Transformational intent of Meaningful Use (MU) and the increased trend toward interoperability in MU Stage 2 (MU2); MU2 objectives with an HIE component and their MU2 measures; Approaches to achieving the transitions of care; Available public health registries and their current status and submission pathway; How to find a trading partner and best practices to engaging
Measuring & Monitoring Clinical Quality Measures Using Practice FusionPractice Fusion
Review CMS quality measures, how to capture the data in Practice Fusion, and how this data can be used to earn incentive payments through quality reporting programs, including Meaningful Use and PQRS.
Measuring & Monitoring Clinical Quality Measures Using Practice FusionPractice Fusion
Review CMS quality measures, how to capture the data in Practice Fusion, and how this data can be used to earn incentive payments through quality reporting programs, including Meaningful Use and PQRS.
New clinical quality measure reporting in Practice Fusion [slides]Practice Fusion
Learn about the new data elements, which quality measures they can be used for, and information on reporting quality measures using Practice Fusion for Meaningful Use, PQRS EHR Reporting, and other quality improvement programs.
With patient responsibility becoming an increasing part of clinics AR, you need to make sure you have an effective strategy in place. Learn how to maximize your collections without negatively impacting your relationships with your patients.
Understanding the Physician Quality Reporting System (PQRS) Requirements in 2014Practice Fusion
This webinar, Understanding the Physician Quality Reporting System (PQRS) Requirements in 2014, goes over which reporting options are available, what the incentives and penalties are for participating, reporting requirements, and how to choose quality measure for reporting.
Using Practice Fusion for PQRS EHR Reporting in 2014Practice Fusion
This presentation is an overview of PQRS requirements in 2014, requirements for PQRS EHR reporting, and measure selection and EHR reporting applicability. The presentation will also give a deep dive into using Practice Fusion for PQRS reporting.
This slide deck provides a detailed overview of the PQRS program, including helpful information on how to report for PQRS using the claims-based reporting method. Learn how to report Quality Data Codes for PQRS on Medicare claims and avoid penalties!
Meaningful Use Stage 2 Summary of Care Data Exchange with Practice FusionPractice Fusion
Stage 2 of Meaningful Use requires that providers complete three Summary of Care measures related to sending referrals. Practice Fusion has enabled providers to complete these measures through our new referral workflows.
To learn about how these referral workflows work (including Direct messaging) and how these workflows relate to Meaningful Use, review the slideshow. This detailed guide will walk you through understanding Direct and how to enable it, the variety of ways to send a referral in Practice Fusion, and how to achieve the related Meaningful Use measures.
Revenue at Risk: Understanding Financial Impacts of Quality ReportingBill Presley
Jodi Frei, Northwestern Medical Center Vermont, and I co-presented at the MUSE Executive Institute on Revenue at Risk: Understanding Financial Impacts of Quality Reporting. The Executive Institute featured many amazing CXO's discussing the changing landscape of revenue cycle management and how finance, quality, and IT departments are converging on revenue cycle.
Though pay for performance is the common theme, the logistics of programs including Value Based Purchasing (VBP), Inpatient Quality Reporting (IQR), Hospital Acquired Condition (HAC) Reduction Program, Readmission Reduction, MACRA, MIPS and APMs, are very different. In this session, the specifics of each Quality Program including reporting requirements, scoring methodologies, and associated incentives and penalties will be covered. In addition, tools to track performance and quantify financial risk will be shared.
Reimbursement in this era of health care reform is challenging. We all seek success under this new normal in health care. Optimizing revenue capture in a quality reimbursement model requires acquisition of new knowledge and the use of new tools and strategies. Join us in the conversation; share your strategies; learn from others.
Quality and Outcome Framework (QOF) is a voluntary annual incentive programme for GPs in England, detailing practice achievement results. The primary objective of QOF is to drive the quality of primary care and reduce variations in the quality of care amongst GPs
The Alphabet Soup of Clinical Quality Measures ReportingBill Presley
CMS is transitioning to what the they call "a new and more responsive regulatory framework" for quality reporting and reimbursement. CMS goals are "…electronic health records helping physicians, clinicians, and hospitals to deliver better care, smarter spending, and healthier people". Over the next couple years, we will see a transformation of fee for service into value-based care models driven by the VBP, Quality Payment Program, MACRA, Merit-based Incentive Payment System (MIPS) and Alternative Payment Models (APM). Healthcare organizations will no longer be motivated by implementing and meeting Meaningful Use, but instead will be driven by value-based care and risk-based payment models that focus on quality outcomes for reimbursements.
In this Education Session we will review:
• How CMS is aligning clinical quality measures (CQMs) to reduce the reporting burden for healthcare organizations and providers. We will cover the vision and goals for achieving quality alignment for CMS.
• We will dive into the following CMS reporting programs and how they interact with each other: Value-Based Purchasing (VBP), Medicare Access and CHIP Reauthorization Act (MACRA), Merit-based Incentive Payments (MIPS), Hospital Inpatient Quality Reporting (IQR), The Joint Commission (ORYX), Outpatient Quality Reporting (OQR), and Alternative Payment Models (APM).
Riding the Rapids of Payment Reform: Downstream Effects of Quality Reporting ...Bill Presley
In this presentation, we highlighted how quality measurement programs impact reimbursement affecting your revenue. The revenue at risk in your organization. We focused on quality programs like Value-Based Purchasing (VBP), Merit-Based Incentive Program (MIPS) and Alternative Payment Models (APM) and their impact on Part A and Part B reimbursements.
It’s no surprise that reimbursement tied to quality performance is quickly becoming a reality for hospitals and physicians. CMS’ aggressive goals aimed at increasing the percentage of Medicare payments associated with quality versus quantity can be achieved through such programs as Value-based Purchasing and MACRA. This session will cover scoring methodologies, reporting requirements, reimbursement impact, infrastructure (and other resource needs), EMR tools and tactics, and workflow modifications.
MIPS APM for ACOs: A Hybrid Reimbursement ModelCitiusTech
CMS announced the Quality Payment Program (QPP) final rule in October 2017, stating how it plans to implement the clinician payment changes to QPP, mandated under the Medicare Access and CHIP Reauthorization (MACRA) act. The implementation of the MACRA act impacts different type of organizations, one such being the Accountable Care Organizations (ACOs). ACOs are evaluated for payments on the basis of quality care and the cost factors associated in achieving their quality goals. Post MACRA implementation, all clinicians will receive payments as per the MIPS (Merit based incentive payments) and Advanced APMs (Advanced alternative payment models). ACO’s can register as APM entities and are eligible to receive payments under Advanced APMs. There is a third category of APM entities which participate in Advanced APMs models but do not meet the threshold of payments and patients set by CMS. Such entities fall into a category that is straddling the line between APM and the MIPS track, called MIPS APM (partially qualifying APM participants). This document discusses about the reporting, scoring and payments for the MIPS APM entities
NCQA’s Accreditation process provides payers with a comprehensive framework to improve quality of care and services. It allows members and employers to compare health plan performance across various plans and against industry benchmarks. NCQA accreditation has 3 parts – HEDIS, Patient experience CAHPS measures and NCQA standards
For more information contact: Slideshare@marcusevans.com
Presentation delivered by Joseph H. Schneider, MD, MBA, FAAP, Vice President and Chief Medical Information Officer and Medical Director, Clinical Informatics, North Texas, Baylor Scott and White Health at the marcus evans National Healthcare CMO/CMIO Summit 2015 at the Ritz-Carlton Buckhead Atlanta.
New clinical quality measure reporting in Practice Fusion [slides]Practice Fusion
Learn about the new data elements, which quality measures they can be used for, and information on reporting quality measures using Practice Fusion for Meaningful Use, PQRS EHR Reporting, and other quality improvement programs.
With patient responsibility becoming an increasing part of clinics AR, you need to make sure you have an effective strategy in place. Learn how to maximize your collections without negatively impacting your relationships with your patients.
Understanding the Physician Quality Reporting System (PQRS) Requirements in 2014Practice Fusion
This webinar, Understanding the Physician Quality Reporting System (PQRS) Requirements in 2014, goes over which reporting options are available, what the incentives and penalties are for participating, reporting requirements, and how to choose quality measure for reporting.
Using Practice Fusion for PQRS EHR Reporting in 2014Practice Fusion
This presentation is an overview of PQRS requirements in 2014, requirements for PQRS EHR reporting, and measure selection and EHR reporting applicability. The presentation will also give a deep dive into using Practice Fusion for PQRS reporting.
This slide deck provides a detailed overview of the PQRS program, including helpful information on how to report for PQRS using the claims-based reporting method. Learn how to report Quality Data Codes for PQRS on Medicare claims and avoid penalties!
Meaningful Use Stage 2 Summary of Care Data Exchange with Practice FusionPractice Fusion
Stage 2 of Meaningful Use requires that providers complete three Summary of Care measures related to sending referrals. Practice Fusion has enabled providers to complete these measures through our new referral workflows.
To learn about how these referral workflows work (including Direct messaging) and how these workflows relate to Meaningful Use, review the slideshow. This detailed guide will walk you through understanding Direct and how to enable it, the variety of ways to send a referral in Practice Fusion, and how to achieve the related Meaningful Use measures.
Revenue at Risk: Understanding Financial Impacts of Quality ReportingBill Presley
Jodi Frei, Northwestern Medical Center Vermont, and I co-presented at the MUSE Executive Institute on Revenue at Risk: Understanding Financial Impacts of Quality Reporting. The Executive Institute featured many amazing CXO's discussing the changing landscape of revenue cycle management and how finance, quality, and IT departments are converging on revenue cycle.
Though pay for performance is the common theme, the logistics of programs including Value Based Purchasing (VBP), Inpatient Quality Reporting (IQR), Hospital Acquired Condition (HAC) Reduction Program, Readmission Reduction, MACRA, MIPS and APMs, are very different. In this session, the specifics of each Quality Program including reporting requirements, scoring methodologies, and associated incentives and penalties will be covered. In addition, tools to track performance and quantify financial risk will be shared.
Reimbursement in this era of health care reform is challenging. We all seek success under this new normal in health care. Optimizing revenue capture in a quality reimbursement model requires acquisition of new knowledge and the use of new tools and strategies. Join us in the conversation; share your strategies; learn from others.
Quality and Outcome Framework (QOF) is a voluntary annual incentive programme for GPs in England, detailing practice achievement results. The primary objective of QOF is to drive the quality of primary care and reduce variations in the quality of care amongst GPs
The Alphabet Soup of Clinical Quality Measures ReportingBill Presley
CMS is transitioning to what the they call "a new and more responsive regulatory framework" for quality reporting and reimbursement. CMS goals are "…electronic health records helping physicians, clinicians, and hospitals to deliver better care, smarter spending, and healthier people". Over the next couple years, we will see a transformation of fee for service into value-based care models driven by the VBP, Quality Payment Program, MACRA, Merit-based Incentive Payment System (MIPS) and Alternative Payment Models (APM). Healthcare organizations will no longer be motivated by implementing and meeting Meaningful Use, but instead will be driven by value-based care and risk-based payment models that focus on quality outcomes for reimbursements.
In this Education Session we will review:
• How CMS is aligning clinical quality measures (CQMs) to reduce the reporting burden for healthcare organizations and providers. We will cover the vision and goals for achieving quality alignment for CMS.
• We will dive into the following CMS reporting programs and how they interact with each other: Value-Based Purchasing (VBP), Medicare Access and CHIP Reauthorization Act (MACRA), Merit-based Incentive Payments (MIPS), Hospital Inpatient Quality Reporting (IQR), The Joint Commission (ORYX), Outpatient Quality Reporting (OQR), and Alternative Payment Models (APM).
Riding the Rapids of Payment Reform: Downstream Effects of Quality Reporting ...Bill Presley
In this presentation, we highlighted how quality measurement programs impact reimbursement affecting your revenue. The revenue at risk in your organization. We focused on quality programs like Value-Based Purchasing (VBP), Merit-Based Incentive Program (MIPS) and Alternative Payment Models (APM) and their impact on Part A and Part B reimbursements.
It’s no surprise that reimbursement tied to quality performance is quickly becoming a reality for hospitals and physicians. CMS’ aggressive goals aimed at increasing the percentage of Medicare payments associated with quality versus quantity can be achieved through such programs as Value-based Purchasing and MACRA. This session will cover scoring methodologies, reporting requirements, reimbursement impact, infrastructure (and other resource needs), EMR tools and tactics, and workflow modifications.
MIPS APM for ACOs: A Hybrid Reimbursement ModelCitiusTech
CMS announced the Quality Payment Program (QPP) final rule in October 2017, stating how it plans to implement the clinician payment changes to QPP, mandated under the Medicare Access and CHIP Reauthorization (MACRA) act. The implementation of the MACRA act impacts different type of organizations, one such being the Accountable Care Organizations (ACOs). ACOs are evaluated for payments on the basis of quality care and the cost factors associated in achieving their quality goals. Post MACRA implementation, all clinicians will receive payments as per the MIPS (Merit based incentive payments) and Advanced APMs (Advanced alternative payment models). ACO’s can register as APM entities and are eligible to receive payments under Advanced APMs. There is a third category of APM entities which participate in Advanced APMs models but do not meet the threshold of payments and patients set by CMS. Such entities fall into a category that is straddling the line between APM and the MIPS track, called MIPS APM (partially qualifying APM participants). This document discusses about the reporting, scoring and payments for the MIPS APM entities
NCQA’s Accreditation process provides payers with a comprehensive framework to improve quality of care and services. It allows members and employers to compare health plan performance across various plans and against industry benchmarks. NCQA accreditation has 3 parts – HEDIS, Patient experience CAHPS measures and NCQA standards
For more information contact: Slideshare@marcusevans.com
Presentation delivered by Joseph H. Schneider, MD, MBA, FAAP, Vice President and Chief Medical Information Officer and Medical Director, Clinical Informatics, North Texas, Baylor Scott and White Health at the marcus evans National Healthcare CMO/CMIO Summit 2015 at the Ritz-Carlton Buckhead Atlanta.
Delivered by Craig Brammer at CITIH 2011. Focus on discussion of regional and national initiatives and opportunities for regional partners to leverage them for driving healthcare improvements, public health and research.
This session will provide a broad perspective on the many initiatives related to HIT. Experts from the regional and national level will discuss data models, privacy concerns and adoption strategies from their different perspectives. Also addressed will be planning for NHIN direct adoption as a complimentary strategic to full HIEs.
This presentation provides a brief description of the history behind the formation of the Indiana Health Information Exchange as well as a quick summary of the services offered. This presentation is given frequently to groups interested in learning more about IHIE and is updated often.
Meaningful Use Audits and healthcare compliance course offered to Physicians and healthcare professionals to explain the basics of Meaningful Use and HITECH audits. Course is general in nature as many Physicians and organizations are in different stages of meaningful use.
Interoperability is one of the most critical issues facing the health care industry today. A universal exchange language is needed to assist health care providers in sharing health information in order to coordinate diagnosis and treatment, while maintaining privacy and security of personal data. Health Information Exchanges (HIE) allow for the movement of clinical data between disparate systems; they enable providers to electronically share health records through a network. This presentation provides an overview of HIE and the Meaningful Use requirement related to the exchange of clinical information as well as information about standards of exchange and the recommended "next steps" for providers.
Slides presented at the July 13, 2010 press conference announcing the final rules for Meaningful Use. These rules define what qualifies for stimulus incentive payments under the ARRA/HITECH legislation.
Wondering about the meaning of Meaningful use? Pulse offers a brief overview of the forthcoming Meaningful Use requirements and what you need to do as a physician to be eligible to receive ARRA Stimulus money when it becomes available.
Wondering about the meaning of Meaningful use? Pulse offers a brief overview of the forthcoming Meaningful Use requirements and what you need to do as a physician to be eligible to receive ARRA Stimulus money when it becomes available.
Wondering about the meaning of Meaningful use? Pulse offers a brief overview of the forthcoming Meaningful Use requirements and what you need to do as a physician to be eligible to receive ARRA Stimulus money when it becomes available.
12 Introduction to Health Information Privacy and Security .docxmoggdede
12 Introduction to Health Information Privacy and Security
FIGURE 1.7.
Service areas accredited by the National Committee for
Quality Assurance (NCOA)
Accountable care organizations
Health plan accreditation
Wellness and health promotion
Managed behavioral healthcare organizations
New health plans
Disease management
Source: NCQA 2012
more than 30 states exempt NCQA-accredited organizations from state audit requirements
(NCQA 2012). The Healthcare Effectiveness and Data Information Set (HEDIS) is a
tool offered by NCQA that measures the quality of health plans. Health plan purchasers-
which are mostly employers-and consumers use it to compare health plan performances
(Gregg Fahrenholz 2012). The service areas that NCQA accredits are listed in figure 1.7.
ONC-Authorized EHR Certification Bodies
The adoption of electronic health records (EHRs) among healthcare providers has been a
continuous process. As this section will discuss, the federal government has propelled this
process forward by creating guidelines and financial incentives for EHR adoption.
EHR Adoption and Meaningful Use
For several years the federal government has promoted the adoption of health information
technology, specifically the EHR, by healthcare providers. The Office of the National
Coordinator for Health Information Technology (ONC), an agency within HHS, was
formed in 2004 via presidential executive order to guide this initiative. The agency was
later codified ( established by statute) via ARRA. However, adopting an EHR has been
daunting for many providers. The significant cost of adopting an EHR has been the
greatest concern. There are also logistical concerns associated with implementing both
a new product and a new workflow. Finally, many providers with little knowledge of
technology have been overwhelmed with the prospect of selecting one EHR vendor from
dozens of options. How do they discern good products from bad products, and reputable
vendors from vendors that are not trustworthy or not likely to remain in business to
provide technical supports and upgrades?
One of the most important steps a provider can take is to select an electronic health record
that has been certified by an ONC-authorized technology review body. These ONC designees,
Office of the National Coordinator for Health Information Technology-Authorized
Testing and Certification Bodies ( ONC-ATCBs) and Office of the National Coordinator
for Health Information Technology-Authorized Certification Bodies (ONC-ACBs), test
EHR systems to make sure they comply with HHS standards and certification criteria. If they
do, the EHR systems are certified. By purchasing a certified product, a provider is ensured
that the EHR meets key standards and is capable of performing the required functions (ONC
2012). The ONC-ATCB program will sunset when the permanent ONC-ACB certification
program is in place. This was to occur no earlier than January 1, 2012, and it has been ...
Stage 2 Meaningful Use brings more stringent requirements for the Stage 1 measures, a host of new measures, and a greater focus on clinical quality measures. In this instructive session, our expert faculty members review:
*The requirements and timeline for implementation of Stage 2 Meaningful Use
*The top five questions you need to ask to determine if your organization is ready for Stage 2
*The steps you can take to prepare your organization to successfully meet the Stage 2 requirements and get the most out of your EHR system
Webinar: Information Technology: How to achieve interoperability across the c...Modern Healthcare
Visit the webinar information page:
http://www.modernhealthcare.com/article/20140507/INFO/305079925/
About the Webinar
For most healthcare providers, clinical interoperability remains more of a goal than a reality. This year, the feds are ratcheting up the pressure on providers to incorporate information exchange as part of their daily clinical workflows. To do it, they've built several interoperability requirements into the Stage 2 meaningful use criteria of the electronic health record incentive payment program. We'll explore how to leverage meaningful use interoperability as a basis to improve clinical communications between affiliated and non-affiliated providers, increase patient satisfaction and ramp up for the future with value-based, consumer-focused care.
Join us for this one-hour webinar to learn:
- The basic requirements for interoperability in the Stage 2 meaningful use criteria
- Strategies for implementing a compliant data collection and reporting program
- Pitfalls to avoid and data interpretation issues that need to be addressed
Panelists:
Dr. Clifford Martin
Chief Medical Officer
St. Joseph Physician Network
Dr. Richard Schrieber
Chief Medical Information Officer
Holy Spirit Hospital
Erica Galvez
Interoperability and Exchange Portfolio Manager
Office of the National Coordinator for Health IT
Moderator:
Joseph Con
Health Information Technology Reporter
Modern Healthcare
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.
MeHI Privacy & Security Webinar 3.18.15MassEHealth
Top Reason Why Providers Fail Meaningful Use Audits: Inadequate Security Risk Analysis
Providers are losing incentive dollars by not meeting the Meaningful Use Privacy & Security Measure.
Get on track with your Security Risk Assessment and attest to Meaningful Use with MeHI’s support & solutions:
• Assess your practice’s privacy and security status
• Develop remediation plans to resolve gaps
• Communicate resolution steps to the providers involved
• Track progress in addressing outstanding issues
Let us help you conduct a security risk analysis and address deficiencies and potential threats and ensure that your practice is compliant and that patient data is safe-guarded.
MeHI Mass HIway: Quick Guide to Using WebmailMassEHealth
The Mass HIway is the state's health information exchange which enables healthcare providers to send and receive information securely. If a provider practice has not yet implemented an EHR or is waiting on an EHR interface configuration they may choose webmail to connect to the Mass HIway. Webmail is a connection type option that allows providers to communicate via the Mass HIway through.
MeHI Regional Health IT Meetings - Worcester, MA - Nov, 2013MassEHealth
Presentation from the Massachusetts eHealth Institute Regional Health IT meeting in Worcester, MA in November, 2013. Featuring Larry Garber from Reliant Medical Group.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
263778731218 Abortion Clinic /Pills In Harare ,ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group of receptionists, nurses, and physicians have worked together as a teamof receptionists, nurses, and physicians have worked together as a team wwww.lisywomensclinic.co.za/
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
2. Learning objectives
Describe the transformational intent of Meaningful Use (MU)
and the increased trend toward interoperability in MU Stage 2
(MU2)
Name MU2 objectives with an HIE component and define
their MU2 measures
Describe approaches to achieving the transitions of care and
"view, download, transmit" objectives
Name the available public health registries and indicate their
current status and submission pathway
Describe how to find a trading partner and best practices to
engaging
2
Massachusetts eHealth Institute
3. Agenda
MU2 objectives with an HIE component and describe measures
and documentation for:
– transitions of care (ToC)
– view, download, transmit (VDT)
Describe approaches to achieving ToC and VDT objectives
Eligible Provider > Sandra Rondeau, Lung Specialist of Merrimack Valley
Eligible Hospital > Bill Hausen, Signature Healthcare
Overview of MU-eligible public health registries
Finding a trading partner & best practices to engaging
Questions & discussion
3
Massachusetts eHealth Institute
4. Meet the speakers
Sean Kennedy, MPH, MS, PMP
Health Information Exchange Director
Massachusetts eHealth Institute at the Massachusetts Technology
Collaborative
Al Wroblewski
Client Services Relationship Manager
Massachusetts eHealth Institute at the Massachusetts Technology
Collaborative
Sandra Rondeau
Practice Administrator
Lung Specialists of the Merrimack Valley, P.C.
Bill Hausen
Clinical Systems Analyst, Meaningful Use Specialist (ARRA/HITECH)
Signature Healthcare | Signature Medical Group & Brockton Hospital
Massachusetts eHealth Institute4
5. 5
MU2 aims toward transformation & promotes interoperability
Period of transformation
MU2 promotes interoperability
Interoperability = exchange, then use
1. Content – create & display structured documents
2. Transport – use of Direct and options
MeHI supports real-world interoperability
– eHealth Services & Support
– Connected Communities
– State Health Reform - C.224
Massachusetts eHealth Institute
6. MU2 objectives with an HIE component:
objectives, measures, documentation
1. Transitions of Care
2. View, Download, Transmit
7. MU2 objectives with an HIE component
Transitions of care (ToC)
View, download, transmit (VDT)
Public health registry submission
ePrescribing
Lab results reporting
Use secure electronic messaging
7
Massachusetts eHealth Institute
8. Link of MU to HIE & requirement relief
Link of MU & HIE
– Use of CEHRT
Requirement relief
– Currently:
• EHR technology certified to the 2014 Edition EHR certification
criteria that meets all the objectives for which they plan to attest is a
pre-requisite
– Proposed:
• If experiencing a hardship in implementing the 2014 Edition
CEHRT, providers would be permitted to attest using the 2011
Edition CEHRT to meet 2013 objectives and measures or using the
2014 Edition CEHRT to meet 2014 Stage 1 objectives and
measures instead of meeting Stage 2 objectives and measures
8
Massachusetts eHealth Institute
9. Stage 2 Approach to Meaningful Use
1. Understand objective in context of your organization
2. Create and articulate policies, procedures, work-flow
3. Implement policies, procedures, work-flows and align with
meeting the measures
4. Carry out the activities necessary to meet the measures
5. Capture evidence that activities have occurred
6. Generate and store credible documentation
7. Leverage technology to achieve objective
8. Invest in improved interoperability
9
Massachusetts eHealth Institute
10. EP Summary of Care
Objective: The EP who transitions their patient to another
setting of care or provider of care or refers their patient to
another provider of care should provide a summary care
record for each transition of care or referral.
Measure 1: For >50% of transitions of care and referrals
Measure 2: Summary of care record provided electronically
or via HIE for >10% of such transitions and referrals
Measure 3: Conduct successful exchange with recipient
having different CEHRT or conduct test with CMS designated
test EHR https://ehr-randomizer.nist.gov/ehr-randomizer-
app/#/home
10
Massachusetts eHealth Institute
11. EP View, Download and Transmit
Objective: Provide patients the ability to view online,
download and transmit their health information within four
business days of the information being available to the EP.
Measure 1: >50% of all unique patients seen are provided
timely (available to the patient within four business days after
the information is available to the EP) online access to view,
download, or transmit their health information to a third party
Measure 2: >5% of all unique patients seen view, download,
or transmit their health information to a third party
11
Massachusetts eHealth Institute
12. EH Summary of Care
Objective: The eligible hospital or CAH who transitions their
patient to another setting of care or provider of care or refers
their patient to another provider of care provides a summary
care record for each transition of care or referral.
Measure 1: For >50% of transitions of care and referrals
Measure 2: Summary of care record provided electronically
or via HIE for >10% of such transitions and referrals
Measure 3: Conduct successful exchange with recipient
having different CEHRT or conduct test with CMS designated
test EHR https://ehr-randomizer.nist.gov/ehr-randomizer-
app/#/home
12
Massachusetts eHealth Institute
13. EH View, Download and Transmit
Objective: Provide patients the ability to view online,
download, and transmit information about a hospital
admission.
Measure 1: >50% of patients discharged have their
information available within 36 hours of discharge to view,
download, and transmit to a third party
Measure 2: >5% of all patients (or their authorized
representatives) view, download or transmit their information
to a third party
13
Massachusetts eHealth Institute
14. EP & EH Summary of Care & View, Download and Transmit
Documentation:
Evidence from the CEHRT indicating numerators and
denominators using reports, screen shots, confirmation
emails, include EP identifier when possible (when attesting for
EPs)
Interoperability documentation requires a verifiable indication
that content has not only been sent or transmitted but that it
has been received or viewed in some way by the receiver
14
Massachusetts eHealth Institute
15. Approaches to meeting MU2 objectives
Transitions of Care
View, Download, Transmit
EP & EH
16. 16
Approaches | ToC & VDT for Eligible Providers
Sandra Rondeau
Practice Administrator
Lung Specialists of the Merrimack Valley, P.C.
Massachusetts eHealth Institute
17. Transitions of Care &
View/Download/Transmit
Bill Hausen
Meaningful Use Specialist
20. Our Hospital Strategies
Patient Portal
• Express Care patients
• Registration Staff –
first line of defense
• Visiting patient rooms
• Must show valid ID
• Maternity patients
• Mobile Access to Portal
• Focusing on View only
TOC/HISP
• Iatric CCDA Product
• Automated sending
• Minimal workflow
changes for staff
• Pushing to get all our
vendors on Mass HIway
21. Other Considerations?
Mass HIway
• Vendor limitations
beyond our control
• Likely to ‘silo’ our
ambulatory offices
-bad for care continuum
• Had to connect directly
to MedAllies HISP
Portal
• Want to allow patients to
join without photo ID
• Meditech Patient Portal
might have been easier
• Didn’t want to compete
for our own patients if
we used multiple patient
portal products
22. Long Term Plans
• Connect to Mass HIway
– Exchange with any other area provider
– Meet state requirement to use by 2017
• EHR Optimization
– Outside expertise
• Preparing for Stage 3
– No room for surprises!
24. Massachusetts eHealth Institute24
“Public Health submission” update…more coming next month
Registry for MU2 EP / EH Core / Menu Status Active Path
Massachusetts Immunization
Information System (MIIS)
EP
EH
Core
Core
Available HL7 via VG HL7
gateway or HIway
Electronic Lab Reporting
(ELR)
EP
EH
N/A
Core
Available HL7 via web
service or
HIway
Syndromic Surveillance (SS) EP
EH
Menu
Core
Available
for EH
EDs
HL7 via HIway
Massachusetts Cancer Registry
(MCR)
EP
EH
Menu
N/A
Available HL7 CDA R2 to
HIway to MCR
Specialized registry - Disease
surveillance and case
management system (MAVEN) *
EP
EH
Menu
N/A
Available HL7 via web
service
* MDPH Bureau of Infectious Disease has designated its disease surveillance and case management
system (MAVEN) as a specialized registry.
26. Best Practices to Engaging
Plan your use of an HIE – Mass HIway or other
26
Massachusetts eHealth Institute
27. Determine Your Use Case
27
Key questions:
1. Why are you connecting to the
HIway?
2. What is the scenario?
3. Who is your trading partner(s)?
4. What systems/data sources are
involved?
5. What data is being exchanged?
6. Are you sending or receiving or
both?
• If sending, can you create the
data set?
• If receiving, can you “digest”
the data set?
28. Best Practices to Engaging
Plan your use of an HIE – HIway or other
Review existing referral and care coordination patterns
If using the HIway, determine the status of your trading
partner:
– View the HIway Status map to identify trading partners and
check status, http://mehi.masstech.org/mass-hiway-participants
– If your trading partner has not yet started their HIway connection,
refer them to EOHHS/HIway Ops to get connected,
http://www.masshiway.net/contactus.jsp
28
Massachusetts eHealth Institute
29. Finding a trading partner – HIway Status Map
29
as of June 2014
Organization Name:Milford Regional Medical Center
HIway Status: Transacting
Billing City: MILFORD
Billing Street: 14 PROSPECT ST
Use Cases: Discharge summaries from acute
care to skilled nursing facility and
home health in the form of a CCDA
Massachusetts eHealth Institute
30. Best Practices to Engaging
Plan your use of an HIE – HIway or other
Review existing referral and care coordination patterns
If using the HIway, determine the status of your trading
partner:
– View the HIway Status map to identify trading partners and
check status, http://mehi.masstech.org/mass-hiway-participants
– If your trading partner has not yet started their HIway connection,
refer them to EOHHS/HIway Ops to get connected,
http://www.masshiway.net/contactus.jsp
Exchange etiquette – send messages only with prior
coordination
The HIway also needs “receivers” and a greater diversity of
participating organizations
30
Massachusetts eHealth Institute
31. Discussion & Questions
Sean Kennedy, MPH, MS, PMP
Health Information Exchange Director
Massachusetts eHealth Institute at the Massachusetts Technology
Collaborative
Al Wroblewski
Client Services Relationship Manager
Massachusetts eHealth Institute at the Massachusetts Technology
Collaborative
Sandra Rondeau
Practice Administrator
Lung Specialists of the Merrimack Valley, P.C.
Bill Hausen
Clinical Systems Analyst, Meaningful Use Specialist (ARRA/HITECH)
Signature Healthcare | Signature Medical Group & Brockton Hospital
Massachusetts eHealth Institute31
32. 32
NEXT WEBINAR!
Insights into Massachusetts DPH Registries
and Submitting via the Mass HIway
Thursday, August 14 at 12:00pm-1:00pm
The Department of Public Health has recognized the need for a standardized, secure
method to submit patient information for public health reporting purposes. The state of
Massachusetts has developed a solution or transportation mechanism to submit this
information electronically in a secure and HIPAA compliant way, through the state’s
Health Information Exchange, the Mass HIway. Laura Nasuti, Deputy Director, Office
of Statistics and Evaluation at MDPH will present an overview of the various DPH
programs that accept data through the HIway. Ryan Thomas, Service Manager for the
Mass HIway Operations Team, will also join us and will review the steps to connect to
and submit public health data via the Mass HIway..
Register at mehi.masstech.org/events