Eric Just, Vice President of Technology and Kathleen Merkley, Clinical Engagement Executive and Vice President at Health Catalyst, will demonstrate live several advanced applications built on a Late-Binding Catalyst data warehouse. Attendees will better understand how to:
Identify variability in care
Define accurate populations
Report on key health indicators across the continuum of care
Apply flexible models for risk stratification
Measure detailed process metrics spanning transitions of care for HF patients
Next generation health systems and Accountable Care Organizations will be paid based on an evolving model that rewards healthcare providers through ‘shared savings.’ Those savings must be achieved through systematic cost reductions while still improving quality of care. For most, this dual focus will prove to be the most critical and difficult part of realizing success.
Best Practices in Implementing Population Health Health Catalyst
To manage population health, one needs to intimately understand the anatomy of healthcare and model how healthcare is delivered, in order to systematically improve healthcare outcomes. In this webinar, Dr. Burton draws on his 26-year executive career at Intermountain, Select Health, and Health Catalyst. He emphasizes the importance of linking administrative data (e.g., billing codes) to processes of clinical care to use the 80/20 principle to prioritize care processes within each venue to focus improvement initiatives on the things that matter most. He will also discuss a Clinical Integration framework to use in driving out waste by reducing variation in the ordering of care, the efficiency with which the care that is ordered is delivered and reducing defects in care delivery to make it safer.
Patient Flight Path Analytics: From Airline Operations to Healthcare OutcomesHealth Catalyst
We developed a predictive analytics framework for patient care based upon concepts from airline operations. Using the idea of an aircraft turnaround time where the airline wants to put the aircraft back into operation as soon as possible, we’ve created a way to help patients headed toward poor outcomes, along with their providers, “turnaround” and get the best possible, most cost-effective outcome. For example, in a diabetes patient, we might use variables such as: age, alcohol use, annual eye/foot exam, BMI, etc. to look for patterns that might influence two outcomes: 1) Diabetic control and 2) The absence of progression toward diabetic complications. The notion of our Patient Flight Path is useful at both the conceptual level, as well as the predictive algorithm implementation level.
The Power of Geo Analytics (and maps) to Improve Predictive Analytics in Heal...Health Catalyst
As far back as the 1840s, clinicians have been using maps to inform them about population health trends. Today, the geo-analytics industry is well-developed in almost every application, with the exception of healthcare and medicine. There is potential to use mapping technologies to show patient disease burden in geographic form, map locations of health care facilities, and a plethora of accountable care population health initiatives would benefit from geo-analysis. Health Catalyst is working to integrate inputs into analysis like maps that can show geographic care boundaries, population health demographics, and more.
Partners’ Care Management Strategy: A 10-Year JourneyHealth Catalyst
Chronic diseases are responsible for seven out of 10 deaths each year, killing more than 1.7 million Americans annually. Additionally, 133 million Americans—approximately 45 percent of the population—have at least one chronic disease. Partners HealthCare believes that chronically ill patients with multiple medical conditions often need the most help coordinating their care, which is why this well-respected health system has spent the last 10 years perfecting an integrated care management program (iCMP).
Key elements of the iCMP at Partners include access to specialized resources (e.g., mental health, palliative care), involvement through the continuum of care, patient self-management, IT-enabled systems to improve care coordination, data-driven analytics to support strategic decision making, a payer-blind approach, and ongoing support and training for its teams and staff.
Attendees will learn how to:
Identify the essential elements of an effective care management program for chronically ill patients
Recognize how care management plays a key role in an effective population health management strategy
Determine how to use information to identify and effectively manage complex, chronically ill patients
Leveraging Healthcare Analytics to Reduce Heart Failure Readmission Rates Health Catalyst
Heart failure patients are adding an enormous strain to the US healthcare system. In addition, readmission rates for these diseases are adding to the burden. Healthcare analytics can play a key role. By following these 4 steps, all of which include data analytics, health systems can begin to reduce readmission rates: 1) Understand your true admission rates. 2) Establish reliable baseline measures. 3) Be aware of balance measures. 4) Establish an EDW.
We spent time collecting healthcare factoids that show key trends driving the need for data in healthcare. And now, we’ve put it into an easy-to-view, shareable, memorable presentation to use as you see fit. You can use these factoids to help you make a case for reducing healthcare waste or get pointers for your next IT project. You can even use a few of them to predict the future of healthcare.
We hand-picked the most interesting, useful, credible factoids from 2015 (including the plethora of facts that came out of the 2nd Healthcare Analytics Summit) to create an easy-to-share presentation. The 55 factoids included in this presentation revealed several interesting healthcare trends: Trend #1: Healthcare analytics continue to improve outcomes and save money. For example, OSF’s predictive readmission model reduced its all-cause readmission rate to less than 10%. Trend #2: New technologies are improving patient engagement. For example, 73 percent of health executives surveyed see positive ROI from personalization technologies, and 76 percent of doctors say patient use of wearable health devices improves engagement. Trend #3: Patients and providers agree on data is useful but have security and interoperability concerns. For example, 83 percent of patients don’t trust EHR safety and security, and 83 percent of physicians are frustrated by EHR interoperability. Although a majority of healthcare leaders understand the importance of using analytics to improve outcomes and reduce costs, only 15% of hospitals use predictive analytics. We hope to see analytics use increase in 2016, and we’re excited to see how technology will continue to engage patients and lead to better health outcomes.
Two-Midnight Rule: Ready For the Clock to Strike 12?Health Catalyst
CMS’s proposed changes to the controversial two-midnight rule that governs short hospital stays, has been met with strong opposition by the healthcare community. While the core of the rule is fairly straightforward, implementation could be anything but. Being classified as an outpatient or inpatient can have a substantial financial impact the patient and the hospital. Adding to the confusion, CMS has also stated this policy won’t override a physician’s judgment. Unfortunately, CMS failed to provide details on what the physician must provide in order to justify their decision. The good news is there is still time to provide feedback to CMS. Take action, understand the new rules, let your voice be heard, and most importantly, be prepared for the new rule in 2016.
Best Practices in Implementing Population Health Health Catalyst
To manage population health, one needs to intimately understand the anatomy of healthcare and model how healthcare is delivered, in order to systematically improve healthcare outcomes. In this webinar, Dr. Burton draws on his 26-year executive career at Intermountain, Select Health, and Health Catalyst. He emphasizes the importance of linking administrative data (e.g., billing codes) to processes of clinical care to use the 80/20 principle to prioritize care processes within each venue to focus improvement initiatives on the things that matter most. He will also discuss a Clinical Integration framework to use in driving out waste by reducing variation in the ordering of care, the efficiency with which the care that is ordered is delivered and reducing defects in care delivery to make it safer.
Patient Flight Path Analytics: From Airline Operations to Healthcare OutcomesHealth Catalyst
We developed a predictive analytics framework for patient care based upon concepts from airline operations. Using the idea of an aircraft turnaround time where the airline wants to put the aircraft back into operation as soon as possible, we’ve created a way to help patients headed toward poor outcomes, along with their providers, “turnaround” and get the best possible, most cost-effective outcome. For example, in a diabetes patient, we might use variables such as: age, alcohol use, annual eye/foot exam, BMI, etc. to look for patterns that might influence two outcomes: 1) Diabetic control and 2) The absence of progression toward diabetic complications. The notion of our Patient Flight Path is useful at both the conceptual level, as well as the predictive algorithm implementation level.
The Power of Geo Analytics (and maps) to Improve Predictive Analytics in Heal...Health Catalyst
As far back as the 1840s, clinicians have been using maps to inform them about population health trends. Today, the geo-analytics industry is well-developed in almost every application, with the exception of healthcare and medicine. There is potential to use mapping technologies to show patient disease burden in geographic form, map locations of health care facilities, and a plethora of accountable care population health initiatives would benefit from geo-analysis. Health Catalyst is working to integrate inputs into analysis like maps that can show geographic care boundaries, population health demographics, and more.
Partners’ Care Management Strategy: A 10-Year JourneyHealth Catalyst
Chronic diseases are responsible for seven out of 10 deaths each year, killing more than 1.7 million Americans annually. Additionally, 133 million Americans—approximately 45 percent of the population—have at least one chronic disease. Partners HealthCare believes that chronically ill patients with multiple medical conditions often need the most help coordinating their care, which is why this well-respected health system has spent the last 10 years perfecting an integrated care management program (iCMP).
Key elements of the iCMP at Partners include access to specialized resources (e.g., mental health, palliative care), involvement through the continuum of care, patient self-management, IT-enabled systems to improve care coordination, data-driven analytics to support strategic decision making, a payer-blind approach, and ongoing support and training for its teams and staff.
Attendees will learn how to:
Identify the essential elements of an effective care management program for chronically ill patients
Recognize how care management plays a key role in an effective population health management strategy
Determine how to use information to identify and effectively manage complex, chronically ill patients
Leveraging Healthcare Analytics to Reduce Heart Failure Readmission Rates Health Catalyst
Heart failure patients are adding an enormous strain to the US healthcare system. In addition, readmission rates for these diseases are adding to the burden. Healthcare analytics can play a key role. By following these 4 steps, all of which include data analytics, health systems can begin to reduce readmission rates: 1) Understand your true admission rates. 2) Establish reliable baseline measures. 3) Be aware of balance measures. 4) Establish an EDW.
We spent time collecting healthcare factoids that show key trends driving the need for data in healthcare. And now, we’ve put it into an easy-to-view, shareable, memorable presentation to use as you see fit. You can use these factoids to help you make a case for reducing healthcare waste or get pointers for your next IT project. You can even use a few of them to predict the future of healthcare.
We hand-picked the most interesting, useful, credible factoids from 2015 (including the plethora of facts that came out of the 2nd Healthcare Analytics Summit) to create an easy-to-share presentation. The 55 factoids included in this presentation revealed several interesting healthcare trends: Trend #1: Healthcare analytics continue to improve outcomes and save money. For example, OSF’s predictive readmission model reduced its all-cause readmission rate to less than 10%. Trend #2: New technologies are improving patient engagement. For example, 73 percent of health executives surveyed see positive ROI from personalization technologies, and 76 percent of doctors say patient use of wearable health devices improves engagement. Trend #3: Patients and providers agree on data is useful but have security and interoperability concerns. For example, 83 percent of patients don’t trust EHR safety and security, and 83 percent of physicians are frustrated by EHR interoperability. Although a majority of healthcare leaders understand the importance of using analytics to improve outcomes and reduce costs, only 15% of hospitals use predictive analytics. We hope to see analytics use increase in 2016, and we’re excited to see how technology will continue to engage patients and lead to better health outcomes.
Two-Midnight Rule: Ready For the Clock to Strike 12?Health Catalyst
CMS’s proposed changes to the controversial two-midnight rule that governs short hospital stays, has been met with strong opposition by the healthcare community. While the core of the rule is fairly straightforward, implementation could be anything but. Being classified as an outpatient or inpatient can have a substantial financial impact the patient and the hospital. Adding to the confusion, CMS has also stated this policy won’t override a physician’s judgment. Unfortunately, CMS failed to provide details on what the physician must provide in order to justify their decision. The good news is there is still time to provide feedback to CMS. Take action, understand the new rules, let your voice be heard, and most importantly, be prepared for the new rule in 2016.
A New GIS-driven Approach to Optimize Service Area Boundaries for ACOsHealth Catalyst
While many organizations use patient registries from EMRs to determine their patient population, there is a better way. Using GIS location technology, a health system can identify its care population based on geography and drive times. Health Catalyst uses Dartmouth Atlas hospital referral regions, a hierarchy of facility levels with appropriate drive time isochrones, and medical specialties-based central place theory to develop a more comprehensive view of a health system’s minimum bounding geometry. Using this method, ACOs derive a better understanding of their enrolled patients and eligible payer groups resulting a better basis for strategy and decision making.
Demystifying Text Analytics and NLP in HealthcareHealth Catalyst
Leading the discussion, we have two exceptional thinkers in this space, Mike Dow, a former CIO and current Health Catalyst product manager and software developer, and Dr. Carolyn Simpkins, Health Catalyst’s Chief Medical Informatics Officer.
They will share thoughts on the challenges of text in clinical analytics as well as demonstrate:
Why text is an important part of clinical analytics
Why a text search is not enough
How clinical text search can be refined with NLP techniques
Analytics and Small Hospitals: Embracing Data to Thrive in the New Era of Val...Health Catalyst
Value-based care has remade the healthcare landscape for small hospitals. Many are struggling to compete with the larger, better-funded medical centers in the communities they serve. Embracing data and analytics is no longer a luxury for these organizations if they are to succeed and remain competitive. Data analysis can assist senior leaders in identifying opportunities for improvement while balancing long-term goals with short-term pressures. Incorporating data in to the culture and making it a part of everyday decision making will enable smaller hospitals to not only survive, but thrive in the new era of value-based care.
The Why And How Of Machine Learning And AI: An Implementation Guide For Healt...Health Catalyst
Join Kenneth Kleinberg, Health IT Strategist, and Eric Just, Senior Vice President, Health Catalyst, as they discuss the What, Why, and How of Machine Learning and AI for healthcare leaders.
Attendees will learn:
Practical steps, timeframes and skills as well as real-time data and moving targets associated with the Implementation of ML and AI
How to deal with challenges inherent in ML and AI implementation
What the future holds for ML and AI
Why the Data Steward’s Role is Critical to Sustained Outcomes Improvement in ...Health Catalyst
The data steward is critical to sustained outcomes improvement, yet they tend to be underappreciated members of the healthcare analytics family. Combining the invaluable technical expertise of a data analyst with the vital clinical knowledge of an experienced caregiver, the data steward’s skills and proficiency at both positions brings value beyond measure to any outcomes improvement project. Unfortunately, all too often, their role is non-existent even though potential candidates for the job are located in multiple data sources throughout the organization. Among other responsibilities, the data steward:
Reinforces the global data governance principles.
Helps develop and refine details of local data governance practices.
Is the eyes and ears of the organization with respect to data governance and the governance committee.
Provides direction to peers regarding appropriate data definitions, usage, and access.
Anticipates local consequences of global changes
For innovative health system leaders who have specifically recognized this emerging role, the ROI of data stewards who help achieve improved outcomes is very worthwhile.
Data Mining in Healthcare: How Health Systems Can Improve Quality and Reduce...Health Catalyst
This is the complete 4-part series demonstrating real-world examples of the power of data mining in healthcare. Effective data mining requires a three-system approach: the analytics system (including an EDW), the content system (and systematically applying evidence-based best practices to care delivery), and the deployment system (driving change management throughout the organization and implementing a dedicated team structure). Here, we also show organizations with successful data-mining-application in critical areas such as: tracking fee-for-service and value-based payer contracts, population health management initiatives involving primary care reporting, and reducing hospital readmissions. Having the data and tools to use data mining and predict trends is giving these health systems a big advantage.
Adding Value to the EMR: A Clinical PerspectiveHealth Catalyst
Known for leading large-scale healthcare improvement using data and analytics to drive positive change, Dr. Charles Macias speaks to creating greater value in the EMR through analytics. This approach has done more to increase value than many other cost-reduction efforts.
In this webinar you will 1) Explore each component of the value equation, 2) learn how TCH has increased the value of its healthcare using data to drive quality an ever more important need of those facing capitated or value–based care reimbursements and 3) consider a new ROI equation for systems who have invested heavily in their EMRs
Aiding Analytics Adoption Via Metadata-Driven Architecture: If You Build It, ...Health Catalyst
A key feature of effective analytics infrastructure in healthcare is a metadata-driven architecture. In this article, three best practice scenarios are discussed:
Automating ETL processes so data analysts have more time to listen and help end users
Using a metadata repository to enhance data literacy among users and improve trust in data, thus enabling data governance policies
Improving turnaround time for data analysts who support frontline staff who, in turn, monitor interventions based on evidence-based medicine that is constantly changing
The article unravels the components of the metadata-driven architecture as part of an overall analytics platform. Learn the methodology for creating faster data results, generating speed to value, and realizing systemwide analytics adoption.
Clinical Data-Mining (CDM) involves the conceptualization, extraction, analysis, and interpretation of available clinical data for practice knowledge-building, clinical decision-making and practitioner reflection.
Is That Data Valid? Getting Accurate Financial Data in HealthcareHealth Catalyst
A consolidated EDW is not a replacement or threat to the individual financial systems and reporting tools employed for general ledger, billing, payroll, or supply management. On the contrary, each of those systems is designed with sophisticated functionality that drives organizational efficiency. But alone, these systems realize only a portion of their true return on investment for the enterprise. As a consolidated data resource, these systems provide untold potential to address the underlying challenges to efficient, cost-effective health care.
This presentation made at EMCON, Jaipur, November 2017, demonstrates the practical feasibility of improving quality care in Emergency Departments by application of Lean thinking, both theoretically and research based findings along with our own experience at THE MISSION HOSPITAL, DURGAPUR.
How to Use Text Analytics in Healthcare to Improve Outcomes: Why You Need Mor...Health Catalyst
Given the fact that up to 80 percent of clinical data is stored in unstructured text, healthcare organizations need to harness the power of text analytics. But, surprisingly, less than five percent of health systems use it due to resource limitations and the complexity of text analytics.
But given the industry’s necessity to use text analytics to create precise patient registries, enhance their understanding of high-risk patient populations, and improve outcomes, this executive report explains why systems must start using it—and explains how to get started.
Health systems can start using text analytics to improve outcomes by focusing on four key components:
Optimize text search (display, medical terminologies, and context).
Enhance context and extract values with an NLP pipeline.
Always validate the algorithm.
Focus on interoperability and integration using a Late-Binding approach.
This broad approach with position health systems for clinical and financial success.
An overview of the i2b2 clinical research platform, and the implications of connecting Indivo to i2b2 as a source of patient-reported outcomes. Presented at the 2012 Indivo X Users' Conference.
By Shawn Murphy MD, Ph.D., Partners Healthcare.
Getting The Most Out of Your Data Analyst - HAS Session 9Health Catalyst
Many analysts spend 90% of their time managing rather than analyzing data. How do we enable analysts to do what they were hired to do? In this session, you will learn best practices on helping your analyst focus more on analytics and less on data capture and provisioning, as well as how to create sustainable and meaningful analytics. We will show best practices and common pitfalls to avoid. This will be a fun and interactive session with many hands-on examples and exercises.
"12 Steps to Better Healthcare" is filled with ideas that you can use right away to improve the efficiency and effectiveness of your healthcare organization. These steps can help you save time, money and lives, as you take part in the rebuilding of our healthcare system from the ground up.
The Analytic System: Finding Patterns in the DataHealth Catalyst
Dr. Haughom set the stage for this upcoming discussion in his previous webinar, explaining the key components of an effective analytical system that enables self-exploration and learning. In this session Attendees will learn:
How the distinction between random variation and assignable cause variation is critically important to patient care
Creation and application of Statistical Process Control (SPC) charts to:
Monitor process variation over time
Differentiate between assignable cause and random cause variation
Assess effectiveness of change on a given process
Achieve and maintain process stability
How implementing inlier management and creating a collaborative environment will drive continuous improvement
How to identify patterns in data using a live demonstration of advanced analytical tools.
A New GIS-driven Approach to Optimize Service Area Boundaries for ACOsHealth Catalyst
While many organizations use patient registries from EMRs to determine their patient population, there is a better way. Using GIS location technology, a health system can identify its care population based on geography and drive times. Health Catalyst uses Dartmouth Atlas hospital referral regions, a hierarchy of facility levels with appropriate drive time isochrones, and medical specialties-based central place theory to develop a more comprehensive view of a health system’s minimum bounding geometry. Using this method, ACOs derive a better understanding of their enrolled patients and eligible payer groups resulting a better basis for strategy and decision making.
Demystifying Text Analytics and NLP in HealthcareHealth Catalyst
Leading the discussion, we have two exceptional thinkers in this space, Mike Dow, a former CIO and current Health Catalyst product manager and software developer, and Dr. Carolyn Simpkins, Health Catalyst’s Chief Medical Informatics Officer.
They will share thoughts on the challenges of text in clinical analytics as well as demonstrate:
Why text is an important part of clinical analytics
Why a text search is not enough
How clinical text search can be refined with NLP techniques
Analytics and Small Hospitals: Embracing Data to Thrive in the New Era of Val...Health Catalyst
Value-based care has remade the healthcare landscape for small hospitals. Many are struggling to compete with the larger, better-funded medical centers in the communities they serve. Embracing data and analytics is no longer a luxury for these organizations if they are to succeed and remain competitive. Data analysis can assist senior leaders in identifying opportunities for improvement while balancing long-term goals with short-term pressures. Incorporating data in to the culture and making it a part of everyday decision making will enable smaller hospitals to not only survive, but thrive in the new era of value-based care.
The Why And How Of Machine Learning And AI: An Implementation Guide For Healt...Health Catalyst
Join Kenneth Kleinberg, Health IT Strategist, and Eric Just, Senior Vice President, Health Catalyst, as they discuss the What, Why, and How of Machine Learning and AI for healthcare leaders.
Attendees will learn:
Practical steps, timeframes and skills as well as real-time data and moving targets associated with the Implementation of ML and AI
How to deal with challenges inherent in ML and AI implementation
What the future holds for ML and AI
Why the Data Steward’s Role is Critical to Sustained Outcomes Improvement in ...Health Catalyst
The data steward is critical to sustained outcomes improvement, yet they tend to be underappreciated members of the healthcare analytics family. Combining the invaluable technical expertise of a data analyst with the vital clinical knowledge of an experienced caregiver, the data steward’s skills and proficiency at both positions brings value beyond measure to any outcomes improvement project. Unfortunately, all too often, their role is non-existent even though potential candidates for the job are located in multiple data sources throughout the organization. Among other responsibilities, the data steward:
Reinforces the global data governance principles.
Helps develop and refine details of local data governance practices.
Is the eyes and ears of the organization with respect to data governance and the governance committee.
Provides direction to peers regarding appropriate data definitions, usage, and access.
Anticipates local consequences of global changes
For innovative health system leaders who have specifically recognized this emerging role, the ROI of data stewards who help achieve improved outcomes is very worthwhile.
Data Mining in Healthcare: How Health Systems Can Improve Quality and Reduce...Health Catalyst
This is the complete 4-part series demonstrating real-world examples of the power of data mining in healthcare. Effective data mining requires a three-system approach: the analytics system (including an EDW), the content system (and systematically applying evidence-based best practices to care delivery), and the deployment system (driving change management throughout the organization and implementing a dedicated team structure). Here, we also show organizations with successful data-mining-application in critical areas such as: tracking fee-for-service and value-based payer contracts, population health management initiatives involving primary care reporting, and reducing hospital readmissions. Having the data and tools to use data mining and predict trends is giving these health systems a big advantage.
Adding Value to the EMR: A Clinical PerspectiveHealth Catalyst
Known for leading large-scale healthcare improvement using data and analytics to drive positive change, Dr. Charles Macias speaks to creating greater value in the EMR through analytics. This approach has done more to increase value than many other cost-reduction efforts.
In this webinar you will 1) Explore each component of the value equation, 2) learn how TCH has increased the value of its healthcare using data to drive quality an ever more important need of those facing capitated or value–based care reimbursements and 3) consider a new ROI equation for systems who have invested heavily in their EMRs
Aiding Analytics Adoption Via Metadata-Driven Architecture: If You Build It, ...Health Catalyst
A key feature of effective analytics infrastructure in healthcare is a metadata-driven architecture. In this article, three best practice scenarios are discussed:
Automating ETL processes so data analysts have more time to listen and help end users
Using a metadata repository to enhance data literacy among users and improve trust in data, thus enabling data governance policies
Improving turnaround time for data analysts who support frontline staff who, in turn, monitor interventions based on evidence-based medicine that is constantly changing
The article unravels the components of the metadata-driven architecture as part of an overall analytics platform. Learn the methodology for creating faster data results, generating speed to value, and realizing systemwide analytics adoption.
Clinical Data-Mining (CDM) involves the conceptualization, extraction, analysis, and interpretation of available clinical data for practice knowledge-building, clinical decision-making and practitioner reflection.
Is That Data Valid? Getting Accurate Financial Data in HealthcareHealth Catalyst
A consolidated EDW is not a replacement or threat to the individual financial systems and reporting tools employed for general ledger, billing, payroll, or supply management. On the contrary, each of those systems is designed with sophisticated functionality that drives organizational efficiency. But alone, these systems realize only a portion of their true return on investment for the enterprise. As a consolidated data resource, these systems provide untold potential to address the underlying challenges to efficient, cost-effective health care.
This presentation made at EMCON, Jaipur, November 2017, demonstrates the practical feasibility of improving quality care in Emergency Departments by application of Lean thinking, both theoretically and research based findings along with our own experience at THE MISSION HOSPITAL, DURGAPUR.
How to Use Text Analytics in Healthcare to Improve Outcomes: Why You Need Mor...Health Catalyst
Given the fact that up to 80 percent of clinical data is stored in unstructured text, healthcare organizations need to harness the power of text analytics. But, surprisingly, less than five percent of health systems use it due to resource limitations and the complexity of text analytics.
But given the industry’s necessity to use text analytics to create precise patient registries, enhance their understanding of high-risk patient populations, and improve outcomes, this executive report explains why systems must start using it—and explains how to get started.
Health systems can start using text analytics to improve outcomes by focusing on four key components:
Optimize text search (display, medical terminologies, and context).
Enhance context and extract values with an NLP pipeline.
Always validate the algorithm.
Focus on interoperability and integration using a Late-Binding approach.
This broad approach with position health systems for clinical and financial success.
An overview of the i2b2 clinical research platform, and the implications of connecting Indivo to i2b2 as a source of patient-reported outcomes. Presented at the 2012 Indivo X Users' Conference.
By Shawn Murphy MD, Ph.D., Partners Healthcare.
Getting The Most Out of Your Data Analyst - HAS Session 9Health Catalyst
Many analysts spend 90% of their time managing rather than analyzing data. How do we enable analysts to do what they were hired to do? In this session, you will learn best practices on helping your analyst focus more on analytics and less on data capture and provisioning, as well as how to create sustainable and meaningful analytics. We will show best practices and common pitfalls to avoid. This will be a fun and interactive session with many hands-on examples and exercises.
"12 Steps to Better Healthcare" is filled with ideas that you can use right away to improve the efficiency and effectiveness of your healthcare organization. These steps can help you save time, money and lives, as you take part in the rebuilding of our healthcare system from the ground up.
The Analytic System: Finding Patterns in the DataHealth Catalyst
Dr. Haughom set the stage for this upcoming discussion in his previous webinar, explaining the key components of an effective analytical system that enables self-exploration and learning. In this session Attendees will learn:
How the distinction between random variation and assignable cause variation is critically important to patient care
Creation and application of Statistical Process Control (SPC) charts to:
Monitor process variation over time
Differentiate between assignable cause and random cause variation
Assess effectiveness of change on a given process
Achieve and maintain process stability
How implementing inlier management and creating a collaborative environment will drive continuous improvement
How to identify patterns in data using a live demonstration of advanced analytical tools.
The Deployment System: Creating the Organizational Infrastructure to Support ...Health Catalyst
Join Dr. Haughom as he continues the next installment in his webinar series. He will help participants to better understand the key components of an effective deployment system that supports sustainable large-scale improvements in quality, safety and efficiency. He will also continue his live demonstration of the power of modern analytics in managing the health of populations.
Attendees will learn:
Through a live demonstration, the use of analytics to identify potential risk by understanding the size of disease populations and their risk profiles
How to effectively engage opinion leaders in quality improvement and move the entire organization’s workforce forward
How to organize teams that take ownership of the organization’s quality, cost and patient satisfaction improvement strategy
The elements of an effective team structure and governance model for quality improvement
The implementation of an agile, or iterative, approach that fosters continuous improvement
The integration of Lean process improvements with the measurement system to achieve and sustain improvement gains
Precise Patient Registries: The Foundation for Clinical Research & Population...Health Catalyst
Join Dale Sanders as he shares his experience in developing disease registries, the history of patient registries, and the current design patterns in data engineering to create highly precise registries to support clinical research and population health management.
Topics:
*How the definition of the term “patient registry" has evolved from being associated with a federal- or state-mandated reporting requirement to a hospital or health system’s own population of patients, including device registries, drug registries, and procedure registries.
*Why engaging certain populations via group registries allows them to better understand their conditions and reach out for support from others who share their condition.
*Several untapped benefits of registries for disease and quality management.
*When to utilize patient registries to guide decision-making and drive change, especially at the point of care.
*Which of the critical steps to building a disease registry is most important.
*The keys to winning organizational support in order to implement a successful registry initiative.
*Precise patient registries play a significant role in the management of a broad variety of healthcare processes, including chronic diseases and conditions, as well as clinical research.
Understanding how registries are currently built vs. how they should be built is critical to the future of healthcare outcomes improvement, cost reduction, and translational research.
Why Precise, Tailored Patient Registries Lead to Cost-Effective Care Manageme...Health Catalyst
Early this year, CMS began a per member per month reimbursement for Medicare beneficiaries with two or more chronic conditions. It immediately validated the need for care management programs. Three models are used to measure the savings of an effective care management program:
Historical or intent-to-treat design
Matching comparison design
Randomized control design
All three place a heavy reliance on data and precise, tailored patient registries. Reliable patient registries are one of the most valuable tools in the care management toolbox. And the means to that reliability is an enterprise data warehouse, which essentially gives program managers an all-access pass to stratifying patient risk and leads to a more successful population health initiative.
Preparing for the Future: How one ACO is Using Analytics to Drive Clinical & ...Health Catalyst
Crystal Run Healthcare — a physician-led Accountable Care Organization (ACO) and one of the first ACOs to participate in the Medicare Shared Savings Program — is experiencing the long-anticipated shift toward more value-based reimbursement.
To ensure financial stability as they assume more risk, Crystal Run is implementing a strategy focused on rapid growth and aligning physician reimbursement with favorable patient outcomes. To effectively execute on this strategy they knew they needed to become more data-driven. Webinar attendees will learn how this ACO is using advanced analytics to execute on their population management and growth strategies with a focus on continuous improvement in the following areas:
Ensuring patient care aligns with evidence based practices
Reducing inappropriate clinical variation
Enhancing operational efficiency
Analyzing data from a “single source of truth” integrated from their EMR, billing, costing, patient satisfaction and other operational systems
Making “self-service analytics” available to decision-makers to decrease time to decision
Please join Greg Spencer, MD, Chief Medical & Chief Medical Information Officer and Scott Hines, MD, Chief Quality Officer and Medical Specialties Medical Director, Crystal Run, as they discuss how advanced analytics is helping position the ACO for continued success in an increasingly value-based reimbursement environment.
DATA-DRIVEN CARE: THE KEY TO ACCOUNTABLE CARE DELIVERY FROM A PHYSICIAN GROUP...Health Catalyst
Hospitals, payers and physician groups alike are facing changes in healthcare that require their attention. These changes are a result of financial forces that are changing the ways healthcare services are paid, cost of care pressures, ever-changing patient population behaviors, improvements in the science of health care and federal regulations tied to incentives that are soon turning to penalties. Anyone in health care is grappling to understand these changes and chart their strategies to be prepared for the future.
The presenters have proven expertise developing their strategies to care for patients in an accountable care model using data to drive their strategies. The presenting organizations will talk through their strategy including their future expectations and early results using data to identify improvement opportunities and to shift the clinical approach to health care. In addition to strategy, they will share solutions and analytic applications critical to the current and future expected results of their strategy.
A CEO's Keys to Continuous Quality ImprovementHealth Catalyst
Healthcare organizations will not survive this unstable environment without a vision and a plan. Even with rapidly declining reimbursement that makes resource allocation tight, a CEO must address what it will cost to sustain a commitment to quality and then move forward in building capacity into the organization to provide that quality.
Join Greg Stock, chief executive officer of Thibodaux Regional Medical Center, as he shares how Thibodaux strives for the Triple Aim using the following keys to successful continuous quality improvement:
Engaging physicians and other influencers to bring together the right people for effective collaboration
Leveraging a data warehouse to identify opportunities for improvement, have a single source of truth to support decisions, and rapidly implement change
Spreading expertise across the organization, or ensuring individuals take the knowledge and skills they have acquired and apply them to other problem areas throughout the organization
Don’t miss hearing this CEO’s experiences with a methodology that The Joint Commission calls “best practice in how to use data and get physicians engaged.”
How to survive cms's most recent 3% hospital readmissions penalties increase Health Catalyst
Hospital readmissions rates are now at 3 percent, which means that health systems are feeling the financial burden of decreased payments from Medicare. They also need to track two more 30-day readmission rates. While there aren’t any new penalty measures planned for 2016, coronary artery bypass grafts will be added as yet another measure to track in 2017. By using three strategies to reduce readmission rates, health systems will experience better outcomes and decreased penalties. The three strategies include the following: (1) implementing a data warehouse that provides a single source of truth; (2) engaging a multidisciplinary team to lead the improvement efforts; (3) installing a sophisticated analytics platform.
Patient-Centered Care Requires Patient-Centered Insight: What We Can Do To C...Health Catalyst
Health systems and providers are inundated with measurement systems and reporting. Why would we want to add to the measurement mayhem? The real question is, “Are we measuring what matters?”
Carolyn Simpkins MD, PhD, chief medical informatics officer, will discuss how putting the patient at the center of the measurement matrix can bring coherence and completeness to the picture of care delivery performance across the patient journey, and therefore the performance of the healthcare ecosystem.
She will describe the building blocks for patient-centered measurement and how other metrics, patient-reported outcomes, and patient satisfaction fit into this approach. Carolyn will also review the challenges that have kept health systems from completing a patient-centered outcomes approach and why we are poised to break through. Finally, she will share case studies of organizations who have begun to pioneer the use of patient centered metrics to improve care and outcomes.
Precise Patient Registries for Clinical Research and Population ManagementDale Sanders
Patient registries have evolved from external, mandatory reporting databases to playing a critical role in internal clinical research, clinical quality, cost reduction, and population health management. This slide deck describes how to design those precise registries.
Six Ways Health Systems Use Analytics to Improve Patient SafetyHealth Catalyst
With preventable patient harm associated with over 400,000 deaths in the U.S. annually, improving safety is a top priority for healthcare organizations. To reduce risks for hospitalized patients, health systems are using patient safety analytics and trigger-based surveillance tools to better understand and recognize the types of harm occurring at their facilities and intervene as early as possible.
Six examples of analytics-driven patient safety success cover improvement in the following areas:
Wrong-patient order errors.
Blood management.
Clostridioides difficile (C. diff).
Opioid dependence.
Event reporting.
Sepsis.
In this webinar, you will learn:
How we approach intervention campaigns: a framework
The science of behavior change and how it can be applied to increase the probability of desired outcomes
How Altarum’s ACE Measure can help predict consumer behaviors and design successful intervention campaigns
Speakers:
Ryan Rossier, Medullan
Chris Duke, Altarum
Josh Klapow, ChipRewards
Five Data-driven Patient Empowerment StrategiesHealth Catalyst
Data plays a big role toward empowering patients to become more involved in their care. With data, digital tools, and education, patient empowerment can act like a blockbuster drug to produce exceptional outcomes.
Data empowers patients five ways:
Promotes patient engagement.
Produces patient-centered outcomes.
Helps patients practice self-care.
Improves communication with clinicians.
Leads to faster healing and independence.
Clinicians using creative, innovative care strategies, and patients with access to the right tools and technology, can produce remarkable results in terms of cost, health outcomes, and experience.
How to Establish an Evidence-Based Care Delivery Structure Like Allina HealthHealth Catalyst
Clinicians have to make difficult decisions on a regular basis. And when different clinicians within the same health system make markedly different decisions about medical treatment, significant waste and inconsistent outcomes arise.
What will be discussed?:
Establishing peer-reviewed and approved CPGs
Prioritizing improvements
Developing the CPG checklist
Engaging and collaborating with clinicians
Don't miss hearing firsthand how Allina established a systemwide EBDM model and realized a five percent decrease in Stage 1 lung cancer treatment variation as well as a 20 percent decrease in the number of heparin protocols.
Empowering ACOs: Leveraging Quality Management Tools for MIPS and BeyondHealth Catalyst
Join us as we delve into the crucial realm of quality reporting for MSSP (Medicare Shared Savings Program) Accountable Care Organizations (ACOs).
In this session, we will explore how a robust quality management solution can empower your organization to meet regulatory requirements and improve processes for MIPS reporting and internal quality programs. Learn how our MeasureAble application enables compliance and fosters continuous improvement.
Unlock the Secrets to Optimizing Ambulatory Operations Efficiency and Change ...Health Catalyst
Today’s healthcare leaders are seeking technology solutions to optimize efficiencies and improve patient care. However, without effective change management and strategies in place, healthcare leaders struggle to strategically improve patient flow, space, to strategically improve patient flow, space, and schedule management, and implement daily huddles. The role of technology in supporting operational efficiency and change management initiatives is inevitable.
During this webinar, attendees will learn how to optimize Ambulatory Operational Efficiencies and Change Management. Attendees will also learn about the importance of visual management boards in enhancing clinic performance and insights into effective change management approaches.
Patient expectations are rising, and organizations are continuously being asked to do more with less.
Additionally, the convergence of several significant emerging market and policy trends, economic uncertainty, labor force shortages, and the end of the COVID-19 public health emergency has created a unique set of challenges for healthcare organizations.
Attend this timely webinar to learn about new trends and their impact on key healthcare issues, such as patient engagement, migration to value-based care, analytics adoption, the use of alternative care sites, and data governance and management challenges.
During this webinar, we will discuss the complexities of AI, trends, and platforms in the industry. Dive deep into understanding the true essence of AI, exploring its potential, real-world use cases, and common misconceptions. Gain valuable insights into the latest technology trends impacting healthcare and discover strategies for maximizing ROI in your technology investments.
Explore the profound impact of data literacy on healthcare organizations and how it shapes the utilization of data and technology for transformative outcomes. Understand the top technology priorities for healthcare organizations and learn how to navigate the digital landscape effectively. Furthermore, simplify industry jargon by defining common data elements, fostering clearer communication and collaboration across stakeholders.
Finally, uncover the transformative potentials of platforms in healthcare and how they can revolutionize scalability, interoperability, and innovation within your organization. Don't miss this opportunity to gain invaluable insights from industry experts and stay ahead in the ever-evolving healthcare landscape. Reserve your spot now for an enlightening journey into the future of healthcare technology!
Three Keys to a Successful Margin: Charges, Costs, and LaborHealth Catalyst
How can cost management and complete charge capture protect and enhance the margin?
In this webinar, we will look at 2024 margin pressures likely to impact your organization’s financial resiliency. This presentation will also share how organizations can move from Fee-for-Service to Value; bringing Cost to the forefront.
2024 CPT® Updates (Professional Services Focused) - Part 3Health Catalyst
Each year the CPT code set undergoes significant changes. Physicians and their office staff need to be aware of the changes in order to ensure a smooth transition into 2024. Join us for a discussion of the new, deleted and revised CPT codes and associated guidelines for 2024. This presentation will focus on the changes to the CPT dataset and the associated work RVU value changes that impact professional service reporting.
During this complimentary webinar, we will empower you to correctly apply the new and revised codes and discuss the rationale behind this year’s changes. You will leave with an understanding of the financial implications of the changes on your practice.
2024 CPT® Code Updates (HIM Focused) - Part 2Health Catalyst
Each year the CPT code set and the HCPCS code set undergo significant changes, and your coding staff needs to be aware of the changes in order to ensure a smooth transition into 2024. Join us for a discussion of the new, deleted and revised CPT codes and associated guidelines for 2024. This is part two in a three-part series.
During these complimentary webinars, we will empower you to correctly apply the new and revised codes and discuss the rationale behind this year’s changes. This presentation will be geared towards hospital staff with a focus on the surgical section of the CPT book in addition to surgical Category III codes.
2024 CPT® Code Updates (CDM Focused) - Part 1Health Catalyst
Each year the CPT and the HCPCS code sets undergo significant changes, and your staff needs to be aware of the changes in order to ensure a smooth transition into 2024. Join us for a discussion of the new, deleted, and revised CPT codes and associated guidelines for 2024. This is part one in a three-part series, with a CDM focus.
During these complimentary webinars, we will empower you to correctly apply the new and revised codes and discuss the rationale behind this year’s changes. This presentation will be geared towards hospital staff with a focus on the non-surgical sections of the CPT book.
What’s Next for Hospital Price Transparency in 2024 and BeyondHealth Catalyst
The Centers for Medicare & Medicaid Services (CMS) published updates to the hospital price transparency requirements in the CY 2024 Outpatient Prospective Payment System (OPPS) Final Rule. The updates will be phased in over the next 14 months and include several significant changes including the use of a CMS-mandated template, a requirement for an affirmation statement from the hospital, and several new data elements. Join us to discover what changes are scheduled for implementation in 2024 and 2025 and how they’ll impact your facility.
During this complimentary 60-minute webinar, we’ll analyze the key provisions of the Price Transparency regulations and provide insights to help you prepare for the upcoming changes.
Automated Patient Reported Outcomes (PROs) for Hip & Knee ReplacementHealth Catalyst
What was once voluntary reporting will soon be made mandatory with penalties.
On July 1, 2024, all health systems will be required to collect Patient Reported Outcome Measures (PROM) as part of the Centers for Medicare & Medicaid Services (CMS) regulation for the following measures:
Hospital-Level, Risk Standardized Patient-Reported Outcomes Performance Measure (PRO-PM) Following Elective Primary Total Hip Arthroplasty (THA) and/or Total Knee Arthroplasty (TKA)
Hospital-Level Risk-Standardized Complication Rate (RSCR) Following Elective Primary THA/TKA
Are you equipped to handle these new requirements?
Mandatory data collection begins April 1, 2024, and failure to submit timely data can result in a 25 percent reduction in payments by Medicare.
Attend this webinar to learn how mobile engagement can empower your organization to meet this requirement.
2024 Medicare Physician Fee Schedule (MPFS) Final Rule UpdatesHealth Catalyst
According to the Centers for Medicare & Medicaid Services (CMS), the calendar year (CY) 2024 MPFS final rule was created to advance health equity and improve access to affordable healthcare. This webinar will cover the major policy updates of the MPFS final rule including updates to the telehealth services policy and remote monitoring services and enrollment of MFTs and MHCs as Medicare providers. The conversation will also cover policy changes on split (or shared) evaluation and management (E/M) visits, and the Appropriate Use Criteria (AUC) for Advanced Diagnostic Imaging.
What's Next for OPPS: A Look at the 2024 Final RuleHealth Catalyst
During this webinar, we’ll analyze the key provisions of the OPPS final rule and identify the significant changes for the coming year to help prepare your staff for compliance with the 2024 Medicare outpatient billing guidelines.
Insight into the 2024 ICD-10 PCS Updates - Part 2Health Catalyst
Prepare for mandatory ICD-10 PCS diagnosis code updates, which take effect on October 1, 2023. By attending this 60-minute educational session, medical coders and healthcare professionals will gain a comprehensive understanding of the changes to the 2024 ICD-10 procedure codes and their guidelines, enabling accurate and compliant coding for optimal billing and reimbursement.
Vitalware Insight Into the 2024 ICD10 CM Updates.pdfHealth Catalyst
Prepare for mandatory ICD-10 CM diagnosis code updates, which take effect on October 1, 2023. By attending this 60-minute educational session, medical coders and healthcare professionals will gain a comprehensive understanding of the changes to the 2024 ICD-10 diagnosis codes and their guidelines, along with major complication or comorbidity (MCC), complication or comorbidity (CC), and Medicare Severity Diagnosis Related Groups (MS-DRGs) classification changes. With this information, professionals can ensure accurate and compliant diagnosis coding for optimal billing and reimbursement.
Driving Value: Boosting Clinical Registry Value Using ARMUS SolutionsHealth Catalyst
Many hospitals today face a perfect storm of operational and financial challenges. With increasing competition from outpatient facilities and rising care costs negatively impacting budgets, now is the time to boost your clinical registry’s value. However, collecting and analyzing data can be time-consuming and costly without the right tools. During this webinar, we will share insights and best practices for increasing the value of registry participation and how it’s possible to reduce costs while improving outcomes using the ARMUS Product Suite.
Tech-Enabled Managed Services: Not Your Average OutsourcingHealth Catalyst
During this webinar you'll learn the following:
The importance of optimizing performance, reducing labor costs and sourcing talent given current market challenges.
Highlighting the need for a balanced approach to cost reduction.
How to reap the benefits of outsourcing (cost cutting, expertise, etc) while protecting yourself from the collateral damage that often comes with them.
This webinar will provide an in-depth review of the CPT/HCPCS code set changes that will be effective on July 1, 2023. The review will include additions and deletions to the CPT/HCPCS code set, revisions of code descriptors, payment changes, and rationale behind the changes.
How Managing Chronic Conditions Is Streamlined with Digital TechnologyHealth Catalyst
Chronic conditions across the United States are prevalent and continue to rise. Managing one or more chronic diseases can be very challenging for patients who may be overwhelmed or confused about their care plan and may not have access to the resources they need. At the same time, care teams are overburdened, making it difficult to provide the support these patients require to stay as healthy as possible. A new approach to chronic condition management leverages technology to enable organizations to scale high-quality care, identify gaps in care, provide personalized support, and monitor patients on an ongoing basis. Such streamlined management will result in better outcomes, reduced costs, and more satisfied patients.
COVID-19: After the Public Health Emergency EndsHealth Catalyst
In this fast-paced webinar, we will discuss the impact of the end of the public health emergency (PHE), including upcoming changes to the different flexibilities allowed during the PHE and the timeline for when these flexibilities will end. We’ll also cover coding changes and reimbursement updates.
Automated Medication Compliance Tools for the Provider and PatientHealth Catalyst
When it comes to sustaining patient health outcomes, compliance and adherence to medication regimens are critically important, especially as providers manage patients with complex care needs and multiple medications. But, with provider burnout and staffing shortages at an all-time high, an efficient solution is critical. The use of automated medication management workflows to decrease provider burnout, while improving both medication compliance and patient engagement, is the way forward.
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
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
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.
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.
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
Title: Sense of Taste
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 structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
Follow us on: Pinterest
Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- 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
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
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
Heart failure (HF) is one of the most rapidly increasing cardiovascular disorders in the United States. According to the 2012 update of Heart Disease and Stroke Statistics, it is the leading cause of hospitalization in individuals over the age of 65. This age group currently encompasses over 13% of our population, and that number will rise to 20% in the next 7 years. Unfortunately, the elderly population is not the only group that has an increased incidence of HF. Due largely to the rise in obesity, the trends are increasing in all age groups, making HF the third leading cause of hospitalization for the total U.S. population. Primary hospitalization is not the only issue with HF as it is also the most common cause of hospital readmissions, with approximately 30% of patients readmitted to the hospital within 60-90 days of discharge from their index hospitalization, the hospitalization immediately prior to readmission. This statistic has prompted CMS to make HF one of the targets for new initiatives to reduce these numbers and cut Medicare costs.
Nearly 25% of patients re-hospitalized for HF are readmitted within one month. As a result of this data, CMS has labeled HF as one of its target areas of excessive readmission, along with acute myocardial infarction (MI) and pneumonia. CMS has instituted initiatives that include penalties to encourage hospitals to reduce these rates. In the fiscal year 2013, hospitals with the highest rates of readmissions will receive a 1% loss in Medicare payments, an amount that can equal millions of dollars. This rate will continue to increase, raising to 2% in 2014, and 3% in 2015.