Robin Callahan, Director of Member Policy & Program Development, Massachusetts Office of Medicaid presents Transforming Enrollment Systems: Massachusetts’ Experience presented for the Maximizing Enrollment National Briefing.
The document discusses various Children's Health Access Program (CHAP) efforts around the state of Michigan. It begins with an overview of CHAP's goal to provide coordinated preventative care through medical homes for children on Medicaid. It then provides details on CHAP programs in several counties, including: the original program in Kent County; the adapted model in Wayne County focusing on access; setbacks faced in Kalamazoo and Ingham counties; and developing programs in Macomb and Saginaw counties working to establish medical homes and centralized intake.
This document provides an overview of a presentation on legal rights for people who are poor or have disabilities. The presentation covered topics including the Affordable Care Act, Pennsylvania welfare sanction policy, consumer law basics, and Social Security Disability benefits. It began with opening remarks and then consisted of multiple sessions presented by legal experts on each topic. The presenters discussed major provisions of laws and policies, explained key concepts, and outlined processes and issues clients may face. The goal was to educate attendees on important legal rights and help them understand complex social programs.
Enrollment in Kansas Medicaid and CHIP grew 6.0% in 2014, nearly triple the growth rate of the previous year. Most of this growth was due to increases in enrollment of children and families (85.9%), particularly those eligible through Temporary Assistance for Needy Families (TAF) programs. This surge in children and family enrollment is likely due to policy changes like the implementation of the new eligibility system (KEES) and reductions in eligibility for cash assistance programs, as well as changes in Medicaid and CHIP eligibility for children under the Affordable Care Act.
The document summarizes findings from a survey of District Health Management Teams (DHMTs) in Kenya that was conducted as part of the 2004 Kenya Service Provision Assessment. The survey aimed to evaluate the effectiveness of decentralizing health management to districts in meeting norms and standards. It found that while most DHMTs held frequent meetings, guidelines on their functioning were unavailable, limiting the assessment. Data was also missing for 20% of districts, potentially weakening validity. Additionally, most DHMTs had reproductive health plans but less than a quarter implemented them on time, citing lack of funds and transport. Continuing education for staff was accepted but needed strengthening. Infrastructure and communication facilities were generally available but funding for medicines, equipment and building maintenance
Can community action improve equity for maternal health and how does it do soHFG Project
Efforts to work with civil society to strengthen community participation and action for health are particularly important in Gujarat, India, given that the state has resources and capacity, but faces challenges in ensuring that services reach those most in need. To contribute to the knowledge base on accountability and maternal health, this study examines the equity effects of community action for maternal health led by Non-Government Organizations (NGOs) on facility deliveries. It then examines the underlying implementation processes with implications for strengthening accountability of maternity care across three districts of Gujarat, India. Community action for maternal health entailed NGOs a) working with community collectives to raise awareness about maternal health entitlements, b) supporting community monitoring of outreach government services, and c) facilitating dialogue with government providers and authorities with report cards based on community monitoring of maternal health.
Learn Valuable Information for Getting Paid to Take Care of Your Family Membe...BestHomeCare
The need for home care is constantly growing and, as a result, providing care for a family member or friend has become much more common than it was just a few years ago. Most family caregivers are unaware of the opportunity they have to get paid for taking care of a family member or friend. The state of Minnesota and Federal Government sponsor programs designed to compensate caregivers for their services. This paper outlines these programs to help friend and family caregivers find the appropriate method for getting paid to take care of a loved one.
Presenter Benjamin Money, MPH, President & CEO, North Carolina Community Health Center Association, on The North Carolina Health Center Incubator Program as presented at The Strengthening Ohio’s Safety Net Roundtable April 29, 2011. For more info, visit http://www.healthpathohio.org/
This document discusses workforce challenges facing HRSA, health centers, and managing primary care needs. It provides an overview of HRSA priorities and programs, the populations served by HRSA funding, and HRSA's presence in Colorado. It also summarizes health center fundamentals, growth nationally and in Colorado from 2008-2012, and strategies to improve quality including partnerships, electronic health records adoption, patient-centered medical home recognition, and meeting clinical outcome goals. Challenges of workforce recruitment and retention as well as strategies to address them through partnerships are also outlined.
The document discusses various Children's Health Access Program (CHAP) efforts around the state of Michigan. It begins with an overview of CHAP's goal to provide coordinated preventative care through medical homes for children on Medicaid. It then provides details on CHAP programs in several counties, including: the original program in Kent County; the adapted model in Wayne County focusing on access; setbacks faced in Kalamazoo and Ingham counties; and developing programs in Macomb and Saginaw counties working to establish medical homes and centralized intake.
This document provides an overview of a presentation on legal rights for people who are poor or have disabilities. The presentation covered topics including the Affordable Care Act, Pennsylvania welfare sanction policy, consumer law basics, and Social Security Disability benefits. It began with opening remarks and then consisted of multiple sessions presented by legal experts on each topic. The presenters discussed major provisions of laws and policies, explained key concepts, and outlined processes and issues clients may face. The goal was to educate attendees on important legal rights and help them understand complex social programs.
Enrollment in Kansas Medicaid and CHIP grew 6.0% in 2014, nearly triple the growth rate of the previous year. Most of this growth was due to increases in enrollment of children and families (85.9%), particularly those eligible through Temporary Assistance for Needy Families (TAF) programs. This surge in children and family enrollment is likely due to policy changes like the implementation of the new eligibility system (KEES) and reductions in eligibility for cash assistance programs, as well as changes in Medicaid and CHIP eligibility for children under the Affordable Care Act.
The document summarizes findings from a survey of District Health Management Teams (DHMTs) in Kenya that was conducted as part of the 2004 Kenya Service Provision Assessment. The survey aimed to evaluate the effectiveness of decentralizing health management to districts in meeting norms and standards. It found that while most DHMTs held frequent meetings, guidelines on their functioning were unavailable, limiting the assessment. Data was also missing for 20% of districts, potentially weakening validity. Additionally, most DHMTs had reproductive health plans but less than a quarter implemented them on time, citing lack of funds and transport. Continuing education for staff was accepted but needed strengthening. Infrastructure and communication facilities were generally available but funding for medicines, equipment and building maintenance
Can community action improve equity for maternal health and how does it do soHFG Project
Efforts to work with civil society to strengthen community participation and action for health are particularly important in Gujarat, India, given that the state has resources and capacity, but faces challenges in ensuring that services reach those most in need. To contribute to the knowledge base on accountability and maternal health, this study examines the equity effects of community action for maternal health led by Non-Government Organizations (NGOs) on facility deliveries. It then examines the underlying implementation processes with implications for strengthening accountability of maternity care across three districts of Gujarat, India. Community action for maternal health entailed NGOs a) working with community collectives to raise awareness about maternal health entitlements, b) supporting community monitoring of outreach government services, and c) facilitating dialogue with government providers and authorities with report cards based on community monitoring of maternal health.
Learn Valuable Information for Getting Paid to Take Care of Your Family Membe...BestHomeCare
The need for home care is constantly growing and, as a result, providing care for a family member or friend has become much more common than it was just a few years ago. Most family caregivers are unaware of the opportunity they have to get paid for taking care of a family member or friend. The state of Minnesota and Federal Government sponsor programs designed to compensate caregivers for their services. This paper outlines these programs to help friend and family caregivers find the appropriate method for getting paid to take care of a loved one.
Presenter Benjamin Money, MPH, President & CEO, North Carolina Community Health Center Association, on The North Carolina Health Center Incubator Program as presented at The Strengthening Ohio’s Safety Net Roundtable April 29, 2011. For more info, visit http://www.healthpathohio.org/
This document discusses workforce challenges facing HRSA, health centers, and managing primary care needs. It provides an overview of HRSA priorities and programs, the populations served by HRSA funding, and HRSA's presence in Colorado. It also summarizes health center fundamentals, growth nationally and in Colorado from 2008-2012, and strategies to improve quality including partnerships, electronic health records adoption, patient-centered medical home recognition, and meeting clinical outcome goals. Challenges of workforce recruitment and retention as well as strategies to address them through partnerships are also outlined.
Extending health insurance coverage to the informal sector: Lessons from a pr...HFG Project
As a growing number of low‐ and middle-income countries commit to achieving universal health coverage, one key challenge is how to extend coverage to informal sector workers. Micro health insurance (MHI) provides a potential model to finance health services for this population. This study presents lessons from a pilot study of a mandatory MHI plan offered by a private insurance company and distributed through a microfinance bank to urban, informal sector workers in Lagos, Nigeria.
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive functioning. Exercise causes chemical changes in the brain that may help protect against mental illness and improve symptoms.
The document provides information about health care costs and insurance plans in the United States, Minnesota, and the Foley School District. It shows that on average, 87 cents of every health insurance dollar in the US goes toward medical costs, while 13 cents goes toward administrative costs and profits. Minnesota and Foley School District plans have lower administrative costs than national averages. The Resource Training & Solutions school pool offers advantages like lower costs and premium increases compared to other plans like SEGIP and PEIP.
This document provides a summary of a 2011 community health needs assessment conducted in Wexford and Missaukee counties in Michigan. It describes the process used to conduct the assessment which included collecting health and socioeconomic data as well as gathering input from community members. The assessment found that the top health issues were poverty, access to healthcare, maternal/child health, chronic disease management/prevention, mental health, substance abuse, and tobacco/alcohol abuse. These issues were linked to underlying social determinants of health like unemployment and low education levels. The assessment will help inform strategic planning and programs to address the community's needs.
Since its expansion in 2014, Ohio’s Medicaid program has played a critical role in cutting the number of uninsured Ohioans almost in half. With talk of repealing the Affordable Care Act at the federal level, what are the implications on Ohio’s budget process?
Speakers include:
- Loren Anthes, Public Policy Fellow, Medicaid Policy Center, The Center for Community Solutions
- Wendy Patton, Senior Project Director, Policy Matters Ohio
- Brandi Slaughter, Chief Executive Officer, Voices for Ohio’s Children
This document analyzes how external trends from a Strategic Environmental Assessment may assist or inhibit strategies from the VA's Blueprint for Excellence. It identifies 6 key trends: individual empowerment, utilization of resources, applied technology, innovation, societal evolution, and changes in power dynamics. It examines each trend in relation to the 4 themes and 10 strategies of the Blueprint, finding that trends like empowerment, technology, and social media can help promote veteran-centered care, while changes in trust may pose challenges requiring modernization efforts.
Review the shortage of medical professionals and the increasing need for advanced practitioners to serve in primary care roles
Identify the current barriers that prevent CNP from practicing to the full extent of their education, scope and training
Outline concrete ways in which these barriers can be effectively removed so as to improve autonomy for CNP’s and quality of care for patients.
The state budget bill includes funding and policy decisions that impact all areas of health and human services, including health care and behavioral health. Big changes are proposed for programs that deliver health care to Ohioans.
Join us for a webinar about opportunities and challenges in the state budget with a highlight on behavioral health care and Medicaid.
Speakers include:
*Col Owens, Co-chair of Advocates for Ohio's Future and Senior Attorney for Legal Aid of Southwest Ohio
*Cathy Levine, Executive Director
Universal Health Care Action Network of Ohio (UHCAN Ohio)
*Teresa Lampl, Associate Director, Ohio Council of Behavioral Health and Family Service Providers
The pending Healthy Ohio 1115 Medicaid waiver would require nearly all non-disabled adults on Ohio Medicaid to pay premiums. If approved by the federal government, the waiver would result in a greater number of uninsured Ohioans as well as increased Medicaid administrative costs and complexity.
Speakers include:
* Tara Britton, Public Policy Fellow, The Center for Community Solutions
* Nita Carter, Project Director, UHCAN Ohio
Integrating Care for Dual Eligibles: Capitated Managed Care OptionsNASHP HealthPolicy
This document discusses options for states to integrate care for dual eligible Medicaid and Medicare beneficiaries through capitated managed care plans. It provides background on dual eligibles and states' experiences using Special Needs Plans (SNPs) and other models to provide coordinated care. A few key points: about 12% of dual eligibles are enrolled in comprehensive Medicaid managed care plans, while around 5% are enrolled in Medicare Advantage plans; several states have developed integrated programs using SNPs, though enrollment and coordination challenges remain; and long-term services and supports represent major opportunities and challenges for managed care programs serving duals.
Watch our webinar about the opportunities and challenges in the state budget. Let us help you be a voice for your community. Our webinar will also highlight hunger and food insecurity in Ohio.
Speakers include:
Lisa Hamler-Fugitt, Executive Director, Ohio Association of Foodbanks
Jon Honeck, PhD., Director of Public Policy, Center for Community Solutions
Mark Davis, Co-Chair, Advocates for Ohio’s Future
Learn more about what is at stake in the “Super Committee” and the federal deficit-reduction deal for children, families, seniors and people with disabilities in Ohio. Leading statewide advocates will discuss how we work to maintain vital programs, such as SNAP, Medicaid, and Medicare.
Advocates for Ohio’s Future and our partners are also gearing up for a statewide “call-in day” on Wednesday, Sept 28 to Senator Portman’s offices in Columbus, Cincinnati, Cleveland, Toledo, and D.C. to make sure the Super Committee’s deficit-reduction plan does not increase poverty or income inequality.
You’ll hear from:
* Lisa Hamler-Fugitt, Executive Director of the Ohio Association of Second Harvest Foodbanks
Luke Russell, Associate State Director for Advocacy, AARP Ohio
Cathy Levine, Executive Director of UHCAN Ohio and Co-Chair of Ohio Consumers for Health Coverage
Deborah Nebel, Director of Public Policy, Linking Employment, Ability, and Potential
Wendy Patton, Senior Associate with Policy Matters Ohio
Will Petrik, Outreach Director with Advocates for Ohio’s Future
Devolution of Healthcare Services Kenya_Conference ReportOwino Rita
This document summarizes a conference on devolving healthcare services in Kenya. It discusses several key topics:
1. Training and resourcing challenges in a devolved system, including the need for capacity building, understanding roles of national/county governments, and equitable resource distribution.
2. Innovations proposed for healthcare training, including e-learning, mobile training units, expanding residence programs, collaboration between national/county governments, and establishing a training center of excellence.
3. Addressing workforce retention issues through task-shifting programs, educating the public, and revising training curriculums to meet changing needs.
The document captures views from presentations and group discussions on ensuring a successful
Essential Package of Health Services Country Snapshot: The Republic of South ...HFG Project
This country snapshot is one in a series of 24 snapshots as part of an activity looking at the Governance Dimensions of Essential Packages of Health Services in the Ending Preventable Child and Maternal Death priority countries. The snapshot explores several important dimensions of the EPHS in the country, such as how government policies contribute to the service coverage, population coverage, and financial coverage of the package. Each country snapshot includes annexes that contain further information about the EPHS.
This document summarizes the changes made to the United States' Federal Strategic Plan to Prevent and End Homelessness (Opening Doors) in its 2015 amendment. Key changes include updating the goal of ending chronic homelessness from 2015 to 2017, clarifying the role of Medicaid in financing permanent supportive housing, and adding strategies around using data to improve homelessness programs and services. The amendment strengthens the original plan by incorporating new evidence and strategies while carrying forward previous changes made in 2012.
The document summarizes Maine's Patient-Centered Medical Home (PCMH) pilot program. Key points:
- The 3-year multi-payer pilot aims to support practice transformation for improved outcomes and lower costs. It includes 26 primary care practices across the state.
- Practices are required to meet core expectations like team-based care, same-day access, and incorporating patient/family input. They receive learning supports and ongoing data feedback.
- The pilot is evaluating changes in clinical quality, patient experience, and cost/utilization measures like hospitalizations. Early lessons indicate the importance of leadership, teams, and external coaching support for change.
- Opportunities exist to spread le
The document discusses Illinois' Healthy Beginnings II initiative which aims to coordinate care for young children. It has two goals: ensuring children receive coordinated comprehensive care through provider collaboration, and supporting at-risk children and families who are ineligible for early intervention or special education. The initiative creates a data sharing plan between agencies, trains medical homes in care coordination, and develops a statewide provider database to address non-medical needs. Early lessons indicate the importance of flexibility, engagement, collaboration, identifying changes, and synergies with other projects.
Extending health insurance coverage to the informal sector: Lessons from a pr...HFG Project
As a growing number of low‐ and middle-income countries commit to achieving universal health coverage, one key challenge is how to extend coverage to informal sector workers. Micro health insurance (MHI) provides a potential model to finance health services for this population. This study presents lessons from a pilot study of a mandatory MHI plan offered by a private insurance company and distributed through a microfinance bank to urban, informal sector workers in Lagos, Nigeria.
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive functioning. Exercise causes chemical changes in the brain that may help protect against mental illness and improve symptoms.
The document provides information about health care costs and insurance plans in the United States, Minnesota, and the Foley School District. It shows that on average, 87 cents of every health insurance dollar in the US goes toward medical costs, while 13 cents goes toward administrative costs and profits. Minnesota and Foley School District plans have lower administrative costs than national averages. The Resource Training & Solutions school pool offers advantages like lower costs and premium increases compared to other plans like SEGIP and PEIP.
This document provides a summary of a 2011 community health needs assessment conducted in Wexford and Missaukee counties in Michigan. It describes the process used to conduct the assessment which included collecting health and socioeconomic data as well as gathering input from community members. The assessment found that the top health issues were poverty, access to healthcare, maternal/child health, chronic disease management/prevention, mental health, substance abuse, and tobacco/alcohol abuse. These issues were linked to underlying social determinants of health like unemployment and low education levels. The assessment will help inform strategic planning and programs to address the community's needs.
Since its expansion in 2014, Ohio’s Medicaid program has played a critical role in cutting the number of uninsured Ohioans almost in half. With talk of repealing the Affordable Care Act at the federal level, what are the implications on Ohio’s budget process?
Speakers include:
- Loren Anthes, Public Policy Fellow, Medicaid Policy Center, The Center for Community Solutions
- Wendy Patton, Senior Project Director, Policy Matters Ohio
- Brandi Slaughter, Chief Executive Officer, Voices for Ohio’s Children
This document analyzes how external trends from a Strategic Environmental Assessment may assist or inhibit strategies from the VA's Blueprint for Excellence. It identifies 6 key trends: individual empowerment, utilization of resources, applied technology, innovation, societal evolution, and changes in power dynamics. It examines each trend in relation to the 4 themes and 10 strategies of the Blueprint, finding that trends like empowerment, technology, and social media can help promote veteran-centered care, while changes in trust may pose challenges requiring modernization efforts.
Review the shortage of medical professionals and the increasing need for advanced practitioners to serve in primary care roles
Identify the current barriers that prevent CNP from practicing to the full extent of their education, scope and training
Outline concrete ways in which these barriers can be effectively removed so as to improve autonomy for CNP’s and quality of care for patients.
The state budget bill includes funding and policy decisions that impact all areas of health and human services, including health care and behavioral health. Big changes are proposed for programs that deliver health care to Ohioans.
Join us for a webinar about opportunities and challenges in the state budget with a highlight on behavioral health care and Medicaid.
Speakers include:
*Col Owens, Co-chair of Advocates for Ohio's Future and Senior Attorney for Legal Aid of Southwest Ohio
*Cathy Levine, Executive Director
Universal Health Care Action Network of Ohio (UHCAN Ohio)
*Teresa Lampl, Associate Director, Ohio Council of Behavioral Health and Family Service Providers
The pending Healthy Ohio 1115 Medicaid waiver would require nearly all non-disabled adults on Ohio Medicaid to pay premiums. If approved by the federal government, the waiver would result in a greater number of uninsured Ohioans as well as increased Medicaid administrative costs and complexity.
Speakers include:
* Tara Britton, Public Policy Fellow, The Center for Community Solutions
* Nita Carter, Project Director, UHCAN Ohio
Integrating Care for Dual Eligibles: Capitated Managed Care OptionsNASHP HealthPolicy
This document discusses options for states to integrate care for dual eligible Medicaid and Medicare beneficiaries through capitated managed care plans. It provides background on dual eligibles and states' experiences using Special Needs Plans (SNPs) and other models to provide coordinated care. A few key points: about 12% of dual eligibles are enrolled in comprehensive Medicaid managed care plans, while around 5% are enrolled in Medicare Advantage plans; several states have developed integrated programs using SNPs, though enrollment and coordination challenges remain; and long-term services and supports represent major opportunities and challenges for managed care programs serving duals.
Watch our webinar about the opportunities and challenges in the state budget. Let us help you be a voice for your community. Our webinar will also highlight hunger and food insecurity in Ohio.
Speakers include:
Lisa Hamler-Fugitt, Executive Director, Ohio Association of Foodbanks
Jon Honeck, PhD., Director of Public Policy, Center for Community Solutions
Mark Davis, Co-Chair, Advocates for Ohio’s Future
Learn more about what is at stake in the “Super Committee” and the federal deficit-reduction deal for children, families, seniors and people with disabilities in Ohio. Leading statewide advocates will discuss how we work to maintain vital programs, such as SNAP, Medicaid, and Medicare.
Advocates for Ohio’s Future and our partners are also gearing up for a statewide “call-in day” on Wednesday, Sept 28 to Senator Portman’s offices in Columbus, Cincinnati, Cleveland, Toledo, and D.C. to make sure the Super Committee’s deficit-reduction plan does not increase poverty or income inequality.
You’ll hear from:
* Lisa Hamler-Fugitt, Executive Director of the Ohio Association of Second Harvest Foodbanks
Luke Russell, Associate State Director for Advocacy, AARP Ohio
Cathy Levine, Executive Director of UHCAN Ohio and Co-Chair of Ohio Consumers for Health Coverage
Deborah Nebel, Director of Public Policy, Linking Employment, Ability, and Potential
Wendy Patton, Senior Associate with Policy Matters Ohio
Will Petrik, Outreach Director with Advocates for Ohio’s Future
Devolution of Healthcare Services Kenya_Conference ReportOwino Rita
This document summarizes a conference on devolving healthcare services in Kenya. It discusses several key topics:
1. Training and resourcing challenges in a devolved system, including the need for capacity building, understanding roles of national/county governments, and equitable resource distribution.
2. Innovations proposed for healthcare training, including e-learning, mobile training units, expanding residence programs, collaboration between national/county governments, and establishing a training center of excellence.
3. Addressing workforce retention issues through task-shifting programs, educating the public, and revising training curriculums to meet changing needs.
The document captures views from presentations and group discussions on ensuring a successful
Essential Package of Health Services Country Snapshot: The Republic of South ...HFG Project
This country snapshot is one in a series of 24 snapshots as part of an activity looking at the Governance Dimensions of Essential Packages of Health Services in the Ending Preventable Child and Maternal Death priority countries. The snapshot explores several important dimensions of the EPHS in the country, such as how government policies contribute to the service coverage, population coverage, and financial coverage of the package. Each country snapshot includes annexes that contain further information about the EPHS.
This document summarizes the changes made to the United States' Federal Strategic Plan to Prevent and End Homelessness (Opening Doors) in its 2015 amendment. Key changes include updating the goal of ending chronic homelessness from 2015 to 2017, clarifying the role of Medicaid in financing permanent supportive housing, and adding strategies around using data to improve homelessness programs and services. The amendment strengthens the original plan by incorporating new evidence and strategies while carrying forward previous changes made in 2012.
The document summarizes Maine's Patient-Centered Medical Home (PCMH) pilot program. Key points:
- The 3-year multi-payer pilot aims to support practice transformation for improved outcomes and lower costs. It includes 26 primary care practices across the state.
- Practices are required to meet core expectations like team-based care, same-day access, and incorporating patient/family input. They receive learning supports and ongoing data feedback.
- The pilot is evaluating changes in clinical quality, patient experience, and cost/utilization measures like hospitalizations. Early lessons indicate the importance of leadership, teams, and external coaching support for change.
- Opportunities exist to spread le
The document discusses Illinois' Healthy Beginnings II initiative which aims to coordinate care for young children. It has two goals: ensuring children receive coordinated comprehensive care through provider collaboration, and supporting at-risk children and families who are ineligible for early intervention or special education. The initiative creates a data sharing plan between agencies, trains medical homes in care coordination, and develops a statewide provider database to address non-medical needs. Early lessons indicate the importance of flexibility, engagement, collaboration, identifying changes, and synergies with other projects.
This document provides information on living a healthy lifestyle. It discusses the importance of exercise, eating a nutritious diet, getting enough sleep, drinking water, and balancing these. A healthy diet includes grains, vegetables, fruits, dairy, and proteins. The document recommends how much of each food group children ages 9-13 should eat each day. It also explains why exercise is important for heart health, strength, flexibility, and mood. Examples are given for aerobic, anaerobic, and muscle-building exercises. Getting enough quality sleep is important for rest, brain function, and health. The appropriate hours of sleep vary by age. Maintaining a balanced lifestyle with all of these healthy habits is key to well-being.
Rotary activities have been ongoing in Jalalabad, Afghanistan since 2002. This includes building a school that now serves 5000 students, establishing the Rotary Club of Jalalabad, supporting polio vaccination efforts, and partnering with Nangarhar University to establish computer labs, guest housing, and scholarships. Recent projects involve building additional schools, bridges, and infrastructure through partnerships with organizations like USAID, NATO, and the Department of Defense. The goal is to continue using technology and education to enhance communities and cross-cultural relationships.
Leadership is a verb and not a noun. Leadership is what we do and the roles we assume.
Here is a presentation from a keynote lecture i gave to close to 300 school leaders from different schools in Bangalore on Laedership Basics at Rotary Balbhavan in Bangalore in 2009.
Hope this is interesting for you
warm regards
Shravan
Wendy Davis: Leveraging Public Health Capacity to Improve Health System Effic...NASHP HealthPolicy
Many provisions of the ACA hold promise for public health agencies. The reorganization of the healthcare system in the wake of health reform also poses challenges for the public health system. This session will address how public health agency roles may change, opportunities to use public health agencies to lower health costs and improve health outcomes, and the integration of categorical funding streams to build a comprehensive public health system in a post-health reform world.
Este documento fornece discografias completas de várias bandas e artistas brasileiros, incluindo Os Mutantes, Los Hermanos, Zeca Baleiro e Garotos Podres. Lista álbuns, anos de lançamento e fornece links de download para cada item da discografia. Além disso, inclui um feed que mostra visitantes recentes do blog e seus respectivos locais.
Airik Boyer likes that Blackhawk is a friendly community where it is easy to get along with people. It also saved him a lot of money compared to attending a university and is close to home so he can be with family and friends. His career goal is to become an accountant and have a wife and two kids to live a comfortable life. For fun, he enjoys writing and recording music, playing basketball, and hanging out with friends.
The document provides an overview of opportunities for trade between South Africa and Thailand. It summarizes Thailand's economic and trade statistics, top exports and imports with South Africa, and highlights several promising sub-sectors for increased trade, including wine, beauty products, sauces and condiments. Exports of wine, beauty products and sauces from South Africa to Thailand have grown significantly in recent years, from a low base, indicating opportunities for further export growth. Thailand's imports of these same products have also increased over 14% annually, suggesting growing demand.
WordPress, migrazioni e re-branding: don't try this at home. #wmf15Andrea Cardinali
Talk tenuto al Web Marketing Festival 2015 a Rimini (#wmf15) nel quale ho presentato un case study sull'unione di 4 portali turistici realizzati con WordPress e 4 lingue su un un unico dominio e un'unica installazione di WordPress Multi Utente (Wordpress MU) Nello speech verranno mostrate le soluzioni tecniche e le best practices SEO utilizzate per portare a termine correttamente le migrazioni senza perdere traffico.
1) Over 8 million "duals" (people eligible for both Medicare and Medicaid) account for about half of all Medicaid spending, with a small portion accounting for over 70% of dual spending.
2) Integrating Medicare and Medicaid benefits can improve care coordination and outcomes for duals while reducing costs by eliminating duplication and gaps in care.
3) Several models of integration exist including Special Needs Plans, PACE programs, shared savings models, and making the state the entity responsible for integrating benefits, each with their own advantages and disadvantages.
The document discusses the issues and challenges of integrating ICT into the teaching and learning process in Malaysian schools. It identifies three main issues: 1) Teachers do not have enough skills to handle ICT equipment, 2) Schools spend a lot of money on ICT facilities, and 3) While ICT can enhance learning, it is also used by students for non-educational purposes. The document provides challenges and potential solutions for each issue, emphasizing the need for teacher training and limiting student access to distracting websites.
El documento presenta el Código Tributario Boliviano, que contiene cinco títulos principales: normas sustantivas y materiales, gestión y aplicación de los tributos, impugnación de actos de la administración, ilícitos tributarios, y procedimiento para conocimiento y resolución de recursos de alzada y jerárquico.
The document discusses how to stay alive by providing advice on how to swim without sinking, how to jump from cliffs and fly, and how to feast without getting killed. It addresses these questions over several sections and encourages the reader to build their own story. The document is presented as notes from a seminar on survival skills.
Presentation that introduces 'Broadsheet' - the media blog related to Sarah Palin's Alaska, and available at www.SPAlaska.com. Was presented at 'Open House' event hosted by Sarah Palin's Alaska in New York on November 4, 2010.
How wise plan managers acted "outside-the industry box" to improve health whi...Dan Ross
Employer health plan sponsor invests in employee/member health in a manner opposite to high-deductible plan designs. Free primary care and generic drugs bring huge plan and employee savings! Spending $50 million funnels Pasco Schools (FL) to hire their own physicians!
The document summarizes a case study of how the Pasco County School District in Florida reduced healthcare costs and improved employee wellness through a partnership with healthcare consultants. Key points:
- The District formed a committee to identify cost savings opportunities and developed an on-site physician-directed healthcare model with no-cost medical visits and lower drug costs.
- Employee participation in the health centers grew to 96%, reducing medical claims costs by 10% over four years compared to average 4-12% increases for benchmarks. Prescription drug utilization also decreased 17%.
- The program saved the District $9.2 million over three years while employees saved $4.2 million in medical costs. Future trends may include managing high
Jenn James - EOLWD - MA WFD HC Collaborative_MHA Overview_v2.pptxBreakLims
The Massachusetts healthcare labor shortage is expected to double to 43,000 jobs by 2024 if not addressed. To combat this, Governor Charlie Baker established the Healthcare Workforce Collaborative, a multi-year private-public collaboration. In its first wave, the Collaborative endorsed six initiatives focused on nursing, direct care, and behavioral health to potentially create up to 10,000 new healthcare jobs in Massachusetts over five years.
The document discusses Virginia's health and human services programs and delivery system. It provides an overview map of the various state agencies and programs involved, including Medicaid, social services, behavioral health, public health, and more. It emphasizes moving from a program-focused model to a more coordinated, customer-centric model to better serve individuals and families. Key challenges discussed include demographic changes, technological shifts, workforce issues, balancing specialization and integration, and coordinating complex federal, state and private systems and requirements.
This document summarizes oral health in Michigan and Kent County based on surveys and focus groups conducted by the Kent County Oral Health Coalition in 2015-2016. Key findings include:
- Access to dental care remains a challenge in Kent County, where over a quarter of adults have not visited a dentist in the past year. Barriers include cost of care and lack of dental insurance.
- Expansion of the Healthy Michigan Plan and Healthy Kids Dental in 2014 and 2015 increased dental coverage, but disparities still exist for vulnerable groups like seniors.
- Community surveys and focus groups found high treatment costs, poor insurance coverage, and lack of education are barriers to care for low-income residents in Kent
Part 1 Medicaid and Military Families: An Introductionmilfamln
This module, the first in a three part series, will provide an overview of the Medicaid program. Participants will learn about the overall purposes of the Medicaid program; its relevance to military families, especially those with family members who have special needs. Participants will also learn about the manner in which Medicaid is implemented and variations among the states; and developments currently underway with the program.
This document summarizes the results of a community health needs assessment conducted by Wise Health System. It identifies the top health priorities in the community as obesity, access to primary care, lack of mental health services, uninsured rates, heart disease, physical inactivity, diabetes, poor nutrition, and overuse of emergency rooms. Committees will be formed to address these priorities and develop action plans and metrics to track improvement. The community is invited to get involved by joining a committee and helping to implement strategies to create a healthier community.
Karley King has over 15 years of experience in health care leadership positions. She has a proven track record of designing and implementing successful community health programs and policies. Currently, she serves as the System Manager of Community Benefits at BJC HealthCare, where she developed strategies to conduct comprehensive community health needs assessments and increase community benefit reporting and funding. Previously, she held director roles with community health organizations, focusing on integrating services and obtaining grant funding to improve care for vulnerable populations.
This document provides an agenda and overview for a meeting titled "Bridging the Gap". The meeting aims to discuss how Aging Service Access Points (ASAPs) can demonstrate their value to health care organizations and bridge the knowledge gap between them. It outlines ASAPs' role in care coordination and care transitions programs in Massachusetts. Examples of current partnerships between ASAPs and health care entities to improve care coordination through programs like Community Care Linkages and a Community Resource Coordinator position embedded at a provider are presented.
Advocates for Ohio's Future hosted a webinar on the Mid-Biennium Review and Senate Bill 216. The webinar featured speakers from the Ohio Job and Family Services Directors’ Association, The Ohio Council of Behavioral Health & Family Service Providers, and the Center for Community Solutions. The speakers discussed provisions around workforce development, county JFS consolidation, behavioral health funding, addiction treatment funding cuts, early childhood education quality reforms, and data sharing. Advocates for Ohio's Future recommended support for these issues and ways for participants to get more involved in advocacy.
The New Mexico Human Services Department's strategic plan for fiscal year 2011 outlines goals to: 1) insure more New Mexicans through expanding access to affordable health coverage options; 2) improve health outcomes and family support through initiatives like school-based health services; and 3) combat hunger and improve nutrition by reducing hunger among children through programs like SNAP and school meal programs. Performance measures and targets are established to track progress towards these goals.
This document summarizes the work of ASTHO's health transformation and integration team. The team supports collaboration between public health and healthcare to achieve the Triple Aim of better care, lower costs, and improved population health. Specific areas discussed include immunization policy and programs, partnerships between public health and Medicaid, the Integration Forum for sharing resources, and addressing social determinants of health. The goal is to provide technical assistance and tools to help states strengthen partnerships between sectors.
As part of a broader partnership, CMMI, the Office of the Assistant Secretary for Health (OASH) and the Administration for Community Living (ACL) are jointly sponsoring a webinar titled, Unleashing the Capabilities of MAOs to Deliver Health Innovation for Older Adults in Underserved Settings on October 7 from 2:30-4:00 PM ET to highlight the emerging, numerous opportunities for MAOs to support beneficiaries in more fully meeting their care needs and goals through novel approaches and services enabled by technology.
The webinar will provide an overview of the data supporting these opportunities and will include a panel of three speakers from payer organizations, each of whom will provide an overview of their experience and results in innovating in the use of technology to address unmet enrollee health needs. Panelists include Mona Siddiqui MD, MPH, Senior Vice President for Enterprise Clinical Strategy and Quality at Humana, who will discuss Humana’s approach to the use of data and predictive modeling to proactively engage and provide care for the highest risk and most vulnerable populations; John Wiecha, Medical Director, Senior Products Division at Point32Health, representing the newly combined organizations of Harvard Pilgrim Health Care and Tufts Health Plan will provide an overview of a recent pilot project to improve dementia care through a digital caregiver support program; and Caesar A. DeLeo, MD, MHSA Vice President & Executive Medical Director Strategic Initiatives, Highmark Health Enterprise Clinical Organization, Highmark BCBS who will discuss Highmark’s experience with telemedicine to approach substance use disorders during the pandemic and results from a five-year data driven program addressing appropriate opiate prescribing through profiling and academic detailing.
The webinar offers attendees the opportunity to gain a better understanding of the evidence and potential of several technology-enabled services in improving access, quality and outcomes of care, including, importantly, for underserved populations and will provide MAOs with insights more broadly on the challenges and solutions in design, implementation and evaluation of innovative and technology-enabled service. MAOs that are considering such innovations who may wish to target the use of technology-enabled and/or other services based on chronic illness and/or Low-Income Subsidy (LIS) status through the VBID Model are encouraged to attend.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
This document discusses workforce challenges facing HRSA programs and health centers. It provides an overview of HRSA priorities and programs, the populations served, and HRSA funding in Colorado. Key points include that health centers serve over 19 million patients nationally, including 494,000 in Colorado. Challenges include workforce recruitment and retention, too few providers, and geographic maldistribution. The document outlines current quality improvement strategies like EHR adoption, patient-centered medical home recognition, and meeting clinical outcome goals. It discusses partnerships with the state primary care office, rural health center, and area health education centers to implement quality strategies.
1. Beginning in 2014, the Affordable Care Act expands Medicaid eligibility and requires states to set up health insurance exchanges to provide subsidized coverage. This large expansion aims to significantly reduce the number of uninsured, including many who have mental health or substance abuse issues.
2. States will receive 100% federal funding from 2014-2016 to support expanding Medicaid eligibility and establishing enrollment systems. They are urged to simplify enrollment processes using online applications and data from other programs to maximize participation in the new coverage options.
3. Community organizations can help with outreach and on-site enrollment assistance, especially for those unfamiliar with public programs. States are encouraged to consider streamlined "Express Lane" eligibility models used successfully in CHIP
This document provides an overview and update on Arizona's Medicaid program (AHCCCS). It discusses:
1) The growth in AHCCCS enrollment over time from 1985 to 2016.
2) Spending by provider type, with most spending going to hospitals, physicians, and pharmacy.
3) Efforts to integrate behavioral and physical healthcare at the plan, system, and individual levels over time.
4) Proposed funding amounts and measures for Arizona's Delivery System Reform Incentive Payment program to encourage care integration.
The Secrets of Massachusetts’ Success: Why 97 Percent of State Residents Have...soder145
The document summarizes a study on how Massachusetts achieved near-universal health insurance coverage through its 2006 health reform law. Key factors in its success were: 1) Using existing data to automatically enroll eligible residents in Medicaid and the new Commonwealth Care program; 2) Creating a single, integrated eligibility system across multiple programs; and 3) Conducting an intensive public education campaign along with grants to community groups for outreach and enrollment assistance. These innovative strategies were highly effective in quickly expanding coverage to over 432,000 newly insured residents in just two years.
The Secrets of Massachusetts’ Success: Why 97 Percent of State Residents Have...soder145
The document summarizes a study on how Massachusetts achieved near-universal health insurance coverage through its 2006 health reform law. Key factors in its success were: 1) Using existing data to automatically enroll eligible residents in Medicaid and the new Commonwealth Care program; 2) Creating a single, integrated eligibility system across multiple programs; and 3) Conducting an intensive public education campaign along with grants to community groups for outreach and enrollment assistance. These innovative strategies were highly effective in quickly enrolling many newly eligible residents at a lower administrative cost than traditional individual applications. Lessons from Massachusetts' model could inform national and state health reform efforts.
This document summarizes Virginia's efforts to reform its Medicaid program and debates around expanding Medicaid eligibility. It outlines Virginia's 3-phase reform process, including integrating behavioral health and long-term care services. It also reviews expansion proposals in other states and debates in Virginia, including concerns about long-term federal funding and provider capacity. Family physicians are asked to consider how Medicaid expansion may impact their practices and whether the existing program needs changes first.
Similar to Transforming Enrollment Systems: Massachusetts’ Experience (20)
Shaking Up the Delivery of Traditional Mental Health Services. Several primary health care organizations (PHCOs) have established a central referral point or “one stop shop” to help primary care practices connect their patients to community-based mental health and/or substance abuse services
Advancing Health Equity through State Implementation of Health ReformNASHP HealthPolicy
The Affordable Care Act (ACA) provides opportunities for states to make lasting
and comprehensive systems change in their approaches to achieving health equity
for their most vulnerable populations. Through provisions in areas such as coverage
and access, prevention, care coordination, population health, and quality and efficiency,
the Act offers state policymakers a broad range of policy levers for improving health care
and the health status of their racial and ethnic minority populations.
With support from the Aetna Foundation, the National Academy for State Heath Policy is hosting a
webinar to highlight the opportunities presented by health care reform to advance state health equity
agendas. In addition to featuring national health equity experts and information on how states are
using the ACA to achieve health equity, this webinar will announce the NASHP State Health Equity
Learning Collaborative, an initiative to help state policymakers maintain momentum towards achieving
health equity while implementing federal health care reform.
Affordability and Lessons Learned from State CHIP Programs by Leigha BasiniNASHP HealthPolicy
This document discusses lessons learned from state CHIP programs regarding affordability and outlines approaches to defining affordability. It notes that when formerly free coverage costs as little as 1-5% of income, enrollment decreases significantly. The document then outlines current CHIP and ACA income eligibility thresholds and cost-sharing limits. It recommends that policies be flexible, consider the ramifications of cost increases, be consumer-focused, align across programs, and be results-driven.
Putting Affordability into Context--Policy Considerations by Genevieve Kenney...NASHP HealthPolicy
States are responsible for on the ground implementation of the Affordable Care Act (ACA), including expanding coverage options through Exchanges, Medicaid and other health insurance programs. This webinar considers different ways policymakers define affordability and draws on lessons from the Children's Health Insurance Program (CHIP), which can serve as a model for states as they implement affordability provisions in ACA. It also looks at the impact on families when coverage is not affordable and considerations for families in purchasing decisions.
The document discusses Arkansas' AR LINKS program which aims to create efficient systems to support healthy child development. The program objectives are to create community-based systems to support quality services for children, encourage standardized developmental screening, and improve communication between providers. Intervention strategies include partnerships with child care programs and Medicaid representatives to gain insights from families and work with providers. The implications are improvements to referral processes, tracking of screenings, and quality of well-child visits to better identify and treat developmental delays. The program also aligns with Arkansas' Medicaid transformation project to emphasize prevention, coordinate episodes of care, and align incentives across payers.
The document discusses Illinois' Healthy Beginnings II initiative which aims to coordinate care for young children. It has two goals: ensuring children receive coordinated comprehensive care through provider collaboration, and supporting at-risk children and families who are ineligible for early intervention or special education. The initiative creates a data sharing plan between agencies, trains medical homes in care coordination, and develops a statewide provider database to address non-medical needs. Early lessons indicate the importance of flexibility, engagement, collaboration, identifying changes, and synergies with other projects.
The ABCD initiative aims to strengthen states' capacity to deliver preventative care and early identification services to support young children's healthy development. The goal is to identify, test, and spread policy and system changes that create efficient linkages between pediatric primary care providers and other child and family service providers. The 3-year initiative involves a learning collaborative of 5 states testing interventions at the primary care practice, community, and systems levels to improve connections between healthcare and services like early intervention, education, mental health, and family support programs.
The document discusses lessons learned and recommendations from a five-state consortium working to improve care coordination and service linkages to support healthy child development. Key lessons included developing processes to improve provider communication, using quality improvement to test new models, and incorporating formal parent involvement. Recommendations focused on starting with primary care and early intervention programs, considering automated data integration models, and gathering stakeholder feedback to improve forms and coordination.
This document discusses Oregon's ABCD for Healthy Kids program which provides Medicaid coverage for nearly 1 in 3 Oregon children through managed care organizations. It recommends implementing a Performance Improvement Project (PIP) using the CMS protocols to help coordinate care and connect systems. Key activities for the PIP include community engagement through parent forums and stakeholder interviews to help shape the project, as well as learning collaboratives and guidelines for providers. The goals are to understand families' healthcare experiences, improve care coordination, and rethink early education.
The document discusses Oklahoma's ABCD III Project which aims to improve developmental screening and referral to early intervention services. It notes that many primary care physicians have not incorporated formal developmental screening. The project has four pilot sites and seeks to balance community needs, state agency partners, physicians, and families. Key interventions discussed include a web portal to facilitate screening, referrals, and care coordination, as well as local community core groups. Early lessons indicate closing referral loops between partners is complicated but partnerships have supported project goals.
The Minnesota ABCD III Initiative aims to improve care coordination for children's health development across four pilot sites. It establishes teams of primary care, mental health, and other professionals to better link services. The initiative uses a model of iterative testing and improvement. It also develops patient databases to help care coordinators track activities and carry out follow-ups. The goal is that care coordination efforts under this initiative will help pilot sites achieve certification as Minnesota Health Care Homes for ongoing sustainability.
The document discusses Arkansas' AR LINKS program which aims to create efficient systems to support healthy child development. The program objectives are to create community-based systems to support quality services for children, encourage standardized developmental screening, and improve communication between providers. Intervention strategies include partnerships with child care programs and Medicaid representatives to gain insights from families and work with providers. The implications are improvements to referral processes, tracking of screenings, and quality of well-child visits to better identify and treat developmental delays. The program also aligns with Arkansas' Medicaid transformation project to emphasize prevention, coordinate episodes of care, and align incentives across payers.
Relationships with State Officials Building and Keeping them KaramokoNASHP HealthPolicy
Moriba A. Karamoko, Director of the Louisiana Consumer Healthcare Coalition discusses how build and maintain relationships with state officials in reference to health care systems.
Rebecca Mendoza, Director of Maternal and Child Health in Virginia presents on eligibilty, enrollment and engaging stakeholders. Partnerships include Virginia Health Care Foundation, the Robert Wood Johnson Foundation, and NASHP's Maximizing Enrollment Program.
Medicaid Medical Homes Initiatives: Promising Practices to Inform 2703 SPAsNASHP HealthPolicy
This document summarizes Medicaid medical home initiatives across multiple states. It describes initiatives led by NASHP to inform state plan amendments for health homes under the Affordable Care Act. It provides details on how states define eligible populations, standards for provider infrastructure and payment methodologies. Key challenges for states include integrating care for dual eligibles, behavioral health, and long-term care. The document aims to share promising practices across states.
“Health Homes” and Behavioral Health/General Medical Care IntegrationNASHP HealthPolicy
The document discusses integrating behavioral health and general medical care. It notes that many patients have co-occurring behavioral and medical conditions, resulting in poor health outcomes and high costs. While evidence-based integration models exist, they have not been widely adopted due to structural barriers. The Health Home option could help by providing incentives and flexibility to implement integrated care models. The document outlines strategies for integrating care through the primary care or behavioral health settings using coordinated teams and services.
Commonwealth Care Alliance: Care for Medicaid and Dual Beneficiaries with Com...NASHP HealthPolicy
The document describes the case of Anna C., a 55-year-old Medicaid beneficiary with multiple chronic conditions including multiple sclerosis and depression. Under her previous care arrangement, Anna experienced frequent hospitalizations and declining health. After enrolling in Commonwealth Care Alliance's health home program, Anna received a comprehensive in-home assessment and individualized care plan. This led to improved care coordination, engagement in treatment, and significantly better health outcomes over the past year with only a few emergency department visits.
The Power of Integrated Care: Implementing Health Homes in MedicaidNASHP HealthPolicy
This document summarizes a CMS webinar about implementing health homes in Medicaid under Section 2703. It discusses drivers of high costs for people with chronic conditions, eligibility criteria for health homes, designated provider types and required functions, covered health home services, and the enhanced 90% federal matching funds for 8 quarters. It also reviews state reporting requirements and next steps around regulations and technical assistance for implementing health homes.
The document discusses Oklahoma's online enrollment system for uninsured residents to access healthcare. It aimed to empower members, expand access, improve effectiveness and efficiency by allowing enrollment from any computer or with partner assistance. The online system provided real-time eligibility determinations and information sharing between agencies. Over 500,000 Oklahomans were uninsured. Lessons were learned and next steps would be considered.
This document discusses New York's strategies for expanding health coverage to meet the requirements of the Affordable Care Act by 2014. It notes that New York currently has 5 million people on public coverage, 10.5 million with employer coverage, and 2.7 million uninsured. By 2014, Medicaid enrollment is projected to increase by 25% and over 1 million additional New Yorkers will gain coverage through the health insurance exchange or subsidies. However, modernizing New York's aging eligibility and enrollment systems is a major challenge to achieving this expansion. The document outlines New York's plans to leverage federal funding to build an integrated system and explores ongoing issues like the potential statewide administration of Medicaid.
Summer is a time for fun in the sun, but the heat and humidity can also wreak havoc on your skin. From itchy rashes to unwanted pigmentation, several skin conditions become more prevalent during these warmer months.
“Psychiatry and the Humanities”: An Innovative Course at the University of Mo...Université de Montréal
“Psychiatry and the Humanities”: An Innovative Course at the University of Montreal Expanding the medical model to embrace the humanities. Link: https://www.psychiatrictimes.com/view/-psychiatry-and-the-humanities-an-innovative-course-at-the-university-of-montreal
- Video recording of this lecture in English language: https://youtu.be/Pt1nA32sdHQ
- Video recording of this lecture in Arabic language: https://youtu.be/uFdc9F0rlP0
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Know the difference between Endodontics and Orthodontics.Gokuldas Hospital
Your smile is beautiful.
Let’s be honest. Maintaining that beautiful smile is not an easy task. It is more than brushing and flossing. Sometimes, you might encounter dental issues that need special dental care. These issues can range anywhere from misalignment of the jaw to pain in the root of teeth.
Osvaldo Bernardo Muchanga-GASTROINTESTINAL INFECTIONS AND GASTRITIS-2024.pdfOsvaldo Bernardo Muchanga
GASTROINTESTINAL INFECTIONS AND GASTRITIS
Osvaldo Bernardo Muchanga
Gastrointestinal Infections
GASTROINTESTINAL INFECTIONS result from the ingestion of pathogens that cause infections at the level of this tract, generally being transmitted by food, water and hands contaminated by microorganisms such as E. coli, Salmonella, Shigella, Vibrio cholerae, Campylobacter, Staphylococcus, Rotavirus among others that are generally contained in feces, thus configuring a FECAL-ORAL type of transmission.
Among the factors that lead to the occurrence of gastrointestinal infections are the hygienic and sanitary deficiencies that characterize our markets and other places where raw or cooked food is sold, poor environmental sanitation in communities, deficiencies in water treatment (or in the process of its plumbing), risky hygienic-sanitary habits (not washing hands after major and/or minor needs), among others.
These are generally consequences (signs and symptoms) resulting from gastrointestinal infections: diarrhea, vomiting, fever and malaise, among others.
The treatment consists of replacing lost liquids and electrolytes (drinking drinking water and other recommended liquids, including consumption of juicy fruits such as papayas, apples, pears, among others that contain water in their composition).
To prevent this, it is necessary to promote health education, improve the hygienic-sanitary conditions of markets and communities in general as a way of promoting, preserving and prolonging PUBLIC HEALTH.
Gastritis and Gastric Health
Gastric Health is one of the most relevant concerns in human health, with gastrointestinal infections being among the main illnesses that affect humans.
Among gastric problems, we have GASTRITIS AND GASTRIC ULCERS as the main public health problems. Gastritis and gastric ulcers normally result from inflammation and corrosion of the walls of the stomach (gastric mucosa) and are generally associated (caused) by the bacterium Helicobacter pylor, which, according to the literature, this bacterium settles on these walls (of the stomach) and starts to release urease that ends up altering the normal pH of the stomach (acid), which leads to inflammation and corrosion of the mucous membranes and consequent gastritis or ulcers, respectively.
In addition to bacterial infections, gastritis and gastric ulcers are associated with several factors, with emphasis on prolonged fasting, chemical substances including drugs, alcohol, foods with strong seasonings including chilli, which ends up causing inflammation of the stomach walls and/or corrosion. of the same, resulting in the appearance of wounds and consequent gastritis or ulcers, respectively.
Among patients with gastritis and/or ulcers, one of the dilemmas is associated with the foods to consume in order to minimize the sensation of pain and discomfort.
Histololgy of Female Reproductive System.pptxAyeshaZaid1
Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
How to Control Your Asthma Tips by gokuldas hospital.Gokuldas Hospital
Respiratory issues like asthma are the most sensitive issue that is affecting millions worldwide. It hampers the daily activities leaving the body tired and breathless.
The key to a good grip on asthma is proper knowledge and management strategies. Understanding the patient-specific symptoms and carving out an effective treatment likewise is the best way to keep asthma under control.
1. Commonwealth of
Massachusetts
Executive Office of Health and
Human Services
Transforming Enrollment
Systems: Massachusetts’
Experience
Maximizing Enrollment for Kids
National Briefing
December 10, 2010
Robin Callahan
Director of Member Policy & Program Development,
Massachusetts Office of Medicaid
2. Improving the Model: Massachusetts
Maximizing Enrollment for Kids
!! Background
•! Massachusetts 1115 Waiver and State Health Reform
•! Enrollment Model – Systems and Outreach
!! Massachusetts Experience with Maximizing Enrollment
for Kids
!! Massachusetts MaxEnroll Improvement Plan Projects
!! Next Steps: Affordable Care Act
!! Early Lessons Learned
2
3. Massachusetts Section 1115 Waiver
Demonstration Project
!! Implemented in July 1997
!! Streamlined Medicaid eligibility
•! Eliminated face-to-face interviews, shortened Medicaid application,
eliminated asset test, eliminated spenddowns for most populations,
switched to gross income test
!! Expanded Medicaid eligibility for certain populations
•! Higher income children and families
•! Higher income disabled individuals
•! Unemployed adults
•! HIV positive adults
•! Creation of Insurance Partnership Program to provide premium subsidies
to qualified small employers and their low-income employees
3
4. Mass. Health Reform: Chapter 58 of the Acts of
2006, An Act Providing Access to Affordable,
Quality, Accountable Health Care
!! Support and collaboration from legislature, consumer
advocates, state and federal officials, providers, health plans,
employers, employees, small business leaders, unions, and
the general public.
!! Shared Responsibility
•! Individual Mandate
•! Employer Contribution
•! Public Subsidies
!! Insurance Market Reform
•! Including merger of Non-Group and Small-Group Markets
!! Insurance Exchange
•! Connector Authority created to make policy decisions under Health Reform Law.
•! Connector Authority operates two programs: Commonwealth Care (subsidized
insurance for low-income workers and single adults) and Commonwealth Choice
(unsubsidized non-group and small-group insurance.)
4
5. Background:
Massachusetts Enrollment System Model
!! One front door for subsidized health programs.
!! MassHealth provides the eligibility and enrollment
infrastructure for health programs.
!! Adding Commonwealth Care (exchange program for
low-income adults) to the MassHealth eligibility
system ensures maximum benefits for applicants
and notice of eligibility for all family members.
!! Commitment to ongoing engagement and education
of community partners who assist and enroll
members.
5
6. What is the Virtual Gateway?
Public
Agency Worker
Service Providers
Health and Human Services
6
7. Virtual Gateway Facts
Virtual Gateway Facts:
"!Eleven different programs can be applied for online. This
includes MassHealth and all health assistance programs as
well as SNAP, child care, WIC, elder services, etc.
"!Over 200,000 families and individuals in 2009 applied for
services through the Common Intake application. Those
who qualified were eligible for over one billion dollars worth of
benefits (includes services in addition to MassHealth and
Health Assistance).
"!Average percentage of electronic Virtual Gateway
applications reached a high of 60% in August ’10.
7
8. Virtual Gateway and
MA21 Eligibility System
!! Internal MA21 eligibility system decision logic
determines eligibility for most comprehensive coverage.
!! Virtual Gateway and MA21 enabled the Commonwealth to
place all health programs on a single platform and single point
of entry.
!! Applicant doesn’t need to know in advance which program for
which they may be eligible.
!! Cascading eligibility design – we apply rules and system
makes choice of the most appropriate benefit level and FFP.
!! MA21 is a mainframe eligibility determination system built in
the mid 1990’s and may need to be retired.
!! If so, a similar eligibility logic design would be used to
accommodate federal health reform along with the greater
flexibility and functionality of newer technology.
8
9. Massachusetts Health Care Training Forum
Program Goal: MTF communicates accurate, timely information about
operations and policies of Massachusetts State Health Care Programs
to community health and human service partners.
20 Meetings Annually in 5 locations
•! North
Total Attendance annually ~ 2,000 •! Central
(Tewksbury)
- Email Updates (Shrewsbury) •! Boston
- Website •! West
- Outreach (Formal and Informal) (Holyoke) •! Southeast
(Taunton)
•!Formal presentations about issues related to:
•! Eligibility/Enrollment/Retention
•! Case Management
•! Billing/Claims
•! Information directly enhances attendees’ ability to assist current and potentially
eligible individuals.
•!Roundtable sessions with state experts, trainers and advocates.
•!Network opportunity for state and community organizations to build collaborative
relationship. 9
11. Massachusetts Uninsurance Rate for
Children
Massachusetts Uninsurance Rate for Children 2004-2010
3.5%
3.2%
3.0%
2.5% 2.5%
2.3%
2.0% 1.9%
1.5%
State Health Reform Began 1.2%
1.0%
0.5%
0.2%
0.0%
2004 2006 2007 2008 2009 2010
Source: Massachusetts Division of Health Care Finance and Policy Health Insurance Surveys 2004-2010
Note: Survey methodology changed in 2007.
11
12. MassHealth Enrollment for Children
MassHealth Enrollment for Children 2005 - 2010
550,000
525,000
State Health Reform
521,319
Began
500,000
499,227
489,350
475,000
450,000 457,663
425,000 434,790
Awarded Maximizing
Enrollment for Kids Grant
421,743
400,000
375,000
350,000
June '05 June '06 June '07 June '08 June '09 June '10
12
13. Improving the Model:
Maximizing Enrollment for Kids
Program
!! Received $1million grant in February 2009.
!! Objective of the grant is to improve enrollment policies,
systems and process to increase enrollment and
retention for children in Medicaid and CHIP.
!! Participation includes an in-depth diagnostic assessment
of enrollment systems, policies and process and a
development of a detailed improvement plan to address
problem areas.
!! The diagnostic assessment results and report were
accurate and well-received.
!! Improvement plan is aligned with MassHealth
Operations’ strategic initiatives.
13
14. Massachusetts Improvement Plan:
Increase Retention
!! Both the MaxEnroll diagnostic assessment and our own
study on retention identified need to improve the loss of
eligibility due to paperwork issues.
!! Implemented a new annual renewal process for certain
members that dramatically decreases the chance of
loss of coverage for administrative reasons.
!! This new process currently impacts approx. 13,500
(48%) nursing facility residents and will potentially
include and additional 70,000 community long-term care
and disabled members.
!! We are also considering the use of third party data
sharing for eligibility and renewal purposes.
14
15. Massachusetts Improvement Plan:
Improve Capacity and Use of Data
!! Used data analysis to determine the need to eliminate a
process that relied on the member to complete and
return a paper form to verify information received on a
data match from the Department of Revenue.
!! The data analysis identified that the need to return the
paper form caused unnecessary loss of coverage due to
an administrative reason.
!! A new paperless process is being developed to use the
match data to improve program integrity and ensure
members are enrolled in the most appropriate coverage.
15
16. Massachusetts Improvement Plan:
Improve Customer Service/Enhance
Customer Interface
!! Implemented customer-facing My Account Page (MAP)
and Change Form to the Virtual Gateway in SFY10.
!! Customer-facing MAP and the Change Form provide
members with the ability to access and update
information without the need to call the customer service
line or send in paper to update their case record.
!! Members may view information about benefits as well as
the notices that have been sent.
!! The Change Form allows members to update, edit, or
delete the information such as address, telephone,
homeless indicator, pregnancy status, race and ethnicity.
16
17. Massachusetts Improvement Plan:
Improve Customer Service/Enhance
Customer Interface (Continued)
!! Currently implementing an electronic document
management (EDM) initiative to digitize all paper
received as part of the application and renewal process.
!! EDM will improve workflow and standardize the business
process of the four regional MassHealth Enrollment
Centers, Central Processing and Central Filing Units.
!! Customer service will be significantly improved as staff
will have real time access to every document and a
statewide workforce will be utilized instead of having a
paper case record tied to a regional office.
17
18. Next Steps: Affordable Care Act
!! Individual mandate sends the message that health
insurance is for everyone and lower income individuals
have access to government subsidized insurance.
!! Eligibility determination will no longer be about deciding
whether an individual can or cannot get coverage.
!! Eligibility determination will need to match individuals to
most appropriate coverage.
!! Policies, systems and process will need to:
•! Know the correct buckets to enroll individuals.
•! Adjust to an individual’s changing circumstances to prevent gaps in
coverage.
•! Use data matching in order to more quickly process enrollment
•! Not place unreasonable verification requirements on individuals and
enrollment staff.
•! Provide clear messages to enrollees.
18
19. Early Lessons Learned
!! Data Matters. MaxEnroll diagnostic assessment and
improvement plan were useful in helping to pinpoint
areas on which the state could focus.
!! Strategies that improve retention also reduce paper
processing and alleviate pressure on the operational
work flow.
!! A culture of coverage is best advanced when:
•! Needless administrative activities are eliminated.
•! Necessary administrative activities are as simple as possible.
•! Communications are clear.
•! All stakeholders are heard and valued.
•! Participation has social and health rewards.
19
20. Transforming Health Coverage Enrollment
Systems: Massachusetts’ Experience
!! Thank you.
!! For more information contact:
Robin Callahan
Director, Member Policy & Program Development,
Massachusetts Office of Medicaid
robin.callahan@state.ma.us
20