Valcronic: Optimising the Efficiency and Quality of Health Services in Valencia
|
|
- Egbert Richardson
- 8 years ago
- Views:
Transcription
1 Valcronic: Optimising the Efficiency and Quality of Health Services in Valencia Luis Eduardo Rosado Bretón Health Minister of Valencia Brussels, 28 November
2 2
3 VALENCIAN HEALTH AGENCY 40% Regional Budget 24 Health Departments with at least one reference hospital. 18 Direct management 5 PPP 1 Consortium 34 Hospitals 28 Acute 6 Long-Term Care 1318 Care centers More than 60,000 workers 3
4 The care for chronic patients in the Valencia region represent: 80% of primary care consultations 60% of hospital admissions 2/3 of patients use emergency services 5,1Mill. inhab (10.6% of Spain) 16.7% of population +65 years High consumption of drugs Source: Spanish National Statistics Institute (INE). 4 4
5 5
6 The ValCrònic program is an initiative from the Valencia Health Agency to improve chronic patients care that relies on the use of new technologies and a shared actuation model in Primary Care, and that involves different levels of care. The Program includes both types of interventions: 1) control and monitoring of chronic illness through patient telemonitoring and 2) improving healthy lifestyles and promoting self-care through educational health content. 6
7 Pre-Service preparation Pre-service Deployment and execution Service Extension Continuity and Growth June 2011 Febrary 2012 Dec 2012 Jan dec 2013 Jan health departments, 1000 high and moderate risk patients Sagunto Department: Population: > habitants Specialized care: 1 hospital (250 beds) + 1 specialties center Primary care: 11 SC+ auxiliary centers Elche Department: Population: > inhabitants Specialized care : 1 hospital(484 beds) + 1 specialized center Primary care : 6 CS + auxiliary centers KPI evaluation Extension of the new model to other health departments Impact analysis and evaluation results KPI evaluation Patients and pathologies Consolidación extension del servicio 7
8 1 2 Improve the quality of care for chronic patients Improve efficiency and effectiveness of care Improves communication with the patient Provides access to more information for therapeutic education Improves the degree of control and self-management of chronic diseases Improves performance of health center visits Decrease of bureaucratic or low performance visits 3 Anticipate deterioration and decompensating of patients Prevents and avoids hospital admissions (cost optimization) 4 Improve communication between professionals Development of joint ways of communication, agile and resolute between involved agents 8
9 TOTAL: ( low risk) patients Devices Education and self-care support Biometric devices 1000 patients High Risk Tablet Pc Moderated Risk Smartphone patients Low Risk Web Site 9 9
10 Outpatient care Hospital Care Pharmacy CARS Segmentation 10
11 TYPE 2 DIABETES MELLITUS CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) HEART FAILURE (HF) HYPERTENSION (HT) Combination of conditions Risk Level High Moderated Low ISOLATED HF (except HT) ISOLATED COPD ISOLATED DIABETES ISOLATED HYPERTENSION FH+ COPD HF+ DIABETES DIABETES + COPD COPD+ AHT HF+ COPD + DIABETES DIABETES + HT 11 11
12 Main KPI Secondary KPI 1 Primary care frequentation 1 Degree of diseases control 2 Hospital Emergency Attendance 2 Adequacy of hospital admissions 3 Non-Hospital Emergency Attendance 3 Quality of Life Hospital admission Average hospital stay Home visits 4 5 Technological issues Average patients call time Interconsultations Enabling of shared action Satisfaction (patients and professionals) 10 Mortality 12 12
13 Patient s home-generated data is sent to professionals at health centers through the corporate official Electronic Health Record (Abucasis) Telemonitoring Blood pressure Weight Glucose Oximeter Heart / respiratory rate Health questionnaires Values out of range generate alerts launching Red Flag in Abucasis Yellow flag in Abucasis 13
14 HOME CARE NEW MODELS OF NURSING CHRONIC PATIENT PRIMARY CARE CENTER ACUTE HOSPITAL UHD CONTINUOUS CARE (PAC/ PAS) / HOSPITAL EMERGENCY / CICU TELEMONITORING HACLES NEEDS ASSESSMENT PATIENT PROPER GUIDANCE RESOURCE CUSTOM CARE PLAN GERIATRIC CARE 14
15 15
16 545 patients enrolled 456 Patients receiving the service o 388 High risk programme. o 68 Moderate risk programme Dropout rates 15% High level of patient s satisfaction and their families. More than 150 primary profesionals (nurses, doctors). care 16
17 Santa Pola s Health Center implements Chronic Management Plan 17
18 Keys to innovation Selfcare, as an essential part of the assistance. Monitoring: Continuous and integrated monitoring based on the conditions of the patient, and the place and time of the prescription. Intensive application of the TICs,both for the patient and professional. Traditional model Face to face Reactive medicine Passive patient Focused on recovery Fragmented Synchronic Data generator New model Ubiquitous Proactive Medicine Active and informed Focused on prevention and care Connected and integrated Asynchronous Smarter 18
19 X 19
20 20
21 Male, 81 y.o, ischemic heart disease, heart failure II NYHA, severe COPD. Valcronic: COPD+ Heart Failure; High risk. Automatic alerts, without patient interaction, thanks to: Dyspnea questionnaire, cardiac questionnaire, pulse oximetry 92, weight gain alert. The patient confirms the alerts and the doctor proactively goes to the patient s address. In the very next two days the patient improves the pulseoximetry and the dyspnea questionnaire, and the weight decreases,. The diuretics remains another week, as prescribed in the hospital. The patient does not goes to the hospital and does not goes to emergencies. Male 83 y.o.,hypertension, severe COPD, home oxygen, LABA LAMA salbutamol on demand, tachycardia on pulse oximetry that does not match with frequency tensiometer. Home visit: dyspnea, arrhythmic tachicardia, probable ACFA, edemas to mid tibia. The patient does not want to go neither the health center nor the hospital (The doctor takes the ECG from the hospital and the patient is in ACFA); the patient does not want to go to the bank for anticoagulation (the doctor talks with the Internist and both antocoagulate taking samples in home address. Frequancy controlated with amiodarone; furosemide added. Heart rate maintained at 85 rpm and reduced edemas. 21
22 Male 84 y.o., COPD and hypertension, with 92 pulse oximetry yellow alert, no forms filled out. Home visit, increase bronchodilators, short term, corticosteroids (dacortin), antibiotics. New control in 48 hs. 94%. New control in 48 hours 97%. Patient 79 y.o. male COPD and hypertension. Nurse detects bradycardia in pulse and in blood pressure ECG: BAVC (bloqueo AV completo) is requested SAMU e income and ingreso marcapasos definitivo. 22
23 The Valencian Community has a wide experience in the implementation of public-private partnerships models. >20% of the population attended under a concessional model 23
24 1. Gearshift for transforming the system Patient oriented Focused on primary care. 2. Improves the care and the quality of life Improves the comfort and the quality of life. Improves the clinical outcome 3. Contributes to the sustainability of the system. It does not requieres parallel welfare device. It does no a parallel emergency system. It does not generate a parallel EHR. Fully integrated with corporate information systems. 4. Based in the public-private partnership. 5. Early results The patients tolerate very well the technology. The assessment of the patients and their family is very good. The preliminary assessment provides a improvement in the disease and in the efficiency of the care. 24
25 25
Overview. Service Innovation
Customer Case Study Telefonica E- Health Remote Patient Management Services EXECUTIVE SUMMARY COMPANY OVERVIEW Customer Name: Telefonica Industry: Telecommunications Location: Spain, Global BUSINESS CHALLENGE/OPPORTUNITY
More informationConcept Series Paper on Disease Management
Concept Series Paper on Disease Management Disease management is the concept of reducing health care costs and improving quality of life for individuals with chronic conditions by preventing or minimizing
More informationGalen Healthcare Solutions Dragonfly
Galen Healthcare Solutions Dragonfly Remote Patient Monitoring / Patient Engagement Platform Steve Cotton / Product Manager Copyright 2011 Allscripts Healthcare Solutions, Inc. 1 Company Information Company
More informationPopulation Health Management Program
Population Health Management Program Program (formerly Disease Management) is dedicated to improving our members health and quality of life. Our Population Health Management Programs aim to improve care
More informationThe challenge. What we did. Highlights. Designing and delivering scalable telemonitoring and telecare through partnership.
Telehealthcare Designing and delivering scalable telemonitoring and telecare through partnership The challenge Northern Ireland has a population of approximately 1.8 million people. Around two thirds of
More informationTHE ROLE OF HEALTH INFORMATION TECHNOLOGY IN PATIENT-CENTERED CARE COLLABORATION. 2012 Louisiana HIPAA & EHR Conference Presenter: Chris Williams
THE ROLE OF HEALTH INFORMATION TECHNOLOGY IN PATIENT-CENTERED CARE COLLABORATION 2012 Louisiana HIPAA & EHR Conference Presenter: Chris Williams Agenda Overview Impact of HIT on Patient-Centered Care (PCC)
More informationMarilyn Borkgren-Okonek, APN, CCNS, RN, MS Suburban Lung Associates, S.C. Elk Grove Village, IL
Marilyn Borkgren-Okonek, APN, CCNS, RN, MS Suburban Lung Associates, S.C. Elk Grove Village, IL www.goldcopd.com GLOBAL INITIATIVE FOR CHRONIC OBSTRUCTIVE LUNG DISEASE GLOBAL STRATEGY FOR DIAGNOSIS, MANAGEMENT
More informationPERVASIVE HEALTHCARE Technologies for the Healthcare of the Future. Jakob E. Bardram, PhD
PERVASIVE HEALTHCARE Technologies for the Healthcare of the Future Jakob E. Bardram, PhD About the IT University of Copenhagen IT University of Copenhagen www.it.edu 10 years focusing on cross-disciplinary
More informationA Population Health Management Approach in the Home and Community-based Settings
A Population Health Management Approach in the Home and Community-based Settings Mark Emery Linda Schertzer Kyle Vice Charles Lagor Philips Home Monitoring Philips Healthcare 2 Executive Summary Philips
More informationTelehealth. an overview. Supported by the Telemedicine & ehealth Section, The Royal Society of Medicine. Stacey Marney,
Supported by the Telemedicine & ehealth Section, The Royal Society of Medicine Telehealth an overview Professor Brian McKinstry GP and Professor of Primary Care E-Health University of Edinburgh Dr Richard
More informationEMR AND BIG DATA. September 2014 EMR
EMR AND BIG DATA EMR AND BIG DATA September 2014 EMR 1. Spain: Healthcare model The Spanish Health System is characterized by the fragmentation of both the public (17 autonomous communities) and the private
More informationHow To Improve Health Care In California
The Expert Patient Programme in Catalonia Country: Spain Partner Institute: University of Barcelona Survey no: (16)2010 Author(s): María González Ortega Health Policy Issues: System Organisation/ Integration
More informationPatient Information Guide. Getting you Back to Better. 859.426.2400 www.vrhgateway.com
Patient Information Guide Getting you Back to Better 859.426.2400 www.vrhgateway.com The Gateway Difference Gateway Rehabilitation Hospital provides expert care to help patients get back to better after
More informationDIABETES: Applying Evidence- Based Medicine in Telehealth George E. Dafoulas MD, MBA in HSM, PhDc e- trikala SA, Greece
DIABETES: Applying Evidence- Based Medicine in Telehealth George E. Dafoulas MD, MBA in HSM, PhDc e- trikala SA, Greece www.united4health.eu Table of Contents Overview of current status and need for Evidence
More informationImproving Health Outcomes and Reducing Costs with Video Conferencing Technology
Case Study Intel Intel Health & Life Sciences Improving Health Outcomes and Reducing Costs with Video Conferencing Technology The fundamental concept is to provide the patient with care where they are
More informationInnovations@Home. Home Health Initiatives Reduce Avoidable Readmissions by Leveraging Innovation
How Does CMS Measure the Rate of Acute Care Hospitalization (ACH)? Until January 2013, CMS measured Acute Care Hospitalization (ACH) through the Outcomes Assessment and Information Set (OASIS) reporting
More informationChronic Disease Management Who Cares?
Chronic Disease Management Who Cares? By Stephen Kalyniuk BSc(Health Management), MACS, PCP Member HISA The Information Group - Useful software for people in Healthcare 21 years experience in Health IT
More informationNICE Pathways bring together all NICE guidance, quality standards and other NICE information on a specific topic.
bring together all NICE guidance, quality standards and other NICE information on a specific topic. are interactive and designed to be used online. They are updated regularly as new NICE guidance is published.
More informationMember Health Management Programs
Independent Health s Member Health Management Programs Helping employees manage their health. Helping you manage your costs. Independent Health s Member Health Management Programs A Comprehensive Approach...
More informationKick off Meeting November 11 13, 2015. MERCY CLINIC EAST COMMUNITIES Management of Patients with Heart Failure (HF)
Kick off Meeting November 11 13, 2015 MERCY CLINIC EAST COMMUNITIES Management of Patients with Heart Failure (HF) Team Composition Justin Huynh, MD Internal Medicine, Physician Champion Mary Laubinger,
More informationHealth Care 2.0: How Technology is Transforming Health Care
Health Care 2.0: How Technology is Transforming Health Care Matthew Kaiser, CEBS, SPHR Director, HR Technology and Outsourcing Lockton Kansas City, Missouri The opinions expressed in this presentation
More informationHSE Transformation Programme. to enable people live healthier and more fulfilled lives. Easy Access-public confidence- staff pride
HSE Transformation Programme. to enable people live healthier and more fulfilled lives Easy Access-public confidence- staff pride The Health Service Executive 4.1 Chronic Illness Framework July 2008 1
More informationCommunity health care services Alternatives to acute admission & Facilitated discharge options. Directory
Community health care services Alternatives to acute admission & Facilitated discharge options Directory Introduction The purpose of this directory is to provide primary and secondary health and social
More informationOFFICE OF GROUP BENEFITS 2014 OFFICE OF GROUP BENEFITS CDHP PLAN FOR STATE OF LOUISIANA EMPLOYEES AND RETIREES PLAN AMENDMENT
OFFICE OF GROUP BENEFITS 2014 OFFICE OF GROUP BENEFITS CDHP PLAN FOR STATE OF LOUISIANA EMPLOYEES AND RETIREES PLAN AMENDMENT This Amendment is issued by the Plan Administrator for the Plan documents listed
More informationTELEHEALTH 2014: EVOLVING CHRONIC DISEASE MANAGEMENT
TELEHEALTH 2014: EVOLVING CHRONIC DISEASE MANAGEMENT David Chmielewski, MBA Cleveland VA Medical Center Telehealth Lead VISN 10 Rural Health Consultant What is Telehealth / Telemedicine? Telehealth primarily
More informationBig Data Analytics Driving Healthcare Transformation
Big Data Analytics Driving Healthcare Transformation Greg Caressi SVP Healthcare & Life Sciences November, 2014 Six Big Themes for the New Healthcare Economy Themes Modernizing Care Delivery Clinical practice
More informationCommunity Health Program Outpatient Care Management Program
Community Health Program Outpatient Care Management Program Beverly Dowling Assistant Vice President Community Health Network Office of Health Policy and Legislative Affairs The University of Texas Medical
More informationNurse Practitioners (NPs) and Physician Assistants (PAs): What s the Difference?
Nurse Practitioners (NPs) and Physician Assistants (PAs): What s the Difference? More than ever before, patients receive medical care from a variety of practitioners, including physicians, physician assistants
More informationPerson-Centered Nurse Care Management in Home Based Care: Impact on Well-Being and Cost Containment
Person-Centered Nurse Care Management in Home Based Care: Impact on Well-Being and Cost Containment Donna Zazworsky, RN, MS, CCM, FAAN Vice President: Community Health and Continuum Care Carondelet Health
More informationTelehealth. Putting the patient at the heart of the journey
Telehealth Putting the patient at the heart of the journey Why telehealth? 1 Telehealth is the remote monitoring of a patient s vital signs and symptoms in their own home proven to enhance the quality
More informationJoan Carroll RN, CDMS, CCM Director of Care Transitions Lee Memorial Health System
Joan Carroll RN, CDMS, CCM Director of Care Transitions Lee Memorial Health System 1 Explain how patients experience transitions of care Identify variables that affect transitions due to lack of patient
More informationDisease Management Identifications and Stratification Health Risk Assessment Level 1: Level 2: Level 3: Stratification
Disease Management UnitedHealthcare Disease Management (DM) programs are part of our innovative Care Management Program. Our Disease Management (DM) program is guided by the principles of the UnitedHealthcare
More informationJames F. Kravec, M.D., F.A.C.P
James F. Kravec, M.D., F.A.C.P Chairman, Department of Internal Medicine, St. Elizabeth Health Center Chair, General Internal Medicine, Northeast Ohio Medical University Associate Medical Director, Hospice
More informationInteractive Health Worksite Wellness Program Lowers Medical Costs and Increases Productivity
Interactive Health Worksite Wellness Program Lowers Medical Costs and Increases Productivity Interactive Health offers a number of programs including biometric health evaluations, intervention and health
More informationAcute Rehabilitation Center
Acute Rehabilitation Center Acute Rehabilitation Courtyard Our Center Community Westview Hospital's Acute Rehabilitation Center and programs are specially designed to meet the needs of our patients and
More informationHome Health Care Today: Higher Acuity Level of Patients Highly skilled Professionals Costeffective Uses of Technology Innovative Care Techniques
Comprehensive EHR Infrastructure Across the Health Care System The goal of the Administration and the Department of Health and Human Services to achieve an infrastructure for interoperable electronic health
More informationMISSISSIPPI LEGISLATURE REGULAR SESSION 2016
MISSISSIPPI LEGISLATURE REGULAR SESSION 2016 By: Representative Mims To: Public Health and Human Services HOUSE BILL NO. 1187 1 AN ACT TO AMEND SECTION 73-25-34, MISSISSIPPI CODE OF 1972, 2 TO REVISE THE
More informationHigh Desert Medical Group Connections for Life Program Description
High Desert Medical Group Connections for Life Program Description POLICY: High Desert Medical Group ("HDMG") promotes patient health and wellbeing by actively coordinating services for members with multiple
More informationADVANCED PRACTICE NURSE IN SPAIN. Toronto-Canada, 16 April 2015, Brussels
ADVANCED PRACTICE NURSE IN SPAIN Toronto-Canada, 16 April 2015, Brussels 1 Prof. Dr. Máximo A. González Jurado RN, PhD. University Degree in Nursing University Degree in Social and Cultural Anthropology
More informationConnect4 Patients CCCM Primary Care Community. Presented By: Veronica Mansfield, DNP, APRN, AE-C, CCM Kit McKinnon, MBA, BSN, RN, CDE, CCM
Connect4 Patients CCCM Primary Care Community Presented By: Veronica Mansfield, DNP, APRN, AE-C, CCM Kit McKinnon, MBA, BSN, RN, CDE, CCM September 17, 2015 Objectives: Describe innovative care management
More informationSenior Housing: Extension Opportunities Across the Continuum of Care
Senior Housing: Extension Opportunities Across the Continuum of Care Senior housing includes a broad range of independent living, assisted living and nursing care properties operated as stand-alone, multi-property
More informationHealthcare Beyond The Hospital and the ICT Infrastructure Needed to Support
Healthcare Beyond The Hospital and the ICT Infrastructure Needed to Support Mark Blatt MD Worldwide Medical Director Intel Corporation Med-e-Tel April 2012 Agenda: Care Beyond The Hospital and the ICT
More information3/2/2010 Post CABG R h e bili a i tat on Ahmed Elkerdany Professor o f oof C ardiac Cardiac Surgery Ain Shams University 1
Post CABG Rehabilitation i Ahmed Elkerdany Professor of Cardiac Surgery Ain Shams University 1 Definition Cardiac rehabilitation services are comprehensive, long-term programs involving : medical evaluation.
More informationCoventry Health Care of Florida, Inc. Coventry Health Plan of Florida, Inc. Coventry Health and Life Insurance Company Commercial Lines of Business
Coventry Health Care of Florida, Inc. Coventry Health Plan of Florida, Inc. Coventry Health and Life Insurance Company Commercial Lines of Business Quality Management Program 2012 Overview Quality Improvement
More information11/2/2015 Domain: Care Coordination / Patient Safety
11/2/2015 Domain: Care Coordination / Patient Safety 2014 CT Commercial Medicaid Compared to 2012 all LOB Medicaid Quality Compass Benchmarks 2 3 4 5 6 7 8 9 10 Documentation of Current Medications in
More informationBlue Shield of California Wellness Programs and Services
Blue Shield of California Wellness Programs and Services Helping you and your family on the way to better health The support you need for a healthier life Blue Shield s wellness programs and resources
More informationMobiHealth 1 : Mobile Healthcare
MobiHealth 1 : Mobile Healthcare IST-2001-36006 http://www.mobihealth.org Val Jones, Aart van Halteren, Richard Bults Dimitri Konstantas, Ing Widya University of Twente Center for Telematics and Information
More informationClinical Nurse Specialists Practitioners Contributing to Primary Care: A Briefing Paper
Clinical Nurse Specialists Practitioners Contributing to Primary Care: A Briefing Paper As the need grows for more practitioners of primary care, it is important to recognize the Clinical Nurse Specialist
More informationCHAPTER 17: HEALTH PROMOTION AND DISEASE MANAGEMENT
CHAPTER 17: HEALTH PROMOTION AND DISEASE MANAGEMENT HEALTH SERVICES AND PROGRAMS The Plan s Health Promotion and Disease Management Department seeks to improve the health and overall well-being of our
More informationMedicare Advantage Plans: An Overview
Medicare Advantage Plans: An Overview June 2014 Prepared by: Penny Finch, Benefits Consultant Copyright 2014 by The Segal Group, Inc. All rights reserved. 5432273.1 CONTENTS Medicare 101 Understanding
More informationPatient inclusion in Diabetic and CHF Telemedicine Services United4Health project experiences in Slovenia
Patient inclusion in Diabetic and CHF Telemedicine Services United4Health project experiences in Slovenia Drago Rudel1, C.Slemenik Pušnik2, M.Epšek Lenart2, S.Pušnik3, and J.Lavre2 1MKS Electronic Systems
More informationcaresy caresync Chronic Care Management
caresy Chronic Care Management THE PROBLEM Chronic diseases and conditions, including heart disease, diabetes, COPD and obesity, are among the most common, expensive, and preventable health problems in
More informationICT in HSE Where are we now. Fran Thompson
ICT in HSE Where are we now Fran Thompson HSE Overview The HSE is responsible for managing and delivering health and personal social services in Ireland. Employs in excess of 108,000 staff - largest employer
More informationMOBILE HEALTHCARE APPDRAGON SMARTMED
APPDRAGON SMARTMED With a rapid increase of chronic conditions such as diabetes, obesity, heart disease and respiratory problems, healthcare providers are under increasing pressure to deliver quality care,
More informationHealth Plans That Fit Your Life 2016
Health Plans That Fit Your Life 2016 Maine 121415-02-0004 Find the one that s right for you. Certified by the Health Insurance Marketplace My husband and I both work for ourselves so Health Options has
More informationSelf-Management and Telehealth - design, evidence and implementation
ucl behavioural medicine CONTEXT Self-Management and Telehealth - design, evidence and implementation Drivers for changing the way we deal with chronic conditions Prof Stanton P Newman University College
More informationA Detailed Data Set From the Year 2011
2012 HEDIS 2012 A Detailed Data Set From the Year 2011 Commercial Product We are pleased to present the AvMed HEDIS 2012 Report, a detailed data set designed to give employers and consumers an objective
More informationMISSISSIPPI LEGISLATURE REGULAR SESSION 2014
MISSISSIPPI LEGISLATURE REGULAR SESSION 2014 By: Senator(s) Burton To: Insurance SENATE BILL NO. 2646 (As Sent to Governor) 1 AN ACT TO CREATE NEW SECTION 83-9-353, MISSISSIPPI CODE OF 2 1972, TO REQUIRE
More informationNational Clinical Programmes
National Clinical Programmes Section 3 Background information on the National Clinical Programmes Mission, Vision and Objectives July 2011 V0. 6_ 4 th July, 2011 1 National Clinical Programmes: Mission
More informationSubmission by the Irish Pharmacy Union to the Department of Health on the Scope for Private Health Insurance to incorporate Additional Primary Care
Submission by the Irish Pharmacy Union to the Department of Health on the Scope for Private Health Insurance to incorporate Additional Primary Care Services January 2015 1 IPU Submission to the Department
More informationThe Role of Telemedicine in Home Monitoring and Long Term Care June 7, 2012. Penny S. Milanovich President UPMC Visiting Nurses Association
The Role of Telemedicine in Home Monitoring and Long Term Care June 7, 2012 Penny S. Milanovich President UPMC Visiting Nurses Association Cost of Chronic Conditions An average of 40-50% of healthcare
More informationNursing for the People with lifestyle-related diseases in Japan
Nursing for the People with lifestyle-related diseases in Japan 2. Nursing for the people with lifestyle-related diseases: health promotion, prevention and supporting the persons living with the lifestyle-related
More informationCloud Computing / Tele- Health in a Novel Integrated CHF Disease Management Program: The Israeli Experience
Cloud Computing / Tele- Health in a Novel Integrated CHF Disease Management Program: The Israeli Experience Haim Silber MD Programs Initiator Maccabi Health Care services and Gertner Institute, ISRAEL
More informationPresented by Kathleen S. Wyka, AAS, CRT, THE AFFORDABLE CA ACT AND ITS IMPACT ON THE RESPIRATORY C PROFESSION
Presented by Kathleen S. Wyka, AAS, CRT, THE AFFORDABLE CA ACT AND ITS IMPACT ON THE RESPIRATORY C PROFESSION At the end of this session, you will be able to: Identify ways RT skills can be utilized for
More informationA Comparison of COPD Patients Quality of Life Using the Harmonica as a Means of Pulmonary Rehabilitation. Sharon Miller RN, BSN, CCRN
A Comparison of COPD Patients Quality of Life Using the Harmonica as a Means of Pulmonary Rehabilitation Sharon Miller RN, BSN, CCRN Background Very little research has been done on COPD patients playing
More informationTelemedicine in the Prevention and Monitoring of Heart Disease
Telemedicine in the Prevention and Monitoring of Heart Disease Prof. Dr. med. Friedrich Köhler 26. April 2012 Charité-Universitätsmedizin Berlin Facts Founded in 1710 11 Nobel laureates 12.922 employees
More informationCARDIO/PULMONARY MEDICINE FOR PRIMARY CARE. Las Vegas, Nevada Bellagio March 4 6, 2016. Participating Faculty
CARDIO/PULMONARY MEDICINE FOR PRIMARY CARE Las Vegas, Nevada Bellagio March 4 6, 2016 Participating Faculty Friday, March 4th: 7:30 am - 8:00 am Registration and Hot Breakfast 8:00 am - 9:00 am Pulmonary
More informationManagement of exacerbations in chronic obstructive pulmonary disease in Primary Care
Management of exacerbations in chronic obstructive pulmonary disease in Primary Care Acute exacerbations of chronic obstructive pulmonary disease (COPD) are associated with significant morbidity and mortality.
More informationChronic Care Management. WPS Chronic Care Management Next Generation Disease Management
Chronic Care Management WPS Chronic Care Management Next Generation Disease Management Taking on Chronic Illness and Winning. People with chronic illnesses make up only 20 percent of your employee population,
More informationMedical Management. G.2 At a Glance. G.3 Procedures Requiring Prior Authorization. G.5 How to Contact or Notify Medical Management
Page1 G.2 At a Glance G.3 Procedures Requiring Prior Authorization G.5 How to Contact or Notify G.6 When to Notify G.11 Case Management Services G.14 Special Needs Services G.16 Health Management Programs
More informationNATIONAL HEALTH FUND PRESENTATION
NATIONAL HEALTH FUND PRESENTATION WYNDHAM KINGSTON HOTEL KINGSTON JULY 28, 2012 TOPICS FOR PRESENTATION NHF - HISTORY - BENEFITS - APPLICATION - ENROLMENT JADEP - CONDITIONS COVERED NHFCARD - CONDITIONS
More informationThe Global Alliance against Chronic Respiratory Diseases
The Global Alliance against Chronic Respiratory Diseases Pulmonary hypertension Dr Marc Humbert What is the burden of pulmonary hypertension? The true burden of pulmonary hypertension is currently unknown
More informationProvider Manual. Section 18.0 - Case Management and Disease Management
Section 18.0 - Case Management and Disease Management 18.1.1 Introduction 18.2.1 Scope 18.3.1 Objectives 18.4.1 Procedures Case Management 18.4.1-A. Referrals 18.4.1-B. Case Management Mercy Maricopa Acute
More informationJon S. Howell, LNHA President & CEO Georgia Health Care Association November 18, 2013
Jon S. Howell, LNHA President & CEO Georgia Health Care Association November 18, 2013 GEORGIA HEALTH CARE ASSOCIATION Represents 336 skilled nursing facilities 13 SOURCE agencies 15 assisted living communities
More informationAn Integrated, Holistic Approach to Care Management Blue Care Connection
An Integrated, Holistic Approach to Care Management Blue Care Connection With health care costs continuing to rise, both employers and health plans need innovative solutions to help employees manage their
More informationPost discharge tariffs in the English NHS
Post discharge tariffs in the English NHS Martin Campbell Department of Health 4th June 2013 Contents Rationale and objectives Non payment for avoidable readmissions Development of post discharge tariffs
More informationChronic Disease and Physiotherapy
Approved: 2009 Due for review: 2012 Chronic Disease and Physiotherapy Background In 2005 the Australian Health Ministers Conference published its National Chronic Disease Strategy (NCDS). The NCDS identifies
More informationTelehealth and the Homebound Heart Failure Patient
Telehealth and the Homebound Heart Failure Patient By Karen Malin Garfield, RN, BSN 104 HEART 2010 The Official Guide to a Strong Heart and Healthy Lifestyle PTS Article Heart2010_Suncrest.indd 1 Health
More informationAlexandra Bargiota Assist. Prof. in Endocrinology University Hopsital of Larissa Thessaly, Greece. www.united4health.eu
Applying Evidence-Based Medicine with Telehealth the clinician view Assessing the impact of telehealth/telemedicine either via an RCT or an observational study the voice of a clinician Alexandra Bargiota
More informationLC Paper No. CB(2)626/12-13(04) For discussion on 18 February 2013. Legislative Council Panel on Health Services
LC Paper No. CB(2)626/12-13(04) For discussion on 18 February 2013 Legislative Council Panel on Health Services Elderly Health Assessment Pilot Programme PURPOSE This paper briefs Members on the Elderly
More informationDepartment of Human Services Health Care Reform Review Committee Representative George Keiser, Chairman March 19, 2014
Department of Human Services Health Care Reform Review Committee Representative George Keiser, Chairman March 19, 2014 Chairman Keiser, members of the Health Care Reform Review Committee, I am Julie Schwab,
More informationConsultation: Two proposals for registered nurse prescribing
Consultation: Two proposals for registered nurse prescribing Submission Form Please read and refer to the consultation document Two proposals for registered nurse prescribing available on the Nursing Council
More informationMedicaid Health Plans: Adding Value for Beneficiaries and States
Medicaid Health Plans: Adding Value for Beneficiaries and States Medicaid is a program with numerous challenges, both for its beneficiaries and the state and federal government. In comparison to the general
More informationALBERTA S HEALTH SYSTEM PERFORMANCE MEASURES
ALBERTA S HEALTH SYSTEM PERFORMANCE MEASURES 1.0 Quality of Health Services: Access to Surgery Priorities for Action Acute Care Access to Surgery Reduce the wait time for surgical procedures. 1.1 Wait
More informationPulmonary Diseases. Lung Disease: Pathophysiology, Medical and Exercise Programming. Overview of Pathophysiology
Lung Disease: Pathophysiology, Medical and Exercise Programming Overview of Pathophysiology Ventilatory Impairments Increased airway resistance Reduced compliance Increased work of breathing Ventilatory
More informationTelemedicine - a challenge rather than solution for payers and service providers in EU
Telemedicine - a challenge rather than solution for payers and service providers in EU K. Dziadek, MAHTA G. Waligora Keywords: adherence, e-health, telemedicine, telemonitoring DOI: 10.7365 / JHPOR.2015.1.1
More informationGreat Expectations: Why Pharma Companies Can t Ignore Patient Services
Accenture Life Sciences Rethink Reshape Restructure... for better patient outcomes Great Expectations: Why Pharma Companies Can t Ignore Patient Services Accenture Research Note: Key findings from a survey
More informationgetemed Medizin- und Informationstechnik AG
getemed Medizin- und Informationstechnik AG Oderstraße 77 14513 Teltow Germany Ambulatory Monitoring of Physiological Parameters Robert Downes ehealth Conference, Berlin April 19, 2007 Contents Introduction
More informationData, Outcomes and Population Health Management. CPPEG January 2016
Data, Outcomes and Population Health Management CPPEG January 216 NHS Outcomes Framework There are national outcome measures which the CCG is held to account on. In conjunction to monitoring these the
More informationFor employers. choose. Total health and wellness Programs, services, and more for healthier employees
For employers choose Total health and wellness Programs, services, and more for healthier employees Total health and wellness Everyone has different needs when it comes to managing their health. Our healthcare
More informationSouthern Healthcare Agency Network Blue Summary of Benefits
Southern Healthcare Agency Network Blue Summary of Benefits This summary is designed for the purpose of presenting general information only and is not intended as a guarantee of benefits. It is not a Summary
More informationWasteful spending in the U.S. health care. Strategies for Changing Members Behavior to Reduce Unnecessary Health Care Costs
Strategies for Changing Members Behavior to Reduce Unnecessary Health Care Costs by Christopher J. Mathews Wasteful spending in the U.S. health care system costs an estimated $750 billion to $1.2 trillion
More informationNURSING IN EGYPT. Age. Female. Male EGYPT DEMOGRAPHICS PROFILE AGENDA. Net migration rate: -0.21 migrant(s)/1,000 population (2009 est.
AGENDA Egyptian Society Demographics Major Problems in Egypt NURSING IN EGYPT Egyptian System facilities Human resources for health Prof. Dr. Effat El-Karmalawy 2010 Egyptian Education System Education
More informationHelping people help themselves
Evidence: Helping people help themselves A review of the evidence considering whether it is worthwhile to support self-management May 2011 Identify Innovate Demonstrate Encourage Author Dr Debra de Silva
More informationMedicare. What you need to know. Choose the plan that s right for you GNHH2ZTHH_15
Medicare What you need to know Choose the plan that s right for you GNHH2ZTHH_15 Choosing a Medicare plan is a lot like buying a car. There are lots of options to consider. And what s right for you may
More informationHORIZONS. The 2013 Dallas County Community Health Needs Assessment
HORIZONS The 2013 Dallas County Community Health Needs Assessment EXECUTIVE SUMMARY The Dallas County Community Health Needs Assessment (CHNA) was designed to ensure that the Dallas County public health
More informationSpain. Global Accountable Care In Action SPAIN. Reinventing Chronic Care Management for the Elderly. Ribera Salud Hospital System l Valencia, Spain
Spain SPAIN Reinventing Chronic Care Management for the Elderly Ribera Salud Hospital System l Valencia, Spain Editors Mark B. McClellan Senior Fellow and Director, Health Care Innovation and Value Initiative,
More informationAdministering DTaP during the Shortage
PROVIDER SERVICES Policies/ Procedures/ Claims HMO 215/567-3590 800/227-3119* PPO 800/332-2566 PHARMACY SERVICES Prescription Drug Authorization 888/671-5280 Toll-Free Fax 888/671-5285 Blood Glucose Meter
More informationMedication Error. Medication Errors. Transitions in Care: Optimizing Intern Resources
Transitions in Care: Optimizing Intern Resources DeeDee Hu PharmD, MBA Clinical Specialist Critical Care and Cardiology PGY1 Program Director Memorial Hermann Memorial City Medical Center Medication Error
More informationOutcome of Drug Counseling of Outpatients in Chronic Obstructive Pulmonary Disease Clinic at Thawangpha Hospital
Mahidol University Journal of Pharmaceutical Sciences 008; 35(14): 81. Original Article Outcome of Drug Counseling of Outpatients in Chronic Obstructive Pulmonary Disease Clinic at Thawangpha Hospital
More information