The document provides an overview of the Analytics Opportunity in Healthcare. It discusses the value of analytics in healthcare, shares examples of best and worst analytics projects, and introduces the Michigan Health Information Network (MiHIN) and how it is adding intelligence to its network. The document contains details about the Institute for Healthcare Business Intelligence (IHBI) at Carnegie Mellon University, including its customers, partners, datasets, and research focus areas like data science and predictive modeling.
This audit report summarizes medical record statistics for JPNATC from 2013 to 2011. Key findings include:
- Total casualty cases increased from 49894 in 2011 to 58923 in 2013.
- Total follow-up OPD cases increased from 26096 in 2011 to 31491 in 2013.
- Total admissions were 5220 in 2013, with the highest numbers in orthopedics and surgery.
- Total operations performed were 5448 in 2013, led by orthopedics and surgery.
- The gross death rate was 12% and net death rate was 5% in 2013.
- Bed occupancy rate was 85% and average length of stay was 11 days in 2013.
2013 phatthanawilai impact of elective surgery in private hospitals under the...Neung Arnat
This study assessed the impact of allowing elective surgeries in private hospitals under Thailand's Civil Servant Medical Benefit Scheme (CSMBS). It analyzed utilization trends and expenditures for cataract surgery, childbirth and knee replacement before and after the 2011 policy change. The findings showed increased access and utilization of cataract surgery, especially among universal coverage patients. However, expenditures for knee replacement posed a significant burden on patients due to co-payments. Overall, allowing elective surgeries in private hospitals increased access but also increased costs for CSMBS, though expenditures remained a small portion of national healthcare spending. The study recommends expanding participation of private hospitals and covered procedures.
Does medical travel pay? Measuring return on investmentKi Nam Jin
The objectives of this presentation are:
To describe the medical tourism trend by region
To review the government investment & outcomes by region
To analyze the ROI by region
This document provides an annual audit report for the Medical Record Section (MRS) of the JPN Apex Trauma Centre at AIIMS, New Delhi for the calendar year 2016. Some key statistics included a total of 69,551 patient registrations, 5,373 admissions, 5,437 operations performed, and a gross death rate of 9%. The report compares data from 2016 to 2015 and provides breakdowns of data by specialty, gender, and other categories. It also outlines workshops, trainings, and visits conducted by the MRS over the year.
This document provides statistics on surgical indicators for the Hospital Nacional “Almanzor Aguinaga Asenjo” for January-June 2012 and January-June 2013. It includes data on number of surgeries, consultations, doctor hours, concentration of patients, and hospital discharges for various surgical services such as general surgery, thoracic surgery, trauma, and more. Overall, the number of surgeries and consultations saw a small decrease from 2012 to 2013, while performance indicators like doctor hours and patient concentration remained stable or increased slightly.
The document provides information about health insurance in Thailand. It discusses:
- Thailand's universal healthcare system which provides coverage to all citizens through programs like the Universal Coverage Scheme.
- Private health insurance policies offered by companies like Bangkok Insurance and BUPA Blue Cross.
- Key aspects of health insurance contracts like premiums, deductibles, coverage limits, and exclusions.
- Thailand's growing private health insurance market which is regulated by the Office of Insurance Commission.
Simulation modelling of the effect of a random disturbance on biodiversity of...IJAEMSJORNAL
The effect of a random disturbance on the ecosystem is one of the oldest scientific observations of which its effect on biodiversity is no exception. We have used ODE 45 numerical scheme to tackle this problem. The novel results that we have obtained have not been seen elsewhere; these are presented and fully discussed quantitatively.
10 things about alcohol and other drugs - Dec 2014Andrew Brown
This month's data includes: the five messages from the Advisory Council on the Misuse of Drugs about opioid substitution therapy; other interesting points from their review; the numbers of injecting drug users with HIV; the reach of alcohol treatment in Scotland; criminal sanctions for drug offences, including the number of cautions, fines, and custodial sentences; and the evidence on the protective effect of OST on Hep C acquisition.
This audit report summarizes medical record statistics for JPNATC from 2013 to 2011. Key findings include:
- Total casualty cases increased from 49894 in 2011 to 58923 in 2013.
- Total follow-up OPD cases increased from 26096 in 2011 to 31491 in 2013.
- Total admissions were 5220 in 2013, with the highest numbers in orthopedics and surgery.
- Total operations performed were 5448 in 2013, led by orthopedics and surgery.
- The gross death rate was 12% and net death rate was 5% in 2013.
- Bed occupancy rate was 85% and average length of stay was 11 days in 2013.
2013 phatthanawilai impact of elective surgery in private hospitals under the...Neung Arnat
This study assessed the impact of allowing elective surgeries in private hospitals under Thailand's Civil Servant Medical Benefit Scheme (CSMBS). It analyzed utilization trends and expenditures for cataract surgery, childbirth and knee replacement before and after the 2011 policy change. The findings showed increased access and utilization of cataract surgery, especially among universal coverage patients. However, expenditures for knee replacement posed a significant burden on patients due to co-payments. Overall, allowing elective surgeries in private hospitals increased access but also increased costs for CSMBS, though expenditures remained a small portion of national healthcare spending. The study recommends expanding participation of private hospitals and covered procedures.
Does medical travel pay? Measuring return on investmentKi Nam Jin
The objectives of this presentation are:
To describe the medical tourism trend by region
To review the government investment & outcomes by region
To analyze the ROI by region
This document provides an annual audit report for the Medical Record Section (MRS) of the JPN Apex Trauma Centre at AIIMS, New Delhi for the calendar year 2016. Some key statistics included a total of 69,551 patient registrations, 5,373 admissions, 5,437 operations performed, and a gross death rate of 9%. The report compares data from 2016 to 2015 and provides breakdowns of data by specialty, gender, and other categories. It also outlines workshops, trainings, and visits conducted by the MRS over the year.
This document provides statistics on surgical indicators for the Hospital Nacional “Almanzor Aguinaga Asenjo” for January-June 2012 and January-June 2013. It includes data on number of surgeries, consultations, doctor hours, concentration of patients, and hospital discharges for various surgical services such as general surgery, thoracic surgery, trauma, and more. Overall, the number of surgeries and consultations saw a small decrease from 2012 to 2013, while performance indicators like doctor hours and patient concentration remained stable or increased slightly.
The document provides information about health insurance in Thailand. It discusses:
- Thailand's universal healthcare system which provides coverage to all citizens through programs like the Universal Coverage Scheme.
- Private health insurance policies offered by companies like Bangkok Insurance and BUPA Blue Cross.
- Key aspects of health insurance contracts like premiums, deductibles, coverage limits, and exclusions.
- Thailand's growing private health insurance market which is regulated by the Office of Insurance Commission.
Simulation modelling of the effect of a random disturbance on biodiversity of...IJAEMSJORNAL
The effect of a random disturbance on the ecosystem is one of the oldest scientific observations of which its effect on biodiversity is no exception. We have used ODE 45 numerical scheme to tackle this problem. The novel results that we have obtained have not been seen elsewhere; these are presented and fully discussed quantitatively.
10 things about alcohol and other drugs - Dec 2014Andrew Brown
This month's data includes: the five messages from the Advisory Council on the Misuse of Drugs about opioid substitution therapy; other interesting points from their review; the numbers of injecting drug users with HIV; the reach of alcohol treatment in Scotland; criminal sanctions for drug offences, including the number of cautions, fines, and custodial sentences; and the evidence on the protective effect of OST on Hep C acquisition.
Sentara Healthcare had a problem finding and accessing the many reports across its systems. It worked with Smartlogic to create a cataloging system that could discover reports, describe their content and metadata, and make the catalog searchable. The ontology and knowledge map allowed users to search intuitively using their own terms to find the right reports. Lessons included starting with a focused domain, facilitating information science over just technology, and allowing the tool to generate new use cases organically.
Budaya organisasi adalah sistem makna bersama yang membedakan organisasi dari yang lain. Budaya memberi batas, identitas, komitmen, dan stabilitas pada organisasi. Terdapat berbagai tipologi budaya organisasi. Kreativitas merupakan ide baru, sedangkan inovasi adalah implementasi ide tersebut. Ada berbagai hambatan kreativitas seperti persepsi, perasaan, budaya, imajinasi, intelek, dan ekspresi.
Este documento presenta información sobre Dalyla Arauz Guadamúz. Ella tiene 22 años, está en una unión libre y tiene dos hijos. Actualmente asiste a la universidad y propone que los futuros docentes se ajusten a los cambios sociales mediante el uso de la tecnología educativa e innovación. También describe sus pasiones como enseñar, pasar tiempo con su familia y servir a los demás. Finalmente, explica la netiqueta y dos normas importantes: no enviar respuestas sin aportar nada nuevo y tener cuidado con el envío de material a
El documento es un programa para el segundo curso de Formación Profesional Básica en el Centro de Educación de Personas Adultas Cid Campeador, que se llevará a cabo el 26 de febrero de 2016.
El documento habla sobre marzo de 2016. Marzo de 2016 fue un mes en el que se llevaron a cabo varios eventos importantes a nivel mundial, como la elección presidencial en Estados Unidos y la crisis migratoria en Europa.
Dokumen tersebut membahas tentang desain dan struktur organisasi perusahaan. Terdapat beberapa poin penting yaitu penjelasan mengenai dimensi struktur organisasi, departementalisasi berdasarkan fungsi dan wilayah, serta model-model desain organisasi seperti desain mekanistik dan organik.
Proliant Consultant is an HR staffing company based in New Delhi that was incorporated in 2012. It provides recruitment solutions and services including executive search, recruitment process outsourcing, contract staffing, and HR consulting. The company aims to be a reliable international recruitment partner through state-of-the-art, end-to-end recruitment services. It has expertise in various industries including IT, sales/marketing, finance, and engineering. Proliant Consultant follows a defined recruitment process and offers replacement guarantees and fees ranging from 8.33-16% depending on the management level of the candidate.
El documento presenta una fecha, 21 de diciembre de 2015, sin más contexto o detalles. En sólo 3 palabras, resume la información esencial del documento, que es simplemente una fecha.
Este documento presenta el Centro de Educación de Personas Adultas Cid Campeador en Madrid. Ofrece información de contacto como la dirección, teléfono y correo electrónico. Además, detalla la oferta formativa que incluye educación básica para adultos, educación secundaria, español para inmigrantes y formación profesional básica de cocina y restauración. Finalmente, incluye fotografías de las instalaciones como aulas, sala de profesores, cocina y espacios comunes.
This short document promotes the creation of Haiku Deck presentations on SlideShare, suggesting the reader may feel inspired to do so. It provides a call to action to get started making Haiku Deck presentations by simply clicking a button labeled "GET STARTED".
This document provides instructions for setting up a NetFlow collection and analysis system using Logstash, Elasticsearch, and Kibana. It explains what NetFlow is and discusses using Mikrotik routers and Logstash to collect NetFlow data. Logstash would process and index the NetFlow data into Elasticsearch for storage. Kibana could then be used to visualize and analyze the NetFlow data from Elasticsearch. The document concludes by providing step-by-step configuration instructions for Logstash, Elasticsearch, and Kibana to enable NetFlow collection, storage, and analysis.
Dokumen tersebut membahas tentang pengambilan keputusan dalam organisasi, meliputi definisi, dasar-dasar, jenis, dan faktor-faktor pengambilan keputusan serta implikasi manajerialnya. Keputusan didefinisikan sebagai hasil pemecahan masalah dengan memilih salah satu alternatif, sedangkan dasar-dasarnya meliputi intuisi, pengalaman, fakta, wewenang, dan rasional. Terdapat dua jenis keputus
Performance Management in Health: the role of Health ITHealthXn
The document discusses using large amounts of digital health data and business intelligence tools to monitor performance at various levels - such as systems, providers, patients - to improve quality, experience, and cost effectiveness. It provides examples of monitoring emergency department performance and using public reporting to further improve healthcare systems.
This document summarizes discussions from several sessions of a meeting on antimicrobial resistance and healthcare-associated infections. Key points include:
- Most countries submit antimicrobial consumption data close to the deadline, and there are specific rules for who can access and publish the data.
- It is important but challenging to compare hospital antimicrobial consumption data between countries due to differences in how data is collected. Both defined daily doses and packages are needed for comparison.
- A pilot hospital-based antimicrobial consumption survey was proposed to collect additional data starting in late 2015, but the protocol requires further review and clarification before implementation.
eHealth Summit: "How a mathematical patient flow modelling study can eliminat...3GDR
Slides from National eHealth Summit, 30 Sept 2015 at Carton House, Kildare: Professor Gary Courtney, Lead, National Acute Medicine Programme (NAMP).
#eHealthSummit15
http://www.ehealthsummit.ie
http://mhealthinsight.com/2015/09/25/mhealth-insights-from-the-ehealth-summit/
This document discusses telemedicine and reducing healthcare costs through innovative programs. It provides data on the breakdown of healthcare costs by category for a pilot population, showing that hospital care accounts for the largest share. The document also summarizes results from several telemedicine programs that led to reductions in ICU and hospital days, readmission rates, and overall healthcare costs compared to national averages. It concludes that preliminary data suggests healthcare costs were reduced by around 50% through telemedicine interventions but that more investigation is still needed.
Chapter 13 national health information systemnaranbatn
1. The document discusses the national health information system in Korea and provides details on the community health information system, future e-health models, and hospital information systems.
2. It outlines Korea's plan for a national health information system, including developing health information standards, implementing an electronic health record system, and revising medical laws regarding e-health.
3. Barriers to the national health information system are also discussed, such as the asymmetry of costs and benefits of electronic health records and the absence of interoperability standards.
This document contains tables summarizing Ormat hospital's elective and emergency procedures from January to June 2022. It shows the number of procedures by medical specialty for each month, as well as breakdowns of COVID versus non-COVID emergency room procedures. Key points are that the percentage of emergency cases that were COVID-related dropped from 55% in January to 10% in June. It also provides information on cancellation rates for elective procedures and recommendations for scheduling surgical missions and endoscopy procedures.
Sentara Healthcare had a problem finding and accessing the many reports across its systems. It worked with Smartlogic to create a cataloging system that could discover reports, describe their content and metadata, and make the catalog searchable. The ontology and knowledge map allowed users to search intuitively using their own terms to find the right reports. Lessons included starting with a focused domain, facilitating information science over just technology, and allowing the tool to generate new use cases organically.
Budaya organisasi adalah sistem makna bersama yang membedakan organisasi dari yang lain. Budaya memberi batas, identitas, komitmen, dan stabilitas pada organisasi. Terdapat berbagai tipologi budaya organisasi. Kreativitas merupakan ide baru, sedangkan inovasi adalah implementasi ide tersebut. Ada berbagai hambatan kreativitas seperti persepsi, perasaan, budaya, imajinasi, intelek, dan ekspresi.
Este documento presenta información sobre Dalyla Arauz Guadamúz. Ella tiene 22 años, está en una unión libre y tiene dos hijos. Actualmente asiste a la universidad y propone que los futuros docentes se ajusten a los cambios sociales mediante el uso de la tecnología educativa e innovación. También describe sus pasiones como enseñar, pasar tiempo con su familia y servir a los demás. Finalmente, explica la netiqueta y dos normas importantes: no enviar respuestas sin aportar nada nuevo y tener cuidado con el envío de material a
El documento es un programa para el segundo curso de Formación Profesional Básica en el Centro de Educación de Personas Adultas Cid Campeador, que se llevará a cabo el 26 de febrero de 2016.
El documento habla sobre marzo de 2016. Marzo de 2016 fue un mes en el que se llevaron a cabo varios eventos importantes a nivel mundial, como la elección presidencial en Estados Unidos y la crisis migratoria en Europa.
Dokumen tersebut membahas tentang desain dan struktur organisasi perusahaan. Terdapat beberapa poin penting yaitu penjelasan mengenai dimensi struktur organisasi, departementalisasi berdasarkan fungsi dan wilayah, serta model-model desain organisasi seperti desain mekanistik dan organik.
Proliant Consultant is an HR staffing company based in New Delhi that was incorporated in 2012. It provides recruitment solutions and services including executive search, recruitment process outsourcing, contract staffing, and HR consulting. The company aims to be a reliable international recruitment partner through state-of-the-art, end-to-end recruitment services. It has expertise in various industries including IT, sales/marketing, finance, and engineering. Proliant Consultant follows a defined recruitment process and offers replacement guarantees and fees ranging from 8.33-16% depending on the management level of the candidate.
El documento presenta una fecha, 21 de diciembre de 2015, sin más contexto o detalles. En sólo 3 palabras, resume la información esencial del documento, que es simplemente una fecha.
Este documento presenta el Centro de Educación de Personas Adultas Cid Campeador en Madrid. Ofrece información de contacto como la dirección, teléfono y correo electrónico. Además, detalla la oferta formativa que incluye educación básica para adultos, educación secundaria, español para inmigrantes y formación profesional básica de cocina y restauración. Finalmente, incluye fotografías de las instalaciones como aulas, sala de profesores, cocina y espacios comunes.
This short document promotes the creation of Haiku Deck presentations on SlideShare, suggesting the reader may feel inspired to do so. It provides a call to action to get started making Haiku Deck presentations by simply clicking a button labeled "GET STARTED".
This document provides instructions for setting up a NetFlow collection and analysis system using Logstash, Elasticsearch, and Kibana. It explains what NetFlow is and discusses using Mikrotik routers and Logstash to collect NetFlow data. Logstash would process and index the NetFlow data into Elasticsearch for storage. Kibana could then be used to visualize and analyze the NetFlow data from Elasticsearch. The document concludes by providing step-by-step configuration instructions for Logstash, Elasticsearch, and Kibana to enable NetFlow collection, storage, and analysis.
Dokumen tersebut membahas tentang pengambilan keputusan dalam organisasi, meliputi definisi, dasar-dasar, jenis, dan faktor-faktor pengambilan keputusan serta implikasi manajerialnya. Keputusan didefinisikan sebagai hasil pemecahan masalah dengan memilih salah satu alternatif, sedangkan dasar-dasarnya meliputi intuisi, pengalaman, fakta, wewenang, dan rasional. Terdapat dua jenis keputus
Performance Management in Health: the role of Health ITHealthXn
The document discusses using large amounts of digital health data and business intelligence tools to monitor performance at various levels - such as systems, providers, patients - to improve quality, experience, and cost effectiveness. It provides examples of monitoring emergency department performance and using public reporting to further improve healthcare systems.
This document summarizes discussions from several sessions of a meeting on antimicrobial resistance and healthcare-associated infections. Key points include:
- Most countries submit antimicrobial consumption data close to the deadline, and there are specific rules for who can access and publish the data.
- It is important but challenging to compare hospital antimicrobial consumption data between countries due to differences in how data is collected. Both defined daily doses and packages are needed for comparison.
- A pilot hospital-based antimicrobial consumption survey was proposed to collect additional data starting in late 2015, but the protocol requires further review and clarification before implementation.
eHealth Summit: "How a mathematical patient flow modelling study can eliminat...3GDR
Slides from National eHealth Summit, 30 Sept 2015 at Carton House, Kildare: Professor Gary Courtney, Lead, National Acute Medicine Programme (NAMP).
#eHealthSummit15
http://www.ehealthsummit.ie
http://mhealthinsight.com/2015/09/25/mhealth-insights-from-the-ehealth-summit/
This document discusses telemedicine and reducing healthcare costs through innovative programs. It provides data on the breakdown of healthcare costs by category for a pilot population, showing that hospital care accounts for the largest share. The document also summarizes results from several telemedicine programs that led to reductions in ICU and hospital days, readmission rates, and overall healthcare costs compared to national averages. It concludes that preliminary data suggests healthcare costs were reduced by around 50% through telemedicine interventions but that more investigation is still needed.
Chapter 13 national health information systemnaranbatn
1. The document discusses the national health information system in Korea and provides details on the community health information system, future e-health models, and hospital information systems.
2. It outlines Korea's plan for a national health information system, including developing health information standards, implementing an electronic health record system, and revising medical laws regarding e-health.
3. Barriers to the national health information system are also discussed, such as the asymmetry of costs and benefits of electronic health records and the absence of interoperability standards.
This document contains tables summarizing Ormat hospital's elective and emergency procedures from January to June 2022. It shows the number of procedures by medical specialty for each month, as well as breakdowns of COVID versus non-COVID emergency room procedures. Key points are that the percentage of emergency cases that were COVID-related dropped from 55% in January to 10% in June. It also provides information on cancellation rates for elective procedures and recommendations for scheduling surgical missions and endoscopy procedures.
This document provides an overview of the University of Virginia Health System's approach to population health management. It discusses UVA's selection of a Medicare Shared Savings Plan Accountable Care Organization as its first population health initiative. The document outlines UVA's population health journey, including details about the ACO such as the number of Medicare beneficiaries, providers, and locations involved. It also summarizes strategies around data acquisition, analysis, intervention design and application, and effectiveness measurement to support the ACO. Examples of specific programs and their results in reducing readmissions are also highlighted.
CISummit 2013: Bruce Landon, Clinically Integrated Networks and ACOs: Prepari...Steven Wardell
This document summarizes a presentation on clinically integrated networks and accountable care organizations (ACOs). It discusses:
1) The policy context and definitions of ACOs, which accept accountability for spending and quality for defined patient populations.
2) Similar past attempts at integrated care in the 1990s and lessons learned.
3) Infrastructure like electronic medical records that now enables more coordinated care compared to the past.
4) Early evidence that ACO-like models in Massachusetts reduced spending and improved quality for Medicare patients.
5) Major ongoing challenges for ACOs around aligning incentives, performance measurement, and investing to reorganize care delivery.
SIMUL8 Healthcare: Cross-boundary, Cross-sector – using simulationSIMUL8 Corporation
From a recent presentation to the Cumberland Initiative. SIMUL8 Healthcare's Executive Director of Health and Social Care Claire Cordeaux discusses how simulation can be used to model integrated care to support people outside hospital. Simulation allows us to understand the impact of changing service utilization on; flow, cost and capacity / resource.
Claire also presents case studies on how simulation was used in Hepatitis C screening to prevent liver disease, and to identify and manage patients with multiple conditions as part of the Year of Long Term Conditions Year of Care.
This presentation provides an overview of NeoGenomics, a cancer genetics testing company. Key points include:
- NeoGenomics has experienced strong and consistent growth in revenue and test volume historically through strategic partnerships and an expanding test menu.
- The company focuses on fast turnaround times and exceptional client service to drive continued growth.
- Management aims to increase market share and profitability through expanding sales coverage, new test offerings like next generation sequencing, and potential M&A opportunities.
- NeoGenomics seeks to capitalize on favorable industry trends like an aging population, rise of personalized medicine, and consolidation in the cancer diagnostics field.
Pay-for-Performance and Distributional Effects in Tanzania: A Supply-side Ass...resyst
This document analyzes the distributional effects of a pay-for-performance (P4P) program in Tanzania. Initial results showed higher payouts going to higher socioeconomic status (SES) facilities, but this inequality decreased over time. The main contributors to initial unequal payouts were facility SES, level of care, baseline performance, and ownership. While there were no significant differences found, utilization effects like facility deliveries and antimalarial treatment during pregnancy seemed to increase more for lower SES facilities and dispensaries. The strongest utilization effects were seen for deliveries in lower SES facilities and dispensaries, and for antimalarial treatment in better resourced facilities.
2012 to 2013 Australian Hospital Digital Scanning Surveysquareearth
Results undertaken from the Australian hospital digital scanning survey undertaken in 2014, for 2012-13 data. Report undertaken by SquareEarth, a healthcare consultancy firm.
The document discusses the Vascular Quality Initiative (VSGNE), a regional collaborative focused on improving vascular care quality through data collection and analysis. Key points:
- VSGNE was founded in 2001 with 9 hospitals and has grown to include 30 hospitals. It collects detailed clinical data on over 33,000 procedures to track outcomes and drive quality improvement.
- Semi-annual meetings bring surgeons together to discuss benchmarked results, stimulate cooperative projects, and overcome insular practices. Regional analysis of variations in processes and outcomes identifies areas for improvement.
- Examples of quality improvements include increased pre-op statin use, reduced restenosis rates through increased carotid patching, and more accurate cardiac risk prediction models - all leading
Presentation from the 3rd Joint Meeting of the Antimicrobial Resistance and Healthcare-Associated Infections (ARHAI) Networks, organised by the European Centre of Disease Prevention and Control - Stockholm, 11-13 February 2015
This document summarizes the findings of a study on the status of electronic medical records (EMRs) across various centers at AIIMS hospital in India. A questionnaire was distributed to different medical record departments to assess the digitization of 30 key documents. The results found that the JPNATC center had digitized 67% of documents, qualifying it as semi-digitalized, while the main hospital had 60% digitized. Other centers like IRCH and RPC had lower levels of digitization. Overall, AIIMS had initiated the process of digitizing patient health records but several areas were still pending transformation from paper to digital formats. The study highlights the need to further improve digitization efforts for better patient care delivery and hospital management.
The drivers of public health spending: integrating policies and institutionsOECD Governance
This presentation was made by Joaquim Oliveira Martins at the 5th Meeting of the joint OECD DELSA/GOV Network on Fiscal Sustainability of Health Systems, held on 4-5 February 2016 at the OECD Conference Centre in Paris.
Comorbidity and the cost implications for long term conditions webinar hosted by Dr Umesh Kadam, Senior Lecturer, Clinical Epidemiologist & GP.
Learning outcomes:
• Understand the importance of transition for people with multi morbidity
• Know how to use local data for targeted improvement interventions for people with multiple long term conditions
• Consider how to use pairing of complex diseases to drive pathway development and potential contracting arrangements.
More at http://www.nhsiq.nhs.uk/improvement-programmes/long-term-conditions-and-integrated-care.aspx
This particular slides consist of- what is hypotension,what are it's causes and it's effect on body, risk factors, symptoms,complications, diagnosis and role of physiotherapy in it.
This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
Here is the summary of hypotension:
Hypotension, or low blood pressure, is when the pressure of blood circulating in the body is lower than normal or expected. It's only a problem if it negatively impacts the body and causes symptoms. Normal blood pressure is usually between 90/60 mmHg and 120/80 mmHg, but pressures below 90/60 are generally considered hypotensive.
Let's Talk About It: Breast Cancer (What is Mindset and Does it Really Matter?)bkling
Your mindset is the way you make sense of the world around you. This lens influences the way you think, the way you feel, and how you might behave in certain situations. Let's talk about mindset myths that can get us into trouble and ways to cultivate a mindset to support your cancer survivorship in authentic ways. Let’s Talk About It!
The best massage spa Ajman is Chandrima Spa Ajman, which was founded in 2023 and is exclusively for men 24 hours a day. As of right now, our parent firm has been providing massage services to over 50,000+ clients in Ajman for the past 10 years. It has about 8+ branches. This demonstrates that Chandrima Spa Ajman is among the most reasonably priced spas in Ajman and the ideal place to unwind and rejuvenate. We provide a wide range of Spa massage treatments, including Indian, Pakistani, Kerala, Malayali, and body-to-body massages. Numerous massage techniques are available, including deep tissue, Swedish, Thai, Russian, and hot stone massages. Our massage therapists produce genuinely unique treatments that generate a revitalized sense of inner serenely by fusing modern techniques, the cleanest natural substances, and traditional holistic therapists.
Gemma Wean- Nutritional solution for Artemiasmuskaan0008
GEMMA Wean is a high end larval co-feeding and weaning diet aimed at Artemia optimisation and is fortified with a high level of proteins and phospholipids. GEMMA Wean provides the early weaned juveniles with dedicated fish nutrition and is an ideal follow on from GEMMA Micro or Artemia.
GEMMA Wean has an optimised nutritional balance and physical quality so that it flows more freely and spreads readily on the water surface. The balance of phospholipid classes to- gether with the production technology based on a low temperature extrusion process improve the physical aspect of the pellets while still retaining the high phospholipid content.
GEMMA Wean is available in 0.1mm, 0.2mm and 0.3mm. There is also a 0.5mm micro-pellet, GEMMA Wean Diamond, which covers the early nursery stage from post-weaning to pre-growing.
At Apollo Hospital, Lucknow, U.P., we provide specialized care for children experiencing dehydration and other symptoms. We also offer NICU & PICU Ambulance Facility Services. Consult our expert today for the best pediatric emergency care.
For More Details:
Map: https://cutt.ly/BwCeflYo
Name: Apollo Hospital
Address: Singar Nagar, LDA Colony, Lucknow, Uttar Pradesh 226012
Phone: 08429021957
Opening Hours: 24X7
MBC Support Group for Black Women – Insights in Genetic Testing.pdfbkling
Christina Spears, breast cancer genetic counselor at the Ohio State University Comprehensive Cancer Center, joined us for the MBC Support Group for Black Women to discuss the importance of genetic testing in communities of color and answer pressing questions.
About this webinar: This talk will introduce what cancer rehabilitation is, where it fits into the cancer trajectory, and who can benefit from it. In addition, the current landscape of cancer rehabilitation in Canada will be discussed and the need for advocacy to increase access to this essential component of cancer care.
Unlocking the Secrets to Safe Patient Handling.pdfLift Ability
Furthermore, the time constraints and workload in healthcare settings can make it challenging for caregivers to prioritise safe patient handling Australia practices, leading to shortcuts and increased risks.
This particular slides consist of- what is Pneumothorax,what are it's causes and it's effect on body, risk factors, symptoms,complications, diagnosis and role of physiotherapy in it.
This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
Here is a summary of Pneumothorax:
Pneumothorax, also known as a collapsed lung, is a condition that occurs when air leaks into the space between the lung and chest wall. This air buildup puts pressure on the lung, preventing it from expanding fully when you breathe. A pneumothorax can cause a complete or partial collapse of the lung.
Hypertension and it's role of physiotherapy in it.Vishal kr Thakur
This particular slides consist of- what is hypertension,what are it's causes and it's effect on body, risk factors, symptoms,complications, diagnosis and role of physiotherapy in it.
This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
Here is summary of hypertension -
Hypertension, also known as high blood pressure, is a serious medical condition that occurs when blood pressure in the body's arteries is consistently too high. Blood pressure is the force of blood pushing against the walls of blood vessels as the heart pumps it. Hypertension can increase the risk of heart disease, brain disease, kidney disease, and premature death.
TEST BANK FOR Health Assessment in Nursing 7th Edition by Weber Chapters 1 - ...rightmanforbloodline
TEST BANK FOR Health Assessment in Nursing 7th Edition by Weber Chapters 1 - 34.
TEST BANK FOR Health Assessment in Nursing 7th Edition by Weber Chapters 1 - 34.
TEST BANK FOR Health Assessment in Nursing 7th Edition by Weber Chapters 1 - 34.
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2. Agenda
• Brief IHBI overview
• Value of Analytics
• Share best/worst project
• Brief MiHIN introduction
• ADT example
• Adding intelligence to the network
2
3. IHBI@CMU: Snapshot
Founded in 2001 as a center of excellence specializing in data mining and predictive
analytics.
Purpose
• Promote the application of predictive analytics to solve social, economic and
business challenges
• Build bridges between the public and private sector
• Train the next generation of data scientists
2010
• Moved under the auspices of the Herbert H. and Grace A. Dow College of Health
Professions
• Specifically charged to develop a focus on healthcare
Team
• PhD and MS in physics, statistics, economics, computer science, geography, etc.
3
4. Customers and Partners
Health and Healthcare
• Central Michigan District Health Dept.
• College of Health Professions, CMU
• College of Medicine, CMU
• Eli Lilly
• Henry Ford Health System
• Michigan Health Information Alliance
• Michigan Health Information Network
• Partners Healthcare (Boston)
• Spectrum Health System
• Synergy Medical
Manufacturing
• The Dow Chemical Company
• The Dow Corning Corporation
• Ford Motor Company
• General Motors
• Harley-Davidson
• Monsanto
• Steelcase
• Whirlpool Corporation
Technology
• IBM
• SAS Institute
• Hewlett-Packard (EDS)
• Greenplum Pivotal
Banking, Finance, Insurance
• Auto-Owners Insurance
• Comerica Bank
Other
• Proctor and Gamble
• DTE Energy
• Domino's Pizza
• Gordon Food Service
• State of Michigan
4
5. Data Science & Big Data
Reporting
Queries/drill
down
Alerts
Statistical
Analysis
Forecasting
Predictive
Modeling
Optimization
What happened?
Where is the problem?
What action are needed?
Why is this happening?
What if these trends continue?
What will happen next?
What is the best that can happen?
Analyticallyimpaired
Adapted from Competing on Analytics: The New Science of Winning (Davenport, 2007).
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6. IHBI Contextual Dataset
One of the unique assets that IHBI has developed over the last few
years is a substantial dataset called the Contextual Dataset
• Based on a collection of population, socioeconomic, environmental,
geographic, and health care variables
• Designed to be integrated with private data to enhance modeling
and knowledge
• Data granularity is at the zip code level for all variables nationwide
• We are gradually shifting the granularity of all variables to census
tract by downloading the data at that level where available or
otherwise using area and/or population weighted distribution
methods to convert from a different granularity
6
9. 9
A Time and Place
• Guess/Intuition
– Outcome does not matter-low value or (low
accountability)
– No other choice
• Data-Driven Results
– Reports Sales Are Down or performance metrics
• Fact-based Assessments
– Correlation vs. causation
• Model- and Scenario- Assisted Decision Making
– Predicting customer response
– Predicting outliers
– Simulation
• Experimental Design “Test & Learn”
10. 10
Project Example
Scenario: Hospital had a very low census.
Relatively closed system where they owned
the providers and only a small percentage of
referrals came from outside the system.
Goal: Provide a predictive model that
forecasts total weekly admission rates by
admitting specialty and weekly census on
each nursing unit.
11. 11
Roadmap
Patient
Encounters
PEMS
Medical
Records
Classify records:
a=I wi. E or O
b= no I
c=I w/o E or O
a b c
External
referrals
Map weekly
admits to
day-of-week
Seq
Rules
Recent
E/R &
Outpt
Internal
referrals
Admits
by week by
DR_SPEC
Map DR_SPEC
to LOS &
NUR_UNIT
Forecast
integration
DEMAND
beds per
NUR_UNIT
Major
Deliverable
To Capacity &
resource planning
List of
unusual
events
14. 14
Length of Stay by Doctor Specialty
SPEC LOS Pts % pts %beds
COL 1 96 0.0592 1.0000
COL 2 111 0.0685 0.9408
COL 3 161 0.0993 0.8723
COL 4 301 0.1857 0.7730
COL 5 269 0.1659 0.5873
COL 6 183 0.1129 0.4213
COL 7 145 0.0895 0.3085
COL 8 89 0.0549 0.2190
COL 9 76 0.0469 0.1641
COL 10 39 0.0241 0.1172
COL 11 21 0.0130 0.0932
COL 12 21 0.0130 0.0802
COL 13 19 0.0117 0.0672
COL 14 10 0.0062 0.0555
COL 15 10 0.0062 0.0494
Example:
COL = Colon & rectal surgery; 1621
patients in first 5 months of 2004
COL- LOS Early 2004
0
50
100
150
200
250
300
350
0 2 4 6 8 10 12 14 16
16. 16
Patient History
DATE Type SITE DR SPEC CD
03/19/2001 O 20 GAS
03/30/2001 O 20 GAS
04/30/2001 O 20 GAS
06/18/2001 O 20 GAS
06/20/2001 O 20 GAS
06/26/2001 O 20 GAS
07/19/2001 O 20 GAS
08/21/2001 O 20 GAS
09/27/2001 O 20 GAS
11/27/2001 O 20 GAS
01/10/2002 O 20 GAS
01/15/2002 O 20 GAS
05/23/2002 O 20 GAS
08/19/2002 O 20 GAS
09/25/2002 I 20 SUR
MRN=5213569
Visits:
O.GAS.20
Leads to:
I.SUR.20
17. 17
Examples of the rules
• There are 406 rules in which ‘E’ or ‘O’ are followed by ‘I’
COUNT SUPPORT CONF RULE
1755 2.017798013 71.98523 O.NES.20 ==> I.NES.20
1131 1.30035872 32.48133 O.ONC.20 ==> I.ONC.20
930 1.069260486 21.57272 O.NEP.20 ==> I.IMG.20
1014 1.165838852 17.61946 O.GAS.20 ==> I.IMG.20
2478 2.84906181 13.18576 O.CAR.20 ==> I.IMG.20
475 0.546127667 10.86957 O.CAR.36 ==> I.CAR.20
642 0.738134658 9.610778 O.URO.20 ==> I.CAR.20
493 0.56682303 8.56646 O.GAS.20 ==> I.SUR.20
504 0.579470199 4.474432 O.IMG.30 ==> I.GYN.20
448 0.515084621 13.37713 O.IMG.81 ==> I.IMG.20
19. 19
Proj of DSC(i) by week
Proj of DSC(i) by week
Projection with Rules
Various DR_SPEC_CD
Proj of DSC(i) by week 1-52
Wk 52
Wk -50
Wk -51
Wk 0
Rules
with Weibull
distribution
Rules
Left-Hand-Side Wk 2
Wk 1
20. MiHIN Role
• Manage statewide legal trust fabric for data sharing
• Maintain statewide “master data” in Active Care
Relationship Service, Health Provider Directory, Trusted
Identities, Consumer Preferences
• Connect HIEs, Payers, Pharmacies, DCH, Federal
Government, others
• Align incentives or regulations to fairly share data and
promote data standardization (via Use Cases)
• Convene groups to identify data sharing barriers, reduce
provider burdens, engage consumers, & enable
population health
Copyright 2015 Michigan Health Information Network Shared
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21. State-wide
Shared Services
MDCH Data Hub
Medicaid
MSSS
State
LABS
Doctors & Community
Providers
HIE QOs
(Qualified sub-state HIEs)
Network of Networks:
Data
Warehouse
21
Health Plan QOs
(more coming)
Single point of
entry/exit for state
Virtual QOs
Pharmacies
(more coming)
Immunizations
Mi Syndromic
Surveillance System
Mi Disease
Surveillance System
Consumer QOs
(more coming)
Federal
Copyright 2015 Michigan Health Information Network Shared Service
PIHPs
22. Transitional care management
Medicare & BCBSM fees Jan 2013
Payer Code Non-Facility Facility Locality
Medicare 99495 $120.39 $99.38 Detroit
Medicare 99496 $169.65 $145.70 Detroit
BCBSM 99496 $329.33 $281.38 All
22
99495 -
• Communication (direct contact,
telephone, electronic) with the patient
and/or caregiver within 2 business days
of discharge
• Medical decision making of at least
moderate complexity during the service
period
• Face-to-face visit, within 14 calendar
days of discharge
99496 -
• Communication (direct contact, telephone,
electronic) with the patient and/or
caregiver within 2 business days of
discharge
• Medical decision making of high
complexity during the service period
• Face-to-face visit, within 7 calendar days
of discharge
Copyright 2015 Michigan Health Information Network Shared Services
23. Statewide Health Provider
Directory
23
• Contains Electronic
Service Information
(ESI) used to route
information to
providers
• Flexibly maintains
multiple distribution
points for single
provider or single
distribution for
organization
• Manages
organizations,
providers and the
multiple relationships
between them
Copyright 2015 Michigan Health Information Network Shared Services
24. Patient Provider Attribution Service
(in Michigan we call this ACRS™)
• Enables providers to declare active care relationships with patients –
this attributes to a patient the active members of their care team
• Accurately routes information (e.g. Admit-Discharge-Transfer messages,
medication reconciliations)
• Improves care coordination
• Reduces readmissions
• Allows better outcomes
• Enables alerts to providers in active care relationships with patients
• Coordinates entire care team with changes to patient status in real time
• Allows searches by authorized persons or organizations:
• Health systems and provider/physician organizations
• Care coordinators
• Health plans
• Consumers (who can dispute asserted relationships)
24Copyright 2015 Michigan Health Information Network Shared Services
25. Active Care Relationship Service
(ACRS™)
25
Patient Information
Source Patient ID
First Name
Middle Initial
Last Name
Suffix
Date of Birth
Gender
SSN – Last 4 digits
Address 1 & Address 2
City, State, Zip
Home & Mobile Phones
Physician Information
NPI
First Name
Last Name
Practice Unit ID
Practice Unit Name
Physician Organization ID
Physician Org Name
Physician DIRECT Address
DIRECT Preferences
Copyright 2015 Michigan Health Information Network Shared Services
26. Data Sharing
Organization
(DSO)
Data Sharing
Organization
(DSO)
Supports Seamless Exchange
Alerting Disconnected Entities
Patient to Provider
Attribution
Health
Provider
Directory
1) Patient goes to hospital which sends message to DSO then to MiHIN
2) MiHIN checks patient-provider attribution and identifies providers
3) MiHIN retrieves contact and delivery preference for each provider from HPD
4) Notifications routed to providers based on electronic address and preferences
Primary Care
Specialist
Care
Coordinator
26
Patient
Copyright 2015 Michigan Health Information Network Shared Services
27. Adding Intelligence to ADTs
Copyright 2015 - Michigan Health Information Network Shared Services 27
Scoring
activity
Patient Risk
Score/s
Hospital
Patient Risk
Score/s
28. Adding Intelligence to ACRS
Copyright 2015 - Michigan Health Information Network Shared Services 28
29. Next Generation Care Coordination
Predictive Scores can help care
coordinator s prioritize effort and
eventually automate next steps
ALERT!
Readmission
Avoided
Schedule
follow up
visit within
7-14 days
Primary Care
Specialist
Care
Coordinator
Existing Statewide Capability
(90% of All Admissions Available)
Intelligence Opportunity
Patient to Provider
Attribution (ACRS)
Health
Provider
Directory
Patient
Copyright 2015 - Michigan Health Information Network Shared Services 29
30. Thank You & Contact Info
Tim Pletcher, DHA
Director
Institute for Health & Business
Insight
989.621.7221
pletc1ta@cmich.edu
http://www.youtube.com/watch?v=elHjESwQ8_o&feature=youtu.be
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Tim Pletcher, DHA
Executive Director
Michigan Health Information Network
989.621.7221
pletcher@mihin.org