Transparency has become even more important in the past year as we begin the health care reform discussion. There is not a signature event in Nashville to bring quality, marketing, transparency, and technology together. The Naked Hospital event will take the user experience from high level strategy through national and state legislative issues through practical hands on tools to walk away with. The event will focus on how and why health systems and hospitals should focus on quality reporting as well as financial reporting. At the end of the day, all of this puts additional strains on the information systems and resources deployed by most health systems and hospitals. How will they cope? What is the next step?
This presentation discusses the impact of health reform. It begins by defining the problem, then provides an overview of legislation and the impact on business. It provides a contrarian view of the subject and explains why health reform is really insurance reform. It also introduces the concept of consumer sovereignty,
While the health care reform bill is a step in the right direction, medicare for all or single payer is what is really needed to control costs and insure all.
Did you have time to read the 1,990 page healthcare bill that was recently passed through Congress? Have you since wondered about the impact that massive bill will have on the average American, health insurance providers, business owners and YOU? If yes, then join the Young Professionals of Chicago as we host a panel of diverse health care professionals that will be discussing current healthcare reform and taking questions on the impact of the United States' new healthcare policy. The distinguished panelists will also provide some insight and clarity into what this massive bill means for individuals like you. There will also be an opportunity for open networking with other young professionals before and after the discussion.
Our biggest problem in healthcare is efficiency (quality of care per dollar spent) and Obamacare doesn't solve it. Our spending is off the charts by any measure (growth over time, % of GDP, per capita) Consumerism as a force of change in Healthcare is just getting started, but there are many barriers in place that serve to protect existing stakeholders in the industry. Knocking down these barriers to competition is what the GOP should be focusing on, but it's not. "Repeal and replace" seems to be a slogan, not a plan. Do Republican lawmakers have the will to make changes that might upset entrenched players?
This presentation discusses the impact of health reform. It begins by defining the problem, then provides an overview of legislation and the impact on business. It provides a contrarian view of the subject and explains why health reform is really insurance reform. It also introduces the concept of consumer sovereignty,
While the health care reform bill is a step in the right direction, medicare for all or single payer is what is really needed to control costs and insure all.
Did you have time to read the 1,990 page healthcare bill that was recently passed through Congress? Have you since wondered about the impact that massive bill will have on the average American, health insurance providers, business owners and YOU? If yes, then join the Young Professionals of Chicago as we host a panel of diverse health care professionals that will be discussing current healthcare reform and taking questions on the impact of the United States' new healthcare policy. The distinguished panelists will also provide some insight and clarity into what this massive bill means for individuals like you. There will also be an opportunity for open networking with other young professionals before and after the discussion.
Our biggest problem in healthcare is efficiency (quality of care per dollar spent) and Obamacare doesn't solve it. Our spending is off the charts by any measure (growth over time, % of GDP, per capita) Consumerism as a force of change in Healthcare is just getting started, but there are many barriers in place that serve to protect existing stakeholders in the industry. Knocking down these barriers to competition is what the GOP should be focusing on, but it's not. "Repeal and replace" seems to be a slogan, not a plan. Do Republican lawmakers have the will to make changes that might upset entrenched players?
Comparing Magazine or Online Nutrition Information with Published.docxbartholomeocoombs
Comparing Magazine or Online Nutrition Information* with Published Research.
Scientific research sometimes contraindicates nutrition information in Health and Fitness magazines or from retail supplement stores. The information may not be completely false, but the information could be exaggerated, embellished, or simply not based on research. However, the information could be very accurate.
1. Select an article about a specific nutrition recommendation or a specific nutrition supplement from a Health and Fitness magazine or website. Most Health and Fitness magazines and websites now hire a Nutrition and/or Fitness professional to write their nutrition related articles. Thus, instead of an article, you can choose information from a retail website, an online advertisement, or information listed on a supplement container.
Please note: supplements that are very new (so new that research has not yet been conducted) would not be a good choice for this assignment. Also, do not select Creatine, as its proposed benefits are well documented.
2. Research the same nutrition recommendation or supplement using sources such as published research, scientific journals, textbooks, or reliable websites (commonly ending with .edu, .gov, or .org).
Instructions
1. List your selected Nutrition Recommendation or Supplement.
2. List the exact source of the claims or proposed benefits (magazine, website, advertisement, actual supplement container, etc.). If possible, provide a web link. If using a print advertisement or supplement container, submit a picture or photo.
3. List the exact claims and/or proposed benefits from your selected magazine article, website, advertisement, commercial, or supplement container.
4. Using reputable sources, summarize actual research results of the claims or benefits from #3. Two paragraphs minimum.
5. Provide at least 2 references. Our textbook can be used for 1 of the 2 references. Use APA style and format when listing and citing your references. See the Week 2 folder for information on APA style.
6. Compare the information from #3 and #4. One paragraph minimum.
This Assignment must be typed, and please number the various parts of your submitted assignment (as noted in the Instructions above: 1, 2, and so on).
APA Format
Due Friday April 5, 2019
Running head: HEALTHCARE POLICY ASSESSMENT
1
HEALTHCARE POLICY ASSESSMENT
2
Healthcare Policy Assessment
Dr. Timothy Smith
Darrin Clanton
PAD 510: Introduction to Public Policy Analysis
January 18, 2019
Healthcare Policy Assessment
Introduction
A presidential administration often works towards the improvement of the society. This is done through the implementation of different federal policies which act as facilitators towards specific objectives. In America, it is possible to trace specific social challenges that have existed since time immemorial. The phenomenon has led to different presidential administrations instituting the same federal policy as an effort to r.
Comparing Magazine or Online Nutrition Information with Published.docxannette228280
Comparing Magazine or Online Nutrition Information* with Published Research.
Scientific research sometimes contraindicates nutrition information in Health and Fitness magazines or from retail supplement stores. The information may not be completely false, but the information could be exaggerated, embellished, or simply not based on research. However, the information could be very accurate.
1. Select an article about a specific nutrition recommendation or a specific nutrition supplement from a Health and Fitness magazine or website. Most Health and Fitness magazines and websites now hire a Nutrition and/or Fitness professional to write their nutrition related articles. Thus, instead of an article, you can choose information from a retail website, an online advertisement, or information listed on a supplement container.
Please note: supplements that are very new (so new that research has not yet been conducted) would not be a good choice for this assignment. Also, do not select Creatine, as its proposed benefits are well documented.
2. Research the same nutrition recommendation or supplement using sources such as published research, scientific journals, textbooks, or reliable websites (commonly ending with .edu, .gov, or .org).
Instructions
1. List your selected Nutrition Recommendation or Supplement.
2. List the exact source of the claims or proposed benefits (magazine, website, advertisement, actual supplement container, etc.). If possible, provide a web link. If using a print advertisement or supplement container, submit a picture or photo.
3. List the exact claims and/or proposed benefits from your selected magazine article, website, advertisement, commercial, or supplement container.
4. Using reputable sources, summarize actual research results of the claims or benefits from #3. Two paragraphs minimum.
5. Provide at least 2 references. Our textbook can be used for 1 of the 2 references. Use APA style and format when listing and citing your references. See the Week 2 folder for information on APA style.
6. Compare the information from #3 and #4. One paragraph minimum.
This Assignment must be typed, and please number the various parts of your submitted assignment (as noted in the Instructions above: 1, 2, and so on).
APA Format
Due Friday April 5, 2019
Running head: HEALTHCARE POLICY ASSESSMENT
1
HEALTHCARE POLICY ASSESSMENT
2
Healthcare Policy Assessment
Dr. Timothy Smith
Darrin Clanton
PAD 510: Introduction to Public Policy Analysis
January 18, 2019
Healthcare Policy Assessment
Introduction
A presidential administration often works towards the improvement of the society. This is done through the implementation of different federal policies which act as facilitators towards specific objectives. In America, it is possible to trace specific social challenges that have existed since time immemorial. The phenomenon has led to different presidential administrations instituting the same federal policy as an effort to r.
Final ProjectThe major written assignment, a Health Policy Ana.docxvoversbyobersby
Final Project
The major written assignment, a Health Policy Analysis, is due in Week Six. Completion of this paper will involve research utilizing selected websites and the Ashford Online Library.
You are employed as an analyst in a state governor’s office and have been asked to write a 15 to 20 page health policy analysis. Your analysis will include the following;
1. Problem Statement: A one to three sentence question in which you succinctly identify a health-related problem. Do not include any recommendations in your problem statement, but rather phrase your problem statement so that it lends itself to an analysis that considers several options.
2. Background: Explain why the problem has been selected for analysis. Provide statistics and background data to document the scope and nature of the problem.
3. Landscape Identification: Identify the key stakeholders and the factors that must be considered e.g. political, social, economic, practical, and legal factors when analyzing the problem. For each factor, your analysis should discuss relevant views of the identified stakeholders. You may organize this section by stakeholder or by factor. Some stakeholders may not have relevant views for all of the factors, but each stakeholder must be addressed as often as necessary to convey their policy position. The tone of the landscape section should be neutral and objective.
4. Alternatives Section: Provide three to five options to consider. This section is not just a statement of choices, but an analysis of each alternative by stating the positive/negative and pro/con aspects of pursuing each option. Analyze all your options equally, and avoid providing more detail for the option you plan to recommend. This section should be completely objective. In completing your alternatives section, you may wish to utilize any of the following criteria in your analysis: cost, cost-benefit, political feasibility, legality, administrative ease, fairness, timeliness, targeted impact. Identify and evaluate the impacts of these processes e.g. persons served, lives saved, hospital days avoided, people screened.
5. Side-by-side Tables of the Alternatives: Create descriptive or analytic tables of your alternatives in which you summarize key information. A descriptive table would provide a description of each option but not provide any analysis. An analytic table would assess the option based on the criteria chosen. Make sure to clearly label your tables.
6. Recommendations: Select one of your alternatives, and clearly differentiate it as the best option, making sure to provide a detailed explanation as to why it is preferred over the other options. Weigh the data/evidence and analyze it in terms of technical feasibility, political feasibility, or economic and financial viability. In addition, also identify what, if any, actions may be taken to mitigate or overcome the negative aspects of your selected recommendation. (You presented these in your Alternatives Secti ...
Health Reform in America: An Overview of the Patient Protection and Affordabl...Adam Dougherty
A lecture to the UC Davis School of Medicine community covering the basics of the health reform law passed in early 2010. Presented by Adam Dougherty, MPH, MS1
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JMeter webinar - integration with InfluxDB and GrafanaRTTS
Watch this recorded webinar about real-time monitoring of application performance. See how to integrate Apache JMeter, the open-source leader in performance testing, with InfluxDB, the open-source time-series database, and Grafana, the open-source analytics and visualization application.
In this webinar, we will review the benefits of leveraging InfluxDB and Grafana when executing load tests and demonstrate how these tools are used to visualize performance metrics.
Length: 30 minutes
Session Overview
-------------------------------------------
During this webinar, we will cover the following topics while demonstrating the integrations of JMeter, InfluxDB and Grafana:
- What out-of-the-box solutions are available for real-time monitoring JMeter tests?
- What are the benefits of integrating InfluxDB and Grafana into the load testing stack?
- Which features are provided by Grafana?
- Demonstration of InfluxDB and Grafana using a practice web application
To view the webinar recording, go to:
https://www.rttsweb.com/jmeter-integration-webinar
Epistemic Interaction - tuning interfaces to provide information for AI supportAlan Dix
Paper presented at SYNERGY workshop at AVI 2024, Genoa, Italy. 3rd June 2024
https://alandix.com/academic/papers/synergy2024-epistemic/
As machine learning integrates deeper into human-computer interactions, the concept of epistemic interaction emerges, aiming to refine these interactions to enhance system adaptability. This approach encourages minor, intentional adjustments in user behaviour to enrich the data available for system learning. This paper introduces epistemic interaction within the context of human-system communication, illustrating how deliberate interaction design can improve system understanding and adaptation. Through concrete examples, we demonstrate the potential of epistemic interaction to significantly advance human-computer interaction by leveraging intuitive human communication strategies to inform system design and functionality, offering a novel pathway for enriching user-system engagements.
The Art of the Pitch: WordPress Relationships and SalesLaura Byrne
Clients don’t know what they don’t know. What web solutions are right for them? How does WordPress come into the picture? How do you make sure you understand scope and timeline? What do you do if sometime changes?
All these questions and more will be explored as we talk about matching clients’ needs with what your agency offers without pulling teeth or pulling your hair out. Practical tips, and strategies for successful relationship building that leads to closing the deal.
Neuro-symbolic is not enough, we need neuro-*semantic*Frank van Harmelen
Neuro-symbolic (NeSy) AI is on the rise. However, simply machine learning on just any symbolic structure is not sufficient to really harvest the gains of NeSy. These will only be gained when the symbolic structures have an actual semantics. I give an operational definition of semantics as “predictable inference”.
All of this illustrated with link prediction over knowledge graphs, but the argument is general.
"Impact of front-end architecture on development cost", Viktor TurskyiFwdays
I have heard many times that architecture is not important for the front-end. Also, many times I have seen how developers implement features on the front-end just following the standard rules for a framework and think that this is enough to successfully launch the project, and then the project fails. How to prevent this and what approach to choose? I have launched dozens of complex projects and during the talk we will analyze which approaches have worked for me and which have not.
UiPath Test Automation using UiPath Test Suite series, part 3DianaGray10
Welcome to UiPath Test Automation using UiPath Test Suite series part 3. In this session, we will cover desktop automation along with UI automation.
Topics covered:
UI automation Introduction,
UI automation Sample
Desktop automation flow
Pradeep Chinnala, Senior Consultant Automation Developer @WonderBotz and UiPath MVP
Deepak Rai, Automation Practice Lead, Boundaryless Group and UiPath MVP
Kubernetes & AI - Beauty and the Beast !?! @KCD Istanbul 2024Tobias Schneck
As AI technology is pushing into IT I was wondering myself, as an “infrastructure container kubernetes guy”, how get this fancy AI technology get managed from an infrastructure operational view? Is it possible to apply our lovely cloud native principals as well? What benefit’s both technologies could bring to each other?
Let me take this questions and provide you a short journey through existing deployment models and use cases for AI software. On practical examples, we discuss what cloud/on-premise strategy we may need for applying it to our own infrastructure to get it to work from an enterprise perspective. I want to give an overview about infrastructure requirements and technologies, what could be beneficial or limiting your AI use cases in an enterprise environment. An interactive Demo will give you some insides, what approaches I got already working for real.
Key Trends Shaping the Future of Infrastructure.pdfCheryl Hung
Keynote at DIGIT West Expo, Glasgow on 29 May 2024.
Cheryl Hung, ochery.com
Sr Director, Infrastructure Ecosystem, Arm.
The key trends across hardware, cloud and open-source; exploring how these areas are likely to mature and develop over the short and long-term, and then considering how organisations can position themselves to adapt and thrive.
DevOps and Testing slides at DASA ConnectKari Kakkonen
My and Rik Marselis slides at 30.5.2024 DASA Connect conference. We discuss about what is testing, then what is agile testing and finally what is Testing in DevOps. Finally we had lovely workshop with the participants trying to find out different ways to think about quality and testing in different parts of the DevOps infinity loop.
3. Briefing:Health System Reform: Update Paul Keckley, Ph.D., Executive Director Deloitte Center for Health Solutions Washington, DC Nashville, TN August 6, 2009
44. Consumer inclined toward reform: “The system isn’t working very well…” Only 1 in 5 consumers give the U.S. health care system an above-average report card grade; those grading the system “F” outnumber those giving it an “A” by 6 to 1. Source: 2009 Survey of US Health Consumers 5
51. February 17: President Obama signs $787B stimulus package (America’s Recovery and Reconstruction Act) that includes $145B for health care
52. February 26: President announces “down payment on health reform”—a $634B 10-year fund to pay for long-term health reforms; cuts to pharmaceutical companies and Medicare Advantage plans plus increased taxes for those earning more than $250,000
53. March 11: Congress approves $410B appropriation to operate government through September 2009, including modest increases in a few areas of health care—primary care, NIH, National Service Corps
55. Presidential news conference on July 22, 2009:“health insurance reform” 1 Health reform is necessary to reduce escalating costs of the system that threaten economic recovery. The result of inaction is economic collapse: employers will drop employee benefits coverage or shift financial burdens to employees who cannot afford premiums. The “status quo” is not an option. 2 Reform of the system must be deficit neutral: added costs for covering “47 million lacking insurance” (there are actually 45.7 million) and changes to the delivery system must be offset by savings or new revenues. The White House believes a combination of two-thirds from savings and one-third from taxes on high income households is the appropriate funding mechanism. 3 The President supports a public plan option available to uninsured and under-insured individuals and small businesses. Repeating an oft-used phrase, the President supports the public plan option to “keep the plans honest” and provide competition to commercial plans. NOTE: A positive earnings report from “a major plan” released today was referenced as evidence plans benefit at the expense of patients by denying coverage or refusing to pay for needed care. 4 Agreement among legislators is a “work in progress”: there is agreement that individual mandates, a comparative effectiveness program, health insurance exchanges, fraud reduction, health information technology utilization and integrated delivery systems are key elements. Pressed about partisan issues and defections among moderate Democrats due to the costs of the plan, the President defaulted to the legislative process: messy, necessary, and soon to result in a reform bill. The forthcoming work in the Senate Finance Committee is a key part of the process. 5 Key industry stakeholders support the need for reform: in his remarks and responses to reporters’ questions, three references to AARP and two each to AMA, ANA and PhRMA were used to suggest the White House has industry support. 6 To deflect criticism of government intrusion in coverage decisions and payment calculations for providers, the White House supports the development of an independent board to make recommendations. Congress would have 30 days to prevent implementation based on a vote. It would make determinations about advisable diagnostic and therapeutics based on evidence and costs. It would also set payment rates for providers based on its assessment of comparative effectiveness and value. NOTE: Sen. Jay Rockefeller proposed MedPAC as the independent entity; OMB Director had previously proposed a new entity, IMAC (Independent Medicare Advisory Commission). 7 The President anticipates signing a bill in 2009 but did not state his determination of a bill by the August recess. 10
56. Key players: Congressional Committee leadership Senate Finance Committee Senate Health Education, Labor and Pensions CHUCK GRASSLEY: Senior Senator from Iowa TED KENNEDY: Senior Senator from Massachusetts MAX BAUCUS: Senior Senator from Montana House Ways and Means Committee House Energy and Commerce Committee House Education and Labor GEORGE MILLER: Member of the U.S. House of Representatives from California's 7th district CHARLES RANGEL: Member of the U.S. House of Representatives from New York’s 15th district HENRY WAXMAN: Member of the U.S. House of Representatives from California's 30th district 11
72. Looking under the covers - Measuring Quality/Value A Panel Discussion - August 6, 2009 John R Morrow www.HospitalValueIndex.com
73. A Panel Discussion - August 6, 2009 Agenda John R. Morrow – The Ratings Guy Justin Lansing – Credence Healthcare Eddie Pearson – Healthstream Miriam Paramore -- Emdeon
74. A Panel Discussion - August 6, 2009 What is Value?Why Transparency? Transparency is a form of openness, a medium of communication and a measure for accountability; opposite of privacy. Banking - R. Levine, policy of transparency improved efficiency Corporate – Sarbanes-Oxley Act – confidence in capital markets Management – PCAOB –oversight, independence, disclosures Media – FOIA provides access Politics – ethics, law, policy, economics, media, social new media Research – Peer review, double blinded clinical trial Sports – World Anti Doping Agency
75. A Panel Discussion - August 6, 2009 Transparency in Health Care Before HCFA realized it was a purchaser of health care we relied on FOIA for: Financial, and Operating Reports Clinical experience Outcomes Mortality Complications Research
76. A Panel Discussion - August 6, 2009 Transparency in Hospitals After CMS realized spending, utilization outcomes and experience were all different: Ratings outpaced CMS w/Web & social media Industry shamed by IOM findings Quality differentiation made markets Info systems and industry standards drive new insights Greater disclosures by CMS forces accountability Value based purchasing to determine reimbursement Better management embraces disclosure & accountability
77. A Panel Discussion - August 6, 2009 What We Can Now See Core Process Measures Patient Safety Indicators HCAHPS – Patient Experience Financial reporting Clinical reporting – RAMI, RACI, Post discharge mortality & readmissions Population utilization
78. A Panel Discussion - August 6, 2009 What We Want to See and Do Institutional – more of the same…faster. Purchaser/Employer Sponsored – what’s under the shell, what’s it all mean Consumer/Patient/Person – How about the real price? My personal records and data? Everything that John and thepanel can show me…Why Not?
79. A Panel Discussion - August 6, 2009 How? Defining Value by provider engages the patient/provider relationship For routine care, services are a commodity where quality is not always a factor, For complicated cases, experience with better outcomes becomes a factor, All require disclosure and transparency so the patient can apply their own value judgment and participate in their own decision making about utilization, Value incorporates all known aspects of outcomes with a published fair price.
80. A Panel Discussion - August 6, 2009 Value is what Value does Outcomes Mortality & Complication rates Patient Safety Indicator rates Readmission rates Efficiency rates Satisfaction & Experience Rates Post-discharge functional status SF-36 Affordability
81. A Panel Discussion - August 6, 2009 Value like Transparency Creates efficiencies, removes barriers Improves communication – EMR/PHR Differentiates to the community Form990 Integrates the patient into the care process Builds the foundation of the medical home Shares the responsibility and accountability Increases compliance; realigns priorities
82. A Panel Discussion - August 6, 2009 Your Panel Justin Lanning – Credence Healthcare Eddie Pearson – HealthStream Miriam Paramore – Emdeon John Morrow – www.HospitalValueIndex.com
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88. August 6, 2009 45 Transparency in Healthcare Miriam Paramore, SVP Strategy & Government Affairs
89. Emdeon: A Leader inToday’s National Health Information Network 155 million Patients 350,000 1,200 5 billion Providers Payers RCM & Payment Distribution Healthcare Information PBM Services ePrescribing Pharmacies 55,000 46 46 Emdeon – We make healthcare efficient.
93. What is Transparency Hard? 50 Emdeon – We make healthcare efficient. Price Healthcare is not retail – there is no price at the point of service What a hospital charges is not the “price” What an insurance company pays is the “price” But the consumer can’t buy at that “price” Quality Data is not digital Lack of standards means even digital data is meaningless There is no good clinical information exchange Consumer-friendly communication of medical terms is difficult
94. HIMSS Price and Quality Reporting White Paper (coming very soon) 51 HIMSS Financial Systems Steering Committee 6 Public-Private Collaborations 7 State & Local Initiatives 5 Value Driven Healthcare Initiatives 3 Business Coalitions Total = 21 separate initiatives
96. Where Does the Money Go? 85% 15% Admin Costs = $360 B Cost of Care = $2 T Total U.S. Healthcare Spend = $2.4 Trillion 53
97. “Gang of 6” Letter to President Obama 54 54 Emdeon – We make healthcare efficient.
98. “Gang of 6” Recommendations 55 Utilization of care Cost of doing business Administrative simplification: Streamlining the claims processing system will allow clinicians and other personnel to spend less time and fewer resources on paperwork, lowering costs for everyone. Chronic care 55 Emdeon – We make healthcare efficient.
100. U.S. Healthcare Efficiency Index™Advisory Council (partial list) 57 57 Emdeon – We make healthcare efficient.
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102. Peter Orzag: Cuts will save Medicare patients money “as much as $43 billion in reduced premiums for prescription drug coverage over the next 10 years.”$43 billion over 10 years through Medicare/Medicaid cuts vs. $150 billion over 5 years through HIT 58 Emdeon – We make healthcare efficient.
108. Panel Discussion: PHR, EHR or EMR – A real solution or just Alphabet soup? Moderator: Daniel Fell, Partner NDP Panelist: Steve Starkey, COO/CIO, HMS Mikell van derLaan, Manager of Architecture, CHS PHR EHR EMR
So I ask to consider – what would you do with an extra $30 billion dollars a year?There is a lot you could do – first and foremost help pay for the other things we need to do to address quality – and ensure greater focus on patient care.The first phase of the Index looked at industry data. Now we are gathering numbers in real time from payers, providers and clearinghouses to tell an even more accurate story – and document progress – and savings.I urge you to join our effort – get involved in the Index – and raising awareness of the opportunity to get immediate savings.And help us work together to overcome the few remaining barriers. Today we’re releasing a whitepaper – with the Center for Health Transformation – that looks at these opportunities – and provides a clear roadmap for collaboration.