The document discusses a health promoting practices quality framework and ProCare Health's strategy. It outlines how health promoting practices can improve patient health, increase patient enrollments and practice income, and reduce avoidable hospitalizations. The benefits for practices include less busy clinicians, professional development opportunities, and quality improvement. It then discusses how health promoting practices are based on overseas models and government directives in New Zealand. It focuses on integration across disciplines and improving relationships between practices, clinicians, patients, and communities. The last part outlines a five step process for practices to work on a health issue through self-assessment, using a toolkit, and quality improvement plans with support from health promoters.
Building the Health Workforce as We Transform the Delivery System, presented by Mary D. Naylor, PhD, RN, Marian S. Ware Professor in Gerontology, University of Pennsylvania School of Nursing
CAHPO 2016. Workshop 4: Trudi Dunn and Nina FinlayNHS England
Chief Allied Health Professions Officer’s Conference 2016
Workshop 4: Supporting self-care and behaviour change – Chair Linda Hindle
Health Coaching. Trudi Dunn and Nina Finlay, Health Coaching Trainers/ Clinical Specialist Physiotherapists, West Suffolk NHS Foundation Trust
Building the Health Workforce as We Transform the Delivery System, presented by Mary D. Naylor, PhD, RN, Marian S. Ware Professor in Gerontology, University of Pennsylvania School of Nursing
CAHPO 2016. Workshop 4: Trudi Dunn and Nina FinlayNHS England
Chief Allied Health Professions Officer’s Conference 2016
Workshop 4: Supporting self-care and behaviour change – Chair Linda Hindle
Health Coaching. Trudi Dunn and Nina Finlay, Health Coaching Trainers/ Clinical Specialist Physiotherapists, West Suffolk NHS Foundation Trust
Tom Deblanco: maximising patient engagementNuffield Trust
Tom Delbanco, MD, MACP and Koplow–Tullis, Professor of Medicine, Harvard Medical School present on maximising patient engagement through health information technology.
CAHPO 2016. Workshop 4: Chris Pankhurst and Lawrence AmbroseNHS England
Chief Allied Health Professions Officer’s Conference 2016
Workshop 4: Supporting self-care and behaviour change – Chair Linda Hindle
Foot assessment and foot self-care app. Chris Pankhurst, Guy’s and St Thomas’ NHS Foundation Trust.
Lawrence Ambrose. Lead Policy Officer, Society of Chiropodists and Podiatrists.
Case management: What it is and how can it be implemented?The King's Fund
Nick Goodwin introduces our new paper on case management, evaluating practical examples and considering how it can help establish integrated health and social care.
Richard Neal LTC _Consensus Meeting 10-Nov-2015angewatkins
PRIME Centre Wales
Long Term Conditions Consensus Meeting
Tuesday 10th November 2015, St Mary's Priory, Abergavenny, NP7 5ND
http://www.primecentre.wales/ltc-consensus-meeting.php
Use of Plan-Do-Study-Act (PDSA) Cycles to Strengthen Routine Immunization in ...JSI
The Universal Immunization through Improving Family Health Services (UI-FHS) project works to improve the routine immunization system in Ethiopia. This project conducted qualitative research to understand the experience of QI Teams in using PDSA cycles to improve routine immunization service delivery. It was found that the RED Quality Improvement (QI) approach encouraged greater facility-community linkages through engagement in PDSA cycles.
This was presented at the IHI Africa Forum on Quality and Safety in Healthcare in Durban, South Africa.
PFCC INFOGRAPHIC: Six Steps to Patient EngagementEngagingPatients
The challenges of creating patient and family-centered care seem daunting. However, the PFCC Innovation Center of UPMC demonstrates it's easier than you think. In this infographic, you see it begins by engaging patients through a simple six step process.
Patient Engagement Presentation - MPN Network Forum April 18, 2017Alexandra Enns
April 18, 2017
In April we held a Network Forum on engaging policymakers and patients/public effectively and appropriately. We would like to give a warm thanks to both Carolyn Shimmin, Patient Engagement expert of CHI's Knowledge Translation team, and Marcia Thomson, Assistant Deputy Minister of Manitoba Health, Seniors and Active Living for their presentations. Below you can see Carolyn's presentation - to see more of her work on patient engagement and to learn more about knowledge translation at CHI, please check out the blog Knowledge Nudge here. If you would like more information, helpful tools or advice about patient/public engagement in research, please contact Carolyn Shimmin at cshimmin@exchange.hsc.mb.ca
Implementing person centred reminiscence education for nurses caring for elde...anne spencer
Kavitha Ramalingam talks about her research into reminiscence education for nurses caring for elderly persons. This was presented at the St Mary's Campus Nursing Showcase in 2016.
Tom Deblanco: maximising patient engagementNuffield Trust
Tom Delbanco, MD, MACP and Koplow–Tullis, Professor of Medicine, Harvard Medical School present on maximising patient engagement through health information technology.
CAHPO 2016. Workshop 4: Chris Pankhurst and Lawrence AmbroseNHS England
Chief Allied Health Professions Officer’s Conference 2016
Workshop 4: Supporting self-care and behaviour change – Chair Linda Hindle
Foot assessment and foot self-care app. Chris Pankhurst, Guy’s and St Thomas’ NHS Foundation Trust.
Lawrence Ambrose. Lead Policy Officer, Society of Chiropodists and Podiatrists.
Case management: What it is and how can it be implemented?The King's Fund
Nick Goodwin introduces our new paper on case management, evaluating practical examples and considering how it can help establish integrated health and social care.
Richard Neal LTC _Consensus Meeting 10-Nov-2015angewatkins
PRIME Centre Wales
Long Term Conditions Consensus Meeting
Tuesday 10th November 2015, St Mary's Priory, Abergavenny, NP7 5ND
http://www.primecentre.wales/ltc-consensus-meeting.php
Use of Plan-Do-Study-Act (PDSA) Cycles to Strengthen Routine Immunization in ...JSI
The Universal Immunization through Improving Family Health Services (UI-FHS) project works to improve the routine immunization system in Ethiopia. This project conducted qualitative research to understand the experience of QI Teams in using PDSA cycles to improve routine immunization service delivery. It was found that the RED Quality Improvement (QI) approach encouraged greater facility-community linkages through engagement in PDSA cycles.
This was presented at the IHI Africa Forum on Quality and Safety in Healthcare in Durban, South Africa.
PFCC INFOGRAPHIC: Six Steps to Patient EngagementEngagingPatients
The challenges of creating patient and family-centered care seem daunting. However, the PFCC Innovation Center of UPMC demonstrates it's easier than you think. In this infographic, you see it begins by engaging patients through a simple six step process.
Patient Engagement Presentation - MPN Network Forum April 18, 2017Alexandra Enns
April 18, 2017
In April we held a Network Forum on engaging policymakers and patients/public effectively and appropriately. We would like to give a warm thanks to both Carolyn Shimmin, Patient Engagement expert of CHI's Knowledge Translation team, and Marcia Thomson, Assistant Deputy Minister of Manitoba Health, Seniors and Active Living for their presentations. Below you can see Carolyn's presentation - to see more of her work on patient engagement and to learn more about knowledge translation at CHI, please check out the blog Knowledge Nudge here. If you would like more information, helpful tools or advice about patient/public engagement in research, please contact Carolyn Shimmin at cshimmin@exchange.hsc.mb.ca
Implementing person centred reminiscence education for nurses caring for elde...anne spencer
Kavitha Ramalingam talks about her research into reminiscence education for nurses caring for elderly persons. This was presented at the St Mary's Campus Nursing Showcase in 2016.
PROMOSI KESEHATAN KELUARGA-Family health promotionswarjana2012
Promosi kesehatan dapat diaplikasikan pada berbagai level termasuk pada level keluarga yang dapat memberikan banyak manfaat dalam rangka meningkatkan derajat kesehatan keluarga
6th Association of Philippine Medical Colleges – Student Network Luzon Regional Convention
Healthcare Social Media Summit
Virgen Milagrosa University Foundation, San Carlos City, Pangasinan
12 November 2016
Pedoman penyusunan dokumen akreditasi fasilitas kesehatan tingkat pertamaFendy dc
Salah satu unsur penƟ ng dan sangat vital yang menentukan
keberhasilan akreditasi FKTP adalah bagaimana mengatur
sistem pedokumentasian dokumen.
Pengaturan sistem dokumentasi dalam satu dalam proses
implementasi akreditasi FKTP dianggap penƟ ng karena
dokumen merupakan acuan kerja, bukƟ pelaksanaan dan
penerapan kebijakan, program dan kegiatan, serta bagian
dari salah satu persyaratan Akreditasi FKTP. Dengan adanya
sistem dokumentasi yang baik dalam suatu insƟ tusi/organisasi
diharapkan fungsi-fungsi seƟ ap personil maupun bagian-bagian
dari organisasi dapat berjalan sesuai dengan perencanaan
bersama dalam upaya mewujudkan kinerja yang opƟ mal.
Dokumen yang dimaksud dalam Akreditasi FKTP secara garis
besar dibagi atas dua bagian yaitu dokumen internal dan
eksternal. Dokumen tersebut digunakan untuk membangun
dan membakukan sistem manajemen mutu dan sistem
manajemen pelayanan. Regulasi internal tersebut berupa
Kebijakan, Pedoman, Standar operasional prosedur (SOP) dan
dokumen lain disusun berdasarkan peraturan perundangan dan
pedoman-pedoman (regulasi) eksternal yang berlaku.
Agar para pemangku kepenƟ ngan Akreditasi FKTP memiliki
acuan dan memudahkan dalam melakukan dokumentasi perlu
disusun Pedoman Penyusunan Dokumen Akreditasi FKTP.
Permenkes no. 46 tahun 2015 tentang Akreditasi Puskesmas, Klinik pratama, te...Adelina Hutauruk
Peraturan Menteri Kesehatan RI
No. 46 Tahun 2016 tentang Akreditasi Puskesmas, Klinik Pratama, Tempat Praktek Mandiri Dokter dan tempat Praktek Mandiri Dokter Gigi
SPEECH OUTLINE : INFORMATIVE SPEECH
TOPIC : HEALTHY LIFESTYLES
BY MAHFUZAH MOHD MANSOR
INTRODUCTION:
- The definition of healthy lifestyles
- Statistic about healthy lifestyles of the students
BODY:
1: Healthy Body
- What: Exercise, Physical Activity
- How: Spend time for exercise, Get enough rest, body' function.
- Benefits: Allah loves a strong believer, become energetic, less diseases.
2: Healthy Food
- What: Eating habits that are suitable for needs of the body
- How: plan in Consuming food (different people has different consume of food), taking breakfast, eat halal (lawful) food.
- Benefits: Al-Baqarah: 168, function food gives a beneficial source of health, maintain the body.
3: Healthy Mind
- What: Good thinking reflects to action
- How: good intention, use time wisely, planning our lives, Relationship with Allah
- Benefits: Gives strength, rewards by Allah.
CONCLUSION:
- Emphasizes the relationship between healthy body, food and mind.
- Good mind is in healthy body
* CCDS 2351, Class for PRESENTATION SKILLS & CRITICAL THINKING on 11th May 2013. Section 6, Semester 2, 2012/2013 with sister HANNAT TOPE AHMAD ABDUSSALAM as my trainer.
Primary Health Care Strategy:
Key Directions for the Information Environment. Case study report and composite success model.
Steve Creed & Philip Gander
Jo Partington, AHP Lead at the Department of Health, Transforming Community Services, addresses AHP Leadership Challenges, Referral to Treatment Project, Service Improvement Project and Transforming Community Services. COT Annual Conference 2010 (22-25 June 2010)
Sharing the Learning from Innovation in Mental Health PracticeNHSScotlandEvent
Mental health practice has a long history of person‐centred care approaches and recent initiatives and material have further developed this focus. This session will highlight what impact these initiatives have had..
iHV regional conf: Dr Karen Whittaker - The evaluation of health visiting pra...Julie Cooper
Presentation by Dr Karen Whittaker at the Institute of Health Visiting Regional Professional Conferences 2015.
Dr Karen Whittaker is Senior Lecturer in the School of Health at the University of Central Lancashire.
How to make care and support planning a two-way dynamic - presentation from webinar held on 1 October 2014
This relates to the first NHS IQ Long Term Conditions Improvement Programmes Wednesday Lunch & Learn Webinar Series. How to make care and support planning a 2 way dynamic hosted by Dr Alan Nye & Brook Howells from AQuA. This webinar discussed how to encourage patients, carers and the public to work alongside (in equal partnership) with clinicians and managers
Clinical Workforce Development NCA Informational WebinarCHC Connecticut
Learn more about training and technical assistance offered through Community Health Center Inc.'s National Cooperative Agreement (NCA) on Clinical Workforce Development. Hear more about FREE Learning Collaboratives opportunities to enhance or implement a model of Team-Based Care at your Health Center, and how to implement a Post-Graduate Residency program for Nurse Practitioners and Post-Doc Clinical Psychologists.
NHS Improving Quality was invited to take part in a recently held event that celebrated the work that is being done in partnership between the Pennine Acute Hospitals NHS Trust and AQuA to deliver a Quality Improvement Methodologies Programme (QuIMP).
Gillian Phazey, Learning and Organisational Development Manager at Pennine Acute Hospitals NHS Trust explains:
'The Learning and Organisational Development and Governance teams at the Pennine Acute Hospitals NHS Trust have been working collaboratively with AQuA to deliver a Quality Improvement Methodologies Programme (QuIMP) to support staff in developing knowledge and skills in this topic. The programme has been specifically designed to support colleagues wanting to gain an introduction to the fundamentals and concepts of quality improvement. So far, two cohorts of staff, from clinical and non-clinical areas of the Trust have completed the programme, and have completed quality improvement projects in their own work area to apply their knowledge. On 17th July a celebration event was held for cohort 2 where staff presented their work in poster or presentation form, the aim of which is to share and spread learning across the Trust. Projects were wide ranging, from introducing new processes to reduce complaints and drug errors, to improving patient experience by implementing new tools and techniques. The day was a great success with the Chief Executive and Chief Nurse in attendance. The Trust is highly supportive of this approach in equipping staff with these important techniques, and the programme supports not only our internal quality agenda and objectives, but more widely responds to the recommendations of the Berwick report. The next cohort is starting in September this year.'
Fiona Thow, Patient Safety Collaborative Delivery Lead at NHS Improving Quality delivered a keynote speech, (link to presentation slides) providing a national perspective on the plans for improving patient safety and took the opportunity to introduce the national safety collaboratives. She also highlighted the need for organisations and individuals to think differently about safety for both patients and staff.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Factory Supply Best Quality Pmk Oil CAS 28578–16–7 PMK Powder in Stockrebeccabio
Factory Supply Best Quality Pmk Oil CAS 28578–16–7 PMK Powder in Stock
Telegram: bmksupplier
signal: +85264872720
threema: TUD4A6YC
You can contact me on Telegram or Threema
Communicate promptly and reply
Free of customs clearance, Double Clearance 100% pass delivery to USA, Canada, Spain, Germany, Netherland, Poland, Italy, Sweden, UK, Czech Republic, Australia, Mexico, Russia, Ukraine, Kazakhstan.Door to door service
Hot Selling Organic intermediates
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Clinicians will be less busy hrough having a healthier population who are presenting less for preventable illnesses and who are more engaged in community services who can assist them (i.e. Breast Screen, Plunket Nurses, Maori and Pacific community organisations, refugee and migrant services)
The Health Promoting Practices Quality Framework is based on the Health Promoting Settings philosophy that focuses on Health Promotion in Primary Health Care is about: Reaching the whole population Educating populations to improve health literacy self-management, health information, Social Marketing, health education and skill development Supporting practices to have healthy workplaces Supporting practices to be involved in community action
Historically health promotion grown from work done overseas, arose from departments of Public Health but introduced concepts that penetrated into general practice and our individual relationships with patients Influenced by the Chronic care movement which is driving patient centeredness PCMH Now New Zealand tackling its own version Government initiatives in health Better Sooner More Convenient contracts with focus on prevention of hospital admissions, and shared social service/health contracts like Early Years service Hubs Whanau Ora contracts – initial direction related to ethnicity but the concepts about wrap around health apply to all new Zealanders. It links in with MSD and focuses on services talking to one another. Working between disciplines in general practice means lifting your gaze form what presents in front of you to the bigger picture.
These silos could have lots of different names Funding ones could be MSD, Ministry of Health, NGOs Pro-cares ones could be practice teams, health promotion team, quality team, practice engagement team. Community labels could be schools, health services, police, social services, General practice could have patients, receptionists, nurses, doctors, management, community health workers, We are all now being encouraged to lift up our eyes from our head down bums up approach to the work that walks in our doors and think how we can all do it better – working smarter not harder. In some ways we are going back to the roots of general practice when GPs and their nurses were spending a lot of time in the communities that they lived & worked in.
Its not new
Capitation funding allows us to consider taking care of the patient and keeping them well, its in our interetss that they don’t get sick! Payment for performance and outcomes (PPP) Increased programme funding (CCM, Care+, Palliative Care, A2D) Business models, workforce crisis & sustainable general practice Cornerstone accreditation
Current services fit most but not all, We are all so busy getting through our workload that General practice teams have been known to think if not to say that their lives would be so much easier if it wasn’t for the patients!! Whole person care focuses' on what the patient needs and creates holes the right size & shape for each person Our patients are individuals who will seek help from various sources and it may not be the service that can provide them what they need, if we make our holes and job descriptions flexible then the person who is their point of contact will know what to do next and where to send them. It may be a teacher seeing a child with school sores talking to the public health nurse who sends the family to the free marae clinic a group of practice nurses setting up a screening programme for non accidental injury for children so that staff know what t to ask and what to do next in a busy A&M, a GP referring a young mum to the new support group set up by the Early Years Service Hub that came to talk to the practice last week, a health care assistant accompanying a patient downstairs to their mammogram after organising transport to get them to the clinic a community health worker supporting a new patient to the practice in negotiating the seemingly impossible task of enrolling and setting up an AP to pay off a debt and providing information on a local budgeting service a woman attending a health expo having a heart risk check at the stand run by 2 local general practices and discovering she had a BP of 190/110 and total cholesterol of 7 and says she will get it checked at the marae clinic next week. After encouraging health promotion ways of working in our practice ALL of these are examples are ones that I have seen in our practice recently and could easily have stopped with no further action if staff had not been flexible and patient centred –hopefully these individuals all have had better outcomes because of this.
HP helps to have a plan for those complicated ‘heart sink’ patients, they may be the ones that don’t come often but when they do EVERYTHING in their lives is a mess and health is the least of their problems. Practice teams often feel powerless trying to make inroads into their health issues Instead of trying to ignore the other issues health promotion concepts can provide some responses once we have opened Pandora's box – This means clinicians have the skills and the resources they can use once wider issue are identified (alcohol, mental illness, domestic violence, debt), once patients are dealing with these THEN we can get them to think about their cholesterol. Creates opportunities for achieving CME & PDRP requirements. Revving up those with flagging interest in their work. Practice teams working in the BSMC contracts included doctors ready to retire under the weight of paperwork but are now rearing to go on Teamwork approaches value individual skills and allow people to get on with what they are good at.
How can we also develop our relationships with the alien world outside the practice to help them and us provide better care Although this is about community it is still about individual relationships with people in the community. Community Health workers can be a bridge between practices and communities Health promotion encourages the concept of a two way process = practice -> to community + community -> practice. Leading to an exchange of knowledge about services. Leading to influencing one another’s practice and better outcomes for the individuals we see Knowing what is out there in the community helps you deal with Pandora’s box. Using the powerful influence that medical practitioners can have on the community we can advocate on our patients behalf. We may consider taking our services out into the community or putting our patients in touch with the correct community services General practice has a part to play influencing Population Health,Community initiatives and Healthy Public Policy. This is truly the alien world but all basically built on fostering individual relationships. How about considering saying to your patient “I met this guy who has been offering a men’s health support group and we encouraged him to come and do some work at the local marae, he has made an inspiring personal journey improving his own health and he tells some great funny stories how about I get him to give you a call’ compare this to” here’s a leaflet on a service in town, not quite sure what they do but it might be good, give them a call”
Systems – creating time and space to plan and think. Identifying a leader important. Idea is to create facilitated change from within The facilitated Pro-Care audit tool is going to provide a way to asses where things are at now With HPPQF tool kits to suggest practical steps to take The practice then identifies what they want to work on and using the HPPQF resources identifies how they want to proceed Ideally the process will involve the whole team – reception, nurse Doctor, HCAs, CSAs. IT utilisation harnessing the power of computers especially with Dr info development of systems that identify and fix the leaky buckets (funding and outcomes) Planning, action & review – PDSA cycles but led by practice teams doing what they feel is important. Improved practice health – create healthy workplaces.
This slide is to highlight improved understanding of people who at times seem to inhabit different worlds from us. Its about the relationship between patients and practice staff, between doctors/nurses/reecptionsists, between practice and ProCare/PHO o rbetween Procare departments of health promotion and practice support, and even more alien to us but very important for our patients our relationships with the wider community and other service providers or funders. For our patients we can work on improved Health literacy – more information, not less, in a variety of forms, appropriate to patients. Clinical teams can develop combined care planning designed with the patient using a patient centred approach, what are they ready to deal with now? Encouragement of patient self management is the only way forward when you consider how little time we spend beside our patients on their journey to health – they are largely on their own and we have to work with their issues to guide them to better outcomes The therapeutic relationship begins with the Avatar concept of “I see you” meaning not only see you, but hear you & understand you. .