Virginia AFP's lobbyist Hunter Jamerson's presentation from the 2013 SLC on the unique Medicaid reform approach being followed in the state of Virginia.
Presented by Lisa Goldstein, Director of Adolescent Health, American College of Obstetricians and Gynecologists, at the 2010 National Chlamydia Coalition meeting.
Reduce Medicaid Churn with HMS Eliza | InfographicHMS
Check out this infographic about the impact Medicaid churn has on an individual's health and their health plan's bottom line. Member enrollment continuity has positive health and financial outcomes. Reducing the amount of unnecessary churn inflicted on the U.S. healthcare system will not only reduce costs but, also help maintain and improve the health status of many Medicaid recipients like Jane. Follow her story and discover the millions of dollars in healthcare costs saved from a simple HMS Eliza retention program.
Virginia AFP's lobbyist Hunter Jamerson's presentation from the 2013 SLC on the unique Medicaid reform approach being followed in the state of Virginia.
Presented by Lisa Goldstein, Director of Adolescent Health, American College of Obstetricians and Gynecologists, at the 2010 National Chlamydia Coalition meeting.
Reduce Medicaid Churn with HMS Eliza | InfographicHMS
Check out this infographic about the impact Medicaid churn has on an individual's health and their health plan's bottom line. Member enrollment continuity has positive health and financial outcomes. Reducing the amount of unnecessary churn inflicted on the U.S. healthcare system will not only reduce costs but, also help maintain and improve the health status of many Medicaid recipients like Jane. Follow her story and discover the millions of dollars in healthcare costs saved from a simple HMS Eliza retention program.
Infographic: State of Nebraska's innovative health management programHealthFitness
The State of Nebraska recently was awarded the C. Everett Koop National Health Award, which requires stringent requirements for demonstrating health improvements and cost savings. Here is an overview of the state’s award-winning health management program.
The Practical Playbook
National Meeting 2016
www.practicalplaybook.org
Bringing Public Health and Primary Care Together: The Practical Playbook National Meeting was at the Hyatt Regency in Bethesda, MD, May 22 - 24, 2016. The meeting was a milestone event towards advancing robust collaborations that improve population health. Key stakeholders from across sectors – representing professional associations, community organizations, government agencies and academic institutions – and across the country came together at the National Meeting to help catalyze a national movement, accelerate collaborations by fostering skill development, and connect with like-minded individuals and organizations to facilitate the exchange of ideas to drive population health improvement.
The National Meeting was also a significant source of tools and resources to advance collaboration. These tools and resources are available below and include:
Session presentations and materials
Poster session content
Photos from the National Meeting
The conversation started at the National Meeting is continuing in a LinkedIn Group "Working Together for Population Health" and Twitter. Use #PPBMeeting to provide feedback on the National Meeting.
The Practical Playbook was developed by the de Beaumont Foundation, the Duke University School of Medicine Department of Community and Family Medicine, the Centers for Disease Control and Prevention (CDC), and the Health Resources & Services Administration (HRSA).
Speaking at the 2015 CCIH Annual Conference, Regan Deming, MPH, Monitoring and Evaluation Technical Officer for the General Board of Global Ministries of the United Methodist Church examines how UMC's Imagine NO Malaria program increased access to malaria interventions in Zimbabwe by working with the Ministry of Health to engage community volunteers.
Health Datapalooza 2013: Hearing from the Community - Jean NudelmanHealth Data Consortium
Health Datapalooza IV: June 3rd-4th, 2013
Hearing from the Community: Where We Are and Where We Would Like to Be
Moderator:
Edward J. Sondik, former Director, National Center for Health Statistics
Speakers:
Georges Benjamin, Executive Director, American Public Health Association (APHA)
Samuel ‘Woodie’ Kessel, Professor, University of Maryland School of Public Health
Patrick Remington, Associate Dean for Public Health, University of Wisconsin School of Medicine and Public Health
Jean Nudelman, Director, Community Benefits Programs, Kaiser Permanente
Donald F. Schwarz, Health Commissioner, Deputy Mayor for Health and Opportunity, City of Philadelphia, Pennsylvania
Afshin Khosravii, Chief Executive Officer, Trilogy Integrated Resources
Richard Martin, Vice President, Heritage Provider Network
This session will focus on advances in the use of health data in developing or implementing new tools that impact local community health. It will explore the data and technology needs of local community health organizations and discuss the challenges they face when attempting to meet these needs. It will also present recommendations from non-data oriented people regarding opportunities in the data and technology fields that could enhance their experience in local community health.
Because everyone matters.
IBM Health and Social Programs Summit, October 2014
Craig Rhinehart’s Blog
Insights from NASHP Conference in Atlanta
Trick or Treating for State Healthcare Innovation Treats
http://craigrhinehart.com
Infographic: State of Nebraska's innovative health management programHealthFitness
The State of Nebraska recently was awarded the C. Everett Koop National Health Award, which requires stringent requirements for demonstrating health improvements and cost savings. Here is an overview of the state’s award-winning health management program.
The Practical Playbook
National Meeting 2016
www.practicalplaybook.org
Bringing Public Health and Primary Care Together: The Practical Playbook National Meeting was at the Hyatt Regency in Bethesda, MD, May 22 - 24, 2016. The meeting was a milestone event towards advancing robust collaborations that improve population health. Key stakeholders from across sectors – representing professional associations, community organizations, government agencies and academic institutions – and across the country came together at the National Meeting to help catalyze a national movement, accelerate collaborations by fostering skill development, and connect with like-minded individuals and organizations to facilitate the exchange of ideas to drive population health improvement.
The National Meeting was also a significant source of tools and resources to advance collaboration. These tools and resources are available below and include:
Session presentations and materials
Poster session content
Photos from the National Meeting
The conversation started at the National Meeting is continuing in a LinkedIn Group "Working Together for Population Health" and Twitter. Use #PPBMeeting to provide feedback on the National Meeting.
The Practical Playbook was developed by the de Beaumont Foundation, the Duke University School of Medicine Department of Community and Family Medicine, the Centers for Disease Control and Prevention (CDC), and the Health Resources & Services Administration (HRSA).
Speaking at the 2015 CCIH Annual Conference, Regan Deming, MPH, Monitoring and Evaluation Technical Officer for the General Board of Global Ministries of the United Methodist Church examines how UMC's Imagine NO Malaria program increased access to malaria interventions in Zimbabwe by working with the Ministry of Health to engage community volunteers.
Health Datapalooza 2013: Hearing from the Community - Jean NudelmanHealth Data Consortium
Health Datapalooza IV: June 3rd-4th, 2013
Hearing from the Community: Where We Are and Where We Would Like to Be
Moderator:
Edward J. Sondik, former Director, National Center for Health Statistics
Speakers:
Georges Benjamin, Executive Director, American Public Health Association (APHA)
Samuel ‘Woodie’ Kessel, Professor, University of Maryland School of Public Health
Patrick Remington, Associate Dean for Public Health, University of Wisconsin School of Medicine and Public Health
Jean Nudelman, Director, Community Benefits Programs, Kaiser Permanente
Donald F. Schwarz, Health Commissioner, Deputy Mayor for Health and Opportunity, City of Philadelphia, Pennsylvania
Afshin Khosravii, Chief Executive Officer, Trilogy Integrated Resources
Richard Martin, Vice President, Heritage Provider Network
This session will focus on advances in the use of health data in developing or implementing new tools that impact local community health. It will explore the data and technology needs of local community health organizations and discuss the challenges they face when attempting to meet these needs. It will also present recommendations from non-data oriented people regarding opportunities in the data and technology fields that could enhance their experience in local community health.
Because everyone matters.
IBM Health and Social Programs Summit, October 2014
Craig Rhinehart’s Blog
Insights from NASHP Conference in Atlanta
Trick or Treating for State Healthcare Innovation Treats
http://craigrhinehart.com
Patient Centered Medical home talk at WVUPaul Grundy
To employers the cost of healthcare is now a business issue and this talk is about what one large buyer IBM did to drive transformation via broad coalition with other large employers to form the Patient Centered Medical Home movement and the covenant between buyer and provider away from the garbage we now buy episodic uncoordinated disintegrated care. In the change of convenient conversation we have worked with the Primary care providers to give us coordinated, integrated, accessible and compressive care with a set of principles know as the Patient centered medical home.
A Patient Centered Medical Home (PCMH) happens when primary care healers keeping that core healing relationship with their patients step up to become specialists in Family and Community Medicine. The move is to the discipline of leading a team that delivers population health management, patent centered prevention, care that is coordination, comprehensive accessible 24/7 and integrated across a deliver system. PCMH happens when the specialists in Family and Community Medicine wake up every morning and ask the question how will my team improve the health of my community today?
All over the world three huge factors are in play that is driving the concept of Patient Centered Medical Home. They are:
1) Cost and demography
2) Information technology and data (information that is actionable will equal a demand for accountability by the payer or buyer of the care)
3) Consumer demand to engage healthcare differently (at least as well as they can their bank- on line) have a question about lab results why not e-mail?
But at its core it is a move toward integration of a healing relationship in primary care and population management all at the point of care with the tools to do just that.
Mobile Clinics - Optimizing Access to Preventive CareMickelder Kercy
Mobile health clinics can enhance health care accessibility and quality in underserved communities. Immigration Policy change and new health care regulations are vital to long-term health care costs reduction and population health improvement.
In cooperation with the Research and Evaluation Division of BRAC, Copenhagen Consensus Center organized roundtable discussions with an aim to figure out smarter solutions to the most problematic issues facing Bangladesh.
The Patient-Centered Medical Home Impact on Cost and Quality: An Annual Revie...CHC Connecticut
Dr. Nwando Olayiwola, Associate Director, Center for Excellence in Primary Care, Assistant Professor, University of California, San Francisco addresses the 2014 Weitzman Symposium on The Patient-Centered Medical Home Impact on Cost and Quality: An Annual Review of Evidence
This webinar discussed how to educate Nurse Practitioners who have completed Community Health Center. Inc’s NP Residency or NPs who have significant experience as a Primary Care Provider on the integration of specialty care for key populations, including:
• HIV care
• Hepatitis C management
• Medication-assisted treatment for opioid use and other substance use disorders
• Sexually transmitted disease (STI) screening and management
• Lesbian, Gay, Bisexual, Transgender, Questioning, Intersex, Asexual (LGBTQIA+) health, including hormone replacement therapy and gender affirming care.
Panelists:
• Charise Corsino, MA, Program Director, Nurse Practitioner Residency Programs, Community Health Center, Inc.
• Marwan Haddad, MD, MPH, AAHIVS, Medical Director, Center for Key Populations, Community Health Center, Inc.
• Jeannie McIntosh, APRN, FNP-C, AAHIVS, Family Nurse Practitioner, Center for Key Populations, Community Health Center, Inc.
Early in August, President Trump issued an executive order focused on improving rural health. In response, the U.S. Department of Health and Human Services (HHS) is moving forward with a series of assertive measures featured in a formal strategic plan to remedy the significant healthcare challenges of farmers and others living in rural communities. It addresses access to quality care, medical staffing, technology, clinical innovation, reimbursement and sustainability.Read the story and contact John Baresky for further details.
The Ohio AFP's presentation 2013 SLC presentation on their communications & advocacy campaign surrounding the Medicare Medicaid primary care parity payment that won them the Leadership in State Government Advocacy award.
Connect for Colorado's Lindy Hinman's 2013 SLC presentation on health insurance marketplaces and what the Connect for Colorado organization has done to get their state insurance marketplace up and running.
AAFP Government Relations Director Kevin Burke's 2013 SLC presentation on AAFP's Federal Priorities and the status of AAFP supported legislation at the federal level.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
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
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
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
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.
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!
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
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...
Kaufman.aafp slc 2013
1. Decentralizing the University,
Broadening the Health Team,
Addressing Social Determinants
AAFP 2013 Legislative Conference – Nov 2, 2013
Broomfield, Colorado
Arthur Kaufman, MD
Vice Chancellor for Community Health
Distinguished Professor of Family and Community Medicine
University of New Mexico
akaufman@salud.unm.edu
2. New Institutional Vision Statement
“The University of New Mexico Health Sciences
Center will work with community partners to
help New Mexico make more progress in health
and health equity than any other state by 2020.”
3. Quality Care is Not Enough
ex. Diabetes in Native Americans
• Recommended Preventive Services:
- Native Americans have best rates
• Deaths from Diabetes:
- Native Americans have highest rates
New Mexico Dept of Health 2010 Report on Ethnic
Disparities in Health
4. Establish Health Extension Rural Offices
•
•
•
Place full-time agents in rural communities
across the state
Link community health priorities with UNM
resources
Monitor effectiveness of university programs
in addressing community health needs
Kaufman, A, et al: Health Extension in New Mexico: An Academic Health Center and the
Social Determinants of Disease. The Annals of Family Medicine, Jan. 2010, vol. 8 No. 1.
7. Health Professional Shortages
in Lea County - Sample
Estimated
Number Number
Needed Licensed
per
and
Population Residing in Provider
in Lea Co. Lea Co.
Gap
Physicians
108
60
48
Nurse Practitioners
54
17
37
Physician Assistants
54
6
48
Physical Therapists
22
15
7
Dentists
39
7
32
Registered Nurses
466
379
87
9. FM resident Outcomes, Plans
• 76 Residents, half in
ABQ, half in rural NM
• 25% of ABQ grads
work in rural NM
• 70% of rural NM grads
for in rural NM
10. HEROs and NM Health Insurance Exchange:
Outreach to Higher Education Sites across NM
10
11. Community Health Workers
(“Promotoras”): Sustainable Funding via
Medicaid Managed Care Organizations
Managed Medicaid MCO profits reduced by high ER use
MCO contract with Univ to hire, HEROs to train CHWs –
CHWs assigned “panel” of high users to “manage” in field
Results:
–
–
–
–
–
62% reduction in cost to MCOs
Program extended to 2 other MCOs
Program expanded to half the 33 counties in the state
Molina spread model to 9 other states
Blue Cross gave grant to train Primary Care to work with CHWs
12. Health Extension, Cooperative Extension and
CHWs Working Together on Social Determinants
Cooperative Extension
gives nutrition classes in
primary care clinics
Food Co-op
Economic development
ollas
honey
eggs chickens
plants
Housing renovation
Urban Gardening
Primary Care
Behavioral Health