National Patient Safety Foundation 2012 Dashboard DemoEdgewater
Edgwater attended the NPSF 2012 Patient Safety Congress in order to showcase our proven expertise in developing Patient Safety & Quality systems and processes. This presentation highlights some Edgewater client success stories as well as a demonstration of dashboards developed as part of our projects.
Clinical Integration: The Foundation for Accountable Care - Presentation delivered by Keynote Speaker Marvin O’Quinn, Senior Executive Vice President and Chief Operating Officer, Dignity Health at the National Healthcare CXO Summit held in Las Vegas Oct 19-21, 2014.
Davin Lundquist, MD
CMIO
Dignity Health Medical Foundation
Case Study: "Leveraging technology to build an organizational strategy fostering staff competency & physician satisfaction"
Health IT systems will never please all users however providers are employing strategies that can significantly improve user satisfaction. Staff re-education and continually measuring the effectiveness of initiatives can make a positive impact on an organization’s ability to realize gains with IT. This presentation will explore Dignity Health’s lessons learned and organizational strategy to ensure staff competency levels and physician satisfaction.
Dignity Health is a family of more than 60,000 caregivers and staff delivering excellent care to diverse communities across 17 states. Founded in 1986 and headquartered in San Francisco Dignity Health is the fifth largest hospital provider in the nation and the largest hospital system in California.
National Patient Safety Foundation 2012 Dashboard DemoEdgewater
Edgwater attended the NPSF 2012 Patient Safety Congress in order to showcase our proven expertise in developing Patient Safety & Quality systems and processes. This presentation highlights some Edgewater client success stories as well as a demonstration of dashboards developed as part of our projects.
Clinical Integration: The Foundation for Accountable Care - Presentation delivered by Keynote Speaker Marvin O’Quinn, Senior Executive Vice President and Chief Operating Officer, Dignity Health at the National Healthcare CXO Summit held in Las Vegas Oct 19-21, 2014.
Davin Lundquist, MD
CMIO
Dignity Health Medical Foundation
Case Study: "Leveraging technology to build an organizational strategy fostering staff competency & physician satisfaction"
Health IT systems will never please all users however providers are employing strategies that can significantly improve user satisfaction. Staff re-education and continually measuring the effectiveness of initiatives can make a positive impact on an organization’s ability to realize gains with IT. This presentation will explore Dignity Health’s lessons learned and organizational strategy to ensure staff competency levels and physician satisfaction.
Dignity Health is a family of more than 60,000 caregivers and staff delivering excellent care to diverse communities across 17 states. Founded in 1986 and headquartered in San Francisco Dignity Health is the fifth largest hospital provider in the nation and the largest hospital system in California.
Presentation at NeHC: Overview of ONC's health information exchange standards-selection activities. Focuses on HITSC, the S&I Framework, and the S&I Query Health Initiative.
The 7 Steps to Improve HIV/AIDS Programs Guide presents concrete steps and illustrative examples that can be used to facilitate the use of information as a part of the decision-making processes guiding program design, management and service provision in the health sector. Download 7 Steps to Improve HIV/AIDS Programs Guide.
Tool: http://www.cpc.unc.edu/measure/publications/ms-11-46-b
Webinar Recording: http://universityofnc.adobeconnect.com/p5msoue5e67/
Strengthening an Organization’s Capacity to Demand and Use DataMEASURE Evaluation
Bringing data users and producers together, applying tools to improve data use, and training health professionals in data-informed decision making cannot be sustained unless mechanisms are put in place to ensure that host organizations are supportive and committed to continued data use.
Recording: http://universityofnc.adobeconnect.com/p9k8b5x0d9g/
Health IT Summit Houston 2014 - Case Study "EHR Optimization for Organizational Value in a Changing Healthcare Environment"
Luis Saldana, MD, MBA, FACEP
CMIO
Texas Health Resources
iHT2 case studies and presentations illustrate challenges, successes and various factors in the outcomes of numerous types of health IT implementations. They are interactive and dynamic sessions providing opportunity for dialogue, debate and exchanging ideas and best practices. This session will be presented by a thought leader in the provider, payer or government space.
Healthcare Business Intelligence for Power UsersPerficient, Inc.
The Healthcare industry is accustomed to volumes of clinical and administrative data. Business intelligence helps convert these large amounts of data into actionable insights to reduce costs, streamline processes, and improve healthcare delivery. Our first webinar, “An Introduction to Business Intelligence for Healthcare,” introduces business intelligence in healthcare and common concepts.
In the second of this series of two webinars, Health BI Practice Manager, Mike Jenkins addresses:
- The BI Maturity Level
- Examples of Levels 3 and 4
- Attaining Level 5
Presentation delivered by Mitch Wasden, Chief Executive Officer and Chief Operating Officer, University of Missouri Health Care, at the marcus evans National Healthcare CXO Summit Fall 2016 in California.
Engage Patients, Reduce Manual Processes and Drive Key Insights with Interope...Perficient, Inc.
Information is the cornerstone of healthcare organizations, and those that can transform data into key insights have a competitive advantage. Yet, information that is stored in separate, disconnected silos makes it challenging to strategically generate business intelligence, leaving business leaders to make decisions on intuition rather than hard data.
Communication between systems is paramount, and despite industry standards such as EDI/X12, HL7, and CDA, information delivery is not effective. Interoperability is a key component to effective communication because it provides the right information at the right time to the right people, engages patients and reduces manual interactions. Perficient looks at system integration challenges from business architectural perspectives and applies technology to address them.
In this webinar, we demonstrated:
The importance of data and business processes to leverage information
The importance of governance throughout the enterprise and program lifecycle
Real world use cases where IBM technology solved complex integration problems
Perficient’s multi-tiered approach to help guide successful business outcomes
Healthcare Business Intelligence & Analytics – A Dose of WellnessSPEC INDIA
As the Healthcare industry moves to the next level of offerings, data captured coupled with business intelligence & data analytics provides innovative solutions for this very dynamic industry relying heavily on contemporary techniques like mobile technologies, the Cloud and the IoT. Special solutions to cater to the mobile device management for healthcare too gain growing importance.
The need for cost optimizations all across, the requirements to gain insights into the very detailed parameters related to treatment plans and the administrative efforts to co-ordinate and keep these in sync is managed by Healthcare Business Intelligence solutions.
Get More Details on Business Intelligence for Healthcare Industry Here: http://blog.spec-india.com/healthcare-business-intelligence-analytics-dose-wellness/
Introducing Health Catalyst University: An Innovative Approach for Accelerati...Health Catalyst
Anyone involved in healthcare knows we need to improve quality and lower costs—but where do you start? And how do you reduce the time it takes to realize improvements after deciding on a course of action? Then there’s the added responsibility of managing the transition to risk-based payment models where the consequences of getting it wrong increase with each passing year.
For these reasons we feel compelled to break from our standard webinar routine and present a new webinar, where we will introduce the Health Catalyst University’s Accelerated Practices (AP) Program, a unique learning experience that has been designed to help you tackle these problems. First, you will hear from Tommy Prewitt, MD, director of the Healthcare Delivery Institute at HORNE LLP. He will share his perspective about the need for change. He will also talk about how programs like ours are critical to surviving and thriving in this new era of healthcare. Then you will hear from Bryan Oshiro, MD, senior vice president and chief medical officer of Health Catalyst. He will explain how the AP Program equips you with the tools and knowledge to mobilize others in accelerating outcomes improvement work and sustaining the gains.
In specific, Tommy Prewitt, MD, will discuss:
The problems the industry is facing
How variations in care delivery impact quality and cost
The value of giving clinicians the right tools to effectively use data to drive outcomes improvement
Sustainable improvements course participants have achieved by attending HORNE’s Advanced Training Program
In specific, Bryan Oshiro, MD, will discuss:
The components required to make a quality improvement training course successful
The need for course participants to apply the science of improvement to course projects in a practical, immersive format
Why leaders need to learn how to understand the nuances of human behavior as a way to affect positive change
The return on investment a quality improvement training program such as Health Catalyst’s Accelerated Practices (AP) Program provides
What attendees of the AP Program will learn
Both presenters are graduates of and proponents for Intermountain’s Advanced Training Program (ATP), a quality improvement program started by Brent James, MD. Their goals with this webinar are to give you greater insight to the problems the industry is facing and a renewed sense of purpose knowing that resources are available to help you through this challenging time.
AHRQ’s Health Care Innovations Exchange held a Web event on Innovative Health Care Policies: Using ACO Principles and Financial Incentives to Improve Health Outcomes on January 29, 2013. For more information, visit https://innovations.ahrq.gov/events/2013/01/innovative-policies-using-aco-principles-and-financial-incentives-improve-health.
Strengthening the monitoring and evaluation capacity of civil society organization to improve the reach and quality of OVC care and support services: Experiences from Lesotho
Automated, Standardized Reporting of Patient Safety and Quality Measures to E...Edgewater
Edgewater and UPenn presented on "Moving from Volume to Value Based Care" at The World Congress 10th Annual Healthcare Quality Congress, August 2-3, 2012.
Learn How ProHealth Care is Innovating Population Health Management with Clin...Perficient, Inc.
Christine Bessler, CIO at ProHealth Care,demonstrates how ProHealth Care became the first healthcare system to produce reports and data out of Epic's Cogito data warehouse in a production environment. In this slideshare, you'll learn:
How they delivered clinically integrated insights to 460 physicians
How access to analytics allows their physicians to easily see which patients need important health screenings or care interventions, setting the stage for enhanced preventive care and better management of chronic diseases
ProHealth Care's strategy to integrate data from Epic with information from other EMRs and data sources to deliver clinically integrated business intelligence
How the organization is positioning itself to deliver against an advanced self-service BI capability in the future
Presentation at NeHC: Overview of ONC's health information exchange standards-selection activities. Focuses on HITSC, the S&I Framework, and the S&I Query Health Initiative.
The 7 Steps to Improve HIV/AIDS Programs Guide presents concrete steps and illustrative examples that can be used to facilitate the use of information as a part of the decision-making processes guiding program design, management and service provision in the health sector. Download 7 Steps to Improve HIV/AIDS Programs Guide.
Tool: http://www.cpc.unc.edu/measure/publications/ms-11-46-b
Webinar Recording: http://universityofnc.adobeconnect.com/p5msoue5e67/
Strengthening an Organization’s Capacity to Demand and Use DataMEASURE Evaluation
Bringing data users and producers together, applying tools to improve data use, and training health professionals in data-informed decision making cannot be sustained unless mechanisms are put in place to ensure that host organizations are supportive and committed to continued data use.
Recording: http://universityofnc.adobeconnect.com/p9k8b5x0d9g/
Health IT Summit Houston 2014 - Case Study "EHR Optimization for Organizational Value in a Changing Healthcare Environment"
Luis Saldana, MD, MBA, FACEP
CMIO
Texas Health Resources
iHT2 case studies and presentations illustrate challenges, successes and various factors in the outcomes of numerous types of health IT implementations. They are interactive and dynamic sessions providing opportunity for dialogue, debate and exchanging ideas and best practices. This session will be presented by a thought leader in the provider, payer or government space.
Healthcare Business Intelligence for Power UsersPerficient, Inc.
The Healthcare industry is accustomed to volumes of clinical and administrative data. Business intelligence helps convert these large amounts of data into actionable insights to reduce costs, streamline processes, and improve healthcare delivery. Our first webinar, “An Introduction to Business Intelligence for Healthcare,” introduces business intelligence in healthcare and common concepts.
In the second of this series of two webinars, Health BI Practice Manager, Mike Jenkins addresses:
- The BI Maturity Level
- Examples of Levels 3 and 4
- Attaining Level 5
Presentation delivered by Mitch Wasden, Chief Executive Officer and Chief Operating Officer, University of Missouri Health Care, at the marcus evans National Healthcare CXO Summit Fall 2016 in California.
Engage Patients, Reduce Manual Processes and Drive Key Insights with Interope...Perficient, Inc.
Information is the cornerstone of healthcare organizations, and those that can transform data into key insights have a competitive advantage. Yet, information that is stored in separate, disconnected silos makes it challenging to strategically generate business intelligence, leaving business leaders to make decisions on intuition rather than hard data.
Communication between systems is paramount, and despite industry standards such as EDI/X12, HL7, and CDA, information delivery is not effective. Interoperability is a key component to effective communication because it provides the right information at the right time to the right people, engages patients and reduces manual interactions. Perficient looks at system integration challenges from business architectural perspectives and applies technology to address them.
In this webinar, we demonstrated:
The importance of data and business processes to leverage information
The importance of governance throughout the enterprise and program lifecycle
Real world use cases where IBM technology solved complex integration problems
Perficient’s multi-tiered approach to help guide successful business outcomes
Healthcare Business Intelligence & Analytics – A Dose of WellnessSPEC INDIA
As the Healthcare industry moves to the next level of offerings, data captured coupled with business intelligence & data analytics provides innovative solutions for this very dynamic industry relying heavily on contemporary techniques like mobile technologies, the Cloud and the IoT. Special solutions to cater to the mobile device management for healthcare too gain growing importance.
The need for cost optimizations all across, the requirements to gain insights into the very detailed parameters related to treatment plans and the administrative efforts to co-ordinate and keep these in sync is managed by Healthcare Business Intelligence solutions.
Get More Details on Business Intelligence for Healthcare Industry Here: http://blog.spec-india.com/healthcare-business-intelligence-analytics-dose-wellness/
Introducing Health Catalyst University: An Innovative Approach for Accelerati...Health Catalyst
Anyone involved in healthcare knows we need to improve quality and lower costs—but where do you start? And how do you reduce the time it takes to realize improvements after deciding on a course of action? Then there’s the added responsibility of managing the transition to risk-based payment models where the consequences of getting it wrong increase with each passing year.
For these reasons we feel compelled to break from our standard webinar routine and present a new webinar, where we will introduce the Health Catalyst University’s Accelerated Practices (AP) Program, a unique learning experience that has been designed to help you tackle these problems. First, you will hear from Tommy Prewitt, MD, director of the Healthcare Delivery Institute at HORNE LLP. He will share his perspective about the need for change. He will also talk about how programs like ours are critical to surviving and thriving in this new era of healthcare. Then you will hear from Bryan Oshiro, MD, senior vice president and chief medical officer of Health Catalyst. He will explain how the AP Program equips you with the tools and knowledge to mobilize others in accelerating outcomes improvement work and sustaining the gains.
In specific, Tommy Prewitt, MD, will discuss:
The problems the industry is facing
How variations in care delivery impact quality and cost
The value of giving clinicians the right tools to effectively use data to drive outcomes improvement
Sustainable improvements course participants have achieved by attending HORNE’s Advanced Training Program
In specific, Bryan Oshiro, MD, will discuss:
The components required to make a quality improvement training course successful
The need for course participants to apply the science of improvement to course projects in a practical, immersive format
Why leaders need to learn how to understand the nuances of human behavior as a way to affect positive change
The return on investment a quality improvement training program such as Health Catalyst’s Accelerated Practices (AP) Program provides
What attendees of the AP Program will learn
Both presenters are graduates of and proponents for Intermountain’s Advanced Training Program (ATP), a quality improvement program started by Brent James, MD. Their goals with this webinar are to give you greater insight to the problems the industry is facing and a renewed sense of purpose knowing that resources are available to help you through this challenging time.
AHRQ’s Health Care Innovations Exchange held a Web event on Innovative Health Care Policies: Using ACO Principles and Financial Incentives to Improve Health Outcomes on January 29, 2013. For more information, visit https://innovations.ahrq.gov/events/2013/01/innovative-policies-using-aco-principles-and-financial-incentives-improve-health.
Strengthening the monitoring and evaluation capacity of civil society organization to improve the reach and quality of OVC care and support services: Experiences from Lesotho
Automated, Standardized Reporting of Patient Safety and Quality Measures to E...Edgewater
Edgewater and UPenn presented on "Moving from Volume to Value Based Care" at The World Congress 10th Annual Healthcare Quality Congress, August 2-3, 2012.
Learn How ProHealth Care is Innovating Population Health Management with Clin...Perficient, Inc.
Christine Bessler, CIO at ProHealth Care,demonstrates how ProHealth Care became the first healthcare system to produce reports and data out of Epic's Cogito data warehouse in a production environment. In this slideshare, you'll learn:
How they delivered clinically integrated insights to 460 physicians
How access to analytics allows their physicians to easily see which patients need important health screenings or care interventions, setting the stage for enhanced preventive care and better management of chronic diseases
ProHealth Care's strategy to integrate data from Epic with information from other EMRs and data sources to deliver clinically integrated business intelligence
How the organization is positioning itself to deliver against an advanced self-service BI capability in the future
Healthcare institutions are aggressively moving towards meeting compliance with MU1 and MU2 with the implementation of full-featured Electronic Health Records. Concomitantly, there will be a massive increase in the amount of clinical data captured electronically. Business intelligence (BI) which traditionally has focused on financial data can be leveraged to use clinical data to support providers in delivering high quality, efficient care. In addition, BI coupled with population health analytics can help meet many Accountable Care Organization needs. This presentation will discuss the Denver Health journey in using BI in a variety of was to facilitate the attainment of high quality care.
Strategic Application of IT for Performance Improvement in hospital industry_...DrDevTaneja1
Hospital industry has been laggard in using IT tools to improve Performance Management.
The hospital industry must move beyond Transaction Reporting HMIS to Performance Improvement Tools like Visual Analysis Business Intelligence
Hospital industry must use IT spending as a Strategic Resource to optimize business outcomes & productivity
Microsoft: A Waking Giant in Healthcare Analytics and Big DataDale Sanders
Ten years ago, critics didn’t believe that Microsoft could scale in the second generation of relational data warehouses, but they did. More recently, many of these same pundits have criticized Microsoft for missing the technology wave du jour in cloud offerings, mobile technology, and big data. But, once again, Microsoft has been quietly reengineering its culture and products, and as a result, they now offer the best value and most visionary platform for cloud services, big data, and analytics in healthcare.
Tips and Tricks on how to go about certifying yourself quickly for the Quality Payment Program in 2018. How does it impact workflow, security and means to accelerate certification.
Health IT Summit Denver 2014 - "Anatomy of a Health System"
This unique discussion series explores behind-the-scenes looks at the most progressive and high performing health systems in the country. Panelists will discuss critical areas such as go-live strategy, vendor management, patient engagement, IT governance and more. Attendees will walk away with a better understanding of how departments can effectively work together, tangible strategies for delivering high quality care while maintaining an efficient and secure health information system.
Moderator: Cynthia Burghard, Research Director, IDC Health Insights
Marc Lassaux, CTO, Technical Director Beacon Project, Quality Health Network
Justin Aubert, Chief Financial Officer, Quality Health Network
Kevin Fitzgerald, MD, CMO, Rocky Mountain Health
Microsoft: A Waking Giant In Healthcare Analytics and Big DataHealth Catalyst
In 2005, Northwestern Memorial Healthcare embarked upon a strategic Enterprise Data Warehousing (EDW) initiative with the Microsoft technology platform as the foundation. Dale Sanders was CIO at Northwestern and led the development of Northwestern’s Microsoft-based EDW. At that time, Microsoft as an EDW platform was not en vogue and there were many who doubted the success of the Northwestern project. While other organizations were spending millions of dollars and years developing EDW’s and analytics on other platforms, Northwestern achieved great and rapid value at a fraction of the cost of the more typical technology platforms. Now, there are more healthcare data warehouses built around Microsoft products than any other vendor. The risky bet on Microsoft in 2005 paid off.
Ten years ago, critics didn’t believe that Microsoft could scale in the second generation of relational data warehouses, but they did. More recently, many of these same pundits have criticized Microsoft for missing the technology wave du jour in cloud offerings, mobile technology, and big data. But, once again, Microsoft has been quietly reengineering its culture and products, and as a result, they now offer the best value and most visionary platform for cloud services, big data, and analytics in healthcare.
In this context, Dale will talk about:
His up and down journey with Microsoft as an Air Force and healthcare CIO, and why he is now more bullish on Microsoft like never before
A quick review of the Healthcare Analytics Adoption Model and Closed Loop Analytics in healthcare, and how Microsoft products relate to both
The rise of highly specialized, cloud-based analytic services and their value to healthcare organizations’ analytics strategies
Microsoft’s transformation from a closed-system, desktop PC company to an open-system consumer and business infrastructure company
The current transition period of enterprise data warehouses between the decline of relational databases and the rise of non-relational databases, and the new Microsoft products, notably Azure and the Analytic Platform System (APS), that bridge the transition of skills and technology while still integrating with core products like Office, Active Directory, and System Center
Microsoft’s strategy with its PowerX product line, and geospatial analysis and machine learning visualization tools
Great Basin Primary Care Association: Overview of Patient Centered Medical Home - Standards and Preparation to obtain recognition. This presentation is targeted toward federally qualified health centers and safety net providers (primary care practices) in Nevada. Information current as of 02.25.13.
Judi Binderman, Vice President, Corporate CMIO, Community Medical Centers - Speaker at the marcus evans National Healthcare CIO Summit 2016 held in Las Vegaas, NV
Quality Information Systems is an Allscripts Enterprise EHR add-on solution that helps healthcare provider’s meet requirements for today’s ever-changing mandates on chronic disease care and prevention. Within Enterprise, a traffic signal designates how well the patient’s active problems are being managed.
Tips and Tricks on how to go about certifying yourself quickly for the Quality Payment Program in 2018. How does it impact workflow, security and means to accelerate certification.
The COVID-19 pandemic has created several challenges for our country’s health care infrastructure, and the community health center workforce is no exception. Join us as we describe strategies to get patients back into dental care. Along with these strategies, participants will learn how to recognize challenges in dental practices, as well as how to engage the interdisciplinary care team through role redesign and integration to increase access to comprehensive care.
NTTAP Webinar Series - June 7, 2023: Integrating HIV Care into Training and E...CHC Connecticut
In order for health centers to provide compassionate and respectful HIV prevention, care, and treatment in comprehensive primary care settings, the clinical workforce must be knowledgeable, confident, and competent in their ability to do so.
We’ll explore the need to integrate HIV care into training and education for the clinical care team, as well as educational models to train the next generation. Using Community Health Center Inc.’s Center for Key Populations Fellowship for Nurse Practitioners (NPs) as a framework for best practices, experts will discuss how to implement specialty care for key populations in your training programs. Additionally, participants will gain awareness of the importance of training the clinical workforce on key population competencies in HIV programs (e.g. HCV, MOUD, LGBTQI+ health, homelessness, and harm reduction).
Utilizing the Readiness to Train Assessment Tool (RTAT™) To Assess Your Capac...CHC Connecticut
Improve educational training experiences at your health center by assessing your capacity and infrastructure to host health professions students.
Join the upcoming hands-on interactive activity session to learn how to utilize the Readiness to Train Assessment Tool (RTAT™). This tool was developed by HRSA-funded National Training and Technical Assistance Partners (NTTAP) at Community Health Center, Inc. (CHC) to understand organizational readiness to host health professions student training programs.
NTTAP Webinar Series - May 18, 2023: The Changing Landscape of Behavioral Hea...CHC Connecticut
The COVID-19 pandemic has resulted in significant shifts in the mode of care from face-to-face to virtual interactions. Join us as we discuss the challenges currently facing behavioral health care and at least one strategy for each. Along with these strategies, panelists will go over what integrated behavioral health care was and is before and following COVID-19, as well as what actions should be taken going forward to increase access to comprehensive care.
Panelists:
• Dr. Tim Kearney, PhD, Chief Behavioral Health Officer, Community Health Center, Inc.
• Melinda Gladden, LCSW, PMHC, Behavioral Health Clinician, Community Health Center, Inc.
• Jodi Anderson, LMFT, Virtual Telehealth Group Coordinator, Community Health Center, Inc.
NTTAP Webinar Series - April 13, 2023: Quality Improvement Strategies in a Te...CHC Connecticut
Join us for a webinar on quality improvement in team-based care!
Building a quality improvement (QI) infrastructure within team-based care is an organizational strategy that will establish a culture of continuous improvement across departments and improve quality in all domains of performance.
Participants will learn about:
• QI infrastructure
• Facilitating QI committees
• Coach training within health centers
Faculty will also provide an example of how trained coaches use QI tools to test and implement changes within an organization.
Implementation of Timely and Effective Transitional Care Management ProcessesCHC Connecticut
Join us to discuss best practices for integrating daily follow-ups for patients recently hospitalized for health emergencies. Effectively following up with patients is a critical responsibility for integrated care teams.
Experts will share how their teams respond to patients to identify care gaps and support the transition of care. Workflow descriptions will provide participants with the tools to support their work to adapt specific steps into their model of team-based care.
Panelists:
• Mary Blankson, DNP, APRN, FNP-C, FAAN, Chief Nursing Officer, Community Health Center, Inc.
• Veena Channamsetty, MD, FAAFP, Chief Medical Officer, Community Health Center, Inc.
• Bibian Ladino-Davis, Behavioral Health Coordinator, Weitzman Institute
Implement Behavioral Health Training Programs to Address a Crucial National S...CHC Connecticut
Health centers are uniquely positioned to address the unprecedented need for behavioral health services but are challenged by the workforce shortage. Participants will gain the knowledge needed to begin conceptualization of a training pathway.
Join us to discuss the considerations of sponsoring an in-house training program across all educational levels, including the benefits, program structure, design, curriculum, supervisors' role, and required resources.
Experts will provide participants with examples from practicum and postdoctoral level training programs to help them gain confidence in developing a behavioral health training pathway.
HIV Prevention: Combating PrEP Implementation ChallengesCHC Connecticut
Expert faculty present case-based scenarios illustrating common challenges to integrating HIV PrEP in primary care. As part of improving clinical workforce development, this session will delve into a variety of specific PrEP implementation challenges. Participants will leave with strategies to overcome these obstacles to establish or strengthen their PrEP program.
Panelists:
• Marwan Haddad, MD, MPH, AAHIVS, Medical Director, Center for Key Populations, Community Health Center, Inc.,
• Jeannie McIntosh, APRN, FNP-C, AAHIVS, Family Nurse Practitioner, Center for Key Populations, Community Health Center, Inc.
NTTAP Webinar Series - December 7, 2022: Advancing Team-Based Care: Enhancing...CHC Connecticut
Join us as expert faculty outline the differences between case management, care coordination and complex care management to frame up a discussion on strategies to leverage effective models for both in-person and remote services.
Expert faculty will discuss the role of the medical assistant and the nurse in care management, as well as how standing orders and delegated orders support this work. This session will discuss how telehealth and remote patient monitoring enhancements can support complex care management for patients with chronic conditions.
Participants will leave this session with the knowledge and tools to begin or enhance implementation of chronic care management by enhancing the role of the medical assistant, nurse and the technology that supports the clinical care.
Panelists:
• Mary Blankson, DNP, APRN, FNP-C, Chief Nursing Officer, Community Health Center, Inc.
• Tierney Giannotti, MPA, Senior Program Manager, Population Health, Community Health Center Inc.
NTTAP Webinar: Postgraduate NP/PA Residency: Discussing your Key Program Staf...CHC Connecticut
Expert faculty will discuss the drivers, benefits, and processes of implementing a postgraduate residency training program at your health center. This session will dive deeper into a discussion on the responsibilities of key program staff, preceptors, mentors, and faculty for successful implementation. This webinar will equip participants with a road map to go from planning to implementation and offer an opportunity for coaching support.
Panelists:
• Program Director of the Nurse Practitioner Residency Program, Charise Corsino, MA
• Clinical Program Director of the Nurse Practitioner Residency Program, Nicole Seagriff, DNP, APRN, FNP-BC
Training the Next Generation within Primary CareCHC Connecticut
This webinar discussed the various avenues of workforce development including:
• training non-clinical roles
• the value of an administrative fellowship
• the key questions to ask before establishing a fellowship at your agency
The discussion referenced CHC Chief Operating Officer Meredith Johnson and CHC Project Manager Megan Coffinbargar’s publication “Establishing an Administrative Fellowship Program: A Practical Toolkit to Support and Develop Future Community Health Center Leaders” for the National Association of Community Health Centers (NACHC).
Panelists:
• April Joy Damian, PhD, MSc, CHPM, PMP, Vice President and Director of the Weitzman Institute, Community Health Center, Inc.
• Megan Coffinbargar, MHA, Project Manager, Optimizing Virtual Care Initiative, Community Health Center, Inc.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
Follow us on: Pinterest
Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...
Tips for generating and utilizing quality data reports using health it full slide deck
1. U.S. Department of Health and Human Services
Health Resources and Services Administration
HRSA Health Information Technology
and Quality Webinar
“Tips for Generating and Utilizing Quality Data
Reports Using Health IT”
Date: 7/22/2011
US Department of Health and Human Services
Health Resources and Services Administration
2. Office of Health Information Technology and
Quality
Additional HRSA Health IT and Quality Toolboxes and
Resources including past webinars can be found at:
http://www.hrsa.gov/healthit
http://www.hrsa.gov/quality
Additional questions can sent to the following e-mail address:
HealthIT@hrsa.gov
• US Department of Health and Human Services
• Health Resources and Services Administration
3. Upcoming HRSA Health IT and Quality
Announcements
• New Items to the HRSA Health IT Site:
• CMS Frequently Asked Questions Document on Meaningful Use for CAHs
• HRSA Health IT Adoption Toolbox for HIV/AIDS Providers
• Next HRSA HIT and Quality webinar, "Privacy and Security – What Questions Should
You Ask Your Vendor“ Friday August 19th 2pm EST
• Last month’s webinar “Tips for the Safety Net Community on Using Health IT within a
Patient Centered Medical Home” Now available online
• HRSA “Call for Papers: Evidence for Informing the Next Generation of Quality
Improvement Initiatives: Models, Methods, Measures and Outcomes” for Journal
of Health Care for the Poor and Underserved.
Due September 1st. Questions? Please contact OHITQPapers@hrsa.gov
5. Using Data to Drive Quality
Daren Anderson, MD - VP/Chief Quality Officer
Nwando Olayiwola, MD, MPH - Chief Medical Officer
Margaret Flinter, APRN, PhD - Senior VP/Clinical Director
Community Health Center, Inc.
July 22, 2011
1
6. Community Health Center, Inc.
Our Vision: Since 1972, Community Health Center, Inc. has been building a
world-class primary health care system committed to caring for underserved and
uninsured populations and focused on improving health outcomes, as well as
building healthy communities.
CHC Inc. Profile:
• Founding Year - 1972
• No. of health centers – 12
• No. of Service Locations - 173
• SBHC locations – 23
• Organization Size - 450
Innovations
• Integrated primary care disciplines
• eConsults with specialists Three Foundational Pillars
• Fully integrated EHR
• Patient portal and HIE Clinical Excellence
• Automated clinical dashboards Research & Development
• Nation’s first Nurse Practitioner Training the Next Generation
residency training program
7. CHC Inc. Patient Profile
• Patients who consider CHC their health care home: 130,000
• Health care visits: 350,000 per year
CHC Patient Demographics
90.80%
100%
75%
64.8% 65% Patient Care Model
42%
50%
22% • PCMH (NCQA Level 3)
25% 6%
0% • Advanced access scheduling
• Clinical dashboard & drive improvement
• Expanded hours
Care Delivery
• Clinical integration of all services
Medical Care & Ancillary Services • Formal research program
Dental Care
• Electronic health records
Mental Health Care
• Residency training for nurse practitioners
Prenatal
• W.Y.A. (Wherever You Are) Health Care for the
Top Chronic Diseases homeless
Cardiovascular Disease • Mobile dentistry services to 150 schools
Diabetes • Outreach and eligibility screening/enrollment
Asthma
8. Performance Feedback –
Competing Interests
Organizations Providers
Productivity & Efficiency Quality and Performance
Population Health Individual patient outcomes
Systems improvement Professional Growth
10/05/10 4
9. Middle Ground?
• Providers are inherently interested in and concerned
about the quality of care they deliver
• Self-reflection is a powerful driver
• Framing of QI feedback – non-competing interests
• Utilize multiple vehicles to communicate performance
10/05/10 5
10. Provider-Centered QI Cycle
• Encourage provider
participation in measure
Defining
selection and definition
• Provide frequent,
individual and systems
Enhancing Monitoring reporting
• Provide actionable data
to front line teams
• Link performance and
Reporting
quality
10/05/10 6
11. Multilevel Performance
Assessment
Performance Appraisals Peer Reviews
Data Driven
Provider
Feedback
Dashboard and
Professional Education
Sharepoint
10/05/10 7
12. Using Data to drive QI
• Key Points for discussion:
– Make data easily accessible to teams
– Use a structured QI approach
– QI projects need a strong focus on
measurement
– Collect data to evaluate each PDSA
– Provide actionable data to front line teams
– Use data to drive performance and sustain
gains
10/05/10 8
13. Key Points
• Key Points for discussion:
– Make data easily accessible to teams
– Use a structured QI approach
– QI projects need a strong focus on
measurement
– Collect data to evaluate each PDSA
– Provide actionable data to front line teams
– Use data to drive performance and sustain
gains
10/05/10 9
19. Key Points
• Key Points for discussion:
– Make data easily accessible to teams
– Use a structured QI approach
– QI projects need a strong focus on
measurement
– Collect data to evaluate each PDSA
– Provide actionable data to front line teams
– Use data to drive performance and sustain
gains
10/05/10 15
21. Key Points
• Key Points for discussion:
– Make data easily accessible to teams
– Use a structured QI approach
– QI projects need a strong focus on
measurement
– Collect data to evaluate each PDSA
– Provide actionable data to front line teams
– Use data to drive performance and sustain
gains
10/05/10 17
22. Embed Measurement
into each PDSA
• How will we know that a change is an improvement?
• Use Survey Monkey, EHR data, chart reviews, hand
counts, to measure PDSA outcomes
• Data collection does not need to be complicated.
Simplicity is key
10/05/10 18
25. • Key Points for discussion:
– Make data easily accessible to teams
– Use a structured QI approach
– QI projects need a strong focus on
measurement
– Collect data to evaluate each PDSA
– Provide actionable data to front line teams
– Use data to drive performance and sustain
gains
10/05/10 21
26. Example:
Planned Care Huddles
• Purpose:
– ensure all patients are offered routine prevention/screening
– improve efficiency
– share routine tasks amongst the team
– promote team cohesion
– improve the health of our patients and our community
27. Basic Process
• Pre-huddle
– MA reviews CDSS for scheduled visits next day
– MA notes things that are due on a paper copy of the schedule
– RN reviews patient schedule for vaccine needs/SM needs/other
disease management needs
• Huddle
– booked into schedule each day
– MA convenes huddle 5 minutes before start of patient schedule
– Brief review by team of what is due, discussion of plan for
complex cases.
28. Missed Opportunities: Agency-wide
595 595
600
500
424
400 A1C testing in patients with diabetes
(6months)
303 Breast cancer screening
290
300
Colorectal cancer screening by colonoscopy
219
200 Depression Screening
148 146
115
100
39 32 24
0
Week of April 25th Week of May 2nd Week of May 9th
29. Missed Opportunities: Site that started huddling
40
36
35
Sum of A1C
30 testing in patients
with diabetes (6
months)
25 Sum of Breast
24
cancer screening
22
21
20
17 17 Sum of Colorectal
15 cancer screening
by colonoscopy
10 10 Sum of
9 Depression
7 Screening
6
5
4 4
3 3
2
0 0
4/25 5/2 5/9 5/16
Middletown
30. Missed Opportunities: Site that didn’t start huddling
200
180 179
160 Sum of A1C testing
in patients with
140 142 diabetes (6
138 136 months)
Sum of Breast
120
cancer screening
100
Sum of Colorectal
80 80 cancer screening
by colonoscopy
65 65 65
60
Sum of Depression
40 Screening
35 32 32
20 24
11 11
6 4
0
4/25 5/2 5/9 5/16
Meriden
34. • Key Points for discussion:
– Make data easily accessible to teams
– Use a structured QI approach
– QI projects need a strong focus on
measurement
– Collect data to evaluate each PDSA
– Provide actionable data to front line teams
– Use data to drive performance and sustain
gains
10/05/10 30
35. Improving HTN Care Using Technology
Developing an HTN Dashboard
– Combine registry reporting from EHR with
real-time pt data from the practice
management system
– Present timely, actionable data to each care
team
– Not just a performance “report card”
8/19/10 31
40. Summary of Key Points
• Performance feedback critical for provider professional
growth and clinical objectives
• Framing of QI feedback for providers must reflect
balance between quality and efficiency, not competition
• SharePoint is an effective tool for providing easily
accessible data to front line teams
• Use multiple sources of data to evaluate QI projects
• Present actionable data
• Data drives performance
10/05/10 36
41. Comments or Questions?
Please Contact:
Daren Anderson
VP/ Chief Quality Officer
Daren@chc1.com
860.347.6971 ext.3740
_________________________
Margaret Flinter
Senior VP and Clinical Director
Margaret@chc1.com
860.347.6971 ext. 3622
_________________________
Nwando Olayiwola
Chief Medical Officer
Nwando@chc1.com
860-347-6971 ext. 3728
37
42. Medical Home
Coordinated Care Management
Start date: 05 05 11
Springfield Medical Care Systems
Springfield, Vermont
43. Springfield Medical Care System
Brief Chronological Organizational History
Springfield Hospital was formed in 1914
• Moved to our current location in1923; expansions 1955,1964
• Critical Access Hospital designation received in 2005
– 9 primary care practices, 1 OB/GYN practice, 5 specialty practices
– FQHC approval received in 2009
• Unique model, perhaps the only one in the United States where a
community health center and critical access hospital work
together under one umbrella governing Board of Directors.
44. Our Service Area
• We serve 12 communities in Vermont and New Hampshire
• Service area population is approximately 35,000
45. Long standing relationship
Primary Care – Springfield Hospital
Long history of close working relationship between
primary care practices and hospital presenting unique
opportunities to assess our environment, identify
realizable goals, collaborate and implement change
towards establishing a Medical Home for the community
we serve.
46. An opportunity recognized
Establish a care coordination system between our
Community Health Center and Hospital.
Initial Focus: Emergency Department Utilization
48. Key Daily Indicator Report 05 01 11 - 06 11 11 05 01 11 - 07 09 11 Definitions
Summary Average / Total Average / Total Definitions define "Indicator" and identifies number as average or total
Community Health Center - Monday through Friday
Indicator No./% No./% Indicator Definition
New patients 143 218 Total new patients added daily Indicator of system growth
CHC Utilization 88% 90% Average percentage of clinician's blocked hours filled Indicator of clinical activity and capacity
Walk ins/same day 1833 3133 Total number of walk in patients accepted Indicator of clinical activity and capacity
No shows 444 781 Total number of patients did not show for appointment Indicator of clinical activity
Springfield Hospital
Indicator No./% No./% Indicator Definition
Emergency Department, Inpatient Activity - Sunday through Saturday; OR Utilization - Monday through Thursday; Endo - Monday through Friday
Emergency Department visits 46 47 Average number of ED patients daily Indicator of ED activity level
Admissions 193 338 Total number of inpatient admissions daily Indicator of clinical activity level
Discharges 208 354 Total number of inpatient discharges daily Indicator of clinical activity level
* (Actual) OR Utilization (Room 1) 85.6% 72.6% Percentage of OR capacity utilized Indicator of clinical activity level
* (Actual) OR Utilization (Room 2) 78.3% 60.6% Percentage of OR capacity utilized Indicator of clinical activity level
* (Actual) Endoscopy Utilization 66.6% 65.7% Percentage of Endoscopy capacity utilized Indicator of clinical activity level
Transfers 27 40 Total number of ED transfers for no capacity Indicator of restricted capacity
Midnight Hospital census 18.5 19.0 Average number of inpatients at midnight, end of prior day Indicator of final daily census
Observation patients 1.0 0.9 Average number of observation patients at midnight Indicator of clinical activity level
9a.m. Activity Report - Daily planning meeting "snapshot" - Monday through Friday
Core Measures (met/not met) Met 100% Met 100% Clinical hospital quality measures (met or unmet) Quality of care indicator
9 a.m. Hospital census 18.7 19.3 Average number of inpatient and observations patients Indicator of daily census
9 a.m. Windham Center census 9.1 9.0 Average number of patients Indicator of daily census
Labor 0.4 0.3 Average number of labor patients (not in census) Indicator of clinical activity level
One to one patient care 0.4 0.5 Average number of patients with special needs Indicator of clinical activity level
Same Day Surgery admissions 0.9 0.8 Average confirmed ED and Same day surgery admits Indicator of ED activity level
Confirmed ED admissions 0.3 0.4 Average number of available total staffed beds Prime capacity indicator
Total inpatient capacity 21.7 20.4 Average number of available total staffed beds Prime capacity indicator
* Note: (Actual) OR/Endo Utilization collection data start date June 6
49. Emergency Department
General categories of visits
• Emergent care
• Acute care chronic disease management:
– heart failure, diabetes, asthma, pain management, pneumonia, mental
health
• Unable to get an appointment with PCP
• Practice closed to new patients
• Patient has no designated PCP
• Patients with financial needs,10% of ED patients are insured
• Frequent Flier
• Drug Seekers
• Transient
50. An Opportunity for a Medical Home
Capture and redirect from ED to CHC
• Emergent
• Acute care chronic disease management:
– heart failure, diabetes, asthma, pain management, pneumonia, mental health
• Unable to get a timely appointment with primary care physician
• Practice closed to new patients
• Patient has no designated PCP
• Patients with financial needs,10% of ED patients are insured
• Frequent flier
• Drug seekers
• Transients
51. Capture audience
• We have assessed that 2000 to 3500 Emergency
Department ED patients annually through a coordinated
systems based effort might be redirected to our
Community Health Center and provided a Medical Home
– This respresents12 to 20% of our current ED volume
52. Impact of ED volume reduction
Assumptions
Emergency Department Community Health Center
– Improved access to – Increased utilization
Emergency Services for – Increased Medical Home
those that need it population base
– Shorter ED wait times – Increased opportunities for
– Increase in clinical value preventive care
time – Appropriate management
– Reduction of potential of chronic disease
medical errors – Less costly delivery of care
– Lower staff burn out
53. Medical Home
Coordinated Care Management
Hospital Care Managers CHC Care Managers
Building a system to coordinate communications and
follow up between our established hospital Case
Management system and our newly formed CHC Care
Management Team
54. Indicators for CHC care coordination & CHC referral
• ED patients without identified CHC primary care provider
• ED patients requiring post ED procedure follow up care
• ED “frequent fliers”
• Patients with a chronic diseases: CHF, Diabetes,
Obesity, Pediatric Asthma
• Patients seen in the ED within 3 days of a CHC visit
• Patients requiring financial assistance, 10% of ED patients are uninsured.
55. Key measurable improvement indicators
• Volume of new CHC patients
• Volume of walk in/same day CHC patients
• CHC Utilization
• Volume of ED visits, i.e. volume reduction
– Volume of ED patients assigned a PCP
– Volume of frequent fliers
– Volume of chronic disease referrals
– Volume of patients provided financial assistance
• In addition this team will be coordinating inpatient hospital
discharges and hospital readmissions
56. Initial Goals
• Increase CHC Utilization by 7%
– Improve access
– Increase walk-in/same day
– Increase Community education
• Decrease ED volume by 15%
– Assign PCP
– Chronic Disease referral, increase management
– Financial Assistance
– Decrease frequent fliers
57. Very early progress indicators
At this point, a bit of the Hawthorne effect, perhaps
• CHC Walk in Same Day Access - 17% increase over 2010
• ED patients assigned a CHC PCP – 14 patients per week are being
identified as needing a PCP
• ED Volume is demonstrating downward trend towards 2007-8 levels
– Economy, other factors vs early care coordination efforts
58. Summary
• Our overall goal is provide excellent preventative primary care
• Data will guide us to determine the sources of patients who will
benefit and measure progress
• A Care Management system that joins our CHC and hospital has
been implemented and is in the beginning stages of evolution
• Early data results points towards potential wins
• Next steps will move to include our local community care centers as
part of our care management network
59. THE IMPACT OF HEALTH
INFORMATION TECHNOLOGY
ON QUALITY IMPROVEMENT
THE INSTITUTE FOR FAMILY
HEALTH
Kwame A. Kitson, MD
VP of Quality Improvement
Institute for Family Health
19 West 21st street
New York, NY 10003
kkitson@ institute2000.org
212-633-0815
www. institute2000.org HRSA Webinar
July 22, 2011
60. LEARNING OBJECTIVES
NOW THAT YOUR ORGANIZATION HAS ACCESS TO DATA,
HOW DO YOU TRANSLATE THAT INTO MEANINGFUL USE ?
HOW CAN THE USE OF DATA AND REPORTING IMPACT
PATIENT SAFETY ?
HOW CAN THE USE OF DATA AND REPORTING IMPROVE
QUALITY MEASURES PERFORMANCE ?
62. MEANINGFUL USE OF HIT DATA
A mountainful of data yet a finite amount of
resources to handle it.
63. MEANINGFUL USE OF HIT DATA
“Beware lest you lose the substance by
grasping at the shadow .” Aesop
Solution- Target measures and target resources in the most efficient
ways possible.
64. MEANINGFUL USE OF HIT DATA
Electronic Patient Outreach Team Created
66. THE IFH RESPONSE
TO THE VIOXX RECALL
FDA SENDS AN ALERT BY EMAIL
INTERNAL VIOXX REPORT GENERATED
664 PATIENTS IDENTIFIED VIA REPORTING
WITHIN 35 MINUTES OF RECEIVING FDA EMAIL
ALL BUT SIX PATIENTS CONTACTED
BY TELEPHONE OR MAIL WITHIN 10 DAYS
67. PATIENT SAFETY
DRUG INTERACTIONS
AND CONTRAINDICATIONS
INTERNAL EHR VENDOR LINKED DRUG- DRUG INTERACTION
WARNINGS
CUSTOM REPORTING
ASTHMA PATIENTS ON BETA BLOCKERS
PREGNANT PATIENTS ON CLASS D OR X MEDICATIONS
BEERS CLASSIFIED MEDICATIONS IN THE ELDERLY
68. PATIENT SAFETY
IDENTIFYING AND PREVENTING
INAPPROPRIATE MEDICATION PRESCRIBING
CUSTOM REPORTING
NARCOTIC ANALGESICS
METFORMIN IN PATIENTS WITH RENAL DISEASE
69. PATIENT SAFETY
IDENTIFYING AND PREVENTING INAPPROPRIATE
CODING
CUSTOM REPORTING
PROBLEM LIST AUDIT REPORTS IDENTIFIED MISCODING OF
PATIENTS (HIV, DIABETES).
THIS LED TO ENHANCEMENTS IN DECISION SUPPORT WHICH
PREVENTED FURTHER REOCCURENCES.
70. PERFORMANCE IMPROVEMENT IN QUALITY
MEASURES
MACROSOLUTIONS
(i.e. DECISION SUPPORT,
GLOBAL WORKFLOW
CHANGES)
ACCESS TO DATA
ALLOWS FOR
GREATER ABILITY
TO PINPOINT PROBLEMS
MICROSOLUTIONS
(i.e. INDIVIDUAL
PROVIDER ATTENTION)
71. PERFORMANCE IMPROVEMENT IN
QUALITY MEASURES
CQI INTERVENTIONS ARE APPLIED WITH
CONTINUED REASSESSMENT
DECISION SUPPORT ALERTS ACCOMPANIED BY
WORKFLOW CHANGES.
IFH – AGGRESSIVE IMPLEMENTATION OF BEST PRACTICE
ALERTS 9 MONTHS AFTER GO-LIVE
72. IFH BEST PRACTICE ALERTS
PRIMARILY BASED ON HEDIS CRITERIA
• PneumoVax
• Seasonal FluVax
• Breast Cancer Screening
• Cervical Cancer Screening
• Lead Screening
• HGBA1C Testing & Control
73. IFH BEST PRACTICE ALERTS
• Ophthalmology consults for diabetics.
• Peak Flow measurements for all asthmatics
• Nephrology consults for patients with greater
than 1.8 serum creatinine.
• LDL Screening
• Annual RPR Screening in HIV
74. Number of Vaccinations Given
Ja
n
10
20
30
40
50
60
0
M -02
ar
M -02
ay
-
Ju 02
Se l-02
p
N -02
ov
Ja -0 2
n
M -03
ar
M -03
ay
-
Ju 03
Se l-03
p
N -03
ov
Ja -0 3
n
M -04
ar
M -04
ay
-
Ju 04
Se l-04
p
N -04
ov
Ja -0 4
n
Electronic Reminders Begin
M -05
ar
M -05
ay
-
Ju 05
Se 5l-0
p
N -05
ov
Ja -0 5
n
M -06
ar
M -06
ay
-
Ju 06
Se l-06
p
N -06
ov
Ja -0 6
n
M -07
ar
M -07
ay
-
Monthly Pneumonia Vaccinations Among 65+
Ju 07
PNEUMOVAX
Se l-07
p
N -07
ov
Increase Preventive Services
Ja -0 7
n
M -08
ar
M -08
ay
Electronic Health Record Reminders
-
Ju 08
Se l-08
p
N -08
ov
Ja -0 8
n
M -09
ar
-0
9
5%
-5%
15%
25%
35%
45%
55%
65%
75%
85%
95%
Percent Vaccinated (Since Jan 2002)
75. COLORECTAL CANCER SCREENING
Colorectal Screening IFH Sites 2005 to 2008
100%
BPA FOR COLORECTAL
SCREENING INITIATED
90%
JAN 2008
80%
70%
EAST 13TH ST. FAMILY HLTH CTR
60%
MT. HOPE FAMILY HEALTH CENTER
PARKCHESTER FAMILY HLTH CTR
50% PHILLIPS FAMILY PRACTICE
SIDNEY HILLMAN FAMILY HLTH CTR
40% URBAN HORIZONS FAMILY HLTH CTR
WALTON FAMILY HEALTH CTR
30%
20%
All sites listed
10% were fully on
0% the EHR as of
Jan 2003
05
05
05
06
06
06
06
06
06
07
07
07
07
07
07
08
08
08
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
20
1/
1/
1/
8/
0/
0/
1/
1/
1/
8/
0/
0/
1/
1/
1/
9/
0/
0/
/3
/3
/3
/2
/3
/3
/3
/3
/3
/2
/3
/3
/3
/3
/3
/2
/3
/3
08
10
12
02
04
06
08
10
12
02
04
06
08
10
12
02
04
06
77. THE INSTITUTE
FOR URBAN
FAMILY HEALTH
ROUTINE HIV SCREENING AT IFH NYC SITES
100%
NYSDOH POLICY DECISION
90% CHANGE SUPPORT
80% FEBRUARY 2010 INITIATED
70%
60%
50%
40%
30%
20%
10%
0%
09/30/2007
12/31/2007
03/31/2008
06/30/2008
09/30/2008
12/31/2008
03/31/2009
06/30/2009
09/30/2009
12/31/2009
03/31/2010
06/30/2010
09/30/2010
12/31/2010
78. THE INSTITUTE
FOR URBAN
FAMILY HEALTH
TCNY REPORT: KNOW YOUR HIV STATUS
100% DECISION SUPPORT INITIATED
NYSDOH POLICY
90% CHANGE 2/2010
80%
70% AMSTERDAM AVENUE
EAST 13TH ST. FAMILY HLTH CTR
60% HOMELESS CENTERS
MT. HOPE FAMILY HEALTH CENTER
50%
PARKCHESTER FAMILY HLTH CTR
40% PHILLIPS FAMILY PRACTICE
SIDNEY HILLMAN FAMILY HLTH CTR
30% URBAN HORIZONS FAMILY HLTH CTR
20% WALTON FAMILY HEALTH CENTER
10%
0%
79. THE INSTITUTE
NYCDOH EQUITS SMOKING
FOR URBAN
FAMILY HEALTH
CESSATION REPORT
100%
90%
80%
70%
60% 58%
52%
50% 48% ALL NYC SITES
IFH CLINICAL SITES
40% 33%
28% 30%
30%
20%
10%
0%
BASELINE QUARTER 1, 2011 QUARTER 2, 2011
80. The greatest danger for most of us is not that our
aim is too high and we miss it, but that it is too low
and we reach it.
Michelangelo
81. Office of Health Information Technology and
Quality
Additional HRSA Health IT and Quality Toolboxes and
Resources including past webinars can be found at:
http://www.hrsa.gov/healthit
http://www.hrsa.gov/quality
Additional questions can sent to the following e-mail address:
HealthIT@hrsa.gov
• US Department of Health and Human Services
• Health Resources and Services Administration