In to care is a Dutch programm of the ministry of Healthcare and Vilans the knowledge institute for longterm care. Hundreds of organizations for long term care participate in the program with goals on improving their performance, workers satisfaction and cliënt satisfaction.
M14, set 1 goran henriks, carlo favaretti - lloyd provostCarlo Favaretti
International Forum on Quality & Safety in Health Care, Barcelona 2007: Minicourse di Goran Henriks, Carlo Favaretti e Lloyd Provost su "Integrating quality and safety thinking into the whole healthcare system
7 deadly sins of customer management webinarDr. Ted Marra
After 40 years somehow senior management still doesn't seem to get it right! Learn in this presentation where they most often go wrong and begin to develop approaches to 'plug the leaks' before the boat sinks!
SITS15: Swarming - A radical new way to deliver serviceJon Stevens-Hall
How BMC replaced the traditional tiered, hierarchical support team structure with Swarming, to deliver faster results, better collaboration, and quicker staff development.
References:
CONSORTIUM FOR SERVICE INNOVATION:
Intelligent Swarming: Considerations for Starting Out
http://www.serviceinnovation.org/included/docs/start_swarming.pdf
(via http://www.serviceinnovation.org/intelligent-swarming/)
CISCO: Digital Swarming -The Next Model for Distributed Collaboration and Decision Making
http://s3.amazonaws.com/connected_republic/attachments/4/Digital_Swarming_EB_0812c_FINAL.pdf
Lessons learned - implementing an Electronic Palliative Care Co-ordination System (EPaCCS)
Electronic Palliative Care Co-ordination Systems (EPaCCS) provide a means of recording and communicating key information about people's wishes and preferences for end of life care. The ultimate aim is to improve co-ordination of care so that end of life care wishes can be met at the point of care, and more people are able to die in the place of their choosing and with their preferred care package.
In to care is a Dutch programm of the ministry of Healthcare and Vilans the knowledge institute for longterm care. Hundreds of organizations for long term care participate in the program with goals on improving their performance, workers satisfaction and cliënt satisfaction.
M14, set 1 goran henriks, carlo favaretti - lloyd provostCarlo Favaretti
International Forum on Quality & Safety in Health Care, Barcelona 2007: Minicourse di Goran Henriks, Carlo Favaretti e Lloyd Provost su "Integrating quality and safety thinking into the whole healthcare system
7 deadly sins of customer management webinarDr. Ted Marra
After 40 years somehow senior management still doesn't seem to get it right! Learn in this presentation where they most often go wrong and begin to develop approaches to 'plug the leaks' before the boat sinks!
SITS15: Swarming - A radical new way to deliver serviceJon Stevens-Hall
How BMC replaced the traditional tiered, hierarchical support team structure with Swarming, to deliver faster results, better collaboration, and quicker staff development.
References:
CONSORTIUM FOR SERVICE INNOVATION:
Intelligent Swarming: Considerations for Starting Out
http://www.serviceinnovation.org/included/docs/start_swarming.pdf
(via http://www.serviceinnovation.org/intelligent-swarming/)
CISCO: Digital Swarming -The Next Model for Distributed Collaboration and Decision Making
http://s3.amazonaws.com/connected_republic/attachments/4/Digital_Swarming_EB_0812c_FINAL.pdf
Lessons learned - implementing an Electronic Palliative Care Co-ordination System (EPaCCS)
Electronic Palliative Care Co-ordination Systems (EPaCCS) provide a means of recording and communicating key information about people's wishes and preferences for end of life care. The ultimate aim is to improve co-ordination of care so that end of life care wishes can be met at the point of care, and more people are able to die in the place of their choosing and with their preferred care package.
Purpose of the Call:
•Recap of aggregated MedRec audit month data that identifies potential opportunities for improvement
•Review quality improvement concepts as it relates to measuring for quality improvement
•Hear how Horizon Health team (NB) is using their data to improve MedRec processes
•Receive a tutorial on how to access your MedRec Quality Score run charts in Patient Safety Metrics.
WATCH: http://bit.ly/1EVcREL
Slide deck from 2008 Symposium "Developing an Expert-System for Health Promotion: An Experimental E-Learning Platform" from the APA-NIOSH International Conference on Work, Stress, and Health
The workplace in the digital age. How a digital workplace can support business goals and help bring a shared sense of purpose to an organization. Facts and figures from the 2015 digital workplace survey.
Achieving behaviour change for patient safety, Judith Dyson, Lecturer, Mental Health - University of Hull
Presentation from the Patient Safety Collaborative launch event held in London on 14 October 2014
More information at http://www.nhsiq.nhs.uk/improvement-programmes/patient-safety/patient-safety-collaboratives.aspx
These are the slides that we used in a Lunch webinar March 5th 2014 on developing and measuring organisational Culture. The whole webinar is recorded and can be viewed at: http://www.youtube.com/watch?v=leLdj0N3lvc
Herding Cats: User Research Techniques for Standardizing an Organic IntranetGianna Pfister-LaPin
ORIGINALLY PRESENTED AT UPA 2011 in Atlanda, GA --- A well-designed intranet can provide tremendous value to a company by reducing employee time and effort spent on generating, integrating, managing and retrieving knowledge. We'll cover user research techniques for developing standards needed to "prune" an organic intranet without robbing it of its unique strengths, and provide suggestions on how to handle external obstacles such as lack of management awareness, access to subject matter experts, and recruiting skilled team members.
Slides from Locality's Diseconomies of Scale webinar on how we could save £16bn a year if we made public service delivery local, targeted and effective.
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.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Purpose of the Call:
•Recap of aggregated MedRec audit month data that identifies potential opportunities for improvement
•Review quality improvement concepts as it relates to measuring for quality improvement
•Hear how Horizon Health team (NB) is using their data to improve MedRec processes
•Receive a tutorial on how to access your MedRec Quality Score run charts in Patient Safety Metrics.
WATCH: http://bit.ly/1EVcREL
Slide deck from 2008 Symposium "Developing an Expert-System for Health Promotion: An Experimental E-Learning Platform" from the APA-NIOSH International Conference on Work, Stress, and Health
The workplace in the digital age. How a digital workplace can support business goals and help bring a shared sense of purpose to an organization. Facts and figures from the 2015 digital workplace survey.
Achieving behaviour change for patient safety, Judith Dyson, Lecturer, Mental Health - University of Hull
Presentation from the Patient Safety Collaborative launch event held in London on 14 October 2014
More information at http://www.nhsiq.nhs.uk/improvement-programmes/patient-safety/patient-safety-collaboratives.aspx
These are the slides that we used in a Lunch webinar March 5th 2014 on developing and measuring organisational Culture. The whole webinar is recorded and can be viewed at: http://www.youtube.com/watch?v=leLdj0N3lvc
Herding Cats: User Research Techniques for Standardizing an Organic IntranetGianna Pfister-LaPin
ORIGINALLY PRESENTED AT UPA 2011 in Atlanda, GA --- A well-designed intranet can provide tremendous value to a company by reducing employee time and effort spent on generating, integrating, managing and retrieving knowledge. We'll cover user research techniques for developing standards needed to "prune" an organic intranet without robbing it of its unique strengths, and provide suggestions on how to handle external obstacles such as lack of management awareness, access to subject matter experts, and recruiting skilled team members.
Slides from Locality's Diseconomies of Scale webinar on how we could save £16bn a year if we made public service delivery local, targeted and effective.
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.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
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
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
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.
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
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
How to Give Better Lectures: Some Tips for Doctors
Up to care! IHI 2011 04-07 Vilans
1. Up to care!
A nationwide programme to ensure
sustainability of long-term care
-
Henk Nies
Utrecht, 7 april 2011
2. Nation-wide implementation programs
from 2004
• Quality collaboratives in LTC (falls,
medication, pressure ulcers etc.) (> 500
organisations)
• National Dementia Program: Regional
networks of dementia services (57 regions)
• Care for Volunteers (95 organisations)
• Implementation Disease Management (22
pilots)
• Up to care!
3. Quality collaboratives and
participating teams
Emp o w e r me nt ( 3 ) 69
W a s hi ng c a r e (3 ) 36
Plus i mp r o v e me nt p r o g r a m ( 2 ) 65
F a l l p r e v e ntio n ( 2 ) 54
S o c ia l Pa r t ic i p a t i o n ( 2 ) 32 961 teams
Pr o c e s s imp r o v e me nt ( 2 ) 26 650 organisations
Pr o b le m B e ha v io ur ( 3 ) 49
Pr e v e nt io n s e x ue l a b us e ( 3 ) 62
M e d ic a t io n s a f e t y ( 4 ) 72
R e d uc i ng R e s t r a int s ( 3 ) 82
R e c o v e r y F o c us e d c a r e ( 2 ) 32
M ind & B o d y (2 ) 28
Ea t ing & D r inking ( 4 ) 119
Pr e s s ur e ul s e r s ( 3 ) 61
C o nt ine nc e ( 2 ) 26
M e nt a l He a lt h p r o je c t ( 2 ) 49
Int e r f e r i ng ca r e ( 2 ) 41
F ix a t io n ( 2 ) 31
0 20 40 60 80 10 0 12 0
4.
5. An overview: Care for Better
results
Topic Quantitative And so much more….
Improvement
Medication safety 50% reduction Huge awareness about medication process
Reducing estraints 30% reduction Client focused approach: end of rituals! No
17% reduction increase of aggression, less medication use,
medication more client friendly approaches (technology)
Falls 30% reduction Prevention of falls and attention for safety
Problem behavior 66% reduction 10 step approach works. Improvement on all
sorts of behavior.
Pressure ulcers 40% reduction Complex to improve! Continues attention on
all levels!
Empowerment No average Awareness: how we work with our clients in
measurable every situation
Incontinence care Get it diagnosed and looked after!
Prevention of sexual abuse Learn how to talk about it. Attitude,
competence, steering
Washing without water 20% gain, 90% uses Movement: it is not just about money, about
this method quality! Clients are satisfied, skin improved
6. National Dementia Care Program
(2005-2008)
• Networks in 57 regions across the country
(>90% coverage)
• Views of clients and relatives as point of
departure by local Alzheimer associations (14
fields)
• 206 projects implemented
7. Trends
• Quality Improvement in professional care
processes in single organisations to:
• Improvement in working with volunteers in
single organisations to:
• Developing regional networks of providers
developing integrated care to:
• Optimizing primary care according to Chronic
care model (wagner) to:
• Systems transformation
8. The context
• Population ageing • Shrinking work force
• Increasing demand • Increased need for
for LTC ánd TLC! cost containment
• Decreasing social • Productivity growth
networks lags behind
• Increasing demand • Quality at risk
for care workers • Organisations
collapsing
9. Objectives ‘Up to care!’
To improve sustainability and
transformation of LTC:
•Raise awareness and urgency in the field
•Support major transformations of LTC
organisations
•Implement proven good practices
•Develop a learning sector
10. What are we talking about?
• 600,000 service users in LTC
• 400,000 people employed
• 2,500,000 informal carers
3,5 million people directly involved (= 1 out
of five in the population)
• 13 billion Euros = 18,5 billion US $
11. How?
• Build up or to build upon strategic choices of an
organisation
• Accelerate existing processes
• Input of existing knowledge (many piliots and
programmes have preceded) the end of
pilotitis!
• Input of expert expertise
• Knowledge management, learning networks,
community of practice
12. How?
• Generate/ spread knowledge on implementation
• Wide spread dissemination
• Transform hundreds of individual organizations over
a period of four to five years supported by coaches
• Implement good practices, organize learning
activities, communities
• Monitor results/outcomes
• Support the sector by sharing innovations and
communication
13. Aims
• Better value for money
• Lower staff turnover, higher employees’
satisfaction
• Empowered care workers
• In the end: improve quality of care/life
14. The target group
Focus of transition policy
Focus of transition policy
15. Themes
• Technology supported care
• Integrated care
• Empowerment of care workers, bottom up
• Operational management (Lean etc.)
16. Themes
Total in themes (143 participants )
Technology supported
care
Integrated care
Empowerment of care
workers
Operational
management
Depends on scan
18. Process
1.Orientation 6. Contract
2.Collect information 7. Action period 1
3.Organisation analysis 8. Evaluation
(scan) 9. Action period 2
4.Edit a plan 10.Assurance
5.Approve plan (by 11.End evaluation
organisation as well
as Up to care!)
19. How far are we?
Total in phases (143 participants )
Com-
pleted
Realising
aims
Edit a
plan
Organisa-
tion
analysis
Orien-
tation
20. Knowledge development, learning
and dissemination
Daily news
Collect Networks
existing Knowledge
kwowledge databank
Produce Prototypes
knowledge Casestudies
Webcontent:
products what, how,
experience
Disseminate Websites
Training/educatio
and n
implement Communities of
practice
products Information center
22. Challenges in LTC
Improvement
Up to Care!
programmes
System Improving
transformation care delivery process
Connection with frontline workers
Information Learning & Community Innovation
Centre training of practice places
22
23. Our main challenges
• How to collect, describe, validate and use good
practices on sustainability with very weak evidence?
• How to streamline the method of system improvement
across organizations and coaches?
• How to monitor/measure effects and causalities, while
there are so many interfering factors?
• How to work with low professionalized staff in the
organisations?
• How to ensure position of the client?