This document summarizes a feasibility study on using predictive models with linked health and social care data to identify individuals at high risk of future social care needs. The study found that routine data can be used to build predictive models, though data linkage across systems is challenging due to issues like missing NHS numbers in social care data. Models were able to moderately predict individuals over 75 at risk of entering residential care or having over £5,000 in social care costs within a year, with room for improvement in predictive values. The study demonstrated the potential for predictive modeling but also limitations of current data systems.
This video describes Intellimessage, a system for generating tailored medical messages to patients through the creation of individualized health profiles. The system matches patient data and preferences with clinical records to create personalized messages that improve health outcomes. It aims to reduce preventable hospital readmissions through evidence-based, tailored post-care messaging. The company was founded by a multidisciplinary team from the University of Kentucky, including a principal investigator, research assistants, an engineering student, and a successful entrepreneur.
The document proposes a solution to address rural healthcare issues in India by setting up satellite clinics connected to central clinics in urban areas through telemedicine. Nurses in satellite clinics can video conference doctors in central clinics for primary consultations and refer patients to macro clinics as needed. The social impact will be increased access to qualified doctors, diagnostic services, and medicines for rural communities, leading to improved health outcomes, employment, and productivity.
A Presentation for The California Program on Access to Care (CPAC) of the UC Berkeley School of Public Health. This presentation is intended to assess where the Safety Net as this state proceeds into full implementation of health care reform.
Presentation by Annette Gardner, PhD, MPH, Study Director
Philip R. Lee Institute for Health Policy Studies
University of California, San Francisco
National child welfare agencies are increasingly adopting differential response models as an alternative to traditional investigative approaches for some child abuse and neglect reports. Differential response aims to provide a more supportive, non-adversarial response for less severe cases through voluntary service provision rather than determining fault. Key elements include multiple response pathways, voluntary services, and no formal substantiation. Research shows differential response maintains child safety while engaging more families and providing services earlier without compromising safety or increasing costs over the long term. Implementation challenges include ensuring adequate resources and cross-system collaboration.
Healthcare Innovation Now: 3 themes and 10 insights.frog
frog’s Executive Creative Director Fabio Sergio builds a strong case at Mobile Health Industry Summit 2011 in Brussels about why healthcare solutions should be ecosystem-based and designed around people, not "just" patients.
This document proposes an information strategy for general practice in New Zealand to improve patient care. It suggests taking a population health, clinical governance, and patient-centered approach. The strategy would use existing infrastructure like enrolment and IT systems to routinely collect health data on populations to better understand current practice, identify best practices, and manage gaps through decision support, quality processes, and outcomes focus. This would help practices provide proactive, structured care for long-term conditions while reactively addressing acute issues. The next steps outlined are drafting the strategy for sector feedback by May 2007 and a full report by August 2007.
This document discusses a program called Frequent User Systems Engagement (FUSE) that targets supportive housing to individuals who frequently cycle between public systems like shelters, hospitals, and jails. FUSE identifies these high-cost users through data sharing between agencies and houses them in supportive housing with intensive case management. Evaluations of FUSE in New York City found it significantly reduced shelter and jail use while maintaining high housing retention rates. FUSE has since been replicated in several other cities and has improved cross-system collaboration and resource pooling to address the root causes of homelessness.
This video describes Intellimessage, a system for generating tailored medical messages to patients through the creation of individualized health profiles. The system matches patient data and preferences with clinical records to create personalized messages that improve health outcomes. It aims to reduce preventable hospital readmissions through evidence-based, tailored post-care messaging. The company was founded by a multidisciplinary team from the University of Kentucky, including a principal investigator, research assistants, an engineering student, and a successful entrepreneur.
The document proposes a solution to address rural healthcare issues in India by setting up satellite clinics connected to central clinics in urban areas through telemedicine. Nurses in satellite clinics can video conference doctors in central clinics for primary consultations and refer patients to macro clinics as needed. The social impact will be increased access to qualified doctors, diagnostic services, and medicines for rural communities, leading to improved health outcomes, employment, and productivity.
A Presentation for The California Program on Access to Care (CPAC) of the UC Berkeley School of Public Health. This presentation is intended to assess where the Safety Net as this state proceeds into full implementation of health care reform.
Presentation by Annette Gardner, PhD, MPH, Study Director
Philip R. Lee Institute for Health Policy Studies
University of California, San Francisco
National child welfare agencies are increasingly adopting differential response models as an alternative to traditional investigative approaches for some child abuse and neglect reports. Differential response aims to provide a more supportive, non-adversarial response for less severe cases through voluntary service provision rather than determining fault. Key elements include multiple response pathways, voluntary services, and no formal substantiation. Research shows differential response maintains child safety while engaging more families and providing services earlier without compromising safety or increasing costs over the long term. Implementation challenges include ensuring adequate resources and cross-system collaboration.
Healthcare Innovation Now: 3 themes and 10 insights.frog
frog’s Executive Creative Director Fabio Sergio builds a strong case at Mobile Health Industry Summit 2011 in Brussels about why healthcare solutions should be ecosystem-based and designed around people, not "just" patients.
This document proposes an information strategy for general practice in New Zealand to improve patient care. It suggests taking a population health, clinical governance, and patient-centered approach. The strategy would use existing infrastructure like enrolment and IT systems to routinely collect health data on populations to better understand current practice, identify best practices, and manage gaps through decision support, quality processes, and outcomes focus. This would help practices provide proactive, structured care for long-term conditions while reactively addressing acute issues. The next steps outlined are drafting the strategy for sector feedback by May 2007 and a full report by August 2007.
This document discusses a program called Frequent User Systems Engagement (FUSE) that targets supportive housing to individuals who frequently cycle between public systems like shelters, hospitals, and jails. FUSE identifies these high-cost users through data sharing between agencies and houses them in supportive housing with intensive case management. Evaluations of FUSE in New York City found it significantly reduced shelter and jail use while maintaining high housing retention rates. FUSE has since been replicated in several other cities and has improved cross-system collaboration and resource pooling to address the root causes of homelessness.
This document discusses recovery from substance use disorders. It defines recovery capital as the internal and external resources that can be used to initiate and sustain long-term recovery. Key aspects of recovery capital include social support, community and cultural connections, development of a positive identity, and gaining a sense of meaning and purpose in life. The document also questions whether current treatment approaches are sufficient to support long-term recovery, given that most people spend very little time in treatment and recovery is a long-term process often taking several years.
This newsletter provides a summary of the results of a survey of Home Support Workers in County Louth, Ireland. The majority of Home Support Workers are women who provide care for older people. Many came to the job through previous caring experience for family members. The survey found that while most workers feel happy in their jobs, many worry about their future health and financial security. It also found that most workers feel the training they receive is effective, but some areas like dementia care require more training. Most workers feel the personal and practical needs of their clients are being met, but some have concerns about clients not having all their needs fully met.
AUTHORS: Dr Bob Chaudhuri (1); Robert Thomas(2); Brian Walmark (2); Tom Terry(2);
AFFLIATIATIONS (1): Northern Ontario School of Medicine (NOSM)
AFFLIATIATIONS (2): Keewaytinook Okimakanak (Northern Chiefs Council)
NAHO 2009 National Conference
Family Services of Metro Orlando Network DesignGregory Kurth
This diagram outlines the system of care for children in Orange and Osceola counties in Florida. It shows the pathways a child may take through various agencies from an abuse hotline referral to the Department of Children and Families, through the court system and either reunification with family or an alternative permanent placement. Key community organizations and funders that support services for children in the system are listed. The diagram provides a high-level overview of the complex network of organizations and processes involved in serving at-risk children in the region.
This document discusses a study examining the relationship between family caregivers of dementia patients and healthcare providers. The study aimed to identify how diagnosis is provided, understand caregiver needs, and determine how providers can better support caregivers. Key findings include that specialists rather than primary care physicians usually provide the diagnosis, and caregivers desire more information from doctors on disease progression, services, and financing care. Healthcare providers reported needing more time with patients and families and could better utilize tools to assist caregivers. There is a shortage of geriatricians available to support this vulnerable population.
The National Council has played a leading role in advocating for policies and practices that break down barriers to integration and collaboration, developing clinical and business models that support seamless and comprehensive healthcare, and fostering collaborative opportunities. Advocating for funds to bring primary care services to behavioral health organizations has been a National Council legislative priority. We've also been active on the practice improvement front and have helped member organizations and their primary care partners overcome clinical, cultural, and communication barriers to collaboratively provide comprehensive healthcare.
Presentation at the Physician's of Ontario Neurodevelopmental Advocacy (PONDA) Annual Meeting, summarizing the principles and challenges of the National Disability Insurance Scheme (NDIS) in Australia and how it might be applied in Canada.
ICT-enabled services for carers and care: pathways and actors in the developm...James Stewart
This document describes a research project conducted by the Joint Research Centre (JRC) to map and analyze initiatives using information and communication technologies (ICTs) to support long-term care for the elderly and their informal carers across 12 European countries. The research identified 52 initiatives utilizing various forms of ICT, including telecare, online training, and social networking. The initiatives provided services such as emergency response, care coordination, information and learning resources, and ways to increase social support and integration for both the elderly and their carers. The research assessed the impact of the initiatives on care quality and efficiency as well as the lives of those involved.
This document discusses using predictive models and linking different types of healthcare data to improve quality and efficiency. It provides examples of predictive models being used in the UK to identify high-risk patients and assess their future healthcare costs. The document also outlines how linking data from various sources, like medical records, hospital data, and social care, can provide a more comprehensive view of patients' care over time. Evaluating the impact of interventions using retrospective analyses with matched controls is discussed. Protecting patient privacy when linking personal data is also addressed.
Martin Bardsley: analysis of virtual wardsNuffield Trust
This document summarizes a presentation on virtual wards, which are a form of case management that integrates health and social care. It describes predictive modeling to identify high-risk patients for virtual ward enrollment and the multidisciplinary staffing of virtual wards. Evaluations of virtual ward programs in different locations found they enrolled complex, high-cost patients but did not consistently reduce emergency admissions or costs in the short-term. Implementing large-scale service changes takes time and hospital use is not the only impact measure of these programs.
3 stirling co production and critical realismifa2012_2
This document discusses co-production in services for older persons, which involves professionals, service users, families, and neighbors working together in a reciprocal relationship. It emphasizes promoting equal partnerships, effectiveness over efficiency, and choice. Co-production is said to make services more efficient, effective, and responsive while making them more humane and valued. The document also discusses using a "felt needs" approach rather than only expert assessments to better meet needs, and strategies for developing equal relationships, building consumer skills, and removing barriers to access through approaches like nurse-led memory clinics.
Professor Aine Carroll - IPPOSI Patient Reported Outcomes Measures conference...ipposi
This document discusses a project called "Your Voice Matters" which aims to combine patient experience data with health intelligence to improve integrated care. It describes collecting data through a survey of over 500 patients on their experiences of care. The data shows that many patients are not receiving truly person-centered or coordinated care. The project will analyze this data, identify areas for improvement, and use a co-design process involving patients to influence changes to care delivery and specific programs like those for older persons. The goal is for this framework to enable ongoing input from patients to measure and improve their experiences over time.
IoT, Big Data Healthcare Summit Western Canada - Connecting With Technology -...Ingunn Grip Fjær
Connecting With Technology - Where We Are Going? by William L. Clifford, M.D., FCFP, Chief Medical Information Officer at Northern Health BC. Presented at the IoT, Big Data Healthcare Summit Western Canada on February 1, 2017.
This document summarizes a framework for tracking the impacts of the Affordable Care Act (ACA) in California. It was funded by a grant from the California HealthCare Foundation. The framework recommends priority measures in three areas: health insurance coverage, affordability and comprehensiveness of coverage, and access to care. It identifies existing data sources and gaps to measure these impacts over time. Stakeholder feedback supported the framework but emphasized drilling down data and better access measures.
Sdal air health and social development (jan. 27, 2014) finalkimlyman
This document summarizes a workshop on health and social development analytics using big data. It discusses how data sources are becoming larger, more diverse and used for multiple purposes. This presents opportunities to better understand issues but also challenges around privacy, bias and data quality. The workshop aims to identify partnership opportunities and prototype projects using integrated data to address health and social issues. Case studies from various institutions are presented using combined data sources like medical records, surveys and environmental factors.
The document discusses creating cultural change in care homes. It suggests starting with small interventions to build relationships and mobilizing existing resources. Drawing on cultural strengths and involving people at all levels can help shift a culture from one of "patronage" to engagement. Telling residents', staff, and relatives' stories can provide insights to improve care and make people feel valued.
Nurses providing care at home and at workAlbertaRN
Janice Keefe presented on her research investigating the impact of double duty caregiving (DDC) among nurses. Her research found that nurses who provided care at home for family members as well as caregiving at work experienced negative health outcomes, with those in the "living on the edge" group faring the worst. Her presentation called for policies and workplace supports to better recognize and assist double duty caregivers.
This document discusses leveraging social media and digital tools for health. It notes the rising costs of healthcare and aging population as environmental challenges. Social media is seen as a way to empower patients to influence friends and family about health issues. Key points made include that over 90% of Facebook users have used it for health information, and that social media can help build relationships and trust while reaching across age groups. Measuring outcomes of social media strategies is also mentioned as an important discussion topic.
Homelessness Prevention Project and PrototypesPolicy Lab
The document outlines research and ideas from a project aimed at understanding and preventing homelessness. Key findings from the research include identifying personal risk factors for homelessness such as coping strategies and support networks. Ethnography revealed opportunities to intervene earlier through flexible frontline workers. Data analysis identified childhood risk factors that predict homelessness. Prototypes were developed and tested, including a self-referral helpline, personalized housing and wellbeing plans, and typologies to help identify those at risk. Feedback supported a strengthened focus on prevention through early identification, strength-based assessments, and addressing both housing and wider needs through improved coordination of services. However, larger structural issues also need to be addressed.
This document discusses recovery from substance use disorders. It defines recovery capital as the internal and external resources that can be used to initiate and sustain long-term recovery. Key aspects of recovery capital include social support, community and cultural connections, development of a positive identity, and gaining a sense of meaning and purpose in life. The document also questions whether current treatment approaches are sufficient to support long-term recovery, given that most people spend very little time in treatment and recovery is a long-term process often taking several years.
This newsletter provides a summary of the results of a survey of Home Support Workers in County Louth, Ireland. The majority of Home Support Workers are women who provide care for older people. Many came to the job through previous caring experience for family members. The survey found that while most workers feel happy in their jobs, many worry about their future health and financial security. It also found that most workers feel the training they receive is effective, but some areas like dementia care require more training. Most workers feel the personal and practical needs of their clients are being met, but some have concerns about clients not having all their needs fully met.
AUTHORS: Dr Bob Chaudhuri (1); Robert Thomas(2); Brian Walmark (2); Tom Terry(2);
AFFLIATIATIONS (1): Northern Ontario School of Medicine (NOSM)
AFFLIATIATIONS (2): Keewaytinook Okimakanak (Northern Chiefs Council)
NAHO 2009 National Conference
Family Services of Metro Orlando Network DesignGregory Kurth
This diagram outlines the system of care for children in Orange and Osceola counties in Florida. It shows the pathways a child may take through various agencies from an abuse hotline referral to the Department of Children and Families, through the court system and either reunification with family or an alternative permanent placement. Key community organizations and funders that support services for children in the system are listed. The diagram provides a high-level overview of the complex network of organizations and processes involved in serving at-risk children in the region.
This document discusses a study examining the relationship between family caregivers of dementia patients and healthcare providers. The study aimed to identify how diagnosis is provided, understand caregiver needs, and determine how providers can better support caregivers. Key findings include that specialists rather than primary care physicians usually provide the diagnosis, and caregivers desire more information from doctors on disease progression, services, and financing care. Healthcare providers reported needing more time with patients and families and could better utilize tools to assist caregivers. There is a shortage of geriatricians available to support this vulnerable population.
The National Council has played a leading role in advocating for policies and practices that break down barriers to integration and collaboration, developing clinical and business models that support seamless and comprehensive healthcare, and fostering collaborative opportunities. Advocating for funds to bring primary care services to behavioral health organizations has been a National Council legislative priority. We've also been active on the practice improvement front and have helped member organizations and their primary care partners overcome clinical, cultural, and communication barriers to collaboratively provide comprehensive healthcare.
Presentation at the Physician's of Ontario Neurodevelopmental Advocacy (PONDA) Annual Meeting, summarizing the principles and challenges of the National Disability Insurance Scheme (NDIS) in Australia and how it might be applied in Canada.
ICT-enabled services for carers and care: pathways and actors in the developm...James Stewart
This document describes a research project conducted by the Joint Research Centre (JRC) to map and analyze initiatives using information and communication technologies (ICTs) to support long-term care for the elderly and their informal carers across 12 European countries. The research identified 52 initiatives utilizing various forms of ICT, including telecare, online training, and social networking. The initiatives provided services such as emergency response, care coordination, information and learning resources, and ways to increase social support and integration for both the elderly and their carers. The research assessed the impact of the initiatives on care quality and efficiency as well as the lives of those involved.
This document discusses using predictive models and linking different types of healthcare data to improve quality and efficiency. It provides examples of predictive models being used in the UK to identify high-risk patients and assess their future healthcare costs. The document also outlines how linking data from various sources, like medical records, hospital data, and social care, can provide a more comprehensive view of patients' care over time. Evaluating the impact of interventions using retrospective analyses with matched controls is discussed. Protecting patient privacy when linking personal data is also addressed.
Martin Bardsley: analysis of virtual wardsNuffield Trust
This document summarizes a presentation on virtual wards, which are a form of case management that integrates health and social care. It describes predictive modeling to identify high-risk patients for virtual ward enrollment and the multidisciplinary staffing of virtual wards. Evaluations of virtual ward programs in different locations found they enrolled complex, high-cost patients but did not consistently reduce emergency admissions or costs in the short-term. Implementing large-scale service changes takes time and hospital use is not the only impact measure of these programs.
3 stirling co production and critical realismifa2012_2
This document discusses co-production in services for older persons, which involves professionals, service users, families, and neighbors working together in a reciprocal relationship. It emphasizes promoting equal partnerships, effectiveness over efficiency, and choice. Co-production is said to make services more efficient, effective, and responsive while making them more humane and valued. The document also discusses using a "felt needs" approach rather than only expert assessments to better meet needs, and strategies for developing equal relationships, building consumer skills, and removing barriers to access through approaches like nurse-led memory clinics.
Professor Aine Carroll - IPPOSI Patient Reported Outcomes Measures conference...ipposi
This document discusses a project called "Your Voice Matters" which aims to combine patient experience data with health intelligence to improve integrated care. It describes collecting data through a survey of over 500 patients on their experiences of care. The data shows that many patients are not receiving truly person-centered or coordinated care. The project will analyze this data, identify areas for improvement, and use a co-design process involving patients to influence changes to care delivery and specific programs like those for older persons. The goal is for this framework to enable ongoing input from patients to measure and improve their experiences over time.
IoT, Big Data Healthcare Summit Western Canada - Connecting With Technology -...Ingunn Grip Fjær
Connecting With Technology - Where We Are Going? by William L. Clifford, M.D., FCFP, Chief Medical Information Officer at Northern Health BC. Presented at the IoT, Big Data Healthcare Summit Western Canada on February 1, 2017.
This document summarizes a framework for tracking the impacts of the Affordable Care Act (ACA) in California. It was funded by a grant from the California HealthCare Foundation. The framework recommends priority measures in three areas: health insurance coverage, affordability and comprehensiveness of coverage, and access to care. It identifies existing data sources and gaps to measure these impacts over time. Stakeholder feedback supported the framework but emphasized drilling down data and better access measures.
Sdal air health and social development (jan. 27, 2014) finalkimlyman
This document summarizes a workshop on health and social development analytics using big data. It discusses how data sources are becoming larger, more diverse and used for multiple purposes. This presents opportunities to better understand issues but also challenges around privacy, bias and data quality. The workshop aims to identify partnership opportunities and prototype projects using integrated data to address health and social issues. Case studies from various institutions are presented using combined data sources like medical records, surveys and environmental factors.
The document discusses creating cultural change in care homes. It suggests starting with small interventions to build relationships and mobilizing existing resources. Drawing on cultural strengths and involving people at all levels can help shift a culture from one of "patronage" to engagement. Telling residents', staff, and relatives' stories can provide insights to improve care and make people feel valued.
Nurses providing care at home and at workAlbertaRN
Janice Keefe presented on her research investigating the impact of double duty caregiving (DDC) among nurses. Her research found that nurses who provided care at home for family members as well as caregiving at work experienced negative health outcomes, with those in the "living on the edge" group faring the worst. Her presentation called for policies and workplace supports to better recognize and assist double duty caregivers.
This document discusses leveraging social media and digital tools for health. It notes the rising costs of healthcare and aging population as environmental challenges. Social media is seen as a way to empower patients to influence friends and family about health issues. Key points made include that over 90% of Facebook users have used it for health information, and that social media can help build relationships and trust while reaching across age groups. Measuring outcomes of social media strategies is also mentioned as an important discussion topic.
Homelessness Prevention Project and PrototypesPolicy Lab
The document outlines research and ideas from a project aimed at understanding and preventing homelessness. Key findings from the research include identifying personal risk factors for homelessness such as coping strategies and support networks. Ethnography revealed opportunities to intervene earlier through flexible frontline workers. Data analysis identified childhood risk factors that predict homelessness. Prototypes were developed and tested, including a self-referral helpline, personalized housing and wellbeing plans, and typologies to help identify those at risk. Feedback supported a strengthened focus on prevention through early identification, strength-based assessments, and addressing both housing and wider needs through improved coordination of services. However, larger structural issues also need to be addressed.
This document discusses the implications of the Care Act 2014 for people experiencing multiple exclusion homelessness (MEH). It describes how MEH involves a combination of severe issues like addiction, health problems, and trauma. It also discusses how VOICES of Stoke developed a "communication aid" or toolkit to help articulate MEH individuals' needs to social services for assessment. The toolkit aimed to improve collaboration between services and increase MEH groups' access to support under the Care Act. Feedback showed the toolkit helped clarify needs and led to more appropriate assessments.
Rethinking and Retooling Brain Health and Mental HealthSharpBrains
8–8.45. Rethinking and Retooling Brain Health and Mental Health
Dr. Tom Insel, Co-founder and President of Mindstrong Health and former Director of the National Institute of Mental Health (NIMH)
9–10.30. How to detect problems early: Examples in Alzheimer’s Disease, Parkinson’s, anxiety and PTSD
Dr. Srijan Sen, Professor of Depression and Neurosciences at University of Michigan
Jan Samzelius, Co-Founder and Chief Scientist of NeuraMetrix
Dr. Tony Chang, Associate at Merck Ventures
Chaired by: Dr. Deanna Belsky, Associate at Dolby Family Ventures
Slidedeck supporting presentation and discussion during the 2019 SharpBrains Virtual Summit: The Future of Brain Health (March 7-9th). Learn more at:
https://sharpbrains.com/summit-2019/
Strengthening health systems for equitable eye careSandeep Buttan
This document discusses priorities for strengthening eye care in India within the broader context of health systems. It argues that eye care needs to move beyond a vertical, disease-specific approach and integrate within health systems to address wider determinants of health and maximize synergies. A systems approach is needed that focuses on governance, human resources, infrastructure, service delivery, community involvement and cross-cutting issues like equity and sustainability. International agencies should support this transition by advocating for policies, allocating resources, developing human capital, fostering partnerships and generating evidence on the benefits of systems-level interventions for eye and overall health.
The document discusses SNOMED CT and its importance for New Zealand's health system. It notes that SNOMED CT will enable interoperability between electronic health records, e-prescribing, e-referrals, and clinical decision support. The document also outlines some of the key challenges around implementation, such as ensuring terminology is application-centric and that clinical meaning is well-defined to avoid garbage in, garbage out outcomes for patients.
Similar to Predictive Models for Health and Social Care: A feasability study (20)
This document discusses the potential impacts of automation on healthcare employment and discusses alternative views beyond job loss. It notes that automation may lead to reconfiguring of healthcare work rather than outright job loss. Examples of existing technologies that have automated tasks in healthcare like pharmacy automation and emerging technologies like decision support systems and personal health tracking are provided. The document advocates that automation could lead to a virtuous cycle in healthcare if it allows workers to focus on tasks that require human skills and judgment.
Evaluation of the Integrated Care and Support Pioneers ProgrammeNuffield Trust
This document summarizes the findings of evaluations of the Integrated Care and Support Pioneers Programme in the UK. The evaluations found that while Pioneers aspired to comprehensive system change, their activities focused more narrowly on initiatives like risk stratification and care coordination teams. Progress was difficult to measure against indicators and Pioneers faced challenges from financial pressures and competing priorities. The evaluations concluded that further integration will be challenging under increasing demands on the health system.
The document discusses lessons learned from the Southwark and Lambeth Integrated Care (SLIC) program in London. Key points:
- SLIC aimed to reduce hospital admissions and care home placements for older adults through risk stratification, holistic assessments, and care management.
- Success required agreement on the problem, dedicated teams, funding shifts to support community care, and leadership development.
- Future programs need a strong business case, co-design with citizens, and a dedicated "engine room" team to drive local transformation.
Effectiveness of the current dominant approach to integrated care in the NHSNuffield Trust
Jonathan Stokes of the Greater Manchester Primary Care Patient Safety Translational Research Centre presents a systematic review of case management in integrated care.
Providing actionable healthcare analytics at scale: Understanding improvement...Nuffield Trust
This document discusses measurement for quality improvement. It explains that measurement in improvement aims to provide a basis for action to improve processes and outcomes, rather than just estimating parameters. Improvement measures should be simple, specific, and available in real-time. Statistical process control methods are important to separate normal variation from changes resulting from interventions. Examples are provided of run charts measuring improvements in recording BMI for mental health patients and compliance with care bundles. The document advocates making the theories behind improvement efforts more explicit.
Ramani Moonesinghe, Associate National Clinical Director for Elective Care at NHS England, discusses the use of data for monitoring care quality at various levels within the system.
This document discusses using statistical process control (CUSUM) charts to monitor mortality rates at the level of individual general practitioners and health authorities. It describes how CUSUM charts could potentially have detected Harold Shipman, a GP who murdered over 200 patients, by spotting outliers in the routine mortality data. The document also discusses challenges in risk adjusting outcomes to account for differences in patient characteristics and casemix between providers. Accurately adjusting for factors like age, comorbidities, and emergency status is important for fair comparisons but difficult using only administrative data.
Martin Utley, Director of the Clinical Operational Research Unit at University College London, reflects upon his involvement in the launch of specific tools to monitor care quality for paediatric cardiac surgery.
Evaluating new models of care: Improvement Analytics UnitNuffield Trust
Martin Caunt, Improvement Analytics Unit Project Director and NHS England and Adam Steventon, Director of Data Analytics at The Health Foundation share insights into how they have approached evaluating new models of care.
Lisa Annaly, Head of Provider Analytics at the Care Quality Commission, discusses lessons learned from the CQC as they have worked to monitor care quality over time.
- Real-time monitoring of healthcare services requires defining both a reporting window and data window to accurately capture demand, activity, and wait times.
- Using only a reporting window (e.g. a single month) to request data can result in invalid or misleading performance metrics, as it does not account for patients with long wait times.
- Defining a larger data window that includes all patients requested before the end of the reporting window and reported after the start avoids this problem, but requires a counterintuitive data request.
- Without properly defining both windows, real-time monitoring can provide an inaccurate picture of service performance and falsely suggest the need for more resources.
Monitoring quality of care: making the most of dataNuffield Trust
Chris Sherlaw-Johnson, Senior Research Analyst at the Nuffield Trust, introduced the Monitoring quality of care conference and gives an overview of some of the approaches that we've been using at the Trust to identify where care quality has been improving, especially for frail and older people.
Providing actionable healthcare analytics at scale: Insights from the Nationa...Nuffield Trust
Christopher Boulton, Falls and Fragility Fracture Audit Programme Manager at the Royal College of Physicians and Rob Wakeman, Clinical Lead for Orthopaedic Surgery at the National Hip Fracture Database talk about what they have learned by analysing the national hip fracture database.
Providing actionable healthcare analytics at scale: A perspective from stroke...Nuffield Trust
Benjamin Bray, Research Director and the Sentinel Stroke National Audit Programme, presents at the Monitoring quality of care conference about stroke care analytics.
New Models of General Practice: Practical and policy lessonsNuffield Trust
Nuffield Trust policy researchers Rebecca Rosen and Stephanie Kumpunen present findings from our upcoming report on large scale general practice models.
Osteoporosis - Definition , Evaluation and Management .pdfJim Jacob Roy
Osteoporosis is an increasing cause of morbidity among the elderly.
In this document , a brief outline of osteoporosis is given , including the risk factors of osteoporosis fractures , the indications for testing bone mineral density and the management of osteoporosis
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
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In some case, your chronic prostatitis may be related to over-masturbation. Generally, natural medicine Diuretic and Anti-inflammatory Pill can help mee get a cure.
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These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
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Explore the benefits of combining Ayurveda with conventional Parkinson's treatments. Learn how a holistic approach can manage symptoms, enhance well-being, and balance body energies. Discover the steps to safely integrate Ayurvedic practices into your Parkinson’s care plan, including expert guidance on diet, herbal remedies, and lifestyle modifications.