My presentation will look at the benefits of harnessing new health technology and mobile health data to improve therapy services, promote wellness and awareness through better patient engagement and help improve medical research. I'll also cover what I believe the future holds for the mHealth industry with respect to rehabilitation and prevention, and what challenges lie ahead for providers that consider adopting these new methods of care delivery.
Note: This is based on my personal experience,interviews and research. Please keep and open mind as this is new territory for all of us!
Key Success factors in digital healthcareChiweon Kim
The slides were used at Bio Korea 2016.
The topic is key success factors in digital healthcare and it deals with 3 topics: Utility, Business model, platform.
9 Actionable Healthcare Tweets from HIMSS 2015Buddy Scalera
9 tweets and action items for healthcare marketers and content strategists, as developed by Marilyn Cox @MarilynECox (Oracle) and Buddy Scalera @MarketingBuddy.
Be sure to visit: http://www.slideshare.net/americanregistry
Created as a podcast for the Dental Informatics Online Community [http://www.dentalinformatics.com/], this is snapshot of what is going on with social technologies and Web 2.0 in various healthcare communities.
Think Tank V Key Takeaways & Best PracticesJustin Barnes
Care Strategy, Care Collaboration, Innovation, Industry Disruptors & Social Determinants of Health best practices directly and unscripted from thought leaders on the front lines of healthcare
Digital Hospitals: The Future of Acute Caresambiswal
BIG DATA AND ARTIFICIAL INTELLIGENCE ARE BUILDING A NEW HEALTHCARE LANDSCAPE
Digital Hospitals: The Future of Acute Care - Advances in digital health are changing the medical landscape. By embracing digital transformations, hospitals are able to grant providers access to real-time patient records coupled population health data enhanced by artificial intelligence offering greater insights for improved patient outcomes. With the advancement of wearables and other remote diagnostic and monitoring devices, patients can receive quality care anywhere a connection to the cloud exists.
Healthcare providers now have a whole host of tools and resources at their fingertips to access real-time data, monitor patients remotely and make better care decisions. This access to better data frees the patient from the physical restraints of the hospital environment. This lessens the dependence on admitting patients into large hospitals for extended stays at exorbitant costs to both payers and patients.
Key Success factors in digital healthcareChiweon Kim
The slides were used at Bio Korea 2016.
The topic is key success factors in digital healthcare and it deals with 3 topics: Utility, Business model, platform.
9 Actionable Healthcare Tweets from HIMSS 2015Buddy Scalera
9 tweets and action items for healthcare marketers and content strategists, as developed by Marilyn Cox @MarilynECox (Oracle) and Buddy Scalera @MarketingBuddy.
Be sure to visit: http://www.slideshare.net/americanregistry
Created as a podcast for the Dental Informatics Online Community [http://www.dentalinformatics.com/], this is snapshot of what is going on with social technologies and Web 2.0 in various healthcare communities.
Think Tank V Key Takeaways & Best PracticesJustin Barnes
Care Strategy, Care Collaboration, Innovation, Industry Disruptors & Social Determinants of Health best practices directly and unscripted from thought leaders on the front lines of healthcare
Digital Hospitals: The Future of Acute Caresambiswal
BIG DATA AND ARTIFICIAL INTELLIGENCE ARE BUILDING A NEW HEALTHCARE LANDSCAPE
Digital Hospitals: The Future of Acute Care - Advances in digital health are changing the medical landscape. By embracing digital transformations, hospitals are able to grant providers access to real-time patient records coupled population health data enhanced by artificial intelligence offering greater insights for improved patient outcomes. With the advancement of wearables and other remote diagnostic and monitoring devices, patients can receive quality care anywhere a connection to the cloud exists.
Healthcare providers now have a whole host of tools and resources at their fingertips to access real-time data, monitor patients remotely and make better care decisions. This access to better data frees the patient from the physical restraints of the hospital environment. This lessens the dependence on admitting patients into large hospitals for extended stays at exorbitant costs to both payers and patients.
e-health & quality of care - business research and practice - medicinfo & twe...Bart Brandenburg
Lecture held at Twente University, about the challenges, possibilities, lessons learned and research questions involved with developing e-health at Medicinfo.
Business, research and practice put into action!
12 Gifts of Digital Health: How Futuristic Technologies Changed Healthcare an...Enspektos, LLC
When people talk about how digital technologies will influence health, many assume changes will happen years or decades into the future. Yet, in 2014 a range of digital tech, from Big Data to genomics, gave people the gift of life, knowledge and more. Look back at the year that was in digital health and understand that he future is now.
How Wearables will transform the EHR (Electronic Disease Record), slide deck for presentation by David Doherty (@mHealth) at Wearables Europe, London, 28 May 2015.
The Smart Health Centers project places trained health information specialists (Navigators) in traditional and non-traditional health facilities to assist patients in connecting to their own medical records and find reliable information about their own conditions. All Navigators are trained in the Smart Health Center Model using this training guide.
Barriers to, and enablers of, adoption of technology enabled care servicesInnovation Agency
Professor Alison Marshall, Health Technology & Innovation, University of Cumbria discusses the processes behind adopting technology enabled care services.
Digital technology advancements like Internet of Things (IoT)
* Wearable technologies
* Blockchain
* Robotics
* Big data
*Advanced analytics are changing consumer perceptions
The 10 most innovative medical devices companies 2018insightscare
Despite these challenges, medical device companies have always been adept with the latest technology and innovations happening in the sector. Keeping this in mind, we bring you the in-depth profiles of- “The 10 Most Innovative Medical Devices Companies 2018.”
A look at SxSW Health 2015 through the eyes of the online health ecosystemW2O Group
Presentation shared as a part of the Mayo Clinic Social Media Health Network's monthly webinar for April, 2015. A look at the trends and topics that captured the hearts and minds of the global online health ecosystem.
Healthcare Landscape and Connected Health Trend of SingaporeYee Jie NG
This deck describes the current healthcare landscape and technology trends in Singapore. It also highlights the global trend and expert's recommendation.
20 tendencias digitales en salud digital_ The Medical FuturistRichard Canabate
Resaltado de las tendencias que darán forma a la atención médica post COVID19.
No se trata de enumerar estas tendencias, sino de dar una valiosa visión de los factores de conducción detrás de ellas mientras que es muy específico. Se trata de mostrar cuáles son las áreas exactas que deben destacarse entre todas las áreas en el tema "IA en la atención médica", por ejemplo.
* 77% of patients are willing to use virtual care
* Only 19% have tried it
* Patients won’t use it if they don’t know it’s an option
* Educating clinicians and patients to use virtual care
Upping the "Total" in Total Rewards. Incentivizing your employees with the most sophisticated wearable technology, measuring more biomarkers than any other device, and the only device meriting being reviewed as a medical device. Included in the cost of the device - customized wellness programs designed on your employees biometrics. Our commitment to provide the most personalized corporate wellness programs, at the most affordable price and everyone gets the ultimate wearable technology. We will happily help you design a true program of reward - employee/employer contribution - rewarding commitment and motivation.
On the 15th April, Creation Healthcare presented the winners of the Healthcare Engagement Strategy Awards 2010 at the Hilton Park Lane in London, United Kingdom.
Launching or expanding a telehealth & remote patient monitoring (RPM) program can be an intimidating task
*HRS health system, home health & hospice
*HRS’ Client Success, Implementation,Reimbursement & Clinical teams
Use of technology in rehabilitation - Lorna PaulMS Trust
Aims:
Overview of technology in Rehabilitation
Barriers and Drivers
Consider neurophysiological/scientific basis
Look at some examples
Robotics
Mobile and digital technology
Gaming and Virtual Reality
e-health & quality of care - business research and practice - medicinfo & twe...Bart Brandenburg
Lecture held at Twente University, about the challenges, possibilities, lessons learned and research questions involved with developing e-health at Medicinfo.
Business, research and practice put into action!
12 Gifts of Digital Health: How Futuristic Technologies Changed Healthcare an...Enspektos, LLC
When people talk about how digital technologies will influence health, many assume changes will happen years or decades into the future. Yet, in 2014 a range of digital tech, from Big Data to genomics, gave people the gift of life, knowledge and more. Look back at the year that was in digital health and understand that he future is now.
How Wearables will transform the EHR (Electronic Disease Record), slide deck for presentation by David Doherty (@mHealth) at Wearables Europe, London, 28 May 2015.
The Smart Health Centers project places trained health information specialists (Navigators) in traditional and non-traditional health facilities to assist patients in connecting to their own medical records and find reliable information about their own conditions. All Navigators are trained in the Smart Health Center Model using this training guide.
Barriers to, and enablers of, adoption of technology enabled care servicesInnovation Agency
Professor Alison Marshall, Health Technology & Innovation, University of Cumbria discusses the processes behind adopting technology enabled care services.
Digital technology advancements like Internet of Things (IoT)
* Wearable technologies
* Blockchain
* Robotics
* Big data
*Advanced analytics are changing consumer perceptions
The 10 most innovative medical devices companies 2018insightscare
Despite these challenges, medical device companies have always been adept with the latest technology and innovations happening in the sector. Keeping this in mind, we bring you the in-depth profiles of- “The 10 Most Innovative Medical Devices Companies 2018.”
A look at SxSW Health 2015 through the eyes of the online health ecosystemW2O Group
Presentation shared as a part of the Mayo Clinic Social Media Health Network's monthly webinar for April, 2015. A look at the trends and topics that captured the hearts and minds of the global online health ecosystem.
Healthcare Landscape and Connected Health Trend of SingaporeYee Jie NG
This deck describes the current healthcare landscape and technology trends in Singapore. It also highlights the global trend and expert's recommendation.
20 tendencias digitales en salud digital_ The Medical FuturistRichard Canabate
Resaltado de las tendencias que darán forma a la atención médica post COVID19.
No se trata de enumerar estas tendencias, sino de dar una valiosa visión de los factores de conducción detrás de ellas mientras que es muy específico. Se trata de mostrar cuáles son las áreas exactas que deben destacarse entre todas las áreas en el tema "IA en la atención médica", por ejemplo.
* 77% of patients are willing to use virtual care
* Only 19% have tried it
* Patients won’t use it if they don’t know it’s an option
* Educating clinicians and patients to use virtual care
Upping the "Total" in Total Rewards. Incentivizing your employees with the most sophisticated wearable technology, measuring more biomarkers than any other device, and the only device meriting being reviewed as a medical device. Included in the cost of the device - customized wellness programs designed on your employees biometrics. Our commitment to provide the most personalized corporate wellness programs, at the most affordable price and everyone gets the ultimate wearable technology. We will happily help you design a true program of reward - employee/employer contribution - rewarding commitment and motivation.
On the 15th April, Creation Healthcare presented the winners of the Healthcare Engagement Strategy Awards 2010 at the Hilton Park Lane in London, United Kingdom.
Launching or expanding a telehealth & remote patient monitoring (RPM) program can be an intimidating task
*HRS health system, home health & hospice
*HRS’ Client Success, Implementation,Reimbursement & Clinical teams
Use of technology in rehabilitation - Lorna PaulMS Trust
Aims:
Overview of technology in Rehabilitation
Barriers and Drivers
Consider neurophysiological/scientific basis
Look at some examples
Robotics
Mobile and digital technology
Gaming and Virtual Reality
Technology forecast in healthcare industrySafina Shaikh
The use of technologies such as social networks, smartphones, internet applications and more is not only changing the way we communicate, but is also providing ground-breaking ways for us to monitor our health and well-being and giving us better access to information. Together these advancements are leading to a convergence of information, technology,people, and connectivity to improve health outcomes and health care.
Patient-centric care is rooted in the idea that all healthcare decisions and quality measurements are driven by the individual’s specific health needs and desired health outcomes. One of the advantages of the patient-centric system is how it allows the healthcare system to build a closer, more holistic relationship with the patient. The telehealth system brings one such important bridge into view. With its various facilities that enhance convenience, healthcare centers are actively investing in telehealth software. EMed HealthTech shares the idea of patient-centric care, a revolutionary way to offer healthcare that is beneficial for all parties involved.
Data drives company outcomes - employers agree analytics are a key factor in strategic planning. Customizing wellness solutions that has turned science fiction into science. Employees biometrics and genomics - sequencing the genome - drives choosing individualized wellness coaching. Health solutions - providing a path of sustainability and adherence - scientific, engaging, redefining individualized - And we make it affordable. Employee health programs - what a wonderful way to build healthier communities - establish lifestyle habits creating a healthier future for our children. We can manage & prevent chronic illnesses - saving lives and money - investing the money for happier, bigger, better futures.
Quality Improvement Strategies: quality improvement tools, factors that help to create and sustain Healthcare Informatics as a new field. quality improvement cycle: PDCA (Plan, Do, Check, Act) Cycle.
Top 7 Healthcare Trends You Need To Know For 2023thinkwithniche
Healthcare is constantly changing, and keeping up with the latest trends can be a challenge. From telehealth to an increased focus on mental health, it's important to stay informed and up-to-date on the healthcare technology trends and digital innovations in 2023 top healthcare trends. 2023 is sure to be an exciting year, with many changes and advances in the healthcare industry. In this article, we’ll look at the top 7 healthcare trends you need to be aware of for 2023. From the emergence of AI-powered new healthcare technology to the growing need for personalized medicine, these trends will shape the healthcare industry in the coming year. We’ll discuss the opportunities and challenges that come with each trend, as well as the impact they’ll have on patients and providers alike. Whether you’re a healthcare professional or just someone interested in staying informed, you’ll find this article a valuable resource. So get ready to learn about the top 7 healthcare trends you need to know for 2023.
The speech focuses on digital innovation from the point of view of a pharmaceutical company: how technology can integrate the offer of drugs and therapeutic solutions for the healthcare and well-being of citizens. Last year the app I-nonni was presented as a Sanofi start-up project with the primary goal of connecting the older adults with relatives and health professionals, such as doctors and pharmacists, in an easy and effective way. This year the progress in the services offered will be presented, as well as a study proving the effectiveness of the digital fitness tool that we developed with the aim of training the cognitive abilities of older adults (and not only).
Healthcare Globally needs a major disruption and a transformative approach to make life sustainable on this planet with the ever increasing threat to Quality of Life.
This presentation explains a transformative approach towards healthcare ensuring quality healthcare for everyone where everyone takes care of their health proactively.
Medioctor aims to connect all the stakeholders in the healthcare ecosystem through unified process and deliver contexual content in real time enabling intelligent decision. We are integrating health, medical and information technology into a revolutionary Electronic Health Record being owned by individuals for the first time anywhere in the world
Patient engagement is a critical element of successful transitions of care. Without it, patients are improperly educated about their condition and inadequately prepared to self-manage.
Healthcare organizations need effective and scalable ways of engaging patients post-discharge.
The Application of Data to Problem-SolvingIn the modern era, the.docxtodd801
The Application of Data to Problem-Solving
In the modern era, there are few professions that do not to some extent rely on data. Stockbrokers rely on market data to advise clients on financial matters. Meteorologists rely on weather data to forecast weather conditions, while realtors rely on data to advise on the purchase and sale of property. In these and other cases, data not only helps solve problems, but adds to the practitioner’s and the discipline’s body of knowledge.
Of course, the nursing profession also relies heavily on data. The field of nursing informatics aims to make sure nurses have access to the appropriate date to solve healthcare problems, make decisions in the interest of patients, and add to knowledge.
In this Discussion, you will consider a scenario that would benefit from access to data and how such access could facilitate both problem-solving and knowledge formation.
To Prepare:
Reflect on the concepts of informatics and knowledge work as presented in the Resources.
Consider a hypothetical scenario based on your own healthcare practice or organization that would require or benefit from the access/collection and application of data. Your scenario may involve a patient, staff, or management problem or gap.
By Day 3 of Week 1
Post
a description of the focus of your scenario. Describe the data that could be used and how the data might be collected and accessed. What knowledge might be derived from that data? How would a nurse leader use clinical reasoning and judgment in the formation of knowledge from this experience?
By Day 6 of Week 1
Respond
to at least
two
of your colleagues
* on two different days
, asking questions to help clarify the scenario and application of data, or offering additional/alternative ideas for the application of nursing informatics principles.
Click on the
Reply
button below to reveal the textbox for entering your message. Then click on the
Submit
button to post your message.
*Note:
Throughout this program, your fellow students are referred to as colleagues.
Will be posting additional discussion replies that will require two replies which will be included in this discussion post.
Each requires at least three references and all need to be in APA format.
Monicas discussion
Discussion #1- Initial Post
All healthcare workers are trained to share the common goal of providing the best quality of care to their patients. Regardless of what role one may serve on the multidisciplinary team, they all have an obligation to accurately assess the needs of the patient, to efficiently collect and record data, to contribute to diagnosing, and to treat/ evaluate properly. “Informatics blend technology and information to blend something new that people, organizations and society can make use of” (Laureate, 2018). Advancement in technologies such as, electronic health records (EHR), electronic medication administration records (EMARS), computerized physician order entry (COPOE) and.
Protocols and Evidence based Healthcare: information technology tools to support best practices in health care, information technology tools that inform and empower patients.
Similar to Smart Patient Engagement Solutions for Physical Therapists and Rehabilitation Professionals (20)
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
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Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
Smart Patient Engagement Solutions for Physical Therapists and Rehabilitation Professionals
1. Smart Patient Engagement Solutions for Physical
Therapists and Rehabilitation Professionals
Where can Connected Health Tools Fit?
David Dansereau,MSPT
Author, Body in Balance
PTC Physical Therapy Consulting
SmartMovesPT.com
2. Smart Patient Engagement Solutions for Physical
Therapists and Rehabilitation Professionals
David Dansereau,MSPT
Author, Body in Balance
PTC Physical Therapy Consulting
SmartMovesPT.com
3. My Promises to You:
• Define mobile health terms and provide examples, cases and
deployment applied to mobile technology for improved patient
engagement, recovery and prevention.
• Discuss the policies and trends influencing adoption of mobile
health for rehabilitation.
• Describe how to serve your patient population more creatively,
effectively and profitably with the adoption of technology.
• Learn the importance of knowing the behavior change model
(and emotion sensing) to recognize and better engage
patients to improve recovery outcomes.
4. Background
Every stroke survivor has a story. My story involves a hole in my heart, a marathon,
and overcoming many obstacles to eventually return to private practice as a physical
therapist.
Along the way, I discovered that bridging the knowledge gap for stroke awareness and
obtaining resources for home stroke rehabilitation are not an easy endeavor.
My journey included trying to set effective and creative rehab goals after my stroke at
age 39, all the while balancing real life as a husband and father of three young children
(ages 3-6 at the time of my stroke).
My goal is to share how my experiences have impacted my return to practice and how
they motivated me to become a public health advocate for stroke awareness, better
recovery options and patient engagement solutions to target prevention and wellness.
For more on my stroke rehab story visit know-stroke.org
6. My presentation will look at the benefits of harnessing
new health technology and mobile health data to
improve therapy services, promote wellness and
awareness through better patient engagement and
help improve medical research. I'll also cover what I
believe the future holds for the mHealth industry with
respect to rehabilitation and prevention, and what
challenges lie ahead for providers that consider
adopting these new methods of care delivery.
Note: This is based on my personal experience,interviews and research.
Please keep and open mind as this is new territory for all of us!
7. [ WARNING ]
Don't Be Like This Guy!
After telling the media that he doesn't have a Twitter
account, Belichick said: "Just go talk to the geniuses
online. MyFace, YourFace, InstantFace...just go talk to
whoever you want that does that stuff. I don't know."
8. Stroke Recovery is Hard Work
You need the Right Team and Game Plan!
“Never Give Up”
13. Engagement Strategy#1-Move to Mobile!
Smart Move:
Meet Your Patients Where They Want You to Be.
image source : smartmovespt.com
14. The Terms:
• Mobile health technology, or mHealth, refers to technology-based applications
that allow a patient and a physician to clinically interact from different locations
• Connected Health-Connected health is a model for healthcare delivery that
uses technology to provide healthcare remotely. Connected health aims to
maximize healthcare resources and provide increased, flexible opportunities for
consumers to engage with clinicians and better self-manage their care.
• Patient Engagement-Patient engagement is a person’s sustained participation
in managing their health in a way that creates the necessary self-efficacy to
achieve physical, mental and social well-being. (-See Key Elements)
• Meaningful Use-Meaningful use is using certified electronic health record
(EHR) technology to: Improve quality, safety, efficiency, and reduce health
disparities. Engage patients and family. Improve care coordination, and
population and public health. Maintain privacy and security of patient health
information. *
Refer to CMS Fact Sheet updated 10/6/15 for EHR Incentive Program and Health IT Certification Program Final Rules
https://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2015-Fact-sheets-items/2015-10-06.html
15. The Trends
• Hospitals and other medical institutions are increasingly ‘going
paperless’ with electronic health records (EHRs).
• Smartphone users are increasingly tracking their health through apps.
• Rehabilitation providers today face overwhelming challenges to
providing optimal care, with rapid reductions from third -party payer
systems.
• This pressure translates to the critical need to maximize efficiency with
each treatment, decrease hospitalization, and ensure that continues
when the patient goes home (to GET PAID).
• Connecting health involves a critical shift in treatment in which the
patient becomes engaged in the intuitive sensory experience of what
their body needs to do which allows for real learning and motor recovery.
16. Why start now?
Emerging accountable care organization's or ACO's will place great
emphasis on continuity of care. Regardless of the role of a ACO's in our
future, hospitals will feel increasing pressure to solve continuity of care
problems to optimize patient satisfaction and clinical outcomes across
treatment settings, especially when it comes to physical, occupational and
speech therapy services. Continuous consistent rehab information will need
to be shared as the patient moves from acute-care to inpatient rehab
facilities to subacute care to home health on to outpatient therapy.
Consider how the current paper based system or a system where health
records do not talk to one another do not serve the patient well.
I am a case for how the disconnect in the traditional care model for therapy
for a stroke patient failed…
17. Examples of “Disconnect”:
Put Yourself in the Patient’s Position:
• Reordering Tests
• Repeating and Being “Re-Asked” to provide information
time and time again
• Care not engaged,constantly scribbling / entering notes
• Waiting weeks or months to get started or see specialist
• No communication between providers on team
• Limited or no access to own health data,images, tests
The Problem in a Nutshell:
Providers are working across the continuum of care with
little coordination and no collective eye or assumed
responsibility on achieving maximal results.
18. The Technology
• EHR
• Sensors (demo- time permitting or visit smartmovespt.com to request demo)
• Pharmacy prescription compliance, reminders
• Blood Glucose, Blood Pressure, SpO2
• Monitoring EKG / Cardiac / Fetal Monitoring (see latest Apple Keynote)
• Mobile Smart Devices, Smart Watches, Scales, New Wearables (?iRing) enable
input of biometric data, lifestyle choices-diet,caffeine consumption,sleep patterns
• Interactive Video Education and Coaching / TV (Apple and SmartTV’s)
• Remote Monitoring with technology allows for patient to become an active player
in their treatment plan with a goal of staying well and decreasing hospital
utilization.
Ask me about my stroke “checks”…
19. Barriers to Adoption:
• Security of PHI-Efficient and Secure Data Storage Will
Accelerate Adoption.
• CMS Rules/Licensing b/t States/Politics
• Assumptions- Who will Use
• Reimbursement- Who and How it Gets Paid
• Initial Costs, Training and Time
• Professional Attitudes Towards Technology / Fear of
Unknown
20. The Samsung GALAXY S1 launched with three sensors and today’s The Samsung GALAXY S1 launched with
three and today’s GALAXY S5 has 12! Could fingerprint detection be key to improve mhealth security?
These highly sophisticated sensors make your smartphone a
powerful potential patient engagement and medical research tool
Adapted image source: http://www.healthcareitnews.com
21. Here are the smartphone sensors that medical researchers care most about:
• Accelerometer – Senses and measures the speed of the object it’s attached to. It
also senses gravity, so it can also sense the angle at which it is being held.
• Barometer – Senses air pressure to determine your relative elevation. So as you
move, you can keep track of the elevation you’ve gained (ie: stairs climbed or hills
conquered).
• Gyroscope – Senses when you’re moving or stationary, measuring dexterity and
gait stability.
• As well as their independent uses, all these sensors work with each other. For
example, the GPS uses the accelerometer to calibrate for your running stride, so the
‘moving dot’ better captures your movement, which is detected by the gyroscope.
• These highly sophisticated sensors make your smartphone a powerful medical
monitoring and research tool.
22. Why this matters
• You may not realize it, but sensors are already
integrated into many of the most common
smartphone tasks. The gyroscope is what rotates
your display, the proximity sensor turns off the
display when it is against your ear, and the ambient
light sensor changes your display brightness
depending on your surroundings.
• Each year more and more sensors are integrated into
your phone, enabling the potential for more and more
innovative development in health and medicine.
23. While health and fitness apps have been around ever since the app store
launched in 2008, the valuable data inside them has been locked away for
years in telecommunication clouds (or “silos”). It isn't till recently this
has changed and consumer devices and digital health have begun to
converge.
• In the last 12 months, the big 3 mobile players have launched their answers
to the influx of personal health and fitness apps to improve communication.
• Google – Google Fit
• Apple – ResearchKit, HealthKit
• Samsung – Sami
• Intel
• Microsoft
• But what happened to Google Health? …closed in 2011 for lack of adoption
24. –Alan Yeung, medical director of Stanford Cardiovascular Health
“To get 10,000 people enrolled in a medical
study normally, it would take a year and 50
medical centers around the country.”
Apple announced ResearchKit as a companion to HealthKit earlier
this year, and the program has gotten off to a fast start, enabling
much larger medical trials than would have previously been possible.
In one example, a Stanford University cardiovascular study gained
more than 10,000 participants overnight.
In the App Store:
ask me about my own PFO/stroke example and struggles with enrollment…
Stanford's study, a joint effort with the University of Oxford, is one of five live in the App Store. Others include an asthma
self-management program from Mount Sinai, Weill Cornell Medical College, and LifeMap; a Parkinson's study from the
University of Rochester and Sage Bionetworks; a diabetes analysis tool from Massachusetts General Hospital; and a breast
cancer study from the Dana-Farber Cancer Institute, UCLA Fielding School of Public Health, Penn Medicine, and Sage
Bionetworks.
25. I believe the effective deployment of mobile health
technologies and connecting community health
could hold the key to living better lives, making high-
quality care accessible, promoting and providing
incentives for wellness, and reducing our national
debt (and our possible emerging national security
crisis*).
*Just ask retired Lieutenant General Mark Phillip Hertling,former
Commanding General US Military Europe and now on the President’s Task
Force for Physical Activity and Fitness about this emerging crisis…
26. Fit to Fight?
Here are some disturbing statistics from
Lieutenant General Hertling’s TED talk:
• Greater than 75% of potential recruits
ages 17-24 years could not enlist
even if they wanted to join the military
as they were not qualified. The main
criteria making them ineligible was
obesity.
• Of the remaining 25% that could
qualify (that were not obese mainly)
greater than 60% could not pass a
basic PT test given on the first day of
basic training.
Here’s what the PT test included:
1 One minute of push ups
2 One minute of sit-ups
3 One mile run
PT’s-Be sure to see his stat on femoral neck stress fractures.
Ted talk video: http://my-nutrition-coach.com/obesity-national-security-threat/
“Be fearless in prescribing exercise”
Image source:https://en.wikipedia.org/wiki/Mark_Hertling
27. We Simply Can’t Continue to Ignore This!
We need a better proactive plan. PTs this means you!
We ARE the Exercise Experts.
Source: CDC
Strokes are Happening Earlier-We Need to Educate Earlier.
28. Consider this….
Today's iPhone user touches the
screen over 100 times a day!
• And when you consider that 79% of people aged 18-44 have their smartphones with
them 22 hours a day, it’s a pretty reliable resource at that.
• Today’s youth will be tomorrow’s patients and they will look to mobile for care. Plan
now to invest in the next generation.
• Learn from some of the best design teams like Apple!
Intuitive-engaging-responsive. They have already studied and tested this stuff for you!!
Source: Global Web Index 2014
Ask me about how AppleWatch saves teens life…
29. In addition to Clinical Excellence…
You Now Need
Technical Excellence.
Your patients will demand it!
30. We Know this Stuff:
IOS 9, 3D Touch, 4KVideo,M9 Motion Coprossor,Live Photos
Here’s part of the problem (as I see it):
Ask me about First Lady Obama bumping me off call…
…and this comment from a young student:
We Don’t Know this Stuff:
Types of vitamins, what fuels our brains, stroke warning signs,how
we process food,etc…in short: How our Bodies Work!
“My teacher wouldn’t put that poster in the classroom”.
Why?
“It has a scary old lady on it!”
31. What I've Learned:
Contrary to common methods used by
therapists,physical rehabilitation is not a
cognitive task taught through verbal
instructions;rather it is a sensory-based learning
experience that needs to be experienced
repeatedly.
High tech or high touch?
What’s best??
Ask me…Is this an impossible task or an “EPIC” opportunity?
32. Both!
“Dad, when you feel better, can you pick me up?”
“MacGyver” it!
Learn What Motivates Your Patient
33. Connecting health involves a critical shift
in treatment in which the patient becomes
engaged in the intuitive sensory
experience of what their body needs to do
which allows for real learning and motor
recovery. This includes the survivor
becoming invested in that outcome.
Sound too difficult?
34. This could mean
something as simple as
adding music to rehab…
Start By Using What Technology You Have Available:
35. Music
The auditory and motor centers of the brain
are linked and want to work together.
Music “ignites” the brain,starts a rhythm that is highly
repetitive and makes rehab fun!
(ie) Walk Like a Man
Refer to most current Apple Keynote-esp. AppleTV and Medical Spotlight
http://www.apple.com/apple-events/
What song brings you back?
(My personal favorite is Hells Bells)
ASK YOUR PATIENT!!
36. One of the most important things a therapist
can do is provide hope during rehabilitation
and offer a well thought out game plan.
Caring is contagious !
(Regardless if it is reimbursable!!)
This sets off a positive cascade including
self-motivation,commitment and continued
progress, even when formal therapy has
concluded.
38. How to be as Engaging as THIS!
“If they aren’t sharing they aren’t caring!”-unknown
Work to Create Shared Experiences
68% of teens on mobile recorded a video today. When was your last video?
Can Stroke Education / Engagement Go Viral?
See my Kids Know-Stroke Bright Minds Campaign
know-stroke.org/brightminds
39. What’s being worked on for stroke recovery:
PCORI
Patient Centered Outcome Research Institute (PCORI) Mobile Apps For Stroke Recovery
http://www.pcori.org/research-in-action/what-do-patients-and-caregivers-want-mobile-health-apps-ask-them
Mobile Apps (MAPPS): Patient & Caregiver Attitudes, Behaviors, and Knowledge
http://www.pcori.org/research-results/2012/mobile-apps-mapps-patient-caregiver-attitudes-behaviors-and-knowledge
Partnership for Physical Rehabilitation Post Stroke
http://www.pcori.org/research-results/2015/partnership-physical-rehabilitation-post-stroke
PT Trend?
New Physical Therapy Partnership Revolutionizes Post-Surgical Hip and Knee Rehab
http://www.huffingtonpost.com/marki-flannery/new-physical-therapy-part_1_b_7451448.html
http://professionals.vnsny.org/system/assets/0000/3958/IR.Ortho_Intensive_Rehab.CR_3-20-15x1a.VE-
IROR-0315.original.pdf
APTA TeleHealth Resources
apta.org/Telehealth
PT in Motion / New Telehealth Bill Includes PT’s,Could Mean Big Changes for Medicare
http://www.apta.org/PTinMotion/News/2014/8/1/TelehealthBill/
Link also includes info on the Medicare Telehealth Parity Act
40. Key Elements:
Here’s what Dr. Joseph Kvedar, Director of Partner’s Center for
Connected Health identified as key components to achieve what he
described in a 2010 keynote as “Emotional Automation: A Critical
Component of Healthcare’s Future.”
He stated for successful adoption a health technology must start by
having these qualities:
1-Frictionless
2-Social
3-Personalized
Partner’s Center for Connected Health Health
http://connectedhealth.partners.org
41. Here’s What I’ve Done:
Nutrition Education
Exercise Education
Monitor and Support
Performance Measurement
• Webinars
• Quizzes
• Books
• Incentives
Images sources: smartmovespt.com / wmu-101.com
42. Accountability Touch Points
to Better Engagement:
• Simple reminder to exercise,take meds (text,email,app)
• “Nudge” to log your pain score or monitor vitals
• Update of something new! … “Did you know?”
• Webinar announcement / educational opportunity
• Send the message…The team is thinking about your
success and we want to be sure you stay on track….
• Simply staying connected to support after "discharge"
Should Docs prescribe “apps”?
44. It takes the brain
36 times to gain
80% Mastery
Must see the skateboarding physics professor’s video on how we learn
Our Brain is a survival organ!
…and Repetition!
http://www.know-stroke.org/the-physics-of-skateboarding-and-stroke-recovery/
45. Engagement has Evolved From My Early Days of
popcorn, surveys and flipping kangaroos!
See my Pulse article on Linkedin
https://www.linkedin.com/pulse/targeting-new-patient-engagement-solutions-david-dansereau
I can personally guarantee it wasn’t “frictionless” but
it was personal,social and still EFFECTIVE!
46. Lead and Inspire Your Team to Start Now!
If Bill Can Do it…
So Can You!
47. Be at least as engaging as my dog!
Or You’ll Eventually Get Caught Chasing Your Tail…
My Challenge To You: