Event program for the Medical Informatics Update 2013 held October 16, 2013 and sponsored by the Center for Advanced Information Management at Columbia University and IBM Healthcare.
Patient Centered Medical home talk at WVUPaul Grundy
To employers the cost of healthcare is now a business issue and this talk is about what one large buyer IBM did to drive transformation via broad coalition with other large employers to form the Patient Centered Medical Home movement and the covenant between buyer and provider away from the garbage we now buy episodic uncoordinated disintegrated care. In the change of convenient conversation we have worked with the Primary care providers to give us coordinated, integrated, accessible and compressive care with a set of principles know as the Patient centered medical home.
A Patient Centered Medical Home (PCMH) happens when primary care healers keeping that core healing relationship with their patients step up to become specialists in Family and Community Medicine. The move is to the discipline of leading a team that delivers population health management, patent centered prevention, care that is coordination, comprehensive accessible 24/7 and integrated across a deliver system. PCMH happens when the specialists in Family and Community Medicine wake up every morning and ask the question how will my team improve the health of my community today?
All over the world three huge factors are in play that is driving the concept of Patient Centered Medical Home. They are:
1) Cost and demography
2) Information technology and data (information that is actionable will equal a demand for accountability by the payer or buyer of the care)
3) Consumer demand to engage healthcare differently (at least as well as they can their bank- on line) have a question about lab results why not e-mail?
But at its core it is a move toward integration of a healing relationship in primary care and population management all at the point of care with the tools to do just that.
Patient Centered Medical home talk at WVUPaul Grundy
To employers the cost of healthcare is now a business issue and this talk is about what one large buyer IBM did to drive transformation via broad coalition with other large employers to form the Patient Centered Medical Home movement and the covenant between buyer and provider away from the garbage we now buy episodic uncoordinated disintegrated care. In the change of convenient conversation we have worked with the Primary care providers to give us coordinated, integrated, accessible and compressive care with a set of principles know as the Patient centered medical home.
A Patient Centered Medical Home (PCMH) happens when primary care healers keeping that core healing relationship with their patients step up to become specialists in Family and Community Medicine. The move is to the discipline of leading a team that delivers population health management, patent centered prevention, care that is coordination, comprehensive accessible 24/7 and integrated across a deliver system. PCMH happens when the specialists in Family and Community Medicine wake up every morning and ask the question how will my team improve the health of my community today?
All over the world three huge factors are in play that is driving the concept of Patient Centered Medical Home. They are:
1) Cost and demography
2) Information technology and data (information that is actionable will equal a demand for accountability by the payer or buyer of the care)
3) Consumer demand to engage healthcare differently (at least as well as they can their bank- on line) have a question about lab results why not e-mail?
But at its core it is a move toward integration of a healing relationship in primary care and population management all at the point of care with the tools to do just that.
FTC Spring Privacy Series: Consumer Generated and Controlled Health DataBrian Ahier
Increasingly, consumers are taking a more active role in managing and generating their own health data. For example, consumers are researching their health conditions and diagnosing themselves online. Consumers are also uploading their information into personal health records and apps that allow them to manage and analyze their data, and utilizing connected health and fitness devices that regularly collect information about them and transmit this information to other entities.
The movement of health data outside the traditional medical provider context has many potential benefits; however, it also raises potential privacy concerns. The seminar will address questions such as:
What types of websites, products, and services are consumers using to generate and control their health data, and how are consumers using them?
Who are the companies behind these websites, products, and services, what are their business models, and what does the current marketplace look like?
How can consumers benefit from these companies’ websites, products, and services?
What actions are these companies taking to protect consumers’ privacy and security?
What do consumers expect from these companies regarding privacy and security protections?
Do consumers differentiate between these companies and those that offer traditional medical products and services that are covered by HIPAA?
What restrictions, if any, do advertising networks and others impose on tracking of health data?
Held each year in Boston, Medical Informatics World connects more than 400 healthcare, biomedical science, health informatics, and IT leaders to navigate emerging trends and opportunities in the evolving industry. The event responds to the challenges in collaborating and maximizing the benefit of enabling technologies with inspiring plenary keynotes combined with focused expert-led presentations and discussions. Coverage includes population health management, predictive analytics, payer-provider-pharma data collaborations, patient care and engagement, mobile and wearable technologies, care delivery models, enterprise hospital information systems, clinical decision support, error and readmission reduction, and healthcare data security. The 2015 program features six conference tracks, two interactive dinner workshops and six plenary keynote presentations, providing attendees with the connections, tools and strategies for taking their research and care delivery to the next level. Learn more at http://www.medicalinformaticsworld.com
Presented at Healthcare CIO Certificate Program (Class of 2015), Hospital Administration School, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Thailand on August 14, 2015
e-health & quality of care - business research and practice - medicinfo & twe...Bart Brandenburg
Lecture held at Twente University, about the challenges, possibilities, lessons learned and research questions involved with developing e-health at Medicinfo.
Business, research and practice put into action!
Recent advances in the evidence base for technology-based behavioral health applications have provided clinicians a better understanding and guidance on the integration of these tools into clinical care. Participants will learn about research findings on current technologies in use in clinical practice, such as audio conferencing, video conferencing, and virtual reality, in addition to tools available for use between patients, such as the use of websites and mobile applications and wearable sensors.
A Proposed Framework for Supporting Behaviour Change by Translating Personali...Ulster University
The aim of this position paper is to examine the case for supporting behaviour change in pre-diabetic obese people in order to improve their health. The paper sets out the background and motivation for supporting behaviour change before outlining the relevant literature in this health and wellbeing area. The paper then explores the feasibility of SmartLife - a patient-driven application involving healthcare practitioners and peer support interaction with a focus on failure-free, positive reinforcement, patient empowerment and wellbeing.
Information Communication Technology in E-Health System, this is useful for healthcare and medical system.E-health means providing citizens with access to quality health information & to view their own health records line, even when travelling in Europe.
Digital Transformation in Health: The New Patient ParadigmVSee
Telehealth Failures & Secrets to Success Conference 2017 by VSee
Speaker: Paul Smolke
Senior Director of Productivity, Worldwide Health of Microsoft
More info here: vsee.com/conference
The future of patient data the danish perspective 2018Future Agenda
The Danish perspective on implications from the future of patient data - insights from discussions in Copenhagen
Denmark is recognised as one of the leading nations for healthcare and is at the forefront of digital transformation in the sector. As new challenges and opportunities emerge over the next decade this article considers what the core drivers of change may be and explores how developments in the availability and use of more and better patient data may impact the Danish health system. Linking together previous research, a recent related Future Agenda initiative and insights from a number of expert discussions in Copenhagen, it then examines the pivotal issues that will affect healthcare providers in the future and considers how the wider sharing of exemplary data can change delivery models.
Given the overall dynamics, many conclude that Denmark is one of the most connected, well-funded and healthy nations in the world. The advent of more and better health data should therefore have additional impact. So, what about the future? How will the global changes underway impact and enhance the Danish system? Moreover, what will be the national vs regional response?
A recent global project exploring the future of patient data was undertaken by Future Agenda in partnership with leading organisations around the world. (www.futureofpatientdata.org) Twelve events across many different healthcare systems brought together over 300 experts to debate the primary shifts for the next decade as well as explore their implications. Within this, several shared ambitions in a number of different countries were identified – many of which can already be seen as existing assets of the Danish system: Good quality patient data, common access to it, and means of interacting with both the information and the different communities who form the full care system.
As the first phase of a subsequent series of more regional, national dialogues, in June 2018 additional discussions were undertaken with healthcare experts in Copenhagen to uncover more detail. Hosted by DTU Business, the aim was to both respond to the global context from the Future of Patient Data project and debate what the implications may be for Denmark. In particular, a core objective was to identify what are the primary issues for the Danish healthcare system for the next decade.
Will the next generation of doctors be ready for telehealth?VSee
Telehealth Failures & Secrets to Success Conference 2017 by VSee
Speaker: Homero Rivas
Director of Innovative Surgery of Stanford University School of Medicine
More info here: vsee.com/conference
FTC Spring Privacy Series: Consumer Generated and Controlled Health DataBrian Ahier
Increasingly, consumers are taking a more active role in managing and generating their own health data. For example, consumers are researching their health conditions and diagnosing themselves online. Consumers are also uploading their information into personal health records and apps that allow them to manage and analyze their data, and utilizing connected health and fitness devices that regularly collect information about them and transmit this information to other entities.
The movement of health data outside the traditional medical provider context has many potential benefits; however, it also raises potential privacy concerns. The seminar will address questions such as:
What types of websites, products, and services are consumers using to generate and control their health data, and how are consumers using them?
Who are the companies behind these websites, products, and services, what are their business models, and what does the current marketplace look like?
How can consumers benefit from these companies’ websites, products, and services?
What actions are these companies taking to protect consumers’ privacy and security?
What do consumers expect from these companies regarding privacy and security protections?
Do consumers differentiate between these companies and those that offer traditional medical products and services that are covered by HIPAA?
What restrictions, if any, do advertising networks and others impose on tracking of health data?
Held each year in Boston, Medical Informatics World connects more than 400 healthcare, biomedical science, health informatics, and IT leaders to navigate emerging trends and opportunities in the evolving industry. The event responds to the challenges in collaborating and maximizing the benefit of enabling technologies with inspiring plenary keynotes combined with focused expert-led presentations and discussions. Coverage includes population health management, predictive analytics, payer-provider-pharma data collaborations, patient care and engagement, mobile and wearable technologies, care delivery models, enterprise hospital information systems, clinical decision support, error and readmission reduction, and healthcare data security. The 2015 program features six conference tracks, two interactive dinner workshops and six plenary keynote presentations, providing attendees with the connections, tools and strategies for taking their research and care delivery to the next level. Learn more at http://www.medicalinformaticsworld.com
Presented at Healthcare CIO Certificate Program (Class of 2015), Hospital Administration School, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Thailand on August 14, 2015
e-health & quality of care - business research and practice - medicinfo & twe...Bart Brandenburg
Lecture held at Twente University, about the challenges, possibilities, lessons learned and research questions involved with developing e-health at Medicinfo.
Business, research and practice put into action!
Recent advances in the evidence base for technology-based behavioral health applications have provided clinicians a better understanding and guidance on the integration of these tools into clinical care. Participants will learn about research findings on current technologies in use in clinical practice, such as audio conferencing, video conferencing, and virtual reality, in addition to tools available for use between patients, such as the use of websites and mobile applications and wearable sensors.
A Proposed Framework for Supporting Behaviour Change by Translating Personali...Ulster University
The aim of this position paper is to examine the case for supporting behaviour change in pre-diabetic obese people in order to improve their health. The paper sets out the background and motivation for supporting behaviour change before outlining the relevant literature in this health and wellbeing area. The paper then explores the feasibility of SmartLife - a patient-driven application involving healthcare practitioners and peer support interaction with a focus on failure-free, positive reinforcement, patient empowerment and wellbeing.
Information Communication Technology in E-Health System, this is useful for healthcare and medical system.E-health means providing citizens with access to quality health information & to view their own health records line, even when travelling in Europe.
Digital Transformation in Health: The New Patient ParadigmVSee
Telehealth Failures & Secrets to Success Conference 2017 by VSee
Speaker: Paul Smolke
Senior Director of Productivity, Worldwide Health of Microsoft
More info here: vsee.com/conference
The future of patient data the danish perspective 2018Future Agenda
The Danish perspective on implications from the future of patient data - insights from discussions in Copenhagen
Denmark is recognised as one of the leading nations for healthcare and is at the forefront of digital transformation in the sector. As new challenges and opportunities emerge over the next decade this article considers what the core drivers of change may be and explores how developments in the availability and use of more and better patient data may impact the Danish health system. Linking together previous research, a recent related Future Agenda initiative and insights from a number of expert discussions in Copenhagen, it then examines the pivotal issues that will affect healthcare providers in the future and considers how the wider sharing of exemplary data can change delivery models.
Given the overall dynamics, many conclude that Denmark is one of the most connected, well-funded and healthy nations in the world. The advent of more and better health data should therefore have additional impact. So, what about the future? How will the global changes underway impact and enhance the Danish system? Moreover, what will be the national vs regional response?
A recent global project exploring the future of patient data was undertaken by Future Agenda in partnership with leading organisations around the world. (www.futureofpatientdata.org) Twelve events across many different healthcare systems brought together over 300 experts to debate the primary shifts for the next decade as well as explore their implications. Within this, several shared ambitions in a number of different countries were identified – many of which can already be seen as existing assets of the Danish system: Good quality patient data, common access to it, and means of interacting with both the information and the different communities who form the full care system.
As the first phase of a subsequent series of more regional, national dialogues, in June 2018 additional discussions were undertaken with healthcare experts in Copenhagen to uncover more detail. Hosted by DTU Business, the aim was to both respond to the global context from the Future of Patient Data project and debate what the implications may be for Denmark. In particular, a core objective was to identify what are the primary issues for the Danish healthcare system for the next decade.
Will the next generation of doctors be ready for telehealth?VSee
Telehealth Failures & Secrets to Success Conference 2017 by VSee
Speaker: Homero Rivas
Director of Innovative Surgery of Stanford University School of Medicine
More info here: vsee.com/conference
DQ 3-2Integrated health care delivery systems (IDS) was develope.docxelinoraudley582231
DQ 3-2
Integrated health care delivery systems (IDS) was developed to initiate excellence health care access and quality of care to entire populations and community by collaborating and coordinating diverse healthcare professionals. Main driving force of IDS is patient centered care by using resources such as collaborating care from physicians and allied health care professionals to construct continuum of care, to deliver care in the most cost-effective way, utilize trained and competent providers by utilizing evidenced -based practice and combine innovation such as EHR (Electronic Health Records) system and team work to produce improved healthcare system.
Excellence in care is attainable by incorporating allied healthcare professional, as high quality care is possible when coordination is unified and covers all areas of responsibilities. For an example-combining resources and coordination of care by involving physicians, dietitian, physical therapy or occupational therapy to work with patient diagnosed with obesity by promoting teamwork approach and ultimately delivering endurance in care and utilizing various resources.
Barriers to IDS can be a huge block in delivering quality care. Among many one limitation is physicians not participating in integrated healthcare system, which disconnect physicians from team based approached by deterring continuous quality improvement (essentialhospitals.org, n.d). This is because, system such as EHR or new innovative quality assurance programs are time consuming and overwhelming, thus decline in physicians support in IDS programs. By implementing user friendly system approach, enforcing focused based care and accepting the necessity of evidenced based practice can improve these barriers. Hence, increasing clinical expertise to produce better service and quality of care in integrated delivery system.
Essentialhospitls.org (n.d). Retrieved from: http://essentialhospitals.org/wp-content/uploads/2013/12/Integrated-Health-Care-Literature-Review-Webpost-8-22-13-CB.pdf
Dq 3-1
1.
In the US, there is not one type of health care system but rather a subset of systems, some of them catering to specific populations. These subsystems include managed care, military, and vulnerable populations. Managed care is a health care delivery system that seeks to achieve efficiency by integrating the basic functions of health care delivery, employs mechanisms to control utilization of medical services, and determines the price at which the services are purchased and how much the providers get paid, military health care system is available free of charge to active duty military personnel and covers preventative and treatment services that are provided by salaried health care personnel and this system combines public health with medical services, and vulnerable population subsystem offers comprehensive medical and enabling services targeted to the needs of vulnerable populations and government health insurance programs provide.
This presentation explains the concept of the patient-centered medical home (PCMH), its function and its intended effects. A brief overview of the history of PCMH is also provided, as well as a discussion of its operational characteristics, its principles and outcomes, and what is expected in the future for the PCMH model.
Consumer Health Informatics, Mobile Health, and Social Media for Health: Part...Nawanan Theera-Ampornpunt
Presented at the Master of Science and Doctor of Philosophy Programs in Data Science for Healthcare and Clinical Informatics, Department of Clinical Epidemiology and Biostatistics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on November 10, 2021
The care business traditionally has generated massive amounts of inf.pdfanudamobileshopee
The care business traditionally has generated massive amounts of information, driven by record
keeping, compliance & regulative needs, and patient care [1]. whereas most knowledge is hold
on in text type, the present trend is toward fast conversion of those massive amounts of
information. Driven by obligatory needs and also the potential to enhance the standard of health
care delivery in the meantime reducing the prices, these huge quantities of information (known
as ‘big data’) hold the promise of supporting a good vary of medical and care functions, as well
as among others clinical call support, illness police work, and population health management [2,
3, 4, 5]. Reports say knowledge from the U.S. care system alone reached, in 2011, one hundred
fifty exabytes. At this rate of growth, huge knowledge for U.S. care can before long reach the
zettabyte (1021 gigabytes) scale and, shortly when, the yottabyte (1024 gigabytes) [6]. Kaiser
Permanente, the California-based health network, that has over nine million members, is
believed to possess between twenty six.5 and forty four petabytes of doubtless made knowledge
from EHRs, as well as pictures and annotations [6].
By definition, huge knowledge in care refers to electronic health knowledge sets therefore
massive and complicated that they\'re tough (or impossible) to manage with ancient computer
code and/or hardware; nor will they be simply managed with ancient or common knowledge
management tools and strategies [7]. huge knowledge in care is overwhelming not solely due to
its volume however additionally due to the range of information varieties and also the speed at
that it should be managed [7]. The totality of information associated with patient care and well-
being compose “big data” within the care business. It includes clinical knowledge from CPOE
and clinical call support systems (physician’s written notes and prescriptions, medical imaging,
laboratory, pharmacy, insurance, and alternative body knowledge); patient knowledge in
electronic patient records (EPRs); machine generated/sensor data, like from observance
important signs; social media posts, as well as Twitter feeds (so-called tweets) [8], blogs [9],
standing updates on Facebook and alternative platforms, and net pages; and fewer patient-
specific data, as well as emergency care knowledge, news feeds, and articles in medical journals.
For the massive knowledge person, there is, amongst this large quantity and array of information,
chance. By discovering associations and understanding patterns and trends inside the
information, huge knowledge analytics has the potential to enhance care, save lives and lower
prices. Thus, huge knowledge analytics applications in care cash in of the explosion in
knowledge to extract insights for creating higher enlightened selections [10, 11, 12], and as a
groundwork class square measure noted as, no surprise here, huge knowledge analytics in care
[13, 14, 15]. once huge knowledge is synthesized and an.
Dr Jonathan B Perlin President, Clinical Services and Chief Medical Officer, HCA (USA) on 'Learning healthcare and clinical leadership in an accountable environment'
Dr Jonathan B Perlin, President, Clinical Services and Chief Medical Officer, HCA (USA) keynote presentation on learning healthcare and clinical leadership in an accountable environment.
Evolution of Health Care Paper and TimelineThere are specifi.docxSANSKAR20
Evolution of Health Care Paper and Timeline
There are specific trends from manual to electronic operations in the health care facilities, healthcare providers and similar businesses operators. The evolution has taken place within the health care providers, administrative data and the insurance plans as well. The health care industries have automated several procedures such as the supply of drugs and accurate record keeping (Loker 2012). Electronic health care uses sophisticated technology unlike the manual one; this advanced technology has been applied in the provision of health care all over the world hence saving both time and cost It has also widened and perfected the scope of operation.
How has this change impacted the quality of care?
The change to electronic medical records has proven to be successful and helpful in providing quality patient care. Some ways that it has helped is improving patient care, increasing patient participation, improved care coordination, improved diagnostic and patient outcomes, and practice efficiencies and cost savings. (HealthIT.gov). Patients are able to be more involved in the patient care process and are able to access to their records which was not possible in the past. The transporting of records from one physician to another is much quicker now because it can be done by a click of a button. When needing to send a patient to a specialist or when getting an authorization for a patient’s recommended treatment can be done a lot quicker as well. This is speeding up the process in being able to provide quick and quality care so the patient does not need to wait as long as they would have had to in the past.
Percentage of physicians whose electronic health records provided selected benefits
(HealthIT.gov)
Electronic medical records has proven to be a good thing for both the medical provider as well as the patient and it has decreased the wait times to results or any potential errors and enhanced patient care.
Did Societal beliefs and values influence this change? Why or why not?
The health care delivery system in our country has its roots in the beliefs and values of the people (Shi & Singh, 2012). The firm belief in technological innovations leads to higher expectations of people, which has fueled the growth in technological innovations. The culture of individualism has led the medical practice to keep the individual healthy. Patients tend to evaluate the institutions by their acquisition of advanced technology. The expectation of Americans on what technology can do to cure illness is higher compared to the Canadians and Germans (Shi & Singh, 2012, p. 168). The societal beliefs and values impact not only the structure of health care delivery but also the training of health care providers.
The use of EHRs provided access to patients’ records on demand and have improved the quality of health care (Shi & Singh, 2012). Although the EHRs were to improve the quality of health care delivery, many ...
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
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
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.
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
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.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
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
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Pharynx and Clinical Correlations BY Dr.Rabia Inam Gandapore.pptx
Medical Informatics Update 2013 Program
1. a New York State Center for Advanced Technology at Columbia University
Wednesday, October 16, 2013
8:30 AM to 4:30 PM
IBM Thomas J Watson Research Center
1101 Kitchawan Rd, Yorktown Heights, NY 19598
Medical Informatics Update 2013:
Analytics and Tools for Care Coordination
A one-day meeting for local and regional healthcare
specialists to discuss advances,problems, and solutions
in various medical informatics venues. The session will
provide an opportunity to meet and talk with leading
specialists at the forefront of care coordination.
The event is organized by the Center for Advanced
Information Management* at Columbia University and the
IBM Health Informatics Research Department.
* The Center for Advanced Information Management at Columbia University is a
New York State Center for Advanced Technology (CAT) sponsored by Empire State
Development’s Division of Science, Technology and Innovation (NYSTAR).
WWW.CAT.COLUMBIA.EDU 650 West 168th Street, Suite B-130, New York, NY 10032 Tel: 212 305 2944 Fax: 212 305 0196
2. 12:30pm
Program Schedule
Time Event
8:15am
8:45am
2:45pm
9:30am
12:30pm
1:45pm
2:45pm
11:00am
4:00pm
9:30am
9:00am
Medical Informatics Update 2013
Registration
Workshop Co-Chairs Welcome and Introductory Remarks
Shahram Ebadollahi, PhD; IBM
George Hripcsak, MD, MS; Columbia University
Care Coordination – IBM Viewpoints
Guruduth Banavar, PhD, VP Industry Solutions Research, IBM Research
Robert Merkel, VP Healthcare and Life Sciences, Global Business Services, IBM
Karen Parrish, VP Industry Solutions, Software Group, IBM
SESSION A: Patient Centered Care Coordination
Integration of Care Coordination and IT in a Multi-Specialty Group Practice
Scott D. Hayworth, MD, FACOP /Alan B. Bernstein, MD, MPH
Mt. Kisco Medical Group
Serving our Veterans Virtually: Perspectives on VA Telehealth Technology and Policy
Cathy Cruise, MD; Veterans Integrated Service Network
KEYNOTE: The Role of Health IT in Integrated Care (remote)
Nirav R. Shah, MD, MPH; NYS Department of Health
COFFEE BREAK
SESSION B: Impact of Care Coordination on Cost
Cost Considerations in Care Coordination
Rainu Kaushal, MD, MPH; Weill Cornell Medical College
Care Coordination in the Era of Value Based Care Delivery
Peter N. Bowers, MD: Anthem Blue Cross/Blue Shield in Connecticut
LUNCH / DEMOS / POSTERS
SESSION C: Metrics and Analytics in Care Coordination
Improving Care Coordination with Big Data, Analytics, and Technology
Paul Contino, New York City Health and Hospitals Corporation
Data Quality and Metrics for Care Coordination [tentative)
Craig A. Jones, MD; Vermont Blueprint for Health
PANEL: Care Coordination in the Region: Clinical Organizations Using
Technology to Support Better Care
Moderator: Jacqueline Merrill, PhD, MPH, RN; Columbia University
Panelists:
Holly Miller, MD; MedAllies/Taconic IPA
Susan Northover, RN, MPA; Visiting Nurse Service of New York
Walter Sedlazek, IBM Cúram
Simeon Schwartz, MD; WESTMED Medical Group
Adjourn to coffee and mixer
10:30am
11:00am
11:30am
3. Cost Considerations in Care Coordination
Rainu Kaushal, MD, MPH
Center for Healthcare Informatics and Policy, Weill Cornell Medical College
With expertise in quality, patient safety, and health information technology, Dr. Kaushal
will discuss measuring the effects of health IT on health care quality and costs with a
view toward optimizing the value of health care in the current environment. Examples
will be presented from recent empirical studies of different technologies and models
of healthcare delivery, including EHRs, HIE, and PCMH.
Care Coordination in the Era of Value Based Care Delivery
Peter N. Bowers, MD
Anthem Blue Cross and Blue Shield in Connecticut
Care coordination is a necessary, but not sufficient element of value based care
delivery. Value based care delivery is defined as higher quality at lower cost and is
enabled by care coordination, payment redesign, enhanced access and actionable data
at the point of care. The future of accountable care delivery will support team based
care with real time data that will shape practice transformation. Our quality measures
will advance from process to outcomes measures while simultaneous affordability and
sustainability pressures will drive lower cost through greater adoption of transparency
tools coupled with value based benefit design. Patient- and family-centered,
assessment-driven, team-based activity designed to meet the needs of patients and
their families or care givers that addresses interrelated medical, social, developmental,
behavioral, educational, and financial needs in order to realize the promise of value
based care delivery.
Improving Care Coordination with Big Data, Analytics and Technology
Paul Brian Contino
New York City Health and Hospital Corporation
As we rapidly move toward a healthcare landscape with increased EHR adoption and
interoperability standards for clinical data exchange, how do we leverage technology
and data to effectively impact care coordination and patient engagement.
Data Quality and Metrics for Care Coordination [tentative]
Craig Jones, MD
Vermont Blueprint for Health
Medical Informatics Update 2013
Abstracts
The Role of Health IT in Integrated Care
Nirav R. Shah, MD, MPH
New York State Department of Health.
Health technology plays a significant role in the evolving health care delivery model,
which demands more clinical integration for better care. Dr. Shah will discuss Health IT
innovations in New York, and how health IT will improve patient care and support the
patient-centered medical home. He will also discuss the State Innovation Model Plan
and the federal funds that are helping the state test six new models of care.
Integration of Care Coordination and IT in a Multi-Specialty Group Practice
Scott D. Hayworth, MD,
Alan B. Bernstein, MD, MPH
Mount Kisco Medical Group, PC
The Mount Kisco Medical Group, PC is a multi-specialty group practice with 300
physicians, 25 office sites and 300,000 patients. The Group currently has contracts
involving discrete care coordination functions with three carriers. As a result, the Group
has built a care coordination department and utilizes multiple sources of information
technology. Based on MKMG experience, we will recommend future needs for IT to
assist with our care coordination functions.
Serving our Veterans Virtually: Perspectives on VA Telehealth
Cathy Cruise, MD
VISN 3 Virtual Health and Rehabilitation Programs, Veterans Administration
Dr. Cruise will explain how the VA Telehealth Services uses health informatics, disease
management and telehealth technologies to target care and case management to
improve access to care, improving the health of veterans. Telehealth changes the
location where health care services are routinely provided. The value VA derives from
telehealth is not in implementing telehealth technologies alone, but how VA uses
health informatics, disease management and telehealth technologies to coordinate and
manage care, facilitate access to care and improve the health of veterans]
Abstracts (cont.)
4. Medical Informatics Update 2013
Panel Presentations
Care Coordination in the Region: Clinical Organizations Using Technology to
Support Better Care
Moderator: Jacqueline Merrill, PhD, MPH, RN; Columbia University
Four representatives from practice areas will focus on how clinical information systems are
being used in their organizations to address coordination:
1) Within care teams
2) Across care teams
3) Between care teams and community resources
4) For continuous familiarity with patient across time
5) For continuous proactive and responsive action between visits
6) For supporting providers consider the needs, preferences, of patient
7) For shared responsibility-between patient and caregivers
The panel will comment on how their organization has handled barriers to effective use of
technology, data exchange and/or availability of important information. There will also be
opportunity for the audience to ask questions.
Care Transitions in a Patient Centered Medical Neighborhood
Holly Miller, MD, MBA, FHIMSS
MedAllies/Taconic Independent Practice Association
A brief overview of new technologies for managing care coordination and transitions of care
across a patient centered medical neighborhood.
Driving Improved Outcomes through Informatics
Susan Northover, RN, MPA
Visiting Nurse Service of New York
VNSNY Strategy and Care Coordination – Current and Future State: Post-Acute care
strategies and associated case studies, and using Care Coordination technology platforms
to manage patients and populations to improve quality outcomes
Programs of Care
Walter Sedlazek, MBA
IBM, Cúram
The discussion will highlight a human centered HIT platform approach to integrating
medical, behavioral, and social care and enabling community-based teams to deliver
programs of care for vulnerable populations.
TBA
Simeon Schwartz, MD
WestMed Medical Group
Speaker Profiles
Nirav R. Shah, MD, MPH
Commissioner
New York State Department of Health
Dr. Shah has been the 15th Commissioner of the New York State
Department of Health since 2011. A native of Buffalo, he graduated with
honors from Harvard College. He has an M.D. and M.P.H. in medicine
and chronic disease epidemiology from Yale University. He is board
certified in Internal Medicine. Dr. Shah heads one of the world’s leading
public health agencies with an annual budget of more than $58 billion.
During his tenure, the Department led the transformation of the state’s Medicaid
program, which resulted in more than $4 billion in savings in just the first year while
improving population health and quality of care. The Department also spearheaded
the creation of a health benefit exchange that will give 1.1 million New Yorkers health
insurance coverage and drafted an evidence-based Prevention Agenda for improving
the health of all New Yorkers.
Alan B. Bernstein, MD, MPH, FAAP
Senior Medical Director
Mount Kisco Medical Group
Alan has been the Senior Medical Director at Mount Kisco Medical
Group overseeing the Group’s Accountable Care Organization (ACO)
activities for one year. He is also a Clinical Associate Professor of
Family and Community Medicine at New York Medical College. He
has extensive experience in hospital care, medical group practice
and managed care. He has served as the Chairman of Pediatrics at
two academically affiliated community hospitals, the President/Chief
Medical Officer of several medical group practices, and Medical Director at multiple
managed care plans in the Northeast. Most recently, Dr. Bernstein was the Chief
Medical Officer at the Greater Hudson Valley Family Health Center in Newburg, NY.
He is a graduate of the New York University School of Medicine, the pediatric
residency program at Columbia Presbyterian Medical Center/Babies Hospital, and
the UC Berkeley School of Public Health. He has served on the Board of Directors of
Inspire, the United Cerebral Palsy Center of Orange County and the Maternal Infant
Services Network of Orange, Rockland and Sullivan Counties. He was Editor of
Seminars in Medical Practice and Consulting Editor in Pediatrics, Journal of Clinical
Outcomes Management both Turner White Publications.
5. Speaker Profiles (cont.)
Peter N. Bowers, MD
Chief Medical Officer
Anthem Blue Cross and Blue Shield in Connecticut
Peter is Chief Medical Officer at Anthem Blue Cross and Blue Shield in
Connecticut. He is responsible for development and execution of medical
management, cost of quality care and clinical support for sales in the
Connecticut marketplace. Additionally, he has served as the Medical
Director for Anthem National Accounts and WellPoint’s Payment
Innovation. He joined Anthem Blue Cross and Blue Shield in 2006 from
the faculty of the Yale University School of Medicine where he was active in teaching,
clinical practice and biomedical research. He directed the fellowship training program
in pediatric cardiology and won the pediatric resident teaching award in addition to an
active clinical practice in both the outpatient and inpatient settings.
With continuous funding from the National Institute of Health and the Howard Hughes
Medical Institute, he investigated embryonic cardiovascular development and identified
genetic causes of SIDS and congenital heart disease. He is widely published and has
received awards from the Society of Pediatric Research, the American Academy of
Pediatrics, the American College of Cardiology and the American Heart Association.
A native of Connecticut, Dr. Bowers is a cum laude graduate of Colby College and the
University of Connecticut School of Medicine.
His post graduate medical training in pediatrics is from the University of Rochester and
his fellowship training in pediatric cardiology and human molecular genetics is from Yale
University. He lives in Guilford, CT with his wife, an obstetrician/gynecologist and two
daughters.
Speaker Profiles (cont.)
Paul Brian Contino
Corporate Chief Technology Officer
New York City Health and Hospitals Corporation
Paul is Corporate Chief Technology Officer at the New York City Health
& Hospitals Corporation. He is an accomplished healthcare IT executive
with over 20 years of experience in technology development and
management. He has held numerous leadership roles in healthcare,
education and academic medicine. At the New York City Health and
Hospitals Corporation (HHC), paul is responsible for strategic direction
in the areas of enterprise architecture, business intelligence and data
warehousing, interoperability and health information exchange. He provides technology
leadership for many of HHC’s key patient care initiatives including PCMH, Health
Home, Medical Home, ACO and EMR/PHR (patient portal)
HHC is a $6.7 billion integrated healthcare delivery system with its own 385,000
member health plan, MetroPlus, and is the largest municipal healthcare organization
in the USA. HHC serves 1.4 million New Yorkers every year of which more than 475,000
are uninsured. HHC provides medical, mental health and substance abuse services
through its 11 acute care hospitals, four skilled nursing facilities, six large diagnostic and
treatment centers and more than 70 community based clinics. HHC Health and Home
Care also provides in-home services for New Yorkers. HHC was the 2008 recipient of
the National Quality Forum and The Joint Commission’s John M. Eisenberg Award for
Innovation in Patient Safety and Quality
Cathy Cruise, MD
Director
Veterans Integrated Service Network
Cathy is Director, of the Veterans Integrated Service Networks
(VISN), Virtual Health and Rehabilitation Programs. A psychiatrist,
she graduated from the New York University School of Medicine
and completed a residency in Physical Medicine and Rehabilitation
at the Rusk Institute of Rehabilitation, New York University. She is
responsible for the development and implementation of the Health and
Rehabilitation Programs in Veterans Integrated Service Network #3,
which encompasses New York City, Long Island, Westchester, the Hudson Valley and
New Jersey.
In this capacity, she embraces a culture in which access to care is facilitated through
the use of telehealth technology. Dr. Cruise works closely with Telehealth Services in VA
Central Office.
Medical Informatics Update 2013
6. Speaker Profiles (cont.)
Scott D. Hayworth, MD, FACOG
President and CEO
Mount Kisco Medical Group
Scott is President and CEO of the Mount Kisco Medical Group,
a 285-physician multispecialty medical group, since 1996. He is
also a Clinical Assistant Professor of Obstetrics, Gynecology, and
Reproductive Sciences at Mount Sinai School of Medicine and a
Consultant for the Vincent Memorial Obstetrics & Gynecology at
Massachusetts General Hospital. In addition, he is Head of the
Board of Directors of the Ambulatory Surgery Center of Westchester; a member of the
Foundation Board of Northern Westchester Hospital; and President and a member
of the Board of Directors of Bedford Physicians’ Risk Retention Group. His many
other organizational leadership roles include being Past Chairman of the Board of the
American Medical Group Association, National Treasurer and former Chairman for
District II of the American College of Obstetrics and Gynecology, and a member of
ACOG’s national executive board.
He also serves as one of nine physicians on the national advisory board for Aetna
Insurance, Senior Advisor at Arsenal Capital Partners, and advisor to WIRB-
Copernicus. He has served on the Board of Directors of Community Mutual Savings
Bank and as a Consulting Editor for Contemporary OB/GYN. His writings have been
published in various medically-related magazines. He received his A.B. in Biology from
Princeton and M.D. from Cornell University Medical College in 1984.
His honors include “Best Doctor” listings in New York and Westchester magazines,
the “Best Doctors in America” publication, and “America’s Top Obstetricians and
Gynecologists”. Dr. Hayworth was the 2002 recipient of the American College of
Obstetricians and Gynecologists District Service Award
Speaker Profiles (cont.)
Craig A. Jones, MD
Director
Vermont Blueprint for Health
Craig is the Director of the Vermont Blueprint for Health, a program
established by the State of Vermont, under the leadership of its
Governor, Legislature and the bi-partisan Health Care Reform
Commission. The Blueprint is intended to guide statewide
transformation of the way that health care and health services are
delivered in Vermont. Currently, Craig serves on several committees
and workgroups including the Institute of Medicine’s Consensus Committee on the
Learning Healthcare System in America, and the Roundtable on Value and Science
Driven Healthcare. Prior to this, he was an Assistant Professor in the Department of
Pediatrics at the Keck School of Medicine at the University of Southern California,
and Director of the Division of Allergy/Immunology and Director of the Allergy/
Immunology Residency Training Program in the Department of Pediatrics at the
Los Angeles County + University of Southern California (LAC+USC) Medical Center.
He was Director, in charge of the design, implementation, and management, of the
Breathmobile Program, a program where mobile clinics deliver ongoing care to inner
city children in at their schools and at County clinics.
He was an Executive Committee and Board Member for the California Chapter of
the Asthma & Allergy Foundation of America, as well the chapter President. He is
a past president of the Los Angeles Society of Allergy Asthma & Immunology, and
a past President and a member of the Board of Directors for the California Society
of Allergy Asthma & Immunology. He received his undergraduate degree at the
University of California at San Diego and MD degree at the University of Texas
Health Science Center in San Antonio, Texas.
He completed his internship and residency in pediatrics at LAC + USC Medical
Center, where he also completed his fellowship in allergy and clinical immunology.
Medical Informatics Update 2013
7. Speaker Profiles (cont.)
Rainu Kaushal, MD, MPH
Director
Weill Cornell Medical College
Rainu is the Director of the Center for Healthcare Informatics
and Policy; the Frances and John L. Loeb Professor of Medical
Informatics at Weill Cornell Medical College, the Director of Pediatric
Quality for the Komansky Center for Children’s Health at New
York-Presbyterian Hospital, and the Executive Director of the Health
Information Technology Evaluation Collaborative (HITEC) for New
York State. She is an international expert on the effectiveness, cost-effectiveness
and comparative effectiveness of health information technology, health information
exchange and novel health care delivery models. She has published more than 80
scholarly publications, has served on numerous national advisory committees,
has formally consulted with other researchers as well as with policy makers, and
has served on editorial boards for health care journals as well as on several study
sections for the Agency for Healthcare Research and Quality. She is a frequent
invited national and international speaker.
Rainu is an expert in quality, patient safety and health information technology
(health IT). She has particular expertise in pediatric medication safety and in
measuring the effects of health IT on health care quality and costs. She is engaged
in research, patient care, management and operations activities at Weill Cornell
Medical College and New York-Presbyterian Hospital, all geared toward using health
IT to optimize the value of health care today.
She attended Harvard Medical School, and then completed her residency at
Brigham and Women’s Hospital and Children’s Hospital in Boston, attaining
double board certification in Internal Medicine and Pediatrics. She then completed
the Harvard Clinical Effectiveness Fellowship while obtaining a Masters in Public
Health from Harvard School of Public Health. She joined and remained on faculty
at Harvard Medical School until 2006 when she joined the faculty of Weill Cornell
Medical College
Panelists
Holly Miller, MD, MBA, FHIMSS
Chief Medical Officer
MedAllies, Taconic Independent Practice Association
Holly currently has two roles: She is the Chief Medical Officer of
MedAllies, providing operational, tactical, and strategic collaborative
leadership on all MedAllies projects. She is also the medical director
of the Taconic Independent Physicians Association (IPA), where she
works to optimize strategic implementations of certified EHR systems to
improve patient quality and outcomes, support PCMH transformation
and enhance care coordination. She was formerly a Vice President and CMIO of
University Hospitals and Health Systems, in Northern Ohio. Prior to joining UH, she
worked as an HIT Managing Director for the Cleveland Clinic where she also maintained
a clinical practice in General Internal Medicine.
She has been active in healthcare informatics research, and has been a co-investigator
on multiple grants. A member of HIMSS since 1999, Dr. Miller was on the HIMSS
US Board for 4 years, and served as a Vice Chair of the HIMSS Board. She is also an
immediate past inaugural member of the HIMSS World Wide Board. She is active in a
variety of current and previous S&I ONC committees, and other State and Government
HIT committees
Susan Northover, RN, MPA
Vice President
Visiting Nurse Service of New York
Susan is currently the Vice President of Intake Services, Enterprise Market
Development for VNSNY, the country’s largest not for profit organization
providing in-home nursing care, therapy, hospice and palliative services
and managed health plan services to New Yorkers. Ms. Northover
supports the growth of business across the organization by promoting
optimal solutions; including innovative care delivery models to meet
the needs of integrated health systems, physician organizations, nursing facilities and
community based organizations.
Previously, as Vice President for Amedisys Home Health Care, she led operational and
sales efforts for homecare in multiple locations throughout the northeast. She led program
and resource development to address market trends, including implementation of a
Transitional Care model to improve Care Coordination from facility to home.
Prior to Amedisys Ms. Northover was General Manager for Tender Loving Care offices
in Connecticut. She was responsible for all operational, clinical, regulatory and sales
efforts for the organization. Ms Northover is a graduate of the Memorial University of
Newfoundland School of Nursing and is a Registered Nurse. She also holds a Master’s
Degree in Health Care Administration from the University of New Haven.
Medical Informatics Update 2013
8. Panelists (cont.)
Walter Sedlazek, MBA
Director, Product Strategy
IBM Cúram
Walt is Product Manager at IBM Cúram. He reports to the Cúram brand
CTO and helps to define future product plans and innovation initiatives,
including joint research activities with IBM’s Watson research labs and
IBM’s Smarter Care development programs. Walt has been with Cúram
for eight years and has supported the launch of multiple major new
products for its health and human services clients and has participated
in health information technology standards work for the US government.
He brings over 20 years of experience in managing COTS-based enterprise software
solutions for clients in the public sector as well industries such as insurance, retail,
telecommunications, and manufacturing.
Prior to joining Cúram, Walt led product management and strategy teams at Oracle
for ten years developing CRM, case management, customer service and call center
applications and government vertical applications. In addition, he has led quality
management and business process reengineering initiatives using lean manufacturing
and six sigma techniques while working for system integration and product vendors
supplying solutions to the public sector and telecommunications industries. He has a
BSEE from Georgia Tech and a MBA from the University of Virginia, Darden School.
Simeon A. Schwartz, M.D.
President and CEO
WESTMED Medical Group
Simeon is founding President and CEO of WESTMED Medical Group
and the CEO of WESTMED Practice Partners (WPP). The group is a
250+ physician primary care focused multi-specialty practice. He has
been committed to improving both operational and clinical efficiency
with a focus on quality. To accomplish this, Dr. Schwartz and WESTMED
have been early adopters of healthcare IT and have worked with many IT
vendors with process and system redesign to improve care. WESTMED
Practice Partners, established in 2011, is a management services company that has
evolved from the success of the WESTMED Medical Group. The mission of WPP is to
provide comprehensive, turnkey solutions for advanced ambulatory care sites.
Dr. Schwartz is a hematologist and oncologist. He received his undergraduate degree
from the Massachusetts Institute of Technology and his medical degree from Yale
University School of Medicine in New Haven. Dr. Schwartz then completed his internship
and residency at The New York Hospital-Cornell Medical Center and a fellowship in
hematology and medical oncology at Memorial Sloan Kettering Cancer Center
Medical Informatics Update 2013
Demonstrations
Organizing Committee
Automating Big-Data Analysis for the ICU of the Future
Daby Sow with Alain Biem, Peter Kirchner, Raju Pavuluri, Robert Saccone, Deepak Turaga
Care Plan Workbench for Evidence Driven Coordinated Care
Jianying Hu, Guo Tong Xie
Cervical Cancer Solution
Michal Rosen-Zvi
Cúram
Abha Keshava
Patient Care and Insights
David Gotz / Kenny NG
Patient Centric Analytics for Enhanced Care Coordination and Management
Nirmal Mukhi, Nirmal Mukhi, David Gotz, Jianying Hu
Watson EMR Application - Patient Record Summarization
Marty Kohn, Murthy V Devarakonda
Shahram Ebadollahi, PhD
Program Director, Health Informatics Research
IBM Research
George Hripcsak, MD, MS
Chair and Vivian Beaumont Allen Professor of Biomedical Informatics
Director, Center for Advanced Information Management, Columbia University
Paul Goldfarb, MBA; CAIM Director of Business Development
Joseph Jasinski, PhD; IBM Distinguished Engineer and Global Industry Executive,
Healthcare and Life Sciences
Shilpa Mahatma, MS; Senior Research Engineer, IBM T. J. Watson Research Center
Jacqueline Merrill, PhD, MPH, RN; Associate Professor of Nursing
(In Biomedical Informatics), CAIM Clinical Director
Adler J. Perotte, MD, MA; Associate Research Scientist, Biomedical Informatics
CAIM Assistant Director for Technology
Daby M. Sow, PhD; IBM T. J. Watson Research Center
Vincent Tomaselli, PhD; CAIM Executive Director
Conference Chairs
9. Posters (cont.)
This study explores the impact of electronic based patient engagement tools (kiosks, portals,
mobile phones, and clinical decision support alerts) on decision-making, adherence to care
plans, and clinical, and financial outcomes.
We explore adoption rates, workflow implications, and analytic approaches to predict which
tools work best with various populations. Engaging patients to take action through meaningful
use of technology is an integral part of health care transformation, contributing to better
health, better healthcare, and lower costs.
Ginger: Conquering Complex Industry Models with Dictionary Tooling
John Timm, Peter Schwarz, Joshua Hui, Sarah Knoop
IBM Research – Almaden
Information models used in healthcare IT data standards are often quite complex. This
presents a challenge to implementers who need to efficiently build applications that produce
and consume data according to these models but are not themselves expert in the specific
standard used. In this poster, we discuss an approach to bridge this gap. We combine a
methodology with software tooling to facilitate the creation of sets of clinical data abstractions
that insulate application developers from the inherent complexities and steep learning curve
posed by the standards.
IBM Big Data Platform for Wellness
Haim Nelken
IBM Research
The estimated global wellness market is 1.9 trillion. In particular, the workplace wellness
market is estimated by 2.7-8.2 billion per year. IBM’s mature Big Data, Cloud and Mobile
technologies provide the scale and robustness required by wellness solutions. The proposed
Wellness platform combines several IBM Big Data products (Big Insights, Streams, Netezza)
and Cognos, with innovative wellness accelerators developed by IBM Research.
Aging Well – Speeding the Adoption of Ambient Assisted Living Services
Haim Nelken
IBM Research
The increase in life expectancy reinforces the need for smart and innovative services that help
elderly people to be self-sustaining as long as possible and maintain a satisfactory quality of
life. This emerging market of smart services, known in Europe as Ambient Assisted Living
(AAL) services, offers many solutions for disease management, support in daily life activities,
wellness and social interactions. AAL services are usually a non-trivial composition of software,
hardware and human resources. One of the
impediments to the adoption of AAL services is the lack of an economically viable market place
for the provisioning of such services.
Medical Informatics Update 2013
Posters
Targeting and Refining Health Challenges to Improve Medical Adherence
Robert Farrell1
, Catalina Danis1
, Shih Ping (Kerry) Chang2
IBM, TJ Watson Research Center1
and Carnegie Mellon University2
Medical providers are increasingly managing patients with chronic disease by applying risk
analysis methods to determine the best course of treatment. However, adherence to long-term
treatment plans is low (averaging 50% for prescribed medications and 30% for lifestyle changes.)
Our approach is to improve adherence through improved patient engagement in health care
processes. We are developing a software solution for mounting engaging Health Challenges that
help participants set a goal, track their behavior, monitor their progress towards the goal and
evaluate the result.
Challenges can be targeted to individuals or to groups in a particular demographic or with a
particular risk factor. We will use data analytics to refine the mechanics of the challenge to respond
better to each individual’s performance. We present observations from a first deployment of the
solution in a wellness setting and describe a planned deployment to chronic patients who have
been advised to lose weight.
Towards Greater Care Coordination: Automatically Identifying Primary Care Providers
Hojjat Salmasian, Rimma Pivovarov, Gregory W. Hruby, Daniel G. Fort, Nancy Chang,
and David J. Vawdrey
Department of Biomedical Informatics, Columbia University
Primary care providers (PCPs) can contribute historical context to the hospital team, enhancing
continuity of care, if they are notified when their patients are hospitalized. This notification seldom
happens, because the PCP is not often identified in the electronic health record. A medical logic
module was created to assign PCP status to the author of a PCP-specific encounter note.
We interviewed a 15% subset of providers about accuracy of the PCP status for a sample of
patients attributed to them. The intervention increased the percentage of clinic visits where a
PCP was assigned from approximately 10% to 90%. Among the 22/34 physicians who agreed to
be interviewed, PCP status was correct for 408/414 of their patients. An automated method for
identifying PCPs based on clinicians’ electronic documentation is the first step in determining
which physician to contact for future automated care coordination efforts.
Patient Engagement: Measuring Technology Impact on Care Outcomes
CPP (M Minniti, D Freed, S Cashon, T Blue); IBM (C Danis, M Ball, R Farrell);
Jefferson School of Nursing (R Kennedy, I Hilghman, B Thomas, C Dolan, S Nevins; NSIM
(M Miller, S Ballen, A Crimm, Z Font)
IBM, Care Partners Plus (CPP) and NSIM (Ninth Street Internal Medicine Associate)
It is estimated that patient adherence to long-term medication therapies is in the 40% to 50%
range, while estimated rates of adherence to lifestyle-based prescriptions such as increasing
exercise and adopting a low-fat diet, range 20% to 30%. Increasingly technology is being used to
engage patients; however, there is a paucity of research showing the impact of such technology on
patient engagement, adherence to treatment plans and clinical and financial outcomes.
10. The Health Informatics Research Department at IBM is a multi-disciplinary team of
scientists with diverse set of skills conducting research in the broad area of health
informatics. Its mission is to provide the scientific underpinnings and thought leadership
for IBM’s active presence in the area of health informatics.
Main focus areas are:
• Analytics and Big Data in Healthcare and Life Sciences
• Visualization and Decision Support for Healthcare and Life Sciences
• Insights-driven Wellness Management Services
• Data Integration and Platforms
We conduct our research in collaboration with external organizations and are active
participants in the scientific community.
Our research in the above areas has applications in Care Coordination (providers, payers,
governments) and Real World Evidence (pharma) among many others. In Care
Coordination we are interested in using advanced analytics and technologies to enable
identification of patients/members at risk, devising management plans, identifying the
collaborative team to support the patient/member, addressing adherence and
compliance with the suggested plans.
In the area of Real World Evidence, we use our advanced analytics tools and visual
analytics to better explain variation in the population (responders vs. non-responders),
exploring hypotheses, and design of adjacent services (insights-driven services health and
wellness service design).
There are a number of commercial software and services offerings by IBM based on our
research. For example see IBM Patient Care and Insights:
http://www-01.ibm.com/software/ecm/patient-care/
Organizational Profiles Center for Advanced Information Management
650 West 168th Street, B-130, New York NY 10032 Telephone: 212 305-2944
www.cat.columbia.edu
In 1983, New York State established a Center for Advanced Technology (CAT) Program to promote
the collaboration between it’s industry base and it’s major research institutions. The goal was to
facilitate technology transfer and commercialization using the expertise and resources in academia
to benefit companies economically.
Currently, the program continues with 15 CATs at 13 institutions located around the state. Each
CAT has a specific technology focus (http://www.nystar.state.ny.us/cats.htm) and approach to
helping its partner companies. The CAT program is supported by NYSTAR, the New York State
Foundation for Science, Technology and Innovation. NYSTAR currently offers a range of programs
to help promote the state’s technology base.
Columbia University’s Center for Advanced Information Management has been a participant in the
CAT program since its inception. CAIM’s focus is at the intersection of biomedical science,
information technology, and biomedical imaging, with the occasional inclusion of other areas of
biomedicine and information processing. It’s main contributing units are the Department of
Biomedical Informatics and the Center for Computational Biology and Bioinformatics, both at the
medical center (College of Physicians and Surgeons), and the Computer Science Department and
imaging group of the Department of Biomedical Engineering, both in the School of Engineering
and Applied Science. This broad range of expertise serves CAIM well in allowing for innovative
interdisciplinary projects involving specialists from both schools and campuses.
A few of CAIM’s industry-focused activities and offerings are:
• Grant program for industry co-sponsored research projects
• Specialized workforce training courses and seminars
• Technology Forums featuring informative programs focusing on areas of industry interest
• External Advisory Board with members from a wide range of companies
• Access to other NYSTAR development programs (funding, technology/legal services, etc.)
Department of Biomedical Informatics
622 West 168th St. VC5, New York, NY 10032 Tel: 212 305-5334
www.dbmi.columbia.edu
The Columbia University Department of Biomedical Informatics is among the oldest in the nation.
Its goals are to discover new information methods, to augment the biomedical knowledge base, and
to improve the health of the population. DBMI’s 30 faculty members and 60 students work in a
highly collaborative environment, applying informatics from the atomic level to global populations.
Areas of application include:
• CLINICAL CARE. Design clinical information systems and mine the electronic health record.
• BIOLOGY. Includes systems biology, structural biology, and virology, on studies in
partnership with the Center for Computational Biology and Bioinformatics.
• PUBLIC HEALTH. Design systems to promote and protect the health of communities,
improve public health systems, and deploy information technology internationally.
• TRANSLATIONAL RESEARCH. Integrate biological and clinical knowledge and facilitate
multidisciplinary science.
Medical Informatics Update 2013
11. 650 West 168th Street, Suite B-130, New York, NY 10032 Tel: 212 305 2944 Fax: 212 305 0196
WWW.CAT.COLUMBIA.EDU