Slides were given in response to a panel convened at the 2014 Society of Behavioral Medicine on the topic of "Meaningful Use" in EHR adoption and its relevance to behavioral medicine.
The Future NHS Plans: Delivering Transformation and SustainabilityMark Reading
This document discusses improving communication between GPs and hospital consultants through a service called Consultant Connect. It provides concise summaries of key points:
1. Consultant Connect allows GPs to get quick specialist medical advice from hospital consultants through a single dial-in phone number, digitally recording the calls for tracking and reporting.
2. The service has proven popular with over 50,000 calls annually covering 10.9 million patients across 38 NHS areas. On average, calls are answered within 54 seconds and last over 4 minutes.
3. Studies show the service avoids around 20-30% of unnecessary admissions to A&E or hospitals and 67% of unnecessary referrals for elective specialties like cardiology
Richard C. Veith is a professor at the University of Washington who discusses challenges in mental healthcare access and delivery models. He describes the collaborative care model developed at UW, which leverages integrated care teams including primary care providers, care managers, and consulting psychiatrists to improve outcomes. This model has shown success in improving treatment response rates and achieving the "Triple Aim" of better health, quality, and lower costs. Veith also discusses challenges in caring for those with autism spectrum disorder and questions if a collaborative care model and telehealth could help address some of these challenges by disseminating knowledge and building workforce capacity.
Dr. Conor McGee, National President, NAGPInvestnet
The document discusses reforming Ireland's healthcare system to improve patient access and outcomes while staying within budget. It proposes increasing primary care resources like GPs, nurses, and community services for chronic diseases. This would allow more patients to be treated locally rather than in hospitals, freeing up beds for those who need them most and connecting better health outcomes with lower costs.
This document discusses the National Center for Prenatal and Postnatal Down Syndrome Resources at the University of Kentucky's Human Development Institute. It provides summaries of two families' experiences receiving a Down syndrome diagnosis, noting that accurate and balanced information is not always provided. It also outlines the center's efforts to promote state laws requiring medical providers give expectant parents information on Down syndrome diagnoses, including websites, materials, and recommended organizations. The center works to shift to a more balanced medical model surrounding Down syndrome and supports expectant parents through difficult diagnosis experiences.
Northwell Health is a large integrated healthcare system in New York that is implementing a population health model. It has 21 hospitals, nursing facilities, over 450 practice locations, and employs over 61,000 people including over 13,600 affiliated physicians. The system is focused on clinical care, education, research, insurance, and population health management to improve outcomes for the communities it serves.
Hospital Innovation Marketing Summit Final Sept 17 2015Janine Logan
This document discusses population health and defines it as looking at health outcomes achieved in populations and how social determinants affect those outcomes. It emphasizes coordinating all clinical and social services for patients to stay well. Key points include:
- Population health starts by understanding community needs through assessments and improvement plans.
- Federal and state policies like the ACA require hospitals to conduct community health needs assessments.
- New payment models emphasize accountable communities and integrating services.
- Chronic disease represents a large burden, and population health aims to ensure support for patients beyond hospital visits.
- Population health presents strategic opportunities for innovative partnerships and care settings.
The Future NHS Plans: Delivering Transformation and SustainabilityMark Reading
This document discusses improving communication between GPs and hospital consultants through a service called Consultant Connect. It provides concise summaries of key points:
1. Consultant Connect allows GPs to get quick specialist medical advice from hospital consultants through a single dial-in phone number, digitally recording the calls for tracking and reporting.
2. The service has proven popular with over 50,000 calls annually covering 10.9 million patients across 38 NHS areas. On average, calls are answered within 54 seconds and last over 4 minutes.
3. Studies show the service avoids around 20-30% of unnecessary admissions to A&E or hospitals and 67% of unnecessary referrals for elective specialties like cardiology
Richard C. Veith is a professor at the University of Washington who discusses challenges in mental healthcare access and delivery models. He describes the collaborative care model developed at UW, which leverages integrated care teams including primary care providers, care managers, and consulting psychiatrists to improve outcomes. This model has shown success in improving treatment response rates and achieving the "Triple Aim" of better health, quality, and lower costs. Veith also discusses challenges in caring for those with autism spectrum disorder and questions if a collaborative care model and telehealth could help address some of these challenges by disseminating knowledge and building workforce capacity.
Dr. Conor McGee, National President, NAGPInvestnet
The document discusses reforming Ireland's healthcare system to improve patient access and outcomes while staying within budget. It proposes increasing primary care resources like GPs, nurses, and community services for chronic diseases. This would allow more patients to be treated locally rather than in hospitals, freeing up beds for those who need them most and connecting better health outcomes with lower costs.
This document discusses the National Center for Prenatal and Postnatal Down Syndrome Resources at the University of Kentucky's Human Development Institute. It provides summaries of two families' experiences receiving a Down syndrome diagnosis, noting that accurate and balanced information is not always provided. It also outlines the center's efforts to promote state laws requiring medical providers give expectant parents information on Down syndrome diagnoses, including websites, materials, and recommended organizations. The center works to shift to a more balanced medical model surrounding Down syndrome and supports expectant parents through difficult diagnosis experiences.
Northwell Health is a large integrated healthcare system in New York that is implementing a population health model. It has 21 hospitals, nursing facilities, over 450 practice locations, and employs over 61,000 people including over 13,600 affiliated physicians. The system is focused on clinical care, education, research, insurance, and population health management to improve outcomes for the communities it serves.
Hospital Innovation Marketing Summit Final Sept 17 2015Janine Logan
This document discusses population health and defines it as looking at health outcomes achieved in populations and how social determinants affect those outcomes. It emphasizes coordinating all clinical and social services for patients to stay well. Key points include:
- Population health starts by understanding community needs through assessments and improvement plans.
- Federal and state policies like the ACA require hospitals to conduct community health needs assessments.
- New payment models emphasize accountable communities and integrating services.
- Chronic disease represents a large burden, and population health aims to ensure support for patients beyond hospital visits.
- Population health presents strategic opportunities for innovative partnerships and care settings.
Presentation to first Phillipine health care social media (#hcsmph) conference on future of social media - Feb. 21, 2014
(Please note date on cover slide is wrong - I'm not that much of a futurist!!)
Does giving patients more data actually increase engagement & improve outcomes?Alex Tarling
Drawing on insights from Telehealth trial for COPD, and the rise in wearable technology for self monitoring.
Presented at Health 2.0 meetup, London April 2014
Speaker Presentation from U.S. News Healthcare of Tomorrow leadership summit, November 2-4, 2016 in Washington, DC. Find out more about this forum at www.usnewshot.com.
This document summarizes the background and qualifications of Madis Tiik, MD, PhD. It outlines his experience including graduating from Tartu University Medical School in 1996, earning a diploma in public health from the Nordic School of Public Health in 2003, and serving as the chairman of the Estonian Society of Family Doctors from 2001-2008. The document then proposes a new model for self-care and virtual medical need assessments to empower citizens and address 80% of health issues virtually in order to provide more efficient care. It presents telemedicine as a solution and outlines examples of its implementation including remote consultations and a mobile nursing unit.
Keeping the Pediatric Population Healthy (David Bailey)Ashleigh Kades
Speaker Presentation from U.S. News Healthcare of Tomorrow leadership summit, November 2-4, 2016 in Washington, DC. Find out more about this forum at www.usnewshot.com.
community health center are based on health care where Healthcare for Communities are designed to offer information on how the healthcare system is functioning in order to take care of their own health.
The document discusses problems with access to healthcare that resulted from the Affordable Care Act increasing the number of insured individuals without increasing the number of healthcare providers. It proposes that implementing coordinated care models, where different healthcare providers work as a team to see more patients, is a cost-effective solution to improve access. Coordinated care models have been shown to increase primary care visits by 16% and improve health outcomes while ensuring efficient access to care.
The document discusses the lack of inpatient psychiatric care options for adolescents in Reading, Pennsylvania. Specifically, it notes that Reading Hospital closed its 4-bed adolescent unit in 2013 due to low summer occupancy. This leaves families with over an hour drive to facilities in Allentown or Philadelphia. The document argues reopening the adolescent unit would be cost effective for the hospital and help address the mental health needs of Reading's population, which has high rates of poverty and Hispanic/Latino ethnicity. Doing so could eliminate barriers to care for many children and allow for easier family involvement in treatment.
This editorial discusses the current state and future direction of nursing in the UK. It notes that while nursing's role has changed since the original 1932 Lancet Commission, establishing the patient as the central focus, the profession remains unclear and perceptions of nursing have not been adequately addressed. It highlights recommendations from several reviews to improve nursing standards and training, but a lack of political will to implement changes. The editorial calls for clear measures in nursing education and practice to ensure high-quality and sustainable patient care going forward.
Partnering with States and Communities to Redesign Care Delivery: Implicatio...Practical Playbook
This document summarizes a presentation on partnering with states and communities to redesign care delivery and implications for family medicine departments. It discusses drivers of health care transformation like costs, chronic disease, data and policy. It outlines efforts by the Centers for Medicare and Medicaid Services to embed population health strategies in programs and policies to help transform systems. Examples are provided of initiatives in North Carolina that reduced emergency department visits and hospital admissions by coordinating care for Medicaid recipients. The role of family medicine departments is noted as providing leadership within the community of learning around redesigning care delivery.
Speaker Presentation from U.S. News Healthcare of Tomorrow leadership summit, November 2-4, 2016 in Washington, DC. Find out more about this forum at www.usnewshot.com.
Community Health Centers: Making a DifferenceGreenway Health
Community health centers provide primary care to over 20 million patients annually in over 8,000 locations across the country. They serve a large portion of the uninsured and low-income populations. These centers emphasize preventive care and management of chronic diseases. Studies show communities with health centers have lower infant mortality and Medicaid costs, while providing high-quality care equal to private practices.
The Future NHS Plans: Delivering Transformation and SustainabilityMark Reading
1) The document discusses integrating digital health programs around the patient by using a single integrated digital care record (IDCR) that is controlled by the patient.
2) Currently, portals and apps create fragmentation as patients have separate logins and data stored in different places.
3) An integrated approach is needed where the patient is the driver and their data and consent is centralized in one place to improve care coordination and patient empowerment.
This document discusses building "deep support" in patient care through reengineering healthcare systems. It argues that current healthcare models provide fragmented, doctor-centric care with siloed records and limited patient support. The document advocates aligning healthcare with a "support economy" model by providing ongoing advocacy, mutual trust and aligned interests through relationship-based care. It presents examples where communication errors and lack of support lead to poor health outcomes and discusses how health IT, including electronic health records and patient engagement, can help restructure healthcare delivery to improve quality, safety, efficiency and patient-centeredness.
This document discusses healthcare diversity and determinants of health. It notes that factors like education, income, housing, transportation, healthcare access, and discrimination influence individual and community health. It emphasizes recognizing individual differences and valuing diversity in communities and the healthcare workforce. The goal is treating all people with respect. The document also discusses how heart disease impacts women and racial groups differently and efforts to improve health information sharing and care coordination.
The document discusses the concept of "deep support" in patient care through reengineering healthcare systems. It argues that deep support involves an ongoing relationship between patients and care providers based on advocacy, mutual respect, trust, and aligned interests. This level of support can be achieved through new digital technologies that enable better patient-centered communication and continuity of care. The document also examines how surveillance of patient internet use, meaningful use of electronic health records, and other initiatives can help meet public health goals by engaging patients and managing populations in a more supportive healthcare system.
The annual report from the Massachusetts Medical Society focuses on health in various forms including patient health, community health, physician health, and the health of medical practices. The report highlights the Society's efforts in 2015 to address the opioid epidemic through physician education and public awareness campaigns. It also discusses the successful bipartisan effort to repeal the flawed Sustainable Growth Rate formula for Medicare physician payments and transition to a new system focused on quality, electronic health records, and practice improvement.
Presentation to first Phillipine health care social media (#hcsmph) conference on future of social media - Feb. 21, 2014
(Please note date on cover slide is wrong - I'm not that much of a futurist!!)
Does giving patients more data actually increase engagement & improve outcomes?Alex Tarling
Drawing on insights from Telehealth trial for COPD, and the rise in wearable technology for self monitoring.
Presented at Health 2.0 meetup, London April 2014
Speaker Presentation from U.S. News Healthcare of Tomorrow leadership summit, November 2-4, 2016 in Washington, DC. Find out more about this forum at www.usnewshot.com.
This document summarizes the background and qualifications of Madis Tiik, MD, PhD. It outlines his experience including graduating from Tartu University Medical School in 1996, earning a diploma in public health from the Nordic School of Public Health in 2003, and serving as the chairman of the Estonian Society of Family Doctors from 2001-2008. The document then proposes a new model for self-care and virtual medical need assessments to empower citizens and address 80% of health issues virtually in order to provide more efficient care. It presents telemedicine as a solution and outlines examples of its implementation including remote consultations and a mobile nursing unit.
Keeping the Pediatric Population Healthy (David Bailey)Ashleigh Kades
Speaker Presentation from U.S. News Healthcare of Tomorrow leadership summit, November 2-4, 2016 in Washington, DC. Find out more about this forum at www.usnewshot.com.
community health center are based on health care where Healthcare for Communities are designed to offer information on how the healthcare system is functioning in order to take care of their own health.
The document discusses problems with access to healthcare that resulted from the Affordable Care Act increasing the number of insured individuals without increasing the number of healthcare providers. It proposes that implementing coordinated care models, where different healthcare providers work as a team to see more patients, is a cost-effective solution to improve access. Coordinated care models have been shown to increase primary care visits by 16% and improve health outcomes while ensuring efficient access to care.
The document discusses the lack of inpatient psychiatric care options for adolescents in Reading, Pennsylvania. Specifically, it notes that Reading Hospital closed its 4-bed adolescent unit in 2013 due to low summer occupancy. This leaves families with over an hour drive to facilities in Allentown or Philadelphia. The document argues reopening the adolescent unit would be cost effective for the hospital and help address the mental health needs of Reading's population, which has high rates of poverty and Hispanic/Latino ethnicity. Doing so could eliminate barriers to care for many children and allow for easier family involvement in treatment.
This editorial discusses the current state and future direction of nursing in the UK. It notes that while nursing's role has changed since the original 1932 Lancet Commission, establishing the patient as the central focus, the profession remains unclear and perceptions of nursing have not been adequately addressed. It highlights recommendations from several reviews to improve nursing standards and training, but a lack of political will to implement changes. The editorial calls for clear measures in nursing education and practice to ensure high-quality and sustainable patient care going forward.
Partnering with States and Communities to Redesign Care Delivery: Implicatio...Practical Playbook
This document summarizes a presentation on partnering with states and communities to redesign care delivery and implications for family medicine departments. It discusses drivers of health care transformation like costs, chronic disease, data and policy. It outlines efforts by the Centers for Medicare and Medicaid Services to embed population health strategies in programs and policies to help transform systems. Examples are provided of initiatives in North Carolina that reduced emergency department visits and hospital admissions by coordinating care for Medicaid recipients. The role of family medicine departments is noted as providing leadership within the community of learning around redesigning care delivery.
Speaker Presentation from U.S. News Healthcare of Tomorrow leadership summit, November 2-4, 2016 in Washington, DC. Find out more about this forum at www.usnewshot.com.
Community Health Centers: Making a DifferenceGreenway Health
Community health centers provide primary care to over 20 million patients annually in over 8,000 locations across the country. They serve a large portion of the uninsured and low-income populations. These centers emphasize preventive care and management of chronic diseases. Studies show communities with health centers have lower infant mortality and Medicaid costs, while providing high-quality care equal to private practices.
The Future NHS Plans: Delivering Transformation and SustainabilityMark Reading
1) The document discusses integrating digital health programs around the patient by using a single integrated digital care record (IDCR) that is controlled by the patient.
2) Currently, portals and apps create fragmentation as patients have separate logins and data stored in different places.
3) An integrated approach is needed where the patient is the driver and their data and consent is centralized in one place to improve care coordination and patient empowerment.
This document discusses building "deep support" in patient care through reengineering healthcare systems. It argues that current healthcare models provide fragmented, doctor-centric care with siloed records and limited patient support. The document advocates aligning healthcare with a "support economy" model by providing ongoing advocacy, mutual trust and aligned interests through relationship-based care. It presents examples where communication errors and lack of support lead to poor health outcomes and discusses how health IT, including electronic health records and patient engagement, can help restructure healthcare delivery to improve quality, safety, efficiency and patient-centeredness.
This document discusses healthcare diversity and determinants of health. It notes that factors like education, income, housing, transportation, healthcare access, and discrimination influence individual and community health. It emphasizes recognizing individual differences and valuing diversity in communities and the healthcare workforce. The goal is treating all people with respect. The document also discusses how heart disease impacts women and racial groups differently and efforts to improve health information sharing and care coordination.
The document discusses the concept of "deep support" in patient care through reengineering healthcare systems. It argues that deep support involves an ongoing relationship between patients and care providers based on advocacy, mutual respect, trust, and aligned interests. This level of support can be achieved through new digital technologies that enable better patient-centered communication and continuity of care. The document also examines how surveillance of patient internet use, meaningful use of electronic health records, and other initiatives can help meet public health goals by engaging patients and managing populations in a more supportive healthcare system.
The annual report from the Massachusetts Medical Society focuses on health in various forms including patient health, community health, physician health, and the health of medical practices. The report highlights the Society's efforts in 2015 to address the opioid epidemic through physician education and public awareness campaigns. It also discusses the successful bipartisan effort to repeal the flawed Sustainable Growth Rate formula for Medicare physician payments and transition to a new system focused on quality, electronic health records, and practice improvement.
Week 5 HCS325.Long-Term Wing Expansion FinalMaile Andrus
This document discusses communication methods, relationships, and steps for planning and implementing change at a rehabilitation center. It proposes expanding services to help those with long-term mental illness and depression. Key points include hiring and training new staff, ensuring compliance with privacy laws, and estimating increased revenue and quality care will result from the expansion.
Canadian physicians and social media: A prognosisPat Rich
This document discusses Canadian physicians' use of social media based on available research. It finds limited data but indicates use is increasing personally and professionally. Physicians are cautious due to privacy, liability and time concerns. Benefits of social media include communicating with patients and peers, research, and public health monitoring. Medical associations are more actively using social media than individual doctors. Overall, the prognosis is that Canadian physicians' social media use will continue growing as benefits become clearer.
Denis Cortese, M.D., president and CEO of Mayo Clinic, and Mayo Clinic Rochester chief administrative officer Jeff Korsmo presented highlights of the Mayo Clinic Health Policy Center's work on health care reform.
This document discusses how health care can become a more effective determinant of health. It argues that while health care has not historically been a major factor in improving population health, it could play a more important role if re-designed. The document outlines different levels of prevention and types of health services that could be strengthened. It also emphasizes that achieving health goals will require broader social and political changes, and stresses the importance of primary health care.
This document discusses how health care can become a more effective determinant of health. It argues that while health care has not historically been a major factor in improving population health, it could play a more important role if re-designed. The document outlines different levels of prevention and types of health services that could be strengthened. It also emphasizes that achieving health goals will require broader social and political changes, and stresses the importance of primary health care.
Paper #1 - Due March 8Posted Feb 22, 2018 949 AMPaper #1 - Ad.docxbunyansaturnina
Paper #1 - Due March 8
Posted Feb 22, 2018 9:49 AM
Paper #1 - Advice for Success
Please, use: File Name: HCAD610-Paper1-[Last Name]-Spring-2018
(And it would be nice if each page had your name and a page number...!)
Given how rapidly HIT has evolved over the last decade, HIT references greater than 5 years old need to have a relevant historical context or clear justification for their use. Every assertion that you make needs to have a clear source and be supported by references. EVERY factual statement Must be referenced, individually, from a credible and verifiable source...
No Abstract or Cover Page Needed...
I hope the guidance below helps...!
Dr Freeman
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
You are the director of strategic communication for a non-profit suburban community hospital. The CEO has asked you to prepare a 3-7 page briefing paper that answers the following questions posed by the Board of Directors:
What does the US government mean by the concept “meaningful use?” How do myriad HIT systems support each other? Or do they?
Due End of Week 4.
1. Explain Gov’t term: “meaningful Use”; (15 points)
2. What US HIT systems have Problems and WHY? (25 points)
3. What Changes are needed in US HIT Systems? (25 points)
4. What HIT Strategy Steps are needed BY Hospital? (25 points)
5. Grammar, Referencing, Page Restrictions (10 points)
Evaluate U.S. HIT
Compare with that of other advanced nations? What contributes to this?
U.S HIT is behind when compared to other developed countries in the world. According to Davis, Stremikis, Squires, and Schoen (2014), “other countries have led in the adoption of modern health information systems, but U.S. physicians and hospitals are catching up as they respond to significant financial incentives to adopt and make meaningful use of health information technology systems.” What baffled me the most is that the U.S healthcare system remains the most expensive in the world and there is nothing to show for the high cost when compared to performance rating with other developed nations. The U.S remains at the bottom when it comes to healthcare performance in terms of quality care, access, efficiency, equity, and healthy lives (Davis et al., 2014).
I believe our government is to be blamed for poor HIT advancement in the U.S. This is because the U.S government is ten years late in making HIT a national major concern to support and invest in. I was surprised to find out that the U.S is one of the first nations in the world to fund and use HIT. So the question is how did end on the back bench when it comes to HIT advancement. Sullivan, Watkins, Sweet, and Ramsey (2009) reports that most of the early initiatives such as government funding and policies put in place to foster the growth of HIT have been either changed or stopped as a result of political, financial, and commercial pressures. “A National Center for .
Rob Reid: Redesigning primary care: the Group Health journeyThe King's Fund
Rob Reid, Senior Investigator at Group Health Research Institute, explains the journey taken by Group Health in support of integrated primary care. A case study in how primary care can be delivered effectively and efficiently to a population, Rob laid out the challenges facing general practice in the States, and how Group Health worked to improve the situation for both patients and the workforce.
MMS State of the State Conference: Susan Dentzer - Rationalizing Health Spend...Frank Fortin
The document discusses challenges facing Massachusetts and the US in controlling rising healthcare costs. It notes that current spending growth rates threaten Massachusetts' reforms and the nation's fiscal health. Several key drivers of higher spending are identified, including new medical technologies, chronic diseases like obesity, and low productivity growth in the healthcare sector. Solutions proposed include reducing unnecessary variations in supply-sensitive care, payment reforms like bundled payments that incentivize quality over quantity, and policies to improve prevention and management of chronic conditions.
This document discusses community health workers (CHWs), including definitions, roles, skills, evidence of impact, and policy considerations. It provides an overview of CHWs, defining them as frontline public health workers who serve as liaisons between communities and health services. The document reviews the growing evidence that CHWs can improve health outcomes, increase knowledge and healthy behaviors, and reduce healthcare costs. It also examines the key policy areas states are addressing to define and support the CHW workforce.
This document discusses building a sustainable health information infrastructure in Ireland. It outlines three key principles: being patient-centered by empowering patients with information; being integrated to eliminate duplication and fragmentation; and being standards-based to efficiently share information. The Health Information and Quality Authority aims to improve healthcare quality and safety by developing standards, identifying gaps, and publishing performance reports. Challenges include integrating the currently fragmented systems and ensuring benefits are realized. Leadership over the long term is critical to successfully implementing eHealth strategies based on these principles.
This white paper discusses creating patient-centered team-based primary care. It proposes a conceptual framework that emphasizes relationships as the foundation for high-quality care. It also offers practical strategies for implementing patient-centered team-based care, drawn from literature and expert input. The strategies are intended to help practices develop cultures, structures, and processes that support relationships within care teams and between teams and patients.
The Large Data Demonstration Project aims to create a timely and workable national health data network design through a test project. It seeks to concurrently address governance issues and demonstrate improvements in care. The project intends to validate the temporal and cost efficiencies of such a network system. Overall, the demonstration project explores building the foundation for a national Learning Health System to improve American healthcare through increased data sharing and analysis.
This document summarizes a transitional care workgroup meeting held on July 12, 2013. The meeting included introductions and presentations on transitional care evidence and measuring patient-centered outcomes. Participants discussed a vignette about a patient being discharged from the hospital to identify questions patients would have about participating in a new transitional care program. The group's objectives were to understand transitional care broadly and narrow the topic by prioritizing important questions from multiple stakeholder perspectives. Breakout sessions allowed for submitted questions and discussion of proposed research topics. The meeting concluded with recapping next steps and welcoming further input.
Sbm open science committee report to the boardBradford Hesse
In the spirit of transparency, I am uploading a mid-course presentation I made to the Board of Directors for the Society of Behavioral Medicine on the topic of Open Science. The report embodies the best thinking of some of the greatest thinkers in our field.
Talk delivered at the Samsung Cancer Center to describe the potential of Connected Health approaches in solving many of the last mile problems in cancer care.
The document discusses how connected digital tools and data can help augment human capacity in healthcare by providing deep support for patients and populations. It provides examples of how electronic health records, personalized outreach, and remote monitoring have helped improve outcomes for cancer screening, smoking cessation, and symptom management. However, fully realizing the benefits of these technologies will require addressing issues around data integration, communication gaps, and adapting clinical workflows. The goal is to use digital tools to inform and support patients and providers, not replace human relationships and judgment.
Invited presentation to the University of Kentucky's Markey Cancer Center. I used the opportunity to update cancer prevention and control specialists on implications of the President's Cancer Panel report on Connected Health.
Cancer Prevention & Control in the Changing Communication LandscapeBradford Hesse
Keynote given at the Broadcast Education Association on April 17, 2016. Purpose was to portray ways in which the media can play to influence agenda setting in an era of new communication channels.
Advancing Methods in Infodemiology: A Funder's PerspectiveBradford Hesse
This document discusses using new methods to analyze electronic data to gain health insights, similar to how John Snow used data to identify the source of a cholera outbreak in 1850s London. Specifically, it discusses using natural language processing on electronic pathology reports, informatics approaches for precision medicine and public health, and related funding opportunities at the National Cancer Institute. The goal is to take advantage of new data sources and methods to improve cancer surveillance, epidemiology, and outcomes.
Consumer Engagement, Technology, and HealthcareBradford Hesse
This invited presentation was given to a gathering of healthcare administrators, practitioners, and researchers on Sept. 24, 2015. It envisions the possibility of improving healthcare's bottom line through consumer engagement.
The document discusses the transition from traditional medicine to smart health. Key points include:
- The shift from reactive, hospital-centric care to proactive, preventative, patient-centric care based at home.
- The move from fragmented, local data to interconnected electronic health records available anywhere.
- Empowering engaged, informed patients through participation and evidence-based decision support.
- Creating smart homes, communities and an ecosystem to support patient wellness, quality of life and care coordination.
This document discusses using big data for population health and connecting different types of data. It provides examples of how data can be used by healthcare providers, public health organizations, researchers, and individuals. The key points are:
1) Big data from various sources can help healthcare providers improve quality of care, create learning healthcare systems, and better manage population health.
2) Public health organizations can use big data to empower community action, enable "smart cities", conduct data mining on social media, and reduce health disparities.
3) Individuals may use personal data to track health progress, receive nudges to change behavior, and make more informed healthcare decisions in partnership with clinicians.
The document discusses the transition from traditional medicine to "smart health" enabled by connected devices and the Internet of Things. It notes that the President's Council of Advisors on Science and Technology recommended increased investment in networked medical technologies beyond electronic health records. Examples discussed include remote monitoring devices, mobile health records, smart home technologies, and decision support systems that can integrate data from various sources to improve health outcomes. The goal is to move towards more proactive, preventative, patient-centric, and evidence-based models of care.
This document discusses data visualization in cancer control and public health. It notes that in 2005 over 60% of Americans viewed cancer as a death sentence, but in 2015 some reported it was "just bad luck." The data shows there is a correlation between cell type, lifetime risk, and prevention opportunities rather than luck. Age-adjusted mortality trends have decreased for both males and females due to factors like controlling H. pylori and tobacco, as well as early detection and better treatments. Over 800,000 cancer cases and deaths per year are potentially preventable or treatable. Data visualization can help inform, support decisions, educate, and persuade to improve public health outcomes and save lives and costs. However, confusion spread intentionally or unintention
To err is human, bullet proofing data displaysBradford Hesse
The document discusses challenges with data displays and decision making given increasing amounts of available data and information. It notes that the amount of data and facts influencing health provider decisions far exceeds human cognitive capacities. When data is not effectively organized and communicated, it can lead to decision paralysis, confusion, and errors. The document advocates adapting to ubiquitous data systems by educating users, informing and supporting decisions through tools that provide data overviews, filtering, and details on demand.
Making Data Usable: 2014 presentation at DatapaloozaBradford Hesse
The document discusses user-centered design of data tools and health IT systems. It emphasizes that systems should be designed based on how humans perceive, process, and use information (human factors research) rather than just focusing on what computers can do. Well-designed interfaces can improve outcomes, such as a behavioral intervention credited with saving 58,000 injuries and $655 million per year by reducing car crashes. The document advocates asking how systems can augment human cognition rather than automate it.
This is a talk I gave as a discussant to a panel convened by Ellen Beckjord from the University of Pittsburgh, and the LiveStrong foundation at the 2014 Society of Behavioral Medicine meeting in Philadelphia, P on April 25, 2014.
The document discusses how new technologies and large datasets ("big data") can accelerate medical research and discovery. Specifically, it notes that traditional medical research can take 6 years from hypothesis to publication, while genetics initiatives using big data were able to present findings in just 8 months. The document also discusses how crowdsourcing health data through platforms that engage participants can help harness collective intelligence to power personalized medicine approaches.
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPsychoTech Services
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
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Cell Therapy Expansion and Challenges in Autoimmune DiseaseHealth Advances
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
- 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
Vestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptx
The revolution has begun sbm 2014
1. The Revolution Has Begun
Bringing Behavioral Medicine to Bear on Realizing the
Promise of Meaningful Use
Bradford W. Hesse, PhD
Chief, Health Communication
& Informatics Research
Monday, April 28, 14
2. We hold these truths to be
self-evident ....
William Stead et al, 2009: National
Research Council
Computational Technology for
Effective Health Care advocates re-
balancing the portfolio of investments
in health care IT to place a greater
emphasis on providing cognitive
support for health care providers,
patients, and family caregivers ...
William Stead,
MD
Monday, April 28, 14
3. That when any system
becomes destructive of
these ends ..
Source: U.S Atlas of
Global Inequality
Don Berwick,
MD
Monday, April 28, 14
4. We must institute a
new system ...
Paul Tang,
MD MS
David Blumenthal,
MD MPP
Key goals:*
• Quality, safety, efficiency
• Patient engagement
• Continuity of care
• Population health
• Privacy
Monday, April 28, 14
5. “Meaningful Use”
Safety, Quality
Improvement
Patient
Engagement
Continuity of
Care
Population
Health
Privacy,
Security TRUST
* Hesse, Bradford W. (2010).Time to reboot: resetting health care
to support tobacco dependency treatment services.Am J Prev
Med, 39(6 Suppl 1), S85-87.
Laying its foundation on
such principles ...
Key goals:*
• Quality, safety, efficiency
• Patient engagement
• Continuity of care
• Population health
• Privacy
Monday, April 28, 14
6. So as to affect safety and
happiness ...
Thomas
Novak
Monday, April 28, 14
7. To form a more perfect union ...
Monday, April 28, 14