Introduces Value-based Healthcare, an important concept for transforming healthcare making it more cost-effective, sustainable, and patient-centered. Strategically, it makes the healthcare providers accountable to the desired patient and health system "valued" outcomes.
https://youtu.be/-oOuJfpRFpY
> Patient engagement
> Patient advocacy groups
> Patient focused drug development
> Patient reported outcomes
> Patient centric clinical trials
> Patient preference studies
> Make patients as partners in research
> Institutionalised involvement - NICE, EMA, US-FDA
> Indian perspective
> Drivers for involving patients
In this presentation it has been tried to give a glimpse of different type of consent, how it should be taken, how the patient to be explained, when consent is must and conditions where consent is not required, so as to guide you in your every day practice.
This presentation, based on a University of Florida course on Fixing Patient Responsibility explains the importance of teamwork in healthcare, esp. with respect to saving patients' lives.
Presented at Kansas City University of Osteopathic Medicine 10/27/15 in Lecture Series in Bioethics. See live presentation here: https://www.youtube.com/watch?v=Dr3g3PeVKeo
> Patient engagement
> Patient advocacy groups
> Patient focused drug development
> Patient reported outcomes
> Patient centric clinical trials
> Patient preference studies
> Make patients as partners in research
> Institutionalised involvement - NICE, EMA, US-FDA
> Indian perspective
> Drivers for involving patients
In this presentation it has been tried to give a glimpse of different type of consent, how it should be taken, how the patient to be explained, when consent is must and conditions where consent is not required, so as to guide you in your every day practice.
This presentation, based on a University of Florida course on Fixing Patient Responsibility explains the importance of teamwork in healthcare, esp. with respect to saving patients' lives.
Presented at Kansas City University of Osteopathic Medicine 10/27/15 in Lecture Series in Bioethics. See live presentation here: https://www.youtube.com/watch?v=Dr3g3PeVKeo
Medical education is changing to meet the demands of our evolving health care system. One of these changes is the development and implementation of competency-based medical education (CBME).
Patient safety is the cornerstone of high-quality healthcare services. In the presentation, A summary of the frameworks & practical approaches to improve safety of patient care.
Importance of Measuring Patient SatisfactionZonkaFeedback
Patient Satisfaction is an important metric to measure overall healthcare quality. With the help of Patient Satisfaction Surveys, constant measuring of Patient Satisfaction and improving Patient Experience can be achieved. It is a valuable tool to capture Patient Feedback without much effort.
https://www.zonkafeedback.com/blog/importance-of-measuring-patient-satisfaction
Lecture By:
Dr Hisham Fakher
Consultant Hematology
Medical Director of Regional Laboratory and Central Blood Bank
Ministry of Health –Almadinah Almonawarah
Medical education is changing to meet the demands of our evolving health care system. One of these changes is the development and implementation of competency-based medical education (CBME).
Patient safety is the cornerstone of high-quality healthcare services. In the presentation, A summary of the frameworks & practical approaches to improve safety of patient care.
Importance of Measuring Patient SatisfactionZonkaFeedback
Patient Satisfaction is an important metric to measure overall healthcare quality. With the help of Patient Satisfaction Surveys, constant measuring of Patient Satisfaction and improving Patient Experience can be achieved. It is a valuable tool to capture Patient Feedback without much effort.
https://www.zonkafeedback.com/blog/importance-of-measuring-patient-satisfaction
Lecture By:
Dr Hisham Fakher
Consultant Hematology
Medical Director of Regional Laboratory and Central Blood Bank
Ministry of Health –Almadinah Almonawarah
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
VBP, Delivery System Reform, and Health and Social ServicesAndré Thompson, MPA
How are the services and supports you provide related to health, how valuable are your services and interventions for maintaining health, how would your services change if you were getting paid based on value rather than fee-for-service?
Population Health Management: Enabling Accountable Care in Collaborative Prov...Salus One Ed
This document provides the reader information about population health management (PMH), how it relates to incentive payments for healthcare providers and their health insurance partners (commercial and government). See details about required transformation of care delivery methods, typical accountable care payment models, how to achieve incentives, partnerships between state government (public health) and community shared services needs and necessary technology and data to achieve it.
Three Keys to a Successful Margin: Charges, Costs, and LaborHealth Catalyst
How can cost management and complete charge capture protect and enhance the margin?
In this webinar, we will look at 2024 margin pressures likely to impact your organization’s financial resiliency. This presentation will also share how organizations can move from Fee-for-Service to Value; bringing Cost to the forefront.
On 11th February 2016 the Big Lottery Fund and CBO evaluation team ran a peer learning event for people developing SIBs related to health. These slides are from the workshop on the Ways to Wellness SIB.
Healthcare transition in GCC: Current Painful Realities & Proposed Strategic ...STELIOS PIGADIOTIS
Goals of research effort
1. Hands on analysis of GCC and specifically UAE healthcare market.
2. Proposed 2016 strategies for CEOs in GCC healthcare ecosystem
The Medicare Advantage Value-Based Insurance Design Model team presented a webinar discussing the CY2020 application cycle on Friday, January 25 from 4:00 p.m. to 5:00 p.m. EST.
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Soraya Ghebleh - Using Financial Incentives to Influence Clinical Decision Ma...Soraya Ghebleh
This slide deck discusses some of the relevant factors that should be considered when designing financial incentives for providers of healthcare services.
This presentation focuses on key elements, graphs, and charts from a CMR Institute white paper written by Anthony D. Slonim, MD, DrPH, Executive Vice President and Chief Medical Officer, Barnabas Health. Executive Director, Barnabas Health ACO-North.
How do medicaid waivers expand the possibilities of whole person care 032117Jennifer D.
With the changing landscape in healthcare right now it's important to know how Medicaid Waivers and Whole Person Care can help secure positive outcomes.
Strategies to fix healthcare systems v1Imad Hassan
3. Names the essential and strategic concepts that leaders in healthcare need to master. They need to be incorporated into any modern healthcare system to make it successful, sustainable and highly-responsive. Around 6 minutes.
https://youtu.be/KQRxbNORHF8
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
Deep Leg Vein Thrombosis (DVT): Meaning, Causes, Symptoms, Treatment, and Mor...The Lifesciences Magazine
Deep Leg Vein Thrombosis occurs when a blood clot forms in one or more of the deep veins in the legs. These clots can impede blood flow, leading to severe complications.
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
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
Explore our infographic on 'Essential Metrics for Palliative Care Management' which highlights key performance indicators crucial for enhancing the quality and efficiency of palliative care services.
This visual guide breaks down important metrics across four categories: Patient-Centered Metrics, Care Efficiency Metrics, Quality of Life Metrics, and Staff Metrics. Each section is designed to help healthcare professionals monitor and improve care delivery for patients facing serious illnesses. Understand how to implement these metrics in your palliative care practices for better outcomes and higher satisfaction levels.
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
How many patients does case series should have In comparison to case reports.pdfpubrica101
Pubrica’s team of researchers and writers create scientific and medical research articles, which may be important resources for authors and practitioners. Pubrica medical writers assist you in creating and revising the introduction by alerting the reader to gaps in the chosen study subject. Our professionals understand the order in which the hypothesis topic is followed by the broad subject, the issue, and the backdrop.
https://pubrica.com/academy/case-study-or-series/how-many-patients-does-case-series-should-have-in-comparison-to-case-reports/
CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
7. The Paradigm
• The value-based health care
movement is based on the work of
Harvard University Professor Michael E.
Porter. His landmark book, Redefining
Health Care Creating Value-Based
Competition on Results, was co-
authored by Elizabeth O. Teisberg and
published in 2006 following 10 years of
research into: why the health care
industry did not conform to the
principles of competition seen in all
other sectors of the economy.
8.
9. The Problems
• Increasing healthcare costs-All healthcare systems
today are under pressure to spend their resources
wisely and efficiently: the reasons are outdated
management practices and payment models.
• Variations in Outcomes between different healthcare
centers-no accountability/governance.
• Failed interventions to improve quality: scientific
advances with poor delivery!
10. The Problem
• Examples of failed interventions:
• Evidence-based medicine,
• safety initiatives,
• electronic records,
• ‘lean’ approaches to performance improvement, care coordinators,
• turning patients into paying customers,
• mergers,
• analytics,
• big data,
• personalized or precision medicine etc.
11. The Proposal
• Radical restructuring of health care focused on
competition and improvement.
• One singe AGENDA: a single unifying goal for
health care: to deliver value for the
patient.
Moving from low to high value care!
15. Service Models in Healthcare
Non-
Volume-
based
Fee-for-
Service
Old
Volume-
based
Fee-for-
Service
Old
Value-based
Fee-for
Value
New
16. Service Models in Healthcare
Non-
Volume-
based
Fee-for-
Service
Old
Non-Volume-based care refers to the
payment health care providers
receives for their services to patients.
Fixed monthly reimbursement (salary)
is paid irrespective of service volume or
load.
Applies to public healthcare services.
17. Service Models in Healthcare
Volume-
based
Fee-for-
Service
Old
Volume-based care refers to the
payment a health care provider
receives for services a patient might
need.
All incentives were driving health
care providers to worry about the
number of patients cared for rather
than the value (Outcome) provided.
Applies to private healthcare services
particularly for senior specialist staff.
18. Service Models in Healthcare
Non-Volume
or Volume-
based
Fee-for-
Service
Old Non-volume or Volume-
based Fee-for-Service care
focuses on the Process and
not Outcomes that are
Patient, Family, Society and
Population relevant and
evidence-based.
25. What is VBHC?
• Value-based healthcare is a healthcare delivery
model.
• The focus is on outcomes of relevance to the
patient (Patient-centered) and society.
• Cost per “relevant” and “valued” Outcomes is the
primary measure for effectiveness, efficiency, safety
etc. i.e. for the quality of service.
• Processes and Volume are no longer the
measures of success.
26. What is VBHC? • Instead of rewarding volume, new
value-based payment models
reward better results in terms of
cost, quality, and outcome
measures.
27. What is VBHC?
• Under value-based care agreements,
providers are rewarded for helping
patients improve their health,
reduce the effects and incidence of
chronic disease, and live healthier
lives in an evidence-based way.
28. What is VBHC? • Sick-care is Transformed to Health care!
• Value-based healthcare (VBHC) is becoming
a leading approach to improving patient and
health system outcomes around the world.
• It is one way of organizing healthcare to
transform health outcomes.
29. What is VBHC?
• Value-based healthcare is about linking how much
money is spent on healthcare programs or services
for a specific patient’s journey to the outcomes that
matter most to patients – rather than focusing
primarily on the amount of services (Volume-based
Healthcare), or on specific processes or products.
• VBHC focuses on the whole patient journey, not
the parts.
30. What is VBHC? • VBHC: For the first time, the healthcare
providers, administrators, minister of
health etc. are made accountable and
have to deliver the “right outcomes”
otherwise their employment or re-
imbursements may be at risk!
39. •Establish Integrated Practice Units
IPUs: Care must be organized around
medical conditions over the full cycle
of care and delivered in IPUs.
•Integrated practice units will achieve
scope and scale by growing locally
and geographically in their areas of
strength.
Focused Care for
Perfection:
Centers of
Excellence
1 Organize
Care Around
Medical
Conditions
40. • Develop Expertise: To deliver more value,
providers need to focus on deepening their
expertise, and expanding their ability to serve
the complex and interrelated needs of each
patient over the full cycle of care.
• OptimizeVolume: There is a well-recognized
relationship between volume of cases treated
and multidisciplinary specialized teams
inputs and the health outcomes achieved.
Focused Care for
Perfection:
Centers of
Excellence
1 Organize
Care Around
Medical
Conditions
41. 1. ONE Medical Condition: DM, Heart Failure, Epilepsy, Back
pain etc.
2. Comorbidities are catered for.
3. Multidisciplinary.
4. Strategic Location.
5. Patient-focused & Led.
6. Patient Monitors.
7. IPU is a complete System- administratively, financially etc.
8. Outcome Monitoring is vital.
9. Focused Patient Journey Analysis-part by apart.
Focused Care for
Perfection:
Centers of
Excellence
Essential
elements that lead
to the best
results.
1 Organize
Care Around
Medical
Conditions
42.
43. • MIGRAINE CARE Germany
• By restructuring to create an IPU, a West German migraine headache
center was able to...
• This success enabled them to expand, opening more centers in other
cities and developing new programs in conditions such as vertigo,
rheumatoid arthritis, and acute back pain.
Case Study
20%
lower costs
54%
improvement
in symptoms
in patients
44. 2 Measure
Outcomes &
Cost
• Standardized outcomes, transparently
reported by condition, are essential for
both care improvement and for making
informed choices by patients, payers, and
other provider organizations.
• Outcomes represent the ultimate measure
of quality.
• Avoid surrogates for patient centered
outcomes.
• Cost should be aggregated over the full
cycle of care for the patient’s medical
condition, not for departments, services, or
line items
Measure
Outcomes & Cost
for Every Patient
45.
46. 3 Aligning
Reimbursement with
Value
• Bundled payments are risk adjusted single payments
covering the full cycle of care for a condition from
diagnosis through rehabilitation.
• The payment is contingent on achieving good outcomes,
and allow providers to directly benefit by improving
efficiency.
• Early evidence suggests that bundled payments lead to
both outcomes and cost improvement.
Aligning
Reimbursement
with Value
47.
48. 4 Systems Integration
• Effectively integrated care in multiple locations is an
essential element of value-based health care delivery
system.
• Concentrating volume by medical condition and moving
non-acute care out of heavily resourced hospital facilities
improves outcomes and reduces costs.
• Integration (not merger) assists in sharing resources,
staff, expertise (shared excellence).
Systems
Integration
49. 5 Geography of Care
• Today’s top health care providers can help lead the way
toward a nationwide value-based health care delivery
system that dramatically improves outcomes and controls
health care costs.
• By expanding strategically and integrating with
community providers, can widen access, improve
treatments, and help reduce fragmentation and
geographic “gaps” in services.
Centers of
Excellence-
Expanding their
reach.
50. 6 Information
Technology
To make the transformation to value-
based health care delivery, a new
generation of enabling information
technology (IT) is needed.