This roundtable discussion focused on overcoming barriers to sharing patient data across health systems. Key points included:
- Sharing data is challenging but important to provide integrated care and avoid duplicate tests. Approaches need to be pragmatic and incremental.
- Canterbury District Health Board in New Zealand successfully implemented shared records across its health system after an earthquake disrupted services.
- Local NHS areas are at different stages of implementation with varying electronic systems. Small pilot programs can help drive wider adoption.
- Ensuring engagement from nurses, who are major users of patient records, is important for implementation and uptake of new systems. Their needs around access should be considered.
This review by the National Data Guardian for Health and Care (NDG), Dame Fiona Caldicott, makes recommendations to the Secretary of State for Health. These are aimed at strengthening the safeguards for keeping health and care information secure and ensuring the public can make informed choices about how their data is used.
The NDG proposes new data security standards for the NHS and social care, a method for testing compliance against the standards, and a new opt-out to make clear how people’s health and care information will be used and in what circumstances they can opt out.
Dame Fiona’s report argues that the public should be engaged about how their information is used and safeguarded, and the benefits of data sharing, with a wide-ranging consultation on her proposals as a first step.
A letter from Dame Fiona Caldicott and David Behan, Care Quality Commission Chief Executive, to the Health Secretary outlines the common themes between the NDG review and a review of data security in the NHS carried out by the CQC.
The 2021 Guide to Fully Integrating Telehealth and Eliminating No-ShowsMichael Dillon
Telehealth is here to stay! Easily integrate it with your practice and reduce administrative overhead and patient no-shows.
A Must Read Guide to Eliminating No Shows in Healthcare Organizations.
QIPP end of life care event report - Great practice showcase – Birmingham (28 February 2012) - 05 September 2011
The Midlands and East QIPP end of life care great practice showcase event was held in February 2012. It brought together over 80 commissioners, end of life care managers and clinical staff to learn more about the tools and resources available to meet the QIPP challenge at end of life.
The event report summarises the key learning from the day, including an overview of presentations, links for further information on marketplace exhibitors and good practice case studies looking at:
Find your 1% campaign
e-Learning for care homes in the East of England
Time to Talk initiative across NHS East Midlands
The use of mobile working devices for Birmingham hospice staff.
Publication by the National End of Life Programme which became part of NHS Improving Quality in May 2013
This document discusses intelligent patient platforms and their ability to transform care pathways at scale. It provides an overview of intelligent patient platforms, examples of where they are being adopted, and how their value can be accelerated for the NHS. Intelligent patient platforms integrate patient data, enable engagement, provide insights and analytics, and connect devices. Leading health systems have invested in these platforms to deliver connected care. The discussion focuses on how platforms can create healthcare ecosystems and how regulators can support platform-based innovation.
This document provides information about the 2013 Fall Conference for the Wisconsin Health Information Management Association (WHIMA).
The conference will focus on current trends in using health data to drive improvements in healthcare, with tracks on performance measurement and emerging opportunities. The opening session will discuss information governance models and best practices. Concurrent sessions will cover topics like accountable care organizations, healthcare analytics, ICD-10 preparation, and using clinical data to develop student coders.
The document includes the conference schedule with details of general sessions, concurrent tracks, speakers, and session topics over the two day period. Special events include a student clinical experience panel and a two-day ICD-10 boot camp for long-term care. The closing
Using technology-enabled social prescriptions to disrupt healthcareDr Sven Jungmann
As chronic diseases are increasingly straining healthcare systems, social factors are gaining importance. Since the birth of social medicine (19th century), we saw many failed attempts to beat the dominance of the biomedical model. Social prescriptions have come, raising hopes that non-biomedical solutions will improve outcomes and optimise resource use. Social Prescriptions connect citizens to support to address social determinants of health and encourage self-care for physical and mental health. Social prescriptions can make us healthier cheaper and with fewer side effects than most drugs. Social prescriptions can become a disruptive force as they can be personalised, improve lifestyle-related diseases, and support non-biomedical issues affected by social determinants of health.
Jo Fitzpatrick from the Women's Health Action Trust discusses consumer privacy issues related to health information in cyberspace. She notes that 78% of people in a 2006 survey were concerned about the confidentiality of their medical records online. Fitzpatrick highlights examples from the past where women's health information was accessed or disclosed without consent. She expresses concerns that consumers have large knowledge gaps around how their data is collected, shared, and used. Fitzpatrick calls for more consumer representation and involvement in health information forums to help address these issues.
This review by the National Data Guardian for Health and Care (NDG), Dame Fiona Caldicott, makes recommendations to the Secretary of State for Health. These are aimed at strengthening the safeguards for keeping health and care information secure and ensuring the public can make informed choices about how their data is used.
The NDG proposes new data security standards for the NHS and social care, a method for testing compliance against the standards, and a new opt-out to make clear how people’s health and care information will be used and in what circumstances they can opt out.
Dame Fiona’s report argues that the public should be engaged about how their information is used and safeguarded, and the benefits of data sharing, with a wide-ranging consultation on her proposals as a first step.
A letter from Dame Fiona Caldicott and David Behan, Care Quality Commission Chief Executive, to the Health Secretary outlines the common themes between the NDG review and a review of data security in the NHS carried out by the CQC.
The 2021 Guide to Fully Integrating Telehealth and Eliminating No-ShowsMichael Dillon
Telehealth is here to stay! Easily integrate it with your practice and reduce administrative overhead and patient no-shows.
A Must Read Guide to Eliminating No Shows in Healthcare Organizations.
QIPP end of life care event report - Great practice showcase – Birmingham (28 February 2012) - 05 September 2011
The Midlands and East QIPP end of life care great practice showcase event was held in February 2012. It brought together over 80 commissioners, end of life care managers and clinical staff to learn more about the tools and resources available to meet the QIPP challenge at end of life.
The event report summarises the key learning from the day, including an overview of presentations, links for further information on marketplace exhibitors and good practice case studies looking at:
Find your 1% campaign
e-Learning for care homes in the East of England
Time to Talk initiative across NHS East Midlands
The use of mobile working devices for Birmingham hospice staff.
Publication by the National End of Life Programme which became part of NHS Improving Quality in May 2013
This document discusses intelligent patient platforms and their ability to transform care pathways at scale. It provides an overview of intelligent patient platforms, examples of where they are being adopted, and how their value can be accelerated for the NHS. Intelligent patient platforms integrate patient data, enable engagement, provide insights and analytics, and connect devices. Leading health systems have invested in these platforms to deliver connected care. The discussion focuses on how platforms can create healthcare ecosystems and how regulators can support platform-based innovation.
This document provides information about the 2013 Fall Conference for the Wisconsin Health Information Management Association (WHIMA).
The conference will focus on current trends in using health data to drive improvements in healthcare, with tracks on performance measurement and emerging opportunities. The opening session will discuss information governance models and best practices. Concurrent sessions will cover topics like accountable care organizations, healthcare analytics, ICD-10 preparation, and using clinical data to develop student coders.
The document includes the conference schedule with details of general sessions, concurrent tracks, speakers, and session topics over the two day period. Special events include a student clinical experience panel and a two-day ICD-10 boot camp for long-term care. The closing
Using technology-enabled social prescriptions to disrupt healthcareDr Sven Jungmann
As chronic diseases are increasingly straining healthcare systems, social factors are gaining importance. Since the birth of social medicine (19th century), we saw many failed attempts to beat the dominance of the biomedical model. Social prescriptions have come, raising hopes that non-biomedical solutions will improve outcomes and optimise resource use. Social Prescriptions connect citizens to support to address social determinants of health and encourage self-care for physical and mental health. Social prescriptions can make us healthier cheaper and with fewer side effects than most drugs. Social prescriptions can become a disruptive force as they can be personalised, improve lifestyle-related diseases, and support non-biomedical issues affected by social determinants of health.
Jo Fitzpatrick from the Women's Health Action Trust discusses consumer privacy issues related to health information in cyberspace. She notes that 78% of people in a 2006 survey were concerned about the confidentiality of their medical records online. Fitzpatrick highlights examples from the past where women's health information was accessed or disclosed without consent. She expresses concerns that consumers have large knowledge gaps around how their data is collected, shared, and used. Fitzpatrick calls for more consumer representation and involvement in health information forums to help address these issues.
Digitally Transforming Primary Care – Making it Happen at Scale ConferenceRachelHatfield7
Digitally Transforming Primary Care – Making it Happen at Scale Conference, held on Wednesday 19th June 2019, London.
For NHS leaders - Commissioning, workforce development, digital delivery; practising GPs, general practice nurses, practice managers; everyone involved in delivery of primary care and evolving Primary Care Networks
Webinar: Information Technology: How to achieve interoperability across the c...Modern Healthcare
Visit the webinar information page:
http://www.modernhealthcare.com/article/20140507/INFO/305079925/
About the Webinar
For most healthcare providers, clinical interoperability remains more of a goal than a reality. This year, the feds are ratcheting up the pressure on providers to incorporate information exchange as part of their daily clinical workflows. To do it, they've built several interoperability requirements into the Stage 2 meaningful use criteria of the electronic health record incentive payment program. We'll explore how to leverage meaningful use interoperability as a basis to improve clinical communications between affiliated and non-affiliated providers, increase patient satisfaction and ramp up for the future with value-based, consumer-focused care.
Join us for this one-hour webinar to learn:
- The basic requirements for interoperability in the Stage 2 meaningful use criteria
- Strategies for implementing a compliant data collection and reporting program
- Pitfalls to avoid and data interpretation issues that need to be addressed
Panelists:
Dr. Clifford Martin
Chief Medical Officer
St. Joseph Physician Network
Dr. Richard Schrieber
Chief Medical Information Officer
Holy Spirit Hospital
Erica Galvez
Interoperability and Exchange Portfolio Manager
Office of the National Coordinator for Health IT
Moderator:
Joseph Con
Health Information Technology Reporter
Modern Healthcare
The document discusses the physician voice in adopting new technologies like electronic medical records (EMRs). It notes that the physician voice has both an external role advocating for patients and an inner role considering personal impacts. Successful adoption requires addressing physician concerns about privacy, workload, and local needs through collaboration between physicians and other stakeholders. It outlines models used in Vancouver Coastal Health to engage physicians through user groups and champions to provide feedback and guide implementation.
Barriers to, and enablers of, adoption of technology enabled care servicesInnovation Agency
Professor Alison Marshall, Health Technology & Innovation, University of Cumbria discusses the processes behind adopting technology enabled care services.
As new payment models emerge that emphasize value over volume, providers are being compelled to look more closely at how to motivate patients—especially those with multiple chronic conditions—to actively manage their care, make better decisions and change behaviors. This editorial webinar will explore the relationships between engagement and improved health outcomes, greater patient satisfaction and better resource utilization. Our panel of experts will share proven strategies for building patients' confidence, disseminating self-management tools and making the best use of your care team.
Exposome & Expotype - Exploring new challenges for Health Informatics Researc...Fernando Martin-Sanchez
This document discusses the opportunities and challenges presented by precision medicine and digital health technologies. It begins with an introduction to precision medicine and how it relies on integrating diverse data sources, such as genomics, the exposome, and patient-generated data. It then explores several specific areas in more depth, including exposome informatics, participatory health informatics, and self-quantification. The document argues that digital technologies are important for enabling precision medicine approaches and that new models of participatory health are emerging through technologies like social media and self-tracking tools.
Telemedicine Lessons from Walmart & Texas Prisons - Dr. Glenn Hammack 9 feb2017VSee
Did your telehealth program not go as well as you expected? Find out how Texas prisons set up a system that's now doing 160,000 telemedicine visits a year. Prepare your organization to thrive in the changing healthcare world. Telehealth veteran and President at NuPhysicia, Dr. Glenn Hammack, shares insights from 17 years of deploying telemedicine for employers and prisons across the state of Texas.
For more information of the presentation such as recording and transcript, please visit:
https://goo.gl/psjbmP
For other webinars:
https://vsee.com/webinars/
Or join our Linkedin Group: https://www.linkedin.com/groups/Telehealth-Failures-Secrets-Success-13500037/about
Or Join our Facebook Group:
https://www.facebook.com/groups/tfssgroup/?ref=group_cover
This document summarizes Don Juzwishin's 2009 plenary speech at the ITCH conference about revolutionizing healthcare with health informatics. It discusses how technologies like Web 2.0, Health 2.0, and Medicine 2.0 can enable improvements by empowering patients, improving knowledge sharing between providers, and enabling healthcare reforms. The speech argues these technologies provide opportunities to improve outcomes by making high-quality evidence more accessible and encouraging collaboration, but require cultural changes for healthcare to fully benefit.
This Webinar is the second of a three-part series synthesizing successful practices to engage hard-to-reach populations into HIV primary care. Lessons are drawn from SPNS population-specific initiatives, and speakers will offer insights relevant to a wide range of audiences, from clinicians to social workers. Presenters discussed the use of data to improve inreach.
Jane Herwehe, DeAnn Gruber, Betsy Shepard, and Debbie Wendell; Louisiana Public Health Information Exchange (LaPHIE)
Peter Gordon, MD; New York-Presbyterian Hospital/Columbia University
Jesse Thomas; RDE Systems
Mentoring in Digital Health Care FORUM October 2015 author Kerry SpaedyKerry Spaedy
The document discusses the benefits of reverse mentoring programs in healthcare, where younger digital native physicians mentor more experienced physicians who are not as technologically proficient. Reverse mentoring programs pair experienced physicians with younger physicians to help the former transition their practices to digital formats and electronic health records. These programs benefit both parties by allowing experienced physicians to learn new digital skills and allowing younger physicians to gain experience communicating with colleagues and understanding patient care. The keys to successful reverse mentoring are clear expectations, agreed rules of participation, a willingness to learn from each other, trust, and transparency between the parties.
Seriously Thinking series - Integrating information .pdfSirius Partners
Many people in the UK are suffering because the NHS does not integrate information well between primary care, hospitals, social care, and other services. This lack of integration leads to gaps in patient information that can negatively impact care. Successful businesses see integrated information flow as important for good customer service, but the NHS has been slow to adopt this approach. There is a long-standing need to better integrate health and social care services as well as their information systems. Improving data sharing through coordinated information governance could help overcome organizational barriers and ultimately improve patient outcomes and care coordination.
New York State is in the process of undergoing an unprecedented transformation of its healthcare system through the implementation of the $6 billion Delivery System Reform Incentive Payment (DSRIP) program. Why? New York must not only reduce the vast cost of care, but it must also assure that individuals’ care is optimized through better collaboration. DSRIP will require comprehensive networks of providers to work together in Performing Provider Systems (PPSs), delivering population-based healthcare to Medicaid beneficiaries and uninsured New Yorkers. Through this process, the State intends to transform New York’s healthcare safety net, improve healthcare quality, and increase sustainability through payment reform. Success in the DSRIP program will require innovative strategies in communication, patient care, data analytics, and many other areas. Technology must therefore be foundational to a solid PPS platform. This panel of leading PPS participants and tech solutions providers will examine the vital role that healthcare technologies will play in DSRIP implementation, and the potential for DSRIP to accelerate the introduction of new, innovative technologies into New York’s healthcare delivery system.
• Jordanna Davis - Principal, Sachs Policy Group
• Stan Berkow - Co-Founder & CEO, Sense Health
• David Cohen, MD, MSc - Executive Vice President, Clinical Affairs & Affiliations; Chair, Department of Population Health, Maimonides Medical Center
• Lori Evans Bernstein - President, GSI Health
• Stephen Rosenthal - President & Chief Operating Officer, CMO, The Care Management Company of Montefiore Medical Center
New York eHealth Collaborative Digital Health Conference
November 17, 2014
9 Actionable Healthcare Tweets from HIMSS 2015Buddy Scalera
9 tweets and action items for healthcare marketers and content strategists, as developed by Marilyn Cox @MarilynECox (Oracle) and Buddy Scalera @MarketingBuddy.
Be sure to visit: http://www.slideshare.net/americanregistry
Grand rounds. tbi. june, 2016 final tbMike Wilhelm
The document discusses using technology to enhance addiction treatment. It defines technology-based interventions as using digital technologies like websites, apps, texting, videoconferencing, and social media to deliver aspects of behavioral health treatment and recovery support directly to clients. Research shows these interventions can increase access to care, provide additional services, and have positive treatment outcomes when used as an adjunct to standard treatment. The document reviews several specific technologies that have been validated for addiction treatment through research studies. It also discusses considerations for clients, clinicians, and organizations in adopting technology-based interventions.
Whole systems demonstrator programme 2011Alfredo Alday
The Whole System Demonstrator programme was the largest randomized controlled trial of telehealth and telecare in the world. It involved over 6,000 patients across three sites testing the impact of remote monitoring technologies on patients with long term conditions like diabetes, heart failure, and COPD. The initial findings show telehealth reduced mortality by 45%, emergency hospital admissions by 20%, bed days by 14%, and costs by 8%. The program demonstrates that remote monitoring technologies can transform care delivery by empowering patients and reducing strain on hospitals if integrated into healthcare systems properly.
e-health & quality of care - business research and practice - medicinfo & twe...Bart Brandenburg
Lecture held at Twente University, about the challenges, possibilities, lessons learned and research questions involved with developing e-health at Medicinfo.
Business, research and practice put into action!
Shoneen Flemister is seeking a position in human resources and has over 10 years of experience in HR roles. She has a proven track record of creating and implementing organizational policies, employee guidebooks, and filing systems. As a benefits administrator, she selected health plans, explained policies to employees, and created an effective benefits enrollment system. In prior safety administration work, she established driver safety policies and databases to track documentation.
Este documento establece las disposiciones para garantizar el derecho al voto asistido de personas con necesidades particulares y adultos mayores de 60 años. Incluye definiciones clave, principios como accesibilidad e inclusión, y procedimientos para el registro de votantes, información electoral en formatos accesibles, y organización de recintos electorales para facilitar el voto asistido. El objetivo es promover la participación plena de estas poblaciones a través de ajustes razonables en el proceso electoral.
Digitally Transforming Primary Care – Making it Happen at Scale ConferenceRachelHatfield7
Digitally Transforming Primary Care – Making it Happen at Scale Conference, held on Wednesday 19th June 2019, London.
For NHS leaders - Commissioning, workforce development, digital delivery; practising GPs, general practice nurses, practice managers; everyone involved in delivery of primary care and evolving Primary Care Networks
Webinar: Information Technology: How to achieve interoperability across the c...Modern Healthcare
Visit the webinar information page:
http://www.modernhealthcare.com/article/20140507/INFO/305079925/
About the Webinar
For most healthcare providers, clinical interoperability remains more of a goal than a reality. This year, the feds are ratcheting up the pressure on providers to incorporate information exchange as part of their daily clinical workflows. To do it, they've built several interoperability requirements into the Stage 2 meaningful use criteria of the electronic health record incentive payment program. We'll explore how to leverage meaningful use interoperability as a basis to improve clinical communications between affiliated and non-affiliated providers, increase patient satisfaction and ramp up for the future with value-based, consumer-focused care.
Join us for this one-hour webinar to learn:
- The basic requirements for interoperability in the Stage 2 meaningful use criteria
- Strategies for implementing a compliant data collection and reporting program
- Pitfalls to avoid and data interpretation issues that need to be addressed
Panelists:
Dr. Clifford Martin
Chief Medical Officer
St. Joseph Physician Network
Dr. Richard Schrieber
Chief Medical Information Officer
Holy Spirit Hospital
Erica Galvez
Interoperability and Exchange Portfolio Manager
Office of the National Coordinator for Health IT
Moderator:
Joseph Con
Health Information Technology Reporter
Modern Healthcare
The document discusses the physician voice in adopting new technologies like electronic medical records (EMRs). It notes that the physician voice has both an external role advocating for patients and an inner role considering personal impacts. Successful adoption requires addressing physician concerns about privacy, workload, and local needs through collaboration between physicians and other stakeholders. It outlines models used in Vancouver Coastal Health to engage physicians through user groups and champions to provide feedback and guide implementation.
Barriers to, and enablers of, adoption of technology enabled care servicesInnovation Agency
Professor Alison Marshall, Health Technology & Innovation, University of Cumbria discusses the processes behind adopting technology enabled care services.
As new payment models emerge that emphasize value over volume, providers are being compelled to look more closely at how to motivate patients—especially those with multiple chronic conditions—to actively manage their care, make better decisions and change behaviors. This editorial webinar will explore the relationships between engagement and improved health outcomes, greater patient satisfaction and better resource utilization. Our panel of experts will share proven strategies for building patients' confidence, disseminating self-management tools and making the best use of your care team.
Exposome & Expotype - Exploring new challenges for Health Informatics Researc...Fernando Martin-Sanchez
This document discusses the opportunities and challenges presented by precision medicine and digital health technologies. It begins with an introduction to precision medicine and how it relies on integrating diverse data sources, such as genomics, the exposome, and patient-generated data. It then explores several specific areas in more depth, including exposome informatics, participatory health informatics, and self-quantification. The document argues that digital technologies are important for enabling precision medicine approaches and that new models of participatory health are emerging through technologies like social media and self-tracking tools.
Telemedicine Lessons from Walmart & Texas Prisons - Dr. Glenn Hammack 9 feb2017VSee
Did your telehealth program not go as well as you expected? Find out how Texas prisons set up a system that's now doing 160,000 telemedicine visits a year. Prepare your organization to thrive in the changing healthcare world. Telehealth veteran and President at NuPhysicia, Dr. Glenn Hammack, shares insights from 17 years of deploying telemedicine for employers and prisons across the state of Texas.
For more information of the presentation such as recording and transcript, please visit:
https://goo.gl/psjbmP
For other webinars:
https://vsee.com/webinars/
Or join our Linkedin Group: https://www.linkedin.com/groups/Telehealth-Failures-Secrets-Success-13500037/about
Or Join our Facebook Group:
https://www.facebook.com/groups/tfssgroup/?ref=group_cover
This document summarizes Don Juzwishin's 2009 plenary speech at the ITCH conference about revolutionizing healthcare with health informatics. It discusses how technologies like Web 2.0, Health 2.0, and Medicine 2.0 can enable improvements by empowering patients, improving knowledge sharing between providers, and enabling healthcare reforms. The speech argues these technologies provide opportunities to improve outcomes by making high-quality evidence more accessible and encouraging collaboration, but require cultural changes for healthcare to fully benefit.
This Webinar is the second of a three-part series synthesizing successful practices to engage hard-to-reach populations into HIV primary care. Lessons are drawn from SPNS population-specific initiatives, and speakers will offer insights relevant to a wide range of audiences, from clinicians to social workers. Presenters discussed the use of data to improve inreach.
Jane Herwehe, DeAnn Gruber, Betsy Shepard, and Debbie Wendell; Louisiana Public Health Information Exchange (LaPHIE)
Peter Gordon, MD; New York-Presbyterian Hospital/Columbia University
Jesse Thomas; RDE Systems
Mentoring in Digital Health Care FORUM October 2015 author Kerry SpaedyKerry Spaedy
The document discusses the benefits of reverse mentoring programs in healthcare, where younger digital native physicians mentor more experienced physicians who are not as technologically proficient. Reverse mentoring programs pair experienced physicians with younger physicians to help the former transition their practices to digital formats and electronic health records. These programs benefit both parties by allowing experienced physicians to learn new digital skills and allowing younger physicians to gain experience communicating with colleagues and understanding patient care. The keys to successful reverse mentoring are clear expectations, agreed rules of participation, a willingness to learn from each other, trust, and transparency between the parties.
Seriously Thinking series - Integrating information .pdfSirius Partners
Many people in the UK are suffering because the NHS does not integrate information well between primary care, hospitals, social care, and other services. This lack of integration leads to gaps in patient information that can negatively impact care. Successful businesses see integrated information flow as important for good customer service, but the NHS has been slow to adopt this approach. There is a long-standing need to better integrate health and social care services as well as their information systems. Improving data sharing through coordinated information governance could help overcome organizational barriers and ultimately improve patient outcomes and care coordination.
New York State is in the process of undergoing an unprecedented transformation of its healthcare system through the implementation of the $6 billion Delivery System Reform Incentive Payment (DSRIP) program. Why? New York must not only reduce the vast cost of care, but it must also assure that individuals’ care is optimized through better collaboration. DSRIP will require comprehensive networks of providers to work together in Performing Provider Systems (PPSs), delivering population-based healthcare to Medicaid beneficiaries and uninsured New Yorkers. Through this process, the State intends to transform New York’s healthcare safety net, improve healthcare quality, and increase sustainability through payment reform. Success in the DSRIP program will require innovative strategies in communication, patient care, data analytics, and many other areas. Technology must therefore be foundational to a solid PPS platform. This panel of leading PPS participants and tech solutions providers will examine the vital role that healthcare technologies will play in DSRIP implementation, and the potential for DSRIP to accelerate the introduction of new, innovative technologies into New York’s healthcare delivery system.
• Jordanna Davis - Principal, Sachs Policy Group
• Stan Berkow - Co-Founder & CEO, Sense Health
• David Cohen, MD, MSc - Executive Vice President, Clinical Affairs & Affiliations; Chair, Department of Population Health, Maimonides Medical Center
• Lori Evans Bernstein - President, GSI Health
• Stephen Rosenthal - President & Chief Operating Officer, CMO, The Care Management Company of Montefiore Medical Center
New York eHealth Collaborative Digital Health Conference
November 17, 2014
9 Actionable Healthcare Tweets from HIMSS 2015Buddy Scalera
9 tweets and action items for healthcare marketers and content strategists, as developed by Marilyn Cox @MarilynECox (Oracle) and Buddy Scalera @MarketingBuddy.
Be sure to visit: http://www.slideshare.net/americanregistry
Grand rounds. tbi. june, 2016 final tbMike Wilhelm
The document discusses using technology to enhance addiction treatment. It defines technology-based interventions as using digital technologies like websites, apps, texting, videoconferencing, and social media to deliver aspects of behavioral health treatment and recovery support directly to clients. Research shows these interventions can increase access to care, provide additional services, and have positive treatment outcomes when used as an adjunct to standard treatment. The document reviews several specific technologies that have been validated for addiction treatment through research studies. It also discusses considerations for clients, clinicians, and organizations in adopting technology-based interventions.
Whole systems demonstrator programme 2011Alfredo Alday
The Whole System Demonstrator programme was the largest randomized controlled trial of telehealth and telecare in the world. It involved over 6,000 patients across three sites testing the impact of remote monitoring technologies on patients with long term conditions like diabetes, heart failure, and COPD. The initial findings show telehealth reduced mortality by 45%, emergency hospital admissions by 20%, bed days by 14%, and costs by 8%. The program demonstrates that remote monitoring technologies can transform care delivery by empowering patients and reducing strain on hospitals if integrated into healthcare systems properly.
e-health & quality of care - business research and practice - medicinfo & twe...Bart Brandenburg
Lecture held at Twente University, about the challenges, possibilities, lessons learned and research questions involved with developing e-health at Medicinfo.
Business, research and practice put into action!
Shoneen Flemister is seeking a position in human resources and has over 10 years of experience in HR roles. She has a proven track record of creating and implementing organizational policies, employee guidebooks, and filing systems. As a benefits administrator, she selected health plans, explained policies to employees, and created an effective benefits enrollment system. In prior safety administration work, she established driver safety policies and databases to track documentation.
Este documento establece las disposiciones para garantizar el derecho al voto asistido de personas con necesidades particulares y adultos mayores de 60 años. Incluye definiciones clave, principios como accesibilidad e inclusión, y procedimientos para el registro de votantes, información electoral en formatos accesibles, y organización de recintos electorales para facilitar el voto asistido. El objetivo es promover la participación plena de estas poblaciones a través de ajustes razonables en el proceso electoral.
첫 도전은 발명입니다. 저는 마늘접착제 발명가입니다. 처음에는 모두들 비웃었지만, 결국엔 개발했고, 이젠 많은 분들이 응원과 대가없는 도움을 주고 있습니다. 둘째는 창업입니다. 창업에 대한 두려움은 열정에 비해 정말 작았습니다. 사업이란 대박도 실패도 없습니다. 조금씩 성장하면 대박이고, 포기하는 순간 실패입니다. 셋째는 전세계 입니다. 저는 까르띠에 여성창업경진대회의 최종진출자입니다.
기술과 제품, 회사를 세계에 알리기 위해 대회에 도전했습니다.
This document provides a summary of a corporate social responsibility project conducted by Mayank Garg at the Association for Social Health of India (ASHI) in New Delhi as part of a post graduate program. It outlines the activities conducted over 7 days with students at various ASHI centers, including teaching English, numbers, art and crafts. It also provides background information on ASHI, which has worked for 85 years on issues related to women and child upliftment through various social programs.
Cartilha adolescentes e jovens para educação entre paresTainaracostasingh
Este documento é um guia de oficinas sobre raça, etnia e discriminação racial produzido pelo Ministério da Saúde e Ministério da Educação. O guia contém seis oficinas com atividades e discussões sobre preconceito, desigualdades raciais, diversidade, mídia e políticas de inclusão. Inclui também materiais complementares, sugestões de filmes e um glossário para auxiliar na compreensão dos temas.
This letter provides a strong recommendation for Jennifer Daniels for a job or role she is applying for. The letter writer has known Jennifer for 3 years and describes her as wonderful, great at communication, willing to take on new projects, and willing to serve others as shown by her commitment to a new member role. The letter concludes by recommending Jennifer without reservation and stating the writer is confident Jennifer will be productive in whatever role she takes on.
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1. 22 Health Service Journal 11 November 2015 hsj.co.uk
ROUNDTABLE
ROUNDTABLEPARTICIPANTS
Adele Waters HSJ executive editor
(roundtable chair)
Dr Ken Fullerton associate medical
director, Belfast Health and Social
Care Trust
Colin Henderson managing director
UK and Ireland, Orion Health
Dr Michael Gregory clinical director
for policy and strategy, NHS Trafford
Marina Lupari RCN professional
lead for primary and community
care
Neal Patel pharmacist and head of
corporate communications, Royal
Pharmaceutical Society
Dr Nigel Millar chief medical officer
Canterbury District Health Board,
New Zealand
Dr Rebecca Rosen GP, Nuffield Trust
senior fellow and member of
Greenwich CCG
Keith Strahan representing the
Association of Directors of Adult
Social Services – programme
manager for the health and social
care information sharing project,
Health and Social Care
Information Centre
DOING
THEIR
SHARE
KeythemesinadebateoverhowtogettheNHSsharing
patientdataatscaleincludedtheimportanceoftakingsmall,
pragmaticstepsandgettingnursesinvolved.ByAlisonMoore
Almost every NHS organisation
is looking at how it can integrate
services better to improve
patient care – either within its
own organisation, with other
NHS partners, or with other
health and social care providers.
Yet the flow of information
about patients sometimes does
not support these approaches –
and can mean they don’t receive
the safe, individually focused
care they want as quickly as they
should. Those involved in their
care can sometimes have to
make decisions without all the
information they would wish for.
Delays in sharing information
can impact on NHS efficiency as
well – leading to duplicate tests
and delays, both in patients
receiving appropriate healthcare
and in transfer out of a hospital
bed.
While some NHS
organisations have effective
electronic systems which allow
for the sharing of information
by all involved with patient care,
many are still sharing
information through faxing and
passing on physical records.
Faxing is particularly common
when a patient needs social care
input as well as healthcare.
An HSJ roundtable,
sponsored by Orion Health,
looked at the myriad questions
around sharing information and
how some of the barriers could
be overcome. HSJ executive
editor Adele Waters, chairing the
debate, said: “It’s not the case
that anyone in any organisation
necessarily has access to the
information they need about
that patient’s care and past
treatment. We need to get better
at that.” She added that any
solutions needed to be capable
of being implemented at scale.
The issues around sharing
information are not limited to
the UK: most healthcare
systems in the developed world
have been wrestling with them.
One of the most remarkable
success stories has come from
the Canterbury area of New
Zealand’s South Island, which
‘The challenges in
getting everyone
to accept such a
change were huge’
us saying it is unsafe for us not
to have access,” he said.
The system adopted by the
district health board is
evolutionary and capable of
being added to – for example, it
is now being extended to
pharmacists. But while there
was no question that shared
information had made things
possible which might not have
happened otherwise, he
conceded that it was difficult to
measure the impact of the
project.
Asked what were the critical
factors in getting a shared
e-health record system up and
running, he said having a long
term vision and then working
out what was needed in terms of
technology to achieve that
has introduced sharing across its
health economy. Dr Nigel Millar,
chief medical officer of the
Canterbury District Health
Board, has been key to this.
He outlined how plans to share
records dated back to 2007 but
had initially concentrated on a
“big solution” that was later
abandoned. Many areas were
happy with their existing
computer systems and did not
want to change them – but they
did want a way to share
information across health and
social care.
Stimulus to change
A surprising turning point was
the 2011 earthquake in
Christchurch, the main city in
the health board’s region,
which caused enormous
disruption to health services
and infrastructure. “It’s not
recommended but it was a
stimulus to change,” he said.
Eleven days after the
earthquake, the decision was
made to push ahead with a
scheme using a shared electronic
space which would eventually
allow all partners in health and
social care to upload and share
records while continuing on
different systems.
While introducing the
technology to drive this was
“quite easy,” the challenges in
getting everyone to accept such a
change were huge, he added. It
was helped by a high level of
trust in the health system which
provided a basis to build on. “We
have started the model, created
the space and are sharing
information,” he said. “We now
have health providers coming to
2. 11 November 2015 Health Service Journal 23hsj.co.uk
WILDEFRY
incrementally was important. A
degree of opportunism was also
needed, along with strong
clinical leadership and a
willingness to challenge each
other.
In contrast, shared
information in the NHS is “a
patchwork quilt. Every area is at
a different place,” suggested Dr
Rebecca Rosen, Greenwich GP
and a senior fellow at the
Nuffield Trust. “I would endorse
what you say about not seeking
perfection and a big bang
solution.”
In her area, a conversation
about sharing information had
been going on for three or four
years before changes to the
structure of local hospital trusts
proved to be the impetus to push
forward with plans. “It was
piggybacked on some work
which was already going on. It
required a certain pragmatism,”
she said.
“Our vision would have been
for a ‘read and write’ solution for
the full medical records. But we
made a pragmatic decision to go
hospitals and have executive
sponsors. Each CCG person is a
link to an executive sponsor in a
trust.”
However, when clinical
engagement is discussed it is
often very focused around
doctors, despite nurses
frequently being the largest
group accessing and adding to
patient records.
Ensuring nurses’ voices were
heard – and giving them a seat
at the top table when IT changes
were being discussed and
decided – could contribute to
smoother implementations and
greater take up, argued Marina
Lupari, Royal College of Nursing
professional adviser for primary
and community care. She said
there were only a handful of
nurse leaders in this area.
In a lot of cases nurses could
manage patients in their own
homes if they had the right
information available, she said,
but they did not always have
access to IT to get this
information when it was needed.
There was an issue of whether
for something that was already
being worked up. Now we are in
the process of rollout. We have
some GP practices who are
using it and some who are
probably unaware of it.”
Impetus for change
Practices who had piloted the
system now spoke at meetings
about how it was working for
them, she said. The “word on the
street” was getting out slowly,
she said.
One barrier to implementing
a new system was getting people
to change the way they acted,
said Dr Rosen. “Getting people
to change their professional
behaviour so that the whole
In association with
system works better is hard,” she
said, citing care plans as an
example. Currently, GPs did not
write care plans with the
intention that other healthcare
professionals would add to
them. “It will give us some
developmental changes to
make,” she said – but it did offer
an opportunity to get people
working better, enabled by
technology.
The need for clinical
engagement if changes are to be
successfully implemented was
echoed by many round the table
who had experience of trying to
introduce both IT and changes
to working practices.
“I think an IT solution is a
wonderful thing but we do need
the clinical buy in and
relationships,” said Dr Michael
Gregory, clinical director for
policy and strategy at NHS
Trafford, which has brought in a
shared information system.
“One of the challenges we
have is that the consultants love
the ideas but we also have to
manage the relationships with
Clockwise from top
left: Dr Ken
Fullerton; Neal
Patel; Marina
Lupari; Adele
Waters; Colin
Henderson; Keith
Strahan; Dr Rebecca
Rosen (top) and
Dr Michael Gregory;
Dr Nigel Millar
‘There is a need
for clinical
engagement if
changes are to be
implemented’
3. 24 Health Service Journal 11 November 2015
ROUNDTABLE
they should use their own
devices to access this, something
the RCN advised against.
More generally, nurse
engagement did not seem to be
high up the IT agenda, even
though they were important
users. “I think nurses will be
given priority when they become
the block to progress [ie at
rollout stage]. But at the
moment it is happening around
us,” Ms Lupari added.
Another professional group
which is beginning to benefit
from access to electronic records
is pharmacists.
Neal Patel, head of corporate
communications at the Royal
Pharmaceutical Society, said
they had a professional vision of
moving from supplying a
product to being more involved
in healthcare advice. There was
an opportunity to develop new
roles for them as there is
currently a surplus of
pharmacists.
A lot of the extended roles for
pharmacists either in place or
being talked about would
require access to patient
information. There had been a
and a patient portal. That will be
as live as it can be,” he said.
This should enable more
efficient progress through the
system – for example, spotting
where necessary tests had not
been carried out, or ensuring
that community staff did not try
to visit patients when they were
at a hospital appointment.
Thirty three community
elective pathways were being
looked at. There was also the
capacity to identify patients at
risk of admission through risk
stratification and information
coming in through live feeds.
Nurses would manage this
caseload: “They will know the
patients and make sure that they
are getting all the services they
need,” he said.
“We have found that we can
have systems in place but
sometimes they are not followed.
You have to design something
which makes our lives easier.”
The Trafford scheme hoped to
reach this point by year three of
a five year programme. Booking
systems went live in July and the
aim was to have at least one
hospital and 60 per cent of GP
practices set up online later this
year, he said.
In Northern Ireland, work
started in 2007 with a clinically
led group which was
commissioned to carry out a
“proof of concept” project. This
looked at feasibility, clinical
impact and efficiency, involving
one hospital in Belfast and
another outside it, and two large
GP practices.
“We never really had to sell
the concept of an electronic
health record,” said Dr Ken
Fullerton, associate medical
director at the Belfast Health
and Social Care Trust, who has
been closely involved in the
project since its inception. Staff
interest was high: in the early
stages of the project, if he logged
Clockwise from top left: Keith Strahan; Adele
Waters; Marina Lupari; Dr Nigel Millar; Dr Ken
Fullerton; Dr Michael Gregory; Colin Henderson
programme to ensure
connectivity between
pharmacies and the wider NHS
– for example, the ability to
connect to the “spine” has been
established and community
pharmacies are being given
access to the summary care
record. “I think that will help
enormously, especially out of
hours,” he added. However,
ideally pharmacists would like to
be able to write into the record
rather than just read it.
Some areas in the UK are
more advanced than others, with
information already shared
across key players in their local
health economies. Dr Gregory
said local commissioners had
developed a care coordination
system which he described as
being like an “air traffic control”
system enabling an overview of
where people were in the system.
Implementation began with
the booking and ambulance
systems, and then extended into
unscheduled care. “Feeds come
in from primary care, acute
hospitals, mental health, social
care and community providers.
There will be a clinical portal
‘We never really
had to sell the
concept of an
electronic
health record’
4. 11 November 2015 Health Service Journal 25
WILDEFRY
into the system from any
terminal in his hospital he would
find a number of staff gathered
to watch.
The report from the project
group showed not only clinical
effectiveness but also savings
due to, for example, fewer
unnecessary outpatient
appointments. The decision was
made in July 2013 to roll out the
solution more widely.
“We set seven year targets in
terms of users and access. We
have already passed these,” Dr
Fullerton said. Since then
775,000 patient records had
been accessed, and there had
been five million unique logins.
Ninety per cent of doctors were
already using the system but the
biggest single group of users
was nurses. Specialist nurses
working between hospitals and
community had been
particularly enthusiastic users in
the pilot stage but some groups
had been harder to engage.
“Pharmacy is about 2 per cent.
We have work to do there but
there is progress,” he added.
Change had been made
incrementally and was still
going on. “We now have a road
map. We are no longer read only.
Various aspects had been taken
forward by largely clinical
groups,” he said. This included
“e triage” and virtual
multidisciplinary team meetings.
Any new IT systems adopted
now had to be compatible with
the electronic care record, and
there was increasing
involvement from other parts of
the health system. Ambulance
services could access
information but not yet from
ambulances themselves, the
local hospice had signed up and
independent sector providers
were interested as well.
Patient reluctance for their
records to be shared is often
seen as an obstacle but in
Northern Ireland this had not
turned out to be the case.
at the helm of the project and
having the right clinical
advocate to take that out to their
peers is vital.”
As well as clinical
engagement, there was a need
for executive sponsorship.
Sometimes there was a need for
difficult conversations to take
place: during discussions about
the Canterbury system there had
been an agreement that people
could walk away from the table
as long as they came back, he
said. It was early days to see the
evidence that better access to,
and sharing of, information
improved patient care.
Mr Henderson said that
organisations did start to see the
benefits, which might be as
simple as fewer duplicate tests
or not duplicating visits to
people, as well as time saved by
not having to search for
information.
Dr Millar added some other
benefits: with shared
information, pharmacists no
longer had to guess the patient’s
diagnosis from what they knew
about their medications.
And ultimately IT made
business improvement and
system transformation possible.
It could also create opportunities
to improve patient safety if it
was recognised that patients
could fall through the gaps, said
Dr Fullerton.
He stressed that electronic
interventions did not solve the
problems of healthcare: they
were enablers and raised
questions such as who had the
responsibility for reviewing and
signing off test results which
might have been ordered by one
doctor but then seen by others as
patient care was transferred.
Summing up the debate, Ms
Waters said the key elements to
deliver shared information were
to have a vision; clinical
leadership – including from
nurses – together with executive
sponsorship; and to
acknowledge that technology is
an enabler but won’t solve all
problems.
There was emerging evidence
that shared information could
deliver improvements and
efficiencies, she concluded. l
In association with
Patients had been able to choose
to opt out of their information
being shared – but less than 200
out of 1.7 million had done so,
said Dr Fullerton. There was
additional protection around
some records, such as those
covering mental health. But he
added, even as a geriatrician, he
found the common response to
shared records from his patients
was “but why were you not
doing that already, doctor?”
Northern Ireland has a
combined health and social care
system – but other parts of the
UK often struggle to get
coordination between the two
sides. Keith Strahan, programme
manager for the health and
social care information sharing
project at the Health and Social
Care Information Centre,
pointed out some of the
challenges in dealing with a
sector which employs 1.6 million
people but with only 9 per cent
working within local authorities.
When it came to technology,
there were some wonderful good
practice examples but the main
way of sharing information with
the NHS was probably still by
fax, he said. He was working in
Shropshire to get secure email
into care homes “but 95 per cent
of the information that goes in
now is faxed. If you come out of
any hospital and move into a
care home, shared information is
likely to be faxed.”
There were changes coming
as CCGs had to produce digital
roadmaps by April 2016, he
added. He questioned whether
in some cases what needed to be
shared was a summary rather
than the whole document or
plan. If everything was shared,
the volume of information could
be overwhelming: he cited GPs
having to search through reams
of reports to find the ones which
were really urgent and required
them to take action. “There are
crucial bits of information which
I want to follow me around. For
example if I go into hospital and
have a home care plan, will the
provider know about it or will
they break down the door
because they think the patient is
lying there unwell?” he said.
Small measures
Small steps could change
behaviour and drive engagement
with electronic records: one
thing which had been tried in
London was replacing a generic
fax number for an organisation
with a generic secure email
address, he added. This had
revealed that faxes were being
used within hospitals to transfer
information internally as well as
between hospitals and other
organisations.
Colin Henderson, Orion
Health’s managing director for
UK and Ireland, said that
implementing technical
solutions took organisations on
a journey.
Taking pragmatic steps to
making information available
could start to drive interest and
lead to further progress. “That’s
when you start to move from the
viewing to the doing. But you
have to do the viewing first and
that has to be enough useful
information to be interesting,”
he said.
“The clinical leadership is
absolutely essential. When you
walk into a room, you can spot
the ones... [where
implementation] will be
successful based on the
individuals in the room.
“I think there are natural
leaders out there. Having them
‘Small steps could
change behaviour
and drive
engagement with
electronic records’
Dr Rebecca RosenNeal Patel