New research on Juniper Communities’ Connect4Life model, completed by Anne Tumlinson Innovations, promises better outcomes for frail seniors and the potential for Medicare cost savings.
The data demonstrate the promise of integrating health and senior housing to manage population health.
Integrated care seeks to address fragmentation in health and social care systems that allows individuals to "fall through the gaps" in care. It is centered around the needs of patients, especially those with complex, long-term conditions like frail older people, people with chronic diseases, and people with mental health issues. Examples provided illustrate integrated care achieved through multi-disciplinary teams, pooled budgets, and coordination of services across primary, community and hospital settings to better meet patient needs.
This document summarizes a presentation on integrated care and support given by representatives from NHS England and ADASS. It discusses the context of integration between health and social care services, identifies three "wicked issues" challenges to integration, and outlines next steps. Graphs and figures are included showing relationships between long-term conditions, costs of care, and the potential impact and cost savings of integrated models of care. The presentation addresses definitions of integration, evidence challenges, barriers such as information governance, and emphasizes the importance of person-centered coordinated care and building the capacity of patients to engage in self-management.
Naomi Fulop: Integrated care lessons from the researchNuffield Trust
1) The evidence on integrated care shows some improvements in care coordination and partnerships but mixed results on costs, utilization of services, and patient outcomes.
2) Successful integration requires focusing on clinical integration rather than just organizational integration and ensuring supportive local contexts.
3) Key challenges to integration include overcoming cultural differences between organizations, avoiding negative impacts on community services, providing the right incentives, and being patient as integration takes significant time.
Integrated care aims to provide proactive, coordinated care for patients through collaboration between health sectors. It involves collecting common patient data, stratifying patients by risk level, and creating joint care plans in cross-sector teams. The goals are to improve the patient experience through more coherent care, support self-management, and make the health system more sustainable by preventing unnecessary hospitalizations and costs. An integrated care project in Odense has established the necessary foundations and is currently testing collaboration models and common digital tools for elderly patients and those with mental health issues, with the first patients enrolled. The project will be fully operational on September 1, 2014 and evaluated by the end of 2015.
Judith Smith and Chris Ham: Commissioning integrated care - what role for cli...The King's Fund
Dr Judith Smith, Head of Policy at the Nuffield Trust, and Professor Chris Ham, Chief Executive of The King’s Fund, share the findings of their recent research into how NHS commissioners have been commissioning better integrated services and care for people in local areas.
Presentación de Nick Goodwin y Judith Smith en el proyecto de The King’s Fund y the Nuffield Trust: "Developing a National Strategy for the Promotion of Integrated Care"
Integrated care seeks to address fragmentation in health and social care systems that allows individuals to "fall through the gaps" in care. It is centered around the needs of patients, especially those with complex, long-term conditions like frail older people, people with chronic diseases, and people with mental health issues. Examples provided illustrate integrated care achieved through multi-disciplinary teams, pooled budgets, and coordination of services across primary, community and hospital settings to better meet patient needs.
This document summarizes a presentation on integrated care and support given by representatives from NHS England and ADASS. It discusses the context of integration between health and social care services, identifies three "wicked issues" challenges to integration, and outlines next steps. Graphs and figures are included showing relationships between long-term conditions, costs of care, and the potential impact and cost savings of integrated models of care. The presentation addresses definitions of integration, evidence challenges, barriers such as information governance, and emphasizes the importance of person-centered coordinated care and building the capacity of patients to engage in self-management.
Naomi Fulop: Integrated care lessons from the researchNuffield Trust
1) The evidence on integrated care shows some improvements in care coordination and partnerships but mixed results on costs, utilization of services, and patient outcomes.
2) Successful integration requires focusing on clinical integration rather than just organizational integration and ensuring supportive local contexts.
3) Key challenges to integration include overcoming cultural differences between organizations, avoiding negative impacts on community services, providing the right incentives, and being patient as integration takes significant time.
Integrated care aims to provide proactive, coordinated care for patients through collaboration between health sectors. It involves collecting common patient data, stratifying patients by risk level, and creating joint care plans in cross-sector teams. The goals are to improve the patient experience through more coherent care, support self-management, and make the health system more sustainable by preventing unnecessary hospitalizations and costs. An integrated care project in Odense has established the necessary foundations and is currently testing collaboration models and common digital tools for elderly patients and those with mental health issues, with the first patients enrolled. The project will be fully operational on September 1, 2014 and evaluated by the end of 2015.
Judith Smith and Chris Ham: Commissioning integrated care - what role for cli...The King's Fund
Dr Judith Smith, Head of Policy at the Nuffield Trust, and Professor Chris Ham, Chief Executive of The King’s Fund, share the findings of their recent research into how NHS commissioners have been commissioning better integrated services and care for people in local areas.
Presentación de Nick Goodwin y Judith Smith en el proyecto de The King’s Fund y the Nuffield Trust: "Developing a National Strategy for the Promotion of Integrated Care"
This paper presents analysis of a Kent ‘whole population’ dataset, linking wholepopulation demographics with activity and cost data for the population from acute, community, mental health and social care providers. The data helps commissioners to understand the impact of different selections methods for people with ‘very complex’ health and social care needs, particularly in relation to the development of a LTC year of care currency.
This document should be seen alongside the ‘Recovery, Rehabilitation and Reablement – step-by-step guide’ which describes how providers can carry out the audit in their own organisation. Other documents and learning materials This document is part of a suite of learning materials being produced by the LTC Year of Care Commissioning Programme to support the spread and adoption of capitated budgets for people with complex care needs.
This document summarizes a study that classified veterans based on their long-term trends in primary care use between the VA healthcare system and Medicare from 2000 to 2012. It identified 4 groups - one that was low users of both, one that was heavy VA/light Medicare users, and two that were heavy Medicare/light VA users. The study found that veterans who were heavy VA users had greater health risks, poorer health behaviors, and higher social risks compared to those who were heavy Medicare users. The results suggest that heavy VA users who choose VA over Medicare represent the most at-risk veteran population.
The document provides guidance for domiciliary care organizations and staff on delivering high quality end of life care for people in their own homes. It outlines six key steps in the end of life care pathway: 1) discussions as end of life approaches, 2) assessment, care planning and review, 3) coordination of care, 4) delivery of high quality care, 5) care in the last days of life, and 6) care after death. The guidance addresses important considerations for organizations and the roles of care workers at each step to help ensure people receive dignified and compassionate care at the end of life in their own homes.
This presentation was given at the ASCON XII Conference in Bangladesh in February 2009 by Hilary Standing. The author is from the Future Health Systems Research Programme Consortium (www.futurehealthsystems.org).
The document discusses the role of the voluntary, community and social enterprise (VCSE) sector in supporting health and wellbeing. It notes that the VCSE sector has expertise in reaching groups experiencing health inequalities. However, funding challenges from significant budget cuts and a shift to contract-based funding have impacted the sector. The document calls for greater recognition of the value provided by smaller VCSE organizations, investing in those promoting equality, and developing services through co-production between statutory and community organizations.
This document summarizes a meeting of the Hertfordshire and West Essex Sustainability and Transformation Partnership about population health management. The meeting included presentations on the national context of population health and PHM, developing PHM locally, and next steps. It discussed the role of elected members in improving health outcomes and wellbeing for residents. Attendees considered developing a population health strategy and wider determinants of health. The goal is to improve physical and mental health across the population through data-driven care that addresses health inequalities.
This document discusses community health workers (CHWs), including definitions, roles, skills, evidence of impact, and policy considerations. It provides an overview of CHWs, defining them as frontline public health workers who serve as liaisons between communities and health services. The document reviews the growing evidence that CHWs can improve health outcomes, increase knowledge and healthy behaviors, and reduce healthcare costs. It also examines the key policy areas states are addressing to define and support the CHW workforce.
This document provides an overview of medical technology and its effects. It discusses how technology has improved healthcare but also increased costs. While technology enhances quality of care and life, it has contributed to rising health expenditures. The US promotes innovation but lacks cost controls seen in other countries. Technology assessment evaluates technologies for safety, efficacy and cost-effectiveness to establish appropriate clinical use.
Health Equity Strategy, Interpretation and Other Levers for Driving ChangeWellesley Institute
This presentation outlines effective ways to create change within your community.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
The document discusses the Andersen Model of health care access. The model conceptualizes access as being determined by population characteristics (contextual and individual factors) that predispose people to use services or enable/impede their use. These include demographic, social, health beliefs, and enabling resources factors. The model also considers people's need (perceived and evaluated by professionals) and how this influences health behaviors and outcomes. It provides a framework for examining equitable access to care based on need rather than social characteristics or enabling resources.
This presentation offers ways to leverage a health equity strategy in order to inspire public action.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
Chris Ham on making integrated care happen at scale and paceThe King's Fund
Chris Ham, Chief Executive at The King’s Fund, highlights the 16 lessons needed to make a reality of integrated care, drawing on work by the Fund and others to provide examples of good practice.
Steve Laitner on integrated care - innovations in the UKThe King's Fund
Dr Steve Laitner, GP and Associate Medical Director of NHS East of England, discusses integrated care innovations in the UK with a focus on pathway hubs.
The document discusses challenges facing global healthcare systems including rising costs, lack of access, and variable quality of care. It argues that healthcare is increasingly turning to digital technologies like electronic medical records, telehealth, and analytics to simultaneously expand access, improve quality, and reduce costs. Specific examples are provided of initiatives leveraging these technologies to increase coordination between providers, empower patients in self-management, and generate insights from integrated data to personalize care and identify inefficiencies. The potential of these innovations to help build more sustainable healthcare systems is explored, along with barriers currently limiting their wider adoption.
The Health Systems Administration program at Georgetown has its students complete case projects for a fictional community, Middleboro. Throughout the program we created several deliverables: Community Profile, Community Health Assessment, Strategic Plan, Marketing Plan, and Business Plan.
The document discusses long-term care, defining it as assistance for those with chronic illnesses or disabilities with activities of daily living rather than medical treatment. It examines the different levels of long-term care including home health, assisted living, nursing homes, skilled nursing facilities and the populations served by each. The challenges facing long-term care are also reviewed such as financing issues and the need for quality staffing.
Clare Mahoney - Health, wellbeing and the environmentInnovation Agency
Presentation by Clare Mahoney, Senior Transformation Manager, NHS Liverpool CCG: Can social prescribing help tackle the inverse care law? at the Health, wellbeing and the environment event on Monday 28 January 2019 at The Isla Gladstone Conservatory, Liverpool
Presentation - The Future of Home HealthC Sam Smith
"Instead of it being described as home healthcare, in a few years the services performed by home health care agencies will simply be known as "modern healthcare".
-Dr. Steve Landers, VNA Health Group, New Jersey
The document discusses telehealth technologies that can be used to provide substance abuse treatment in rural and frontier areas. It notes that over half of the US land mass and about a quarter of the population live in these remote areas, where treatment access is limited due to geographic and other barriers. Telehealth modalities like videoconferencing, web-based programs, mobile apps, and telephone have shown promise in expanding access. The document outlines privacy, security, and reimbursement considerations for implementing telehealth and urges adoption of technologies to better serve those in need of substance abuse treatment.
The document discusses bringing together different health and social care systems to provide a more unified approach to public health. It notes challenges like different terminology between systems and shrinking budgets. It proposes taking an "asset based" approach that recognizes community resources and maps services along a spectrum from universal to specialist prevention. The methodology section suggests tools like jointly analyzing spending and identifying opportunities to better coordinate programs and identify efficiencies. CPC's experience provides examples of conducting audits to understand current prevention spending and services in order to inform strategic planning and service redesign.
Integrated Care in Seniors Housing that Meets the Triple AimCindy Longfellow
New research on Juniper Communities’ Connect4Life model, completed by Anne Tumlinson Innovations, promises better outcomes for frail seniors and the potential for Medicare cost savings.
The data demonstrate the promise of integrating health and senior housing to manage population health.
This document provides tips to avoid common mistakes in PowerPoint presentation design. It identifies the top 5 mistakes as including putting too much information on slides, not using enough visuals, using poor quality or unreadable visuals, having messy slides with poor spacing and alignment, and not properly preparing and practicing the presentation. The document encourages presenters to use fewer words per slide, high quality images and charts, consistent formatting, and to spend significant time crafting an engaging narrative and rehearsing their presentation. It emphasizes that an attractive design is not as important as being an effective storyteller.
This paper presents analysis of a Kent ‘whole population’ dataset, linking wholepopulation demographics with activity and cost data for the population from acute, community, mental health and social care providers. The data helps commissioners to understand the impact of different selections methods for people with ‘very complex’ health and social care needs, particularly in relation to the development of a LTC year of care currency.
This document should be seen alongside the ‘Recovery, Rehabilitation and Reablement – step-by-step guide’ which describes how providers can carry out the audit in their own organisation. Other documents and learning materials This document is part of a suite of learning materials being produced by the LTC Year of Care Commissioning Programme to support the spread and adoption of capitated budgets for people with complex care needs.
This document summarizes a study that classified veterans based on their long-term trends in primary care use between the VA healthcare system and Medicare from 2000 to 2012. It identified 4 groups - one that was low users of both, one that was heavy VA/light Medicare users, and two that were heavy Medicare/light VA users. The study found that veterans who were heavy VA users had greater health risks, poorer health behaviors, and higher social risks compared to those who were heavy Medicare users. The results suggest that heavy VA users who choose VA over Medicare represent the most at-risk veteran population.
The document provides guidance for domiciliary care organizations and staff on delivering high quality end of life care for people in their own homes. It outlines six key steps in the end of life care pathway: 1) discussions as end of life approaches, 2) assessment, care planning and review, 3) coordination of care, 4) delivery of high quality care, 5) care in the last days of life, and 6) care after death. The guidance addresses important considerations for organizations and the roles of care workers at each step to help ensure people receive dignified and compassionate care at the end of life in their own homes.
This presentation was given at the ASCON XII Conference in Bangladesh in February 2009 by Hilary Standing. The author is from the Future Health Systems Research Programme Consortium (www.futurehealthsystems.org).
The document discusses the role of the voluntary, community and social enterprise (VCSE) sector in supporting health and wellbeing. It notes that the VCSE sector has expertise in reaching groups experiencing health inequalities. However, funding challenges from significant budget cuts and a shift to contract-based funding have impacted the sector. The document calls for greater recognition of the value provided by smaller VCSE organizations, investing in those promoting equality, and developing services through co-production between statutory and community organizations.
This document summarizes a meeting of the Hertfordshire and West Essex Sustainability and Transformation Partnership about population health management. The meeting included presentations on the national context of population health and PHM, developing PHM locally, and next steps. It discussed the role of elected members in improving health outcomes and wellbeing for residents. Attendees considered developing a population health strategy and wider determinants of health. The goal is to improve physical and mental health across the population through data-driven care that addresses health inequalities.
This document discusses community health workers (CHWs), including definitions, roles, skills, evidence of impact, and policy considerations. It provides an overview of CHWs, defining them as frontline public health workers who serve as liaisons between communities and health services. The document reviews the growing evidence that CHWs can improve health outcomes, increase knowledge and healthy behaviors, and reduce healthcare costs. It also examines the key policy areas states are addressing to define and support the CHW workforce.
This document provides an overview of medical technology and its effects. It discusses how technology has improved healthcare but also increased costs. While technology enhances quality of care and life, it has contributed to rising health expenditures. The US promotes innovation but lacks cost controls seen in other countries. Technology assessment evaluates technologies for safety, efficacy and cost-effectiveness to establish appropriate clinical use.
Health Equity Strategy, Interpretation and Other Levers for Driving ChangeWellesley Institute
This presentation outlines effective ways to create change within your community.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
The document discusses the Andersen Model of health care access. The model conceptualizes access as being determined by population characteristics (contextual and individual factors) that predispose people to use services or enable/impede their use. These include demographic, social, health beliefs, and enabling resources factors. The model also considers people's need (perceived and evaluated by professionals) and how this influences health behaviors and outcomes. It provides a framework for examining equitable access to care based on need rather than social characteristics or enabling resources.
This presentation offers ways to leverage a health equity strategy in order to inspire public action.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
Chris Ham on making integrated care happen at scale and paceThe King's Fund
Chris Ham, Chief Executive at The King’s Fund, highlights the 16 lessons needed to make a reality of integrated care, drawing on work by the Fund and others to provide examples of good practice.
Steve Laitner on integrated care - innovations in the UKThe King's Fund
Dr Steve Laitner, GP and Associate Medical Director of NHS East of England, discusses integrated care innovations in the UK with a focus on pathway hubs.
The document discusses challenges facing global healthcare systems including rising costs, lack of access, and variable quality of care. It argues that healthcare is increasingly turning to digital technologies like electronic medical records, telehealth, and analytics to simultaneously expand access, improve quality, and reduce costs. Specific examples are provided of initiatives leveraging these technologies to increase coordination between providers, empower patients in self-management, and generate insights from integrated data to personalize care and identify inefficiencies. The potential of these innovations to help build more sustainable healthcare systems is explored, along with barriers currently limiting their wider adoption.
The Health Systems Administration program at Georgetown has its students complete case projects for a fictional community, Middleboro. Throughout the program we created several deliverables: Community Profile, Community Health Assessment, Strategic Plan, Marketing Plan, and Business Plan.
The document discusses long-term care, defining it as assistance for those with chronic illnesses or disabilities with activities of daily living rather than medical treatment. It examines the different levels of long-term care including home health, assisted living, nursing homes, skilled nursing facilities and the populations served by each. The challenges facing long-term care are also reviewed such as financing issues and the need for quality staffing.
Clare Mahoney - Health, wellbeing and the environmentInnovation Agency
Presentation by Clare Mahoney, Senior Transformation Manager, NHS Liverpool CCG: Can social prescribing help tackle the inverse care law? at the Health, wellbeing and the environment event on Monday 28 January 2019 at The Isla Gladstone Conservatory, Liverpool
Presentation - The Future of Home HealthC Sam Smith
"Instead of it being described as home healthcare, in a few years the services performed by home health care agencies will simply be known as "modern healthcare".
-Dr. Steve Landers, VNA Health Group, New Jersey
The document discusses telehealth technologies that can be used to provide substance abuse treatment in rural and frontier areas. It notes that over half of the US land mass and about a quarter of the population live in these remote areas, where treatment access is limited due to geographic and other barriers. Telehealth modalities like videoconferencing, web-based programs, mobile apps, and telephone have shown promise in expanding access. The document outlines privacy, security, and reimbursement considerations for implementing telehealth and urges adoption of technologies to better serve those in need of substance abuse treatment.
The document discusses bringing together different health and social care systems to provide a more unified approach to public health. It notes challenges like different terminology between systems and shrinking budgets. It proposes taking an "asset based" approach that recognizes community resources and maps services along a spectrum from universal to specialist prevention. The methodology section suggests tools like jointly analyzing spending and identifying opportunities to better coordinate programs and identify efficiencies. CPC's experience provides examples of conducting audits to understand current prevention spending and services in order to inform strategic planning and service redesign.
Integrated Care in Seniors Housing that Meets the Triple AimCindy Longfellow
New research on Juniper Communities’ Connect4Life model, completed by Anne Tumlinson Innovations, promises better outcomes for frail seniors and the potential for Medicare cost savings.
The data demonstrate the promise of integrating health and senior housing to manage population health.
This document provides tips to avoid common mistakes in PowerPoint presentation design. It identifies the top 5 mistakes as including putting too much information on slides, not using enough visuals, using poor quality or unreadable visuals, having messy slides with poor spacing and alignment, and not properly preparing and practicing the presentation. The document encourages presenters to use fewer words per slide, high quality images and charts, consistent formatting, and to spend significant time crafting an engaging narrative and rehearsing their presentation. It emphasizes that an attractive design is not as important as being an effective storyteller.
SlideShare now has a player specifically designed for infographics. Upload your infographics now and see them take off! Need advice on creating infographics? This presentation includes tips for producing stand-out infographics. Read more about the new SlideShare infographics player here: http://wp.me/p24NNG-2ay
This infographic was designed by Column Five: http://columnfivemedia.com/
No need to wonder how the best on SlideShare do it. The Masters of SlideShare provides storytelling, design, customization and promotion tips from 13 experts of the form. Learn what it takes to master this type of content marketing yourself.
10 Ways to Win at SlideShare SEO & Presentation OptimizationOneupweb
Thank you, SlideShare, for teaching us that PowerPoint presentations don't have to be a total bore. But in order to tap SlideShare's 60 million global users, you must optimize. Here are 10 quick tips to make your next presentation highly engaging, shareable and well worth the effort.
For more content marketing tips: http://www.oneupweb.com/blog/
This document provides tips for getting more engagement from content published on SlideShare. It recommends beginning with a clear content marketing strategy that identifies target audiences. Content should be optimized for SlideShare by using compelling visuals, headlines, and calls to action. Analytics and search engine optimization techniques can help increase views and shares. SlideShare features like lead generation and access settings help maximize results.
A Guide to SlideShare Analytics - Excerpts from Hubspot's Step by Step Guide ...SlideShare
This document provides a summary of the analytics available through SlideShare for monitoring the performance of presentations. It outlines the key metrics that can be viewed such as total views, actions, and traffic sources over different time periods. The analytics help users identify topics and presentation styles that resonate best with audiences based on view and engagement numbers. They also allow users to calculate important metrics like view-to-contact conversion rates. Regular review of the analytics insights helps users improve future presentations and marketing strategies.
How to Make Awesome SlideShares: Tips & TricksSlideShare
Turbocharge your online presence with SlideShare. We provide the best tips and tricks for succeeding on SlideShare. Get ideas for what to upload, tips for designing your deck and more.
Jacquie White, Deputy Director of NHS England Long Term Conditions, Older People & End of Life Care and Claire Cordeaux SIMUL8 Executive Director for Health & Social Care were invited by Centers for Medicare & Medicaid Services to discuss how NHS England work in chronic disease.
This document provides an agenda and materials for a workshop on personalization for long term conditions. The agenda includes sessions on local priorities, national overviews, interactive exercises, simulation modeling, and developing declarations. Key topics covered include person-centered care, long term conditions, coordinated rather than integrated care, strategies for embedding personal care planning, and new models of care. Simulation modeling is demonstrated as a way to test new integrated care service models and discharge planning. The workshop aims to support moving care delivery toward a more whole-person approach.
The document discusses the social determinants of health, which are defined as the circumstances where people are born, live, work, and age that impact health outcomes. It provides examples of social determinants like education, employment, income, family/social support, community safety, and health behaviors. The document also presents examples of how addressing social determinants through initiatives focused on care coordination, public health programs, and social services can improve population health outcomes and lower healthcare costs.
Developing Networks of Care through Long Term Conditions Year of Care Commissioning & Long Term Conditions Improvement Programmes
Bev Matthews
Programme Lead for Long Term Conditions @Bev_J_Matthews
Presentation from the Tackling Long Term Conditions conference on 29 October 2014
Home health care involves providing medical care and services to individuals in their homes. It allows patients to receive skilled care while maintaining independence. The nursing process is used to assess patients' needs, develop care plans, implement care, and evaluate outcomes. Services typically include skilled nursing, therapy, and home health aide visits. Home health care allows patients to heal in a comfortable environment and reduces health care costs. It is a growing sector both in the US and India due to aging populations and increased chronic conditions.
Universal Health Coverage (UHC) Day 12.12.14, NepalDeepak Karki
This presentation is made on the first ever Universal Health Coverage (UHC) Day 12.12.14 celebration in Nepal by Nepal Health Economics Association (NHEA).
Dr Aillen Keel CBE (Deputy CMO)'s keynote speech 'Better Health After Cancer,' at the SCPN's 'Be Active Against Cancer Conference,' Tuesday 4th February 2014.
Federally Qualified Health Centers (FQHCs) provide primary care to over 24 million low-income Americans annually across over 11,000 sites. CHCI is a large FQHCs operating 14 primary care hubs and 204 sites serving over 100,000 patients annually. CHCI has integrated behavioral health, chiropractic care, and other specialties into primary care teams to improve outcomes for patients with chronic pain and complex conditions. Chiropractic visits at CHCI have increased from 453 in 2012 to over 9,000 in 2017 as the center has expanded integrated care models.
This document discusses the economic burden of diabetes in India. It notes that diabetes leads to a 17 times higher risk of blindness, over 50% of dialysis patients and amputations are due to diabetes, and diabetes is associated with a 4 times higher risk of hypertension. The costs of managing diabetes are high due to factors like delayed diagnosis, complications from the disease, and costs of drugs, hospitalizations, and surgeries. The costs are expected to rise significantly in the future. Currently, about two-thirds of healthcare spending in India is out-of-pocket. The document discusses the need for health insurance and social health insurance models to help address the rising economic burden of diabetes.
The document discusses creating recovery friendly communities for those struggling with substance misuse. It notes that social deprivation and isolation increase addiction risk, while community and relationships are key to treatment success. To build recovery capital, environments must change to support recovery through various housing models, community support, and partnerships across organizations. The goal is for communities to provide recovery pathways and reduce addiction risk through collaboration.
This document discusses Elder Medical, a division of IPC Healthcare that provides elder care services across the continuum of care. It outlines Elder Medical's focus on personalized medicine through risk assessment, prevention, early detection, accurate diagnosis, targeted treatment, disease management, and seamless information sharing. The document discusses the growing elder population and increasing prevalence of chronic diseases as attractive markets. It also discusses integrated delivery networks and partnerships that can improve coordination of care, reduce costs, and increase quality. The role of Elder Medical in providing medical management and care coordination for post-acute care facilities is highlighted.
PHN Role in Mental Health - Walter Kmet June 2016Walter Kmet
WentWest is focused on reforming the mental health system through its role as the Western Sydney Primary Health Network. It aims to [1] commission new services to address gaps, [2] meaningfully engage consumers in decision making, and [3] better integrate mental health services with primary care. This will help shift the focus from crisis services to prevention and coordinated care across the continuum.
The document summarizes a social prescribing program in Rotherham that aims to reduce hospital admissions and support patients' non-medical needs through community services. Key points:
- The program refers patients identified as at high risk of hospitalization to voluntary community services through case management.
- An evaluation found the program achieved a 7-17% reduction in hospital admissions and emergency department visits among participants. Greater reductions were seen for those who engaged more and were under age 80.
- Participants also experienced improved mental health and well-being. The program provides an estimated return on investment of 43 pence to £1.98 for every £1 invested through reduced healthcare costs.
- Stakeholders see the program as
Integrated health & social care: service transformation supported by technolo...flanderscare
The document provides an overview of integrated health and social care in North Kent, including:
1) It discusses the complexities of the current health and social care system in Kent and past pilots using telehealth and telecare that demonstrated benefits like reduced admissions and costs.
2) It outlines the current agenda around the Pioneer Programme and Better Care Fund aimed at integrating services.
3) North Kent's approach focuses on transforming services to promote independence, provide the right care in the right place, and deliver seamless integrated care for those with complex needs through measures like shared care plans and integrated primary care teams.
The document discusses increasing patient participation in their treatment and care through personal health budgets. It provides evidence that activating patients through shared decision making, self-management support, and personal health budgets can lead to better health outcomes and lower costs. The presentation outlines plans to expand personal health budgets for those with long-term conditions in accordance with NHS objectives. It highlights early positive results from personal health budget trials showing improved quality of life and independence.
Jacquie White, Deputy Director of NHS England Long Term Conditions, Older People & End of Life Care and Dr Eileen Pepler, Academic, Researcher and Consultant in the Canadian Healthcare will discuss how NHS England work in chronic disease is being translated into a Canadian context.
The facial nerve, also known as cranial nerve VII, is one of the 12 cranial nerves originating from the brain. It's a mixed nerve, meaning it contains both sensory and motor fibres, and it plays a crucial role in controlling various facial muscles, as well as conveying sensory information from the taste buds on the anterior two-thirds of the tongue.
COLOUR CODING IN THE PERIOPERATIVE NURSING PRACTICE.SamboGlo
COLOUR CODING IN THE PERIOPERATIVE ENVIRONMENT HAS COME TO STAY ,SOME SENCE OF HUMOUR WILL BE APPRECIATED AT THE RIGHT TIME BY THE PATIENT AND OTHER SURGICAL TEAM MEMBERS.
This particular slides consist of- what is Pneumothorax,what are it's causes and it's effect on body, risk factors, symptoms,complications, diagnosis and role of physiotherapy in it.
This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
Here is a summary of Pneumothorax:
Pneumothorax, also known as a collapsed lung, is a condition that occurs when air leaks into the space between the lung and chest wall. This air buildup puts pressure on the lung, preventing it from expanding fully when you breathe. A pneumothorax can cause a complete or partial collapse of the lung.
At Malayali Kerala Spa Ajman, Full Service includes individualized care for every client. We specifically design each massage session for the individual needs of the client. Our therapists are always willing to adjust the treatments based on the client's instruction and feedback. This guarantees that every client receives the treatment they expect.
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End-tidal carbon dioxide (ETCO2) is the level of carbon dioxide that is released at the end of an exhaled breath. ETCO2 levels reflect the adequacy with which carbon dioxide (CO2) is carried in the blood back to the lungs and exhaled.
Non-invasive methods for ETCO2 measurement include capnometry and capnography. Capnometry provides a numerical value for ETCO2. In contrast, capnography delivers a more comprehensive measurement that is displayed in both graphical (waveform) and numerical form.
Sidestream devices can monitor both intubated and non-intubated patients, while mainstream devices are most often limited to intubated patients.
This particular slides consist of- what is hypotension,what are it's causes and it's effect on body, risk factors, symptoms,complications, diagnosis and role of physiotherapy in it.
This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
Here is the summary of hypotension:
Hypotension, or low blood pressure, is when the pressure of blood circulating in the body is lower than normal or expected. It's only a problem if it negatively impacts the body and causes symptoms. Normal blood pressure is usually between 90/60 mmHg and 120/80 mmHg, but pressures below 90/60 are generally considered hypotensive.
Michigan HealthTech Market Map 2024. Includes 7 categories: Policy Makers, Academic Innovation Centers, Digital Health Providers, Healthcare Providers, Payers / Insurance, Device Companies, Life Science Companies, Innovation Accelerators. Developed by the Michigan-Israel Business Accelerator
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NEEDLE STICK INJURY - JOURNAL CLUB PRESENTATION - DR SHAMIN EABENSON
Integrated Care in Seniors Housing that Meets the Triple Aim
1. Integrated Care in Seniors Housing
that Meets the Triple Aim
Juniper Communities’ Connect4Life Model
March 22, 2017
2. Executive Summary
• New research on Juniper Communities’
Connect4Life model, completed by Anne
Tumlinson Innovations, promises better
outcomes for frail seniors and the potential
for Medicare cost savings
• The data demonstrate the promise of
integrating health and senior housing to
manage population health.
Slide | 2
3. About Connect4Life
• A pioneering model of integrated care for seniors housing
• Integrates medical services and coordinates care for mature adults in
seniors housing communities
• Is high tech, high touch, integrated via the electronic health record
(EHR) and coordinated via a “medical concierge”
• Can be a model for senior living providers seeking to be part of PAC
continuum
• Can differentiate senior living from home care as a triple aim
solution for HNHC individuals
Slide | 3
5. Drilling Down: Three Key Components
1. Co-located services must include onsite primary care, therapy-
driven wellness programming, and pharmacy and lab services.
2. High tech includes connected services through electronic
transfer of clinical information and communication
3. Human navigators ensure seamless access to and coordination
with other services provided through strategic partnerships
and alliances.
Slide | 5
6. Four Key Research Findings Demonstrating Value
1. Juniper residents’ hospitalization rate was 50% lower than a
similarly frail Medicare population.
2. Juniper’s re-hospitalization rate was over 80% lower than a
similarly frail Medicare population.
3. Juniper residents’ emergency department use was 15% lower than
a similarly frail Medicare population.
4. Juniper residents use fewer services than a similarly frail Medicare
population in seniors’ housing.
Slide | 6
7. 1. Juniper Hospitalization Rate 50% Lower Than Similarly
Frail Medicare Population
0.25
0.62
0.30
0.00
0.10
0.20
0.30
0.40
0.50
0.60
0.70
All Medicare
Beneficiaries
Similarly Frail Medicare
Population
Juniper Residents
AverageNumberofEvents
perPersonperYear
Slide | 7
8. 2. Juniper Re-hospitalizations Over 80% Lower than
Similarly Frail Medicare Population
18
30
5
0
5
10
15
20
25
30
35
All Medicare
Beneficiaries
Similarly Frail Medicare
Population
Juniper Residents
Eventsper100hospitalizations
Slide | 8
10. 4. Juniper Residents Use Fewer Services Than Similarly Frail Medicare
Population in Seniors’ Housing
0.66
0.55
0.30
0.52
0
0.1
0.2
0.3
0.4
0.5
0.6
0.7
Inpatient ED
Similarly Frail in Senior Housing Juniper Residents
Average Number of Events per Person per Year
Slide | 10
12. Key Research Findings
• The Juniper population is much older than the overall Medicare
population.
• The Juniper population is a “hot spot” for high-need Medicare
beneficiaries.
• The Juniper Population is more cognitively impaired than the overall
Medicare population.
• Juniper’s population is similar to the typical assisted living
population.
Slide | 12
13. The Juniper Population is Much Older than the Overall
Medicare Population
17% 2%
46%
6%
26%
18%
11%
73%
0%
20%
40%
60%
80%
100%
All Medicare Beneficiaries Juniper Residents
85+
75-84
65-74
<65
Slide | 13
14. 83%
14% 18%
8%
41%
27%
4%
18%
18%
3%
15%
14%
2% 12%
22%
0%
20%
40%
60%
80%
100%
All Medicare Beneficiaries Similarly Frail Medicare
Population*
Juniper Residents
4 ADLs
3 ADLs
2 ADLs
1 ADL
0 ADLs
*The Medicare population that
is “similarly frail” as Juniper
residents receives help with at
least one activity of daily living
(ADL) or has cognitive
impairment.
Percentage of Population with Need for Supports and Services
The Juniper Population is a “Hot Spot” for High-Need
Medicare Beneficiaries
3%
Slide | 14
17. Non-Health Factors Contribute to Healthcare Spending
Succeeding in
population health
management will
require identification
and support of high-
cost populations as
defined by a full range
of bio-psycho-social
characteristics.
Functional
Behavioral
Social
Residential
Slide | 17
18. Functional Impairment Trumps Chronic Conditions In
Relation to Healthcare Spending
$7,228
$11,519
$17,961
$20,700
Any Chronic Condition 5 or More Chronic Conditions
No Functional Impairment High Functional Impairment
Source: ATI Fact Sheet: Functional Impairment and
Medical Spending, 2012
MCBS Cost and Use File, Analysis on Older Adults
Receiving Help with 2+ ADLs
Annual per capita Medicare
spending is twice as high for
beneficiaries with high functional
impairment (2+ ADLs) and chronic
conditions than for beneficiaries
with chronic conditions only.
Slide | 18
19. Spending 2X Higher for Similarly Frail Medicare Population
Annual per capita Medicare
spending is more than twice as
high for beneficiaries similar to
Juniper–who receive help with
1+ ADLs or have dementia–than
for overall Medicare population.
$2,155
$8,568
$5,975
$18,377
Inpatient Medicare Per Capita Total Medicare Per Capita
All Medicare Beneficiaries Similarly Frail Medicare Population
Slide | 19
21. Methodology: Juniper Resident Acuity Data
• To analyze the acuity and healthcare utilization of the Juniper
communities, Juniper staff analyzed and reported data collected
through resident assessments, level of care determinations and
electronic health records for a sample of 471 residents of 10
separate assisted living communities. All of the residents included in
the study population had been living in the communities for over
one year.
• Data collected on the Juniper study population included functional
limitations, cognitive impairment, chronic conditions, ER use,
hospitalizations and re-hospitalizations.
Slide | 21
22. Methodology: MCBS Benchmarks
• A team from Anne Tumlinson Innovations analyzed the Medicare Current Beneficiary Survey (MCBS) Cost
and Use File from 2012 to evaluate the Medicare cost and service utilization of three comparison
populations.
• The first is all community-dwelling Medicare beneficiaries which reflects the average Medicare cost and
utilization experienced in the fee-for-service Medicare population not living in institutions. (n=50,038,595)
• The second group is refined to an LTSS need population living in the community– that is those who are
living at home and not in residential care who reported receiving help with at least one ADL or had a
diagnosis of dementia or Alzheimer’s disease. The team limited this population to those 65 years of age or
older. (n= 6,254,290) .
• The third group is refined to those with LTSS need living in a residential care setting that provides personal
care services who also reported receiving help with at least one ADL or had a diagnosis of dementia or
Alzheimer’s disease. The team included respondents 65 and older. (n= 418,797)
Slide | 22
23. Additional Study Details and Limitations
• Utilization for all services except readmissions was defined as events per person per year, whereas
readmissions were defined as all cause readmissions within a 30 period of the initial hospitalization per
100 hospitalizations per year. All-cause readmissions were calculated by identifying any hospitalization that
took place within 30-days of another hospitalization. Inpatient hospitalization counts include readmissions.
• The team was unable to match MCBS comparison populations with the Juniper resident population on
chronic conditions due to gaps in ICD-10 codes in the Juniper system. As with any study that attempts to
measure differences in utilization across population, there may be unmeasured differences between the
benchmark and Juniper populations that account for differences in utilization.
• The analysis is limited in that the healthcare utilization data in the Juniper population is not based on paid
healthcare claims and therefore is not independently verified. This analysis is instructive directionally in
evaluating outcomes for a senior housing population receiving an integrated care intervention.
Slide | 23
24. About Anne Tumlinson Innovations LLC
Anne Tumlinson has more than two decades of research and consulting
experience in post-acute and long-term care financing and delivery. Her consulting
firm, Anne Tumlinson Innovations, helps organizations respond to demographic
changes and delivery systems reform, with a special emphasis on addressing gaps
in financing for long-term services and supports for older adults. Her research
focuses on measuring the impact on Medicare acute spending for managing long-
term services of frail, older adults. Anne has testified before Congress and
appeared before the Long-Term Care Commission and the Bipartisan Policy
Center.
Slide | 24
25. About Juniper Communities
• Thought leader and innovator in assisted
living and memory care
• More than 20 communities in NJ, FL, PA and CO
• Pioneering Connect4Life – one of seniors
housing’s first truly integrated models of
supportive services and clinical care
• Serves more frail seniors than the average
Medicare population yet its Connect4Life
program has managed to reduce:
• ED Visits
• Hospitalizations
• Readmissions
JUNIPER’S MISSION:
To be the people, places and
programs that nurture the spirit of
life in each individual we touch
JUNIPER’S VALUES:
To be person centered, life
affirming, values driven, attentive,
responsive, compassionate,
competent, innovative, socially
responsible and environmentally
friendly, dedicated, efficient,
solution oriented and celebratory
Slide | 25
Editor's Notes
When researchers examined Medicare beneficiaries that are similar to Juniper but living in senior housing, a much smaller population overall, they found that Juniper residents maintain their overall lower healthcare utilization. Therefore the Juniper results are not likely related solely to the effect of senior housing but rather to the integration of health and housing.
The “similarly frail Medicare population” is the benchmark population we created to closely match the average need level of the Juniper community residents.
The benchmark population is those who are 65 years of age or older who say they receive help with one or more activities of daily living or report dementia or Alzheimer’s.