How To Write a Health Business Case
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This document outlines a 10 step process for developing and implementing a new service enhancement or initiative within a hospital department. It begins with identifying an area of critical service deficiency, consulting widely within the department and other services, establishing the history and need for the proposed change, formulating options, costing the proposal, identifying potential funding sources, lobbying support among managers and staff, maintaining advocacy over time, recruiting the right personnel, and showcasing the benefits once implemented. Examples are provided for initiatives proposed or implemented in a pediatric department. The overall message is to take a strategic "bird's eye view" approach and network broadly rather than working in isolation when seeking to drive service improvements.
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How To Write a Health Business Case
This document outlines a 10 step process for developing and implementing a new service enhancement or initiative within a hospital department. It begins with identifying an area of critical service deficiency, consulting widely within the department and other partner services, researching the history of the problem, formulating proposed solutions, costing the options, seeking funding, lobbying administrators and managers, persisting through implementation, recruiting suitable staff, and finally showcasing the benefits once successful. Examples are provided for many of the steps. The overall process emphasizes taking a strategic "bird's eye view," innovating to address problems, networking across services, and persistence to see initiatives through to completion.
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J. Summer Armstrong has over 15 years of experience in healthcare administration and surgical technology. She currently serves as the Practice Administrator for Northern Texas Facial & Oral Surgery, where she oversees operations, finances, marketing, and compliance. Previously, Armstrong held roles such as Program Director and Clinical Coordinator for surgical technology programs, and Clinical Manager for East Tennessee Pediatric Surgery Group, where she managed a team of 27 employees. She holds a Master's degree in Organizational Leadership and a Bachelor's degree in Organizational Management.
CV A PAWELEK 2017 (3)
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This document provides examples of practices improving efficiency in operating care pathways through better patient communication, optimizing the dental team's skill mix, maximizing opportunities to provide care, and effective leadership. Some strategies discussed include using various technologies to communicate with patients, training extended duty dental nurses to collect patient information, leveraging different staff like hygienists and therapists to provide certain appointments, and monitoring management reports to understand contract performance and patient needs. The document emphasizes that practices should assess what works best for their own patients and circumstances.
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Dental practice management involves the orderly administration of all facilities, services, and resources needed for an efficient and productive dental practice. It includes the systematic organization, administration, and operation of both the financial and professional aspects of a dental practice according to accepted business principles and ethical standards. The goal of dental practice management is to help dentists fulfill their roles as professionals and serve their communities by teaching them skills like analyzing their needs, recognizing the benefits of assistance, and establishing efficient office procedures.
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How To Write a Health Business Case
This document outlines a 10 step process for developing and implementing a new service enhancement or initiative within a hospital department. It begins with identifying an area of critical service deficiency, consulting widely within the department and other partner services, researching the history of the problem, formulating proposed solutions, costing the options, seeking funding, lobbying administrators and managers, persisting through implementation, recruiting suitable staff, and finally showcasing the benefits once successful. Examples are provided for many of the steps. The overall process emphasizes taking a strategic "bird's eye view," innovating to address problems, networking across services, and persistence to see initiatives through to completion.
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J. Summer Armstrong has over 15 years of experience in healthcare administration and surgical technology. She currently serves as the Practice Administrator for Northern Texas Facial & Oral Surgery, where she oversees operations, finances, marketing, and compliance. Previously, Armstrong held roles such as Program Director and Clinical Coordinator for surgical technology programs, and Clinical Manager for East Tennessee Pediatric Surgery Group, where she managed a team of 27 employees. She holds a Master's degree in Organizational Leadership and a Bachelor's degree in Organizational Management.
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1) Peter discusses implementing CSI in a large organization with 300,000 users, 150,000 terminals, and 2,000 locations to change the focus from delivery to service.
2) He outlines the 7-step CSI process that is at the heart of everything they do, and how they aligned CSI with the overall business strategy.
3) Metrics reporting through dashboards on the health of the service is discussed, as well as embedding a CSI culture through training, clear roles and responsibilities, and demonstrating business value from initiatives.
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• Ensure alignment with HRSA Health Center Program Requirements.
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一比一原版布里斯托大学毕业证(Bristol毕业证书)学历如何办理
补办文凭【微信号:176555708】【(Bristol毕业证书)】【微信号:176555708】《成绩单、外壳、offer、真实留信官方学历认证（永久存档/真实可查）》采用学校原版纸张、特殊工艺完全按照原版一比一制作（包括：隐形水印，阴影底纹，钢印LOGO烫金烫银，LOGO烫金烫银复合重叠，文字图案浮雕，激光镭射，紫外荧光，温感，复印防伪）行业标杆！精益求精，诚心合作，真诚制作！多年品质 ,按需精细制作，24小时接单,全套进口原装设备，十五年致力于帮助留学生解决难题，业务范围有加拿大、英国、澳洲、韩国、美国、新加坡，新西兰等学历材料，包您满意。
【我们承诺采用的是学校原版纸张（纸质、底色、纹路）我们拥有全套进口原装设备，特殊工艺都是采用不同机器制作，仿真度基本可以达到100%，所有工艺效果都可提前给客户展示，不满意可以根据客户要求进行调整，直到满意为止！】
【业务选择办理准则】
一、工作未确定，回国需先给父母、亲戚朋友看下文凭的情况，办理一份就读学校的毕业证【微信号:176555708】文凭即可
二、回国进私企、外企、自己做生意的情况，这些单位是不查询毕业证真伪的，而且国内没有渠道去查询国外文凭的真假，也不需要提供真实教育部认证。鉴于此，办理一份毕业证【微信号:176555708】即可
三、进国企，银行，事业单位，考公务员等等，这些单位是必需要提供真实教育部认证的，办理教育部认证所需资料众多且烦琐，所有材料您都必须提供原件，我们凭借丰富的经验，快捷的绿色通道帮您快速整合材料，让您少走弯路。
留信网认证的作用:
1:该专业认证可证明留学生真实身份
2:同时对留学生所学专业登记给予评定
3:国家专业人才认证中心颁发入库证书
4:这个认证书并且可以归档倒地方
5:凡事获得留信网入网的信息将会逐步更新到个人身份内，将在公安局网内查询个人身份证信息后，同步读取人才网入库信息
6:个人职称评审加20分
7:个人信誉贷款加10分
8:在国家人才网主办的国家网络招聘大会中纳入资料，供国家高端企业选择人才
留信网服务项目：
1、留学生专业人才库服务（留信分析）
2、国（境）学习人员提供就业推荐信服务
3、留学人员区块链存储服务
【关于价格问题（保证一手价格）】
我们所定的价格是非常合理的，而且我们现在做得单子大多数都是代理和回头客户介绍的所以一般现在有新的单子 我给客户的都是第一手的代理价格，因为我想坦诚对待大家 不想跟大家在价格方面浪费时间
对于老客户或者被老客户介绍过来的朋友，我们都会适当给一些优惠。
选择实体注册公司办理，更放心，更安全！我们的承诺：客户在留信官方认证查询网站查询到认证通过结果后付款，不成功不收费！
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• Ensure alignment with HRSA Health Center Program Requirements.
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Using Performance Data: Communicating Your Impact
The use of performance data with innovative marketing and fundraising techniques has driven success in the NFP sector.
See how a variety of organisations have mastered the collection, management and use of program performance data to successfully communicate their community impact.
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This document provides an agenda and materials for a Lean Midlands Forum meeting on June 21, 2011. The meeting aims to share lean solutions in the NHS, discuss strengths and weaknesses of lean in the current NHS climate, and network with colleagues. The agenda includes presentations on lean transformations at Bedford Hospital and driving change through understanding patient value. It also includes a discussion on the effects of culture on global lean knowledge. The document provides materials from several presentations, including results from lean projects in radiology, cancer services, and urology at Bedford Hospital, and a discussion of challenges in continuing lean work.
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The Ultimate Guide in Setting Up Market Research System in Health-Tech
How to effectively start market research in the health tech industry by defining objectives, crafting problem statements, selecting methods, identifying data collection sources, and setting clear timelines. This guide covers all the preliminary steps needed to lay a strong foundation for your research.
"Market Research it too text-booky, I am in the market for a decade, I am living research book" this is what the founder I met on the event claimed, few of my colleagues rolled their eyes. Its true that one cannot over look the real life experience, but one cannot out beat structured gold mine of market research.
Many 0 to 1 startup founders often overlook market research, but this critical step can make or break a venture, especially in health tech.
But Why do they skip it?
Limited resources—time, money, and manpower—are common culprits.
"In fact, a survey by CB Insights found that 42% of startups fail due to no market need, which is like building a spaceship to Mars only to realise you forgot the fuel."
Sudharsan Srinivasan
Operational Partner Pitchworks VC Studio
Overconfidence in their product’s success leads founders to assume it will naturally find its market, especially in health tech where patient needs, entire system issues and regulatory requirements are as complex as trying to perform brain surgery with a butter knife. Additionally, the pressure to launch quickly and the belief in their own intuition further contribute to this oversight. Yet, thorough market research in health tech could be the key to transforming a startup's vision into a life-saving reality, instead of a medical mishap waiting to happen.
Example of Market Research working
Innovaccer, founded by Abhinav Shashank in 2014, focuses on improving healthcare delivery through data-driven insights and interoperability solutions. Before launching their platform, Innovaccer conducted extensive market research to understand the challenges faced by healthcare organizations and the potential for innovation in healthcare IT.
Identifying Pain Points: Innovaccer surveyed healthcare providers to understand their difficulties with data integration, care coordination, and patient engagement. They found widespread frustration with siloed systems and inefficient workflows.
Competitive Analysis: Analyzed competitors offering similar solutions in healthcare analytics and interoperability. Identified gaps in comprehensive data aggregation, real-time analytics, and actionable insights.
Regulatory Compliance: Ensured their platform complied with HIPAA and other healthcare data privacy regulations. This compliance was crucial to gaining trust from healthcare providers wary of data security issues.
Customer Validation: Conducted pilot programs with several healthcare organizations to validate the platform's effectiveness in improving care outcomes and operational efficiency. Gathered feedback to refine features and user interface.
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Title: Unlocking the Wonders of the Special Senses: Sight, Sound, Smell, Taste, and Balance
Introduction:
Welcome to our captivating SlideShare presentation on the Special Senses, where we delve into the extraordinary capabilities that allow us to perceive and interact with the world around us. Join us on a sensory journey as we explore the intricate structures and functions of sight, sound, smell, taste, and balance.
The special senses are our primary means of experiencing and interpreting the environment, each sense providing unique and vital information that shapes our perceptions and responses. These senses are facilitated by highly specialized organs and complex neural pathways, enabling us to see a vibrant sunset, hear a symphony, savor a delicious meal, detect a fragrant flower, and maintain our equilibrium.
In this presentation, we will:
Visual System (Sight): Dive into the anatomy and physiology of the eye, exploring how light is converted into electrical signals and processed by the brain to create the images we see. Understand common vision disorders and the mechanisms behind corrective measures like glasses and contact lenses.
Auditory System (Hearing): Examine the structures of the ear and the process of sound wave transduction, from the outer ear to the cochlea and auditory nerve. Learn about hearing loss, auditory processing, and the advances in hearing aid technology.
Olfactory System (Smell): Discover the olfactory receptors and pathways that enable the detection of thousands of different odors. Explore the connection between smell and memory and the impact of olfactory disorders on quality of life.
Gustatory System (Taste): Uncover the taste buds and the five basic tastes – sweet, salty, sour, bitter, and umami. Delve into the interplay between taste and smell and the factors influencing our food preferences and eating habits.
Vestibular System (Balance): Investigate the inner ear structures responsible for balance and spatial orientation. Understand how the vestibular system helps maintain posture and coordination, and explore common vestibular disorders and their effects.
Through engaging visuals, interactive diagrams, and insightful explanations, we aim to illuminate the complexities of the special senses and their profound impact on our daily lives. Whether you're a student, educator, or simply curious about how we perceive the world, this presentation will provide valuable insights into the remarkable capabilities of the human sensory system.
Join us as we unlock the wonders of the special senses and gain a deeper appreciation for the intricate mechanisms that allow us to experience the richness of our environment.
PRESSURE INJURY CARE AND MANAGEMENT FOR HCW
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Electrocardiogram_20240614_173859_0000.pdf
Basics of Electrocardiogram
CONTENTS
●Conduction System of the Heart
●What is ECG or EKG?
●ECG Leads
●Normal waves of ECG.
●Dimensions of ECG.
● Abnormalities of ECG
CONDUCTION SYSTEM OF THE HEART
ECG:
●ECG is a graphic record of the electrical activity of the heart.
●Electrical activity precedes the mechanical activity of the heart.
●Electrical activity has two phases:
Depolarization- contraction of muscle
Repolarization- relaxation of muscle
ECG Leads:
●6 Chest leads
●6 Limb leads
1. Bipolar Limb Leads:
Lead 1- Between right arm(-ve) and left arm(+ve)
Lead 2- Between right arm(-ve) and left leg(+ve)
Lead 3- Between left arm(-ve)
and left leg(+ve)
2. Augmented unipolar Limb Leads:
AvR- Right arm
AvL- Left arm
AvF- Left leg
3.Chest Leads:
V1 : Over 4th intercostal
space near right sternal margin
V2: Over 4th intercostal space near left sternal margin
V3:In between V2 and V4
V4:Over left 5th intercostal space on the mid
clavicular line
V5:Over left 5th intercostal space on the anterior
axillary line
V6:Over left 5th intercostal space on the mid
axillary line.
Normal ECG:
Waves of ECG:
P Wave
•P Wave is a positive wave and the first wave in ECG.
•It is also called as atrial complex.
Cause: Atrial depolarisation
Duration: 0.1 sec
QRS Complex:
•QRS’ complex is also called the initial ventricular complex.
•‘Q’ wave is a small negative wave. It is continued as the tall ‘R’ wave, which is a positive wave.
‘R’ wave is followed by a small negative wave, the ‘S’ wave.
Cause:Ventricular depolarization and atrial repolarization
Duration: 0.08- 0.10 sec
T Wave:
•‘T’ wave is the final ventricular complex and is a positive wave.
Cause:Ventricular repolarization Duration: 0.2 sec
Intervals and Segments of ECG:
P-R Interval:
•‘P-R’ interval is the interval
between the onset of ‘P’wave and onset of ‘Q’ wave.
•‘P-R’ interval cause atrial depolarization and conduction of impulses through AV node.
Duration:0.18 (0.12 to 0.2) sec
Q-T Interval:
•‘Q-T’ interval is the interval between the onset of ‘Q’
wave and the end of ‘T’ wave.
•‘Q-T’ interval indicates the ventricular depolarization
and ventricular repolarization,
i.e. it signifies the
electrical activity in ventricles.
Duration:0.4-0.42sec
S-T Segment:
•‘S-T’ segment is the time interval between the end of ‘S’ wave and the onset of ‘T’ wave.
Duration: 0.08 sec
R-R Interval:
•‘R-R’ interval is the time interval between two consecutive ‘R’ waves.
•It signifies the duration of one cardiac cycle.
Duration: 0.8 sec
Dimension of ECG:
How to find heart rhytm of the heart?
Regular rhytm:
Irregular rhytm:
More than or less than 4
How to find heart rate using ECG?
If heart Rhytm is Regular :
Heart rate =
300/No.of large b/w 2 QRS complex
= 300/4
=75 beats/mins
How to find heart rate using ECG?
If heart Rhytm is irregular:
Heart rate = 10×No.of QRS complex in 6 sec 5large box = 1sec
5×6=30
10×7 = 70 Beats/min
Abnormalities of ECG:
Cardiac Arrythmias:
1.Tachycardia
Heart Rate more than 100 beats/min
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- 1. HOW ANY ONE CAN … DESIGN AND BUILD A BUSINESS CASE + THEN DEVELOP IT AS A SERVICE ENHANCEMENT Irrespective of whether the outcome is success or failure
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- 3. LESSONS LEARNED • Observing problems + powerless to change • Are we all on the same journey? • Getting the ‘birds eye’ view • Identify how you can take action = 10 step path to Business Case Enlightenment
- 4. EXISTING SERVICE ENHANCEMENT? Examples: • Admin staff positions [7yr] • Paediatric Diabetes Spec [4yr] • 4 extra SCN beds [3yr] • Converting VMO to staff specialist position [1yr] • PICS [2yr?] Examples: • MRI under GA service [2yr] • NEAT AT-registrar [1yr] • Paediatric Neurologist [4yr] • Nurse Practitioner [2yr?] • MD Paed skills centre [2yr?] • Video-based teaching [5yr] NEW SERVICE? STEP 1: IDENTIFY … AREA OF CRITICAL SERVICE DEFICIENCY
- 5. STEP 2: CONSULT …. WIDELY • Consult senior staff in department • Canvass support from partner departments ...ED / O&G / allied health • Networked services [eg: MP4 / SCHN / Perinatal services] • DOH / NSWK&F
- 6. STEP 3: TRACKING … HISTORY OF THE PROBLEM / NEED • How did this predicament develop? • Strategies previously tried/ exhausted • Services currently denied? • Near-misses / IIMS / M+M references?Example: MRI under GA service, 3 hrs/month
- 7. STEP 4: FORMULATE … THE PROPOSED OPTIONS • What is the solution proposed? • ‘Definitive’ Vs ‘Interim’ or • “phase 1 - nucleus” Vs “phase 2 - extras” proposal • Write in bulleted points, ranked in order of importance • ‘Less is more’ – try to summarise the essence of the proposal Example: Paediatric Integrated Care Service
- 8. STEP 5: COSTING … INCLUDING ALL DETAILS • Partner with a business manager • Complete the financial template • Include ‘on-costs’ – superannuation / AL / office • Revenue costs Vs revenue raised / cost savings.. - clinic billings: Medicare item nos. x activity Example: Paediatric Neurologist position 0.1FTE
- 9. STEP 6: FUNDING.. • Activity based funding • Revenue enhancement • Revenue offset • Statewide networks • Innovation funding • Building a record for ‘financial responsibility’ Example: 4 extra SCN beds
- 10. STEP 7: LOBBYING … • Selling the idea to the divisional / managerial / finance staff • Explain efficiencies made, exhausted existing resource options • Trade-offs prepared to be made to fund additional service • Promote any innovations in models of care • Consider title / acronym which will promote the service • Align it to LHD sponsored trends [‘HITH’ / ‘ICS’ / ‘ED bypass’] Example: Nurse Practitioner
- 11. STEP 8: STAYING THE DISTANCE… • Promoting need for the service at council-level meetings • Offering to be the subject of a departmental review • Highlight ongoing vulnerabilities for the service • Reference any complaints / concerns from other hospital services • Failing to meet statutory obligations or capabilities? Example: Paediatric Diabetes service 0.2FTE
- 12. STEP 9: RECRUITING … APPOINTEES MAY SELL / KILL SERVICE • Job description needs to be ‘punchy’ on essential criteria • Interview Qs need to be ‘discriminating’ for applicants • Consider appointing a 12 mth. Locum [‘try before you buy’] • Reference checks [flexible? promote a positive working space? willing to do extra? task-completion? high- maintenance? ability to work in stressful situations? without supervision? personality disordered? bring out the best in others?] Example: Administrative officer positions
- 13. STEP 10: SHOWCASING … BENEFITS, ONCE SUCCESSFUL • Promote results achieved • Celebrate milestones • Publicise dept. + hospital • Presentations at council mtgs. and hospital grand rounds • MP4 meetings + posters at conferences Example: NEAT – Advanced trainee registrar
- 14. SUMMARY • ‘Drone view’ not ‘street view’ • Network not craftwork • Innovate don’t stagnate • Persistence for the distance