This document discusses the value of pediatric care over the lifecourse. It provides examples showing that investments in childhood health through vaccines, breastfeeding support, and other interventions provide huge returns through lifelong cost savings and prevention of chronic diseases. Vaccines alone are estimated to save over $76 billion per year in the US from preventing millions of cases of disease. Increased breastfeeding could save $13 billion per year. Considering costs and quality-adjusted life years gained, many pediatric interventions are very cost-effective compared to other health interventions and well below commonly cited cost-effectiveness thresholds. Overall, the document argues that pediatrics provides excellent long-term value and is a worthwhile investment.
As part of our 100th Anniversary Celebration, Helen Keller International hosted an informative and insightful presentation on the history and impact of Vitamin A Supplementation as an important blindness and malnutrition intervention. The presentation was led by Dr. Alfred Sommer, Dean Emeritus of the Bloomberg School of Public Health at Johns Hopkins University.
The presentation took place on March 16, 2015, at the Lighthouse Guild in New York City.
Lots of project teams have tried out personas. Not all succeed.
In this session, I’ll outline a range of projects (both system and website development) over the past 5 years in which I’ve used personas to bring consensus and user focus to the team delivering. I’ll run through some challenges I’ve faced, and the techniques I’ve tried to overcome them.
The document discusses creativity and technology. It notes that creativity created the technology seen today and that creativity and technology go hand in hand. The document is created by Brittnay DuPont, a digital artist who loves art and animals. She pursued her interests in art and technology by studying computer animation at Full Sail University.
Charges costs cost effectiveness - Adam SchickedanzAdam.Schickedanz
The document discusses health care costs and cost-effectiveness in the United States. It notes that Americans spend over $3 trillion per year on health care, or around 18% of GDP. Children's health care costs $2,100 per child annually on average. A small percentage of children (15%) account for a large portion (60%) of total pediatric health care costs due to chronic and complex conditions. Proper care coordination can help reduce costs for these high-need, high-cost patients. Cost-effectiveness analysis uses metrics like incremental cost-effectiveness ratios and quality-adjusted life years to compare the costs and benefits of different health care interventions.
The document discusses strategies for defining and measuring value in healthcare, with a focus on pediatrics. It explores using time as a diagnostic test and questioning clinical dogma. Examples discussed include managing low-risk febrile neutropenia at home and limiting imaging for first time UTIs. Comparisons between guidelines and practices in different locations suggest opportunities to standardize and reduce unnecessary testing and treatment while maintaining quality outcomes.
Este documento presenta una breve introducción a los conceptos básicos de los sistemas de información, incluyendo hardware, software, redes, información, usuarios, datos y seguridad. Explica que el hardware se refiere a los dispositivos físicos de una computadora, mientras que el software son las partes intangibles. También define las redes como los medios guiados y no guiados para la intercomunicación entre equipos de computo, e información como la comunicación entre un emisor y receptor para compartir un tema en común.
This document discusses a project to migrate 350 websites and 50,000 pages from an old CMS to a new bespoke CMS at the University of Edinburgh. It describes three common dilemmas faced in large migrations: 1) whether to start from the top or bottom of the site, 2) how to engage users while meeting deadlines, and 3) whether to finish the new CMS before migrating content. For each dilemma, considerations are presented and groups discuss potential solutions. The document emphasizes community engagement, phased approaches, and testing new systems in parallel to address challenges of large-scale migrations.
La violencia escolar conocida como bullyng se da en 5 de cada 10 estudiantes paceños entre 10 y 14 años , genero predominante varones ellos realizan una agresion fisica y verbal las mujeres realizan una agresion indirecta esparciendo rumores
As part of our 100th Anniversary Celebration, Helen Keller International hosted an informative and insightful presentation on the history and impact of Vitamin A Supplementation as an important blindness and malnutrition intervention. The presentation was led by Dr. Alfred Sommer, Dean Emeritus of the Bloomberg School of Public Health at Johns Hopkins University.
The presentation took place on March 16, 2015, at the Lighthouse Guild in New York City.
Lots of project teams have tried out personas. Not all succeed.
In this session, I’ll outline a range of projects (both system and website development) over the past 5 years in which I’ve used personas to bring consensus and user focus to the team delivering. I’ll run through some challenges I’ve faced, and the techniques I’ve tried to overcome them.
The document discusses creativity and technology. It notes that creativity created the technology seen today and that creativity and technology go hand in hand. The document is created by Brittnay DuPont, a digital artist who loves art and animals. She pursued her interests in art and technology by studying computer animation at Full Sail University.
Charges costs cost effectiveness - Adam SchickedanzAdam.Schickedanz
The document discusses health care costs and cost-effectiveness in the United States. It notes that Americans spend over $3 trillion per year on health care, or around 18% of GDP. Children's health care costs $2,100 per child annually on average. A small percentage of children (15%) account for a large portion (60%) of total pediatric health care costs due to chronic and complex conditions. Proper care coordination can help reduce costs for these high-need, high-cost patients. Cost-effectiveness analysis uses metrics like incremental cost-effectiveness ratios and quality-adjusted life years to compare the costs and benefits of different health care interventions.
The document discusses strategies for defining and measuring value in healthcare, with a focus on pediatrics. It explores using time as a diagnostic test and questioning clinical dogma. Examples discussed include managing low-risk febrile neutropenia at home and limiting imaging for first time UTIs. Comparisons between guidelines and practices in different locations suggest opportunities to standardize and reduce unnecessary testing and treatment while maintaining quality outcomes.
Este documento presenta una breve introducción a los conceptos básicos de los sistemas de información, incluyendo hardware, software, redes, información, usuarios, datos y seguridad. Explica que el hardware se refiere a los dispositivos físicos de una computadora, mientras que el software son las partes intangibles. También define las redes como los medios guiados y no guiados para la intercomunicación entre equipos de computo, e información como la comunicación entre un emisor y receptor para compartir un tema en común.
This document discusses a project to migrate 350 websites and 50,000 pages from an old CMS to a new bespoke CMS at the University of Edinburgh. It describes three common dilemmas faced in large migrations: 1) whether to start from the top or bottom of the site, 2) how to engage users while meeting deadlines, and 3) whether to finish the new CMS before migrating content. For each dilemma, considerations are presented and groups discuss potential solutions. The document emphasizes community engagement, phased approaches, and testing new systems in parallel to address challenges of large-scale migrations.
La violencia escolar conocida como bullyng se da en 5 de cada 10 estudiantes paceños entre 10 y 14 años , genero predominante varones ellos realizan una agresion fisica y verbal las mujeres realizan una agresion indirecta esparciendo rumores
Apostillemea certificate attestation provides attestation services for marriage certificates, birth certificates, and educational certificates. They offer certificate attestation for marriage certificates, birth certificates, educational certificates, death certificates, and affidavits. For contact, their office is located in New Delhi and can be reached by phone or email.
Jaya International provides certificate attestation services for documents such as birth, death, and divorce certificates. They offer attestation from universities, translations, notary services, and attestation from authorities in Delhi, Mumbai, and various state levels. In addition to attestation services, Jaya International also offers visa and passport services.
How Mobile Technology is Improving Healthcare Delivery in the Developing World HelenKellerIntl
This document discusses the use of mobile devices and mHealth in developing countries. It outlines how mobile phones, smartphones, and tablets can be used in environments with affordable cell phone access and expanding networks to perform traditional public health functions like data collection, behavior change communication, diagnostics, disease surveillance, and supply chain management. It also discusses how organizations like HKI use simple mobile tools for health monitoring, evaluation, and community health worker support to obtain better data, reach more people, and respond more rapidly. However, it notes that mHealth requires careful planning, significant training, and consideration of factors like electricity access and literacy.
La violencia escolar conocida tambien com o bullyng el genero predominante es varones 60% realizan agresion fisica y verbal , 40% en mujeres realizan agresion indirecta .
Jaya International is a company located in Delhi that specializes in providing nationwide apostille and embassy legalization services for international use of documents. They offer verification, translation, and notarization of documents as well as assistance with visa and passport services. They also provide air ticketing services and contact information is provided for any questions.
Sierra Leone: The Long-term Impact of the Ebola Crisis on an Already Fragile ...HelenKellerIntl
The Ebola crisis has overwhelmed Sierra Leone's already fragile healthcare system and reversed health gains made after the civil war. Sierra Leone had few healthcare workers and facilities to begin with, and the outbreak led to the closure of hospitals, distrust of healthcare workers, and limited access to services like vaccinations. Rebuilding the healthcare system will require efforts to strengthen infrastructure, restore trust, and address underlying issues impacting health like poverty, malnutrition, and lack of sanitation. Ongoing programs monitoring vitamin A supplementation and fighting neglected tropical diseases provide a foundation for recovery.
Immunization against childhood killer diseasesIkiriza Antony
This document provides information about immunization against childhood killer diseases in Uganda. It discusses the types of immunity, childhood immunizable diseases and vaccines, the role of Uganda's National Expanded Programme for Immunization (UNEPI), and cold chain management for vaccine potency. UNEPI oversees immunization activities at central, district, and lower levels to ensure children receive routine vaccines by their first birthday and that vaccines are properly stored, distributed, and administered.
This document discusses diphtheria, an infectious disease caused by the bacteria Corynebacterium diphtheriae. It produces an exotoxin that can cause local infection in the throat and airways and lead to complications affecting the heart, kidneys and nerves if the toxin spreads systemically. Clinical manifestations depend on the site of infection and may include pseudomembrane formation. Diagnosis involves culture, microscopy and toxin testing. Treatment is with antitoxin to neutralize the toxin as well as antibiotics. Active immunization with diphtheria, tetanus and pertussis vaccine (DwPT or TdaP) provides protection.
Este documento resume las generalidades de Mycobacterium tuberculosis, incluyendo su morfología, factores de virulencia, enfermedades que causa y métodos de diagnóstico. M. tuberculosis es una bacteria ácido-alcohol resistente que puede causar tuberculosis pulmonar, genitourinaria, osteoarticular y otras formas al diseminarse desde los pulmones. Se transmite principalmente a través de aerosoles producidos por personas infectadas y puede aislarse en cultivos para confirmar el diagnóstico.
El documento proporciona información sobre la tuberculosis, incluyendo su definición, etiología, epidemiología, transmisión, patogénesis, pronóstico e historia natural. Explica que la tuberculosis es causada principalmente por Mycobacterium tuberculosis, afecta desproporcionadamente a poblaciones vulnerables, y es una de las enfermedades más mortíferas en el mundo.
The document discusses Mycobacterium tuberculosis, the bacteria that causes tuberculosis. It describes the bacteria's morphology, staining properties, growth characteristics, and pathogenesis. It also covers the transmission and progression of tuberculosis infection, from primary infection to potential extrapulmonary sites. Granuloma formation and caseation necrosis are key aspects of the immune response and typical disease progression.
Pneumonia is an inflammation of the lung parenchyma that can be caused by bacteria, viruses, or other pathogens. It is commonly classified anatomically based on the location of lung involvement or etiologically based on the causative agent. Common causes of infectious pneumonia include Streptococcus pneumoniae, Mycoplasma pneumoniae, Chlamydia pneumoniae, and various influenza viruses. Diagnosis involves chest X-ray and culture of sputum or other respiratory samples. Treatment depends on the identified cause but generally involves antibiotics for bacterial pneumonia.
This document discusses childhood tuberculosis, including epidemiology, pulmonary TB, extrapulmonary TB, prevention, and treatment. It covers the pathophysiology, clinical features, investigations, and management of both pulmonary and extrapulmonary TB in children. Key points include that 26% of new TB cases are in children under 15, symptoms can include cough, fever, weight loss, and failure to gain weight. Investigations may include sputum examination, chest x-ray, tuberculin skin test, and biopsies depending on the suspected site of disease. Treatment involves anti-TB medications and prevention through BCG vaccination.
Cost-Effectiveness Analysis in Emergency CareJoseph Reardon
Understand the fundamentals of cost-effectiveness in emergency department and global health settings, including use of QALYs, DALYs, and decision tree analysis.
Reimbursement models have changed over time throughout the 20th century. Learn about the changes, the differences in payment models, future strategies for the government, commercial payers and providers, as well as the return to a more ACO-focused payment model. This presentation is part of our Accountable Care Organization series.
What is the Evidence and Return on Investment (ROI) of Obesity Prevention and...ICF
Originally presented at George Washington University's and ICF International's Research and Evaluation Forum (#GWICF2015), Dr. Ron Goetzel demonstrates why employers should look at value on investment (VOI) rather than return on investment (ROI) of workplace health promotion. Dr. Goetzel goes through:
• The severity and cost of obesity
• Why the workplace is the optimal environment for health programs
• Evidence and examples of how workplace health programs can bring VOI
• How employers can get VOI
To watch the video of Dr. Goetzel presenting these slides at the GW/ICF Research and Evaluation Forum, visit: http://www.icfi.com/ObesityPreventionRonGoetzel
Optimizing Real-World Evidence for Maternal and Neonatal OutcomesInsideScientific
Experts from health system innovators (C-Path), patients (PreemieWorld), healthcare payers (HealthCore/Anthem), and industry (Bayer) provide insights into improving neonatal outcomes using Real World Evidence (RWE).
The healthcare community is lacking timely real-world evidence of the safety and effectiveness of therapies, including drugs and medical devices, needed to improve maternal and neonatal outcomes. Many drugs are used off-label and conducting Randomized Controlled Trials (RCTs), while desirable, is not always feasible in practice given the required resources and timelines. RWE is generated from actual observed community healthcare patterns and is being used by many stakeholders, including regulatory agencies, to accelerate and improve healthcare decision making.
The two main presentations feature representatives from C-Path’s International Neonatal Consortium (INC) discussing the impact of evidence gaps on patients, and representatives from HealthCore/Anthem describe a RWE case study of a new risk stratification and prevention strategy that may improve neonatal outcomes and the contributions a payer can make in this space.
Key Topics Include:
- The need for and the barriers to generating RWE for interventions that improve maternal and neonatal outcomes.
- Solutions for optimizing RWE for drugs, diagnostics, and medical devices.
- How a diverse mix of stakeholders can collaborate to generate new RWE and improve outcomes.
Apostillemea certificate attestation provides attestation services for marriage certificates, birth certificates, and educational certificates. They offer certificate attestation for marriage certificates, birth certificates, educational certificates, death certificates, and affidavits. For contact, their office is located in New Delhi and can be reached by phone or email.
Jaya International provides certificate attestation services for documents such as birth, death, and divorce certificates. They offer attestation from universities, translations, notary services, and attestation from authorities in Delhi, Mumbai, and various state levels. In addition to attestation services, Jaya International also offers visa and passport services.
How Mobile Technology is Improving Healthcare Delivery in the Developing World HelenKellerIntl
This document discusses the use of mobile devices and mHealth in developing countries. It outlines how mobile phones, smartphones, and tablets can be used in environments with affordable cell phone access and expanding networks to perform traditional public health functions like data collection, behavior change communication, diagnostics, disease surveillance, and supply chain management. It also discusses how organizations like HKI use simple mobile tools for health monitoring, evaluation, and community health worker support to obtain better data, reach more people, and respond more rapidly. However, it notes that mHealth requires careful planning, significant training, and consideration of factors like electricity access and literacy.
La violencia escolar conocida tambien com o bullyng el genero predominante es varones 60% realizan agresion fisica y verbal , 40% en mujeres realizan agresion indirecta .
Jaya International is a company located in Delhi that specializes in providing nationwide apostille and embassy legalization services for international use of documents. They offer verification, translation, and notarization of documents as well as assistance with visa and passport services. They also provide air ticketing services and contact information is provided for any questions.
Sierra Leone: The Long-term Impact of the Ebola Crisis on an Already Fragile ...HelenKellerIntl
The Ebola crisis has overwhelmed Sierra Leone's already fragile healthcare system and reversed health gains made after the civil war. Sierra Leone had few healthcare workers and facilities to begin with, and the outbreak led to the closure of hospitals, distrust of healthcare workers, and limited access to services like vaccinations. Rebuilding the healthcare system will require efforts to strengthen infrastructure, restore trust, and address underlying issues impacting health like poverty, malnutrition, and lack of sanitation. Ongoing programs monitoring vitamin A supplementation and fighting neglected tropical diseases provide a foundation for recovery.
Immunization against childhood killer diseasesIkiriza Antony
This document provides information about immunization against childhood killer diseases in Uganda. It discusses the types of immunity, childhood immunizable diseases and vaccines, the role of Uganda's National Expanded Programme for Immunization (UNEPI), and cold chain management for vaccine potency. UNEPI oversees immunization activities at central, district, and lower levels to ensure children receive routine vaccines by their first birthday and that vaccines are properly stored, distributed, and administered.
This document discusses diphtheria, an infectious disease caused by the bacteria Corynebacterium diphtheriae. It produces an exotoxin that can cause local infection in the throat and airways and lead to complications affecting the heart, kidneys and nerves if the toxin spreads systemically. Clinical manifestations depend on the site of infection and may include pseudomembrane formation. Diagnosis involves culture, microscopy and toxin testing. Treatment is with antitoxin to neutralize the toxin as well as antibiotics. Active immunization with diphtheria, tetanus and pertussis vaccine (DwPT or TdaP) provides protection.
Este documento resume las generalidades de Mycobacterium tuberculosis, incluyendo su morfología, factores de virulencia, enfermedades que causa y métodos de diagnóstico. M. tuberculosis es una bacteria ácido-alcohol resistente que puede causar tuberculosis pulmonar, genitourinaria, osteoarticular y otras formas al diseminarse desde los pulmones. Se transmite principalmente a través de aerosoles producidos por personas infectadas y puede aislarse en cultivos para confirmar el diagnóstico.
El documento proporciona información sobre la tuberculosis, incluyendo su definición, etiología, epidemiología, transmisión, patogénesis, pronóstico e historia natural. Explica que la tuberculosis es causada principalmente por Mycobacterium tuberculosis, afecta desproporcionadamente a poblaciones vulnerables, y es una de las enfermedades más mortíferas en el mundo.
The document discusses Mycobacterium tuberculosis, the bacteria that causes tuberculosis. It describes the bacteria's morphology, staining properties, growth characteristics, and pathogenesis. It also covers the transmission and progression of tuberculosis infection, from primary infection to potential extrapulmonary sites. Granuloma formation and caseation necrosis are key aspects of the immune response and typical disease progression.
Pneumonia is an inflammation of the lung parenchyma that can be caused by bacteria, viruses, or other pathogens. It is commonly classified anatomically based on the location of lung involvement or etiologically based on the causative agent. Common causes of infectious pneumonia include Streptococcus pneumoniae, Mycoplasma pneumoniae, Chlamydia pneumoniae, and various influenza viruses. Diagnosis involves chest X-ray and culture of sputum or other respiratory samples. Treatment depends on the identified cause but generally involves antibiotics for bacterial pneumonia.
This document discusses childhood tuberculosis, including epidemiology, pulmonary TB, extrapulmonary TB, prevention, and treatment. It covers the pathophysiology, clinical features, investigations, and management of both pulmonary and extrapulmonary TB in children. Key points include that 26% of new TB cases are in children under 15, symptoms can include cough, fever, weight loss, and failure to gain weight. Investigations may include sputum examination, chest x-ray, tuberculin skin test, and biopsies depending on the suspected site of disease. Treatment involves anti-TB medications and prevention through BCG vaccination.
Cost-Effectiveness Analysis in Emergency CareJoseph Reardon
Understand the fundamentals of cost-effectiveness in emergency department and global health settings, including use of QALYs, DALYs, and decision tree analysis.
Reimbursement models have changed over time throughout the 20th century. Learn about the changes, the differences in payment models, future strategies for the government, commercial payers and providers, as well as the return to a more ACO-focused payment model. This presentation is part of our Accountable Care Organization series.
What is the Evidence and Return on Investment (ROI) of Obesity Prevention and...ICF
Originally presented at George Washington University's and ICF International's Research and Evaluation Forum (#GWICF2015), Dr. Ron Goetzel demonstrates why employers should look at value on investment (VOI) rather than return on investment (ROI) of workplace health promotion. Dr. Goetzel goes through:
• The severity and cost of obesity
• Why the workplace is the optimal environment for health programs
• Evidence and examples of how workplace health programs can bring VOI
• How employers can get VOI
To watch the video of Dr. Goetzel presenting these slides at the GW/ICF Research and Evaluation Forum, visit: http://www.icfi.com/ObesityPreventionRonGoetzel
Optimizing Real-World Evidence for Maternal and Neonatal OutcomesInsideScientific
Experts from health system innovators (C-Path), patients (PreemieWorld), healthcare payers (HealthCore/Anthem), and industry (Bayer) provide insights into improving neonatal outcomes using Real World Evidence (RWE).
The healthcare community is lacking timely real-world evidence of the safety and effectiveness of therapies, including drugs and medical devices, needed to improve maternal and neonatal outcomes. Many drugs are used off-label and conducting Randomized Controlled Trials (RCTs), while desirable, is not always feasible in practice given the required resources and timelines. RWE is generated from actual observed community healthcare patterns and is being used by many stakeholders, including regulatory agencies, to accelerate and improve healthcare decision making.
The two main presentations feature representatives from C-Path’s International Neonatal Consortium (INC) discussing the impact of evidence gaps on patients, and representatives from HealthCore/Anthem describe a RWE case study of a new risk stratification and prevention strategy that may improve neonatal outcomes and the contributions a payer can make in this space.
Key Topics Include:
- The need for and the barriers to generating RWE for interventions that improve maternal and neonatal outcomes.
- Solutions for optimizing RWE for drugs, diagnostics, and medical devices.
- How a diverse mix of stakeholders can collaborate to generate new RWE and improve outcomes.
This document provides an overview of health economics concepts for public health. It discusses basics of health economics including cost effectiveness, return on investment, and prevention. It also covers obtaining better value in health care and social care systems. Key concepts discussed include diminishing marginal returns, average vs incremental costs, opportunity cost, priority setting, and population impact. The document cautions against spending too much on innovations without strong evidence of value. It emphasizes evaluating the incremental costs and benefits of interventions compared to existing options.
Health Outcomes, Quality, and Cost: Opportunities for Pediatric EndocrinologyJoyce Lee
The document summarizes a presentation on opportunities for improving quality, value and population health in pediatric endocrinology through understanding costs and cost-effectiveness. It provides examples of studies analyzing the cost and cost-effectiveness of growth hormone therapy for short stature and different screening strategies for prediabetes and diabetes in children. The results suggest current guidelines may not optimize value and new models of care are needed to improve outcomes and reduce costs.
Dr. James Kober - Swine Disease Diagnostics and Economics ConsiderationsJohn Blue
Swine Disease Diagnostics and Economics Considerations - Dr. James Kober, Swine Veterinary Services of MI, LLC/Partner-4 Star Veterinary Services, LLC, from the 2013 Allen D. Leman Swine Conference, September 14-17, 2013, St. Paul, Minnesota, USA.
More presentations at http://www.swinecast.com/2013-leman-swine-conference-material
Dr. Clayton Johnson - Why Are We Not Making More Progress to Decrease PRRS In...John Blue
Why Are We Not Making More Progress to Decrease PRRS Incidence? - Dr. Clayton Johnson, Director of Health at Carthage Veterinary Service, from the 2017 Allen D. Leman Swine Conference, September 16-19, 2017, St. Paul, Minnesota, USA.
More presentations at http://www.swinecast.com/2017-leman-swine-conference-material
This paper analyzes the impact of food vouchers, vouchers plus nutrition training, and vouchers plus training and water purification on malnutrition in Ecuador using an experimental design. The interventions had no significant impact on consumption, chronic malnutrition, or anemia. However, food vouchers had a significant positive impact on dietary diversity. Adding training or water purification to vouchers did not result in differentiated effects, suggesting food vouchers alone are the most cost-effective for improving dietary diversity.
Clearly identifies the root cause of skyrocketing health cost and what companies and employees can do to reduce cost of health care.
You will learn proven strategies used successfully to reduce company health cost for over 20 years.
The document discusses cholera vaccination efforts in Haiti. It notes that since 2010, hundreds of thousands of cholera cases and around 10,000 deaths have occurred in rural Haiti. As of 2017, over 1 million Haitians have received cholera vaccinations. The vaccines provide only temporary protection, so re-vaccination is needed. Different vaccination strategies are analyzed, with school vaccination of one dose found to have the highest benefit-cost ratio at 5.9. Sensitivity analyses are also presented to account for uncertainties.
Access to cancer medications in low and middle income countries 2013.03.27gilberto lopes
This document discusses access to cancer medications in low and middle income countries. It notes that cancer kills more people yearly than other major diseases globally, but most cases and deaths occur in developing nations which represent a small portion of global cancer costs. Access to newer targeted therapies and genomic sequencing is currently only an aspiration for these countries. Barriers to access include lower health spending and high drug costs. Potential solutions discussed include increased use of generics, price discrimination, universal healthcare coverage, and public-private partnerships to improve funding. With better patient selection, cost-effective treatments, and global collaboration, it is hoped that control of cancer can be improved worldwide.
BreatheSuite is a medical device startup that has developed a smartphone-based spirometer to diagnose respiratory diseases like asthma and COPD. It was founded by three graduate students and has advisors from UW Medicine and global health non-profits. BreatheSuite aims to improve diagnosis of respiratory diseases globally by making low-cost spirometry accessible on any phone. Clinical trials have found BreatheSuite results are identical to traditional spirometers. It sees market opportunities in pharmaceutical clinical trials, developing countries, and existing customers include global health non-profits.
Dr. Leonard Saltz, MD; Chief, Gastrointestinal Oncology Service; Head, Memorial Sloan Kettering
Dr. Saltz will discuss selected successes and failures in cancer research efforts, and what we can learn from each, and will take a frank look at costs of care, and at business and government policies that are undermining progress and creating disparities in access to affordable, effective care.
The document outlines a business approach to fighting poverty through various programs and initiatives. It discusses implementing a curriculum to teach values, health, and livelihood skills. It also details providing weekly food supplements, birth and marriage certificates, livelihood training and follow up, open air medical clinics, and regular home visits. Metrics provided include over 5,000 people delivered from subsistence, 758 open air clinics serving over 33,000 patients and distributing over 800,000 doses of medicine. Preschool programs are also discussed that provide daily meals, medical checks, school supplies, and teachers for over 1,100 students across 47 preschools.
The document summarizes a hospital's venous thromboembolism (VTE) prophylaxis program over 7 years. It shows that the program reduced hospital-acquired deep vein thrombosis and pulmonary embolism by over two-thirds, saving over $6 million in costs. Moving forward, the hospital aims to further improve prophylaxis practices by focusing on areas like daily ambulation and administering prophylaxis in the emergency department and throughout a patient's care. The goal is continuous quality improvement to help more patients and potentially achieve outcomes like preventing all hospital-acquired infections.
This document summarizes research on the health and economic impacts of prevention strategies for chronic diseases like obesity. It finds that prevention can effectively improve population health outcomes and be cost-effective, but may not significantly reduce health expenditures or inequalities. The most successful approaches combine population-level interventions like education, regulation, and mass media campaigns with individual counseling and treatment. Comprehensive prevention strategies involving multiple stakeholders provide the best results for improving health while controlling costs.
Similar to Lifecourse value - Adam Schickedanz (20)
DECLARATION OF HELSINKI - History and principlesanaghabharat01
This SlideShare presentation provides a comprehensive overview of the Declaration of Helsinki, a foundational document outlining ethical guidelines for conducting medical research involving human subjects.
Does Over-Masturbation Contribute to Chronic Prostatitis.pptxwalterHu5
In some case, your chronic prostatitis may be related to over-masturbation. Generally, natural medicine Diuretic and Anti-inflammatory Pill can help mee get a cure.
Osteoporosis - Definition , Evaluation and Management .pdfJim Jacob Roy
Osteoporosis is an increasing cause of morbidity among the elderly.
In this document , a brief outline of osteoporosis is given , including the risk factors of osteoporosis fractures , the indications for testing bone mineral density and the management of osteoporosis
5-hydroxytryptamine or 5-HT or Serotonin is a neurotransmitter that serves a range of roles in the human body. It is sometimes referred to as the happy chemical since it promotes overall well-being and happiness.
It is mostly found in the brain, intestines, and blood platelets.
5-HT is utilised to transport messages between nerve cells, is known to be involved in smooth muscle contraction, and adds to overall well-being and pleasure, among other benefits. 5-HT regulates the body's sleep-wake cycles and internal clock by acting as a precursor to melatonin.
It is hypothesised to regulate hunger, emotions, motor, cognitive, and autonomic processes.
Adhd Medication Shortage Uk - trinexpharmacy.comreignlana06
The UK is currently facing a Adhd Medication Shortage Uk, which has left many patients and their families grappling with uncertainty and frustration. ADHD, or Attention Deficit Hyperactivity Disorder, is a chronic condition that requires consistent medication to manage effectively. This shortage has highlighted the critical role these medications play in the daily lives of those affected by ADHD. Contact : +1 (747) 209 – 3649 E-mail : sales@trinexpharmacy.com
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPsychoTech Services
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
- Video recording of this lecture in English language: https://youtu.be/Pt1nA32sdHQ
- Video recording of this lecture in Arabic language: https://youtu.be/uFdc9F0rlP0
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
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2. Defining Value in Care
Value =
Costs
Quality
Outcomes+
Safety+Service
Costs Over
Time
=
3. Cost Accounting
3
Direct Cost
Expense of a specific product or process
Indirect Cost - Overhead
Expenses not related to a product/process
Charges to Payer/Patient
Bill insurers/patients get & gross revenue
Societal Cost
Incl. productivity costs, opportunity costs
8. Overview: Strategies for
Using Your Brain for Value
1. Question Dogma in Your
Practice
2. Time as a Diagnostic Test
3. Learning from Variation &
Comparison
15. Value Over the Lifecourse
Investments in Childhood Health Accrue
Lifelong
Return on Child Health Investment is
Huge
Consider Examples of Lifelong Return on
Investments in Pediatric Health
What Comes to Mind?
16. Value Over the Lifecourse
Vaccine
s
Treatable
Infections
Hearing Screening
17. Value Over the Lifecourse
Vaccine
s
Treatable
Infections
Hearing Screening
Lead
Screen
Lactation
Services
NRP
18. Just How Much Do We Save?
Example: Vaccines
4.2 Million Kids Born Yearly
Most Get 27 vaccines by
age 6
Cost of Vaccines for these
Kids is About $7.5 Billion
19. Just How Much Do We Save?
Example: Vaccines
4.2 Million Kids Born Yearly
Most Get 27 vaccines by
age 6
Cost of Vaccine Series for
these Kids is About $7.5
BillionWhat’s the Return?
24. Just How Much Do We Save?
Example: Vaccines
Of the 4.2 M Kids Born
Yearly...Disease
Cases
Prevented
Deaths
Prevented
Societal
Savings
25. Just How Much Do We Save?
Example: Vaccines
Disease
Cases
Prevented
Deaths
Prevented
Societal
Savings
Diptheria 275,028 27,503 $39,296
26. Just How Much Do We Save?
Example: Vaccines
Disease
Cases
Prevented
Deaths
Prevented
Societal
Savings
Diptheria 275,028 27,503 $39 Billion
Measles 3, 835,825 3,106 $8 Billion
27. Just How Much Do We Save?
Example: Vaccines
Disease
Cases
Prevented
Deaths
Prevented
Societal
Savings
Diptheria 275,028 27,503 $39 Billion
Measles 3, 835,825 3,106 $8 Billion
Pertussis 2,950,836 1,062 $7Billion
Polio 67,463 800 $7 Billion
28. Just How Much Do We Save?
Example: Vaccines
Disease
Cases
Prevented
Deaths
Prevented
Societal
Savings
Diptheria 275,028 27,503 $39 Billion
Measles 3, 835,825 3,106 $8 Billion
Pertussis 2,950,836 1,062 $7Billion
Polio 67,463 800 $7 Billion
Hib 19,606 741 $3.7Billion
S.
2,323,952 5056 $2.7 Billion
29. Just How Much Do We Save?
Example: Vaccines
In Total:
Cases Prevented:
19,685,945/yr
Deaths Averted: 42,035/yr
Societal Savings: $76
Billion/yr
Peds Returns 1/4 of OurThat’s the Return
Zhou 2014, Pediatrics
30. Just How Much Do We Save?
Example: Vaccines
Flu
vaccine is
cost saving
Shouldn’t
states pay
more for
giving flu
VaccinationRate%
Nichol 2011, Vaccine
Yoo 2010, Pediatrics
CA
NY
MA
Medicaid Reimbursement $
31. Too Much or Too Little?
We Don’t Do Enough
Mangione 2007, NEJM
32. Just How Much Could We Save?
Ex: Breastfeeding
74% Breastfeed at Birth
43% Breastfeed at 6
months
Benefits: Less NEC, AOM,
gastro, respiratory infxns,
atopic derm, SIDS, asthma,
TIDM, Obesity, Leukemia.Batrick 2010, Pediatrics
33. Just How Much Could We Save?
Ex: Breastfeeding
Batrick 2010, Pediatrics
Disease
Total Cost per
Episode
OR BF
c/w
Formula
AOM $291 0.5/0.77
34. Just How Much Could We Save?
Ex: Breastfeeding
Batrick 2010, Pediatrics
Disease
Total Cost per
Episode
OR BF
c/w
Formula
AOM $291 0.5/0.77
Gastro
$339 OP & $2.7K
IP
0.36
35. Just How Much Could We Save?
Ex: Breastfeeding
Batrick 2010, Pediatrics
Disease
Total Cost per
Episode
OR BF
c/w
Formula
AOM $291 0.5/0.77
Gastro
$339 OP & $2.7K
IP
0.36
Obesity
$1.4K/y &
$36K/case
0.93
36. Just How Much Could We Save?
Ex: Breastfeeding
Batrick 2010, Pediatrics
Disease
Total Cost per
Episode
OR BF
c/w
Formula
AOM $291 0.5/0.77
Gastro
$339 OP & $2.7K
IP
0.36
Obesity
$1.4K/y &
$36K/case
0.93
$453/y &
37. Just How Much Could We Save?
Ex: Breastfeeding
Disease
Total Cost per
Episode
OR BF
c/w
Formula
AOM $291 0.5/0.77
Gastro
$339 OP & $2.7K
IP
0.36
Obesity
$1.4K/y &
$36K/case
0.93
$453/y &
Duke Study: MBM-fed ELBW infants had 1/2 LOS, 1/2
Seigel,
2014
38. Just How Much Could We Save?
Ex: Breastfeeding
What if 90% Breastfed to
6mos?
Batrick 2010, Pediatrics
Asthma,Obesity,TIDMRisk
Age
Breastfed
39. Just How Much Could We Save?
Ex: Breastfeeding
What if 90% Breastfed to
6mos?
Batrick 2010, Pediatrics
Early MBM
x6mos
Asthma,Obesity,TIDMRisk
Age
Breastfed
40. Just How Much Could We Save?
Ex: Breastfeeding
What if 90% Breastfed to
6mos?
Batrick 2010, Pediatrics
Early MBM
x6mos
Asthma,Obesity,TIDMRisk
Age
Decreased Risk & Cost
Breastfed
Non-Breastfed
41. Just How Much Could We Save?
Ex: Breastfeeding
Batrick 2010, Pediatrics
If 90% Breastfed to 6mos...
911 Deaths Averted
•$13 Billion in Cost
Savings
43. Incremental Cost-Effectiveness
Ratio (ICER)
Change in Cost Per Change in
Benefit
Incremental Benefit for
Incremental Change in Resources
Used
Costintervention - Costbaseline
Effectivenessintervention -
Effectivenessbaseline
47. Incremental Cost-Utility Ratio
“Cost per QALY”
Change in Cost Per Change in Quality
Adjusted Life Years (QALYs)
Costintervention - Costbaseline
QALYsintervention - QALYsbaseline
49. Incremental Cost-Utility Ratio
“Cost per QALY”
Change in Cost Per Change in Quality
Adjusted Life Years (QALYs)
Costintervention - Costbaseline
QALYsintervention - QALYsbaseline
50. Incremental Cost-Utility Ratio
“Cost per QALY”
Change in Cost Per Change in Quality
Adjusted Life Years (QALYs)
$1 Million - Costbaseline
QALYsintervention - QALYsbaseline
51. Incremental Cost-Utility Ratio
“Cost per QALY”
Change in Cost Per Change in Quality
Adjusted Life Years (QALYs)
$1 Million - $200K
QALYsintervention - QALYsbaseline
52. Incremental Cost-Utility Ratio
“Cost per QALY”
Change in Cost Per Change in Quality
Adjusted Life Years (QALYs)
$1 Million - $200K
24 QALYs - QALYsbaseline
53. Incremental Cost-Utility Ratio
“Cost per QALY”
Change in Cost Per Change in Quality
Adjusted Life Years (QALYs)
$1 Million - $200K
24 QALYs - 8 QALYs
54. Incremental Cost-Utility Ratio
“Cost per QALY”
Change in Cost Per Change in Quality
Adjusted Life Years (QALYs)
$1 Million - $200K =
$800K
24 QALYs - 8 QALYs = 16 QALYs
56. Cost per QALY
What Has Most Cost-Utility?
Intervention
Cost per
QALY
Seat Belts $69
Varicella Vaccine $16,000
Home Health Wkr $20,000
Health Insurance $35,000
57. Value Over the
Lifecourse - Outline
Pediatric value investment
Peds care & cost savings
Cost-effectiveness & utility