Letourneau Maine Learning the ABCs of APCs
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The document summarizes Maine's Patient-Centered Medical Home (PCMH) pilot program. Key points: - The 3-year multi-payer pilot aims to support practice transformation for improved outcomes and lower costs. It includes 26 primary care practices across the state. - Practices are required to meet core expectations like team-based care, same-day access, and incorporating patient/family input. They receive learning supports and ongoing data feedback. - The pilot is evaluating changes in clinical quality, patient experience, and cost/utilization measures like hospitalizations. Early lessons indicate the importance of leadership, teams, and external coaching support for change. - Opportunities exist to spread le
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２０１４年の日本の総広告費は６兆１５２２億円（前年比１０２．９％）と６年ぶりに６兆円超えとなりました。また、インターネット広告費は、遂に１兆円超えの、１兆５１９億円（媒体費億８２４５億円、制作費２２７４億円）となりましたが、前年比２桁％成長（１１２．１％）も６年ぶりとなります。その内訳を見ると、運用型広告費が５１０６億円（前年比１２３．９％）と２年連続で２０％以上の成長を維持しつつ、枠売り広告費も３１３９億円（前年比１０１．９％）と前年を上回りました。
Presentation1
Yelp was founded in 2004 by two former PayPal employees and has since expanded to over 40 states and several countries. It is a social networking site that allows users to review local businesses in their area across various categories. Members have profiles and can connect with friends while building a trusted community through written reviews, ratings, and discussions. While some businesses have accused Yelp of extortion related to advertising, the site has become a popular resource for customers to research local options.
Lect05 slides
This document discusses coordination games and continuous strategy spaces in game theory. It provides examples of coordination games with discrete and continuous pure strategies. For the continuous strategy case, it shows how to find the Nash equilibrium by deriving each player's best response function and setting them equal to solve for the equilibrium. The document discusses how multiple equilibria can arise and different approaches for selecting among them, such as focusing on the equilibrium that is most efficient.
Soul party
This document appears to be a blog post listing various music albums from different artists and genres. It provides the titles and track listings of 15 albums, ranging from collections of Italian and French romantic songs from the 1970s-1980s to albums featuring Brazilian artists like Angela Maria and Agnaldo Timóteo. The albums cover genres like soul, saxophone instrumentals, and various artists compilations. Links to download the albums are provided.
O melhor dos anos 90
The document contains descriptions of various compilation albums collecting pop music hits from the 1990s and 1980s. It provides the track listings for multiple 3-CD albums released by Som Livre and EMI in 2008, including "Hits 90" focusing on 1990s hits, and albums with themes of "Pure: 90s," "Pure: Party," "Pure: Dance Party," and a generic "90's Super Hits." The albums cover a wide range of pop, dance and rock artists from the periods including Shaggy, Backstreet Boys, Spice Girls, Paula Abdul and more.
Arara juba
A União Europeia está preocupada com o impacto da inteligência artificial no mercado de trabalho. Muitos empregos podem ser automatizados, mas a IA também pode criar novas oportunidades. A UE está trabalhando para garantir que a IA seja desenvolvida e aplicada de forma ética e segura para beneficiar a sociedade e economia.
Anos 50 magia
This document summarizes several music compilation albums from various artists spanning the 1940s-1990s. It provides the titles of 16-27 songs on each album's track list. The albums cover genres including doo-wop, rock & roll, soul, Brazilian music, and 1950s/60s pop hits. Links are provided to download or stream full albums.
History & mission
1. The document describes Achieveopedia, an achievement process and online learning community established in 1985 to help people achieve goals and share ideas.
2. By 2005, Achieveopedia had developed an interactive social network and web-based learning model to connect people worldwide in pursuing achievements.
3. Achieveopedia provides tools, support systems, and a library of best practices called "Idea Banks" to empower people to grow ideas, opportunities, and support one another in improving their lives.
marchaucv
Marcha realizada por gremios de varias universidades del país para exigir aumento de sueldos y pago de deudas.
Evaluation question 6
This document discusses what the author has learned about technologies from constructing a film project. The author discusses learning how to use a basic camcorder, tripod, and editing software. Specific skills mentioned include handheld camera shots, zooming, playback, assembling a tripod. The author also learned about different shot types and their significance, as well as editing skills like trimming clips and exporting/uploading finished videos. In terms of narrative structure, the author kept the film's capturing and editing chronological to maintain a coherent story.
Monaco Boatsofthe Grand Prix Racing
Small boats will be participating in the Grand Prix of Monaco race. The short document does not provide any other details about the small boats' involvement, such as whether they are a new addition to the race or what role they will play. In just a single sentence, it states that small boats are coming to the Monaco Grand Prix, but leaves many details unspecified.
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Medicaid Medical Homes Initiatives: Promising Practices to Inform 2703 SPAs
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weems-Texas Medicaid Health Home Pilot Project Evaluation Methods
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The emerging healthcare environment requires expanded patient access while delivering optimal outcomes and cost. As healthcare moves form a fee for service model to alternative delivery and payment models, there are opportunities for physical therapy to revolutionize the delivery of musculoskeletal medicine. Physical therapists are uniquely qualified to spearhead musculoskeletal care through direct access with the potential to improve patient satisfaction and outcomes while limiting unneeded medical care. While this model has been described in the military, there are few descriptions of this PT First approach in the private payer arena. This session will provide the attendee with a multifaceted perspective on the impact of physical therapy in emerging, collaborative healthcare models. Approaches to payers and employers with the business implications will be presented that influence these new models. Key strategies to implement a scalable, best practice model will be discussed including the logistical challenges and corollary solutions in the private arena. We will discus our experience implementing novel delivery models for management of neck, back, shoulder and knee pain. The session will deliver practical solutions to the challenges of implementing, assessing, and adapting a theoretical construct to a working viable program. Finally, the session will discuss how the use of a a large Patient Outcomes Registry and analysis of “big data” can drive best practice and inform development of the program.
Physician Strategies
An examination of how a larege cardiology group formally aligned with a Catholic Health Care System to provide better soordinated care.
Webinar: CMS Innovation Center Update
The CMS Innovation Center hosted a special webinar featuring Dr. Patrick Conway, CMS Deputy Administrator for Innovation and Quality and CMS Chief Medical Officer, on Monday, November 10, 2014 from 10:30am – 11:30 am ET. Dr. Conway will provided an update about the work of the CMS Innovation Center and the models being tested to improve better care for patients, better health for our communities, and lower costs through improvement for our health care system. Opportunities for questions were provided.
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http://innovation.cms.gov
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A Care Setting Experience with Shared Decision Making
Presentation given at the Foundation's Jan. 26, 2011 Research and Policy Forum by David Swieskowski, MD, MBA and Kelly Taylor, RN, MSN, CCM from Mercy Clinics in Des Moines, IA.
Payment Reform for Primary Care – Minnesota DHS efforts
Presented at the National Academy for State Health Policy's 20th Annual State Health Policy Conference in Denver, Colorado. Author: Jeff Schiff
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The document discusses using patient registries and automated patient outreach to help medical practices qualify for level 3 recognition as a patient-centered medical home according to NCQA standards. It describes how the Phytel system can mine practice data to identify patients for recommended care, contact patients via automated outreach scripts, and generate reports on quality measures and financial results to document improved performance. Using these tools helped one practice profiled achieve the highest level of NCQA medical home qualification.
STFM PI conf 12.4.15 Gerdes
The document discusses the transition to value-based care models and accountable care organizations (ACOs). It outlines five core competencies needed for early success in an ACO program like the Medicare Shared Savings Program (MSSP): 1) physician-centered governance, 2) collection and reporting of quality metrics, 3) data analysis and spend identification, 4) developing a post-acute quality provider network, and 5) population management strategies. It provides examples from Methodist Health System's experience in an MSSP ACO.
Nicholas Mays
This document summarizes evidence on pay-for-performance (P4P) schemes for chronic disease management. It finds that while P4P can have positive effects, the evidence is limited and heterogeneous. Careful design is needed to avoid unintended consequences. Effective elements include incentives at multiple levels, emphasis on protocols and record-keeping, and risk-adjusting payments. More research is still needed to understand optimal incentive sizes, measures, and interactions with existing payment systems.
July 2015 accountable care webinar
This webinar discusses accountable care and big data in meeting healthcare challenges. It features presentations from four panelists on their experiences with accountable care organizations and using data analytics. Katie White discusses findings from a study of pioneers and MSSP ACOs. Kim Kauffman outlines Summit Medical Group's strategies around disease registries and claims analytics. Jason Dinger explains MissionPoint's approach of using 3-5 years of claims data and risk stratification to guide care management and population health interventions. The webinar concludes with thanks to the panelists and information on receiving presentation materials.
Tuning Up the Workforce Building Capacity to Meet Demand
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CBI Grants West 2009 PI_Enhancing Grants
The document discusses performance improvement continuing medical education (PI-CME). It defines PI-CME as a structured process where physicians learn about specific performance measures, retrospectively assess their practice against these measures, apply the measures prospectively, and re-evaluate performance. The document outlines the steps involved in PI-CME, including assessing current practice, participating in an educational intervention, and re-evaluating performance. It emphasizes that PI-CME focuses on changing physician behavior and improving patient outcomes.
Clinical Integration
A Clinically Integrated Network (CIN) is a selective partnership of physicians collaborating with
hospital(s) and other providers to deliver evidence-based care, improve quality and efficiency,
manage populations and demonstrate value to the market. Once these objectives are met, the network may contract on behalf of participants
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It's been a little while since I saw a new payment/delivery model that I was seriously excited about! I really love where CMMI and the MRT are taking things
Michigan Hospital Association Governance meeting
Patient centered medical home activities in MI and Nationally and the opportunity to improve quality outcomes by increased access to primary care doctors who outreach members who are missing preventive and chronic care services.
Health IT Summit Houston 2014 - Case Study "EHR Optimization for Organization...
Health IT Summit Houston 2014 - Case Study "EHR Optimization for Organization...Health IT Conference – iHT2
Health IT Summit Houston 2014 - Case Study "EHR Optimization for Organizational Value in a Changing Healthcare Environment"
Luis Saldana, MD, MBA, FACEP
CMIO
Texas Health Resources
iHT2 case studies and presentations illustrate challenges, successes and various factors in the outcomes of numerous types of health IT implementations. They are interactive and dynamic sessions providing opportunity for dialogue, debate and exchanging ideas and best practices. This session will be presented by a thought leader in the provider, payer or government space.Healthcare quality improvement for meaningful use
The document discusses meaningful use of electronic health records and quality improvement processes for healthcare providers. Meaningful use involves using certified electronic health records to improve care quality, engage patients, improve care coordination, and maintain privacy. Providers must meet objectives across three stages related to clinical quality reporting. The quality improvement process involves defining aims, measuring baselines, analyzing processes, testing changes through PDSA cycles, and tracking results. Resources for meaningful use and quality improvement include the CMS website and regional extension centers.
Academy Health- Annual Research Meeting - State Policy Interest Groups- 2013
The document summarizes findings from a study evaluating the impact of the Massachusetts Patient-Centered Medical Home Initiative (MA PCMHI) on clinical quality measures at the midpoint of the initiative. The study found that three measures showed statistically significant improvement from baseline to 21 months: screening diabetic patients for depression, developing asthma action plans for children with persistent asthma, and developing care plans for highest risk patients. While other measures trended toward improvement or no change, the results indicate that primary care practice transformation takes time but processes of care are more likely to improve before outcomes. The initiative provides an example of using clinical quality measures to evaluate the impact of implementing patient-centered medical home processes and improving patient care.
Matching the Research Design to the Study Question
This document discusses matching research designs to study questions in comparative effectiveness research (CER). It notes that the appropriate research design depends on factors like who is asking the question, the amount of existing evidence, and whether the focus is on individual outcomes or system-level decisions. Both experimental and non-experimental designs have important roles to play in CER. An ideal CER enterprise would support a variety of study designs, methods research, data infrastructure, and efforts to translate evidence into practice.
Transitioning to Value Based Care: Tennessee Oncology, A Case Study
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Or slides final
This document discusses Oregon's ABCD for Healthy Kids program which provides Medicaid coverage for nearly 1 in 3 Oregon children through managed care organizations. It recommends implementing a Performance Improvement Project (PIP) using the CMS protocols to help coordinate care and connect systems. Key activities for the PIP include community engagement through parent forums and stakeholder interviews to help shape the project, as well as learning collaboratives and guidelines for providers. The goals are to understand families' healthcare experiences, improve care coordination, and rethink early education.
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A Care Setting Experience with Shared Decision Making
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Transitioning to Value Based Care: Tennessee Oncology, A Case Study
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The Affordable Care Act (ACA) provides opportunities for states to make lasting
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Ar slides final
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Il slides final
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Jills slides
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