This document summarizes a presentation given by Joe Selby on the Patient-Centered Outcomes Research Institute (PCORI). It discusses PCORI's mission to fund comparative clinical effectiveness research that is guided by patients and other stakeholders. Key points include: PCORI's focus on research questions of interest to patients and providers; its criteria for funding proposals, including patient-centeredness and engagement; and its plans to significantly increase funding for such research over time. Examples are given of funded pilot projects involving community health centers.
Weitzman 2013 Relative patient benefits of a hospital-PCMH collaboration with...CHC Connecticut
Anuj K Dalal presents information on a PCORI research grant: Relative patient benefits of a hospital-PCMH collaboration within an ACO to improve care transitions.
Weitzman 2013: State Health Policy Initiatives as Drivers for Improving Care...CHC Connecticut
Sue Birch presents on State Health Policy Initiatives as Drivers for Improving Care Outcomes: Colorado's Accountable Care Collaborative at the 2013 Weitzman Symposium
Dr. Edward Wagner, Director (Emeritus) MacColl Center, Senior Investigator, Group Health Research Institute addresses the 2014 Weitzman Symposium on The Future of Primary Care
Presented at the 2015 IHI International Forum byThe Royal Melbourne Hospital of Victoria,Australia, this poster,speaks to the power of Shadowing to engage patients and families in decisions of care, specifically the post-discharge planning process.
Closing the Loop: Strategies to Extend Care in the EDEngagingPatients
This HIMSS15 presentation discusses the challenges faced in hospital emergency departments and offers insights for implementing a process to follow up with discharged ED patients to enhance outcomes and satisfaction,while optimizing utilization and reducing risk.
In first of two-part series, Pamela Greenhouse explores the differences and similarities of the Patient and Family Centered Care Methodology and Practice (PFCC M/P) and leean process improvement approachs, such as Lean, Six Sigma and Toyota. She believes that the PFCC M/P can be the unifying theme for health care, incorporating both process improvement and performance improvement.
Weitzman 2013 Relative patient benefits of a hospital-PCMH collaboration with...CHC Connecticut
Anuj K Dalal presents information on a PCORI research grant: Relative patient benefits of a hospital-PCMH collaboration within an ACO to improve care transitions.
Weitzman 2013: State Health Policy Initiatives as Drivers for Improving Care...CHC Connecticut
Sue Birch presents on State Health Policy Initiatives as Drivers for Improving Care Outcomes: Colorado's Accountable Care Collaborative at the 2013 Weitzman Symposium
Dr. Edward Wagner, Director (Emeritus) MacColl Center, Senior Investigator, Group Health Research Institute addresses the 2014 Weitzman Symposium on The Future of Primary Care
Presented at the 2015 IHI International Forum byThe Royal Melbourne Hospital of Victoria,Australia, this poster,speaks to the power of Shadowing to engage patients and families in decisions of care, specifically the post-discharge planning process.
Closing the Loop: Strategies to Extend Care in the EDEngagingPatients
This HIMSS15 presentation discusses the challenges faced in hospital emergency departments and offers insights for implementing a process to follow up with discharged ED patients to enhance outcomes and satisfaction,while optimizing utilization and reducing risk.
In first of two-part series, Pamela Greenhouse explores the differences and similarities of the Patient and Family Centered Care Methodology and Practice (PFCC M/P) and leean process improvement approachs, such as Lean, Six Sigma and Toyota. She believes that the PFCC M/P can be the unifying theme for health care, incorporating both process improvement and performance improvement.
The Patient-Centered Medical Home Impact on Cost and Quality: An Annual Revie...CHC Connecticut
Dr. Nwando Olayiwola, Associate Director, Center for Excellence in Primary Care, Assistant Professor, University of California, San Francisco addresses the 2014 Weitzman Symposium on The Patient-Centered Medical Home Impact on Cost and Quality: An Annual Review of Evidence
Clinical practice guidelines and quality metrics often emphasize effectiveness over patient-centered care. In this article, the authors offer three approaches to personalizing quality measurement to ensure patient preferences and values guide all clinical decisions.
Partnering with Patients, Families and Communities for Health: A Global Imper...EngagingPatients
Engagement is an essential tool to improving global health. This report introduces a new framework for engagement to help countries assess current programs and think strategically about future engagement opportunities. It spotlights barriers to engagement and offers concrete examples of effective engagement from around the globe.
This resource summarizes the eight recommendations outlined in the Institute of Medicine's a new consensus study entitled, Improving Diagnosis in Health Care. The recommendations are aimed at making diagnoses more accurate, reliable, efficient, and safe. This work is a continuation of the IOM’s Quality Chasm series.
This infographic speaks to the challenges Emergency Departments face in caring and following up with the growing population of patients they see, and demonstrates how some EDs are seeing measurable improvements in care, patient satisfaction and efficiency.
Creating a standard of care for patient and family engagementChristine Winters
Nationally-recognized governance expert Beth Daley Ullem addresses the state of patient engagement in heathcare and provides a vision for establishing a minimum standard of care for patient engagement programs.
Safety is Personal: Partnering with Patients and Families for the Safest CareEngagingPatients
The work of NPSF"s Lucian Leape Institute's Roundtable on Consumer Engagement, "Safety Is Personal: Partnering with Patients and Families for the Safest Care" is a call to action for health leaders, clinicians, and policy makers to take the necessary steps to ensure patient and family engagement at all levels of health care.The report identifies specific action items for health leaders, clinicians, and policy makers to pursue in making patient and family engagement a core value in the provision of health. care.
2021-2022 NTTAP Webinar: Fundamentals of Comprehensive CareCHC Connecticut
Join us as we discuss the core concepts of team-based care and introduce elements of team-based care that builds upon these basics to support your teams in advancing their capability to provide satisfying and effective care to complex patient populations. .
We will be joined by Margaret Flinter, Senior Vice President/Clinical Director for Community Health Center, Inc., and both Thomas Bodenheimer, MD, Physician and Founding Director, and Rachel Willard Grace, Director, from the Center for Excellence in Primary Care.
Patients and their loved ones often hold critical knowledge that informs diagnosis. This toolkit from the Institute of Medicine offers patients, families and clinicians guidance on how they can collaborate to improve diagnosis.
Redefining the role of patient support programs: Shifting the focus towards p...SKIM
Presented by:
Alex Zhu, Manager
Ariel Herrlich, Analyst
The recent shift toward consumerism and patient empowerment is driving companies to reevaluate the role and design of patient support programs. Historically, pharmaceutical manufacturers implemented support programs largely as a way to address patient non-adherence.
These programs were often single-based solutions designed to meet mass market needs. Next generation patient support programs will go beyond simple adherence to address holistic disease management through individualized, patient-centric service offerings.
Using a case study, we illustrated:
- How to evaluate your current patient support program offerings, using a combination of standard and non-standard metrics and exercises
- Re-define what “value” means in a world of patient-centricity and personalized care
- Assess the impact/ROI of potential new service offerings and enhancements
Behavioral Health Staff in Integrated Care SettingsCHC Connecticut
Webinar broadcast on Feb 27, 2019 - 3:00PM EST
Delivering behavioral health services as a part of an integrated team is crucial to providing comprehensive primary care services. Focusing on the vital role of behavioral health, experts will share the key elements that maximize the contributions of these team members through structured approaches to screening, the use of “warm hand offs” to ensure connection to primary care, and implementing a robust group of treatment programs to enhance access and improve outcomes. This session will also discuss the day-to-day operation of a behavioral health program and detail the data and clinical dashboard that supports the work of these vital team members. There has been tremendous progress from health centers across the country in the integrating behavioral health, this webinar will share how integrated behavioral health can advance the team’s capability to provide effective and high quality care to complex patient populations.
The Structure of a 12-month Residency Program and Stories from Former Residen...CHC Connecticut
The goal of the Postdoctoral Psychology Residency program is to train the next generation of psychologists in the Patient Centered Medical Home model. Through weekly seminars, group and individual supervision and clinical work with diverse, underserved populations, residents will fine-tune assessment and therapy skills.
This FREE learning collaborative opportunity will provide health centers with the support, resources and structure to implement a Postdoctoral Clinical Psychology Residency program at their organization.
Leveraging Patient Support Programs in Biologic-Biosimilar Competitive LandscapeAlex Xiaoguang Zhu
Biologics are facing intense competition from biosimilars. In this competitive landscape, strategic levers for both branded biologics and biosimilars typically include payor strategy, promotion and new formulation. As patients become more engaged and patient-centricity is on the rise, there is an increased opportunity to leverage patient support programs as additional strategic lever. This presentation will cover five key learnings that we have uncovered while conducting multi-phase patient support program research for both branded biologics and biosimilars.
PFCC INFOGRAPHIC: Six Steps to Patient EngagementEngagingPatients
The challenges of creating patient and family-centered care seem daunting. However, the PFCC Innovation Center of UPMC demonstrates it's easier than you think. In this infographic, you see it begins by engaging patients through a simple six step process.
The Patient-Centered Medical Home Impact on Cost and Quality: An Annual Revie...CHC Connecticut
Dr. Nwando Olayiwola, Associate Director, Center for Excellence in Primary Care, Assistant Professor, University of California, San Francisco addresses the 2014 Weitzman Symposium on The Patient-Centered Medical Home Impact on Cost and Quality: An Annual Review of Evidence
Clinical practice guidelines and quality metrics often emphasize effectiveness over patient-centered care. In this article, the authors offer three approaches to personalizing quality measurement to ensure patient preferences and values guide all clinical decisions.
Partnering with Patients, Families and Communities for Health: A Global Imper...EngagingPatients
Engagement is an essential tool to improving global health. This report introduces a new framework for engagement to help countries assess current programs and think strategically about future engagement opportunities. It spotlights barriers to engagement and offers concrete examples of effective engagement from around the globe.
This resource summarizes the eight recommendations outlined in the Institute of Medicine's a new consensus study entitled, Improving Diagnosis in Health Care. The recommendations are aimed at making diagnoses more accurate, reliable, efficient, and safe. This work is a continuation of the IOM’s Quality Chasm series.
This infographic speaks to the challenges Emergency Departments face in caring and following up with the growing population of patients they see, and demonstrates how some EDs are seeing measurable improvements in care, patient satisfaction and efficiency.
Creating a standard of care for patient and family engagementChristine Winters
Nationally-recognized governance expert Beth Daley Ullem addresses the state of patient engagement in heathcare and provides a vision for establishing a minimum standard of care for patient engagement programs.
Safety is Personal: Partnering with Patients and Families for the Safest CareEngagingPatients
The work of NPSF"s Lucian Leape Institute's Roundtable on Consumer Engagement, "Safety Is Personal: Partnering with Patients and Families for the Safest Care" is a call to action for health leaders, clinicians, and policy makers to take the necessary steps to ensure patient and family engagement at all levels of health care.The report identifies specific action items for health leaders, clinicians, and policy makers to pursue in making patient and family engagement a core value in the provision of health. care.
2021-2022 NTTAP Webinar: Fundamentals of Comprehensive CareCHC Connecticut
Join us as we discuss the core concepts of team-based care and introduce elements of team-based care that builds upon these basics to support your teams in advancing their capability to provide satisfying and effective care to complex patient populations. .
We will be joined by Margaret Flinter, Senior Vice President/Clinical Director for Community Health Center, Inc., and both Thomas Bodenheimer, MD, Physician and Founding Director, and Rachel Willard Grace, Director, from the Center for Excellence in Primary Care.
Patients and their loved ones often hold critical knowledge that informs diagnosis. This toolkit from the Institute of Medicine offers patients, families and clinicians guidance on how they can collaborate to improve diagnosis.
Redefining the role of patient support programs: Shifting the focus towards p...SKIM
Presented by:
Alex Zhu, Manager
Ariel Herrlich, Analyst
The recent shift toward consumerism and patient empowerment is driving companies to reevaluate the role and design of patient support programs. Historically, pharmaceutical manufacturers implemented support programs largely as a way to address patient non-adherence.
These programs were often single-based solutions designed to meet mass market needs. Next generation patient support programs will go beyond simple adherence to address holistic disease management through individualized, patient-centric service offerings.
Using a case study, we illustrated:
- How to evaluate your current patient support program offerings, using a combination of standard and non-standard metrics and exercises
- Re-define what “value” means in a world of patient-centricity and personalized care
- Assess the impact/ROI of potential new service offerings and enhancements
Behavioral Health Staff in Integrated Care SettingsCHC Connecticut
Webinar broadcast on Feb 27, 2019 - 3:00PM EST
Delivering behavioral health services as a part of an integrated team is crucial to providing comprehensive primary care services. Focusing on the vital role of behavioral health, experts will share the key elements that maximize the contributions of these team members through structured approaches to screening, the use of “warm hand offs” to ensure connection to primary care, and implementing a robust group of treatment programs to enhance access and improve outcomes. This session will also discuss the day-to-day operation of a behavioral health program and detail the data and clinical dashboard that supports the work of these vital team members. There has been tremendous progress from health centers across the country in the integrating behavioral health, this webinar will share how integrated behavioral health can advance the team’s capability to provide effective and high quality care to complex patient populations.
The Structure of a 12-month Residency Program and Stories from Former Residen...CHC Connecticut
The goal of the Postdoctoral Psychology Residency program is to train the next generation of psychologists in the Patient Centered Medical Home model. Through weekly seminars, group and individual supervision and clinical work with diverse, underserved populations, residents will fine-tune assessment and therapy skills.
This FREE learning collaborative opportunity will provide health centers with the support, resources and structure to implement a Postdoctoral Clinical Psychology Residency program at their organization.
Leveraging Patient Support Programs in Biologic-Biosimilar Competitive LandscapeAlex Xiaoguang Zhu
Biologics are facing intense competition from biosimilars. In this competitive landscape, strategic levers for both branded biologics and biosimilars typically include payor strategy, promotion and new formulation. As patients become more engaged and patient-centricity is on the rise, there is an increased opportunity to leverage patient support programs as additional strategic lever. This presentation will cover five key learnings that we have uncovered while conducting multi-phase patient support program research for both branded biologics and biosimilars.
PFCC INFOGRAPHIC: Six Steps to Patient EngagementEngagingPatients
The challenges of creating patient and family-centered care seem daunting. However, the PFCC Innovation Center of UPMC demonstrates it's easier than you think. In this infographic, you see it begins by engaging patients through a simple six step process.
Romana Hasnain-Wynia: Incorporating the Patient’s Perspective in ResearchNIHACS2015
Romana Hasnain-Wynia, MS, PhD, is the Director of the Addressing Disparities Program at the Patient-Centered Outcomes Research Institute (PCORI). During the conference, she gave a presentation on incorporating the patient’s perspective in research.
Health Economics In Clinical Trials - Pubricapubrica101
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Utilización de la evidencia cualitativa para mejorar la inclusión de las pref...GuíaSalud
Tercera intervención de la Mesa 1 de la Jornada científica GuíaSalud 2017: La implicación de pacientes en el desarrollo de GPC. Una estrategia necesaria para mejorar la toma de decisiones. Simon Lewin
Clearing the Error: Patient Participation in Reducing Diagnostic ErrorJefferson Center
To generate new, patient-centered insights into diagnostic error, we convened diverse groups in public deliberation to recommend and evaluate actions that patients and/or their advocates would be willing and able to perform to improve diagnostic quality.
Improving the Health Outcomes of Both Patients AND PopulationsCHC Connecticut
NCA Clinical Workforce Development, Team-Based Care 2019 Webinar Series
Webinar broadcast on: May 23, 2019 | 2 p.m. EST
In this webinar experts will share their journey in planning, preparing and launching a population health initiative. With the goals of impacting population health outcomes while ensuring cost effectiveness, our experts designed interventions to eliminate gaps in care, particularly among special populations.
Stakeholder Engagement in a Patient-Reported Outcomes Implementation by a Pra...Marion Sills
Kwan BM, Sills MR, Graham D, Hamer MK, Fairclough DL, Hammermeister KE, Kaiser A, Diaz-Perez MJ, Schilling LM. Stakeholder Engagement in a Patient-Reported Outcomes Implementation by a Practice-Based Research Network. JABFM. In Press.
Community Engagement of Sexual & Gender Minority PopulationsCHICommunications
This session, tailored for intermediate learners, offers a deep dive into patient and community engagement in health research, specifically focusing on its pivotal role in driving policy change. Learners will emerge equipped with:
🟠 A comprehensive understanding of the benefits of patient and community engagement in health research.
🟠 The ability to articulate the principles of authentic patient and community engagement.
🟠 A clear definition of intersectionality and practical insights into incorporating its principles into their patient and community engagement strategies.
🟠 An appreciation for the pivotal role of advocacy and the development of public- and stakeholder-facing materials in research programs aimed at influencing health policy.
The COVID-19 pandemic has created several challenges for our country’s health care infrastructure, and the community health center workforce is no exception. Join us as we describe strategies to get patients back into dental care. Along with these strategies, participants will learn how to recognize challenges in dental practices, as well as how to engage the interdisciplinary care team through role redesign and integration to increase access to comprehensive care.
NTTAP Webinar Series - June 7, 2023: Integrating HIV Care into Training and E...CHC Connecticut
In order for health centers to provide compassionate and respectful HIV prevention, care, and treatment in comprehensive primary care settings, the clinical workforce must be knowledgeable, confident, and competent in their ability to do so.
We’ll explore the need to integrate HIV care into training and education for the clinical care team, as well as educational models to train the next generation. Using Community Health Center Inc.’s Center for Key Populations Fellowship for Nurse Practitioners (NPs) as a framework for best practices, experts will discuss how to implement specialty care for key populations in your training programs. Additionally, participants will gain awareness of the importance of training the clinical workforce on key population competencies in HIV programs (e.g. HCV, MOUD, LGBTQI+ health, homelessness, and harm reduction).
Utilizing the Readiness to Train Assessment Tool (RTAT™) To Assess Your Capac...CHC Connecticut
Improve educational training experiences at your health center by assessing your capacity and infrastructure to host health professions students.
Join the upcoming hands-on interactive activity session to learn how to utilize the Readiness to Train Assessment Tool (RTAT™). This tool was developed by HRSA-funded National Training and Technical Assistance Partners (NTTAP) at Community Health Center, Inc. (CHC) to understand organizational readiness to host health professions student training programs.
NTTAP Webinar Series - May 18, 2023: The Changing Landscape of Behavioral Hea...CHC Connecticut
The COVID-19 pandemic has resulted in significant shifts in the mode of care from face-to-face to virtual interactions. Join us as we discuss the challenges currently facing behavioral health care and at least one strategy for each. Along with these strategies, panelists will go over what integrated behavioral health care was and is before and following COVID-19, as well as what actions should be taken going forward to increase access to comprehensive care.
Panelists:
• Dr. Tim Kearney, PhD, Chief Behavioral Health Officer, Community Health Center, Inc.
• Melinda Gladden, LCSW, PMHC, Behavioral Health Clinician, Community Health Center, Inc.
• Jodi Anderson, LMFT, Virtual Telehealth Group Coordinator, Community Health Center, Inc.
NTTAP Webinar Series - April 13, 2023: Quality Improvement Strategies in a Te...CHC Connecticut
Join us for a webinar on quality improvement in team-based care!
Building a quality improvement (QI) infrastructure within team-based care is an organizational strategy that will establish a culture of continuous improvement across departments and improve quality in all domains of performance.
Participants will learn about:
• QI infrastructure
• Facilitating QI committees
• Coach training within health centers
Faculty will also provide an example of how trained coaches use QI tools to test and implement changes within an organization.
Implementation of Timely and Effective Transitional Care Management ProcessesCHC Connecticut
Join us to discuss best practices for integrating daily follow-ups for patients recently hospitalized for health emergencies. Effectively following up with patients is a critical responsibility for integrated care teams.
Experts will share how their teams respond to patients to identify care gaps and support the transition of care. Workflow descriptions will provide participants with the tools to support their work to adapt specific steps into their model of team-based care.
Panelists:
• Mary Blankson, DNP, APRN, FNP-C, FAAN, Chief Nursing Officer, Community Health Center, Inc.
• Veena Channamsetty, MD, FAAFP, Chief Medical Officer, Community Health Center, Inc.
• Bibian Ladino-Davis, Behavioral Health Coordinator, Weitzman Institute
Implement Behavioral Health Training Programs to Address a Crucial National S...CHC Connecticut
Health centers are uniquely positioned to address the unprecedented need for behavioral health services but are challenged by the workforce shortage. Participants will gain the knowledge needed to begin conceptualization of a training pathway.
Join us to discuss the considerations of sponsoring an in-house training program across all educational levels, including the benefits, program structure, design, curriculum, supervisors' role, and required resources.
Experts will provide participants with examples from practicum and postdoctoral level training programs to help them gain confidence in developing a behavioral health training pathway.
HIV Prevention: Combating PrEP Implementation ChallengesCHC Connecticut
Expert faculty present case-based scenarios illustrating common challenges to integrating HIV PrEP in primary care. As part of improving clinical workforce development, this session will delve into a variety of specific PrEP implementation challenges. Participants will leave with strategies to overcome these obstacles to establish or strengthen their PrEP program.
Panelists:
• Marwan Haddad, MD, MPH, AAHIVS, Medical Director, Center for Key Populations, Community Health Center, Inc.,
• Jeannie McIntosh, APRN, FNP-C, AAHIVS, Family Nurse Practitioner, Center for Key Populations, Community Health Center, Inc.
NTTAP Webinar Series - December 7, 2022: Advancing Team-Based Care: Enhancing...CHC Connecticut
Join us as expert faculty outline the differences between case management, care coordination and complex care management to frame up a discussion on strategies to leverage effective models for both in-person and remote services.
Expert faculty will discuss the role of the medical assistant and the nurse in care management, as well as how standing orders and delegated orders support this work. This session will discuss how telehealth and remote patient monitoring enhancements can support complex care management for patients with chronic conditions.
Participants will leave this session with the knowledge and tools to begin or enhance implementation of chronic care management by enhancing the role of the medical assistant, nurse and the technology that supports the clinical care.
Panelists:
• Mary Blankson, DNP, APRN, FNP-C, Chief Nursing Officer, Community Health Center, Inc.
• Tierney Giannotti, MPA, Senior Program Manager, Population Health, Community Health Center Inc.
NTTAP Webinar: Postgraduate NP/PA Residency: Discussing your Key Program Staf...CHC Connecticut
Expert faculty will discuss the drivers, benefits, and processes of implementing a postgraduate residency training program at your health center. This session will dive deeper into a discussion on the responsibilities of key program staff, preceptors, mentors, and faculty for successful implementation. This webinar will equip participants with a road map to go from planning to implementation and offer an opportunity for coaching support.
Panelists:
• Program Director of the Nurse Practitioner Residency Program, Charise Corsino, MA
• Clinical Program Director of the Nurse Practitioner Residency Program, Nicole Seagriff, DNP, APRN, FNP-BC
Training the Next Generation within Primary CareCHC Connecticut
This webinar discussed the various avenues of workforce development including:
• training non-clinical roles
• the value of an administrative fellowship
• the key questions to ask before establishing a fellowship at your agency
The discussion referenced CHC Chief Operating Officer Meredith Johnson and CHC Project Manager Megan Coffinbargar’s publication “Establishing an Administrative Fellowship Program: A Practical Toolkit to Support and Develop Future Community Health Center Leaders” for the National Association of Community Health Centers (NACHC).
Panelists:
• April Joy Damian, PhD, MSc, CHPM, PMP, Vice President and Director of the Weitzman Institute, Community Health Center, Inc.
• Megan Coffinbargar, MHA, Project Manager, Optimizing Virtual Care Initiative, Community Health Center, Inc.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
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Weitzman 2013: PCORI: Transforming Health Care
1. Joe Selby MD, MPH
PCORI Executive Director
8th Annual Weitzman Symposium
Community Health Center, Inc
May 16, 2013
Transforming Health Care
2. Source: Affordable Care Act. Subtitle D—Patient-Centered Outcomes Research.
PUBLIC LAW 111–148—MAR. 23, 2010.
“The purpose of the Institute is to assist
patients, clinicians, purchasers, and policy-
makers in making informed health
decisions by advancing the quality and
relevance of evidence concerning the manner
in which diseases, disorders, and other health
conditions can effectively and appropriately be
prevented, diagnosed, treated, monitored, and
managed through research and evidence
synthesis that considers variations in patient
subpopulations and the dissemination of
research findings with respect to the relative
health outcomes, clinical effectiveness, and
appropriateness of medical treatments,
services.
Purpose
Of
PCORI
PCORI’s Broad Mandate
3. 3
PCORI’s Board of Governors
P3
PCORI Board of Governors, March 2012 in Baltimore, MD
4. 4
What Does PCORI Mean By Patient-
Centeredness?
Does the proposed research compare
treatment options that matter to patients; are
these realistic choices faced by patients or
other decision-makers?
Does the research focus on outcomes of
interest to patients and their caregivers,
including health, health-related quality of life,
function, symptoms, safety from medical
harm, survival and satisfaction with care?
5. 5
PCORI’s Mission – Through Engagement
Mission
The Patient-Centered Outcomes Research Institute
(PCORI) helps people make informed health care
decisions, and improves health care delivery and
outcomes, by producing and promoting high integrity,
evidence-based information that comes from research
guided by patients, caregivers and the broader health
care community.
5www.pcori.org
6. 6
PCORI’s Rationale for Engagement
Advise Us on what PCORI
Should Study:
Tell Us How We Are Doing
Review Proposals and
Partner in Research
Help Us Share the Findings
Patients
and
Stakeholders
• Topic generation
• Research prioritization
Merit Review
Participate in research
How can we improve on what we
are doing and how we are doing
it?
Dissemination
7. 7
PCORI Review Criteria
1.
Impact of the condition on the health of
individuals and populations –
burden in terms of prevalence, suffering, costs
2.
Potential for the study to improve healthcare and
outcomes –
likelihood that this study’s findings could change current practice
3. Technical merit –
research plan, analytic methods, research team, environment
4.
Patient-Centeredness -
relevance of the study question and the outcomes to patients
5.
Patient and stakeholder engagement –
inclusion of relevant patients and stakeholders on research team
8. 8
PCORI Funding – Approximate
2012
2013
2014
2015
....
2019
$150,000,000*
$300,000,000
$500,000,000
$500,000,000
$500,000,000
* 20% each year goes to AHRQ/HHS 8
9. 9
PCORI’s National Priorities and Research
Agenda
9
Assessment of Prevention, Diagnosis, Treatment Options
• Comparisons of alternative clinical options; identifying patient differences in response to
therapy; studies of patient preferences for various outcomes
Improving Healthcare Systems
• Improving system support of patient self-management, coordination of care for complex
conditions, access to care; comparing alternative strategies for workforce deployment.
Communication & Dissemination Research
• Understanding and enhancing shared decision-making; alternative strategies for
dissemination of evidence; exploring opportunities to improve patient health literacy
Addressing Disparities
• Understanding differences in effectiveness across groups; understanding differences in
preferences across groups; reducing disparities through use of findings from PCOR
Accelerating PCOR and Methodological Research
• Improving study designs and analytic methods of PCOR; building and improving clinical
data networks
10. 10
Improving Healthcare Systems –
from PCORI’s Funding Announcement
10
Research that compares alternative system-level approaches to improving:
- patients’ access to care;
- receipt of appropriate evidence-based care;
- quality of care;
- decision-making based on personal values;
- coordination of care across healthcare settings,
the efficiency of healthcare delivery.
Strategies of interest include, but are not limited to:
novel applications of health information systems,
incentives directed at clinicians, patients and systems;
payment reforms, such as value-based purchasing, bundled
payments and accountable care organizations;
reconfigurations (redesign) of care, such as the patient-centered
medical home;
new and extended roles for allied health professionals
11. 11
Addressing Health Disparities –
from PCORI’s Funding Announcement
11
Research that compares:
Interventions to reduce or eliminate disparities in patient-centered outcomes,
including health, healthcare, and patient-reported outcomes.
practices that address contextual factors such as socioeconomic, demographic,
or community factors and their impact on patient-centered health outcomes.
benefits and risks of treatment, diagnostic, prevention, or service
options across different patient populations.
strategies to overcome patient, provider, or systems level barriers (e.g.,
language, culture, transportation, homelessness, unemployment, lack of
family/caregiver support)
best practices within various patient populations for information sharing and
shared decision-making.
12. Addresses practical questions – especially those of interest
to patients and providers – usually head-to-head
comparisons
Conducted in ―typical‖ patients and ―typical‖ care delivery
settings
Considers the full range of outcomes of interest to patients
and clinicians
Considers possible differences in treatment effectiveness in
patient subgroups – what works for whom?
May be RCTs or observational studies
But NOT cost-effectiveness or cost comparison studies
Comparative Clinical Effectiveness Research
– PCORI Style
13. 13
PCORI’s Broad Solicitations for Research Funding
13
#1: Investigator-Generated Pathway – ―BROAD‖
Diverse portfolio addressing
high-priority questions
14. PCORI Projects Involving CHC’s
14
• Pilot Project: Tucson, Arizona
Integrating and Comparing Community-Based
Participatory and Conjoint Analysis
• Pilot Project: Los Angeles, California
A Modified Delphi Approach to Defining a Patient-
Centered Community Health Center
• Pilot Project: Boston, Massachusetts
Developing an Analytic Tool to Assess Patient
Responses
• Addressing Disparities Cycle I: Tuscaloosa, Alabama
Reducing Disparities with Literacy-Adapted
Psychosocial Treatments for Chronic Pain
15. A Modified Delphi Approach to Defining a Patient-
Centered Community Health Center (Pilot Project)
15
Primary Investigator and Institution: Robin Clarke, MD
University of California, Los Angeles
Award Amount: $307,985
Description: Evaluates the theories, evidence, and practices of enabling services, such
as providing transportation to appointments, conducting case management
assessments, or performing community outreach. Goals of the study are to:
Define a specific standard of care for each category of enabling service that will
facilitate active investigation of how these patient-centered services affect the
health care delivered to underserved patients.
Improve the implementation, diffusion, and reimbursement of enabling services.
Reshape how the existing patient-centered medical home paradigm applies to
practices caring for low-income patients.
Featured Project Strength:
Creates a new research method that incorporates community health
center providers and patients to define what the standards of care are for
these services.
Addresses barriers to care that affect approximately 25 million
Americans.
16. Engaging Stakeholders to Improve Depression
Management in a Tribal Health System (Pilot Project)
16
Primary Investigator and Institution: Renee Robinson, PharmD,
Southcentral Foundation
Award Amount: $604,301
Description: Project will develop, test, and refine a tool to support decision making
within a tribally-owned health care organization, using depression as example condition.
There are three specific aims:
Identify stakeholder preferences and needs that influence depression treatment
decisions in Alaska Native and American Indian people.
Develop a tool to help translate and integrate evidence-based guidelines, and
stakeholder preferences and needs into depression management decisions.
Determine impact of the stakeholder-centered tool on health, service utilization, and
outcomes.
Featured Project Strengths:
Studies an issue with high prevalence in an underserved community.
The results will be applicable to other chronic health concerns, and other
racially and ethnically diverse populations with persistent health
disparities.
17. 17
Cycle I Awards
17
• Assessment of Prevention, Diagnosis and Treatment Options: Ann Arbor, Michigan
Selection of Peritoneal Dialysis or Hemodialysis for Kidney
Failure: Gaining Meaningful Information for Patients and
Caregivers
• Communication and Dissemination Research: Jacksonville, Florida
Shared Medical Decision Making in Pediatric Diabetes
• Communications and Dissemination Research: University Heights, Iowa
Extension Connection: Advancing Dementia Care for
Rural and Hispanic Populations
• Assessment of Prevention, Diagnosis and Treatment Options: Rochester, Minnesota
Shared Decision Making in the Emergency Department:
The Chest Pain Choice Trial
18. 18
Reducing Health Disparities in Appalachians with
Multiple Cardiovascular Disease Risk Factors
18
Primary Investigator and Institution: Debra Moser, DNSc, RN, FAAN
Kentucky University
Award Amount: $2,092,473.60
Description: Compares the effects of two approaches in reducing risk of
cardiovascular disease. Comparison is between the current standard of care
and the standard of care supplemented by culturally appropriate self-care tools.
Examines four-month and one year impact of various measures, including tobacco
use, blood pressure, BMI, and the number of recruited people who stay with the
program.
Study involves 300 individuals from Appalachian Kentucky who do not have a
primary care provider, and otherwise are not able to receive the standard of care
without intercession, and are at risk by having two or more modifiable risk factors.
factors.
Featured Project Strengths:
This study will have a substantial impact on cardiovascular health
because it will provide needed patient-centered risk reduction to a major
at-risk population living in an environment where risk reduction is difficult.
The potential for application to other environments and high-risk
populations is high.
Debra Moser
19. 19
Creating a Clinic-Community Liaison Role in Primary
Care: Engaging Patients and Community in Health Care
Innovation
19
Primary Investigator and Institution: Clarissa Hsu, PhD
Group Health Cooperative
Award Amount: $1,564,384
Projected Completion Date: December 31, 2015
Description: Works with patients to design role for a clinic-community
liaison to link healthcare clinics with community. Strategy aims to increase
patients’ ability get what they need from both their community and their healthcare. The
specific goals are to:
Create new ways to involve patients in designing their own healthcare by
developing processes and tools to help patients contribute ideas for how care
should be designed.
Design and test a new clinic-community liaison role for primary care teams by
focusing on the prevention and treatment of chronic conditions.
Featured Project Strengths:
This project follows up on an extremely promising intervention, drawing
upon existing data and methodologies.
It is highly patient centered and focused on "real-world" perspective.
Clarissa Hsu
22. 22
Purpose
Build community
Form or strengthen reciprocal relationships between
researchers and non-research communities
Support capacity building, co- learning, and the development of
a sustainable infrastructure to facilitate ―research done
differently‖
Accelerate proposal submission (or re-submission)
22
23. 23
PCORI Engagement Awards – coming July
2013
Proposed by participants at October 2012 Transforming
Patient-Centered Research patient engagement workshop
Intended to provide resources to non–research entities for
community development, capacity building, or for
infrastructure development for engagement in research as
partners.
23
25. 25
Pre-Engagement/Community-Building Projects
(Up to $15,000 for 6 months)
Available to individuals,
consumer/patient organizations,
clinician(s) or researcher(s) or a
combination of the above to
support:
Community building
Creation of structure and
communication strategies
Develop an understanding of
PCORI, and ―research done
differently‖
25
26. 26
Partnership and Infrastructure Development
Projects (Up to $30,000 for 1 year)
Available to emerging
research/non-research
partnerships to support:
Data network development
Development of infrastructure
Generation of research
questions through community
events, town hall meetings, etc.
Minimum 50% of funds go to
non research partner(s)
26
27. 27
Proposal Development Projects
(Up to $50,000 for 1 year)
Available to advanced
research/non-research
partnerships- including those who
submitted PCORI proposals and
were not funded - to support:
PCORI research proposal
(re)submission
Research partnership skill
development
Minimum 50% of funds go to non
research partner(s)
27
Appreciate the opportunity to visit and address you.Always forces me to stop and assess where PCORI has gotten toI find that the thinking I do in preparation gives me a new path forward for next several weeks.Just wish I could figure out how to do thinking earlier than the weekend before the talk!Several assumptions: I’m speaking to a smart and thoughtful group You’ve thought about and care about health care efficiency, getting value for the vast amounts of money we spend You won’t mind thinking with me on a set of questions.
Who are the individuals responsible for carrying out PCORI’s mission?PCORI is governed by a 21-member board that represents everyone in the health care community – patients, caregivers, doctors, nurses, researchers, public health officials, payers and industry.By law, PCORI’s Board is required to include:3 members representing patients and health care consumers5 members representing physicians and providers, including at least 1 surgeon, nurse, state-licensed integrative health care practitioner, and representative of a hospital3 members representing private payers, of whom at least 1 member shall represent health insurance issuers and at least 1 member shall represent employers who self-insure employee benefits3 members representing pharmaceutical, device, and diagnostic manufacturers or developers1 member representing quality improvement or independent health service researchers2 members representing the Federal Government or the States, including at least 1 member representing a Federal health program or agencyThe directors of the National Institutes of Health and the Agency for Healthcare Research and Quality (or their designees)PCORI has established three committees: Program Development Communication, Outreach and Engagement Finance, Audit and AdministrationPCORI also has a 17-member Methodology Committee to help PCORI develop and update methodological standards and guidance for comparative clinical effectiveness and outcomes research.
I want to say a few words about what we mean and why we say that we will engage, intensely and continuously. with patients and other key stakeholders in the research process. First, we want patients to help us decide what to study. This means raising the research questions and then joining with other stakeholders to prioritize those questions. We’ll fund the high priority questions. Then, after we decide what we want to fund, we invite researchers to apply. When we review their applications, there are patients and other stakeholders ON THE REVIEW PANELS.They help identify the highest quality applications, looking especially at whether the resaerch got the questions right. But beyond the review, we will have patients participating on the research teams. In fact, you don’t get funded if you don’t have relevant patients and other relevant stakeholders involved in the entireproject. Why?? Beucase we think that will increase the chances that the research is actually relevant and sticks to its purpose ofanswering patient-driven questions. And why do we do all of that?? Because we bFinally, our Advisory Panels will have….
What is the purpose of the Research Agenda?The Research Agenda describes the types of research questions that can be addressed under each of the five priorities. The agenda also outlines nine criteria, taken from PCORI’s establishing legislation, which will be used to evaluate research proposals. Studies that meet most or all of these criteria will be those most likely to be funded.Why doesn’t the Research Agenda name specific conditions or treatments that PCORI is interested in funding or studying?PCORI believes there are important comparative clinical effectiveness research questions to be answered across a wide range of conditions. Focusing on a narrower set of diseases or conditions at the start of PCORI’s research funding would mean that some patients and health care issues might have no chance of benefitting from PCORI’s existence. Also, there are issues that affect patients across a variety of conditions. For example, we have heard from the patient focus groups about challenges with communication and interaction with their providers. These are problems that are not specific to one condition, but have been identified by a variety of patients as being important to them. Involving patients and other stakeholders in a meaningful process of considering which conditions or questions deserve more PCORI funding is important and will begin immediately and continue throughout PCORI’s lifetime. However, it will take time to hear all views on these issues, to weigh the input, and to begin making these choices. This must be done in a transparent manner so that all can understand how we reached the narrower, targeted set of research questions we focus on. Over time, PCORI’s research portfolio will become more focused, but PCORI will continue to reserve a portion of its funding for addressing the broader set of possible questions that patients, researchers and stakeholders may raise.
Engagement: Bullet 1: collaborative relationship with the Center for Excellence in Rural Health-Hazard and HomePlace. The director and the vast majority of the staff are long-time residents of Appalachia and they have built up a firm foundation of trust and accountability with local residents. In particular, the staff at HomePlace, who are largely lay community health workers, have unparalleled success in identifying, recruiting and retaining those individuals most in need of assistance with healthcare
Purpose is really two fold. To respond to the needs identified by workshop participants as well as to address PCORI’s need to accelerate funding of quality proposals and to “produce” Define community Define non research partner to include patients, caregivers, advocacy organizations, community members, clinicians and other stakeholders who will use the information generated by PCORI
Workshop participants identified the need /gap for micro-contracts
Design and Available Funding PCORI expects to award a total of $1.8 million dollars annually to fund projects in three different categories—Pre-engagement/Community Building Projects, Partnership and Infrastructure Development Projects, and Proposal Development Projects—that follow a logic model and progressive “framework for success” for engagement in research.
Discuss the fiscal agent opportunityAwardees are expected to submit a proposal for a Partnership and Infrastructure Development Project.
Awardees expected to submit a proposal for Proposal Development project