Why is Naloxone that prevent so many overdose deaths not always available at ...IDHDP
Naloxone has the potential to save many lives by reversing opioid overdoses, but it is not always available at overdose scenes due to various obstacles. Peer-administered naloxone programs aim to distribute naloxone rescue kits to those likely to witness overdoses, such as active drug users and their friends/family. However, establishing such programs faces financial, legal, organizational, and ideological barriers. For programs to be truly effective, naloxone must be widely distributed in high volumes to diverse at-risk groups as part of a national overdose prevention strategy with governmental funding and support.
The document discusses developing a digital education platform to support Interprofessional Education (IPE) for clinicians in primary health care. IPE brings different professions together to improve collaboration and quality of care. Research shows collaborative practice can decrease complications and errors while increasing patient satisfaction. The project will review current IPE models, interview clinicians, develop online modules and a platform, pilot the program, and evaluate it with clinicians.
The document discusses trends in long term conditions like COPD and diabetes that are increasing healthcare costs and burden. It introduces an innovation to improve pulmonary rehabilitation through online programs that could double recovery rates, correct inhaler errors in 95-98% of patients, and provide outcomes similar to in-person programs at lower costs. The challenges are implementing changes, gaining clinician acceptance, and scaling the program across organizations.
This document summarizes the partnership between the National Institute for Health Research (NIHR) and industry to support clinical research and innovation in the UK. Key points:
- NIHR invests over £1 billion annually in research infrastructure including clinical trials facilities to support industry partnerships and clinical research.
- In 2015/16 this infrastructure supported over 11,000 studies, recruited over 320,000 patients, and resulted in over 1,300 collaborations and 576 partnerships with industry worth £149.7 million.
- Examples are provided of NIHR funding programs that support translational research and adoption of novel technologies, helping to bridge the "valley of death" between research and commercialization.
This document discusses remote patient monitoring and how it can help improve patient care while reducing costs. It notes that the remote patient monitoring market is estimated to grow 44% annually and that remote monitoring has been shown to decrease emergency admissions in the UK by 20%. It then describes a proprietary big data technology solution that analyzes digital patient data from remote monitoring devices to provide deeper insights that help doctors and case managers improve decision making and care for patients.
ECO 11: Transfer of Care to Pharmacy - Hassan Argomandkhah, Chair of Pharmacy...Innovation Agency
Hassan introduces the concept and key objectives of transfer of care to pharmacy (TCP). The slides include a project outline, an overview of TCP in Cheshire and Merseyside, and the benefits and potential savings of Electronic Transfer of Care to Pharmacy.
Violeta Gaveikaite's project focuses on the information needs for successful implementation of telehealth interventions for chronic obstructive pulmonary disease (COPD). COPD is a prevalent chronic disease that is promising for telehealth due to its behavioral etiology and need for self-management. Existing telehealth solutions for COPD have focused mainly on clinical outcomes with little consideration of economic efficiency, quality of life, and physical activity. The most effective interventions addressed multiple outcomes. To understand stakeholder needs, the project will analyze existing COPD studies, update systematic reviews on clinical outcomes from telehealth, and use big data approaches to analyze additional studies. The goal is to determine attributes of scalable and successful COPD telehealth that achieve
Why is Naloxone that prevent so many overdose deaths not always available at ...IDHDP
Naloxone has the potential to save many lives by reversing opioid overdoses, but it is not always available at overdose scenes due to various obstacles. Peer-administered naloxone programs aim to distribute naloxone rescue kits to those likely to witness overdoses, such as active drug users and their friends/family. However, establishing such programs faces financial, legal, organizational, and ideological barriers. For programs to be truly effective, naloxone must be widely distributed in high volumes to diverse at-risk groups as part of a national overdose prevention strategy with governmental funding and support.
The document discusses developing a digital education platform to support Interprofessional Education (IPE) for clinicians in primary health care. IPE brings different professions together to improve collaboration and quality of care. Research shows collaborative practice can decrease complications and errors while increasing patient satisfaction. The project will review current IPE models, interview clinicians, develop online modules and a platform, pilot the program, and evaluate it with clinicians.
The document discusses trends in long term conditions like COPD and diabetes that are increasing healthcare costs and burden. It introduces an innovation to improve pulmonary rehabilitation through online programs that could double recovery rates, correct inhaler errors in 95-98% of patients, and provide outcomes similar to in-person programs at lower costs. The challenges are implementing changes, gaining clinician acceptance, and scaling the program across organizations.
This document summarizes the partnership between the National Institute for Health Research (NIHR) and industry to support clinical research and innovation in the UK. Key points:
- NIHR invests over £1 billion annually in research infrastructure including clinical trials facilities to support industry partnerships and clinical research.
- In 2015/16 this infrastructure supported over 11,000 studies, recruited over 320,000 patients, and resulted in over 1,300 collaborations and 576 partnerships with industry worth £149.7 million.
- Examples are provided of NIHR funding programs that support translational research and adoption of novel technologies, helping to bridge the "valley of death" between research and commercialization.
This document discusses remote patient monitoring and how it can help improve patient care while reducing costs. It notes that the remote patient monitoring market is estimated to grow 44% annually and that remote monitoring has been shown to decrease emergency admissions in the UK by 20%. It then describes a proprietary big data technology solution that analyzes digital patient data from remote monitoring devices to provide deeper insights that help doctors and case managers improve decision making and care for patients.
ECO 11: Transfer of Care to Pharmacy - Hassan Argomandkhah, Chair of Pharmacy...Innovation Agency
Hassan introduces the concept and key objectives of transfer of care to pharmacy (TCP). The slides include a project outline, an overview of TCP in Cheshire and Merseyside, and the benefits and potential savings of Electronic Transfer of Care to Pharmacy.
Violeta Gaveikaite's project focuses on the information needs for successful implementation of telehealth interventions for chronic obstructive pulmonary disease (COPD). COPD is a prevalent chronic disease that is promising for telehealth due to its behavioral etiology and need for self-management. Existing telehealth solutions for COPD have focused mainly on clinical outcomes with little consideration of economic efficiency, quality of life, and physical activity. The most effective interventions addressed multiple outcomes. To understand stakeholder needs, the project will analyze existing COPD studies, update systematic reviews on clinical outcomes from telehealth, and use big data approaches to analyze additional studies. The goal is to determine attributes of scalable and successful COPD telehealth that achieve
This document discusses how the Healthcare Quality Improvement Partnership (HQIP) supports quality improvement through various programs and tools. HQIP manages the National Clinical Audit Programme which includes 34 national audits across different clinical areas. It also oversees other national programmes focused on specific topics like learning disabilities. HQIP helps align quality improvement programs with NICE guidance and standards. Tools like clinical audits and the Quality Standard Service Improvement Template help providers assess current practice against standards and plan improvements. NICE guidance and quality standards can support quality improvement when implemented using these resources.
NHS Atlas of Variation for People with Respiratory Diseaserightcare
The document summarizes findings from The NHS Atlas of Variation in Healthcare for Respiratory Disease, which presents evidence of stark variation in the quality of care and outcomes for people with respiratory diseases like COPD and asthma depending on where they live in England. It discusses unwarranted variation in healthcare and factors like willingness of doctors to offer treatment. Case studies show how integrated care models and initiatives to improve inhaler technique have reduced hospital admissions and costs in some areas.
Dr Geraint Lewis FRCP FFPH - Chief Data Officer, NHS EnglandHIMSS UK
This document discusses new care models in the NHS in England. It describes 50 vanguards that were selected to test 5 new models of care, including integrated primary and acute care systems, multispecialty community providers, and enhanced health in care homes. The vanguards aim to improve population health management, person-centered care, and access to services in communities through greater integration and coordination of health and care services. Early results show reductions in hospital admissions and emergency department visits in some of the vanguards.
This document summarizes key findings from The NHS Atlas of Variation in Healthcare for People with Diabetes:
- There is significant variation across England in the processes and outcomes of diabetes care provided by Primary Care Trusts (PCTs), with some PCTs performing much better or worse than others.
- Over 60% of people with Type 1 diabetes and almost half of people with Type 2 diabetes did not receive all nine basic care processes for managing their condition.
- Prescribing costs for diabetes treatments have risen 41% since 2005/06 and now account for over 8% of primary care prescribing costs.
- There is up to a 10-fold variation between PCTs in providing recommended
The document discusses services for older people in Ireland. It aims to support older people remaining in their homes and communities, provide family carer support, and ensure high quality residential care. Priorities include hospital avoidance, accelerated discharge, residential care avoidance, and improved quality of care and quality of life. Over 360 million is spent annually on home care services. Main reasons for residential care admission are dementia, falls, and stroke. The Health Service Executive has 20 clinical care programs including care of the elderly to improve quality, access, and cost effectiveness of services. Objectives of the elderly clinical care program include improving management of acutely ill older patients, increasing independence at home, reducing falls, and improving education.
Professor Sue Hill OBE, Chief Scientific Officer for Englandrightcare
We are excited to introduce the NHS Atlas of Variation in Diagnostic Services, the latest publication in the series of impressive NHS Atlases, which have highlighted variation in the provision of healthcare services.
Diagnostic services are of great importance in the NHS because, when used correctly, they support or rule out potential diagnoses, and underpin the effective and efficient management of patient pathways.
Unwarranted variation in the rates of diagnostic testing is of the utmost relevance to individual patients with the over-use, as well as under-use, of diagnostic tests being potentially serious issues. For example, effective capacity planning in imaging services should enable improved patient access balanced against the need to avoid over-use of interventions that have the potential to cause harm, such as ionising radiation.
Right Care Overview and National Roll Outian.mckinnell
1. Right Care is an approach developed by NHS England to maximize value in healthcare by helping health systems identify wasteful spending and redirect resources to more effective interventions.
2. It does this through a methodology involving clinical leadership, data analysis, engagement, and processes to design optimal care pathways focused on patient populations rather than just individual patients.
3. The goal is to deliver more efficient and sustainable healthcare through reducing unwarranted variation in spending and outcomes across different regions and conditions.
The document summarizes the recommendations of the National Data Guardian's reviews of data security, consent, and opt-out in the UK. It discusses the National Data Guardian establishing 10 data security standards across three themes - people, processes, and technology. It also proposes a new consent/opt-out model for patients regarding how their personal confidential information can be used beyond direct care, including for local services/running the NHS, research, and treatment improvement. The Department of Health is now consulting on and testing the recommendations before full implementation.
Remote Monitoring of Rheumatoid Arthritis using a Smartphone app3GDR
Dr Lynn Austin, Research Fellow, University of Manchester:
https://mhealthinsight.com/2016/06/27/join-us-at-the-kings-funds-digital-health-care-congress/
The document discusses how new technologies are changing healthcare in Central and Eastern Europe. It finds that telemedicine can help address issues like insufficient funds, long wait times, and expensive infrastructure investments. Over 60% of patients in the region are open to telemedicine solutions like teleconsulting and remote monitoring. Telemedicine provides benefits like higher quality care, lower costs, and more efficient use of resources. Factors driving telemedicine adoption include advanced technologies, changing patient demands, and a growing private healthcare market. There is significant interest from private stakeholders in investing in telemedicine. The recommendations are to enhance brands, optimize the patient experience, acquire patients effectively, design new operating models, and leverage collected healthcare data.
Emily Hough - Deputy Director, Strategy Group, NHS EnglandHIMSS UK
The NHS is delivering good outcomes despite challenges, but still faces some problems ahead. Plans are being developed through 44 Sustainability and Transformation Plans to stabilize finances, improve services, and transform healthcare over multiple years. These plans aim to provide local strategies and focus on long-term change through collaboration between the NHS and other organizations. Supporting initiatives include demonstration sites for improving staff health, payment programs, and testing combinations of innovations through partnerships to evaluate and spread effective approaches. Progress will continue to be reviewed with support provided to strengthen plans.
- Orphanet is an international portal for information on rare diseases and orphan drugs, with its headquarters in France. It began as a French pilot project in 1997 and became a Joint Action of the EU in 2000.
- The portal includes an extensive database on rare diseases, with information on diagnoses, treatments, epidemiology and more. It aims to provide knowledge on rare diseases to healthcare professionals, researchers, patients and caregivers.
- In the UK, Orphanet data was previously contributed through Manchester University but is now managed by Public Health England since 2015.
The document summarizes a review of screening for preterm labor and bacterial vaginosis in pregnancy. The UK National Screening Committee commissioned the review in 2013. The review found limited evidence that bacterial vaginosis predicts preterm labor. Cervical length measurement is not reliable enough for screening. Evidence is also insufficient that antibiotics or progesterone treatment are effective. Based on the review and public consultation, the Committee recommended against universal screening for preterm labor or bacterial vaginosis. Future research should address key questions around the aims, tests, and optimal treatment for screening.
3.2 Hubs and collaboration - Greg Kalita, Dave BearmanNHS England
Hubs and collaboration. Hub-based working and collaborating across boundaries to improve access and care. Including examples from Sheffield, Devon and Cornwall. Greg Kalita and Dave Bearman, Northern, Eastern & Western Devon and South Devon & Torbay CCGs.
The document summarizes the RENEWING HEALTH project which aims to test telemedicine services to improve care for patients with diabetes, COPD, or cardiovascular diseases across 9 regions in Europe. The project involves 7,800 patients from 2010-2012 and evaluates telemedicine interventions on patients' quality of life, health outcomes, costs of care, and organizational impacts. Specifically, the project in Norrbotten, Sweden involves a randomized trial providing 200 diabetes patients tablet computers to self-manage their condition and transmit health data to providers to improve HbA1c and quality of life compared to routine care.
The document summarizes eHealth in Denmark, outlining its vision of providing coherent clinical pathways through the healthcare system focused on patient needs. It notes that digitalization is key to giving healthcare professionals access to patient data across the system. Denmark has several eHealth solutions in place and aims to better integrate and streamline how patient data is accessed and shared. The healthcare system in Denmark is decentralized and universal, with regions and municipalities responsible for providing most services like hospitals, general practitioners, and dental care.
This document discusses how the Healthcare Quality Improvement Partnership (HQIP) supports quality improvement through various programs and tools. HQIP manages the National Clinical Audit Programme which includes 34 national audits across different clinical areas. It also oversees other national programmes focused on specific topics like learning disabilities. HQIP helps align quality improvement programs with NICE guidance and standards. Tools like clinical audits and the Quality Standard Service Improvement Template help providers assess current practice against standards and plan improvements. NICE guidance and quality standards can support quality improvement when implemented using these resources.
NHS Atlas of Variation for People with Respiratory Diseaserightcare
The document summarizes findings from The NHS Atlas of Variation in Healthcare for Respiratory Disease, which presents evidence of stark variation in the quality of care and outcomes for people with respiratory diseases like COPD and asthma depending on where they live in England. It discusses unwarranted variation in healthcare and factors like willingness of doctors to offer treatment. Case studies show how integrated care models and initiatives to improve inhaler technique have reduced hospital admissions and costs in some areas.
Dr Geraint Lewis FRCP FFPH - Chief Data Officer, NHS EnglandHIMSS UK
This document discusses new care models in the NHS in England. It describes 50 vanguards that were selected to test 5 new models of care, including integrated primary and acute care systems, multispecialty community providers, and enhanced health in care homes. The vanguards aim to improve population health management, person-centered care, and access to services in communities through greater integration and coordination of health and care services. Early results show reductions in hospital admissions and emergency department visits in some of the vanguards.
This document summarizes key findings from The NHS Atlas of Variation in Healthcare for People with Diabetes:
- There is significant variation across England in the processes and outcomes of diabetes care provided by Primary Care Trusts (PCTs), with some PCTs performing much better or worse than others.
- Over 60% of people with Type 1 diabetes and almost half of people with Type 2 diabetes did not receive all nine basic care processes for managing their condition.
- Prescribing costs for diabetes treatments have risen 41% since 2005/06 and now account for over 8% of primary care prescribing costs.
- There is up to a 10-fold variation between PCTs in providing recommended
The document discusses services for older people in Ireland. It aims to support older people remaining in their homes and communities, provide family carer support, and ensure high quality residential care. Priorities include hospital avoidance, accelerated discharge, residential care avoidance, and improved quality of care and quality of life. Over 360 million is spent annually on home care services. Main reasons for residential care admission are dementia, falls, and stroke. The Health Service Executive has 20 clinical care programs including care of the elderly to improve quality, access, and cost effectiveness of services. Objectives of the elderly clinical care program include improving management of acutely ill older patients, increasing independence at home, reducing falls, and improving education.
Professor Sue Hill OBE, Chief Scientific Officer for Englandrightcare
We are excited to introduce the NHS Atlas of Variation in Diagnostic Services, the latest publication in the series of impressive NHS Atlases, which have highlighted variation in the provision of healthcare services.
Diagnostic services are of great importance in the NHS because, when used correctly, they support or rule out potential diagnoses, and underpin the effective and efficient management of patient pathways.
Unwarranted variation in the rates of diagnostic testing is of the utmost relevance to individual patients with the over-use, as well as under-use, of diagnostic tests being potentially serious issues. For example, effective capacity planning in imaging services should enable improved patient access balanced against the need to avoid over-use of interventions that have the potential to cause harm, such as ionising radiation.
Right Care Overview and National Roll Outian.mckinnell
1. Right Care is an approach developed by NHS England to maximize value in healthcare by helping health systems identify wasteful spending and redirect resources to more effective interventions.
2. It does this through a methodology involving clinical leadership, data analysis, engagement, and processes to design optimal care pathways focused on patient populations rather than just individual patients.
3. The goal is to deliver more efficient and sustainable healthcare through reducing unwarranted variation in spending and outcomes across different regions and conditions.
The document summarizes the recommendations of the National Data Guardian's reviews of data security, consent, and opt-out in the UK. It discusses the National Data Guardian establishing 10 data security standards across three themes - people, processes, and technology. It also proposes a new consent/opt-out model for patients regarding how their personal confidential information can be used beyond direct care, including for local services/running the NHS, research, and treatment improvement. The Department of Health is now consulting on and testing the recommendations before full implementation.
Remote Monitoring of Rheumatoid Arthritis using a Smartphone app3GDR
Dr Lynn Austin, Research Fellow, University of Manchester:
https://mhealthinsight.com/2016/06/27/join-us-at-the-kings-funds-digital-health-care-congress/
The document discusses how new technologies are changing healthcare in Central and Eastern Europe. It finds that telemedicine can help address issues like insufficient funds, long wait times, and expensive infrastructure investments. Over 60% of patients in the region are open to telemedicine solutions like teleconsulting and remote monitoring. Telemedicine provides benefits like higher quality care, lower costs, and more efficient use of resources. Factors driving telemedicine adoption include advanced technologies, changing patient demands, and a growing private healthcare market. There is significant interest from private stakeholders in investing in telemedicine. The recommendations are to enhance brands, optimize the patient experience, acquire patients effectively, design new operating models, and leverage collected healthcare data.
Emily Hough - Deputy Director, Strategy Group, NHS EnglandHIMSS UK
The NHS is delivering good outcomes despite challenges, but still faces some problems ahead. Plans are being developed through 44 Sustainability and Transformation Plans to stabilize finances, improve services, and transform healthcare over multiple years. These plans aim to provide local strategies and focus on long-term change through collaboration between the NHS and other organizations. Supporting initiatives include demonstration sites for improving staff health, payment programs, and testing combinations of innovations through partnerships to evaluate and spread effective approaches. Progress will continue to be reviewed with support provided to strengthen plans.
- Orphanet is an international portal for information on rare diseases and orphan drugs, with its headquarters in France. It began as a French pilot project in 1997 and became a Joint Action of the EU in 2000.
- The portal includes an extensive database on rare diseases, with information on diagnoses, treatments, epidemiology and more. It aims to provide knowledge on rare diseases to healthcare professionals, researchers, patients and caregivers.
- In the UK, Orphanet data was previously contributed through Manchester University but is now managed by Public Health England since 2015.
The document summarizes a review of screening for preterm labor and bacterial vaginosis in pregnancy. The UK National Screening Committee commissioned the review in 2013. The review found limited evidence that bacterial vaginosis predicts preterm labor. Cervical length measurement is not reliable enough for screening. Evidence is also insufficient that antibiotics or progesterone treatment are effective. Based on the review and public consultation, the Committee recommended against universal screening for preterm labor or bacterial vaginosis. Future research should address key questions around the aims, tests, and optimal treatment for screening.
3.2 Hubs and collaboration - Greg Kalita, Dave BearmanNHS England
Hubs and collaboration. Hub-based working and collaborating across boundaries to improve access and care. Including examples from Sheffield, Devon and Cornwall. Greg Kalita and Dave Bearman, Northern, Eastern & Western Devon and South Devon & Torbay CCGs.
The document summarizes the RENEWING HEALTH project which aims to test telemedicine services to improve care for patients with diabetes, COPD, or cardiovascular diseases across 9 regions in Europe. The project involves 7,800 patients from 2010-2012 and evaluates telemedicine interventions on patients' quality of life, health outcomes, costs of care, and organizational impacts. Specifically, the project in Norrbotten, Sweden involves a randomized trial providing 200 diabetes patients tablet computers to self-manage their condition and transmit health data to providers to improve HbA1c and quality of life compared to routine care.
The document summarizes eHealth in Denmark, outlining its vision of providing coherent clinical pathways through the healthcare system focused on patient needs. It notes that digitalization is key to giving healthcare professionals access to patient data across the system. Denmark has several eHealth solutions in place and aims to better integrate and streamline how patient data is accessed and shared. The healthcare system in Denmark is decentralized and universal, with regions and municipalities responsible for providing most services like hospitals, general practitioners, and dental care.
The document provides an overview of telemedicine in Scandinavian countries. It discusses how telemedicine is used, examples of large research projects showing its benefits, and current focus areas. Some key challenges are integrating solutions across healthcare sectors and implementing projects on a larger scale. Opportunities for Finnish companies include providing solutions for chronic disease management, platforms that integrate with various systems, and partnering with Scandinavian organizations. An upcoming telehealth conference is mentioned.
This document discusses the challenges of implementing consistent infection prevention and control (IPC) standards across New Zealand's public health sector. It notes the lack of national standards and real-time data makes it difficult to assess performance, determine necessary interventions, and support clinical decision-making. Healthcare-associated infections impact patient safety and outcomes while increasing costs. The document advocates achieving a national IPC management system using a common software platform called ICNet to standardize data collection, facilitate real-time reporting and analysis, and enable quality improvement activities aimed at reducing infections like surgical site infections. Progress includes ICNet's adoption in several districts and a national surgical site infection monitoring program, though continued coordination and prioritization is needed to fully realize this vision.
The future of patient data the danish perspective 2018Future Agenda
The Danish perspective on implications from the future of patient data - insights from discussions in Copenhagen
Denmark is recognised as one of the leading nations for healthcare and is at the forefront of digital transformation in the sector. As new challenges and opportunities emerge over the next decade this article considers what the core drivers of change may be and explores how developments in the availability and use of more and better patient data may impact the Danish health system. Linking together previous research, a recent related Future Agenda initiative and insights from a number of expert discussions in Copenhagen, it then examines the pivotal issues that will affect healthcare providers in the future and considers how the wider sharing of exemplary data can change delivery models.
Given the overall dynamics, many conclude that Denmark is one of the most connected, well-funded and healthy nations in the world. The advent of more and better health data should therefore have additional impact. So, what about the future? How will the global changes underway impact and enhance the Danish system? Moreover, what will be the national vs regional response?
A recent global project exploring the future of patient data was undertaken by Future Agenda in partnership with leading organisations around the world. (www.futureofpatientdata.org) Twelve events across many different healthcare systems brought together over 300 experts to debate the primary shifts for the next decade as well as explore their implications. Within this, several shared ambitions in a number of different countries were identified – many of which can already be seen as existing assets of the Danish system: Good quality patient data, common access to it, and means of interacting with both the information and the different communities who form the full care system.
As the first phase of a subsequent series of more regional, national dialogues, in June 2018 additional discussions were undertaken with healthcare experts in Copenhagen to uncover more detail. Hosted by DTU Business, the aim was to both respond to the global context from the Future of Patient Data project and debate what the implications may be for Denmark. In particular, a core objective was to identify what are the primary issues for the Danish healthcare system for the next decade.
The 2019 Diagnostic Summit brought together diagnostic developers in academia and industry as well as end-users in the pharmaceutical and healthcare sector to gain a comprehensive picture of diagnostics in prenatal, oncology, infectious disease, point-of-care, and liquid biopsy.
This important Summit enabled delegates to learn what novel technologies, platforms and applications are emerging that will impact future healthcare delivery and pharmaceutical research.
Bringing together European leading experts via presentations, workshops and case studies the Summit was a must attend event! We explored:
Current diagnostic testing in GP surgeries and Pharmacies
How Diagnostics can be funded and funding barriers
Advances in Prenatal Molecular Diagnostics
Diagnostic Regulations
Point of care testing
Advanced Diagnostics for infectious diseases
Adapting and evaluating Innovation
Education on testing and accuracy
Patient and Clinical pathways
Key health areas examined in the Summit included:
Sexual Health
Diabetes
Cancer
Antibiotic Resistance
Sepsis
Obesity
Urinary Infections
Tele-Cardiology Services in the UK - Telehealth Magazine (April 2008)Ofer Atzmon
The document summarizes a pilot study conducted in the UK that tested a tele-cardiology service using wireless electrocardiogram (ECG) devices. The devices transmitted ECG readings from primary care clinics to a monitoring center where clinicians interpreted the results and provided advice. The pilot found the tele-cardiology service improved patient care by expediting diagnosis, eliminating some emergency visits, and increasing information quality for hospital visits. It also identified potential for huge cost savings compared to standard care.
The document discusses supporting innovation in respiratory care in the North West Coast region through partnerships between the NHS, academia, businesses, local authorities, and the third sector. It aims to improve health, drive down the cost of care, and stimulate economic growth by facilitating earlier detection and diagnosis of respiratory problems, improving uptake of pulmonary rehabilitation programs, and better supporting medication adherence. Specific initiatives mentioned include respiratory test-beds for COPD technologies, apps to support patients, and innovations around flu vaccines, continuity of care, and workforce flexibility.
Stroke prevention services - quality & safety indicatorsHelicon Health
Prof David Patterson, Consultant Cardiologist, Professor of Cardiovascular Medicine and CEO of Helicon Health, gave this presentation at Commissioning Live - November 2014. He covers a range of issues including better identification of patients with atrial fibrillation and better management of anticoagulation patients.
Helicon Health's web-based integrated package - HeliconHeart - is compliant with National Institute for Health and Care Excellence (NICE) guidelines on anticoagulation and self-monitoring, and cited as a learning exemplar in NICE’s guidelines for atrial fibrillation.
Clinical eHealth 3 (2020) 40–48Contents lists available at SWilheminaRossi174
Clinical eHealth 3 (2020) 40–48
Contents lists available at ScienceDirect
Clinical eHealth
journal homepage: ww.keaipublishing.com/CEH
Long-term effects of telemonitoring on healthcare usage in patients with
heart failure or COPD q
https://doi.org/10.1016/j.ceh.2020.05.001
2588-9141/� 2020 The Authors. Publishing services by Elsevier B.V. on behalf of KeAi Communications Co., Ltd.
This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
q In collaboration with the Slingeland Hospital in Doetinchem, The Netherlands,
and Stichting Sensire in Varsseveld (‘InBeeld’ program), The Netherlands.
⇑ Corresponding author.
E-mail address: [email protected] (J.M.M. van der Burg).
Jorien M.M. van der Burg a,⇑, N. Ahmad Aziz b,c, Maurits C. Kaptein d, Martine J.M. Breteler e,f,
Joris H. Janssen e, Lisa van Vliet a, Daniel Winkeler g, Anneke van Anken h, Marise J. Kasteleyn a,i,
Niels H. Chavannes a
a Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands
b Department of Neurology, University of Bonn, Bonn, Germany
c Population Health Sciences, German Centre for Neurodegenerative Diseases (DZNE), Bonn, Germany
d Jheronimus Academy of Data Science, Den Bosch, The Netherlands & Department of Statistics and Research Methods, Tilburg University, Tilburg, The Netherlands
e FocusCura, Driebergen-Rijssenburg, The Netherlands
f Department of Anesthesiology, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands
g Room To, De Meern, The Netherlands
h Department of Cardiology, Slingeland Hospital, Doetinchem, The Netherlands
i Department of Pulmonology, Leiden University Medical Center, Leiden, The Netherlands
a r t i c l e i n f o
Article history:
Received 5 November 2019
Revised 29 April 2020
Available online 20 May 2020
Keywords:
Heart failure
Chronic Obstructive Pulmonary Disease
(COPD)
Telemonitoring
Remote patient monitoring (RPM)
Home monitoring
Home telemonitoring
Telemedicine
eHealth
a b s t r a c t
Background: Heart failure and chronic obstructive pulmonary disease (COPD) are leading causes of dis-
ability and lead to substantial healthcare costs. The aim of this study was to evaluate the effectiveness
of home telemonitoring in reducing healthcare usage and costs in patients with heart failure or COPD.
Methods: The study was a retrospective observational study with a follow-up duration of up to 3 years in
which for all participants data before and after enrollment in the telemonitoring program was compared.
Hundred seventy-seven patients with heart failure (NYHA functional class 3 or 4) and 83 patients with
COPD (GOLD stage 3 or 4) enrolled in a home telemonitoring program in addition to receiving usual hos-
pital care. The primary outcome was the number of hospitalizations; the secondary outcomes were total
number of hospitalization days and healthcare costs during the follow-up period. Generalized Estimating
Equations w ...
Healthcare costs are rising faster than the economy and new solutions are needed. Mobile devices and telehealth can help by reducing missed appointments, improving medication adherence for chronic conditions, and allowing remote monitoring to reduce hospitalizations. Studies show text messaging appointment reminders through mobile phones in primary care reduced missed appointments by 15-20% and increased response rates for high-risk patients. Telehealth trials in the UK showed reductions in hospital admissions and visits through remote monitoring of conditions like COPD, congestive heart failure and diabetes. Vensa is working on a telehealth network and trial in New Zealand to further these opportunities through mobile devices.
Long-term conditions affect many people in North Yorkshire and York. Telehealth is being implemented to help manage these conditions and reduce hospital admissions. Over 346 patients are currently using telehealth units which are monitoring conditions like COPD and heart failure. The program aims to deploy over 1,000 more units in the next year to further support patients and help redesign care pathways for long-term conditions. Clinical staff are engaged and telehealth is proving to reduce non-elective admissions and help clinicians monitor priority patients.
The document discusses New Zealand's national eHealth initiatives and priorities. It outlines the goals of establishing a core set of personal health information for all New Zealanders electronically by 2014 to improve healthcare quality and safety. Key programs include implementing health identity standards, developing universal medication lists and e-prescribing capabilities, and establishing clinical data repositories accessible across care settings. Governance involves multiple groups providing oversight and accountability for achieving the eHealth plan.
Accountable and Collaborative Care: Lessons Learned from Across the Globe.
Alan spoke about how important it is to have Collaborative Care; especially in chronic conditions, such as diabetes and COPD. Collaborative Care is facilitated by multi-specialty facilities which makes it more convenient for the patients to get tests results; for example, to make less visits to the doctors office. This can give patient care continuity, since everyone is working for the same cause: You, the patient.
Also bundled payments give physicians the incentive to be more efficient with how they treat their patients.
Using Implementation Science to transform patient care (Knowledge to Action C...NEQOS
Master Class presentation and workshop materials from the NENC AHSN Collaborating for Better Care Partnership's Master Class, led by Professor Jeremy Grimshaw' on 1st September 2014
Improving Quality And Reducing Cost In Healthcare The Role Of Information And...healthcareisi
The document discusses using information technology to improve healthcare quality and reduce costs. It argues that applying information and technology can reduce costs, improve access, and improve quality. It then provides examples of healthcare budget cuts in several countries due to fiscal pressures. The document also discusses using data and evidence-based practices, clinical decision support, and engaging patients to help drive cost reductions and improve outcomes.
Patients Driving Health Innovation - Dr Abaigeal Jackson CF Registry - Octobe...ipposi
1) Cystic fibrosis registries gather detailed patient data that can yield significant findings about effective treatments through analysis.
2) Registries are collaborating with researchers and pharmaceutical companies to enhance disease knowledge, evaluate new medicines, and assess patient responses to treatments over time.
3) A new software platform upgrade allows electronic, encounter-based reporting accessible to consultants and includes a module for a common European cystic fibrosis registry of over 40,000 patients.
Odense University Hospital is a major healthcare center in Denmark serving over 1.2 million citizens with an annual budget of 5.3 billion DKK. The hospital engages in numerous innovation activities including developing and testing telehealth solutions like video conferencing, patient briefcases, teleconsultations, and 3D imaging to improve care and outcomes for patients with conditions like COPD, diabetes, and cardiac issues. They are also involved in several European projects aimed at gathering evidence on the effectiveness and cost-efficiency of telemedicine.
NHS Scotland Ehealth Strategy - Alan Hyslophealthcareisi
This document summarizes Scotland's approach to eHealth and strategy for a national electronic health record system. Some key points:
- Scotland has a federated health system with 14 regional health boards and over 1000 GP practices.
- The strategy focuses on incremental improvements, partnerships, and ensuring the right information is available to clinicians.
- Key early successes included a unique patient ID, online test results, and a national emergency care summary covering 99.9% of the population.
- Future areas of focus include electronic records for palliative care patients and a "key information summary" to facilitate coordinated care across providers.
Similar to Tina Heide's presentation from the Healthcare DENMARK Ambassador Summit (20)
Denmark has a long history of focusing on e-health and healthcare IT networks. The national e-health portal Sundhed.dk, launched in 2003, provides citizens access to their personal health records and the ability to communicate with healthcare providers online. Healthcare professionals also access patient health information through Sundhed.dk. The national electronic health record system allows sharing of health records, test results, and other information between general practitioners and hospitals. Telehealth services have expanded to include remote monitoring of patients with conditions like COPD and diabetes. The goal is to empower patients and support integrated care through personalized telehealth solutions.
Introduction to danish healthcare and healthcare initiativesHealthcare DENMARK
The document provides an introduction and overview of the Danish healthcare system and recent healthcare initiatives in Denmark. It discusses that Denmark has a universal healthcare system financed by taxes that provides free and equal access. It also highlights some of Denmark's initiatives to address healthcare challenges like early disease detection and treatment programs, eHealth and telehealth solutions, assisted living technologies, and new hospitals.
The document provides information about e-health initiatives in Denmark. It discusses Denmark's public healthcare system and strategies to promote efficiency and quality, including e-health, telehealth, and patient empowerment solutions. It describes Denmark's national e-health infrastructure including electronic health records, a national health portal, and a national service platform that connects regions, municipalities, general practitioners, and hospitals. It also highlights several Danish telehealth and remote patient monitoring projects and platforms like OpenTelehealth that aim to provide personalized healthcare, especially for chronic disease patients.
Helle Gaub's presentation from Hospital + Innovation 2015Healthcare DENMARK
Helle Gaub's (Project Director, University Hospital Koege, Region Zealand) presentation from the Hospital + Innovation Congress 2015 in Odense, Denmark.
Peder Jest's, Cornelius Glismann's, and Jakob Uffelman's presentations from H...Healthcare DENMARK
Peder Jest's (Medical Director, Odense University Hospital, Region of Southern Denmark), Cornelius Glismann's (CEO of CorporateHealth), and Jakob Uffelman's (Director of Innovation, Sundhed.dk) presentation collected from the Hospital + Innovation Congress 2015 in Odense, Denmark.
Niki Nicolas Grigoriou's presentation from Hospital + Innovation 2015Healthcare DENMARK
Niki Nicolas Grigoriou's (CEO and Software Architect, Intelligent Systems A/S) presentation from the Hospital + Innovation Congress 2015 in Odense, Denmark.
Mogens Sehested's, Per Grønbech's, Christian Christensen's, Jesper Allerup's,...Healthcare DENMARK
All presentations from the panel discussion with Mogens Sehested (Chief Financiel Officer, Central Denmark Region), Per Grønbech (Chief Financiel Officer, Region of Southern Denmark), Christian Christensen (Chief Procurement Officer, Zealand Region), Jesper Allerup (Head of Unit, Research and Innovation, Capital Region of Denmark), and Kjeld Lisby (Chief Innovation Officer, North Denmark Region).
Mie Krog's presentation from Hospital + Innovation 2015Healthcare DENMARK
The document discusses raising lighting standards in healthcare facilities. It describes how circadian lighting, influenced by LED technology, can positively impact patient and staff well-being by influencing mental and physiological states. Examples are provided of circadian lighting installations in Danish hospitals that have led to reduced stress and improved sleep patterns for patients. The lighting is designed through user-centered processes with multiple settings to meet different user needs across various healthcare areas.
Edzard Schultz' presentation from Hospital + Innovation 2015Healthcare DENMARK
Edzard Schultz' (Dipl.-Ing. Architekt vom Büro, Heinle, Wischer und Partner, Freie Architekten GbR, Germany) presentation from the Hospital + Innovation Congress 2015 in Odense, Denmark.
Andy Black's presentation from Hospital + Innovation 2015Healthcare DENMARK
The document discusses how future hospital designs need to move beyond existing concepts that are outdated. It notes that most projects simply elaborate on familiar hospital models rather than innovating for the future. It also points out issues with the current criteria for determining which specialists should manage which patients, saying criteria are often non-existent and patients can be overlooked if placed in the wrong area of the hospital.
Sophie Hæstorp-Andersen's presentation from Hospital + Innovation 2015Healthcare DENMARK
Sophie Hæstorp-Andersen's (Chairman of the Regional Council of The Capital Region of Denmark and member of the board, Danish Regions) presentation from the Hospital + Innovation Congress 2015.
Peter Fosgrau's presentation from Hospital + Innovation 2015Healthcare DENMARK
The document discusses the new University Hospital in Odense, Denmark. It notes that the hospital has a very attractive location and its design is standardized, modular, and features an automated supply chain utilizing conveyors, automated guided vehicles, miniloads, and pneumatic tubes. The structure is described as flexible and robust.
Johan Permert's presentation from Hospital + Innovation 2015Healthcare DENMARK
Johan Permert's (Development and Innovation Director, Karolinska University Hospital, Sweden) presentation from the Hospital + Innovation Congress 2015.
Jens Friis Bak's presentation from Hospital + Innovation 2015Healthcare DENMARK
The document discusses plans for a new hospital in Gødstup that focuses on patient involvement and innovation. Key features include private one-bed rooms for patients with easy access to personal data and facilities for examinations, talks, and rehabilitation all within the room. Bathrooms and toilets will be large to promote independence and nutrition options will respect individual needs and preferences. The hospital also aims to test innovative ideas through pilot projects like vertical bed storage and alternative delivery room designs.
Dorthe Kjerkeaard's and Hans Danielsen's presentation from Hospital + Innovat...Healthcare DENMARK
Dorthe Kjerkegaard's and Hans Danielsen's (Health Innovation Centre of Southern Denmark & Capital Region of Denmark) presentation from the Hospital + Innovation Congress 2015 in Odense, Denmark
Dag Bøhler's presentation from Hospital + Innovation 2015Healthcare DENMARK
The document summarizes a project to build a new hospital in Østfold, Norway. It provides details on the project objectives such as completing construction on time and on budget, implementing new clinical IT systems, and achieving a high safety standard during construction. It describes the management structure, procurement strategy using multiple contracts, and status reporting process. The project met all its objectives, coming in under budget and 6 months ahead of schedule while maintaining high quality and safety standards. Lessons learned include the importance of early clinical involvement and integrating IT projects into the construction schedule. The project structure and solutions will be reused for a new hospital in Drammen-Buskerud.
The facial nerve, also known as cranial nerve VII, is one of the 12 cranial nerves originating from the brain. It's a mixed nerve, meaning it contains both sensory and motor fibres, and it plays a crucial role in controlling various facial muscles, as well as conveying sensory information from the taste buds on the anterior two-thirds of the tongue.
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!
Can coffee help me lose weight? Yes, 25,422 users in the USA use it for that ...nirahealhty
The South Beach Coffee Java Diet is a variation of the popular South Beach Diet, which was developed by cardiologist Dr. Arthur Agatston. The original South Beach Diet focuses on consuming lean proteins, healthy fats, and low-glycemic index carbohydrates. The South Beach Coffee Java Diet adds the element of coffee, specifically caffeine, to enhance weight loss and improve energy levels.
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.
Healthy Eating Habits:
Understanding Nutrition Labels: Teaches how to read and interpret food labels, focusing on serving sizes, calorie intake, and nutrients to limit or include.
Tips for Healthy Eating: Offers practical advice such as incorporating a variety of foods, practicing moderation, staying hydrated, and eating mindfully.
Benefits of Regular Exercise:
Physical Benefits: Discusses how exercise aids in weight management, muscle and bone health, cardiovascular health, and flexibility.
Mental Benefits: Explains the psychological advantages, including stress reduction, improved mood, and better sleep.
Tips for Staying Active:
Encourages consistency, variety in exercises, setting realistic goals, and finding enjoyable activities to maintain motivation.
Maintaining a Balanced Lifestyle:
Integrating Nutrition and Exercise: Suggests meal planning and incorporating physical activity into daily routines.
Monitoring Progress: Recommends tracking food intake and exercise, regular health check-ups, and provides tips for achieving balance, such as getting sufficient sleep, managing stress, and staying socially active.
Michigan HealthTech Market Map 2024. Includes 7 categories: Policy Makers, Academic Innovation Centers, Digital Health Providers, Healthcare Providers, Payers / Insurance, Device Companies, Life Science Companies, Innovation Accelerators. Developed by the Michigan-Israel Business Accelerator
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.
Exploring the Benefits of Binaural Hearing: Why Two Hearing Aids Are Better T...Ear Solutions (ESPL)
Binaural hearing using two hearing aids instead of one offers numerous advantages, including improved sound localization, enhanced sound quality, better speech understanding in noise, reduced listening effort, and greater overall satisfaction. By leveraging the brain’s natural ability to process sound from both ears, binaural hearing aids provide a more balanced, clear, and comfortable hearing experience. If you or a loved one is considering hearing aids, consult with a hearing care professional at Ear Solutions hearing aid clinic in Mumbai to explore the benefits of binaural hearing and determine the best solution for your hearing needs. Embracing binaural hearing can lead to a richer, more engaging auditory experience and significantly improve your quality of life.
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.
R3 Stem Cell Therapy: A New Hope for Women with Ovarian FailureR3 Stem Cell
Discover the groundbreaking advancements in stem cell therapy by R3 Stem Cell, offering new hope for women with ovarian failure. This innovative treatment aims to restore ovarian function, improve fertility, and enhance overall well-being, revolutionizing reproductive health for women worldwide.
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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.
TEST BANK FOR Health Assessment in Nursing 7th Edition by Weber Chapters 1 - ...
Tina Heide's presentation from the Healthcare DENMARK Ambassador Summit
1. TeleCare Nordhomemonitoring of COPD patients
From pilots to big scale implementation
Tina Archard Heide
Project manager TeleCare Nord
Tah@rn.dk
2. Global healthcarechallenge
860 mn. lives with at least one chronic disease
In 2020 it is expected:
-the number of people with diabetes has doubled
-deaths due to heart disease will be 20 mn./year
-chronic diseases will be the course of 75% of deaths
2
3. 1,7 mn. Danes lives with one, or more, chronic diseases
Chronic diseases exceeds80% of the national public healthcare budget.
Estimated 0,5 mn. Danes lives with reduced lung capacity
App. 22.700 hospitalizations a year due to COPD
App. 50.600 COPD Outpatient visits a year due to COPD
Danish context
4. Pilot trails and research projects indicates potential in telemedicine
Results from Aalborg University : Using telemedicine over a period of 4 month, for patients with COPD
Reduction in
-the number of hospitalizations
-the average number of days hospitalized
-the number of outpatient visits
Increased
-patient security at home
-patient quality of life
-patient empowerment
5. 0.6 M
1.2 M
1.2 M
0.8 M
1.6 M
CentralDenmark
Region
NorthDenmark
Region
Regionof
SouthernDenmark
Region
Zealand
CapitalRegion
of Denmark
Hjørring
Jammerbugt
Brønderslev
Thisted
Morsø
Vest-himmerland
Rebild
Mariagerfjord
Aalborg
Frederiks-havn
Læsø
TeleCare Nord participants
1256 Patients
The Danish Lung Association
The municipalities in North
Jutland
The GPs in North Jutland
The North Denmark Region
The 4 hospitals in North Jutland
Aalborg University
6. TeleCare Nord full-scale goals
Collaboration across sectors involved in the healthcare system, including the patient. Finding and implementing solutions that meet technical, organizational, legal and economic challenges of deploying full-scale operation.
Realizing the potential of telemedicine, demonstrated in pilot and research projects
Up scaleto normal operation with1400 COPD patients from the 11 municipalities in North Jutland
Based on COPD secure a generic technical solution for other chronic disease groups
Ensure close coordination and use of national strategies, infrastructure and standards
Support patient empowerment, increasing patient confidence and satisfaction, and strengthen competences for self-care in the patients´own homes.
7. 4 Ph.ds at Aalborg University
-Health literacy
-Intersectoralcooperation
-Patient empowerment and quality of treatment
-Health economy and the economic impact of telemedicine.
Randomized controlled trial with one group offered telemedicine and a control group for comparison purposes.
Scientific evidence for the effects and benefits of telemedicine
Already strong indicators of patient empowerment
Ambitious research
10. Patient feedback
Examples of patient empowerment
Examples of patients preventing hospitalization
Gives network with others in the same situation
The relatives is an active part
Takes advantage of the mobility of the solution
Finds it easy to use
11. Feedback from healthcare professionals
Early intervention and prevention of hospitalization
Healthcare side effects
Closer collaboration with GPs
New tasks and need for new competences
12. In North Jutland
TeleCare North as a project runs until June 2015
Home monitoring continues
Decision on new patient group for telemedicine
National
Preparation of national implementation of home monitoring to COPD patients –with TeleCare North as a role model.
Identification of new patient groups and areas for large scale
Aroundthe corner