This document discusses developing enterprise-wide electronic medical records (EMRs) and summarizes as follows:
1) Healthcare providers are under pressure to ensure critical patient information is available across their growing networks of facilities. Traditional stand-alone systems are evolving into enterprise solutions that can integrate multiple facilities.
2) Enterprise EMRs promise benefits like enhanced care, reduced costs, and improved performance by providing a holistic view of patient information. However, a one-size-fits-all approach does not work given facilities have different needs.
3) A tailored analysis of each facility's requirements is needed to identify the right EMR solution. Options range from basic to partial to full enterprise systems. This ensures the solution
The document discusses telemedicine and smarter healthcare enabled by new technologies. It notes challenges facing healthcare like rising costs and aging populations. IBM believes innovative use of IT can enable new care delivery models by making healthcare information digital and accessible across organizations. This allows minimizing patient travel and extending care settings. IBM's role focuses on integration strategies using middleware, dashboards, and analytical tools to securely share standardized information and accelerate innovation. Telehealth could connect the wider ecosystem like pharmacies, employers, and life sciences. Potential entry points include integrating medical device data from homes and hospitals into clinical applications and dashboards for clinicians and nurses.
Healthcare IT and Healthcare Services: The New Personalized Medicine Frontierthe Hartsook Letter
Presentation by LIsa Suennen co-founder and Managing Partner of Psilos from January 2012 presentation at the Personalized Medicine Conference Silicon Valley CA
1) The document summarizes a policy brief about accountable care organizations (ACOs) and the key issues in designing them.
2) An ACO aims to deliver coordinated, efficient care to a defined population by holding local healthcare providers accountable for quality and costs. It would receive bonuses for meeting targets but penalties for failing.
3) There are open questions about how to design ACs, including what types of providers must participate, how patients will be involved, and what payment methods should be used. The brief discusses these issues and implementation challenges.
What Lies Ahead for ONC: Meaningful Use and BeyondBrian Ahier
1) The document discusses recent trends in health IT policy and implementation including Meaningful Use and regional extension centers.
2) It outlines upcoming payment reforms like accountable care organizations and bundled payments that will further incentivize health IT innovation.
3) The document proposes next steps for advancing health IT through the proposed Stage 2 of Meaningful Use regulations to promote improved health outcomes, care coordination, and patient engagement through 2015.
Beyond EHR - Achieving Operational Efficiency Callum Bir
Callum Bir
IBC Asia 3rd Asia EHR Conference in held in Singapore November 2011
Callum chaired the workshop for the day with guests speakers from Singapore MOHH, HL7, etc.
Achieving Interoperability - role of standardsCallum Bir
1) Healthcare standards organizations like ISO TC215 aim to promote interoperability between independent healthcare systems and reduce duplication of efforts by standardizing healthcare information.
2) There are multiple levels of data exchange and interoperability, with the highest levels being semantic interoperability which involves common understanding of the meaning of data elements.
3) While standards exist in the US for clinical terminology, medical procedures, lab results etc, the lack of a coherent mandatory set of standards has made true semantic interoperability an elusive goal for health information exchange.
This document discusses developing enterprise-wide electronic medical records (EMRs) and summarizes as follows:
1) Healthcare providers are under pressure to ensure critical patient information is available across their growing networks of facilities. Traditional stand-alone systems are evolving into enterprise solutions that can integrate multiple facilities.
2) Enterprise EMRs promise benefits like enhanced care, reduced costs, and improved performance by providing a holistic view of patient information. However, a one-size-fits-all approach does not work given facilities have different needs.
3) A tailored analysis of each facility's requirements is needed to identify the right EMR solution. Options range from basic to partial to full enterprise systems. This ensures the solution
The document discusses telemedicine and smarter healthcare enabled by new technologies. It notes challenges facing healthcare like rising costs and aging populations. IBM believes innovative use of IT can enable new care delivery models by making healthcare information digital and accessible across organizations. This allows minimizing patient travel and extending care settings. IBM's role focuses on integration strategies using middleware, dashboards, and analytical tools to securely share standardized information and accelerate innovation. Telehealth could connect the wider ecosystem like pharmacies, employers, and life sciences. Potential entry points include integrating medical device data from homes and hospitals into clinical applications and dashboards for clinicians and nurses.
Healthcare IT and Healthcare Services: The New Personalized Medicine Frontierthe Hartsook Letter
Presentation by LIsa Suennen co-founder and Managing Partner of Psilos from January 2012 presentation at the Personalized Medicine Conference Silicon Valley CA
1) The document summarizes a policy brief about accountable care organizations (ACOs) and the key issues in designing them.
2) An ACO aims to deliver coordinated, efficient care to a defined population by holding local healthcare providers accountable for quality and costs. It would receive bonuses for meeting targets but penalties for failing.
3) There are open questions about how to design ACs, including what types of providers must participate, how patients will be involved, and what payment methods should be used. The brief discusses these issues and implementation challenges.
What Lies Ahead for ONC: Meaningful Use and BeyondBrian Ahier
1) The document discusses recent trends in health IT policy and implementation including Meaningful Use and regional extension centers.
2) It outlines upcoming payment reforms like accountable care organizations and bundled payments that will further incentivize health IT innovation.
3) The document proposes next steps for advancing health IT through the proposed Stage 2 of Meaningful Use regulations to promote improved health outcomes, care coordination, and patient engagement through 2015.
Beyond EHR - Achieving Operational Efficiency Callum Bir
Callum Bir
IBC Asia 3rd Asia EHR Conference in held in Singapore November 2011
Callum chaired the workshop for the day with guests speakers from Singapore MOHH, HL7, etc.
Achieving Interoperability - role of standardsCallum Bir
1) Healthcare standards organizations like ISO TC215 aim to promote interoperability between independent healthcare systems and reduce duplication of efforts by standardizing healthcare information.
2) There are multiple levels of data exchange and interoperability, with the highest levels being semantic interoperability which involves common understanding of the meaning of data elements.
3) While standards exist in the US for clinical terminology, medical procedures, lab results etc, the lack of a coherent mandatory set of standards has made true semantic interoperability an elusive goal for health information exchange.
The document provides an overview of health technology assessment (HTA) in selected emerging market countries. It notes that many emerging markets have adopted social health insurance models and increased healthcare spending driven by economic growth, aging populations, and expanding access to medical technologies. However, this has also brought challenges around cost containment and improving access. As a result, many countries are now establishing HTA agencies and processes to help guide healthcare spending and policy decisions based on costs and effectiveness. The document includes brief summaries of the current state of HTA in Argentina and an unnamed country.
1) The document summarizes four bundled payment models established by the Centers for Medicare and Medicaid Services (CMS) to encourage cost reduction, clinical integration, and care management among providers.
2) The first three models involve retrospective bundled payments for either an inpatient stay alone (Model 1), an inpatient stay plus post-acute care (Model 2), or post-acute care alone (Model 3). Model 4 establishes a prospective bundled payment for an entire episode of care.
3) By allowing gains from reduced costs to be shared among participating providers, the models aim to financially align physicians and hospitals in driving down costs through care coordination and less costly interventions.
Mobile health (mHealth) holds great promise to improve global healthcare through ubiquitous mobile technologies, but faces significant adoption challenges. Interest in mHealth is growing rapidly among patients, doctors, and payers based on its potential to increase access, quality and convenience of care. However, most experts expect widespread adoption to be slow due to healthcare's resistance to change and the need to develop solutions that appeal to all stakeholders. Emerging markets may lead the way by leaping ahead through unmet needs and fewer entrenched interests, while developed countries face disruptive changes to established systems and relationships. Innovators must navigate complex regulatory environments and focus on solving payers' problems through cost-effective services rather than technology alone.
This document provides information about an upcoming continuing medical education event on "Meaningful Use" and computerized physician order entry (CPOE). The one-hour online module will discuss the federal incentive program for meaningful use of electronic health records, including the three stages of the HI-TECH Act and penalties for hospitals not meeting goals by 2015. It is free for Saint Luke's Care physicians and qualifies for one credit of Category 1 CME. The module will be presented by experts from the Medical Group Management Association and McKesson Corporation.
Personalized Medicine World Conference 2011 MedivoSundeep Bhan
This document summarizes a company called Medivo that provides personalized medicine solutions. Medivo leverages consumer empowerment trends, health IT, and genomic medicine to offer more tailored healthcare. It identifies issues with the current "one size fits all" model, such as high costs and low compliance. Medivo's platform integrates lab testing, physician networks, and analytics to close care gaps, target high-risk patients, and accelerate adoption of new tests. The company sees opportunities in addressing the $300 billion per year spent on unnecessary treatments. Its goal is to partner with various stakeholders like pharma, managed care organizations, and physicians to transition to more outcomes-based healthcare.
A Vision for U.S. Healthcare's Radical MakeoverCognizant
The healthcare industry is on the verge of a disruptive change that will significantly reshape our experiences and reorient our expectations across the provider and payer value chain.
Accountable Care Organizations: Savings, Quality, and Information TechnologyRobert Bond
The document discusses Accountable Care Organizations (ACOs) and how they can promote savings, quality, and the use of health information technology. It explains that ACOs bring local providers together to manage the total cost and quality of care for populations of patients. ACOs use a shared savings model where providers receive reimbursement from insurers based on meeting quality targets and reducing spending growth. The document outlines various levers ACOs can use related to demand, risk, cost, quality, and infrastructure to influence outcomes. It also provides examples of ACOs that have formed across the United States.
an empirical approach for provider organizations transitioning during healthcare reform implementation, integrating clinical and financial historical experiences. The presentation, Challenge & Response -- delineates the discovery process within experiential databasesA
Soccnx III - Using Social for social good - the case for Social Business in H...LetsConnect
Speakers: Bill Looby
"Social Business for Healthcare Social is everywhere. Patients and providers are living in a socially networked world. Healthcare is a social business. Are you ready? Social businesses leverage collaboration capabilities to connect people and break down traditional boundaries. They activate networks of people that apply relevant content and expertise to improve and accelerate how work gets done. This is a demonstration of social business capabilities applied to healthcare for improved patient outcomes and efficiency of care delivery. See examples of connecting providers across acute and ambulatory care settings in new ways via social business technologies and open standards. Featured technologies include IBM Connections social business software for healthcare and IBM InfoSphere® HC solutions built on Initiate® technology.
The document discusses how the IBM zEnterprise system can provide benefits for healthcare organizations by helping them improve operational effectiveness, achieve better quality and outcomes, and enable collaborative care. It highlights key capabilities of the zEnterprise system like cost savings, security, availability, efficiency and scalability. The system allows consolidation of platforms and simplification of IT infrastructure to help healthcare providers reduce complexity and costs while improving services.
2013-01 Building a Framework for Sustainable ACO Enablementimagine.GO
This document summarizes a presentation by Kevin Riley on building a framework for sustainable Accountable Care Organizations (ACOs). Riley argues that for ACOs to be sustainable long-term, unlike previous managed care models, they require investment in three key areas: patient engagement to improve the healthcare experience, care delivery to boost provider performance, and data analytics to enable cost control and risk sharing between insurers and providers. The presentation outlines how focusing on these elements can help create better value in healthcare by improving outcomes while reducing costs.
The document provides an overview of CMS's vision for meaningful use of health information technology (HIT). It discusses how HIT can improve quality, efficiency and reduce costs through initiatives like electronic health records (EHRs) and health information exchange. The goals of meaningful use are to improve care, engage patients, improve care coordination, public health and maintain privacy/security. CMS aims to achieve the "Triple Aim" of better care, lower costs and improved population health through HIT and delivery system reforms between 2011-2019.
The document discusses implementing a strategic plan and performance measurement framework for an oncology program. It outlines establishing goals across five key dimensions: patient experience, clinical outcomes, financials, workforce, and system integration. A strategy map and balanced scorecard will be used to link goals, monitor progress, and enhance accountability. Regular performance reporting is needed to effectively manage processes and clinical/operational outcomes toward achieving excellence in cancer care.
We at Boehringer Ingelheim know that there are many issues affecting health care in the United States. In this presentation Dr. Lee Sacks of Advocate Health takes a look at accountable care organizations (ACOs) and their role in health care reform. Understanding the Implications of Accountable Care Organizations for Patients and Providers, was a web conference given on July 31, 2012 and which we hope will provide offer an understanding of best practices among ACOs and tips for helping constituents adopt and participate in ACOs.
ACO = HIE + Analytics: Enabling Population Health ManagementPerficient, Inc.
An ACO aims to improve healthcare delivery and population health outcomes while lowering costs. It coordinates patient care across providers to share financial risk and responsibility for a given population. Key components include primary care physicians, specialists, hospitals, and mechanisms for care coordination. Success is defined by achieving the triple aim of better patient experience of care, improved population health outcomes, and lower per capita costs.
Aetna December 2011 investor conference presentation (final) copyMatthew Holt
Mark Bertolini outlines Aetna's strategy to succeed in a changing healthcare environment. Aetna believes that access and affordability are universal issues, employers demand more cost-effective solutions, and consumers will bear higher healthcare costs. Aetna is developing products based on tiered networks, narrow networks, and accountable care solutions to meet these changing demands. Aetna also believes that health information technology can help create a paradigm shift by providing a 360-degree view of patients.
Final Kalkhof Tri State Hfma 09 15 11 Integrated Service Lines And Managed Carechriskalkhof
This document summarizes a presentation on building a value-driven integrated service line and care continuum. The presentation discusses transitioning from traditional fee-for-service models to population management models, defining service line capabilities across care continuums, aligning clinical and capital resources, physician alignment strategies, and establishing networks to support core service lines. It also covers service line pricing, lessons learned, and taking questions.
E Healthcare Business Model Innovation Research 2009Koen Klokgieters
This presentation discusses business models for eHealth and applies business model approaches to eHealth projects. It provides an overview of the eHealth market size in Europe and identifies key interactions in eHealth business models including resources, offers, customers, and financial performance. The presentation then examines two case studies of eHealth business models in Italy and the Netherlands: the Centro Unico di Prenotazione system in Umbria, Italy, and Tactus' online treatment program for alcoholics in the Netherlands. It analyzes how these models changed to incorporate eHealth technologies and identifies success factors.
To prepare for the more dynamic world ahead, healthcare organizations are working to: (1) Improve operational effectiveness, (2) Collaborate for prevention and wellness, (3) Achieve better quality and outcomes.
The document provides an overview of health technology assessment (HTA) in selected emerging market countries. It notes that many emerging markets have adopted social health insurance models and increased healthcare spending driven by economic growth, aging populations, and expanding access to medical technologies. However, this has also brought challenges around cost containment and improving access. As a result, many countries are now establishing HTA agencies and processes to help guide healthcare spending and policy decisions based on costs and effectiveness. The document includes brief summaries of the current state of HTA in Argentina and an unnamed country.
1) The document summarizes four bundled payment models established by the Centers for Medicare and Medicaid Services (CMS) to encourage cost reduction, clinical integration, and care management among providers.
2) The first three models involve retrospective bundled payments for either an inpatient stay alone (Model 1), an inpatient stay plus post-acute care (Model 2), or post-acute care alone (Model 3). Model 4 establishes a prospective bundled payment for an entire episode of care.
3) By allowing gains from reduced costs to be shared among participating providers, the models aim to financially align physicians and hospitals in driving down costs through care coordination and less costly interventions.
Mobile health (mHealth) holds great promise to improve global healthcare through ubiquitous mobile technologies, but faces significant adoption challenges. Interest in mHealth is growing rapidly among patients, doctors, and payers based on its potential to increase access, quality and convenience of care. However, most experts expect widespread adoption to be slow due to healthcare's resistance to change and the need to develop solutions that appeal to all stakeholders. Emerging markets may lead the way by leaping ahead through unmet needs and fewer entrenched interests, while developed countries face disruptive changes to established systems and relationships. Innovators must navigate complex regulatory environments and focus on solving payers' problems through cost-effective services rather than technology alone.
This document provides information about an upcoming continuing medical education event on "Meaningful Use" and computerized physician order entry (CPOE). The one-hour online module will discuss the federal incentive program for meaningful use of electronic health records, including the three stages of the HI-TECH Act and penalties for hospitals not meeting goals by 2015. It is free for Saint Luke's Care physicians and qualifies for one credit of Category 1 CME. The module will be presented by experts from the Medical Group Management Association and McKesson Corporation.
Personalized Medicine World Conference 2011 MedivoSundeep Bhan
This document summarizes a company called Medivo that provides personalized medicine solutions. Medivo leverages consumer empowerment trends, health IT, and genomic medicine to offer more tailored healthcare. It identifies issues with the current "one size fits all" model, such as high costs and low compliance. Medivo's platform integrates lab testing, physician networks, and analytics to close care gaps, target high-risk patients, and accelerate adoption of new tests. The company sees opportunities in addressing the $300 billion per year spent on unnecessary treatments. Its goal is to partner with various stakeholders like pharma, managed care organizations, and physicians to transition to more outcomes-based healthcare.
A Vision for U.S. Healthcare's Radical MakeoverCognizant
The healthcare industry is on the verge of a disruptive change that will significantly reshape our experiences and reorient our expectations across the provider and payer value chain.
Accountable Care Organizations: Savings, Quality, and Information TechnologyRobert Bond
The document discusses Accountable Care Organizations (ACOs) and how they can promote savings, quality, and the use of health information technology. It explains that ACOs bring local providers together to manage the total cost and quality of care for populations of patients. ACOs use a shared savings model where providers receive reimbursement from insurers based on meeting quality targets and reducing spending growth. The document outlines various levers ACOs can use related to demand, risk, cost, quality, and infrastructure to influence outcomes. It also provides examples of ACOs that have formed across the United States.
an empirical approach for provider organizations transitioning during healthcare reform implementation, integrating clinical and financial historical experiences. The presentation, Challenge & Response -- delineates the discovery process within experiential databasesA
Soccnx III - Using Social for social good - the case for Social Business in H...LetsConnect
Speakers: Bill Looby
"Social Business for Healthcare Social is everywhere. Patients and providers are living in a socially networked world. Healthcare is a social business. Are you ready? Social businesses leverage collaboration capabilities to connect people and break down traditional boundaries. They activate networks of people that apply relevant content and expertise to improve and accelerate how work gets done. This is a demonstration of social business capabilities applied to healthcare for improved patient outcomes and efficiency of care delivery. See examples of connecting providers across acute and ambulatory care settings in new ways via social business technologies and open standards. Featured technologies include IBM Connections social business software for healthcare and IBM InfoSphere® HC solutions built on Initiate® technology.
The document discusses how the IBM zEnterprise system can provide benefits for healthcare organizations by helping them improve operational effectiveness, achieve better quality and outcomes, and enable collaborative care. It highlights key capabilities of the zEnterprise system like cost savings, security, availability, efficiency and scalability. The system allows consolidation of platforms and simplification of IT infrastructure to help healthcare providers reduce complexity and costs while improving services.
2013-01 Building a Framework for Sustainable ACO Enablementimagine.GO
This document summarizes a presentation by Kevin Riley on building a framework for sustainable Accountable Care Organizations (ACOs). Riley argues that for ACOs to be sustainable long-term, unlike previous managed care models, they require investment in three key areas: patient engagement to improve the healthcare experience, care delivery to boost provider performance, and data analytics to enable cost control and risk sharing between insurers and providers. The presentation outlines how focusing on these elements can help create better value in healthcare by improving outcomes while reducing costs.
The document provides an overview of CMS's vision for meaningful use of health information technology (HIT). It discusses how HIT can improve quality, efficiency and reduce costs through initiatives like electronic health records (EHRs) and health information exchange. The goals of meaningful use are to improve care, engage patients, improve care coordination, public health and maintain privacy/security. CMS aims to achieve the "Triple Aim" of better care, lower costs and improved population health through HIT and delivery system reforms between 2011-2019.
The document discusses implementing a strategic plan and performance measurement framework for an oncology program. It outlines establishing goals across five key dimensions: patient experience, clinical outcomes, financials, workforce, and system integration. A strategy map and balanced scorecard will be used to link goals, monitor progress, and enhance accountability. Regular performance reporting is needed to effectively manage processes and clinical/operational outcomes toward achieving excellence in cancer care.
We at Boehringer Ingelheim know that there are many issues affecting health care in the United States. In this presentation Dr. Lee Sacks of Advocate Health takes a look at accountable care organizations (ACOs) and their role in health care reform. Understanding the Implications of Accountable Care Organizations for Patients and Providers, was a web conference given on July 31, 2012 and which we hope will provide offer an understanding of best practices among ACOs and tips for helping constituents adopt and participate in ACOs.
ACO = HIE + Analytics: Enabling Population Health ManagementPerficient, Inc.
An ACO aims to improve healthcare delivery and population health outcomes while lowering costs. It coordinates patient care across providers to share financial risk and responsibility for a given population. Key components include primary care physicians, specialists, hospitals, and mechanisms for care coordination. Success is defined by achieving the triple aim of better patient experience of care, improved population health outcomes, and lower per capita costs.
Aetna December 2011 investor conference presentation (final) copyMatthew Holt
Mark Bertolini outlines Aetna's strategy to succeed in a changing healthcare environment. Aetna believes that access and affordability are universal issues, employers demand more cost-effective solutions, and consumers will bear higher healthcare costs. Aetna is developing products based on tiered networks, narrow networks, and accountable care solutions to meet these changing demands. Aetna also believes that health information technology can help create a paradigm shift by providing a 360-degree view of patients.
Final Kalkhof Tri State Hfma 09 15 11 Integrated Service Lines And Managed Carechriskalkhof
This document summarizes a presentation on building a value-driven integrated service line and care continuum. The presentation discusses transitioning from traditional fee-for-service models to population management models, defining service line capabilities across care continuums, aligning clinical and capital resources, physician alignment strategies, and establishing networks to support core service lines. It also covers service line pricing, lessons learned, and taking questions.
E Healthcare Business Model Innovation Research 2009Koen Klokgieters
This presentation discusses business models for eHealth and applies business model approaches to eHealth projects. It provides an overview of the eHealth market size in Europe and identifies key interactions in eHealth business models including resources, offers, customers, and financial performance. The presentation then examines two case studies of eHealth business models in Italy and the Netherlands: the Centro Unico di Prenotazione system in Umbria, Italy, and Tactus' online treatment program for alcoholics in the Netherlands. It analyzes how these models changed to incorporate eHealth technologies and identifies success factors.
To prepare for the more dynamic world ahead, healthcare organizations are working to: (1) Improve operational effectiveness, (2) Collaborate for prevention and wellness, (3) Achieve better quality and outcomes.
Health Care Innovation Challenge Overview: Nov 17, 2011Brian Ahier
This document outlines the Health Care Innovation Challenge, which will provide $1 billion to fund innovative models of health care service delivery and payment. The goal is to identify models that improve quality while lowering costs. Proposals should test new models within 6 months and define a pathway to sustainability. Selection criteria include model design, organizational capacity, workforce impact, sustainability, and evaluation plan. The Innovation Center aims to engage partners to transform health care delivery and payment nationwide.
Clinical Integration: The Foundation for Accountable Care - Presentation delivered by Keynote Speaker Marvin O’Quinn, Senior Executive Vice President and Chief Operating Officer, Dignity Health at the National Healthcare CXO Summit held in Las Vegas Oct 19-21, 2014.
The document discusses the future of nursing and healthcare. It outlines challenges facing the US healthcare system including rising costs and access issues. It also discusses challenges and opportunities for nursing including an aging population, need for higher levels of education, and calls to expand nursing's leadership role. The IOM report on nursing recommends increasing the proportion of nurses with bachelor's degrees and doubling the number with doctorates by 2020 to help transform the healthcare system and improve outcomes.
This document outlines the key points from a presentation on the future of nursing and healthcare reform. It discusses the challenges facing the US healthcare system including rising costs and access issues. It also examines issues in nursing including a lack of educational preparation and faculty shortages. The presentation reviews recommendations from the IOM report on nursing calling for higher levels of education and full practice authority. The report advocates for nurses to play a leadership role in healthcare redesign through initiatives like the Patient Protection and Affordable Care Act.
Grainne Flynn was diagnosed with diabetes in 1993 and began her journey of diabetes education and peer support that empowered her as a patient. She became involved in diabetes advocacy as a blogger, event organizer, and support group facilitator. Through education, family and peer support online and in support groups, she felt empowered in managing her diabetes.
This document outlines a modified diabetes care model called the Portsmouth Model or "Super Six." It describes the different patient populations and types of care provided at the hospital, primary care, and diabetes support team levels. The hospital team focuses on acute, pregnancy/pre-pregnancy, active foot disease, advancing CKD/RRT, type 1 diabetes including insulin pumps, and complex type 2 diabetes patients. Primary care manages those at risk of diabetes, with controlled type 2 diabetes, and uncontrolled type 2 diabetes with guidelines. The diabetes support team cares for uncontrolled type 2 diabetes patients and type 1 patients who do not attend appointments are invited to an online community. Patient numbers are provided for each group.
Gerald Tomkin , Director of the Diabetes Institute Beacon HospitalInvestnet
This document summarizes a presentation on diabetes, atherosclerosis, and cholesterol. It discusses how diabetes increases the risk of cardiovascular disease and mortality. It notes that achieving lipid targets substantially reduces cardiovascular risk, but that target achievement is still uncommon. New therapies that inhibit microsomal triglyceride transfer protein, apolipoprotein C3, proprotein convertase subtilisin/kexin type 9, and other targets may help lower lipids and reduce risk, but require further study of long-term safety and efficacy. The need to more intensively reduce risk factors to further lower cardiovascular event rates is emphasized.
Dr. Ronan Canavan , Clinical lead of the National Clinical Programme for Diab...Investnet
Ronan Canavan, a consultant endocrinologist, gave a presentation at the Future Health Summit on designing better diabetes care. The presentation discussed standards, an integrated care model, retinopathy screening and treatment, podiatry, education, and paediatrics. It reviewed a 1999 model of diabetes care and discussed progress made in the last 5 years, including establishing a clinical diabetes program, retinal screening, developing a model of care for diabetic foot care, and integrated diabetes nurse specialists. The presentation concluded by discussing how Ireland can be the best in areas like prevention, technology, and education.
This document presents information on CliniBridge, a behavioral analysis software platform for clinicians that is integrated with a mobile platform for patients and caregivers. The platforms were pilot tested with Sussex Community NHS Trust and aimed to 1) avoid patient relapses and readmissions to meet funding targets, 2) allow patients to self-manage for improved outcomes, 3) increase the effectiveness of therapy, and 4) use silent data and intervention systems. The platforms were presented by Dervilla O'Brien, Managing Director and Co-Founder of CliniBridge.
The document describes an app developed by Dr. Malcolm R. Kell and colleagues to help breast cancer survivors focus on physical activity, diet, and reducing their body mass index (BMI) after treatment. The free app allows users to select an exercise intensity, see how much exercise is needed over 10 weeks to lower BMI by 10%, update their BMI, and access simple recipes to support a healthy diet for weight loss. The goal is to provide breast cancer survivors a simple tool to promote healthy living and improved survivorship after breast cancer.
Serious problems require serious solutions. Alcohol misuse costs €57 billion annually and only 1 in 9 people who misuse alcohol receive treatment. A smartphone and web-based platform is proposed as an innovative, user-friendly, evidence-based, and cheaper way to provide personalized treatment at scale. The platform utilizes computerized cognitive behavioral therapy and text messaging, which studies have shown can be effective in treating alcohol misuse. It seeks to revolutionize the UK addiction treatment market and plans clinical trials in Ireland and the UK in 2016 before rolling out more broadly in Europe and the US.
Dr. Robert Kelly discusses pressures facing the Irish health system including resources, costs, quality, and efficiency. Barriers include doctors' limited time and resources, and patients' issues with access, time, mobility and costs. Telemedicine can help overcome these barriers by giving patients more convenient lower-cost access supported by information to high-quality care. VideoDoc is an Irish telemedicine platform provider that operates a virtual clinic model and enables doctors to integrate the platform into their practices to develop telemedicine solutions for patients. The platform aims to improve healthcare experiences and outcomes at affordable costs through more engaged patients.
Cathal Brennan , Medical Device Assessor- Human Products Authorisation and Re...Investnet
This document discusses the regulation of standalone software as a medical device. It begins by defining standalone software and noting the EU directive that amended the definition of a medical device to include software intended for medical purposes. It then covers how to qualify standalone software as a medical device and classify it. The document reviews essential requirements, harmonized standards, conformity assessment procedures including CE marking, and registration requirements. It provides advice for manufacturers on ensuring compliance and for users on reporting issues. The role of the Irish regulator HPRA in providing guidance and conducting oversight is also discussed.
This document summarizes the effects of digital distraction on human behavior and brain function. It notes that people now spend 2-3 times as much time online as a decade ago and most check social media daily and switch between devices over 20 times an hour. This constant connectivity is changing how our brain functions, shortening attention spans and affecting memory. The ability to stay focused without distraction has become a rare "superpower." However, the document also sees opportunities to make sense of data and provide tips to use technology in a supportive rather than substitutive way.
1) The document discusses using neuroimaging and machine learning to detect dementia earlier by predicting which patients with mild cognitive impairment (MCI) will progress to dementia within a year.
2) The researchers have developed a model that can predict MCI to dementia progression with 75% accuracy by analyzing brain MRIs.
3) They are working to improve their model's accuracy and to predict the biological brain age and time to dementia for patients.
Keregen Therapeutics is a UK-based early stage drug discovery and development company focused on developing precision medicines for Parkinson's Disease. They were founded in 2015 and are operating out of University College London and Stevenage Bioscience Catalyst. Keregen is developing first-in-class small molecule activators of the Nrf2 pathway as a disease-modifying treatment for Parkinson's with the goal of a safer oral therapy that can be taken once daily. The company has participated in accelerator programs, secured initial funding, hired new employees, and aligned with academia to access resources and personnel as they progress their lead candidate towards clinical trials.
Darren Cunningham, Inflection Bio SciencesInvestnet
Darren Cunningham, CEO of Inflection Bio, presented an overview of the company's mission to develop new cancer treatments by targeting the PIM kinase pathway. Inflection Bio has a pipeline of targeted therapeutics for cancers like multiple myeloma, NSCLC, and hematological malignancies. Its lead candidates inhibit both PIM and PI3K/mTOR to address resistance to existing therapies. The company utilizes a network of research collaborators and has raised €2.2 million to advance its preclinical programs, with the goal of securing partners after Phase I trials.
This document discusses developing more effective drug delivery systems for treating blindness linked to diabetes or aging. It describes Phision Therapeutics' work on developing novel small molecule drugs and biodegradable microcapsule formulations for sustained drug release over 4-6 months via microneedles, as an alternative to frequent eye injections. The founders aim to commercialize this technology to reduce the burden of treatment for patients and clinicians.
This document describes the development of the BraineyApp, a mobile application created by Niamh Malone to help with self-recovery and rehabilitation following acquired brain injuries like stroke or traumatic brain injury. The app provides a personalized recovery journey broken into weekly and monthly goals. It underwent user testing and focus groups. Funding is being sought to further develop prototypes with input from medical experts and technology companies to expand the app's reach and features to support recovery from various neurological conditions and surgeries.
Toby Basey-Fisher , CEO, Co Founder, Eva DiagnosticsInvestnet
Evadiagnostics provides a smart health solution that offers immediate blood testing and actionable patient information to help with triaging. Their clinically validated platform technology connects devices, software, and data to improve patient care through better planning and quality of care driven by new data insights. They were recently recognized as European winners for their award-winning team and significant health economic impact through health solutions that improve patient outcomes.
Ena Prosser, Fountain Healthcare PartnersInvestnet
This document summarizes information about a life sciences venture capital partnership. They have €170 million under management across two funds and invest in companies seeking €8-10 million or more that have large market potential and an acceptable level of risk. Their team includes experts across clinical, commercial, IP, manufacturing and legal areas. They take an active role in their investments and want to connect early with companies that have strong teams critical to success.
Raglan Capital is an investment firm based in Dublin that develops investment opportunities by identifying and sourcing proprietary projects. In recent years it has raised over $500 million for ventures in sectors like oil and gas, financial technology, online gaming, medtech, and life sciences. One of Raglan's recent successes was instrumental in the formation of Amryt Pharma, a rare disease drug company that listed on the London AIM exchange in April 2016 with a market capitalization of $50 million and $20 million in cash.
Academic institutions in Ireland are driving support and innovation in several ways:
1) Through technology transfer offices and innovation centers that work directly with industry to identify needs and fund applied research projects to develop solutions.
2) By establishing research centers organized around key industry sectors like food and agriculture that are jointly funded and driven by partnerships between academia and industry.
3) By offering degree programs, facilities, expertise and other resources to support industry-identified priorities and challenges in areas like biomedical technologies and brewing/distilling.
TEST BANK For Community and Public Health Nursing: Evidence for Practice, 3rd...Donc Test
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- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
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Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
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These lecture slides, by Dr Sidra Arshad, offer a quick overview of the 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 lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
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. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
These lecture slides, by Dr Sidra Arshad, offer a simplified look into the mechanisms involved in the regulation of respiration:
Learning objectives:
1. Describe the organisation of respiratory center
2. Describe the nervous control of inspiration and respiratory rhythm
3. Describe the functions of the dorsal and respiratory groups of neurons
4. Describe the influences of the Pneumotaxic and Apneustic centers
5. Explain the role of Hering-Breur inflation reflex in regulation of inspiration
6. Explain the role of central chemoreceptors in regulation of respiration
7. Explain the role of peripheral chemoreceptors in regulation of respiration
8. Explain the regulation of respiration during exercise
9. Integrate the respiratory regulatory mechanisms
10. Describe the Cheyne-Stokes breathing
Study Resources:
1. Chapter 42, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 36, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 13, Human Physiology by Lauralee Sherwood, 9th edition