Digital engagement of discharged ED patients through asynchronous surveys is important for several reasons:
1) Contacting patients after discharge through digital means rather than phone calls improves patient safety and satisfaction while reducing costs. Automating the process allows clinicians to efficiently address patient wellbeing issues.
2) Surveys that check on patient status and experience provide opportunities to identify care gaps, prevent return visits, and improve care quality over time based on patient feedback.
3) Hospitals are increasingly focused on patient experience metrics that link to value-based reimbursement and consumer loyalty. Digital surveys can enhance hospitals' understanding of the patient perspective in a low-cost, consistent manner.
PFCC Methodology and Practice: Deliver Ideal Care Experiences and Outcomes…By...EngagingPatients
The document describes the Patient and Family Centered Care (PFCC) methodology used at UPMC, a large integrated health system. The six-step PFCC methodology involves: 1) defining the care experience, 2) forming a guiding council, 3) observing the current state through shadowing, 4) identifying touchpoints through a working group, 5) creating a shared vision for an ideal experience, and 6) implementing improvement projects. The methodology aims to improve outcomes and experiences by engaging patients and families in co-designing care and breaking down silos between care providers. Examples of successful PFCC projects that improved discharge processes and communication through bedside rounding are provided.
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 resource summarizes the eight recommendations outlined in the Institute of Medicine's a new consensus study entitled, Improving Diagnosis in Health Care. The recommendations are aimed at making diagnoses more accurate, reliable, efficient, and safe. This work is a continuation of the IOM’s Quality Chasm series.
Over half of patients at a rehabilitation hospital reported wanting greater involvement in their care decisions. To address this, the hospital conducted patient and family shadowing where observers followed patients to experience care from their perspective. This identified themes like explanations during rounds and involvement in discharge plans. A post-intervention survey found a statistically significant improvement in patients feeling involved in care decisions and clinically relevant improvements in understanding doctor explanations and recommending the hospital. Engaging medical leaders and balancing data with reflection time led doctors to change practices without formal rules.
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.
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.
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
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.
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
The State of Consumer Healthcare: A Study of Patient ExperienceProphet
Providers must deliver a holistic patient experience that extends beyond clinical care interactions. The current state of the patient experience is poor and getting worse according to surveys, with 81% of consumers unsatisfied. While providers see patient experience as important, they overestimate their performance by over 20 percentage points compared to consumer ratings. Improving patient experience can drive operational efficiencies and reduce costs while helping organizations achieve their missions. Providers must take a holistic view of patient experience, empower their staff, and thoughtfully invest in technologies to enhance the experience.
Can we solve the adult primary care shortage without more physicians? CHC Connecticut
Tom Bodenheimer,of the Center for Excellence in Primary Care at UCSF Dep’t of Family and Community Medicine talks about addressing the primary care shortage at the 2014 Weitzman Symposium
This document summarizes a webinar for selecting topics for a national ICU collaborative initiative in 2016-17. It discusses the results of a survey where pain, agitation, and delirium (PAD) and end-of-life care were the top choices. Potential Topic 1 provides an overview of how end-of-life care could be improved across the ICU continuum. Potential Topic 2 reviews evidence that consistent pain assessment and management paired with sedation protocols can reduce length of stay and complications. The webinar participants then decided to focus on improving PAD management in 2016-17.
The Patient-Centered Medical Home Impact on Cost and Quality: An Annual Revie...CHC Connecticut
Dr. Nwando Olayiwola, Associate Director, Center for Excellence in Primary Care, Assistant Professor, University of California, San Francisco addresses the 2014 Weitzman Symposium on The Patient-Centered Medical Home Impact on Cost and Quality: An Annual Review of Evidence
This document summarizes a webinar about using hospital harm data and resources to inform quality improvement plans. It includes an agenda with presentations on the patient perspective, an organization's experience in Fraser Health, and tips for using the Hospital Harm Improvement Resource. It discusses why reducing hospital harms is important to patients, and Fraser Health's journey to reduce common harms like UTIs, pneumonia, and sepsis. It promotes engaging patients and provides links to resources on including the patient experience and engaging patients as partners in safety. Attendees are invited to learn more about the Hospital Harm project through listed websites and contacts.
Bookends of the Patient Experience: Improvement Strategies from Admission to ...TraceByTWSG
In this webinar, Yvonne Chase of Mayo Clinic shares strategies to improve patient experience across the continuum of care - from pre-service to post-servcie activities. This presentation shares tools and processes used to streamline patient access, coordinate patient care and conduct patient follow-up post discharge - all while monitoring patient interactions to ensure clear and accurate communication from the first point of contact to the last.
This document discusses engaging patients and families in recognizing deteriorating patient conditions. It provides an overview of a webinar on the topic, which includes a patient and family perspective on experiences, a provider perspective from a professor, and a case study example. The webinar aims to understand deteriorating conditions and what to do if they occur. It also discusses a track-and-trigger early warning system called HEWS (Hamilton Early Warning Score) that monitors vital signs and triggers escalating care. Lessons learned from implementing HEWS include recognizing high-risk patients earlier and reducing critical events. The webinar discusses challenges and resources for improving partnership with families in patient safety.
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.
How pharma and healthcare brands can improve their customer experienceJack Morton Worldwide
The SVP and Managing Director of Jack’s Chicago office, Matt Pensinger, presented at Lions Health 2015 with Katie Bang from Eli Lilly and Company about improving the customer experience for patients:
There is growing recognition amongst healthcare brands that understanding the full patient journey is essential for success in today’s healthcare environment. The sheer extent of this both physical and emotional journey, from awareness through to treatment and adherence, opens the patient to many potential experience gaps between their expectations and reality that can lead to frustration, disillusionment and even dropping the prescribed treatment.
So, healthcare companies must understand this journey if they are to improve the customer experience – and offer necessary patient support that extends far beyond a given medication. Being truly effective requires that the entire organisation (from science through to sales) understands the patient journey in order to meet patient needs and effectively engage the many stakeholders that are becoming increasingly important to a therapy’s success.
This is a significant undertaking and healthcare brands and their marketing agencies need to think differently about how they engage with patients and support communications for all the other stakeholders. This talk will examine the experience journey and what it means for the way we market.
This document discusses eVisits, which are online medical evaluations between patients and providers. It provides an overview of eVisits, including relevant CPT codes, research on their efficiency and patient preferences, and stats on eVisit usage at HealthPartners and UPMC. The presentation notes that eVisits provide benefits to patients, providers, insurers and employers by increasing access and convenience while reducing costs compared to office visits. However, challenges include ensuring understanding of appropriate eVisit cases and aligning compensation with other care modalities like phone visits.
Making Healthcare Waste Reduction and Patient Safety Actionable - HAS Session 6Health Catalyst
Multiple studies have estimated that at least 30% of US healthcare expenditures are wasteful. But how do you identify and reduce that waste? In this session, we will share with you a three-part framework for understanding, measuring and addressing waste reduction. In particular, we will highlight the importance patient safety and injury prevention, framing the importance of shifting from a system of incident reporting (which creates a culture of blame and guilt) to a system in which patient injury is regarded as a process failure rather than a person failure. To make that transition, health systems will need to 1) define process flows and metrics for each major type of patient injury; and 2) create a learning environment in which team members are engaged in process redesign to prevent process failure and injury. A leading health system in patient safety and quality will also share their best practices in how they have created a culture of patient safety and quality.
Improve Employee Health & Control Healthcare Costs with Direct Primary CareMegan Zimmerman
Direct Primary Care is providing employers of all sizes substantial cost savings while improving health outcomes. Learn how telemedicine, occupational health, wholesale medications, direct labs and imagining are working in tandem to create a cost effective and proactive healthcare model for employers.
The document discusses issues with the current healthcare system such as overutilization of emergency rooms, the high and rising costs of healthcare, untreated stress, and lack of consumerism in healthcare choices. It proposes telemedicine and a first alternative resource as low-cost solutions, noting that average physician response time through telemedicine would be under 90 seconds. Telemedicine could provide 24/7 access to doctors via phone/video appointments, prescription refills, and integration with electronic health records and personal health tools to help treat common conditions and refer to specialists when needed.
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.
Clinician Satisfaction Before and After Transition from a Basic to a Comprehe...Allison McCoy
Healthcare organizations are transitioning from basic to comprehensive electronic health records (EHRs) to meet Meaningful Use requirements and improve patient safety. Yet, full adoption of EHRs is lagging and may be linked to clinician dissatisfaction. In depth assessment of satisfaction before, during, and after EHR transition is rarely done. Using an adapted published tool to assess adoption and satisfaction with EHRs, we surveyed clinicians at a large, non-profit academic medical center before (baseline) and 6-12 months (short-term follow-up) and 12-24 months (long-term follow-up) after transition from a basic, locally-developed to a comprehensive, commercial EHR. Satisfaction with the EHR (overall and by component) was captured at each interval. Overall satisfaction was highest at baseline (85%), lowest at short-term follow-up (66%), and increasing at long-term follow-up (79%). This trend was similar for satisfaction with EHR components designed to improve patient safety including clinical decision support, patient communication, health information exchange, and system reliability. Conversely, at baseline, short-term and long-term follow-up, perceptions of productivity, ability to provide better care with the EHR, and satisfaction with available resources, were lower at both short- and long-term follow-up compared to baseline. Persistent dissatisfaction with productivity and resources was identified. Addressing determinants of dissatisfaction may increase full adoption of EHRs. Further investigation in larger populations is warranted.
Patient Experience and HCAHPS by Ryan Abernethy, MHSAJulia Vashchenko
Patient Experience. We all hear about it all the time, but what does it really mean? Why is it important? And how is it measured? Answers to all of those questions can be found in this presentation.
This document discusses telemedicine and how it can help address issues in healthcare like timely access to care, lower costs, and increased quality. It introduces Teladoc, a telemedicine provider that offers phone or video consultations with licensed physicians 24/7 for non-emergency medical issues. Key points include:
- Teladoc resolves many common medical issues for a fraction of the cost of in-person visits, helping reduce healthcare costs and absenteeism.
- Its national network of board-certified physicians can diagnose, treat, and prescribe medications as appropriate for many conditions via phone or video consult.
- Studies show telemedicine can appropriately redirect care from urgent cares and ERs to lower-cost alternatives while
Crew Resource Management Slides - including Handoffs - from 2008 National Pat...Noel Eldridge
Presentation on Crew Resource Management and Team Training in the Department of Veterans Affairs. Dr. Dunn did most of the presentation, and I covered the handoffs portion. (Afterward someone from NPSF told me that this was the highest-rated breakout session at the conference.) One related video is on Youtube at: https://www.youtube.com/watch?v=aYZx1l8rkXA . A story on the software tool we developed for handoffs is at this website, see pages 12-13. http://www.va.gov/opa/publications/vanguard/09janfebVG.pdf
An article on the tool in the Joint Commission Journal is on-line at: http://www.ingentaconnect.com/content/jcaho/jcjqs/2010/00000036/00000002/art00003 Sorry it's not a full-text freebie. If you would like a pdf copy of it you can email me at neldridge202@yahoo.com.
The document discusses strategies for transforming healthcare delivery through population health management, care coordination, and virtual care technologies. It provides examples of how partnerships between healthcare organizations and technology companies have implemented programs utilizing telehealth, remote patient monitoring, and digital platforms to improve outcomes, lower costs, and enable aging in place. Case studies demonstrate how these approaches have reduced hospital admissions and lengths of stay, ICU transfers, mortality rates, and costs while improving quality of life.
Anatomy of a Pilot at Health 2.0 Provider Symposium - Clinical Box and Lowell...health2dev
The document summarizes key points from a health 2.0 provider symposium discussing managing patient care across transitions, challenges with procedure cancellations, and the need for changes to care coordination and patient engagement due to payment reform pressures. It then provides details on a pilot program using a clinical coordination platform to activate patients, engage families, identify high-risk patients, coordinate providers, and measure costs and quality. The pilot saw improvements in efficiency and outcomes. Lessons learned focused on starting small, demonstrating value to key stakeholders, ensuring business model alignment, and persevering through challenges in the healthcare industry.
Improving communication between physicians and patients is important because poor communication leads to many negative health outcomes and financial consequences. A company called Astute Doctor addresses this issue by providing online interpersonal skills training for physicians. Their courses teach physicians techniques to improve communication that have been shown to increase patient experience scores, reduce malpractice risk, and improve health outcomes. The training is designed to be engaging, practical, and drive long-term behavior change in physicians through various interactive learning formats.
Confidential 1450 physician_powerpoint_emr_ver 12-23-08Dragon Medical
The document discusses the challenges of documenting care in an electronic medical record (EMR) and presents the Dragon Medical solution as a way to speech enable EMRs. It notes that EMR adoption is rapidly increasing and documentation requirements are rising to maintain reimbursement levels. Template-based EMR notes lack narrative and decision making. The Dragon Medical solution allows physicians to dictate in their own words within the EMR, improving productivity and reimbursement while eliminating transcription costs. Case studies demonstrate increases in productivity, quality of care, and cost savings from implementing Dragon Medical with EMRs.
Here are some best practices and user stories related to HL7 integration, downloads, and front-end processes based on the Trace workshop:
HL7 Integration Best Practices:
- Configure HL7 interface to send registration, admission, discharge, transfer (ADT) data to Trace for automatic patient indexing
- Test HL7 interface regularly to ensure accurate and timely data exchange
- Train staff on searching by demographics and selecting correct patient record from HL7 results
Downloads Tab Best Practices:
- Educate clinical staff on ability to upload files from documents library or desktop applications for PixCert, faxing, notifying, or printing
- Consider customizing downloads tab with shortcuts to common file locations to
This document discusses Emory Healthcare's use of the Patient Responsibility Pricer (PRP) to improve patient satisfaction and increase self-pay collections. It describes Emory Healthcare's facilities and billing entities. The PRP allows Emory to provide patients with estimates of their financial responsibility prior to services. This upfront communication improves the patient experience and allows Emory to collect more from self-pay accounts before services are rendered. Since implementing the PRP in 2007, Emory has seen millions more collected prior to services and decreases in bad debt and customer service calls.
What Veterinarians Can Learn From Physician Practice Modelsmjmcgaunn
Veterinarians can learn from physician practice models that aim to gain market share through innovation and niche services. Concierge medicine offers patients enhanced services for an annual retainer fee averaging $10,000. Compensation for veterinarians should balance incentives for individual and team performance with base salaries that increase with experience and responsibilities. Electronic medical records can reduce medical errors and some hospitals have seen a 7.2% lower mortality rate when using health IT.
This Conversation May be Recorded for Quality PurposesTraceByTWSG
Three industry leaders will share strategies to improve patient experience by recording, monitoring and scoring patient encounters.
As consumers, we have come to expect customer service calls to be recorded for quality purposes. This presentation will share why leading healthcare organizations are now following suit and incorporating recording and quality scoring throughout the revenue cycle. A panel of Patient Access innovators will share methods for monitoring and scoring patient encounters to improve patient experience. Attendees will hear outcomes and walk away with practical steps to standardize communication best practices among their teams.
LifeView Care ATI Solution Presented by SprintMindy Altiero
The document discusses a Home Intensivist Practice model called Advanced Care Management (ACM) that provides intensive home-based care for high-risk, high-cost patients through an interdisciplinary team. The ACM model is shown to reduce hospitalizations and medical costs compared to traditional care, improving outcomes and lowering spending. It also improves patients' health, quality of life, and empowerment through daily monitoring and care coordination. The model benefits insurance companies, employers, and health systems by controlling costs while maintaining benefits and networks.
1. The document discusses digital healthcare solutions for physicians' offices, including electronic medical records (EMRs) and communication technologies.
2. It promotes the benefits of integrating Allscripts EMR with Cisco communication solutions, such as increased productivity, enhanced patient care, and improved clinical decision making.
3. Customer testimonials highlight how specific practices realized benefits like eliminating after-hours staffing needs, improved patient care, and reduced costs by utilizing the proposed solutions.
Similar to Digital Engagement of ED Patients 4-18-16 (20)
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.
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.
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.
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.
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.
This presentation from the 2014 ASHRM Conference analyzes the legal, regulatory and clinical risks related to meaningful consent and offers ways to mitigate them.
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.
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.
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.
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.
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.
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.
Role of Physiotherapy management in lumbar canal stenosis.Anjali Rana
Lumbar canal stenosis is a narrowing of the spinal canal in the lower back, often causing compression of nerves and resulting in pain, numbness, or weakness in the legs. This condition typically develops gradually, impacting mobility and quality of life, necessitating tailored medical management or surgical intervention for relief.
TheHistroke 340B Program Solutions | TheHistrokeTheHistroke
"Histroke's Mission is simple: Build partnerships that strengthen and protect the healthcare safety net. Our subject matter experts, technology, and solution engineers collaborate to provide innovative solutions and frameworks to help you automate 340B program management processes. Our strategy is to customize your 340B program through a combination of proprietary technology and shared perspective.
Our team is aware of the challenges you face, and we want to simplify the process for you and your partners. We do this by developing solutions to enable compliant management and oversight of the highly complex 340B program.
With 340B program knowledge, we are focused on completing 340B program audit, prescription compliance, claims audit software, 340B AI assistant, and data analytics and reporting solutions.
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.
At Histroke, we specialize in automating 340B program management processes by leveraging the expertise of our subject matter specialists and collaborating with our technology and solution engineers. Our mission is clear: to build partnerships that fortify and protect the healthcare safety net. Through a combination of proprietary technology and shared perspective, we customize 340B programs to meet your unique needs. Our team is dedicated to simplifying operations for you and your partners, developing solutions to ensure compliant management and oversight of the complex 340B program. Our Product MetaBridge ensures 100% 340B audit success by offering program audits, prescription compliance, claims audit software, AI assistants, and analytics
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.
Attitude and Readiness towards Artificial Intelligence and its Utilisation: A...ShravBanerjee
AI is a hot topic in recent days... We students of IPGME&R, Kolkata, India have done a study on Attitude, Readiness and Utilization of AI by medical students.
Artificial Intelligence (AI): The theory and development of computer systems able to perform tasks normally requiring human intelligence, such as visual perception, speech recognition, decision-making, and translation between languages.
Our study showed that:
1. Nearly half of the study participants showed a favorable attitude towards role of AI in healthcare
2. Around three-fifth of the participants could define basic concepts of data sciences and AI and were ready to choose AI based applications for healthcare; they were willing to accept AI usage despite feeling a lack of cognitive skills
3. Most of them used AI-based applications for studying (ChatGPT), however, some of them faced difficulties in using them
Thank you!
Yoga Nidra Retreat in Bangalore
Yoga Nidra Retreat in Bangalore
A restful night is key to a healthy lifestyle. The reason behind many health issues that most people have from the modern way of living is nothing but lack of proper sleep. Well, it’s not like they don’t want to sleep, lack of time, an after-effect of day-long stress, and long-term anxiety trigger sleeplessness and thus respective disorders as well.
As per the recent survey, the insomnia percentage in India is above 33%, and the people who are most likely to be impacted with sleep deprivation hover around 52%. These numbers are higher compared to other countries.
Are you one of those populations suffering from sleeplessness and health issues due to lack of proper sleep? If Yes, then you must know that Yoga is the only way to get out of your situation to ensure restful nights after daylong stress and busy working schedules throughout the week.
Besides, even scientific studies prove that frequent consumption of stress-relieving, depression, or sleeping pills is not at all good for health and the brain. In such a scenario, Yoga is the only effective and probably most reliable way to get your sleep on track. Karuna Yoga Vidya Peetham will be on your side as a reliable Weekend Yoga Nidra Retreat in Bangalore.
Yoga Nidra aims at activating the relaxation response and improving the nervous and endocrine system functioning to ensure peaceful nights and active working hours.
Benefits:
An emphasis on some of the more Eastern practices (like yoga nidra, including pranayama, kriyas, mantras).
A peaceful location – the perfect setting for a Yoga Nidra Retreat.
Deepen your yoga practice and take it to the next level.
Retreat Curriculum Details
Practice Relaxation & Preparation for Yogic Sleep
Introduction to the concept and practices of relaxation
Relaxation in daily life
Sequence of relaxation practices
Tension & relaxation exercises
Systematic relaxation exercises
Preparations for Yoga Nidra
Mantra chanting
Introduction to mantra science
Morning prayers & Evening prayers
Surya-namaskar 12 mantras along with bija mantras
Pranayama Practices
Establishment of diaphragmatic breath
Different practices of pranayama
Yoga Nidra philosophy, Lifestyle, & Yoga Ethics
What is Yoga Nidra?
Philosophy of Yoga Nidra
Yoga Ethics
What Makes This Retreat Special
The practice of Yoga Nidra has been secret and imparted to those few yogis who have mastered their sleep. In Indian Mythology, there occurs a unique concept of sleep. We often find even the trinity of the universe Lord Brahma, Vishnu, and Shiva under the domination of sleep.
The course will explore the concept of Yoga Nidra details at theoretical and practical levels. This is designed to assist students of yoga to understand and experience the deeper layers of their personalities.
Type: Yoga Nidra Retreat
Date: 11th Sep 2021
Duration: 2 days
Location: Bangalore outskirt, India.
Food: Vegetarian
Accommodation
Shared Dormitory
Room
Mudra & Pranayama Certificate Course
Online/Offline 12 Hrs – Mudra & Pranayama Certificate Course
12 hours – Mudra and Pranayama Certificate Course
What is Yoga Continuing Education Courses (YACEP)
We offer various training programs to deepen knowledge and improve teaching skills through various yoga teacher training courses. Continuing education is a post-learning, formal learning program for yoga practitioners that can have credit courses as well as non-credit courses. These courses are intended to allow an individual to extend their insight and develop their abilities in a particular field. Numerous callings even expect individuals to take up Continuing Education to have the option to recharge their permit and seek after their training.
Continuing education in yoga mainly serves two purposes
To deepen your existing knowledge and skills.
To teach you new skills and techniques related to teaching yoga.
Yoga Alliance Registered Continuing Education Provider, Courses Open to Everyone.
This course is eligible for Continued Education (CE) credits with Yoga Alliance. It is accredited by Yoga Alliance and it can be used as a continuing education course (YACEP) for Register Yoga Teachers with Yoga Alliance
Deepen your practice and your knowledge
Are you are yoga professional or a curious practitioner and wish to deepen your yoga knowledge and techniques? Then a continuing education course may be something for you! You will learn selected specialized yoga topics that will allow you to expand your horizons when it comes to your personal practice or that of your students. With the knowledge you will acquire, you will gain a deeper understanding of the functioning of anatomical and energetic body layers, and develop a more complete insight into yoga.
International Certification
Upon successful completion of the course, you will receive a certificate of completion of the Mudra and Pranayama Certificate Course, which you can count towards your continuing education. Our yoga teacher training courses are accredited by Yoga Alliance USA.
About the course facilitator
Dr. S. Karuna Murthy, M.Sc., Ph.D., E-RYT 500, YACEP
Dr. S. Karuna Murthy is one of the most experienced Yogi practicing the ancient and the greatest Yoga tradition since he was 18 years of age. Following in the footsteps of his inspiration Swami Sivananda who was also the founder of Divine Life Society, has mastered the ancient Yoga traditions that only a few in this world are familiar with.
He completed M. Sc from Swami Vivekananda Yoga Anusandhana Samasthana University and Ph. D from Bharathidasan University. Besides, Dr. S. Karuna Murthy has also completed TTC and ATTC and is registered E-RYT-500 with American Yoga Alliance. Those qualifications depict his expertise in the context of Yoga and mastering Yoga Teaching methodology.
With the immense interest to serve the people with the ancient Yoga techniques, he also served as a Yoga therapist at S-VYASA, Bangalore. He has also served as a Yoga
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.
Etiologies of Bipolar disorders. Power Point Presentation ptx
Digital Engagement of ED Patients 4-18-16
1. Digital Engagement
of Discharged ED Patients
is a Must
Thursday, April 14, 2016
2:45-4:00 pm
Tom Scaletta, MD
ED Chair and PX Medical Director
Julie Danker, MSW, LCSW
PX Director
2. Disclosure
• Tom is President of
• Smart-ER owns the IP used in EffectiveResponse™,
which is distributed by
4. Edward’s 12-Year Experience
• Contacting patients the day after ED discharge keeps
them safe and satisfied
• Engaging patients digitally (instead of by telephone call)
reduces cost and increases reach
• Workflow automation allows charge nurses and case
managers to efficiently intervene on wellbeing issues
• Built-in response module allows acknowledgement of
compliment and resolution of complaints by ED leaders
• Statistically-valid metrics and relevant comments drive
providers to achieve top-tier performance
9. Dialing
• Disruptive
- Caller ID hook
- Rushed answers
• Expensive
- 1 FTE per 25K annual volume
- $100K/RN and $50K/clerk (includes benefits)
- Plus supervision/space/equipment/turnover
• Bias/Inconsistency
10. Digital
• Asynchronous
- Non-disruptive contact
- Thoughtful response
• Automated
- Pop-ups and alerts
- Align to workflow
• Effective
- Consistent method
- Same reach, one-fourth cost
11. Smartphone Accessibility
• Three-quarters of all US adults
• Half of those below the poverty line
• One-third of those over 65 years old
- though two-thirds
have internet/email
12. Digital Connectivity
• Email address (65%)
- 50% opened
- 1% unsubscribe
• Cellphone number (90%)
- 78% texts delivered
- 0.5% opt-out
• Home phone (half are landlines)
• Some digital means (95%)
13. Power of PX
• ED-CAHPS
- Penalty v bonus
• High co-pays/deductible
- Consumerism
• Better communication
- Better outcomes
- Less complaints
14. What’s the best reason to focus on
providing a great patient experience?
a. Hospital employee bonuses are tied to PX metrics.
b. The biggest Foundation donor lives nearby.
c. CMS links 30% of reimbursement to CAHPS.
d. Patient loyalty improves the hospital’s profit margin.
e. Satisfied patients generate less lawsuits.
15. What’s the best reason to focus on
providing a great patient experience?
a.
b.
c.
d. Patient loyalty improves the hospital’s profit margin.
16. Loyalty
AdvisoryBoardCompany(2016)
• High PX hospitals have 25% greater Likeliness to Refer
- 10% increased retention = 50% increase in profits
• Drivers
- 2/3 = PX
- 1/3 = Cost
- 1/3 = Quality
17. Benchmarking
• External: validate the “whole”
- Similar EDs
- Low n acceptable
- More of a destination
• Internal: validate the “parts”
- Individuals within same ED
- High n required
- More of a journey
18. Edward-Elmhurst Health
• External benchmarking
- Press Ganey (CAHPS vendor)
• Internal benchmarking
- EffectiveResponse™
• Rate the provider by the level of concern showed for
your wellbeing
• Very high (top box) = 60%
19. Typical Response Types
• Top-box
- 6 times as loyal as next box
- Rate the provider by the level of concern shown
(Very High/High/Average/Low/Very Low)
• Net Promoter Score – likelihood to recommend
- NPS = %Promoters - %Detractors
10 9 8 7 6 5 4 3 2 1
Promoters Passives Detractors
20. EDPEC (ED-CAHPS)
• 37 service questions
• Low n due to length
• Results lag by 6 weeks
• Begins in 2017
24. Existence of a Relationship
• Accuracy
- Type 1 error: False positive
- > 95% accuracy (p < 0.05)
• Power
- Type 2 error: False negative
- 80% power
• Validity
- Internal: current setting
- External: other settings
25. Tale of Two Doctors
Mean = 57.8
SD = 6.6
2015 Performance
TopBoxScore
26. Required Sample Size
• Assumptions
- p < .05 (Zα = 1.96)
- Power = 80% (Zβ = 0.84)
- EPs get top ranking for PX by two-thirds of patients
- Standard deviation is X (delta)
- Change of 2X is significant (sigma)
• How many responses necessary to prove an outlier?
27. 30: The Statistical “Magic” Number
- 30 = necessary sample size for valid results
- Typical EP sees 300 patients a month
• 300 x 80% x 30% = 72
- Handel:15% of ED patients received paper surveys
and 11% returned them, for a 1.7% sample rate
• 300 x 80% x 1.7% = 4
• 8 months to measure performance (2,400 patients)
https://www.researchgate.net/post/What_is_the_
rationale_behind_the_magic_number_30_in_statistics
32. G.R.E.A.T.™ Coaching
• Appear confident and unhurried
• Warm introduction to all in the room
• Carefully listen (paraphrase)
• Look for other ways to relate
- weather, sports team, clothing, profession
• Explain well (our primary service)
• “Do you have any other concerns?“
• “Thanks for putting your trust in us.”
33. Focus on ED Satisfaction
• Consumerism (due to high copay/deductible)
- Patients consider themselves customers
• Organizations compared based on satisfaction scores
- www.HospitalCompare.hhs.gov
• Bonus or penalty based on satisfaction scores
- Value-Based Purchasing Program
- EDPEC* (ED-CAHPS) expected in 2017
* Emergency Department Patient Experiences with Care
(EDPEC) survey is currently being tested by CMS
34. Complaints
• Typical causes
- Poor communication
- Inattention
- Excessive cost
• Immediate and appropriate response by authority figure
• View as loyalty opportunity
- Apologizing and promising a fix may create turnabout
- Closing gaps makes future patients more loyal
43. Wellbeing: “Worse”
• 4% “worse”
- “Pop-up” states contact PCP or return to ER
• Downward trajectory associated with missed diagnoses
and gaps in expectation management
- 1 in 25 “worse” instructed to return
- 1 in 250 “worse” would otherwise be claims (estimated)
• 50K ED, electronic contact mitigates 2 claims a year
- (50,000 x 80% x 30% x 4% ÷ 250 = 2)
44. Example: Knowledge Gap
25 F in rear end auto collision diagnosed with whiplash and
reports worse neck and back pain the next day
• Problem
- Patient unaware increased next day pain expected
• Intervention
- Charge nurse called patient to assure no neurological
symptoms
- Patient pleased with the attention
- Unnecessary ED return avoided
45. Example: Follow-up Gap
9 F with extremity fracture, referred to on-call orthopedic
surgeon and refused since “out of network”
• Problem
- Medicaid HMO has limited referral options
• Intervention
- ED case manager reminded office manager about the
on-call obligation
- Next-day visit scheduled
46. Example: Averted Claim
25 M with diagnosis of “lumbar strain” developed fever and
weakness
• Problem
- Potential missed diagnosis
• Intervention
- Charge nurse instructed patient to immediately return
- Epidural abscess diagnosed on MR
- Patient had urgent surgery and regained full strength
54. • Creates an opportunity for the
voice of the patient to be heard
55. • The final screen can link to the patient portal.
• Helps achieve Meaningful Use Stage 3 requirement that
25% of patients access PHI electronically
56. • Half completing self-assessment clicked to MyChart
• 53% new users to portal from EffectiveResponse
– Higher rate than any other source
69. Responder Role
• A typical
notification text
or email will
look like this.
• Depending on
system rules,
access can
require
authentication
Notifications
75. Related Articles
• A Better Way to Elicit Patient Feedback
• Can you afford not to invest in digital patient
engagement?
• Timely patient satisfaction surveys: No longer an option
• Best Practices for improving care with patient follow-up
• Post-Discharge Follow-Up Isn't Just for Hospitalizations:
The Value of Contacting ED Patients
• Discharge Texting: The Evolution of ED Callbacks
• Happy Meals for Everyone?