Jacquie White, Deputy Director of NHS England Long Term Conditions, Older People & End of Life Care and Dr Eileen Pepler, Academic, Researcher and Consultant in the Canadian Healthcare will discuss how NHS England work in chronic disease is being translated into a Canadian context.
Redefining the care team to meet Population Health objectivesSIMUL8 Corporation
Dr. Phil Smeltzer from The Medical University of South Carolina demonstrates an interactive simulation that helps physicians adopt a population health mindset.
SIMUL8 Healthcare: Designing New Spaces and Processes with simulationSIMUL8 Corporation
In this workshop, Brittany discussed how simulation can be used to design new spaces and processes, not just improve the status quo.
Calling on her experience as an ASQ-certified Six Sigma Black Belt and her work on a wide variety of performance improvement projects – many of which incorporated simulation - Brittany presented a case study that demonstrates the interconnected nature of pre/post surgery operating processes and inpatient census.
We also looked at the project's unexpected findings, as well as shared insights into using simulation as a change management and leadership communication tool.
Cheryl Davenport, Director of Health and Care Integration at Leicestershire County Council, talks about how simulation is helping to evaluate how emergency hospital admissions can be reduced.
Modeling an Integrated System for Obesity & Weight ManagementSIMUL8 Corporation
Worldwide obesity has more than doubled since 1980 (WHO; 2015). This is contributing to the growing number of patients living with chronic diseases and placing mounting pressure on health systems.
In 2013, part of the Public Health system in England transferred out of the NHS into local government. Responsibility for the prevention and management of obesity in adults and children transferred with these teams, while parts of the NHS primary and secondary care system remained responsible for aspects of treatment, including bariatric surgery.
This workshop explores the challenges in commissioning a healthcare organization to provide an integrated service for obesity, weight management, and treatment in Nottinghamshire County, UK. These challenges include:
- Estimating the health needs of overweight and obese people across the County
- Taking into account the fact that needs will change over time
- The lack of available evidence
Learn how out how Scenario Generator, a population health modeling and simulation tool, was used to test assumptions and develop the evidence to procure an integrated service
Delivering care outside of the hospital is seen as one of the ways of managing increasing demand for healthcare services, whilst also improving patient outcomes. Effective delivery means a huge rethink of service delivery as a system as well as by organizations, and whilst there are some blueprints for good practice, on the whole the evidence for system-wide management is sketchy.
Simulation is a really helpful technique to use when trying to predict uncertain futures. Bringing together clinical evidence for best practice with available data for current service utilization for population groups and ideas for improvement into a simulation can help drive forward decision-making for change, underpinned with the best evidence available.
This workshop will draw on a variety of projects and models to consider how simulation can help to model the impact of care outside hospital. From prevention activity (planning a new obesity and weight management service), to applying an annual capitated tariff for people with chronic disease, to managing workload in community teams, we will examine how simulation has been helping to understand the current position and to develop and negotiate a plan for change across health systems.
SIMUL8 Director of Healthcare, Claire Cordeaux, discusses her experiences of developing and implementing population health strategies in the UK National Health Service, Canada, and Australia.
Redefining the care team to meet Population Health objectivesSIMUL8 Corporation
Dr. Phil Smeltzer from The Medical University of South Carolina demonstrates an interactive simulation that helps physicians adopt a population health mindset.
SIMUL8 Healthcare: Designing New Spaces and Processes with simulationSIMUL8 Corporation
In this workshop, Brittany discussed how simulation can be used to design new spaces and processes, not just improve the status quo.
Calling on her experience as an ASQ-certified Six Sigma Black Belt and her work on a wide variety of performance improvement projects – many of which incorporated simulation - Brittany presented a case study that demonstrates the interconnected nature of pre/post surgery operating processes and inpatient census.
We also looked at the project's unexpected findings, as well as shared insights into using simulation as a change management and leadership communication tool.
Cheryl Davenport, Director of Health and Care Integration at Leicestershire County Council, talks about how simulation is helping to evaluate how emergency hospital admissions can be reduced.
Modeling an Integrated System for Obesity & Weight ManagementSIMUL8 Corporation
Worldwide obesity has more than doubled since 1980 (WHO; 2015). This is contributing to the growing number of patients living with chronic diseases and placing mounting pressure on health systems.
In 2013, part of the Public Health system in England transferred out of the NHS into local government. Responsibility for the prevention and management of obesity in adults and children transferred with these teams, while parts of the NHS primary and secondary care system remained responsible for aspects of treatment, including bariatric surgery.
This workshop explores the challenges in commissioning a healthcare organization to provide an integrated service for obesity, weight management, and treatment in Nottinghamshire County, UK. These challenges include:
- Estimating the health needs of overweight and obese people across the County
- Taking into account the fact that needs will change over time
- The lack of available evidence
Learn how out how Scenario Generator, a population health modeling and simulation tool, was used to test assumptions and develop the evidence to procure an integrated service
Delivering care outside of the hospital is seen as one of the ways of managing increasing demand for healthcare services, whilst also improving patient outcomes. Effective delivery means a huge rethink of service delivery as a system as well as by organizations, and whilst there are some blueprints for good practice, on the whole the evidence for system-wide management is sketchy.
Simulation is a really helpful technique to use when trying to predict uncertain futures. Bringing together clinical evidence for best practice with available data for current service utilization for population groups and ideas for improvement into a simulation can help drive forward decision-making for change, underpinned with the best evidence available.
This workshop will draw on a variety of projects and models to consider how simulation can help to model the impact of care outside hospital. From prevention activity (planning a new obesity and weight management service), to applying an annual capitated tariff for people with chronic disease, to managing workload in community teams, we will examine how simulation has been helping to understand the current position and to develop and negotiate a plan for change across health systems.
SIMUL8 Director of Healthcare, Claire Cordeaux, discusses her experiences of developing and implementing population health strategies in the UK National Health Service, Canada, and Australia.
What if you knew a bed crisis was going to happen before it happened? Could you do something to reduce its impact?
View the slides for the webinar and find out about our new Bed Management simulation tool that could save millions for your organization. Bed.P.A.C. can help prevent delays and ED boarding time, reduce length of stay, and ensure patients get the best care.
Prof Devlin discusses the rationale for the PROMs programme and provides an overview of the various uses of the EQ-5D in England—for example by NICE in health technology assessment, in population surveys and in the English NHS PROMS program. The presentation also reviews how EQ-5D data are collected, analysed and used in the UK to inform decisions by health care providers, payers and patients.
Providing actionable healthcare analytics at scale: Understanding improvement...Nuffield Trust
Thomas Woodcock, Improvement Science Fellow at Imperial College London, talks about the various measurement approaches and processes when working at large scale to assess care quality improvements.
Emergency Department Throughput: Using DES as an effective tool for decision ...SIMUL8 Corporation
Emergency Department Throughput: Using DES as an effective tool for decision making
Presenters: Johns Hopkins, Novasim
The first workshop in our series will look at a challenge facing many health systems across the country. With an increase in patient demand and limited resources and capacity, the need to manage Emergency Department throughput has never been greater.
Join Eric Hamrock, Senior Project Administrator for Operations Integration at Johns Hopkins Health System (JHHS), and Kerrie Paige from SIMUL8 Partner Novasim as they present some of the lessons learned through more than a decade of simulation projects at three JHHS Emergency Departments.
Effectiveness of the current dominant approach to integrated care in the NHS:...Sarah Wilson
Jonathan Stokes of the Greater Manchester Primary Care Patient Safety Translational Research Centre presents a systematic review of case management in integrated care.
In this presentation for Digital Health Institute Summit 2020 I will explain how we overcame barriers for patient engagement and achieved very high response rates using our ePRO ZEDOC Platform. I'll give real-world insights from a project we ran at the Rheumatology service at NUH in Singapore.
I wear two hats - this talk is with the first one!
Clinician Satisfaction Before and After Transition from a Basic to a Comprehe...Allison McCoy
Healthcare organizations are transitioning from basic to comprehensive electronic health records (EHRs) to meet Meaningful Use requirements and improve patient safety. Yet, full adoption of EHRs is lagging and may be linked to clinician dissatisfaction. In depth assessment of satisfaction before, during, and after EHR transition is rarely done. Using an adapted published tool to assess adoption and satisfaction with EHRs, we surveyed clinicians at a large, non-profit academic medical center before (baseline) and 6-12 months (short-term follow-up) and 12-24 months (long-term follow-up) after transition from a basic, locally-developed to a comprehensive, commercial EHR. Satisfaction with the EHR (overall and by component) was captured at each interval. Overall satisfaction was highest at baseline (85%), lowest at short-term follow-up (66%), and increasing at long-term follow-up (79%). This trend was similar for satisfaction with EHR components designed to improve patient safety including clinical decision support, patient communication, health information exchange, and system reliability. Conversely, at baseline, short-term and long-term follow-up, perceptions of productivity, ability to provide better care with the EHR, and satisfaction with available resources, were lower at both short- and long-term follow-up compared to baseline. Persistent dissatisfaction with productivity and resources was identified. Addressing determinants of dissatisfaction may increase full adoption of EHRs. Further investigation in larger populations is warranted.
Health IT Summit Houston 2014 - Case Study "EHR Optimization for Organizational Value in a Changing Healthcare Environment"
Luis Saldana, MD, MBA, FACEP
CMIO
Texas Health Resources
iHT2 case studies and presentations illustrate challenges, successes and various factors in the outcomes of numerous types of health IT implementations. They are interactive and dynamic sessions providing opportunity for dialogue, debate and exchanging ideas and best practices. This session will be presented by a thought leader in the provider, payer or government space.
Speaker Presentation from U.S. News Healthcare of Tomorrow leadership summit, Nov. 1-3, 2017 in Washington, DC. Find out more about this forum at www.usnewshot.com.
Two of the New York metro area’s largest provider organizations will share their experiences leveraging HIE as one of many tools to decrease fragmentation of care and improve patients’ experiences across acute and post-acute care settings for patients undergoing elective surgeries. Representatives from NYULMC and VNSNY will summarize their efforts to redesign more personalized specific care pathways and the central role played by the implementation of real-time data exchange to provide a seamless transfer of clinical data between providers caring for the patient at the time of discharge and throughout the post-acute period.
• Kathleen Mullaly - Senior Director for Clinical Operations, Department of Network Integration, NYU Langone Medical Center
• Amy Weiss - Director for Strategic Account Development, Integrated Delivery Systems, Visiting Nurse Service of New York (VNSNY)
New York eHealth Collaborative Digital Health Conference
November 18, 2014
Jacquie White, Deputy Director of NHS England Long Term Conditions, Older People & End of Life Care and Claire Cordeaux SIMUL8 Executive Director for Health & Social Care were invited by Centers for Medicare & Medicaid Services to discuss how NHS England work in chronic disease.
What if you knew a bed crisis was going to happen before it happened? Could you do something to reduce its impact?
View the slides for the webinar and find out about our new Bed Management simulation tool that could save millions for your organization. Bed.P.A.C. can help prevent delays and ED boarding time, reduce length of stay, and ensure patients get the best care.
Prof Devlin discusses the rationale for the PROMs programme and provides an overview of the various uses of the EQ-5D in England—for example by NICE in health technology assessment, in population surveys and in the English NHS PROMS program. The presentation also reviews how EQ-5D data are collected, analysed and used in the UK to inform decisions by health care providers, payers and patients.
Providing actionable healthcare analytics at scale: Understanding improvement...Nuffield Trust
Thomas Woodcock, Improvement Science Fellow at Imperial College London, talks about the various measurement approaches and processes when working at large scale to assess care quality improvements.
Emergency Department Throughput: Using DES as an effective tool for decision ...SIMUL8 Corporation
Emergency Department Throughput: Using DES as an effective tool for decision making
Presenters: Johns Hopkins, Novasim
The first workshop in our series will look at a challenge facing many health systems across the country. With an increase in patient demand and limited resources and capacity, the need to manage Emergency Department throughput has never been greater.
Join Eric Hamrock, Senior Project Administrator for Operations Integration at Johns Hopkins Health System (JHHS), and Kerrie Paige from SIMUL8 Partner Novasim as they present some of the lessons learned through more than a decade of simulation projects at three JHHS Emergency Departments.
Effectiveness of the current dominant approach to integrated care in the NHS:...Sarah Wilson
Jonathan Stokes of the Greater Manchester Primary Care Patient Safety Translational Research Centre presents a systematic review of case management in integrated care.
In this presentation for Digital Health Institute Summit 2020 I will explain how we overcame barriers for patient engagement and achieved very high response rates using our ePRO ZEDOC Platform. I'll give real-world insights from a project we ran at the Rheumatology service at NUH in Singapore.
I wear two hats - this talk is with the first one!
Clinician Satisfaction Before and After Transition from a Basic to a Comprehe...Allison McCoy
Healthcare organizations are transitioning from basic to comprehensive electronic health records (EHRs) to meet Meaningful Use requirements and improve patient safety. Yet, full adoption of EHRs is lagging and may be linked to clinician dissatisfaction. In depth assessment of satisfaction before, during, and after EHR transition is rarely done. Using an adapted published tool to assess adoption and satisfaction with EHRs, we surveyed clinicians at a large, non-profit academic medical center before (baseline) and 6-12 months (short-term follow-up) and 12-24 months (long-term follow-up) after transition from a basic, locally-developed to a comprehensive, commercial EHR. Satisfaction with the EHR (overall and by component) was captured at each interval. Overall satisfaction was highest at baseline (85%), lowest at short-term follow-up (66%), and increasing at long-term follow-up (79%). This trend was similar for satisfaction with EHR components designed to improve patient safety including clinical decision support, patient communication, health information exchange, and system reliability. Conversely, at baseline, short-term and long-term follow-up, perceptions of productivity, ability to provide better care with the EHR, and satisfaction with available resources, were lower at both short- and long-term follow-up compared to baseline. Persistent dissatisfaction with productivity and resources was identified. Addressing determinants of dissatisfaction may increase full adoption of EHRs. Further investigation in larger populations is warranted.
Health IT Summit Houston 2014 - Case Study "EHR Optimization for Organizational Value in a Changing Healthcare Environment"
Luis Saldana, MD, MBA, FACEP
CMIO
Texas Health Resources
iHT2 case studies and presentations illustrate challenges, successes and various factors in the outcomes of numerous types of health IT implementations. They are interactive and dynamic sessions providing opportunity for dialogue, debate and exchanging ideas and best practices. This session will be presented by a thought leader in the provider, payer or government space.
Speaker Presentation from U.S. News Healthcare of Tomorrow leadership summit, Nov. 1-3, 2017 in Washington, DC. Find out more about this forum at www.usnewshot.com.
Two of the New York metro area’s largest provider organizations will share their experiences leveraging HIE as one of many tools to decrease fragmentation of care and improve patients’ experiences across acute and post-acute care settings for patients undergoing elective surgeries. Representatives from NYULMC and VNSNY will summarize their efforts to redesign more personalized specific care pathways and the central role played by the implementation of real-time data exchange to provide a seamless transfer of clinical data between providers caring for the patient at the time of discharge and throughout the post-acute period.
• Kathleen Mullaly - Senior Director for Clinical Operations, Department of Network Integration, NYU Langone Medical Center
• Amy Weiss - Director for Strategic Account Development, Integrated Delivery Systems, Visiting Nurse Service of New York (VNSNY)
New York eHealth Collaborative Digital Health Conference
November 18, 2014
Jacquie White, Deputy Director of NHS England Long Term Conditions, Older People & End of Life Care and Claire Cordeaux SIMUL8 Executive Director for Health & Social Care were invited by Centers for Medicare & Medicaid Services to discuss how NHS England work in chronic disease.
LTC year of care commissioning early implementer sites workshop held on 1 December 2014. Featuring Dr Martin McShane, Rob Meaker and Renata Drinkwater.
Integrated health & social care: service transformation supported by technolo...flanderscare
Wat is de toekomst van zorg op afstand in Vlaanderen? Dat was de centrale vraag van het event van 17 juni. 100 deelnemers dachten hier samen over na. Studiebezoeken aan andere Europese regio's toonden dat daar reeds op grote schaal met telecare en telehealth gewerkt en geëxperimenteerd wordt.
Pam Creaven - Bringing integrated care to lifeAge UK
Pam Creaven, Services Director, Age UK - presentation from Age UK For Later Life conference, 25th April.
For more information: www.ageuk.org.uk/forlaterlife
Slides from the workshop 'A modern vision of integrated care and support' led by Dr Martin McShane, Dr Damian Riley (NHS England) and David Pearson (ADASS) - NHS Medical Leaders Conference 2014. - See more at: http://www.icase.org.uk/pg/cv_content/content/view/98680#sthash.45Xs2o9r.dpuf
Death and dying - understanding the dataMarie Curie
Phil McCarvill, Marie Curie's Head of Policy and Public Affairs, presented at 'Improving outcomes at the end of life' on 9 July, 2013 in London.
He presented on the data from Marie Curie's report 'Death and Dying' which looks at variations on the provision, spending and identification of end of life services across the country.
It draws together and analyses data from the Marie Curie End of Life Care Atlas and other sources including the Nuffield Trust study and the VOICES survey of bereaved relatives.
For more information on commissioning, have a look at our website mariecurie.org.uk/commissioning or get in touch at servicedevelopment@mariecurie.org.uk
NHS England and partners have published six Quick Guides to bring clarity on how best to work with the care sector. They can be accessed at www.nhs.uk/quickguides
Want to find out how the care sector can support local systems in the run up to winter? Want to break down barriers between health and care organisations? Want to find out how Leicester has achieved a 60% reduction in care home admission costs? Want to finally break down the myths around sharing patient information and assessments? Want to use other people's ideas and resources?
Webinar outcomes:
Introduction to the care homes quick guides
Two examples of models referenced in the guides:
- Angela Dempsey, Baker Tilly on the Quest4care tool
- Dawn Moody on MDT working and a model implemented in a CCG
Guest Speakers: Nicola Spencer and Emily Carter - NHS England
Southwark and Lambeth-based projects Knee High Design Challenge, Diabetes Modernisation Initiative and Pathway explore what it takes to maintain change in the local healthcare system: understanding the issue & adapting to ever-changing context; gathering & maximising evidence; and building & maintaining meaningful relationships.
Find out more at www.gsttcharity.org.uk
World Alzheimer Report 2016: Improving healthcare for people living with deme...Adelina Comas-Herrera
Keynote paper at the 2016 Alzheimers NZ Biennial Conference and 19th Asia Pacific Regional Conference of Alzheimer’s Disease International, Wellington, New Zealand, November 2016
Testing the impact of policy decisions using simulationSIMUL8 Corporation
With many factors and risks to consider, identifying the impact of policy change can be a challenge.
Learn why simulation is used to make evidence-based policy decisions, improve program outcomes and deliver services more efficiently to the public.
Using real-life examples from healthcare to smart cities, Tom Stephenson shows the benefits of using simulation for evaluating policy changes.
In this webinar session, Dr Tracey England, Mathematical Modeller and Research Fellow at ABCi, shared three case studies of how simulation software has supported healthcare improvements at Aneurin Bevan University Health Board.
Learn how Memorial Health System have utilized simulation to answer facility planning questions – saving unnecessary costs, avoiding delays in construction, and improving patient safety and satisfaction.
Graham Prellwitz and Lance Millburg discuss the benefits of using SIMUL8 for validating healthcare facilities ahead of finalizing building plans and construction.
In this on-demand webinar session, you'll learn 4 recommendations for successful simulation projects and see how these have been applied across a range of planning projects.
Laboratories must be able to deliver quality results, at the lowest cost, within the shortest time frame.
In this webinar learn how simulation can be used to improve laboratory flow.
Watch the webinar recording: https://www.simul8healthcare.com/case-studies/improving-laboratory-flow-with-simulation
Tom Stephenson, Senior Healthcare Consultant at SIMUL8 Corporation, will discuss his experience of designing laboratory simulations and share best practice techniques.
Through real examples, you'll learn how SIMUL8 has been used to test laboratory improvements, including:
- Assessing the impact and ROI of new machinery
- Selecting optimal layouts
- Understanding how the current system will cope with demand changes
- Testing total lab automation
Merging Cath Labs: Using simulation to design a solution and understand the i...SIMUL8 Corporation
Learn how Boston Scientific used simulation to test the impact of merging Cath Labs from two different sites in a Canadian hospital.
In this live webinar session, Boston Scientific's Yixin Wang will discuss how simulation formed a key part of the change process, engaged clinicians and administrators in the redesign, and ensured consensus on the best solution.
You'll learn how the teams worked together to understand the complexities of future demand from the local population, procedure types and timings, staffing, scheduling, as well as determining the optimum design for the combined unit.
In highly congested hospitals it may be common for patients to overstay at Intensive Care Units (ICU) due to blockages and imbalances in capacity.
Watch the webinar in full at: https://www.simul8healthcare.com/case-studies/releasing-icu-bed-capacity
Reece Holbrook, Technical Fellow at <b>Medtronic</b>, discusses how simulation is being used to turn available data from clinical trials into actionable insights for hospital electrophysiology lab managers. Watch the webinar in full: https://www.simul8healthcare.com/case-studies/medtronic-bringing-data-to-life
Simulation modeling of pre/post bed needs for an Interventional PlatformSIMUL8 Corporation
Architect Frank Zilm discusses how simulation software was used to explore the implementation of an interventional platform concept, integrating surgery, cardiac procedures, interventional radiology and endoscopy services, at Saint Louis University Hospital.
In the third webinar of the series, Max builds on the example simulation in Sessions 1 & 2 and shows how you can control the simulation using spreadsheets, and how to link Excel to the simulation. Find out more at: http://www.SIMUL8.com/the-complete-guide-to-simul8-success
The second webinar in the series, "The Complete Guide to SIMUL8 Success." Max Guild talks us through how to get results fast using SIMUL8. Full webinar recording: http://simul8.com/the-complete-guide-to-SIMUL8-success
Improving Eye Care Outpatient Services with SimulationSIMUL8 Corporation
David Southern and Dr. Eren Demir of Pathway Communications demonstrate how simulation used to forecast demand and improve the clinical management of retinal diseases.
The first webinar in the series, "The Complete Guide to SIMUL8 Success." Max Guild talks us through how to get results fast using SIMUL8. Full webinar recording: http://simul8.com/the-complete-guide-to-SIMUL8-success-webinars
Lance Millburg, Senior Lean Six Sigma Project Manager talks us through how Memorial Health System built their simulation team from the ground up into a nationally recognized program in 2 years.
From Cars to Calls - Expanding the Limits of SimulationSIMUL8 Corporation
Sander Vermeulen presented a session with Ford Motor Company’s Capacity Manager Supervisor Tom Woods at MSUG 2015 about using simulation in other areas in your manufacturing organization. They discussed the use of simulation within contact center projects and looking at the specific examples of improving your support desk.
Find out how BJC HealthCare shortened turnaround time for lab results by 37%, reduced walking time, and managed staffing levels effectively. This helped them to immediately reduce operational costs.
LeanHDX was the perfect tool to help BJC. Unique in its approach LeanHDX allowed BJC to consider the physical layout and the processes of the lab simultaneously.
Understanding & Managing Variation: Use of Computer SimulationSIMUL8 Corporation
SIMUL8's Brittany Hagedorn joins Mike Stoecklein of the ThedaCare Center for Healthcare Value to discuss the importance of managing variability and how computer simulation can contribute to the ongoing efforts of many healthcare systems to embrace Lean.
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptxR3 Stem Cell
R3 Stem Cells and Kidney Repair: A New Horizon in Nephrology" explores groundbreaking advancements in the use of R3 stem cells for kidney disease treatment. This insightful piece delves into the potential of these cells to regenerate damaged kidney tissue, offering new hope for patients and reshaping the future of nephrology.
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.
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
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.
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
Explore our infographic on 'Essential Metrics for Palliative Care Management' which highlights key performance indicators crucial for enhancing the quality and efficiency of palliative care services.
This visual guide breaks down important metrics across four categories: Patient-Centered Metrics, Care Efficiency Metrics, Quality of Life Metrics, and Staff Metrics. Each section is designed to help healthcare professionals monitor and improve care delivery for patients facing serious illnesses. Understand how to implement these metrics in your palliative care practices for better outcomes and higher satisfaction levels.
ICH Guidelines for Pharmacovigilance.pdfNEHA GUPTA
The "ICH Guidelines for Pharmacovigilance" PDF provides a comprehensive overview of the International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) guidelines related to pharmacovigilance. These guidelines aim to ensure that drugs are safe and effective for patients by monitoring and assessing adverse effects, ensuring proper reporting systems, and improving risk management practices. The document is essential for professionals in the pharmaceutical industry, regulatory authorities, and healthcare providers, offering detailed procedures and standards for pharmacovigilance activities to enhance drug safety and protect public health.
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.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
1. www.england.nhs.uk
Population Health Planning and
Forecasting in Acute and
Chronic Disease
Hosted by:
Jacquie White
Deputy Director for LTC,
Older People & End of
Life Care
NHS England
Dr. Eileen Pepler
The Pepler Group
Claire Cordeaux
Executive Director
SIMUL8 Corporation
Brittany Hagedorn
US Healthcare Lead
SIMUL8 Corporation
2. www.england.nhs.uk
Hosted by:
Jacquie White
Deputy Director for LTC,
Older People & End of
Life Care
NHS England
Dr. Eileen Pepler
The Pepler Group
Claire Cordeaux
Executive Director
SIMUL8 Corporation
Brittany Hagedorn
US Healthcare Lead
SIMUL8 Corporation
3. www.england.nhs.uk
Introductions
• Jacquie White
• Dr Eileen Pepler
• Claire Cordeaux
Canada and UK Health Systems: Dr. Eileen Pepler
NHS England and New Models of Care: Jacquie White
Simulation/Population Health Modelling to inform long term conditions:
Claire Cordeaux
Reflections from Canada: Dr Eileen Pepler
Discussion
Agenda
5. Global challenges
Increasing demand
• Rise of long term conditions and multi-morbidity: physical and mental
• Ageing population
• Increasing system wide expectations: access, treatment, cure not care
Supply pressures
• Dependence on system
• Hospital and medic-centric care models
• Workforce – recruitment & retention, ageing, diversity and culture
• Fragmentation of care in health and to social care
• Crisis curve
Solution – Transforming what we buy and how we buy it:
• Person centred co-ordinated care – whole person approach to improve
outcomes and value
9. Similar Challenges
• On September 16, 2004, the Canadian government
announced $41 billion over the next 10 years of new federal
funding in support of the action plan on health.
• That Health Accord expired in 2014 and the federal
government did not negotiate funding leading up to 2015—
just measurement, accountability and best practices
• The funding is set—an increase of six percent in the first three
years, and a minimum of three percent in the remaining seven
years
• In 2015 new government---another shift, new thinking, new
demands for non-physician centric models, rural, aboriginal,
vulnerable service improvements and workforce aging…………
11. Resetting—Shift to Population Health
• New Models of Care—strategic methodology
• Population Shifts—aging, chronic disease, etc.
• Workforce Implications---existing versus future
• Shifting dynamics between patients and clinicians
• Self-care management
• Impact of Technology enabled care
• Workforce arrangements demand co-operation between very
different workforce groups
• Coordinator or ‘navigator’ roles become crucial in a complex
fragmented landscape
• Thinking outside the ‘box’ and keeping the welfare of the patient
at the forefront
• Learning from other jurisdictions--- NHS Long Term Conditions
Program/Simulation/Funding
13. The NHS England programme
Definitions
• Person not patient
• Long Term Conditions not chronic disease
• Whole person not separation of physical,
mental, emotional and social needs
• Co-ordinated care not integrated care
14. Tackling the priorities in the NHS
• Empowering patients and informal carers to be full partners in
care
• Whole person focus
• Life course approach to care needs
• Strengthening Primary and Community Care
• Older people with increasingly complex needs including frailty
• New care models moving away from purely medical, hospital-
centric focus
• Strengthen key enablers – IT, Workforce, Technology
• Need for a new purchaser/provider/funding model
16. Outcomes and benefits
• More activated patients have 8% lower costs in the base year
and 21% lower costs in the following year than less activated
patients
• Health coaching can yield a 63% cost saving from reduced
clinical time, giving a potential annual saving of £12,438 per FTE
from a training cost of £400
• Coaching and care co-ordination has shown to reduce
emergency admissions by 24%
• Improved medication adherence improves outcomes and yields
efficiencies, for instance in 6000 adults in the UK with Cystic
Fibrosis, could save more than £100 million over 5-years
• Between 20% and 30% of hospital admissions in over 85’s
could be prevented by proactive case finding, frailty assessment,
care planning and use of services outside of hospital
17. Long Term Conditions Year of Care Commissioning
Programme
• Engagement and commitment across the system
• Patients, Clinicians, Managers, Senior leaders
• Joint vision and narrative
• Shared benefits
• Whole Population Analysis
• Understanding the population
• Risk profiling and segmentation
• Patient & Service Selection
• Planning for Change
• Simulation Modelling
• Workforce
• Capitated Budget
• Delivery Models
• Service redesign
• Contracting and performance monitoring
18. National Population Analysis
Prevalence:
– There are 16 million with one LTC, 10 million with two
LTCs, 1 million people in England with frailty, and 0.5
million approaching end of life
Quality of life:
– The larger the number of co-morbidities a patient has
the lower their quality of life
– Increasing evidence of over-treatment and harm
– Social isolation/loneliness a risk factor for mortality in
over 75s
19. National Population Analysis
Impact on the health system:
– The average person with a LTC in the UK spends less
than 4 hours a year with a health professional
– Research has shown that 33% of all GP consultations
are now with people with multi-morbidity
– The number of days in a hospital bed increases strongly
with age: those under 40 account for 1 million
emergency bed days and those over 85 account for over
7 million emergency bed days
– Three-fold increase in health costs across all care
sectors due to frailty
– 1300 people die each day and 25% of all hospital beds
are occupied by somebody who is dying
24. Delivery Models
The service models being developed by our sites are essentially similar
but differ to match local conditions.
Similarities include:
• Single point of access
• Care planning and shared care record
• Supported self management
• Care co-ordination
• Community multi-disciplinary team based around primary care,
• Wider neighbourhood support including specialist practitioners,
therapists
• Recovery, Rehabilitation and Reablement “services”
• Care navigators and voluntary sector as a key enabler.
Differences include:
• Whole population or selected cohorts
• Formation of new organisations
• New delivery models within and across existing organisations
27. Predictive Population Analytics
HIV example
Age-banded
population
projections
Age-banded
disease
prevalence
Demand
1.23m x HIV 0.465% = 2531
28. Scenario Generator Functional Map
Pathways
Scenarios
Whole
system
model
Simulation
results
Service
points, flows
& waits
Mental Health
Social Care
Service
models
Referral patterns
Capacity
Duration
Population
Demography
Prevalence
Prevalence/
Influencing
factors
Demographic
weighting
Population
Constrained
resources
Urgent
Planned
Maternity
29. Example: North Staffordshire and Stoke
on Trent Simulation
• What does current unscheduled care flow look
like?
• What will it look like in 5 years with ageing
population?
• What is the impact of increasing referrals to home
care direct from hospital?
Age-banded
population
projections
Disease
prevalence
Demand
Pathway
process flow
31. Baseline Results – 10 run trial
• Ran the model
through with the
received
population data
• Set routing
percentages so
model matches
activity data.
Aea NHS
data
Scenario
Generator
%
A+E 108,472
125,302 (17,026
out-of-area)A&E out of area (5% S Staffs) 17,000
0.99864512
Total NEL Admissions 84,297 84,470
1.00205227
Elective admissions 12,674 12,710
1.00284046
Daycase 49,983 49,895
0.9982394
Discharges to Community
Hospital
4560 4507
0.98837719
Discharge to social care teams
(Stoke)
2183 2203
1.0091617
Discharges from Community
Hospital
4347 4430
1.01909363
Intermediate Care (admission
avoidance)
590 581
0.98474576
32. Cost and Length of Stay Assumptions
Item £ LOS
Hospital Bed £500 a day AMU/SAU/CDU
Inpatient
Community
Hospital Bed
£263 per day 21 days
Intermediate care £47 per hour 30 hours
A&E £105.5
33. In 5 years
With population increase
Increase in A&E and
admissions +5% over 9 years
+ £11.3m (£1m domiciliary care)
(1% annual inflation)
34. Home care scenario
• Average 6 week package for rehabilitation
• Other packages average 48 weeks
Scenario:
• Increase direct referrals from hospital – 30% of
community hospital referrals
• Average 2 additional days in hospital
• Referrals 10% to complex, 38% maintenance,
51% reablement (North Staffs only)
35. Home care scenario results
• £2.6m savings overall
– Plus £4m social care
– Plus 1.3m additional LOS, max bed occupancy + 10, +1%
utilisation
– £7.6m savings community hospital, utilisation reduced by
25%, max bed occupancy minus 90
39. • Group
patients by
level of
acuity
• Increasing
numbers of
long term
conditions
Patients with long term conditions by acuity
What drives the model?
42. Acute to Rehabilitation
Acute Phase
Higher cost
Medical
care
“R” point:
Decision to
discharge to
recovery
bed
Transitioning
“L” point
Point of
discharge
“liberation”
RRR facility
DischargeBed in
recovery
-hospital
-community
- Home with
support
43. RRR audits identify the point in the acute patient pathway
that patients are medically fit for discharge.
Pre
admission
community
phase
“change the tariff at the point when the patients’
needs change and not when they change institution”
---------- Hospital -------------
A CB D
Needforclinicalinput/support
RRR HRG group . . . . . . . . . . . . .
Assessment – prescription for recovery
Acute
phase
1 crosses secondary – community, 2. unlocks rehab resource for different models
3. Puts primary care and social care at earliest point in rehab, 4. sustainable discharge
primary care, community social care and
patient – the “R” point
Recovery, rehabilitation and re-ablement
49. Scenario Planning –’what-if’ considers
future uncertainties: Enables the linking
of strategy to service delivery
While Long-Range Forecasts…
Extrapolate the impact of known trends
and assumptions
Are important for one year plans
Are unable to capture the potential impact
of key events (e.g., technology
breakthrough, capacity and demand
changes, government regulatory changes)
that could significantly change the system
environment for delivery services
Unable to capture ‘true costs’ for
delivering health and social care services
Scenarios…
Provide a plausible range of future
outcomes and help identify the key
"trigger" factors/events that can
significantly alter the future
Take a long view over time, usually 5-10-
20 years
Helps to question consensus and "past to
future“ linear thinking
Provide options not a single answer
Today Driving
Forces
Range of
Uncertainties
Single point
forecast
Timing
Scenario
Envisioning
51. Using Predictive Population Analytics to get in
Front of the cost curve………….
Age-banded
population
projections
Age-banded
disease
prevalence
Demand
3 out of 5 Albertans 18+ Adult w/overweight + Obesity Est. 1,732,000
are either overweight Over weight 35.2%
or obese Obesity 23.9%
Source: HCQA Overweight & Obesity in Adult Albertans: A Role for
Primary Healthcare July 2015
52. ‘What if’ Scenarios
1. How many children aged 1-15 years with complex needs,
stress, anxiety, obesity, diabetes, and mental health, may need
to access primary pediatric care services in 2020, 2025 and
2030?
2. What impact do different care stage durations have on cost and
resource use for patients with 3+ comorbidities associated with
obesity across the continuum of care?
3. What percentage of the population with Type 2 Diabetes had
access to a primary care hub and to one-on-one or group
sessions led by a nurse practitioner, LPNs, dietitians, or peer
coaches in person or virtually?
4. How may increasing population and obesity rates affect future
incidence and resource demand over time and what are the
workforce implications??
53. High-Level Overview of Scenarios
53
Nunc nec justo
vel felis mollis
vestibulum a ac
Pediatrics
and Children
with Chronic
Conditions
(1-15 years)
Emerging
Adults with
Addictions/
Mental Health
Challenges
(16-24 years) Adults with
Multiple
Chronic
Conditions
(25-64 years)
End of Life
1
4
3
2
5
6
Seniors with
2+ Chronic
Conditions,
High Risk
(65+ years)
Frail Seniors
with Chronic
Conditions,
High Risk
(75+ years)
54. Type of Project: Future Scenario Planning
Non-Funded Maternity Care Services to Immigrant & Refugee Women
Business Challenge
In 2011, the client wished to begin laying the groundwork for a strategic transformation in response to potential
reforms to providing care to immigrant women who had were without ‘papers’ and had no status, and no care
cards or waiting for deportation,
Due to the inherent uncertainty around reform and future developments to the change in immigrant status and
the ‘high risk pregnancy’ population that the organization served, the client required a scenario planning
approach that allowed for different strategic directions given various future scenarios
The key objective for Project 2011 was to provide a longer-term vision of the costs and possible strategic
options
Project Approach
Developed a long-term vision of partnerships
between downtown hospitals for delivering
immigrant and refugee care services
Provided an assessment of new capabilities
compared to future capabilities needed
Developed a portfolio of strategic options for
responding to changing federal government
conditions over the next decade through stakeholder
workshops
Created a critical decision path for choosing among
the strategic options
Client Benefits
Increased strategic planning to address
funding issues, loss revenue, physician
collaboration
Comprehensive understanding of immigrant
and refugee needs served for future service
delivery development
Path to transformation that accounts for and
adjusts to changing federal government
regulations, provincial government, and local
provider/funder conditions
Provincial government committed funding for
future immigrant and refugee care
55. 55
Type of Project: Future Scenario Planning
Linking Food Banks to Chronic Disease
Business Challenge
Project Approach
Activity from population projections, age-related,
immigration and ethnic factors, income, and
prevalence based data for chronic diseases are all
factors shown to influence demand. Thus, a review
was conducted of the global, national, provincial and
local literature using search terms such food
insecurity, food distribution, homelessness and
poverty, housing affordability, income and food bank
users.
,Several scenarios developed and socialized with
providers and community stakeholders
Client Benefits
A demonstration of the scenario tool (Scenario
Generator) was given to the project team
highlighting the economic benefits of
implementing a Nurse Practitioner Led Clinic.
Additionally, a power point presentation
Identification of partnerships and possible
marketing solutions to key stakeholders and
potential community and corporate partners.
• Increased awareness of people using Food Banks and the link between health behaviours and health outcomes,
Moreover, from a local perspective the report highlights that health behaviours and health outcomes, regarding mental
illness, addictions, obesity, diabetes, smoking and cardiovascular disease, oral care.
• A multi-organization partnership explored the link between food banks and chronic disease and could a new way of
delivering services to this population group change behaviours and improve outcomes.
• Specifically if a change to access to primary care health services could show a reduction in emergency room visits,
hospitalization, a decrease in obesity and improved self care management for diabetes.
57. Scenario 1 – Nurse Practitioner Led Clinic
Create a simulation that projects the resource cost savings related to PCS and
shows the impact on ED visits
59. 59
Type of Project: Future Scenario Planning
Improving Outcomes for Children & Youth Mental Health Services
Business Challenge
To increase access to children, youth and their families to mental health and addiction services across SW Ontario.
Evaluate the duplication of resources, activities and eliminate and/or reduce the fragmentation and hand-offs between
providers to ensure continuity of services for families accessing mental health services.
Identify opportunities for new models of care and partnerships
Explore opportunities for leveraging resources and workforce optimization
Additionally, the system wide costs were difficult to measure given the disparate data systems, multiple organizations,
vast array of providers and funding streams (e.g. health, justice, education, social services, housing)
Project Approach
Multi-provider (30 CYMH agencies) + 2100 front line
staff + 9 Children Aid Societies, + 7 inpatient
psychiatric hospitals/units + 5 emergency
departments
Technology enabled collaboration (Think Tank) used
to collect front line staff challenges, family
experiences and prioritization of challenges
Scenario planning explored and implemented to
drive mind-set shifts to explore resetting their model
of care
Used SG to test new approaches and improvements
Client Benefits
Increased awareness for the need to rethink
partnerships, services and delivery
mechanisms
Five agencies amalgamated to deliver
centralized services leveraging resources,
funding and workforce
System-wide standardized approach to
assessments across government agencies
(e.g. health, social services, education and
justice)
Increased use of tele-health for access to
psychiatric assessments and evaluations
62. Process Evidence Possible Solutions Potential
Benefits
Referral
Entry Points
average 22
1300 Children
Placed in
Residential
Services
Est. 53K days
of service
Multiple Eligibility Criteria
Distinct Records
Data Disparity
Service Fragmentation
Service Duplication
Multiple hand-offs
Significant bottlenecks/delays
Multiple Access Points
20-30% non-value activities
Variation in Screening Tools
Shared Records
Agreed Standards
Common Data Set
Collaborative Practices
Standardized Decision
Making
Standardized Care
Pathways
Integrated Service
Processes
Reduced Waiting Times
Optimized Resources
Shared Information
Alignment of Capacity and
Demand
Appropriate Referrals
Cost-Avoidance of
approximately 8%
Intake
Average wait
time
2-4 wks
Skill Variation
Exists
Variation between services (e.g.
community versus residential placements)
Data collection of MCYS screening and
assessment tools not standardized
Resource duplication across the continuum
Silos Professions and practices
Single Point Access – 2-4 hours per
Agency reviewing planned cases add 4-
6 weeks to service user waiting time
40% of resource time attributed to non-
direct activities/documentation
Agreement to vision for
client pathways
Standardized eligibility and
prioritization criteria
Common metrics
Standardized approach to
waiting times and reporting
Increased accountability and
transparency
Responsiveness to families,
children and youth
Cross-sector approach to
appropriate use of resources
Reduced wait times
Potential savings – 28%
intake activity steps
considered non-value
Potential Opportunities for System Reinvestment