on August 11th, 2015, Dave Carey and Matthew Brown from Harcourt Brown & Carey presented to representatives from New York's largest IOU's on on bill repayment and on bill finance
Sustainable Procurement Index for Health (SPIH) ClinicUN SPHS
Delivered by Arup at the Global Forum 2020 Sustainable Procurement Index for Health Clinic session.
Presenters:
Dr. Kristian Steele, Associate, Arup
Ms. Anna Tuddenham, Consultant, Arup
Mr. Terry Ellis, Senior Consultant, Arup
Mr. Callum Newman, Associate Director and Group Leader for International Development, Arup
on August 11th, 2015, Dave Carey and Matthew Brown from Harcourt Brown & Carey presented to representatives from New York's largest IOU's on on bill repayment and on bill finance
Sustainable Procurement Index for Health (SPIH) ClinicUN SPHS
Delivered by Arup at the Global Forum 2020 Sustainable Procurement Index for Health Clinic session.
Presenters:
Dr. Kristian Steele, Associate, Arup
Ms. Anna Tuddenham, Consultant, Arup
Mr. Terry Ellis, Senior Consultant, Arup
Mr. Callum Newman, Associate Director and Group Leader for International Development, Arup
Presentation on the Informatics contribution in social care by Terry Dafter, Director of Adult Social Care Stockport at Metropolitan Borough Council and Chair of ADASS IMG. Presented at the Local-Central Discovery Day on the Impacts of the Care Act in Leeds on 29 July 2014.
Adapting to change: How to future-ready your practicenetwealthInvest
To help you adapt and benefit from future trends, Jason Andriessen, managing director of Coredata, explores what you should be doing to position your business for growth and success.
Applying behavioural insights to demand side energy policies and programmes: ...Leonardo ENERGY
What behavioural factors act as barriers to energy saving behaviours, to the uptake of energy efficient, clean energy technologies and of sustainable mobility options? How can energy ministries, regulatory agencies and utilities leverage behavioural insights (BIs) to design and implement more effective energy policies and programmes?
In this webinar, Elisabetta Cornago from the International Energy Agency will present insights from the forthcoming Users TCP and IEA report on behavioural insights and demand side energy policy. Through the webinar, she will highlight behaviourally-informed policy interventions and programmes designed to encourage households and businesses to curb their energy consumption, to prompt investment in energy efficiency and in the uptake of renewable energy, and to encourage a shift to sustainable transport behaviours.
Oplægget blev holdt ved InfinIT-arrangementet "Sammenhængende patientforløb, sundheds-processer og it" afholdt den 20. april 2012. Læs mere om arrangementet på http://www.infinit.dk/dk/hvad_kan_vi_goere_for_dig/viden/reportager/en_forandret_sundhedssektor_med_it.htm
Presentations by Mike Kenny, Acting Co-Director of Enterprise and Growth, Innovation Agency and Dr Neil Paul, a GP and Board Member with Cheshire East ICP at the Excel in Health: Understanding the NHS Landscape webinar on Wednesday 11 May 2022.
Medicines Manufacturing Challenge EDI Survey Briefing WebinarKTN
In anticipation of the Medicines Manufacturing Challenge sending out an EDI survey to those involved in any projects funded under the programme, this webinar provides more context behind the request, an overview of the Innovate UK Equality, Diversity and Inclusion (EDI) programmes, and an opportunity for attendees to ask questions and get involved.
På Vitalis 2016 presenterades resultatet av en nordisk samverkan kring referensarkitektur för hemmonitorering. Inera var sveriges representant. I Oktober fick Inera i uppdrag att ta fram en svensk referensarkitektur som tillämpar den nordiska. Referensarkitekturen syftar till att beskiva de tekniska förutsättningarna för ett interoperabelt ekosystem för telemedicin, där olika komponenter kan anskaffas med så små inlåsningseffekter som möjligt. Föredraget beskriver arkitekturen för det tänkta ekosystemet och hur Ineras egna tjänster kan komma att samspela (Stöd- och behandling, 1177, Hjälpmedelstjänsten etc).
Presentation on the Informatics contribution in social care by Terry Dafter, Director of Adult Social Care Stockport at Metropolitan Borough Council and Chair of ADASS IMG. Presented at the Local-Central Discovery Day on the Impacts of the Care Act in Leeds on 29 July 2014.
Adapting to change: How to future-ready your practicenetwealthInvest
To help you adapt and benefit from future trends, Jason Andriessen, managing director of Coredata, explores what you should be doing to position your business for growth and success.
Applying behavioural insights to demand side energy policies and programmes: ...Leonardo ENERGY
What behavioural factors act as barriers to energy saving behaviours, to the uptake of energy efficient, clean energy technologies and of sustainable mobility options? How can energy ministries, regulatory agencies and utilities leverage behavioural insights (BIs) to design and implement more effective energy policies and programmes?
In this webinar, Elisabetta Cornago from the International Energy Agency will present insights from the forthcoming Users TCP and IEA report on behavioural insights and demand side energy policy. Through the webinar, she will highlight behaviourally-informed policy interventions and programmes designed to encourage households and businesses to curb their energy consumption, to prompt investment in energy efficiency and in the uptake of renewable energy, and to encourage a shift to sustainable transport behaviours.
Oplægget blev holdt ved InfinIT-arrangementet "Sammenhængende patientforløb, sundheds-processer og it" afholdt den 20. april 2012. Læs mere om arrangementet på http://www.infinit.dk/dk/hvad_kan_vi_goere_for_dig/viden/reportager/en_forandret_sundhedssektor_med_it.htm
Presentations by Mike Kenny, Acting Co-Director of Enterprise and Growth, Innovation Agency and Dr Neil Paul, a GP and Board Member with Cheshire East ICP at the Excel in Health: Understanding the NHS Landscape webinar on Wednesday 11 May 2022.
Medicines Manufacturing Challenge EDI Survey Briefing WebinarKTN
In anticipation of the Medicines Manufacturing Challenge sending out an EDI survey to those involved in any projects funded under the programme, this webinar provides more context behind the request, an overview of the Innovate UK Equality, Diversity and Inclusion (EDI) programmes, and an opportunity for attendees to ask questions and get involved.
På Vitalis 2016 presenterades resultatet av en nordisk samverkan kring referensarkitektur för hemmonitorering. Inera var sveriges representant. I Oktober fick Inera i uppdrag att ta fram en svensk referensarkitektur som tillämpar den nordiska. Referensarkitekturen syftar till att beskiva de tekniska förutsättningarna för ett interoperabelt ekosystem för telemedicin, där olika komponenter kan anskaffas med så små inlåsningseffekter som möjligt. Föredraget beskriver arkitekturen för det tänkta ekosystemet och hur Ineras egna tjänster kan komma att samspela (Stöd- och behandling, 1177, Hjälpmedelstjänsten etc).
How Sweden improved patient self service with ehealthJohan Eltes
Since 2006, a national Health Advice Line – 1177 - has been Swedish residents first point of contact with healthcare. In 2006, a national patient portal was set up to facilitate form based, secure information exchange between patients and Swedish care providers. The next step was to introduce fully digitalized self-service e-services. These services offload health care personnel from manual registration tasks and improves the service to the patients. As an example, 1177 provides a national e-service for online appointment management with primary care providers across the country. Another e-service of the national patient portal provides online access to electronic health records from the majority of the EHR systems of Sweden’s 21 county councils and 300 municipalities. The appointment e-service has had a linear increase in patient transactions, starting at 25 000 per year with a current rate of 1,2 million per year. The current development is focused on tele medicine services (a national platform for remote treatment programs), the ability for the patient to share EHR data with apps and services and a national architecture for personal connected health (home monitoring). The presentation gives an overview of e-services offered to patients, their adoption and share some lessons learned.
[Swedish] Presentation från Vitalis 2012 på temat "Innovativ tjänsteutveckling på öppna marknaden – Vad gör det offentliga för att stödja det?". Beskriver en pilot med OAuth2 so modell för att på patientens villkor tillgängliggöra patientdata till tredje-partsappar.
Within DDD, the idea is to allocate all logic (as much as feasible) to the entity POJOs. This often includes logic of the following categories: accessing state (setters, getters, navigation and change of object graph), validating the state, calculation of derived attributes (calculating order sum of an order) and event processing (action-logic triggered by changes to the state of an entity, such as producing a shipment note when the order state is changed to “ready-for-shipment”). With large systems, there are usually context-specific (e.g. use-case-specific) needs that influence what methods we add to the domain classes. This creates problems over time when there are a lot of context-specific change requests that require new versions of a shared domain model implementation. With dynamic languages it is straightforward to separate these concerns without sacrificing the sought-after programming model of "intelligent pojos". There is also a new architecture (DCI) that take the reasoning further, towards a formal architecture for separation of concerns that is driven by the same core problem: how to get the fruit of DDD without the downside of a fragile domain model? This presentation illustrates pragmatic CDI with the power of a dynamic language (Groovy).
Explore our infographic on 'Essential Metrics for Palliative Care Management' which highlights key performance indicators crucial for enhancing the quality and efficiency of palliative care services.
This visual guide breaks down important metrics across four categories: Patient-Centered Metrics, Care Efficiency Metrics, Quality of Life Metrics, and Staff Metrics. Each section is designed to help healthcare professionals monitor and improve care delivery for patients facing serious illnesses. Understand how to implement these metrics in your palliative care practices for better outcomes and higher satisfaction levels.
ICH Guidelines for Pharmacovigilance.pdfNEHA GUPTA
The "ICH Guidelines for Pharmacovigilance" PDF provides a comprehensive overview of the International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) guidelines related to pharmacovigilance. These guidelines aim to ensure that drugs are safe and effective for patients by monitoring and assessing adverse effects, ensuring proper reporting systems, and improving risk management practices. The document is essential for professionals in the pharmaceutical industry, regulatory authorities, and healthcare providers, offering detailed procedures and standards for pharmacovigilance activities to enhance drug safety and protect public health.
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
The Importance of Community Nursing Care.pdfAD Healthcare
NDIS and Community 24/7 Nursing Care is a specific type of support that may be provided under the NDIS for individuals with complex medical needs who require ongoing nursing care in a community setting, such as their home or a supported accommodation facility.
How many patients does case series should have In comparison to case reports.pdfpubrica101
Pubrica’s team of researchers and writers create scientific and medical research articles, which may be important resources for authors and practitioners. Pubrica medical writers assist you in creating and revising the introduction by alerting the reader to gaps in the chosen study subject. Our professionals understand the order in which the hypothesis topic is followed by the broad subject, the issue, and the backdrop.
https://pubrica.com/academy/case-study-or-series/how-many-patients-does-case-series-should-have-in-comparison-to-case-reports/
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
Health Education on prevention of hypertensionRadhika kulvi
Hypertension is a chronic condition of concern due to its role in the causation of coronary heart diseases. Hypertension is a worldwide epidemic and important risk factor for coronary artery disease, stroke and renal diseases. Blood pressure is the force exerted by the blood against the walls of the blood vessels and is sufficient to maintain tissue perfusion during activity and rest. Hypertension is sustained elevation of BP. In adults, HTN exists when systolic blood pressure is equal to or greater than 140mmHg or diastolic BP is equal to or greater than 90mmHg. The
Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
Telehealth psychology is a digital approach that offers psychological services and mental health care to clients remotely, using technologies like video conferencing, phone calls, text messaging, and mobile apps for communication.
Telehealth Psychology Building Trust with Clients.pptx
Nordic reference architecture personal connected health
1. A Nordic reference architecture
for Personal Connected Health
and Care
Presentation of version 1
2. • What is personal connected health and why does it depend
on standards?
• Why coordinate standards and architecture across the
Nordics?
• Vendor comments to version one
• Some thoughts on next steps
• Q&A
Agenda
3. The reality without standards – citizen perspective
At the home of the
Citizen
Health Care
Home Care
Home care tele
health solution
Diabetes tele
health solution
Geriatric tele
health solution
4. Standards simplify consolidation in the home setting
At the home of the
Citizen
Health Care
Home Care
Home care tele
health solution
Diabetes tele
health solution
Geriatric tele
health solution
5. The reality without standards - healthcare professional
Health or home
Care
Electronic health
record
KOL tele care
solution
At the home of the
Citizen
6. A shared set of standards reduces the amount of double
registration
Health or home
Care
Electronic health
record
KOL tele care
solution
At Home of the
Citizen
7. The reality without standards - market/vendor perspective
At the home of the
Citizen
Health or home
Care
Electronic health
record system
vendor
Diabetes tele
care solution
€
€€
€
A vendor has to invest in
integrations specific to
each customer - 4
customers means 4 times
the cost. And we all know
who pays the bill!
8. Standards reduce cost for actors on the Nordic e-health market
At the home of the
Citizen
Health or home
Care
Electronic health
record system
vendor
Diabetes tele care
cloud solution
€
Using standards, One
integration fits all
customers - 4 customers
shares the cost of 1
integration.
9. Requires coordinated standards selection
At the home of the
Citizen
Coordinated
standards
selections
Vendor 1Vendor 2
Vendor 3
Vendor 4
15. Request for market comments
• Conducted in Denmark, Finland, Norway and Sweden
• Is the purpose of the reference architecture of relevance to you?
– Yes (with comments)
• Does the document give valuable guidance regarding the level of alignment in terms of standards
selections across the Nordics?
– Yes (with comments)
• Are the country-specific sections of value?
– Yes (with comments)
• Are the country-specific sections at the right level of detail and scope?
– Yes
• Is the level of alignment (structure, content, format) of the country specific sections purposeful?
– Yes
• Additional comments and propositions for further development?
– Extensive comments (summarized on next slide)
16. Comments and propositions for further development
• A common nordic reference architecture is important and all vendors give good
feedback on the intention and work in general
• The PCH solutions need integration with core backend services (such as EHR)
• They request more detailed description of security, architecture, storage etc.
• The perspective of the municipalities need to be addressed in future version
• It should be noted if and how this cooperation relates to legal issues, i.e. MDR or
GDPR
• Sharing collected data back to patients health tools is missing
17. Thoughts on next steps
• Role of national actors? Role of industry?
• Contradictory needs: broaden scope vs deepen scope and add detail
• Vendors need further details (which would be best addressed outside the
reference architecture in different SDOs PCHA, HL7, IHE)
• How to deliver true interoperability without the details?
• We need to evaluate if more formal collaboration and resources should be
allocated
18. Questions? Comments?
Meet us at the Inera booth!
Thursday, April 27th
between 9.20-9.40
Thor Schliemann
Lars Kristian Roland
Johan Eltes