Known for leading large-scale healthcare improvement using data and analytics to drive positive change, Dr. Charles Macias speaks to creating greater value in the EMR through analytics. This approach has done more to increase value than many other cost-reduction efforts.
In this webinar you will 1) Explore each component of the value equation, 2) learn how TCH has increased the value of its healthcare using data to drive quality an ever more important need of those facing capitated or value–based care reimbursements and 3) consider a new ROI equation for systems who have invested heavily in their EMRs
How to Use Data to Improve Patient Safety: A Two-Part DiscussionHealth Catalyst
As healthcare organizations continue to experience expenses growing faster than revenues, value based care, and consumer transparency of costs and quality, patient safety will be an important determinant of success. This session will describe the sociotechnical attributes of a safe system, the challenges, the barriers and opportunities, and how to use data and your culture of safety as a powerful tool to drive down adverse events.
Attendees will learn:
Why patient safety and quality are important.
How data can help improve patient safety.
The history of patient safety and where we are today.
What components make up a safety analytics culture.
How the internal safety culture directly impacts patient safety metrics.
To describe basic guidelines for improving a safety culture with analytics.
The Imperative of Linking Clinical and Financial Data to Improve Outcomes - H...Health Catalyst
Quality and cost improvements require the intelligent use of financial and clinical data coupled with education for multi-disciplinary teams who are driving process improvements. Once a data warehouse is established, healthcare organizations need to set up multi-disciplinary clinical, financial, and IT specialist teams to make the best use of the data. Sometimes, financial involvement is minimized or even excluded for a number of reasons that can turn out to be counterproductive. However, including financial measurements and participation up front can help enhance the recognized value and sustainability of quality improvement or waste reduction efforts. the In this session you will learn keys to success and real-life examples of linking clinical, financial and patient satisfaction data via multi-disciplinary teams that produce impressive results.
To lower health costs, physician networks and medical homes must employ a closed loop population management program that focus on patient SOH stratification, chronic disease management, care coordination and incentive management. This approach will enable them to consistently reduce ER and inpatient admissions, which are the greatest expenditures in health care today.
Learn how CORUS is enabling these significant improvements:
Integration of EHR data, including patient-level clinical and operational data, as well as departmental and equipment resource-utilization data, delivering the first truly comprehensive view of the true cost of patient care
Manufacturing-style activity-based costing that is scalable and maintainable, freeing analysts to focus on identifying variation and cost-saving opportunities
Embedded costing knowledge including best practices, rules, and algorithms from world-renowned academic healthcare institutions, accelerating cost management transformation
Dramatically more timely and actionable cost data based on an analytics platform that supports over 160 source systems including EHR, claims, General Ledger, payroll, supply chain, and patient satisfaction systems
We look forward to you joining us!
Demystifying Text Analytics and NLP in HealthcareHealth Catalyst
Leading the discussion, we have two exceptional thinkers in this space, Mike Dow, a former CIO and current Health Catalyst product manager and software developer, and Dr. Carolyn Simpkins, Health Catalyst’s Chief Medical Informatics Officer.
They will share thoughts on the challenges of text in clinical analytics as well as demonstrate:
Why text is an important part of clinical analytics
Why a text search is not enough
How clinical text search can be refined with NLP techniques
Key Principles and Approaches to Populaiton Health mManagement - HAS Session 21Health Catalyst
Population Health Management is in its early stages of maturity, suffering from inconsistent definitions and understanding, and is overhyped by vendors and ill-defined by the industry. And yet, many systems are moving forward in innovative pioneering ways to address this growing trend. In this session, you will hear from two very different, successful health systems: a physician-led group and a large integrated delivery system. They will share their best practices, learnings, and different approaches to population health management.
Population Health Management: Where are YOU?Phytel
This presentation explains how population health is fundamental to value-based delivery models, including key principles and definitions of PHM, as well as how to assess your organization’s “population health readiness.”
How to Use Data to Improve Patient Safety: A Two-Part DiscussionHealth Catalyst
As healthcare organizations continue to experience expenses growing faster than revenues, value based care, and consumer transparency of costs and quality, patient safety will be an important determinant of success. This session will describe the sociotechnical attributes of a safe system, the challenges, the barriers and opportunities, and how to use data and your culture of safety as a powerful tool to drive down adverse events.
Attendees will learn:
Why patient safety and quality are important.
How data can help improve patient safety.
The history of patient safety and where we are today.
What components make up a safety analytics culture.
How the internal safety culture directly impacts patient safety metrics.
To describe basic guidelines for improving a safety culture with analytics.
The Imperative of Linking Clinical and Financial Data to Improve Outcomes - H...Health Catalyst
Quality and cost improvements require the intelligent use of financial and clinical data coupled with education for multi-disciplinary teams who are driving process improvements. Once a data warehouse is established, healthcare organizations need to set up multi-disciplinary clinical, financial, and IT specialist teams to make the best use of the data. Sometimes, financial involvement is minimized or even excluded for a number of reasons that can turn out to be counterproductive. However, including financial measurements and participation up front can help enhance the recognized value and sustainability of quality improvement or waste reduction efforts. the In this session you will learn keys to success and real-life examples of linking clinical, financial and patient satisfaction data via multi-disciplinary teams that produce impressive results.
To lower health costs, physician networks and medical homes must employ a closed loop population management program that focus on patient SOH stratification, chronic disease management, care coordination and incentive management. This approach will enable them to consistently reduce ER and inpatient admissions, which are the greatest expenditures in health care today.
Learn how CORUS is enabling these significant improvements:
Integration of EHR data, including patient-level clinical and operational data, as well as departmental and equipment resource-utilization data, delivering the first truly comprehensive view of the true cost of patient care
Manufacturing-style activity-based costing that is scalable and maintainable, freeing analysts to focus on identifying variation and cost-saving opportunities
Embedded costing knowledge including best practices, rules, and algorithms from world-renowned academic healthcare institutions, accelerating cost management transformation
Dramatically more timely and actionable cost data based on an analytics platform that supports over 160 source systems including EHR, claims, General Ledger, payroll, supply chain, and patient satisfaction systems
We look forward to you joining us!
Demystifying Text Analytics and NLP in HealthcareHealth Catalyst
Leading the discussion, we have two exceptional thinkers in this space, Mike Dow, a former CIO and current Health Catalyst product manager and software developer, and Dr. Carolyn Simpkins, Health Catalyst’s Chief Medical Informatics Officer.
They will share thoughts on the challenges of text in clinical analytics as well as demonstrate:
Why text is an important part of clinical analytics
Why a text search is not enough
How clinical text search can be refined with NLP techniques
Key Principles and Approaches to Populaiton Health mManagement - HAS Session 21Health Catalyst
Population Health Management is in its early stages of maturity, suffering from inconsistent definitions and understanding, and is overhyped by vendors and ill-defined by the industry. And yet, many systems are moving forward in innovative pioneering ways to address this growing trend. In this session, you will hear from two very different, successful health systems: a physician-led group and a large integrated delivery system. They will share their best practices, learnings, and different approaches to population health management.
Population Health Management: Where are YOU?Phytel
This presentation explains how population health is fundamental to value-based delivery models, including key principles and definitions of PHM, as well as how to assess your organization’s “population health readiness.”
Precise Patient Registries: The Foundation for Clinical Research & Population...Health Catalyst
Join Dale Sanders as he shares his experience in developing disease registries, the history of patient registries, and the current design patterns in data engineering to create highly precise registries to support clinical research and population health management.
Topics:
*How the definition of the term “patient registry" has evolved from being associated with a federal- or state-mandated reporting requirement to a hospital or health system’s own population of patients, including device registries, drug registries, and procedure registries.
*Why engaging certain populations via group registries allows them to better understand their conditions and reach out for support from others who share their condition.
*Several untapped benefits of registries for disease and quality management.
*When to utilize patient registries to guide decision-making and drive change, especially at the point of care.
*Which of the critical steps to building a disease registry is most important.
*The keys to winning organizational support in order to implement a successful registry initiative.
*Precise patient registries play a significant role in the management of a broad variety of healthcare processes, including chronic diseases and conditions, as well as clinical research.
Understanding how registries are currently built vs. how they should be built is critical to the future of healthcare outcomes improvement, cost reduction, and translational research.
How to Use Data to Improve Patient Safety: Part 2Health Catalyst
Stan and Valere will discuss how using an automated trigger tool for all-cause harm reviews will provide timely, real-time patient safety data useful to drive down harm rates with earlier interventions. Additional benefits of this approach include having a more accurate and robust source of data for identifying harm trends to then be able to integrate the findings into existing quality improvement processes for further quality improvement efforts.
Attendees will learn how to:
Understand the importance of dedicating resources to impact downstream costs
Identify their key sources of Patient Safety data
Integrate Patient Safety data in to existing Quality Improvement Processes
Learn and improve from real-time safety analytics combined with a Culture of Safety
Zero Sepsis Deaths: A Dialogue of Passion and Practical Wisdom on Sepsis Prev...Health Catalyst
Each year 1.7 million Americans are diagnosed with sepsis, resulting in 270,000 deaths, according to the Centers for Disease Control and Prevention. That’s one death every two minutes, making sepsis the leading cause of death in U.S. hospitals. The financial toll is also high, with the average cost per sepsis stay over $18,000. Sepsis is the number one cause of both initial hospitalizations and readmissions.
Nearly all sepsis deaths are preventable. Community outreach, focused attention on the emergency department, and effective technology and processes to monitor patients already admitted can reduce sepsis mortality. Making a goal of “zero sepsis deaths” a reality is a personal and professional passion of Armando Nahum, a patient activist and co-founder and President of the Safe Care Campaign, and Kathleen Merkley, DNP, ANP, FNP, Senior Vice President of Professional Services at Health Catalyst.
Nahum and Merkley share stories and practical steps to drastically reduce the sepsis toll. Michael L. Millenson, Senior Advisor to Health Catalyst, patient safety expert, and long-time advocate of safer, higher-quality, more patient-centered care, facilitates the dialogue.
What You’ll Learn
- How to implement community outreach to facilitate timely sepsis recognition and seeking of care.
- How to organize emergency department processes for prompt sepsis recognition and treatment.
- How to ensure prompt sepsis recognition and treatment in the inpatient environment.
- How to avoid sepsis readmissions.
An ACO Case Study: Quality Improvement in HealthcareHealth Catalyst
OSF HealthCare—one of the first Pioneer Accountable Care Organizations (ACOs)—has a strong history of providing outstanding quality improvement in healthcare within hospitals, clinics, home health and other health provider entities across Illinois. For ACOs to succeed under value-based care, it is critical that organizations effectively coordinate care in the effort to maximize quality and safety, while minimizing costs and waste. It is also imperative that ACOs understand patients’ needs and values and incorporate them into all health decisions.
Please join Leslie Falk, Health Catalyst and the OSF team—recipient of the 2014 Illinois Hospital Association (IHA) Institute for Innovations in Care and Quality’s first annual Tim Philipp Award for Excellence in Palliative and End-of-Life Care—as they discuss how they leveraged technology and data to launch a community-wide supportive care initiative that has successfully maximized value for the populations they serve.
Attendees of the webinar will:
Learn how OSF is improving healthcare quality and delivering on the Triple Aim.
Explore innovative ways to improve care coordination.
Discover how technology-enabled solutions drives community, patient, and physician engagement.
Understand the benefit of a team approach to improving care coordination.
The Top 7 Outcomes Measures and 3 Measurement EssentialsHealth Catalyst
Outcomes improvement can’t happen without effective outcomes measurement. Given the healthcare industry’s administrative and regulatory complexities, and the fact that health systems measure and report on hundreds of outcomes annually, this blog adds much-needed clarity by reviewing the top seven outcome measures, including definitions, important nuances, and real-life examples:
Mortality
Readmissions
Safety of care
Effectiveness of care
Patient experience
Timeliness of care
Efficient use of medical imaging
CMS used these exact seven outcome measures to calculate overall hospital quality and arrive at its 2016 hospital star ratings. This blog also reiterates the importance of outcomes measurement, clarifies how outcome measures are defined and prioritized, and recommends three essentials for successful outcomes measurement:
Transparency
Integrated care
Interoperability
Penalties are coming. Are you prepared? Widely recognized as one of healthcare's most knowledgeable speakers on healthcare policy, Brian Ahier will provide an in-depth look at current healthcare reform and more specifically the implications of the HITECH Act from 2009 as well as the Patient Protection and Affordable Care Act.
In this webinar, Brian covers: 1) The most important details defining the Affordable Care Act regulation, 2) Future implications of this body of reform legislation, 3) Paths healthcare executives can take to prepare,4) The importance of analytics to navigate healthcare reform, 5) The fundamental issues pertaining to Meaningful Use.
Top seven healthcare outcome measures of healthJosephMtonga1
The seven healthcare outcome measures are meant to understand the quality of health systems and how they could be measured and how quality care could be provided to clients.
Patient-Centered Care Requires Patient-Centered Insight: What We Can Do To C...Health Catalyst
Health systems and providers are inundated with measurement systems and reporting. Why would we want to add to the measurement mayhem? The real question is, “Are we measuring what matters?”
Carolyn Simpkins MD, PhD, chief medical informatics officer, will discuss how putting the patient at the center of the measurement matrix can bring coherence and completeness to the picture of care delivery performance across the patient journey, and therefore the performance of the healthcare ecosystem.
She will describe the building blocks for patient-centered measurement and how other metrics, patient-reported outcomes, and patient satisfaction fit into this approach. Carolyn will also review the challenges that have kept health systems from completing a patient-centered outcomes approach and why we are poised to break through. Finally, she will share case studies of organizations who have begun to pioneer the use of patient centered metrics to improve care and outcomes.
Quality reporting's toll on physician practices in time and money by Dr.Mahbo...Healthcare consultant
The failure in quality improvement is that health IT applications have not been designed to simplify the complexity of value-based contracts into automated and easy-to-use workflows for physicians and care managers. The administrative burden of quality improvement should never fall on physicians and other care providers.This exact problem is why I founded Able Health, which is focused on building software that simplifies quality reporting and improvement for all stakeholders. I have written about the need to meet the needs of clinical users in quality improvement through the use of 'design thinking' methods:
Powering Medical Research With Data: The Research Analytics Adoption ModelHealth Catalyst
Analytics are becoming imperative to researchers in recruiting patients into studies, making breakthrough discoveries, as well as monitoring the clinical implementation of these discoveries. This webinar will be for organizations that want to leverage their enterprise data to power more effective research.
Join Eric Just, Vice President of Technology at Health Catalyst, as he presents a Research Analytics Adoption Model that outlines ways that a research organization can leverage data and analytics to achieve greater speed and ROI on research.The Adoption Model walks through analytics competencies starting with basic data usage and culminating with using analytics to incorporate the latest research discoveries into clinical practice.
Content presented and discussed:
A summary of some of the challenges in using data and analytics for research
A research analytics adoption framework for all organizations interested in using clinical data for research
What is needed from a workflow and organizational perspective to power research with data
We hope you enjoy.
Healthcare Interoperability: New Tactics and TechnologyHealth Catalyst
Every provider agrees on the need for healthcare interoperability to achieve clinical data insights at the point of care. The question is how to get there from the myriad technologies and the volumes of data that comprise electronic medical records. It’s been difficult to organize among participants that have had little incentive to cooperate. And standards for sending and receiving data have been slow to develop. This is changing, but the key components that are still vital to realizing insights are closed-loop analytics and its accompanying tools, an enterprise data warehouse and analytics applications. This article defines the problems and explores the solutions to optimizing clinical decision making where it’s needed most.
Recent reports indicate that physicians are stressed and overburdened by several administrative challenges, leaving them with less time for patient care.
Population Health Management PHM MLCSU huddleMatthew Grek
Andi Orlowski (Director of The Health Economics Unit) give an overview of Population Health Management (PHM) to the Midlands and Lancashire Commissioning Support Unit Huddle, on 25 March 2021
Edifecs: Demonstrating who you are in CJREdifecs Inc
A hands-on approaches for hospitals to strategically align orthopedic surgeons and post-acute providers under CJR. This Presentation focuses on tools that providers can use to help manage their performance to be successful under the new value-based environment.
Patient Registries: A New Pillar of Modern CareQ-Centrix
www.q-centrix.com
A vital resource for patient data are registries. This white paper examines the rise of patient registries, how hospitals are taking advantage of the data, the challenges hospitals face in submitting quality information, and the benefits of real-time registry reporting.
Precise Patient Registries: The Foundation for Clinical Research & Population...Health Catalyst
Join Dale Sanders as he shares his experience in developing disease registries, the history of patient registries, and the current design patterns in data engineering to create highly precise registries to support clinical research and population health management.
Topics:
*How the definition of the term “patient registry" has evolved from being associated with a federal- or state-mandated reporting requirement to a hospital or health system’s own population of patients, including device registries, drug registries, and procedure registries.
*Why engaging certain populations via group registries allows them to better understand their conditions and reach out for support from others who share their condition.
*Several untapped benefits of registries for disease and quality management.
*When to utilize patient registries to guide decision-making and drive change, especially at the point of care.
*Which of the critical steps to building a disease registry is most important.
*The keys to winning organizational support in order to implement a successful registry initiative.
*Precise patient registries play a significant role in the management of a broad variety of healthcare processes, including chronic diseases and conditions, as well as clinical research.
Understanding how registries are currently built vs. how they should be built is critical to the future of healthcare outcomes improvement, cost reduction, and translational research.
How to Use Data to Improve Patient Safety: Part 2Health Catalyst
Stan and Valere will discuss how using an automated trigger tool for all-cause harm reviews will provide timely, real-time patient safety data useful to drive down harm rates with earlier interventions. Additional benefits of this approach include having a more accurate and robust source of data for identifying harm trends to then be able to integrate the findings into existing quality improvement processes for further quality improvement efforts.
Attendees will learn how to:
Understand the importance of dedicating resources to impact downstream costs
Identify their key sources of Patient Safety data
Integrate Patient Safety data in to existing Quality Improvement Processes
Learn and improve from real-time safety analytics combined with a Culture of Safety
Zero Sepsis Deaths: A Dialogue of Passion and Practical Wisdom on Sepsis Prev...Health Catalyst
Each year 1.7 million Americans are diagnosed with sepsis, resulting in 270,000 deaths, according to the Centers for Disease Control and Prevention. That’s one death every two minutes, making sepsis the leading cause of death in U.S. hospitals. The financial toll is also high, with the average cost per sepsis stay over $18,000. Sepsis is the number one cause of both initial hospitalizations and readmissions.
Nearly all sepsis deaths are preventable. Community outreach, focused attention on the emergency department, and effective technology and processes to monitor patients already admitted can reduce sepsis mortality. Making a goal of “zero sepsis deaths” a reality is a personal and professional passion of Armando Nahum, a patient activist and co-founder and President of the Safe Care Campaign, and Kathleen Merkley, DNP, ANP, FNP, Senior Vice President of Professional Services at Health Catalyst.
Nahum and Merkley share stories and practical steps to drastically reduce the sepsis toll. Michael L. Millenson, Senior Advisor to Health Catalyst, patient safety expert, and long-time advocate of safer, higher-quality, more patient-centered care, facilitates the dialogue.
What You’ll Learn
- How to implement community outreach to facilitate timely sepsis recognition and seeking of care.
- How to organize emergency department processes for prompt sepsis recognition and treatment.
- How to ensure prompt sepsis recognition and treatment in the inpatient environment.
- How to avoid sepsis readmissions.
An ACO Case Study: Quality Improvement in HealthcareHealth Catalyst
OSF HealthCare—one of the first Pioneer Accountable Care Organizations (ACOs)—has a strong history of providing outstanding quality improvement in healthcare within hospitals, clinics, home health and other health provider entities across Illinois. For ACOs to succeed under value-based care, it is critical that organizations effectively coordinate care in the effort to maximize quality and safety, while minimizing costs and waste. It is also imperative that ACOs understand patients’ needs and values and incorporate them into all health decisions.
Please join Leslie Falk, Health Catalyst and the OSF team—recipient of the 2014 Illinois Hospital Association (IHA) Institute for Innovations in Care and Quality’s first annual Tim Philipp Award for Excellence in Palliative and End-of-Life Care—as they discuss how they leveraged technology and data to launch a community-wide supportive care initiative that has successfully maximized value for the populations they serve.
Attendees of the webinar will:
Learn how OSF is improving healthcare quality and delivering on the Triple Aim.
Explore innovative ways to improve care coordination.
Discover how technology-enabled solutions drives community, patient, and physician engagement.
Understand the benefit of a team approach to improving care coordination.
The Top 7 Outcomes Measures and 3 Measurement EssentialsHealth Catalyst
Outcomes improvement can’t happen without effective outcomes measurement. Given the healthcare industry’s administrative and regulatory complexities, and the fact that health systems measure and report on hundreds of outcomes annually, this blog adds much-needed clarity by reviewing the top seven outcome measures, including definitions, important nuances, and real-life examples:
Mortality
Readmissions
Safety of care
Effectiveness of care
Patient experience
Timeliness of care
Efficient use of medical imaging
CMS used these exact seven outcome measures to calculate overall hospital quality and arrive at its 2016 hospital star ratings. This blog also reiterates the importance of outcomes measurement, clarifies how outcome measures are defined and prioritized, and recommends three essentials for successful outcomes measurement:
Transparency
Integrated care
Interoperability
Penalties are coming. Are you prepared? Widely recognized as one of healthcare's most knowledgeable speakers on healthcare policy, Brian Ahier will provide an in-depth look at current healthcare reform and more specifically the implications of the HITECH Act from 2009 as well as the Patient Protection and Affordable Care Act.
In this webinar, Brian covers: 1) The most important details defining the Affordable Care Act regulation, 2) Future implications of this body of reform legislation, 3) Paths healthcare executives can take to prepare,4) The importance of analytics to navigate healthcare reform, 5) The fundamental issues pertaining to Meaningful Use.
Top seven healthcare outcome measures of healthJosephMtonga1
The seven healthcare outcome measures are meant to understand the quality of health systems and how they could be measured and how quality care could be provided to clients.
Patient-Centered Care Requires Patient-Centered Insight: What We Can Do To C...Health Catalyst
Health systems and providers are inundated with measurement systems and reporting. Why would we want to add to the measurement mayhem? The real question is, “Are we measuring what matters?”
Carolyn Simpkins MD, PhD, chief medical informatics officer, will discuss how putting the patient at the center of the measurement matrix can bring coherence and completeness to the picture of care delivery performance across the patient journey, and therefore the performance of the healthcare ecosystem.
She will describe the building blocks for patient-centered measurement and how other metrics, patient-reported outcomes, and patient satisfaction fit into this approach. Carolyn will also review the challenges that have kept health systems from completing a patient-centered outcomes approach and why we are poised to break through. Finally, she will share case studies of organizations who have begun to pioneer the use of patient centered metrics to improve care and outcomes.
Quality reporting's toll on physician practices in time and money by Dr.Mahbo...Healthcare consultant
The failure in quality improvement is that health IT applications have not been designed to simplify the complexity of value-based contracts into automated and easy-to-use workflows for physicians and care managers. The administrative burden of quality improvement should never fall on physicians and other care providers.This exact problem is why I founded Able Health, which is focused on building software that simplifies quality reporting and improvement for all stakeholders. I have written about the need to meet the needs of clinical users in quality improvement through the use of 'design thinking' methods:
Powering Medical Research With Data: The Research Analytics Adoption ModelHealth Catalyst
Analytics are becoming imperative to researchers in recruiting patients into studies, making breakthrough discoveries, as well as monitoring the clinical implementation of these discoveries. This webinar will be for organizations that want to leverage their enterprise data to power more effective research.
Join Eric Just, Vice President of Technology at Health Catalyst, as he presents a Research Analytics Adoption Model that outlines ways that a research organization can leverage data and analytics to achieve greater speed and ROI on research.The Adoption Model walks through analytics competencies starting with basic data usage and culminating with using analytics to incorporate the latest research discoveries into clinical practice.
Content presented and discussed:
A summary of some of the challenges in using data and analytics for research
A research analytics adoption framework for all organizations interested in using clinical data for research
What is needed from a workflow and organizational perspective to power research with data
We hope you enjoy.
Healthcare Interoperability: New Tactics and TechnologyHealth Catalyst
Every provider agrees on the need for healthcare interoperability to achieve clinical data insights at the point of care. The question is how to get there from the myriad technologies and the volumes of data that comprise electronic medical records. It’s been difficult to organize among participants that have had little incentive to cooperate. And standards for sending and receiving data have been slow to develop. This is changing, but the key components that are still vital to realizing insights are closed-loop analytics and its accompanying tools, an enterprise data warehouse and analytics applications. This article defines the problems and explores the solutions to optimizing clinical decision making where it’s needed most.
Recent reports indicate that physicians are stressed and overburdened by several administrative challenges, leaving them with less time for patient care.
Population Health Management PHM MLCSU huddleMatthew Grek
Andi Orlowski (Director of The Health Economics Unit) give an overview of Population Health Management (PHM) to the Midlands and Lancashire Commissioning Support Unit Huddle, on 25 March 2021
Edifecs: Demonstrating who you are in CJREdifecs Inc
A hands-on approaches for hospitals to strategically align orthopedic surgeons and post-acute providers under CJR. This Presentation focuses on tools that providers can use to help manage their performance to be successful under the new value-based environment.
Patient Registries: A New Pillar of Modern CareQ-Centrix
www.q-centrix.com
A vital resource for patient data are registries. This white paper examines the rise of patient registries, how hospitals are taking advantage of the data, the challenges hospitals face in submitting quality information, and the benefits of real-time registry reporting.
OPD is the mirror of the hospital, which reflects the functioning of the hospital being the first point of contact between the patient and the hospital staff.
Patients visit the OPD for various purposes, like consultation, day care treatment, investigation, referral, admission and post discharge follow up. Not only for treatment but also for preventing and promotive services like, health check up, Immunisation, Physio-therapy and so on.
Location and layout of hospital, need of hospital to community,planning,factors and data required in planning,fundamentals and objectives,principles,different stages,equipment planning,icu design and layout,quality quantity and temperature and noise control in hospital,conclusion
The Key to Transitioning from Fee-for-Service to Value-Based ReimbursementsHealth Catalyst
The shift from fee-for-service to value-based reimbursements has good and bad consequences for healthcare. While the shift will ultimately help health systems provide higher quality lower cost care, the transition may be financially disastrous for some. In addition, the shifting revenue mix from commercial payers to Medicare and Medicaid is creating its own set of challenges. There are, however, three keys to surviving the transition: 1) Effectively manage shared savings programs to maximize reimbursement. 2) Improve operating costs. 3) Increase patient volumes. With an analytics foundation, health systems will be able to meet and survive today’s healthcare challenges.
The changing landscape of health care in the US -- drivers and outcomesGregory Travis
The United States has the worst health care outcomes among its OECD peers. It also has the highest health care costs within the OECD. What are the reasons for this and what changes can we anticipate going forward?
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.
The Future of the American Healthcare Delivery System in an Era of ChangePYA, P.C.
PYA Principal Dr. Kent Bottles, who is also PYA Analytics' Chief Medical Officer, gave the keynote address, "The Future of the American Healthcare Delivery System in an Era of Change at the Healthcare Business Intelligence Summit," September 19, 2013, in Minneapolis. Dr. Bottles discussed four key trends affecting the American healthcare delivery system: the Affordable Care Act (“ACA”), the digital revolution, big data, and social media. He examined how these trends together affect the way hospitals, providers, payers, employers, and government agencies adapt to the changing healthcare environment.
Empowering Healthcare Leaders: The Business Case for Language Access_10.3.14Douglas Green
Empowering Healthcare Leaders: The Business Case for Language Access provides a framework for calculating total potential encounters with limited English patients, the economic benefit and cost of not providing language access and a frame work to align the economic benefits with organizational goals under the Affordable Care Act.
Advanced Laboratory Analytics — A Disruptive Solution for Health SystemsViewics
As US healthcare systems grapple with the recent upheavals in care payment and delivery, they are turning to advanced analytics as their “central nervous systems” for driving care and financial performance.
Laboratory information — spanning chemistry, pathology, microbiology and molecular testing, for example — is among the best sources of data for these advanced analytics, including clinician decision support, predictive analytics, population health management, and personalized medicine. When strategically harnessed and integrated to create a patient-centric lab data lake, laboratory information can form an affordable yet competitively powerful advanced analytics solution well suited for many health systems — i.e., a disruptive option.
L. Eleanor J. Herriman, MD, MBA, Chief Medical Informatics Officer of Viewics, explains why laboratory data should be a core strategic component for achieving success in value-based healthcare.
NVTC Capital Health Tech Summit: Dr. Shannon KeynoteAlexa Magdalenski
The 2017 Capital Health Tech Summit took place on June 15, 2017 at the Inova Center for Personalized Health. Dr. Richard Shannon, Executive Vice President, Health Affairs, University of Virginia provided the Summit's second keynote.
Best Practices for Enabling HIE and Incorporating Capabilities into EHR Workf...Justin Campbell
Health Information Exchange (HIE) allows health care providers to access and share a patient’s medical information securely and electronically, providing a unified view of patient data across health care organizations. HIE enhances clinicians’ workflow and their ability to connect, coordinate, and collaborate on patient care quickly and easily. However, health care organizations frequently struggle with last-mile connectivity from their clinical system of record to the receiving system and incorporating HIE capabilities into EHR workflows. This session will provide a framework for successful HIE onboarding including data access, conformance testing & validation, as well as share strategies for implementing HIE capabilities at the point of care. This session will also introduce the concept of Patient Centered Data Home and illustrate how the exchange of information utilizing the PCDH model is a cost-effective, scalable solution to assuring real-time clinical data is available whenever and wherever care occurs to improve the quality of care.
How to Engage Physicians in Best Practices to Respond to Healthcare Transform...PYA, P.C.
PYA Principal Kent Bottles, MD, spoke about physician engagement when it comes to value payment models during “How to Engage Physicians in Best Practices to Respond to Healthcare Transformation” at the Georgia Society of Certified Public Accountants’ (GSCPA) 2016 Healthcare Conference, February 11, 2016. Dr. Bottles discussed the difficulty of weaning physicians from fee-for-service payment models and the often-unappreciated reasoning behind the shift to value-based payment models. He also highlighted MACRA, MIPS, patient satisfaction surveys, Physician Compare, and the ProPublica Surgeon Scorecard.
Empowering ACOs: Leveraging Quality Management Tools for MIPS and BeyondHealth Catalyst
Join us as we delve into the crucial realm of quality reporting for MSSP (Medicare Shared Savings Program) Accountable Care Organizations (ACOs).
In this session, we will explore how a robust quality management solution can empower your organization to meet regulatory requirements and improve processes for MIPS reporting and internal quality programs. Learn how our MeasureAble application enables compliance and fosters continuous improvement.
Unlock the Secrets to Optimizing Ambulatory Operations Efficiency and Change ...Health Catalyst
Today’s healthcare leaders are seeking technology solutions to optimize efficiencies and improve patient care. However, without effective change management and strategies in place, healthcare leaders struggle to strategically improve patient flow, space, to strategically improve patient flow, space, and schedule management, and implement daily huddles. The role of technology in supporting operational efficiency and change management initiatives is inevitable.
During this webinar, attendees will learn how to optimize Ambulatory Operational Efficiencies and Change Management. Attendees will also learn about the importance of visual management boards in enhancing clinic performance and insights into effective change management approaches.
Patient expectations are rising, and organizations are continuously being asked to do more with less.
Additionally, the convergence of several significant emerging market and policy trends, economic uncertainty, labor force shortages, and the end of the COVID-19 public health emergency has created a unique set of challenges for healthcare organizations.
Attend this timely webinar to learn about new trends and their impact on key healthcare issues, such as patient engagement, migration to value-based care, analytics adoption, the use of alternative care sites, and data governance and management challenges.
During this webinar, we will discuss the complexities of AI, trends, and platforms in the industry. Dive deep into understanding the true essence of AI, exploring its potential, real-world use cases, and common misconceptions. Gain valuable insights into the latest technology trends impacting healthcare and discover strategies for maximizing ROI in your technology investments.
Explore the profound impact of data literacy on healthcare organizations and how it shapes the utilization of data and technology for transformative outcomes. Understand the top technology priorities for healthcare organizations and learn how to navigate the digital landscape effectively. Furthermore, simplify industry jargon by defining common data elements, fostering clearer communication and collaboration across stakeholders.
Finally, uncover the transformative potentials of platforms in healthcare and how they can revolutionize scalability, interoperability, and innovation within your organization. Don't miss this opportunity to gain invaluable insights from industry experts and stay ahead in the ever-evolving healthcare landscape. Reserve your spot now for an enlightening journey into the future of healthcare technology!
Three Keys to a Successful Margin: Charges, Costs, and LaborHealth Catalyst
How can cost management and complete charge capture protect and enhance the margin?
In this webinar, we will look at 2024 margin pressures likely to impact your organization’s financial resiliency. This presentation will also share how organizations can move from Fee-for-Service to Value; bringing Cost to the forefront.
2024 CPT® Updates (Professional Services Focused) - Part 3Health Catalyst
Each year the CPT code set undergoes significant changes. Physicians and their office staff need to be aware of the changes in order to ensure a smooth transition into 2024. Join us for a discussion of the new, deleted and revised CPT codes and associated guidelines for 2024. This presentation will focus on the changes to the CPT dataset and the associated work RVU value changes that impact professional service reporting.
During this complimentary webinar, we will empower you to correctly apply the new and revised codes and discuss the rationale behind this year’s changes. You will leave with an understanding of the financial implications of the changes on your practice.
2024 CPT® Code Updates (HIM Focused) - Part 2Health Catalyst
Each year the CPT code set and the HCPCS code set undergo significant changes, and your coding staff needs to be aware of the changes in order to ensure a smooth transition into 2024. Join us for a discussion of the new, deleted and revised CPT codes and associated guidelines for 2024. This is part two in a three-part series.
During these complimentary webinars, we will empower you to correctly apply the new and revised codes and discuss the rationale behind this year’s changes. This presentation will be geared towards hospital staff with a focus on the surgical section of the CPT book in addition to surgical Category III codes.
2024 CPT® Code Updates (CDM Focused) - Part 1Health Catalyst
Each year the CPT and the HCPCS code sets undergo significant changes, and your staff needs to be aware of the changes in order to ensure a smooth transition into 2024. Join us for a discussion of the new, deleted, and revised CPT codes and associated guidelines for 2024. This is part one in a three-part series, with a CDM focus.
During these complimentary webinars, we will empower you to correctly apply the new and revised codes and discuss the rationale behind this year’s changes. This presentation will be geared towards hospital staff with a focus on the non-surgical sections of the CPT book.
What’s Next for Hospital Price Transparency in 2024 and BeyondHealth Catalyst
The Centers for Medicare & Medicaid Services (CMS) published updates to the hospital price transparency requirements in the CY 2024 Outpatient Prospective Payment System (OPPS) Final Rule. The updates will be phased in over the next 14 months and include several significant changes including the use of a CMS-mandated template, a requirement for an affirmation statement from the hospital, and several new data elements. Join us to discover what changes are scheduled for implementation in 2024 and 2025 and how they’ll impact your facility.
During this complimentary 60-minute webinar, we’ll analyze the key provisions of the Price Transparency regulations and provide insights to help you prepare for the upcoming changes.
Automated Patient Reported Outcomes (PROs) for Hip & Knee ReplacementHealth Catalyst
What was once voluntary reporting will soon be made mandatory with penalties.
On July 1, 2024, all health systems will be required to collect Patient Reported Outcome Measures (PROM) as part of the Centers for Medicare & Medicaid Services (CMS) regulation for the following measures:
Hospital-Level, Risk Standardized Patient-Reported Outcomes Performance Measure (PRO-PM) Following Elective Primary Total Hip Arthroplasty (THA) and/or Total Knee Arthroplasty (TKA)
Hospital-Level Risk-Standardized Complication Rate (RSCR) Following Elective Primary THA/TKA
Are you equipped to handle these new requirements?
Mandatory data collection begins April 1, 2024, and failure to submit timely data can result in a 25 percent reduction in payments by Medicare.
Attend this webinar to learn how mobile engagement can empower your organization to meet this requirement.
2024 Medicare Physician Fee Schedule (MPFS) Final Rule UpdatesHealth Catalyst
According to the Centers for Medicare & Medicaid Services (CMS), the calendar year (CY) 2024 MPFS final rule was created to advance health equity and improve access to affordable healthcare. This webinar will cover the major policy updates of the MPFS final rule including updates to the telehealth services policy and remote monitoring services and enrollment of MFTs and MHCs as Medicare providers. The conversation will also cover policy changes on split (or shared) evaluation and management (E/M) visits, and the Appropriate Use Criteria (AUC) for Advanced Diagnostic Imaging.
What's Next for OPPS: A Look at the 2024 Final RuleHealth Catalyst
During this webinar, we’ll analyze the key provisions of the OPPS final rule and identify the significant changes for the coming year to help prepare your staff for compliance with the 2024 Medicare outpatient billing guidelines.
Insight into the 2024 ICD-10 PCS Updates - Part 2Health Catalyst
Prepare for mandatory ICD-10 PCS diagnosis code updates, which take effect on October 1, 2023. By attending this 60-minute educational session, medical coders and healthcare professionals will gain a comprehensive understanding of the changes to the 2024 ICD-10 procedure codes and their guidelines, enabling accurate and compliant coding for optimal billing and reimbursement.
Vitalware Insight Into the 2024 ICD10 CM Updates.pdfHealth Catalyst
Prepare for mandatory ICD-10 CM diagnosis code updates, which take effect on October 1, 2023. By attending this 60-minute educational session, medical coders and healthcare professionals will gain a comprehensive understanding of the changes to the 2024 ICD-10 diagnosis codes and their guidelines, along with major complication or comorbidity (MCC), complication or comorbidity (CC), and Medicare Severity Diagnosis Related Groups (MS-DRGs) classification changes. With this information, professionals can ensure accurate and compliant diagnosis coding for optimal billing and reimbursement.
Driving Value: Boosting Clinical Registry Value Using ARMUS SolutionsHealth Catalyst
Many hospitals today face a perfect storm of operational and financial challenges. With increasing competition from outpatient facilities and rising care costs negatively impacting budgets, now is the time to boost your clinical registry’s value. However, collecting and analyzing data can be time-consuming and costly without the right tools. During this webinar, we will share insights and best practices for increasing the value of registry participation and how it’s possible to reduce costs while improving outcomes using the ARMUS Product Suite.
Tech-Enabled Managed Services: Not Your Average OutsourcingHealth Catalyst
During this webinar you'll learn the following:
The importance of optimizing performance, reducing labor costs and sourcing talent given current market challenges.
Highlighting the need for a balanced approach to cost reduction.
How to reap the benefits of outsourcing (cost cutting, expertise, etc) while protecting yourself from the collateral damage that often comes with them.
This webinar will provide an in-depth review of the CPT/HCPCS code set changes that will be effective on July 1, 2023. The review will include additions and deletions to the CPT/HCPCS code set, revisions of code descriptors, payment changes, and rationale behind the changes.
How Managing Chronic Conditions Is Streamlined with Digital TechnologyHealth Catalyst
Chronic conditions across the United States are prevalent and continue to rise. Managing one or more chronic diseases can be very challenging for patients who may be overwhelmed or confused about their care plan and may not have access to the resources they need. At the same time, care teams are overburdened, making it difficult to provide the support these patients require to stay as healthy as possible. A new approach to chronic condition management leverages technology to enable organizations to scale high-quality care, identify gaps in care, provide personalized support, and monitor patients on an ongoing basis. Such streamlined management will result in better outcomes, reduced costs, and more satisfied patients.
COVID-19: After the Public Health Emergency EndsHealth Catalyst
In this fast-paced webinar, we will discuss the impact of the end of the public health emergency (PHE), including upcoming changes to the different flexibilities allowed during the PHE and the timeline for when these flexibilities will end. We’ll also cover coding changes and reimbursement updates.
Automated Medication Compliance Tools for the Provider and PatientHealth Catalyst
When it comes to sustaining patient health outcomes, compliance and adherence to medication regimens are critically important, especially as providers manage patients with complex care needs and multiple medications. But, with provider burnout and staffing shortages at an all-time high, an efficient solution is critical. The use of automated medication management workflows to decrease provider burnout, while improving both medication compliance and patient engagement, is the way forward.
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.
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
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.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
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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.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Maxilla, Mandible & Hyoid Bone & Clinical Correlations by Dr. RIG.pptx
Adding Value to the EMR: A Clinical Perspective
1. Adding
Value
to
the
EMR:
A
Clinical
Perspec9ve
Texas
Children’s
Hospital
Charles G. Macias M.D., M.P.H.
2. Poll
Ques9on
#1
What
is
your
primary
area
of
focus?
q Physician/clinical
care
provider
q Quality
q Informa9on
systems
q Finance
q Administra9ve
execu9ve
q Other
2
3. Objec9ves
• Describe
the
power
of
pairing
an
EDW
with
an
EMR
to
realize
care
improvement,
subsequent
waste
reduc9on
and
cost
savings.
• Understand
early
results
of
TCH’s
cultural
shi:
to
focus
on
value
and
the
link
between
quality
and
cost.
• Discuss
how
TCH’s
focus
on
linking
clinical
science
and
payment
models
and
opera9on
science
have
driven
financial
stewardship
and
early
successes
in
popula9on
health
management.
4. The
Healthcare
Value
Equa9on
Quality
Value
=
Cost
• In
an
environment
where
cost
is
marginally
increasing,
healthcare
must
markedly
improve
quality.
• Adop9on
of
EMRs
and
clinical
systems
should
help
push
the
quality
agenda
but
alone
may
not
be
enough
to
deliver
data
intelligence.
6. Best
Prac9ces
Do
Exist
Best
Care
at
Lower
Cost,
IOM
2013
Report
• The
best
examples
come
from
communiBes
not
policymakers,
and
they
inevitably
involve
pa9ents,
doctors,
nurses
and
other
providers
working
together.
– Donald
Berwick,
former
administrator
of
the
Centers
for
Medicare
and
Medicaid
Services
during
the
session
en9tled,
“Controlling
health
care
costs
while
improving
quality.”
– Healthcare
project
in
Alaska,
where
team-‐based
care
has
resulted
in
50
percent
fewer
hospital
bed
days,
53
percent
fewer
emergency
department
admissions
and
65
percent
fewer
specialty
visits.
• By
one
es9mate,
roughly
75,000
deaths
might
have
been
averted
in
2005
if
every
state
had
delivered
care
at
the
quality
level
of
the
best
performing
state.
• While
some
hospitals
in
southwestern
Pennsylvania
were
paid
an
average
of
$18,000
to
perform
heart
bypass
surgery,
others
were
paid
as
much
as
$35,000
for
the
same
procedure.
Similarly,
payments
for
heart
valve
surgery
ranged
from
a
low
of
$24,000
to
a
high
of
$54,000.
– Moreover,
the
lowest
priced
hospitals
had
lower
mortality
and
readmission
rates
(i.e.,
beber
quality)
than
the
highest-‐priced
hospitals
7. Poll
Ques9on
#2
• How
concerned
are
you
about
realizing
ROI
on
your
EMR
investment?
A
–
Very
concerned
B
–
Somewhat
concerned
C
–
Neutral
D
–
Slightly
concerned
E
–
Not
concerned
8. ROI
on
EHRs
Proves
Difficult
In
Second
Look,
Few
Savings
from
Digital
Health
Records
New
York
Times:
January
10,
2013
2005
RAND
report
forecasts
$81
billion
annual
U.S.
savings.
“Seven
years
later
the
empirical
data
on
the
technology’s
impact
on
health
care
efficiency
and
safety
are
mixed,
and
annual
health
care
expenditures
in
the
United
States
have
grown
by
$800
billion.”
In
our
view,
the
disappoin9ng
performance
of
health
IT
to
date
can
be
largely
abributed
to
several
factors:
• Sluggish
adopBon
of
health
IT
systems,
coupled
with
the
choice
of
systems
that
are
neither
interoperable
nor
easy
to
use;
• The
failure
of
health
care
providers
and
ins9tu9ons
to
reengineer
care
processes
to
reap
the
full
benefits
of
health
IT.
EHRs,
Red
Tape
Eroding
Physician
Job
SaBsfacBon
Most
physicians,
however,
expressed
deep
frustra9on
with
costly
and
overly
complicated
EHRs
that
have
fallen
far
short
of
their
promise
to
improve
prac9ce
efficiency.
Twenty
percent
want
to
return
to
paper.
-‐A
tension
between
figh9ng
to
improve
the
EMR
and
spending
late
nights
catching
up
on
data
entry
9.
About
Texas
Children’s
Hospital
So
how
does
the
paBent
relate
to
healthcare
expenditures?
•
•
•
Houston-‐based
and
na9onally
renowned
for
providing
top-‐notch
pediatric
and
women’s
care
Provides
a
full
con9nuum
of
services
Commibed
to
developing
clinical
effec9veness
guidelines
to
deliver
the
highest
quality
care
possible
Sta9s9cs
Number
of
Beds
469
Annual
Inpa9ent
Admissions
21,744
Annual
Outpa9ent
Visits
1.44
million
Emergency
Room
Visits
82,049
Inpa9ent
Surgeries
8,655
Outpa9ent
Surgeries
14,439
11. Asthma
Affects ~7M
children in the US,
~80,000 in
Houston (mostcommon chronic
disease of
children)
Acute asthma
accounted for
approximately
~3,000 ED visits
and ~800 hospital
admissions in 2011
at TCH
National asthma
practice guidelines have
been available since
1991 (updated 2007),
yet hospitalizations and
ED visits have not
decreased
13. Correla9on
Between
Costs
and
High
Quality
Care
Is
Low
• Describing
varia9on
in
care
in
three
pediatric
diseases:
gastroenteri9s,
asthma,
simple
febrile
seizure
– Pediatric
Health
Informa9on
System
database
(for
data
from
21
member
hospitals)
– Two
quality-‐of-‐care
metrics
measured
for
each
disease
process
– Wide
varia9ons
in
prac9ce
– Increased
costs
were
NOT
associated
with
lower
admission
rates
or
3-‐
day
ED
revisit
rates
• Implica9ons?
– Op9mal
care
may
be
delivered
at
a
lower
cost
than
today’s
care!
Kharbanda
AB,
Hall
M,
Shah
SS,
Freedman
SB,
Mistry
RD,
Macias
CG,
Bonsu
B,
Dayan
PS,
Alessandrini
EA,
Neuman
MI.
Varia9on
in
resource
u9liza9on
across
a
na9onal
sample
of
pediatric
emergency
departments.
J
Pediatr.
2013
14. Higher
Quality
Is
Ooen
Lower
Cost
• A
Modern
Healthcare
analysis
found
that
in
seven
of
12
ci9es
examined,
the
hospital
with
the
lower
average
cost
for
inpa9ent
and
outpa9ent
Percutaneous
Coronary
Interven9on
procedures
also
had
a
lower
readmission
rate
for
PCI
pa9ents.
hbp://www.modernhealthcare.com/ar9cle/20131026/MAGAZINE/310269941#
15. Consumer
Care/Cost
Uncertainty
• Consumers:
– Trust
their
physicians
– Hope
for
the
best
– Struggle
to
understand
cost
and
care
– Don’t
ooen
know
what
they
are
geqng
– Don’t
always
get
great
outcomes
• Value
is
what
they
want
16. Challenge
of
Healthcare
• Physicians
are:
– Driven
by
science
and
key
values
– Overwhelmed
with
medical
literature
– Not
well
trained
to
turn
that
experience
into
high
quality
pa9ent
outcomes
• Transparency
of
local
data
is
part
of
the
solu9on!
Image
Source:
hbp://www.hopkinschildrens.org/pediatric-‐
residency.aspx
17. Poll
Ques9on
#3
• For
non-‐clinical
abendees
or
non-‐prac9cing
physicians
in
abendance,
during
what
percentage
of
pa9ent
visits
are
your
physicians
talking
about
cost
and
care
tradeoffs?
A
–
80-‐100%
B
–
60-‐79%
C
–
40-‐59%
D
–
20-‐39%
E
–
00-‐19%
18. Poll
Ques9on
#4
• For
prac9cing
physicians
in
abendance,
during
what
percentage
of
pa9ent
visits
are
physicians
in
your
organiza9on
talking
about
cost
and
care
tradeoffs?
A
–
80-‐100%
B
–
60-‐79%
C
–
40-‐59%
D
–
20-‐39%
E
–
00-‐19%
19.
Evidence to expertise
Physicians
and
Care
Cost
Patient
values and
preferences
Evidence
Clinical
Clinical
Decision
Expertise
Resource
issues
Physician
preferences
Source: SAEM. Evidence Based Medicine Online Course 2005
20. The
New
Healthcare
Once
taboo,
physicians
should
take
cost
into
consideraBon:
Without
money
.
.
.
there
is
no
mission.
there
is
no
expansion.
there
is
no
innova9on.
there
is
no
healthcare.
And
so
providers
must
.
.
.
understand
what
creates
improvements
understand
the
story
that
their
data
tells.
Data
linked
to
systems
of
care
can
drive
quality
iniBaBves!
21. TCH’s
Clinical
Integra9on
Strategy
• Build
a
comprehensive,
integrated
and
evidence-‐based
quality
and
safety
program
resul9ng
in
measurable
improvements
in
processes
and
quality
care.
• Collect
and
meaningfully
use
data
that
provides
informa9on
about
clinical
outcomes
and
opera9onal
processes.
• Implement
an
enterprise-‐wide
data-‐management
infrastructure
that
will
leverage
the
clinical
systems;
star9ng
with
Epic
and
financial
informa9on
in
order
to
provide
easy-‐to-‐access,
meaningful
and
relevant
data
to
assist
in
accelera9ng
improvements
in
clinical
and
opera9onal
processes.
23. How
TCH
Defines
Quality
1. Ins9tute
of
Medicine
domains:
•
•
•
•
•
•
3.
Safe
Effec9ve
Efficient
Timely
Pa9ent
centered
Equitable
2. Importance
of
minimizing
unintended
varia9on
in
health
care
delivery
The
degree
to
which
health
services
for
individuals
and
popula9ons
increase
the
likelihood
of
desired
health
outcomes
and
are
consistent
with
current
professional
knowledge.
–
Lohr,
K.N.,
&
Schroeder,
S.A.
(1990).
A
strategy
for
quality
assurance
in
Medicare.
New
England
Journal
of
Medicine,
322
(10):707-‐712.
4.
Systema9c
infusion
of
evidence
into
a
system
that
integrates
opera9onal
improvement
and
data
transforma9on
24. Approach
to
Improving
Processes
of
Care
• Organizing
permanent,
integrated
workgroup
teams
consis9ng
of
physicians,
nurses,
IT,
quality
and
pa9ent
safety,
quality
improvement,
clinicians,
and
business
analysts
that
are
responsible
for
a
clinical
program
or
clinical
services
over
the
long-‐term.
• Integra9ng
cri9cal
elements
of
evidence-‐based
pracBces
into
the
delivery
of
care.
• Establishing
baseline
measures,
AIM
statements
with
measurable
goals
and
on-‐going
review
of
results
versus
targets.
Outcome
and
balance
metrics
are
included.
27. Alterna9ve
Approaches
to
Waste
Reduc9on
1.96 std
Mean
# of
Cases
1 box = 100
cases in a year
Excellent Outcomes
# of
Cases
Poor Outcomes
Excellent Outcomes
Poor Outcomes
Option 1: Focus on Outliers – the prescriptive approach
Strategy Identify extreme cases with the potential for high
costs from bad outcomes and eliminate the unfavorable tail of
the curve (“executive dashboard” approach)
Result If the outlier trim point is set at 1.96 standard
deviations, only 2.5% of cases fall under the adverse outcome
tail, so the impact is minimal
27
28. Alterna9ve
Approaches
to
Waste
Reduc9on
Mean
# of
Cases
1 box = 100
cases in a year
Excellent Outcomes
# of
Cases
Poor Outcomes
Excellent Outcomes
Poor Outcomes
Option 2: Focus On Inliers – improving quality outcomes across the majority
Strategy Identify best practices through research and analytics and develop
guidelines and protocols to reduce inlier variation
Result Shifting the cases that lie above the mean toward the excellent end of the
spectrum produces a much more significant impact
28
29. Improving
Cost
Structure
Through
Waste
Reduc9on
Ordering Waste
Workflow Waste
Defect Waste
Ordering of tests that are
neither diagnostic nor
contributory
Variation in Emergency
Care wait time
ADEs, transfusion
reactions, pressure ulcers,
HAIs, VTE, falls, wrong
surgery
29
30. Use Cases and Business Drivers
Care Redesign
Care Redesign Methodology
CXR utilization in
patients with known
asthma, steroids in
bronchiolitis
Quicker steroid delivery for
status asthmaticus, goal
directed therapy for septic
shock
Evidence
Supports
Evidence equivocal
Hypertonic saline and
bronchodilators in select
patients with bronchiolitis
Evidence against
30
32. Asthma: Care Process Team Cohort, Percentage of Chest X-rays Ordered*
Asthma: Care Process Team Cohort,- Apr. 2013) Chest X-rays Ordered*
(Oct. 2010 Percentage of
80%
80%
70%
60%
51%
51%
50% 50%
Percentage
40% 40%
35% 35%
30% 30%
Feedback of rates to hospitalists
and Emergency Center clinicians
20% 20%
Feedback of rates to hospitalists
and Emergency Center clinicians
10% 10%
Order set set
Order
revisions
revisions
Month year
Apr. 13
Apr. 2013
Apr. 13
Mar. 2013
Mar.
Feb. 1313
Feb. 2013
Feb.
Jan. 1313
Jan. 12
Jan. 13
Dec. 2013
Nov. 2012
Dec. 12
Dec. 12
Oct. 1212
Nov. 2012
Nov.
Sep. 2012
Sep. 12
Sep. 2012
12
Oct. 12
Oct.
Aug. 2012
Aug. 12
Aug. 12
Jul. 2012
Jul. 12
Jul. 12
Jun. 2012
Jun. 12
Jun. 12
May. 2012
May. 12
May. 12
Apr. 2012
Apr. 12
Apr. 12
Mar. 2012
Mar. 12
Mar. 12
Feb. 12
Feb. 12
Feb. 2012
Jan. 12
Jan. 12
Jan. 2012
Dec. 11
Dec. 2011
11
Nov. 2011
Nov. 11
Nov. 11
Oct. 2011
Oct. 11
Oct. 11
Sep. 2011
11
Sep. 11
Sep.
Aug. 2011
Aug. 11
Jul. 2011
Jul. 11
Jul. 11
Jun. 2011
Jun. 11
Jun. 11
May. 2011
May. 11
Apr. 2011
Apr. 11
May. 11
Mar. 2011
Mar. 11
Apr. 11
Feb. 2011
Feb. 11
Mar. 11
Jan. 11
Jan. 11
Feb. 2011
Dec. 2010
Dec.
Jan. 1110
Nov. 2010
Nov.
Dec. 1010
Nov. 2010
Oct. 10
Oct. 10
0%
Oct. 10
0%
Aug. 11
Percentage
60%
(Oct. 2010 - Apr. 2013)
Mar. 13
70%
Month year
* Inpatient, Emergency Center (EC) and observation patients (Care Process Team cohort), P-Chart based upon EDW data extraction of 5/14/2013 (M& W).
* Inpatient, Emergency Center (EC) and observation patients (Care Process Team cohort), P-Chart based upon EDW data extraction of 5/14/2013 (M& W).
33. Improving
Cost
Structure
Through
Waste
Reduc9on
Ordering Waste
Ordering of tests that are
neither diagnostic nor
contributory
Workflow Waste
Defect Waste
Variation in Emergency
Variation in OR room
ADEs, transfusion
turnover (cycletime or
Care wait time)
reactions, pressure ulcers,
Emergency Care wait time
HAIs, VTE, falls, wrong
surgery
33
34. Flow chart of a patient with acute gastroenteritis through the TCH Emergency
Department: Existing process
BEGIN
Patient discharged
home1
4
Does patient
have vomiting &/
or diarrhea
Patient
presents to
Emergency
Dept (ED).
3
Patient transferred
to inpatient bed2
Evaluate per
clinical symptoms
Fellow/
Attending
does pretransfer check
PCA checks
vital signs
Patient
registers
Triage nurse does the following:
·∙
Vitals
What is the
patient’s level of
dehydration?
Patient
waiting
Key:
___ solid arrow indicates “yes”
_ _ broken arrow indicates “no”
1 Outcome: Time in ED
2 Outcome: Time to inpatient bed
3 Outcome: Length of stay (LOS)
4 Outcome: Revisit from ED discharge
4 Outcome: Revisit from inpatient discharge
Patient
evaluated by
triage nurse
Nurse-Nurse
checkout
occurs
Nurse
discharges
patient
Bed approved
PCA checks
vital signs
ED secretary
requests bed
Mild or
Moderate
dehydration
Severe
dehydration
MD does
discharge
orders
MD does
admission
orders
Is the patient
vomiting?
Put patient in
ED room
Decision to
discharge
patient
Triage nurse does the following:
·∙
Give Zofran
·∙
Provide gatorade/pedialyte
Decision to
admit patient
Triage nurse does the following:
·∙
Nothing or give patient gatorade/
pedialyte
Is the patient ok
for discharge?
Follow TCH AGE
clinical algorithm
Patient
waiting
Patient put in
ED room
Patient
evaluated by
nurse
Patient
evaluated by
Medical
student
Patient
evaluated by
ED resident
Patient
evaluated by
ED fellow
Patient
evaluated by
ED attending
Process map before EBG
Modified: 7/21/2009
35. Flow chart of a patient with acute gastroenteritis through the TCH Emergency Deparment
BEGIN
4
Does patient
have vomiting &/
or diarrhea
Patient
presents to
Emergency
Dept (ED).
Patient discharged
home1
3
Patient transferred
to inpatient bed2
Evaluate per
clinical symptoms
Fellow/
Attending
does pretransfer check
PCA checks
vital signs
Patient
registers
Key:
___ solid arrow indicates “yes”
_ _ broken arrow indicates “no”
Triage nurse does the following:
·∙
Vitals
·∙
Assess dehydration (Gorelick score)**
** New process
1
Outcome: Time in ED
2
Outcome: Time to inpatient bed
3 Outcome: Length of stay (LOS)
4 Outcome: Revisit from ED
discharge
4 Outcome: Revisit from inpatient
discharge
What is the
patient’s level of
dehydration?
Patient
waiting
Patient
evaluated by
triage nurse
Nurse-Nurse
checkout
occurs
Nurse
discharges
patient
Collect ORT
tracking sheet
PCA checks
vital signs
ED secretary
requests bed
Mild or
Moderate
dehydration
Severe
dehydration
MD does
discharge
orders
MD does
admission
orders
Is the patient
vomiting?
Put patient in
ED room
Follow TCH AGE
clinical algorithm
Triage nurse does the following:
·∙
Give Zofran
·∙
Provide patient education on ORT
·∙
Initiate ORT
·∙
Give ORT tracking sheet**
Patient
waiting
Patient put in
ED room
Triage nurse does the following:
·∙
Provide patient education on ORT
·∙
Initiate ORT
·∙
Give ORT tracking sheet**
Patient
evaluated by
nurse
Bedside nurse does the following:
·∙
Assesses dehydration (Gorelick score)**
·∙
Monitors progress on ORT tracking sheet**
·∙
Reemphasizes patient education on ORT
Patient
evaluated by
Medical
student
Bed approved
Decision to
discharge
patient
Decision to
admit patient
Is the patient ok
for discharge?
Patient
evaluated by
ED resident
Patient
evaluated by
ED fellow
ED Fellow does the following:
·∙
Assesses dehydration (Gorelick score)**
·∙
Monitors progress on ORT tracking sheet**
·∙
Reemphasizes patient education on ORT
·∙
Determines patient disposition
Patient
evaluated by
ED attending
Process map after EBG
Modified: 5/9/2009
36. Improving
Cost
Structure
Through
Waste
Reduc9on
Ordering Waste
Workflow Waste
Defect Waste
Ordering of tests that are
neither diagnostic nor
contributory
Variation in Emergency
Care wait time
ADEs, transfusion
reactions, pressure ulcers,
HAIs, VTE, falls, wrong
surgery
36
37. CClinical Decision Support to
Minimize Errors
SStreamlining and Improving
Processes and Operations to
Minimize Errors
*used
by
permission
of
BMJ
Group
37
38. Shioing
Quality
Improvement
Culture
to
Effec9veness
and
Efficiency
• Stewardship
responsibility
• TCH
financial
APR-‐DRG
calculator
– Capitated
model
of
care
– Cash
value
of
waste
42. Examples
Demonstra9ng
ROI
• Improved
clinical
care
– Decreases
in
LOS
– Decrease
in
readmission
rates
– Decreased
unnecessary
chest
x-‐ray
u9liza9on
– Millions
in
savings
across
several
disease
processes
• Reducing
waste
by
systemi9zing
repor9ng
– EDW
reports
cost
70%
less
to
build
• Labor
produc9vity
tools
allow
global
views
for
increased
opera9onal
efficiency
43. Popula9on
Management
Goal: Drive
value
across
a
system
resul9ng
in
a
healthier
popula9on
Popula9on:
Women
and
Children
enterprise-‐wide
data
management
infrastructure
Claims
data
Clinic
systems
Epic
Pharmacy/Lab
Health
Plan
Pediatric
Hospital/
Sub-‐Specialty
Clinics
Texas
Children’s
Prac9ces
&
Clinics
Women’s
Pavilion
44. The
Healthcare
Value
Equa9on
Quality
Value
=
Cost
• Recognizing
the
investment
in
the
EMR
and
opportuni9es
for
linkages
to
decision
support
• Using
the
EDW
to
link
science,
opera9ons
and
data
management
to
drive/accelerate
rapid
cycle
process
improvement
• Understanding
and
driving
the
importance
of
financial
stewardship
• Driving
value
through
higher
quality
of
care
delivery
45. Ques9ons
and
Answers
Speaker
Contact
Info
Charles
G.
Macias
MD,
MPH
cgmacias@texaschildrens.org
832-‐824-‐5416
Next
Webinar:
Changing
Healthcare
Using
Data
North
Memorial
CMO
Nov.
13,
2013
1-‐2
pm
ET
45