There is an overwhelming confluence of interests, incen6ves, and macro-environmental forces that will disrupt the healthcare industry and drive real change.
Independent practice association, what you need to knowARBYRNE
IPA (independent practice association), a viable option for independent physicians wishing to build market presence in a rapidly consolidating industry.
An Alternative to Traditional M&A: Hospital Network AlliancesPYA, P.C.
PYA Principal David McMillan presented during The Knowledge Congress webinar, “The Impact of Healthcare Reform in M&A,” which discussed the fundamentals and significant developments related to mergers and acquisitions (M&A) and healthcare reform and was designed to help healthcare executives and professionals avoid related, common pitfalls and risk issues. The webinar also explored hospital network alliances as an alternative to traditional M&A including.
Independent practice association, what you need to knowARBYRNE
IPA (independent practice association), a viable option for independent physicians wishing to build market presence in a rapidly consolidating industry.
An Alternative to Traditional M&A: Hospital Network AlliancesPYA, P.C.
PYA Principal David McMillan presented during The Knowledge Congress webinar, “The Impact of Healthcare Reform in M&A,” which discussed the fundamentals and significant developments related to mergers and acquisitions (M&A) and healthcare reform and was designed to help healthcare executives and professionals avoid related, common pitfalls and risk issues. The webinar also explored hospital network alliances as an alternative to traditional M&A including.
Empowering Women in Technology Startups (Ewits®) is a 10-week course in entrepreneurship offered at the University of Florida's start-up incubator, the Innovation Hub. Ewits® provides educated women with hands-on entrepreneurial training and skills that will empower them for the rest of their lives. Many think of entrepreneurs as business people, but entrepreneurs come from all walks of life. Ewits® leverages women’s unique skills and perspectives for new business creation and transforms them from employees to employers.
Enterprise systems in healthcare: leveraging what we know from other industr...CONFENIS 2012
Dr. Carol Brown - distinguished professor at Stevens Institute of Technology , The Howe School of Technology Management
enterprise systems in healthcare: leveraging what we know from other industries
Harnessing the Power of Healthcare Data: Are We There YetHealth Catalyst
What can healthcare learn from Formula One racing? According to Dr. Sadiqa Mahmood, SVP of medical affairs and life sciences for Health Catalyst, race support teams leverage about 30TB of baseline data to create a digital twin of the car, track, and racer for simulation models that drive decisions at each race. Applied in the healthcare setting, a digital twin can help clinicians better understand each patient and their health conditions and circumstances in real time and make comprehensive, informed care decisions. But for the healthcare digital twin to happen, the industry must move away from data silos and towards a digital learning healthcare ecosystem.
Interoperability in Healthcare: Making the Most of FHIRHealth Catalyst
With the CMS and ONC March 2020 endorsement of HL7 FHIR R4, FHIR is positioned to grow from a niche application programming interface (API) standard to a common API framework. With broader adoption, FHIR promises to support expanding healthcare interoperability and prepare the industry for complex use cases by addressing significant challenges:
Engaging consumers.
Sharing data with modern standards.
Building a solid foundation for healthcare interoperability.
While hospitals have dealt with new regulations and declining payments, today’s CEOs face many unprecedented challenges. New survey findings from the Deloitte Center for Health Solutions reveal top of mind issues for health system CEOs regarding the current state of the industry and their expectations and plans as they look to the future. For more, please visit: www.deloitte.com/us/health-system-ceos.
These slides are the property of Chilmark Research and have been published with their permission.
-
Population Health Management (PHM) has been in the health IT lexicon for nearly a decade, yet the industry still lacks a clear definition of how provider organizations extract value from their PHM initiatives. Part of the problem is that PHM is often defined as a technology solution when it, in fact, is not. Rather, PHM is a technology-enabled strategy that includes a multitude of capabilities (e.g., interoperability, analytics, care management, engagement, etc.) and services. Secondly, an organization adopts a PHM strategy to support its value-based care (VBC) contracts, but VBC remains an elusive target that is highly dependent on local and regional conditions.
In this presentation, John Moore briefly walks through the evolution of the PHM market and its increasingly integral tie to VBC and future technology and market trajectories. Highlighted topics include EHR versus best-of-breed solutions, FHIR and open APIs, and the increasing role of IT-enabled services.
Learning Objectives:
- Reframing PHM: Defining PHM as a strategy, not a product.
- Core elements of a technology-enabled PHM strategy.
- Moving organizational economics from fee-for-service to VBC and the role of Medicare Advantage.
- The impact of new interoperability efforts and trends to enable effective PHM strategies.
Healthcare Relief Funding: Five Steps to Maximize COVID-19 DollarsHealth Catalyst
While federal COVID-19 relief funding for health systems sounds good in theory, many organizations have found accessing and using these monies overwhelming and frustrating. Federal guidance has been inconsistent or incomplete, and continued changes to relief packages and policies challenge organizations to develop pragmatic financial recovery strategies. Financial leaders who are confronting more questions than answers need a simple framework to move confidently into recovery.
The following five expert financial- and healthcare-based guidelines will help organizations navigate and optimize COVID-19 relief funding:
Regularly review legislative and regulatory updates and agency activity.
Make the most of what’s available.
Use required reporting as a decision-making tool.
Prepare now for the inevitable audit.
Test compliance now to eliminate headaches (or litigation) later.
Mastering MACRA: A Beginner’s Guide to New Reimbursement ModelsCureMD
MACRA is 2 years of work, signed into law in April 2015
Extends the Children’s Health Insurance Program (CHIP) for two more years
Requires Medicare to move away from SSN based Medicare ID numbers
Includes new funding for development and testing of performance measures
Enables new programs and requirements for data sharing
Establishes new federal advisory groups.
(Click the download button for a high-resolution view)
The Top Seven Healthcare Outcome Measures and Three Measurement EssentialsHealth Catalyst
Healthcare outcomes improvement can’t happen without effective outcomes measurement. Given the healthcare industry’s administrative and regulatory complexities, and the fact that health systems measure and report on hundreds of outcomes annually, this article adds much-needed clarity by reviewing the top seven outcome measures, including definitions, important nuances, and real-life examples. The top seven categories of outcome measures are:
Mortality
Readmissions
Safety of care
Effectiveness of care
Patient experience
Timeliness of care
Efficient use of medical imaging
CMS used these seven outcome measures to calculate overall hospital quality and arrive at its 2018 hospital star ratings. This article also reiterates the importance of outcomes measurement, clarifies how outcome measures are defined and prioritized, and recommends three essentials for successful outcomes measurement.
ACOs: Four Ways Technology Contributes to SuccessHealth Catalyst
With an increasing emphasis on value-based care, Accountable Care Organizations (ACOs) are here to stay. In an ACO, healthcare providers and hospitals come together with the shared goals of reducing costs and increasing patient satisfaction by providing high-quality coordinated healthcare to Medicare patients. However, many ACOs lack direction and experience difficulty understanding how to use data to improve care. Implementing a robust data analytics system to automate the process of data gathering and analysis as well as aligning data with ACO quality reporting measures. The article walks through four keys to effectively implementing technology for ACO success:
Build a data repository with an analytics platform.
Bring data to the point of care.
Analyze claims data, identify outliers, including successes and failures.
Combine clinical claims, and quality data to identify opportunities for improvement.
Analytics and Small Hospitals: Embracing Data to Thrive in the New Era of Val...Health Catalyst
Value-based care has remade the healthcare landscape for small hospitals. Many are struggling to compete with the larger, better-funded medical centers in the communities they serve. Embracing data and analytics is no longer a luxury for these organizations if they are to succeed and remain competitive. Data analysis can assist senior leaders in identifying opportunities for improvement while balancing long-term goals with short-term pressures. Incorporating data in to the culture and making it a part of everyday decision making will enable smaller hospitals to not only survive, but thrive in the new era of value-based care.
Healthcare Management PowerPoint Presentation Slides is designed especially for the medical industry professionals. Use this PPT slideshow to showcase all the essentials of healthcare administration with a dash of visual brilliance. Demonstrate the key trends and vital stats of the healthcare industry through our content-driven PowerPoint theme. Communicate details about global healthcare economy, and global spending stats. Illustrate the key demand and supply drivers associated with public health management. Employ our audience-friendly medical administration PPT template deck to elucidate stakeholders in the public health system. Cutting-edge graphics and innovative data visualization designs simplify the explanation. Use diagrams featured in this PowerPoint presentation to describe essential public health services. You will also find infographic-style designs to help elaborating concepts like hospital and corporate tie-ups. Utilize the Venn diagram to emphasize the pharma company operating model. Convey the research and development protocol followed in the pharmaceutical industry. Our comprehensive PPT layout contains oodles of other core aspects of hospital management. This includes cost accounting, financial management, data analysis, strategic planning, marketing, and KPI metrics and dashboards. So, hit the download button and captivate your audience. Our Healthcare Management PowerPoint Presentation Slides are topically designed to provide an attractive backdrop to any subject. Use them to look like a presentation pro. https://bit.ly/3lZSJyR
Empowering Women in Technology Startups (Ewits®) is a 10-week course in entrepreneurship offered at the University of Florida's start-up incubator, the Innovation Hub. Ewits® provides educated women with hands-on entrepreneurial training and skills that will empower them for the rest of their lives. Many think of entrepreneurs as business people, but entrepreneurs come from all walks of life. Ewits® leverages women’s unique skills and perspectives for new business creation and transforms them from employees to employers.
Enterprise systems in healthcare: leveraging what we know from other industr...CONFENIS 2012
Dr. Carol Brown - distinguished professor at Stevens Institute of Technology , The Howe School of Technology Management
enterprise systems in healthcare: leveraging what we know from other industries
Harnessing the Power of Healthcare Data: Are We There YetHealth Catalyst
What can healthcare learn from Formula One racing? According to Dr. Sadiqa Mahmood, SVP of medical affairs and life sciences for Health Catalyst, race support teams leverage about 30TB of baseline data to create a digital twin of the car, track, and racer for simulation models that drive decisions at each race. Applied in the healthcare setting, a digital twin can help clinicians better understand each patient and their health conditions and circumstances in real time and make comprehensive, informed care decisions. But for the healthcare digital twin to happen, the industry must move away from data silos and towards a digital learning healthcare ecosystem.
Interoperability in Healthcare: Making the Most of FHIRHealth Catalyst
With the CMS and ONC March 2020 endorsement of HL7 FHIR R4, FHIR is positioned to grow from a niche application programming interface (API) standard to a common API framework. With broader adoption, FHIR promises to support expanding healthcare interoperability and prepare the industry for complex use cases by addressing significant challenges:
Engaging consumers.
Sharing data with modern standards.
Building a solid foundation for healthcare interoperability.
While hospitals have dealt with new regulations and declining payments, today’s CEOs face many unprecedented challenges. New survey findings from the Deloitte Center for Health Solutions reveal top of mind issues for health system CEOs regarding the current state of the industry and their expectations and plans as they look to the future. For more, please visit: www.deloitte.com/us/health-system-ceos.
These slides are the property of Chilmark Research and have been published with their permission.
-
Population Health Management (PHM) has been in the health IT lexicon for nearly a decade, yet the industry still lacks a clear definition of how provider organizations extract value from their PHM initiatives. Part of the problem is that PHM is often defined as a technology solution when it, in fact, is not. Rather, PHM is a technology-enabled strategy that includes a multitude of capabilities (e.g., interoperability, analytics, care management, engagement, etc.) and services. Secondly, an organization adopts a PHM strategy to support its value-based care (VBC) contracts, but VBC remains an elusive target that is highly dependent on local and regional conditions.
In this presentation, John Moore briefly walks through the evolution of the PHM market and its increasingly integral tie to VBC and future technology and market trajectories. Highlighted topics include EHR versus best-of-breed solutions, FHIR and open APIs, and the increasing role of IT-enabled services.
Learning Objectives:
- Reframing PHM: Defining PHM as a strategy, not a product.
- Core elements of a technology-enabled PHM strategy.
- Moving organizational economics from fee-for-service to VBC and the role of Medicare Advantage.
- The impact of new interoperability efforts and trends to enable effective PHM strategies.
Healthcare Relief Funding: Five Steps to Maximize COVID-19 DollarsHealth Catalyst
While federal COVID-19 relief funding for health systems sounds good in theory, many organizations have found accessing and using these monies overwhelming and frustrating. Federal guidance has been inconsistent or incomplete, and continued changes to relief packages and policies challenge organizations to develop pragmatic financial recovery strategies. Financial leaders who are confronting more questions than answers need a simple framework to move confidently into recovery.
The following five expert financial- and healthcare-based guidelines will help organizations navigate and optimize COVID-19 relief funding:
Regularly review legislative and regulatory updates and agency activity.
Make the most of what’s available.
Use required reporting as a decision-making tool.
Prepare now for the inevitable audit.
Test compliance now to eliminate headaches (or litigation) later.
Mastering MACRA: A Beginner’s Guide to New Reimbursement ModelsCureMD
MACRA is 2 years of work, signed into law in April 2015
Extends the Children’s Health Insurance Program (CHIP) for two more years
Requires Medicare to move away from SSN based Medicare ID numbers
Includes new funding for development and testing of performance measures
Enables new programs and requirements for data sharing
Establishes new federal advisory groups.
(Click the download button for a high-resolution view)
The Top Seven Healthcare Outcome Measures and Three Measurement EssentialsHealth Catalyst
Healthcare outcomes improvement can’t happen without effective outcomes measurement. Given the healthcare industry’s administrative and regulatory complexities, and the fact that health systems measure and report on hundreds of outcomes annually, this article adds much-needed clarity by reviewing the top seven outcome measures, including definitions, important nuances, and real-life examples. The top seven categories of outcome measures are:
Mortality
Readmissions
Safety of care
Effectiveness of care
Patient experience
Timeliness of care
Efficient use of medical imaging
CMS used these seven outcome measures to calculate overall hospital quality and arrive at its 2018 hospital star ratings. This article also reiterates the importance of outcomes measurement, clarifies how outcome measures are defined and prioritized, and recommends three essentials for successful outcomes measurement.
ACOs: Four Ways Technology Contributes to SuccessHealth Catalyst
With an increasing emphasis on value-based care, Accountable Care Organizations (ACOs) are here to stay. In an ACO, healthcare providers and hospitals come together with the shared goals of reducing costs and increasing patient satisfaction by providing high-quality coordinated healthcare to Medicare patients. However, many ACOs lack direction and experience difficulty understanding how to use data to improve care. Implementing a robust data analytics system to automate the process of data gathering and analysis as well as aligning data with ACO quality reporting measures. The article walks through four keys to effectively implementing technology for ACO success:
Build a data repository with an analytics platform.
Bring data to the point of care.
Analyze claims data, identify outliers, including successes and failures.
Combine clinical claims, and quality data to identify opportunities for improvement.
Analytics and Small Hospitals: Embracing Data to Thrive in the New Era of Val...Health Catalyst
Value-based care has remade the healthcare landscape for small hospitals. Many are struggling to compete with the larger, better-funded medical centers in the communities they serve. Embracing data and analytics is no longer a luxury for these organizations if they are to succeed and remain competitive. Data analysis can assist senior leaders in identifying opportunities for improvement while balancing long-term goals with short-term pressures. Incorporating data in to the culture and making it a part of everyday decision making will enable smaller hospitals to not only survive, but thrive in the new era of value-based care.
Healthcare Management PowerPoint Presentation Slides is designed especially for the medical industry professionals. Use this PPT slideshow to showcase all the essentials of healthcare administration with a dash of visual brilliance. Demonstrate the key trends and vital stats of the healthcare industry through our content-driven PowerPoint theme. Communicate details about global healthcare economy, and global spending stats. Illustrate the key demand and supply drivers associated with public health management. Employ our audience-friendly medical administration PPT template deck to elucidate stakeholders in the public health system. Cutting-edge graphics and innovative data visualization designs simplify the explanation. Use diagrams featured in this PowerPoint presentation to describe essential public health services. You will also find infographic-style designs to help elaborating concepts like hospital and corporate tie-ups. Utilize the Venn diagram to emphasize the pharma company operating model. Convey the research and development protocol followed in the pharmaceutical industry. Our comprehensive PPT layout contains oodles of other core aspects of hospital management. This includes cost accounting, financial management, data analysis, strategic planning, marketing, and KPI metrics and dashboards. So, hit the download button and captivate your audience. Our Healthcare Management PowerPoint Presentation Slides are topically designed to provide an attractive backdrop to any subject. Use them to look like a presentation pro. https://bit.ly/3lZSJyR
Health Services Tax Conference May 18-19, 2015, Presentations included: Mega Trends and the Impact on Healthcare, The Healthcare Industry: A View from Washington and The New Health Economy.
Overcoming the Struggles of Small PracticesBen Quirk
Small practices face many struggles on the road to success. This webinar overviews the top obstacles they face, addresses the reasons behind the decline in numbers of independent practices, and provides solutions for them to remain successful despite the challenges.
Ahead of the marcus evans ACO & Payer Leadership Summit 2024, Ruth Krystopolski discusses the technology needed to empower value-based care in a community.
Disruptive trends impacting the healthcare industry...Tim Ziakas
The healthcare industry is undergoing some of the biggest transformations we've seen. Talent retention, cultural gaps, digital transformation, regulation...there isn't a company that does not feel the effects. Leadership strategy will play a critical role in the success of the U.S. Healthcare industry.
Caregiving Innovation Frontiers: A universal need, a growing opportunity — le...Longevity Network
Can 40 million caregivers count on you?
Where can I find reliable help with meals and medications? What does this bill mean, and will my insurance cover it? And how can I help Mom and Dad stay safe and healthy? As people live longer lives, questions like these touch us all. According to the 2015 report “Caregiving in the U.S.,” an AARP and National Alliance for Caregiving study, nearly 40 million Americans in 2014 were providing unpaid care to people who are older, disabled, or otherwise in need of assistance. A quarter were millennials and half were under the age of 50. Some call it “informal” care, but there’s nothing informal about the emotional, financial and day-to-day stress such a role can involve or the growing gap between the number of caregivers and the number of care recipients. By 2020, 117 million Americans are expected to need assistance of some kind, yet the overall number of caregivers is only expected to reach 45 million.
Paddy Padmanabhan discusses the current healthcare ecosystem for the digital health startups: 'Forces driving healthcare transformation', 'Healthcare payment models', 'Focus areas and opportunities for the stakeholders', 'Investments', 'Vendor landscape' and 'Growth strategy'
Preparing for the Coming Change: An Overview of the Healthcare Analytics MarketHealth Catalyst
Jim Adams, Executive Director, The Advisory Board, discusses the two market forces in particular, population health management and the retail revolution, that are driving the need for new applications of analytics and business intelligence (BI).
Attendees will learn:
The role of analytics in population health and the growing retail market
The key challenges provider organizations are facing in developing analytics capabilities
The pros and cons of the core strategies providers are utilizing to develop analytics capabilities and the vendors that map to those strategies
Bring your most pressing healthcare problems and spend an hour listening to one of the most seasoned industry analysts talking through the top forces shifting the landscape of the healthcare market in 2015.
We hope you'll come away with some insight and refined thinking about solutions that will drive your work forward. Please do join us.
The Economics of Health Reform: Implications for Health ProfessionalsSage Growth Partners
Context and discussion regarding the problems, implications and solutions to health care reform with a contrarian point twist. Includes discussion of The Patient Protection and Affordable Care Act, economic data, insurance data, H.R. 3590, H.R. 4872, a history of health reform. Finally, the presentation outlines the implications for business, physicians and the health care system.
This presentation discusses the impact of health reform. It begins by defining the problem, then provides an overview of legislation and the impact on business. It provides a contrarian view of the subject and explains why health reform is really insurance reform. It also introduces the concept of consumer sovereignty,
Blue Ocean Innovation - From Market-Taker to Market-Maker. This presentation discusses formulating new opportunities for your business or others in a new, refreshing way. Providing you some skills and a toolkit to "arm" you. Helping you become an integrator.
From High Hopes to HITECH: Money and Meaningful Use. Centricity Healthcare User Group. This presentation covers meaningful use, IT Adoption, interoperability, network effects, transparency and better outcomes from the use of Health Information Technology.
We don’t have a functional competitive market in health care in the U.S. Consequently, many of the attributes of competitive markets that are beneficial in our lives are not present in health care. One significant negative externality of a dysfunctional market is an inability to discern quality. Consumerism is critical. Includes data and analysis from the 5TH ANNUAL HEALTHGRADES PATIENT SAFETY IN AMERICAN HOSPITALS STUDY – APRIL 2008
We don’t have a functional competitive market in health care in the U.S. Consequently, many of the attributes of competitive markets that are beneficial in our lives are not present in health care. One significant negative externality of a dysfunctional market is an inability to discern quality. Consumerism is critical. This presentation outlines the path toward better strategic thinking in U.S. healthcare. We must 1) embrace the Theory of the Firm – you’ll find you’re actually embracing your mission! 2) Institutionalize the promise of globalization 3) Build partnerships – become a market-maker not a market-taker 4) Be a contrarian 5) Focus on the consumer – make them smarter and they will reward you!
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
Telehealth psychology is a digital approach that offers psychological services and mental health care to clients remotely, using technologies like video conferencing, phone calls, text messaging, and mobile apps for communication.
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
QA Paediatric dentistry department, Hospital Melaka 2020Azreen Aj
QA study - To improve the 6th monthly recall rate post-comprehensive dental treatment under general anaesthesia in paediatric dentistry department, Hospital Melaka
4. www.sage-growth.com
Hypothesis:
Health
Care
Will
be
Disrupted
There
is
an
overwhelming
confluence
of
interests,
incen6ves,
and
macro-‐environmental
forces
that
will
disrupt
the
industry
and
drive
real
change
–
Payment
model
redesign
will
be
a
core
catalyst
for
change
4
5. www.sage-growth.com
A
Step
Further
• Even
if
no
net-‐new,
domes6c
U.S.
HC
is
a
$1T
arbitrage
opportunity
–
and
its
largely
in
facili6es,
specialists,
transi6ons,
and
chronic
care
management
• Health
care
will
experience
its
industrial
revolu6on
– Transparency
– Standards
– Focus
on
efficiency
• In
an
industrial
model
–
community
organizers/entrepreneurs
(PCPs)
are
very
well
suited
to
assume
the
mantle
of
leadership
• The
garage
is
coming
to
health
care
• Incen6ves
are
aligned
between
payers
and
enlightened
providers
beOer
then
ever
–
economics
and
ACA
are
driving
payers
to
shiQ
risk
5
6. www.sage-growth.com
Lots
of
QuesOons
• The
role
of
physicians
–
especially
independents
• The
role
of
hospitals
and
health
systems
• The
role
of
subs6tutes
• The
pace
of
migra6on
to
VBP
• The
pace
of
provider/payer
convergence
• WHAT
IS
THE
IPA
TO
DO?
6
7. www.sage-growth.com
Focus
on
Three
Swim
Lanes
Best
Care
Dominant
Delivery
Organiza6on(s)
Dominant
Delivery
Network
Dominant
Enabling
Business
PlaZorm
Best
Health
Status
Best
Value
10. www.sage-growth.com
Volume
to
value:
Reasons
for
the
shiT
10
Risk
ShiT
Payer
Value
Based
PorVolio
0
20
40
60
80
100
1990
2000
2010
2020
2030
2040
2050
2060
2070
2080
Medicare
Medicaid
Private
Health
Insurance
Driver:
Public
Reimbursement
as
%
of
Commercial
ACO
Growth
687
Medicaid
MCOs
2013
Porter
Research
Study
2013
*Including
SGR
rate
cuts
CMS
Office
of
the
Actuary
May
2012
LeaviO
Partners
2014
12. www.sage-growth.com
Private
Health
Insurance
Benefits
by
Spending
Category
12
18%
current
OUTPATIENT
32%
current
INPATIENT
32%
current
PHYSICIAN
4%
current
OTHER
15%
current
DRUGS
Fastest
Growth
2007
-‐
2012
Slowest
Growth
2007-‐2012
8.2%
Growth
10%
Growth
8%
Growth
6.1%
Growth
5.4%
Growth
Source:
Price
Waterhouse
Coopers
Medical
Cost
Trend:
Behind
the
Numbers
2013
“Other”
category
includes
services
such
as
ambulance,
home
health
and
durable
medical
equipment
15. www.sage-growth.com
Sustainable?
• Hospitals
lose
on
average
$176,463
per
physician
on
owned
physician
prac6ces
• The
longer
a
hospital
owns
physician
groups,
the
higher
the
likelihood
it
is
losing
money
on
them.
• The
more
physicians
a
hospital
employs,
the
more
likely
they
incur
losses
• 78%
of
hospitals
are
paying
physicians
non-‐produc6vity
incen6ves
(pa6ent
sa6sfac6on,
clinical
quality,
and
ci6zenship),
expected
to
rise
to
94%
in
3
years
15
Sources:
MGMA
2013
Cost
Survey
All
mul6-‐specialty
groups,
hospital-‐owned
and
Report:
Hospital-‐owned
prac6ces
lose
up
to
$100K
per
doc
each
year
–
FiercePrac6ceManagement
16. www.sage-growth.com
New
reality
High
performing
provider
organizaOons
must
manage
risk
• Market
forces
driving
a
heightened
need
for
financial
accountability
• Insurers
seeking
to
transfer
the
financial
risk
of
clinical
service
• The
risk-‐transference
taking
the
form
of
payment-‐for-‐value
arrangements
• Entrepreneurial
provider-‐sponsored
organiza6ons
are
well
posi6oned
• Organiza6ons
may
lack
technology
and
solu6ons
infrastructure
to
transform
their
business
models
20. www.sage-growth.com
Why
VBP?
• Purchasers
are
demanding
more
accountability
around
quality
and
cost
• Medicare
and
Medicaid
need
the
“stop
loss”
• Its
a
way
to
take
and
grow
share
• It
allows
a
focus
on
“industrial
improvement”
• Its
working
in
key
markets
• Its
driving
quality
outcomes
20
23. www.sage-growth.com
CITI
research1
Framework
for
managing
populaOon
health
1Source:
Popula6on
Health
Management-‐Hill’s
Handbook
to
the
Next
Decade
in
Healthcare
Technology,
14
May
2013
24. www.sage-growth.com
What’s
an
IPA
to
Do?
NOT
MUTUALLY
EXCLUSIVE
24
Dominant
Delivery
Organiza6on(s)
Dominant
Delivery
Network
Dominant
Enabling
Business
PlaZorm
25. www.sage-growth.com
If
It
Were
My
IPA,
I’d
be
thinking
about…
• PopulaOon
Health
–
let’s
define
–
needs
to
be
CORE
– AOribu6on/iden6fica6on
– Surveillance
– Risk
assessment
– Risk
stra6fica6on
–
what’s
our
triangle
look
like?
– Gap
assessment
– Coordinate/drive
interven6ons
• On-‐ramps
for
providers
–
especially
PCPs
– Running
through
walls
to
enhance/aggregate
primary
care
– Build
a
new
economic
model
–
“the
era
of
3x”
– Employment
op6ons
– Find
the
entrepreneurs
25
26. www.sage-growth.com
If
It
Were
My
IPA,
I’d
be
thinking
about…
• Aggressively
courOng
Payers/Purchasers
(Insurers,
TPA/ASO,
Employers,
Unions,
Purchasing
Groups)
– Make
something
different
happen
– Get
out
and
talk
early
and
oQen
– Don’t
make
assump6ons
and
don’t
ignore
purchasers
• Embracing
transparency
wholeheartedly
–
Prices,
Costs,
Quality
• Don’t
forget
the
infrastructure
–
And
plan
the
Ecosystem
– IT,
Rev
Cycle,
Messaging,
CDS,
PH,
PI,
Retail,
remote
monitoring,
etc.
etc.
etc.
• Capital
Partners
–
be
creaOve
26