This document discusses the roles and benefits of Community Health Workers (CHWs) and Promotoras. It outlines that CHWs and Promotoras are trusted community members who serve as liaisons between communities and health services. They provide education, social support, and help people access needed services. Research shows CHW outreach reduces emergency room visits and medical costs. The Affordable Care Act requires health insurance marketplaces to have navigators, including non-profits, to help people enroll. Navigators and certified application counselors will assist with enrollment.
A Community Health Worker (CHW) is a frontline public health worker who is a trusted community member with an unusually close understanding of the community served. This is short presentation designed to garner support for CHWs.
A Community Health Worker (CHW) is a frontline public health worker who is a trusted community member with an unusually close understanding of the community served. This is short presentation designed to garner support for CHWs.
Healthcare delivery systems in India need a thorough look by reformist in India. Ehealth may be a probable option tool to help integrating hospital and community care
Health literacy and health information in England: how big is the problem?HLGUK
Presentation to the Health Literacy Group UK Seminar
‘Improving health information to promote health literacy’
Gill Rowlands, Professor, University of Newcastle and
Aarhus University, March 2015
Advancing Team-Based Care:Dissolving the Walls: Clinic Community ConnectionsCHC Connecticut
This final webinar of the Transforming Teams series addressed the ways innovative practices keep connected to their communities by offering non-medical services that benefit patients, linking to quality community resources, and acting as advocates in their communities for resources and programs that may be needed.
This webinar was presented Jun 2, 2016 3:00 PM Eastern Time
Major Stakeholders in Healthcare systemWajid Farooq
The health care delivery system is intended to provide services and resources for better health. This system includes hospitals, clinics, health centers, nursing homes and special health programs in school, industry and community
Major stake holder in health care delivery system IndiaMandeep Gill
The stakeholder concept was first used in 1963 internal memorandum at the Standard Research Institute. It defined stakeholders as those groups without whose support the organization would cease to exit. The theory was later developed by R. Edward Freeman in the 1980s. Stakeholders are those individuals, groups, or organizations who have a contractual, ethical, financial, and/or political interest (stake) in the decisions and actions of a particular organization.
Transforming the relationship with patients and communities (are we getting t...Jeremy Taylor
Slides to accompany a presentation at Member Engagement Services Challenge 2020 event on 6 July 2016. Is engagement getting better? An overview of policy, practice and lived experience, and what needs to happen next
Dennis Dunmyer, BBA, MSW, JD, Vice President of Behavioral Health and Community Programs, Kansas City CARE Clinic
Learning Objectives:
1. Explore the approach to Missouri’s Community Health Worker workforce.
2. Discuss the role of school-based health care in preventative medicine.
3. Discuss examples of workplace wellness programs that create healthier employees while improving an organization’s bottom line.
CHAPTER 84How Community-Based Organizations Are Addressing Nursi.docxtiffanyd4
CHAPTER 84
How Community-Based Organizations Are Addressing Nursing's Role in Transforming Health Care
Mary Ann Christopher, Ann Campbell
“The day may soon dawn when we Americans can enjoy a measure of life and health that is consistent with our extraordinary resources and the intelligence of our people. The pioneers have begun their work; it is far from finished. New fields, new enterprises, are visible. The times call for the high spirit of the courageous pioneers among physicians, scientists, and nurses.”
Lillian Wald
This is a time of rapid transformation in health care, one in which community health nursing has a critical role in advancing individual and public health. As the United States integrates the mandates of the Affordable Care Act (ACA), community health organizations have a pivotal role in affecting the health status of the nation, particularly for vulnerable populations. The Institute for Healthcare Improvement, through the construct of the Triple Aim, calls on all members of the health care team to improve the health of the population, improve the consumer experience and reduce the cost of care. The Institute of Medicine's (IOM) report on The Future of Nursing has charged nurses to become equal partners in the development of health policy and practice (IOM, 2011). The IOM report Public Health and Primary Care has challenged practitioners to coordinate efforts for the betterment of patients (IOM, 2012a).
Community-based organizations are strategically positioned to provide the leadership as well as the integration and coordination of services necessary to carry out these aims. Further, the community-based sector of the nursing profession is poised to influence the transformation of health care delivery by drawing on principles that are core to the discipline. By partnering with communities, creating innovative approaches to care as the system evolves, and engaging the communities they serve, community health nurses can deliver on the promise of quality health care for all. This chapter discusses the approaches of the Visiting Nurse Service of New York (VNSNY) to mobilize the strengths of the community to improve public health, establish cross-continuum interprofessional teams to affect the continuum of the patient care journey, and promote public policy to advance funding methodologies that more adequately consider risk factors of vulnerable populations.
Community as Partner and the Community Anchor
Community Anchor is a concept that is being developed by the VNSNY as a way to build healthier communities. The Community Anchor is a term that suggests if nursing is going to exercise its responsibility for the individual as well as public health, the profession must recommit to its traditional focus on grassroots needs assessment and service provision, so brilliantly illustrated by the work of Lillian Wald, founder of the Henry Street Settlement House, the VNSNY, public health nursing, 665occupational health nursing, the first pl.
A collection of slides from participants in "Cross Currents: Art + Agriculture Powering Rural Economies" showing projects in economic development, public art, agriculture, or ways in which communities are striving to thrive.
Creative Thinking about Developing Rural Food Systemsruralxchange
A May 8, 2014 webinar from the National Alliance for Rural Policy with speakers:
Janet Kagan, Director, Art-Force Inc.
Adele Phillips, Center for Rural Affairs: Program associate, Rural Opportunities and Stewardship Program
Veronica Erenberg, Center for Rural Affairs: Community Foods Specialist, Rural Opportunities and Stewardship Program
For more information, see www.ruralxchange.net/webinars
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
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.
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
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.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
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.
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Best Practices: Community Health Workers and Positive Impact on Community Change
1. Best Practices:
Community Health
Workers and Positive
Impact on Community
Change
Grassroots impacts of Community
Health Workers, Promotoras and Lay
Health Workers in relation to the
upcoming roles of Patient Navigators
with the Affordable Care Act.
2. Arizona Rural Women’s Health Network
Members
• Eastern Arizona Area Health
Education Center
• Greater Valley Arizona Area
Health Education Center
• Northern Arizona Area Health
Education Center
• Western Arizona Area Health
Education Center
• Mogollon Health Alliance
• Time Out, Incorporated
• Arizona Department of Health
Services
• Mariposa Community Health
Center
• Arizona Alliance for Community
Health Centers
• Arizona Office of Rural Health-
University of Arizona-MEZCOPH
• Payson Chapter Amnesty
International
3. The Role of The Community Health
Worker or Promotora
Community Health Workers (CHWs) are frontline public health
workers who are trusted members of and/or have an unusually close
understanding of the community served. This trusting relationship
enables CHWs to serve as a liaison/link/intermediary between
health/social services and the community to facilitate access to
services and improve the quality and cultural competence of service
delivery. CHWs also build individual and community capacity by
increasing health knowledge and self-sufficiency through a range of
activities such as outreach, community education, informal
counseling, social support and advocacy. (APHA)
4. The Promotora Model
Spanish word for “promoter” and in
this context also can refer to
community health workers.
Promotoras live in the communities
in which they work. They are the
knowledge keepers for that
community. They are not usually
formally educated, but serve as a
wealthy of knowledge for those
people needing to access services in
the community. They are trusted
advisors, educators and able to
reach those in underserved areas.
5.
6. The Definition of the CHW or Promotora can be
broad- however is built on these core
definitions:
1. Bridging and providing cultural
mediation between communities
and health and social service
systems
2. Providing culturally appropriate
health education and information
3. Ensuring people get services
they need
4. Providing informal counseling
and social support
5. Advocating for individual and
community needs
6. Providing direct service, such as
basic first aid and administering
health screening tests
7. Building individual and
community capacity
7. Why is the Promotora/CHW/CHA Model
Considered a Best Practice?
The National Community Health Advisor
Study, conducted by the University of
Arizona, found an array of benefits associated with
CHA outreach & education services in underserved
communities, such as decreases in ER visits, a
reduction in the length of hospital stays, and fewer
medical complications when patients do receive
medical attention. Because CHA outreach focuses on
the individual, services are provided in a cost-
effective and culturally sensitive manner that
eliminates many barriers that prevent some from
obtaining medical care. As a result, a greater sense
of trust develops between the community and the
formal health care system.
8. Community Capacity
Opportunities
Communities can benefits from new
leadership. CHWs & Promotoras are
usually very well respected community
members and can help with capacity
building.
The Promotoras/CHWs are positive
representatives of their respective
agencies and will act as advocates for
the community.
Both CHWs & Promotoras are well
versed in the assets and needs of their
communities.
11. ACA: Marketplace - Patient Navigators
•Each Marketplace is required to have at least two (2)
types of entities serve as Navigators- one (1) must be
a community and consumer focused non-profit
• Must be trained to ensure they have expertise in the needs of
underserved and vulnerable populations (e.g. rural, people living
with HIV/AIDS)
• Navigator grantees could include individuals and organizations
that often target their outreach to specific ethnic, geographic or
other communities although all Navigators should have ability to
help any individual who seeks assistance
12.
13. Navigator Eligibility
• Eligible entities:
• Self employed individuals
• Public and private entities including non-profit
organizations, tribes and tribal
organizations, unions, chambers of commerce, etc.
• Ineligible entities:
• Health insurance issuers and their subsidiaries
• Associations that include members of, or lobbies on
behalf of, insurance industry
• Recipients of any direct or indirect consideration from
health insurance issuer in connection with enrollment
14. Navigator Program Management
•In the Federal Marketplace- HHS funds and
awards funding for Navigator grants
•States choosing to build their own Marketplace
will build their own Navigator programs
including awarding and overseeing
grants, developing standards and ensuring
adherence to programmatic requirements
15.
16. Non- Navigator Assistance Personnel
(In-Person Assistance Personnel)
•A “non-Navigator assistance program” is a
program established to fulfill consumer
assistance, education and outreach
functions.
•HHS does not anticipate operating
non-Navigator assistance programs in the
FFM.
17.
18. CACs in the Marketplace
• Certified Application Counselor.
What does this mean to us and those we serve?
• States building own Marketplace- Navigator and CAC, but may choose
whether or not to have a non-Navigator assistance program.
• States working with CMS- Must have a Navigator, non-Navigator
assistance program and a CAC program.
• The Federal Marketplace- Navigator program, CAC program, but is not
anticipated to have non-Navigator assistance personnel.
19. Get the latest resources to help people apply, enroll and
get coverage at- Marketplace.cms.gov
20. Thank you!
Kim Zill, MS
Network Director
Arizona Rural Women’s Health Network
kimberlyz@aachc.org
700 E. Jefferson St. | Suite 100 | Phoenix, AZ 85034
Phone: 602-288-7544 | Fax: 602-252-3620