The document discusses two initial areas being evaluated by mTERG (mHealth Technical Evidence Review Group for RMNCH) to determine if mHealth strategies can improve provider adherence to care guidelines and reduce stockouts of essential maternal health drugs and commodities. For provider adherence, the studies reviewed showed mHealth improved health worker performance, though quality varied. For stockouts, evidence was weak and anecdotal, with few published results on effectiveness. Overall, there is a lack of rigorous evaluation and standardization across mHealth interventions, making it difficult to draw conclusions about impacts on health.
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.
Virtual health is supporting continuing efforts to further humanize health care by extending and expanding the concept of a patient-centric care delivery model into one that is truly life-centric.
Virtual health uses telecommunication and networked technologies to connect clinicians with patients (and with other clinicians) to remotely deliver health care services and support well-being. For providers, committing to virtual health at a personal and organizational level affords ever-increasing opportunities to deliver the right care at the right time in the right place, in a connected and coordinated manner.
By strengthening and facilitating a therapeutic alliance between clinicians and patients, virtual health is an important step on our continuous journey to humanize health care. It works within and around a patient’s life, as opposed to their sickness, to deliver care when, where, and how they need and want it. Also, virtual health works its way into consumers’ daily routines by being embedded in electronic devices associated with living life (e.g., smartphones and personal computers) more so than caring for sickness.
The healthcare industry is primed for expanded adoption of virtual health; a 2016 report estimated that the US virtual health market will reach $3.5 billion in revenues by 2022. Several factors are elevating stakeholder interest, including expected physician shortages, continued growth in digital technologies, changing reimbursement models, increasing consumer demand, and the evolving regulatory landscape. One game-changer: Today, nine in 10 American adults use the internet, giving clinicians the capability and flexibility to communicate with and serve health care consumers via the web.
For more information contact: Slideshare@marcusevans.com
Presentation delivered by Donna Medina, Regional Director,OSF Hospice and Homecare Foundation at the marcus evans Home Care Leadership Summit held on July 13 & 14 2015 in Palm Beach FL.
The Population Health Management Market 2015Lifelog Health
Population health management is a problem term because it can mean something different to each person who hears it. However, I believe that the words capture the overall spirit and energy of healthcare reform in a unique way. Providers are thinking big when it comes to a patient’s engagement, responsibility, and preventative care, and they’re leveraging technology to do it. I discuss an overall picture of PHM, present some useful technology, and tell a few PHM stories herein.
Health Rosetta Case Study - City of Kirkland, WashingtonDave Chase
City of Kirkland, WA is a suburb of Seattle that was, like municipalities, struggling with healthcare costs and feared the coming Cadillac Tax. Their "moonshot" goal was to improve health benefits while eliminating healthcare cost inflation
An industry-wide survey of the health ecosystem. By looking at leading operating models that are representative of the future health ecosystem, the viewer can get a handle on how the future will look.
Patient Engagement is growing in importance as consumer expectations of healthcare providers change and as portals and other technologies improve. Early studies show affects on outcomes for patient engagement technologies
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.
Virtual health is supporting continuing efforts to further humanize health care by extending and expanding the concept of a patient-centric care delivery model into one that is truly life-centric.
Virtual health uses telecommunication and networked technologies to connect clinicians with patients (and with other clinicians) to remotely deliver health care services and support well-being. For providers, committing to virtual health at a personal and organizational level affords ever-increasing opportunities to deliver the right care at the right time in the right place, in a connected and coordinated manner.
By strengthening and facilitating a therapeutic alliance between clinicians and patients, virtual health is an important step on our continuous journey to humanize health care. It works within and around a patient’s life, as opposed to their sickness, to deliver care when, where, and how they need and want it. Also, virtual health works its way into consumers’ daily routines by being embedded in electronic devices associated with living life (e.g., smartphones and personal computers) more so than caring for sickness.
The healthcare industry is primed for expanded adoption of virtual health; a 2016 report estimated that the US virtual health market will reach $3.5 billion in revenues by 2022. Several factors are elevating stakeholder interest, including expected physician shortages, continued growth in digital technologies, changing reimbursement models, increasing consumer demand, and the evolving regulatory landscape. One game-changer: Today, nine in 10 American adults use the internet, giving clinicians the capability and flexibility to communicate with and serve health care consumers via the web.
For more information contact: Slideshare@marcusevans.com
Presentation delivered by Donna Medina, Regional Director,OSF Hospice and Homecare Foundation at the marcus evans Home Care Leadership Summit held on July 13 & 14 2015 in Palm Beach FL.
The Population Health Management Market 2015Lifelog Health
Population health management is a problem term because it can mean something different to each person who hears it. However, I believe that the words capture the overall spirit and energy of healthcare reform in a unique way. Providers are thinking big when it comes to a patient’s engagement, responsibility, and preventative care, and they’re leveraging technology to do it. I discuss an overall picture of PHM, present some useful technology, and tell a few PHM stories herein.
Health Rosetta Case Study - City of Kirkland, WashingtonDave Chase
City of Kirkland, WA is a suburb of Seattle that was, like municipalities, struggling with healthcare costs and feared the coming Cadillac Tax. Their "moonshot" goal was to improve health benefits while eliminating healthcare cost inflation
An industry-wide survey of the health ecosystem. By looking at leading operating models that are representative of the future health ecosystem, the viewer can get a handle on how the future will look.
Patient Engagement is growing in importance as consumer expectations of healthcare providers change and as portals and other technologies improve. Early studies show affects on outcomes for patient engagement technologies
Realizing the Promise of Patient-Reported Outcomes MeasuresHealth Catalyst
Dr. Rachel Clark Sisodia, a champion of the system-wide adoption of Patient Reported Outcomes Measures at Partners HealthcCare, will share her experience and perspective on the relevance and necessity of Patient-Reported Outcomes Measures (PROMs). In this webinar, Dr. Sisodia will highlight how the PROMs ideas have been put into practice at Partners HealthCare.
Join us and learn:
Strategies and tactics for overcoming potential barriers to collecting and effectively using PROMs.
Through specific examples, how to demonstrate that PROMs can help deliver faster, more personalized care for individual patients.
How to collect and use advanced analytics to leverage aggregate PROMs data to inform clinical patient and provider decisions.
How to use outcomes metrics for quality improvement and comparative effectiveness.
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.”
Hospital Apps are a great way to engage with patients and studies show that they want to use them. These apps are not only convenient, but they allow patients to work with their providers and can result in a much more favorable outcome to their medical issues and overall health.
Here's a list of 8 different types of Mobile Hospital Apps.
For the full post, visit http://www.merraine.com/8-types-mobile-hospital-apps-3-features-patients-want/
Although highly arguable, and patients being central to healthcare systems, patient engagement is one the most underutilized aspect of the healthcare industry. Patient engagement is a promise of better health outcomes as well as the increasing knowledge and skill of people to manage their and their family members’ health.
Communication in Healthcare Culture: Eight Steps to Uphold Outcomes ImprovementHealth Catalyst
Healthcare leaders looking to establish and sustain a culture of large-scale outcomes improvement must communicate their health system’s values, beliefs, and norms throughout the entire organization. Effective communication spreads understanding of outcomes improvement, ensuring broad engagement and ongoing progress toward shared goals.
An eight-step strategy describes essential elements of organizational outcomes improvement communication plan:
Include a communications specialist on the outcomes improvement leadership team.
Analyze the stakeholders early and often.
Craft the central message around shared values.
Be a constant champion.
Commit to regular times and mechanisms for communication.
Make sure communication flows both ways.
Be transparent.
Be creative.
m-Health: Engaging Patients at Every TouchpointCognizant
Today, people want fast, easy and secure access to their health records, from wherever they may be and from whatever device they choose. Electronic health records (EHR) can alleviate this issue, and encourage proactive, preventive care, all within a robust, integrated, interoperable, and inclusive health system that serves the best interests of patients, physician practices, hospitals, public health, and the population at large.
Ten Essential Steps for Your Readmission Reduction ProgramHealth Catalyst
Effective care management is essential during the first 30 days after discharge to prevent unnecessary readmission and associated costs. Care managers can follow a 10-step readmission reduction program to help patients stay on track with recovery and avoid acute care:
1. Call the patient within two days of discharge.
2. Assess the patient’s self-care capacity.
3. Frontload homecare and ensure patient 'touches', if appropriate.
4. Conduct a home safety evaluation.
5. Order and install durable medical equipment prior to discharge.
6. Order an emergency alert/medication reminder system and preprogram important phone numbers on patient’s phone.
7. Implement fall prevention program, intervention, and education.
8. Provide in-home education on new diagnoses or unmanaged chronic conditions.
9. Connect the patient with community resources.
10. Establish a best practice for follow-up phone calls after discharge.
Unleashing Data: The Key To Driving Massive ImprovementsHealth Catalyst
Tom shares how investing in analytics training and infrastructure will help prepare for massive improvements in healthcare outcomes leading to sustained and distributed improvements throughout entire organizations.
Attendees will learn:
1. The key team roles and skillsets required for driving and sustaining massive improvements.
2. How to assess improvement opportunities from an effort and value perspective.
3. The most common mistakes in leveraging analytics and how to avoid them.
Realizing the Promise of Patient-Reported Outcomes MeasuresHealth Catalyst
Dr. Rachel Clark Sisodia, a champion of the system-wide adoption of Patient Reported Outcomes Measures at Partners HealthcCare, will share her experience and perspective on the relevance and necessity of Patient-Reported Outcomes Measures (PROMs). In this webinar, Dr. Sisodia will highlight how the PROMs ideas have been put into practice at Partners HealthCare.
Join us and learn:
Strategies and tactics for overcoming potential barriers to collecting and effectively using PROMs.
Through specific examples, how to demonstrate that PROMs can help deliver faster, more personalized care for individual patients.
How to collect and use advanced analytics to leverage aggregate PROMs data to inform clinical patient and provider decisions.
How to use outcomes metrics for quality improvement and comparative effectiveness.
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.”
Hospital Apps are a great way to engage with patients and studies show that they want to use them. These apps are not only convenient, but they allow patients to work with their providers and can result in a much more favorable outcome to their medical issues and overall health.
Here's a list of 8 different types of Mobile Hospital Apps.
For the full post, visit http://www.merraine.com/8-types-mobile-hospital-apps-3-features-patients-want/
Although highly arguable, and patients being central to healthcare systems, patient engagement is one the most underutilized aspect of the healthcare industry. Patient engagement is a promise of better health outcomes as well as the increasing knowledge and skill of people to manage their and their family members’ health.
Communication in Healthcare Culture: Eight Steps to Uphold Outcomes ImprovementHealth Catalyst
Healthcare leaders looking to establish and sustain a culture of large-scale outcomes improvement must communicate their health system’s values, beliefs, and norms throughout the entire organization. Effective communication spreads understanding of outcomes improvement, ensuring broad engagement and ongoing progress toward shared goals.
An eight-step strategy describes essential elements of organizational outcomes improvement communication plan:
Include a communications specialist on the outcomes improvement leadership team.
Analyze the stakeholders early and often.
Craft the central message around shared values.
Be a constant champion.
Commit to regular times and mechanisms for communication.
Make sure communication flows both ways.
Be transparent.
Be creative.
m-Health: Engaging Patients at Every TouchpointCognizant
Today, people want fast, easy and secure access to their health records, from wherever they may be and from whatever device they choose. Electronic health records (EHR) can alleviate this issue, and encourage proactive, preventive care, all within a robust, integrated, interoperable, and inclusive health system that serves the best interests of patients, physician practices, hospitals, public health, and the population at large.
Ten Essential Steps for Your Readmission Reduction ProgramHealth Catalyst
Effective care management is essential during the first 30 days after discharge to prevent unnecessary readmission and associated costs. Care managers can follow a 10-step readmission reduction program to help patients stay on track with recovery and avoid acute care:
1. Call the patient within two days of discharge.
2. Assess the patient’s self-care capacity.
3. Frontload homecare and ensure patient 'touches', if appropriate.
4. Conduct a home safety evaluation.
5. Order and install durable medical equipment prior to discharge.
6. Order an emergency alert/medication reminder system and preprogram important phone numbers on patient’s phone.
7. Implement fall prevention program, intervention, and education.
8. Provide in-home education on new diagnoses or unmanaged chronic conditions.
9. Connect the patient with community resources.
10. Establish a best practice for follow-up phone calls after discharge.
Unleashing Data: The Key To Driving Massive ImprovementsHealth Catalyst
Tom shares how investing in analytics training and infrastructure will help prepare for massive improvements in healthcare outcomes leading to sustained and distributed improvements throughout entire organizations.
Attendees will learn:
1. The key team roles and skillsets required for driving and sustaining massive improvements.
2. How to assess improvement opportunities from an effort and value perspective.
3. The most common mistakes in leveraging analytics and how to avoid them.
Protocols and Evidence based Healthcare: information technology tools to support best practices in health care, information technology tools that inform and empower patients.
Quality Improvement Strategies: quality improvement tools, factors that help to create and sustain Healthcare Informatics as a new field. quality improvement cycle: PDCA (Plan, Do, Check, Act) Cycle.
MIE Medical Informatics in Europe: European Federation for Medical Informatics (EFMI) annual meeting
Worklshop: Addressing Patient Adherence Issues by Engaging Enabling Technologies
Chair: Pei-Yun Sabrina Hsueh (IBM T.J. Watson Research Center)
Pei-Yun Sabrina HSUEHa, , Marion BALL b,a, Michael MARSCHOLLEKc, Fernando J. MARTIN-SANCHEZd , Chohreh PARTOVIANa, and Vimla PATELe
aIBM T.J. Watson Research Center, NY, USA
b John Hopkins University, MD, USA
c Hannover Medical School, Germany
d Melbourne Medical School, Australia
e Center for Cognitive Studies in Medicine and Public Health, The New York Academy, USA
Abstract One of the well known issues providers have contended with for many years is the issue of patients’ adherence to their care plans and medications outside clinical encounters. In this workshop, we review proof of concept studies using technology at the point of care to assess patient literacy and self-efficacy to provide timely intervention, remedy, and improvements in cost and quality. We focus on patient-generated information, including patient reported data and measurements from devices and sensors, as key to improving patient safety, gaining “meaningful use” data, improving patient centric care, and assisting providers in learning more about their patient needs to improve outcomes. We look into barriers to adherence, basic understanding of the patients and providers roles in improving adherence, and the use of technology to assist patients in staying on track. The participants will address their findings in the integration of patient-generated information into everyday life and clinical practice and share lessons learned from implementing these designs in practice. This workshop aims to share requirements for the next-generation healthcare systems, especially in areas where the explosive availability of patient-generated data is expected to make impacts.
Measuring and improving the impacts of Health IT on clinical, cost and efficiency outcomes. Presented by Steven Shaha, Center for Policy & Public Administration, UK, at HINZ 2014, 12 November 2014, 12.22pm, Marlborough Room 3
Making Healthcare Waste Reduction and Patient Safety Actionable - HAS Session 6Health Catalyst
Multiple studies have estimated that at least 30% of US healthcare expenditures are wasteful. But how do you identify and reduce that waste? In this session, we will share with you a three-part framework for understanding, measuring and addressing waste reduction. In particular, we will highlight the importance patient safety and injury prevention, framing the importance of shifting from a system of incident reporting (which creates a culture of blame and guilt) to a system in which patient injury is regarded as a process failure rather than a person failure. To make that transition, health systems will need to 1) define process flows and metrics for each major type of patient injury; and 2) create a learning environment in which team members are engaged in process redesign to prevent process failure and injury. A leading health system in patient safety and quality will also share their best practices in how they have created a culture of patient safety and quality.
Using Interactive Media to Enhance Patient Experience and Create Brand Prefer...John Olson
The widespread adoption of interactive communication technologies has created consumer expectations for information that is personally relevant to them, available on-demand 24/7 via the Internet and increasingly via mobile web. This presentation gives case histories of healthcare organizations that have created interactive tools to meet these expectations, enhance patient experience and promote healing. Additionally, the presentation discusses how interactive media programs can be used to differentiate a provider organization and create competitive advantage.
People with Chronic Disease needs complete care. The current patient experience will be enhanced with the available technology and by figuring out the ageing population and rising incidence of Chronic Diseases.
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.
HorseTech Conference Cheltenham 15/16 March 20223GDR
Speakers who will present on 15-16th March 2022 at the HorseTech Conference Cheltenham (and can be watched via the completely FREE livestream). For full details and to register:
https://horsetechconference.com/cheltenham/
DOCTORS AND SOCIAL MEDIA webinar (delivered by Liz Price, MDDUS senior risk a...3GDR
These slides were used for a MDDUS webinar that aimed to explore the legislative and regulatory risks involved in doctors personal and professional use of social media, and in relation to responding to and engaging with patients via this media.
The objectives were to raise awareness of the common medicolegal risks associated with doctors personal use of social media.
To raise awareness of the common medicolegal risks associated with doctors professional use of social media. To explore ways in which doctors can most appropriately respond to patient feedback and contacts via online platforms.
Participants are equipped to apply the knowledge gained in the webinar to risk assess and safely manage their online activities.
Provides guidance to enable improvement of personal practice in this area:
Royal Pharmaceutical Society UCL School of Pharmacy New Year Lecture 20193GDR
Diabetes and the Pharmacy Army
Philip Newland-Jones
Consultant Pharmacist Diabetes & Endocrinology
University Hospital Southampton NHS Foundation Trust
Mobile Health: the enable of Empowered Patients3GDR
Draft of slides for talk by David Doherty (coFounder, 3GDoctor) at the "Transforming Community Pharmacies in to High Street Clinics" Conference in London on the 15th November 2018.
For more information please visit:
https://mhealthinsight.com/2018/10/28/join-us-at-transforming-community-pharmacies-in-to-high-street-clinics/
Mobile Health: the enable of Empowered Patients3GDR
Draft of slides for talk by David Doherty (coFounder, 3GDoctor) at the "Transforming Community Pharmacies in to High Street Clinics" Conference in London on the 15th November 2018.
Slides for lecture by David Doherty (about.me/mHealth) to the Medical Students at University College Dublin on Thursday 29th March 2018.
Full details and Video:
https://mhealthinsight.com/2018/03/22/how-would-the-bornmobile-generation-redesign-medicine-and-whats-the-future-role-of-the-doctor/
Slides for lecture by David Doherty (about.me/mHealth) to the Medical Students at University College Dublin on Thursday 22 March 2018.
Full details and Video:
https://mhealthinsight.com/2018/03/22/how-would-the-bornmobile-generation-redesign-medicine-and-whats-the-future-role-of-the-doctor/
eHealth Ireland & Northern Ireland Connected Health Ecosystem
members of the ECHAlliance International Ecosystem Network
Cross Border Collaboration Projects in Action Alan Connor, mPower Programme Manager, NHS24
Notes on a talk on “Pricing and evaluating Orphan Drugs – present and future”...3GDR
The following slides are notes made by David Doherty following a very interesting presentation on “Pricing and evaluating Orphan Drugs – present and future” provided by Goran Medic, Market Access Manager Europe at Horizon Pharma Plc at the Pharma Pricing & Market Access Europe Conference in London (the world’s largest gathering of pharmaceutical pricing, market access and reimbursement professionals) on the 23rd February 2017.
Deriving more value from real world evidence to ensure timely access of medic...3GDR
Dr Sarah Wamala Andersson, Consultant, Real world evidence and value-based medicines
Pharma Pricing & Market Access Congress 2017 22 February 2017 London
Donate to charity during this holiday seasonSERUDS INDIA
For people who have money and are philanthropic, there are infinite opportunities to gift a needy person or child a Merry Christmas. Even if you are living on a shoestring budget, you will be surprised at how much you can do.
Donate Us
https://serudsindia.org/how-to-donate-to-charity-during-this-holiday-season/
#charityforchildren, #donateforchildren, #donateclothesforchildren, #donatebooksforchildren, #donatetoysforchildren, #sponsorforchildren, #sponsorclothesforchildren, #sponsorbooksforchildren, #sponsortoysforchildren, #seruds, #kurnool
Presentation by Jared Jageler, David Adler, Noelia Duchovny, and Evan Herrnstadt, analysts in CBO’s Microeconomic Studies and Health Analysis Divisions, at the Association of Environmental and Resource Economists Summer Conference.
Jennifer Schaus and Associates hosts a complimentary webinar series on The FAR in 2024. Join the webinars on Wednesdays and Fridays at noon, eastern.
Recordings are on YouTube and the company website.
https://www.youtube.com/@jenniferschaus/videos
Jennifer Schaus and Associates hosts a complimentary webinar series on The FAR in 2024. Join the webinars on Wednesdays and Fridays at noon, eastern.
Recordings are on YouTube and the company website.
https://www.youtube.com/@jenniferschaus/videos
ZGB - The Role of Generative AI in Government transformation.pdfSaeed Al Dhaheri
This keynote was presented during the the 7th edition of the UAE Hackathon 2024. It highlights the role of AI and Generative AI in addressing government transformation to achieve zero government bureaucracy
A process server is a authorized person for delivering legal documents, such as summons, complaints, subpoenas, and other court papers, to peoples involved in legal proceedings.
Jennifer Schaus and Associates hosts a complimentary webinar series on The FAR in 2024. Join the webinars on Wednesdays and Fridays at noon, eastern.
Recordings are on YouTube and the company website.
https://www.youtube.com/@jenniferschaus/videos
Russian anarchist and anti-war movement in the third year of full-scale warAntti Rautiainen
Anarchist group ANA Regensburg hosted my online-presentation on 16th of May 2024, in which I discussed tactics of anti-war activism in Russia, and reasons why the anti-war movement has not been able to make an impact to change the course of events yet. Cases of anarchists repressed for anti-war activities are presented, as well as strategies of support for political prisoners, and modest successes in supporting their struggles.
Thumbnail picture is by MediaZona, you may read their report on anti-war arson attacks in Russia here: https://en.zona.media/article/2022/10/13/burn-map
Links:
Autonomous Action
http://Avtonom.org
Anarchist Black Cross Moscow
http://Avtonom.org/abc
Solidarity Zone
https://t.me/solidarity_zone
Memorial
https://memopzk.org/, https://t.me/pzk_memorial
OVD-Info
https://en.ovdinfo.org/antiwar-ovd-info-guide
RosUznik
https://rosuznik.org/
Uznik Online
http://uznikonline.tilda.ws/
Russian Reader
https://therussianreader.com/
ABC Irkutsk
https://abc38.noblogs.org/
Send mail to prisoners from abroad:
http://Prisonmail.online
YouTube: https://youtu.be/c5nSOdU48O8
Spotify: https://podcasters.spotify.com/pod/show/libertarianlifecoach/episodes/Russian-anarchist-and-anti-war-movement-in-the-third-year-of-full-scale-war-e2k8ai4
6. 2011:
< 13% of primary evidence = High Strength
41% “inconclusive”
Source: PubMed, GSMA Literature Review of State of Evidence on mHealth 2011
7.
8.
9.
10. mHealth Technical Evidence
Review Group for RMNCH
“m-TERG”
“Providing governments and implementing agencies
objective, evidence-based guidance for the
selection and scale of mHealth strategies
across the reproductive, maternal,
newborn and child health continuum”
11. Two Initial Areas Selected
Do mHealth strategies:
! improve provider adherence to care and
treatment guidelines ?
! reduce stockouts of essential maternal health
drugs and commodities?
PROVIDER(
ADHERENCE(
STOCKOUTS(
mTERG&
12. Bridging the Evidence Gap - Methods
1. Document Search “beyond the peer-reviewed”:
articles, reports, blogs, presentations using extended
strategy, ‘sleuthing’ references and links
2. Included documents which describe:
! Implementation of an mHealth intervention
! Systematic Evaluation Methodology
3. Tag document using WHO mTERG taxonomy
4. Grade document quality using WHO mTERG
instrument
5. Summary / Synthesis of overall direction, magnitude
and consistency of effect
mTERG&
14. Two Initial Areas Selected
Do mHealth strategies:
! improve provider adherence to care and
treatment guidelines ?
! reduce stockouts of essential maternal health
drugs and commodities?
PROVIDER(
ADHERENCE(
STOCKOUTS(
15. Provider Competence,
Accountability,
Effectiveness.
Client Knowledge
and Self-Efficacy
Availability of
Commodities, Health
Workers, Equipment
Improved Information
about individuals,
populations, providers,
facilities, outcomes,
Improved
HEALTH
Outcomes
Improved
Quality
of Care
Improved
Health
Behaviors
Improved
Efficiency +
Coverage
Provider
Client
System
Remote Client to Provider (Telemedicine)
Provider Training and Education
Provider Work Planning and Scheduling
Disease Prevention
Provider to Provider Communication
Human Resource Management
Electronic Decision Support
Appointment Reminders
Treatment Adherence
Mass Messaging Campaigns
Health Education or Promotion
Hotlines and Information Services
Registries/Vital Events Tracking
Insurance
Payment for Services
Savings Accounts
Electronic Health Records
Data Collection and Reporting
Point of Care Diagnostics
Disease Management
Referrals
Cold Chain Management
Performance Based Incentives
Stock Out Prevention
Counterfeit Prevention
Maintenance of Equipment
Commodity Tracking
16. Provider Competence,
Accountability,
Effectiveness.
Client Knowledge
and Self-Efficacy
Availability of
Commodities, Health
Workers, Equipment
Improved Information
about individuals,
populations, providers,
facilities, outcomes,
Improved
HEALTH
Outcomes
Improved
Quality
of Care
Improved
Health
Behaviors
Improved
Efficiency +
Coverage
Provider
Client
System
Remote Client to Provider (Telemedicine)
Provider Training and Education
Provider Work Planning and Scheduling
Disease Prevention
Provider to Provider Communication
Human Resource Management
Electronic Decision Support
Appointment Reminders
Treatment Adherence
Mass Messaging Campaigns
Health Education or Promotion
Hotlines and Information Services
Registries/Vital Events Tracking
Insurance
Payment for Services
Savings Accounts
Electronic Health Records
Data Collection and Reporting
Point of Care Diagnostics
Disease Management
Referrals
Cold Chain Management
Performance Based Incentives
Stock Out Prevention
Counterfeit Prevention
Maintenance of Equipment
Commodity Tracking
PROVIDER(
ADHERENCE(
21. ! The studies that were methodologically sound showed significant
improvement of HW performance when using mHealth
Examples:
o In(South(Africa,(Rhode(and(colleagues(randomized(24(primary(care(nurses(to(
be(trained(in(IMCI(using(tradiWonal(paperabased(guidelines,(and(concluded(that(
nurses(who(used(the(IMCI(decisionasupport(tool(were(significantly(more(likely(
to(make(an(accurate(diagnosis((p<0.001).(
o (In(rural(Kenya,(Zurovac(et(al(randomized(outpaWent(health(workers(with(
mobile(phones(to(receive(text(message(reminders(about(naWonal(pediatric(
malaria(guidelines(to(improve(and(sustain(protocol(adherence.(For(health(
workers(who(received(the(SMS(reminders,(correct(management(of(pediatric(
malaria(increased(by(almost(25%(at(both(6(months(and(12(months((
! The use of mHealth varied: e-training, peer to peer, SMS reminders,
decision support
PROVIDER(
ADHERENCE(
22. Two Initial Areas Selected
Do mHealth strategies:
! improve provider adherence to care and
treatment guidelines ?
! reduce stockouts of essential maternal health
drugs and commodities?
PROVIDER(
ADHERENCE(
STOCKOUTS(
23. Provider Competence,
Accountability,
Effectiveness.
Client Knowledge
and Self-Efficacy
Availability of
Commodities, Health
Workers, Equipment
Improved Information
about individuals,
populations, providers,
facilities, outcomes,
Improved
HEALTH
Outcomes
Improved
Quality
of Care
Improved
Health
Behaviors
Improved
Efficiency +
Coverage
Provider
Client
System
Remote Client to Provider (Telemedicine)
Provider Training and Education
Provider Work Planning and Scheduling
Disease Prevention
Provider to Provider Communication
Human Resource Management
Electronic Decision Support
Appointment Reminders
Treatment Adherence
Mass Messaging Campaigns
Health Education or Promotion
Hotlines and Information Services
Registries/Vital Events Tracking
Insurance
Payment for Services
Savings Accounts
Electronic Health Records
Data Collection and Reporting
Point of Care Diagnostics
Disease Management
Referrals
Cold Chain Management
Performance Based Incentives
Stock Out Prevention
Counterfeit Prevention
Maintenance of Equipment
Commodity Tracking
24. Provider Competence,
Accountability,
Effectiveness.
Client Knowledge
and Self-Efficacy
Availability of
Commodities, Health
Workers, Equipment
Improved Information
about individuals,
populations, providers,
facilities, outcomes,
Improved
HEALTH
Outcomes
Improved
Quality
of Care
Improved
Health
Behaviors
Improved
Efficiency +
Coverage
Provider
Client
System
Remote Client to Provider (Telemedicine)
Provider Training and Education
Provider Work Planning and Scheduling
Disease Prevention
Provider to Provider Communication
Human Resource Management
Electronic Decision Support
Appointment Reminders
Treatment Adherence
Mass Messaging Campaigns
Health Education or Promotion
Hotlines and Information Services
Registries/Vital Events Tracking
Insurance
Payment for Services
Savings Accounts
Electronic Health Records
Data Collection and Reporting
Point of Care Diagnostics
Disease Management
Referrals
Cold Chain Management
Performance Based Incentives
Stock Out Prevention
Counterfeit Prevention
Maintenance of Equipment
Commodity Tracking
STOCKOUTS(
29. The Evidence Gap - Overall
! Across both domains, there are many interventions but
most are incompletely described
! Almost none have design that allow rigorous evaluation
! Almost none have control groups
! It is impossible to compare or combine study results due
to lack of standardization
! The nature of the exact interventions differs
! Differing indicators make meta-analyses difficult(
PROVIDER(
ADHERENCE(
STOCKOUTS(