This HIMSS15 presentation discusses the challenges faced in hospital emergency departments and offers insights for implementing a process to follow up with discharged ED patients to enhance outcomes and satisfaction,while optimizing utilization and reducing risk.
Patient & Family Advisory Councils: the Business Case for Starting a PFAC & P...EngagingPatients
This webinar was presented on March 12, 2015 by Barbara Lewis. It looks at the prevalence and roles that Patient & Family Advisory Councils (PFACs) are playing in U.S. hospitals today, and builds a business case for their implementation:
This document discusses approaches to personalizing quality measurement in healthcare. It outlines three fundamental approaches:
1) Integrating patient-reported outcome and experience measures (PROMs and PREMs) into clinical workflow to better capture patients' health status and perspectives.
2) Encouraging patients' and clinicians' joint generation of medical records, such as through the OpenNotes project, to improve patient engagement, communication, and safety reporting.
3) Measuring decision quality through shared decision making between clinicians and patients to respect patient autonomy and better account for individual risk-benefit preferences in medical decisions. The document argues for rapidly adopting these personalized approaches and incentivizing their use through payment reform.
This infographic speaks to the challenges Emergency Departments face in caring and following up with the growing population of patients they see, and demonstrates how some EDs are seeing measurable improvements in care, patient satisfaction and efficiency.
Patients and their loved ones often hold critical knowledge that informs diagnosis. This toolkit from the Institute of Medicine offers patients, families and clinicians guidance on how they can collaborate to improve diagnosis.
Partnering with Patients, Families and Communities for Health: A Global Imper...EngagingPatients
Engagement is an essential tool to improving global health. This report introduces a new framework for engagement to help countries assess current programs and think strategically about future engagement opportunities. It spotlights barriers to engagement and offers concrete examples of effective engagement from around the globe.
Gamification as a means to manage chronic diseaseEngagingPatients
UPMC is exploring ways to better engage patients through shared decision making and new approaches to encourage patients and their families to take control of their health. This presentation describes a pilot program UPMC has initiated to leverage gamification as a means to manage chronic heart failure.
This document summarizes a transitional care workgroup meeting held on July 12, 2013. The meeting included introductions and presentations on transitional care evidence and measuring patient-centered outcomes. Participants discussed a vignette about a patient being discharged from the hospital to identify questions patients would have about participating in a new transitional care program. The group's objectives were to understand transitional care broadly and narrow the topic by prioritizing important questions from multiple stakeholder perspectives. Breakout sessions allowed for submitted questions and discussion of proposed research topics. The meeting concluded with recapping next steps and welcoming further input.
Dr. Edward Wagner, Director (Emeritus) MacColl Center, Senior Investigator, Group Health Research Institute addresses the 2014 Weitzman Symposium on The Future of Primary Care
At the end of the session patient/family champions as well as health authorities will understand different approaches to patient engagement in patient safety and quality committees (e.g. dealing with incident reporting, root cause analysis, developing policies and procedures) and how patient engagement impacted patient safety and quality outcomes. The participants and presenters are invited to present examples, tools, and leading practices so the participants will leave with at least one practical idea to implement.
mHealth Israel_Top Health Industry Issues of 2021_Will a Shocked System Emerg...Levi Shapiro
Presentation by PwC Health Research Institute for mHealth Israel, February 17, 2021: Top Health Industry Issues of 2021...Will a Shocked System Emerge Stronger?
Key Sections:
1) Rightsizing after virtual visit explosion
2) Changing clinical trials
3) Easing physician burden with digital
4) Healthcare forecast for 2021
5) Reshaping health portfolios
6) Resilient and responsive supply chains
7) Inter-Operability
Patient-Centered Strategies for HCAHPS ImprovementEngagingPatients
This document discusses strategies for improving patient experience scores on the HCAHPS survey through patient-centered care. It notes that HCAHPS performance is becoming increasingly important for hospital reimbursement. The document recommends partnering with patients, creating a healing physical environment, making data meaningful to staff, focusing on care transitions beyond the hospital, and prioritizing compassionate care. Planetree is introduced as an organization that advocates for these patient-centered approaches and certifies hospitals that meet standards for patient-centered culture and environments.
mHealth Israel_Incorporating the Patient Voice into Clinical Delivery Models ...Levi Shapiro
Incorporating the Patient Voice into Clinical Delivery Models for Person-Centered Care, presentation by Alan Balch, CEO, National Patient Advocate Foundation.
This infographic from The Beryl Institute presents key findings from its study, the "State of Patient Experience 2015: A Global Perspective on the Patient Experience Movement," which engaged over 1,500 respondents in 50 countries, sharing challenges and opportunities in addressing the patient experience across all healthcare settings.
The purpose of this call is to learn how the Department of Family Medicine at Queen’s University was able to:
•Raise awareness about medication safety issues ‐ specifically medication reconciliation in primary care.
•Highlight the need for better communication and connectivity between hospitals, pharmacies, and primary care. (And how we can help each other.)
•Suggest that primary care take on a leadership role in medication safety ‐ we can (and should!) "own" the list.
•Stress the importance of medication reconciliation as a continuous, interdisciplinary, and collaborative activity.
Objectives:
By the end of this call, you will be able to:
•Describe the processes of Root-Cause Analysis (RCA) and Multi-Incident Analysis (MIA) and their role in quality improvement
•Compare and contrast the different approaches to collecting hospital-acquired VTE data
•Identify an approach suitable for improving patient safety at your institution
As patients and families impacted by harm, we imagine progressive approaches in responding to patient safety incidents – focused on restoring health and repairing trust.
We can change how we respond to healthcare harm by shifting the focus away from what happened, towards who has been affected and in what way. This is your opportunity to hear about innovative approaches in Canada, New Zealand, and the United States that appreciate these human impacts.
This interactive webinar is hosted by Patients for Patient Safety Canada, the patient-led program of the Canadian Patient Safety Institute and the Canadian arm of the World Health Organization Patients for Patient Safety Global Network.
The document discusses Project ECHO and its mission to expand access to specialty healthcare for common and complex diseases in rural and underserved areas. Project ECHO uses teleconferencing and case-based learning to train primary care clinicians to treat and manage conditions like hepatitis C. An evaluation showed primary care clinicians trained through Project ECHO achieved similar treatment outcomes for hepatitis C as specialists at a university medical center, improving access to care for rural and minority populations.
Weitzman 2013: PCORI: Transforming Health CareCHC Connecticut
This document summarizes a presentation given by Joe Selby on the Patient-Centered Outcomes Research Institute (PCORI). It discusses PCORI's mission to fund comparative clinical effectiveness research that is guided by patients and other stakeholders. Key points include: PCORI's focus on research questions of interest to patients and providers; its criteria for funding proposals, including patient-centeredness and engagement; and its plans to significantly increase funding for such research over time. Examples are given of funded pilot projects involving community health centers.
This document provides guidance on person-centered care for individuals with dementia. It discusses getting a diagnosis, communicating effectively using a person-first approach, using assistive technologies, engaging in creative activities like music and art, staying physically and mentally active, eating well, and preventing dehydration. The overall message is that with the right support systems, individuals can live fulfilling lives while managing their dementia and remaining in their own homes for as long as possible.
Creating a standard of care for patient and family engagementEngagingPatients
Nationally-recognized governance expert Beth Daley Ullem addresses the state of patient engagement in heathcare and provides a vision for establishing a minimum standard of care for patient engagement programs.
The journey a young asthma patient takes can be scary, but this poster provides a pictorial representation of what pediatric patients can expect when they visit the hospital, helping to ease their anxiety and improve their experience.
This Patient Poster was co-designed by an ICU patient and family, and staff at Magee-Womens Hospital of UPMC to provide staff with a better understanding of the patient and his preferences. Guided by principles of the PFCC Methodology and Practice, they set out to create the ideal care experience for this patient and others.
The document discusses ways hospitals can better engage patients upon admission by treating them as people rather than "the next patient." It suggests hospital staff 1) make eye contact and speak kindly when putting on armbands, 2) introduce themselves when asking questions to reduce anxiety around repetitive questions, and 3) recognize the vulnerability patients feel when changing into gowns and take steps to make patients comfortable. The overall message is for hospitals to see patients as partners rather than captives in order to improve the admission experience.
Patient Engagement is growing in importance as consumer expectations of healthcare providers change and as portals and other technologies improve. Early studies show affects on outcomes for patient engagement technologies
Design Thinking: 5 Steps to Healthy Healthcare AppsJeffery Belden
The document outlines a 5-step design thinking process for developing healthy healthcare apps: learn, define, ideate, build, and iterate. It provides examples of each step applied to a project aimed at improving blood pressure tracking and treatment decisions through a patient-physician app. Key activities described include empathizing with users, generating and refining ideas through prototyping, and validating concepts with users through an iterative process. The goal is to match technology to user needs through collaboration and user-centered design.
Portal Me: Provider perspective on Patient Portal useJeffery Belden
Encouraging patients to enroll in their healthcare portal, use secure messaging, and share their patient-generated health data with their personal physician or healthcare provider.
Sharp HealthCare is the largest health care system in San Diego, with four acute care hospitals, three specialty hospitals, two medical groups, and a health plan. It employs over 17,000 people and has over 2,600 affiliated physicians. Sharp HealthCare offers a full spectrum of health care programs and services including home health, retail pharmacy, radiation oncology, hospice, urgent care, and long term care. To engage patients mobile, Sharp HealthCare utilizes an Allscripts patient portal, remote monitoring, asthma management apps, a mobile-friendly website, online scheduling, bill pay, surveys, telehealth, and monitoring of cardiac devices.
The Internet of Things (IoT) is the latest buzzword out of the interface between information technology and business. As technologies like Bluetooth and sensors enable connections between devices and networks, innovation has brought connections between devices and a human interface. In healthcare, this has been termed the Internet of Medical Things or Healthy things. Medical devices and consumer health devices generate data which can be analyzed, synthesized and displayed for the consumer and healthcare provider to get a broader picture of one’s health. Everything from fitness devices to glucose monitors can give us information about our current health status as never before. How this will integrate into a clinician’s workflow is a new journey of discovery as medical practice catches up with these innovations.
HIMSS - Optimize Your Patient Portal for Patient EngagementBret Wagner
The document discusses how to optimize a patient portal to grow revenue, capture savings, and enhance patient engagement. It provides tips for establishing a framework driven by business and patient needs, quantifying opportunities by asking the right questions, addressing common portal shortcomings, and collecting patient reported outcomes. The document discusses strategies for increasing revenue, capturing savings through reduced no-shows and more efficient communication, and engaging patients at different activation levels including messaging, telehealth and collecting health data from patients.
Millennials are driving trends in mobile health as digital natives who rely on technologies like social media, texting, and apps. Hospitals are using portals, telemedicine, and remote monitoring to engage patients. However, many patients do not use portals due to lack of awareness or complex interfaces. Texting shows promise for improving outcomes through appointment reminders and health messages. Apps and games also motivate patients, especially for conditions like diabetes. Overall, mobile technologies allow more convenient, engaged, and proactive healthcare management.
What is patient engagement? How do we create it? This talk proposes that focusing on human qualities and applying user experience design processes can help health information technology professionals with this key goal.
The document discusses Medicaid IT architecture and interoperability. It provides background on Medicaid spending and beneficiaries. It then describes the Medicaid IT Architecture (MITA) framework, which aims to make Medicaid systems more patient-centric, interoperable, and based on industry standards. The framework is a roadmap to guide states in building their own customized IT solutions over 5-10 years. Finally, the document discusses three scenarios for funding collaborative environments and electronic health initiatives like e-prescribing through the existing Medicaid Management Information System (MMIS) funding structure.
This document provides an agenda and overview for a presentation on coordinating patient services to improve satisfaction. The presentation discusses WellSpan Health's efforts to coordinate scheduling across different departments and systems. It outlines challenges in coordinating imaging, registration, and other services across 11 different scheduling systems. WellSpan implemented a new coordinated scheduling system to integrate these systems and resolve conflicts. This improved patient satisfaction by reducing wait times and allowing physicians to schedule from their offices. The presentation discusses expanding this coordinated approach to other areas and creating complete patient itineraries.
Improving Patients’ Health Acute Care FinalmHealth2015
mHealth strategies have the potential to improve patient health and outcomes before, during, and after emergency department visits. By facilitating patient triage and decision making before visits, improving communication during visits, and enhancing health literacy and behavior change support after visits, mHealth can help emergency departments improve throughput and post-discharge outcomes. This can increase revenue, avoid penalties, and improve patient satisfaction. Two case studies show that text messaging improved satisfaction scores and appointment adherence for discharged patients from emergency departments.
Improving Patients’ Health Before, During, and After an Acute Care VisitmHealth2015
mHealth strategies have the potential to improve patient health outcomes before, during and after emergency department visits. By facilitating patient triage and decision making before visits, improving communication during visits, and enhancing health literacy and behavior change after discharge, mHealth can help emergency departments improve throughput, post-discharge outcomes, revenue, penalties and patient satisfaction. Text messaging in particular has been shown to significantly increase follow-up appointment adherence and patient self-efficacy.
Case Study "Using Real Time Clinical Data To Support Patient Risk Stratification in The Clinical Care Setting"
HealthInfoNet operates the statewide health information exchange in Maine. The exchange currently manages clinical and patient care encounter information on 97 percent of the residents of the State of Maine. The information is gathered in real time, standardized, and aggregated at a patient specific level to support treatment. For the past three years, HealthInfoNet has worked with HBI Solutions, Inc of Palo Alto, CA to utilize this real time clinical and encounter data to support the development of predictive analytic tools that risk stratify patient populations and individual patients for future incidence of disease, cost, and both inpatient and ambulatory care encounters. These real time predictive models have now been used in clinical care settings for a year. The presentation will cover both lessons learned to date from implementing and optimizing real time predictive analytic tools and the early finding of the impact that the use of these tools is having on patient care management, utilization and outcome.
Devore Culver
Executive Director & CEO
HealthInfoNet
Innovation in Care Delivery: The Patient JourneyJane Chiang
The document describes innovations in care delivery at Massachusetts General Hospital aimed at improving the patient experience. It discusses the implementation of innovation units to test changes to care delivery and identifies three key areas of focus: implementing relationship-based care, enhancing the role of the attending nurse, and standardizing processes. The goals are to improve patient and staff satisfaction, clinical quality, and reduce costs.
The document describes Always Events, which are practices that should always occur to improve the patient experience. It then summarizes initiatives from 20 organizations to address common healthcare challenges through Always Events. One area is care transitions, where several grantees developed Always Events focusing on hospital discharge, handoffs between providers, and reducing readmissions. For example, one organization implemented a "SMART Discharge Protocol" to ensure key information is discussed at discharge. Another developed a "Patient-Centered Bedside Shift-to-Shift Handoff" process to include patients in shift changes. The document provides contact information for each program to allow other organizations to learn from their work.
This presentation will walk the viewer through the following key moments:
Slide 2 – About Ochsner
Slide 3 – Book of business
Slide 4 – Key differentiators
Slides 5/6 – The problems we’re solving
Slides 7/8 – Care team and collaboration
Slides 9/10 – Results, outcomes and ROI
Slides 11/12 – Employer experience and ideal client profile
Slides 13/14 – Employee engagement
More than just condition monitoring:
Ochsner Digital Medicine is remote clinical management, including clinicians and pharmacists on the care team to adjust medications accordingly.
Full clinical management - including medication management and ordering labs. The only program delivering at national scale that is backed by a not-for-profit, Center of Excellence health system. The only program that augments the member's PCP care via seamless data integration with Epic electronic health record.
Decisio Health provides an FDA cleared class II medical device that displays real-time actionable information with the goal of increasing clinical guideline adherence, which has been shown to improve clinical outcomes and reduce hospital costs. It is a clinical decision support tool for use in hospitals.
2021-2022 NTTAP Webinar: Fundamentals of Comprehensive CareCHC Connecticut
Join us as we discuss the core concepts of team-based care and introduce elements of team-based care that builds upon these basics to support your teams in advancing their capability to provide satisfying and effective care to complex patient populations. .
We will be joined by Margaret Flinter, Senior Vice President/Clinical Director for Community Health Center, Inc., and both Thomas Bodenheimer, MD, Physician and Founding Director, and Rachel Willard Grace, Director, from the Center for Excellence in Primary Care.
ChenMed is a privately held primary care group that focuses on low-income adults over 55 with multiple chronic conditions. Their care model includes 400-450 patients per physician, on-site pharmacy services, intensive care coordination, and global risk-based payments from Medicare Advantage plans.
ChenMed has achieved outcomes like lower hospitalization rates compared to national benchmarks. Their strategy for scaling includes developing a physician culture focused on relationships and accountability, value-based workflows supported by technology, and selective integration within local healthcare markets. Physician panel management tools, interdisciplinary care teams, and managing transitions of care across settings are key parts of their model.
Patient engagement is evolving to include a composite of practices that impact patient behaviors and health. Contemporary models of patient engagement include the HIMSS 5 phases of patient engagement and the Regional Primary Care Coalition's 6 dimensions of patient engagement. Meaningful Use Phase 3 identifies key priorities around patient access to health records and secure messaging. Barriers to patient engagement include defining engagement and integrating diverse engagement tools and technologies.
Rob Reid: Redesigning primary care: the Group Health journeyThe King's Fund
Rob Reid, Senior Investigator at Group Health Research Institute, explains the journey taken by Group Health in support of integrated primary care. A case study in how primary care can be delivered effectively and efficiently to a population, Rob laid out the challenges facing general practice in the States, and how Group Health worked to improve the situation for both patients and the workforce.
Ueda2015 tupelo.nurses role in dm prevention dr.martyn molnarueda2015
This document proposes a study to validate the role of nurses in diabetes prevention and management through the use of remote monitoring technologies. The study would randomize over 1,000 patients and 30 nurses into groups testing a standard diabetes program versus a program utilizing TupeloLife's remote monitoring platform. The platform program would train nurses and allow real-time data collection from devices, remote consultations, automated reminders and alerts, and analytics to improve outcomes. The study aims to show improved clinical indicators, goal achievement, self-efficacy, satisfaction and cost-effectiveness for the remote platform program compared to standard care.
Uncover Hidden Population Using Predictive Modeling Tool VitreosHealth
Using Predictive Modeling Tool to Identify at Risk Patients who has a chance of becoming users of High-Cost Healthcare service and subsequently Reducing PMPM (Per Member Per Month) Costs While Increasing Member Satisfaction
Clinical Transformation: Fundamentally Changing Clinical Processes to Achieve...Huron Consulting Group
The document discusses clinical transformation at Maine Medical Center through reducing variability in care for patients requiring mechanical ventilation and tracheostomies. A team was formed to standardize processes and reduce length of stay and costs for these patients. The team identified over 70 action items and set goals around reducing length of stay, increasing standardization and palliative care screening, improving patient satisfaction, and generating savings. Metrics were established and showed progress towards the goals over 12 months, including reduced length of stay, increased compliance with best practices, and over $1 million in savings.
A look at strategies for lowering hospital readmissions across the continuum of care.
Hospital readmissions are a multi-dimensional problem. No single player or entity is entirely responsible for reducing excess readmissions. By improving our understanding of each touch point along the patient care continuum, strategies can be developed that ultimately reduce total readmissions.
This paper explores the roles of patients and providers in reducing readmissions and reviews several strategies that each can implement to help reduce readmission rates.
-Which patients are at high risk of hospital readmission?
-Comprehensive discharge planning strategies
-The physician’s role in lowering hospital readmission rates
-Optimizing communications handoffs between providers
-Building patient-centered transitional care models
-End of life planning
Health IT Summit Houston 2014 - Case Study "EHR Optimization for Organizational Value in a Changing Healthcare Environment"
Luis Saldana, MD, MBA, FACEP
CMIO
Texas Health Resources
iHT2 case studies and presentations illustrate challenges, successes and various factors in the outcomes of numerous types of health IT implementations. They are interactive and dynamic sessions providing opportunity for dialogue, debate and exchanging ideas and best practices. This session will be presented by a thought leader in the provider, payer or government space.
Learn how Hahnemann University Hospital reduced readmissions at the Center for Advanced Heart Failure Care by over 20%. This is a follow up to our Fall 2014 webinar with more data and outcomes to reveal. During this discussion, you’ll learn the positive impact a Readmissions Reduction program can have for a hospital including financial, care delivery, and care team collaboration improvements.
Similar to Closing the Loop: Strategies to Extend Care in the ED (20)
Clinical practice guidelines and quality metrics often emphasize effectiveness over patient-centered care. In this article, the authors offer three approaches to personalizing quality measurement to ensure patient preferences and values guide all clinical decisions.
This presentation from the 2014 ASHRM Conference analyzes the legal, regulatory and clinical risks related to meaningful consent and offers ways to mitigate them.
Safety is Personal: Partnering with Patients and Families for the Safest CareEngagingPatients
The work of NPSF"s Lucian Leape Institute's Roundtable on Consumer Engagement, "Safety Is Personal: Partnering with Patients and Families for the Safest Care" is a call to action for health leaders, clinicians, and policy makers to take the necessary steps to ensure patient and family engagement at all levels of health care.The report identifies specific action items for health leaders, clinicians, and policy makers to pursue in making patient and family engagement a core value in the provision of health. care.
Building Patient-Centeredness in the Real World: The Engaged Patient and the ...EngagingPatients
This paper examines the separate but intertwined ethical, economic and clinical concepts of patientcenteredness and how ACOs provide a structure for turning those concepts into a functioning reality.
PFCC INFOGRAPHIC: Six Steps to Patient EngagementEngagingPatients
The challenges of creating patient and family-centered care seem daunting. However, the PFCC Innovation Center of UPMC demonstrates it's easier than you think. In this infographic, you see it begins by engaging patients through a simple six step process.
In first of two-part series, Pamela Greenhouse explores the differences and similarities of the Patient and Family Centered Care Methodology and Practice (PFCC M/P) and leean process improvement approachs, such as Lean, Six Sigma and Toyota. She believes that the PFCC M/P can be the unifying theme for health care, incorporating both process improvement and performance improvement.
In Part II, Ms. Greenhouse provides suggestions for integrating the Patient and Family Centered Care Methodology and Practice (PFCC M/P) in those healthcare organizations where Lean process improvement approaches (Lean, Six Sigma and Toyota, etc.) are already in use.
Reimbursement Bootcamp- Coding, Coverage & Payment lecture by David Farber, K...Levi Shapiro
Presentation by David Farber, King & Spalding LLP, "Reimbursement Bootcamp- Coding, Coverage & Payment". Includes a comparison of FDA and CMS – The Important Differences. Setting Expectations and Understanding Timing. FDA Approval/Clearance vs. CMS (Medicare) Coverage. “Reasonable and Necessary”
CMS coverage determination
(formal or informal);
Focus on health benefits;
Economic data is important;
Superiority endpoint often needed; Focus on Medicare beneficiaries; Public processes; Publishes proposed decisions. Information Considered by CMS. Center for Medicare & Medicaid Services. Clinical evidence (including FDA submissions)
External technology assessments;
Advisory committee recommendations;
Position statements by relevant groups; Expert opinions;
Public comments;
Economic and other cost-effectiveness data;
Other informal opinions. The Basics of Reimbursement
• Coverage
Is the item or service eligible for payment?
• Coding
How is the item or service identified?
• Payment
What are the payment methodologies and amounts?
Medicare Coverage:
Defined Benefit Category
Not Excluded
“Reasonable and necessary for
the diagnosis or treatment
of illness or injury or to improve
the functioning of a malformed
body member.”
— Social Security Act § 1862(a)(1)(A). CMS and Its Contractors Make
Medicare Coverage Decisions
• National Coverage
Determinations (NCDs)
• Local Coverage
Determinations (LCDs)
• Individual Consideration
National Coverage
Determinations (NCD):
National and binding decision by CMS
Coverage and Analysis Group (CAG).
May be requested by anyone
(CMS or external party.)
Public process that generally takes
9-12 months once initiated.
May include certain conditions for coverage (including Coverage with Evidence
Development (CED)). Coverage with Evidence Development (CED). Evidence-based coverage paradigm
that permits CMS to develop
coverage policies for treatments
that are likely to show health benefits
for Medicare beneficiaries but for
which the evidence base is not
sufficiently developed. Two kinds of CED: (1) clinical study
and (2) registry. Local Coverage
Determinations (LCD):
Issued by local Medicare
Administrative Contractors (MACs).
May be requested by anyone
(MAC or external party.)
New formal process in 2019 to
request LCDs.
Limited to particular MAC jurisdiction. Medicare Administrative Contractors. Coding is the “language of
reimbursement.”
Coding operationally links
coverage and payment.
Having a code does not
guarantee reimbursement! TYPE OF CODE, CODING SYSTEM, WHO SETS CODE? WHO USES CODE? Diagnosis, Procedure or Service, Products and Certain Services, Drugs. Current Procedural Terminology (CPT) Codes. Maintained by the AMA CPT Editorial Panel.
Identify medical services furnished by physicians.
5-digit numeric codes with generic descriptors.
Three types of CPT codes. Application process takes at least 15 months for Category I codes, with specific clinical data requirements.
Online Live Personal Yoga Training at Home
Home Yoga
Change is Possible!
I am ready to help you, to improve your health, reduce stress and moving towards perfect peace, happiness and joy!
Show you the difference between intentional self-care and unintentional numbing out, so that you can be fully awake for all of your life
Restore your natural physical alignment, because it is critical to your health and well-being
Help you develop a practice of intentional surrender because it brings relief from stress and will improve every aspect of your life
Show you how to take care of yourself because that is the first step toward the connection you are craving with others
Restore your mind-body connection, because decision-making is so much easier when you can hear your own intuition
Home yoga course contents
The private yoga lesson consists of Power Yoga, Dynamic Yoga, Yoga Therapy for different ailments, Yoga for stress management, yoga posture (asana), yogic breathing (pranayama), guided meditation and relaxation. Sometimes the cleansing practices like Vamana Dhouti (vomiting), Jala & Sutra Neti (nasal cleaning), Laghu Sankhaprakshalana (intestine cleansing), vyutkarma & sheetkarma kapalabhati (nasal cleansing), Trataka (eye cleansing) and MSRT (immune system enhancement) are also included depending on the requirement of the participant
If you are looking for a secluded, silent, one-on-one yoga practice with personal care and attention and without any outside disturbances, private yoga lessons are perfect for you. In private yoga lessons, you save your time and energy from traveling to a distance yoga studio and practice yoga from the comfort of your home in a personal ambiance. In private yoga lessons, you learn properly with one-on-one attention from the yoga trainer. The yoga trainer also gets enough time to understand your requirements and customizes the yoga practices accordingly for your maximum health benefit.
If you are suffering from any specific health problems, private yoga lessons are ideal for you. Yoga therapy practices cannot be done in a group, it has to be done always one-on-one basis. Because your problem is different from others. In a group yoga class, the yoga practices are not addressed according to your body conditions & requirements, some of the practices in the group might be harmful to you. Moreover, if the group yoga trainer is not a qualified yoga therapist but only a yoga instructor, he may not know the yoga practices that are useful and harmful to you. Therefore, if you are suffering from any specific health conditions, you require private yoga lessons with one-on-one attention from an experienced yoga therapist for your recovery.
How many people can join in private yoga lessons?
We allow one or, maximum of two people at a time in a private yoga lesson.
Private yoga course contents
The private yoga lesson consists of Power Yoga, Dynamic Yoga, Yoga Therapy for different ailments, Yoga for stress management, yoga post
This presentation tells about health education for hand wash to children. Every child should know that how to keep hand clean. And maintain the good hand washing practices. Nowadays disease are easily spread through uncleaned hands.germs are habitat in their hands and then it causes different types of diseases.so, we must give the health education for hand washing to every children. And make them practice.
21. Alignment for Advanced Yoga Asana
The advance asanas that are taught during various asana classes throughout the duration of the teacher training are brought up for analytical discussions and practical sessions of methods to adjust advance postures with both verbal cues and hands-on adjustments. Learning revolves around demonstrations, observation and practicums by assisting the lead instructors during some advanced yoga classes. Students will demonstrate observe and assist lead instructors in adjusting in a basic yoga class.
Learning Objective
Be able to identify misalignments of advance postures. Be able to observe student’s capacity during adjustments. Be able to safely and gently adjust advance postures with verbal cues and with hands-on adjustments. To provide adjusting and assisting techniques of yoga asana class.
Etiologies of Bipolar disorders. Power Point Presentation ptxseri bangash
www.seribangash.com
Bipolar disorder, formerly known as manic-depressive illness, is a complex psychiatric condition characterized by extreme mood swings that include emotional highs (mania or hypomania) and lows (depression). The etiology of bipolar disorder involves a combination of genetic, biological, and environmental factors. Here's a breakdown of these etiologies:
Genetic Factors:
Family History: Bipolar disorder tends to run in families, suggesting a genetic component. Studies indicate that having a close relative with bipolar disorder increases the risk.
Genetic Studies: Research has identified specific genetic variations associated with bipolar disorder. These include genes involved in neurotransmitter signaling, ion channel function, and circadian rhythms.
Neurobiological Factors:
Neurotransmitter Imbalance: Imbalances in neurotransmitters such as dopamine, serotonin, and norepinephrine are implicated in bipolar disorder. For example, elevated dopamine levels during manic episodes and decreased levels during depressive episodes.
Neuroendocrine Factors: Dysregulation of the hypothalamic-pituitary-adrenal (HPA) axis and abnormal cortisol levels have been observed in individuals with bipolar disorder.
Neuroanatomical Factors:
Brain Structure and Function: Structural and functional abnormalities in certain brain regions are linked to bipolar disorder. These include the prefrontal cortex, amygdala, and hippocampus, which are involved in emotional regulation and cognition.
Environmental Factors:
Stress: Stressful life events, such as trauma, loss, or significant life changes, can trigger or exacerbate episodes of bipolar disorder.
Substance Abuse: Substance use, particularly stimulants or drugs that affect neurotransmitter systems, can precipitate manic episodes or worsen the course of the disorder.
Developmental Factors:
Early Life Experiences: Adverse childhood experiences, including abuse, neglect, or chronic stress, may increase susceptibility to developing bipolar disorder later in life.
Trajectories: Some individuals may have a prodromal phase marked by subthreshold symptoms or other behavioral indicators before full-blown episodes manifest.
5 Must-Have’s in ePCR Software for a More PROFITABLE and EFFICIENT EMS, NEM...Traumasoft LLC
The benefits of an ePCR solution should extend to the whole EMS & NEMT organization, not just certain groups of people or certain departments.
It should benefit EMS crews – making it convenient to enter data and have the tools to increase document accuracy.
It should benefit the back-office by streamlining documentation and billing processes internally and with health facilities.
It should benefit the entire organization by improving workflow efficiency, comply with regulations, reduce costs, and contribute to generating data-driven reports.
To achieve those benefits, ePCR software must have these 5 functions.
30 – Hours Yogic Sukshma Vyayama Teacher Training Course
What is Sukshma Yoga?
Dhirendra Brahmachari formulated this system and wrote books to clearly formulate the ancient yogic science. This practice simple yet powerful series of specific exercises that improve health and enhance the strength of different organs and systems in the body, from top of head to toes.
Suksma means subtle prana, mind, and intellect: Vyayama means exercise. Suksma Vyayama is meant for the Subtle Body (Suksma Sarira), it is not meant for the Sthula Sarira (Gross Physical Body).
Need of Suksma Vyayama
In yoga, it is said that most pranic blockages start in our joints. Ayurveda says that ‘ama’ or the toxic and undigested waste material tends to settle in the empty spaces of our body, the joints. To remove these impurities we practice Suksma Vyayama, to release any such impurities in our subtle pranic body.
Three dimension of suksma Vyayama:
1.Breathing (slow or fast: Bhastrika/Bellows)
2.Point of concentration (mental concentration on Chakras)
3.Exercise (using Bandhas and Mudras)
Sukshma yoga purifies and recharges the body, mind, energy, and emotion. It prepares the well foundation for further means of Yoga practice. It includes Sukshma Vyayama (Subtle Exercise), and Vishram (Rest & Relaxation). It is itself complete package that fulfills the basic need of human being.
Sukshma Vyayama is one of the major parts for physical activity and the regulation of entire physiologies. Sukshma Vyayama is also known as a kind of warm up exercise or basic exercise or clinically anti-rheumatic group of exercise and also called body scan. The system of the physical and breathing exercise which help to sequentially work out all joints of a body, to warm it up. This system has a strong purifying effect on energy body of a human.
1.1. History of Sukshma Vyayama
We will observe visible Parampara of Sukshma Vyayama. Literal meaning of Parampara is the continuous chain of succession by Master to followers. In Parampara system, the knowledge is passed on without changes from generation to generation). Unfortunately because of the absence of enough information we are not able to find sources of this tradition.
System of Sukshma Vyayama knowledge which was unknown in the west before that was extended by one of outstanding yoga masters, Dhirendra Brahmachari (1925-1994). He received Initiation into Sukshma Vyayama techniques from Maharshi Kartikeya, the prophet and sacred great yogi who was his Master. In the preface to the book “Yogic Sukshma Vyayama” Dhirendra Brahmachari wrote about his precious Guru. Deep knowledge made him the unique expert of human characters, of their abilities and possibilities. From Maharshi Kartikeya, Dhirendra Brahmachari received a precept to spread knowledge about Sukshma Vyayama. The invaluable merit of Dhirendra Brahmachari is that he managed to accumulate knowledge in the convenient form, to make it open and understandable for the audience everywhere. The b
The Importance of Gratitude in Daily Life.pptxMartaLoveguard
Prezentacja - The Importance of Gratitude in Daily Life
Slide 1: Introduction
Welcome to the presentation on the importance of gratitude in daily life. Today, we'll explore how cultivating gratitude can significantly impact our mental, emotional, and physical well-being.
Slide 2: What is Gratitude?
Gratitude is the practice of acknowledging and appreciating the good things in our lives, big and small. It involves recognizing the positive aspects of our experiences, relationships, and circumstances rather than focusing solely on what's lacking or negative. Cultivating gratitude involves a mindset shift towards abundance and appreciation.
Slide 3: Psychological Benefits
Gratitude plays a crucial role in enhancing mental health by reducing negative emotions such as envy, resentment, and frustration. Research indicates that practicing gratitude promotes more positive emotions like happiness and satisfaction with life. Studies have shown that gratitude can lead to improved overall well-being and a greater sense of fulfillment.
Slide 4: Emotional Resilience
Gratitude fosters emotional resilience by helping individuals cope with stress and adversity more effectively. It encourages a mindset that focuses on solutions and growth rather than dwelling on problems. By finding reasons to be grateful even in challenging times, individuals can develop resilience and maintain a positive outlook.
Slide 5: Social Benefits
Expressing gratitude strengthens relationships by fostering feelings of connection and appreciation. When we show gratitude towards others, it deepens our bonds and encourages reciprocity in kindness and support. Gratitude also enhances empathy and compassion, leading to more meaningful social interactions.
Slide 6: Physical Health Benefits
Gratitude isn't just beneficial for mental and emotional well-being; it also impacts physical health. Research suggests that grateful individuals may experience better sleep, reduced inflammation, and improved immune function. Adopting a grateful mindset can contribute to overall holistic health and well-being.
Slide 7: Cultivating Gratitude
There are practical ways to cultivate gratitude in daily life. Keeping a gratitude journal, where you write down things you're thankful for each day, can help reinforce positive emotions. Additionally, expressing gratitude to others through thank-you notes or verbal appreciation can strengthen relationships and increase overall happiness.
Slide 8: Conclusion
In conclusion, integrating gratitude into our daily routines can lead to profound positive changes in our lives. By focusing on what we are thankful for, we shift our perspective towards abundance and possibilities. Embracing gratitude empowers us to live more fully and joyfully, enhancing both our personal well-being and the quality of our relationships.
CHAPTER THREE: MUDRA AND BANDHA
Chapter 3 Verse 1 Kundalini is the support of yoga practices
As the serpent (Sheshnaga) upholds the earth and its mountains and woods, so kundalini is the support of all the yoga practices.
Chapter 3 Verse 2 Guru’s grace and opening of the chakras
Indeed, by guru's grace this sleeping kundalini is awakened, then all the lotuses (chakras) and knots (granthis) are opened.
Chapter 3 Verse 3 Sushumna becomes the path of prana and deceives death
Then indeed, sushumna becomes the pathway of prana, mind is free of all connections and death is averted.
Chapter 3 Verse 4 Names of sushumna
Sushumna, shoonya padavi, brahmarandhra, maha patha, shmashan, shambhavi, madhya marga, are all said to be one and the same.
Chapter 3 Verse 5 Sleeping goddess is awakened by mudra
Therefore, the goddess sleeping at the entrance of Brahma’s door should be constantly aroused with all effort by performing mudra thoroughly.
50 Hr – Hatha-Vinyasa Yoga Teacher Training Course
50 hours – Hatha-Vinyasa Yoga Teacher Training Course
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10. CAHPS-Style Surveys
• Most useful for
internal
benchmarking
o By service line
o Year-to-year
• Less useful for
external
benchmarking
(control of variables)
o Against peers
Emergency Department Patient Satisfaction,
Cedars-Sinai Medical Center, http://cedars-
sinai.edu/Patients/Quality-Measures/Patient-
Satisfaction/Emergency-Department-Patient-
Satisfaction.aspx (accessed 2/20/15).
11. Challenges with CAHPS-Style Surveys
• Small Sample Size – typical response rate < 2%1
• Ethno-Demographic Bias – e.g., English speakers
provide higher scores1
• Impact of Outliers – behavioral health and drug-
seeking patients can skew results2
12. Challenges with CAHPS-Style Surveys
• Delay in Acquiring Data
o Survey data is typically not available for a month
or more until after a patient’s ED visit.
• Nature of Emergency Medicine
o Time spent with acute patients may detract from
time with less acute patients.
o Acute patients are frequently admitted and thus
their satisfaction scores may not be tied back to
the ED.
Sullivan W and DeLucia J. 2+2=7? Seven things you may not know about Press Ganey Statistics.
Emergency Physicians Monthly. September 22, 2010. www.epmonthly.com/features/current-features/227-
seven-things-you-may-not-know-about-press-gainey-statistics/ (accessed 2/20/15).
14. Objectives for an ED Follow-up System
• Efficiently assess patient wellbeing on the day after
discharge1
• Alert providers to gaps in post-discharge knowledge
(instructions, medications) or access to follow-up care1
• Document patient satisfaction with providers and with
the overall ED experience1
• Provide specific patient experiences to review in the
daily huddle in the Emergency Department2
1
Scaletta T. Automating Patient Contact After ED Discharge Enhances Safety and Reduces Risk.
Storyboard presented at the 26th Annual National Forum on Quality Improvement in Health Care.
December 7-10, 2014, Orlando, Florida.
2
Steenbergen P. Incorporating “Medical Minute” Into Daily Huddles in the Emergency Department. Studer
Group. June 11, 2014. www.studergroup.com/resources/news-media/publications/insights/june-
2014/incorporating-medical-minute%E2%80%9D-into-daily-huddles-i (accessed 2/20/15).
15. Evaluating Wellbeing
• The most critical component
of follow-up
• Extends care outside the
walls of the ED
• Can parallel processes
already in place to address
serious post-discharge
issues (such as positive
microbiology cultures)
CVVV
16. CVVV
Identifying Gaps in
Understanding
• Areas to assess:
o Discharge
instructions
o New medications
o Follow-up
appointments
• Essential to have
processes in place to
address a knowledge gap
or need for timely
assistance
17. CVVV
Rating the Providers
• When sample sizes and
response rates are large,
provider ratings become
statistically valid and more
compelling
• Systems should match
patient feedback to specific
providers
• Best approaches can
eliminate responses from
drug-seeking, behavioral
health and other care plan
patients
18. CVVV
Rating the Providers
• Nurses, residents, mid-levels,
and other staff may be rated
• Rapid feedback can be
leveraged to modify behavior
• The best approaches also
report work efficiency and
utilization metrics by provider
19. CVVV
Evaluating Other Aspects
of the Care Experience
• Open-ended questions are
useful for uncovering
opportunities to enhance
patient experience
• Forward-thinking
organizations may vary
survey questions from time to
time to evaluate the impact of
specific patient experience
initiatives
24. EHR-Embedded Call Manager
• During the ED visit, the provider selects in the EHR
whether the patient is to receive a call back and by
whom (attending, specific mid-level or mid-level pool)
• EHR sends email alert to an appropriate provider’s
“Call-Back Folder” (queue)
• Provider initiates telephone encounter via link in email
• Navigation template facilitates documentation of patient
responses to survey questions within the EHR
• Full business rules and logic including ability to quickly
generate a new prescription
28. Hybrid Approaches
• A combination of any of these approaches:
• In-house survey
• Call-back
• IVR
• Email
• Text (SMS messaging)
• Multiple methodologies may increase overall response
rates
• Effective systems attempt one approach and then “roll”
to the next approach
29. Hybrid Approaches
Daily Data Upload
from the EHR
Secure, HITRUST-Certified,
HIPAA-Compliant Cloud-
Based ServerEmergency Care
Innovation of the Year
Awards
Structured Electronic Follow-Up for
Patients Discharged from the ED
Edward-Elmhurst Healthcare
Urgent Matters Names Winners of the 2014
Emergency Care Innovation of the Year Award,
George Washington School of Medicine &
Health Sciences,
smhs.gwu.edu/urgentmatters/news/urgent-
matters-names-winners-2014-emergency-care-
innovation-year-award (accessed 2/20/15).
First Layer
Text / Email
Contact with Patient
Second Layer
Call Center Contact
with Patient
Patient
Monthly Performance
Reports
Case Manager
Addresses any
Outpatient
Management Issues
34. Frequent ED Users
• High ED Users (≥4 visits/2 years) comprise 1 percent of the
population and 16 percent of ED expenditures1
• 14 to 27 percent of all ED visits could take place at alternative
sites saving $4.4 billion annually2
• A multidisciplinary ED-care-coordination program was found to
reduce ED visits by 79 percent for extreme ED users (>12 visits/
year) and 71 percent for frequent ED users (3-11 visits/year)3
o Direct costs were reduced by $24,364 and $5,140 per year
for the extreme and frequent users, respectively
1
Kaiser Family Foundation. Characteristics of Frequent Emergency Department Users. October
2007. www.kaiserfamilyfoundation.files.wordpress.com/2013/01/7696.pdf (accessed 2/20/15).
2
Weinick RM, Burns RM, Mehrotra A. Many emergency department visits could be managed at urgent care centers
and retail clinics. Health Aff (Millwood). 2010;29(9):1630-6.
3
Murphy SM, Neven D. Cost-effective: emergency department care coordination with a regional hospital information
system. J Emerg Med. 2014;47(2):223-31.
35. Potential to Reduce Observation Admissions
• Short-Stay Observation Admission
o Challenging for the hospital –
“soft” admission reimbursement is
less than for inpatient admissions
o Challenging for the patient –
Medicare patients are covered
under Part B (higher out-of-pocket
charges and co-pays)
o May adversely impact satisfaction
• Observation admissions may be
reduced with post-discharge wellness
checking
Two-Midnight Rule
Limits hospital discretion
with observation stays that
do not span at least two
midnights.
Treated as outpatient visits
under Medicare Part B.
Kelly T. The observation admission - overcoming challenges for improved patient satisfaction. Becker’s Hospital
Review. November 13, 2014. www.beckershospitalreview.com/hospital-management-administration/the-observation-
admission-overcoming-challenges-for-improved-patient-satisfaction.html (accessed 2/20/15).
43. IHI Triple Aim Satisfaction
• Patients appreciate contact
• Complaints addressed
• Providers held accountable
Better Health
for Populations
Lower
Per
Capita
Costs
Better
Care for
Individuals
Safety
• Recover
from missed
diagnosis
• Resolve
follow-up
issues
Savings
• Improve
loyalty
• Address
frequent
visitors
44. Strategies to Extend Care in the ED :
A Review of Benefits Realized for the
Value of Health IT
http://www.himss.org/ValueSuite
S
T
E
P
S
Increase patient satisfaction as service issues are
addresses and concern for progress is expressed
Enhance the treatment of high-frequency ED
utilizers while optimizing observation admissions
Communicate with patients electronically and
enhance use of the patient portal
Ensure understanding of patient education materials
and compliance with aftercare instructions
Focus clinical personnel on the resolution of patient
issues saving staff for direct patient care