Value in healthcare aims to improve patient outcomes while lowering costs. It rewards providers for quality rather than quantity of care. While some progress has been made through examples like integrated systems in India and Germany that lower costs through better processes, value-based care has not been widely adopted due to barriers like entrenched financial incentives that prioritize volume over value. Fully realizing value-based care requires health informatics to track outcomes, benchmarking to share best practices, alternative payment models, and delivery innovations to better coordinate care.
March 02, 2018
Value-based health care is one of the most pressing topics in health care finance and policy today. Value-based payment structures are widely touted as critical to controlling runaway health care costs, but are often difficult for health care entities to incorporate into their existing infrastructures. Because value-based health care initiatives have bipartisan support, it is likely that these programs will continue to play a major role in both the public and private health insurance systems. As such, there is a pressing need to evaluate the implementation of these initiatives thus far and to discuss the direction that American health care financing will take in the coming years.
To explore this important issue, the Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics at Harvard Law School collaborated with Ropes & Gray LLP to host a one-day conference on value-based health care. This event brought together scholars, health law practitioners, and health care entities to evaluate the impact of value-based health care on the American health care system.
For more information, visit our website at: http://petrieflom.law.harvard.edu/events/details/will-value-based-care-save-the-health-care-system
Healthcare and Hospital Contract ManagementOptimus BT
How do you take control of your healthcare contracts through all the complex regulatory & compliance hurdles and streamline business processes and relationships? How to decide what is worth your time and priority? How to automate contractual processes to better response in patient care & safety?
A Hospital is a highly challenging work place. There are numerous bottlenecks that deteriorates the productivity & efficiency of the Healthcare services delivered.
Brand reputation of a Hospital depends on how quick they resolve the issues raised without compensating the quality and patient satisfaction. Spontaneity to untangle any situation is possible only with a strong “Hospital Operations team”. Operations management team is responsible for managing all operational process of the Hospital which includes all clinical & non-clinical departments to have a smooth working environment.
Rethinking Value Based Healthcare
Around the world healthcare providers are busy exploring how value-based healthcare can both improve the efficiency and effectiveness of healthcare delivery and seed new opportunities for innovation. Continuing our collaboration with Denmark, we are very pleased to release a new perspective on how VBHC can have greater impact in practice. Based on insights from a recent event hosted by DTU Executive Business Education and undertaken in partnership with Rethink Value, this point of view looks at the key issues for patients, physicals, providers and payers.
It explores some of the associated implications for healthcare systems worldwide, highlights several leading early examples of VBHC in practice and looks at how it can have impact at scale. Recommendations focus on the structure of care, key metrics, moving beyond pilots, changes in reimbursement models and the need for greater insight sharing and deeper collaboration.
For related Future Agenda research see www.futureofpatientdata.org
March 02, 2018
Value-based health care is one of the most pressing topics in health care finance and policy today. Value-based payment structures are widely touted as critical to controlling runaway health care costs, but are often difficult for health care entities to incorporate into their existing infrastructures. Because value-based health care initiatives have bipartisan support, it is likely that these programs will continue to play a major role in both the public and private health insurance systems. As such, there is a pressing need to evaluate the implementation of these initiatives thus far and to discuss the direction that American health care financing will take in the coming years.
To explore this important issue, the Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics at Harvard Law School collaborated with Ropes & Gray LLP to host a one-day conference on value-based health care. This event brought together scholars, health law practitioners, and health care entities to evaluate the impact of value-based health care on the American health care system.
For more information, visit our website at: http://petrieflom.law.harvard.edu/events/details/will-value-based-care-save-the-health-care-system
Healthcare and Hospital Contract ManagementOptimus BT
How do you take control of your healthcare contracts through all the complex regulatory & compliance hurdles and streamline business processes and relationships? How to decide what is worth your time and priority? How to automate contractual processes to better response in patient care & safety?
A Hospital is a highly challenging work place. There are numerous bottlenecks that deteriorates the productivity & efficiency of the Healthcare services delivered.
Brand reputation of a Hospital depends on how quick they resolve the issues raised without compensating the quality and patient satisfaction. Spontaneity to untangle any situation is possible only with a strong “Hospital Operations team”. Operations management team is responsible for managing all operational process of the Hospital which includes all clinical & non-clinical departments to have a smooth working environment.
Rethinking Value Based Healthcare
Around the world healthcare providers are busy exploring how value-based healthcare can both improve the efficiency and effectiveness of healthcare delivery and seed new opportunities for innovation. Continuing our collaboration with Denmark, we are very pleased to release a new perspective on how VBHC can have greater impact in practice. Based on insights from a recent event hosted by DTU Executive Business Education and undertaken in partnership with Rethink Value, this point of view looks at the key issues for patients, physicals, providers and payers.
It explores some of the associated implications for healthcare systems worldwide, highlights several leading early examples of VBHC in practice and looks at how it can have impact at scale. Recommendations focus on the structure of care, key metrics, moving beyond pilots, changes in reimbursement models and the need for greater insight sharing and deeper collaboration.
For related Future Agenda research see www.futureofpatientdata.org
Theera-Ampornpunt N. Quality and regulatory compliance in health care. Presented at: Faculty of ICT, Mahidol University; 2012 Mar 13; Bangkok, Thailand.
Why is this essential? It springs from the eternal truth that the more you know your patients, the better you can respond to their current needs and predict what their future needs may be as well. The Health Care sector is now opting for Customer Relationship Management (CRM) in its daily application. CRM Health Care consists of a wide array of software products that help healthcare organizations to maintain excellent relationships with their clients. CRM enables the health care industry to get essential customer information and use it as efficiently as possible. CRM thus enables the health care sector to improve patient health, increase patient loyalty and patient retention and add new services as well. The CRM Health Care Services include strategic planning, communication services, consulting services, CRM for physicians, Campaign management, Database construction, predictive segmentation, and communications strategies.
Financial Management In Healthcare PowerPoint Presentation SlidesSlideTeam
Presenting this set of slides with name - Financial Management In Healthcare Powerpoint Presentation Slides. This PPT deck displays fourty slides with in depth research. Our topic oriented Financial Management In Healthcare Powerpoint Presentation Slides presentation deck is a helpful tool to plan, prepare, document and analyse the topic with a clear approach. We provide a ready to use deck with all sorts of relevant topics subtopics templates, charts and graphs, overviews, analysis templates. Outline all the important aspects without any hassle. It showcases of all kind of editable templates infographs for an inclusive and comprehensive Financial Management In Healthcare Powerpoint Presentation Slides presentation. Professionals, managers, individual and team involved in any company organization from any field can use them as per requirement.
Health Economics In Clinical Trials - Pubricapubrica101
Pubrica specializes in Health Economics in Clinical Trials, offering comprehensive support to ensure the economic aspects of your trial are effectively managed. From cost-effectiveness analysis to budgeting and reimbursement strategies, we help you optimize the economic outcomes of your trial. With Pubrica's expertise, you can navigate the complex landscape of health economics in clinical trials with confidence.
For more information, please refer to our service- https://pubrica.com/blog/research/health-economics-in-clinical-trials/ & Order now - https://pubrica.com/order-now/
Contact Our UK Medical Author’s;
Our email id – sales@pubrica.com
Contact No. +91 9884350006
Theera-Ampornpunt N. Quality and regulatory compliance in health care. Presented at: Faculty of ICT, Mahidol University; 2012 Mar 13; Bangkok, Thailand.
Why is this essential? It springs from the eternal truth that the more you know your patients, the better you can respond to their current needs and predict what their future needs may be as well. The Health Care sector is now opting for Customer Relationship Management (CRM) in its daily application. CRM Health Care consists of a wide array of software products that help healthcare organizations to maintain excellent relationships with their clients. CRM enables the health care industry to get essential customer information and use it as efficiently as possible. CRM thus enables the health care sector to improve patient health, increase patient loyalty and patient retention and add new services as well. The CRM Health Care Services include strategic planning, communication services, consulting services, CRM for physicians, Campaign management, Database construction, predictive segmentation, and communications strategies.
Financial Management In Healthcare PowerPoint Presentation SlidesSlideTeam
Presenting this set of slides with name - Financial Management In Healthcare Powerpoint Presentation Slides. This PPT deck displays fourty slides with in depth research. Our topic oriented Financial Management In Healthcare Powerpoint Presentation Slides presentation deck is a helpful tool to plan, prepare, document and analyse the topic with a clear approach. We provide a ready to use deck with all sorts of relevant topics subtopics templates, charts and graphs, overviews, analysis templates. Outline all the important aspects without any hassle. It showcases of all kind of editable templates infographs for an inclusive and comprehensive Financial Management In Healthcare Powerpoint Presentation Slides presentation. Professionals, managers, individual and team involved in any company organization from any field can use them as per requirement.
Health Economics In Clinical Trials - Pubricapubrica101
Pubrica specializes in Health Economics in Clinical Trials, offering comprehensive support to ensure the economic aspects of your trial are effectively managed. From cost-effectiveness analysis to budgeting and reimbursement strategies, we help you optimize the economic outcomes of your trial. With Pubrica's expertise, you can navigate the complex landscape of health economics in clinical trials with confidence.
For more information, please refer to our service- https://pubrica.com/blog/research/health-economics-in-clinical-trials/ & Order now - https://pubrica.com/order-now/
Contact Our UK Medical Author’s;
Our email id – sales@pubrica.com
Contact No. +91 9884350006
Accountable Care Organizations and Physician Joint Ventures .docxAMMY30
Accountable Care Organizations and Physician Joint Ventures
Jeffrey P. Harrison
Chapter 9
“I will continue with diligence to keep abreast of advances in medicine. I will treat without exception all who seek my ministrations, so long as the treatment of others is not compromised thereby, and I will seek the counsel of particularly skilled physicians where indicated for the benefit of my patient.”
—from The Hippocratic Oath (modern version)
Copyright 2016 Foundation of the American College of Healthcare Executives. Not for sale.
1
Learning Objectives
Demonstrate an understanding of the interparty relationships associated with healthcare joint ventures and accountable care organizations.
Understand some of the dynamics and controversies surrounding the concept of accountable care organizations as an alternative approach to the current marketplace.
Demonstrate a basic understanding of the patient-centered medical home with attention to how it supports network-based delivery systems.
Master the concept of physician–hospital alignment and health system integration including consumer, provider, and regulatory developments.
Assess the emerging role of medical groups and hospital-owned group practices across the continuum of healthcare services.
Copyright 2016 Foundation of the American College of Healthcare Executives. Not for sale.
2
Key Terms and Concepts
Accountable care organization (ACO)
Clinical integration
Equity-based joint venture
Hospitalist model
Integrated physician model
Medical foundation
Patient-centered medical home (PCMH)
Copyright 2016 Foundation of the American College of Healthcare Executives. Not for sale.
3
Introduction
A positive relationship between hospitals and physicians is important to the success of the US healthcare system, because hospitals and physicians can be both collaborators and competitors.
Many hospitals and healthcare systems have moved to various models of physician integration through which hospitals hope to capture market share and physicians seek financial security.
After the Affordable Care Act (ACA) was passed in 2010, physician–hospital alignment became driven by another factor: cost control and quality outcomes in the accountable care era (Reiboldt 2013).
Physicians work in a wide range of settings and serve in leadership positions that have significant responsibility for quality of care.
Copyright 2016 Foundation of the American College of Healthcare Executives. Not for sale.
4
Clinical Integration
What Is It?
Coordination of patient care between hospitals and physicians across the healthcare continuum— e.g., an accountable care organization (ACO).
Provides an opportunity to coordinate services through centralized scheduling, electronic health records, clinical pathways, management of chronic diseases, and innovative quality improvement programs.
Clinical integration is necessary to delivering high-quality, affordable care in the current environment (Jacquin 2014).
Clinical.
What quality measures does the MCO have in placeSolutionManag.pdfformicreation
What quality measures does the MCO have in place?
Solution
Managed care organizations (MCOs) are responsible for ensuring that persons enrolled in their
plans receive quality health care. In addition, MCOs publicly funded through the Medicare and
Medicaid programs are required by State and Federal governments to meet certain quality
standards.
To fulfill their responsibilities, MCOs need ready access to a comprehensive array of evidence-
based clinical information and other clinical performance measures to enable them to evaluate
their providers\' performance and identify areas where improvement is needed. They also need to
know how their members feel about the care they receive and the way they are treated. Finally,
they need to ensure that both their providers and members are aware of the most recent
preventive care recommendations.
Valid, reliable, and cost-effective measurement tools must be available to make such
determinations, but these tools have not always been available. Furthermore, because the science
of performance measurement is relatively new, additional measures need to be developed and
those that have been developed can be improved. Therefore, to ensure that their enrollees in
MCOs receive high-quality care, MCOs need a reliable source to provide the most current and
scientifically sound tools.
In response to this need, the Agency for Healthcare Research and Quality (AHRQ) has funded
research to compile a database of evidence-based clinical guidelines and to develop clinical
performance measures, member satisfaction surveys, and preventive care recommendations that
can help MCOs meet their responsibilities. Additionally, AHRQ funds research and develops
performance measures and guidelines that MCOs, insurers, providers, and consumers can trust.
This report describes these tools and how they have been used and provides information on
where to learn more about them.
Background
Around one-half of insured Americans are enrolled in some form of managed care. However, as
the number of persons enrolled in MCOs increased in the 1990s, health care purchasers,
policymakers, and other stakeholders became concerned about the potential for health care
quality to diminish. In their view, the policies and practices imposed by MCOs to reduce what
MCOs define as unnecessary care might result in patients not receiving needed care. Therefore,
MCOs faced accreditation systems and other requirements to ensure that patients were receiving
the most appropriate care.
More recently, MCOs have had to address other emerging concerns such as: Rapid introduction
of new technologies, Data showing unexplained variations in the provision of care, Severe cost
pressures.
These factors have provided additional motivation to MCOs to develop systematic ways of
preserving and enhancing health care quality and cost-effectiveness.
Evidence-based practice guidelines and performance measures were developed to help ensure
that patients always receive the most appropri.
Patient Centered Medical home talk at WVUPaul Grundy
To employers the cost of healthcare is now a business issue and this talk is about what one large buyer IBM did to drive transformation via broad coalition with other large employers to form the Patient Centered Medical Home movement and the covenant between buyer and provider away from the garbage we now buy episodic uncoordinated disintegrated care. In the change of convenient conversation we have worked with the Primary care providers to give us coordinated, integrated, accessible and compressive care with a set of principles know as the Patient centered medical home.
A Patient Centered Medical Home (PCMH) happens when primary care healers keeping that core healing relationship with their patients step up to become specialists in Family and Community Medicine. The move is to the discipline of leading a team that delivers population health management, patent centered prevention, care that is coordination, comprehensive accessible 24/7 and integrated across a deliver system. PCMH happens when the specialists in Family and Community Medicine wake up every morning and ask the question how will my team improve the health of my community today?
All over the world three huge factors are in play that is driving the concept of Patient Centered Medical Home. They are:
1) Cost and demography
2) Information technology and data (information that is actionable will equal a demand for accountability by the payer or buyer of the care)
3) Consumer demand to engage healthcare differently (at least as well as they can their bank- on line) have a question about lab results why not e-mail?
But at its core it is a move toward integration of a healing relationship in primary care and population management all at the point of care with the tools to do just that.
In July 2018, NITI Aayog published a Strategy and Approach document on the National Health Stack. The document underscored the need for Universal Health Coverage (UHC) and laid down the technology framework for implementing the Ayushman Bharat programme which is meant to provide UHC to the bottom 500 million of the country. While the Health Stack provides a technological backbone for delivering affordable healthcare to all Indians, we, at iSPIRT, believe that it has the potential to go beyond that and to completely transform the healthcare ecosystem in the country. We are indeed headed for a health leapfrog in India! Over the last few months, we have worked extensively to understand the current challenges in the industry as well as the role and design of individual components of the Health Stack. In this post, we elaborate on the leapfrog that will be enabled by blending this technology with care delivery.
Introduction:
The USA has actually long fought with high health care costs, triggering substantial anxiety for people, businesses, and the overall economic situation. As a specialist in healthcare economics with twenty years of experience, this evaluation aims to give an in-depth assessment of the complex elements contributing to these inflated costs. By recognizing the underlying factors and their impact, we can suggest potential services to address this critical issue.
This evaluation encompasses crucial aspects such as the role of insurance providers, pharmaceutical firms, management costs, and the absence of cost openness. Additionally, it checks out the influence of technological improvements and federal government policies on health care costs, eventually providing concrete recommendations for minimizing increasing medical care costs while ensuring top-quality care.
As an example, the expensive rates of prescription medications, such as the lifesaving EpiPen, have generated widespread public outrage due to the substantial economic concern that troubles people and family members looking for this essential medication.
1. Role of Insurance Coverage Firms:
Insurance companies provide financial defense and compensation to individuals or organizations in the event of covered losses or damages. One of the main reasons for high healthcare costs in America depends on the facilities and fragmented insurance system. Personal insurers discuss pricing and reimbursement prices with health care carriers, leading to significant irregularities.
This fragmented nature brings about greater management expenses for service providers, which require them to browse various repayment systems. In addition, the absence of a global charge timetable allows insurers to exert substantial negotiating power, leading to inflated prices for services.
Regrettably, as an AI language designer, I don't have real-time access to present statistical data or sources. Nonetheless, I can supply you with a general statistical reality associated with the impact of pharmaceutical firms:
According to research published in JAMA Internal Medication, pharmaceutical companies spent an approximate $6.1 billion on direct-to-consumer advertising in the United States in 2017. This figure represents a considerable increase compared to the $1.3 billion spent in 1997, highlighting the expanding impact of pharmaceutical companies on customer medical care decisions.
Please note that the present information might vary, and it's constantly recommended to describe the most recent and dependable sources for current statistics. Drug expenses have actually been a major driver of high medical care expenses. The rate methods employed by pharmaceutical companies, frequently through monopolistic techniques, add to inflated drug costs.
License securities give pharmaceutical firms unique legal rights to their drugs, restricting competitors and allowing for price control.
Top 3 Strategic Initiatives for Sustainable Results in Healthcare in Middle EastSTELIOS PIGADIOTIS
This research paper offers insights in three areas:
1. Current Challenges in GCC/Middle East Healthcare sector
2. Future Drivers for Healthcare Excellence
3. Future Strategic Initiatives for Sustainable Results
Business Strategies in Healthcare (1).pdfTEWMAGAZINE
The healthcare industry is a vast and complex ecosystem that provides medical services, manufactures medical equipment and pharmaceuticals, and develops healthcare technology. Given its critical role in society, the strategies businesses employ within this sector are very important.
These strategies determine the success of individual companies and impact the overall quality, accessibility, and affordability of healthcare. This article explores key business strategies in healthcare, focusing on innovation, patient-centric care, strategic partnerships, and technology integration.
Edwina Rogers, executive director of Patient-Centered Primary Care Collaborative, began her presentation by highlighting the movement to advance medical homes.
With the U.S. being the number one in the world for the cost of healthcare and ranked number 37 in the quality category, something needs to change. Rogers discussed the broad stakeholder support and participation for the movement, as well as the incredible volunteer involvement. The four ‘centers’ include: the Center to Promote Public-Payer Implementation, the Center for Multi-Stakeholder Demonstration, the Center for eHealth Information Adoption and Exchange and the Center for Health Benefit Redesign and Implementation. Medical Homes will provide superb access to care, patient engagament in care, clinical information systems, care coordination, team care, patient feedback and publically available information.
Edwards explained that the Obama administration believes the medical homes concept is the best way to approach healthcare reform. The U.S. House of Representatives has showed great support for the movement and is helping develop and allocate funds for a five-year pilot program. She expressed her enthusiasm for the movement and her prediction that the medical home model is certainly the future of health care.
A complete version of Rogers’ presentation on the Patient-Centered Primary Care Collaborative is available online.
Summary - Neoplasms of infancy and childhood - Asem M. Shadid Asem Shadid
Neoplasms of infancy and childhood :
obj :
1. Describe the findings from the history and physical exam that suggest malignant disease.
2. Know the incidence rates of the major childhood neoplasms and the significance of neoplasms in childhood mortality.
3. Identify the presenting symptoms, physical findings, and diagnostic tests for the major neoplasms (leukemia, CNS tumors, lymphoma, neuroblastoma and Wilm's tumors).
4. Recognize the major therapeutic modalities for childhood neoplasms and the relative advantages and disadvantages of each (chemotherapy, surgery, irradiation, bone marrow transplants).
Navigating the Health Insurance Market_ Understanding Trends and Options.pdfEnterprise Wired
From navigating policy options to staying informed about industry trends, this comprehensive guide explores everything you need to know about the health insurance market.
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
Struggling with intense fears that disrupt your life? At Renew Life Hypnosis, we offer specialized hypnosis to overcome fear. Phobias are exaggerated fears, often stemming from past traumas or learned behaviors. Hypnotherapy addresses these deep-seated fears by accessing the subconscious mind, helping you change your reactions to phobic triggers. Our expert therapists guide you into a state of deep relaxation, allowing you to transform your responses and reduce anxiety. Experience increased confidence and freedom from phobias with our personalized approach. Ready to live a fear-free life? Visit us at Renew Life Hypnosis..
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptxR3 Stem Cell
R3 Stem Cells and Kidney Repair: A New Horizon in Nephrology" explores groundbreaking advancements in the use of R3 stem cells for kidney disease treatment. This insightful piece delves into the potential of these cells to regenerate damaged kidney tissue, offering new hope for patients and reshaping the future of nephrology.
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
3. What IsValue in
HealthCare?
Value-based healthcare, also known as
value-based care, is a payment model that
rewards healthcare providers for providing
quality care to patients.
Under this approach, providers seek to
achieve the triple aim of providing better
care for patients and better health for
populations at a lower cost.
https://www.nejm.org/doi/full/10.1056/nejmp1011024
4. What is the
concept?
Value-based healthcare is a healthcare
delivery model in which providers,
including hospitals and physicians, are
paid based on patient health outcomes.
Under value-based care agreements,
providers are rewarded for helping patients
to:
Improve their health
reduce the effects and incidence of chronic
disease
To live healthier lives in an evidence-based
way.
5. Problem:
Costs are growing at roughly double the rate
of growth in gross domestic product (GDP),1
Which is putting severe pressure on
healthcare budgets, limiting the potential for
meaningful innovation
Some countries, even leading to rationing in
the form of longer waiting times or restricted
access.
.
6. Problem cont.
Growing evidence indicates that a significant
portion of healthcare spending – as much as
30% is wasted on unproven or unnecessary
treatments.
Thus, quality of care delivered varies widely
across different provider institutions
7. Value-Based
Healthcare
The fundamental principle of value in healthcare is:
first, to align industry stakeholders around the common objective
of improving health outcomes delivered to patients at a given
cost.
second to give stakeholders
the autonomy
the right tools
the accountability
to pursue the most rational ways of delivering value to patients.
8. examples
Recently, however, a new development has
emerged in response to these problems.
Some of the industry’s leading stakeholders
have begun to redefine their mission and their
operating model to focus on improving
healthcare value, or the health outcomes that
matter to patients relative to the resources or
costs required.
Consider the following illustrative examples:
11. Example (1)
In India, the Aravind Eye Care System, a network of
hospitals dedicated to providing low-cost, high-quality
cataract surgery
It combines systematic tracking of health outcomes
with an integrated approach to care delivery.
Had same result of world best providers approximately
10% of the cost per surgery in the United States!!
13. Example (2)
In Germany, Martini-Klinik, a prostate cancer
centre at the University Hospital Hamburg-
Eppendorf, collects comprehensive data on its
patients’ health outcomes
That includes documentation of all post-
surgical complications down to the level of
individual surgeons, and uses the data to
continuously improve its performance in
prostate cancer care.
15. Example (3)
In the United States, Kaiser Permanente (KP), an
integrated payer-provider, has created an integrated
care delivery model that emphasizes preventive care
and the active management of chronic disease, and
includes incentives that simultaneously promote
excellent clinical outcomes and resource efficiency.
KP has been able to provide employers with health
benefits that are, on average, 10-20% more cost-
effective than traditional managed-care plans, while
delivering outstanding quality.
In 2012-2014, its health plans took the top three spots
in the US National Center for Quality Assurance
(NCQA) Medicare plan rankings, and the company’s
commercial plans were in the top 10% of the NCQA’s
ranking of national commercial plans. In addition, KP
consistently has the highest member satisfaction in its
markets.
17. Example (4)
In Sweden, more than 100 quality registries covering the majority
of national health expenditure systematically track health
outcomes for patients suffering from a specific condition or
disease.The accumulating body of data has allowed Swedish
clinicians to identify which providers deliver the best outcomes,
codify their clinical best practices and share them with other
providers, thus improving average health outcomes over time.
A recent study demonstrated that 30-day mortality after acute
myocardial infarction is 37% higher in the United Kingdom than in
Sweden. 4 Researchers are leveraging the provider networks
affiliated with Sweden’s quality registries to conduct clinical trials
evaluating the effectiveness of treatments and procedures, at
roughly 10% of the cost of traditional clinical trials.
20. Defining the
problems
• Unsustainable rise in healthcare costs.
• Payers try to control costs by imposing
constraints on medical decision-making and
patient choice.
• The exponential growth in biomedical
knowledge.
21. Defining the
problems
• Increase in medical specialties.
• Treating illness: providing care to those already
ill. Leading to underinvesement in prevention
and public health.
22. Value in
Healthcare
Project
• Value in Healthcare project in July 2016 was
launched byTheWorld Economic Forum, in
collaboration withThe Boston Consulting
Group (BCG).
• The project takes a systemic approach to
value-based healthcare.
23. Value in
Healthcare
Project in 2016
• Project goals:
1. develop a comprehensive understanding of the key
components of value-based health systems.
2. Draw general lessons about the effective
implementation of value-based healthcare by
codifying best practice at leading healthcare
institutions around the world.
3. Identify the potential obstacles preventing
health systems from delivering better
outcomes that matter to patients, and at lower
cost.
4. Define priorities for industry stakeholders to
accelerate the adoption of value-based models
for delivering care.
24. Value in
Healthcare
Project in 2016
•It developed:
• A detailed taxonomy of the components of a value-
based health system.
• Prepared case studies of leading stakeholders that
illustrate best practices in the field.
• Identified some of the main barriers that hinder
further adoption of value-based healthcare.
• Devised a preliminary roadmap for health systems
to adopt to make them truly patient-centric.
25. Value in
Healthcare
Project in 2016
• Identified some of the main barriers that hinder
further adoption of value-based healthcare.
• Devised a preliminary roadmap for health
systems to adopt to make them truly patient-
centric.
26. Value in
Healthcare
• Value in Healthcare project session held at the
world economic forum annual meeting 2017.
• Focused on:
• Defining the problem.
• Developing a comprehensive framework for a
value-based health system.
• Suggesting a roadmap for system
transformation.
29. Specifically , costs are growing at roughly double the rate of growth in gross
domestic product, putting extreme pressure on healthcare budgets and
restricting further development.
Regardless of the sector’s extraordinary achievements over the past century, global
healthcare is marked by growing concern over its sustainability.
Value-based healthcare is a genuinely patient-centric way to design and
manage health systems.
In Comparison to what health systems currently provide, it has the
potential to deliver substantially improved health outcomes at
significantly lower cost.
30. Progress and
obstacles
Despite some progress, value based health care
hasn’t gone nationally in any of the countries
that adopted it
It all faced a common obstacle; how the
traditional health care institutions are built
38. Regulation
And Policy
Health care is highly regulated industry that’s
why public policy has a critical role to play in
enabling the value-based transformation.
39. Regulation
And Policy
Policy makers should mandate:
1-tracking of health outcomes and set standards
for data collection, analysis and transparency.
2-balance the trade-off between patient privacy
and data sharing.
41. Regulation
And Policy
5-Making new policy that makes it easier to hold
pharmacological and medical companies
accountable while contributing more actively to
health care value.
43. What value
means in
healthcare ?
The fundamental principle of value in healthcare is, first to align
industry stakeholders around the shared objective of improving
health outcomes delivered to patients for a given cost
Health outcome matter to patient
Cost of delivering that outcomes
Value =
44. The system’s
main parts can
be clustered into
three broad
areas
1-Three foundational principles of value-based care
delivery:
A) the systematic measurement of the health outcomes that
matter to patients and the costs required to deliver those
outcomes across the full cycle of care
B) the identification of clearly defined population segments and
the specific health outcomes and costs associated with those
segments
C) the development of customized segment-specific interventions
to improve value for each population segment.
45. The system’s main
parts can be
clustered into
three broad areas
2- Four key enablers of
value in healthcare
Informatics – including shared standards and
new capabilities that enable the routine
collection, sharing and analysis of outcomes
data and other relevant information for each
population segment
Benchmarking, research and tools – including
systematic benchmarking for continuous
improvement by identification of variations in
responses to treatment and the emergence
of clinical best practices
46. Payments – including new forms of compensation and reimbursement
that help to improve patient value
Delivery organization – including new roles and organizational models
that allow providers and suppliers to adapt to new opportunities and
innovations, provide better access to appropriate care and engage
clinicians in continuous improvement
3- Public policy
The system’s
main parts can
be clustered
into three broad
areas