The Nuts & Bolts of Integrating Health Technology Assessment in Care Pathways...Brenda Rehaluk
This MA organizational change project was sponsored by the Alberta Health Services (AHS), Strategic Clinical Network, Health Technology Assessment and Adoption (SCN, HTAA) team. This research project's overarching question was on how can health technology assessment be used effectively in clinical care pathways and clinical practice guideline development.
Findings: Health technology assessment (HTA) creates a common language among health care providers to improve engagement and patient centred care. Optimization of health technology assessment involves the development of relationships, education, and simple technological tools to create a culture of HTA acceptance.
Two of the New York metro area’s largest provider organizations will share their experiences leveraging HIE as one of many tools to decrease fragmentation of care and improve patients’ experiences across acute and post-acute care settings for patients undergoing elective surgeries. Representatives from NYULMC and VNSNY will summarize their efforts to redesign more personalized specific care pathways and the central role played by the implementation of real-time data exchange to provide a seamless transfer of clinical data between providers caring for the patient at the time of discharge and throughout the post-acute period.
• Kathleen Mullaly - Senior Director for Clinical Operations, Department of Network Integration, NYU Langone Medical Center
• Amy Weiss - Director for Strategic Account Development, Integrated Delivery Systems, Visiting Nurse Service of New York (VNSNY)
New York eHealth Collaborative Digital Health Conference
November 18, 2014
Webinar: Transforming Operational Throughput – The Journey Toward Value-Based...Huron Consulting Group
At the 2014 Children’s Hospital Association Annual Leadership Conference, Huron Healthcare and Texas Children’s Hospital (TCH) presented an educational session on the journey toward value-based care.
In the presentation, Huron Healthcare managing director, Larry Burnett, TCH Senior Vice President, Tabitha Rice, and TCH Assistant Vice President of nursing, Jackie Ward, shared valuable insights from their work together at TCH. Focusing on insights and results from TCH’s engagement with Huron Healthcare, the presentation includes:
• Opportunities and results at TCH in areas including care management, care progression, patient placement, and care variation.
• Keys to driving results, successful change, and integrated care delivery
• Steps for a sustainable approach
Effective Healthcare Data Governance Strategy Propels Data TransformationHealth Catalyst
Data governance often has negative connotations, such as contention, complexity, or tedium. In addition, the challenges associated with effective data governance—including breaking down long-existing data silos, a lack of trust in the data, and executive buy-in—can further thwart progress. There are, however, better ways to perform healthcare data governance. Join this webinar with Phillip Rowell, Vice President of Clinical and Business Intelligence at Carle Health and Bryan Hinton, Chief Technology Officer at Health Catalyst, to learn how proven approaches and a shared vision for data governance allow health systems to maximize data, their greatest asset.
Participants will learn the following:
• The common pitfalls of data governance and how to address them.
• How to use the momentum from the data procurement stage to develop an effective data governance strategy.
• The positive results health systems can achieve from effective data governance.
Introducing Health Catalyst University: An Innovative Approach for Accelerati...Health Catalyst
Anyone involved in healthcare knows we need to improve quality and lower costs—but where do you start? And how do you reduce the time it takes to realize improvements after deciding on a course of action? Then there’s the added responsibility of managing the transition to risk-based payment models where the consequences of getting it wrong increase with each passing year.
For these reasons we feel compelled to break from our standard webinar routine and present a new webinar, where we will introduce the Health Catalyst University’s Accelerated Practices (AP) Program, a unique learning experience that has been designed to help you tackle these problems. First, you will hear from Tommy Prewitt, MD, director of the Healthcare Delivery Institute at HORNE LLP. He will share his perspective about the need for change. He will also talk about how programs like ours are critical to surviving and thriving in this new era of healthcare. Then you will hear from Bryan Oshiro, MD, senior vice president and chief medical officer of Health Catalyst. He will explain how the AP Program equips you with the tools and knowledge to mobilize others in accelerating outcomes improvement work and sustaining the gains.
In specific, Tommy Prewitt, MD, will discuss:
The problems the industry is facing
How variations in care delivery impact quality and cost
The value of giving clinicians the right tools to effectively use data to drive outcomes improvement
Sustainable improvements course participants have achieved by attending HORNE’s Advanced Training Program
In specific, Bryan Oshiro, MD, will discuss:
The components required to make a quality improvement training course successful
The need for course participants to apply the science of improvement to course projects in a practical, immersive format
Why leaders need to learn how to understand the nuances of human behavior as a way to affect positive change
The return on investment a quality improvement training program such as Health Catalyst’s Accelerated Practices (AP) Program provides
What attendees of the AP Program will learn
Both presenters are graduates of and proponents for Intermountain’s Advanced Training Program (ATP), a quality improvement program started by Brent James, MD. Their goals with this webinar are to give you greater insight to the problems the industry is facing and a renewed sense of purpose knowing that resources are available to help you through this challenging time.
The Nuts & Bolts of Integrating Health Technology Assessment in Care Pathways...Brenda Rehaluk
This MA organizational change project was sponsored by the Alberta Health Services (AHS), Strategic Clinical Network, Health Technology Assessment and Adoption (SCN, HTAA) team. This research project's overarching question was on how can health technology assessment be used effectively in clinical care pathways and clinical practice guideline development.
Findings: Health technology assessment (HTA) creates a common language among health care providers to improve engagement and patient centred care. Optimization of health technology assessment involves the development of relationships, education, and simple technological tools to create a culture of HTA acceptance.
Two of the New York metro area’s largest provider organizations will share their experiences leveraging HIE as one of many tools to decrease fragmentation of care and improve patients’ experiences across acute and post-acute care settings for patients undergoing elective surgeries. Representatives from NYULMC and VNSNY will summarize their efforts to redesign more personalized specific care pathways and the central role played by the implementation of real-time data exchange to provide a seamless transfer of clinical data between providers caring for the patient at the time of discharge and throughout the post-acute period.
• Kathleen Mullaly - Senior Director for Clinical Operations, Department of Network Integration, NYU Langone Medical Center
• Amy Weiss - Director for Strategic Account Development, Integrated Delivery Systems, Visiting Nurse Service of New York (VNSNY)
New York eHealth Collaborative Digital Health Conference
November 18, 2014
Webinar: Transforming Operational Throughput – The Journey Toward Value-Based...Huron Consulting Group
At the 2014 Children’s Hospital Association Annual Leadership Conference, Huron Healthcare and Texas Children’s Hospital (TCH) presented an educational session on the journey toward value-based care.
In the presentation, Huron Healthcare managing director, Larry Burnett, TCH Senior Vice President, Tabitha Rice, and TCH Assistant Vice President of nursing, Jackie Ward, shared valuable insights from their work together at TCH. Focusing on insights and results from TCH’s engagement with Huron Healthcare, the presentation includes:
• Opportunities and results at TCH in areas including care management, care progression, patient placement, and care variation.
• Keys to driving results, successful change, and integrated care delivery
• Steps for a sustainable approach
Effective Healthcare Data Governance Strategy Propels Data TransformationHealth Catalyst
Data governance often has negative connotations, such as contention, complexity, or tedium. In addition, the challenges associated with effective data governance—including breaking down long-existing data silos, a lack of trust in the data, and executive buy-in—can further thwart progress. There are, however, better ways to perform healthcare data governance. Join this webinar with Phillip Rowell, Vice President of Clinical and Business Intelligence at Carle Health and Bryan Hinton, Chief Technology Officer at Health Catalyst, to learn how proven approaches and a shared vision for data governance allow health systems to maximize data, their greatest asset.
Participants will learn the following:
• The common pitfalls of data governance and how to address them.
• How to use the momentum from the data procurement stage to develop an effective data governance strategy.
• The positive results health systems can achieve from effective data governance.
Introducing Health Catalyst University: An Innovative Approach for Accelerati...Health Catalyst
Anyone involved in healthcare knows we need to improve quality and lower costs—but where do you start? And how do you reduce the time it takes to realize improvements after deciding on a course of action? Then there’s the added responsibility of managing the transition to risk-based payment models where the consequences of getting it wrong increase with each passing year.
For these reasons we feel compelled to break from our standard webinar routine and present a new webinar, where we will introduce the Health Catalyst University’s Accelerated Practices (AP) Program, a unique learning experience that has been designed to help you tackle these problems. First, you will hear from Tommy Prewitt, MD, director of the Healthcare Delivery Institute at HORNE LLP. He will share his perspective about the need for change. He will also talk about how programs like ours are critical to surviving and thriving in this new era of healthcare. Then you will hear from Bryan Oshiro, MD, senior vice president and chief medical officer of Health Catalyst. He will explain how the AP Program equips you with the tools and knowledge to mobilize others in accelerating outcomes improvement work and sustaining the gains.
In specific, Tommy Prewitt, MD, will discuss:
The problems the industry is facing
How variations in care delivery impact quality and cost
The value of giving clinicians the right tools to effectively use data to drive outcomes improvement
Sustainable improvements course participants have achieved by attending HORNE’s Advanced Training Program
In specific, Bryan Oshiro, MD, will discuss:
The components required to make a quality improvement training course successful
The need for course participants to apply the science of improvement to course projects in a practical, immersive format
Why leaders need to learn how to understand the nuances of human behavior as a way to affect positive change
The return on investment a quality improvement training program such as Health Catalyst’s Accelerated Practices (AP) Program provides
What attendees of the AP Program will learn
Both presenters are graduates of and proponents for Intermountain’s Advanced Training Program (ATP), a quality improvement program started by Brent James, MD. Their goals with this webinar are to give you greater insight to the problems the industry is facing and a renewed sense of purpose knowing that resources are available to help you through this challenging time.
Microsoft: A Waking Giant in Healthcare Analytics and Big DataDale Sanders
Ten years ago, critics didn’t believe that Microsoft could scale in the second generation of relational data warehouses, but they did. More recently, many of these same pundits have criticized Microsoft for missing the technology wave du jour in cloud offerings, mobile technology, and big data. But, once again, Microsoft has been quietly reengineering its culture and products, and as a result, they now offer the best value and most visionary platform for cloud services, big data, and analytics in healthcare.
Purpose of the Call:
•Speakers from AHS will share:
•AHS’ approach to measurement for improvement (MedRec)
•Lessons learned throughout our measurement journey
•Their approach to using data to drive change at the frontline
Purpose of the call:
To learn about:
•successful strategies and approaches to engage patients and caregivers in MedRec,
•how teams effectively dialogue with patients and their caregivers on the benefits of having an accurate medication list, and
•the development of paper and electronic tools and resources created for patients and their caregivers to create and maintain their medication lists.
Watch the webinar http://bit.ly/1fnE61V
Grand Round: RITHIM — A New Approach to Research in ManitobaCHICommunications
Research Improvements Through Harmonization in Manitoba (RITHIM) is the next step in streamlining and improving the research process. Together, we can improve the lives of Manitobans.
Webinar: Thriving in the New Healthcare Environment: 3 Key StrategiesModern Healthcare
www.modernhealthcare.com/article/20140512/SPONSORED/305129926/webinar-thriving-in-the-new-healthcare-environment-3-key-strategies
Many CEOs are looking to make cost and revenue improvements between 20 and 40 percent. Attend this webinar to hear success strategies from two leading CEOs.
20 Years in Healthcare Analytics & Data Warehousing: What did we learn? What'...Health Catalyst
The enterprise data warehouse (EDW) at Intermountain Healthcare went live in 1998. The EDW at Northwestern Medicine went live in 2006. Dale Sanders was the chief architect and strategist for both. The business inspiration behind Health Catalyst was, in essence, to create the commercial availability of the technology, analytics, and data utilization skills associated with these systems at Intermountain and Northwestern. Lee Pierce assumed leadership of the Intermountain EDW in 2008. Andrew Winter assumed leadership of the Northwestern EDW in 2009, and transitioned leadership of the EDW to Shakeeb Akhter in 2016. This webinar is a fireside chat among friends and colleagues as they look back across their healthcare IT decisions to answer these questions:
What did we do right and what did we do wrong?
What advice do we have for others in this emerging era of Big Data?
What does the future of analytics and Big Data look like in healthcare?
Introduction to Population Health Analytics, Predictive Analytics, Big Data a...Frank Wang
UNH HCAD 6635 Healthcare Analytics Session 12, the last session of Health Information Analytics. Details of the topics of this session will be covered in HCAD 6637 "Advanced Analytics and Health Data Mining"
Delivering the Healthcare Pricing Transparency That Consumers Are DemandingHealth Catalyst
Can you imagine having your detailed healthcare pricing published in the Wall Street Journal? The thought makes most health systems cringe with concern that they’d lose money on the unknown. And yet every other major consumer category includes pricing up front. Amazingly, one health system has developed just such a care model for most major specialties that is predictable and completely transparent. Join us in this webinar to learn how they did it. You’ll get amazing insight into the importance of their quality measures and actual, daily costing for each procedure, not just allocated costs.
Double Redundancy with AWS Direct Connect - Pop-up Loft Tel AvivAmazon Web Services
AWS Direct Connect provides low latency and high performance connectivity to the AWS cloud by allowing the provision of physical fiber from the customer’s location or data center into AWS Direct Connect points of presence. This session covers design considerations around AWS Direct Connect solutions. We will discuss how to design and configure physical and logical redundancy using both physically redundant fibers and logical VPN connectivity, and includes a live demo showing both the configuration and the failure of a doubly redundant connectivity solution. This session is for network engineers/architects, technical professionals, and infrastructure managers who have a working knowledge of Amazon VPC, Amazon EC2, general networking, and routing protocols.
Microsoft: A Waking Giant in Healthcare Analytics and Big DataDale Sanders
Ten years ago, critics didn’t believe that Microsoft could scale in the second generation of relational data warehouses, but they did. More recently, many of these same pundits have criticized Microsoft for missing the technology wave du jour in cloud offerings, mobile technology, and big data. But, once again, Microsoft has been quietly reengineering its culture and products, and as a result, they now offer the best value and most visionary platform for cloud services, big data, and analytics in healthcare.
Purpose of the Call:
•Speakers from AHS will share:
•AHS’ approach to measurement for improvement (MedRec)
•Lessons learned throughout our measurement journey
•Their approach to using data to drive change at the frontline
Purpose of the call:
To learn about:
•successful strategies and approaches to engage patients and caregivers in MedRec,
•how teams effectively dialogue with patients and their caregivers on the benefits of having an accurate medication list, and
•the development of paper and electronic tools and resources created for patients and their caregivers to create and maintain their medication lists.
Watch the webinar http://bit.ly/1fnE61V
Grand Round: RITHIM — A New Approach to Research in ManitobaCHICommunications
Research Improvements Through Harmonization in Manitoba (RITHIM) is the next step in streamlining and improving the research process. Together, we can improve the lives of Manitobans.
Webinar: Thriving in the New Healthcare Environment: 3 Key StrategiesModern Healthcare
www.modernhealthcare.com/article/20140512/SPONSORED/305129926/webinar-thriving-in-the-new-healthcare-environment-3-key-strategies
Many CEOs are looking to make cost and revenue improvements between 20 and 40 percent. Attend this webinar to hear success strategies from two leading CEOs.
20 Years in Healthcare Analytics & Data Warehousing: What did we learn? What'...Health Catalyst
The enterprise data warehouse (EDW) at Intermountain Healthcare went live in 1998. The EDW at Northwestern Medicine went live in 2006. Dale Sanders was the chief architect and strategist for both. The business inspiration behind Health Catalyst was, in essence, to create the commercial availability of the technology, analytics, and data utilization skills associated with these systems at Intermountain and Northwestern. Lee Pierce assumed leadership of the Intermountain EDW in 2008. Andrew Winter assumed leadership of the Northwestern EDW in 2009, and transitioned leadership of the EDW to Shakeeb Akhter in 2016. This webinar is a fireside chat among friends and colleagues as they look back across their healthcare IT decisions to answer these questions:
What did we do right and what did we do wrong?
What advice do we have for others in this emerging era of Big Data?
What does the future of analytics and Big Data look like in healthcare?
Introduction to Population Health Analytics, Predictive Analytics, Big Data a...Frank Wang
UNH HCAD 6635 Healthcare Analytics Session 12, the last session of Health Information Analytics. Details of the topics of this session will be covered in HCAD 6637 "Advanced Analytics and Health Data Mining"
Delivering the Healthcare Pricing Transparency That Consumers Are DemandingHealth Catalyst
Can you imagine having your detailed healthcare pricing published in the Wall Street Journal? The thought makes most health systems cringe with concern that they’d lose money on the unknown. And yet every other major consumer category includes pricing up front. Amazingly, one health system has developed just such a care model for most major specialties that is predictable and completely transparent. Join us in this webinar to learn how they did it. You’ll get amazing insight into the importance of their quality measures and actual, daily costing for each procedure, not just allocated costs.
Double Redundancy with AWS Direct Connect - Pop-up Loft Tel AvivAmazon Web Services
AWS Direct Connect provides low latency and high performance connectivity to the AWS cloud by allowing the provision of physical fiber from the customer’s location or data center into AWS Direct Connect points of presence. This session covers design considerations around AWS Direct Connect solutions. We will discuss how to design and configure physical and logical redundancy using both physically redundant fibers and logical VPN connectivity, and includes a live demo showing both the configuration and the failure of a doubly redundant connectivity solution. This session is for network engineers/architects, technical professionals, and infrastructure managers who have a working knowledge of Amazon VPC, Amazon EC2, general networking, and routing protocols.
Description of Highly Distributed Applications and Programmable Infrastructur...EU ARCADIA PROJECT
This deliverable poses the foundation to start the technical activities in the ARCADIA project. In this
respect, it sets the bases for a common and shared vision of the problem and provides the basic set of design and implementation guidelines. The purpose for a common vision is to agree on the problem definition, to share basic knowledge among partners from different fields (mainly software development, computing and networking), and to identify the main research challenges to be addressed. The guidelines to drive the project activities are expressed in terms of requirements.
Requirements are meant to drive the design and development process; they are the constraints that
will help the final framework to best match the initial vision and to satisfy the technological challenges.
Many teams struggle with getting user stories small enough and sufficiently understood for planning and delivery. Slicing user stories so they are valuable and actionable is collaborative work - involving the Product Owner, Scrum Master and the team. See how slicing user stories accelerates ongoing backlog refinement, helps sprint and release planning, and increases delivered value.
These are slides from the webinar presented by the co-creator of Scrum, Jeff Sutherland, and the industry's leading expert on story-slicing, Ellen Gottesdiener, on February 24th 2016.
Contact ellen@ebgconsulting.com if you are interested listening to the recording.
Discover how Covid-19 is accelerating the need for healthcare interoperabilit...Denodo
Watch full webinar here: https://bit.ly/3cZDAvo
As COVID -19 continues to challenge entire healthcare ecosystems and forcing healthcare organizations to pivot without much notice, patient information interoperability and data transparency are increasingly taking center stage among healthcare stakeholders. This year, a new set of federal guidelines giving patients more access to their data goes into effect, improving interoperability. Even without this, most healthcare stakeholders would agree that better, and mobile, access, and interoperability of information could improve care and save time and lives.
Watch on-demand this webinar to learn:
- How health IT interoperability can help your healthcare organization move forward to better health reporting, patient matching and care coordination in 2021 and beyond.
- How to set up your healthcare organization for success through more information transparency, how this can help your healthcare stakeholders.
- COVID 19 has given federal agencies a lot of momentum to move even more quickly regarding implementing interoperability rules, what does this mean for your organization?
Webinar on Quality Improvement Strategies in a Team-Based Care Environment CHC Connecticut
Building a quality improvement (QI) infrastructure within team-based care is an organizational strategy that will establish a culture of continuous improvement across departments and improve quality in all domains of performance. Many positions in primary care now require QI training as part of employees' professional development.
Our expert faculty discuss tools you can use to build and implement a QI infrastructure within your team-based setting to improve patient care.
Panelists:
• Deb Ward, RN, Senior Quality Improvement Manager, Community Health Center, Inc.
• Kathleen Thies, PhD, RN, Consultant, Researcher, Weitzman Institute
Translating Emergency Knowledge for Kids (TREKK) 2012/13 Annual Report Summarytrekkcanada
A summary of the 2012/13 annual report for Translating Emergency Knowledge for Kids (TREKK) - a knowledge mobilization initiative funded by the Government of Canada to improve emergency care for children and families
Data science and the use of big data in healthcare delivery could revolutionize the field by decreasing costs and vastly improving efficiency and outcomes. There is an abundance of healthcare data in Canada, but it is mostly siloed and difficult to access due to privacy and security challenges. This session will offer insights into best practices for healthcare analytics programs, as well as use cases that demonstrate the potential benefits that can be realized through this work.
NTTAP Webinar Series - April 13, 2023: Quality Improvement Strategies in a Te...CHC Connecticut
Join us for a webinar on quality improvement in team-based care!
Building a quality improvement (QI) infrastructure within team-based care is an organizational strategy that will establish a culture of continuous improvement across departments and improve quality in all domains of performance.
Participants will learn about:
• QI infrastructure
• Facilitating QI committees
• Coach training within health centers
Faculty will also provide an example of how trained coaches use QI tools to test and implement changes within an organization.
Measuring Family Experience of Care Integration to Improve Care Delivery LucilePackardFoundation
The family perception of care integration is essential in identifying opportunities to improve processes of care coordination and care management. This June 15 webinar introduced the Pediatric Integrated Care Survey (PICS), a validated instrument developed by Richard Antonelli, MD, MS, Medical Director of Integrated Care at Boston Children's Hospital, and his team. The instrument assesses family experience of care integration. It asks family respondents to identify the members of their child's/youth's care team and report on their experiences with integration across disciplines, institutions, and communities.
Network physicians, hospitals, and other care continuum providers work collaboratively in active clinical process improvement programs across service lines and specialties to define, establish, implement, monitor, evaluate and periodically update the processes of:
- Evidence-based medicine
- Beneficiary engagement
- Care coordination
- Conservation of healthcare resources
- Clinical data reporting
Oct 25 CAPHC Concurrent Symposium - Sleep Disorders - Dr. Penny Corkum and ...Glenna Gosewich
CAPHC Concurrent Symposium
Sleep Disorders in Canadian Children: What Can We Do to Ensure Better Nights and Better Days for Children and their Families?
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
LGBTQ+ Adults: Unique Opportunities and Inclusive Approaches to CareVITASAuthor
This webinar helps clinicians understand the unique healthcare needs of the LGBTQ+ community, primarily in relation to end-of-life care. Topics include social and cultural background and challenges, healthcare disparities, advanced care planning, and strategies for reaching the community and improving quality of care.
Empowering ACOs: Leveraging Quality Management Tools for MIPS and BeyondHealth Catalyst
Join us as we delve into the crucial realm of quality reporting for MSSP (Medicare Shared Savings Program) Accountable Care Organizations (ACOs).
In this session, we will explore how a robust quality management solution can empower your organization to meet regulatory requirements and improve processes for MIPS reporting and internal quality programs. Learn how our MeasureAble application enables compliance and fosters continuous improvement.
This document is designed as an introductory to medical students,nursing students,midwives or other healthcare trainees to improve their understanding about how health system in Sri Lanka cares children 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.
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.
For those battling kidney disease and exploring treatment options, understanding when to consider a kidney transplant is crucial. This guide aims to provide valuable insights into the circumstances under which a kidney transplant at the renowned Hiranandani Hospital may be the most appropriate course of action. By addressing the key indicators and factors involved, we hope to empower patients and their families to make informed decisions about their kidney care journey.
TOP AND BEST GLUTE BUILDER A 606 | Fitking FitnessFitking Fitness
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Oct 24 CAPHC Breakfast Symposium - Sponsored by CIHI
1. Canadian Institute for Health Information
cihi.ca @cihi_icis
It Takes a Village: Working Together to
Develop a Pan-Canadian Paediatric
Rehabilitation Reporting System (PRRS)
October 24, 2016
• Sonia Pagura, Holland Bloorview Kids Rehabilitation Hospital
• Adrienne Zarem, Family Leader at Holland Bloorview
• Siam Javeid, Canadian Association of Paediatric Health Centres
• Anne Forsyth, Canadian Institute for Health Information
• Ryan Metcalfe, Canadian Institute for Health Information
2. 2
About CIHI
The Canadian Institute for Health Information (CIHI)
is an independent, not-for-profit organization that
provides essential information on Canada’s health
systems and the health of Canadians.
3. 3
The PRRS Story – Today’s Agenda
•Introduction of the Village
•The Motivation: The Gap, The Need
•Data Collection, Submission & Reporting
•National Implementation Strategy
•A Family’s Journey: Involvement and Impact
•The Future & Keys to Success
4. 4
The Village
• Canadian Association of Paediatric Health Centres (CAPHC)
• Canadian Paediatric Decision Support Network (CPDSN)
• Canadian Network- Child and Youth Rehabilitation (CNCYR)
• CIHI (Rehab & Ambulatory Program Areas, Client Support, IT, Privacy & Legal,
Data Standards)
• Children’s Rehabilitation Organizations
• National Rehabilitation Experts (Scientists, Researchers, Clinicians,
Administrators)
• Families – their stories, their time, their wisdom
8. • Currently structured under various provincial Ministries
• Inter and intra provincial variability
• Service delivery through various funding (public and private)
with various accountability arrangements
• Standardization is required to identify service access issues,
improve access and identify sustainability issues
State of the paediatric rehab …
a gap existing?
9. 9
Where did this PRRS notion come from?
Inception of CN-CYR in 2004 – why?
Initial work concentrated on the following:
Coalescing people and developing a network;
Agreeing on purpose;
Establishing structure and;
Developing specific and attainable goals and objectives.
Early priority - developing a national report card for pediatric rehab
No information in the literature;
No consensus across the country on definitions or process;
Need to address resources and access to services.
Established Outcomes and Benchmarking committee to investigate and
recommend conceptual framework and methodology
10. 10
Why is PRRS Important?
Because Our Kids Deserve the Very Best!
Nationally, there is no concerted, organized way of tracking the rates
of disability in children or their outcomes.
Identification of “Best in Class” centres, which will allow for sharing of best
care practices for safe, effective and efficient care
Compare resource utilization to ensure sustainability and accountability of
service provider organizations
Reliably predict future trends
Create a yardstick for service or outcomes improvement
Effectively plan our health care services to meet those needs
12. 12
How Will We Achieve This?
What is the Goal/Purpose of PRRS
Project?
• Collect meaningful data from rehabilitation/treatment centres across
Canada for collation, knowledge translation and to support service
improvement
• Provide standardized data about a service sector and associated client
groups that have traditionally been underrepresented in data collection,
reporting and knowledge translation initiatives
• Link datasets across the continuum of care and across the country and
potentially across the lifespan;
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What Will the Journey Be?
•Focus on outpatient/ambulatory services targeting children
‒ Developmental/behavioural conditions
‒ Neuromotor and neurological conditions
‒ Initial roll out to target children with ASD & CP
•Longitudinal approach with outcomes over the child’s
developmental trajectory
Demographics,
condition specific
information on
admission
Functional
participation and
activity outcomes
age 5
Functional,
participation &
activity outcomes
age 10
Functional,
participation &
activity outcomes
age 15
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• 14
• Have evidence for the right treatment, in
the right place, at the right time
Clients and Clinicians
• Have evidence to inform quality
improvement and resource utilization
Health Care Organizations
• Have information for continuity of care
across settings
Inpatient and community
partners
• Have evidence to raise awareness and
improve care in Canada
System Level Planners
Better Data
Healthier Canadians
Better Decisions
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What questions need answering and what data
is required to answer those questions?
• A group of subject matter experts collaborated to:
‒ Identify meaningful questions
‒ Suggest useful data elements
• CIHI facilitated two small pilot data collection projects
‒ To practice collecting the data
‒ To identify data quality issues and challenges in existing processes
‒ To assess the feasibility of scaling-up
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Evolving the PRRS Dataset
• CIHI teams then involved in clarifying, strengthening and standardizing
the PRRS dataset to help:
‒ Ensure clear and common definitions specified
‒ Identified mandatory vs. optional fields
‒ Ensure standard codes and formats adopted (e.g. ICD-10-CA)
‒ Create population-specific pick-lists to facilitate data collection
‒ Create a data specifications document for clients and vendors
‒ Acquire necessary intellectual property rights to use and report desired
clinical assessment tools
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PRRS Data Elements
62 data elements in 6 domains:
Domains Example Data
Client Identifiers and Socio-Demographic Data HCN, Gender, Birthdate
Administrative Data Referral Date, Clinical Contact Date
Health Characteristics ICD-10-CA codes
Classification of Severity GMFCS, MACS, CFCS tools
Function, Activity and Participation Pedi-CAT, PEM-CY tools
Intervention Resource Characteristics Types, Frequency and Location of
Services Received
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Standardized Point-of-Care Data Collection
– Collect Once, Use Many
System
Organization
Individual
• Monitor performance
• Demonstrate accountability
• Align resources/funding
• Evaluate services and programs
• Compare with peers
• Allocate resources
• Assess individuals’ health status
• Make clinical decisions
• Evaluate care
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The data repository: NACRS Clinic Lite
Most jurisdictions have summary
information, but there is a gap in patient-
level clinical, operational, quality and
utilization data on ambulatory care.
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Data Submission
• A new CIHI product, NACRS Clinic Lite (NCL), is being leveraged for
the PRRS project
‒ CIHI customized NCL to include the pediatric rehab care specific
tools (e.g. PEDI-CAT and PEM-CY) in addition to the 17
mandatory NCL data elements
‒ Two secure data submission methods available: eFile and web-
entry
‒ Provides clients with reports summarizing data submissions and
detected errors
‒ Data is securely stored and safeguarded by CIHI
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Data Reporting
•PRRS provides a new source of data for an important
population
•CIHI is respected source for health related analyses and
reports
•Experts in the field are needed to inform focus and content
of new reports
•Reports can look at inputs, outcomes, organizational/
jurisdictional comparisons
•By linking to other data holdings, continuum-of-care
investigations
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Example Measures:
• Number of clients that received treatment at home
• Average time between referral and first contact
• Number of clients reporting an improvement in function
• Number of services received that were not publicly funded
What would you want to know about…
• Children and youth that are receiving care?
• Services that are provided?
• Outcomes that are achieved?
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CAPHC - Canadian Paediatric Decision
Support Network (CPDSN)
A National Implementation Story
29. CIHI / CAPHC support
• Provide training and support on:
-Implementation / business process redesign
-Assessment / dataset
-Use of outputs and reports
• Help identify and assist with issues of data quality
• Produce reports from the submitted data
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31. Initial PRRS Participating Sites
1. Kitimat Child and Development
Centre (BC)
2. Glenrose Rehabilitation
Hospital (AB)
3. Alvin Buckwold Child Development Program(SK)
4. Rehabilitation Centre for Children (MB)
6. Holland Bloorview Kids
Rehabilitation Hospital (ON)
5. IWK
Health
Centre (NS)
32. Dedicated to continuous Growth & Partnership
Onboarding new PRRS Sites
A peer-to-peer implementation
approach for new members
CIHI and CAPHC-CPDSN ongoing
Technical Support
Working together to provide
inaugural 2017 PRRS report
35. Getting to Business – Why PRRS?
• Accountability of the system – when, how, what
• Don’t assume that you have all the answers when developing process
• Leading with the Family Voice –partner with me so that we can work on
a solution that makes sense
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Partnered Solutions
• In what universe does a 6 page information sheet work?
• Flow diagrams?
• Bulleted points?
• Glossary?
• Did I say I was overwhelmed in information?
• Truly ….. Not kidding ….
Health Literacy Approved
Family Approved
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Call to Action
•PRRS is important …..
•Families need to be fully partnered in your solutions for
success … uncomfortable maybe …. Necessary for sure
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What this experience has meant to me?
•The condition is hard enough …. The navigation and wait
is cruel
•This is not okay BUT …..
•Feeling I have a voice …. Engaged partnership
•Leaving the system better for the next family
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What will it take to make this successful?
•Effective leadership
•Organizational strategy
•Partnering with families
•Education, information and
resources
•Continuous improvement and
change management mindset
•Becoming a PRRS member
Leadership
Strategy, Mission
and Vision
Delivery System
Design
Culture
Communication
and Information
Family
Involvement
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Impact on the Village?
Family – understanding service & outcomes
Clinician – standardized outcomes & planning
Service – resource utilization, planning,
Family – partnered with organization priorities
Organization – comparators, planning, advocacy
Region – system planning, resource allocation
Family – provincial & national partnership
Provincial – policy, planning, awareness, funding
National – PHAC, population planning,
geographic and regional differences
MEGA
Family – networks
International – Best Practice, Research,
(Population and Clinical)
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Village Dreams
• Connected networks across Canada with
the common language of data
• Sharing stories of impact …
• Improving access, models of service
delivery, leveraging data for resource
allocation for clients/families
• Benchmarking performance … learning from
each other to improve the care experience
• Transitions and continuum of care …
connecting systems from paeds to adult
care
When we talk about the “village”, who are we talking about?
Siam to help fill this in, if desired?
Could likely be presented in a more visually-appealing way – e.g., interconnected web
“Will be revisiting this notion, highlighting various ‘community members’ throughout the talk”
Pick whatever we want to call this
Envision this section being Sonia’s – to set up the rationale for the project
Taken from a different slide deck
Taken from a different slide deck
Material here (http://www.caphc.org/paediatric-rehabilitation-reporting-system-prrs/) may be of use.
Most members use ICF-CY as a guide to select outcome measures (53% of members)
87% use impairment and activity measures
63% use participation measures
Taken from a different slide deck; not sure we want/need it here
Similar to previous slides
Ryan or Anne
So the motivation, the need, the gap is pretty clear. Now then, what questions need answering and what data is required to answer those questions?
A group of subject matter experts collaborated for a number of months (if not longer!) to try to outline the information that is needed and provide an initial list of pieces of data that organizations already collect or could be reasonably asked to collect.
CIHI facilitated two small pilot data collection projects to permit facilities to practice collecting the data and assess the feasibility of scaling this up. Data was collected and summarized and DQ issues were highlighted.
So the motivation, the need, the gap has been established. Now…
A group of subject matter experts collaborated for a number of months to outline the information that is needed and to provide an initial list of data that organizations already collect or could be reasonably asked to collect.
Do we need to change the word “problem” here? Will people be bothered? I recall this being an issue back when we were migrating the dataset to NACRS Lite.
Emphasize the importance of standardization.
Dataset for the initial 3-year pilot
Wanted to ensure that the dataset be created with different levels of analysis in mind, from the micro, client-level (e.g., what information should be collected to aid clinical or needs assessments?) to the organizational level (e.g., how many people are we treating? What do they look like? How long does it take us to get a client from Point A to Point B in their treatment?) to system level (e.g., What is working and where are there issues? Are there ‘top performers’ that can serve as an example for others? Etc.)
Goal to collect data that is meaningful even if it is not submitted to a central repository like CIHI
Anne
Now that you know what you’re going to collect, need some means of collecting it across organizations and jurisdictions in a centralized, standardized way, to be housed securely and subsequently analyzed and reported on
Ensure highlight the privacy and data security aspect – could get some talking points from PLS folks or their website
Also want to talk about the submission support role that Anne Cote plays?
Everything up to now has been about “data in” – creation of a dataset to be collected, creation of an IT infrastructure, implementation support at the facility level. Here, we’re talking about “data out” – taking all of this collected data and turning it into ‘information’ to be shared and used for comparisons and decision making
It’s worth noting that the act of being involved in an endeavor like this, even before any reports are produced or actioned, tends to still result in desirable changes within the system at participating organizations. These changes tend to come as a result of being forced to think about quantifying what one does in provided care and how one does it, how to quantify the impact that care is having, to think about what meaningful questions exist that might be answered with data, to think about the language that you use to describe the care that you provide, to take a look at the way in which care is delivered (the process), to think about the process of collecting accurate, standardized data… and to discuss these things with others who are ostensibly doing the same things as you but may be doing them in very different ways, or naming things differently, …
Finish with ‘Why does any of this matter?’ – Adrienne is joining us today to provide some insight from a family perspective
Siam to speak to this section?
Mourning – the loss of what I thought would be, what the ‘diagnosis’ day contributed to
Overwhelming – so much information, so much jargon, so much planning, so much cross connectivity of systems, so much, too much
Information Overload – the amount of information given to a ‘new’ family with the expectation of understanding it all and knowing what to do
Roller coaster – emotionally, physically, mentally was a roller coaster and trying to navigate, support, be a pillar of strength, retain normalcy and still process the information of what this meant, the uncertainty
Frustration – doesn’t the system have it fixed yet …. I am not the first family receiving this diagnosis …. What do you mean you don’t have any information on wait times, outcomes, geographical differences, therapy models REALLY !!!!!!
Strength – knowing that I had a role, could be the champion, could lead this in a way for families, could lead through innovative partnership and ultimately the strength to make it better for other families.
Presently the system does not have a centralized way of collecting information on childhood disability that can be shared not only within an organization, but across organizations, provinces, regions etc… that can help to influence policy, resources, planning, funding. Why is this important …. As a parent and user of the system, I am so fully aware that resources are limited, often at the mercy of lobby groups, and ultimately, it is me and my family trying to figure out, where do we go to provide the best opportunity for my child to navigate and become an advocate for themselves. There are families, that move homes, regions, provinces just to get better care … often these moves are without data, without concrete information just on the hope or word from an internal network that things are better. What we need, the collective WE … is this system of accountability that helps us all make appropriate decisions, repurpose resources to address bottlenecks in services and ensure Equitable (not equal) flow of resources. PRRS can do this !!!!!!!
How – by collecting standardized information that is not only clinically relevant, but also relevant to families such as wait times, classification codes, outcome measures …. This helps us partner together to influence system change. We can understand the regional differences, provincial differences and figure out a collective solution.
What – we need organizations and families to commit to this and broaden the collection of information, in partnership with CIHI to all childhood conditions …. While my story is about autism, there are other parents that need this information about their own child’s condition to help better understand how we move forward in better health outcome.
What has been my role …. First it was learning what the heck PRRS is, getting people to partner with me in a way that I could be helpful, informing and an equal at the table… Thanks Sonia … Its understand that we all have strengths to bring to the table to make this a better experience and flow (flow meaning efficiency, effectiveness, fiscal stewardship, outcome, safety etc…) for administration, clinicians, families and most importantly our children.
Here is an example of how this worked …. Assessment – what exactly were you asking, when and how it was being asked and being conscientious of what I can and cannot commit to. The timing of information …. When you are giving a impactful diagnosis or information …. I just need to know the bare minimum … in survival mode at this point. I can provide what you need, but be respectful of when its being collected. I will show you the result of how to share information that is easy for families to understand.