The document describes a concept called "What did the Doctor Say?TM" which aims to improve communication between patients' families and healthcare providers. It proposes recording doctors' messages about a patient's diagnosis and treatment plan, and storing them in a secure online family medical hub. This would allow authorized family members to access the information, discuss it, make decisions together, and coordinate care for their loved one. Currently, families often lack clear information when supporting an aging patient. The concept aims to reconnect families to the healthcare process through direct communication with doctors.
Top Caregiving Resources to Empower CaregiversBrightStar Care
Here are 7 resources which will empower caregivers – with information, knowledge of available programs and tools necessary to make good decisions for their loved ones and themselves.
Diana Bey is an experienced executive director and advocate for seniors. She has over 15 years of experience working for organizations that provide resources and care for seniors, including Family Peace Inc. and Methodist Hospital. Her roles have included case management, vendor management, legal advocacy, and community outreach. She strives to promote quality of life for seniors through services such as in-home safety assessments, dementia evaluations, and end of life planning.
Application to Aflac Corporate Foundation in support of lead gift for capital campaign. Funded at $200,000 with a request for annual updates and requests
Presentation 224 a barnes_klapper_laregina_ashley fund ppt oct 2014The ALS Association
The document describes the establishment of a family funding program called the Ashley Fund. It was created to provide financial assistance to children living with a parent who has ALS/MND so they can participate in normal activities. Over time, the program committee worked to address obstacles families faced in applying, such as pride, lack of time. Outreach methods like simple applications and reminders from clinical staff helped more families utilize grants for camps, lessons, and creating positive memories.
The mission of Children's Hospital Central California is to provide high-quality healthcare to children regardless of their ability to pay and improve children's health. It serves 10 counties in the San Joaquin Valley, seeing over 1 million children annually. The hospital provides a wide range of services and specializes in pediatric care. As a 348-bed facility, it is one of the largest children's hospitals in the nation.
The document describes a Job Seeker database that allows workers and employers to find suitable job opportunities and applicants by searching keywords of skills. It crawls skills data from pages and categories on websites to generate graphs showing correlations between skills. The database functionality includes searching for jobs, people, and businesses by skill keywords and finding the most qualified applicants. The author proposes using ensemble methods to improve the skills matching problem and future work including expanding the location and requirements information.
Vivian, this document provides an update on a candidate interview follow-up from June 18, 2016. It also includes previews of several articles on topics such as adult summer camps, train travel, fashion design from Airbnb homes, and destinations recommended by National Geographic that would add to one's wish list. The document concludes by mentioning copywriting work for feature themes and content.
EBRIKS Connexion is an end to end digital marketing solution for Indian SME and MSME.The product aims at taking the Indian SME and MSMEs the global consumer by leveraging on internet marketing strategies
Top Caregiving Resources to Empower CaregiversBrightStar Care
Here are 7 resources which will empower caregivers – with information, knowledge of available programs and tools necessary to make good decisions for their loved ones and themselves.
Diana Bey is an experienced executive director and advocate for seniors. She has over 15 years of experience working for organizations that provide resources and care for seniors, including Family Peace Inc. and Methodist Hospital. Her roles have included case management, vendor management, legal advocacy, and community outreach. She strives to promote quality of life for seniors through services such as in-home safety assessments, dementia evaluations, and end of life planning.
Application to Aflac Corporate Foundation in support of lead gift for capital campaign. Funded at $200,000 with a request for annual updates and requests
Presentation 224 a barnes_klapper_laregina_ashley fund ppt oct 2014The ALS Association
The document describes the establishment of a family funding program called the Ashley Fund. It was created to provide financial assistance to children living with a parent who has ALS/MND so they can participate in normal activities. Over time, the program committee worked to address obstacles families faced in applying, such as pride, lack of time. Outreach methods like simple applications and reminders from clinical staff helped more families utilize grants for camps, lessons, and creating positive memories.
The mission of Children's Hospital Central California is to provide high-quality healthcare to children regardless of their ability to pay and improve children's health. It serves 10 counties in the San Joaquin Valley, seeing over 1 million children annually. The hospital provides a wide range of services and specializes in pediatric care. As a 348-bed facility, it is one of the largest children's hospitals in the nation.
The document describes a Job Seeker database that allows workers and employers to find suitable job opportunities and applicants by searching keywords of skills. It crawls skills data from pages and categories on websites to generate graphs showing correlations between skills. The database functionality includes searching for jobs, people, and businesses by skill keywords and finding the most qualified applicants. The author proposes using ensemble methods to improve the skills matching problem and future work including expanding the location and requirements information.
Vivian, this document provides an update on a candidate interview follow-up from June 18, 2016. It also includes previews of several articles on topics such as adult summer camps, train travel, fashion design from Airbnb homes, and destinations recommended by National Geographic that would add to one's wish list. The document concludes by mentioning copywriting work for feature themes and content.
EBRIKS Connexion is an end to end digital marketing solution for Indian SME and MSME.The product aims at taking the Indian SME and MSMEs the global consumer by leveraging on internet marketing strategies
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive functioning. Exercise boosts blood flow, releases endorphins, and promotes changes in the brain which help regulate emotions and stress levels.
Bank Preparatory helps you to get prepare for your Bank recruitment Exams. Numerous questions and answers along with hints are streamed every week. You can attempt total 25 quizzes in a week; 5 in each category, viz., Aptitude, Reasoning, English, Banking Awareness and Computer Knowledge.
Enterslice is a management consulting firm providing strategic, financial advisory, due diligence services, Advisory on International Taxation and Audit issues, Corporate governance, Financial Control Advisory and growth hacking services to early stage startup, Establish businesses and MNC.
1) The document summarizes a presentation by Group 03 on the strategic management workbook. It focuses on Kanva Mart, a textile/garments company, and its competitor Jayalaxmi.
2) Kanva Mart was incorporated in 1999 and renamed in 2007. It has expanded operations by opening new production units and outlets across locations while Jayalaxmi has focused on expanding its existing shop.
3) The document also analyzes Arvind Mills' strategic decision to restructure its financials to reduce long-term debt and emerge stronger against competitors. It oversaw the process with advisors to improve financial health and performance.
The mouse found a nut in the deep dark wood and enjoyed eating it since the nut was good. All was quiet in the surrounding forest area where the mouse discovered the nut.
Here are the circuit diagrams drawn as requested:
1.
+ -
2.
+ -
3.
A
V
+ -
Now let's assemble the circuits using the appropriate components.
Thursday, 16 September 2010
CIRCUITS: diagrams & assembly
Draw the following circuit diagrams in the spaces
provided AND when you have finished, assemble them:
1. Two cells in series
+ -
2. Three lamps in parallel
+ -
3. A switch and a lamp in series
S
L
+ -
Now let's assemble the circuits using the appropriate components.
Rocks are naturally occurring solid mixtures of minerals or organic matter. They are classified based on how they form, their composition, and texture. Rocks change over time through the rock cycle. There are three main types of rocks: igneous, sedimentary, and metamorphic. Igneous rocks form from cooling magma, sedimentary rocks form through the compaction and cementation of sediments, and metamorphic rocks form from changes to existing rocks through heat, pressure, and deformation.
Este documento describe las heridas, incluyendo sus causas, síntomas, clasificaciones y proceso de curación. Explica que las heridas rompen la piel u otros tejidos y pueden ser causadas por accidentes, cirugía o mordeduras. Detalla los pasos para realizar una curación de herida de manera aseptica, incluyendo preparar el equipo, limpiar la herida y aplicar apósitos estériles.
Refonte intranet du Conseil Général de la Drôme avec le CMS open source Amety...Ametys
Utiliser des logiciels libres ou open source en collectivités locales : quels enjeux ? quels bénéfices ?
Retour d'expérience de Yannick GIQUEL, DSI du département de la Drôme, sur le choix de l'Open Source dans le SI.
Cette présentation a été faite dans le cadre la rencontre technique organisée par le réseau TIC d'IDEAL Connaissances le 16 décembre 2014.
Face Detection Attendance System By Arjun SharmaArjun Agnihotri
This document proposes a facial recognition-based attendance system for classrooms. It works by detecting faces in the classroom and comparing them to a database of student faces to take attendance automatically. The system consists of image processing and comparison modules to recognize faces, extract features, compare templates, and determine a match or non-match. It operates by detecting 80 nodal points on faces to create unique faceprints for identification and verification. While this system can automate attendance tracking without paper, facial recognition technology still has limitations around accuracy and environmental factors.
Automated attendance system based on facial recognitionDhanush Kasargod
A MATLAB based system to take attendance in a classroom automatically using a camera. This project was carried out as a final year project in our Electronics and Communications Engineering course. The entire MATLAB code I've uploaded it in mathworks.com. Also the entire report will be available at academia.edu page. Will be delighted to hear from you.
The personalised care services offered by assistants appointed by Fusco Browne Healthcare are well efficient in fulfilling each and every requirement of the clients. The employees have the skills and tolerance to deal with every patient.
Este documento trata sobre los diferentes tipos de medicamentos psiquiátricos. Describe los cinco grupos principales de medicamentos utilizados en psiquiatría, incluyendo antidepresivos, ansiolíticos, antipsicóticos, antirrecurrenciales y antiparkinsonianos. Luego proporciona más detalles sobre los ansiolíticos, antidepresivos, antipsicóticos y estabilizadores de ánimo, describiendo ejemplos específicos de medicamentos en cada categoría así como sus indicaciones, efectos secundarios
Well Informed Patients are More EngagedJim Cucinotta
Studies show that well informed patients are more engaged in their health. They are more receptive to learning how to live healthier and manage their disease states properly. Invest in your patients and they will invest in their health.
-What Is a Helping Relationship- Is a Professional Helping Relationshi.docxharrym15
"What Is a Helping Relationship? Is a Professional Helping Relationship the Same as a Friendship?
As you learn the art of helping, you will be able to provide friends with a listening ear, a caring attitude, and emotional support, enhancing your relationships and aiding those you care about. There is, however, a difference between a friendship and a professional helping relationship; each is founded on a distinct contract.
For example, in a friendship, the assumption is that we are there for each other. When you are in trouble, you can talk to me and vice versa. However, in a professional helping relationship, it is the client’s issues that are discussed and the client’s welfare that is paramount. In exchange, the helper receives compensation for services rendered. Consider this analogy: You mention to your friend, who is a dentist, that you have a toothache. She may suggest that you take some aspirin and that you make an appointment with a dentist as soon as possible. Despite her professional capabilities, she probably won’t pull out her dental equipment and start drilling in the living room. Although the analogy does not hold completely, helping can sometimes be a painful process and it is best accomplished in a more professional environment where a block of time is set aside. In addition, a professional helper is required to identify and articulate issues not normally broached in a friendship, such as painful childhood memories and issues that evoke guilt and shame. Moreover, the professional helper is committed to hours of listening, ethical conduct, confidentiality, responsibility for the outcome, and disregard for being liked by the client. The professional helper’s concern is to assist the client in reaching goals, not to maintain a long-term relationship.
One reason for drawing the distinction between a professional helping relationship and a friendship is that it is easy to make mistakes in both settings when you begin learning helping skills. You might be tempted to use elaborate techniques on your friends when all they are asking for is support. On the other hand, you might find yourself treating a client as a friend. When that happens, you might not be able to hold the client’s “feet to the fire†when it is required. Remember that with friends you have no agreement for change; instead you have a pact to care, show concern, and provide support. In the professional helping relationship, you have a contract to assist the client in crafting specific life changes—not in making a new friend, enjoying each other’s company, or discussing the weather, your family, or your favorite hobby. What makes this difficult is that we have learned our natural helping skills in the context of our friendships and family relationships. It is easy to find ourselves being sociable and sympathetic rather than thinking about how to move the client toward the agreed upon goals. It is likewise easy to act like a therapist with our friends, w.
Access Health's white paper on the Full Circle America case study credits BlissCONNECT with providing sophisticated technology to enable aging at home. Dr. Allan Teel, who is doing pioneering work in this field explains the role of the Bliss software, "We are morphing BlissCONNECT into an expansive care team that coordinates care and information through one secure location.
The document discusses the importance of providing end of life care and hospice options for patients. It notes that while most people prefer to die peacefully at home, currently less than 25% do. Hospice aims to give patients more control and choice over their end of life experience. The goals of hospice care include pain management, comfort, and supporting relationships at the end of life. Local organizations like Mary T. Hospice provide hospice services in homes, facilities, and offer information to help patients and their families.
This paper will discuss the definition, roles and evolution of
the family caregiver, before delving into the topic of caregiver fear – including the sources, consequences and mechanisms for alleviation.
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive functioning. Exercise boosts blood flow, releases endorphins, and promotes changes in the brain which help regulate emotions and stress levels.
Bank Preparatory helps you to get prepare for your Bank recruitment Exams. Numerous questions and answers along with hints are streamed every week. You can attempt total 25 quizzes in a week; 5 in each category, viz., Aptitude, Reasoning, English, Banking Awareness and Computer Knowledge.
Enterslice is a management consulting firm providing strategic, financial advisory, due diligence services, Advisory on International Taxation and Audit issues, Corporate governance, Financial Control Advisory and growth hacking services to early stage startup, Establish businesses and MNC.
1) The document summarizes a presentation by Group 03 on the strategic management workbook. It focuses on Kanva Mart, a textile/garments company, and its competitor Jayalaxmi.
2) Kanva Mart was incorporated in 1999 and renamed in 2007. It has expanded operations by opening new production units and outlets across locations while Jayalaxmi has focused on expanding its existing shop.
3) The document also analyzes Arvind Mills' strategic decision to restructure its financials to reduce long-term debt and emerge stronger against competitors. It oversaw the process with advisors to improve financial health and performance.
The mouse found a nut in the deep dark wood and enjoyed eating it since the nut was good. All was quiet in the surrounding forest area where the mouse discovered the nut.
Here are the circuit diagrams drawn as requested:
1.
+ -
2.
+ -
3.
A
V
+ -
Now let's assemble the circuits using the appropriate components.
Thursday, 16 September 2010
CIRCUITS: diagrams & assembly
Draw the following circuit diagrams in the spaces
provided AND when you have finished, assemble them:
1. Two cells in series
+ -
2. Three lamps in parallel
+ -
3. A switch and a lamp in series
S
L
+ -
Now let's assemble the circuits using the appropriate components.
Rocks are naturally occurring solid mixtures of minerals or organic matter. They are classified based on how they form, their composition, and texture. Rocks change over time through the rock cycle. There are three main types of rocks: igneous, sedimentary, and metamorphic. Igneous rocks form from cooling magma, sedimentary rocks form through the compaction and cementation of sediments, and metamorphic rocks form from changes to existing rocks through heat, pressure, and deformation.
Este documento describe las heridas, incluyendo sus causas, síntomas, clasificaciones y proceso de curación. Explica que las heridas rompen la piel u otros tejidos y pueden ser causadas por accidentes, cirugía o mordeduras. Detalla los pasos para realizar una curación de herida de manera aseptica, incluyendo preparar el equipo, limpiar la herida y aplicar apósitos estériles.
Refonte intranet du Conseil Général de la Drôme avec le CMS open source Amety...Ametys
Utiliser des logiciels libres ou open source en collectivités locales : quels enjeux ? quels bénéfices ?
Retour d'expérience de Yannick GIQUEL, DSI du département de la Drôme, sur le choix de l'Open Source dans le SI.
Cette présentation a été faite dans le cadre la rencontre technique organisée par le réseau TIC d'IDEAL Connaissances le 16 décembre 2014.
Face Detection Attendance System By Arjun SharmaArjun Agnihotri
This document proposes a facial recognition-based attendance system for classrooms. It works by detecting faces in the classroom and comparing them to a database of student faces to take attendance automatically. The system consists of image processing and comparison modules to recognize faces, extract features, compare templates, and determine a match or non-match. It operates by detecting 80 nodal points on faces to create unique faceprints for identification and verification. While this system can automate attendance tracking without paper, facial recognition technology still has limitations around accuracy and environmental factors.
Automated attendance system based on facial recognitionDhanush Kasargod
A MATLAB based system to take attendance in a classroom automatically using a camera. This project was carried out as a final year project in our Electronics and Communications Engineering course. The entire MATLAB code I've uploaded it in mathworks.com. Also the entire report will be available at academia.edu page. Will be delighted to hear from you.
The personalised care services offered by assistants appointed by Fusco Browne Healthcare are well efficient in fulfilling each and every requirement of the clients. The employees have the skills and tolerance to deal with every patient.
Este documento trata sobre los diferentes tipos de medicamentos psiquiátricos. Describe los cinco grupos principales de medicamentos utilizados en psiquiatría, incluyendo antidepresivos, ansiolíticos, antipsicóticos, antirrecurrenciales y antiparkinsonianos. Luego proporciona más detalles sobre los ansiolíticos, antidepresivos, antipsicóticos y estabilizadores de ánimo, describiendo ejemplos específicos de medicamentos en cada categoría así como sus indicaciones, efectos secundarios
Well Informed Patients are More EngagedJim Cucinotta
Studies show that well informed patients are more engaged in their health. They are more receptive to learning how to live healthier and manage their disease states properly. Invest in your patients and they will invest in their health.
-What Is a Helping Relationship- Is a Professional Helping Relationshi.docxharrym15
"What Is a Helping Relationship? Is a Professional Helping Relationship the Same as a Friendship?
As you learn the art of helping, you will be able to provide friends with a listening ear, a caring attitude, and emotional support, enhancing your relationships and aiding those you care about. There is, however, a difference between a friendship and a professional helping relationship; each is founded on a distinct contract.
For example, in a friendship, the assumption is that we are there for each other. When you are in trouble, you can talk to me and vice versa. However, in a professional helping relationship, it is the client’s issues that are discussed and the client’s welfare that is paramount. In exchange, the helper receives compensation for services rendered. Consider this analogy: You mention to your friend, who is a dentist, that you have a toothache. She may suggest that you take some aspirin and that you make an appointment with a dentist as soon as possible. Despite her professional capabilities, she probably won’t pull out her dental equipment and start drilling in the living room. Although the analogy does not hold completely, helping can sometimes be a painful process and it is best accomplished in a more professional environment where a block of time is set aside. In addition, a professional helper is required to identify and articulate issues not normally broached in a friendship, such as painful childhood memories and issues that evoke guilt and shame. Moreover, the professional helper is committed to hours of listening, ethical conduct, confidentiality, responsibility for the outcome, and disregard for being liked by the client. The professional helper’s concern is to assist the client in reaching goals, not to maintain a long-term relationship.
One reason for drawing the distinction between a professional helping relationship and a friendship is that it is easy to make mistakes in both settings when you begin learning helping skills. You might be tempted to use elaborate techniques on your friends when all they are asking for is support. On the other hand, you might find yourself treating a client as a friend. When that happens, you might not be able to hold the client’s “feet to the fire†when it is required. Remember that with friends you have no agreement for change; instead you have a pact to care, show concern, and provide support. In the professional helping relationship, you have a contract to assist the client in crafting specific life changes—not in making a new friend, enjoying each other’s company, or discussing the weather, your family, or your favorite hobby. What makes this difficult is that we have learned our natural helping skills in the context of our friendships and family relationships. It is easy to find ourselves being sociable and sympathetic rather than thinking about how to move the client toward the agreed upon goals. It is likewise easy to act like a therapist with our friends, w.
Access Health's white paper on the Full Circle America case study credits BlissCONNECT with providing sophisticated technology to enable aging at home. Dr. Allan Teel, who is doing pioneering work in this field explains the role of the Bliss software, "We are morphing BlissCONNECT into an expansive care team that coordinates care and information through one secure location.
The document discusses the importance of providing end of life care and hospice options for patients. It notes that while most people prefer to die peacefully at home, currently less than 25% do. Hospice aims to give patients more control and choice over their end of life experience. The goals of hospice care include pain management, comfort, and supporting relationships at the end of life. Local organizations like Mary T. Hospice provide hospice services in homes, facilities, and offer information to help patients and their families.
This paper will discuss the definition, roles and evolution of
the family caregiver, before delving into the topic of caregiver fear – including the sources, consequences and mechanisms for alleviation.
The document discusses the growing interest in coordinated and integrated healthcare delivery through models like patient-centered medical homes (PCMHs) and accountable care organizations (ACOs). It notes the potential benefits of these models, including improved quality of care and reduced costs. Specifically, it cites evidence that Geisinger Health System achieved a 9% reduction in total healthcare costs and lower hospital admission and readmission rates through implementing a PCMH-based accountable care model. The long-term goal is for PCMHs and ACOs to transform healthcare delivery in the US to a more coordinated, high-value system focused on primary care.
This document summarizes a presentation about communication experiences of children with cerebral palsy in health care settings and the potential for technologies to improve engagement. It discusses parent feedback wanting involvement in decision making and consideration of broader impacts. Using technologies like PCEHR and decision aids may help provide better evidence and access to information. Clinical implications discussed include involving parents and children in goal setting and information sharing. Future research directions explored uptake of PCEHR, health impacts of technologies, and communicative environments in health settings.
The document discusses the history and concepts of health in computer-mediated communication (CMC). It describes how CMC has evolved from early medical bulletin boards in the 1980s to today's vast online resources. It provides definitions of health and key CMC concepts. Examples show how CMC has helped patients access information and support, though quality and ethics vary without regulation. The future of CMC in health looks promising with mobile access and more personalized care models.
Running Head Course Project ROUGH DRAFT 1Course Project ROUG.docxjoellemurphey
Running Head: Course Project ROUGH DRAFT 1
Course Project ROUGH DRAFT 3
Module 08 Course Project Rough Draft
Course Project Introduction
For more than fifty years, North Memorial has been serving communities across the northwest metro. There are now over five thousand employees working in various hospitals, including, North Memorial Maple Grove. North Memorial Maple Grove Hospital has a 130-bed count and provides emergency, medical, and surgical care to patients in Maple Grove, Minnesota, and surrounding areas. Services at North Memorial Maple Grove include internal medicine, gastroenterology, podiatry, diabetes education, women’s health, men’s health, Ear/Nose/Throat, urgent Care, weight loss and laboratory. Comment by Laura Sheneman: good
In order to give the best service to their patients, North Memorial Maple Grove lives by their mission statement, values, and their guiding principles. North Memorial’s values include respect, accountability, communication, teamwork, and pride. North Memorial believes in listening to, creating relationships with, and involving all patients. By making sure all patients are in the best care, North Memorial promises a safe, secure, and healing environment. They want to make sure all patients are well cared for, comfortable, and most of all, staying well. Our mission at Maple Grove Hospital is to inspire each other to give our patients and their families’ compassionate, remarkable care (Maple Grove Hospital, 2014).
Ensuring safety is Maple Grove’s top priority. Medications are always stored in a safe in each patient’s room. All medications are electronically charted into the system and dispensed using bar coding. All patients’ records are stored in electronic health records so nurses and physicians can have immediate access to patient medical history for accurate and timely treatment. Throughout the hospital there is guaranteed fresh and clean air with their high filtration air exchange systems. To ensure infant safety when they are born, North Memorial Maple Grove has a top-notch infant protection system in the facilities Family Birth Center to help safeguard parents and their offspring. Among the many safeguards the hospital uses to protect patients and their family, they also provide alerts and alarms that directly contact the care team for each patient from anywhere within the hospital through direct communications though the hospitals wireless system.
Each of the 130 private rooms all provide a clean bathroom stocked with a hairdryer, hand towels, and toiletries. Others gadget such as a large screen, HD TV’s that include Direct TV and variety radio stations; bedside remote controls to adjust the heat or air conditioning in each room, and to adjust the shades or lighting within the room; and a pullout sofa for patients guests to feel comfortable while staying overnight. All the rooms incorporated calming, earthy colors to help soothe and relax the patient and their family.
St ...
Covid 19 Electronic Health Record Utilization Paper.pdfsdfghj21
1. The document discusses research conducted on various topics related to operating an Alzheimer's and dementia facility, including electronic health record utilization, academic affiliations, hospice services, outcomes and clinical assessments, lab services, direct patient care ratios, and costs.
2. Popular electronic health record systems can be accessed anywhere via cloud-based software and range from inexpensive to sizable investments depending on needs.
3. Several local universities offer academic affiliations through palliative care fellowship programs.
4. Research is crucial for understanding, treating, and preventing Alzheimer's and plays an important role through funding and clinical trials.
The document discusses alternatives to nursing home care as the population of younger patients in nursing homes is growing. It notes that many younger patients could be cared for at home or in assisted living facilities instead of nursing homes. However, budget cuts have led states to prioritize short-term nursing home care over long-term home care. While home care is more cost-effective long-term, it is more expensive initially as caregivers need training. The document advocates that with legal advocacy, many younger patients have alternatives to nursing home care like independent living facilities or at-home care.
END OF LIFE CARE (SUBSTANCE USE SPECIFIC)Kevin Jaffray
This document discusses end of life care for substance users and former substance users. It notes there are many challenges to providing quality end of life care for this group, including negative attitudes, fears of addiction, undertreatment of pain, lack of screening and training for healthcare providers, and risk of diversion of medications. It emphasizes the importance of person-centered care, understanding an individual's needs and background, effective communication, and addressing barriers through strategies like screening, education, and support networks.
This webinar discusses patient advocacy and the role of healthcare providers and patients in creating legislative change. The speakers are Regina Holliday, a patient advocate and caregiver, and Susan Hassmiller, Senior Advisor for Nursing at the Robert Wood Johnson Foundation. Regina discusses the perspective of patients and caregivers, focusing on small details. Susan then discusses barriers to nurse practitioners' scope of practice and how to focus advocacy messaging on patients and their needs. The webinar aims to link advocacy messages to patient-centered focus.
Project Proposal Example
Ethos In A Modest Proposal
Health Care Proposal Essay
Crime Research Proposal
Sample Grant Proposal Essay
Sample Proposal Letter Essay
Project Proposal Essay
Proposal for Final Project
A Modest Proposal Summary
Hospice of Central Ohio - Measuring the Humanitarian Bottom LineKerry Hamilton
The document discusses Hospice of Central Ohio's (HOCO) approach to operating as a successful nonprofit hospice organization. HOCO adopts rigorous internal business practices to ensure its mission is bound to daily operations and how it measures success. HOCO focuses on outputs over inputs, measures various results, and maintains a clear connection between its noble mission and operating model. This allows HOCO to have sustainable momentum and growth, fulfilling community needs and positioning itself as the referral of choice.
This document explores how waiting for mental health services can negatively impact the social determinants of mental health for parents of children with behavioral disorders or autism. It finds that although public attitudes toward mental health have improved, these parents still feel stigmatized. Low mental health literacy leads to many conflicting views on the causes of conditions, making it difficult for parents to navigate advice. The waiting process also lacks clarity and signposting of support options. As a result, parents may withdraw socially and experience worsening of their own mental health. Improving mental health literacy and providing more holistic, family-focused care could help address these challenges.
This document provides information about various services and events at LRGHealthcare facilities. The main pieces of information include:
- Convenience Care provides walk-in treatment for common injuries and illnesses at LRGH with convenient hours and no appointment needed.
- A new communication system called Voalté allows the healthcare team at LRGH to communicate instantly to coordinate patient care.
- Living Well workshops help people manage chronic health conditions through education on nutrition, stress management, and goal setting.
- Advanced Orthopaedic Specialists, formerly Orthopaedic Professional Association, provides joint pain treatment and holds seminars on joint health.
- Upcoming events include a hospice care discussion, golf classic
Web conference explaining California's new pediatric hospice and Palliative Care Benefit. In two parts: palliative care for children explained and what is the wiaiver?
Similar to What did the Doctor Say? Concept Overview (19)
2. May 2009 ConfidentialBLAH BLAH
BLAH
2
May 2009 Confidential
Concept Overview
What we do
What did the Doctor Say?™ does two basic things:
First we provide a service that records messages from a patient’s doctor to that
patient’s family members regarding the diagnosis and treatment plan for their loved
one. We also record messages from other caregivers; physical therapists, home
nurses, even neighbors--anyone the family wants to hear from.
Then we store these messages in a family medical hub we host on the web. Here
each authorized family member can access an accurate record of “what the doctor
said” about their loved one and discuss it in a blog-type format. They can share
information, make decisions, assign tasks and monitor progress. Family members
can also connect to care giver resources to help them sustain their support over
time.
3. May 2009 ConfidentialBLAH BLAH
BLAH
3
May 2009 Confidential
Concept Overview
The ProblemThe Problem
Family support is critical to the health care of aging patients…
but the health care system only talks to the patient.
Every patient is supported by two systems: the health care system and their family system. The point of
interface between these two systems is often a simple question asked of every patient after every doctor visit:
“What did the doctor say?” It is at this point where the medical establishment connects to the web of human
relationships behind each patient.
Currently this connection point between the two systems of support doesn’t work very well. Families of
patients lack a systematic way to connect to the medical system to gain the information they need. The
burden is usually on the patient to translate an often technical medical diagnosis to their loved ones, who are
often at a loss as to how they can best work together to support the patient. As a result, costs are higher and
quality of care suffers. This is particularly the case in care for the elderly when the family is geographically
dispersed.
4. May 2009 ConfidentialBLAH BLAH
BLAH
4
May 2009 Confidential
It wasnIt wasn’’t always this wayt always this way……
Concept Overview
For most of human history, medicine was rooted in the social context of the family as most care was
delivered in the home. The doctor, family and patient were naturally aligned by the simple fact of where
care took place.
The rise of institutional medicine disrupted this natural alliance by shifting the context of care away from
the home. Families were now cut off from a natural proximity to the doctor and often removed from the
delivery of care altogether. Medicine has become a lot more scientific and technological, with myriad
associated benefits. But it has also become a lot less personal.
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The OpportunityThe Opportunity
Concept Overview
Reconnect the family to the health care process.
We see an opportunity to make medicine personal--again--by reconnecting the family to the health care
process. Direct and efficient communication between the doctor and the patient’s family will help activate a
wider system of support to better meet patient needs while saving time and money.
Our mission is to help families get the patient information they need, make meaning out of it
and act on it in a coordinated fashion.
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Concept Overview
Patient visits doctor;Patient visits doctor;
receives diagnosisreceives diagnosis
and treatment plan.and treatment plan.
Patient repeats theirPatient repeats their
version of what theversion of what the
doctor said to familydoctor said to family
members.members.
Family members talkFamily members talk
to patient, talk to eachto patient, talk to each
other, get confused,other, get confused,
call doctorcall doctor’’s office.s office.
Repeat cycle.Repeat cycle.
Son in DenverSon in Denver
Sister in ChicagoSister in Chicago
Son in NYCSon in NYC
Son in MiamiSon in Miami
Daughter in LADaughter in LAThe Current SystemThe Current System
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They tend to live in a separate city from their parents and have several siblings in other cities as well.
They have a family of their own and struggle to balance their sense of responsibility to their own family
and to their family of origin.
While they tend to lead networked lives themselves, they lack a systematic way to deal with family
health issues. They struggle with how to communicate with their parents about their health, how to
communicate with siblings about what should be done and who should do it, and how to connect with
the medical establishment to get clear information on their parent’s condition.
The resulting time drain gives them an abiding sense they are neglecting their own family or their work.
They often feel overwhelmed, guilty and ineffective.
There are a lot of them: According to the Pew Research Center, between 7 to 10 million adults are caring
for their aging parents from long distance. US Census Bureau statistics indicate that the number of older
Americans aged 65 or older will double by the year 2030, to over 70 million.
Who feels this problem most?Who feels this problem most?
Concept Overview
Baby Boomers
with aging parents
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Concept Overview
Direct input from doctor on how their loved one is doing.
What do families need?What do families need?
A place to share this information, discuss options, coordinate
tasks and connect to a wider community of support.
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Concept Overview
Our approach: Technology + Personal connectionOur approach: Technology + Personal connection
Offer a simple, easy to use, HIPAA compliant service that
provides caregiver reports in a confidential setting.
Provide digital/social-networking tools so that the family can
create value for each other with this information; an active
family medical hub ensues from this.
Build follow on offerings to continue adding value to the hub
and create additional revenue streams.
Combine personalized patient information with social
networking tools
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Concept Overview
Patient visits doctor;Patient visits doctor;
receives diagnosisreceives diagnosis
and treatment plan.and treatment plan.
Patient repeats theirPatient repeats their
version of what theversion of what the
doctor said to familydoctor said to family
members.members.
Family members talkFamily members talk
to patient, talk to eachto patient, talk to each
other, get confused,other, get confused,
call doctorcall doctor’’s office.s office.
Repeat cycle.Repeat cycle.
Son in DenverSon in Denver
Sister in ChicagoSister in Chicago
Son in NYCSon in NYC
Son in MiamiSon in Miami
Daughter in LADaughter in LAThe Old WayThe Old Way
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Concept Overview
Patient visitsPatient visits
doctor per usual.doctor per usual.
Doctor's officeDoctor's office
phones or emailsphones or emails
summary of visit tosummary of visit to
the family hub.the family hub.
WDTDSWDTDS ““familyfamily
advocateadvocate”” ensuresensures
report is delivered.report is delivered.
Authorized familyAuthorized family
members are alertedmembers are alerted
a new doctor messagea new doctor message
isis in the hub. They login the hub. They log
on to see report,on to see report,
discuss options,discuss options,
develop action plansdevelop action plans
andand access services.access services.
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Our initial launch strategy will focus on connecting first to the family and then from the family to their care
providers through our Family Advocate. The Advocate is the connector between the family and care
providers, easing the path for families to hear directly from those providing care to their loved ones.
Empowered by the patient’s authorization, the Family Advocate will contact care providers on the family’s
behalf and help them contribute to the family hub. The Advocate will then submit questions from the family
to the provider in advance of the next patient visit.
The Family Advocate can provide additional services to the family such as working with providers to establish
a Personal Health Record for the patient and helping the family devise a care plan for the situation they are
facing.
This approach recognizes two fundamental truths of the heath care system today: Providers are highly
fragmented and they are mostly analog.
• 75% of doctors work in small practices of 10 doctors or less.
• Only 17% of doctors use an electronic medical records system.*
To best serve our families, we have to be prepared to go “fetch” the data in whatever form it exists. This is
the role of the Family Advocate. Over time, as EMR usage expands we hope to enroll most practices in our
community, so that families will be able to link directly to their patient’s providers. But for now we will
address the world as it exists.
*“How to Make Electronic Medical Records a Reality”,The New York Times, February 28, 2009.
Concept Overview
The Family AdvocateThe Family Advocate
The human connector between families and health care providers
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Concept Overview
The Family Medical HubThe Family Medical Hub
View reports, discuss
options, share links,
make decisions and
assign tasks.
Healthcare provider
reports on patient
Connected Family
actions in support
of the patient.
Family Members
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Concept Overview
Sample family discussionSample family discussion
Physician Name, Robert M. Barry, MD (Internal Medicine)
Date of Visit, 1/9/09
Physician Comments
““Jane complains of fatigue, shortness of breath and ankle swelling. She also has high blood pressure atJane complains of fatigue, shortness of breath and ankle swelling. She also has high blood pressure at
160/95160/95. Her ECG results, along with these other symptoms, suggests she may be experiencing the early. Her ECG results, along with these other symptoms, suggests she may be experiencing the early
stages ofstages of chronic heart failurechronic heart failure. As a result, I will be prescribing Jane a. As a result, I will be prescribing Jane a calcium channel blockercalcium channel blocker and aand a
diureticdiuretic. If her symptoms do not improve over the next two weeks, I will refer her to a cardiologist, Dr. Ken. If her symptoms do not improve over the next two weeks, I will refer her to a cardiologist, Dr. Ken
Jones, for additional workup including anJones, for additional workup including an echocardiogramechocardiogram andand BNPBNP test to refine her therapeutic treatment.test to refine her therapeutic treatment.””
1/15/09, Tom1/15/09, Tom
Fine Ben, you go ahead and do your research on natural remedies and IFine Ben, you go ahead and do your research on natural remedies and I’’ll make sure to ask the Doctor nextll make sure to ask the Doctor next
time. Itime. I’’m scheduled to arrive on the 23m scheduled to arrive on the 23rdrd of January. I will plan to go with her to the doctor for her next visit.of January. I will plan to go with her to the doctor for her next visit.
Also, please donAlso, please don’’t forget to post any questions that you may have for the doctor prior to her visit.t forget to post any questions that you may have for the doctor prior to her visit.
1/09/09, Ben1/09/09, Ben
II’’ve heard that Calcium Channel Blockers can have some pretty bad side effects. Maybe we should ask theve heard that Calcium Channel Blockers can have some pretty bad side effects. Maybe we should ask the
doctor about pursuing some natural remedies.doctor about pursuing some natural remedies.
1/09/09, Liz1/09/09, Liz
I talked to Mom and she down played it, as usual. She is resting fine. The drugs seem to be making her feelI talked to Mom and she down played it, as usual. She is resting fine. The drugs seem to be making her feel
better and her ankle swelling has gone down. Ibetter and her ankle swelling has gone down. I’’ll be staying with her for the next couple of days to make surell be staying with her for the next couple of days to make sure
she is stable.she is stable.
Who is coming out next to see her??Who is coming out next to see her??
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Concept Overview
View of Family HubView of Family Hub
The Hub
- Doctor Update on Wednesday- Doctor Update on Wednesday
-- Family phone conference Thursday 6PM MSTFamily phone conference Thursday 6PM MST
Patient, Mom in BoulderPatient, Mom in Boulder
•• Event: Hip ReplacementEvent: Hip Replacement
Son, Paul, in MiamiSon, Paul, in Miami
•• Tasks:Tasks:
-- Call on SundayCall on Sunday
-- Research walking shoesResearch walking shoes
-- Look intoLook into
Family CruiseFamily Cruise
in Januaryin January
Daughter, Janice in L.A.Daughter, Janice in L.A.
•• Tasks:Tasks:
-- Call on FridayCall on Friday
-- Follow up onFollow up on
Medicare ClaimsMedicare Claims
-- Research AcupunctureResearch Acupuncture
Son, Dan, in NYCSon, Dan, in NYC
•• Tasks:Tasks:
-- Call ThursdayCall Thursday
-- Find articles on HipFind articles on Hip
Replacement RecoveryReplacement Recovery
-- Order CaneOrder Cane
Sister, Liz, in ChicagoSister, Liz, in Chicago
•• Tasks:Tasks:
-- Call on WednesdayCall on Wednesday
-- Send flowers from familySend flowers from family
““Key ContactKey Contact”” Son, Tom, in DenverSon, Tom, in Denver
•• Tasks:Tasks:
- Arrange Rehab facility- Arrange Rehab facility
-- Follow up on In-home nurse/caregiver visitsFollow up on In-home nurse/caregiver visits
-- Arrange meal delivery serviceArrange meal delivery service
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Concept Overview
Family Medical Hub: Initial Feature SetFamily Medical Hub: Initial Feature Set
- Immediate text and e-mail updates to all family hub members when new information arrives
- Phone-in chat rooms for families at a distance to discuss health emergencies
- Links to Wiki content to provide further information on a diagnosis and medication
- Social networking tools to help families connect to others who have dealt with their situation
- Voice recognition tool that can transcribe the doctor’s/nurse’s voice message to text
- Physician visit preparation, notes and questions
- iPhone App to allow patient to record and send doctor visits to their family hub
- Care Planner engine (premium feature) helps family members determine the tasks required
to provide proper care of the patient, including medical, financial, insurance and advocacy
group connection
-“Ask an Expert” (premium feature) provides family members an opportunity to chat with an
expert on family support for their specific patient condition
- Links to insurance companies for claims information and questions on Medicare
- Links to extended care options and local services
- Links to financial planning resources for wills and estates
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What did the Doctor Say?What did the Doctor Say?™™ VALUEVALUE
Concept Overview
Family VALUE
•Improved sense of order and control
•Sense of teamwork and connection
•Ability to sustain support over time
• Reduced worry
• Reduced costs
Patient VALUE
•Release from being the primary source of info
•Release from always having to ask for help
•Confidence family stands behind them
•Ability to maintain independence
•Improved quality of care/life
Healthcare Providers VALUE
• One-stop connection to family eliminates phone tag; saves time
• Reduced risk of patient misunderstanding diagnosis
• Better care coordination between patient visits
• Efficient way to deliver better customer service
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Concept Overview
The original social networkThe original social network
A powerful newspaper publisher once beseeched Mark Zuckerberg, the founder of Facebook for advice on
how he could build his own on-line community. The famously laconic Zuckerberg replied, "You can't."
Zuckerberg went on to explain that communities already exist--you can't artificially create them. The task
is to provide them with "elegant organization" to do better what they already want to do.
Families are our first social network; it is deep in our nature to support a family member in need.
We help families perform this vital function by giving them the tools, information and “elegant
organization” to do better what they already want to do.
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Concept Overview
I. Launch What did the Doctor Say?™ service and family hub
- Beta test live in August 2009
- Full version site launched in first quarter 2010
- Economic model centered around caregiver reports
II. Add monitoring applications to help the family stay connected
to the patient and each other
- Interactive medication management
- Monitoring (location/movement and vital signs)
- Fall monitoring and prevention
- Chronic disease management
III. Expand role of Family Advocate
- Premium services to help the family develop and implement
patient care plans
Strategic Plan
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Concept Overview
Where we are nowWhere we are now
I. Beta site live in August 2009
- Private family hub
- Doctor/HCP/Family posting log
- Simple calendar and task lists
- Basic account functionality
II. Begin private beta test in August
- twenty families
- learn how families decide to join, how they use the hub and what services they need
- get insight on pricing plans and the viral potential of the business
- understand how to best work with care providers to get patient information
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Why Now? Converging TrendsWhy Now? Converging Trends
Concept Overview
Med IT
Advances in:
-- monitoring devices
-- remote sensing
-- social networks
-- smart phone
-- shared data (PHR)
Healthcare environment
-- cost containment pressure
-- quality concerns
-- consumerism; Health 2.0
-- less third-party reimbursement
-- increasing patient involvement
Our “Sweet Spot”
Population Demographics
-- aging population
-- digitally aware and empowered
-- chronic conditions
-- “family caregivers”
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The convergence of the empowered patient with the free flow of accurate, timely and relevant medical
data is inevitable. What interests us about this brave new world is how this free flow of information and
connectivity can be used to improve the caring side of health care: The patient’s sense that they are
supported by a unified web of people—both professionals and family members-- acting toward their well
being. We believe this type of coordinated, active family involvement is the best way to meet the
challenge of improving quality of care while lowering costs.
That’s a future we want to create. To get there we will focus on strengthening the connective tissue
between doctors, patients and families-- the three legs of the health care stool. We’ll help families and
patients make meaning out of all the information they’re getting, and we’ll facilitate the conversations
that need to happen so that real human care can occur. By doing these things we will create a thriving
business and a way for families to thrive while coping with the health and aging challenges we all must
face.
Concept Overview
Toward the futureToward the future
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Who we areWho we are
Concept Overview
What did the Doctor Say?™ is a project of Patients + Families LLC, based in Boulder, Colorado. We are a
veteran team that combines deep knowledge of health care with entrepreneurship and branding. More
importantly, we have each been through the experience of supporting a parent in decline from afar.
We are the consumer we wish to serve.
Brian Lanahan is an expert at connecting brands to people, having worked on more than sixty consumer
products in his twenty-year career.Brian began his marketing career at the Coca-Cola Company, where he
spent eight years in brand management, strategic planning and new product development. He then
served as Managing Director and co-founder of Character LLC, a Portland Oregon based consultancy that
develops story frameworks for brands in consumer products, media and retail. Brian has a BA in History
from Duke University and an MBA in Marketing and Human Resources from Northwestern’s Kellogg
Graduate School of Management.
Phil Siegert is an accomplished interactive strategist. He’s worked at larger advertising agencies such as
Leo Burnett, was a founding partner of The Royal Order of Experience Design, a cross media boutique,
and is a partner in Twiss, a consultancy focused on shaping how brands transact directly with consumers
across multiple channels.Phil’s talent is understanding customer expectations, envisioning the ideal user
experience and applying his knowledge of the growing variety of media and technologies to bring complex
transactional concepts to life. He has developed solutions ranging from multiplayer online games to
ecommerce platforms for numerous well-known brands such as Patagonia, Kohler, Naturopathica,
Seventh Generation, Burton Snowboards, Revolution Living, and Kiehl’s since 1891. He possesses an MFA
(Painting) and BFA from the School of the Art Institute of Chicago in addition to a BA in Art and
Architectural History from the University of Illinois at Chicago.
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Who we are, continuedWho we are, continued
Concept Overview
Marc Silverman is a seasoned corporate executive with over twenty-five years experience in the
healthcare industry. He has conceived, developed and successfully brought to market a variety of medical
devices and medical information technologies. His business experience includes large and small
companies and startup endeavors, including Bayer/Cutter Laboratories, Hexcel, Technicon, Baron Medical
Systems, Performance Factors, and Performance Health. He is a successful entrepreneur (two exits, incl.
IPO), angel investor, and advisor. He currently serves on the boards of the Deming Center for
Entrepreneurship at the University of Colorado at Boulder, and the advisory board of the Metropolitan
State College of Denver Center for Innovation. Mr. Silverman is an engineering graduate of the University
of California, Los Angeles, The San Francisco Art Institute, and the Stanford University Executive Program.
Gina Simmering is a highly motivated health and wellness professional with over twenty four years of
experience in the fields of nursing, fitness, nutrition and self and family care. She has founded and
published a successful wellness magazine and advised numerous organizations on health advocacy,
including Stanford University Hospital and Hospice of Boulder and Broomfield Counties. Gina holds a
Bachelors of Science from West Chester University in Corporate Wellness as well of a Bachelors of Science
from the University of San Francisco in Nursing.
Gordon Van Dusen has over twenty years of experience in business development, marketing, product
management and strategic planning in the healthcare industry. His business experiences encompass large
and small, earlier staged healthcare companies including Baxter Healthcare, Myogen, Somatogen,
Hiberna and RxKinetics. Gordon has been on the founding management team of four healthcare startups,
most recently as a founder and CEO of Hiberna Corporation and Vice President of Business Development
for Myogen, Inc. He currently serves on the advisory board for Fitzsimon’s BioBusiness Partners, Inc and
has been an angel investor, advisor and consultant to several startup businesses. Mr. Van Dusen holds a
B.S.E. in Biomedical Engineering from Duke University, an M.S. in Bioengineering from the University of
Michigan and an MBA in Finance and Marketing from the Kellogg Graduate School of Management.