The document describes an ambulatory care center that provides various health services to low-income, uninsured, and underinsured patients. The services include internal medicine, pediatrics, women's health, pharmacy, dental, and specialty clinics. The center aims to provide healthcare, prevention, diagnosis, treatment, and education regardless of patients' economic status. As a teaching facility, it also provides medical education and training. The dental clinic specifically provides onsite, mobile, inpatient, emergency, and surgical dental services. It measures performance through various metrics to ensure consistent, continuous, and high-quality patient care as well as resident education.
AHA Consultants offers a Back-to-Basics workshop series covering The Foundation, The 3R's, and Insuring the Future of dental practices. The series provides tools to improve practices and implement proven systems. It covers practice planning, policies and procedures, recare, receivables, retention, and insurance. Participants receive 6 or 18 continuing education credits depending on components completed. The workshops are held over 6 Tuesday evenings with one-on-one mentoring also provided.
Intro to premier care supplemental medical planRodney Mattos
The document summarizes a supplemental medical expense plan called PremierCare. It discusses the plan's purpose of offering lower premiums without reducing medical benefits. Key advantages include a single point of contact for multiple benefits, easy billing reconciliation, and no exclusions as long as the illness is covered by the underlying medical plan. The document provides a sample benefits summary and explains how to use the quoting sheet for enrollment. It addresses common questions such as whether medical carriers will allow the plan to be sold alongside their core plans.
The IDN engaged in a collaborative project with its GPO called "30 in 2" to reduce its $700M annual supply spend by $30M within 2 years. Through centralizing processes, aligning physicians, analyzing spend, and optimizing contracts and vendor relationships, they achieved $45M in savings within 11 months, with $30M already implemented. Key was creating a customer-centric centralized supply chain through cross-organizational collaboration and communication. This reduced supply expenses as a percentage of net operating revenue to the lowest levels in the past decade.
The document discusses a perioperative case study involving efforts to reduce costs for several supply categories through standardization initiatives. It describes objectives to lower prices for suture, endomechanicals, trocars, mesh and topical adhesives. A methodology is outlined involving identifying categories, reviewing data, obtaining approvals, issuing an RFP, and clinical validation. Implementation involved planning, member conversions, and physician interactions. Outcomes included commitments from 9 of 11 members to convert to the supplier. Lessons learned focused on validation, involvement, communication and addressing competitive tactics.
WTF - Why the Future Is Up to Us - pptx versionTim O'Reilly
This is the talk I gave January 12, 2017 at the G20/OECD Conference on the Digital Future in Berlin. I talk about fitness landscapes as applied to technology and business, the role of unchecked financialization in the state of our politics and economy, and why technology really wants to create jobs, not destroy them. (There is a separate PDF version, but some readers said the notes were too fuzzy to read.)
This document contains information about an upcoming panel on trends and opportunities in ophthalmology. The panelists include Todd Albertz, Dan Chambers, Maggie Dean, John R. Grant, and Don Holmes. It provides their contact information and affiliations. The panel will discuss topics like new technologies, regulations, payers, benchmarking, and quality reporting. Sections also cover financial disclosures and details on specific presentation topics from each panelist.
AHA Consultants offers a Back-to-Basics workshop series covering The Foundation, The 3R's, and Insuring the Future of dental practices. The series provides tools to improve practices and implement proven systems. It covers practice planning, policies and procedures, recare, receivables, retention, and insurance. Participants receive 6 or 18 continuing education credits depending on components completed. The workshops are held over 6 Tuesday evenings with one-on-one mentoring also provided.
Intro to premier care supplemental medical planRodney Mattos
The document summarizes a supplemental medical expense plan called PremierCare. It discusses the plan's purpose of offering lower premiums without reducing medical benefits. Key advantages include a single point of contact for multiple benefits, easy billing reconciliation, and no exclusions as long as the illness is covered by the underlying medical plan. The document provides a sample benefits summary and explains how to use the quoting sheet for enrollment. It addresses common questions such as whether medical carriers will allow the plan to be sold alongside their core plans.
The IDN engaged in a collaborative project with its GPO called "30 in 2" to reduce its $700M annual supply spend by $30M within 2 years. Through centralizing processes, aligning physicians, analyzing spend, and optimizing contracts and vendor relationships, they achieved $45M in savings within 11 months, with $30M already implemented. Key was creating a customer-centric centralized supply chain through cross-organizational collaboration and communication. This reduced supply expenses as a percentage of net operating revenue to the lowest levels in the past decade.
The document discusses a perioperative case study involving efforts to reduce costs for several supply categories through standardization initiatives. It describes objectives to lower prices for suture, endomechanicals, trocars, mesh and topical adhesives. A methodology is outlined involving identifying categories, reviewing data, obtaining approvals, issuing an RFP, and clinical validation. Implementation involved planning, member conversions, and physician interactions. Outcomes included commitments from 9 of 11 members to convert to the supplier. Lessons learned focused on validation, involvement, communication and addressing competitive tactics.
WTF - Why the Future Is Up to Us - pptx versionTim O'Reilly
This is the talk I gave January 12, 2017 at the G20/OECD Conference on the Digital Future in Berlin. I talk about fitness landscapes as applied to technology and business, the role of unchecked financialization in the state of our politics and economy, and why technology really wants to create jobs, not destroy them. (There is a separate PDF version, but some readers said the notes were too fuzzy to read.)
This document contains information about an upcoming panel on trends and opportunities in ophthalmology. The panelists include Todd Albertz, Dan Chambers, Maggie Dean, John R. Grant, and Don Holmes. It provides their contact information and affiliations. The panel will discuss topics like new technologies, regulations, payers, benchmarking, and quality reporting. Sections also cover financial disclosures and details on specific presentation topics from each panelist.
This document outlines a presentation on sustainable planning for healthcare. It discusses defining sustainability and the environmental context facing the healthcare system. It then covers the key components of successful planning, including time, people, money, energy, and physical assets. Finally, it provides three case studies as examples: 1) market reform initiatives at a community hospital, 2) physician integration strategies, and 3) energy innovation projects including a wind turbine and fan-wall technology.
Learn how CORUS is enabling these significant improvements:
Integration of EHR data, including patient-level clinical and operational data, as well as departmental and equipment resource-utilization data, delivering the first truly comprehensive view of the true cost of patient care
Manufacturing-style activity-based costing that is scalable and maintainable, freeing analysts to focus on identifying variation and cost-saving opportunities
Embedded costing knowledge including best practices, rules, and algorithms from world-renowned academic healthcare institutions, accelerating cost management transformation
Dramatically more timely and actionable cost data based on an analytics platform that supports over 160 source systems including EHR, claims, General Ledger, payroll, supply chain, and patient satisfaction systems
We look forward to you joining us!
The Ontario Telemedicine Network (OTN) is one of the largest telemedicine networks in the world. It provides clinical telemedicine services, emergency telemedicine, healthcare provider education, store-and-forward services, and telehomecare across Ontario. In 2009/10, OTN had over 125,000 patient encounters through over 1,200 sites. Studies show telemedicine reduces costs and travel burdens while improving access to care. OTN aims to make telemedicine a mainstream part of healthcare delivery and education in Ontario.
Parallel Session 3.2 Innovations in Acute Flow and Capacity ManagementNHSScotlandEvent
Patient flow refers to the movement of patients through the healthcare system. Slow patient flow can negatively impact quality of care and increase costs. When patient flow slows down, more patients are at risk of dying from delays in treatment or medical errors. It also increases costs due to longer lengths of stay, increased use of expensive hospital resources, and less efficient use of staff time. Improving patient flow requires considering the entire patient journey, separating elective and emergency care streams, eliminating unnecessary variability, and ensuring capacity matches demand.
This document provides information about Teladoc, a telehealth and virtual healthcare services company. It highlights Teladoc's industry leadership position, the various care options and clinical specialties it provides, positive patient satisfaction and client retention rates, and examples of cost savings and utilization increases experienced by its clients. The document also describes Teladoc's user-friendly virtual care platform and mobile app, its focus on client success and marketing support, and pricing information for its telehealth services.
Good News about Bad News – New Findings on Word of MouthBSI
This document presents findings from research on word-of-mouth communication (WOM). The research found that:
1) Positive WOM is about 3 times more common than negative WOM, with average penetrations of 46% and 17% respectively across 15 categories.
2) Those who engage in negative WOM are much more likely to also engage in positive WOM, with 75% of negative WOM communicators also sharing positive WOM.
3) The incidence of positive and negative WOM are positively correlated across categories, indicating common drivers of both types of WOM. However, a lack of knowledge of negative examples may restrict negative WOM more than positive WOM in some categories.
This document provides information about a upcoming lecture and live surgery event on mini implant overdentures presented by Dr. Andrew Kelly. The event will take place on October 23, 2009 at Dr. Kelly's office in Clemmons, NC and will provide 6 CE credits. Dr. Kelly is an experienced dentist and lecturer who will cover topics like mini implant placement techniques, CT scan technology, and ways to increase practice revenue. Attendees will learn how to confidently treat implant cases and increase patient satisfaction with esthetic and affordable solutions for missing teeth.
Unlocking the Potential Dental Business Administration in Modern Practices.pptxEvolve Dental Academy
Dental business administration tends to happen behind the scenes, but it is an important aspect of the efficient functioning of dental practices. The only constant thing in healthcare is change, and this applies to dentistry as well. Today, we are going to look at what dental business administration means in modern practices and what it would mean to obtain a Dental Business Administration Certificate to embark on those kinds of careers.
The document discusses the potential of teledentistry to improve access to dental care for underserved populations and increase practice revenue. It introduces Teledent, an easy and cost-effective teledentistry system, and provides an example of how a hygienist could use Teledent to conduct remote dental screenings and exams on senior patients, with the dentist remotely reviewing records. Adopting Teledent could allow practices to serve more patients without adding operatories or staff by making more productive use of hygienists' time and enabling remote services.
The document outlines key aspects of valuing medical laboratories, including:
- What pathology is and the different types (clinical and anatomic)
- How laboratories generate revenue through billing payors like Medicare and insurance companies for procedures coded using CPT codes
- Details of the Medicare reimbursement process and fee schedules that determine payment amounts for laboratory services
- Sources of revenue for laboratories including referrals from physician offices and hospitals
- Factors that influence laboratory revenues such as Medicare spending trends and reimbursement rates
The document discusses rankings of top dental clinics in Serbia according to the GCR (Global Clinic Rating) index. It provides details on the methodology used to evaluate and rank 87 dental clinics in Serbia based on expertise, facilities, services, and patient feedback. The top 10 dental clinics are listed, with Clinic Dr. Popovic ranked first and Dental Oral Centar ranked second. Details are given on these two top-ranked clinics, which received recommendations from GCR experts.
Research-Driven Solutions for Innovative State PolicyAcademyHealth
This document discusses health services research and its goals of determining what works best, for whom, under what circumstances, and at what cost. It outlines Arkansas' efforts to improve its health system, including establishing a governance structure and setting objectives around improving population health, patient experience, and controlling costs. It also presents data on variation in costs between providers for different medical conditions/procedures, showing opportunities for improving value through care standardization.
The document is Nick Kwasiborski's career portfolio from Northwood University which includes his resume, samples of his work such as financial analyses and a business plan, as well as a recommendation letter and information about awards he has received. The portfolio is intended to represent the work Nick has done in pursuing his major in finance over the past four years in order to help him find a career in the financial field.
Helping Health Healthcare: Financial Decision SupportDan Wellisch
The document discusses how decision support can help healthcare organizations address financial challenges through accurate cost accounting. It explains that traditional healthcare accounting does not provide the true costs of treating patients or the profitability of services. Decision support uses various costing methodologies like relative value units (RVUs), activity-based costing (ABC), and time-driven activity-based costing (TDABC) to attribute expenses to individual patients and clinical services. This allows organizations to understand costs, identify areas for improvement, set appropriate prices, and evaluate opportunities under value-based payment models.
revelationMD developed a data bridge that reduces
healthcare costs & improves quality by connecting the
payer, the user & the authorizer for the first time ever
Nguyen_Sheena_HA 3970 Final Project ReportSheena Nguyen
1) Mesa View Medical Group currently does not offer dermatology services and the nearest dermatologist is an hour away in Las Vegas, making care costly and inaccessible for rural patients.
2) The client wants to implement teledermatology using a store-and-forward model to expand specialty services, lower costs, increase patient access, and facilitate dermatology training.
3) The assistant recommends the TeleDerm Solutions 2.0 product for its dermatology-specific templates that can decrease consultation times and allow trainee involvement, helping the client transition to providing teledermatology.
Onetouch Medical Billing provides revenue cycle management and practice management software solutions. Their solutions include practice management systems, electronic medical records, document management, and revenue cycle management services. They aim to increase revenue and profitability for healthcare practices by professional billing, certified coding, and reducing days in accounts receivable. Case studies show practices working with Onetouch experience increased cash flow, reduced accounts receivable, and improved financial performance.
Always Care Introduction Presentation 2009walshinsurance
- AlwaysCare Benefits is a privately owned company based in Baton Rouge, LA that provides dental, vision, hearing, life and disability benefits to over 400,000 members.
- They focus on customer service and have strong retention and satisfaction rates. Their online tools provide members access to claims, benefits, and provider searches.
- In addition to group benefits, they also offer individual dental coverage that allows freedom of choice of dentists and includes a vision benefit.
Discovering and mapping your community needs - HealthLandscape
Presented at the 2013 Community Connections Pre-Application Workshops for The HealthPath Foundation of Ohio
Enroll America aims to enroll more than 16 million uninsured Americans in new health coverage options made available by the Affordable Care Act. It will execute a national enrollment campaign using various engagement strategies and sharing best practices. Research shows many uninsured Americans are unaware of the new options or skeptical they can afford coverage. Enroll America's messaging will focus on financial security, affordability when tax credits are considered, and the benefits of preventing financial ruin from medical costs. It will target key demographic groups and work with partners at the national, state, and local levels to maximize enrollment.
More Related Content
Similar to Survival Strategies for Safety Net Dental Clinics
This document outlines a presentation on sustainable planning for healthcare. It discusses defining sustainability and the environmental context facing the healthcare system. It then covers the key components of successful planning, including time, people, money, energy, and physical assets. Finally, it provides three case studies as examples: 1) market reform initiatives at a community hospital, 2) physician integration strategies, and 3) energy innovation projects including a wind turbine and fan-wall technology.
Learn how CORUS is enabling these significant improvements:
Integration of EHR data, including patient-level clinical and operational data, as well as departmental and equipment resource-utilization data, delivering the first truly comprehensive view of the true cost of patient care
Manufacturing-style activity-based costing that is scalable and maintainable, freeing analysts to focus on identifying variation and cost-saving opportunities
Embedded costing knowledge including best practices, rules, and algorithms from world-renowned academic healthcare institutions, accelerating cost management transformation
Dramatically more timely and actionable cost data based on an analytics platform that supports over 160 source systems including EHR, claims, General Ledger, payroll, supply chain, and patient satisfaction systems
We look forward to you joining us!
The Ontario Telemedicine Network (OTN) is one of the largest telemedicine networks in the world. It provides clinical telemedicine services, emergency telemedicine, healthcare provider education, store-and-forward services, and telehomecare across Ontario. In 2009/10, OTN had over 125,000 patient encounters through over 1,200 sites. Studies show telemedicine reduces costs and travel burdens while improving access to care. OTN aims to make telemedicine a mainstream part of healthcare delivery and education in Ontario.
Parallel Session 3.2 Innovations in Acute Flow and Capacity ManagementNHSScotlandEvent
Patient flow refers to the movement of patients through the healthcare system. Slow patient flow can negatively impact quality of care and increase costs. When patient flow slows down, more patients are at risk of dying from delays in treatment or medical errors. It also increases costs due to longer lengths of stay, increased use of expensive hospital resources, and less efficient use of staff time. Improving patient flow requires considering the entire patient journey, separating elective and emergency care streams, eliminating unnecessary variability, and ensuring capacity matches demand.
This document provides information about Teladoc, a telehealth and virtual healthcare services company. It highlights Teladoc's industry leadership position, the various care options and clinical specialties it provides, positive patient satisfaction and client retention rates, and examples of cost savings and utilization increases experienced by its clients. The document also describes Teladoc's user-friendly virtual care platform and mobile app, its focus on client success and marketing support, and pricing information for its telehealth services.
Good News about Bad News – New Findings on Word of MouthBSI
This document presents findings from research on word-of-mouth communication (WOM). The research found that:
1) Positive WOM is about 3 times more common than negative WOM, with average penetrations of 46% and 17% respectively across 15 categories.
2) Those who engage in negative WOM are much more likely to also engage in positive WOM, with 75% of negative WOM communicators also sharing positive WOM.
3) The incidence of positive and negative WOM are positively correlated across categories, indicating common drivers of both types of WOM. However, a lack of knowledge of negative examples may restrict negative WOM more than positive WOM in some categories.
This document provides information about a upcoming lecture and live surgery event on mini implant overdentures presented by Dr. Andrew Kelly. The event will take place on October 23, 2009 at Dr. Kelly's office in Clemmons, NC and will provide 6 CE credits. Dr. Kelly is an experienced dentist and lecturer who will cover topics like mini implant placement techniques, CT scan technology, and ways to increase practice revenue. Attendees will learn how to confidently treat implant cases and increase patient satisfaction with esthetic and affordable solutions for missing teeth.
Unlocking the Potential Dental Business Administration in Modern Practices.pptxEvolve Dental Academy
Dental business administration tends to happen behind the scenes, but it is an important aspect of the efficient functioning of dental practices. The only constant thing in healthcare is change, and this applies to dentistry as well. Today, we are going to look at what dental business administration means in modern practices and what it would mean to obtain a Dental Business Administration Certificate to embark on those kinds of careers.
The document discusses the potential of teledentistry to improve access to dental care for underserved populations and increase practice revenue. It introduces Teledent, an easy and cost-effective teledentistry system, and provides an example of how a hygienist could use Teledent to conduct remote dental screenings and exams on senior patients, with the dentist remotely reviewing records. Adopting Teledent could allow practices to serve more patients without adding operatories or staff by making more productive use of hygienists' time and enabling remote services.
The document outlines key aspects of valuing medical laboratories, including:
- What pathology is and the different types (clinical and anatomic)
- How laboratories generate revenue through billing payors like Medicare and insurance companies for procedures coded using CPT codes
- Details of the Medicare reimbursement process and fee schedules that determine payment amounts for laboratory services
- Sources of revenue for laboratories including referrals from physician offices and hospitals
- Factors that influence laboratory revenues such as Medicare spending trends and reimbursement rates
The document discusses rankings of top dental clinics in Serbia according to the GCR (Global Clinic Rating) index. It provides details on the methodology used to evaluate and rank 87 dental clinics in Serbia based on expertise, facilities, services, and patient feedback. The top 10 dental clinics are listed, with Clinic Dr. Popovic ranked first and Dental Oral Centar ranked second. Details are given on these two top-ranked clinics, which received recommendations from GCR experts.
Research-Driven Solutions for Innovative State PolicyAcademyHealth
This document discusses health services research and its goals of determining what works best, for whom, under what circumstances, and at what cost. It outlines Arkansas' efforts to improve its health system, including establishing a governance structure and setting objectives around improving population health, patient experience, and controlling costs. It also presents data on variation in costs between providers for different medical conditions/procedures, showing opportunities for improving value through care standardization.
The document is Nick Kwasiborski's career portfolio from Northwood University which includes his resume, samples of his work such as financial analyses and a business plan, as well as a recommendation letter and information about awards he has received. The portfolio is intended to represent the work Nick has done in pursuing his major in finance over the past four years in order to help him find a career in the financial field.
Helping Health Healthcare: Financial Decision SupportDan Wellisch
The document discusses how decision support can help healthcare organizations address financial challenges through accurate cost accounting. It explains that traditional healthcare accounting does not provide the true costs of treating patients or the profitability of services. Decision support uses various costing methodologies like relative value units (RVUs), activity-based costing (ABC), and time-driven activity-based costing (TDABC) to attribute expenses to individual patients and clinical services. This allows organizations to understand costs, identify areas for improvement, set appropriate prices, and evaluate opportunities under value-based payment models.
revelationMD developed a data bridge that reduces
healthcare costs & improves quality by connecting the
payer, the user & the authorizer for the first time ever
Nguyen_Sheena_HA 3970 Final Project ReportSheena Nguyen
1) Mesa View Medical Group currently does not offer dermatology services and the nearest dermatologist is an hour away in Las Vegas, making care costly and inaccessible for rural patients.
2) The client wants to implement teledermatology using a store-and-forward model to expand specialty services, lower costs, increase patient access, and facilitate dermatology training.
3) The assistant recommends the TeleDerm Solutions 2.0 product for its dermatology-specific templates that can decrease consultation times and allow trainee involvement, helping the client transition to providing teledermatology.
Onetouch Medical Billing provides revenue cycle management and practice management software solutions. Their solutions include practice management systems, electronic medical records, document management, and revenue cycle management services. They aim to increase revenue and profitability for healthcare practices by professional billing, certified coding, and reducing days in accounts receivable. Case studies show practices working with Onetouch experience increased cash flow, reduced accounts receivable, and improved financial performance.
Always Care Introduction Presentation 2009walshinsurance
- AlwaysCare Benefits is a privately owned company based in Baton Rouge, LA that provides dental, vision, hearing, life and disability benefits to over 400,000 members.
- They focus on customer service and have strong retention and satisfaction rates. Their online tools provide members access to claims, benefits, and provider searches.
- In addition to group benefits, they also offer individual dental coverage that allows freedom of choice of dentists and includes a vision benefit.
Similar to Survival Strategies for Safety Net Dental Clinics (20)
Discovering and mapping your community needs - HealthLandscape
Presented at the 2013 Community Connections Pre-Application Workshops for The HealthPath Foundation of Ohio
Enroll America aims to enroll more than 16 million uninsured Americans in new health coverage options made available by the Affordable Care Act. It will execute a national enrollment campaign using various engagement strategies and sharing best practices. Research shows many uninsured Americans are unaware of the new options or skeptical they can afford coverage. Enroll America's messaging will focus on financial security, affordability when tax credits are considered, and the benefits of preventing financial ruin from medical costs. It will target key demographic groups and work with partners at the national, state, and local levels to maximize enrollment.
The document discusses strategies for outreach and enrollment in health insurance plans under the Affordable Care Act. It notes that enrollment begins on October 1, 2013 and outlines a two-fold strategy by Enroll America to maximize enrollment. Key points include:
- Enroll America aims to enroll at least 15 million uninsured Americans by promoting best practices and a national enrollment campaign.
- There will be a single, streamlined application process across Medicaid, CHIP and private plans regardless of whether a state expands Medicaid.
- Most of the uninsured are located in 13 states and are more likely to enroll with in-person assistance. Safety net providers are well-positioned to help with outreach due to existing relationships.
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The HealthPath Foundation of Ohio provides Community Connections grants to support safety net healthcare providers, social service organizations, schools, and government agencies serving 36 Ohio counties. Grants of up to $5,000 or $7,500 are available, including regular grants and challenge grants requiring a 1:1 match. The grant review process involves letters of intent, invited full proposals, review by a volunteer panel, award announcements, and a grantee luncheon. The timeline outlines due dates for letters of intent in May 2013 and full proposals in August 2013, with award notifications in November 2013.
This document discusses quality measures for oral health care programs. It defines quality of care and outlines six aims for improving health care identified by the Institute of Medicine: that care should be safe, effective, patient-centered, timely, efficient and equitable. Several key determinants of quality dental care are described, including structural adequacy, access, technical skills, communication, documentation, coordination, patient factors and outcomes. The document then discusses various approaches to quality assurance, including continuous quality improvement models, quality measurement, and examples of specific metrics used to monitor oral health programs.
This document discusses the benefits of community-based dental education programs for students, patients, and providers. It notes that upcoming accreditation standards will require more community-based experiences and exposure to diverse patient populations. Data is presented showing the productivity and experiences gained by dental students through community partnerships in Ohio. Benefits for schools include a greater range of patient experiences while benefits for community partners include a sustainable workforce and sharing of resources. Potential disadvantages include increased bureaucracy and changing educational priorities.
This document discusses best practices for safety net dental practices. It recommends establishing clear goals and measuring outcomes to demonstrate improved patient health. It also recommends creating a sustainable practice that provides quality care, is affordable for patients, and is a good place to work. The document outlines principles from the IOM for improving oral health, including increasing accountability, prevention, health literacy, and decreasing disparities. It provides examples of best practices such as managing no-shows, emergencies, self-pay patients, scheduling, and quality assurance.
The document summarizes the mission, measures, means, and feedback processes of the Dental Center of Northwest Ohio. The mission is to provide oral health services for low-income children and adults, promote oral health education, and advocate for those with limited access to care. Measures include appointment wait times, lab cases, prior authorizations, referrals, no-show rates, treatment completion rates, and exam types. Means include staffing, facilities, supplies, communication materials, and a private practice business model with daily scheduling and production goals. Feedback informs adjustments to improve processes.
The document discusses models of medical-dental integration and collaboration, from separate locations with little communication to more fully integrated models. It outlines barriers to integration like separate education and different reimbursement systems. Effective models coordinate care, screen and provide preventive oral health services. This improves access and outcomes while reducing costs through early prevention and intervention.
Community Health Center Growth: Opportunities and Challenges - Shawn Frick - as presented at The Strengthening Ohio’s Safety Net Roundtable April 29, 2011. For more info, visit http://www.healthpathohio.org/
Community health centers face both opportunities and challenges in their growth. Opportunities include $60-92 million available in 2011 for expansion funding and grants from programs like the Facility Improvement Program. However, health centers also face challenges in integrating with other providers to coordinate patient care as requirements increase under health reform. Effectively responding to both opportunities and threats will be important for health centers as the healthcare system continues to evolve.
Introduction to Finance Fund - Valerie Heiby as presented at The Strengthening Ohio’s Safety Net Roundtable April 29, 2011. For more info, visit http://www.healthpathohio.org/
Strategic Community Health Center Growth
- Shawn Frick - as presented at The Strengthening Ohio’s Safety Net Roundtable April 29, 2011. For more info, visit http://www.healthpathohio.org/
Presenter Dr. Neal A. Bemby - Strategies to assure Access and Equity: Service Learning; Postdoctoral Residency Training & Educational Entrepreneuship as a Workforce Initiative, as presented at The Strengthening Ohio’s Safety Net Roundtable April 29, 2011. For more info, visit http://www.healthpathohio.org/
Access HealthColumbus - Jeff Biehl, as presented at The Strengthening Ohio’s Safety Net Roundtable April 29, 2011. For more info, visit http://www.healthpathohio.org/
Working Together to Strengthen Ohio's Safety Net - Dr Wymyslo, Ohio Department of Health, as presented at The Strengthening Ohio’s Safety Net Roundtable April 29, 2011. For more info, visit http://www.healthpathohio.org/
Presenter Dr Joan Gluch--Bridging the Gaps: Providing health-related service for underserved populations while training future health professionals, as presented at The Strengthening Ohio’s Safety Net Roundtable April 29, 2011. For more info, visit http://www.healthpathohio.org/
Presenter Benjamin Money, MPH, President & CEO, North Carolina Community Health Center Association, on The North Carolina Health Center Incubator Program as presented at The Strengthening Ohio’s Safety Net Roundtable April 29, 2011. For more info, visit http://www.healthpathohio.org/
- Video recording of this lecture in English language: https://youtu.be/Pt1nA32sdHQ
- Video recording of this lecture in Arabic language: https://youtu.be/uFdc9F0rlP0
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
These lecture slides, by Dr Sidra Arshad, offer a simplified look into the mechanisms involved in the regulation of respiration:
Learning objectives:
1. Describe the organisation of respiratory center
2. Describe the nervous control of inspiration and respiratory rhythm
3. Describe the functions of the dorsal and respiratory groups of neurons
4. Describe the influences of the Pneumotaxic and Apneustic centers
5. Explain the role of Hering-Breur inflation reflex in regulation of inspiration
6. Explain the role of central chemoreceptors in regulation of respiration
7. Explain the role of peripheral chemoreceptors in regulation of respiration
8. Explain the regulation of respiration during exercise
9. Integrate the respiratory regulatory mechanisms
10. Describe the Cheyne-Stokes breathing
Study Resources:
1. Chapter 42, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 36, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 13, Human Physiology by Lauralee Sherwood, 9th edition
Pictorial and detailed description of patellar instability with sign and symptoms and how to diagnose , what investigations you should go with and how to approach with treatment options . I have presented this slide in my 2nd year junior residency in orthopedics at LLRM medical college Meerut and got good reviews for it
After getting it read you will definitely understand the topic.
Discover the benefits of homeopathic medicine for irregular periods with our guide on 5 common remedies. Learn how these natural treatments can help regulate menstrual cycles and improve overall menstrual health.
Visit Us: https://drdeepikashomeopathy.com/service/irregular-periods-treatment/
Know the difference between Endodontics and Orthodontics.Gokuldas Hospital
Your smile is beautiful.
Let’s be honest. Maintaining that beautiful smile is not an easy task. It is more than brushing and flossing. Sometimes, you might encounter dental issues that need special dental care. These issues can range anywhere from misalignment of the jaw to pain in the root of teeth.
Breast cancer: Post menopausal endocrine therapyDr. Sumit KUMAR
Breast cancer in postmenopausal women with hormone receptor-positive (HR+) status is a common and complex condition that necessitates a multifaceted approach to management. HR+ breast cancer means that the cancer cells grow in response to hormones such as estrogen and progesterone. This subtype is prevalent among postmenopausal women and typically exhibits a more indolent course compared to other forms of breast cancer, which allows for a variety of treatment options.
Diagnosis and Staging
The diagnosis of HR+ breast cancer begins with clinical evaluation, imaging, and biopsy. Imaging modalities such as mammography, ultrasound, and MRI help in assessing the extent of the disease. Histopathological examination and immunohistochemical staining of the biopsy sample confirm the diagnosis and hormone receptor status by identifying the presence of estrogen receptors (ER) and progesterone receptors (PR) on the tumor cells.
Staging involves determining the size of the tumor (T), the involvement of regional lymph nodes (N), and the presence of distant metastasis (M). The American Joint Committee on Cancer (AJCC) staging system is commonly used. Accurate staging is critical as it guides treatment decisions.
Treatment Options
Endocrine Therapy
Endocrine therapy is the cornerstone of treatment for HR+ breast cancer in postmenopausal women. The primary goal is to reduce the levels of estrogen or block its effects on cancer cells. Commonly used agents include:
Selective Estrogen Receptor Modulators (SERMs): Tamoxifen is a SERM that binds to estrogen receptors, blocking estrogen from stimulating breast cancer cells. It is effective but may have side effects such as increased risk of endometrial cancer and thromboembolic events.
Aromatase Inhibitors (AIs): These drugs, including anastrozole, letrozole, and exemestane, lower estrogen levels by inhibiting the aromatase enzyme, which converts androgens to estrogen in peripheral tissues. AIs are generally preferred in postmenopausal women due to their efficacy and safety profile compared to tamoxifen.
Selective Estrogen Receptor Downregulators (SERDs): Fulvestrant is a SERD that degrades estrogen receptors and is used in cases where resistance to other endocrine therapies develops.
Combination Therapies
Combining endocrine therapy with other treatments enhances efficacy. Examples include:
Endocrine Therapy with CDK4/6 Inhibitors: Palbociclib, ribociclib, and abemaciclib are CDK4/6 inhibitors that, when combined with endocrine therapy, significantly improve progression-free survival in advanced HR+ breast cancer.
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Summer is a time for fun in the sun, but the heat and humidity can also wreak havoc on your skin. From itchy rashes to unwanted pigmentation, several skin conditions become more prevalent during these warmer months.
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Histololgy of Female Reproductive System.pptxAyeshaZaid1
Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
6. St. Elizabeth Health Center
Ambulatory Care Center
Description:
•Internal Medicine Clinics
•Pediatric Clinic
•Women’s Health Center
•Pre-Natal Clinic
•Gynecological Clinic
•Surgical/Trauma Clinic
•Ambulatory Care Pharmacy
•WIC Program
•Prescription Assistance Program
•Specialty Clinics
7. Ambulatory Care Center
Purpose of Service
1. Provide health services to the ambulant
patient of low income, no insurance and under
insured referrals from other
physicians, surgeons, Family Health Center
(but not limited to this group).
2. Provide for diagnosis and treatment of disease
entities.
3. Provide preventive health education and
promote wellness on patient and family basis.
4. Provide education and training opportunities
for Ambulatory Care medical residents and
medical/nursing students and related health
professions.
8. Mission Statement
The mission of the Ambulatory Care Center is to provide individuals with health
care, which includes prevention, diagnosis, treatment, and education regardless of their
economic status. We are committed to delivering high quality medical care to everyone
in need, with an emphasis on the poor and underserved residents within the community.
As a teaching facility for the residency programs, the Ambulatory Care Center is also
devoted to providing residents and students an education that emphasizes proper
medical treatment as well as concern and respect for our patients and community.
The Ambulatory Care Center is part of the Humility of Mary Health Partners, which
continues the healing ministry of the Sisters of Humility of Mary.
13. INPATIENT FLOOR CONSULTS
FOLLOWUP TREATMENT
EMERGENCY ROOM CONSULTS
FOLLOWUP TREATMENT
The dental residents/ faculty provide coverage for 24 hour emergent care.
This enables dental pathology to be intercepted and treated at an earlier stage of
progression.
Early interception of dental pathology prevents fulminant progression and
extension to involve and exacerbate existing systemic co-morbidities.
Not only does this reduce risk for the patient, but also significantly reduces cost to
the hospital facility by preventing multi-organ system involvements.
15. OUTPATIENT ORAL SURGICAL/GENERAL DENTAL
PROCEDURES IN THE MAIN OPERATING ROOM
One of only three sites in the tri-county area to provide for comprehensive
dental needs for the mentally-challenged, developmentally
disabled, pediatric and frail/elderly.
CDC data clearly demonstrates that people with disabilities and complex
health conditions are at greater risk for oral disease.
Early access to dental care will obviously prevent the progression of dental
disease to a more fulminant pathology.
However, less obvious is the fact that early access to dental care will also
prevent the fulmination of coexisting systemic disease such
as, CV, DM, HBP.
16. COMMUNITY EDUCATION
The faculty, residents and staff educate the
community regarding oral health and provide
direction so members of the community may access
the dental services they need.
17.
18. SYSTEMS OF MANAGEMENT
Ensure Consistent Delivery of
Care
Ensure Continuity of care
21. PERFORMANCE PARAMETERS
SAFETY NET RESIDENT
PATIENT CARE
DENTAL CLINIC EDUCATION
Individuall Collectivel
Faculty Residents
y y
22. DENTAL CLINIC PERFORMANCE MEASURES
Gross Charges Expenses # of Visits Rev per Cost per visit # of Unduplicated New pts # of Transactions/ No-Show Rate Emerg Rate # Children TOTAL # sealants
Baseline visit Pts visit receiving sealants applied
<21
3 mo
6 mo
9 mo
12 mo
15 mo
18 mo
21 mo
24 mo
# of completed
DDS RDH CDA treatments TPC’s 1-30 31-60 61-90 91+ Medicaid Sliding Fee 0 Sliding Fee Commercial Ins Other
** pay Scale
Sliding Fee
20% or more
3 mo
6 mo
9 mo
12 mo
15 mo
18 mo
21 mo
24 mo
23. DENTAL CLINIC PERFORMANCE MEASURES
Gross Expense # of Rev Cost per # of New # of No-Show Rate Emerg # Children TOTAL #
Baseline Charges s Visits per visit Unduplicated pts Transactions/ Rate receiving sealants
visit Pts visit sealants applied
<21
3 mo 2.64
6 mo 2.68
9 mo 2.50
12 mo 3.42
15 mo 3.27
18 mo 3.42
21 mo 3.7
24 mo
32. INCORPORATION OF OPEN/CLOSED DENTAL
APPT CONCEPTS
Quadrant dentistry for those sitting in chair
when next patient no shows.
Continuation of serial appointments
Conversion of emergency appointments to
definitive care.
33. DENTAL CLINIC REVENUE SOURCES
IME/DME Medicaid DSH In Kind Support HMHP
Baseline EAGLESOFT Med Floor $564,000 DME Anthem ODH CHP HMHP 1000 ACC/R HRSA HRSA Curr In Kind Grant Totals
Cross Consults 100,000 65,00 25,00 112,000 F Equip Grant Support HMHP
Coding 1500 Totals
0 0
Facility Fees Professional Fees
ER
GRANTS
3 mo 76,125
6 mo 76,125 ***
9 mo 1st 76,125 ***
Med Cross
12 mo 2nd
Coding
15 mo 3rd
18 mo 4th
21 mo
24 mo
34. DEFINITIVE CARE DENTISTRY
Only a dentist is trained and licensed to
provide the DEFINITIVE CARE that the oral
health needs of Ohioans require
Without access to the definitive care
provided by the dentist, many patients have
sought care in a more costly setting such as
a hospital emergency room.
35. DEFINITIVE DENTAL CARE CONT’D
Treatment of patients requiring dental care in
a hospital emergency room generally
consists of little more than two prescriptions:
An antibiotic for infection
An analgesic for pain
Thus, the patient receives only symptomatic
relief and re-enters the system in the future
presenting more fulminant pathology,
requiring the utilization of even more
resources
36. DEFINITIVE DENTAL CARE CONT’D
In some cases the results of poor dental care have
been deadly. A child in Mississippi and another in
Maryland died in 2008, as a result of infections
caused by decayed teeth.
A similar life-threatening situation presented to SEHC
Dental Clinic late in 2008 when a high risk 3rd
trimester female presented to the dental clinic with
multiple decayed and abscessed teeth.
OB/GYN consultation was obtained, appropriate
medications prescribed and surgery scheduled
The patient did not show for surgery
Next presentation to EOR via ambulance in coma
43. METHODS
Level I and II visits at SEHC Main ED from 10/07
thru 08/08 were analyzed (n = 3,088). Data
provided by S. Rivello.
Each encounter ICD9 diagnosis was reviewed to
ascertain its necessity as a ED visit (by DG). Any
encounter with associated procedures was
considered necessary.
Variables analyzed included self pay status,
demographics, charges, and temporal variability.
44. Vaginitis 6
UTI 10
Gout 10
Other sprain 12
Cervicalgia
Viral/ varicella
13
16 UNNECESSARY ED VISIT BY
TOP 30 DIAGNOSIS ICD9
Bipolar/ depression/mental health 16
Other 18
Anxiety 18
Chronic pain 19
Dressing change/ sutures 20
Earwax 22
Sinusitis/ rhinitus 22
Joint pain/ osteoarthritis 24
Hypertension 26
Pharyngitis/ Nasopharyngitis/strep 27
Bronchitis/ asthma 27
Repeat prescription 30
Scabies 31
Limb cramp/ myalgia 31
Hives 33
Allergy 35
STD/ VD/ HIV testing 40
URI/ cough 40
Backache/ lumbago/ disc 60
Conjunctivitis/blepharitis/chalazion 85
Back sprain 92
Otitis media 154
Dermatitis 180
Dental 391
45. DEVELOPMENT AND IMPLEMENTATION
OF DEFINITIVE CARE CLINIC
Our experiences in providing access to oral health care has
clearly demonstrated that the PRIMARY motivating factor
responsible for our patient population seeking care is PAIN not
PREVENTION
46. ER CONSULT BY DENTAL RESIDENT
Rx Antibiotic
Rx 1-2 Analgesics
LA Injection
Appt 700am following day
47.
48.
49. INSTITUTIONAL QUALITY OF CARE
Render definitive care
Most appropriate venue
Most cost effective manner
50. PERFORMANCE PARAMETERS
SAFETY NET RESIDENT
PATIENT CARE
DENTAL CLINIC EDUCATION
Individuall Collectivel
Faculty Residents
y y
53. DENTAL CLINIC PERFORMANCE MEASURES
Gross Charges Expenses # of Visits Rev per Cost per visit # of Unduplicated New pts # of Transactions/ No-Show Rate Emerg Rate # Children TOTAL # sealants
Baseline visit Pts visit receiving sealants applied
<21
3 mo
6 mo
9 mo
12 mo
15 mo
18 mo
21 mo
24 mo
# of completed
DDS RDH CDA treatments TPC’s 1-30 31-60 61-90 91+ Medicaid Sliding Fee 0 Sliding Fee Commercial Ins Other
** pay Scale
Sliding Fee
20% or more
3 mo
6 mo
9 mo
12 mo
15 mo
18 mo
21 mo
24 mo
63. CODA STANDARDS
Table of Contents PAGE
Mission Statement of the Commission on Dental Accreditation .............................................. 2
Accreditation Status Definitions .................................................................................................. 3
Introduction ................................................................................................................................. 4
Goals ............................................................................................................................................. 6
Educational Environment ............................................................................................................ 9
Definition of Terms Used in Accreditation Standards ............................................................ 14
Accreditation Standards for Dental Education Programs ...................................................... 17
1- Institutional Effectiveness ............................................................................................ 17
2- Educational Program.................................................................................................... 20
2-1 Instruction ............................................................................................................. 20
2-3 Curriculum Management ...................................................................................... 20
2-9 Critical Thinking ................................................................................................... 22
2-10 Self-Assessment .................................................................................................... 23
2-11 Biomedical Sciences ............................................................................................. 23
2-15 Behavioral Sciences .............................................................................................. 24
2-17 Practice Management and Health Care Systems .................................................. 25
2-20 Ethics and Professionalism ................................................................................... 25
2-21 Clinical Sciences ................................................................................................... 26
3- Faculty and Staff ........................................................................................................... 29
4- Educational Support Services ...................................................................................... 30
4-1 Admissions ............................................................................................................ 30
4-5 Facilities and Resources ........................................................................................ 30
4-6 Student Services .................................................................................................... 31
4-7 Student Financial Aid ........................................................................................... 31
4-9 Health Services ..................................................................................................... 31
5- Patient Care Services .................................................................................................... 33
6- Research Program ........................................................................................................ 35
64. CODA STANDARDS
Mission Statement of the Commission on Dental
Accreditation
The Commission on Dental Accreditation serves the
public by establishing, maintaining and applying
standards that ensure the quality and continuous
improvement of dental and dental-related education
and reflect the evolving practice of dentistry. The
scope of the Commission on Dental Accreditation
encompasses dental, advanced dental and allied
dental education programs.
Commission on Dental Accreditation
Revised: January 30, 2001
77. QT EVAL OF RESIDENTS BY FACULTY
ST. ELIZABETH HEALTH CENTER
EVALUATION OF COMPETENCIES
GENERAL PRACTICE DENTAL RESIDENCY PROGRAM
Resident: ___________________ Evaluation Period: _________________
Faculty: ______________________________________________ Date:_________________________
Faculty Signature:_______________________________________
Please circle the number corresponding to the resident’s performance in each area.
Unsatisfactory= Several behaviors performed poorly or missed (rating 1, 2 or 3)
Satisfactory= Most behaviors performed acceptably (ratings 4, 5,or 6); satisfactory performance is described below)
Superior= All behaviors performed very well (ratings 7,8, or 9)
Unsatisfactory Satisfactory Superior
Professionalism
1. Demonstrates integrity and 1 2 3 4 5 6 7 8 9
ethical behavior; Accepts Takes responsibility for actions willingly; admits mistakes; puts patient
responsibility and follows needs above own interests; recognizes & addresses ethical dilemmas &
through on tasks conflicts of interest; maintains patient confidentiality; is industrious &
dependable; completes tasks carefully & thoroughly; responds to
requests in a helpful & prompt manner.
2. Practices within the scope 1 2 3 4 5 6 7 8 9
of his/her abilities Recognizes limits of his/her abilities; asks for help when needed; refers
patients when appropriate; exercises authority accorded by position and/or
experiences.
3. Demonstrates care and 1 2 3 4 5 6 7 8 9
concern for patients and Responds appropriately to patient & family emotions; establishes rapport;
their families regardless of provides reassurance; is respectful & considerate; does not rush; is sensitive
age, gender, ethnicity or to issues related to each patient’s culture, age, gender & disabilities; provides
sexual orientation; Responds equitable care regardless of patient culture or socioeconomic status.
to each patient’s unique
characteristics and needs
Interpersonal & Communication Skills
4. Always demonstrates integrity, respect 1 2 3 4 5 6 7 8 9
compassion, and empathy for patient.
Establishes trust. Primary concern is for
the patient’s welfare. Maintains credibility,
excellent rapport with patients and families.
5. Communicates effectively 1 2 3 4 5 6 7 8 9
with other healthcare Maintains complete & legible medical records; writes clear & concise
professionals consultation reports & referral letters; makes organized & concise
presentations of patient information; gives clear & well-prepared
presentations.
6. Works effectively with 1 2 3 4 5 6 7 8 9
other members of the Demonstrates courtesy to and consideration of consultants, therapists,
healthcare team & other team members; invites others to share their knowledge & opinions;
makes requests not demands; negotiates & compromises when disagreements
occur; handles conflict constructively.
Dental Knowledge
7. Extensive and well applied. Knowledge 1 2 3 4 5 6 7 8 9
Of disease, pathophysiology, diagnosis and
Therapy. Consistently up-to-date. Self-
Motivated to acquire knowledge.
8. Identifies all the patient’s problems. 1 2 3 4 5 6 7 8 9
Interrelates abnormal findings with altered
dental pathology. Establishes sensible
differential diagnoses. Provides orderly
succession of testing, therapeutic recommendations
78.
79.
80. QT EVAL OF FACULTY BY RESIDENTS
S t. Elizabe th He a lth Ce n te r
D e p a rtm e n t Of D e n ta l Ed u c a tio n
EVALU ATION of CORE FACU LTY by RES ID EN TS
Ac a d e m ic Ye a r: 2011-2012 D a te s :_ J u ly – Oc to be r 2011______
P lea se eva lu a t e t h e fa cu lt y list ed below, r a t in g in a ll of t h e ca t egor ies or in dica t in g N/A.
F a c u lty N a m e _________________
TEACHIN G CATEGORIES Ex c e lle n t Go o d F a ir P oor N /A
1. Tea ch in g E n t h u sia sm
2. Over a ll Tea ch ing Abilit y
a . Ba sic Scien ce
b. Clinica l Scien ce
c. Lect u r e Con t en t
d. Oper a t in g Room
e. Con fer en ce At t en da n ce
f. Con fer en ce P a r t icipa t ion
3. Wer e t h er e per son a lit y con flict s? Yes No
If yes, plea se expla in :
4. Recom m en da t ion s/com m en t s:
RE SIDE NT _____________________SIGNATURE _________________________________
P le a s e re tu rn to La ris s a Mc E lra th , D e n ta l Ed u c a tio n AS AP
E va l. by Res.-of Core F a cu lt y (qt.
81. DIRECTOR OF MEDICAL EDUCATION
• Completes Statistical Analysis and Evaluation
• Faculty/Resident Retention, Advancement or Termination