lessons on best practices for govt hospitals from private hospitals in indiaHarsha dhulipalla
the ppt consists of present indian health care delivery system and differences between govt & private hospitals,tragedies in govt hospitals,lessons for better improvement
community health center are based on health care where Healthcare for Communities are designed to offer information on how the healthcare system is functioning in order to take care of their own health.
The presentation by Professor David Peters was given at the First Complex Adaptive Systems Training Workshop for CNHDRC, which was held in Beijing, China, from 18-19 July. It explains the basic elements of health systems and how they relate to a complex adaptive systems approach.
lessons on best practices for govt hospitals from private hospitals in indiaHarsha dhulipalla
the ppt consists of present indian health care delivery system and differences between govt & private hospitals,tragedies in govt hospitals,lessons for better improvement
community health center are based on health care where Healthcare for Communities are designed to offer information on how the healthcare system is functioning in order to take care of their own health.
The presentation by Professor David Peters was given at the First Complex Adaptive Systems Training Workshop for CNHDRC, which was held in Beijing, China, from 18-19 July. It explains the basic elements of health systems and how they relate to a complex adaptive systems approach.
MTAC NEMT ROI Study Results PresentationLogistiCare
MTAC (https://mtaccoalition.org/) was formed in 2017 to educate federal and state policymakers about the benefits of non-emergency medical transportation (NEMT) and the need for policies that support continued access to transportation. Founded by the leading brokers of NEMT, LogistiCare Solutions, LLC, MTM, Inc., and Southeastrans, Inc., the coalition has quickly gained support and its current membership numbers 17 organizations including leading patient and health plan organizations.
BACKGROUND
MTAC commissioned a first of its kind study to examine the return on investment of NEMT by examining actual Medicaid claims data and surveying actual NEMT users. The study was conducted by Faegre Baker Daniels Consulting, Wakely, and Dr. Patricia Salber.
Three conditions and corresponding treatments were evaluated: Dialysis for Kidney Disease, Wound Care for Diabetic Wounds, and Treatment for Substance Use Disorder (SUD).
RESULTS
The study supports the hypothesis that missed medical appointments lessens patient adherence with clinical guidelines, which leads to complications and expensive medical services. The value of NEMT is shown most clearly in the costs avoided from increased expensive medical services and lower treatment adherence for Dialysis for Kidney Disease and Wound Care for diabetic wounds, demonstrating that NEMT pays for itself as part of a care management strategy for people with certain chronic conditions.
Health Consumers' Council's Manager of Advocacy and Research and Murdoch's Dr Norman Stomski co-presented on a recent project where 60 de-identified advocacy cases were analysed for themes and to explore how advocacy supported the mental health consumer patient journey.
MTAC NEMT ROI Study Results PresentationLogistiCare
MTAC (https://mtaccoalition.org/) was formed in 2017 to educate federal and state policymakers about the benefits of non-emergency medical transportation (NEMT) and the need for policies that support continued access to transportation. Founded by the leading brokers of NEMT, LogistiCare Solutions, LLC, MTM, Inc., and Southeastrans, Inc., the coalition has quickly gained support and its current membership numbers 17 organizations including leading patient and health plan organizations.
BACKGROUND
MTAC commissioned a first of its kind study to examine the return on investment of NEMT by examining actual Medicaid claims data and surveying actual NEMT users. The study was conducted by Faegre Baker Daniels Consulting, Wakely, and Dr. Patricia Salber.
Three conditions and corresponding treatments were evaluated: Dialysis for Kidney Disease, Wound Care for Diabetic Wounds, and Treatment for Substance Use Disorder (SUD).
RESULTS
The study supports the hypothesis that missed medical appointments lessens patient adherence with clinical guidelines, which leads to complications and expensive medical services. The value of NEMT is shown most clearly in the costs avoided from increased expensive medical services and lower treatment adherence for Dialysis for Kidney Disease and Wound Care for diabetic wounds, demonstrating that NEMT pays for itself as part of a care management strategy for people with certain chronic conditions.
Health Consumers' Council's Manager of Advocacy and Research and Murdoch's Dr Norman Stomski co-presented on a recent project where 60 de-identified advocacy cases were analysed for themes and to explore how advocacy supported the mental health consumer patient journey.
Seminar 9 health care delivery system in united states of americaDr. Ankit Mohapatra
Health care organization
Health financing in US
Payment mechanism
Health expenditure
Human and physical recourses
Public health
Patient pathway into health care
Provision of services
ACA
US vs India Healthcare
STRENGTHS & WEAKNESSES OFJAPANS' HEALTH CARE SYSTEMnaeemrsat
Japans' excellent health indicators are not entirely due to its' health delivery system. A major factor is the obsession of the Japanese for healthy life styles and food.
Also another big factor is Japans' excellent and very effective public health system
Chapter 19National Health Insurance& Managed Care.docxwalterl4
Chapter 19
National Health Insurance
& Managed Care
LEARNING OBJECTIVES
• Discuss the purpose and various titles of the
Patient Protection and Affordable Care Act of
2010 (PPACA).
• Discuss the Supreme Court’s ruling on the
constitutionality of the PPACA.
• Describe the common models of managed care
organizations.
• Explain what can happen if a state fails to comply
with the PPACA.
PPACA Purpose
• Increase # of Americans covered by health
insurance
• Decrease cost of insurance
– Make more affordable through shared
responsibility
• Eliminate discriminatory acts
– Exclusion due to pre-existing conditions,
health status, & gender.
PPACA Reforms Health Care – I
• Eliminate lifetime & unreasonable annual limits on
benefits
• Prohibit recessions of health insurance policies
• Assistance for uninsured due to pre-existing
conditions
• Require coverage: preventative services &
immunizations
• Extend dependent coverage up to age 26
PPACA Reforms Health Care - II
• Develop uniform coverage documents so consumers
can make equal insurance comparisons
• Cap insurance company
– nonmedical & administrative expenditures
• Ensure consumers have access to an effective
appeals process
– provide a place to turn for help
• navigating the appeals process & assessing
coverage
Supreme Court 6/28/12
• Agreed that the requirement for nearly all
Americans to buy health insurance.
• Court excised part of law requiring states to
expand their Medicaid coverage in a joint
federal–state effort, to families with incomes
up to 133% of the Federal Poverty Level (FPL).
PPACA Titles
Title I. Quality Affordable Health Care for All
Americans
Title II. The Role of Public Programs
Title III. Improving the Quality and Efficiency of
Health Care
Title IV. Prevention of Chronic Disease and
Improving Public Health
Title V. Health Care Workforce
PPACA Titles – II
Title VI. Transparency and Program Integrity
Title VII. Improving Access to Innovative Medical
Therapies
Title VIII. CLASS Act
Title IX. Revenue Provisions
Title IX. Strengthening Quality, Affordable
Health Care for All Americans
Models of Managed Care
Organizations (MCO’s)
• Health Maintenance Organizations
• Preferred Provider Organizations
• Exclusive Provider Organizations
• Point of Service Plans
• Experience-Rated HMOs
• Specialty HMO’s
• Independent Practice Associations
• Physician Group Practice
Models of MCOs – II
• Group Practice without Walls
• Physician-Hospital Organizations
• Medical Foundations
• Managed Service Organizations
• Vertically Integrated Delivery System
• Horizontal Consolidations
• Federally Qualified
Federally Qualified MCOs
• Strictly Voluntary
• Must Meet Federal Standards
• Less flexibility in
– benefits packages
– setting premium rates
• Must Provide Basic Package of Health Services
State HMO Laws – I
• Specify what types on entities may operate an
MCO.
• Require the provisio.
Introduction to AI for Nonprofits with Tapp NetworkTechSoup
Dive into the world of AI! Experts Jon Hill and Tareq Monaur will guide you through AI's role in enhancing nonprofit websites and basic marketing strategies, making it easy to understand and apply.
Embracing GenAI - A Strategic ImperativePeter Windle
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
Francesca Gottschalk - How can education support child empowerment.pptxEduSkills OECD
Francesca Gottschalk from the OECD’s Centre for Educational Research and Innovation presents at the Ask an Expert Webinar: How can education support child empowerment?
Operation “Blue Star” is the only event in the history of Independent India where the state went into war with its own people. Even after about 40 years it is not clear if it was culmination of states anger over people of the region, a political game of power or start of dictatorial chapter in the democratic setup.
The people of Punjab felt alienated from main stream due to denial of their just demands during a long democratic struggle since independence. As it happen all over the word, it led to militant struggle with great loss of lives of military, police and civilian personnel. Killing of Indira Gandhi and massacre of innocent Sikhs in Delhi and other India cities was also associated with this movement.
The French Revolution, which began in 1789, was a period of radical social and political upheaval in France. It marked the decline of absolute monarchies, the rise of secular and democratic republics, and the eventual rise of Napoleon Bonaparte. This revolutionary period is crucial in understanding the transition from feudalism to modernity in Europe.
For more information, visit-www.vavaclasses.com
Welcome to TechSoup New Member Orientation and Q&A (May 2024).pdfTechSoup
In this webinar you will learn how your organization can access TechSoup's wide variety of product discount and donation programs. From hardware to software, we'll give you a tour of the tools available to help your nonprofit with productivity, collaboration, financial management, donor tracking, security, and more.
1. Lecture 3
Health Care Systems
Quality Assurance in Hospital Management
Institute for Nile States Strategic Studies and
Researches
2. After this lecture, you should be
able to understand:
◦ Major Trends in Health Care
◦ Types of Health Care Facilities & Agencies
◦ Health Insurance
Lecture Objectives
4. Trends in Health Care
• Technology
• Preventive Medicine and Wellness
• Aging Population
• Underinsured and Uninsured
• Ambulatory Care and Outpatient Surgery
• Home Health Care
4
6. Health Care Facilities
1. Hospitals
2. Long-Term Care
3. Practitioners’ Offices
4. Clinics
5. Laboratories
6. Emergency Medical Services
7. Home Health Care
8. Rehabilitation
9. Hospice 6
7. Health Care Agencies
• Government Agencies (Local – Nation
-Worldwide)
• Volunteer and Nonprofit Health
Agencies
7
8. Government Agencies
• Local Health Departments
– Provide immunizations, inspections, and
environmental protection.
– Collect statistics about communicable
diseases.
– May provide health education and other
health-related services to the community.
8
9. Government Agencies (cont.)
• World Health Organization
(WHO)
– International agency sponsored
by the United Nations.
– Primary goal is to help all people
attain the highest possible level
of health.
– Compiles statistics on disease.
– Provides training for medical
personnel.
9
10. Volunteer and Nonprofit
Health Agencies
• Can be on the state, local, or national level.
• Supported by private contributions and
fund-raising.
• Usually focus on a single disease.
10
12. Health Insurance
• Paying for Health Care
• Managed Care
• Health Maintenance Organizations
• Workers’ Compensation
• Military Health Care
12
13. Paying for Health Care
• Insurance company decides what medical
services will be covered.
• Group insurance coverage is offered to
employees by many employers.
Chapter 2 13
14. Managed Care
Advantages
• Most include preventive care,
such as annual physicals,
mammograms, and well-baby
care.
• Monthly premiums and out-of-
pocket expenses are usually
lower than with traditional
insurance.
• Reduced paperwork.
Disadvantages
• Limited choice of doctors and
hospitals, except for emergency
treatment.
• Must be referred to specialist by
primary care physician.
• Usually more restrictive than
ordinary insurance.
• Not all health expenses count
toward deductible.
14
15. Health Maintenance Organizations
• Focus on prevention and wellness.
• Businesses or individuals pay
premiums to the HMO instead of an
insurance company.
• HMOs focus on wellness care not
usually covered by insurance.
• Popular in the 1980s and 1990s.
15
16. Workers’ Compensation
• Insurance that covers accidents,
injuries, or diseases that occur in the
workplace.
• Federal law requires businesses to
purchase and maintain a minimum
amount of workers’ compensation
insurance.
16
17. 17
Military Health Care
• Provided to current military
personnel, retired military
personnel, and veterans through
CHAMPUS/TRICARE program.
• Public Health Service and National
Oceanic and Atmospheric
Administration are also covered
by this benefit.
Editor's Notes
There are Major Trends affecting the Health Care like:
Technology: where
Computer technology allows noninvasive diagnosis of soft tissue diseases and injuries.
Ultrasound used to examine body cavities.
Field of radiology no longer limited to X rays.
Miniaturization allows cameras and instruments to be inserted into the body for surgical procedures.
Digital images can be transmitted to a consulting specialist.
Client’s records can be made available anytime and anywhere.
Preventive Medicine and Wellness: where Hospital wellness centers offer services such as:
Cardiac rehabilitation.
Pulmonary rehabilitation.
Occupational medicine.
Sports medicine.
Clinical weight management.
Physical therapy.
Aging Population: As the population ages, demands on the health care services will increase.
Underinsured and Uninsured: As new technology and products emerge, costs increase, County hospitals, supported by taxes, care for uninsured low income people. Costs associated with the uninsured are passed on to those who are insured or can afford to pay.
Ambulatory Care and Outpatient Surgery: Technology, research, and new medications make same-day surgery possible and so Costs can be reduced when patients do not remain overnight.
Home Health Care: where Patients are released from the hospital early and receive home visits by a skilled professional. And this comes to Patient with benefits by exposure to fewer pathogens, lowered stress and anxiety, and decreased cost.
Health Care Facilities can be categorized into
Hospitals
Long-Term Care:
Residents may be frail, elderly, handicapped, or disabled.
Residents seen by the physician monthly.
Assisted-living centers offer separate living quarters, and provide meals and housekeeping.
Some residents are able to perform many of their own activities of daily living (ADL).
Practitioners’ Offices: for example Dentists and dental hygienists are included in this group.
Clinics: Practitioners have separate clients, but share billing, reception, and record-keeping staff. And it may move from location to location.
5. Laboratories: Can be part of a clinic or hospital. And Some are supported by public money.
6. Emergency Medical Services: Police officers, firefighters, and ambulance staff may perform EMS (Emergency Medical Services). And In rural areas, volunteers, park rangers, or ski patrol may provide EMS (Emergency Medical Services).
7. Home Health Care: May be long term or short term.
8. Rehabilitation: Designed to help clients regain physical or mental abilities or to help them live with disabilities. And May be part of a hospital, clinic, or privately owned.
9. Hospice: Services are provided to the terminally ill. And Includes treatment from doctors, nurses, therapists, dieticians, social workers, clergy, and volunteers.
We’ve two types of Health Care Agencies:
Government Agencies (Local – Nation -Worldwide)
Volunteer and Nonprofit Health Agencies
First, Government Agencies,
Local Health Department which:
Provide immunizations, inspections, and environmental protection.
Collect statistics about communicable diseases.
May provide health education and other health-related services to the community.
Also, the World Health Organization (WHO):
International agency sponsored by the United Nations.
Primary goal is to help all people attain the highest possible level of health.
Compiles statistics on disease.
Provides training for medical personnel.
Second, Volunteer and Nonprofit Health Agencies:
Can be on the state, local, or national level.
Supported by private contributions and fund-raising.
Usually focus on a single disease.
Paying for Health Care
Medicare and Medicaid Programs which are result of federal legislation.
Managed Care
Workers’ Compensation
Military Health Care
Paying for Health Care: where
Insurance company decides what medical services will be covered.
Group insurance coverage is offered to employees by many employers.
Managed Care: Health care plans specifically designed to control costs.
Advantages:
Most include preventive care, such as annual physicals, mammograms, and well-baby care.
Monthly premiums and out-of-pocket expenses are usually lower than with traditional insurance.
Reduced paperwork.
Disadvantages:
Limited choice of doctors and hospitals, except for emergency treatment.
Must be referred to specialist by primary care physician.
Usually more restrictive than ordinary insurance.
Not all health expenses count toward deductible.
Health Maintenance Organizations:
Focus on prevention and wellness.
Businesses or individuals pay premiums to the HMO instead of an insurance company.
HMOs focus on wellness care not usually covered by insurance.
Popular in the 1980s and 1990s.
Workers’ Compensation:
Insurance that covers accidents, injuries, or diseases that occur in the workplace.
Federal law requires businesses to purchase and maintain a minimum amount of workers’ compensation insurance.
Military Health Care:
Provided to current military personnel, retired military personnel, and veterans through CHAMPUS/TRICARE program.
Public Health Service and National Oceanic and Atmospheric Administration are also covered by this benefit.