Keynote presentation for Indiana HIMSS Midwest Fall Technology Conference on October 24, 2017, honoring the life of patient advocate and healthcare industry change champion, Jess Jacobs. Addresses the value of "value-based care" from the perspective of a chronic and complex patient who captured, quantified, analyzed, and shared her journey navigating her care - and specific ways we, collectively, can improve similar experiences for others.
How to Evaluate Emerging Healthcare Technology with Innovative AnalyticsHealth Catalyst
As healthcare systems are pressured to cut costs and still provide high-quality care, they will need to look across the care continuum for answers, reduce variation in care, and look to emerging technologies. This article walks through how to evaluate the safety and effectiveness and of emerging healthcare technology and prioritize high-impact improvement projects using a robust data analytics platform. Topics covered include:
The importance of identifying variation in innovation.
Ways to improve outcomes and decrease costs.
The value of an analytics platform.
The reliable information that produce sparks for innovation.
Identifying and evaluating emerging healthcare technology.
Knowing what data to use.
The difference between efficacy and effectiveness in evaluation of emerging healthcare technology.
The Modern Care Management Team: Tools and Strategies Evolve, but the Outcome...Health Catalyst
The care management team concept has evolved over the last decade to be more patient- and data-driven. Truly modern care management teams—those that represent the future of care management—provide team-based care that is carefully planned, comprehensive, highly coordinated, data driven, evidence based, seamless, and patient centric. But what’s equally important as being patient-centric and patient-driven, is relying on a comprehensive, effective care management system—a suite of tools with features in five core competencies:
Data integration.
Patient stratification and intake.
Care coordination.
Patient engagement.
Performance measurement.
As the industry’s care management teams continue to evolve (e.g., using predictive analytics to proactively identify patients), their primary goal remains: achieving optimal outcomes for the patients they serve.
1) 58% of Medicare payments in 2013 were tied to fee-for-service models, while collective challenges going forward will be gauging payment reform progress and its effects on quality and value of care.
2) Since 2011, hospital-acquired conditions have fallen by 17% saving $12 billion and 50,000 lives, representing progress in quality and efficient spending.
3) The Medicare 30-day readmission rate fell to 17.5% in 2013 translating to 150,000 fewer readmissions, showing impact of initiatives to reduce unnecessary readmissions.
Vivametrica Company Introduction April 15, 2015Rosabel Bong
Vivametrica is led by doctors and researchers who have developed clinically-validated algorithms to analyze data from wearables and predict chronic disease risks. They provide analytics services for enterprises to assess wellness program effectiveness, device manufacturers to add user value, and personal injury lawyers to augment assessments. Their focus is on research and analytics to standardize data from any device, assess risks like heart disease and diabetes, calculate VO2max, and help modify behaviors.
Measuring the Value of Care Management: Five Tools to Show ImpactHealth Catalyst
To earn legitimacy and resources within a healthcare organization, care management programs need objective, data-driven ways to demonstrate their success. The value of care management isn’t always obvious; while these programs may, in fact, be responsible for improvements in critical metrics, such as reducing readmissions, C-suite leaders need visibility into care management’s impact and processes to understand precisely how they’re improving care and lowering costs at their organizations.
Five analytics-driven technologies give healthcare leaders a comprehensive understanding of care management performance:
The Patient Stratification Application
The Patient Intake Tool
The Care Coordination Application
The Care Companion Application
The Care Team Insights Tool
The document provides information about a team working on improving MRI coils. Over 10 weeks, the team conducted interviews with various medical experts and learned that their original hypotheses were incorrect. They discovered that hospitals almost never purchase equipment directly from small vendors. Instead, MRI coils are usually bundled with scanners and purchased from large OEM manufacturers. The team updated their business model based on these learnings and realized they need to focus on creating value for OEMs in order to be successful.
10 Motivational Interviewing Strategies for Deeper Patient Engagement in Care...Health Catalyst
Care management programs are most successful when patients are deeply engaged in their own care. Using the motivational interviewing technique, care managers work with patients to identify personal care goals and motivators to follow the care management program.
Ten strategies guide the motivational interviewing process, each focusing on patient-centered insights (e.g., pros and cons to following care management and barriers to adherence). With mobile technology to support these interactions, motivational interviewing can become a seamless, and vital, part of the care management workflow.
We spent time collecting healthcare factoids that show key trends driving the need for data in healthcare. And now, we’ve put it into an easy-to-view, shareable, memorable presentation to use as you see fit. You can use these factoids to help you make a case for reducing healthcare waste or get pointers for your next IT project. You can even use a few of them to predict the future of healthcare.
How to Evaluate Emerging Healthcare Technology with Innovative AnalyticsHealth Catalyst
As healthcare systems are pressured to cut costs and still provide high-quality care, they will need to look across the care continuum for answers, reduce variation in care, and look to emerging technologies. This article walks through how to evaluate the safety and effectiveness and of emerging healthcare technology and prioritize high-impact improvement projects using a robust data analytics platform. Topics covered include:
The importance of identifying variation in innovation.
Ways to improve outcomes and decrease costs.
The value of an analytics platform.
The reliable information that produce sparks for innovation.
Identifying and evaluating emerging healthcare technology.
Knowing what data to use.
The difference between efficacy and effectiveness in evaluation of emerging healthcare technology.
The Modern Care Management Team: Tools and Strategies Evolve, but the Outcome...Health Catalyst
The care management team concept has evolved over the last decade to be more patient- and data-driven. Truly modern care management teams—those that represent the future of care management—provide team-based care that is carefully planned, comprehensive, highly coordinated, data driven, evidence based, seamless, and patient centric. But what’s equally important as being patient-centric and patient-driven, is relying on a comprehensive, effective care management system—a suite of tools with features in five core competencies:
Data integration.
Patient stratification and intake.
Care coordination.
Patient engagement.
Performance measurement.
As the industry’s care management teams continue to evolve (e.g., using predictive analytics to proactively identify patients), their primary goal remains: achieving optimal outcomes for the patients they serve.
1) 58% of Medicare payments in 2013 were tied to fee-for-service models, while collective challenges going forward will be gauging payment reform progress and its effects on quality and value of care.
2) Since 2011, hospital-acquired conditions have fallen by 17% saving $12 billion and 50,000 lives, representing progress in quality and efficient spending.
3) The Medicare 30-day readmission rate fell to 17.5% in 2013 translating to 150,000 fewer readmissions, showing impact of initiatives to reduce unnecessary readmissions.
Vivametrica Company Introduction April 15, 2015Rosabel Bong
Vivametrica is led by doctors and researchers who have developed clinically-validated algorithms to analyze data from wearables and predict chronic disease risks. They provide analytics services for enterprises to assess wellness program effectiveness, device manufacturers to add user value, and personal injury lawyers to augment assessments. Their focus is on research and analytics to standardize data from any device, assess risks like heart disease and diabetes, calculate VO2max, and help modify behaviors.
Measuring the Value of Care Management: Five Tools to Show ImpactHealth Catalyst
To earn legitimacy and resources within a healthcare organization, care management programs need objective, data-driven ways to demonstrate their success. The value of care management isn’t always obvious; while these programs may, in fact, be responsible for improvements in critical metrics, such as reducing readmissions, C-suite leaders need visibility into care management’s impact and processes to understand precisely how they’re improving care and lowering costs at their organizations.
Five analytics-driven technologies give healthcare leaders a comprehensive understanding of care management performance:
The Patient Stratification Application
The Patient Intake Tool
The Care Coordination Application
The Care Companion Application
The Care Team Insights Tool
The document provides information about a team working on improving MRI coils. Over 10 weeks, the team conducted interviews with various medical experts and learned that their original hypotheses were incorrect. They discovered that hospitals almost never purchase equipment directly from small vendors. Instead, MRI coils are usually bundled with scanners and purchased from large OEM manufacturers. The team updated their business model based on these learnings and realized they need to focus on creating value for OEMs in order to be successful.
10 Motivational Interviewing Strategies for Deeper Patient Engagement in Care...Health Catalyst
Care management programs are most successful when patients are deeply engaged in their own care. Using the motivational interviewing technique, care managers work with patients to identify personal care goals and motivators to follow the care management program.
Ten strategies guide the motivational interviewing process, each focusing on patient-centered insights (e.g., pros and cons to following care management and barriers to adherence). With mobile technology to support these interactions, motivational interviewing can become a seamless, and vital, part of the care management workflow.
We spent time collecting healthcare factoids that show key trends driving the need for data in healthcare. And now, we’ve put it into an easy-to-view, shareable, memorable presentation to use as you see fit. You can use these factoids to help you make a case for reducing healthcare waste or get pointers for your next IT project. You can even use a few of them to predict the future of healthcare.
Three Data-Informed Ways to Drive Optimal Pediatric CareHealth Catalyst
Pediatric care has unique challenges, such as communicating with young patients through a parent or guardian and assessing pain levels with children. To overcome these challenges, organizations can rely on operational data to target pediatric improvement areas that lead to lower costs and higher profit margins.
Leveraging operational data—instead of focusing solely on pediatric outcomes data—can reveal opportunities for health systems to improve pediatric patient access and, in turn, increase revenue. Organizations can deliver higher quality pediatric care while increasing profits by implementing three data-informed strategies:
1. Maximize space utilization.
2. Improve patient scheduling.
3. Implement virtual care.
Healthcare Process Improvement: Six Strategies for Organizationwide Transform...Health Catalyst
Healthcare processes drive activities and outcomes across the health system, from emergency department admissions and procedures to billing and discharge. Furthermore, in the COVID-19 era’s uncertainty, process quality is an increasingly important driver in care delivery and organizational success. Given this broad scope of impact, process improvement is intrinsically linked to better outcomes and lower costs. Six strategies for healthcare process improvement illustrate the roles of strategy, skillsets, culture, and advanced analytics in healthcare’s continuing mission of transformation.
Shaping your business together with patients Smartees WebinarInSites on Stage
This is the full slidedeck of our Smartees Webinar on 'Shaping your business together with patients', hosted on June 9 and streamed life from our Ghent office. Presentation by Christophe Jauquet (Business Director Health & Medical) & Sarah Van Oerle (Reserach Consultant).
Linking Clinical and Financial Data: The Key to Real Quality and Cost Outcome...Health Catalyst
Since accountable care took the healthcare industry by a storm in 2010, health systems have had to move from their predictable revenue streams based on volume to a model that includes quality measures. While the switch will ultimately improve both quality and cost outcomes, health systems now need the capability of tracking and analyzing the data from both clinical and financial systems. A late-binding enterprise data warehouse provides the flexible architecture that makes it possible to liberate both kinds of data to link it together to provide a full picture of trends and opportunities.
The Able Health Quality Measures Solution: Why a Comprehensive Approach MattersHealth Catalyst
Able Health combines all claims and clinical data from a health system’s data sources (inside and outside of the hospital) into one location, allowing healthcare leaders to focus more on improving care and less on data management. The combination of a measures engine that calculates performance, a performance dashboard that displays measure performance, and a submission engine that submits data to payers, all powered by the Health Catalyst® Data Operating System (DOS™), enables health systems to identify areas for improvement based on one complete picture of quality performance.
Predictions, Hopes and Aspirations for U.S. Healthcare in 2015Health Catalyst
Predicting events in healthcare, especially year to year, is incredibly easy because healthcare advances at a glacial rate. Any significant changes that do happen in a year are rare. The IRS and public education may be the only other institutions that move at such a creeping, crawling, reluctant pace. But that's not to say predictions aren't worth trying. And lately, there have been some interesting developments for the healthcare industry that could mean some intriguing change is finally coming our way.
Please join Dale Sanders as he makes his predictions for 2015, some serious, some irreverent, and some simply hopeful aspirations, but all thought provoking and worthy of discussion. Unlike his past webinars where he does all the talking, this time Dale wants to hear from you. So, we'll be opening up the audio lines to give you the opportunity to share your thoughts and votes on Dale's predictions, and share your own predictions for 2015 and beyond, too.
The discussion will cover the following, and more:
The barriers that stand in the way of significant year-to-year changes in US healthcare
The pending Supreme Court decision on state-level insurance subsidies
Mergers & Acquisitions
The looming reality of hidden patient costs from narrow insurance plans
Why the future of healthcare lies in the hands of physicians and patients, not hospitals and insurance companies
And in a less obvious twist, discover how the Denver Broncos will win the next five Super Bowls using spliced genetics.
It's always fun to look ahead and try to predict what might or might not happen. Come prepared to share your opinions,vote on Dale's predictions, and join in for a candid and lively conversation.
Dr. Paul Sundberg - Working On Our Preparedness, Producer UpdateJohn Blue
Working On Our Preparedness, Producer Update - Dr. Paul Sundberg, Science & Technology, National Pork Board, from the 2015 Pork Industry Forum, March 5-7, 2015, San Antonio, TX, USA.
More presentations at http://www.swinecast.com/2015-national-pork-industry-forum
COVID-19 Capacity Planning Tool Live Demo and Q&AHealth Catalyst
COVID-19 has created unprecedented strain on hospital capacity and resources. For some of you, you’re already over capacity; for the rest, you know capacity challenges are coming. We are in uncharted territory, all trying to do what we can to help.
In our attempt to help healthcare systems weather the storm, we created the Capacity Planning Tool to address capacity needs throughout your healthcare system—for COVID-19 and all your other patients. We started with the Penn Med Epidemic Model and added capacity planning, starting with the scarcest resources—beds and ventilators—and then we’ll focus on the dramatic increase in the need for PPE, other respiratory equipment, and staffing.
We have already made the Capacity Planning Tool available to everyone (the tool can be found here: https://www.healthcatalyst.com/covid1...). In this session, our experts explain the tool and how it’s best leveraged.
In this demo the topics we cover include:
- What the Capacity Planning Tool is
- How the tool will evolve
- How you can use the tool
- How to get additional help if needed
- Live Q&A session with our experts
Steps for Effective Patient and Staff Contact Tracing to Defend Against COVID...Health Catalyst
While the world waits for a vaccine or effective treatment for COVID-19, managing disease spread is paramount. For health systems, patient and staff contact tracing is one of the top transmission-control strategies. Because the virus appears to spread mainly through respiratory droplets from person-to-person contact, knowing where infected individuals have been and with whom they’ve been in contact is an essential capability. With this insight, organizations can manage transmission with data-driven emergency planning and monitoring capabilities. The resulting appropriate and timely workflow modifications will serve disease control efforts during the 2020 pandemic and help health systems prepare for future outbreaks.
Preventing Medication Errors: A $21 Billion OpportunityHealth Catalyst
With a potential industry-wide savings of almost $21 billion and an impact on more than seven million patient lives, preventing harmful medication error is a significant improvement opportunity for health systems. Also known as adverse drugs events (ADEs), harmful medication errors comprise about 37 percent of all medical harm. Approximately 50 percent of ADEs are preventable, making their reduction a highly impactable area of patient safety.
Current data and analytics workflow tools are making ADE surveillance, monitoring, and prevention increasingly more effective with four key capabilities:
Perspective surveillance for ADEs and identification of previously undescribed ADEs.
Identification of the root cause of many ADEs by drug class.
Prescription at appropriate doses for patients with compromised kidney or liver functions.
Identification of different types of harm to find causes.
Improving Strategic Engagement for Healthcare CIOs with Five Key QuestionsHealth Catalyst
A healthcare CIO’s role can demand such an intense focus on technology that IT leaders may struggle to find natural opportunities to engage with their C-suite peers in non-technical conversations. To bridge the gap, healthcare CIOs can answer five fundamental questions to better align their programs with organizational strategic goals and guide IT services to their full potential:
Whom do we serve?
What services do we provide?
How do we know we are doing a great job?
How do we provide the services?
How do we organize?
Pairing HIE Data with an Analytics Platform: Four Key Improvement CategoriesHealth Catalyst
Population health and value-based payment demand data from multiple sources and multiple organizations. Health systems must access information from across the continuum of care to accurately understand their patients’ healthcare needs beyond the acute-care setting (e.g., reports and results from primary care and specialists). While health system EHRs have a wealth of big-picture data about healthcare delivery (e.g., patient satisfaction, cost, and outcomes), HIEs add the clinical data (e.g., records and transactions) to round out the bigger picture of patient care, as well as the data sharing capabilities needed to disseminate the information.
By pairing HIE capability with an advanced analytics platform, a health system can leverage data to improve processes in four important outcomes improvement areas:
Workflow
Machine learning
Professional services
Data governance
Four Effective Opioid Interventions for Healthcare LeadersHealth Catalyst
The crisis of opioid abuse in the U.S. is well known. What may not be so well known are the ways for clinicians and healthcare systems to minimize misuse of these addictive drugs. This article describes the risks for patients when they are prescribed opioids and the need for opioid intervention. It offers four approaches that healthcare systems can take to tackle the crisis while still relieving pain and suffering for the patients they serve:
Use data and analytics to inform strategies that reduce opioid availability
Adopt prescription drug monitoring programs to prevent misuse
Adopt evidence-based guidelines
Consider promising state strategies for dealing with prescription opioid overdose
Opioid misuse is a public health epidemic, but treatments are available and it’s time for those involved in the delivery of healthcare to change practices.
This document presents research on the impact of weekly work hours for health employees on patient satisfaction. The researchers gathered data from 2008 on average weekly work hours, hospital cleanliness, employee salaries, and noise levels to create a regression model testing the hypothesis that more work hours leads to lower patient satisfaction. However, the results did not provide a clear conclusion as none of the coefficients were statistically significant. The researchers believe using different data sources and arbitrary cutoff values for control variables weakened the analysis. Overall, the study was unable to determine the effect of weekly work hours on patient satisfaction.
Health Equity: Why it Matters and How to Achieve itHealth Catalyst
According to the Robert Wood Johnson Foundation, health equity is achieved when everyone can attain their full health potential and no one is disadvantaged from achieving this potential because of social position of any other socially defined circumstance.
Without health equity, there are endless social, health, and economic consequences that negatively impact patients, communities, and organizations. The U.S. ranks last on measures of health equity compared to other industrialized countries. Healthcare contributes to this problem in many ways, including ignoring clinician biases toward certain populations and overlooking the importance of social determinants of health.
Fortunately, there are effective, tested steps organizations can take to tackle their health inequities and disparities (e.g., incorporating nonmedical vital signs into their health assessment processes and partnering with community organizations to connect underserved populations with the services they need to be healthy). Some health systems, such as Allina Health, have achieved impressive results by making health equity a systemwide strategic priority.
Why Clinical Quality Should Drive Healthcare Business StrategyHealth Catalyst
Health systems feel mounting pressure to demonstrate ROI from analytics investments but are faced with inefficacies and delays. Fortunately, the Rapid Response Analytics Solution delivers a 10x increase in analytics productivity and a 90 percent decrease in the time required to develop new analytic insights. The Rapid Response Analytics Solution solves these tough analytics problems through two primary elements: curated, modular data kits called DOS Marts; and Population Builder, a powerful self-service tools that lets any time of user, from physician executive to frontline nurse, explore data and quality build cohorts of patients without relying on IT staff and with no need for sophisticated and customized SQL and data science coding.
Healthcare Best Practices in Data Warehousing & AnalyticsDale Sanders
The document discusses the history and evolution of data warehousing. It notes that data warehousing emerged due to technological limitations that prevented transactional and analytical uses of data on the same platform. Early stages included departments storing unused data to avoid tape changes and government projects consolidating databases. Factors like business reengineering and a focus on continuous improvement drove more analytical uses of data. Key lessons discussed include the importance of business culture supportive of fact-based decision making and managing political issues raised by data warehouses. The document advocates for keeping metadata simple and focused on understandability and findability of data.
Employee Engagement During COVID-19: Using Culture to Manage Stress, Maintain...Health Catalyst
As organizations confront a post-COVID-19 world, leaders must balance pandemic-driven practices and environments with team member eagerness to and uncertainty towards returning to business as usual. Even though ongoing fear and stress are inevitable, leaders and managers can use a positive workplace culture to support employees, engage their teams, and foster productivity. Safe, reliable access to health and wellness, remote mental health resources, and consistent communications will help organizations establish and maintain a positive culture that remains a steadfast source of support as the healthcare industry navigates the next phases of COVID-19.
Precision Medicine: Four Trends Make It PossibleHealth Catalyst
When realized, the promise of precision medicine (to specifically tailor treatment to each individual) stands to transform healthcare for the better by delivering more effective, appropriate care. To date, to achieve precision medicine, health systems have faced financial, data management, and interoperability barriers. Current trends in healthcare, however, will give researchers and clinicians the quality and breadth of health data, biological information, and technical sophistication to overcome the challenges to achieving precision medicine.
Four notable trends in healthcare will bolster to growth of precision medicine in the coming years:
Decision support methods harness the power of the human genome.
Healthcare leverages big data analytics and machine learning.
Reimbursement methods incentivize health systems to keep patients well.
Emerging tools enable more data, more interoperability.
Suitability & Capability of Pharmaceutical Measurement SystemsAjaz Hussain
The document discusses pharmaceutical quality assurance and the suitability and capability of measurement systems. It notes that the objective in clinical trials is to reduce the difference between expected and observed outcomes. However, expectancy effects can influence observations and remove the double-blinding can lead to differences again. The document then discusses several studies on the placebo effect and nocebo effect, how expectations and anxiety can influence pain perception. It also discusses the need to change business models to account for patient experiences with drugs and the importance of assurance in the pharmaceutical industry.
Digital Health Revolution and the Opportunity for Dietitians to Lead Viable Synergy LLC
This is a presentation that was given at the 96th Annual Conference of the Ohio Academy of Nutrition and Dietetics conference on May 18, 2017. During the session we discussed the rise of digital health and its impact and role in health and healthcare delivery. Innovative software, hardware, and communication solutions were described and use cases discussed. Innovative programs and services being provided by dietitians in our region and around the world were highlighted.
Three Data-Informed Ways to Drive Optimal Pediatric CareHealth Catalyst
Pediatric care has unique challenges, such as communicating with young patients through a parent or guardian and assessing pain levels with children. To overcome these challenges, organizations can rely on operational data to target pediatric improvement areas that lead to lower costs and higher profit margins.
Leveraging operational data—instead of focusing solely on pediatric outcomes data—can reveal opportunities for health systems to improve pediatric patient access and, in turn, increase revenue. Organizations can deliver higher quality pediatric care while increasing profits by implementing three data-informed strategies:
1. Maximize space utilization.
2. Improve patient scheduling.
3. Implement virtual care.
Healthcare Process Improvement: Six Strategies for Organizationwide Transform...Health Catalyst
Healthcare processes drive activities and outcomes across the health system, from emergency department admissions and procedures to billing and discharge. Furthermore, in the COVID-19 era’s uncertainty, process quality is an increasingly important driver in care delivery and organizational success. Given this broad scope of impact, process improvement is intrinsically linked to better outcomes and lower costs. Six strategies for healthcare process improvement illustrate the roles of strategy, skillsets, culture, and advanced analytics in healthcare’s continuing mission of transformation.
Shaping your business together with patients Smartees WebinarInSites on Stage
This is the full slidedeck of our Smartees Webinar on 'Shaping your business together with patients', hosted on June 9 and streamed life from our Ghent office. Presentation by Christophe Jauquet (Business Director Health & Medical) & Sarah Van Oerle (Reserach Consultant).
Linking Clinical and Financial Data: The Key to Real Quality and Cost Outcome...Health Catalyst
Since accountable care took the healthcare industry by a storm in 2010, health systems have had to move from their predictable revenue streams based on volume to a model that includes quality measures. While the switch will ultimately improve both quality and cost outcomes, health systems now need the capability of tracking and analyzing the data from both clinical and financial systems. A late-binding enterprise data warehouse provides the flexible architecture that makes it possible to liberate both kinds of data to link it together to provide a full picture of trends and opportunities.
The Able Health Quality Measures Solution: Why a Comprehensive Approach MattersHealth Catalyst
Able Health combines all claims and clinical data from a health system’s data sources (inside and outside of the hospital) into one location, allowing healthcare leaders to focus more on improving care and less on data management. The combination of a measures engine that calculates performance, a performance dashboard that displays measure performance, and a submission engine that submits data to payers, all powered by the Health Catalyst® Data Operating System (DOS™), enables health systems to identify areas for improvement based on one complete picture of quality performance.
Predictions, Hopes and Aspirations for U.S. Healthcare in 2015Health Catalyst
Predicting events in healthcare, especially year to year, is incredibly easy because healthcare advances at a glacial rate. Any significant changes that do happen in a year are rare. The IRS and public education may be the only other institutions that move at such a creeping, crawling, reluctant pace. But that's not to say predictions aren't worth trying. And lately, there have been some interesting developments for the healthcare industry that could mean some intriguing change is finally coming our way.
Please join Dale Sanders as he makes his predictions for 2015, some serious, some irreverent, and some simply hopeful aspirations, but all thought provoking and worthy of discussion. Unlike his past webinars where he does all the talking, this time Dale wants to hear from you. So, we'll be opening up the audio lines to give you the opportunity to share your thoughts and votes on Dale's predictions, and share your own predictions for 2015 and beyond, too.
The discussion will cover the following, and more:
The barriers that stand in the way of significant year-to-year changes in US healthcare
The pending Supreme Court decision on state-level insurance subsidies
Mergers & Acquisitions
The looming reality of hidden patient costs from narrow insurance plans
Why the future of healthcare lies in the hands of physicians and patients, not hospitals and insurance companies
And in a less obvious twist, discover how the Denver Broncos will win the next five Super Bowls using spliced genetics.
It's always fun to look ahead and try to predict what might or might not happen. Come prepared to share your opinions,vote on Dale's predictions, and join in for a candid and lively conversation.
Dr. Paul Sundberg - Working On Our Preparedness, Producer UpdateJohn Blue
Working On Our Preparedness, Producer Update - Dr. Paul Sundberg, Science & Technology, National Pork Board, from the 2015 Pork Industry Forum, March 5-7, 2015, San Antonio, TX, USA.
More presentations at http://www.swinecast.com/2015-national-pork-industry-forum
COVID-19 Capacity Planning Tool Live Demo and Q&AHealth Catalyst
COVID-19 has created unprecedented strain on hospital capacity and resources. For some of you, you’re already over capacity; for the rest, you know capacity challenges are coming. We are in uncharted territory, all trying to do what we can to help.
In our attempt to help healthcare systems weather the storm, we created the Capacity Planning Tool to address capacity needs throughout your healthcare system—for COVID-19 and all your other patients. We started with the Penn Med Epidemic Model and added capacity planning, starting with the scarcest resources—beds and ventilators—and then we’ll focus on the dramatic increase in the need for PPE, other respiratory equipment, and staffing.
We have already made the Capacity Planning Tool available to everyone (the tool can be found here: https://www.healthcatalyst.com/covid1...). In this session, our experts explain the tool and how it’s best leveraged.
In this demo the topics we cover include:
- What the Capacity Planning Tool is
- How the tool will evolve
- How you can use the tool
- How to get additional help if needed
- Live Q&A session with our experts
Steps for Effective Patient and Staff Contact Tracing to Defend Against COVID...Health Catalyst
While the world waits for a vaccine or effective treatment for COVID-19, managing disease spread is paramount. For health systems, patient and staff contact tracing is one of the top transmission-control strategies. Because the virus appears to spread mainly through respiratory droplets from person-to-person contact, knowing where infected individuals have been and with whom they’ve been in contact is an essential capability. With this insight, organizations can manage transmission with data-driven emergency planning and monitoring capabilities. The resulting appropriate and timely workflow modifications will serve disease control efforts during the 2020 pandemic and help health systems prepare for future outbreaks.
Preventing Medication Errors: A $21 Billion OpportunityHealth Catalyst
With a potential industry-wide savings of almost $21 billion and an impact on more than seven million patient lives, preventing harmful medication error is a significant improvement opportunity for health systems. Also known as adverse drugs events (ADEs), harmful medication errors comprise about 37 percent of all medical harm. Approximately 50 percent of ADEs are preventable, making their reduction a highly impactable area of patient safety.
Current data and analytics workflow tools are making ADE surveillance, monitoring, and prevention increasingly more effective with four key capabilities:
Perspective surveillance for ADEs and identification of previously undescribed ADEs.
Identification of the root cause of many ADEs by drug class.
Prescription at appropriate doses for patients with compromised kidney or liver functions.
Identification of different types of harm to find causes.
Improving Strategic Engagement for Healthcare CIOs with Five Key QuestionsHealth Catalyst
A healthcare CIO’s role can demand such an intense focus on technology that IT leaders may struggle to find natural opportunities to engage with their C-suite peers in non-technical conversations. To bridge the gap, healthcare CIOs can answer five fundamental questions to better align their programs with organizational strategic goals and guide IT services to their full potential:
Whom do we serve?
What services do we provide?
How do we know we are doing a great job?
How do we provide the services?
How do we organize?
Pairing HIE Data with an Analytics Platform: Four Key Improvement CategoriesHealth Catalyst
Population health and value-based payment demand data from multiple sources and multiple organizations. Health systems must access information from across the continuum of care to accurately understand their patients’ healthcare needs beyond the acute-care setting (e.g., reports and results from primary care and specialists). While health system EHRs have a wealth of big-picture data about healthcare delivery (e.g., patient satisfaction, cost, and outcomes), HIEs add the clinical data (e.g., records and transactions) to round out the bigger picture of patient care, as well as the data sharing capabilities needed to disseminate the information.
By pairing HIE capability with an advanced analytics platform, a health system can leverage data to improve processes in four important outcomes improvement areas:
Workflow
Machine learning
Professional services
Data governance
Four Effective Opioid Interventions for Healthcare LeadersHealth Catalyst
The crisis of opioid abuse in the U.S. is well known. What may not be so well known are the ways for clinicians and healthcare systems to minimize misuse of these addictive drugs. This article describes the risks for patients when they are prescribed opioids and the need for opioid intervention. It offers four approaches that healthcare systems can take to tackle the crisis while still relieving pain and suffering for the patients they serve:
Use data and analytics to inform strategies that reduce opioid availability
Adopt prescription drug monitoring programs to prevent misuse
Adopt evidence-based guidelines
Consider promising state strategies for dealing with prescription opioid overdose
Opioid misuse is a public health epidemic, but treatments are available and it’s time for those involved in the delivery of healthcare to change practices.
This document presents research on the impact of weekly work hours for health employees on patient satisfaction. The researchers gathered data from 2008 on average weekly work hours, hospital cleanliness, employee salaries, and noise levels to create a regression model testing the hypothesis that more work hours leads to lower patient satisfaction. However, the results did not provide a clear conclusion as none of the coefficients were statistically significant. The researchers believe using different data sources and arbitrary cutoff values for control variables weakened the analysis. Overall, the study was unable to determine the effect of weekly work hours on patient satisfaction.
Health Equity: Why it Matters and How to Achieve itHealth Catalyst
According to the Robert Wood Johnson Foundation, health equity is achieved when everyone can attain their full health potential and no one is disadvantaged from achieving this potential because of social position of any other socially defined circumstance.
Without health equity, there are endless social, health, and economic consequences that negatively impact patients, communities, and organizations. The U.S. ranks last on measures of health equity compared to other industrialized countries. Healthcare contributes to this problem in many ways, including ignoring clinician biases toward certain populations and overlooking the importance of social determinants of health.
Fortunately, there are effective, tested steps organizations can take to tackle their health inequities and disparities (e.g., incorporating nonmedical vital signs into their health assessment processes and partnering with community organizations to connect underserved populations with the services they need to be healthy). Some health systems, such as Allina Health, have achieved impressive results by making health equity a systemwide strategic priority.
Why Clinical Quality Should Drive Healthcare Business StrategyHealth Catalyst
Health systems feel mounting pressure to demonstrate ROI from analytics investments but are faced with inefficacies and delays. Fortunately, the Rapid Response Analytics Solution delivers a 10x increase in analytics productivity and a 90 percent decrease in the time required to develop new analytic insights. The Rapid Response Analytics Solution solves these tough analytics problems through two primary elements: curated, modular data kits called DOS Marts; and Population Builder, a powerful self-service tools that lets any time of user, from physician executive to frontline nurse, explore data and quality build cohorts of patients without relying on IT staff and with no need for sophisticated and customized SQL and data science coding.
Healthcare Best Practices in Data Warehousing & AnalyticsDale Sanders
The document discusses the history and evolution of data warehousing. It notes that data warehousing emerged due to technological limitations that prevented transactional and analytical uses of data on the same platform. Early stages included departments storing unused data to avoid tape changes and government projects consolidating databases. Factors like business reengineering and a focus on continuous improvement drove more analytical uses of data. Key lessons discussed include the importance of business culture supportive of fact-based decision making and managing political issues raised by data warehouses. The document advocates for keeping metadata simple and focused on understandability and findability of data.
Employee Engagement During COVID-19: Using Culture to Manage Stress, Maintain...Health Catalyst
As organizations confront a post-COVID-19 world, leaders must balance pandemic-driven practices and environments with team member eagerness to and uncertainty towards returning to business as usual. Even though ongoing fear and stress are inevitable, leaders and managers can use a positive workplace culture to support employees, engage their teams, and foster productivity. Safe, reliable access to health and wellness, remote mental health resources, and consistent communications will help organizations establish and maintain a positive culture that remains a steadfast source of support as the healthcare industry navigates the next phases of COVID-19.
Precision Medicine: Four Trends Make It PossibleHealth Catalyst
When realized, the promise of precision medicine (to specifically tailor treatment to each individual) stands to transform healthcare for the better by delivering more effective, appropriate care. To date, to achieve precision medicine, health systems have faced financial, data management, and interoperability barriers. Current trends in healthcare, however, will give researchers and clinicians the quality and breadth of health data, biological information, and technical sophistication to overcome the challenges to achieving precision medicine.
Four notable trends in healthcare will bolster to growth of precision medicine in the coming years:
Decision support methods harness the power of the human genome.
Healthcare leverages big data analytics and machine learning.
Reimbursement methods incentivize health systems to keep patients well.
Emerging tools enable more data, more interoperability.
Suitability & Capability of Pharmaceutical Measurement SystemsAjaz Hussain
The document discusses pharmaceutical quality assurance and the suitability and capability of measurement systems. It notes that the objective in clinical trials is to reduce the difference between expected and observed outcomes. However, expectancy effects can influence observations and remove the double-blinding can lead to differences again. The document then discusses several studies on the placebo effect and nocebo effect, how expectations and anxiety can influence pain perception. It also discusses the need to change business models to account for patient experiences with drugs and the importance of assurance in the pharmaceutical industry.
Digital Health Revolution and the Opportunity for Dietitians to Lead Viable Synergy LLC
This is a presentation that was given at the 96th Annual Conference of the Ohio Academy of Nutrition and Dietetics conference on May 18, 2017. During the session we discussed the rise of digital health and its impact and role in health and healthcare delivery. Innovative software, hardware, and communication solutions were described and use cases discussed. Innovative programs and services being provided by dietitians in our region and around the world were highlighted.
Ongoing patient engagement is critical to establishing loyal relationships with patients, resulting in repeat visits and increased revenue. However, the episodic care offered by urgent care centers makes this challenging to accomplish in a cost-effective way. Learn how…
- PatientBond’s all-in-one urgent care solution can digitize and extend patient engagement beyond the clinic with personalized messages using proven methods from the consumer & retail industries.
- Statcare Urgent Medical Care has leveraged digital technology to improve the patient experience throughout their journey
- Urgent care clinics are expanding their Occ Med business with outreach and labor optimization solutions.
…Acquire, retain and reactivate patients to drive breakthrough revenue and profitability!
The document discusses patient experience from a global perspective. It summarizes findings from a survey of 2,000 individuals across 5 countries that show that over 60% believe having a good patient experience is extremely important. The top reasons for its importance are that their health and well-being are important, they want to be treated with respect, and it will influence future healthcare decisions. The survey also found that positive experiences lead to loyalty while negative ones lead to changing doctors or providers. Recommendations from friends and referrals are highly influential in healthcare decision making.
Silicon Valley Bank's Life Science and Healthcare Startup Outlook Report examines how the industry's executives view 2017's opportunities and challenges. The report includes startups' thoughts on public policy issues as well as their expectations for fundraising and hiring.
This document discusses big data in healthcare and physical therapy. It provides an overview of ATI's use of big data through its large patient outcomes registry, which includes over 800 variables and has been accepted into federal registries. ATI leverages data on patient demographics, referrals, outcomes, satisfaction surveys, and costs to enhance care and outcomes. The challenges of evidence-based medicine in an era of big data are also examined, highlighting the need to reconcile evidence-based and precision approaches through standardized sharing of data.
The dentists at Imaginary Dental Group presented a new antioxidant scanning program to their colleagues. The program uses a handheld scanner to measure patients' antioxidant levels and incentivizes lifestyle changes to improve scores. It was accepted and implemented.
The scanner was ordered. Staff were trained on roles for scanning operations. Scanning began, with patients paying $20 per scan. Some patients ordered supplements. Monthly reports showed increasing income from scans and products. Staff received bonus payments for their roles. The program was successful and provided additional income for the practice and staff incentives.
1) Catasys is a healthcare company that uses AI and telehealth to engage with members who avoid care through their OnTrak program, driving lasting behavior change and lowering costs.
2) Their proprietary PRE platform uses machine learning to identify high-cost members with behavioral health conditions and comorbidities who are not seeking treatment.
3) Catasys sees significant growth opportunities in expanding their OnTrak program to more health plans and states based on their track record of 54% savings per member and nearly 5:1 ROI for health plans.
The Latest Healthcare Financial Trends: What You Need to KnowHealth Catalyst
As 2017 comes to an end, two of our most experienced and capable people are assessing this year’s most prominent healthcare financial trends and using those clues to better read the tea leaves to predict which trends will impact 2018. Tasked with delivering ground breaking financial software products, Dorian DiNardo, Senior Vice President, Analytics, daily has her finger to the wind to sense how shifting trends are impacting market needs. She will join Bobbi Brown, Senior Vice President, Professional Services, who will lead the webinar conversation. Bobbi has several impressive decades of experience in financial leadership for some of the most storied organizations including Intermountain, Sutter Health and Kaiser Permanente. Among other trends that popup in the next few weeks, she will examine three of 2017’s most significant healthcare trends:
Transitions in payment models
Healthcare market disruptions from well-known companies as well as some not-so-familiar newcomers
Emerging importance of technical data skillsets
The document discusses how HSAs can boost retirement plans. It provides an overview of HSA plan designs, trends in the HSA marketplace, and how rising healthcare costs and longer lifespans are affecting retirement savings needs. Integrating HSAs into retirement planning can help offset these costs and provide additional tax-advantaged savings opportunities for employees.
American Recovery and Reinvestment Act of 2009 HITckuyehar
The American Recovery and Reinvestment Act of 2009 allocates approximately $22 billion to promote health information technology. It provides incentives for healthcare providers to adopt electronic health records through Medicare and Medicaid incentive payments. It also establishes standards for interoperability and sets deadlines for implementing electronic health records with penalties for non-compliance. The funding supports various programs and organizations to achieve goals of improved healthcare quality, safety and efficiency through health information technology.
Consumerism, Innovation and Best Practices to Thrive in the Future of HealthJustin Barnes
May 1, 2019 University of Toronto, Dalla Lana School of Public Health, The Institute of Health Policy, Management and Evaluation (IHPME) Keynote speaker Justin Barnes, a health innovation strategist and co-founder of Health Innovation Think Tank, will provide yet another integral perspective focused on the ways in which we can scale up and implement evidence-based changes in health care technology on a global scale. Having testified before Congress on more than twenty occasions delivering statements on virtual care, alternative payment methods, consumerism, connected health and the globalization of healthcare, Justin offers thought leadership for the university, the healthcare community as well as other key stakeholders.
Consumer Driven Health – IHPME Research Day
Looks to the Future of Health Care
The trend towards consumer driven health, whether it be mobile apps, wearable devices, or easy access to electronic health records, is changing the landscape of our health care system and the way we think about care.
StartUp Health’s Annual Insights Report: The Year Digital Health Hit its Stri...Jill Gilbert
2017 is on track to be the biggest year yet for digital health funding, with almost $2.4B in deals in Q3 alone, according to StartUp Health Insights’ 2016 Q3 Report. With a record quarter on the books and no signs of funding slowing down, join the Director of StartUp Health Academy as she shares the latest market trends and advances in digital health technology and what’s in store over the next quarter, next year, and 10+ years from now.
The 20 most admired healthcare solution solution providers 2018insightscare
The dire need for proficient healthcare solution providers has made us look out for “The 20 Most Admired Healthcare Solution Providers 2018.” On our cover page we have Dr. Charudutt Apte, Chairman & Managing Director of Sahyadri Hospitals Ltd.
The document discusses how pharmaceutical companies can improve patient outcomes through better patient services. It finds that while patients value services and pharmaceutical companies are investing more in them, few patients or healthcare providers (HCPs) are aware of the available services. Pharmaceutical companies primarily rely on sales representatives to promote services to HCPs, but most sales reps do not discuss services and HCPs rarely discuss them with patients. The document argues that pharmaceutical companies should focus on promoting services and their ability to improve outcomes in order to increase awareness and use of services among HCPs and patients.
The dental practice of Dr. Hart and Dr. Stern began using an antioxidant scanner to measure patients' antioxidant levels. This was well-received by patients and increased business for the practice. It generated scan fees and led some patients to purchase supplements. The scanner helped promote the practice as preventatively-focused and brought in new patients. It also motivated staff through bonus incentives. Within two months, scans and supplement sales increased, generating over $4,000 in revenue for the practice. The scanner received positive publicity that attracted interest from other dental offices.
This document discusses trends in healthcare in 2016 related to clinical trials and research participation. It notes that new technologies are dramatically increasing the size and scope of clinical trials by making it easier for more people to participate remotely through mobile apps and sensors. Traditional trials typically took a year to recruit 10,000 people across 50 medical centers, while new methods can recruit that number from 30,000 people in just one month.
The function of big data service provider company companies in healthcare is to assist the organisation to make use of massive quantities of data and offer the proper intervention to the proper affected person on the right time for both individualized care or the overall community of patients. Big Data solution in Healthcare improve your service with more accurate data. This may also advantage all of the constituent components of a healthcare system inclusive of providers payers patients and management.
Healthcare organizations are always looking for data management strategies to improve clinical outcomes, population health and reduce costs. The Rootfacts, one of the healthcare industry's leading big data consultancies, has a team with hands-on healthcare skills trained in the use of clinical data management and analysis. The big data solution in healthcare can be implemented for any type of dataset, whether your goal is to modernize patient care or improve outcomes.
Presentation deck accompanying my keynote talk at the Great Lakes Health Connect HIE Fall Summit Detroit on August 23, 2016. Content covers the health information exchange landscape and untapped opportunities from the context of Jess Jacobs, a healthcare industry insider and friend who recently died. Full video of the presentation is archived here: https://www.youtube.com/watch?v=5X69nAUF9PI
Health Data Analytics: Context is KingMandi Bishop
This document discusses the importance of context in health data analytics. It introduces a hypothetical patient named Sandy and outlines different types of contextual information that could provide insight into her situation, like lifestyle, location, financial, family, and mental health context. The presentation argues that understanding the full context around individuals allows health plans to build better partnerships and trust with members to engage them in care and improve health outcomes. It provides diabetes population health as an example and suggests enhanced data sources could provide more contextual insights to change how population health is approached. The conclusion states that without understanding context, individuals are just templates, and that context is king when it comes to guiding choices in healthcare.
Webinar materials prepared for Association for Community-Affilitated Plans (ACAP). Healthcare consumerism is coming - are you prepared? As industry changes, so consumers adapt, and today's consumers have a world of information and engagement tools at their fingertips. In this webinar, learn how health insurance organizations and other healthcare companies can increase and improve their consumer experience through meaningful engagement, through social media.
How Data Empowers the Member-Centric Enterprise (AHIP Presentation)Mandi Bishop
Presentation at AHIP OpsTech and Consumer Forum, focusing on the 7Vs of data driving the member-centric health plan enterprise: velocity, volume, variability, vulnerability, veracity, volunteered, and viscosity.
Team FloriDUH at Health Datapalooza: #FillTheVoid at Code-A-Palooza FinalsMandi Bishop
Team FloriDUH, comprised of Mandi Bishop, Lauren Still, and Dr. Nick Kypreos, competed as finalist in Health Data Consortium's Datapalooza Code-A-Palooza event in Washington, DC in June, 2014. The challenge: create a patient-centric Medicare data visualization app that would promote meaningful use of open health data recently released by CMS. Our answer: identify care deserts where specialty provider availability is limited or non-existent, to help consumers manage complex systems of health anywhere in the country, by household - not just individual.
While we didn't win any monetary prize, we did a hell of a job!
Social Media Mandi: Year-In-Review of Big Data and Health IT Twitter FiendMandi Bishop
If I'm going to be a social media maven, I better have the concrete stats to back it up! Consolidated the entire year-in-review of my Twitter performance, including all healthcare conferences attended and major hashtag contributions. Turns out, I'm top 10 across the board, every time!
Unlocking the Secrets to Safe Patient Handling.pdfLift Ability
Furthermore, the time constraints and workload in healthcare settings can make it challenging for caregivers to prioritise safe patient handling Australia practices, leading to shortcuts and increased risks.
Gemma Wean- Nutritional solution for Artemiasmuskaan0008
GEMMA Wean is a high end larval co-feeding and weaning diet aimed at Artemia optimisation and is fortified with a high level of proteins and phospholipids. GEMMA Wean provides the early weaned juveniles with dedicated fish nutrition and is an ideal follow on from GEMMA Micro or Artemia.
GEMMA Wean has an optimised nutritional balance and physical quality so that it flows more freely and spreads readily on the water surface. The balance of phospholipid classes to- gether with the production technology based on a low temperature extrusion process improve the physical aspect of the pellets while still retaining the high phospholipid content.
GEMMA Wean is available in 0.1mm, 0.2mm and 0.3mm. There is also a 0.5mm micro-pellet, GEMMA Wean Diamond, which covers the early nursery stage from post-weaning to pre-growing.
Feeding plate for a newborn with Cleft Palate.pptxSatvikaPrasad
A feeding plate is a prosthetic device used for newborns with a cleft palate to assist in feeding and improve nutrition intake. From a prosthodontic perspective, this plate acts as a barrier between the oral and nasal cavities, facilitating effective sucking and swallowing by providing a more normal anatomical structure. It helps to prevent milk from entering the nasal passage, thereby reducing the risk of aspiration and enhancing the infant's ability to feed efficiently. The feeding plate also aids in the development of the oral muscles and can contribute to better growth and weight gain. Its custom fabrication and proper fitting by a prosthodontist are crucial for ensuring comfort and functionality, as well as for minimizing potential complications. Early intervention with a feeding plate can significantly improve the quality of life for both the infant and the parents.
Under Pressure : Kenneth Kruk's StrategyKenneth Kruk
Kenneth Kruk's story of transforming challenges into opportunities by leading successful medical record transitions and bridging scientific knowledge gaps during COVID-19.
Hypertension and it's role of physiotherapy in it.Vishal kr Thakur
This particular slides consist of- what is hypertension,what are it's causes and it's effect on body, risk factors, symptoms,complications, diagnosis and role of physiotherapy in it.
This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
Here is summary of hypertension -
Hypertension, also known as high blood pressure, is a serious medical condition that occurs when blood pressure in the body's arteries is consistently too high. Blood pressure is the force of blood pushing against the walls of blood vessels as the heart pumps it. Hypertension can increase the risk of heart disease, brain disease, kidney disease, and premature death.
Chandrima Spa Ajman is one of the leading Massage Center in Ajman, which is open 24 hours exclusively for men. Being one of the most affordable Spa in Ajman, we offer Body to Body massage, Kerala Massage, Malayali Massage, Indian Massage, Pakistani Massage Russian massage, Thai massage, Swedish massage, Hot Stone Massage, Deep Tissue Massage, and many more. Indulge in the ultimate massage experience and book your appointment today. We are confident that you will leave our Massage spa feeling refreshed, rejuvenated, and ready to take on the world.
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The best massage spa Ajman is Chandrima Spa Ajman, which was founded in 2023 and is exclusively for men 24 hours a day. As of right now, our parent firm has been providing massage services to over 50,000+ clients in Ajman for the past 10 years. It has about 8+ branches. This demonstrates that Chandrima Spa Ajman is among the most reasonably priced spas in Ajman and the ideal place to unwind and rejuvenate. We provide a wide range of Spa massage treatments, including Indian, Pakistani, Kerala, Malayali, and body-to-body massages. Numerous massage techniques are available, including deep tissue, Swedish, Thai, Russian, and hot stone massages. Our massage therapists produce genuinely unique treatments that generate a revitalized sense of inner serenely by fusing modern techniques, the cleanest natural substances, and traditional holistic therapists.
Let's Talk About It: Breast Cancer (What is Mindset and Does it Really Matter?)bkling
Your mindset is the way you make sense of the world around you. This lens influences the way you think, the way you feel, and how you might behave in certain situations. Let's talk about mindset myths that can get us into trouble and ways to cultivate a mindset to support your cancer survivorship in authentic ways. Let’s Talk About It!
Empowering ACOs: Leveraging Quality Management Tools for MIPS and BeyondHealth Catalyst
Join us as we delve into the crucial realm of quality reporting for MSSP (Medicare Shared Savings Program) Accountable Care Organizations (ACOs).
In this session, we will explore how a robust quality management solution can empower your organization to meet regulatory requirements and improve processes for MIPS reporting and internal quality programs. Learn how our MeasureAble application enables compliance and fosters continuous improvement.
Letter to MREC - application to conduct studyAzreen Aj
Application to conduct study on research title 'Awareness and knowledge of oral cancer and precancer among dental outpatient in Klinik Pergigian Merlimau, Melaka'
We are one of the top Massage Spa Ajman Our highly skilled, experienced, and certified massage therapists from different corners of the world are committed to serving you with a soothing and relaxing experience. Luxuriate yourself at our spas in Sharjah and Ajman, which are indeed enriched with an ambiance of relaxation and tranquility. We could confidently claim that we are one of the most affordable Spa Ajman and Sharjah as well, where you can book the massage session of your choice for just 99 AED at any time as we are open 24 hours a day, 7 days a week.
Visit : https://massagespaajman.com/
Call : 052 987 1315
LGBTQ+ Adults: Unique Opportunities and Inclusive Approaches to CareVITASAuthor
This webinar helps clinicians understand the unique healthcare needs of the LGBTQ+ community, primarily in relation to end-of-life care. Topics include social and cultural background and challenges, healthcare disparities, advanced care planning, and strategies for reaching the community and improving quality of care.
Can Allopathy and Homeopathy Be Used Together in India.pdfDharma Homoeopathy
This article explores the potential for combining allopathy and homeopathy in India, examining the benefits, challenges, and the emerging field of integrative medicine.
7. “It’s OK that you are not a specialist in the
condition. I am.”
“I need help now…If you are not willing
and able to help me, who in your practice
is?”
“Would have liked to have this
conversation with you in person but you
have no availability this month.”
“It’s OK that you are not a specialist in the
condition. I am.”
“I need help now…If you are not willing
and able to help me, who in your practice
is?”
“Would have liked to have this
conversation with you in person but you
have no availability this month.”
Is this the “value” the
healthcare industry
keeps talking about
delivering with
“value-based care”?
“I know all too well how complicated and rare POTS is. I’ve lived with this diagnosis for five years. It’s ok that you are not a specialist in the condition. I am. Since I was diagnosed, I've read every single peer reviewed article on the disease published since 2000. My succinct Health Plan and Summary includes a table at the end that summarizes treatment options from these articles and my experience with each option. As to the realities of the condition – I haven’t left the house to go anywhere except physician appointments this year. I have a wheelchair. I refuse to go down stairs for fear of another knee subluxation. My last relationship ended over it. I have tried 27 different pharmacologic therapies. I currently take 15 pills a day. I stab myself 6 times a day - 7 if I have to access my central line. I get it.”
As to the pain and condition prognosis, please remember that POTS is secondary to my underlying Ehlers-Danlos. Ehlers-Danlos is also the reason my joints swell, pop in and out of place, and are a source of pain. So, yes, there is idiopathic pain in my chest; but there is also pain with an identifiable musculoskeletal source. This has been evaluated by 3 separate pain specialists who concur that opiates are appropriate for my disease state. Seeking out another pain specialist will not change this fact.
A friend who is a physician remarked that most pain management clinics in San Francisco refuse to give prescriptions for opioids, instead giving the recommendation to the person’s PCP to reinforce the PCP as being central to the patient’s care. Her point being that if this was indeed your office policy it precludes chronic pain patients from being members. I was so curious that I called the central group number and found out that your office does not have a blanket policy and does opioid management on a case-by-case basis. In other words, you lied to me.
In addition to several community neurologists and cardiologists, I've seen POTS specialists at Stanford, Hopkins, and Georgetown. My most recent cardiologist has tried different therapies, which is far more than his predecessor did by saying that I’d grow out of it. I do not need to see another POTS specialist. I do, however, need to see a rheumatologist and neurologist. The rheumatologist scheduling song-and-dance routine took over a month and two hours of my time; the neurologist you referred me to didn't have any availability until June.
The majority of my friends are allied the healthcare field – doctors, health lawyers, nurses, health administrators – and all ask “who’s coordinating all of this?” to which I say I am and then they all stress about who is going to take over when I start puking and can’t get off the floor on my own.
I’m not sure where they got the notion that my primary care physician should coordinate my care, maybe they were looking at NCQA’s patient centered medical homes model, or found a copy of the Accountable Care Organization regulations from CMS, or listened to people discuss Obamacare on Late Night with Jimmy Fallon. All I know is that they all say that a PCP is the person to coordinate care.
In my search to figure out what this actually means, a physician friend turned me onto Vernon Wilson’s 1969 article entitled “Prototype of a Doctor.” Wilson postulates that as a continuing medical advocate for their patient, a PCP’s job is to evaluate and coordinate patient care and “accept responsibility not merely pass it along – utiliz[ing] specialists rather than surrendering to them.”
By telling me that my condition is complex and stating that I should just see additional specialists, you are surrendering. And not even surrendering to anyone in particular – your referrals are not likely to materialize for months. I've been living in my friend's guest room since being discharged from the hospital a month ago because it's unsafe for me to live alone. I need help now, and, as these specialists are unavailable to provide the care, my primary care physician should provide it.
So, this leads me to ask: If you are not willing and able to help me, who in your practice is?
Would have liked to have this conversation with you in person but you have no availability this month.
Best,
Jess”
Now, it may be somewhat unusual for a PCP to essentially fire a patient for being too complicated and needy. But on the flip side of that equation, how do PCPs really feel about their ability to deliver value as the de facto “voluntold” quarterbacks of the care team? Care coordination for patients with any complex needs, whether situational or ongoing, can be a full-time job by itself (as many caregivers would attest); is it reasonable to expect that a doctor whose job is being a diagnostician should also manage the often labrynthian referrals and authorization processes – AND monitor the outcome (like, did the patient actually SEE that specialist within the time they should have)? The process of generating the referral has no value if the consult doesn’t happen. Which brings me to a more common complaint.
We all know that Jess’ frustration finding timely access to specialist care isn’t unique to rare disease patients. It’s not that the specialists don’t WANT to see all the patients referred (right?), but there are only so many specialists in a geography, and only so many network contract arrangements, and only so many appointment windows. The 3 month plus waiting period she referenced here isn’t unusual, and we don’t have to look any farther than the scandal at the VA to know the poor outcomes that happen when those who need care can’t get it in time.
Months of waiting without help. PCPs firing patients for being desperately sick. Is this the value we’re supposed to be delivering with “value-based care”? Jess sure didn’t think so – and she kept sharing examples of the ways we were failing her.
What is the e=mc squared of health-value? How would you define it?
Read “On the Worst Healthcare Experience of my Life”