The next-generation health assessment has arrived. This paper presents the Total Health Profile – a consumer-centric health assessment designed to help employers drive employee health ownership in a post-health care reform era. The total health profile not only educates and engages the consumer through an innovative Health Age score and quality of life insights, but it also provides revolutionary insights about employee health & wellbeing for employers.
On the potential to dramatically improve health, healthcare and medical science by harnessing petabytes of data from individuals taking care of their own health, and on the necessary shifts in mindset required.
Quality
Degree of adherence to pre-established criteria or standards.
Not an easy subject to get quality healthcare services.
Quality management
Doing the right thing, at the right time, for the right person, and having the best quality result.
4 main components:
Quality planning
Quality control
Quality assurance
Quality improvement
Focused on product/service quality & means to achieve it
On the potential to dramatically improve health, healthcare and medical science by harnessing petabytes of data from individuals taking care of their own health, and on the necessary shifts in mindset required.
Quality
Degree of adherence to pre-established criteria or standards.
Not an easy subject to get quality healthcare services.
Quality management
Doing the right thing, at the right time, for the right person, and having the best quality result.
4 main components:
Quality planning
Quality control
Quality assurance
Quality improvement
Focused on product/service quality & means to achieve it
Any combination of health education & related organizational, economic & political interventions designed to facilitate behavioral & environmental changes conducive to health.
1. Digital health can help drive engagement
2. Access: People love convenience and connectivity.
3. Mobile interfaces: health information and tools when they need it and are most motivated to connect.
4. Digital engagement: delivery of information in a more cost-effective way
5. Data Capture: assessment tools and tracking of participant behavior
mHealth Israel_Kantar Health_Jeremy Brody, EVP Corporate Development, Health ...Levi Shapiro
Presentation for mHealth Israel by Jeremy Brody, EVP Corporate Development, Kantar Health: Health consumers are Not All created equal- the Role of the Chief Health Officer (CHO)
The Cathedral And Data Bazaar - Enabling Lean Data!Vaibhav Bhandari
We can truly free the data only if we can show a bazaar like value for it! Bazaars flourish in short, small value loops. Cathedrals take time!
Read the talk in detail at: http://bit.ly/lean-data-talk
Optum Health Study: Chiropractic is most cost affordable for Conservative Spi...Kevin Christie
Services for the diagnosis and treatment of orthopedic musculoskeletal (MSK) complaints represent the largest category of medical expenditures in the United States. Recent claims data analysis, gathered for a 12-month period through the 3rd quarter of 2011, found that 17% of medical expenses were related to orthopedic services.1 The management
of neck and low back pain easily outpaced expenditures for all other types of orthopedic disorders. Despite advancements in understanding evidence-informed management options, outcomes and expenses related to treatment of MSK conditions in the U.S. have not improved in recent years.2
Given the sizable demand for spine care in the marketplace, it is increasingly important
to improve delivery at both the systems and individual levels. Although consistent clinical guidelines are well established, patterns of practice with respect to treatment of lower back pain (LBP) vary widely, and are notoriously resistant to change. An additional hurdle is that patients often use questionable information (often from non-medical sources) to follow a treatment path that is contrary to evidence-based clinical practice guidelines.
Available data indicates that more than 80% of spine care costs are associated with non-surgical services. Given that reality, it is clear that a conservative approach to spine care is a priority to more effective management of expenditures and enhanced outcomes related to orthopedic treatment of musculoskeletal issues.
This paper examines how the current health care delivery system can affect the quality of care and summarizes current recommended high quality clinical practice guidelines. A discussion of specific implementation strategies that can meaningfully advance the
quality of care and more effectively manage expenses are laid out in detail in a separate white paper from OptumHealth® Care Solutions, Inc. (OptumHealth) titled “Innovative Approaches to Enhanced Spine Care Treatment.”
The current environment
Pain complaints are a leading reason for medical visits,3 and MSK issues rank as the top concern. Within this category, back pain is the most common ailment confronting individuals. Despite extensive research and efforts to reduce the personal, societal, and economic burdens
of LBP issues, it remains one of the ten most costly medical conditions in the United States.4
Non-specific LBP encompasses approximately 85% of all back pain diagnoses, affecting
80% of all adults at a cost estimated at $100 billion annually.5 About 25% of individuals experiencing back pain will seek help from a health care provider.6 Nearly three-quarters of these patients visit either a physician or chiropractor. Estimates suggest around 85-
90% of primary care patients with LBP are diagnosed with non-specific back pain, where the underlying disease or pathology remains unknown.
Any combination of health education & related organizational, economic & political interventions designed to facilitate behavioral & environmental changes conducive to health.
1. Digital health can help drive engagement
2. Access: People love convenience and connectivity.
3. Mobile interfaces: health information and tools when they need it and are most motivated to connect.
4. Digital engagement: delivery of information in a more cost-effective way
5. Data Capture: assessment tools and tracking of participant behavior
mHealth Israel_Kantar Health_Jeremy Brody, EVP Corporate Development, Health ...Levi Shapiro
Presentation for mHealth Israel by Jeremy Brody, EVP Corporate Development, Kantar Health: Health consumers are Not All created equal- the Role of the Chief Health Officer (CHO)
The Cathedral And Data Bazaar - Enabling Lean Data!Vaibhav Bhandari
We can truly free the data only if we can show a bazaar like value for it! Bazaars flourish in short, small value loops. Cathedrals take time!
Read the talk in detail at: http://bit.ly/lean-data-talk
Optum Health Study: Chiropractic is most cost affordable for Conservative Spi...Kevin Christie
Services for the diagnosis and treatment of orthopedic musculoskeletal (MSK) complaints represent the largest category of medical expenditures in the United States. Recent claims data analysis, gathered for a 12-month period through the 3rd quarter of 2011, found that 17% of medical expenses were related to orthopedic services.1 The management
of neck and low back pain easily outpaced expenditures for all other types of orthopedic disorders. Despite advancements in understanding evidence-informed management options, outcomes and expenses related to treatment of MSK conditions in the U.S. have not improved in recent years.2
Given the sizable demand for spine care in the marketplace, it is increasingly important
to improve delivery at both the systems and individual levels. Although consistent clinical guidelines are well established, patterns of practice with respect to treatment of lower back pain (LBP) vary widely, and are notoriously resistant to change. An additional hurdle is that patients often use questionable information (often from non-medical sources) to follow a treatment path that is contrary to evidence-based clinical practice guidelines.
Available data indicates that more than 80% of spine care costs are associated with non-surgical services. Given that reality, it is clear that a conservative approach to spine care is a priority to more effective management of expenditures and enhanced outcomes related to orthopedic treatment of musculoskeletal issues.
This paper examines how the current health care delivery system can affect the quality of care and summarizes current recommended high quality clinical practice guidelines. A discussion of specific implementation strategies that can meaningfully advance the
quality of care and more effectively manage expenses are laid out in detail in a separate white paper from OptumHealth® Care Solutions, Inc. (OptumHealth) titled “Innovative Approaches to Enhanced Spine Care Treatment.”
The current environment
Pain complaints are a leading reason for medical visits,3 and MSK issues rank as the top concern. Within this category, back pain is the most common ailment confronting individuals. Despite extensive research and efforts to reduce the personal, societal, and economic burdens
of LBP issues, it remains one of the ten most costly medical conditions in the United States.4
Non-specific LBP encompasses approximately 85% of all back pain diagnoses, affecting
80% of all adults at a cost estimated at $100 billion annually.5 About 25% of individuals experiencing back pain will seek help from a health care provider.6 Nearly three-quarters of these patients visit either a physician or chiropractor. Estimates suggest around 85-
90% of primary care patients with LBP are diagnosed with non-specific back pain, where the underlying disease or pathology remains unknown.
Integrating healthy habits into your meetings is a practical way to help employees stay focused at work. Visit kp.org/workforcehealth to find out how Kaiser Permanente’s high-quality care can strengthen your workforce.
The Wellness Consumer & Brands Winning CustomersNick Gaudiosi
What does the wellness consumer look like? How are they different than a traditional healthcare consumer? What brands are winning customers in the wellness economy? This piece looks to answer all of these questions and more..
Review the World Health Organization’s (WHO) definition of healt.docxashane2
Review the World Health Organization’s (WHO) definition of health in Chapter 7 of your textbook. Then, write a research paper fulfilling the following requirements.
Why is the definition of health important to health policy?
Define the term “target population” as it relates to health policy.
How do societal influences impact the identification and definition process of policy?
Research a healthcare organization and highlight how their policies align or misalign with the WHO’s definition of health.
The paper
Must be four to six double-spaced pages in length (not including title and reference pages) and formatted according to APA style as outlined in the Ashford Writing Center.
Must include a separate title page with the following:
Title of paper
Student’s name
Course name and number
Instructor’s name
Date submitted
Must use at least four scholarly sources in addition to the course text.
Must document all sources in APA style as outlined in the Ashford Writing Center.
Must include a separate reference page that is formatted according to APA style as outlined in the Ashford Writing Center.
Defining
Health
Table
7-1
presents the view of health and health care espoused in the constitution of the World Health Organization. Although the UnitedStates is a U.N. member state, one would be hard put to find consensus in the United States on a number of the points that it cites as basicprinciples.
Asking people in the United States if health is more than the absence of illness or infirmity could produce a host of different responses. Somerespondents might come down on the side of physical and mental well-being but have a problem with trying to address social well-beingunder the heading of health. Indeed, the fact that we have millions of uninsured and do not provide mental health care to a large proportion ofthe population would seem to indicate a lack of commitment to physical and mental well-being.
Those analyzing or deciding on a policy need to understand the differences in the operational definitions of health that are representedaround the table. In the best of all possible worlds, those seated at the table would agree on thatdefinition and move on, but sometimes theart of politics depends, in part, on knowing when to try to agree on principles, or on actions, or on both, and whether to use limited politicalcapital to try to bring them into alignment publicly.
Table
7-1
Excerpts from the Preamble of the Constitution of the World Health Organization
…
the
following
principles
are
basic
…
• Health is a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity.
• The enjoyment of the highest attainable standard of health is one of the fundamental rights of every human being without distinction ofrace, religion, political belief, or economic or social condition.
• The health of all peoples is fundamental to the attainment of peace and security and is dep.
Using Health & Well-being Technology: How to figure out what makes sense fo...Bhupesh Chaurasia
The past few years have seen an explosion of well-being technology solutions. These range from highly specialized mobile apps focused on specific well-being needs such as sleep hygiene or diabetes management, to comprehensive well-being platforms that integrate health monitoring, wellness education, physician care, counseling,
and social support networks. This article provides guidance on understanding and navigating the complex and growing field of well-being technology.
Personalizing wellness processes to employees will boost engagement, camaraderie, the corporate culture, productivity....and of course health.
We add a new definition of personalized to employee wellness. Course development for private licensing? We still will perform our unique HRA & CCA to develop your perfect e-learning courses.
Live Interactive webinars, Incentive programs with wearable technology......adding your employees own biometrics to the wellness process?? Coming very soon - GENOMICS!
Financial wellness, FARMacy....nutrition, physical activity, minimizing the root of all chronic disease - oxidative stress, stress reduction, family lifestyle, sexual health, sleep.....our coaches are highly specialized experts - who become your employees coaches......personalizing at bulk prices...
FUN, engaging .....creating your corporate health culture
Population Health Management: a new business model for a healthier workforceInnovations2Solutions
The purpose of this piece is to discuss the high cost of poor employee health and well-being, define PHM in the workplace, and highlight PHM initiatives and outcomes
within the corporate environment. As PHM continues to mature as a model for keeping populations healthy, the programmatic elements of employer PHM efforts will also evolve.
Check out these steps to making a better and more effective wellness program for your work environment. For more information visit http://www.wellsource.com/
http://www.wellsource.com/home.html | By actively providing wellness activities and developing a culture of health at your organization, you are investing in the greatest asset in your company – the health and well-being of your staff. It will pay rich dividends in goodwill, increased productivity, and ultimately lower healthcare costs.
The Quadruple Aim care, health,cost and meaning in work.docxarnoldmeredith47041
The Quadruple Aim: care, health,
cost and meaning in work
Rishi Sikka,1 Julianne M Morath,2 Lucian Leape3
1Advocate Health Care, Downers
Grove, Illinois, USA
2Hospital Quality Institute,
Sacramento, California, USA
3Harvard School of Public
Health, Boston, Massachusetts,
USA
Correspondence to
Dr Rishi Sikka, Advocate
Health Care, 3075 Highland
Avenue, Suite 600, Downers
Grove, Il 60515, USA;
[email protected]
Received 5 March 2015
Revised 6 May 2015
Accepted 16 May 2015
To cite: Sikka R, Morath JM,
Leape L. BMJ Qual Saf
2015;24:608–610.
In 2008, Donald Berwick and colleagues
provided a framework for the delivery of
high value care in the USA, the Triple
Aim, that is centred around three over-
arching goals: improving the individual
experience of care; improving the health
of populations; and reducing the per
capita cost of healthcare.1 The intent is
that the Triple Aim will guide the redesign
of healthcare systems and the transition to
population health. Health systems glo-
bally grapple with these challenges of
improving the health of populations while
simultaneously lowering healthcare costs.
As a result, the Triple Aim, although ori-
ginally conceived within the USA, has
been adopted as a set of principles for
health system reform within many organi-
sations around the world.
The successful achievement of the
Triple Aim requires highly effective
healthcare organisations. The backbone of
any effective healthcare system is an
engaged and productive workforce.2 But
the Triple Aim does not explicitly acknow-
ledge the critical role of the workforce in
healthcare transformation. We propose a
modification of the Triple Aim to acknow-
ledge the importance of physicians, nurses
and all employees finding joy and
meaning in their work. This ‘Quadruple
Aim’ would add a fourth aim: improving
the experience of providing care.
The core of workforce engagement is
the experience of joy and meaning in the
work of healthcare. This is not synonym-
ous with happiness, rather that all
members of the workforce have a sense
of accomplishment and meaning in their
contributions. By meaning, we refer to
the sense of importance of daily work.
By joy, we refer to the feeling of success
and fulfilment that results from meaning-
ful work. In the UK, the National Health
Service has captured this with the notion
of an engaged staff that ‘think and act in
a positive way about the work they do,
the people they work with and the organ-
isation that they work in’.3
The evidence that the healthcare work-
force finds joy and meaning in work is
not encouraging. In a recent physician
survey in the USA, 60% of respondents
indicated they were considering leaving
practice; 70% of surveyed physicians
knew at least one colleague who left their
practice due to poor morale.2 A 2015
survey of British physicians reported
similar findings with approximately 44%
of respondents reporting very low or low
morale.4 These findings also extend to
the nursing profession. In a 2013 US
surv.
Employee Wellness - How Does Your Workplace Make You Feel?Darren Shaw, SIOR
Colliers International Group Inc. has released “Employee Wellness: How Does Your Workplace Make You Feel?,” a white paper that examines the actions employers are taking to prioritize workplace wellness and ultimately boost employee attraction and retention, reduce sick days and decrease healthcare costs.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
263778731218 Abortion Clinic /Pills In Harare ,ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group of receptionists, nurses, and physicians have worked together as a teamof receptionists, nurses, and physicians have worked together as a team wwww.lisywomensclinic.co.za/
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
1. White Paper
Reinventing the Traditional Health Assessment:
Optum’s Total Health Profile
Optum
www.optum.com
Page 1
2. White Paper
Reinventing the Traditional Health Assessment:
Optum’s Total Health Profile
The next-generation health
assessment has arrived.
This paper presents the Total Health Profile – a
consumer-centric health assessment designed to help employers
drive employee health ownership in a post-health care reform
era. The total health profile not only educates and engages
the consumer through an innovative Health Age score and
quality of life insights, but it also provides revolutionary
insights about employee health & wellbeing for employers.
Health Assessment
Measures
Traditional vs. Optum
The modern age of the health assessment is finally at hand.
The Total Health Profile uses the latest interactive technology and intuitive design
techniques to engage the user, while probing deeper for factors that may impact
a consumer’s total wellbeing. Where once there were only questions about basic
conditions and health risks such as high blood pressure and smoking, the Total
Health Profile also gathers information about a person’s quality of life (QoL), health
perceptions, financial wellbeing, social connections, provider relationships and much
more. This approach gives a complete picture of individual health while bringing forth
new actionable insights for the consumer and employer alike.
The Traditional Health Assessment: Time for a change
First used in the 70’s, commercialized in the ‘80s and put to widespread use by the
‘90s, health assessments are still valued by employers, who use them to understand
employee population risk factors and design targeted programs to improve employee
health. Additionally, insurers and health management providers use them to identify
and stratify individuals into intervention paths, often for initiatives such as wellness
coaching and disease management.
2000s
Time for a change?
1970s
First Health
Assessment
1980s
Commercialized
Health Assessments
1990s
Widespread use of
Health Assessments
Many employers, however, feel that assessment tools have not kept pace with technology
and the evolving science around health and wellbeing. In the post-health care reform
age, employers are searching for tools to help build a culture that encourages health
ownership. Unfortunately, many traditional health assessments have fallen short of
that objective. Employees who take assessments, on the other hand, may not know
what to do with the information provided, become frustrated, or feel that nothing new
was learned from an assessment. It is a common sentiment, often expressed among
employees after an assessment: “I already know that I smoke, but so what?” Solving
the “so what” problem is what makes the Total Health Profile valuable and unique.
Optum
www.optum.com
biometrics
health risks
health history
health conditions
emotional health
health perceptions
financial wellbeing
provider relationships
personal relationships
2
3. Reinventing the Traditional Health Assessment:
Optum’s Total Health Profile
White Paper
The Total Health Profile: A ground-breaking approach
Over the past few years Optum has evaluated the existing health assessment marketplace.
Given the limitations of traditional health assessments, Optum envisioned a new
approach with the following design principles in mind:
1
2
3
The Total Health Profile plays
a critical role in Optum’s ASM
(awareness, skill building and
maintenance) behavior change
model.
Establish a highly interactive, consumer-centric health profile experience that
leverages the latest in digital technology.
Leverage a scientifically-driven set of questions that focuses not only on
quantity of life measures such as biometrics, conditions and health risks, but
also explores “quality of life” indicators such as finances, mental health, job
satisfaction & health care navigation.
Create a new interactive personal feedback report that allows employees to
see the direct relationship between behavior and their “Health Age.”
How does it work? The Total Health Profile Experience
Welcomed into the Total Health Profile by an inviting, highly interactive experience, the
individual engages in what feels like an online conversation about their personal health
and lifestyle.
The consumer is asked a series of questions – basic “warm up” questions at first, then
gradually more detailed questions. Tailored feedback is provided in real time, and
conversational language is leveraged to put the user at ease and build rapport. It’s
more than a “check yes or no” experience. Badges appear when a section is complete,
screens move to follow the user’s progress, and message boxes appear with useful
health information along the way.
Optum
www.optum.com
3
4. Reinventing the Traditional Health Assessment:
Optum’s Total Health Profile
By the time the consumer’s results – summarized as a “Health Age” – are determined,
the user understands how they got there, and what they can do to live a healthier life.
It’s an important step toward health ownership.
White Paper
Total Health Profile questions are
written in a conversational tone
to build rapport with the user.
How much do you weigh?
Not your old driver’s license weight,
your this-morning weight.
How confident are you that you
could make some healthy changes?
The Profile experience unfolds in two primary stages: The quantity of life stage, a good
predictor of long-term costs for the employer, and the quality of life stage, which is a
better predictor of short-term costs.
During the past four weeks, have
you felt calm and peaceful?
Quantity of Life (also known as health risk)
In a conversational, friendly tone, the user is asked to provide information such as
gender, ethnicity and age, in addition to basic body measurements. These factors
typically contribute to determining how many years a person may live, but don’t always
account for quality of life during those years.
Other basic assessment information requested includes:
•
Presence of chronic conditions, family/personal health history
•
Medications taken and health service utilization
•
Biometrics
•
How confident are you that you can
find the right doctor to help take
care of a health issue or an inquiry
should you need it?
Lifestyle questions related to diet, exercise, tobacco, alcohol
Quality of Life
Completely new and unprecedented, this stage of the profile asks about a user’s life –
outside of the standard clinical domains, including:
•
Wellbeing: questions related to relationships, stress, finances, energy levels, job
satisfaction, and emotional health
•
Health Care Utilization: questions related to an individual’s ability to effectively
navigate the health care system
•
Perceptions: questions that seek to address a person’s benefits and barriers to
making a change, leveraging the latest behavioral theories
Optum
www.optum.com
4
5. White Paper
Reinventing the Traditional Health Assessment:
Optum’s Total Health Profile
More Than a Score: Your Health Age – bringing health ownership to life
The Health Age is the culmination of Optum’s Total
Health Profile assessment tool – one that is more
engaging and uniquely suited to the post-health care
reform era.
It is an idea familiar to anyone who has ever felt older
or younger than his or her actual calendar age.
While easy to understand, the health age score
is backed by information derived from reputable,
referenced sources that have been subject to rigorous
expert review.
For employers, an aggregate Health Age is provided
once a sufficient number of employees have taken the assessment. This may be used as
a global metric to rally organizational leadership behind the need for targeted disease
management or wellness initiatives.
Employers see great value in being able to compare the health age of their population with
the chronological age. This age difference is an important indicator of population health.
Aggregate reporting will also enable employers to compare year over year changes in Health
Age, make normative comparisons and gain insight into quality of life indicators across their
population.
How is Health Age calculated?
Health Age = Real age – (predicted lifespan based on lifestyle and medical
history – average lifespan for people of the same age and gender)
Health Age Scenario for a 45 year Old Woman
Unhealthy
Average
Optimal
Lifestyle
Lifestyle
Lifestyle
Health Age:
32
Health Age:
45
Health Age:
49
The Health Age is only one critical component of the results report. The results report is
designed to help consumers focus on health factors they can change and those they cannot. It
is framed around the question, “How can we help you improve your quality of life?” vs. “How
can we help you reduce your health risk?”
But more importantly, it prioritizes health opportunities into action consumers can “start now”
and action they can take “tomorrow.” The report prioritizes and creates an action plan that
is most relevant to the consumer. Traditional risk factors are lower priority than immediate
quality of life and perception issues such as being concerned about financial matters or
depression.
Optum
www.optum.com
5
6. White Paper
Reinventing the Traditional Health Assessment:
Optum’s Total Health Profile
The Way Forward: Healthier, More Engaged Employees
Optum has analyzed and tested every part of the Total Health Profile (THP), from its format
and content, to animation and tone.
To date, more than 800 people from a geographically and demographically diverse pool of
users have tested the profile, and have provided their feedback.
93%
felt that the THP
was very easy to use
59%
83%
98%
92%
93%
86%
rated THP as better
than other health
assessments
stated that using the
THP was an interesting,
fun experience
said that they are
likely or very likely
to use THP
felt that THP would
motivate them to
improve their health
stated that THP was
easy to understand
reported that THP
taught them something
they didn’t already know
Conclusion
The Total Health Profile is the embodiment of health ownership. It is engaging, provides
guidance and will ultimately drive health improvement and wellbeing. Its quantity- and
quality-of-life questions help build health and wellbeing awareness, and its interactive
report guides consumers through the health improvement journey.
For employees, it means that healthier days are ahead. And for employers, the outcomes
could lead to a culture that values health ownership.
Optum
www.optum.com
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