Choosing Wisely Communica1on Skills Modules
|
|
- Angela Park
- 8 years ago
- Views:
Transcription
1 Choosing Wisely Communica1on Skills Modules Pamela Duke, MD Assistant Professor of Medicine, Drexel University College of Medicine Dennis Novack, MD Associate Dean of Medical Educa<on, Drexel University College of Medicine
2 Acknowledgements ABIM Founda<on Drexel University College of Medicine Consumer Reports American Academy of Health Care Communica<on Advisory Board (Drs. Beth Lown, Wendy Levinson and John Santa) Co- Collaborators: Christof Daetwyler, MD
3 Goals of the Webinar What are the Choosing Wisely Communica<on Modules? What are the core communica<on strategies that engender pa<ent trust and sa<sfac<on? How can providers learn Choosing Wisely informa<on easily and communicate it to their pa<ents using the modules? How can you put these modules into your grant in order to advance Choosing Wisely?
4 What do the Choosing Wisely Communica1on Modules offer? Easy to use on- line educa<onal resource Quick resource on key communica<on skills for nego<a<ng with pa<ents Interac<ve with video and instant polling Provides one resource linking medical knowledge with communica<on skills Holds both specialty society informa<on/consumer Reports for fast use by medical offices
5 Background Doc.com is a comprehensive online resource on healthcare communica<on. Launched in 2007 now with 42 modules: >14,000 subscribers and over 30 medical schools and many residency programs na<onally and worldwide. Doc.com evidence- based text, over 400 videos/annotated videos and a learning management system that allow students and faculty members to interact over a variety of communica<on skills topics.
6 hfp://webcampus.drexelmed.edu/doccom/user/
7 Choosing Wisely Communica1on Modules Specialty socie1es iden1fied tests or procedures commonly used in their field, whose necessity should be ques1oned and discussed. 1. American College of Physicians 2. American Society of Nephrology 3. American College of Cardiology 4. American College of Nuclear Cardiology 5. American College of Radiology 6. American Academy of Family Physicians 7. American Academy of Allergy, Asthma, & Immunology 8. American Gastroenterology Associa1on 9. American Academy of Pediatrics
8
9 INSTANT POLLING: PRE AND POST
10 Choosing Wisely Overview An ini1a1ve of the ABIM Founda1on to help physicians and pa1ents engage in conversa1ons to reduce overuse of tests and procedures
11 KEY COMMUNICATION SKILLS 1.Provide clear recommenda1ons. 2.Elicit pa1ents beliefs/ask ques1ons. 3.Provide empathy, partnership and legi1ma1on. 4.Confirm agreement/overcome barriers. Evidence Based Video Examples
12 Provide Clear Recommenda1ons Pa<ents want their physician to provide informa<on. Studies have shown that clinical outcomes such as blood pressure improve when physicians provide clear informa<on. Powell H, Gibson PG. Op<ons for self- management educa<on for adults with asthma. The Cochrane Database of Systema<c Reviews. 2003;1:1-44
13
14 Elicit Pa1ents Beliefs/Ques1ons Many pa<ents won t express these concerns unless asked for fear of embarrassment. But if these hidden concerns remain unsolicited and unaddressed, the concerns may become the cause of persistent requests for medica<ons or further tes<ng. Del Piccolo L. Sal<ni A, Zimmerman C & Dunn G. Difference in verbal behaviors of pa<ents with and without emo<onal distress during primary care consulta<on.2000;psycho Med:30: White J, Levison W Toter D Oh, by the way the closing moments of the medical visit 1995, JGIM, 9,
15 Provide Empathy, Partnership & Legi1ma1on Studies have demonstrated that empathic comments do not take much <me or prolong encounters, and have a number of posi<ve outcomes for pa<ents including beoer blood pressure and glucose control. Fogarty LA, Curbow BA, Wingard JR, McDonnell K, Somerfield MR. Can 40 seconds of compassion reduce pa<ent anxiety? J Clin Oncol. 1999;17:371-9.
16 Confirm Agreement & Overcome Barriers Check for pa<ent understanding and agreement/ explora<on of any barriers to adherence. Arranging follow- up plans will reassure the pa<ent of your con<nued care. Finally acknowledging your support during the closure of the interview with concern solidifies a sense of partnership with your pa<ent and can improve health outcomes. Stewart MA. Effec<ve Physician- Pa<ent Communica<on and Health Outcomes: A Review. Can Med Assoc J. 1995;152:
17 Skills Summary hop://webcampus.drexelmed.edu/interac<ve/ choosingwisely/modules/m_02/ default_frameset.htm
18 Specialty Specific Top 5 Choices Text Video References Links to specialty sites Links to calculators if applicable (cardiac risk factors, osteoporosis)
19
20 Don t obtain imaging studies in pa1ents with non- specific low back pain. In pa1ents with back pain that cannot be afributed to a specific disease or spinal abnormality following a history and physical examina1on (e.g., non- specific low back pain), imaging with plain radiography, computed tomography (CT) scan, or magne1c resonance imaging (MRI) does not improve pa1ent outcomes. High quality evidence that imaging pa3ents with acute low back pain of 6 weeks dura3on with no red flags results in no clinical benefits and is associated with harms 1,2 1 Chou R, Qaseem A, Owens DK et al. Diagnos<c imaging for low back pain: advice for high value health care from an American pain society/american college of physicians clinical prac<ce guideline. Ann Intern Med 2011;154: Shubha SV, Deyo RA, Berger ZD. Applica<on of Less is More to Low Back Pain. Arch Intern Med,. 2012;172(13):
21 Evidence of Harm Pa<ent Labeling Imaging reveals anatomic abnormali<es in asymptoma<c people 1 Diminished sense of wellbeing 2 Increased rate of surgery 8 fold increase risk for surgery 3 Radia<on 1 Jensen MC, Brant- Zawadski MN, Obuchowski N et al. Magne<c resonance imaging of the lumbar spine in people without back pain. NEJM. 1994;33 (2); Modic MT, Obuchowski NA, Ross JS et al. Acute low back pain and radiculopathy :MR imaging findings and their prognos<c role and effect on outcome. Radiology. 2005;237 (2): Lurie JD, Birkmeyer NJ, Weinstein JN. Rates of advanced spinal imaging and spine surgery. Spine 2003;28 (6);
22 Video Example hop://webcampus.drexelmed.edu/skills/ annotatedvideos/annotatevideo.aspx?a=325
23 Easy to print out Link provided Give at end/during visit Used in video Pa1ent Handout
24 Tool Kit for Choosing Wisely ACP Communica1on Module Video example Links References Copy of Choosing Wisely document in pdf Evidence based guidelines Links to Consumer Report free pdf handouts
25 How Can You Use these Videos Discussion Prac<ce sesng Pa<ent safety State medical socie<es CME Part of chart review Trainees Physicians, other providers and staff
26 Appreciate any feedback.
Measure Title X RAY PRIOR TO MRI OR CAT SCAN IN THE EVAULATION OF LOWER BACK PAIN Disease State Back pain Indicator Classification Utilization
Client HMSA: PQSR 2009 Measure Title X RAY PRIOR TO MRI OR CAT SCAN IN THE EVAULATION OF LOWER BACK PAIN Disease State Back pain Indicator Classification Utilization Strength of Recommendation Organizations
More informationHealth Benchmarks Program Clinical Quality Indicator Specification 2013
Health Benchmarks Program Clinical Quality Indicator Specification 2013 Measure Title USE OF IMAGING STUDIES FOR LOW BACK PAIN Disease State Musculoskeletal Indicator Classification Utilization Strength
More informationTest Request Tip Sheet
With/Without Contrast CT, MRI Studies should NOT be ordered simultaneously as dual studies (i.e., with and without contrast). Radiation exposure is doubled and both views are rarely necessary. The study
More informationChoosing Wisely Recommendation Analysis: Prioritizing Opportunities for Reducing Inappropriate Care
Choosing Wisely Recommendation Analysis: Prioritizing Opportunities for Reducing Inappropriate Care IMAGING FOR NONSPECIFIC LOW BACK PAIN Sarah Jane Reed, MSc and Steven Pearson, MD, MSc INSTITUTE FOR
More informationTelehealth care Closing the Gap to Specialty Care. Dietra Watson, MSN, RN Clinical Informa7cs
Telehealth care Closing the Gap to Specialty Care Dietra Watson, MSN, RN Clinical Informa7cs What is Telehealth? The use of electronic informa7on and telecommunica7ons technologies to support long- distance
More informationAgenda. What Data Science Can Learn from Training in Biomedical Informa8cs: The OHSU Experience
What Data Science Can Learn from Training in Biomedical Informa8cs: The OHSU Experience William Hersh, MD, FACP, FACMI Professor and Chair Department of Medical Informa8cs & Clinical Epidemiology Oregon
More informationProvider Communica/on Interven/on at a Federally Qualified Health Center- based Farmers' Market: Implica/ons for Implementa/on Science
Provider Communica/on Interven/on at a Federally Qualified Health Center- based Farmers' Market: Implica/ons for Implementa/on Science Daniela B. Friedman, MSc, PhD Associate Professor, Department of Health
More informationFocus On Value. Value Based Purchasing. The Pa'ent Experience: Hospitals as Bou'que Hotels? Policy (ACA) Patients. Payors And Employers
The Pa'ent Experience: Hospitals as Bou'que Hotels? Patrick Kneeland MD Medical Director for Pa'ent and Provider Experience University of Colorado Hospital Focus On Value Patients Policy (ACA) Providers
More informationWhat Does it Mean When Patients Choose Wisely? David Ansley Senior Analyst, Health Product Development Consumer Reports
What Does it Mean When Patients Choose Wisely? David Ansley Senior Analyst, Health Product Development Consumer Reports People are realizing that more medicine is not necessarily better. And that we re
More informationMeasuring Pa,ent- Centred Care Integra,on of PROMs/PREMs into EHRs
Measuring Pa,ent- Centred Care Integra,on of PROMs/PREMs into EHRs Nov 27-28, 2014 Francis Lau PhD, FCAHS University of Victoria 1 Outline Current EHR Landscape Integra,ng PROMs/PREMs into EHR Implementa,on
More informationPoten&al Impact of FDA Regula&on of EMRs. October 27, 2010
Poten&al Impact of FDA Regula&on of EMRs October 27, 2010 Agenda The case for regula&ng Impact on manufacturers Impact on providers Recommenda&ons and best prac&ces 2 A Medical Device Is an instrument,
More informationCSER & emerge Consor.a EHR Working Group Collabora.on on Display and Storage of Gene.c Informa.on in Electronic Health Records
electronic Medical Records and Genomics CSER & emerge Consor.a EHR Working Group Collabora.on on Display and Storage of Gene.c Informa.on in Electronic Health Records Brian Shirts, MD, PhD University of
More informationDewar COEHS Meeting Documentation Form
Dewar COEHS Meeting Documentation Form This form should be completed by all non statutory committees/groups for meetings associated with the COEHS. Statutory committees are required to maintain formal
More informationLandmark Company Overview
Landmark Company Overview Landmark is an interna4onal personal and professional growth, training and development company a global educa4onal enterprise commi>ed to the fundamental principle that people
More informationImproving Outcomes with Best Communication. Katrina Miller, MD
Improving Outcomes with Best Communication Katrina Miller, MD Katrina Miller, MD CIS Medical Director, Adventist Health Katrina Miller, M.D. is a Family Physician who currently serves as Clinical Informa
More information12-01- 31. Outline. Setting the Stage. Se#ng the stage for precep0ng drug therapy assessment Elements of drug therapy assessment Hierarchy Flow chart
12-01- 31 Preceptor Development: Patient Care Process Drug Therapy Assessment Outline Se#ng the stage for precep0ng drug therapy assessment Elements of drug therapy assessment Hierarchy Flow chart Student
More informationGeriatric Certificate Program (GCP) For more information visit: www.geriatriccp.ca Email: info@geriatriccp.ca
Geriatric Certificate Program (GCP) For more information visit: www.geriatriccp.ca Email: info@geriatriccp.ca 7 th Annual Care of the Elderly 2016 Conversations about goals of care with elderly patients
More informationIntenionality was not a considera1on but because of the role as leaders has lead to a legacy and gold standard
1 Intenionality was not a considera1on but because of the role as leaders has lead to a legacy and gold standard physicians involved in cross- func1onal decision- making, inputs beyond medicine- based
More informationPa"ent Reported Outcomes Useful for Whom? Industry s Perspec/ve. Pri/ Jhingran, Ph.D. GlaxoSmithKline
Pa"ent Reported Outcomes Useful for Whom? Industry s Perspec/ve Pri/ Jhingran, Ph.D. GlaxoSmithKline AGENDA Why PROs? Applica0ons of PROs in Drug Development US Healthcare Reform Enhanced Value of PROs
More informationThe Lewin Group undertook the following steps to identify the guidelines relevant to the 11 targeted procedures:
Guidelines The following is a list of proposed medical specialty guidelines that have been found for the 11 targeted procedures to be included in the Medicare Imaging Demonstration. The list includes only
More informationPsychosocial Risk Factors That Predict Delayed Recovery: Addressing Risks for Posi:ve Outcomes SESSION TLT 007
Psychosocial Risk Factors That Predict Delayed Recovery: Addressing Risks for Posi:ve Outcomes SESSION TLT 007 Speaker: Geralyn Datz, PhD, President Southern Behavioral Medicine Associates PLLC Agenda
More informationUsing Mobile to Capture In- the- Moment Insights
With the global leader in sampling and data services Using Mobile to Capture In- the- Moment Insights Saran Ganesh Director, Mobile product marke8ng 2015 Survey Sampling Interna6onal 1 During this webcast
More informationCommunity Physicians of Indiana Engineering Forms to Improve Quality of Care and Physician Efficiency Ryan Houghton, M.D.
Community Physicians of Indiana Engineering Forms to Improve Quality of Care and Physician Efficiency Ryan Houghton, M.D. Disclosure No additional relationships or conflicts of interest besides employment
More informationAccountable Care Organizations: Implications for CHCs Serving AA&NHOPIs
Accountable Care Organizations: Implications for CHCs Serving AA&NHOPIs Practice Transformation Webinar Series Webinar 4 April 29, 2015 Moderator: Nina Agbayani, Director of Programs About AAPCHO National
More informationAtlanta Care Transitions Initiative. Atlanta Regional Commission Area Agency on Aging
Atlanta Care Transitions Initiative Atlanta Regional Commission Area Agency on Aging Atlanta Regional Commission Atlanta Region Area Agency on Aging Regional Planning Commission 1 of 12 AAAs in Georgia
More informationHow Telemedicine Can Improve Quality & Cost
How Telemedicine Can Improve Quality & Lower Costs in an ACO October 8, 2015 NaEonal AssociaEon of ACOs Krista Drobac Agenda Market Landscape and Outlook Legisla4ve and Regulatory Barriers Evidence of
More informationMN Community Measurement Low Back Pain Measure Impact and Recommendation Document June 2010
MN Community Measurement Low Back Pain Measure Impact and Recommendation Document June 2010 Impact Relevance to Consumers, Employers and Payers Improvability Inclusiveness Mechanical low back pain (LBP)
More informationHealth Reform and Medical Prac3ce in Maine. John Freedman MD MBA June 10, 2013
Health Reform and Medical Prac3ce in Maine John Freedman MD MBA June 10, 2013 Disclosure Statement I have no relevant financial rela3onships to disclose. The opinions expressed are my own. Objec3ves Describe
More informationPES Has The Sustainable Solu2on For Chronic Care Management
PES Has The Sustainable Solu2on For Chronic Care Management Empowering pa2ents to lead the management of their chronic diseases through a proven and effec2ve model of collabora2on with clinicians and caregivers.
More informationDRAFT. Select VHA ENTERPRISE STANDARD TITLE:??
Select VHA ENTERPRISE STANDARD TITLE:?? Choose from: ACUPUNCTURE CONSULT ACUPUNCTURE NOTE ADDENDUM ADDICTION PSYCHIATRY ADDICTION SEVERITY INDEX NOTE ADDICTION PSYCHIATRY ADMINISTRATIVE NOTE ADDICTION
More informationEVIDENCE-BASED HEALTHCARE SOLUTIONS. CareCore National. Prepared for. Prepared for. October 23, 2009
EVIDENCE-BASED HEALTHCARE SOLUTIONS CareCore National Radiology CARECORE Program NATIONAL RADIOLOGY Frequently BENEFIT Asked MANAGEMENT Questions PROPOSAL Prepared for Prepared for October 23, 2009 March
More informationMission. To provide higher technological educa5on with quality, preparing. competent professionals, with sound founda5ons in science, technology
Mission To provide higher technological educa5on with quality, preparing competent professionals, with sound founda5ons in science, technology and innova5on, commi
More informationInternational Postprofessional Doctoral of Physical Therapy (DPT) in Musculoskeletal Management Program (non US/Canada) Curriculum
International Postprofessional Doctoral of Physical Therapy (DPT) in Musculoskeletal Management Program (non US/Canada) Curriculum Effective: July 2015 INTERNATIONAL POSTPROFESSIONAL DOCTORAL OF PHYSICAL
More informationBreakout A: From Paper to EMR- Preparing for the Transi;on
Quality Counts! Breakout A: From Paper to EMR- Preparing for the Transi;on The Maine Regional Extension Center Forum Breakout Objec
More informationDistrict Led Parent Training Series on Au4sm 10/6/14
Tri- State Au,sm Spectrum Disorder Webinar Series This presentation is a collaborative effort between the following: This material was developed under a grant from the Colorado Department of Education.
More informationGeographic Differences in Healthcare Utilization: Moving Forward. Allen J. Taylor MD FACC FAHA
Geographic Differences in Healthcare Utilization: Moving Forward Allen J. Taylor MD FACC FAHA Director, Advanced Cardiovascular Imaging Washington Hospital Center Professor of Medicine Georgetown University
More informationUSE OF EXPERT WITNESSES IN CONTESTED CASES BY: JAMES (DUSTY) JOHNSTON GENERAL COUNSEL TEXAS BOARD OF NURSING
USE OF EXPERT WITNESSES IN CONTESTED CASES BY: JAMES (DUSTY) JOHNSTON GENERAL COUNSEL TEXAS BOARD OF NURSING SCOPE OF PRESENTATION WARNING Although most jurisdic0ons may have similar, or even iden0cal
More informationHow To Use Uptodate
enriching C L I N I C I A N S transforming I N S T I T U T I O N S empowering PAT I E N T S F O R I N S T I T U T I O N S UpToDate Specialties: Adult Primary Care and Internal Medicine Cardiovascular Medicine
More informationMedical Cannabis in Maryland Presentation to University of Maryland Medical School Quarterly Meeting October 8, 2015 by Deborah Miran Commissioner
Medical Cannabis in Maryland Presentation to University of Maryland Medical School Quarterly Meeting October 8, 2015 by Deborah Miran Commissioner Maryland Medical Cannabis Commission Medical Cannabis
More informationPu?ng B2B Research to the Legal Test
With the global leader in sampling and data services Pu?ng B2B Research to the Legal Test Ashlin Quirk, SSI General Counsel 2014 Survey Sampling Interna6onal 1 2014 Survey Sampling Interna6onal Se?ng the
More informationThis handout is for informational purposes only. Talk with your doctor or health care team if you have any questions about your care.
PATIENT EDUCATION patienteducation.osumc.edu PET stands for Positron Emission Tomography. The scan looks at metabolic activity (cell activity) inside the body. Your doctor uses this information to help
More informationElectronic Health Records and Environmental Public Health Tracking
Electronic Health Records and Environmental Public Health Tracking Gonza Namulanda, DrPH, MS, Health Scientist Environmental Health Tracking Branch Presented at the International Society for Disease Surveillance
More informationIntroducing the Oxford AHSN. Professor Gary Ford, CBE Chief Execu?ve Officer Consultant Physician
Introducing the Oxford AHSN Professor Gary Ford, CBE Chief Execu?ve Officer Consultant Physician AHSN core purpose health and wealth Licensed by NHS England for 5 years to deliver four objec:ves: Focus
More informationProposed Changes to Existing Measure for HEDIS 1 2017: Use of Imaging Studies for Low Back Pain (LBP)
Proposed Changes to Existing Measure for HEDIS 1 2017: Use of Imaging Studies for Low Back Pain (LBP) NCQA seeks comments on proposed changes to the HEDIS measure Use of Imaging Studies for Low Back Pain
More information1. What is your name? Last name First name Middle Initial Degree(s)
Version: 6122008 Rhode Island Health Care Quality Performance (HCQP) Program This survey asks about physicians' use of health information technology (HIT) and should take less than 10 minutes to complete.
More informationImaging degenerative disk disease in the lumbar spine. Elaine Besancon MS III Dr. Gillian Lieberman
Imaging degenerative disk disease in the lumbar spine Elaine Besancon MS III Dr. Gillian Lieberman Learning Objectives Anatomy review Pathophysiology of degenerative disc disease Common sequelae of disk
More informationQ&A Info Sessions on the Affordable Care Act (ACA) & Covered California. SJSU CSU Health Insurance Education Project
Q&A Info Sessions on the Affordable Care Act (ACA) & Covered California SJSU CSU Health Insurance Education Project Info/Ques
More informationWelcome! Accelera'ng Pa'ent- Centered Outcomes Research and Methodological Research. Andrea Heckert, PhD, MPH Program Officer, Science
Accelera'ng Pa'ent- Centered Outcomes Research and Methodological Research Emily Evans, PhD, MPH Program Officer, Science Andrea Heckert, PhD, MPH Program Officer, Science June 22, 2015 Welcome! Emily
More informationNa#onal Asbestos Forum 2013: Advance in Medical Research on Asbestos- Related Diseases
Na#onal Asbestos Forum 2013: Advance in Medical Research on Asbestos- Related Diseases Professor Nico van Zandwijk Asbestos Diseases Research Ins#tute Content List of Asbestos- Related Diseases Epidemiology
More informationNCSBN s Distance Education Guidelines for Prelicensure Nursing Programs
NCSBN s Distance Education Guidelines for Prelicensure Nursing Programs NCSBN s Virtual Conference on Distance Educa8on in Prelicensure Programs Nancy Spector, PhD, RN, FAAN Bobby Lowery, PhD, FNP- BC,
More informationState of Oregon Evidence-based Clinical Guidelines Project
State of Oregon Evidence-based Clinical Guidelines Project Advanced Imaging for Low Back Pain A Clinical Practice Guideline Based on the Joint Practice Guideline of the American College of Physicians and
More informationThe Communica3on Bundle Quality Measures
The Communica3on Bundle Quality Measures Module I Day 1 1. Proxy decision- maker iden3fied AND documented in medical record within 24 hours 2. Presence or absence of advance direc3ve iden3fied AND documented
More informationU.S. Bureau of Labor Statistics. Radiology Tech
From the: U.S. Bureau of Labor Statistics Radiology Tech What They Do Radiologic technologists (RTs) perform diagnostic imaging examinations, such as x rays, on patients. Duties RTs typically do the following:
More informationEHRs vs. Paper-based Systems: 5 Key Criteria for Ascertaining Value
Research White Paper EHRs vs. Paper-based Systems: 5 Key Criteria for Ascertaining Value Provided by: EHR, Practice Management & Billing In One www.omnimd.com Before evaluating the benefits of EHRs, one
More informationPu#ng a Human Face on the Issues of Our Veteran Students
Pu#ng a Human Face on the Issues of Our Veteran Students Presented by Deborah Bransford, MS, LMHC Elizabeth ScoD, MA, LMHC from Pierce College a Community College in Washington State From 2009 (34,393)
More informationDisclosing Medical Errors: 2008 and Beyond. Wendy Levinson, MD Professor of Medicine University of Toronto
Disclosing Medical Errors: 2008 and Beyond Wendy Levinson, MD Professor of Medicine University of Toronto Goals 1. To describe physicians attitudes and experience re disclosure. 2. To describe changing
More informationExpanding Assessment of Analy3cal Skills among Biology Majors: From Introductory labs to Upper Division Elec3ves
Expanding Assessment of Analy3cal Skills among Biology Majors: From Introductory labs to Upper Division Elec3ves Presented by Kathleen McAuley PI: Serena Moseman- Val3erra, Ph.D. Department of Biological
More informationTaking Better Care: Supporting Well-Being for an Aging Population
Taking Better Care: Supporting Well-Being for an Aging Population Alliance of Community Health Plans (ACHP) CoaliJon to Transform Advanced Care (C- TAC) Tuesday, May 12 th, 2015 430 Dirksen Senate Office
More informationVA Pa&ent- Centered Community Care Provider Network Management Training Deck
VA Pa&ent- Centered Community Care Provider Network Management Training Deck Agenda Program Overview Provider Network Implementa&on Appointment Process Medical Documenta&on Care Coordina&on Claims Overview
More informationUnitedHealth Premium Designation Program. Driving informed choices and quality, efficient care
UnitedHealth Premium Designation Program Driving informed choices and quality, efficient care Today s health care system is fraught with wide variation in medical practices that often result in inconsistent
More informationSTEM Educa*on in the 21 st Century: Crea*ng a Virtual Community of Prac*ce for STEM Learners
STEM Educa*on in the 21 st Century: Crea*ng a Virtual Community of Prac*ce for STEM Learners Lisa B. Elliot & Donna Easton NTID Center on Access Technology, Rochester Ins*tute of Technology New York Cyber
More informationHow To Get An Mri Of The Lumbar Spine W/O Contrast
Date notice sent to all parties: May 27, 2014 IRO CASE #: ReviewTex, Inc. 1818 Mountjoy Drive San Antonio, TX 78232 (phone) 210-598-9381 (fax) 210-598-9382 reviewtex@hotmail.com Notice of Independent Review
More informationDefining, Measuring and Improving Healthcare Value Lancet Commission on Global Surgery January 18, 2014
Defining, Measuring and Improving Healthcare Value Lancet Commission on Global Surgery January 18, 2014 Professor Robert S. (Bob) Kaplan, in collaboration with Professor Michael E. Porter Value-based health
More informationElenco dei periodici elettronici in Ovid Full text
Academic Medicine Addictive Disorders & Their Treatment Advances in Anatomic Pathology Age & Ageing AIDS AIDS Patient Care & Stds AJN, American Journal of Nursing Alzheimer Disease & Associated Disorders
More informationBehavioral Health Integration in the Medical Home: An Overview of the Massachusetts Self-Assessment and Online Toolkit
Behavioral Health Integration in the Medical Home: An Overview of the Massachusetts Self-Assessment and Online Toolkit July 11, 2013 Hosted by the Patient-Centered Primary Care Collaborative Behavioral
More informationCareer Clusters and Academic and Career Plans of Study: Virginia s Best Prac:ces
Career Clusters and Academic and Career Plans of Study: Virginia s Best Prac:ces Virginia Department of Education December 13, 2012 4 The Changing U.S. Workforce Professional 20% Professional 20% 5 Source:
More informationVACAVILLE MEDICAL CENTER. Staff Navigator
VACAVILLE MEDICAL CENTER Staff Navigator VACAVILLE MEDICAL CENTER Hospital VACAVILLE MEDICAL CENTER - Hospital Department Floor Bldg Pg Administration - HIMS 4 H 9 Admitting 1 H 6 Bed Repair B H 5 Cafeteria
More informationAlcohol Brief Counseling in the United States Air Force: An Air Force- Penn State Clearinghouse Collabora;ve Project
Alcohol Brief Counseling in the United States Air Force: An Air Force- Penn State Clearinghouse Collabora;ve Project Partnership with the USAF Penn State Clearinghouse AFMOA Mental Health Clinic Staff ADAPT
More informationPondering Pediatrics in Palliative Practice. PCQN Conference Call
Pondering Pediatrics in Palliative Practice PCQN Conference Call UHS Pallia?ve Medicine Team 1 Administra,ve Leadership - Dr. Bryan Alsip 1 Director- Julieanne Wisloff 4 Physicians- 3 adult, 1 Pediatric
More informationThe Emergency Department. Fear of Malpractice and Defensive Medicine in the Emergency Department. ED-Based Malpractice Claims
Fear of Malpractice and in the Emergency Department Darren P. Mareiniss, MD, JD Instructor Department of Emergency Medicine University of Maryland School of Medicine The Emergency Department Emergency
More informationLeveraging Expert Instructional Design Strategies to Develop Quality Online Courses
Leveraging Expert Instructional Design Strategies to Develop Quality Online Courses Kevin Hulen Assistant Director, Online Course Development Center for Instruc7on and Research Technology University of
More informationReducing Costs in the Emergency Department
Reducing Costs in the Emergency Department Advancing Healthcare Quality Research May 29, 2015 Doug Lowery-North, MD, MSPH Associate Professor of Emergency Medicine DLOWERY@EMORY.EDU Objectives Describe
More informationPhysician Practice Acquisitions
Trend Watch: Physician Practice Acquisitions Tracking Which Physician Practices Hospitals are Acquiring Introduction Are hospitals actively acquiring physician practices? If so, which specialties? In this
More informationShannon Rykaceski Director of Opera4ons CCFHCC
Shannon Rykaceski Director of Opera4ons CCFHCC PRESENTER BIO Shannon Salicce Rykaceski Director of Opera4ons for the Catholic Chari4es Free Health Care Center (CCFHCC), located in PiCsburgh, PA. Prior
More informationBut My Back Hurts Only When I m Standing!
But My Back Hurts Only When I m Standing! Axial Loading for Spinal Canal Stenosis Matthew Cham, MD; Akio Hiwatashi, MD; Per-Lennart Westesson, MD, PhD, DDS Division of Diagnostic and Interventional Neuroradiology,
More informationTelehealth Specialty Provider
Telehealth Specialty Provider Live tweet - #telehealth2014 Telehealth Concept Who We Are Established by physicians in 2005 Multi-specialty telehealth provider Provides 20 telehealth specialties Contracted
More informationRetail Pharmacy Clinical Services: Influence of ACOs & Healthcare Financing Models
Retail Pharmacy Clinical Services: Influence of ACOs & Healthcare Financing Models Tim Kosty, R.Ph., MBA President Pharmacy Healthcare Solu
More informationCS 5150 So(ware Engineering Evalua4on and User Tes4ng
Cornell University Compu1ng and Informa1on Science CS 5150 So(ware Engineering Evalua4on and User Tes4ng William Y. Arms Usability: The Analyze/Design/Build/Evaluate Loop Analyze requirements Design User
More informationCollege and Career Readiness Models: The Na3onal Perspec3ve and Illinois STEM CCR Models
College and Career Readiness Models: The Na3onal Perspec3ve and Illinois STEM CCR Models Debra Bragg, Jason Taylor, Edmund Graham, Randi Congleton University of Illinois at Urbana- Champaign Jervaise McDaniel
More informationIMPACT OF THE NEW ICD- 10 CODING SYSTEM ON THE MEDICAL BILLING AND PAYMENT PROCESS
IMPACT OF THE NEW ICD- 10 CODING SYSTEM ON THE MEDICAL BILLING AND PAYMENT PROCESS ICD- 10 Acronym Interna(onal Classifica(on of Diseases Tenth Revision ICD- 10 Basic Facts Replaces ICD- 9 Five digit coding
More informationAssessing and Treating Diabetes in Diverse Populations. Shirley Pue+, LCSW, LCAS
Assessing and Treating Diabetes in Diverse Populations Shirley Pue+, LCSW, LCAS Objectives The purpose of this ac9vity is to enable the learner to: - List cultural barriers that make diagnosing and trea5ng
More informationAccredited Schools and Programs
A.B. Freeman School of Business Bachelor of Science in Management (BSM), Master of Business Administration (MBA), Master of Global Management (MGM), Master of Management, Master of Finance (MFIN), Master
More informationECG may be indicated for patients with cardiovascular risk factors
eappendix A. Summary for Preoperative ECG American College of Cardiology/ American Heart Association, 2007 A1 2002 A2 European Society of Cardiology and European Society of Anaesthesiology, 2009 A3 Improvement,
More informationMedical Direc1on: CMS Standards
Statement of Disclosure Cardiac Rehab Rules & Regula1ons Update I have no disclosures. The opinions expressed are my own. Candace Steele, RN, MA, FAACVPR Wheaton Franciscan Healthcare candace.steele@wdc.org
More informationDuke Cardio-Oncology. Physical Ac7vity for Cancer Survivors. Bridget Koontz MD Associate Professor Radia7on Oncology
Duke Cardio-Oncology Physical Ac7vity for Cancer Survivors Bridget Koontz MD Associate Professor Radia7on Oncology PA and the Cancer Con7nuum Diagnosis Treatment Surveillance PHYSICAL ACTIVITY / EXERCISE
More informationProgram Model: Muskingum University offers a unique graduate program integra6ng BUSINESS and TECHNOLOGY to develop the 21 st century professional.
Program Model: Muskingum University offers a unique graduate program integra6ng BUSINESS and TECHNOLOGY to develop the 21 st century professional. 163 Stormont Street New Concord, OH 43762 614-286-7895
More informationMeasuring quality of care in Medicare
O n l i n e A p p e n d i x e s 3 Measuring quality of care in Medicare 3-A O n l i n e A p p e n d i x Feasibility of measuring population-based outcomes: Potentially preventable admissions and emergency
More informationSite Supervisor Training for Internship & Prac6cum Supervisors
Site Supervisor Training for Internship & Prac6cum Supervisors Counselor Educa.on Programs School Counseling & Clinical Mental Health Counseling 8000 Utopia Pkwy, Jamaica, NY 11439 Sullivan Hall, 4 th
More informationThe Pros and Cons of Organiza2on
Remain Independent or Align? A Guide To Manage Through This Cri2cal Decision Sponsored By: TRG Healthcare October 12, 2010 1 Welcome Remain Independent or Align? A Guide To Manage Through This Cri=cal
More informationTreatment and recovery: Malignant pleural mesothelioma. Jocelyn Mclean Case Manager for Thoracic Surgery RPAH
Treatment and recovery: Malignant pleural mesothelioma Jocelyn Mclean Case Manager for Thoracic Surgery RPAH This presenta?on Treatment - management op?ons Recovery well living programme Caring for pa?ents,
More informationProgram Specification for Master Degree Anesthesia, ICU and Pain Management
Cairo University Faculty of Medicine Program type: Single Program Specification for Master Degree Anesthesia, ICU and Pain Management Department offering program: Anesthesia, intensive care and pain management
More informationJanuary 13, 2016. Lois M. Nora MD JD MBA President and CEO American board of Medical Specialties. Dear Dr. Nora,
January 13, 2016 Lois M. Nora MD JD MBA President and CEO American board of Medical Specialties Dear Dr. Nora, CMSS is pleased to comment on the proposed ABMS Standards for Focused Expertise. We have uploaded
More informationCheryl Lynn Walker-McGill, MD, MBA Curriculum Vitae
EDUCATION 1996 M.B.A. Degree, International Executive MBA Program University of Chicago, Chicago, IL 1980-1983 M.D. Degree Duke University Medical School, Durham, NC 1976-1980 A.B. Degree -Chemistry Duke
More informationProject ECHOTM Model of Care for HIV-HCV
Access to Specialty Care Insurance status Project ECHO CHCI: Enhancing and Expanding HIV/HCV Treatment and Care Through Telemedicine TM Marwan Haddad, MD, MPH, AAHIVS Community Health Center, Inc. Connec
More informationManaging Student Impairment in Counselor Education Programs. Dr. Wendy Greenidge Dr. Belinda Lopez Dr. Michelle Mitcham
Managing Student Impairment in Counselor Education Programs Dr. Wendy Greenidge Dr. Belinda Lopez Dr. Michelle Mitcham Learning Objectives Par:cipants will learn to iden:fy and evaluate students of concern.
More informationJen Powell, MPH, MBA, National QI Consultant Ed Wise, National Data Analyst
Jen Powell, MPH, MBA, National QI Consultant Ed Wise, National Data Analyst Jennifer Powell, MPH, MBA I have no relevant financial relationships with the manufacturer(s) of any commercial product(s) and/or
More informationWhite Paper: Reducing Utilization Concerns Regarding Spinal Fusion and Artificial Disc Implants
White Paper: Reducing Utilization Concerns Regarding Spinal Fusion and Artificial Disc Implants For Health Plans, Medical Management Organizations and TPAs Executive Summary Back pain is one of the most
More informationHealthy Bengal Program - Plans and Goals for 2015
A Collabora)on to Promote Wellness at Idaho State University: The Healthy Bengal Program Carol Kirkpatrick, PhD, MPH, RDN, CLS Director, Wellness Center Division of Health Sciences Cara Liday, PharmD,
More informationPreparing ITAs to Teach Online
TESOL ITA Interest Sec/on InterSession Preparing ITAs to Teach Online 3/23/15 Handout hop://linguis/cs.ohio.edu/elip/?page_id=494 Dawn Bikowski, PhD Director, English Language Improvement Program Linguis/cs
More informationAbout the CAHPS Item Set for Addressing Health Literacy
About the CAHPS Item Set for Addressing Health Literacy Introduction... 1 Why Is This Information Important?... 1 Contents of the CAHPS Item Set for Addressing Health Literacy... 1 Using the Results of
More information