WellPortals - Wellness That Makes Financial Sense
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WellPortals provides online wellness programs that target major chronic diseases like diabetes, heart disease, and cancer prevention. These performance-based programs are designed to reduce the symptoms, occurrences, and high costs of chronic illnesses. Chronic diseases drive up healthcare costs, as they affect up to 77% of the population and account for over 75% of health care spending. WellPortals focuses on high-risk individuals with chronic conditions through a systematic wellness system combining online tools and weekly group classes, with the goal of producing lasting lifestyle improvements to reduce costs. Studies in Asheville and Hickory, North Carolina found medical expenses dropped 40%, sick days reduced 50%, and hospitalizations cut 50% through WellPortals' lifestyle modification programs
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This document provides an introduction to chronic disease, including key terms and concepts. It discusses how chronic diseases require ongoing management, have a gradual onset and long-term effects on quality of life. Examples of chronic diseases include diabetes, renal disease and cardiovascular disease. The development of chronic disease is influenced by social, economic and environmental factors as well as health behaviors. Currently, chronic diseases consume 70% of health budgets and this is projected to increase. The document outlines strategies to address chronic diseases through prevention, early detection, evidence-based management and reducing associated risk factors like smoking, poor nutrition, alcohol and inactivity. It emphasizes moving from an acute, episodic care model to one focused on prevention and management.
02chrond.pdf
This document provides an introduction to chronic disease, including key terms and concepts. It discusses how chronic diseases require ongoing management, have a gradual onset and long-term effects on quality of life. Examples of chronic diseases include diabetes, renal disease and cardiovascular disease. The development of chronic disease is influenced by social, economic and environmental factors as well as health behaviors. Currently, chronic diseases consume 70% of health budgets and this is projected to increase. The document outlines strategies to address chronic diseases through prevention, early detection, evidence-based management and reducing associated risk factors like smoking, poor nutrition, alcohol and inactivity. It emphasizes moving from an acute, episodic care model to one focused on prevention and management.
Preventive and Medical Services in Texas.docx
Health insurance rates in Texas are the 9th highest in the country, driven largely by rising healthcare costs. Medicaid provides coverage to low-income Texans to ensure access to quality care. It offers comprehensive services including preventive care and screenings to help manage chronic conditions. Supportive palliative care also focuses on managing symptoms from serious illness to improve patients' quality of life through an interdisciplinary team approach.
Running head CREATING A PLAN OF CARE .docx
Running head: CREATING A PLAN OF CARE 1
CREATING A PLAN OF CARE 10
Creating a Plan of Care
South University
NSG4055 Illness & Disease Management across Life Span
Professor
Creating a Plan of Care
The chronic disease selected for the plan of care is cardiovascular disease. This disease continues to pose major challenges not only for patients and their family members but also to the nation’s health care system. The rationale for choosing cardiovascular disease is because of the high rates of mortality and the effects of the co-morbidities associated with the chronic illness. According to Santulli (2013), cardiovascular disease is the single leading cause of fatalities in the United States, accounting for approximately 600,000 deaths annually. In 2011, approximately 26.6 million Americans were living with the chronic disease. The health care costs associated with the disease account for more than $500 billion annually. There are also many disparities in prevalence of risk factors, mortality, access to treatment and treatment outcomes based on race/ethnicity, socioeconomic status, gender, age and geographic area. Hence, tackling the disease should be a major priority for the US government. The main objective of the Healthy People 2020 initiative for cardiovascular disease is “improving cardiovascular health through early detection, prevention and treatment of the risk factors for stroke and heart attack”. This report outlines a comprehensive plan of care that can help in addressing and mitigating cardiovascular disease.
Holistic Plan of Care
Creating a holistic plan of care will indeed be essential for ensuring that people with chronic conditions such as cardiovascular disease lead a healthy life. Cardiovascular disease has a significant impact on the patient and the health care system. Apart from the emotional distress, patients with this condition also face some financial burdens, social burdens and increased levels of discrimination (Earnshaw & Quinn, 2012). In the course of completing the project, I administered a questionnaire to a coworker by the initials C.K. during week 2 to find out how she deals with the condition.
The questionnaire looked into various aspects such as family history, related medical conditions, the risk factors of cardiovascular disease, lifestyle choices and the coping strategies or support received by the patient. Understanding all these aspects can help in developing a well-managed care plan (Larsen & Lubkin, 2013). The results of the questionnaire revealed that C.K. observes healthy lifestyle, has the right levels of support and adheres to the medication regimen. All these factors helped her to cope effectively with the condition. However, even though she attested to leading a healthy lifestyle, C.K. also revealed that her family faced s ...
A Workshop Looking At The Evidence on Workplace Health Wellness Programmes:
A Workshop Looking At The Evidence on Workplace Health Wellness Programmes:Occupational Health and Safety Industry Group
Dr John Wren
Principal Researcher Advisor
New Zealand Accident Compensation Corporation
PO Box 242, Wellington, New Zealand
john.wren@acc.co.nz
(P23, Thursday 27, Civic Room 3, 1.30)
Community Health Charities Introduction 2010
The document discusses the benefits of workplace wellness programs and charitable giving campaigns. It notes that over 133 million Americans have chronic illnesses, which account for 75% of healthcare spending. Workplace wellness programs have been shown to lower medical costs by $3.27 for every dollar spent and reduce absenteeism costs by $2.73 for every dollar spent. Such programs can improve employee health and productivity while reducing employers' healthcare costs.
Health Awareness as a Predictor of Chronic Non-Communicable Diseases in St. V...
Objective:
To evaluate the effect of health awareness on health values such as dietary structure and choices. To evaluate the effect of health awareness levels on the presence of Chronic Noncommunicable Diseases in St. Vincent and the Grenadines.
Results:
Participants with high awareness levels have higher educational levels and lower incidences of non-communicable diseases than individuals with low awareness levels. Chi square test gave a p value less than 0.00001 for the association between awareness level and disease. The relationship between awareness level and education, yielded a p value of 0.000088.
Linda Swan
This document summarizes a presentation on innovations in population health. It discusses:
1) The costs of chronic diseases in Australia and how population health interventions can help reduce medical and productivity costs by focusing on preventative care and lifestyle changes.
2) New models of healthcare are needed to focus on value over utilization and coordinate care for populations in a proactive, evidence-based manner.
3) Innovations in population health include using data to target high-risk groups, behavioral programs, telehealth, social media, and public-private partnerships.
2015_CARE_Survey_Results
The document summarizes findings from the 2012 New Haven Health Survey conducted in six low-income neighborhoods. Some key findings include:
- Residents in these neighborhoods reported poorer health outcomes than in Connecticut and the US as a whole, such as higher rates of chronic diseases like diabetes and asthma.
- While residents' overall health is poorer than statewide and national averages, 39% felt their health was better than the previous year.
- Rates of overweight/obesity are highest among Black women and Hispanic/Latino men in these neighborhoods. Smoking rates are also high, especially among Black men.
- While health habits show some improvements, such as higher exercise rates, opportunities remain to increase healthy eating like fruit/
Wellness Presentation
This document summarizes the key aspects of a health management program. It discusses how the program addresses various health risks and conditions across the care continuum from wellness to disease management. It provides data on common health risks and costs associated with them. The program utilizes nurses and health coaches to provide various services including wellness coaching, decision support, health coaching during pregnancy, case management, and disease management. It aims to help individuals better manage their health conditions and make improvements in clinical outcomes and costs through personalized support and education.
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Senior Wellness Model by National Council on Aging
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Guy Scotolati, Wellness at Work Conference, June 14, 2010
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Public heath challenges for NCDs, UHC and cost effective treatment, MySPOR 2014
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A Workshop Looking At The Evidence on Workplace Health Wellness Programmes:
A Workshop Looking At The Evidence on Workplace Health Wellness Programmes:
Health Awareness as a Predictor of Chronic Non-Communicable Diseases in St. V...
Health Awareness as a Predictor of Chronic Non-Communicable Diseases in St. V...
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The Electrocardiogram - Physiologic Principles
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the 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 lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
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. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
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Abdominal trauma in pediatrics refers to injuries or damage to the abdominal organs in children. It can occur due to various causes such as falls, motor vehicle accidents, sports-related injuries, and physical abuse. Children are more vulnerable to abdominal trauma due to their unique anatomical and physiological characteristics. Signs and symptoms include abdominal pain, tenderness, distension, vomiting, and signs of shock. Diagnosis involves physical examination, imaging studies, and laboratory tests. Management depends on the severity and may involve conservative treatment or surgical intervention. Prevention is crucial in reducing the incidence of abdominal trauma in children.
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Cell Therapy Expansion and Challenges in Autoimmune Disease
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
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WellPortals - Wellness That Makes Financial Sense
- 1. Wellness That Makes Financial Sense
- 2. Physician Created, Using Clinically Proven Techniques WellPortals is revolutionizing both corporate and personal wellness by providing online wellness programs that target major chronic diseases including: ◦ Diabetes ◦ Heart Disease ◦ Cancer Prevention ◦ Asthma Prevention The result are performance-based wellness programs to reduce the symptoms, occurrences and high cost of chronic illness. WellPortals™
- 3. Chronic Disease Drives Healthcare Costs WellPortals™ ◦ Up to 77% of the population – have at least one chronic disease. ◦ More than 75% of health care costs are due to chronic conditions. ◦ 91% of all prescriptions filled; and 76% of all physician visits are related to chronic conditions. ◦ Chronic diseases are responsible for seven out of every 10 deaths in the U.S., killing more than 1.7 million Americans every year. Source: Diseases vs. Populations: The Impact of Chronic Conditions. Integrated Benefits Institute. August 2008 Number of Americans with One or More Chronic Diseases
- 4. Wellness That Makes Financial Sense WellPortals™ Uneven Distribution of Healthcare Spending Source: Center for Financing, Access, and Cost Trends, AHRQ, Household Component of the Medical Expenditure Panel Survey, 2010 $829 $7,980 $12,265 $26,767 $40,682 WellPortals focuses on the high-risk individuals who use a disproportionate share of healthcare resources. 50% of the population have a negligible impact on healthcare costs.
- 5. WellPortals’ Wellness System Systematic Approach. Chronic diseases are ongoing, generally incurable illnesses such as heart disease, asthma, cancer, and diabetes. These diseases are often preventable and the symptoms, occurrences, costs can be significantly reduced by systematically improving lifestyle choices including diet, exercise, and stress management. WellPortals™
- 6. WellPortals’ Wellness System Blending Wellness and Technology. We give individuals the tools, knowledge, support and environment to help produce lasting personal lifestyle changes. There are three main components to WellPortals’ programs. ◦ Wellness system ◦ Online wellness portal ◦ Weekly group classes WellPortals™
- 7. Highest ROI in Wellness WellPortals™ The Asheville and Hickory Projects. The cities of Asheville and Hickory North Carolina launched lifestyle modification programs designed to reduce the impact and cost of diabetes. 1) Average annual medical expenses dropped by 40 percent. 2) The average number of sick days taken dropped 50 percent. 3) Catastrophic events and hospitalizations were reduced by 50 percent.
- 8. How We Lower Healthcare Costs WellPortals™ ◦ Focus is on highest-risk individuals. ◦ Helps reduce the higher monthly maintenance costs of healthcare associated with chronic disease. ◦ Helps reduce the cost of catastrophic health events associated with chronic disease. ◦ Helps reduce absenteeism associated with chronic disease. ◦ One low cost per participant.