According to noted healthcare consultant Steven Lash the proposed questions seek information on how the proposed APM would improve quality and lower costs, along with some technical details of its operation.
The Center for Medicare and Medicaid Innovation hosted a webinar on Thursday, October 8, 2015. The webinar provided an opportunity to learn more about efforts to solicit public comment on a variety of alternative payment pathways to increase value over volume.
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This SlideShare covers the utilization of telehealth products and services by healthcare organizations, as well as the reasons driving their adoption. This session will focus on reasons to adopt telehealth as a service line, the types of technologies widely deployed, and the financial implications associated with offering care in a virtual setting.
Learning objectives:
• Review the current landscape of telehealth
• Assess the approach to using technology to provide care in a virtual setting
• Recognize the financial impacts and reasoning associated with telehealth services
The CMS Innovation Center hosted a Beneficiary Engagement and Incentives: Shared Decision Making (SDM) Model webinar regarding the model overview and Letter of Intent (LOI) process on Tuesday, January 10, 2017 from 2:00 - 3:00 p.m. EST. At this event, attendees learned more about the SDM model, eligibility criteria, and LOI requirements.
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ACO and Payer Partnership- Surviving Health Care ReformAllen Spath
Health care reform initiatives offered through an ACO entity creates opportunities for both providers and payers to deliver affordable and high quality care for consumers. Each partner comes to the table with valuable resources to achieve common goals and outcomes.
Leveraging emerging standards for patient engagement pchamHealth2015
Patients are playing an increasingly important role in creating relevant healthcare data about themselves using mobile devices and applications. It is important this data can move with them securely throughout a healthcare ecosystem. The increased use of medical devices and mobile applications opens the dialogue around open source and non-proprietary standards with complementing policies.
The CMS Innovation Center held a Comprehensive Care for Joint Replacement Model webinar on proposed rule changes to the model on September 7, 2016.
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CMS Innovation Center
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The Center for Medicare and Medicaid Innovation hosted a webinar on Thursday, October 8, 2015. The webinar provided an opportunity to learn more about efforts to solicit public comment on a variety of alternative payment pathways to increase value over volume.
- - -
CMS Innovation Center
http://innovation.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 SlideShare covers the utilization of telehealth products and services by healthcare organizations, as well as the reasons driving their adoption. This session will focus on reasons to adopt telehealth as a service line, the types of technologies widely deployed, and the financial implications associated with offering care in a virtual setting.
Learning objectives:
• Review the current landscape of telehealth
• Assess the approach to using technology to provide care in a virtual setting
• Recognize the financial impacts and reasoning associated with telehealth services
The CMS Innovation Center hosted a Beneficiary Engagement and Incentives: Shared Decision Making (SDM) Model webinar regarding the model overview and Letter of Intent (LOI) process on Tuesday, January 10, 2017 from 2:00 - 3:00 p.m. EST. At this event, attendees learned more about the SDM model, eligibility criteria, and LOI requirements.
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CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
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CMS Privacy Policy
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ACO and Payer Partnership- Surviving Health Care ReformAllen Spath
Health care reform initiatives offered through an ACO entity creates opportunities for both providers and payers to deliver affordable and high quality care for consumers. Each partner comes to the table with valuable resources to achieve common goals and outcomes.
Leveraging emerging standards for patient engagement pchamHealth2015
Patients are playing an increasingly important role in creating relevant healthcare data about themselves using mobile devices and applications. It is important this data can move with them securely throughout a healthcare ecosystem. The increased use of medical devices and mobile applications opens the dialogue around open source and non-proprietary standards with complementing policies.
The CMS Innovation Center held a Comprehensive Care for Joint Replacement Model webinar on proposed rule changes to the model on September 7, 2016.
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CMS Innovation Center
http://innovation.cms.gov
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In this Thursday, July 12, 2012 webinar, presentations focused on learning more about program requirements, preferences, and other keys to success from CMS Innovation Center staff and communities currently participating in the CCTP program. The final CCTP review panel for 2012 convened on September 20, 2012. Applications must have been received by September 3rd to be considered for this review. Future panels may be announced as funding permits.
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What are the hurdles to overcome in the transition from fee-for-service to value-based reimbursement? Is Value Based Care here to stay? Learn more from this slide-share on the differences between Value Based Care and Fee For Service.
Cost-Quality Aim Analyzer for Ambulatory Carepscisolutions
The PSCI Cost-Quality (Triple Aim) Analyzer for Ambulatory Care module brings together three streams of customer data ― financial, clinical quality, and patient experience. The Cost-Quality Analyzer module analyzes cost in context of quality and patient experience. Optionally, a fourth stream ― State-of-Health (SOH) risk scores ― can be added through the Population SOH Analyzer module.
Provider profiling creates a 3600 profile of a Provider, which details valuable performance information about their practice like care-gaps, cost of care and average quality outcomes (based on member claim history). It also benchmarks providers against their peers to provide an overall rank and rating group (1-3 stars). This document attempts to describe approach towards provider profiling.
What are the four conceptual templates for value based care? Is the compensation really worth it? We give you the answers here in this insightful slide-share.
Karen Bell, MD, MMS
Director, Center for Sustainable Health and Care
JBS International, Inc.
Former Chair
Certification Commission for Health Information Technology
Member Engagement Using Sentiment Analysis for Health PlansCitiusTech
Sentiment analysis (or opinion mining) is a natural language processing technique used to determine whether data is positive, negative or neutral. Sentiment analysis for health plans deals with member opinions to improve healthcare services and patient experience.
Paying health care providers: Getting the incentives right - Divya Srivastava...OECD Governance
This presentation was made by Divya Srivastava, OECD, at the 4th meeting of the Joint DELSA/GOV-SBO Network on Fiscal Sustainability of Health Systems, held in Paris on 16-17 February 2015.
In follow-up to the March 10, 2015 announcement of the Next Generation Accountable Care Organization (ACO) Model of payment and care delivery, the Center for Medicare and Medicaid Innovation (CMS Innovation Center) hosted the fourth in a series of open door forums on Tuesday, April 7, 2015. This open door forum focused on benefit enhancements and beneficiary care coordination reward.
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http://innovation.cms.gov
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The Maternal Opioid Misuse (MOM) Model team presented a notice of funding opportunity and application review webinar on Thursday, February 21 from 2:00 p.m. to 3:15 p.m. EST.
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The Medicare Advantage Value-Based Insurance Design Model and Part D Payment Modernization Model teams provided a deep dive webinar of the two models on Thursday, February 28 from 3:00 p.m. to 4:00 p.m. EST.
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Staff from the CMS Innovation Center hosted an overview webinar of the Health Care Innovation Awards Round Two to give interested potential applicants the opportunity to hear more about the Funding Opportunity Announcement. CMS Innovation Center staff were also available to answer questions. Advance registration was required.
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CMS Innovations
http://innovations.cms.gov
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In this Thursday, July 12, 2012 webinar, presentations focused on learning more about program requirements, preferences, and other keys to success from CMS Innovation Center staff and communities currently participating in the CCTP program. The final CCTP review panel for 2012 convened on September 20, 2012. Applications must have been received by September 3rd to be considered for this review. Future panels may be announced as funding permits.
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CMS Innovation Center
http://innovation.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
What are the hurdles to overcome in the transition from fee-for-service to value-based reimbursement? Is Value Based Care here to stay? Learn more from this slide-share on the differences between Value Based Care and Fee For Service.
Cost-Quality Aim Analyzer for Ambulatory Carepscisolutions
The PSCI Cost-Quality (Triple Aim) Analyzer for Ambulatory Care module brings together three streams of customer data ― financial, clinical quality, and patient experience. The Cost-Quality Analyzer module analyzes cost in context of quality and patient experience. Optionally, a fourth stream ― State-of-Health (SOH) risk scores ― can be added through the Population SOH Analyzer module.
Provider profiling creates a 3600 profile of a Provider, which details valuable performance information about their practice like care-gaps, cost of care and average quality outcomes (based on member claim history). It also benchmarks providers against their peers to provide an overall rank and rating group (1-3 stars). This document attempts to describe approach towards provider profiling.
What are the four conceptual templates for value based care? Is the compensation really worth it? We give you the answers here in this insightful slide-share.
Karen Bell, MD, MMS
Director, Center for Sustainable Health and Care
JBS International, Inc.
Former Chair
Certification Commission for Health Information Technology
Member Engagement Using Sentiment Analysis for Health PlansCitiusTech
Sentiment analysis (or opinion mining) is a natural language processing technique used to determine whether data is positive, negative or neutral. Sentiment analysis for health plans deals with member opinions to improve healthcare services and patient experience.
Paying health care providers: Getting the incentives right - Divya Srivastava...OECD Governance
This presentation was made by Divya Srivastava, OECD, at the 4th meeting of the Joint DELSA/GOV-SBO Network on Fiscal Sustainability of Health Systems, held in Paris on 16-17 February 2015.
In follow-up to the March 10, 2015 announcement of the Next Generation Accountable Care Organization (ACO) Model of payment and care delivery, the Center for Medicare and Medicaid Innovation (CMS Innovation Center) hosted the fourth in a series of open door forums on Tuesday, April 7, 2015. This open door forum focused on benefit enhancements and beneficiary care coordination reward.
- - -
CMS Innovation Center
http://innovation.cms.gov
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http://newmedia.hhs.gov/standards/comment_policy.html
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http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The Maternal Opioid Misuse (MOM) Model team presented a notice of funding opportunity and application review webinar on Thursday, February 21 from 2:00 p.m. to 3:15 p.m. EST.
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CMS Innovation Center
http://innovation.cms.gov
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The Medicare Advantage Value-Based Insurance Design Model and Part D Payment Modernization Model teams provided a deep dive webinar of the two models on Thursday, February 28 from 3:00 p.m. to 4:00 p.m. EST.
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CMS Innovation Center
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Staff from the CMS Innovation Center hosted an overview webinar of the Health Care Innovation Awards Round Two to give interested potential applicants the opportunity to hear more about the Funding Opportunity Announcement. CMS Innovation Center staff were also available to answer questions. Advance registration was required.
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CMS Innovations
http://innovations.cms.gov
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This Medicare-Medicaid ACO Model webinar included information on the structure of the Model, Model details including beneficiary attribution, financial methodology and quality measurement options within the Model, and an explanation of data, learning and evaluation. The state-specific development and application process, including instructions for submitting letters of intent were also discussed. This webinar was open to the general public and targeted towards interested states.
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CMS Innovation Center
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The Medicare Advantage Value-Based Insurance Design Model team presented a webinar discussing the CY2020 application cycle on Friday, January 25 from 4:00 p.m. to 5:00 p.m. EST.
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CMS Innovation Center
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This is an overview of the Health Care Innovation Awards grant program. The slide deck provides key information about how to apply for this funding opportunity.
The CMS Innovation Center hosted a Beneficiary Engagement and Incentives: Direct Decision Support (DDS) Model webinar regarding the model overview and Letter of Intent (LOI) process on Thursday, January 12, 2017 from 2:00 - 3:00 p.m. EST. At this event, attendees learned more about the DDS model, eligibility criteria, and LOI requirements.
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CMS Innovation Center
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The Part D Enhanced Medication Management (MTM) Model team hosted a webinar on Wednesday, October 21, 2015. Attendees received an introduction to the model and related details.
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The Million Hearts: Cardiovascular Disease Risk Reduction Model team hosted an open door forum on Thursday, September 3, 2015. Attendees received an overview of the application as well an opportunity for question and answers about the Model. Joining the team was Paul Meissner, Director of Research Program Development at Montefiore Medical Center, who talked about why the Model is important to his organization.
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Integrating Analytics for Value-Based HealthcareEdgewater
Edgewater Healthcare Consulting presented at the Boston Society for Information Management (SIM) with client Southcoast Health on Integrating Analytics for Value-Based Healthcare
The Part D Payment Modernization Model team presented an overview webinar on Wednesday, February 6, 2019 from 1:00 p.m. to 2:00 p.m. EST. This is a repeat of the webinar held on Thursday, January 31 from 1:00 p.m. to 2:00 p.m. EST.
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The CMS Innovation Center held the sixth in a series of webinars for potential applicants interested in applying to Health Care Innovation Awards Round Two. The webinar held on Thursday, July 11, 2013 from 1:00–2:00pm EDT, focused on developing payment models.
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The webinar introduced the Comprehensive Primary Care initiative to the primary care provider community and covered the service delivery model, including the 5 Comprehensive Primary Care functions, and the milestones participating practices will need to achieve in the first year. The process for applying was also discussed, including information about the application itself.
More at: http://innovations.cms.gov/resources/CPCi-Webinar-for-PCPs.html
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Preparing providers to earn revenue through MACRA.pptxElixirEHR
As a healthcare provider, meeting regulatory goals is one of the most critical parts of your process, especially for MACRA as compliance leads to both positive and negative payment adjustments for all medicare part B claims. So it has become all the more critical for the healthcare clinics or providers to understand the process to stay one step ahead and be on the winning side.
In this webinar, speakers share their insights to ensure you are prepared and fully informed about the MACRA MIPS and APM process.
Some of the things we talked about:
1. What is MACRA? What are the various programs under MACRA to help providers increase revenue?
2. Eligibility and participation process for MIPS and APM program.
3. Steps that healthcare providers need to follow to make most of these compliance requirements and earn upto 9% of positive adjustment.
4. Finally, we talk about the claim submission process for MIPS.
Similar to How to propose a model as an alternative payment model (apm) by steven lash (20)
As we all know the asia cup is playing between six nations,The hot favorite team who can Won world cup is India and 2nd one is Pakistan by Steven lash San Diego.
Steven Lash San Diego Pay Tribute to Sidhu Moose Wala.pptxSteven Lash
One of the finest singer of Punjabi industry has lost his life,while attacked by a group of men in mansa district near moose village.Steven Lash San Diego pay tribute to Sidhu Moose wala for his legendary songs.
How covid19 2nd wave affect india by steven lash san diegoSteven Lash
How Covid19 2nd wave effect through out India by Steven lash San Diego, How people had lost their near and dear one, Go and register yourself for vaccination and get your first jab of corona.
How covid 19 vaccine works by steven lash San DiegoSteven Lash
In this video we have shared some information on Covid19 vaccine, how the vaccination work exactly. There is priority of vaccination for Front line essential workers such as fire fighters, police officers, corrections officers, food and agricultural workers, United States Postal Service workers, manufacturing workers, grocery store workers, public transit workers, and those who work in the educational sector etc.
How covid19 spread across the world by Steven lash san diegoSteven Lash
How Covid19 Spread across the world ,it's spreading due to social distancing is ignored. Lock-down protocol is also ignored by people, Lots of people not wearing masks by Steven lash San Diego.
Corona precautions by steven lash san diegoSteven Lash
Steven lash San Diego recommend you to wear a mask and save your lives as well others.To prevent the spread of virus clean your hands on regular basis and maintain a safe distance
from anyone who is coughing or sneezing.
Covid 19 Precautions: What To Do & What Not to by Steven Lash San DiegoSteven Lash
Steven Lash San Diego explains Covid19 precautions, what we need to do and what we don’t need to do. Each and every step is very important for everyone.
6 Characteristics of a Successful ACO By Steven Lash San DiegoSteven Lash
Steven lash San Diego shows that an Accountable Care Organization (ACO) success can be linked to 6 key characteristics. The high performing ACO reported reduced costs, improved patient satisfaction, and advanced population health. These traits were leadership and culture, prior experience, health IT, care management strategies,organizational and environmental factors, and incentive and payer alignment.
A peak into the future healthcare systems and hospitals by Steven LashSteven Lash
Steven Lash shared PPT on how a Peak Into the Future Healthcare Systems & Hospitals. He shows different-2 health plans for your coming years. Watch and share the info if you think this help for you and others as well.
Regulatory update july 2016 by steven lashSteven Lash
Most awaited Regulatory update of July 2016 by Mr Steven Lash.You can leave your comment and ask as many as questions for any further regulatory update.
Steven lash shared info on physician payment in the post sgr eraSteven Lash
Steven Lash, noted healthcare strategic advisor said “As a result of MACRA, from July 2015 through 2019, physicians will be guaranteed a 0.5% update. From January 2020 through 2025, the law includes a zero percent update; but, some providers will get annual bonuses and others will get annual awards or penalties.”
Steve Lash is the inventor of 5 business method patents. These patents are part of the Satori
Intellectual Property Portfolio. These patents provide Satori with exclusive rights to the only permissible
“shared savings” model in the healthcare industry.
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
Health Education on prevention of hypertensionRadhika kulvi
Hypertension is a chronic condition of concern due to its role in the causation of coronary heart diseases. Hypertension is a worldwide epidemic and important risk factor for coronary artery disease, stroke and renal diseases. Blood pressure is the force exerted by the blood against the walls of the blood vessels and is sufficient to maintain tissue perfusion during activity and rest. Hypertension is sustained elevation of BP. In adults, HTN exists when systolic blood pressure is equal to or greater than 140mmHg or diastolic BP is equal to or greater than 90mmHg. The
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
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R3 Stem Cells and Kidney Repair: A New Horizon in Nephrology" explores groundbreaking advancements in the use of R3 stem cells for kidney disease treatment. This insightful piece delves into the potential of these cells to regenerate damaged kidney tissue, offering new hope for patients and reshaping the future of nephrology.
2. How to propose a model as an Alternative Payment Model
(APM)
• Center for Medicare and Medicaid Services (CMS) has begun to develop
the application which could be made to propose an APM for the Technical
Advisory Committee (TAC) to consider. According to noted healthcare
consultant Steven Lash the proposed questions seek information on how
the proposed APM would improve quality and lower costs, along with
some technical details of its operation.
• Steven Lash has put together a list of criteria and data points which must
be included in any proposal to the TAC.
• Target population, its definition and size
• Ways in which the model would improve quality and efficiency of care
• Whether the model would provide for payment for covered professional
services based on
• quality measures, and if so, whether the measures are comparable to
quality measures under
• the Merit based Incentive Payment System (MIPS) quality performance
category
3. • Quality measures in the model and their prior validation including
– experience of care
– quality of life
– and functional status
• How the model would affect access to care for Medicare and Medicaid
beneficiaries.
• How the model will affect disparities (race, ethnicity, gender, and
disabilities)
• Proposed geographical location(s) of the model.
• Scope of Eligible Participants for the model, including participation by
specialists
• The number of Eligible Participants expected to participate, their support
• Requirements for certified EHR technology.
• An assessment of financial opportunities for model participants including
a business case for
• their participation
• Mechanisms for how the model fits into existing Medicare payment
systems, or replaces them
4. • in part or in whole and would interact with or complement existing
alternative payment models
• Payment mechanisms (such as incentive payments, performance‐based
payments, or shared savings)
• Whether the model would include financial risk for monetary losses for
participants in excess of
• a minimal amount and the type and amount of financial performance risk
assumed by model
• participants.
• Method for attributing beneficiaries to participants.
• Estimated percentage of Medicare spending impacted by the model and
expected amount of
• any new Medicare/Medicaid payments to model participants.
• Mechanism and amount of anticipated savings to Medicare and Medicaid
from the model, and any incentive payments, performance‐based
payments, shared savings, or other payments made from Medicare to
model participants.
• Information about any similar models used by private payers, and how the
current proposal is
• similar to or different from private models and whether and how the
model could include
• additional payers other than Medicare, including Medicaid.
•
5. • Whether the model engages payers other than Medicare, including
Medicaid and/or private
• payers. If not, why not? If so, what proportion of the model’s beneficiaries
is covered by
• Medicare as compared to other payers?
• Potential approaches for CMS to evaluate the proposed model (study
design, comparison
• groups, and key outcome measures).
• Opportunities for potential model expansion if successful.
• According to Steven Lash while the process may seem daunting is totally
achievable and can and will provide significant upside in future financial
viability and stability for a physician practice.