Sue Birch presents on State Health Policy Initiatives as Drivers for Improving Care Outcomes: Colorado's Accountable Care Collaborative at the 2013 Weitzman Symposium
Weitzman 2013: PCORI: Transforming Health CareCHC Connecticut
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.
The document discusses Project ECHO and its mission to expand access to specialty healthcare for common and complex diseases in rural and underserved areas. Project ECHO uses teleconferencing and case-based learning to train primary care clinicians to treat and manage conditions like hepatitis C. An evaluation showed primary care clinicians trained through Project ECHO achieved similar treatment outcomes for hepatitis C as specialists at a university medical center, improving access to care for rural and minority populations.
Dr. Edward Wagner, Director (Emeritus) MacColl Center, Senior Investigator, Group Health Research Institute addresses the 2014 Weitzman Symposium on The Future of Primary Care
This document summarizes a session at the 2015 CADTH conference on engaging patients in defining value and drug development. It provides an overview of the session which included panels discussing defining value from the patient perspective and models of patient engagement. It also summarizes some of the key points discussed, such as the need to include patient perspectives throughout the drug development process to better measure what is meaningful to patients and alternative approaches to patient engagement like patient and community engagement researchers. The document advocates that embedding meaningful patient measures can help weight evidence from the patient perspective.
Lannes - Improving health worker performance The patient-perspectivelaurencelannes
PBF programs in developing countries aim to improve health worker performance through financial incentives tied to meeting targets. This document analyzes data from a PBF program in Rwanda to assess its impact on patient satisfaction. It finds that PBF had a positive effect on satisfaction with clinical services by improving productivity, availability, and competencies of health workers. PBF also positively impacted satisfaction with non-clinical dimensions, suggesting it incentivized improvements in those areas as well. The study concludes PBF can be an effective strategy for increasing patient satisfaction if programs include assessing satisfaction in their incentive mechanisms.
This document discusses outcomes research, which seeks to understand the end results of healthcare practices and interventions. It describes two agencies, the Agency for Healthcare Research and Quality and the Patient-Centered Outcomes Research Institute, that focus on outcomes research and fund studies to increase healthcare effectiveness. Both agencies emphasize measures like quality of life and patient preferences. The document also discusses positive and negative impacts of outcomes research, how it assesses elements of health important to patients, and how researchers have developed ways to broadly measure health status.
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.
Weitzman 2013: PCORI: Transforming Health CareCHC Connecticut
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.
The document discusses Project ECHO and its mission to expand access to specialty healthcare for common and complex diseases in rural and underserved areas. Project ECHO uses teleconferencing and case-based learning to train primary care clinicians to treat and manage conditions like hepatitis C. An evaluation showed primary care clinicians trained through Project ECHO achieved similar treatment outcomes for hepatitis C as specialists at a university medical center, improving access to care for rural and minority populations.
Dr. Edward Wagner, Director (Emeritus) MacColl Center, Senior Investigator, Group Health Research Institute addresses the 2014 Weitzman Symposium on The Future of Primary Care
This document summarizes a session at the 2015 CADTH conference on engaging patients in defining value and drug development. It provides an overview of the session which included panels discussing defining value from the patient perspective and models of patient engagement. It also summarizes some of the key points discussed, such as the need to include patient perspectives throughout the drug development process to better measure what is meaningful to patients and alternative approaches to patient engagement like patient and community engagement researchers. The document advocates that embedding meaningful patient measures can help weight evidence from the patient perspective.
Lannes - Improving health worker performance The patient-perspectivelaurencelannes
PBF programs in developing countries aim to improve health worker performance through financial incentives tied to meeting targets. This document analyzes data from a PBF program in Rwanda to assess its impact on patient satisfaction. It finds that PBF had a positive effect on satisfaction with clinical services by improving productivity, availability, and competencies of health workers. PBF also positively impacted satisfaction with non-clinical dimensions, suggesting it incentivized improvements in those areas as well. The study concludes PBF can be an effective strategy for increasing patient satisfaction if programs include assessing satisfaction in their incentive mechanisms.
This document discusses outcomes research, which seeks to understand the end results of healthcare practices and interventions. It describes two agencies, the Agency for Healthcare Research and Quality and the Patient-Centered Outcomes Research Institute, that focus on outcomes research and fund studies to increase healthcare effectiveness. Both agencies emphasize measures like quality of life and patient preferences. The document also discusses positive and negative impacts of outcomes research, how it assesses elements of health important to patients, and how researchers have developed ways to broadly measure health status.
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 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.
Patient-centered medical homes (PCMHs) are intended to actively provide effective care by physician-led teams, Where patients take a leading role and responsibility. Objective: To determine whether the Walter Reed PCMH has reduced costs while at least maintaining if not improving access to and quality of care, and to determine
whether access, quality, and cost impacts differ by chronic condition status. Design, setting, and patients: This study
conducted a retrospective analysis using a patient-level utilization database to determine the impact of the Walter Reed PCMH on utilization and cost metrics, and a survey of enrollees in the Walter Reed PCMH to address access to care and quality of care. Outcome measures: Inpatient and outpatient utilization, per member per quarter costs, Healthcare Effectiveness Data and Information Set metrics, and composite measures for access, patient satisfaction, provider communication, and customer service are included. Results: Costs were 11% lower for those with chronic conditions compared to 7% lower for those without. Since treating patients with chronic conditions is 4 times more costly than treating patients without such conditions, the vast majority of dollar savings are attributable to chronic care.
Over half of patients at a rehabilitation hospital reported wanting greater involvement in their care decisions. To address this, the hospital conducted patient and family shadowing where observers followed patients to experience care from their perspective. This identified themes like explanations during rounds and involvement in discharge plans. A post-intervention survey found a statistically significant improvement in patients feeling involved in care decisions and clinically relevant improvements in understanding doctor explanations and recommending the hospital. Engaging medical leaders and balancing data with reflection time led doctors to change practices without formal rules.
Outcome research studies the effects of healthcare treatments on individuals and populations. It can be categorized by time period (short, intermediate, long-term outcomes) or type (care-related, patient-related, performance-related). The Agency for Healthcare Research and Quality and Patient-Centered Outcomes Research Institute fund outcome research to improve patient safety, quality of care, and reduce disparities. While outcome research engages patients and considers their perspectives, some concerns exist that government and organizational pressures may not resolve pressing issues like the opioid crisis and disparities in mental healthcare.
The document discusses two research organizations, the Patient Centered Outcomes Research Institute (PCORI) and the Agency for Healthcare Research and Quality (AHRQ). It summarizes several projects currently being undertaken by each organization, including a study by Memorial Hermann Health Systems using a mobile stroke unit that has shown positive outcomes for rapidly treating stroke patients. Another PCORI project aims to reduce opioid dependency by comparing different risk communication methods, but outcomes have not been reported yet. AHRQ is evaluating chronic disease self-management programs that have led to statistically significant improved self-efficacy. However, the author questions whether another AHRQ project enhancing data collection of patient race and ethnicity will truly illuminate health disparities or just
The document summarizes a presentation by Paul Grundy on extracting value from the patient centered medical home model. It discusses:
1) How the patient centered medical home model creates partnerships across the healthcare system to drive primary care redesign, offer population health management, and move away from an episodic, fee-for-service model.
2) Studies that show improvements in costs, quality, access, and utilization from implementing the patient centered medical home model, including reduced hospital and ER use.
3) How payment models are shifting towards value-based purchasing tied to quality, utilization, and patient satisfaction outcomes rather than volume of services.
This document provides a summary of evidence on the impact of patient-centered medical homes (PCMHs) and primary care innovations on cost and quality from 2013-2014. It finds that PCMH interventions are associated with modest improvements in quality of care and reductions in utilization and costs. It also discusses challenges in evaluating PCMHs and outlines opportunities to further integrate primary care with other specialties and engage consumers. The future of the PCMH relies on continued financial support, training interprofessional teams, harnessing technology, and partnering with patients and communities.
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.
This document provides an overview of transitions of care, including definitions, models, and best practices. It describes transitions as the movement of patients between healthcare settings or providers. Poor transitions can lead to adverse outcomes for patients and increased costs. Several evidence-based models are described that aim to improve transitions through elements like medication reconciliation, discharge planning, and post-discharge follow up. These models have demonstrated reductions in readmissions and healthcare utilization. The document provides resources for additional information on improving the quality of patient transitions.
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.
National Conference on Health and Domestic Violence. Plenary talk Paul Grundy
explaining how the Patient Centered Medical Home (PCMH) platform for healthcare deliver is more likely to support domestic violence prevention and creat a safer environment than the FFS episode of care system we are in now. The medical Home is a home for the data where the all the data goes and is held accountable this idea was first articulated by Dr. Calvin C.J. Sia, a Honolulu-based pediatrician in 1967.
This concept of the medical home was integrated with Ed Wagners Chronic disease Model and Thomas Bodenheimer Kevin Grumbach advanced/proactive primary care at the request of the Patient Centered Primary care Collaborative into a set of principles Know as the Joint principles of the Patient centered medical home.
The patient-centered medical home (PCMH), is a team based health care delivery set of principles led by a physician that provides comprehensive and continuous medical care to patients with the goal of obtaining maximized health outcomes. It is "an approach to providing comprehensive primary care for children, youth and adults" The provision PCMH medical homes allow better access to health care, increase satisfaction with care, and improve health. Joint principles that define a PCMH have been established through the cohesive efforts of the American Academy of Pediatrics (AAP), American Academy of Family Physicians (AAFP), American College of Physicians (ACP), and American Osteopathic Association (AOA).[10] Care coordination is an essential component of the PCMH. Care coordination requires additional resources such as health information technology, and appropriately trained staff to provide coordinated care through team-based models. Additionally, payment models that compensate PCMHs for their effort devoted to care coordination activities and patient-centered care management that fall outside the face-to-face patient encounter may help encourage coordination.
Building Patient-Centeredness in the Real World: The Engaged Patient and the ...EngagingPatients
This paper examines the separate but intertwined ethical, economic and clinical concepts of patientcenteredness and how ACOs provide a structure for turning those concepts into a functioning reality.
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.
The document discusses creating a value-based healthcare system focused on patient outcomes and costs. It recommends organizing multidisciplinary teams around patient conditions, measuring outcomes and costs by condition, and developing bundled payments to compensate providers for treating a condition over the full cycle of care. The document also provides an example of Martini Klinik in Germany, which achieves better prostate cancer outcomes than average hospitals through dedicated teams, extensive outcomes tracking, and peer comparison.
Outcomes research examines the end results of health services on individuals and is intended to provide scientific evidence to inform healthcare decisions. It consists of clinical studies of expanded patient outcomes as well as studies of populations, databases, and healthcare delivery systems. Outcomes research identifies types of outcomes like care-related, patient-related, and performance-related outcomes, and is typically quantitative rather than qualitative. It assists in evidence-based practice, evaluates delivered care, measures innovation effectiveness, and is important due to rising costs, standards, and public reporting. Factors to consider in determining outcomes include patient populations, team members, organizational priorities, and mandated reporting.
PFCC Methodology and Practice: Deliver Ideal Care Experiences and Outcomes…By...EngagingPatients
The document describes the Patient and Family Centered Care (PFCC) methodology used at UPMC, a large integrated health system. The six-step PFCC methodology involves: 1) defining the care experience, 2) forming a guiding council, 3) observing the current state through shadowing, 4) identifying touchpoints through a working group, 5) creating a shared vision for an ideal experience, and 6) implementing improvement projects. The methodology aims to improve outcomes and experiences by engaging patients and families in co-designing care and breaking down silos between care providers. Examples of successful PFCC projects that improved discharge processes and communication through bedside rounding are provided.
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.
The document discusses various topics related to physical therapy (PT) practice. It notes that in 2014, PTs can avoid PQRS penalties by reporting 3 quality measures for 50% of patients, and the number of measures required to receive bonuses will increase from 3 to 9. It also eliminates reporting via measures groups through claims. The document discusses focusing on developing quality measures for PT, payment models that promote value, and public policy initiatives to advance the role of PT in areas like disease management. It also discusses improving access, eliminating self-referral profits, and ensuring an adequate PT workforce.
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
Colorado Health Care Leaders Webinar Series: Publicly-funded Health Insurance...kingemily
CHI is hosting a series of webinars designed especially for Colorado health care leaders who need credible, timely information to help them make informed decisions. This webinar provided an overview of publicly-funded insurance programs in Colorado, such as Medicaid and the Child Health Plan Plus (CHP+).
This document provides the annual report for North Carolina Medicaid for State Fiscal Year 2008. It highlights that over 1.7 million individuals were eligible for Medicaid in SFY 2008, a 2.6% increase over the previous year. Total Medicaid expenditures were $11.6 billion, with $9.5 billion spent on health services and premiums. The report discusses initiatives like Community Care of North Carolina and improved access to dental care for children. It provides statistics on Medicaid expenditures, recipients, eligibility categories, and program accomplishments for SFY 2008.
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.
Patient-centered medical homes (PCMHs) are intended to actively provide effective care by physician-led teams, Where patients take a leading role and responsibility. Objective: To determine whether the Walter Reed PCMH has reduced costs while at least maintaining if not improving access to and quality of care, and to determine
whether access, quality, and cost impacts differ by chronic condition status. Design, setting, and patients: This study
conducted a retrospective analysis using a patient-level utilization database to determine the impact of the Walter Reed PCMH on utilization and cost metrics, and a survey of enrollees in the Walter Reed PCMH to address access to care and quality of care. Outcome measures: Inpatient and outpatient utilization, per member per quarter costs, Healthcare Effectiveness Data and Information Set metrics, and composite measures for access, patient satisfaction, provider communication, and customer service are included. Results: Costs were 11% lower for those with chronic conditions compared to 7% lower for those without. Since treating patients with chronic conditions is 4 times more costly than treating patients without such conditions, the vast majority of dollar savings are attributable to chronic care.
Over half of patients at a rehabilitation hospital reported wanting greater involvement in their care decisions. To address this, the hospital conducted patient and family shadowing where observers followed patients to experience care from their perspective. This identified themes like explanations during rounds and involvement in discharge plans. A post-intervention survey found a statistically significant improvement in patients feeling involved in care decisions and clinically relevant improvements in understanding doctor explanations and recommending the hospital. Engaging medical leaders and balancing data with reflection time led doctors to change practices without formal rules.
Outcome research studies the effects of healthcare treatments on individuals and populations. It can be categorized by time period (short, intermediate, long-term outcomes) or type (care-related, patient-related, performance-related). The Agency for Healthcare Research and Quality and Patient-Centered Outcomes Research Institute fund outcome research to improve patient safety, quality of care, and reduce disparities. While outcome research engages patients and considers their perspectives, some concerns exist that government and organizational pressures may not resolve pressing issues like the opioid crisis and disparities in mental healthcare.
The document discusses two research organizations, the Patient Centered Outcomes Research Institute (PCORI) and the Agency for Healthcare Research and Quality (AHRQ). It summarizes several projects currently being undertaken by each organization, including a study by Memorial Hermann Health Systems using a mobile stroke unit that has shown positive outcomes for rapidly treating stroke patients. Another PCORI project aims to reduce opioid dependency by comparing different risk communication methods, but outcomes have not been reported yet. AHRQ is evaluating chronic disease self-management programs that have led to statistically significant improved self-efficacy. However, the author questions whether another AHRQ project enhancing data collection of patient race and ethnicity will truly illuminate health disparities or just
The document summarizes a presentation by Paul Grundy on extracting value from the patient centered medical home model. It discusses:
1) How the patient centered medical home model creates partnerships across the healthcare system to drive primary care redesign, offer population health management, and move away from an episodic, fee-for-service model.
2) Studies that show improvements in costs, quality, access, and utilization from implementing the patient centered medical home model, including reduced hospital and ER use.
3) How payment models are shifting towards value-based purchasing tied to quality, utilization, and patient satisfaction outcomes rather than volume of services.
This document provides a summary of evidence on the impact of patient-centered medical homes (PCMHs) and primary care innovations on cost and quality from 2013-2014. It finds that PCMH interventions are associated with modest improvements in quality of care and reductions in utilization and costs. It also discusses challenges in evaluating PCMHs and outlines opportunities to further integrate primary care with other specialties and engage consumers. The future of the PCMH relies on continued financial support, training interprofessional teams, harnessing technology, and partnering with patients and communities.
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.
This document provides an overview of transitions of care, including definitions, models, and best practices. It describes transitions as the movement of patients between healthcare settings or providers. Poor transitions can lead to adverse outcomes for patients and increased costs. Several evidence-based models are described that aim to improve transitions through elements like medication reconciliation, discharge planning, and post-discharge follow up. These models have demonstrated reductions in readmissions and healthcare utilization. The document provides resources for additional information on improving the quality of patient transitions.
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.
National Conference on Health and Domestic Violence. Plenary talk Paul Grundy
explaining how the Patient Centered Medical Home (PCMH) platform for healthcare deliver is more likely to support domestic violence prevention and creat a safer environment than the FFS episode of care system we are in now. The medical Home is a home for the data where the all the data goes and is held accountable this idea was first articulated by Dr. Calvin C.J. Sia, a Honolulu-based pediatrician in 1967.
This concept of the medical home was integrated with Ed Wagners Chronic disease Model and Thomas Bodenheimer Kevin Grumbach advanced/proactive primary care at the request of the Patient Centered Primary care Collaborative into a set of principles Know as the Joint principles of the Patient centered medical home.
The patient-centered medical home (PCMH), is a team based health care delivery set of principles led by a physician that provides comprehensive and continuous medical care to patients with the goal of obtaining maximized health outcomes. It is "an approach to providing comprehensive primary care for children, youth and adults" The provision PCMH medical homes allow better access to health care, increase satisfaction with care, and improve health. Joint principles that define a PCMH have been established through the cohesive efforts of the American Academy of Pediatrics (AAP), American Academy of Family Physicians (AAFP), American College of Physicians (ACP), and American Osteopathic Association (AOA).[10] Care coordination is an essential component of the PCMH. Care coordination requires additional resources such as health information technology, and appropriately trained staff to provide coordinated care through team-based models. Additionally, payment models that compensate PCMHs for their effort devoted to care coordination activities and patient-centered care management that fall outside the face-to-face patient encounter may help encourage coordination.
Building Patient-Centeredness in the Real World: The Engaged Patient and the ...EngagingPatients
This paper examines the separate but intertwined ethical, economic and clinical concepts of patientcenteredness and how ACOs provide a structure for turning those concepts into a functioning reality.
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.
The document discusses creating a value-based healthcare system focused on patient outcomes and costs. It recommends organizing multidisciplinary teams around patient conditions, measuring outcomes and costs by condition, and developing bundled payments to compensate providers for treating a condition over the full cycle of care. The document also provides an example of Martini Klinik in Germany, which achieves better prostate cancer outcomes than average hospitals through dedicated teams, extensive outcomes tracking, and peer comparison.
Outcomes research examines the end results of health services on individuals and is intended to provide scientific evidence to inform healthcare decisions. It consists of clinical studies of expanded patient outcomes as well as studies of populations, databases, and healthcare delivery systems. Outcomes research identifies types of outcomes like care-related, patient-related, and performance-related outcomes, and is typically quantitative rather than qualitative. It assists in evidence-based practice, evaluates delivered care, measures innovation effectiveness, and is important due to rising costs, standards, and public reporting. Factors to consider in determining outcomes include patient populations, team members, organizational priorities, and mandated reporting.
PFCC Methodology and Practice: Deliver Ideal Care Experiences and Outcomes…By...EngagingPatients
The document describes the Patient and Family Centered Care (PFCC) methodology used at UPMC, a large integrated health system. The six-step PFCC methodology involves: 1) defining the care experience, 2) forming a guiding council, 3) observing the current state through shadowing, 4) identifying touchpoints through a working group, 5) creating a shared vision for an ideal experience, and 6) implementing improvement projects. The methodology aims to improve outcomes and experiences by engaging patients and families in co-designing care and breaking down silos between care providers. Examples of successful PFCC projects that improved discharge processes and communication through bedside rounding are provided.
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.
The document discusses various topics related to physical therapy (PT) practice. It notes that in 2014, PTs can avoid PQRS penalties by reporting 3 quality measures for 50% of patients, and the number of measures required to receive bonuses will increase from 3 to 9. It also eliminates reporting via measures groups through claims. The document discusses focusing on developing quality measures for PT, payment models that promote value, and public policy initiatives to advance the role of PT in areas like disease management. It also discusses improving access, eliminating self-referral profits, and ensuring an adequate PT workforce.
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
Colorado Health Care Leaders Webinar Series: Publicly-funded Health Insurance...kingemily
CHI is hosting a series of webinars designed especially for Colorado health care leaders who need credible, timely information to help them make informed decisions. This webinar provided an overview of publicly-funded insurance programs in Colorado, such as Medicaid and the Child Health Plan Plus (CHP+).
This document provides the annual report for North Carolina Medicaid for State Fiscal Year 2008. It highlights that over 1.7 million individuals were eligible for Medicaid in SFY 2008, a 2.6% increase over the previous year. Total Medicaid expenditures were $11.6 billion, with $9.5 billion spent on health services and premiums. The report discusses initiatives like Community Care of North Carolina and improved access to dental care for children. It provides statistics on Medicaid expenditures, recipients, eligibility categories, and program accomplishments for SFY 2008.
This document summarizes Virginia's efforts to reform its Medicaid program and debates around expanding Medicaid eligibility. It outlines Virginia's 3-phase reform process, including integrating behavioral health and long-term care services. It also reviews expansion proposals in other states and debates in Virginia, including concerns about long-term federal funding and provider capacity. Family physicians are asked to consider how Medicaid expansion may impact their practices and whether the existing program needs changes first.
Virginia AFP's lobbyist Hunter Jamerson's presentation from the 2013 SLC on the unique Medicaid reform approach being followed in the state of Virginia.
The document summarizes Virginia's Medicaid managed care delivery system. It discusses how Medicaid recipients receive services through managed care organizations (MCOs) under contract with the Department of Medical Assistance Services. The system provides flexibility to the MCOs while also ensuring accountability. Key points include how the system benefits the Commonwealth through MCO networks, quality programs, and cost savings initiatives like drug rebates. Upcoming reforms to the system include the MEDALLION 3.0 program changes and initiatives to integrate additional populations and services into managed care by 2014.
The document discusses the evolving rural healthcare environment, including increased affiliations between rural and urban providers, changes to payment models under the Affordable Care Act, and a transition to value-based and managed care. It notes pressures on state budgets, the growth of high-deductible health plans, reduced readmissions, and declining inpatient volumes. The document also summarizes the expansion of Medicaid, Medicare payment reductions, quality reporting programs, accountable care organizations, and the financial challenges rural hospitals may face in this changing environment if they maintain a fee-for-service model.
This document summarizes key aspects of the Affordable Care Act and its implications for the pharmaceutical industry. It discusses how the ACA expands health insurance coverage but does not create a public option or directly set prices. It also explores the ACA's goals of expanding coverage, improving quality, and reducing costs. The document notes the ACA leads to evolution in the healthcare marketplace by bringing in new insured consumers and focusing on quality, outcomes, and cost. It identifies several drivers that will impact the pharmaceutical industry, including enrollment in new plans, potential erosion of commercial benefits, and growth of delivery and payment reforms.
This document provides a summary of Virginia's Medicaid program and the status of health care reform efforts in the state. It outlines Virginia's Medicaid eligibility levels, enrollment trends, expenditures, and service delivery structure. It then discusses the state's goals for Medicaid reform, including implementing the Affordable Care Act expansion and establishing a more efficient, coordinated system. The document reviews the progress and estimated savings of Virginia's multi-phase Medicaid reform plan, including initiatives involving the dual eligible population, program integrity, and behavioral health services.
AHF started their ACA Workshop with opening remarks from Alliance Healthcare Foundation's Executive Director Nancy Sasaki. Program Officer Sylvia Barron introduced the first presenter, Robin Hodgkin, Director of Imperial County Health Department.
About the Event:
To help those in Imperial County prepare for how the Affordable Care Act will impact work the community, Alliance Healthcare Foundation hosted a workshop on Sept. 11, 2013 at the San Diego Gas & Electric Renewable Energy Resource Center in Imperial County. In this workshop, we explored Covered California enrollment with an overview of multiple health plans and eligibility, discussed the community clinic perspective, and considered its potential impact on the underserved in Imperial County. This workshop was free and included a healthy lunch for all attendees.
Watch the complete event here: http://www.youtube.com/playlist?list=PL-CwI2rkvFSV1_XYs45kGqdJj_R-jfXHP
Money in the Bank: The Why’s & How’s of Investing in Chronic Carenashp
The document summarizes a presentation given by Donna Marshall of the Colorado Business Group on Health to the National Academy for State Health Policy about investing in chronic care. It discusses how chronic conditions drive the majority of healthcare spending and highlights research showing patients only receive about half of recommended care. It then outlines the Colorado Business Group on Health's efforts to implement the Bridges to Excellence program in Colorado to recognize and incentivize high-quality physicians to improve chronic care.
The Medicaid and CHIP Payment and Access Commission (MACPAC)dylanturner22
This document provides an overview of the Medicaid and CHIP Payment and Access Commission (MACPAC). It discusses MACPAC's statutory charge to review Medicaid and CHIP policies and make recommendations to Congress. It summarizes key findings and recommendations from MACPAC's June 2013 and March 2014 reports to Congress. The presentation concludes with a preview of topics to be covered in MACPAC's June 2014 report and areas of future focus, including the future of CHIP, ACA implementation, long-term services and supports, and payment methodologies.
Adding complexity to an already difficult task: Monitoring the impact of the ...soder145
The document summarizes research comparing estimates of Medicaid enrollment in 2013 and 2014 from the American Community Survey (ACS) and Centers for Medicare and Medicaid Services (CMS) administrative data. The research finds that states with the largest increases in Medicaid enrollment according to CMS also tended to have the largest differences between ACS and CMS estimates, with ACS generally reporting lower enrollment. This suggests the ACS may overstate uninsurance rates where Medicaid enrollment increased substantially. However, misreported coverage likely represents shifts between coverage types rather than uninsurance. Future research should analyze additional years of data and link administrative and survey sources to better understand reporting errors.
The document discusses the evolving rural healthcare environment and significant changes occurring in recent years. It notes increased rural-urban affiliations, physicians transitioning to hospital employment, declining patient volumes, growth of high-deductible health plans, and reduced Medicare payments. It summarizes changes in federal healthcare reform, Medicaid managed care, commercial insurance, and new payment models like accountable care organizations and bundled payments that are putting pressure on rural hospital finances and operations.
One in 10 coloradans choose colorado health op on state’s health insurance ma...slpr2012
Colorado HealthOP, the state's first health insurance cooperative, gained a 10% market share among Coloradans who purchased insurance on the state exchange. One satisfied customer, Brian Novak, chose Colorado HealthOP because as a type 1 diabetic and cancer survivor he had difficulty getting coverage in the past but Colorado HealthOP's policies do not exclude people for pre-existing conditions. Colorado HealthOP attributes its success to its cooperative business model and focus on preventive care and keeping costs low for members. In some areas of the state, Colorado HealthOP's market share exceeds 25%.
This document provides information about three healthcare summits taking place from July 14-16, 2015 at the Westin Crystal City in Arlington, Virginia. The summits are the 11th Annual Medicare and Medicare Advantage Summit, the 5th Annual Medicaid Summit, and the 3rd Annual Dual Eligibles Summit. The document outlines the agenda for each day of the summits, which will include keynote speakers from CMS, case studies, and panels on various healthcare topics such as quality measures, payment reform, care coordination, and engaging Medicaid and dual eligible populations. Registration information is provided as well as a call for sponsorship opportunities.
Health Reform & the Delivery System: A New Medley of Payment & IncentivesNASHP HealthPolicy
This document discusses opportunities and challenges for states in implementing provisions of the Affordable Care Act that aim to improve healthcare quality and efficiency. It outlines several key areas of reform including: data collection and performance measurement; public reporting of cost and quality; payment reform through value-based purchasing; consumer engagement; and provider engagement. For each area, it identifies state challenges such as lack of standardized measures and federal-state misalignment, as well opportunities created by the ACA such as incentives for care coordination and grants for delivery system transformation. Overall, the document argues that the ACA provides momentum to build on current state quality and efficiency efforts while addressing challenges around scarce resources and pressure to adopt mandatory reforms.
What Do Consumers Need to Know About Health Reform’s Changes?Mandi Lee
This document summarizes a webinar presented by the Kaiser Family Foundation on health insurance reforms under the Affordable Care Act. It discusses key provisions of the ACA including the Medicaid expansion, health insurance marketplaces, premium subsidies, and employer and individual mandates. It provides data on the number of uninsured Americans and how many will gain coverage. It also outlines implementation timelines and the status of the Medicaid expansion across different states. Experts from KFF discussed these reforms and answered audience questions.
Similar to Weitzman 2013: State Health Policy Initiatives as Drivers for Improving Care Outcomes: Colorado's Accountable Care Collaborative (20)
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.
Newborn screening involves testing newborns for treatable genetic and metabolic disorders through methods like dried bloodspot testing, hearing screening, and pulse oximetry. The goals are to identify at-risk newborns early before symptoms present, when treatment is most effective. Abnormal screening results require follow up diagnostic testing, education of families, and treatment if a condition is confirmed. Future directions may include expanded screening panels and genomic newborn screening, though these raise additional complex issues to consider.
Health Professions Student Training Webinar: Assessing Organizational CapacityCHC Connecticut
This document provides information about a webinar on assessing organizational capacity for health professions student training. It includes details about continuing education credits, speakers, objectives, and an overview of key aspects of assessing capacity. These include identifying willing and available faculty members, maintaining a spreadsheet of available preceptors, conducting a secondary review of space, training, and onboarding needs, and negotiating placements with academic affiliations. It also discusses best practices for clinical observation and feedback forms, and introduces some preceptor panelists. Finally, it provides an overview of the Readiness to Train Assessment Tool (RTAT) and how it can be used to understand an organization's capacity based on survey results.
Training the Next Generation: Investing in Workforce TrainingCHC Connecticut
This document provides information about an upcoming webinar on workforce training. The webinar will discuss why health centers should invest in health professions education and training programs, how to assess organizational readiness to implement such programs, and best practices for developing replicable training models. Attendees will learn how workforce development planning makes business sense by reducing costs from employee turnover and increasing access to care. A tool called the Readiness to Train Assessment can help organizations evaluate their capacity and motivation to engage in training programs. Successful training requires identifying qualified preceptors and building a culture of learning in the organization.
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.
Addressing Genetics Workforce Shortage - April 11, 2023CHC Connecticut
The document discusses the shortage of geneticists and genetic counselors in the United States. It notes that there are currently only around 1,240 medical geneticists and 4,700 genetic counselors serving the population, below the recommended levels. Many states have fewer than the recommended number of geneticists per population. The document explores ways primary care physicians can help address gaps, such as playing a more active role in selected genetic situations like cancer risk assessment. It also identifies growing the educational opportunities in genetics as important for increasing the workforce.
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
Direct to Consumer Test and Ancestry Testing - March 14, 2023CHC Connecticut
Direct to Consumer Genetic and Ancestry Testing
This document discusses direct-to-consumer (DTC) genetic and ancestry testing. It defines DTC testing as testing that can be ordered by consumers without a health care provider. The document outlines the types of information provided by DTC tests, including ancestry, traits, disease risks, and results for some Mendelian conditions. However, it notes limitations like low predictive value without family history and risks of false positives. It provides examples of patients impacted by DTC testing results and emphasizes the need for confirmation of pathogenic variants by clinical genetics. The document also discusses privacy and legal issues related to DTC testing.
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.
Genetic Connections to Breast Cancer - February 14, 2023CHC Connecticut
This document discusses genetic connections to breast cancer. It begins by outlining the learning objectives, which are to understand the importance of collaboration between genetics and non-genetics experts for hereditary breast cancer patients, emphasize obtaining accurate family histories, and discuss benefits and limitations of next generation sequencing panel tests. It then discusses genetic counselors' role in oncology, hereditary cancer risks and patterns, BRCA genes, obtaining family histories, genetic testing options like multi-gene panels, interpreting results, cancer screening recommendations, and prophylactic surgery options. Resources and established risk models are also referenced.
Connective Tissue Disorders Slides - January 17, 2023CHC Connecticut
This document discusses several genetic connective tissue disorders including Ehlers Danlos syndromes, Marfan syndrome, Loeys-Dietz syndrome, Stickler syndrome, Shprintzen Goldberg syndrome, Cutis Laxa, and Osteogenesis Imperfecta. It highlights the importance of identifying these disorders to allow for timely detection of serious complications and management by multiple medical specialists. Connective tissues are the most abundant tissues in the body and connect, support, bind or separate other tissues. Identification of a connective tissue disorder through genetic diagnosis guides appropriate care.
Implementation of Facial Recognition Software for Clinical Genetics Practice...CHC Connecticut
This document discusses the potential uses of facial recognition software in clinical genetics practice and education. It provides 3 examples of how facial recognition software could help in rare disease identification and interpreting genetic testing results. The document also outlines learning objectives about identifying medical uses of facial recognition, using facial grids to match patterns to syndromes, and the importance of diverse training data.
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.
Genetics Cases and Resources Webinar Slides - November 8, 2022CHC Connecticut
The document discusses various metabolic diseases, including those that cause muscle symptoms like long chain hydroxyacyl CoA dehydrogenase (LCHAD) deficiency and Pompe disease. It provides information on fatty acid oxidation defects, describing how the body metabolizes fatty acids and the consequences of defects in breaking down different chain length fatty acids. Symptoms of long chain fatty acid oxidation defects are discussed, including fasting intolerance, encephalopathy, liver dysfunction, and muscle involvement. The diagnosis and treatment of these conditions is also summarized.
NTTAP Webinar: Postgraduate NP/PA Residency: Discussing your Key Program Staf...CHC Connecticut
This document discusses a webinar presented by Community Health Center, Inc. on their postgraduate nurse practitioner and physician assistant residency and fellowship programs. It provides an agenda for the webinar which will discuss the key program staff and their responsibilities, including the program director, clinical director, preceptors, mentors and other faculty. The webinar objectives are to identify drivers for implementing such programs, describe the implementation process, discuss program structure and highlight the roles of program staff.
Training the Next Generation within Primary CareCHC Connecticut
This document summarizes a presentation about training the next generation within primary care. It discusses Community Health Center Inc.'s various workforce development programs, including clinical and non-clinical fellowships and student programs. Specifically, it focuses on administrative fellowships, outlining their purpose and key factors to consider when establishing one, such as the fellow's access and experiences. It also describes other opportunities at the Weitzman Institute for training students, such as research programs with Wesleyan University and health policy fellowships. The presentation emphasizes that community health centers are important training grounds and considers how to structure diverse programs to support succession planning.
These lecture slides, by Dr Sidra Arshad, offer a simplified look into the mechanisms involved in the regulation of respiration:
Learning objectives:
1. Describe the organisation of respiratory center
2. Describe the nervous control of inspiration and respiratory rhythm
3. Describe the functions of the dorsal and respiratory groups of neurons
4. Describe the influences of the Pneumotaxic and Apneustic centers
5. Explain the role of Hering-Breur inflation reflex in regulation of inspiration
6. Explain the role of central chemoreceptors in regulation of respiration
7. Explain the role of peripheral chemoreceptors in regulation of respiration
8. Explain the regulation of respiration during exercise
9. Integrate the respiratory regulatory mechanisms
10. Describe the Cheyne-Stokes breathing
Study Resources:
1. Chapter 42, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 36, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 13, Human Physiology by Lauralee Sherwood, 9th edition
Know the difference between Endodontics and Orthodontics.Gokuldas Hospital
Your smile is beautiful.
Let’s be honest. Maintaining that beautiful smile is not an easy task. It is more than brushing and flossing. Sometimes, you might encounter dental issues that need special dental care. These issues can range anywhere from misalignment of the jaw to pain in the root of teeth.
Discover the benefits of homeopathic medicine for irregular periods with our guide on 5 common remedies. Learn how these natural treatments can help regulate menstrual cycles and improve overall menstrual health.
Visit Us: https://drdeepikashomeopathy.com/service/irregular-periods-treatment/
How to Control Your Asthma Tips by gokuldas hospital.Gokuldas Hospital
Respiratory issues like asthma are the most sensitive issue that is affecting millions worldwide. It hampers the daily activities leaving the body tired and breathless.
The key to a good grip on asthma is proper knowledge and management strategies. Understanding the patient-specific symptoms and carving out an effective treatment likewise is the best way to keep asthma under control.
PGx Analysis in VarSeq: A User’s PerspectiveGolden Helix
Since our release of the PGx capabilities in VarSeq, we’ve had a few months to gather some insights from various use cases. Some users approach PGx workflows by means of array genotyping or what seems to be a growing trend of adding the star allele calling to the existing NGS pipeline for whole genome data. Luckily, both approaches are supported with the VarSeq software platform. The genotyping method being used will also dictate what the scope of the tertiary analysis will be. For example, are your PGx reports a standalone pipeline or would your lab’s goal be to handle a dual-purpose workflow and report on PGx + Diagnostic findings.
The purpose of this webcast is to:
Discuss and demonstrate the approaches with array and NGS genotyping methods for star allele calling to prep for downstream analysis.
Following genotyping, explore alternative tertiary workflow concepts in VarSeq to handle PGx reporting.
Moreover, we will include insights users will need to consider when validating their PGx workflow for all possible star alleles and options you have for automating your PGx analysis for large number of samples. Please join us for a session dedicated to the application of star allele genotyping and subsequent PGx workflows in our VarSeq software.
Computer in pharmaceutical research and development-Mpharm(Pharmaceutics)MuskanShingari
Statistics- Statistics is the science of collecting, organizing, presenting, analyzing and interpreting numerical data to assist in making more effective decisions.
A statistics is a measure which is used to estimate the population parameter
Parameters-It is used to describe the properties of an entire population.
Examples-Measures of central tendency Dispersion, Variance, Standard Deviation (SD), Absolute Error, Mean Absolute Error (MAE), Eigen Value
“Psychiatry and the Humanities”: An Innovative Course at the University of Mo...Université de Montréal
“Psychiatry and the Humanities”: An Innovative Course at the University of Montreal Expanding the medical model to embrace the humanities. Link: https://www.psychiatrictimes.com/view/-psychiatry-and-the-humanities-an-innovative-course-at-the-university-of-montreal
5-hydroxytryptamine or 5-HT or Serotonin is a neurotransmitter that serves a range of roles in the human body. It is sometimes referred to as the happy chemical since it promotes overall well-being and happiness.
It is mostly found in the brain, intestines, and blood platelets.
5-HT is utilised to transport messages between nerve cells, is known to be involved in smooth muscle contraction, and adds to overall well-being and pleasure, among other benefits. 5-HT regulates the body's sleep-wake cycles and internal clock by acting as a precursor to melatonin.
It is hypothesised to regulate hunger, emotions, motor, cognitive, and autonomic processes.
Pharmacology of 5-hydroxytryptamine and Antagonist
Weitzman 2013: State Health Policy Initiatives as Drivers for Improving Care Outcomes: Colorado's Accountable Care Collaborative
1. Colorado Department of Health Care Policy and Financing
Susan E. Birch, Executive Director
Colorado Department of Health Care Policy and Financing
May 16, 2013
State Health Policy Initiatives as Drivers
for Improving Care Outcomes:
Colorado’s Accountable Care Collaborative
2. Colorado Department of Health Care Policy and Financing
Medicaid Expansion Bill Signing
2
7. Colorado Department of Health Care Policy and Financing
Accountable Care Collaborative
First Year Results
• FY11-12 Department reduced Medicaid health costs by
$20 million
• Returned nearly $3 million to state and federal
taxpayers since its inception
Indicators – ACC Clients
• Hospital Readmissions 8.6% reduction
• Emergency Room Utilization .23% increase
• High-Cost Imaging 3.3% reduction
7
8. Colorado Department of Health Care Policy and Financing
Reforming Payment
8
Graphic Courtesy of Colorado Health Institute
9. Colorado Department of Health Care Policy and Financing
PCMP & RCCO Payment
• FFS reimbursement to PCMPs for medical services
• Per Member Per Month (PMPM) payment to PCMP
for medical home services*
• PMPM payment to RCCO’s for PCMP support and
member care coordination
• Incentive Payments
*Children’s Medical Home providers do not receive the PMPM because they are already
receiving the enhanced rate.
10. Colorado Department of Health Care Policy and Financing
Next Steps
•Enhanced Integration
•Physical, Behavioral, Dental, Public Health,
Long Term Services and Supports
•Medicare-Medicaid Enrollees
•Payment Reform – HB 12-1281
•Shared Savings
•Enhanced Data Collection and Sharing
11. Colorado Department of Health Care Policy and Financing
Questions
Susan E. Birch
Executive Director
Colorado Department of Health
Care Policy & Financing
1570 Grant Street
Denver, CO 80203
Susan.Birch@state.co.us
Editor's Notes
As of March 2013:698,137Medicaid clients 72,723 children and pregnant women in Child Health Plan Plus (CHP+)60% of Medicaid clients are children 20 and under30% of births in Colorado are paid by Medicaid$5.6 Billion total funds 313 Full Time Employees Approx. 771,000 clients Average per capita spending per client = $4,700 Administration costs approximately 3% Approximately $17 million appropriated for every employee in the Department
•Delivery System Reform • Improve health outcomes • Reduce costs • Improve the client and provider experience • Focal point of care for all clients • Introduce unprecedented data and analytics Three main componentsRegional Care Collaborative OrganizationsData and AnalyticsPrimary Care Medical ProvidersRegional Care Collaborative Organizations (RCCO) Achieve financial and health outcomes Ensure comprehensive care coordination and a Medical Home level of care for every Member through: NetworkDevelopment/ManagementProvider Support Medical Management and Care Coordination Accountability/ReportingPrimary Care Provider- Serve as a Medical HomeMember/family centeredWhole person orientedCoordinatedPromotes client self-management Care provided in a culturally sensitive and linguistically sensitive mannerAccessibleStatewide Data Analytics Contractor Data Repository Data Analytics & ReportingWeb Portal & Access Accountability & Continuous Improvement
In the ACC’s first year (FY 11-12) we Reduced Medicaid costs by $20 compared to if the ACC were not in placeIn doing so, we returned nearly $3 million to state and federal tax payersWe identified three Key Performance Indicators: Hospital readmissions, ER utilization and High-Cost ImagingWhile ER Utilization increased by .23%, it was much less than the overall Medicaid population not enrolled in the ACC…that group Increased ER utilization by 1%...so we made very good in-roads with the ACC populationOverall, we expect these numbers to improve even more as we get more clients enrolled. These figures were based on ACC enrollment of Approx 150,000 clients about 25% of overall Medicaid population.