The document discusses several issues facing healthcare systems and proposes a new paradigm is needed. It outlines problems with the current system including harm from overuse, inequity from underuse, waste, and failure to prevent disease. Additional future challenges mentioned are rising expectations, increasing need, financial constraints, and climate change. The document argues that more of the same approach is not the solution and that a new system needs to be designed instead of just improving the current one. It emphasizes the importance of population health, systems of care, culture change, and personalized medicine.
Professor Richard Morriss - Enhancing Mental HealthCLAHRC-NDL
Presentation on Enhancing Mental Health theme research, by Professor Richard Morriss at the NIHR CLAHRC East Midlands launch event, 14 February 2014, Loughborough.
Professor Kamlesh Khunti - Introduction to CLAHRC East MidlandsCLAHRC-NDL
Professor Kamlesh Khunti, Director of NIHR CLAHRC East Midlands - Introductory presentation given at CLAHRC East Midlands launch event, 14 February 2014, Loughborough.
Professsor John Gladman - Caring for older people and stroke survivorsCLAHRC-NDL
Caring for older people and stroke survivors theme presentation by Professor John Gladman, delivered at the NIHR CLAHRC East Midlands launch event on 14 February 2014, Loughborough.
Simon Denegri - Public involvement in CLAHRCsCLAHRC-NDL
Simon Denegri (INVOLVE chair and NIHR National Director for Public Participation and Engagement in Research) keynote presentation at NIHR CLAHRC East Midlands launch event on 14 February 2014, Loughborough.
NIHR CLAHRC East Midlands Annual Meeting 2015 presentations - Day 2CLAHRC-NDL
This document summarizes the proceedings of the NIHR CLAHRC East Midlands annual meeting on March 25, 2015. The meeting brought together partners from Nottinghamshire Healthcare NHS Foundation Trust and the Universities of Nottingham and Leicester to share progress and learning over the past year. Key highlights included 18 research projects making progress, over £500,000 in matched funding received, and the establishment of a 90-member faculty. The East Midlands AHSN discussed supporting implementation of CLAHRC projects through knowledge brokers and £525,000 in funding. Presentations also covered priority areas like individual placement and support for employment, bipolar disorder research, and building effective partnerships across the region.
Professor Kamlesh Khunti - Prevention of Chronic DiseaseCLAHRC-NDL
Presentation by Professor Kamlesh Khunti on Prevention of Chronic Disease. Professor Khunti is Director of NIHR CLAHRC East Midlands and leads the Preventing Chronic Disease research theme.
NIHR CLAHRC East Midlands Annual Meeting 2015 presentations - Day 1CLAHRC-NDL
The document provides an overview of the NIHR infrastructure for supporting applied health research in the UK. It discusses how the NIHR was established to improve health outcomes through advancing research, improving NHS care through research participation, strengthening the UK's international research position, and driving economic growth. The NIHR aims to overcome past problems like a lack of research incentives in the NHS, low applied evidence bases, and difficulties developing sustainable research capacity. It created a national health research system to integrate patients, the NHS, universities, investigators and other stakeholders.
Professor Richard Morriss - Enhancing Mental HealthCLAHRC-NDL
Presentation on Enhancing Mental Health theme research, by Professor Richard Morriss at the NIHR CLAHRC East Midlands launch event, 14 February 2014, Loughborough.
Professor Kamlesh Khunti - Introduction to CLAHRC East MidlandsCLAHRC-NDL
Professor Kamlesh Khunti, Director of NIHR CLAHRC East Midlands - Introductory presentation given at CLAHRC East Midlands launch event, 14 February 2014, Loughborough.
Professsor John Gladman - Caring for older people and stroke survivorsCLAHRC-NDL
Caring for older people and stroke survivors theme presentation by Professor John Gladman, delivered at the NIHR CLAHRC East Midlands launch event on 14 February 2014, Loughborough.
Simon Denegri - Public involvement in CLAHRCsCLAHRC-NDL
Simon Denegri (INVOLVE chair and NIHR National Director for Public Participation and Engagement in Research) keynote presentation at NIHR CLAHRC East Midlands launch event on 14 February 2014, Loughborough.
NIHR CLAHRC East Midlands Annual Meeting 2015 presentations - Day 2CLAHRC-NDL
This document summarizes the proceedings of the NIHR CLAHRC East Midlands annual meeting on March 25, 2015. The meeting brought together partners from Nottinghamshire Healthcare NHS Foundation Trust and the Universities of Nottingham and Leicester to share progress and learning over the past year. Key highlights included 18 research projects making progress, over £500,000 in matched funding received, and the establishment of a 90-member faculty. The East Midlands AHSN discussed supporting implementation of CLAHRC projects through knowledge brokers and £525,000 in funding. Presentations also covered priority areas like individual placement and support for employment, bipolar disorder research, and building effective partnerships across the region.
Professor Kamlesh Khunti - Prevention of Chronic DiseaseCLAHRC-NDL
Presentation by Professor Kamlesh Khunti on Prevention of Chronic Disease. Professor Khunti is Director of NIHR CLAHRC East Midlands and leads the Preventing Chronic Disease research theme.
NIHR CLAHRC East Midlands Annual Meeting 2015 presentations - Day 1CLAHRC-NDL
The document provides an overview of the NIHR infrastructure for supporting applied health research in the UK. It discusses how the NIHR was established to improve health outcomes through advancing research, improving NHS care through research participation, strengthening the UK's international research position, and driving economic growth. The NIHR aims to overcome past problems like a lack of research incentives in the NHS, low applied evidence bases, and difficulties developing sustainable research capacity. It created a national health research system to integrate patients, the NHS, universities, investigators and other stakeholders.
Professor Justin Waring - Implementing evidence and improvementCLAHRC-NDL
Professsor Justin Waring presentation on Implementing evidence and improvement, delivered at NIHR CLAHRC East Midlands launch event on 14 February 2014, Loughborough.
This document discusses inclusion health and digital health. It provides an introduction and agenda for the meeting which will address equality, health inequalities, and digital inclusion. It summarizes research showing health inequalities are associated with increased costs to the health system and wider society. The document also outlines proposed analyses on health inequalities for CCGs to help impact national indicators.
PRIME Centre Wales
Long Term Conditions Consensus Meeting
Tuesday 10th November 2015, St Mary's Priory, Abergavenny, NP7 5ND
http://www.primecentre.wales/ltc-consensus-meeting.php
PRIME Centre Wales
Long Term Conditions Consensus Meeting
Tuesday 10th November 2015, St Mary's Priory, Abergavenny, NP7 5ND
http://www.primecentre.wales/ltc-consensus-meeting.php
Richard Neal LTC _Consensus Meeting 10-Nov-2015angewatkins
PRIME Centre Wales
Long Term Conditions Consensus Meeting
Tuesday 10th November 2015, St Mary's Priory, Abergavenny, NP7 5ND
http://www.primecentre.wales/ltc-consensus-meeting.php
The document summarizes a team's proposal on universal access to primary health care. The team details their coordinator, members, and contact information. It then discusses definitions of primary health care, principles of PHC, services offered at health centers, strategies to improve quality PHC according to WHO, requirements for universal access, and proposed solutions focusing on patient-provider relationships and comprehensive, equitable care.
Innovative educational technologies like e-learning, simulation, and smartphones provide unprecedented opportunities for health and social care students, trainees, and staff to acquire and develop the essential knowledge, skills, and behaviors needed for safe and effective patient care. These technologies can deliver training that meets learners' needs when it suits them, meets workforce pressures, and can be accessed just in time at the point of need. However, getting digital learning right requires using familiar formats so trainees learn the content and not the system, ensuring usability, leveraging existing resources, and evaluating both delivery and content to avoid using technology just for its own sake.
Adrian Edwards - PRIME Social Care Consensus Meeting 20151005angewatkins
This document summarizes the PRIME Centre Wales, which aims to improve health and well-being in Wales through high-quality research and influencing policy. The Center will take a multi-disciplinary approach and focus on research areas like long-term conditions, patient-centered care, infections, screening and prevention, and emergency care. It will work with patients and public groups, social care services, industry partners, and other research groups in Wales. The leadership team is led by Professor Adrian Edwards of Cardiff University and includes representatives from Bangor, Swansea, and the University of South Wales.
Getting the balance right - Adult services role in improving transition Helena Gleeson
Leicester Royal Infirmary Representing RCP YAASG
NHS Improving Quality held an event in London on 31 July 2013 to progress the children and young people transition to adult services work with a focus on turning the rhetoric into practice entitled “Working to Define a Generic Service Specification for Transition”
Transition to adult services - Gill Levitt
NHS Improving Quality held an event in London on 31 July 2013 to progress the children and young people transition to adult services work with a focus on turning the rhetoric into practice entitled “Working to Define a Generic Service Specification for Transition”
The document discusses transitioning young people from pediatric to adult healthcare in the UK National Health Service (NHS). It provides context on children's health outcomes and outlines the role of the Children and Young People's Health Outcome Forum. It then discusses several key themes and issues around transitioning including integrating services, general practice, transition to adult services, and networks. The document proposes objectives for children and young adults in the NHS Outcomes Framework and additional objectives focused on transition, mental health, long-term conditions, and specialised services. It discusses establishing clinical networks and commissioning to support the transition process and improving outcomes for young people in the NHS.
Implementing Transition - Ready Steady Go
Dr Arvind Nagra, Consultant Paediatric Nephrologist, Southampton Children's Hospital, University Hospitals of Southampton
NHS Improving Quality held an event in London on 31 July 2013 to progress the children and young people transition to adult services work with a focus on turning the rhetoric into practice entitled “Working to Define a Generic Service Specification for Transition”
The document summarizes an NHS workshop on health and wellbeing. It will include presentations from Rotherham CCG on their healthy workforce pilot program and from NHS England on the current health and wellbeing CQUIN expectations for NHS trusts. The workshop aims to discuss how employers can promote health and wellbeing among staff to improve patient safety, staff retention and experience, and reduce sickness absence costs. The benefits of a healthier workforce for both the NHS and individual trusts will also be explained.
Researching transition - Tim Rapley
Newcastle University, NHS Northumbria Healthcare Trust
NHS Improving Quality held an event in London on 31 July 2013 to progress the children and young people transition to adult services work with a focus on turning the rhetoric into practice entitled “Working to Define a Generic Service Specification for Transition”
Patient Engagement Presentation - MPN Network Forum April 18, 2017Alexandra Enns
April 18, 2017
In April we held a Network Forum on engaging policymakers and patients/public effectively and appropriately. We would like to give a warm thanks to both Carolyn Shimmin, Patient Engagement expert of CHI's Knowledge Translation team, and Marcia Thomson, Assistant Deputy Minister of Manitoba Health, Seniors and Active Living for their presentations. Below you can see Carolyn's presentation - to see more of her work on patient engagement and to learn more about knowledge translation at CHI, please check out the blog Knowledge Nudge here. If you would like more information, helpful tools or advice about patient/public engagement in research, please contact Carolyn Shimmin at cshimmin@exchange.hsc.mb.ca
June 27/2017 - SPOR-PIHCI Network presentations from the pre-CAHSPR conference day in Toronto, Ontario
Sharing Practical Advances in Research Knowledge-
Translating Findings to Action from PIHCIN Research
This document discusses global efforts to address dementia and presents strategies for improving dementia care. It notes that most of the burden of dementia is in low and middle income countries and outlines a public health approach. This includes integrating dementia care into primary care, task-shifting to train non-specialists, and addressing barriers to access. It also reviews evidence for approaches like the WHO ICOPE model and discusses challenges in high-income countries like increasing diagnostic rates and controlling costs while maintaining quality. Overall it advocates for implementing evidence-based packages of dementia care globally using scalable, affordable, home-based models.
the paradigm is changing; the dominant focus for the next decade at least will be value, or to be precise triple value
The Aim is triple value & greater equity
• Allocative value, determined by how the assets are distributed to different sub groups in the population
• Technical value, determined by how well resources are used for all the people in need in the population
• Personalised value, determined by how well the decisions relate to the values of each individual
If you want to see more please look at http://bettervaluehealthcare.weebly.com
This document summarizes a meeting of the Hertfordshire and West Essex Sustainability and Transformation Partnership about population health management. The meeting included presentations on the national context of population health and PHM, developing PHM locally, and next steps. It discussed the role of elected members in improving health outcomes and wellbeing for residents. Attendees considered developing a population health strategy and wider determinants of health. The goal is to improve physical and mental health across the population through data-driven care that addresses health inequalities.
Professor Justin Waring - Implementing evidence and improvementCLAHRC-NDL
Professsor Justin Waring presentation on Implementing evidence and improvement, delivered at NIHR CLAHRC East Midlands launch event on 14 February 2014, Loughborough.
This document discusses inclusion health and digital health. It provides an introduction and agenda for the meeting which will address equality, health inequalities, and digital inclusion. It summarizes research showing health inequalities are associated with increased costs to the health system and wider society. The document also outlines proposed analyses on health inequalities for CCGs to help impact national indicators.
PRIME Centre Wales
Long Term Conditions Consensus Meeting
Tuesday 10th November 2015, St Mary's Priory, Abergavenny, NP7 5ND
http://www.primecentre.wales/ltc-consensus-meeting.php
PRIME Centre Wales
Long Term Conditions Consensus Meeting
Tuesday 10th November 2015, St Mary's Priory, Abergavenny, NP7 5ND
http://www.primecentre.wales/ltc-consensus-meeting.php
Richard Neal LTC _Consensus Meeting 10-Nov-2015angewatkins
PRIME Centre Wales
Long Term Conditions Consensus Meeting
Tuesday 10th November 2015, St Mary's Priory, Abergavenny, NP7 5ND
http://www.primecentre.wales/ltc-consensus-meeting.php
The document summarizes a team's proposal on universal access to primary health care. The team details their coordinator, members, and contact information. It then discusses definitions of primary health care, principles of PHC, services offered at health centers, strategies to improve quality PHC according to WHO, requirements for universal access, and proposed solutions focusing on patient-provider relationships and comprehensive, equitable care.
Innovative educational technologies like e-learning, simulation, and smartphones provide unprecedented opportunities for health and social care students, trainees, and staff to acquire and develop the essential knowledge, skills, and behaviors needed for safe and effective patient care. These technologies can deliver training that meets learners' needs when it suits them, meets workforce pressures, and can be accessed just in time at the point of need. However, getting digital learning right requires using familiar formats so trainees learn the content and not the system, ensuring usability, leveraging existing resources, and evaluating both delivery and content to avoid using technology just for its own sake.
Adrian Edwards - PRIME Social Care Consensus Meeting 20151005angewatkins
This document summarizes the PRIME Centre Wales, which aims to improve health and well-being in Wales through high-quality research and influencing policy. The Center will take a multi-disciplinary approach and focus on research areas like long-term conditions, patient-centered care, infections, screening and prevention, and emergency care. It will work with patients and public groups, social care services, industry partners, and other research groups in Wales. The leadership team is led by Professor Adrian Edwards of Cardiff University and includes representatives from Bangor, Swansea, and the University of South Wales.
Getting the balance right - Adult services role in improving transition Helena Gleeson
Leicester Royal Infirmary Representing RCP YAASG
NHS Improving Quality held an event in London on 31 July 2013 to progress the children and young people transition to adult services work with a focus on turning the rhetoric into practice entitled “Working to Define a Generic Service Specification for Transition”
Transition to adult services - Gill Levitt
NHS Improving Quality held an event in London on 31 July 2013 to progress the children and young people transition to adult services work with a focus on turning the rhetoric into practice entitled “Working to Define a Generic Service Specification for Transition”
The document discusses transitioning young people from pediatric to adult healthcare in the UK National Health Service (NHS). It provides context on children's health outcomes and outlines the role of the Children and Young People's Health Outcome Forum. It then discusses several key themes and issues around transitioning including integrating services, general practice, transition to adult services, and networks. The document proposes objectives for children and young adults in the NHS Outcomes Framework and additional objectives focused on transition, mental health, long-term conditions, and specialised services. It discusses establishing clinical networks and commissioning to support the transition process and improving outcomes for young people in the NHS.
Implementing Transition - Ready Steady Go
Dr Arvind Nagra, Consultant Paediatric Nephrologist, Southampton Children's Hospital, University Hospitals of Southampton
NHS Improving Quality held an event in London on 31 July 2013 to progress the children and young people transition to adult services work with a focus on turning the rhetoric into practice entitled “Working to Define a Generic Service Specification for Transition”
The document summarizes an NHS workshop on health and wellbeing. It will include presentations from Rotherham CCG on their healthy workforce pilot program and from NHS England on the current health and wellbeing CQUIN expectations for NHS trusts. The workshop aims to discuss how employers can promote health and wellbeing among staff to improve patient safety, staff retention and experience, and reduce sickness absence costs. The benefits of a healthier workforce for both the NHS and individual trusts will also be explained.
Researching transition - Tim Rapley
Newcastle University, NHS Northumbria Healthcare Trust
NHS Improving Quality held an event in London on 31 July 2013 to progress the children and young people transition to adult services work with a focus on turning the rhetoric into practice entitled “Working to Define a Generic Service Specification for Transition”
Patient Engagement Presentation - MPN Network Forum April 18, 2017Alexandra Enns
April 18, 2017
In April we held a Network Forum on engaging policymakers and patients/public effectively and appropriately. We would like to give a warm thanks to both Carolyn Shimmin, Patient Engagement expert of CHI's Knowledge Translation team, and Marcia Thomson, Assistant Deputy Minister of Manitoba Health, Seniors and Active Living for their presentations. Below you can see Carolyn's presentation - to see more of her work on patient engagement and to learn more about knowledge translation at CHI, please check out the blog Knowledge Nudge here. If you would like more information, helpful tools or advice about patient/public engagement in research, please contact Carolyn Shimmin at cshimmin@exchange.hsc.mb.ca
June 27/2017 - SPOR-PIHCI Network presentations from the pre-CAHSPR conference day in Toronto, Ontario
Sharing Practical Advances in Research Knowledge-
Translating Findings to Action from PIHCIN Research
This document discusses global efforts to address dementia and presents strategies for improving dementia care. It notes that most of the burden of dementia is in low and middle income countries and outlines a public health approach. This includes integrating dementia care into primary care, task-shifting to train non-specialists, and addressing barriers to access. It also reviews evidence for approaches like the WHO ICOPE model and discusses challenges in high-income countries like increasing diagnostic rates and controlling costs while maintaining quality. Overall it advocates for implementing evidence-based packages of dementia care globally using scalable, affordable, home-based models.
the paradigm is changing; the dominant focus for the next decade at least will be value, or to be precise triple value
The Aim is triple value & greater equity
• Allocative value, determined by how the assets are distributed to different sub groups in the population
• Technical value, determined by how well resources are used for all the people in need in the population
• Personalised value, determined by how well the decisions relate to the values of each individual
If you want to see more please look at http://bettervaluehealthcare.weebly.com
This document summarizes a meeting of the Hertfordshire and West Essex Sustainability and Transformation Partnership about population health management. The meeting included presentations on the national context of population health and PHM, developing PHM locally, and next steps. It discussed the role of elected members in improving health outcomes and wellbeing for residents. Attendees considered developing a population health strategy and wider determinants of health. The goal is to improve physical and mental health across the population through data-driven care that addresses health inequalities.
This document summarizes a transitional care workgroup meeting held on July 12, 2013. The meeting included introductions and presentations on transitional care evidence and measuring patient-centered outcomes. Participants discussed a vignette about a patient being discharged from the hospital to identify questions patients would have about participating in a new transitional care program. The group's objectives were to understand transitional care broadly and narrow the topic by prioritizing important questions from multiple stakeholder perspectives. Breakout sessions allowed for submitted questions and discussion of proposed research topics. The meeting concluded with recapping next steps and welcoming further input.
Ρητορική και πολιτική στην Πρωτοβάθμια Φροντίδα. Η αναγκαιότητα μιας τεκμηριω...Evangelos Fragkoulis
Παρούσιαση μου στα πλαίσια του 13ου Health Policy Forum, με θέμα:
"Πρωτοβάθμια Φροντίδα Υγείας: Προϋποθέσεις Ανασυγκρότησης και Ανάπτυξης"
Αρχαία Ολυμπία, 15-17 Απριλίου 2016
http://www.healthpolicy.gr/13%CE%B7-%CF%83%CF%85%CE%BD%CE%AC%CE%BD%CF%84%CE%B7%CF%83%CE%B7-%CE%B1%CF%81%CF%87%CE%B1%CE%AF%CE%B1-%CE%BF%CE%BB%CF%85%CE%BC%CF%80%CE%AF%CE%B1-2016/
- The document discusses ensuring community care is provided in close collaboration with citizens and communities. It emphasizes the importance of patient empowerment, health literacy, digital health, patient involvement, and inclusiveness.
- Patient empowerment in community settings requires a shift towards seeing patients as equal partners in their care. This involves improving health literacy, self-management support, and shared decision-making between patients and healthcare professionals.
- Digital technologies can help facilitate chronic disease management and patient-centered care if designed and implemented in a way that strengthens patient empowerment and health literacy. Meaningful patient involvement in healthcare, research, and policy is also critical.
The document discusses self-management of chronic conditions and its importance for sustainability of healthcare systems. It notes that:
- Chronic conditions will rise dramatically, with many people having multiple conditions.
- Expectations of care quality will increase as standards that are currently seen as inadequate will be viewed as inhumane.
- For healthcare systems to be sustainable, chronic conditions must be managed differently by empowering self-management supported by technology and expertise when needed.
Η διαχείριση των μειζόνων συμπεριφορικών παραγόντων κινδύνου στην ΠΦΥEvangelos Fragkoulis
Παρουσίαση μου στα πλαίσια του Consensus Meeting: "Η διαχείριση και ο έλεγχος των Μείζονων Συμπεριφορικών Παραγόντων Κινδύνου για την Υγεία: η συμβολή νέων "εργαλείων" για την αντιμετώπιση τους", Ελληνική Επιστημονική Εταιρεία Οικονομίας και Πολιτικής της Υγείας, Ξυλόκαστρο 6-8 Ιουλίου 2018
Presentations from the patient safety conference held at Teesside University on 1 and 2 September 2014 - Students at the forefront of continuing and improving our culture of safe care
Partnering with Patients, Families and Communities for Health: A Global Imper...EngagingPatients
Engagement is an essential tool to improving global health. This report introduces a new framework for engagement to help countries assess current programs and think strategically about future engagement opportunities. It spotlights barriers to engagement and offers concrete examples of effective engagement from around the globe.
Keynote address by Dr. Eric Goosby of UCSF, presented at CFAR HIV Research in International Settings (CHRIS) meeting in San Diego, October 1, 2014. Dr. Goosby discussed. "Global Health Delivery and Diplomacy: The Long Road to Sustainable Programs."
CSC Insight into Patient Access to Care in CancerBev Soult
The document summarizes key findings from a survey of 692 cancer patients and their families about access to care. It finds that while most patients had health insurance, many did not receive recommended social/emotional support services or referrals to such services. Over 20% reported delays in care and nearly 20% felt they did not have adequate time with providers. Only 34% discussed costs of treatment with providers. Nearly half paid more for care in the past year due to insurance premiums, deductibles, and co-pays. Over a third were seriously concerned about out-of-pocket costs and bankruptcy from medical expenses. The survey aimed to understand challenges patients face in accessing comprehensive cancer care.
Chronic diseases account for $93 billion annually in Canada to manage. Despite this spending, 12% of Canadians report being unsatisfied with healthcare quality, posing a challenge for policymakers. The document proposes several projects to identify effective interventions for improving primary care practices and outcomes for patients with chronic conditions. It will analyze policies across Canadian provinces to better integrate health, social, and community services and identify best practices. It will also evaluate tools to screen for social determinants of health and characterize high healthcare users.
Strengthening health systems in Sub-Saharan Africa requires health policy and systems research and analysis (HPSR+A). HPSR+A takes a multidisciplinary approach to understand how health systems function and how to improve them. It also examines how to influence health policies and implement policies effectively to strengthen systems. Some priorities for HPSR+A include conducting mixed-method longitudinal studies, using theory, and thinking outside disease-specific approaches to consider the broader health system issues. Several HPSR+A studies provided examples of how health systems can be strengthened by taking a systems perspective rather than just focusing on individual programs or diseases.
Day 1: Challenges and opportunities for better detection, diagnosis and clini...KTN
The focus of this session is to explore how the UK health system is currently responding to the increasing number of patients with multiple long-term conditions and the impacts of healthcare inequalities on patient outcomes. We will also explore opportunities for businesses to bring about much needed innovations in the prevention, early diagnosis and management of multi-morbidity.
Weitzman 2013: PCORI: Transforming Health CareCHC Connecticut
This document summarizes a presentation given by Joe Selby on the Patient-Centered Outcomes Research Institute (PCORI). It discusses PCORI's mission to fund comparative clinical effectiveness research that is guided by patients and other stakeholders. Key points include: PCORI's focus on research questions of interest to patients and providers; its criteria for funding proposals, including patient-centeredness and engagement; and its plans to significantly increase funding for such research over time. Examples are given of funded pilot projects involving community health centers.
World Psychiatric Association - Health Systems' Performance Roundtable cana...Université de Montréal
This was part of a roundtable presentation on health systems' performance around the world, focusing on psychiatric care. My contribution was a survey of the Canadian health care system's performance.
This document discusses prevention and health promotion in healthcare across Europe. It defines what good prevention and health promotion looks like, including health education programs, adult and child immunization policies, disease screening programs, infection prevention policies, and improving secondary prevention through risk factor reduction. The document emphasizes that while policymakers acknowledge the need to shift focus to prevention, progress has been variable. It argues that prevention is a cost-effective investment that can improve health and reduce disease burden and health inequalities.
Break-out session slides Session 1: 1.1 Population health management in pract...NHS England
Population health management aims to improve the health outcomes of an entire population through proactive care. It uses data-driven strategies like segmentation, stratification, and impactability modeling to identify at-risk groups and design targeted interventions. The National Health Service in England is promoting population health management approaches across integrated care systems to help systems better understand health needs and match services accordingly. Primary care networks will assess their local populations and work with communities to support those most at risk of poor health outcomes through proactive approaches.
This document discusses the key components and factors influencing health care systems. It outlines that health care systems aim to promote, restore, and maintain health for populations. The document then discusses the historical development of health care, from only being accessible to the wealthy to reforms that aimed to provide services to wider groups. Modern health care systems reflect the values of their societies, and are influenced by changing disease patterns, demographics, technology advances, and government policies. The quality of health care systems can be evaluated based on criteria like effectiveness, efficiency, accessibility, and equity of services provided.
Similar to Sir Muir Gray - CLAHRC East Midlands launch event (20)
CLAHRC NDL aimed to spread research findings into practice through "Diffusion Fellows", who were staff seconded from partner organizations to work on CLAHRC studies and disseminate results. However, the diffusion fellow approach did not always work as intended, as some fellows or study teams were not a good fit, or organizations did not provide enough support. Overall, the diffusion fellow role helped build research capacity and networks, but other supportive factors are also needed within organizations and the wider system for research to successfully impact practice.
Stroke Event 13 Sep - Second morning presentationsCLAHRC-NDL
The document discusses the implementation of evidence-based early supported discharge (ESD) services for stroke patients. It summarizes that ESD programs have core evidence-based elements but must also be flexible to local contexts. It describes how a task force worked to improve data sharing between hospitals and ESD teams to better evaluate services and ensure eligibility targets were met. The collaboration resulted in increased high-quality routine data capture and accurate tracking of patients.
Stroke Event 13 Sep - First morning presentationsCLAHRC-NDL
This document summarizes research on early supported discharge (ESD) services for stroke patients. The research aimed to evaluate whether the benefits of ESD seen in clinical trials are still evident in practice. The study compared outcomes for 135 patients receiving ESD services to 158 patients receiving usual care without ESD following a stroke. Results showed that the ESD group had significantly shorter hospital lengths of stay and were more knowledgeable about community support services. Statistical modeling also found that ESD patients were more likely to score higher on measures of independence at 6 weeks, 6 months and 12 months post-stroke. The research provides real-world evidence that ESD services continue to provide benefits for stroke rehabilitation compared to usual care without ESD support.
The presentation aimed to:
1) Introduce the NIHR CLAHRC initiative and showcase NIHR CLAHRC-NDL as a partnership addressing three core aims through co-produced research.
2) Detail the STEP OUT project which was co-produced with communities to develop a culturally-appropriate diabetes prevention intervention.
3) Outline NIHR CLAHRC-NDL's vision, strategic objectives, and impacts in areas like mental health, children and young people, and stroke rehabilitation.
East Midlands Local Education and Training Board (EMLETB)CLAHRC-NDL
The East Midlands Local Education and Training Board (LETB) brings together five local health communities in the East Midlands region to plan and develop the healthcare workforce through high quality education and training. The LETB identifies local priorities, commissions education, and ensures supply of skilled healthcare professionals to meet the needs of the local population in Derbyshire, Leicestershire, Lincolnshire, Northamptonshire, and Nottinghamshire. It acts as a forum for NHS organizations, universities, and local authorities to collaborate on workforce issues across the region.
The document introduces the East Midlands Academic Health Science Network (EMAHSN) and its prospectus. EMAHSN aims to promote innovation and adoption of best practices through research translation, education/training, and industry collaboration across the East Midlands region. It will focus on improving patient outcomes, quality, and economic growth. EMAHSN will work across NHS, universities, and industry to disseminate research and innovations. It seeks feedback on its prospectus as it prepares for licensing review in Q2 2013.
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
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.
Does Over-Masturbation Contribute to Chronic Prostatitis.pptxwalterHu5
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.
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPsychoTech Services
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
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.
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
1. The last forty years in
healthcare have been terrific
Sir Muir Gray
Keynote presentation at NIHR CLAHRC East Midlands launch event,
14 February 2014, Loughborough
2. Progress in the last 40 years has been amazing but
all health services, everywhere, still face 5 major
problems one of which is unwarranted variation
which reveals the other four
•
•
•
•
HARM, from overuse even when quality is high
INEQUITY, from underuse by groups in high need
WASTE OF RESOURCES through low value activity
FAILURE TO PREVENT DISEASE &DISABILITY
And new, additional, challenges are developing
•
•
•
•
RISING EXPECTATIONS
INCREASING NEED
FINANCIAL CONSTRAINTS
CLIMATE CHANGE
Variation in utilization of health
care services that cannot be
explained by variation in patient
illness or patient preferences.
Jack Wennberg
3.
4. More of the same is not the answer ,
not even better quality, safer, greener
cheaper of the same.
We need to design, plan and build a
new paradigm.
5.
6.
7. Allocative value
Between Programme
Marginal Analysis and
reallocation is a Board
responsibility with public
involvement ; the aim is
optimal allocation ie you
cannot get more value
by shifting a single £
Cancer
Respiratory
Gastrointestinal
8. Between Programme
Marginal Analysis and
reallocation is a
Mental
Health
commissioner
responsibility with public
involvement
Cancer
Respiratory
Gastrointestinal
9. Many people
have more than
one problem ;
GP’s are skilled in
managing
complexity
Mental
Health
Cancers
Respiratory
Gastrointestinal
10.
11. Within Programme,
Between System
Marginal analysis is
a clinician
responsibility
Cancers
Respiratory
Gastroinstestinal
Asthma
COPD
(Chronic
Obstructive Apnoea
Pulmonary
Disease)
14. Within System
Marginal Analysis is a
clinical stewardship
responsibility with
patient involvement
Cancers
Asthma
COPD
(Chronic
Obstructive Apnoea
Pulmonary
Disease)
Respiratory
Gastroinstestinal
Triple Drug
Smoking
Therapy
cessation
O2
Rehabilitation
15. The law of diminishing returns
Benefits
Investment of resources
16. Harmful effects increase in direct proportion
to the resources invested
Harmful or
Side effects
Of care
Investment of resources
17. After a certain level of investment the health
gain may start to decline;
the point of optimality
Benefits
Benefits - harm
Harms
Investment of resources
18. The values this patient
places on benefits &
harms of the options
and on risk taking
Evidence,
Derived from
the study of
groups of
patients
Choice
The clinical condition of this
patient; other diagnoses, risk
factors and their genetic profile and
in particular their problem, what
bothers them psychologically and
socially
Personalised and Stratified Medicine
Decision
19. As the rate of intervention in the population
increases, the balance of benefit and harm
also changes for the individual patient
BENEFIT
HARM
Necessary
High value
appropriate
inappropriate
Low value
futile
Negative Value
20. NHS or nHS?
• Is epilepsy care in Leicestershire better than epilepsy care in
Derbyshire?
• Who is responsible for the service for people with bipolar
disorder in Lincolnshire?
• Did the service for people who are breathless in Rutland
improve last year?
• Is the service for frail elderly people getting better in
Nottinghamshire, is it better than in Northants, and who is
responsible for it?
• How many asthma services should there be in the East
Midlands and is that different from the number of services for
inflammatory bowel disease or rheumatoid arthritis ?
BetterValueHealthcare
23. Population healthcare focuses primarily on
populations defined by a common need
which may be a symptom such as
breathlessness, a condition such as
arthritis or a common characteristic such
as frailty in old age, not on institutions , or
specialties or technologies. Its aim is to
maximise value for those populations and
the individuals within them
24. Ban old language
PrimarySecondaryAcuteCommunityManagerOutpatientHubandSpoke
Introduce new language
A SYSTEM is a set of activities with a common set of objectives and outcomes; and an annual report.
Systems can focus on symptoms, conditions or subgroups of the population
(delivered as a service the configuration of which may vary from one population to another )
A NETWORK is a set of individuals and organisations that deliver the system’s objectives
(a team is a set of individuals or departments within one organisation)
A PATHWAY is the route patients usually follow through the network
A PROGRAMME is a set of systems with ha common knowledge base and a common budget
BetterValueHealthcare
25. From archipelago to system
People receive care that is co-ordinated around their needs
and supports them to live the lives they want to lead
Super
Specialist
Community
services
General practice
Specialist
Generalist
Hospital care
Mental healthcare
Social care
Informal care from family
and voluntary help
Self-care
26. This is an example of a national service set up as a system
29. Dr Jones is a respiratory physician in the Derby
Hospital Trust and last year she saw 346 people
with COPD and provided
evidence based, patient centred care, and to
improve effectiveness, productivity and safety
30. Dr Jones estimated that there are 1000 people with COPD in South Derbyshire and
a population based audit showed that there were 100 people who were not
referred who would benefit from the knowledge of her team
31. Dr Jones is given 1 day a week for Population Respiratory Health
and the co-ordinator of the South Derbyshire COPD Network
and Service has responsibility, authority and resources for
Working with Public Health to reduce smoking
Network development
Quality of patient information
Professional development of generalists, and pharmacists
Production of the Annual Report of the service
She is keen to improve her
performance from being 27th out
of the 106 COPD services, and of
greater importance, 6th out of the
23 services in the prosperous
counties
32. “Culture…the shared tacit assumptions of a
group that it has learned in coping with
external threats and dealing with internal
relationships.”
Schein, E.H (1999) The Corporate Culture Survival Guide
“Leadership …and a company’s culture
are inextricably interwined.”
Morgan, J.M. and Liker, J.K. (2006) The Toyota Product Development System
BetterValueHealthcare
33. Two national public health projects
• The stroke and vascular dementia (SVD)
prevention project – improving health through
population and personalised care for people
with atrial fibrillation – 25th march
The Falls and Fragility Fracture (FFF) prevention
project – improving health through population
and personalised based systems for people at
risk of falls and fragility fractures -27th March
34. New Knowledge
• An understanding of all issues related to value,
including the ethical issues such as accountability for
reasonableness; and the work of Amartya Sen and
Norman Daniels
• Understanding allocative efficiency and relevant
writings, such as the workings of Thomas Rice
• Systems and network development with familiarity
with other work of people such as Manuel Castells.
• Concepts of population accountability for clinical
services including the work of Thomas Friedman.
35. New skills
•
•
•
•
•
Understanding and Increasing Value
Designing and building Systems of Care
Creating the Right Healthcare Culture
Delivering Population-based Medicine.
Designing and delivering Patient Centred and
Personalised Care
36. Map of Medicine - COPD
Work like an ant colony; Neither markets
nor bureaucracies can solve the challenges
of complexity
BetterValueHealthcare
Editor's Notes
Use local data from the atlases of variation http://www.rightcare.nhs.uk/index.php/atlas/atlas-of-variation-2011/
This is the link slide to the new paradigm,
You can point out that even small and straightforward health challenges , like deafness in children have four different types of commissioner involved
This is the approach to healthcare that complements the institutional approach Ask participants to work in pairs to agree what they understand by the meaning of the term population; different perspectives will be given by people working in hospitals and those responsible for commissioning or in the public health service At this stage in the workshop ask participants to turn to their neighbours and discuss for two minutes what they mean by the term population, each has to give the other an example of what they mean by the term
Here are the new terms Acute and community implies the hospital is not part of the community Primary and secondary ignores the point that A&E is for many people their primary port of call Out patients is a 19th century term Hub and spoke implies a power relations hip; in a network all the constituent elements are nodes
This is only one way of depicting a system the next pptshows another
The network is the set of individuals and organizations that delivers the system to the populations. It is useful to go through the hierarchy of the 20th century to the network of the 21st century, with the patient at the centre “professor, specialist and GP, with the patient invisible”In the 21st century all the professionals, all the nodes in the network are of equal importance with t he patient in the middle
“now we need to think of the implications for clinicians, here is how we see specialist clinical practice at present . Here is a picture of clinical practice as it is at the moment , DRJones is an example of an excellent clinician in the world as we know it at present but we want drjones to take a different perspective and the first step to think about the whole population
The old style of thinking is for dr Jones to put in a bid for more resources to expand her out patient service but Dr Jones1 THERE IS NO MORE MONEY 2 out patients is a 19th century concept . We want you to practice in a different way, even pone day a week to develop a population based service to tackle the problems such as those shown in the next ppt
Askparticipants to adapt this to a problem they know about