1) The document discusses overcoming barriers to forming regional health information organizations (RHIOs) such as cost, security, and lack of trust between competing healthcare entities.
2) It describes the experience of SEMRHIO, which developed a model using a "push" approach and hosted integration services to minimize costs for hospitals while building trust between organizations.
3) This approach extracts data from existing hospital systems in a flat file format and uses a centralized BizTalk server to convert it to HL7 format and store it for delivery to authorized recipients, reducing the need for on-site IT infrastructure.
This document discusses minimizing credentialing risk to protect patients and hospitals. It describes the case of serial killer Dr. Joseph Swango, who was able to find work despite convictions and investigations, due to faulty credentialing processes. Negligent credentialing, or failing to properly vet applicants, can result in unqualified doctors harming patients and open hospitals to legal liability. Over half of U.S. states now recognize negligent credentialing lawsuits. The document provides examples of such cases and outlines responsibilities of risk managers to help hospitals strengthen credentialing policies and processes.
This document discusses designing a cross-channel user experience for a supermarket client called "Arrow" that sells products through multiple media channels including print, in-store, website, email, and a mobile app. Guidelines are requested for creating a consistent experience across all of these different channels.
Listening: Free Tools & Techniques for Nonprofit Brand MonitoringGregory Heller
I gave this presentation on developing listening strategies and free tools for brand monitoring in a 5 minute Pecha Kucha/Ignite style at Seattle NetTuesday in September.
In their relatively short history of 6 years, MOOCs have rapidly grown into a major force in higher education. However, issues and questions remain about whether MOOCs can fulfill expectations of affordable education for all with few learning problems. While MOOCs offer opportunities, their high dropout rates and focus on learning outputs rather than outcomes are concerns. Going forward, questions remain about how to support learner autonomy, enable shorter learning experiences, and encourage ongoing, social learning that balances authoritative content and knowledge sharing.
The document outlines an action plan for a student to create a podcast. It includes selecting a subject for the podcast and researching the target audience. It provides templates for outlining the podcast structure, including intro/outro sections and topics. It also includes a storyboard template to map out the audio, images, and music used in each section. The student is expected to record an initial podcast draft and resubmit if it is not at least 2 minutes in duration.
This document summarizes Ebba Ossiannilsson's presentation on MOOCs and Learning Analytics. The key points are:
1) MOOCs have experienced a hype cycle but are now moving into a deployment period, bringing together innovations in pedagogy. Learning analytics also aims to advance personalized education through analyzing student data.
2) Learning analytics can benefit both learners and educators by helping monitor learning processes, identify at-risk students, and improve teaching. However, challenges include developing analytics that address important problems and support positive change.
3) Future use of learning analytics requires involving learners in the process, allowing them control over their data while clarifying responsibilities around providing accurate data and
The document provides a presentation by Ebba Ossiannilsson on open educational resources (OER). It discusses what OERs are, their benefits, challenges in using them, and quality perspectives from different stakeholders. It also covers OER licensing models and initiatives like the Paris OER Declaration to promote awareness, use and policies around OERs.
1) The CivicActions directory structure for Drupal separates the Drupal core files from the codebase to make upgrades and backups easier.
2) It uses symlinks to link the Drupal core, sites files, and public HTML directory together so multiple versions of core can share the same codebase and sites files.
3) Benefits include easier core upgrades without moving files, simplified backups of all sites together, and ability to run multiple core versions for different sites from the same codebase location.
This document discusses minimizing credentialing risk to protect patients and hospitals. It describes the case of serial killer Dr. Joseph Swango, who was able to find work despite convictions and investigations, due to faulty credentialing processes. Negligent credentialing, or failing to properly vet applicants, can result in unqualified doctors harming patients and open hospitals to legal liability. Over half of U.S. states now recognize negligent credentialing lawsuits. The document provides examples of such cases and outlines responsibilities of risk managers to help hospitals strengthen credentialing policies and processes.
This document discusses designing a cross-channel user experience for a supermarket client called "Arrow" that sells products through multiple media channels including print, in-store, website, email, and a mobile app. Guidelines are requested for creating a consistent experience across all of these different channels.
Listening: Free Tools & Techniques for Nonprofit Brand MonitoringGregory Heller
I gave this presentation on developing listening strategies and free tools for brand monitoring in a 5 minute Pecha Kucha/Ignite style at Seattle NetTuesday in September.
In their relatively short history of 6 years, MOOCs have rapidly grown into a major force in higher education. However, issues and questions remain about whether MOOCs can fulfill expectations of affordable education for all with few learning problems. While MOOCs offer opportunities, their high dropout rates and focus on learning outputs rather than outcomes are concerns. Going forward, questions remain about how to support learner autonomy, enable shorter learning experiences, and encourage ongoing, social learning that balances authoritative content and knowledge sharing.
The document outlines an action plan for a student to create a podcast. It includes selecting a subject for the podcast and researching the target audience. It provides templates for outlining the podcast structure, including intro/outro sections and topics. It also includes a storyboard template to map out the audio, images, and music used in each section. The student is expected to record an initial podcast draft and resubmit if it is not at least 2 minutes in duration.
This document summarizes Ebba Ossiannilsson's presentation on MOOCs and Learning Analytics. The key points are:
1) MOOCs have experienced a hype cycle but are now moving into a deployment period, bringing together innovations in pedagogy. Learning analytics also aims to advance personalized education through analyzing student data.
2) Learning analytics can benefit both learners and educators by helping monitor learning processes, identify at-risk students, and improve teaching. However, challenges include developing analytics that address important problems and support positive change.
3) Future use of learning analytics requires involving learners in the process, allowing them control over their data while clarifying responsibilities around providing accurate data and
The document provides a presentation by Ebba Ossiannilsson on open educational resources (OER). It discusses what OERs are, their benefits, challenges in using them, and quality perspectives from different stakeholders. It also covers OER licensing models and initiatives like the Paris OER Declaration to promote awareness, use and policies around OERs.
1) The CivicActions directory structure for Drupal separates the Drupal core files from the codebase to make upgrades and backups easier.
2) It uses symlinks to link the Drupal core, sites files, and public HTML directory together so multiple versions of core can share the same codebase and sites files.
3) Benefits include easier core upgrades without moving files, simplified backups of all sites together, and ability to run multiple core versions for different sites from the same codebase location.
This document summarizes Ebba Ossiannilsson's presentation on MOOCs and quality. The presentation discusses the rise of MOOCs and their key characteristics of being massive, open, online courses. It also examines students, support, content, and recommendations from the European Commission around opening up education through digital technologies and MOOCs. Quality factors for MOOCs discussed include ensuring a framework for openness, learner-centeredness, independent learning, and media support. The presentation promotes the MOOC Quality Project and label of OpenupEd and provides contact information for Ebba Ossiannilsson.
This document describes different types of houses including semi-detached, detached, terrace, farm, boat, bungalow and cottage houses. It provides illustrations of semi-detached, detached, terrace, bungalow, cottage, farm and boat houses as well as definitions of bungalow and cottage.
Ashley the brown butterfly felt self-conscious about her color when hosting a party for other butterflies and insects. When the guests laughed at her plain appearance, she cried and hid away. However, one butterfly comforted her by saying her color didn't matter. Ashley then spoke to the group, accepting her difference, and they all apologized and had fun singing together.
An excavator fell into a river in the Amazon while working on a gas pipeline project for Petrobras. The operator broke the glass and hurt his hand trying to escape from the cab. The blood in the water attracted piranhas to the scene.
The document analyzes the communication strategies of several premium car brands in 2007 based on their communicated values. It evaluates the pros and cons of each brand's communication elements, including slogans, ads, and promotions. Sales data for each brand's key models is also presented. The analysis aims to inform Mercedes-Benz' communication strategy for 2009.
The document provides guidelines for structuring a usability report as a hybrid presentation and written report. It should include a title page, table of contents, executive summary, introduction, methodology, findings, recommendations, conclusion, author info, and appendix. The executive summary is a high-level overview of one page. The introduction states the research purpose and previews sections. Methodology describes procedures, measures, and participants. Findings presents aggregated and task-specific results and identifies usability issues. Recommendations lists issues and proposed interface changes. The conclusion summarizes key takeaways. Formatting should be scannable and use visual elements like tables and graphs. A presentation covers methods, findings, issues, and recommendations in 15
This document provides an overview of remote sensing basics. It defines remote sensing as acquiring information about an object without direct contact. It discusses key elements of the remote sensing process including energy sources, atmospheric interactions, data acquisition by sensors, and data analysis. It also covers topics like the electromagnetic spectrum, atmospheric scattering and absorption, atmospheric windows, and spectral signatures. The document is intended as an introduction to fundamental concepts in remote sensing.
Kick-off presentation for Q2 thinklab, July 2009. An invitation to come up with alternatives to the way we often think about or deal with products, product design, consumption, presented as a set of assumptions to turn upside down.
Mahavira Tents (India) Pvt. Ltd. is an ISO 9001:2008 certified tent manufacturing company with over 22 years of experience. They produce a wide range of tents for various uses including exhibition tents, jungle safari tents, luxury tents, camping tents, and more. The company aims to provide high quality, durable tents while maintaining affordable prices. They have a workforce of 50 employees and are based in Delhi, India.
Developing a Behavior Health Plan for College Athletesrmarkl
The document outlines components for developing a behavioral health plan for college athletes, including coach education, sports psychology, nutrition counseling, prevention and screening, psychosocial counseling, medical management, and case management. Confidentiality and communication procedures are also discussed. Sample scenarios involving a track athlete with weight loss and a wrestler transferring to the school are provided to demonstrate implementing the behavioral health plan.
This document discusses the SAPO Campus project, which aims to provide a social media platform for higher education. It explores concerns around launching web 2.0 services in traditional institutional contexts and balancing individual learning styles with widespread adoption. Various tweets discuss how to disseminate personal learning environments without compromising preferences and whether similarities exist with past learning management system implementations. The document outlines the project's goals of aggregating community contributions and connecting ideas and services through a presence builder to integrate subjects, assessment, and external services into a personal learning environment. It provides an architecture diagram and identifies the presenters.
2006 a novel lipoxygenase in pea roots. its functionAgrin Life
This document summarizes research on a novel lipoxygenase enzyme found in pea roots called LOXN2. Key findings include:
1) LOXN2 was cloned from pea and shown to encode a 93.7 kD protein with two deletions compared to other plant lipoxygenases.
2) When expressed in yeast, LOXN2 exhibited lipoxygenase enzyme activity, preferentially oxygenating linoleic acid to produce both 9- and 13- hydroperoxy octadecadienoic acids in a 3:1 ratio.
3) LOXN2 transcription was found to be downregulated in pea roots infected with the cyst nematode Heterodera goet
This document discusses open educational resources (OER) and how to measure their impact and success. It provides several definitions of OER and notes they can include full courses, materials, textbooks, videos, software and other education tools that are freely accessible. The document suggests measuring OER success through learner quality, and assessing their potential impact on a course through improved access, reduced costs and better education quality. It also outlines key issues around OER including awareness, opportunities and barriers to adoption, and positioning OER cooperation across different stakeholders and cultures.
The document discusses the development of a personal learning environment (PLE) and social hub concept. It was developed for 700+ teachers and 40,000 students in the Caribbean Netherlands to support lifelong learning. The PLE is meant to allow learners to direct their own learning across institutions through tools that allow connection with others, management of resources, and integration of formal and informal learning activities. An effective PLE employs the four C's of collect, communicate, create, and collaborate. The social hub concept aims to integrate stakeholders, bridge internal and external communication, support existing communication channels, allow personalized and targeted communication, and facilitate teacher-guided learning with analytics. Demo interfaces of the social hub prototype are presented.
This document discusses trends in digitizing healthcare, including adopting electronic medical records and mobile health technologies. It describes investment in healthcare IT in various countries and regions, focusing on China. The opportunities of transforming healthcare through more integrated systems with better quality of care and outcomes are outlined. The document promotes using multifunction printers and analytics platforms to capture paper documents, simplify workflows, and unlock insights from structured and unstructured clinical data through searching, automated outputs, and personalized patient engagement.
This document summarizes Ebba Ossiannilsson's presentation on MOOCs and quality. The presentation discusses the rise of MOOCs and their key characteristics of being massive, open, online courses. It also examines students, support, content, and recommendations from the European Commission around opening up education through digital technologies and MOOCs. Quality factors for MOOCs discussed include ensuring a framework for openness, learner-centeredness, independent learning, and media support. The presentation promotes the MOOC Quality Project and label of OpenupEd and provides contact information for Ebba Ossiannilsson.
This document describes different types of houses including semi-detached, detached, terrace, farm, boat, bungalow and cottage houses. It provides illustrations of semi-detached, detached, terrace, bungalow, cottage, farm and boat houses as well as definitions of bungalow and cottage.
Ashley the brown butterfly felt self-conscious about her color when hosting a party for other butterflies and insects. When the guests laughed at her plain appearance, she cried and hid away. However, one butterfly comforted her by saying her color didn't matter. Ashley then spoke to the group, accepting her difference, and they all apologized and had fun singing together.
An excavator fell into a river in the Amazon while working on a gas pipeline project for Petrobras. The operator broke the glass and hurt his hand trying to escape from the cab. The blood in the water attracted piranhas to the scene.
The document analyzes the communication strategies of several premium car brands in 2007 based on their communicated values. It evaluates the pros and cons of each brand's communication elements, including slogans, ads, and promotions. Sales data for each brand's key models is also presented. The analysis aims to inform Mercedes-Benz' communication strategy for 2009.
The document provides guidelines for structuring a usability report as a hybrid presentation and written report. It should include a title page, table of contents, executive summary, introduction, methodology, findings, recommendations, conclusion, author info, and appendix. The executive summary is a high-level overview of one page. The introduction states the research purpose and previews sections. Methodology describes procedures, measures, and participants. Findings presents aggregated and task-specific results and identifies usability issues. Recommendations lists issues and proposed interface changes. The conclusion summarizes key takeaways. Formatting should be scannable and use visual elements like tables and graphs. A presentation covers methods, findings, issues, and recommendations in 15
This document provides an overview of remote sensing basics. It defines remote sensing as acquiring information about an object without direct contact. It discusses key elements of the remote sensing process including energy sources, atmospheric interactions, data acquisition by sensors, and data analysis. It also covers topics like the electromagnetic spectrum, atmospheric scattering and absorption, atmospheric windows, and spectral signatures. The document is intended as an introduction to fundamental concepts in remote sensing.
Kick-off presentation for Q2 thinklab, July 2009. An invitation to come up with alternatives to the way we often think about or deal with products, product design, consumption, presented as a set of assumptions to turn upside down.
Mahavira Tents (India) Pvt. Ltd. is an ISO 9001:2008 certified tent manufacturing company with over 22 years of experience. They produce a wide range of tents for various uses including exhibition tents, jungle safari tents, luxury tents, camping tents, and more. The company aims to provide high quality, durable tents while maintaining affordable prices. They have a workforce of 50 employees and are based in Delhi, India.
Developing a Behavior Health Plan for College Athletesrmarkl
The document outlines components for developing a behavioral health plan for college athletes, including coach education, sports psychology, nutrition counseling, prevention and screening, psychosocial counseling, medical management, and case management. Confidentiality and communication procedures are also discussed. Sample scenarios involving a track athlete with weight loss and a wrestler transferring to the school are provided to demonstrate implementing the behavioral health plan.
This document discusses the SAPO Campus project, which aims to provide a social media platform for higher education. It explores concerns around launching web 2.0 services in traditional institutional contexts and balancing individual learning styles with widespread adoption. Various tweets discuss how to disseminate personal learning environments without compromising preferences and whether similarities exist with past learning management system implementations. The document outlines the project's goals of aggregating community contributions and connecting ideas and services through a presence builder to integrate subjects, assessment, and external services into a personal learning environment. It provides an architecture diagram and identifies the presenters.
2006 a novel lipoxygenase in pea roots. its functionAgrin Life
This document summarizes research on a novel lipoxygenase enzyme found in pea roots called LOXN2. Key findings include:
1) LOXN2 was cloned from pea and shown to encode a 93.7 kD protein with two deletions compared to other plant lipoxygenases.
2) When expressed in yeast, LOXN2 exhibited lipoxygenase enzyme activity, preferentially oxygenating linoleic acid to produce both 9- and 13- hydroperoxy octadecadienoic acids in a 3:1 ratio.
3) LOXN2 transcription was found to be downregulated in pea roots infected with the cyst nematode Heterodera goet
This document discusses open educational resources (OER) and how to measure their impact and success. It provides several definitions of OER and notes they can include full courses, materials, textbooks, videos, software and other education tools that are freely accessible. The document suggests measuring OER success through learner quality, and assessing their potential impact on a course through improved access, reduced costs and better education quality. It also outlines key issues around OER including awareness, opportunities and barriers to adoption, and positioning OER cooperation across different stakeholders and cultures.
The document discusses the development of a personal learning environment (PLE) and social hub concept. It was developed for 700+ teachers and 40,000 students in the Caribbean Netherlands to support lifelong learning. The PLE is meant to allow learners to direct their own learning across institutions through tools that allow connection with others, management of resources, and integration of formal and informal learning activities. An effective PLE employs the four C's of collect, communicate, create, and collaborate. The social hub concept aims to integrate stakeholders, bridge internal and external communication, support existing communication channels, allow personalized and targeted communication, and facilitate teacher-guided learning with analytics. Demo interfaces of the social hub prototype are presented.
This document discusses trends in digitizing healthcare, including adopting electronic medical records and mobile health technologies. It describes investment in healthcare IT in various countries and regions, focusing on China. The opportunities of transforming healthcare through more integrated systems with better quality of care and outcomes are outlined. The document promotes using multifunction printers and analytics platforms to capture paper documents, simplify workflows, and unlock insights from structured and unstructured clinical data through searching, automated outputs, and personalized patient engagement.
This document discusses trends in digitizing healthcare using big data analytics. It describes how integrating structured and unstructured patient data across systems can help improve quality of care, outcomes and costs through insights like risk predictions and personalized care plans. However, most healthcare organizations have fragmented records and systems today. The document proposes that HP's healthcare analytics platform can help unlock the full value of healthcare data by bringing together data from multiple sources and specializing in clinical concepts to drive real insights.
Overview presentation of Millennium HealthCare Inc., a company providing physician practices and healthcare facilities of all sizes with practice development & management services utilizing our expertise to identify medical practice opportunities.
MTIA 2009 - Healthstory Project Overview Dictation To Clinical DataNick van Terheyden
This document provides an overview of the Health Story Project, which aims to bridge the gap between narrative medical documents and structured clinical data. It discusses the current problems with electronic health records, including that structured documentation is time-consuming for physicians. The project seeks to encode clinical information from narrative documents like dictation to automate the production of structured, encoded documents. This would allow narrative documentation while also making more records available electronically.
The document discusses integrating electronic health records with a health information exchange (HIE). It provides an overview of the New Mexico Health Information Collaborative (NMHIC) HIE, including its benefits, architecture, and how information is shared. The presentation describes the design process used to connect an Allscripts EHR system used by ABQ Health Partners to the NMHIC HIE, including design decisions. It also discusses lessons learned and the future use of clinical exchange documents to share patient data between systems.
Empowerment to Control Your Healthcare & Related Costslorraines
Consumer Care Solutions offers a bundled suite of healthcare services including customized high deductible health plans, health savings accounts, and a web-based platform called DirectAccess that provides tools to help members manage their healthcare and spending. The document discusses how these services work together in a consumer directed healthcare model, highlighting the potential savings from high deductible health plans and the tax benefits of health savings accounts. It also provides an example comparing the costs of a traditional health plan to a Consumer Care Solutions high deductible plan.
The document discusses how digitizing healthcare can transform the industry by moving from standalone systems to integrated systems that provide real-time access to data. It notes healthcare is moving from paper-based systems with data silos to integrated electronic systems that can improve quality of care through features like alerts and collaboration. The document also discusses how capturing unstructured data from sources like clinical notes using technologies like natural language processing can provide insights to help monitor metrics, identify conditions, and support research.
Molecular Health - Corporate IntroductionThomas Koenig
Brief corporate introduction to Molecular Health, Heidelberg (Q2-2019).
Molecular Health is a data science-focused artificial intelligence computing company dedicated to big-data capture, curation, integration and analytics to enable precision medicine and generate novel and actionable insights on drug outcomes for stakeholders across the healthcare ecosystem. For more information, visit www.molecularhealth.com
1) The document discusses the history and drivers of technology adoption in healthcare settings, including improving quality, safety, efficiency and empowering patients.
2) It provides data on rates of electronic medical record utilization by practice size from 2005 and the functions of electronic health records like health information, order entry, and decision support.
3) Key stakeholders in healthcare IT certification are identified, including clinicians, vendors, payers, consumers, and government agencies.
This document presents an MSc thesis on big data in healthcare. It discusses how the healthcare sector is generating large amounts of data and how big data can be used in healthcare. The document outlines a plan to first discuss why big data is important in healthcare, providing examples of data usage history and current applications. It then details how big data can be collected, processed and analyzed in the healthcare sector using tools like Hadoop, Hive, Pig and Sqoop. The future potential of big data in healthcare is also envisioned, with real-time uses.
Quest Diagnostics is the leader in diagnostic testing and information services in the United States. It touches over 150 million patient lives each year through comprehensive diagnostic testing services that help diagnose, monitor, predict, prevent, and treat diseases. Quest aims to be the undisputed world leader in diagnostic testing, information, and services through strategies focused on delivering superior patient experiences, leading medical innovation, leveraging assets and capabilities, expanding diagnostic scope and geographic reach, and reducing costs.
Quest Diagnostics is the leader in diagnostic testing and information services in the United States. It touches over 150 million patient lives each year through comprehensive diagnostic testing services that help diagnose, monitor, predict, prevent, and treat diseases. Quest aims to be the undisputed world leader in diagnostic testing, information, and services through strategies focused on delivering superior patient experiences, leading medical innovation, leveraging its assets and capabilities, expanding diagnostic scope, and expanding its geographic reach.
Nicholas E. Davies Enterprise Award of Excellence Clinical V.docxcurwenmichaela
Nicholas E. Davies Enterprise Award of Excellence
Clinical Value
Page 1 of 8
Applicant Organization: Centura Health
Organization’s Address: 188 Inverness Dr. W #500, Englewood, CO 80112
Submitter: Amy Feaster, Vice President of Information Technology
Email: [email protected]
Core Item: Clinical Value
Executive Summary
Centura Health, founded in 1996, manages the assets of two sponsors under a joint operating
agreement. For more than 100 years, Centura Health hospitals and services have been helping
people to live healthier, longer lives. Our sponsors, Catholic Health Initiatives and Adventist
Health System, have long provided compassionate, leading-edge care to those in need
throughout the region. Our mission is to extend the healing ministry of Christ by caring for
those who are ill and by nurturing the health of the people in our communities.
Centura Health is focused on providing affordable, world-class care through an integrated
network in Colorado and Western Kansas. Over 17,000 of the best hearts and minds in
medicine, along with 6,000 physician partners, serve more than one million patients each year.
In 2007 we saw the potential to integrate several clinical systems into a common, secure
Electronic Health Record (EHR) system to make patient health information available across all
Centura Health facilities while preserving patient privacy and information security. Centura’s
EHR currently contains approximately 2.4 million patient records making it the largest
integrated health network in the region.
Centura Health’s implementation of a single, standardized EHR system successfully connected
15 hospitals, as well as numerous ambulatory, home health, hospice and urgent care clinics
across Colorado and Kansas. The goal is to allow seamless access to patient data through an
integrated record in all clinical settings. Centura Health successfully reduced hospital acquired
conditions and medication errors while increasing patient satisfaction. Clinical staff can now
review patient-specific information even before arrival of the patient. Both historical and real
time data are available for viewing and clinicians across the care continuum have access to the
same patient record and best practice tools that support the highest standards of care.
Our commitment to a single patient record across the entire system of care has led to increased
coordination of efforts in unexpected areas. An example is our decision to extend the dyad
leadership model, which is well established at Centura, beyond the typical clinical operations to
include a dyad responsible for both clinical and operational aspects of supply chain
management. This dyad consists of a facility CMO and the system VP of Supply Chain. We find
enormous value in this model, and describe our success with blood product management in this
context. Using the dyad leadership of supply chain and medical to design and institute a
mailto:[email ...
8 mistakes to avoid with health plan design presentationCompass_PHS
The document outlines 8 common mistakes made with health plan design that can increase costs and discourage active participation in healthcare decisions, such as having low deductibles, underutilizing co-insurance, relying solely on copays, lacking price transparency, not informing patients of lower-cost medication options, failing to coordinate care, and providing little relevant quality information. Addressing these issues can help lower costs by empowering consumers and incentivizing use of more cost-effective providers and services.
Overview presentation of Millennium HealthCare Inc., a company providing physician practices and healthcare facilities of all sizes with practice development & management services utilizing our expertise to identify medical practice opportunities.
The document discusses several eHealth initiatives and portals, including:
- 23andMe, a genetic testing service that provides information about DNA and allows customers to contribute to genetic research studies.
- 5MinuteClinicalConsult, an online medical reference for clinicians providing access to information on 700+ medical conditions.
- Asklepios, a social network for Canadian physicians, residents, and medical students.
1- Talk more about the industry background half a page !In.docxSONU61709
1- Talk more about the industry background half a page !
Industry background :
Industry name is “Babble” is streaming company - like Hulu and Netflix !
“The industry is constantly evolving due to technological influences. It is characterized by rapidly developing trends in streaming of music, videos, movies, programs and so much more. It is a very rewarding industry, and due to this, also very competitive as it attracts new entrants by the day. The industry is known for unending customer demand for high-quality streaming services and due to this, companies like Netflix and Hulu invest highly in digital media production by attracting suitable talents, skills, knowledge, technology and expertise to actualize this. The streaming media industry is a recently discovered industry that is shaping up entertainment. It is full of untapped market and opportunities. “CONTINUE”
2- talk about “Marketing strategy” for the company enough for 3 slides powerpoint !
Such as company will target different age kids , adult / or services that will be different from Netflix or Hulu plus like streaming music or ad free !
For Example :
· Babble is an online video streaming service
· The tent pole of Apple’s new Entertainment division
· Standard issue on Apple TV, available in the App Store and Google Play
· 60 day free trial, $15/mo for full access
· Apple TV users get an extra 60 days free
· Commercial free with subscription
· Movies, television, specials, original content
· Access to full library globally, ability to filter search results by country of origin but no regional limitations
· iMessage functionality
· instantly share and start a discussion about what you're watching, send a link in app
· Potential for deeper integration, across platforms as well - gamifying binge watching, more social functions, etc.
The Wicked Problem: Heart Failure
Let’s start with some basic facts. It is estimated that there are 400,000 Canadians living with congestive heart failure (CHF): of those, about 40,000 experience cardiac arrest every year; and
less than five per cent of those who have a cardiac arrest outside of a hospital (the majority of cases) survive. Depending on the severity of symptoms, heart dysfunction, age and other factors, CHF can be associated with an annual mortality of between five and 50 per cent. Between 40 and 50 per cent of people with con- gestive heart failure die within five years of diagnosis.
Now let’s look at what this means for the health care system. A study by the Canadian Cardiovascular Society that exam- ined hospital discharges for fiscal 2000 found that a total of 1.38 million hospital days were associated with CHF. The average hospital stay was slightly less than 13 days. Re-admission to hos- pital was also examined. There were a total of 106,130 discharges for CHF in 85,679 patients – suggesting that there were 20,451 re-admissions among these patients. This is a re- admission rate that Dr. Ross Tsuyuki, associate prof ...
The Dynamic State of Physician-Hospital Alignment: Using Collaboration and St...Amy MacNulty
This document summarizes a presentation on physician-hospital alignment. It discusses the imperative for alignment given changes in the healthcare industry, including issues like physician shortages and aging. It outlines strategies that can strengthen alignment, such as collaboration, engagement, and ensuring goals are aligned. It also discusses perceptions of existing relationships between hospitals and physicians and how perceptions sometimes differ between roles. The presentation aims to help organizations recognize drivers of alignment and create physician alignment plans.
Breast cancer: Post menopausal endocrine therapyDr. Sumit KUMAR
Breast cancer in postmenopausal women with hormone receptor-positive (HR+) status is a common and complex condition that necessitates a multifaceted approach to management. HR+ breast cancer means that the cancer cells grow in response to hormones such as estrogen and progesterone. This subtype is prevalent among postmenopausal women and typically exhibits a more indolent course compared to other forms of breast cancer, which allows for a variety of treatment options.
Diagnosis and Staging
The diagnosis of HR+ breast cancer begins with clinical evaluation, imaging, and biopsy. Imaging modalities such as mammography, ultrasound, and MRI help in assessing the extent of the disease. Histopathological examination and immunohistochemical staining of the biopsy sample confirm the diagnosis and hormone receptor status by identifying the presence of estrogen receptors (ER) and progesterone receptors (PR) on the tumor cells.
Staging involves determining the size of the tumor (T), the involvement of regional lymph nodes (N), and the presence of distant metastasis (M). The American Joint Committee on Cancer (AJCC) staging system is commonly used. Accurate staging is critical as it guides treatment decisions.
Treatment Options
Endocrine Therapy
Endocrine therapy is the cornerstone of treatment for HR+ breast cancer in postmenopausal women. The primary goal is to reduce the levels of estrogen or block its effects on cancer cells. Commonly used agents include:
Selective Estrogen Receptor Modulators (SERMs): Tamoxifen is a SERM that binds to estrogen receptors, blocking estrogen from stimulating breast cancer cells. It is effective but may have side effects such as increased risk of endometrial cancer and thromboembolic events.
Aromatase Inhibitors (AIs): These drugs, including anastrozole, letrozole, and exemestane, lower estrogen levels by inhibiting the aromatase enzyme, which converts androgens to estrogen in peripheral tissues. AIs are generally preferred in postmenopausal women due to their efficacy and safety profile compared to tamoxifen.
Selective Estrogen Receptor Downregulators (SERDs): Fulvestrant is a SERD that degrades estrogen receptors and is used in cases where resistance to other endocrine therapies develops.
Combination Therapies
Combining endocrine therapy with other treatments enhances efficacy. Examples include:
Endocrine Therapy with CDK4/6 Inhibitors: Palbociclib, ribociclib, and abemaciclib are CDK4/6 inhibitors that, when combined with endocrine therapy, significantly improve progression-free survival in advanced HR+ breast cancer.
Endocrine Therapy with mTOR Inhibitors: Everolimus, an mTOR inhibitor, can be added to endocrine therapy for patients who have developed resistance to aromatase inhibitors.
Chemotherapy
Chemotherapy is generally reserved for patients with high-risk features, such as large tumor size, high-grade histology, or extensive lymph node involvement. Regimens often include anthracyclines and taxanes.
Know the difference between Endodontics and Orthodontics.Gokuldas Hospital
Your smile is beautiful.
Let’s be honest. Maintaining that beautiful smile is not an easy task. It is more than brushing and flossing. Sometimes, you might encounter dental issues that need special dental care. These issues can range anywhere from misalignment of the jaw to pain in the root of teeth.
Computer in pharmaceutical research and development-Mpharm(Pharmaceutics)MuskanShingari
Statistics- Statistics is the science of collecting, organizing, presenting, analyzing and interpreting numerical data to assist in making more effective decisions.
A statistics is a measure which is used to estimate the population parameter
Parameters-It is used to describe the properties of an entire population.
Examples-Measures of central tendency Dispersion, Variance, Standard Deviation (SD), Absolute Error, Mean Absolute Error (MAE), Eigen Value
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1. Winning Trust, Minimizing IT
Resources: Key to Forming
RHIOs
The SEMRHIO Experience
Mark Singh MD, President, Clinicore
Kathleen Sullivan MPH, CEO, Salient Health
2. Introduction
• Hospitals: Greater demand for electronic
data delivery: EMRs interfaces, Portals
• Physicians: Clinical data from multiple
disparate sources
• RHIOs: a solution
– Significant Barriers: Trust/Security, Cost
• Hospital buy-in: Need to overcome these barriers
3. Our Experience in forming SEMRHIO
• South Eastern Massachusetts Regional Healthcare
Information Organization
Milton Hospital
Jordan Hospital
Quincy Medical Center
4. Overcoming Barriers
• Developed a model:
– Gain Trust
– Minimize Hospital IT infrastructure
• lower cost of entry
• Won Approval from Hospital Leadership
– SEMRHIO
5. Problems Addressed
• Need to support EMR adoption, electronic data
delivery, interfaces to hospital systems
– Immediate problem which needs a solution within
next 2-3 years
• Health care delivery is distributed through out
community
– Challenge to have the appropriate data available in
order to provide safe patient care
– Trying to keep; up with fax machines: tough
6. EMR Adoption
• More doctors implementing EMRs
• Hospitals being asked to provide
interfaces
– Need to serve small and large practices
– Can this this be done more efficiently by
hospitals as a “group”: RHIO?
7. Care Delivered at Multiple Sites
Patient
Doctor’s offices
Imaging Hospital
Labs
Center Surgi-center
8. Clinical Data is spread out
• When taking care of a patient, need to
have access to data from all the other
sites
– Care delivered in Physician's offices (multiple
specialists, PCP)
– Hospitals/Emergency Rooms
– Nursing Homes
9. Need to Solve:
• How do we deliver clinical data
electronically?
• How to consolidate clinical data set in real
from disparate healthcare entities in order
to care for patients?
10. Solving these Problems
• RHIO seems to makes sense:
– multi-stakeholder organization
– Allow shared costs of common IT
infrastructure
• Economies of scale
– Framework for data sharing among competing
organizations
11. RHIO: Challenges and Barriers
• Perceived Negatives regarding RHIOs
– Too costly, Lack of sustainability models
– Too many security and trust issues among
Competing entities.
• uncomfortable with concept of “Sharing” clinical
data
12. “California RHIO closes amid cost,
privacy concerns”
The closure of the Santa Barbara Co. Care Data
Exchange
eHealth SmartBrief | 07/11/2007
13. Given these significant barriers,
how do we get community
based, independent, competing
hospitals to form a RHIO?
14. Need to Address Potential Barriers
• Cost and Security issues:
– Lack of IT Infrastructure and Resources
• Hospitals have more immediate pressing issues:
– i.e., CPOE , eMAR
– Trust among disparate organizations
15. Trust in Forming a RHIO
• Issue of Architecture, business process
– When thinking about RHIOs, we consider
classic approach for RHIO architectures
– Classic Model is a “federated”, “Pull” based
architecture using a Record Locator Service
(RLS)
16. “PULL” based Model
Pull Based RHIO Model
Return only permitted data
Return data but exclude:
Drug
Addiction Patient
data with “HIV”, “Substance
Hx
2 has CAD,
Abuse”, “Mental Health”
CHF.
Hospital-A
Sodium
135,
Cholestero
l 187,
Glucose
Patient
has CAD,
CHF. Aso
HIV.
Patient
hasNaus
3
ea Aso
H
Hospital-B
h/o HIV.
Patient
has CAD,
CHF.
AIDS
1
RLS
User requests records
on patient
Hospital-C Get John Doe’s
Mental
data
Health Hx
Search for John
Doe’s data across
User not entitled to receive data hospitals
containing mental health, HIV,
substance abuse information
17. Pull Model
Complicates Trust issues
• Pull may work very well in a multi-site, single-
organization
• Has problems in a multi-organizational setting-
Problematic
– Introduces new Trust issues
– Each hospital (source) needs to determine what data
each user can access
– Model opens up a “can of worms”
– Can be a “show stopper” in forming RHIOs
18. “Best to automate an existing
business process and trust
relationship”
“The RHIO experience in Massachusetts”
John Halamka D. MD, CEO MA-SHARE
May 4, 2007
19. How do we build Trust ?
Use an existing Trust relationship
Use an existing Business Process
20. Existing Business Process and Trust Relationship
“PUSH” model
The directed
delivery of
clinical data
from to provider
Push
Healthcare entity
21. PUSH Model for Exchange
PUSH Based Health
Information Interchange
Had h/o
fall. Felt Sodium
Patientdizzine 135,
has CAD, ss. Sodium Cholestero
CHF. Aso 135, l 187,
h/o HIV. CholesteroGlucose
Sodium
130
PUSH to 135, l 187,
Glucose
Cholestero
Sodium 187, 130
Authorized l
135,Glucose
Cholestero 130
Recipient l 187,
Glucose
Patient 130
hasNaus
ea Aso
h/o HIV. Patient
has CAD, InBox
CHF. Aso
h.
Building Trust: quot;pushquot; model—A doctor or healthcare
entity decides what data to send to another doctor or
Patient
has CAD,
CHF. Aso
entity.
h/o HIV.
22. Proposed Model
• Adopt conservative approach: Don’t change the
current arrangement
– Hospital to send data to the legal recipient (“ordering”,
“primary” doctors) via RHIO (instead of fax/mail)
• Once received by doctor, ownership of data
goes to doctor
• Data sharing among doctors: “…for treatment,
payment, and healthcare operations” per HIPAA
guidelines.
23. SEMRHIO Security Model
Doctors can
exchange reports
Hospitals
securely with
Exchange
Doctors Hospital A
Confidential Data
via secure RHIO
consulting and
primary care
physicians
Dr Good
Doctor may
have their only share
own Dr Health
data with
secure Hospital B another
account Local RHIO
doctor for
Data
for data Exchange Dr Livelong “Treatment
sent to and
Hospital C
them by Dr Luck payment”
the per HIPAA
hospitals Local RHIO
guidelines
connects to State
RHIO Mega Medical
Group
STATE WIDE RHIO Mega
EMR
Confidential Clinical Data Exchange via Local RHIO which
reflects the local culture, physician relationships
24. IT Infrastructure Issues
• Hospitals wanted to commit minimal
resources
• Major Component of the RHIO: Hospital
Information System (HIS) Integration
– Need for HL7 Interface Engine
– Involved increased cost and complexity
26. Is there an easier solution?
– Studied other possibilities
• Extract desired data in near-real time, delimited
text format, using HIS query /reporting utility
• Proposed Model:
– Local: Extract hospital data using existing the HIS
query/reporting utility
– Central: Conversion to HL7 centrally using BizTalk.
28. Advantages of Hosted Services
Model
• Move infrastructure to the other side of the
“Cloud”.
– Simplify/minimize onsite infrastructure
– Existing Local IT staff able to manage onsite
needs without additional training needed
– Centralize interface management
– Allow hospitals to share in economies of scale
29. Hosted Services
• Evolving Model: SOA ,SaaS
• Trend towards Hosted services
– i.e., Salesforce.com, Google, Postini
– Hosted email
– Many Hospitals outsource their IT
infrastructure and support: e.g., Perot systems
30. Hosted Integration
• Minimizing IT resources
• There was also a desire by hospitals to commit
minimal resources
• Reluctance to install additional software/hardware locally.
• We studied the existing hospital IT infrastructure and
developed a centralized “Hosted-Integration” model using
BizTalk server.
• This was a “zero” local foot print implementation model which
did not require any additional software/hardware locally, and
was implemented using basic IT personal.
31. The Process
• Extract data from HIS use existing built-in
reporting/query utility
• Hosted BizTalk integration server
– BizTalk receive data at input ports
– Delimited data mapped to HL7 2.x,
• The disparate data is mapped to a standard terminology.
• Final data is stored in SQL 2005 for delivery to the
recipient physicians.
35. Clinical Results Viewer
• Labs
• Radiology
• Clinical Reports
An “EMR-Lite” client
application to view
the data was built
using .NET and
Microsoft’s
“Composite
Application Block”.
36. Clinical Events Viewer
Keeps track of
patient events:
-Hospital, ER
admissions
discharges
- Bed Census
37. Conclusion:
• By using a “push” model and a BizTalk based
“Hosted-Integration-Services” model:
– Able to gain trust and minimize hospital IT resources
• Demonstrated how:
– competing community hospitals can succeed in
winning approval for forming a RHIO by their hospital
leadership.
39. Technical Team
Hospital
• Mike Cosgrave
IT Infrastructure
• Brian Allen • Ed Powers, GlobalNet Solutions
– www.globalnetsolutions.com
• Anne Baker
• Jean Fernandez
• Crowley, Sheryl
BizTalk
Eric Stott, Information Architect, Clinicore
http://blog.hl7-info.com/
http://blog.biztalk-info.com