PYA Principal Kent Bottles, MD, who is also Chief Medical Officer of PYA Analytics, presented before healthcare information technology (IT) professionals at the Summit of the Southeast—Driving the Future of Technology held at Nashville Music City Center, September 16-17, 2014. Dr. Bottles’ presentation covered population health.
Public Health studies Plays a major role in fighting off the biggest killers of humans. Public Health professionals, who have either studied a Public Health degree or Health Studies related course, are constantly battling against diabetes, cancer, heart disease and dementia to maintain the health and wellbeing of the population.
A presentation by Karen Nelson, MBA, MSW, RSW, of the Ottawa Hospital, made to social workers at their 2013 Annual Meeting. A very thorough overview with significant research supporting the link between Social Determinants of Health and healthcare outcomes.
The Burden of Disease ( BOD) analysis describes in details the uses and effects of BOD. How to measure it. Special emphasis has been given in understanding HALY, DALY and QALY.
N.B: 1. Please download the ppt first, as the animations will act better then
2. There are few hidden slides in the presentation, which you may explore too.
Public Health studies Plays a major role in fighting off the biggest killers of humans. Public Health professionals, who have either studied a Public Health degree or Health Studies related course, are constantly battling against diabetes, cancer, heart disease and dementia to maintain the health and wellbeing of the population.
A presentation by Karen Nelson, MBA, MSW, RSW, of the Ottawa Hospital, made to social workers at their 2013 Annual Meeting. A very thorough overview with significant research supporting the link between Social Determinants of Health and healthcare outcomes.
The Burden of Disease ( BOD) analysis describes in details the uses and effects of BOD. How to measure it. Special emphasis has been given in understanding HALY, DALY and QALY.
N.B: 1. Please download the ppt first, as the animations will act better then
2. There are few hidden slides in the presentation, which you may explore too.
Definition and Historical Glimpse of Public Health
Ancient Greece (500-323 BC)
Roman Empire (23 BC – 476 AD)
Middle Ages (476-1450 AD)
Birth of Modern Medicine (1650-1800 AD)
Great Sanitary Awakening (1800s-1900s)
Modern Public Health (1900 AD & onward)
Concept and definitions
Health education
Beliefs and approaches in health promotion
Health promotion strategies and priority actions
Public health, social movement, health inequity and millennium goals
Canadian experience in health promotion
Conclusion
Introduction to public health, definition, Preventive medicine vs public health, social medicine, community medicine, role of public health, public health practices, core activities
These slides give an overview of public health and the role of local public health departments in keeping people healthy, presents housing, health and some of the vulnerable populations who are the primary focus of our work, and shows the Healthy Chicago Public Health Agenda - the blueprint for our work at the Chicago Department of Public Health. Lastly, it highlights some of our work and accomplishments with vulnerable groups.
Definition and Historical Glimpse of Public Health
Ancient Greece (500-323 BC)
Roman Empire (23 BC – 476 AD)
Middle Ages (476-1450 AD)
Birth of Modern Medicine (1650-1800 AD)
Great Sanitary Awakening (1800s-1900s)
Modern Public Health (1900 AD & onward)
Concept and definitions
Health education
Beliefs and approaches in health promotion
Health promotion strategies and priority actions
Public health, social movement, health inequity and millennium goals
Canadian experience in health promotion
Conclusion
Introduction to public health, definition, Preventive medicine vs public health, social medicine, community medicine, role of public health, public health practices, core activities
These slides give an overview of public health and the role of local public health departments in keeping people healthy, presents housing, health and some of the vulnerable populations who are the primary focus of our work, and shows the Healthy Chicago Public Health Agenda - the blueprint for our work at the Chicago Department of Public Health. Lastly, it highlights some of our work and accomplishments with vulnerable groups.
These slides give an overview of public health and the role of local public health departments in keeping people healthy, presents housing, health and some of the vulnerable populations who are the primary focus of our work, and shows the Healthy Chicago Public Health Agenda - the blueprint for our work at the Chicago Department of Public Health. Lastly, it highlights some of our work and accomplishments with vulnerable groups.
In Spring 2013, we are on the precipice of dramatic, disruptive change in the health field that offers an unprecedented opportunity and challenge to transform health care and population health.
We know that traditional public health approaches along with more and better health care are not enough to improve health outcomes, equity, and cost. We must also:
- implement sustainable, fundamental "upstream" changes that address the root causes of disease and disability; and
- transform the way we deliver health care to ensure access to quality, affordable health care for all.
Enjoy this Bright Spot presentation with David Law of Joy-Southfield Community Development Corporation, which was presented at the 2013 Annual Leadership Conference, co-sponsored by the Center for Health Leadership (CHL) and the California Pacific Public Health Training Center (CALPACT) at UC Berkeley's School of Public Health.
To learn more about this event, please visit:
http://calpact.org/index.php/en/events/leadership-conference
Learn more about CALPACT:
http://calpact.org/
Learn more about the CHL:
http://chl.berkeley.edu/
Nursing and challenges for geriatric care in acute hospitalsgrace lindsay
The presentation provides an overview of issues and challenges for nursing in dealing with the health needs of older people in an acute care health care setting. Some of the specific considerations are highlighted including assumptions and stereotyping.
Global health care challenges and trends_ bestyBesty Varghese
GLOBAL HEALTH CARE CHALLENGES AND TRENDS: Analyses the global healthcare trends and challenges.
Healthcare providers have a unique window of opportunity to embrace efficient new technologies that directly support better healthcare and patient experiences at a lower cost.
New healthcare systems will be:
Evidence- and prevention-based
Interdisciplinary and coordinated
Transparent, accessible, accurate, and understandable
Focused on improving patient outcomes and experience
Based on partnerships among stakeholders
Visionary in their long-term thinking
And in total International health + Global public health + Collective health + Global health diplomacy = LIFE’S RIGHT.
Global health care challenges and trends_ bestyBesty Varghese
GLOBAL HEALTH CARE CHALLENGES AND TRENDS: Analyses the global healthcare trends and challenges.
Healthcare providers have a unique window of opportunity to embrace efficient new technologies that directly support better healthcare and patient experiences at a lower cost.
New healthcare systems will be:
Evidence- and prevention-based
Interdisciplinary and coordinated
Transparent, accessible, accurate, and understandable
Focused on improving patient outcomes and experience
Based on partnerships among stakeholders
Visionary in their long-term thinking
And in total International health + Global public health + Collective health + Global health diplomacy = LIFE’S RIGHT
Patient Focus within Healthcare CongressesPYA, P.C.
As the doctor-patient relationship evolves, the terms “patient activation and engagement” are cropping up more frequently in healthcare circles, including the International Pharmaceutical Congress Advisory Association (IPCAA) Conference in Philadelphia. PYA Principal Kent Bottles, MD, who is also chief medical officer of PYA Analytics, presented “Patient Focus within Healthcare Congresses.”
“CARES Act Provider Relief Fund: Opportunities, Compliance, and Reporting”PYA, P.C.
PYA Principal Martie Ross spoke at the virtual North Carolina Healthcare Association Critical Access Hospital Statewide Meeting. The two-day event, “Quality Focus is a Finance Focus,” provided critical access hospital leaders with the opportunity to network and review data-informed strategies as well as updates to the Medicare Flexibility Program Project. It also provided guidance on federal compliance and tracking of Provider Relief Funds.
In “CARES Act Provider Relief Fund: Opportunities, Compliance, and Reporting,” Martie gave an overview of the history of distribution of those funds as well as regulations and guidelines including:
Statutory Language
Reporting Requirements
Use of Funds Calculation
Expenses
Risk Management
Martie presented Thursday, March 4, 2021.
If you would like guidance related to Provider Relief Fund regulations, or for assistance with any matter related to strategy and integration, compliance, or valuation, contact one of our PYA executives at (800) 270-9629.
PYA Presented on 2021 E/M Changes and a CARES Act Update During GHA Complianc...PYA, P.C.
The Georgia Hospital Association (GHA) Compliance Officers Roundtable, an active GHA group that meets quarterly and includes educational sessions featuring government representatives, industry experts, and other thought leaders speaking about compliance-related issues, conducted their latest meeting virtually. PYA Principals Lori Foley, Tynan Kugler, and Valerie Rock were among the presenters at this quarter’s event. In their session, they:
Described key elements associated with 2021 E/M changes, and strategies for preparation and implementation.
Explained the impact of 2021 E/M changes on physician compensation and contracting, including potential mitigation approaches.
Presented key components of Stark Law and Anti-Kickback Statute final rules.
Provided an update on the CARES Act.
The Compliance Certification Board offered CEUs for this event, which took place on Friday, December 4, 2020.
Webinar: “Trick or Treat? October 22nd Revisions to Provider Relief Fund Repo...PYA, P.C.
On October 22nd, the Department of Health and Human Services released revised Provider Relief Fund (PRF) reporting requirements. Under HHS’ September 19 directive, “lost revenue” was defined narrowly as a negative change in year-over-year patient care operating net income. Now, HHS will permit providers to use PRF funds to cover the difference between their 2019 and 2020 actual patient care revenue with some adjustments for COVID-related expenses. The October 22nd notice is available here.
PYA Principals Martie Ross and Michael Ramey hosted a complimentary 30-minute webinar, “Trick or Treat? October 22nd Revisions to Provider Relief Fund Reporting Requirements” on Thursday, October 29th.
“Regulatory Compliance Enforcement Update: Getting Results from the Guidance” PYA, P.C.
PYA Principal and Chief Compliance Officer Shannon Sumner and Consulting Senior Manager Susan Thomas presented “Regulatory Compliance Enforcement Update: Getting Results from the Guidance” at the virtual 2020 Montana Healthcare Conference. They reviewed the sources of regulatory enforcement and investigation information—guidelines, statutory updates, best practices, settlements, case studies, etc.—available to healthcare organizations. They will also discuss how to interpret and implement the guidance in order to strengthen the compliance function and protect the organization. The presentation covered:
Compliance regulatory requirements for healthcare organizations.
Guidance available for consideration in organizational compliance programs.
Internal and external reporting to ensure regulatory requirements are met.
Best practices for implementation of guidance.
Case studies for illustration of guidance implementation.
“Federal Legislative and Regulatory Update,” Webinar at DFWHCPYA, P.C.
The Dallas Fort Worth Hospital Council (DFWHC) and PYA co-hosted an exclusive complimentary webinar, “Federal Legislative and Regulatory Update,” on Wednesday, September 23.
DFWHC President/CEO Stephen Love hosted a discussion with PYA Senior Manager Kathy Reep about concerns that have dropped from the radar during the last four months of COVID-19, addressing issues for which hospitals must prepare in approaching 2021. This session focused on these key areas:
Appropriate use criteria
Transparency
Site neutral payments
The future of the Medicare Trust Fund
The federal budget
Key provisions of the final rule for the inpatient prospective payment system for FY2021 and the proposed outpatient rule for CY2021
On-Demand Webinar: Compliance With New Provider Relief Funds Reporting Requir...PYA, P.C.
On September 19, the Department of Health and Human Services (HHS) published its Post-Payment Notice of Reporting Requirements. The Notice details the reporting requirements for all Provider Relief Fund (PRF) recipients that have received $10,000 or more in aggregate payments.
Under the PRF Terms and Conditions, a recipient may use the funds only for healthcare-related expenses and lost revenue attributable to coronavirus. The Notice provides the clearest direction to date regarding permissible uses of PRF funds.
PYA offered a 45-minute complimentary webinar that explained the new reporting requirements and delved into permissible uses. While many questions remain, we provided practical advice on the next steps in the reporting process.
The webinar took place Monday, October 5 at 11 a.m. EDT.
Webinar: “While You Were Sleeping…Proposed Rule Positioned to Significantly I...PYA, P.C.
You likely know from the headlines that the 2021 Medicare Physician Fee Schedule (MPFS) Proposed Rule slashes payments for surgical specialists. But the impact of the Proposed Rule is far broader, reflecting a fundamental realignment driven by the transition to value-based payments. In our webinar, “While You Were Sleeping…Proposed Rule Positioned to Significantly Impact Physician Compensation,” PYA experts addressed these proposals, helping you understand and prepare for the changes ahead.
Following this presentation, attendees were able to:
Understand how a handful of wRVU changes would alter Medicare reimbursement for nearly all physicians.
Appreciate the operational impact of these changes.
Recognize the challenges to existing physician compensation models.
Identify strategies and tactics to prepare for and manage these impacts.
Presenters include PYA Principals Angie Caldwell, Martie Ross, and Valerie Rock. The webinar took place Thursday, September 10 and was hosted in conjunction with the Florida Hospital Association.
If you have additional questions about the MPFS Proposed Rule and its impact on physician compensation or need assistance with any matter involving physician compensation, valuation, strategy and integration, or compliance, contact a PYA executive below at (800) 270-9629.
Webinar: “Cybersecurity During COVID-19: A Look Behind the ScenesPYA, P.C.
Cybersecurity breaches have been in the news almost daily for some time now. COVID-19 has amplified the problem, as “bad actors” seize upon the opportunity to take advantage of hospitals at their most vulnerable time. Given this climate and an aging HIPAA rule, it is difficult to anticipate and prepare for the future.
PYA Principal Barry Mathis presented “Cybersecurity During COVID-19: A Look Behind the Scenes,” on Wednesday, August 12, 2020. This one-hour, complimentary webinar was hosted by PYA in conjunction with the Montana Hospital Association as Part 2 of the Frontier States Town Hall Meeting.
Barry covered information related to HIPAA, cybersecurity, and a special behind-the-scenes view into the tradecraft of bad actors. This unique presentation included:
Recent enforcement trends by the Office for Civil Rights.
The current environment for ransomware.
An opportunity to watch as Barry logs onto the Dark Web and shows you first-hand how bad actors operate.
Ideas for managing cybersecurity threats.
On Friday, August 21, 2020, a webinar co-hosted by PYA prepared hospitals for a new rule taking effect on January 1, 2021, to address price transparency in healthcare. The Centers for Medicare & Medicaid Services published a rule in November 2019 requiring hospitals to establish, update, and make public a list of their standard charges for items and services they provide. In addition to the current requirement to post standard charges on their websites, the Final Rule requires hospitals to publish online, in a machine-readable format, their payer-specific negotiated rates for 300 “shoppable” services and their standard charges for all items and services provided, defined as the gross charge, payer-specific negotiated charges, discounted cash price, and the de-identified minimum and maximum charges.
As we approach January 2021, it is vital that hospitals understand the requirements of the pricing transparency rule and options for compliance. It is unlikely that this rule will “go away”–court decisions are always subject to appeal, and there is even concern that Congress is considering action that would transform these requirements from regulation to legislation.
During the complimentary webinar, PYA Senior Manager Kathy Reep discussed hospital requirements related to pricing transparency, and Chris Kenny, Partner in the Washington, D.C., office of King & Spalding, addressed concerns related to compliance and the legal challenges associated with the final transparency rule.
This webinar was presented in conjunction with:
Dallas-Fort Worth Hospital Council
Florida Hospital Association
Georgia Hospital Association
Kansas Hospital Association
Louisiana Hospital Association
Montana Hospital Association
Not a surprise to most — healthcare is making headlines on an international level. Though not front and center, still of importance to the hospital community are issues working their way through government agencies and the legislature.
As one of the keynote speakers of this year’s virtual Florida Institute of CPAs Health Care Industry Conference, PYA Senior Manager Kathy Reep presented a “Federal Legislative and Regulatory Update.” She covered a number of current issues affecting healthcare providers, including:
Price transparency.
Congressional action on surprise billing.
The Administration’s budget for 2021.
Medicare proposed rules related to hospital inpatient payments and post-acute care for FY2021.
The virtual event took place June 23-24, 2020.
Webinar: Post-Pandemic Provider Realignment — Navigating An Uncertain MarketPYA, P.C.
The COVID-19 pandemic will materially affect U.S. provider industry structure, as financial weaknesses are exposed, risk tolerances are tested, and uncertainties persist. As a result, provider mergers-and-acquisitions (M&A) activities across industry sectors will likely spike in the short- to medium-term future. Providers of all types need to be aware of, and prepared for, the changes they will face.
In this 45-minute joint webinar, PYA Principal Brian Fuller and Juniper Advisory Managing Director Jordan Shields provided a real-time assessment of the COVID-19 pandemic, as well as shared predictions for what the extending crisis means in coming years for M&A activity in the provider space.
The webinar took place Thursday, August 6, 2020, at 11 a.m. EDT.
Since March, PYA experts have closely tracked and carefully evaluated the pandemic’s impact on employed physician compensation. During this complimentary one-hour webinar, PYA Principals Angie Caldwell and Martie Ross highlighted five immediate considerations for hospitals and health systems to manage the storm. They also explored five longer-term considerations impacting future planning.
This webinar took place Friday, July 24, 2020, at 11 a.m. EDT, and was held in conjunction with:
Dallas-Fort Worth Hospital Council
Florida Hospital Association
Kansas Hospital Association
Montana Hospital Association
The COVID-19 pandemic has exposed organizational and industry weaknesses. To build a more resilient delivery system, leaders now must engage their governing boards in re-calibrating strategic plans, re-evaluating investments, and re-imagining hospitals’ and health systems’ roles in their communities.
In this 45-minute webinar, PYA Principals Martie Ross and Brian Fuller provided a framework for these critical discussions including root-cause analysis, market assessment, new realities, guiding principles, and strategic and operational priorities.
This webinar originally took place on Wednesday, June 24, 2020.
Webinar: Free Money with Strings Attached – Cares Act Considerations for Fron...PYA, P.C.
PYA, in conjunction with the Montana Hospital Association, recently co-hosted a Frontier States Town Hall Meeting webinar, “Free Money With Strings Attached: CARES Act Considerations for Frontier States’ Healthcare Provider Organizations.” Principals Lori Foley, Martie Ross, and David McMillan introduced the CARES Act Provider Relief Fund including distribution formulas, the attestation process, the verification and application process, and ongoing recordkeeping requirement. They also answered attendees’ numerous questions regarding these matters.
Webinar: “Got a Payroll? Don’t Leave Money on the Table”PYA, P.C.
Under the CARES Act, every employer with a payroll has an opportunity to retain cash–whether they have a PPP loan or not. What employers need to know right now.
The Coronavirus Aid, Relief, and Economic Security Act (CARES Act) along with the Payroll Protection Program (PPP) offer all business owners relief, but the details can be confusing or overlooked.
Perhaps you don’t fully understand how the deferral of the employer’s share of Social Security taxes works. Maybe you wonder if the deferral even applies to you—good news, it does if you have a payroll!
Failure to fully understand your options could cost you money, at a time when “cash is king.”
As part of PYA’s ongoing commitment to sharing helpful guidance, Tax Principals Debbie Ernsberger and Mark Brumbelow outlined issues and opportunities within the CARES Act, and answered questions during a one-hour webinar that originally aired on Wednesday, May 20, 2020.
Webinar: So You Have a PPP Loan. Now What?PYA, P.C.
The CARES Act provides relief to small businesses through Paycheck Protection Program (PPP) loans, but receiving the loan is only the first part of the equation. PYA discussed what businesses need to know and do next.
Failure to fully understand the requirements for PPP loan forgiveness could cost employers money, at a time when every penny counts. Employers need to stay up-to-date on recent activities regarding the PPP loan forgiveness application, necessary documentation, and other best practices to ensure they are well-prepared for the next steps under the PPP.
As part of PYA’s ongoing commitment to sharing helpful guidance, Tax Principals Debbie Ernsberger and Mark Brumbelow outlined PPP loan forgiveness requirements and answered questions during a one-hour webinar on Wednesday, June 3, 2020.
Webinar: “Making It Work—Physician Compensation During the COVID-19 Pandemic”PYA, P.C.
What to do with your physician compensation plan in the face of the COVID-19 pandemic? It’s a question that leaves administrators searching for answers.
PYA Principal Angie Caldwell and Senior Manager Katie Culver introduced several key considerations for provider compensation during and after the COVID-19 pandemic. In PYA’s complimentary webinar, they:
Summarized the current environment impacting physician compensation associated with the pandemic.
Provided an overview of the Stark Blanket Waivers and opportunities created for physician compensation.
Described restoration and recovery strategies for physician resources.
PYA hosted this one-hour webinar Tuesday, April 28, 2020, at 11 a.m. EDT in conjunction with the Florida Hospital Association.
Webinar: “Provider Relief Fund Payments – What We Know, What We Don’t Know, W...PYA, P.C.
The federal government is now making CARES Act Relief Fund payments to Medicare providers. These payments are not loans—they do not have to be repaid or forgiven. However, this money comes with strings attached.
During PYA’s 30-minute webinar, Provider Relief Fund Payments—What We Know, What We Don’t Know, What To Do Now, PYA Principals Martie Ross and Lori Foley discussed:
The source of the funds.
The required attestation process.
Compliance, tax, and audit concerns.
The webinar took place Friday April 17, 2020.
Webinar: “Hospitals, Capital, and Cashflow Under COVID-19”PYA, P.C.
Hospitals and providers need to think creatively, strategically, and long-term about capital and cashflow under the pressures of the COVID-19 pandemic. A one-hour webinar hosted by PYA discussed the current state of capital markets for non-profit healthcare systems, and considerations for capital management, including the role of real estate assets.
PYA Principal Michael Ramey joined Realty Trust Group Senior Vice-President Michael Honeycutt and Ponder & Company Managing Director Jeffrey B. Sahrbeck to present “Hospitals, Capital, and Cashflow, Under COVID-19” In this webinar, they covered:
Hospital industry capital market updates and trends, including how the capital markets are responding to the crisis.
Access to capital under recent regulations.
Cash preservation techniques for hospitals considering real estate operations and assets.
The webinar took place Thursday, April 9, 2020, at 11 a.m. EDT.
PYA Webinar: “Additional Expansion of Medicare Telehealth Coverage During COV...PYA, P.C.
Late on March 30, CMS released an interim rule which, among other things, significantly expands Medicare telehealth coverage, even beyond the initial Section 1135 waivers. PYA’s complimentary one-hour webinar explained these changes and how they make telehealth an even more attractive option in response to the COVID-19 pandemic.
PYA Principals Martie Ross and Valerie Rock addressed the latest developments, including:
New reimbursement for telephone-only services.
Broader coverage for remote patient monitoring.
New payments for rural health clinics and federally qualified health centers.
Use of telehealth to meet supervision requirements.
New rules regarding coding and billing as well as the changed payment rates for telehealth services.
The webinar took place Friday April 3, 2020, at 11 a.m. EDT.
How many patients does case series should have In comparison to case reports.pdfpubrica101
Pubrica’s team of researchers and writers create scientific and medical research articles, which may be important resources for authors and practitioners. Pubrica medical writers assist you in creating and revising the introduction by alerting the reader to gaps in the chosen study subject. Our professionals understand the order in which the hypothesis topic is followed by the broad subject, the issue, and the backdrop.
https://pubrica.com/academy/case-study-or-series/how-many-patients-does-case-series-should-have-in-comparison-to-case-reports/
Struggling with intense fears that disrupt your life? At Renew Life Hypnosis, we offer specialized hypnosis to overcome fear. Phobias are exaggerated fears, often stemming from past traumas or learned behaviors. Hypnotherapy addresses these deep-seated fears by accessing the subconscious mind, helping you change your reactions to phobic triggers. Our expert therapists guide you into a state of deep relaxation, allowing you to transform your responses and reduce anxiety. Experience increased confidence and freedom from phobias with our personalized approach. Ready to live a fear-free life? Visit us at Renew Life Hypnosis..
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
We understand the unique challenges pickleball players face and are committed to helping you stay healthy and active. In this presentation, we’ll explore the three most common pickleball injuries and provide strategies for prevention and treatment.
Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
Telehealth psychology is a digital approach that offers psychological services and mental health care to clients remotely, using technologies like video conferencing, phone calls, text messaging, and mobile apps for communication.
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
Anatomy and Physiology Chapter-16_Digestive-System.pptx
Population Health
1. Population Health
Kent Bottles, MD
kbottles#@pyapc.com
Summit of the Southeast 2014
Driving the Future of Healthcare Technology
September 16-17, 2014
TN HIMSS
2. Population Health Definitions
• “The health outcomes of a group of
individuals, including the distribution of
such outcomes within the group and the
policies and interventions that link
outcomes and patterns of health
determinants”
• David Kindig & Greg Stoddart
3. Population Health Definitions
• “A conceptual framework for why some
populations are healthier than others as well
as the policy developments, research
agenda, and resource allocation that flow
from this framework.”
• T. K. Young
4. Population Health Statistics
• The county of residence in USA means a
14-year difference in life expectancy
• On the Blue Washington DC subway route,
there is a 9-year difference in life
expectancy between downtown and Fairfax,
Virginia
• Rheumatoid arthritis & DM associated with
living close to highly traveled roads
5. Population Health Statistics
• Your zip code is more important than your
genetic code for health and wellness
• College grads live 5 years longer than those
without a high school diploma
• Detroit with 139-square-mile area and
900,000 people has only 5 grocery stores
6. Population Health Statistics
• British Medical Journal- higher levels of
greenery and lower graffiti correlated with
increased exercise & decreased obesity
• Cities with sidewalks have fitter individuals
than suburbs without sidewalks
8. Population Health & Hospital
• Hospital-centric care model is changing to
population health management care model
based on care coordination across
fragmented continuum of care
• We used to only interact with patients when
they presented to office or hospital
• Now we must interact with patients who do
not show up for care
9. Population Health & Hospital
• Sharing data across all points of care is only
way to provide coordinated care
• Data access becomes critical for patients,
families, doctors, staff
• Mobile applications become more important
and essential
10. Population Health Strategies
• Fitness and exercise
promotion
• Obesity management
and weight reduction
• Diet and nutrition
• Stress management
• Reductions in smoking
and substance abuse
• Protected sex and
family planning
• Physical activity and
moderate amounts of
exercise
• Auto safety; drunk
driving
• Chronic disease
management
• Food safety
• Clean water, sewers
• Promoting healthy
communities
• Economic incentives for
healthy behaviors
• Universal coverage to
encourage preventive
care
11. Community- Major Site of Health Care
Green, et al., (2001) NEJM, 344:2021-25
• 1,000 adults living 1 month
• 800 report symptoms
• 327 consider seeking care
• 217 seek care (physician) (113 primary care)
• 65 visit complementary/alternative provider
• 21 visit hospital outpatient clinic
• 14 receive home care
• 8 hospitalized (1 in AHC)
12. We Can Do Better
Steven A. Schroeder, MD, NEJM, September 20, 2007
Health is influenced by
•Genetics
•Social circumstances
•Environmental exposures
•Behavior
•Health care
13. We Can Do Better
Steven A. Schroeder, MD, NEJM, September 20, 2007
• The single greatest opportunity to improve
health and reduce premature deaths in
America lies in personal behavior
• Behavior causes 40% of all deaths in USA
14. Proportional Contribution to Premature Death
Environmental
Exposure
5%
Health Care
10%
Social Circumstances
15%
Genetic
Predisposition
30%
Behavioral Pattern
40%
Determinants of Health and Their Contribution to Premature Death.
15. Root Cause Analysis – Key
Drivers of Health
Driver Definition % Contribution
Behavioral Choices Diet, physical activity, sex, substance
abuse, stress.
(Source: “The Case for More Active Policy Attention to Health Promotion”; McGinnis, Williams Russo; Knickman); Health Affairs,
Vol. 21, No. 2, March/April 2002)
40%
Genetics Genetic make-up that creates a pre-disposition
to certain illnesses.
30%
Social Circumstances Education, employment, income,
poverty, housing, crime exposure, social
cohesion.
15%
Medical Care Access to and quality of medical
treatment.
10%
Environmental Conditions Exposure to toxic substances, pollutants,
accidents and infectious diseases.
5%
TOTAL 100%
16. North Karelia in Finland
• Focus on nutrition, tobacco use, exercise
• Decreased heart attack deaths by 70%
• Decreased lung cancer deaths by 70%
• Male life expectancy increased 65-73 yrs.
• Mayo Clinic CardioVision 2020
WSJ, January 14, 2003
17. North Karelia in Finland
• “Stubborn persuasion.” No power.
• “What we’ve done better than the US is
we’ve managed to get the whole community
involved.”
• Dr. Pekka Puska leafleted markets
• Dr. Pekka Puska on local TV
• Yellow cards to record BP
18. North Karelia in Finland
• Alter local diet (from dairy and sausage to
greens “food for animals”).
• Per capita vegetable consumption per year
from 44 pounds to 110 pounds.
• Per capita berry consumption tripled to 143
pounds per year.
• Dairy industry negative ads in newspaper.
• Half number of cows compared to 1970.
19. Stress, Loneliness, and Death
• High Stress = 57%
• High Isolation = 31%
• Both High: 20% of
Sample
– 3-fold increased risk
• One High: 48% of
Sample
– 2-times risk
• None High: 32% of
Sample
All significant at p<0.001
Variable
Relative
Risk of
Death
Relative Risk
of Sudden
Death
Psychosocial
Variables 4.6 5.6
Ventricular
Arrhythmia 3.8 5.7
Myocardial
Dysfunction 3.1 3.7
Age 2.0 -
Cigarette
Smoking 2.1 1.6
20. Emotional Support and Mortality
The EPESE Cohort
Patients who reported no
emotional support had
almost three times the
risk of death (odds ratio
2.9; 95% Cl, 1.2 – 6.9):
21. BMJ: 2005; 331: 611-612
• Higher levels of greenery, lower levels of
graffiti and litter correlated with:
– Higher levels of physical activity (3x)
– Lower levels of obesity (40% less)
22. Whiplash Pain and Culture
• Lithuania: no car insurance, no intractable neck
pain and lingering headaches
• Norway: car insurance, 70,000 person
organization for neck pain, headaches
• Cultural forces at work in reinforcing pain &
dysfunction include insurance, self-help groups,
class-action lawsuits, powerful patient
organizations
23. Social Networks & Medicine
Gina Kolata, NY Times, August 5, 2007, WK 1
• NEJM study of social network of 12,067
people followed for 32 years
• Obesity can spread from friend to friend
like a virus
• Networks amplify whatever effect they are
propagating
• Smoking, depression, suicide
24. Why is it so hard to activate a
community to be healthy?
• Health poorly defined.
• Communities in disarray.
• Biomedical model does not provide language
sufficient to address culture.
• Biocultural model & language may be required.
• Health promotion: complex not complicated.
• Getting started in uncertain environment.
• Leadership: no one’s day job, nonprofit politics.
• But, we must begin…
25. Population Health Requires
Providers to Deal with Strangers
• Schools
• Police
• Urban Planners
• Economic development agencies
• Job corps
• Transportation
• Many others
26. Non-provider health influencers
• Religious entities promoting health
behavior
• Transportation facilitates access
• Housing authority influences environment
• Gyms
• Restaurants
• Malls
27. Non-medical influencers
• Lifestyle determinants of wellness status
• Socioeconomic determinants
• Subpopulations (kids, frail, comorbidities)
• Partner with non-provider organizations
• Identify specific patient interventions
• Dialogue with non-providers organizations
• Establish outcome metrics to measure
28. Dennis Weaver, MD/Adirondack
Health Institute Pilot
• Percentage of patients with BMI>95% went
from 16% to 14%
• Percentage of patients who returned to
normal BMI went from 4% to 14%
29. Mature PHM
• Organized system of care
• Care teams
• Coordination across care settings
• Access to PCP
• Patient self management
• Linked EHRs and patient registries
• Focus on behavior and lifestyle changes
30. Mature PHM
• PCMH and the medical neighborhood
– Prevention
– Shift from acute to chronic care
– Predictive and proactive
– Continuous, not episodic
– Whole person oriented, not case oriented
– Care for people when they do not present to
office or hospital
31. Medical Neighborhood
• PCP
• Specialists
• Hospitals
• Rehab and long term care
• Home health agencies
• Pharmacies
• Labs and imaging centers
32. Patient engagement
• Judith Hibbard’s Patient Activation
Measure 4 level scale
• Self-management
• Collaboration with provider
• Maintaining function/preventing declines
• Access to appropriate care
33. Patient engagement
• Jessie Gruman’s Center for Advancing
Health- 43 engagement behaviors organized
in 10 categories
34. Patient engagement
10 Categories
• Find safe care
• Talk to providers
• Organize health care
• Pay for health care
• Make decisions
• Participate in care
• Promote health
• Get preventive care
• Plan end of life
• Seek knowledge
35. Jessie Gruman on Patients
• As a savvy and confident patient who is
flummoxed by so much of what takes place
in health care, I am regularly surprised by
how little you know about how little we
patients know…
36. Jessie Gruman on Patients
• You are immersed in the health culture. But
we don’t live in your world. So we have no
idea what you are talking about much of the
time. One way to help us feel competent in
such unfamiliar environments is to give us
some guidance about what this place is and
how it works. What are the rules?
37. Role of HIT in PHM
• Identify and track cohorts of patients
– By risk level
– By adherence to care plans
– By medication use
– By achievement of therapeutic targets
38. Role of HIT in PHM
• Profiling the population
• Point of Care
• Patient engagement and managment
39. Role of HIT in PHM
• Profiling the population
– Patient registries
– Advanced population predictive analytics
– Risk stratification
40. Role of HIT in PHM
• Point of care
– EHR
– Health information exchange
– Referral tracking
41. Role of HIT in PHM
• Patient activation and management
– Automated outreach
– Patient portals
– Telehealth
– Remote patient monitoring
42. Thomas Graf, MD
www.PopulationHealthNews.com
• CMO Population Health and Longitudinal
Care Service Lines, Geisinger Health
• 350% increase in patients receiving all
recommended screening tests
• ProvenCare model for 350,000 patients with
7% reduction in cost for Medicare aged
patients
43. Camden Coalition
• Jeffrey Brenner, MD Hotspotting
• Data from hospitals
• Triage
• High risk (care management)
• Intermediate risk (care transitions)
44. Camden Coalition
• Goals of program
• Reduce readmissions and costs for complex
patients
• No open referrals
• No duplicate services
• Facilitate clinical coordination
45. Camden Coalition
• Intermediate risk outreach team
– RN
– LPN
– Health coaches
• High risk outreach team
– RN
– MA
– Health coaches
– Social worker
46. Camden Coalition High Risk
• Hospital utilization
• 2 or more chronic conditions
• Low socioeconomic status
• Homeless or unstable housing
• Lack of social support, HS diploma
• Behavioral health issues
• Generational poverty/urban violence
47. Camden Coalition
• The Transitional Care Model: Mary D.
Naylor, PhD, University of Pennsylvania
School of Nursing
• The Care Transitions Program: Eric
Coleman, MD, Division of Health Care
Policy and Research at the University of
Colorado School of Medicine
48. Food Service & Environmental
Protection Worker Job Program
• Disease prevention and job training viewed
as two separate strategies for development
• Alignment of strategies creates jobs that can
improve health
• New Jersey school heat-and-serve french
fries had 5x expected fat content due to
improper drainage or treatment of oil
• Health Affairs, November 2011
49. Kent Bottles, MD
Consulting Principal, PYA
CMO, PYA Analytics
Lecturer, Jefferson University School
of Population Health
Editor's Notes
1000 adults living (in community)
x 1 month
250 sought health care
9 were hospitalized
&lt;1 hospitalized in an AHC