Community Based Personal Health Management
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This document discusses the shift in perspective from paternalism to whole community health at PeaceHealth St. Joseph Medical Center over 20 years. It summarizes the history from early initiatives like a community health record and immunization registry in the 1990s. In the middle history, patient requests led to roles like navigators and decision support tools. Recent history discusses building interoperable computing and mobile access to personal health data through initiatives like Microsoft HealthVault and state health record banks. The future envisions more user-friendly cloud tools to help families manage health, as well as social software, conversations, and data analysis to support behavior change at the community level.
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To employers the cost of healthcare is now a business issue and this talk is about what one large buyer IBM did to drive transformation via broad coalition with other large employers to form the Patient Centered Medical Home movement and the covenant between buyer and provider away from the garbage we now buy episodic uncoordinated disintegrated care. In the change of convenient conversation we have worked with the Primary care providers to give us coordinated, integrated, accessible and compressive care with a set of principles know as the Patient centered medical home.
A Patient Centered Medical Home (PCMH) happens when primary care healers keeping that core healing relationship with their patients step up to become specialists in Family and Community Medicine. The move is to the discipline of leading a team that delivers population health management, patent centered prevention, care that is coordination, comprehensive accessible 24/7 and integrated across a deliver system. PCMH happens when the specialists in Family and Community Medicine wake up every morning and ask the question how will my team improve the health of my community today?
All over the world three huge factors are in play that is driving the concept of Patient Centered Medical Home. They are:
1) Cost and demography
2) Information technology and data (information that is actionable will equal a demand for accountability by the payer or buyer of the care)
3) Consumer demand to engage healthcare differently (at least as well as they can their bank- on line) have a question about lab results why not e-mail?
But at its core it is a move toward integration of a healing relationship in primary care and population management all at the point of care with the tools to do just that.
Where in USAID’s Health Systems Strengthening (HSS) Approach is the Community...
The document discusses USAID's approach to health systems strengthening (HSS) and how communities fit within that framework. It describes HSS as strategies to improve health system performance in order to sustainably improve health outcomes. The community is involved in several areas of the HSS framework, including leadership and governance, financing, information, human resources, medical products and technologies, and service delivery. At the outcomes level, a strengthened health system should provide financial protection, quality services, population coverage, and responsiveness for communities. Ultimately, effective health systems are aimed at ensuring mothers and children do not die from preventable causes.
Me hi hie-landscape-webinar-2014-june
This document provides an overview of national and local health information exchange (HIE) initiatives. It begins with learning objectives about differentiating national HIE efforts, current HIE adoption levels, and drivers, challenges, and trends of HIE. The document then discusses the various "apples and oranges" of HIE collaborations, trusts, and exchanges. Facts and figures about national and Massachusetts HIE participation and use are presented. Finally, the document outlines drivers, challenges, and emerging trends of HIE and describes examples of regional HIEs in Massachusetts.
The Patient Centered Medical Home
This presentation explains the concept of the patient-centered medical home (PCMH), its function and its intended effects. A brief overview of the history of PCMH is also provided, as well as a discussion of its operational characteristics, its principles and outcomes, and what is expected in the future for the PCMH model.
Patient-Centered Care Requires Patient-Centered Insight: What We Can Do To C...
Health systems and providers are inundated with measurement systems and reporting. Why would we want to add to the measurement mayhem? The real question is, “Are we measuring what matters?”
Carolyn Simpkins MD, PhD, chief medical informatics officer, will discuss how putting the patient at the center of the measurement matrix can bring coherence and completeness to the picture of care delivery performance across the patient journey, and therefore the performance of the healthcare ecosystem.
She will describe the building blocks for patient-centered measurement and how other metrics, patient-reported outcomes, and patient satisfaction fit into this approach. Carolyn will also review the challenges that have kept health systems from completing a patient-centered outcomes approach and why we are poised to break through. Finally, she will share case studies of organizations who have begun to pioneer the use of patient centered metrics to improve care and outcomes.
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1) The Office of Health Information Technology (OHIT) promotes adoption of health IT in safety net providers like community health centers and aims to improve quality of care, reduce costs, and prevent a digital divide.
2) OHIT provides various funding opportunities and technical assistance to support health centers' planning, implementation, and use of electronic health records and other health IT.
3) OHIT collaborates with other agencies and organizations to advance use of health IT and address related policy issues.
KP in American Healthcare System
Murray N. Ross presented on how Kaiser Permanente uses health information technology to transform patient care. Kaiser Permanente is a large integrated health system that provides coverage, care delivery, and financing to over 8 million members. It has invested over $3 billion in an electronic medical record system to provide clinicians real-time access to patient information and support individual and population health management. Kaiser Permanente engages patients through online tools that allow them to access their health records, communicate with providers, refill prescriptions, and participate in health programs.
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IEx for Clinical Communication and Coordination: Health Department to Clinica...Catherine Schenck-Yglesias
AMIA 2012 Chicago Presymposium - WG-03: Current Issues for Population Health Informatics in Healthcare and Public Health - presentation by Joseph Gibson, MPH, PhD and Catherine Schenck-Yglesias, MHSBig Data and VistA Evolution, Theresa A. Cullen, MD, MS
Presentation to Open Source Electronic Health Record Alliance (OSEHRA) Architecture Work Group by Theresa A. Cullen, MD, MS
Chief Medical Information Officer
Director, Health Informatics
Office of Informatics and Analytics
Veterans Health Administration
Department of Veterans Affairs
Health IT at Kaiser Permanente
Andrew M. Wiesenthal, MD, SM
Associate Executive Director, The Permanente Federation
HINZ Seminar Series
8 July 2008
Digital Health: Medicine at the Croosroads
This document discusses the implications of mobile health and social media in clinical practice. It describes the three components of digital health as applications, devices, and infrastructure. Mobile technologies and social media have tremendous potential to improve care delivery, patient safety, information dissemination, and chronic disease management. The document outlines how physician communities on social media can facilitate knowledge sharing and discusses the growth of medical apps. It predicts that mobile health and social media will become integrated into everyday healthcare through digital tools and communities.
Misadventures in Interoperability
Presentation by Megan Douglas, JD for the Third Annual Policy Prescriptions® Symposium
She is the associate director of Health Information Technology Policy in the National Center for Primary Care at Morehouse School of Medicine.
The symposium is designed for clinicians, healthcare workers, and healthcare executives interested in exploring the major themes that will emerge in health policy throughout the year. This year, the symposium will emphasize value in healthcare, health information technology, gun violence, insurance choices, the Affordable Care Act, and the viewpoints of the Presidential candidates on health care.
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iHT2 Health IT Summit Atlanta 2013, Michael Matthews, Chief Executive Officer...
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Using the Perioperative Surgical Home as a Model to Implement CJR
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This document provides an introduction to data and analytics for startups. It discusses predictive modeling, data visualization, cohort analysis using tools like Kissmetrics and Mixpanel. It also covers customer value, tips for data including focusing on important outcomes and not torturing the data. Recommendations are given for creating a data driven culture through regular reporting, dashboards, and including data in decision making. Resources for further learning include books, conferences, and online courses.
Rizer for distribution
Patient engagement can be improved through the use of information technology like MyChart and home monitoring devices. These tools allow patients to upload health data like vitals from home to their electronic health record for their doctor to review. Physicians can then better monitor patients between office visits and patients have more access to their health information to stay informed and engaged in their care.
Payne
1) The document discusses the increasing distance between data generation through electronic health records and knowledge generation in biomedicine. Regulatory, technical, and cultural barriers have artificially partitioned access to clinical data for knowledge generation purposes.
2) It proposes creating a "learning healthcare system" using a systems approach to leverage various data sources and reduce the barriers between data and knowledge. Strategies include eliminating boundaries, semantic integration, and addressing technical, regulatory and cultural challenges.
3) The goal is to learn from every patient encounter to improve individual and community care through applications of healthcare IT, biomedical informatics, and cultural harmonization between these fields.
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Recent Development in Pharmacogenomics
The summary discusses recent developments in pharmacogenomics including:
1) Recent drug label updates have incorporated genetic information to refine dosing for several drugs including warfarin, abacavir, and tetrabenazine based on CYP enzyme activity.
2) New targeted cancer therapies like crizotinib and vemurafenib have been approved for cancers with specific genetic mutations and require genetic testing to identify responders.
3) Research trends include large genome-wide association studies to identify genetic factors for diseases and drug responses while the FDA has released new guidances on pharmacogenomics.
Mc dougall
PwC is a global professional services firm that provides audit, tax, and consulting services. It has established a Personalized Medicine practice to help clients address key healthcare trends and advance personalized healthcare. PwC has worked on various personalized medicine initiatives including establishing research institutes and facilitating strategic partnerships between organizations. Information technology and diagnostics will be important foundations supporting the development of personalized medicine.
Madsen
The document discusses the need for personalized health solutions to address rising healthcare costs due to an aging global population with increasing rates of chronic diseases. It argues that personalized health, which uses precise tools and technologies to measure an individual's unique characteristics, can enhance health outcomes. The document outlines several areas of focus for personalized health innovations including clinical medicine, diagnostics, drug development, and condition-specific nutritional needs.
Klein
This document discusses integrating proteomic biomarkers into personalized drug dosing of erythropoietin (EPO) for treating anemia. It reviews the rise of EPO therapy and emerging safety concerns that led to lowered dosing guidelines. Proteomic analysis identified serum biomarkers that distinguish EPO resistant from sensitive patients. A model predictive control tool was developed to personalize EPO dosing based on these biomarkers, achieving superior results to standard protocols. The combination of biomarkers and intelligent dosing control shows promise for guiding individualized EPO treatment.
Feldmann
This document summarizes the evolution of Ohio State University's "Your Plan for Health" (YP4H) program, which aims to control rising healthcare costs while improving faculty and staff wellness. Key points include: YP4H has helped reduce annual cost trends and avoid over $3 million in costs from 2006-2009 through risk identification programs. However, an aging workforce and rise in chronic conditions presents ongoing challenges. YP4H 2.0 seeks to engage more individuals through personalized and predictive approaches aligned with the university's culture of wellness. Future strategies include high-performance plan designs, integrated care delivery between providers and plans, and continued focus on population health management.
De bronkart osu panel 2011 10-7
The document discusses how access to information is crucial for creating value in healthcare. It provides examples of how social media and online communities allow patients to access vital health information and connect with others, such as a woman who was diagnosed with kidney cancer and found treatment information through Twitter. The document also notes that a majority of U.S. adults now look for health information online, representing a significant demographic shift, and that genuine value can arise from people without medical training through web platforms that facilitate information sharing.
De bronkart
The document discusses Web 2.0 and social networks. Tim O'Reilly states that Web 2.0 harnesses the intelligence of users. Charlene Li compares social networks to air, implying they will become ubiquitous. The document focuses on how Web 2.0 utilizes user participation and how social networks are growing increasingly prevalent.
Dalton
This document discusses Moffitt Cancer Center's Total Cancer Care program which aims to transform cancer care through a personalized approach. It involves collecting extensive clinical, molecular, and biospecimen data from patients over their lifetime to power research. The goals are to improve outcomes through early detection, personalized treatment, and clinical trials matching. Moffitt has established an extensive biorepository and informatics platform to integrate data from over 78,000 consented patients to enable precision oncology research.
Croce
The document summarizes research on microRNA dysregulation in cancer. It discusses how certain microRNAs are commonly deleted or mutated in cancers like chronic lymphocytic leukemia (CLL). MicroRNA expression signatures can be used to classify cancer patients and predict disease progression. Experiments show that microRNAs like miR-15a and miR-16-1 are inversely correlated with genes involved in cell proliferation and apoptosis. Restoring expression of these microRNAs suppresses tumor growth in mouse models.
Chasman
Three loci were found to have genome-wide significant association with LDL-C reduction from rosuvastatin treatment: ABCG2, LPA, and APOE. An additional locus, PCSK9, was associated with baseline LDL-C levels. Variants in these four loci explained 2.8-6.7% of the variance in LDL-C response. A sub-genome-wide significant association was found for IDOL, involved in LDL receptor regulation. Additional analysis supported roles for SLCO1B1 and LDLR variants. A genetic risk score revealed dependence of LDL-C response on genetics but explained only a small proportion of variance. No interaction effects were observed.
Abraham
This document discusses new approaches to monitoring heart failure patients using implantable sensors to continuously measure pulmonary artery or left atrial pressures.
It describes a clinical trial that found implanting a pulmonary artery pressure sensor and using the pressure readings to guide medication adjustments significantly reduced heart failure hospitalizations compared to usual care.
A separate study implanted a left atrial pressure sensor and developed an algorithm to guide diuretic dosing based on pressure levels. Initial results found the sensor remained calibrated over time and the system was able to control left atrial pressures.
Snyderman
The document discusses the need for personalized health care as the key to meaningful health care reform. It outlines how medicine has progressed from focusing on single factors to understanding disease as complex with multiple interacting factors. Personalized health care involves using tools like genomics, biomarkers and clinical risk models to quantify individual health risks, monitor disease progression, select targeted therapies, and create personalized health plans and treatment timelines. The document provides an example of how this approach could be used to create a personalized cancer care plan.
Abrahams intro panel
The document discusses the case for personalized medicine and its benefits. It argues that personalized medicine can shift the focus to prevention, enable the selection of optimal therapies, make drugs safer by avoiding adverse reactions, improve quality of life, and help control overall healthcare costs. It also notes that major drugs are ineffective for many patients, wasting billions of dollars each year. The Personalized Medicine Coalition works to promote personalized medicine concepts to benefit patients and the healthcare system.
Smoyer
This document describes the "Learn from Every Patient" (LFEP) program at Nationwide Children's Hospital, which aims to fully integrate clinical care and research. The LFEP program collects standardized clinical and research data in the electronic medical record during patient visits. This data is then extracted to a data mart where it can be analyzed to systematically improve care and advance research. While implementation of the LFEP program requires significant changes, it offers opportunities to improve patient outcomes through evidence-based care and gain a competitive advantage for organizations that can successfully integrate clinical and research activities.
Dalton presentation
- The document discusses the Total Cancer Care (TCC) approach at Moffitt Cancer Center, which aims to provide personalized cancer care through comprehensive data collection and analysis.
- TCC collects extensive clinical, genomic, treatment and outcomes data from over 78,000 consented patients to power research studies and clinical trials matching. Molecular profiling has been conducted on over 14,000 tumor samples.
- The TCC data is housed in a large integrated database and used by researchers for studies in areas like radiochemotherapy response, exome sequencing, immunology biomarkers, and cancer epidemiology.
- The database also helps clinicians identify eligible patients for clinical trials and develop evidence-based treatment pathways. The goal is to transform cancer
Patient Engagement Through the Use of Information Technology
Patient Engagement Through the Use of Information TechnologyThe Ohio State University Wexner Medical Center
Patient engagement can be improved through the use of information technology like MyChart and home monitoring devices. These tools allow patients to upload health data like vitals from home to their electronic health records for their doctors to review. Physicians can then better monitor patients between office visits and patients have more access to their health information to stay informed and engaged in their care.Reducing The Distance Between Data & Knowledge
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