This document discusses New Zealand's public healthcare system and processes for ensuring accountability. It notes that while New Zealand has no legal right to healthcare, it has strong social welfare programs and universal taxpayer-funded coverage. Wait times and access to elective procedures are managed through measures like ESPIs and health targets. Oversight bodies like the HDC, OAG, and politicians provide accountability by auditing performance and priorities. While progress has been made in increasing access, balancing priorities remains complex, and continued focus on individual patients is important.
Role and Scope of MIS in Monitoring and Surveillance Systems of HPNSDPMEASURE Evaluation
Presented by Karar Zunaid Ahsan, MEASURE Evaluation's Sr. Resident M&E Advisor for Bangladesh, at the Global Conference on Community Health in March 2013.
This presentation focuses on functionality of rural water supply and the role of accountability. It highlights experiences and lessons learned from SNV projects in Nepal and Tanzania. In Nepal SNV developed a Social Accountability (SA) toolkit, which included the Community Score Card, social audit and public hearing tools. Presented by Jessie Bokhoven (SNV) on 6 July 2016 at the IRC event: "Accountability tools to improve WASH service delivery" in The Hague.
Objective
To equip participants with an insight of School-Based Management (SBM) to support schools in their journey to improve School Performance and Student Achievement.
Methodology
explore 21st Century era Learning and to improve and align school resources to provide for it.
Methodology
to explore 21st Century era Learning and to improve and align school resources to provide for it.
to model School-Based Management(SBM) strategies to improve School Performance and,
to apply SBM techniques to improve Student Achievements
School Based Management Contents
Overview of Resource Management-School Based (SBM)
21st Century Teaching & Learning
SBM Assessment Instrument-Six Dimension of SBM
Strategies to improve School Performance & Student Achievement
Workshop Activity
Role and Scope of MIS in Monitoring and Surveillance Systems of HPNSDPMEASURE Evaluation
Presented by Karar Zunaid Ahsan, MEASURE Evaluation's Sr. Resident M&E Advisor for Bangladesh, at the Global Conference on Community Health in March 2013.
This presentation focuses on functionality of rural water supply and the role of accountability. It highlights experiences and lessons learned from SNV projects in Nepal and Tanzania. In Nepal SNV developed a Social Accountability (SA) toolkit, which included the Community Score Card, social audit and public hearing tools. Presented by Jessie Bokhoven (SNV) on 6 July 2016 at the IRC event: "Accountability tools to improve WASH service delivery" in The Hague.
Objective
To equip participants with an insight of School-Based Management (SBM) to support schools in their journey to improve School Performance and Student Achievement.
Methodology
explore 21st Century era Learning and to improve and align school resources to provide for it.
Methodology
to explore 21st Century era Learning and to improve and align school resources to provide for it.
to model School-Based Management(SBM) strategies to improve School Performance and,
to apply SBM techniques to improve Student Achievements
School Based Management Contents
Overview of Resource Management-School Based (SBM)
21st Century Teaching & Learning
SBM Assessment Instrument-Six Dimension of SBM
Strategies to improve School Performance & Student Achievement
Workshop Activity
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.
Research-Driven Solutions for Innovative State PolicyAcademyHealth
Dr. Joe Thompson, Surgeon General of Arkansas, used this presentation at AcademyHealth's 2012 Capitol Hill briefing entitled "Health and the Deficit: Using Health Services Research to Reduce Costs and Improve Quality."
The Latest Regulations, Simplified: MU, PQRS & MIPSathenahealth
Changing governmental regulations for the advancement of healthcare is more than difficult and we have simplified these changes to keep you up to date.
Dodi Kelleher (Safeway) at Consumer Centric Health, Models for Change '11HealthInnoventions
Live Life, Live Long, Live Well™
An Evolving Health and Wellness Strategy. Dodi Kelleher, DMH
Director, Health and Wellness Initiatives, Safeway Inc.
One of the largest food and drug retailers in North America
200,000 employees and 1,725 stores across the US and Canada. Safeway health benefits offered to 30,000 corporate and store employees
Chief Allied Health Professions Officer’s Conference 2016
Workshop 2: Primary care – Chair Mark Radford
Community Paramedics delivering New Models of Care. Darren Palmer, South East Coast Ambulance Service NHS Foundation Trust.
Current job trends in the RN labor market, where the jobs are, and estimates of future demand.
Presenters: Joanne Spetz, Professor at the
Philip R. Lee Institute for Health Policy Studies, University of California, San Francisco;
Teri Hollingsworth, Vice President, Human Resources Services,
Hospital Association of Southern California;
Judee Berg, Executive Director of the California Institute for Nursing & Health 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.
Research-Driven Solutions for Innovative State PolicyAcademyHealth
Dr. Joe Thompson, Surgeon General of Arkansas, used this presentation at AcademyHealth's 2012 Capitol Hill briefing entitled "Health and the Deficit: Using Health Services Research to Reduce Costs and Improve Quality."
The Latest Regulations, Simplified: MU, PQRS & MIPSathenahealth
Changing governmental regulations for the advancement of healthcare is more than difficult and we have simplified these changes to keep you up to date.
Dodi Kelleher (Safeway) at Consumer Centric Health, Models for Change '11HealthInnoventions
Live Life, Live Long, Live Well™
An Evolving Health and Wellness Strategy. Dodi Kelleher, DMH
Director, Health and Wellness Initiatives, Safeway Inc.
One of the largest food and drug retailers in North America
200,000 employees and 1,725 stores across the US and Canada. Safeway health benefits offered to 30,000 corporate and store employees
Chief Allied Health Professions Officer’s Conference 2016
Workshop 2: Primary care – Chair Mark Radford
Community Paramedics delivering New Models of Care. Darren Palmer, South East Coast Ambulance Service NHS Foundation Trust.
Current job trends in the RN labor market, where the jobs are, and estimates of future demand.
Presenters: Joanne Spetz, Professor at the
Philip R. Lee Institute for Health Policy Studies, University of California, San Francisco;
Teri Hollingsworth, Vice President, Human Resources Services,
Hospital Association of Southern California;
Judee Berg, Executive Director of the California Institute for Nursing & Health Care
Similar to Public Accountability Processes New Zealand (20)
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Surat @ℂall @Girls ꧁❤8527049040❤꧂@ℂall @Girls Service Vip Top Model Safe
Public Accountability Processes New Zealand
1. Taming of the Queue
Ottawa March 2012
Public Accountability Processes
In New Zealand
Ray Naden
2. New Zealand
•4.5 Million people
•Universal Taxpayer-Funded Healthcare + Private
•Strong Social Welfare System
3. Health Care and the Law
in New Zealand
No legal right to health care
“Human Rights Act”
- the right to be free from unlawful discrimination
(eg, by age or disability)
Human Rights Commission
Procedural fairness matters.
4. Health and Disability Commissioner
Patients’ rights
New Zealand’s Code of Consumer’s Rights
recognise that patients referred for specialist
assessment or waiting for surgery are
entitled to
reasonable care in
assessment/treatment
reasonable information about their
condition, whether and when they will
be seen, and options
5. What do patients want?
a reasonable level of service.
to know what is available to me
to know when I will receive
treatment.
to be treated fairly.
6. New Zealand Government Policy
Fundamental Principles for Access to Publicly
Funded Elective Services (2000)
•Reasonable level of service
•Clarity
•Timeliness
•Fairness
7. Reasonable Level of Service
Significant targeted investment
- specific and more flexible
Overall increase in number of patients treated
Substantial increase in
- cataract replacement
- hip and knee replacement
- cardiac surgery
- other
8. Reasonable Level of Service
2007/08 118,000 discharges
2008/9 130,000 discharges
2009/10 138,000 discharges
9. Reasonable Level of Service
Current situation
- steady increase of 3% per year
Unintended consequences
- variable level of service between services -
- ? increased inequity of access
- volumes ahead of value
10. Clarity
Patients know whether or not and when they will
receive publicly funded elective assessment or
treatment.
•Acknowledgement of Request (ESPI 1)
•Prompt advice on whether they will be seen
within 6 months (ESPI 1)
•Certainty of the plan of care (ESPI 4)
- whether treatment is indicated
- whether treatment is available within 6 months
•Written Information to Patient and GP
11. Timeliness
Available services are provided within
specified timeframes
•Health Targets
•Elective Services Performance Indicators (ESPIs)
12.
13. Emergency Cancer
Department Elective Services Treatment
< 6 hours Increased Numbers < 4 weeks
14. Health Targets
Cancer
- % of patients beginning radiotherapy within x weeks
2008 - 97% within 8 weeks, 65% within 4 weeks
2010 – 100% within 6 weeks
2012 – 100% within 4 weeks
15. Timeliness - Elective Services
Available elective services are provided within
specified timeframes
Patients are advised within 10 days of receipt of request
for assessment (ESPI 1)
Where assessment is available, this is provided within 6
months. (ESPI 2)
Where treatment is available, this is provided within 6
months. (ESPI 5)
16. Fairness
Prioritisation for access to treatment is based on
nationally-recognised criteria and processes
(ESPI 8)
Patients whose priority score is above the access threshold
are given certainty of treatment. (ESPI 3)
Patients are treated in order of priority (……)
17. Elective Services Performance Indicators ESPIs
Status “Traffic Light”
standardised result
Outcomes for comparison
Measure & prioritising
Goal
Expected
Actual result
Trend
for the DHB
“Traffic Light”
this period - Getting worse
- Static
- Improving
19. Within DHB - Surgical Services
31/03/02 Canterbury DHB - period ending: 31-Mar-2002
Canterbury DHB
7 Percent
2 Patients wait 3 Patients above 4 Patients waiting 5 Patients
1 Referrals 6 Patients waiting contract 8 Prioritisation
FSA>6m: 31-Mar- FST not offered without plan of waiting >6m for
acknowledged >6m for review completion to Quality
2002 treatment care treatment
plan
Level St Level St Level St Level St Level St Level St Level St Level St
Surgical Service
Cardiothoracic 0% 100%
5 1%
1 1% 100%
263% 3.500307395 0
Dental 0 1% 100% 100% 100% 100%
66% 0.874936898 0
ENT 394 9% 100%
1046 41%
31 1% 100%
72% 0.960498416 0
General Surgery 0% 0% 100% 100% 100%
67% 0.897247318
Gynaecology 581 26% 100% 100%
## 100%
66% 0.875316132 0
Neurosurgery 13 2% 0%
143 41%
2 1% 100%
72% 0.964850616
Ophthalmology 551 13% 100%
628 39%
12 1% 100%
79% 1.049087186 0
Orthopaedics 1243 41% 100%
1515 88%
100 6% 100%
61% 0.809931919 0
Paediatric Surgery 0 1% 100% 100% 100% 100%
#VALUE! 0
Plastics 140 5% 100%
598 57%
24 3% 100%
69% 0.919119117 0
Urology 288 19% 0%
424 35%
13 1% 100%
69% 0.920284248
Vascular 27 3% 0% 0% 0% 0%
#VALUE!
3237 0 4359 183 0
20.
21.
22. Clarity - targets met
Timeliness - targets met
Fairness - targets met, but ?
23.
24. New Investment
Prioritisation important
“There was no way we could invest in a system
that was clearly not meeting the ethical
guidelines set by the Medical Council and the
Health and Disability Commissioner, let
alone basic expectations of fairness.”
Hon Pete Hodgson
Minister of Health
Media Statement 2 October 2006
25. New Investment
$200 million into elective surgery
Phase 1 (2006) - goal to increase the number
of NZers who get elective surgery by 10,000
per annum.
Phase 2 requires acceptable prioritisation
and audit process.
26. “Prioritisation systems should be fair,
systematic, evidence-based and transparent.”
Health and Disability Commissioner 2006
27. Office of the Auditor-General
“Progressin delivering publicly funded
scheduled services to patients” - June 2011
“There is also no certainty that the "right" patients are
always seen or treated in the appropriate order.”
“I encourage … focus on putting in place systems and
tools to make sure that the right patients get access to
services at the right time.”
http://www.oag.govt.nz/2011/scheduled-services
29. Processes of Public Accountability
Legal System (the Courts)
Human Rights Commission
Health and Disability Commissioner
Ministry of Health Performance Measures
- Number of services provided
- Elective Service Patient Flow Indicators (ESPIs)
- Health Targets
Office of Auditor-General
Politicians
Media
30. Conclusions and Reflections
Explicit patient-oriented goals
Simple measures drive performance
Complex System
Conflicting priorities and pressures
Considerable progress….
? how to continue to improve
Valuing the patient as an individual
