Stephen johnson hull wsdan 30 june 2011
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3GDRThe Whole System Demonstrator programme evaluated the use of telehealth and telecare to improve care for people with long-term conditions. It was the largest randomized controlled trial of telehealth/telecare in the world, involving over 6,000 people across several sites in the UK. The results showed that technology can help manage long-term conditions when integrated into redesigned care systems and combined with clinical engagement. However, successful implementation requires addressing organizational challenges, building trust with patients, and focusing on more than just introducing new devices. The findings support telehealth/telecare as part of improving care for the growing number of people with long-term conditions.
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Technology has become very useful in many sectors. In the health care industry, it has
changed the way health care services are provided. It turns out to be a critical tool for
competition in the health care market. Quality has now been at the forefront when it comes to
shaping any health care program (Feenberg, 2012). This makes health care institutions to strive
and produces better services to its customers.
A look at surgical procedures together with state of the art proper care method, an
important position from the infirmary is represented by the technology. Compared to the past,
health care institutions have now been successful when it comes to performing a number of
lifetime harmful and critical surgical procedures (Mali, 2012). All these are attributed to
advanced models to be used in surgeries brought about by technology. There is much equipment
that has been brought about by technology advancement including 3D echocardiogram and CT
reconstruction. These two have made surgery more efficient by improving imaging capabilities
which enable surgeons to operate without hindrances on the human body (Raza, Sabik, Masabni,
Ainkaran, Lytle, W. B., & Blackstone, 2014). Healthcare services have improved too, by the
introduction of robotic surgery and teleconferencing. The latter has enabled doctors to provide
knowledge and expertise far and wide irrespective of their physical location. They can monitor,
track and communicate with their patients to help them keeping tabs on their ailments (Raza, et
al., 2014). Robotic surgery helps doctors conduct surgery remotely with the use of a machine that
can multitask and overcome some of the limitations a human doctor may have. This improves the
likelihood of an operation to be successful which benefits both the physician and the patient.
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COURSE PROJECT- ROUGH DRAFT
3
as orthopedic and otolaryngologic operations (Hendricks-Munoz, 2015). In clinical laboratories,
well-trained individuals are making use ...
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Ged byrne
Research for All: Now is the time!! advocates that now is a prime opportunity for increased research efforts due to several factors:
1) Demographic changes like an aging population and rising rates of chronic conditions are increasing healthcare needs and costs, highlighting the need for improved population health outcomes and more cost-effective care.
2) Technological advances, increased research emphasis and funding opportunities, and system changes like sustainability and transformation plans present opportunities to enhance research efforts and translate findings into policies and practices.
3) While healthcare systems face financial pressures, there are also burgeoning sources of research funding from industry, charitable organizations, and dedicated government funding that can be leveraged to support research without overburdening health
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Advances in Health informatics and telemedicine are providing greater access....
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2. These technologies allow for electronic health records, remote monitoring, and real-time interactions like teleconsultations that reduce the need to travel long distances for care.
3. While these approaches have benefits, they also face challenges in technology setup and costs, as well as potential issues around privacy, guidelines, and resistance to change.
DASHBOARD BENCHMARKMiatta Teasley Capella .docx
DASHBOARD BENCHMARK
Miatta Teasley
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Running Head: DASHBOARD BENCHMARK
DASHBOARD BENCHMARK
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DASHBOARD BENCHMARK
Second Quarter Hypertension Intervention Compliance at Med for adults presenting with Diabetes
Intervention
Needed
Completed
Compliance Percentage
Initial Lactate within 3 hours
30
30
100%
Blood cultures were drawn before antibiotics
22
17
77%
Antibiotics administered within 3 hours
22
20
91%
Fluid resuscitation if in septic shock within 2hours
19
12
63%
Vasopressors if hypertension persists after fluid or lactate >4mmoL/L within 6 hours
12
7
58%
Overall
105
86
82%
Second Quarter Dialysis Intervention
Compliance and Inpatient Mortality
Patient ID
Number of Interventions needed
Number of Interventions completed
Inpatient Mortality
2000
4
2
0
2014
3
3
1
2098
2
1
0
2134
5
4
0
2156
3
4
1
2245
4
2
0
2345
3
3
1
2567
5
4
1
2676
4
1
1
2935
3
2
0
Note: The Staffing benchmark for the nurse staffing unit is 3 patients per nurse. The average monthly staffing for the unit is 3 nurse workloads. The average number of patients in the unit per month in the third quarter was 5.75.
The data above is a review regarding the compliance of Dialysis measures and interventions compliance and the sample of the second quarter inpatient mortality. The information below entails evaluating the data, which indicates that various departments need to be improved, and a proposal for a specific area and target for improvement.
Evaluation of Dashboard Metrics
There are several inefficiencies in regards to dialysis measures at Med. From the dashboard concerning the compliance of executing the arranged measures and procedures, the two stand out at the 77% compliance rate on drawing blood cultures before running antibiotics and 58% compliance rate on administering vasopressors for those patients that require them. As per Medicare.Gov (n.d), the national average for meeting dialysis guidelines is 72%, and the state of Minnesota is 60% which indicates that Med is performing at 82% overall testing. Higher percentages are required to ensure the advanced quality of life for residents of the healthcare institution (Morfín et al., 2018).
Failure to complete blood draws for cultures before running broad-spectrum antibiotics; there will be an incapability to authorize contamination and the responsible pathogen. This can result in an inefficient or ineffective intervention for aiding a patient. Moreover, by failing to confirm infection from the start, unnecessary and wasteful care interventions could be performed or ordered for patients (Morfín et al., 2018). As per the failure to administer vasopressors, the institution is gambling with the patient's life. As the reinforcement for the dialysis unit states, vasopressor therapy is needed to sustain and uphold perfusion in the wake of life-threatening hypertension. The needed nature of compliance concerning administering this intervention can be seen in the samp.
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The webinar was followed by an interactive question & answer session.
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McGrath Health Data Analyst SXSW
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2) Data analytics can provide insights to improve patient outcomes, lower costs, and enhance the health care experience. Examples show how visualizing data helps health systems better understand utilization and identify at-risk patients.
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And the result?
A highly energetic and constructive exchange of views from the diverse stakeholders in the room.
The take away messages:
1. The NHS has to embrace digital technologies to survive but precisely how it embraces these is critical;
2. successful adoption of digital technologies needs to take account of:
• the political imperative of developing a compact between public services, service providers and citizens about how their data may be used;
• the social processes involved in patient and workforce adaption to technologies and the substantial research base that already exists in this field *the technical challenges involved in ensuring that a proliferation of health data and digital devices develops in a way that supports integrated, patient-centred care rather than promoting fragmented data and digital silos;
• developing the capacity to adapt to and exploit fundamentally disruptive innovation from within the NHS and from SMEs many of which have their origins in academic research or front-line clinical practice
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How might we maintain and develop the coalition of interests that met in the workshop to underpin a research-driven, innovation-friendly digital technologies implementation plan for the NHS in Hampshire and the Isle of Wight. Watch this space.
Poster presentation implemetation of telephone traige system - janet harkness
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Nano-gold for Cancer Therapy chemistry investigatory project
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Stephen johnson hull wsdan 30 june 2011
- 1. Whole System Demonstrator programme Stephen Johnson Deputy Director – Head of Long Term Conditions
- 4. What will WSD tell us? 234 interviews so far. Participants & informal carers. Health & social care professionals. What are the service users, informal carers and health and social care professionals’ experiences of telehealth and telecare? 4 Man’r Oxford 3445 participants 470 informal carers What is the effect on carer burden, self-care behaviours and quality of life? What predicts whether people will use the service as planned? What is the clinical impact? 2 UCL 5721 participants Combined Model Does the introduction of telehealth or telecare result in reduction in service utilisation and costs of care? 1 Nuffield 3445 participants 470 informal carers Professional interviews What is the cost−effectiveness of the introduction of telecare & telehealth? 3 LSE 48 key WSD managers and commissioners in health & social services. Staff from 3 WSDAN sites and 3 non WSD related sites What organisational factors facilitate or impede the sustainable adoption and integration of telehealth/telecare? 5 Imperial NO. PARTICIPANTS REQUIRED Question THEME
- 6. If you get it right, and focus on the whole system Work across traditional organisational boundaries Re-design care pathways Educate patients and the public Build clinical advocacy Share Information Develop interoperable systems Re-train staff The rewards are significant…………………..
- 7. BUT the key to success is service change not just introduce the “kit” and hope for the best!
Editor's Notes
- Remind ourselves why here today – why focus so much energy For starters – large and growing population – 15 million in this country Range of conditions with differing severity – some have single condition can manage well, some have range of conditions that limit them and others have range of complex health and social care needs that severely limit their ability to cope