Well Care Health Plans, Inc.
Presentation to Georgia House Children's Mental Health Study Committee
October 20, 2015
Dauda Griffin, MD
Behavioral Health Medical Director
Remedios Roderiguez, Senior Director
Behavioral Health Operations
NHS Quality conference - Lesley GoodburnAlexis May
“Insight and involvement – creating the difference that makes a difference”
How to collate, aggregate and triangulate patient experience, clinical effectiveness and safety data across GP practices, NHS England, CCGs and providers to create themes and trends and make improvements to services based on patient and clinical feedback.
Practical considerations in enabling new models of care, pop up uni, 10am, 3 ...NHS England
Expo is the most significant annual health and social care event in the calendar, uniting more NHS and care leaders, commissioners, clinicians, voluntary sector partners, innovators and media than any other health and care event.
Expo 15 returned to Manchester and was hosted once again by NHS England. Around 5000 people a day from health and care, the voluntary sector, local government, and industry joined together at Manchester Central Convention Centre for two packed days of speakers, workshops, exhibitions and professional development.
This year, Expo was more relevant and engaging than ever before, happening within the first 100 days of the new Government, and almost 12 months after the publication of the NHS Five Year Forward View. It was also a great opportunity to check on and learn from the progress of Greater Manchester as the area prepares to take over a £6 billion devolved health and social care budget, pledging to integrate hospital, community, primary and social care and vastly improve health and well-being.
More information is available online: www.expo.nhs.uk
Integration of Policy, Practice and Partnership with Julie Wood, MDsfary
From the the first Annual National Conference on Tobacco and Behavioral Health, which occurred May 19-20, 2014 in Bethesda, MD and was hosted by the Central East Addiction Technology Transfer Center, a program of The Danya Institute. You can see videos from the conference on our website www.ceattc.org (go to “Tobacco and Behavioral Health Resources” under “Special Topics”).
Panel will focus on the necessary partnerships to integrate tobacco prevention and tobacco cessation in community and health systems. Three perspectives will be shared: Public Health, Primary Care, and Behavioral Health.
Julie Wood, MD, is the Vice President for Health of the Public and Interprofessional Activities, American Academy of Family Physicians
The CMS Innovation Center held the third in a series of webinars for potential applicants interested in applying to Health Care Innovation Awards Round Two. The webinar held on Tuesday, June 18, 2013 from 1:30–3:00pm EDT, focused on the remaining two of the four innovation categories.
- - -
CMS Innovations
http://innovations.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
Similar to Hospital Partnerships Presentation (Sharon Sanders).ppt (20)
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
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
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
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Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
2. Objectives
• Strategies employed to more effectively
serve people outside of the hospital and
ED.
• Approaches to more effectively bring
together treatment providers, community
groups and others to provide care to
diverse populations with complex needs.
• Where a model like the HEZs might fit.
4. 4
Turning the Ship
Physician-
managed
health rather
than health
plan
managed
care
• New models of care delivery
and coordination
• Payment aligned with goals
• New tools for clinical
alignment
• Better PHM capabilities
• Experience in performance
management/ data reporting
• Experience in population risk
adjustment/ risk mitigation
• Increased awareness of
prevention and wellness
value
• Educated, empowered
patients
Creating need for new skill sets,
policy, tools, and competencies
Drivers:
• Health
care cost
crisis
• Health
reform
• Improved
HIT
• Greater
stake-
holder
align-
ment
5. • Adding community care coordination in primary care clinics and
physician offices
• Using home monitoring technology linked through Home Care & Care
Coordination
• Expanding SNF Care Transition Coordinator – Hospitalist consult
• Creating dedicated Palliative Care programs
• Accountable Care Organizations and Physician Hospital Organizations
• Forming a Clinically Integrative Network with our physicians and other
partners
• Expanding the “Care Connect” Navigation Program to include
medication management & focus on high-risk patients
• Patient Centered Medical Homes
Creating Value and serving
people
6. “To create and sustain a community
of wellness in Carroll County”
At Carroll Hospital,
we offer an uncompromising commitment
to the highest quality health care experience
for people in all stages of life.
We are the heart of health care
in our communities.
“Striving to build the capacity of individuals
and organizations to improve the health and
quality of life in Carroll County, Maryland”
“A Health Care Home
for uninsured, low-
income people”
6
7. • Private, nonprofit – 501(c)(3)
• Private and Public Health Partnership
• Integrated medical, dental, and behavioral
health care
• Community-based
• Volunteer driven
• Located in heart of county
• Addressing local health access needs
• 10 Years Old! 2005-2015
7
Access Carroll
8. Access Carroll Mission
To champion health and
provide quality, integrated
health care services for low-
income residents of Carroll
County, Maryland.
9. INTEGRATED CARE
• Patient (Person) Centered, Integrated Care Model
• Utilizes exemplary components of public and private
health with shared resources
• Patients receive team care that coordinates with
other service providers
• Integration with CCHD Bureau of Prevention,
Wellness, and Recovery since 2009
• Staff implantation to co-location with new facility –
Phase II to open soon!
• Four Service Lines at one location
– Medical
– Dental
– Behavioral Health
– Substance Abuse Services
9
10. • 9 Board Members representing community
• Strategic Partners – Ex-Officio Seats
– Carroll Hospital Center
– Carroll County Health Department
– Partnership for a Healthier Carroll County
• Business Community
• Medical Community
• Faith Community
• Legal
• Schools
Strategic Partners
11. Need and Access
• 6,700 uninsured (March 2016)
• 10,000 below federal poverty level (Oct 2015)
• > 25,000 estimated low-income (200% FPL)
• High case management needs – social health
• High Dental Need
• High Substance Abuse/Behavioral Health
Demands
• Access Carroll is the only full-time safety-net
provider targeting the at-risk population
12. DEMOGRAPHICS
Carroll County 2013-14 Access Carroll 2014
Non-Hispanic
White 93.1% 87%
Black 3.5% 7%
Asian 1.6% 2.7%
American Indian 0.2% < 1%
Other/Mixed 1.8% 2.3%
Hispanic 2.9% 21%
Median Age 46 years 43 years
Elderly 14.8% 7%
Children under 18 22.9% 7%
Females 50.6% 51.6%
12
13. • Primary Health Care – Acute and Chronic
• Behavioral Health Assessment and Treatment
• Withdrawal Management – Detoxification
• Medication Assisted Treatment – Vivitrol and Suboxone
• Overdose Response Education - Naloxone
• Family Dental Care
• Medication Assistance – Medical Supplies
• Laboratory Testing
• Radiology Services
• Referrals to Specialists
• Medical Case Management – Care Navigation
• Peer Assisted Support
• Public Assistance Application Support
• Patient Education
• Community Resource Information
Integrated Services
14. Access Carroll and CCHD Bureau of Prevention,Wellness & Recovery
Utilize Best Practices of public/private
health – Whole Person Approach
Shared Resources – Staff, Supplies,
Overhead, Administration
Improved access for BH/SA Patients – 7 days
access to care post discharge, release, etc.
Improved Leveraging of Funding
Advanced Substance Abuse Services
Integration & Support
Shared Health Record and Consent for
Care– Improved Communication
Reduction in Disease Exacerbations –
Improved Outcomes
Comprehensive Services Access – Reduce
Confusion of Referrals from Community
Reduction in Recidivism & Program
Disruption
No Wrong Door – Integrated Team can
address multi-discipline service needs
Access to Patient-Centered Team with
Wrap-Around Services
Patients more likely to keep appointments
Sustainability of Community Safety-Net
Provider Entity
Medical Home Environment reduces patient
anxiety and reduces stigmas from BH and SA
Benefits of Integrated Care
43
15. • Historically, high Emergency Department utilization - need
a medical home
• Initially present as “very sick” without preventive or
maintenance health plan – highly complex needs
• Uninsured = 69% - no benefits or insurance on first visit
(2014)
• Working poor = 24% (2014) – limited health benefits
• More than 75% chronically ill
• Average patient on 5 or more chronic medications
• Require extensive and comprehensive case
management/care coordination
Access Carroll Patients…
15
16. 16
Care Coordination
Specialty Care – coordinated referral process
High-End Diagnostics
SSI/SSDI Applications
Public Assistance Applications
Case Management
Direct ED Referrals
SOAR
ED Diversion
Criminal Justice Diversion
Social Determinants of Health
Average 160 monthly
open cases
