The document summarizes the rise of the first county health department in Maine, the Sagadahoc County Board of Health. It discusses how the board was formed in response to the need for local public health services. It provides a timeline of key events from 2001-2010 that led to the creation of the board and the strategic alliances, programs, and services it provides to the community to address public health issues. It also outlines some of the board's successes, ongoing challenges, and future plans to continue improving public health in the county.
This document discusses the National CLAS Standards which provide a framework for health and healthcare organizations to deliver culturally and linguistically appropriate services. It begins by noting the increasing diversity in the U.S. and disparities in health outcomes between racial/ethnic groups. It then defines culturally and linguistically appropriate services and the importance of addressing social determinants of health. The document outlines the 15 CLAS Standards covering governance, leadership, workforce, communication, language assistance, and community engagement. It highlights enhancements made to the standards to advance health equity and quality care for all.
This document discusses core public health functions and essential public health services. It describes how public health aims to define and address the health of entire populations, rather than just individuals. Public health considers factors like behavior, environment, socioeconomics, and more that influence community health outcomes. It outlines how public health has helped extend average life expectancy by 25 years over the last century by preventing disease, promoting healthy behaviors, and assuring access to healthcare. The core functions of public health are described as assessment of community health needs, development of policies and education, and assurance of services.
The document summarizes recent health care reforms in Washington state. It discusses the expansion of Medicaid, challenges in accessing care, and the state's plan to transform the health care system by 2020. The goals are to pay providers based on the value and outcomes of care instead of volume, better integrate physical and behavioral health, and empower communities to improve health. Key steps taken include legislation supporting purchasing reform and integrated whole-person care, and establishing Accountable Communities of Health to drive regional health improvements.
The document proposes a community wellness program for East Grand Rapids that would benefit staff health, lower costs, and increase productivity. It recommends a worksite health promotion plan that could yield a 3.4 to 1 return on investment. The proposed program would address mind, body, and spirit wellness through activities like Nordic walking, yoga, cooking demonstrations, health screenings at a health fair, and team building. It requests district approval and support with resources to implement the program.
Truth, Desire, and Habit: Animating Community as Medicine.
How often have we heard doctors deliver behavior change instructions (“Eat better! Exercise more! Reduce your stress!”) followed by something like “Good luck with that! I’ll see you in 6 months?”
For our patients who lack access to the boutique ($$) wellness industry, these kinds of “Behavioral Prescriptions” are a prescription to nowhere.
Open Source Wellness (OSW) is the nation’s first “Behavioral Pharmacy:” a democratized delivery system for the universal and trans-diagnostic behaviors and experiences that potentiate human health and wellbeing. The model leverages the power of community to animate a very simple platform: MOVE (physical activity), NOURISH (healthy meals,) CONNECT (social support), and BE (stress reduction). Adaptable to diverse populations, OSW addresses the behaviorally- and socially-mediated conditions that are driving human suffering and astronomical healthcare spending by animating clinical, community, housing, and corporate contexts as platforms for health and wellbeing.
Join us for an experience (80% direct engagement, 20% keynote on methodology and outcomes) of the OSW Truth, Desire, and Habit human technologies, and leave ready to creatively apply the active ingredients of this model to your work your world!
Understanding the Health Care Law, by Dr. James RohackWayne Caswell
The document discusses the history and current state of healthcare and health insurance in the United States. It notes that average lifespans have increased from 68 to 78 years old but costs have risen due to new medical technologies. The document outlines challenges facing the healthcare system like the growing retiree population, rising Medicare costs, and high numbers of uninsured individuals. It examines factors influencing health and healthcare disparities.
Innovations of virginias aaa vg co_a - medicare fraudrexnayee
This document provides information about Medicare fraud and the Senior Medicare Patrol (SMP) program. It discusses how Medicare fraud affects taxpayers and beneficiaries by wasting funds and increasing costs. The SMP mission is to empower Medicare beneficiaries to prevent, detect, and report healthcare fraud, errors, and abuse through outreach and education. The document outlines the parts of Medicare, common types of fraud and abuse, and provides steps beneficiaries can take to detect and report suspected fraud, including reviewing statements for unauthorized services and contacting the SMP program for help.
WellPortals - Wellness That Makes Financial Sensestevenchandler
WellPortals provides online wellness programs that target major chronic diseases like diabetes, heart disease, and cancer prevention. These performance-based programs are designed to reduce the symptoms, occurrences, and high costs of chronic illnesses. Chronic diseases drive up healthcare costs, as they affect up to 77% of the population and account for over 75% of health care spending. WellPortals focuses on high-risk individuals with chronic conditions through a systematic wellness system combining online tools and weekly group classes, with the goal of producing lasting lifestyle improvements to reduce costs. Studies in Asheville and Hickory, North Carolina found medical expenses dropped 40%, sick days reduced 50%, and hospitalizations cut 50% through WellPortals' lifestyle modification programs
This document discusses the National CLAS Standards which provide a framework for health and healthcare organizations to deliver culturally and linguistically appropriate services. It begins by noting the increasing diversity in the U.S. and disparities in health outcomes between racial/ethnic groups. It then defines culturally and linguistically appropriate services and the importance of addressing social determinants of health. The document outlines the 15 CLAS Standards covering governance, leadership, workforce, communication, language assistance, and community engagement. It highlights enhancements made to the standards to advance health equity and quality care for all.
This document discusses core public health functions and essential public health services. It describes how public health aims to define and address the health of entire populations, rather than just individuals. Public health considers factors like behavior, environment, socioeconomics, and more that influence community health outcomes. It outlines how public health has helped extend average life expectancy by 25 years over the last century by preventing disease, promoting healthy behaviors, and assuring access to healthcare. The core functions of public health are described as assessment of community health needs, development of policies and education, and assurance of services.
The document summarizes recent health care reforms in Washington state. It discusses the expansion of Medicaid, challenges in accessing care, and the state's plan to transform the health care system by 2020. The goals are to pay providers based on the value and outcomes of care instead of volume, better integrate physical and behavioral health, and empower communities to improve health. Key steps taken include legislation supporting purchasing reform and integrated whole-person care, and establishing Accountable Communities of Health to drive regional health improvements.
The document proposes a community wellness program for East Grand Rapids that would benefit staff health, lower costs, and increase productivity. It recommends a worksite health promotion plan that could yield a 3.4 to 1 return on investment. The proposed program would address mind, body, and spirit wellness through activities like Nordic walking, yoga, cooking demonstrations, health screenings at a health fair, and team building. It requests district approval and support with resources to implement the program.
Truth, Desire, and Habit: Animating Community as Medicine.
How often have we heard doctors deliver behavior change instructions (“Eat better! Exercise more! Reduce your stress!”) followed by something like “Good luck with that! I’ll see you in 6 months?”
For our patients who lack access to the boutique ($$) wellness industry, these kinds of “Behavioral Prescriptions” are a prescription to nowhere.
Open Source Wellness (OSW) is the nation’s first “Behavioral Pharmacy:” a democratized delivery system for the universal and trans-diagnostic behaviors and experiences that potentiate human health and wellbeing. The model leverages the power of community to animate a very simple platform: MOVE (physical activity), NOURISH (healthy meals,) CONNECT (social support), and BE (stress reduction). Adaptable to diverse populations, OSW addresses the behaviorally- and socially-mediated conditions that are driving human suffering and astronomical healthcare spending by animating clinical, community, housing, and corporate contexts as platforms for health and wellbeing.
Join us for an experience (80% direct engagement, 20% keynote on methodology and outcomes) of the OSW Truth, Desire, and Habit human technologies, and leave ready to creatively apply the active ingredients of this model to your work your world!
Understanding the Health Care Law, by Dr. James RohackWayne Caswell
The document discusses the history and current state of healthcare and health insurance in the United States. It notes that average lifespans have increased from 68 to 78 years old but costs have risen due to new medical technologies. The document outlines challenges facing the healthcare system like the growing retiree population, rising Medicare costs, and high numbers of uninsured individuals. It examines factors influencing health and healthcare disparities.
Innovations of virginias aaa vg co_a - medicare fraudrexnayee
This document provides information about Medicare fraud and the Senior Medicare Patrol (SMP) program. It discusses how Medicare fraud affects taxpayers and beneficiaries by wasting funds and increasing costs. The SMP mission is to empower Medicare beneficiaries to prevent, detect, and report healthcare fraud, errors, and abuse through outreach and education. The document outlines the parts of Medicare, common types of fraud and abuse, and provides steps beneficiaries can take to detect and report suspected fraud, including reviewing statements for unauthorized services and contacting the SMP program for help.
WellPortals - Wellness That Makes Financial Sensestevenchandler
WellPortals provides online wellness programs that target major chronic diseases like diabetes, heart disease, and cancer prevention. These performance-based programs are designed to reduce the symptoms, occurrences, and high costs of chronic illnesses. Chronic diseases drive up healthcare costs, as they affect up to 77% of the population and account for over 75% of health care spending. WellPortals focuses on high-risk individuals with chronic conditions through a systematic wellness system combining online tools and weekly group classes, with the goal of producing lasting lifestyle improvements to reduce costs. Studies in Asheville and Hickory, North Carolina found medical expenses dropped 40%, sick days reduced 50%, and hospitalizations cut 50% through WellPortals' lifestyle modification programs
This document provides an overview of a presentation about community health workers (CHWs). It discusses the history and need for CHWs, their definition and roles, models of care, education and certification requirements. The presentation covers the history of CHWs dating back to Clara Barton and Jane Addams, and their increasing need today. CHWs are community members who share the language and experiences of those they serve. Their roles include cultural mediation, counseling, advocacy, education, and referrals. The presentation explores models of care, credentialing processes, and outcomes of CHW programs like increased health literacy and improved standards.
The document discusses the Andersen Model of health care access. The model conceptualizes access as being determined by population characteristics (contextual and individual factors) that predispose people to use services or enable/impede their use. These include demographic, social, health beliefs, and enabling resources factors. The model also considers people's need (perceived and evaluated by professionals) and how this influences health behaviors and outcomes. It provides a framework for examining equitable access to care based on need rather than social characteristics or enabling resources.
The document discusses how social and environmental factors impact health and access to healthcare. It outlines that where someone lives determines their health based on things like water quality, smoking bans, food access, and healthcare resources. Access to healthcare varies across communities based on race, income, education, insurance status, and disability. A behavioral model shows how predisposing characteristics, enabling factors, and health needs influence healthcare utilization. Neighborhood characteristics like socioeconomic disadvantage, physical environments, and social networks can decrease access to primary care and increase unmet needs. Investing in community prevention and changing neighborhood environments can increase access and produce healthcare savings.
economic impact of ill health on householddevlekarv
This document discusses the economic impact of ill health on households. It outlines how illness can result in direct medical costs as well as indirect costs such as lost income. Households cope with illness costs by depleting savings, selling assets, or taking on debt. Long term or chronic illness is especially burdensome for poor households and can contribute to impoverishment. The document also examines common health conditions in India and their associated costs. Improving access to affordable healthcare, providing health insurance and education, and strengthening public health services are proposed to help reduce the economic impact of illness on households.
The American Medical Association (AMA) and Centers for Disease Control and Prevention (CDC) have launched an initiative called "Prevent Diabetes STAT" to reduce the incidence of type 2 diabetes. Over 86 million Americans have prediabetes, but less than 10% know they are at risk. This new initiative will expand screening and refer more people to diabetes prevention programs. It provides tools for doctors to screen and refer patients to local programs. The goal is to help people make lifestyle changes to prevent or delay the onset of type 2 diabetes through increased physical activity and healthy eating.
The current healthcare system separates physical, mental, and chemical dependency services, focuses on volume over quality, and costs are rising without improved outcomes. A better system would integrate services, emphasize coordinated and high-quality care over service volume, and reduce costs through effective services. The Healthier Washington initiative aims to build this better system through measures like accountable communities of health that bring together regional stakeholders, integrating physical and behavioral healthcare, and using data and payment reforms to incentivize value-based care focused on the whole person. The ultimate goals are better health, better care, and lower costs for Washington residents.
EOA2016: Connecting Community to the Delivery System PublicPIHCSnohomish
During the last breakout session of the day, at Edge of Amazing 2016, a panel came together to discuss the interdependencies that are not the responsibility of any single organization, but are required if we want to achieve population health. They featured the many ways community is linking to the delivery system, including an overiew of the Plan for Improving Population Health and the Practice Transformation Support Hub.
Mary Beth Brown, WA State DOH
Maria Courogen, WA State DOH
Dr. Gary Goldbaum, Snohomish Health District
Linda McCarthy, Mt. Baker Planned Parenthood
Non-communicable diseases like cardiovascular disease and diabetes place a large burden on Bangladesh's health system. Over 50% of deaths in Bangladesh are due to non-communicable diseases. Bangladesh faces a dual burden of infectious diseases as well as a growing burden from non-communicable diseases. Unhealthy lifestyles and environmental changes promoted by globalization and urbanization contribute to common risk factors such as high blood pressure, blood glucose, and obesity, which increase the risk of fatal conditions. The Bangladeshi government has established community clinics throughout the country to improve access to healthcare and reduce the burden of non-communicable diseases, especially in rural areas.
(1) Primary care has a public purpose of improving population health outcomes at affordable costs. Investing in primary care services like open access, extended hours, quality improvement activities, and increasing patient enrollment can generate returns through better health and lower healthcare spending.
(2) There are multiple potential sources of investment in primary care, including state departments of health, Medicaid, Medicare, health plans, employers, and foundations. Investment approaches may differ between more conservative "red states" and liberal "blue states".
(3) To stimulate investment in primary care, advocates should build political support among patients, speak with a unified voice, work with state governments and payers, and provide leadership.
Medicaid Expansion has ushered in new challenges for those working in the Medicaid Industry. At the 2014 Medicaid Summit, join Medicaid Directors and industry leaders to discuss solutions to the challenges that are surfacing with Medicaid Expansion. Be a part of the discussions on the Medicaid regulations and access to care and their impact on the Medicaid industry for state operators, providers and Medicaid health plans.
http://bit.ly/MedicaidSummit
The document summarizes the Blue Cross Blue Shield of Massachusetts Foundation's investments in social determinants of health. It discusses how social and environmental factors account for 60% of health outcomes but less is spent on social services than medical care. The Foundation focuses on housing, nutrition, and policy/advocacy grants. It aims to demonstrate connections between social services and health outcomes, identify metrics to measure cross-sector success, and convene stakeholders through conferences.
Homes Within Reach: County Behavioral Health Housing Plans 2015Marcella Maguire
PA Housing Alliance's annual Homes within Reach conference brings together leaders in state affordable housing initiatives. This presentation educates that audience about the state's requirement that every County's Behavioral Health Authority have a County Housing Plan.
Performance of Community Health Workers: Optimizing the benefits of their uni...REACHOUTCONSORTIUMSLIDES
This document discusses factors that influence the performance of community health workers (CHWs), including both "hardware" factors like training, supervision, and supplies, as well as "software" factors like relationships, trust, and power. It presents a framework showing how the broader community and health sector contexts can influence mechanisms like trusting relationships between CHWs and communities or health workers, leading to outcomes like high or weak performance. The intermediate position of CHWs between communities and the health sector is also discussed.
Improving the health status of your community (face to-face education flyer)Greg Wahlstrom, MBA, HCM
The Central Illinois ACHE Chapter is hosting an upcoming program on March 20, 2013 to earn 1.5 ACHE face-to-face education credits. The presentation will feature speakers from KSB Hospital discussing improving the health status of communities. The speakers will provide strategies and tactics for healthcare organizations to align with community health needs, conduct assessments, and understand the demographics and diseases affecting their regions. Attendees will gain insights into planning, operations, and regulations concerning population health.
Bennett (Keynote Health & Health Care Northern Ontario 2010)TORC
The document discusses challenges and opportunities in improving health and healthcare in Northern Ontario. It argues that health is influenced more by social and economic factors than healthcare, and achieving better population health requires cross-sector collaboration and a focus on determinants like poverty, housing, and healthy aging. Rural communities face particular difficulties in accessing healthcare that require innovative solutions to deliver sustainable, community-based care.
The document discusses AltaMed's Patient Centered Medical Home (PCMH) model and its Program of All-Inclusive Care for the Elderly (PACE).
AltaMed uses a team-based care coordination approach in its PCMH model, with teams including nurses, health coaches, behavioral health specialists, pharmacists and others supporting primary care providers. For its PACE program, AltaMed provides comprehensive medical and social services to elderly patients to allow them to remain in their communities. Data shows AltaMed's PACE program achieves lower costs, utilization and mortality compared to other models through its integrated care approach.
The document discusses universalizing access to quality primary healthcare in India. It identifies economic barriers and the high cost of treatment as leading causes for poor primary healthcare access. It proposes several solutions such as promoting generic medicines, implementing national health insurance, and increasing the number of medical professionals in rural areas. The proposed solutions aim to make healthcare more affordable and accessible to all citizens of India.
Jolene K. Joseph has over 25 years of experience in behavioral healthcare management and executive leadership. She has served as the Director of Behavioral Health and Director of Operations for Health Partners of Western Ohio, a federally qualified health center. In these roles, she provided multi-site leadership and expanded behavioral health services. Currently, she works as a consultant for the Centers for Medicare and Medicaid Services and remains active in her professional community.
El documento describe varias herramientas y aplicaciones web 2.0, incluyendo redes sociales, blogs, wikis, hojas de cálculo en línea, almacenamiento en la nube, y más. Explica cómo estas herramientas han permitido que los usuarios generen y compartan contenido de manera más fácil e intuitiva.
This document provides information on bullying in schools and strategies for prevention. It defines bullying as when a student targets another student repeatedly through behaviors intended to harm them physically or emotionally. Bullying thrives where there is an imbalance of power between students. The document recommends schools conduct assessments to understand the scope of bullying, establish clear policies, train staff to intervene consistently, implement consequences for bullies, contact parents, and monitor progress through ongoing assessments. The goal is for all school community members to work cooperatively in addressing bullying.
San juan de la salle - Turismo en Cuzco camila1704
El documento proporciona información sobre varios sitios arqueológicos importantes en la región de Cuzco, Perú. Describe la ubicación y características de Machu Picchu, Ollantaytambo, Pisac, Sacsayhuamán y Puca Pucara, incluyendo detalles sobre su historia, arquitectura y significado cultural para los incas.
This document provides an overview of a presentation about community health workers (CHWs). It discusses the history and need for CHWs, their definition and roles, models of care, education and certification requirements. The presentation covers the history of CHWs dating back to Clara Barton and Jane Addams, and their increasing need today. CHWs are community members who share the language and experiences of those they serve. Their roles include cultural mediation, counseling, advocacy, education, and referrals. The presentation explores models of care, credentialing processes, and outcomes of CHW programs like increased health literacy and improved standards.
The document discusses the Andersen Model of health care access. The model conceptualizes access as being determined by population characteristics (contextual and individual factors) that predispose people to use services or enable/impede their use. These include demographic, social, health beliefs, and enabling resources factors. The model also considers people's need (perceived and evaluated by professionals) and how this influences health behaviors and outcomes. It provides a framework for examining equitable access to care based on need rather than social characteristics or enabling resources.
The document discusses how social and environmental factors impact health and access to healthcare. It outlines that where someone lives determines their health based on things like water quality, smoking bans, food access, and healthcare resources. Access to healthcare varies across communities based on race, income, education, insurance status, and disability. A behavioral model shows how predisposing characteristics, enabling factors, and health needs influence healthcare utilization. Neighborhood characteristics like socioeconomic disadvantage, physical environments, and social networks can decrease access to primary care and increase unmet needs. Investing in community prevention and changing neighborhood environments can increase access and produce healthcare savings.
economic impact of ill health on householddevlekarv
This document discusses the economic impact of ill health on households. It outlines how illness can result in direct medical costs as well as indirect costs such as lost income. Households cope with illness costs by depleting savings, selling assets, or taking on debt. Long term or chronic illness is especially burdensome for poor households and can contribute to impoverishment. The document also examines common health conditions in India and their associated costs. Improving access to affordable healthcare, providing health insurance and education, and strengthening public health services are proposed to help reduce the economic impact of illness on households.
The American Medical Association (AMA) and Centers for Disease Control and Prevention (CDC) have launched an initiative called "Prevent Diabetes STAT" to reduce the incidence of type 2 diabetes. Over 86 million Americans have prediabetes, but less than 10% know they are at risk. This new initiative will expand screening and refer more people to diabetes prevention programs. It provides tools for doctors to screen and refer patients to local programs. The goal is to help people make lifestyle changes to prevent or delay the onset of type 2 diabetes through increased physical activity and healthy eating.
The current healthcare system separates physical, mental, and chemical dependency services, focuses on volume over quality, and costs are rising without improved outcomes. A better system would integrate services, emphasize coordinated and high-quality care over service volume, and reduce costs through effective services. The Healthier Washington initiative aims to build this better system through measures like accountable communities of health that bring together regional stakeholders, integrating physical and behavioral healthcare, and using data and payment reforms to incentivize value-based care focused on the whole person. The ultimate goals are better health, better care, and lower costs for Washington residents.
EOA2016: Connecting Community to the Delivery System PublicPIHCSnohomish
During the last breakout session of the day, at Edge of Amazing 2016, a panel came together to discuss the interdependencies that are not the responsibility of any single organization, but are required if we want to achieve population health. They featured the many ways community is linking to the delivery system, including an overiew of the Plan for Improving Population Health and the Practice Transformation Support Hub.
Mary Beth Brown, WA State DOH
Maria Courogen, WA State DOH
Dr. Gary Goldbaum, Snohomish Health District
Linda McCarthy, Mt. Baker Planned Parenthood
Non-communicable diseases like cardiovascular disease and diabetes place a large burden on Bangladesh's health system. Over 50% of deaths in Bangladesh are due to non-communicable diseases. Bangladesh faces a dual burden of infectious diseases as well as a growing burden from non-communicable diseases. Unhealthy lifestyles and environmental changes promoted by globalization and urbanization contribute to common risk factors such as high blood pressure, blood glucose, and obesity, which increase the risk of fatal conditions. The Bangladeshi government has established community clinics throughout the country to improve access to healthcare and reduce the burden of non-communicable diseases, especially in rural areas.
(1) Primary care has a public purpose of improving population health outcomes at affordable costs. Investing in primary care services like open access, extended hours, quality improvement activities, and increasing patient enrollment can generate returns through better health and lower healthcare spending.
(2) There are multiple potential sources of investment in primary care, including state departments of health, Medicaid, Medicare, health plans, employers, and foundations. Investment approaches may differ between more conservative "red states" and liberal "blue states".
(3) To stimulate investment in primary care, advocates should build political support among patients, speak with a unified voice, work with state governments and payers, and provide leadership.
Medicaid Expansion has ushered in new challenges for those working in the Medicaid Industry. At the 2014 Medicaid Summit, join Medicaid Directors and industry leaders to discuss solutions to the challenges that are surfacing with Medicaid Expansion. Be a part of the discussions on the Medicaid regulations and access to care and their impact on the Medicaid industry for state operators, providers and Medicaid health plans.
http://bit.ly/MedicaidSummit
The document summarizes the Blue Cross Blue Shield of Massachusetts Foundation's investments in social determinants of health. It discusses how social and environmental factors account for 60% of health outcomes but less is spent on social services than medical care. The Foundation focuses on housing, nutrition, and policy/advocacy grants. It aims to demonstrate connections between social services and health outcomes, identify metrics to measure cross-sector success, and convene stakeholders through conferences.
Homes Within Reach: County Behavioral Health Housing Plans 2015Marcella Maguire
PA Housing Alliance's annual Homes within Reach conference brings together leaders in state affordable housing initiatives. This presentation educates that audience about the state's requirement that every County's Behavioral Health Authority have a County Housing Plan.
Performance of Community Health Workers: Optimizing the benefits of their uni...REACHOUTCONSORTIUMSLIDES
This document discusses factors that influence the performance of community health workers (CHWs), including both "hardware" factors like training, supervision, and supplies, as well as "software" factors like relationships, trust, and power. It presents a framework showing how the broader community and health sector contexts can influence mechanisms like trusting relationships between CHWs and communities or health workers, leading to outcomes like high or weak performance. The intermediate position of CHWs between communities and the health sector is also discussed.
Improving the health status of your community (face to-face education flyer)Greg Wahlstrom, MBA, HCM
The Central Illinois ACHE Chapter is hosting an upcoming program on March 20, 2013 to earn 1.5 ACHE face-to-face education credits. The presentation will feature speakers from KSB Hospital discussing improving the health status of communities. The speakers will provide strategies and tactics for healthcare organizations to align with community health needs, conduct assessments, and understand the demographics and diseases affecting their regions. Attendees will gain insights into planning, operations, and regulations concerning population health.
Bennett (Keynote Health & Health Care Northern Ontario 2010)TORC
The document discusses challenges and opportunities in improving health and healthcare in Northern Ontario. It argues that health is influenced more by social and economic factors than healthcare, and achieving better population health requires cross-sector collaboration and a focus on determinants like poverty, housing, and healthy aging. Rural communities face particular difficulties in accessing healthcare that require innovative solutions to deliver sustainable, community-based care.
The document discusses AltaMed's Patient Centered Medical Home (PCMH) model and its Program of All-Inclusive Care for the Elderly (PACE).
AltaMed uses a team-based care coordination approach in its PCMH model, with teams including nurses, health coaches, behavioral health specialists, pharmacists and others supporting primary care providers. For its PACE program, AltaMed provides comprehensive medical and social services to elderly patients to allow them to remain in their communities. Data shows AltaMed's PACE program achieves lower costs, utilization and mortality compared to other models through its integrated care approach.
The document discusses universalizing access to quality primary healthcare in India. It identifies economic barriers and the high cost of treatment as leading causes for poor primary healthcare access. It proposes several solutions such as promoting generic medicines, implementing national health insurance, and increasing the number of medical professionals in rural areas. The proposed solutions aim to make healthcare more affordable and accessible to all citizens of India.
Jolene K. Joseph has over 25 years of experience in behavioral healthcare management and executive leadership. She has served as the Director of Behavioral Health and Director of Operations for Health Partners of Western Ohio, a federally qualified health center. In these roles, she provided multi-site leadership and expanded behavioral health services. Currently, she works as a consultant for the Centers for Medicare and Medicaid Services and remains active in her professional community.
El documento describe varias herramientas y aplicaciones web 2.0, incluyendo redes sociales, blogs, wikis, hojas de cálculo en línea, almacenamiento en la nube, y más. Explica cómo estas herramientas han permitido que los usuarios generen y compartan contenido de manera más fácil e intuitiva.
This document provides information on bullying in schools and strategies for prevention. It defines bullying as when a student targets another student repeatedly through behaviors intended to harm them physically or emotionally. Bullying thrives where there is an imbalance of power between students. The document recommends schools conduct assessments to understand the scope of bullying, establish clear policies, train staff to intervene consistently, implement consequences for bullies, contact parents, and monitor progress through ongoing assessments. The goal is for all school community members to work cooperatively in addressing bullying.
San juan de la salle - Turismo en Cuzco camila1704
El documento proporciona información sobre varios sitios arqueológicos importantes en la región de Cuzco, Perú. Describe la ubicación y características de Machu Picchu, Ollantaytambo, Pisac, Sacsayhuamán y Puca Pucara, incluyendo detalles sobre su historia, arquitectura y significado cultural para los incas.
The high-level findings from the data analysis were:
- Turnover was comparable to industry trends both in the US and internationally.
- Better job opportunities was the main reason employees left.
- A significant number of employees who left had less than 3 years of tenure.
- Employees under 30 and specific job families, business units, and locations had higher turnover rates.
- Sunnyvale, India, and certain field operation sites had the highest attrition.
El terremoto y tsunami de 2011 en Japón fue un terremoto de magnitud 9.0 que generó tsunamis de hasta 10 metros. Tuvo su epicentro frente a la costa de Honshu, Japón y causó más de 20,000 muertes. Además, dañó severamente reactores nucleares en Fukushima y generó un debate sobre el futuro de la energía nuclear.
Wendy Davis: Leveraging Public Health Capacity to Improve Health System Effic...NASHP HealthPolicy
Many provisions of the ACA hold promise for public health agencies. The reorganization of the healthcare system in the wake of health reform also poses challenges for the public health system. This session will address how public health agency roles may change, opportunities to use public health agencies to lower health costs and improve health outcomes, and the integration of categorical funding streams to build a comprehensive public health system in a post-health reform world.
This document outlines the process and goals of a regional health care safety net summit. It provides background on the initiative, including key terminology, assumptions, and demographic data of the region. It also summarizes ongoing efforts to strengthen the safety net and the Chicago Metropolitan Agency for Planning's GoTo 2040 plan, which includes recommendations to integrate health policy into regional planning. The document introduces preliminary recommendations that will be discussed at the summit to continue progressing the initiative.
The document discusses the role of healthcare coalitions in disaster response. It describes how the 15 coalitions across Florida were established as a collaborative network of healthcare organizations and response partners to assist with preparedness, response, recovery and mitigation activities. It provides examples of specific coalitions like the Northeast Florida Healthcare Coalition and Tampa Bay Health & Medical Preparedness Coalition, outlining their structures, memberships, activities and accomplishments.
This document outlines Dr. Ismail Zubair's plan for a public health discussion series called "Health Debates & Dialogues (Health Talks)". The vision is to have a healthy community in Afghanistan by conducting health debates that raise public awareness and advocate for health issues. Key topics that will be discussed include vaccination, mental health, health services quality, and social norms. The discussions will involve health experts, government officials, donors, and other stakeholders. They will use a roundtable format with slideshows and surveys to gather community feedback. The goal is to improve accountability, address communication gaps, and contribute to positive health system changes in Afghanistan.
This document provides a summary of the key findings from a 2011 community health needs assessment of Osceola and Lake Counties in Michigan. It finds that while the counties have some strengths like low crime rates and coordination of care, there are also many challenges. These include high unemployment, poverty, and lower educational attainment. Health indicators like mortality rates are worse than state averages. Risk behaviors like smoking and obesity are prevalent. Access to care is an issue, especially for specialty and primary care. The assessment gathered data from surveys, interviews, and secondary sources to develop a comprehensive view of the health landscape and identify priority areas for improvement.
This document summarizes the findings of a community health needs assessment conducted in Osceola and Lake Counties in Michigan. It identifies several health challenges facing residents, including higher rates of chronic conditions like diabetes and heart disease compared to the state. Social issues like poverty and lack of education negatively impact health. Access to specialty care is limited and transportation presents a barrier. However, the community benefits from strong emergency services, care coordination, and programs to address needs. Addressing issues like access to primary care, transportation, prevention/wellness, and underserved groups were prioritized for improvement.
The document discusses how street design can support community health by promoting active transportation and open streets initiatives. It provides background on how transportation infrastructure currently focuses on cars rather than other modes of travel like walking and biking. Open streets events that limit car access and encourage physical activity are highlighted as a way to boost health through increased mobility options and social interaction. Partnerships between transportation, public health, and other groups are presented as important to jointly support community health and active living through street design changes. Case studies from Open Streets programs in Minneapolis demonstrate how such initiatives have grown in size and participation over time.
HMPRG Safety Net Initiative History- Lon BerkeleyHealthwork
PPT Setting the Stage for the Regional Health Care Safety Net in Northeastern Illinois. Presented at the Safety Net Summit, June 23, 2009, hosted by Health & Medicine Policy Research Group (HMPRG) and the U.S. Health Resources and Services Administration (HRSA)
1. The document discusses the role of public health in addressing health inequities. It outlines strategies like using local data to build awareness, engaging stakeholders, and implementing programs and policies across sectors.
2. Research in Saskatoon found significant health disparities by income level. Surveys also showed lack of public awareness. Efforts were made to publicly release data and garner support for solutions.
3. Public health can advocate for policy changes, build community support, conduct research, and work within the health system to implement equity-focused interventions and audits.
PUBLIC HEALTH NURSING CONCEPTS TO STUDY FORdoubletandoori
This document provides an introduction and overview of community health nursing and public health nursing. It discusses the history and evolution of public health nursing in the Philippines. It also defines key concepts like health, determinants of health, and public health. Additionally, it outlines the roles and responsibilities of public health nurses which include roles like planner/programmer, provider of nursing care, community organizer, trainer/health educator/counselor, coordinator of services, health monitor, change agent, role model, recorder/reporter/statistician, and researcher. The document encourages students to choose one role they would like to take on in the community and explain their choice. Finally, it provides some assignments for students related to competency standards and the
Building a National Agenda for CHC Leadership on Primary Care and Engaging CH...cachc
This document summarizes a presentation by Dr. Daniel Miller on engaging community health center (CHC) clinicians in leadership and advocacy. The presentation discusses the history and mission of the CHC movement in the United States, focusing on improving access to healthcare for underserved populations. It outlines some of the challenges CHCs face in caring for individuals and communities with respect and dignity. The presentation aims to identify opportunities for CHC clinicians to become more involved beyond direct service delivery, and to learn from successful experiences engaging clinicians in the United States. The goals are to discuss challenges and opportunities for Canadian CHCs and their associations to take action in empowering clinicians on these issues.
Josy Delaney has 22 years of experience in health education, including 12 years directing a Community Wellness Program and 10 years as a clinical exercise physiologist in Cardiac Rehabilitation. She oversees strategic planning and operations of the Community Wellness Program, coordinates prevention initiatives, and developed a new Cardiac Rehabilitation Program. She coordinates various community health education programs and engages in public speaking, radio shows, and community leadership roles to promote health and wellness.
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.
The document provides information on the 2014 Public Health Advisory Council and Board of Health for Snohomish County, Washington. It lists the members of each group and notes that the Snohomish Health District works with these partners to promote public health in the community. The document then summarizes the Health District's strategic plan update and priorities for evolving its programs and services. It also provides some statistics on the services provided and funding challenges faced by the Health District.
This document provides a summary of a 2012 community health assessment conducted across 10 counties in Northern Michigan, including a special focus on Montmorency and Otsego Counties. The assessment was funded by various healthcare organizations and conducted over 15 months using the Mobilizing for Action through Planning and Partnerships (MAPP) framework. Key findings from the assessment include that residents experience barriers to healthcare access and healthy behaviors related to obesity, physical activity, access to healthy foods and recreation, alcohol and drug use, and tobacco use. The assessment gathered data on over 250 health indicators and identified social and economic factors like lower education levels and income as influencing community health.
Slides from a TEDx talk at TEDxOakridgeInternationalEinstein in Hyderabad on October 29, 2017. For video and description of talk, see http://www.daktre.com/2017/12/healthy-by-chance-or-by-choice/
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.
The document discusses the CHAMPS initiative to build a healthier Chicago through collaborative partnerships. The objectives are to convene local and national stakeholders, strengthen current health promotion efforts, and create synergistic interventions. Partners include the City of Chicago, medical organizations, academic institutions, and federal agencies. The goals are to address issues like physical inactivity, diet, and hypertension through environmental, systems, and policy changes to make healthy choices easier.
The Rise of Maine\'s First County Health Department
1. The Rise of Maine’s First County Health Department Steven J. Trockman, MPH Chair, Sagadahoc County Board of Health 18 th Annual Conference August 6, 2010 Omaha, NE
8. Timeline 2002-2004 2006 2008 2007 2010 2009 THINK TANK JOINED NALBOH & NACCHO LAUNCHED “SHIP”; CREATED LHO FORUM; GRANT-FUNDED HEALTH STATUS ASSESSMENT BOARD OF HEALTH CREATED; MODUS OPERANDI STRATEGIC ALLIANCE WITH ACCESS HEALTH PUBLIC HEALTH DISTRICTS CREATED 2005 COMMUNITY HEALTH STATUS ASSESSMENT; FORCES OF CHANGE 2001 CONCEIVED SAGADAHOC HEALTH IMROVEMENT PROJECT (SHIP)
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10. WHO are we? Public Health Healthcare Allied Health Emergency Management Public Safety Community Volunteer Services Business/Industry
22. The Rise of Maine’s First County Health Department Steven J. Trockman, MPH Chair, Sagadahoc County Board of Health 18 th Annual Conference August 6, 2010 Omaha, NE
Editor's Notes
Greetings. There are many, many famous people from Omaha. Among them are: Marlon Brando Montgomery Clift Peter and Henry Fonda Nick Nolte Warren Buffet Buddy Miles Andy Roddick Another famous Omahan was Malcolm X. If you have no critics you'll likely have no success. Malcolm X Stumbling is not falling. Malcolm X The future belongs to those who prepare for it today. Malcolm X
At the conclusion of this presentation and discussion, you will be able to: Describe the genesis of a locally-built, collaborative, volunteer County Board of Health Apply our unique approach to building political will, professional support, and sustainability for Maine’s first County Board of Health Replicate meaningful, innovative public health initiatives addressing the 10 Essential Public Health Services using best-practice methodologies
How many of you have ever been to Maine? What are your impressions? Maine is the northernmost portion of New England and is the country's easternmost state. It is known for its scenery—its jagged, mostly rocky coastline, its low, rolling mountains, and its heavily forested interior. Maine is the only U.S. state to have a name that is one syllable long, and, in bordering New Hampshire, is the only state which borders exactly one other state. Sagadahoc County
Sagadahoc County, displayed in the shaded region in the satellite image here, is located southern mid coast region of Maine. As of 2000, the population was 35,214. Its county seat is Bath . [1] In land area, it is the smallest county in Maine.
What you will notice in this zoomed image is that Sagadahoc County has a really funny shape. Like most municipal and county lines, Sagadahoc is largely based on waterways. This is a rural, suburban, and island county with A LOT of fresh and salt water dissecting it.
Sagadahoc County is a county located in the U.S. state of Maine . As of 2000, the population was 35,214. Its county seat is Bath . [1] In land area, it is the smallest of 16 counties in Maine, with a total area of 370 square miles. But it is 12 th in terms of population. Sir William Popham’s colony, having erected buildings and constructed a vessel, after a few months’ sojourn abandoned their settlement in 1608; but English fishermen and trappers continued to visit the rivers and shores of the County. Capt. John Smith, of Virginia fame, explored the region in 1614 ; Early European charters that included the land area currently known as Maine include two charters granted by James I of England. These were the Virginia charter of April 10, 1606, and the New England charter of November 3, 1620. The charter of the Province of Maine was granted by Charles I to Sir Ferdinando Gorges in 1639. York County was established in 1640. It included all of present-day Maine. Lincoln County was set off from York in 1760. Sagadahoc County was incorporated from Lincoln in 1854. It is the smallest and newest county in Maine. The name "Sagadahoc" comes from the Abanaki word for the meeting of a river and the sea.The municipalities presently within Sagadahoc County are: Arrowsic, Bath, Bowdoin, Bowdoinham, Georgetown, Phippsburg, Richmond, Topsham, West Bath, and Woolwich -- one city (Bath) and nine towns. = 10 municipalities As of the census [4] of 2000 [5] , there were 35,214 people, 14,117 households, and 9,641 families residing in the county. The population density was 139 people per square mile (54/km²). There were 16,489 housing units at an average density of 65 per square mile (25/km²). The racial makeup of the county was 96.49% White , 0.92% Black or African American , 0.31% Native American , 0.63% Asian , 0.06% Pacific Islander , 0.38% from other races , and 1.21% from two or more races. 1.11% of the population were Hispanic or Latino of any race. There were 14,117 households out of which 33.20% had children under the age of 18 living with them, 54.60% were married couples living together, 9.60% had a female householder with no husband present, and 31.70% were non-families. 25.20% of all households were made up of individuals and 9.30% had someone living alone who was 65 years of age or older. The average household size was 2.47 and the average family size was 2.96. The median income for a household in the county was $41,908, and the median income for a family was $49,714. About 6.90% of families and 8.60% of the population were below the poverty line , including 12.20% of those under age 18 and 6.40% of those age 65 or over. 22.0% were of English , 11.6% Irish , 11.1% French , 10.6% United States or American, 8.0% French Canadian and 7.3% German ancestry according to Census 2000 . 96.1% spoke English and 2.2% French as their first language. SAGADAHOC mean “THE MOUTH OF THE RIVER” [go back one slide to show river mouth]
Dr. Hugh Tilson who provided the impetus for the creation of Maine’s first County Health Department, run by a Board of Health, in Sagadahoc County believes very strongly in the County model. Most public health systems in the U.S. are either county-based or at least rely heavily on counties to provide local focus for sub-state decentralized programs. Maine does not. A group of us, lead by Dr. Tilson convinced the Sagdahoc County Commissioners that this was not only a good idea, but was essential. We believe that a county health structure has three fundamental bases: First, local public health is important. An effort in any public arena which is solely based in its state’s capital will not work because people need services locally. Second, public health requires government efficiency. In Maine, the public health infrastructure had devolved into each of the 488 municipalities. That’s too many, because public health requires focused effort and you cannot easily muster the necessary skills and energies in 488 individual enterprises. Third, public health requires governance. There is a national consensus that protecting the public health requires a political jurisdiction. We selected counties as a place for that. After all, to enforce health laws today we often need the courts and the sheriff, which are both county based. It made sense to turn to counties for leadership in this area. The structure for such a county organization was already in place. Lastly, the data told us so. Let me explain . . .
VISION – healthy people in healthy protected communities. (read full vision) MISSION – (read full mission) ORGANIZATION – read full organization) MEMBERSHIP - summarize Formal Structure Chair LHO Report Agenda and Minutes are public Ex-Officio Members and Guests GOVERNANCE – Board elects a Chair and Chair-Elect from its membership CONDUCT Bimonthly Meetings – Robert’s Rules of Order are followed BOH County Courthouse LHO City Hall
Who we are is as important as what we do. For it is the membership, both in terms of expertise at the table, as well as representation of our most vulnerable populations, that makes this enterprise so rich and meaningful. We have representatives from . . . on our Board and as regularly attending ex-officio members.
Meaning and accountability Including the 10 essential services Leadership Model the way Inspire a shared vision Challenge the process Enable others to act Encourage the heart (Kouzes & Posner)
2.1 History When Maine became a state in 1820, there was very little public health infrastructure. This continued until 1885, when the legislature authorized Maine’s municipalities to establish local Boards of Health, each headed by a Local Health Officer (LHO). Over the next three decades, the State Board of Health gradually gained authority over statewide activities such as drinking water and restaurant inspections. The programmatic and regulatory functions of the State Board of Health became the Maine Department of Health in 1917.That following fall, the 1918 influenza pandemic swept through Maine, claiming the lives of about 5,000 people, mostly adolescents and young adults. Almost 500 independent local boards of health attempted to control the pandemic with little consistency and oversight, with mixed results. In 1919, immediately following the pandemic, the Maine legislature transferred all statewide health guidance to the Maine Department of Health. The municipal requirement for having a Local Health Officer was retained, but health officers were placed under the direct supervision of the Department of Health, and their duties focused on reporting public health threats to the state.In 1931, the Department of Health became the Bureau of Health within the Department of Health and Welfare. The Bureau of Health became the Maine CDC in 2005 as part of the new Department of Health and Human Services.
Greetings. There are many, many famous people from Omaha. Among them are: Marlon Brando Montgomery Clift Peter and Henry Fonda Nick Nolte Warren Buffet Buddy Miles Andy Roddick Another famous Omahan was Malcolm X. If you have no critics you'll likely have no success. Malcolm X Stumbling is not falling. Malcolm X The future belongs to those who prepare for it today. Malcolm X