This document outlines a project called Walgan Tilly - Aboriginal Specific Redesign which aims to improve chronic care for Aboriginal people in NSW. It discusses issues identified such as poor identification of Aboriginal patients and a lack of cultural awareness. The project involved stakeholder interviews and workshops to develop state-wide and local solutions. Key targets include improving Aboriginal identification, increasing participation in chronic disease programs, and follow up care within 48 hours of discharge. It emphasizes improving data quality and cultural sensitivity across the health system to better meet the needs of Aboriginal people with chronic conditions.
The document discusses closing the gap in Indigenous health outcomes in Australia. It outlines the following key points:
1. Indigenous Australians have lower life expectancies and higher rates of death in middle adult ages compared to non-Indigenous Australians.
2. The targets of the Closing the Gap campaign aim to achieve health status equality between Indigenous and non-Indigenous Australians within 25 years, including equality of access to primary health care within 10 years.
3. A human rights-based approach is needed, with Indigenous peoples having a right to participate in decisions affecting their lives and capacity building to facilitate their meaningful participation.
John Gillies: Health and Social Care Integration in Scotland 2018STN IMPRO
The document discusses health and social care integration in Scotland. It provides background on the Scottish population and healthcare system. The key goals of integration are to support people living independently at home, provide positive experiences of care, and design services around individual needs rather than organizational structure. Integration partnerships aim to improve outcomes such as quality of life, reducing inequalities, and supporting carers through coordinated primary, community and social care services.
Every woman, man, youth and child has the human right to the highest attainable standard of physical and mental health, without discrimination of any kind. Enjoyment of the human right to health is vital to all aspects of a person's life and well-being, and is crucial to the realization of many other fundamental human rights and freedoms.
Primary healthcare is defined by the WHO as essential healthcare that is accessible to all individuals and families in a community. It aims to reach everyone, particularly those in greatest need. The 8 essential services provided are health education, nutrition, water/sanitation, maternal/child care, immunization, disease prevention/control, basic treatment, and essential drugs.
Malaysia adopted the primary healthcare approach prior to 1978 and provides 8 essential services plus dental care at rural clinics. Primary healthcare in Malaysia is provided by clinics, aims to be comprehensive and continuous, and involves promoting health, preventing and treating illness. It has expanded services and upgraded facilities over time to improve accessibility and quality of care.
1) The document discusses establishing Wellness Clinics in India under the Ayushman Bharat program to deliver comprehensive primary health care services close to where people live.
2) It outlines plans to convert 150,000 sub-centers and primary health centers into Health and Wellness Centers (HWCs) by 2022 to provide services like screening for non-communicable diseases, reproductive health services, and treatment of minor ailments.
3) The HWCs will be staffed by mid-level health providers and ASHA workers who will receive additional training to handle the expanded services while ensuring continuity of care through referrals between different levels of facilities.
Angela Coulter and Beverley Matthews presented a webinar on why care planning is not happening widely in the NHS. They discussed how care planning can help patients better manage their long-term conditions through shared goal setting and action planning. However, surveys show that less than 10% of patients with long-term conditions have a written care plan. Barriers to effective care planning included a lack of time and resources, inflexible systems, and a clinical culture that does not prioritize self-management support and partnership with patients. The webinar argued that improving care planning requires addressing attitudes, skills, leadership and incentivizing planning through policies and performance measures.
Tackling NCDs: Resources and Opportunities for Integration within Global Heal...CORE Group
This document summarizes a presentation on integrating management of non-communicable diseases (NCDs), specifically hypertension, into existing community health systems. It describes a project in Ghana called ComHIP that uses a public-private partnership model to screen for hypertension in communities via licensed chemical sellers and pharmacies. Patients identified are referred to community clinics for confirmation and enrollment in the program. Enrolled patients receive ongoing management, monitoring, and support through community health nurses, SMS messages, prescription refills, and lab tests to help control their blood pressure. The goal is to strengthen Ghana's primary healthcare system's ability to routinely address NCDs like hypertension.
The document discusses closing the gap in Indigenous health outcomes in Australia. It outlines the following key points:
1. Indigenous Australians have lower life expectancies and higher rates of death in middle adult ages compared to non-Indigenous Australians.
2. The targets of the Closing the Gap campaign aim to achieve health status equality between Indigenous and non-Indigenous Australians within 25 years, including equality of access to primary health care within 10 years.
3. A human rights-based approach is needed, with Indigenous peoples having a right to participate in decisions affecting their lives and capacity building to facilitate their meaningful participation.
John Gillies: Health and Social Care Integration in Scotland 2018STN IMPRO
The document discusses health and social care integration in Scotland. It provides background on the Scottish population and healthcare system. The key goals of integration are to support people living independently at home, provide positive experiences of care, and design services around individual needs rather than organizational structure. Integration partnerships aim to improve outcomes such as quality of life, reducing inequalities, and supporting carers through coordinated primary, community and social care services.
Every woman, man, youth and child has the human right to the highest attainable standard of physical and mental health, without discrimination of any kind. Enjoyment of the human right to health is vital to all aspects of a person's life and well-being, and is crucial to the realization of many other fundamental human rights and freedoms.
Primary healthcare is defined by the WHO as essential healthcare that is accessible to all individuals and families in a community. It aims to reach everyone, particularly those in greatest need. The 8 essential services provided are health education, nutrition, water/sanitation, maternal/child care, immunization, disease prevention/control, basic treatment, and essential drugs.
Malaysia adopted the primary healthcare approach prior to 1978 and provides 8 essential services plus dental care at rural clinics. Primary healthcare in Malaysia is provided by clinics, aims to be comprehensive and continuous, and involves promoting health, preventing and treating illness. It has expanded services and upgraded facilities over time to improve accessibility and quality of care.
1) The document discusses establishing Wellness Clinics in India under the Ayushman Bharat program to deliver comprehensive primary health care services close to where people live.
2) It outlines plans to convert 150,000 sub-centers and primary health centers into Health and Wellness Centers (HWCs) by 2022 to provide services like screening for non-communicable diseases, reproductive health services, and treatment of minor ailments.
3) The HWCs will be staffed by mid-level health providers and ASHA workers who will receive additional training to handle the expanded services while ensuring continuity of care through referrals between different levels of facilities.
Angela Coulter and Beverley Matthews presented a webinar on why care planning is not happening widely in the NHS. They discussed how care planning can help patients better manage their long-term conditions through shared goal setting and action planning. However, surveys show that less than 10% of patients with long-term conditions have a written care plan. Barriers to effective care planning included a lack of time and resources, inflexible systems, and a clinical culture that does not prioritize self-management support and partnership with patients. The webinar argued that improving care planning requires addressing attitudes, skills, leadership and incentivizing planning through policies and performance measures.
Tackling NCDs: Resources and Opportunities for Integration within Global Heal...CORE Group
This document summarizes a presentation on integrating management of non-communicable diseases (NCDs), specifically hypertension, into existing community health systems. It describes a project in Ghana called ComHIP that uses a public-private partnership model to screen for hypertension in communities via licensed chemical sellers and pharmacies. Patients identified are referred to community clinics for confirmation and enrollment in the program. Enrolled patients receive ongoing management, monitoring, and support through community health nurses, SMS messages, prescription refills, and lab tests to help control their blood pressure. The goal is to strengthen Ghana's primary healthcare system's ability to routinely address NCDs like hypertension.
This inaugural NYeC | PCIP Learning Series is targeted at DSRIP PPS leads, service providers, and others who would like to learn more about New York State’s current and future programs to increase HIT adoption, usage, and practice transformation.
In this first session, we will focus on two tactical areas. First, how DSRIP PPS leaders can analyze participating provider data to facilitate project planning, outreach, and program success. Second, an industry expert from Primary Care Development Corp will provide a helpful overview of how organizations can prepare for and achieve Patient Centered Medical Home (PCMH) recognition.
There will be more sessions to follow and we welcome your input to help shape future content to assist those working to transform healthcare in New York State.
Agenda:
• 9:00 am - Welcome, Programs Update (REC, EP2, NYS PTN)
• 9:10 am - DSRIP – PPS Provider Analysis Reporting and Outreach
• 9:30 am - PCMH – Overview and Readiness
• 9:50 am - Q&A, Call for future subjects
May 14, 2015
Health and wellness center by Dr. Jitender, MD PGIMERYogesh Arora
Health and wellness center is one of the two component of Ayushmann Bharat. HWC ensures comprehensive, quality, and affordable care to be achieved by all.
Dr Aillen Keel CBE (Deputy CMO)'s keynote speech 'Better Health After Cancer,' at the SCPN's 'Be Active Against Cancer Conference,' Tuesday 4th February 2014.
News from the Coal Face: There’s light at the end of the tunnel. Presented by Dr Andrew Miller, General Practitioner, at HINZ 2014, 11 November 2014, 4.30pm, Marlborough Room
Tim Kendall: NICE patients' experience standardsThe King's Fund
Professor Tim Kendall, Director, National Collaborating Centre for Mental Health, introduces the new NICE quality standards for mental health service user experience.
The document provides an agenda and background information for a stakeholder scoping workshop on long term conditions. The workshop aims to define the scope of a joint strategic needs assessment on long term conditions by gaining consensus on key conditions and cross-cutting themes to focus on. Presentations will cover the changing landscape of long term conditions, definitions and prevalence locally, and identifying priority conditions and common issues. Breakout groups will discuss potential conditions and themes to prioritize. Understanding local data availability and stakeholder priorities will help shape the needs assessment.
This document summarizes health care systems for American Indians and Alaska Natives in the United States. It discusses the history of the Indian Health Service and the federal trust agreement to provide health services. It outlines the current Indian Health System and health disparities facing American Indian populations. Emerging health issues like obesity, suicide, and HIV are also examined. The challenges of serving diverse tribal populations across vast geographic areas with limited funding and resources are discussed. The document concludes by describing the Johns Hopkins Center for American Indian Health and its role in partnerships and research to help address health needs.
The document discusses universalizing access to primary healthcare in India. It outlines the current healthcare structure and reasons for poor access, including insufficient funding, lack of availability and affordability. It proposes a roadmap to improve the system through measures like increasing infrastructure and availability of resources, improving human resource management, strengthening regulations, and public-private partnerships. The goal is to ensure equitable, affordable and quality healthcare access for all Indians.
Dr. Daniel Gobgab, MD, Secretary General of the Christian Health Association of Nigeria explains the organization's response to HIV/AIDS and the programs CHAN implements to help those in need in partnership with the U.S. government and other donors.
Non-Communicable Disease Control Program by MujahidHOME
This document summarizes several national programs in India that aim to control and prevent non-communicable diseases. It discusses the National Program for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS), the National Program for Control of Blindness, the National Mental Health Program, the National Program for Healthcare of the Elderly, the National Program for Prevention and Control of Deafness, the National Oral Health Program, and programs for organ transplantation, fluorosis control, and iodine deficiency disorders. The document provides background on the objectives, strategies and interventions of each program. It concludes that chronic diseases pose a serious global threat but cost-effective national programs can improve health outcomes.
The Queensland Strategy for Chronic Disease 2005-2015 aims to prevent and better manage chronic diseases through a partnership approach. It involves stakeholders across the healthcare system, from hospitals to general practitioners to community groups. The strategy seeks to promote healthy lifestyles to prevent chronic diseases, identify diseases earlier, and improve management of existing conditions. It focuses on high-risk groups like those in rural areas, Indigenous peoples, culturally diverse communities, and socioeconomically disadvantaged populations.
This document provides an overview of Ayushman Bharat, India's national health protection scheme. It discusses the rationale for the scheme due to issues with access to healthcare and rising costs pushing families into poverty. The key components of Ayushman Bharat are the creation of 150,000 Health and Wellness Centers to deliver comprehensive primary healthcare and the Pradhan Mantri Jan Arogya Yojana, which provides health insurance coverage to poor families. The document outlines the initiatives, organization of primary healthcare services, and key features of Ayushman Bharat.
The document discusses primary healthcare in India and proposes a solution to universalize access. It begins with defining primary healthcare and describing its eight essential components. It then analyzes India's current healthcare system metrics on expenditures, physician/beds ratios, and life expectancy compared to other countries. The National Rural Health Mission aims to address rural problems through community healthcare workers called ASHAs. Case studies from Maharashtra, Gujarat, Punjab, and Haryana demonstrate how IT solutions have improved primary healthcare delivery by streamlining processes, monitoring health outcomes, and reducing costs. The proposed solution would build on these approaches and leverage technology, community participation, and public-private partnerships.
Primary Health Care Strategy:
Key Directions for the Information Environment. Case study report and composite success model.
Steve Creed & Philip Gander
This document summarizes awards and events from New Jersey community health centers during National Health Center Week and other recent times. It discusses the Henry J. Austin Health Center winning the 2016 Helping Build Healthy Communities Award. It also describes several New Jersey health centers receiving awards from HHS for improving health outcomes and care quality as well as implementing health information technology and increasing access to oral healthcare. The document provides an overview of various events held by New Jersey health centers during National Health Center Week to engage their communities.
Winnunga-AMC is an Aboriginal community controlled health service located in Canberra that has been providing services for close to 30 years. It has a team of over 30 clinical and support staff that provide comprehensive primary healthcare services including medical, dental, allied health and social services. Winnunga sees over 5000 individual clients each year and had over 37,000 service contacts in 2011-2012. It plays a key role in clinical training and education and has plans to expand its facilities to meet growing community needs.
This inaugural NYeC | PCIP Learning Series is targeted at DSRIP PPS leads, service providers, and others who would like to learn more about New York State’s current and future programs to increase HIT adoption, usage, and practice transformation.
In this first session, we will focus on two tactical areas. First, how DSRIP PPS leaders can analyze participating provider data to facilitate project planning, outreach, and program success. Second, an industry expert from Primary Care Development Corp will provide a helpful overview of how organizations can prepare for and achieve Patient Centered Medical Home (PCMH) recognition.
There will be more sessions to follow and we welcome your input to help shape future content to assist those working to transform healthcare in New York State.
Agenda:
• 9:00 am - Welcome, Programs Update (REC, EP2, NYS PTN)
• 9:10 am - DSRIP – PPS Provider Analysis Reporting and Outreach
• 9:30 am - PCMH – Overview and Readiness
• 9:50 am - Q&A, Call for future subjects
May 14, 2015
Health and wellness center by Dr. Jitender, MD PGIMERYogesh Arora
Health and wellness center is one of the two component of Ayushmann Bharat. HWC ensures comprehensive, quality, and affordable care to be achieved by all.
Dr Aillen Keel CBE (Deputy CMO)'s keynote speech 'Better Health After Cancer,' at the SCPN's 'Be Active Against Cancer Conference,' Tuesday 4th February 2014.
News from the Coal Face: There’s light at the end of the tunnel. Presented by Dr Andrew Miller, General Practitioner, at HINZ 2014, 11 November 2014, 4.30pm, Marlborough Room
Tim Kendall: NICE patients' experience standardsThe King's Fund
Professor Tim Kendall, Director, National Collaborating Centre for Mental Health, introduces the new NICE quality standards for mental health service user experience.
The document provides an agenda and background information for a stakeholder scoping workshop on long term conditions. The workshop aims to define the scope of a joint strategic needs assessment on long term conditions by gaining consensus on key conditions and cross-cutting themes to focus on. Presentations will cover the changing landscape of long term conditions, definitions and prevalence locally, and identifying priority conditions and common issues. Breakout groups will discuss potential conditions and themes to prioritize. Understanding local data availability and stakeholder priorities will help shape the needs assessment.
This document summarizes health care systems for American Indians and Alaska Natives in the United States. It discusses the history of the Indian Health Service and the federal trust agreement to provide health services. It outlines the current Indian Health System and health disparities facing American Indian populations. Emerging health issues like obesity, suicide, and HIV are also examined. The challenges of serving diverse tribal populations across vast geographic areas with limited funding and resources are discussed. The document concludes by describing the Johns Hopkins Center for American Indian Health and its role in partnerships and research to help address health needs.
The document discusses universalizing access to primary healthcare in India. It outlines the current healthcare structure and reasons for poor access, including insufficient funding, lack of availability and affordability. It proposes a roadmap to improve the system through measures like increasing infrastructure and availability of resources, improving human resource management, strengthening regulations, and public-private partnerships. The goal is to ensure equitable, affordable and quality healthcare access for all Indians.
Dr. Daniel Gobgab, MD, Secretary General of the Christian Health Association of Nigeria explains the organization's response to HIV/AIDS and the programs CHAN implements to help those in need in partnership with the U.S. government and other donors.
Non-Communicable Disease Control Program by MujahidHOME
This document summarizes several national programs in India that aim to control and prevent non-communicable diseases. It discusses the National Program for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS), the National Program for Control of Blindness, the National Mental Health Program, the National Program for Healthcare of the Elderly, the National Program for Prevention and Control of Deafness, the National Oral Health Program, and programs for organ transplantation, fluorosis control, and iodine deficiency disorders. The document provides background on the objectives, strategies and interventions of each program. It concludes that chronic diseases pose a serious global threat but cost-effective national programs can improve health outcomes.
The Queensland Strategy for Chronic Disease 2005-2015 aims to prevent and better manage chronic diseases through a partnership approach. It involves stakeholders across the healthcare system, from hospitals to general practitioners to community groups. The strategy seeks to promote healthy lifestyles to prevent chronic diseases, identify diseases earlier, and improve management of existing conditions. It focuses on high-risk groups like those in rural areas, Indigenous peoples, culturally diverse communities, and socioeconomically disadvantaged populations.
This document provides an overview of Ayushman Bharat, India's national health protection scheme. It discusses the rationale for the scheme due to issues with access to healthcare and rising costs pushing families into poverty. The key components of Ayushman Bharat are the creation of 150,000 Health and Wellness Centers to deliver comprehensive primary healthcare and the Pradhan Mantri Jan Arogya Yojana, which provides health insurance coverage to poor families. The document outlines the initiatives, organization of primary healthcare services, and key features of Ayushman Bharat.
The document discusses primary healthcare in India and proposes a solution to universalize access. It begins with defining primary healthcare and describing its eight essential components. It then analyzes India's current healthcare system metrics on expenditures, physician/beds ratios, and life expectancy compared to other countries. The National Rural Health Mission aims to address rural problems through community healthcare workers called ASHAs. Case studies from Maharashtra, Gujarat, Punjab, and Haryana demonstrate how IT solutions have improved primary healthcare delivery by streamlining processes, monitoring health outcomes, and reducing costs. The proposed solution would build on these approaches and leverage technology, community participation, and public-private partnerships.
Primary Health Care Strategy:
Key Directions for the Information Environment. Case study report and composite success model.
Steve Creed & Philip Gander
This document summarizes awards and events from New Jersey community health centers during National Health Center Week and other recent times. It discusses the Henry J. Austin Health Center winning the 2016 Helping Build Healthy Communities Award. It also describes several New Jersey health centers receiving awards from HHS for improving health outcomes and care quality as well as implementing health information technology and increasing access to oral healthcare. The document provides an overview of various events held by New Jersey health centers during National Health Center Week to engage their communities.
Winnunga-AMC is an Aboriginal community controlled health service located in Canberra that has been providing services for close to 30 years. It has a team of over 30 clinical and support staff that provide comprehensive primary healthcare services including medical, dental, allied health and social services. Winnunga sees over 5000 individual clients each year and had over 37,000 service contacts in 2011-2012. It plays a key role in clinical training and education and has plans to expand its facilities to meet growing community needs.
4.1.4 AWHN Conference 6 2010 Federation Concert Hall: Cooperation and collaboration between NACCHO & AWHN and the Talking Circle. National Aboriginal Community ControlledHealthOrganisation.Aboriginal Community Controlled Health Service
Aaron Brizell - ECO 17: Transforming care through digital healthInnovation Agency
Presentation by Aaron Brizell, Population Health Programme Manager, Wirral University Teaching Hospital NHS Foundation Trust: The benefits of system-wide population health and analytics at ECO 17: Transforming care through digital health on Tuesday 4 December at Lancaster University, Lancaster
The document discusses population-based screening for non-communicable diseases (NCDs) like diabetes, hypertension, and cancers in India. It notes that NCDs are a leading cause of death and outlines the roles that ASHAs, ANMs, medical officers, and other staff play in screening communities and referring individuals to health facilities for diagnosis and treatment. The goal of population-based screening is to establish a sustainable system for early detection and management of NCDs to improve health outcomes and quality of life.
The Aged Care Emergency (ACE) service provides clinical support and advice to staff in Residential Aged Care Facilities (RACFs) in the Hunter region, helping to determine whether a patient requires emergency department transfer or can be safely treated in the RACF. An evaluation found ACE reduced potentially avoidable ED presentations by 16-19% and hospital admissions by 19%, saving $920,000 annually. When contacted, ACE nurses help coordinate care between RACFs, GPs and hospitals to safely manage patients in the right setting according to their goals of care. The ACE model has improved outcomes for older patients in RACFs through reducing risks of hospitalization and supporting appropriate care in the community.
This document summarizes a community-based HIV/STI case management project in a First Nations community in Saskatchewan. The project aims to decrease new HIV/STI cases, reduce stigma, and build community and professional capacity. A multi-disciplinary mobile team provides culturally-competent care, including testing, treatment, counseling and referrals. Key lessons learned include the importance of community readiness, aligning resources to meet client needs, and effective ongoing partnerships. Evaluation found the project achieved its goals through a quality improvement and evidence-based approach.
Introduction of the NZ Health IT Plan enables better gout management - Reflections of an early adopter. Presented by Peter Gow, Counties Manukau DHB, at HINZ 2014, 12 November 2014, 11.37am, Plenary Room
Nottingham University Hospitals- End of life care improvement collaborative p...RuthEvansPEN
This document describes a quality improvement project at NUH End of Life Care Collaborative to improve the sharing of end-of-life care plans between primary and secondary care settings using an electronic palliative care coordination system (EPaCCS). A multidisciplinary team tested interventions like standardized end-of-life care templates in EPaCCS and education. Initial results showed improved documentation of care preferences on patient discharge from Hayward House hospice. The project aims to expand EPaCCS use hospital-wide to better coordinate end-of-life care between care settings.
Nottingham University Hospitals- End of life care improvement collaborative p...RuthEvansPEN
This document describes a quality improvement project at NUH End of Life Care Collaborative to improve the sharing of end-of-life care plans between primary and secondary care settings using an Electronic Palliative Care Coordination System (EPaCCS). The project team implemented EPaCCS, standardized end-of-life documentation, and provided staff training. Through PDSA cycles, they increased the percentage of fast track patients discharged from Hayward House with an end-of-life care plan on EPaCCS and received positive feedback from community providers and families about improved coordination of care.
This document summarizes a program called the Health & Aboriginal Pathology Program (HAPP) which aims to improve Aboriginal health outcomes in Australia. It does this by [1] recruiting and training Aboriginal Australians to work as pathology collectors and laboratory staff to better serve their communities, [2] providing culturally appropriate health education, screening, and care planning, and [3] creating jobs and career pathways for Aboriginal job seekers in the healthcare sector. The program was piloted in New South Wales in 2010 and showed promising early results, and the authors hope to expand it nationally with support.
Aldo Rolfo, National Clinical Development Manager, Genesis Cancer Care, Austr...GenesisCareUK
A program that seeks to redefine best practice across the drivers of the GenesisCare business (Quality, Access and Efficiency) in order to deliver on their vision of “Innovating Healthcare. Transforming Lives.”
This document provides information about Decision Assist, a project funded by the Australian government to improve palliative care and advance care planning for those in aged care facilities and receiving home care. It discusses the need for the project given Australia's aging population and reforms in aged care. Decision Assist is managed by a consortium of health and aged care organizations and provides phone and online resources for clinical guidance. It also funds 20 linkage projects around Australia to improve connections between aged care and palliative care providers. These projects focus on skills training, care pathways, communication, and addressing the needs of diverse populations. Education is also provided to aged care staff, general practitioners, and through resources, workshops and a mobile app.
This document discusses clinical audit services and provides examples of clinical audits. It describes the process of developing, designing, and conducting clinical audits. Clinical audits measure care quality against standards, identify areas for improvement, and provide recommendations. They also track changes in care over time. The document uses the National Diabetes Audit as a case study. It measures various aspects of diabetes care and outcomes and involves many stakeholders. Reports provide benchmarked data to identify high-risk patients and drive quality improvements. An example is provided of how the audit found more patients were receiving a kidney test, leading to earlier detection and treatment of complications.
Project ECHO aims to expand access to specialty healthcare for common and complex diseases in rural and underserved areas through its teleECHO model. It uses videoconferencing and case-based learning to train primary care providers to safely and effectively treat diseases like hepatitis C. Evaluations show providers gain clinical skills and patients achieve similar treatment outcomes to specialty clinics. The model has been successfully implemented for over a dozen disease areas.
This document summarizes a conference session on crafting advocacy messages for non-communicable diseases (NCDs). The session included presentations on NCD programs in Kenya, including the Healthy Heart Africa initiative to address hypertension. Small group discussions focused on integrating NCD care, key messaging, and gaps. Presenters emphasized the large global burden of NCDs, especially in low and middle income countries, and advocated for integrated NCD prevention and treatment approaches within existing health platforms using a multi-sectoral strategy.
New Zealand has a publicly funded healthcare system with universal coverage. It has a national electronic health record system including a unique patient identifier used for over 20 years. Most primary care practices use comprehensive electronic medical record systems integrated with labs and prescribing. Hospitals use integrated clinical workstations and patient administration systems. The national health IT plan aims to achieve high quality integrated care through shared care programs and national clinical systems like ePrescribing. Standards are developed through HISO and openEHR is used to define content and enable data sharing and secondary use through a shared health information platform.
Dr Derek Thompson: Building a caring futureNuffield Trust
In this slideshow, Dr Derek Thompson, GP and Medical Director at Northumbria Healthcare Foundation Trust, on reducing the length of hospital stay and building a caring future.
Dr Thompson spoke at the Nuffield Trust ‘Reducing the length of stay’ event in September2014.
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPsychoTech Services
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
share - Lions, tigers, AI and health misinformation, oh my!.pptxTina Purnat
• Pitfalls and pivots needed to use AI effectively in public health
• Evidence-based strategies to address health misinformation effectively
• Building trust with communities online and offline
• Equipping health professionals to address questions, concerns and health misinformation
• Assessing risk and mitigating harm from adverse health narratives in communities, health workforce and health system
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
Integrating Ayurveda into Parkinson’s Management: A Holistic ApproachAyurveda ForAll
Explore the benefits of combining Ayurveda with conventional Parkinson's treatments. Learn how a holistic approach can manage symptoms, enhance well-being, and balance body energies. Discover the steps to safely integrate Ayurvedic practices into your Parkinson’s care plan, including expert guidance on diet, herbal remedies, and lifestyle modifications.
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.
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
Role of Mukta Pishti in the Management of Hyperthyroidism
Walgan Tilly 2010
1. Walgan Tilly –
Improving Aboriginal
Chronic Care
James Dunne
A/State-wide Program Director
NSW Health
Artist: Bronwyn Bancroft
Centre for Aboriginal Health
2. Clinical Services Redesign is part of the strategy
to transform the NSW health system
Process Improvement Performance
Increased capacity
Management
Changing the way An additional 2700
we do things to Increased beds funded
improve processes managerial focus between 2004 - 2008
and deliver better on targets and
patient journeys performance
3. Redesign follows a robust framework for
improving clinical processes
Project Solution Implementation Implementation Sustainability
Diagnostic Monitoring
Initiation Development
• Frontline staff use the methodology
• Identify issues across the patient journey
• Design solutions
• Implement the best solutions
• Ensure we analyse problems before developing solutions by
utilising data analysis, project & change management
• Delivers long-term sustainable changes
4. 120+ projects have resulted in new ways of
delivering better care for patients & carers
New Models of Care have been published
18 best practice Models of Care have been
captured http://www.archi.net.au
New Tools have been developed
Including ambulance arrivals board, Ambulance Clinical
Services Matrix, electronic bed board, WAND, risk
assessment tools (e.g falls, delirium), and demand
management tools
New Approaches have been designed
Including fast track zones, Medical Assessment Units,
Patient Flow Units, hospital avoidance initiatives,
Hospitalists
BUT…rollout & sustainability still an issue
5. Aboriginal Chronic Care
• Would Redesign work in Aboriginal Health?
• What needed to be different?
• What are we actually dealing with?
• How can Redesign contribute to improving the health of
Aboriginal people?
6. Chronic Disease in NSW
Percentage Long Term Conditions
(ABS 2007 NSW Indigenous Health Status)
25
20
15
%
10
5
0
Arthritis Asthma Diabetes/high sugar Heart and High blood High blood pressure Neoplasms
levels circulatory cholesterol
problems/diseases
Indigenous Non-Indigenous
7. Closing the Gap
Aboriginal life expectancy rates are still considerably
lower than non-Indigenous Australians.
8. Younger Population
The Aboriginal population is generally younger than
the non-Aboriginal population.
NSW Dept Health (2006) – E‐CHO Report of the NSW Chief Health Officer
NSW Dept Health (2006) – E-CHO Report of the NSW Chief Health Officer
9. Dying Younger
Aboriginal and Torres Strait population is dying younger
than the non-Indigenous population.
OATISH – Aboriginal and Torres Strait Islander Health Performance Framework – 2008 Report
10. The experts said:
• Poor identification of Aboriginal patients in Area Health
Services
• Screening for Chronic disease in Aboriginal patients
not happening
• Insufficient resources to conduct care in the home and
in the community
• Poor communication between primary and secondary
providers
11. Patients and Carers said:
• No regular GP
• Limited after hours support services
• Lack of Aboriginal health staff across all services
• Affordability of medical services, specialist services
and medications
• Cost of travel and accommodation for care
• Transport
• No follow up on discharge, no treatment plans
12. Walgan Tilly - Aboriginal Specific Redesign
• Practical steps and real
solutions to improving access
to chronic disease services.
• Building working
relationships between
Aboriginal and mainstream
chronic disease services
• Identification and sharing of
best practice in meeting the
needs of Aboriginal people
with chronic disease
13. Walgan Tilly – An overview
• Three diagnostic site visits
• Over 80 Key Stakeholder Interviews
• 26 Patient and Carer Interviews
• 68 people involved in patient journey process mapping
• 14 Validation workshops (involving approximately 250 people)
• 13 Area and Justice Health solution workshops (involving
approximately 350 people)
• Literature scan – ‘Food for thought’ document
• Data analysis of available health data – HIE, Medicare, ABS
• Now at Implementation, complete in June 2010
14. Scope of Practice
• Aboriginal people 15 years & over with or at risk
of a chronic disease
– Heart
– Diabetes
– Lung
– Kidney
15. State Wide Solutions
• Model of Care for Aboriginal People
• Integration of Aboriginal Health and mainstream
Chronic Care
• Greater Aboriginal cultural awareness and cultural
sensitivity of services
• Justice Health linkages
• Improved access to primary care
• Improved data quality
16. Area Health Solutions
NCAHS • Model of care.
GSAHS • Aboriginal cultural awareness program to be included in essential (mandatory) training for GSAHS staff, and offered to
other service partners.
• Shared private/public holistic model of care for Aboriginal people with or at risk chronic disease.
GWAHS • Implementation of the Women’s Elders program.
• Reintroduction of the Well Person’s Health Check.
• Introduction of the S100 medication program.
• IPTASS education for Medical Offices.
• Enhanced use of the AHW in the client/doctor interaction.
• Introduction of care plans by multi-disciplinary teams.
• Standardise the hand-over procedure between services.
HNEAHS • Improve the access to mainstream renal and chronic disease services for the Aboriginal community.
NSCCAHS • Further consultation (including with Aboriginal community) in solution design.
• Identify Aboriginal patients/clients with documented process and follow-up.
• Closer local analysis of causes of cost issues.
SSWAHS • Culturally sensitive and effective discharge including 24 hour follow-up service.
• Provision of Care/Prevention.
SWAHS • Models of Care-Identify and Modify.
• 24-48 Hour follow-up service.
• Model of Care-Health Checks.
SESIAHS • Link into existing mainstream transport systems in partnership with the “Transport for Health” project for equitable access
to services.
• Compile a resource directory of mainstream health services to distribute to the Aboriginal community.
• Provide and promote evidence based chronic care education to the Aboriginal community.
Justice Health • To ensure that Aboriginal people in custody in NSW Correctional Centres and Juvenile Justice Centres with and at risk of
chronic conditions access and utilise existing chronic disease and care services.
18. Key Performance Indicators
Indicator Target
Commence implementation of Aboriginal Chronic Disease Management Walgan Tilly
Area specific as per Walgan Tilly
Project solutions
PAS identification of Aboriginal people consistent with PD2005_547 Aboriginal and <1% unknown responses +
Torres Strait Islander origin – recording of information of patients and clients mandatory training
% of Aboriginal people with a chronic disease participating in and completing in a
60 %
Rehab, ComPacks or CAPAC program
% of Aboriginal patients with chronic disease followed up within 48 hours or 2
working days of a discharge from hospital, by any member of the agreed health 90%
provider team
21. Improve Data Quality
• Identification of Aboriginal people
• The standard question to ask is:
“Are you of Aboriginal or Torres Strait Islander origin?”
22. Identification Data
% of Inpatient Separations without Aboriginal Indicator Recorded
Facility Type 'H' or 'M' Only
1.40%
1.20%
1.00%
0.80% 2007/08
2008/09
0.60%
2009/10
0.40%
0.20%
0.00%
Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun
Demand Performance Evaluation Branch, NSW Department of Health 2007-2010 HIE data- admitted patients
23. 48 Hour Follow up
Processes will need to be tailored to each facility Follow up takes place
Remaining in
Discharge Discharge
Identification Acute Care the
Planning Information
community
Processes to keep Information provided to 48 hour follow up
As soon as Chronic Commences at
patient informed of patient / family takes place
Care patient who admission
identifies as Aboriginal discharge regarding discharge
proceedings – patient requirements, plans, Linking patients to
arrives at facility Family involvement
able to decline follow medications appropriate services
Standard method of Patient involved and up
Discharge summaries, Phone call
notification, e.g. ward aware of 48 hour follow
NUM, ALO, DC up process Patient clinical / social phone numbers and
networks and future information forwarded Home visit
planner, pager
Linked directly to follow requirements defined to person responsible
up process and person for follow up
responsible
Transfer of information and reporting processes
24. 48 Hour Follow up Data
Data collected by Area Health Services and reported to Chronic Care for Aboriginal People Program, NSW Health
26. Clinical Indicators
• HbA1c – Diabetes
• Spirometry – Respiratory
• Blood pressure – Heart
• Albumin to Creatinine Ratio - Kidney
27. Challenges
• Identification of Aboriginal patients
• Workforce – clinical and non clinical positions, getting
the mix right
• Data/IT - Sharing of information across services &
settings
• Executive Sponsorship
• Partnerships between Aboriginal Health and other
services
• Developing trust with Aboriginal patients
28. Working in Aboriginal Health
• Find out how the community works, community
protocol and leaders
• Consider the capacity of other providers to contribute
to project
• Respect what people do well
• Develop local protocols with local stakeholders
• Listen to what is NOT being said
• Respect Cultural & Family obligation of Aboriginal staff
• Acknowledge local expertise
• Don’t promise what you can’t deliver
29. Next Steps
• Work with Commonwealth on National Partnership
Agreement “Closing the Gap”
• Finalise implementation of State and Local solutions
• Work with Area Health Services on sustainability of
project solutions
• Integrate solutions into mainstream chronic care
strategies
• Align project with any future initiatives around chronic
disease
• Evaluate the project
30. Key messages - Chronic Care for Aboriginal
People Program
• Redesign does work in Aboriginal Health
• Importance of trust, listening and building relationships
• Long term process
31. Acknowledgements
• Area Health Service Project Leads
• Area Managers Aboriginal Health
• Executive Sponsors
• Participating Aboriginal communities
• Clinical Services Redesign Teams
• Many contributors & advisors
32. Chronic Care for Aboriginal People Program
• Raylene Gordon – Program Manager
• Eunice Simons – Senior Project Officer
• Rachael Havrlant – Senior Project Officer