HXR 2016: New Models for Care Delivery -Ethan Berke, Dartmouth-Hitchcock

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ImagineCare is a digital health platform developed by Dartmouth-Hitchcock Health System to help people better manage chronic diseases. The platform was designed using principles of behavior change and focuses on making services easy to use, continuously valuable, and aimed at behavior modification. It incorporates consumer health wearables, evidence-based care pathways, and secure cloud technologies. The goal of ImagineCare is to empower individuals to live healthier lives and better self-manage chronic conditions through a mobile app that enables 24/7 access to personalized care plans, remote patient monitoring, and proactive support.

Transforming Chronic Disease Management with
ImagineCare Digital Health
Ethan Berke, MD, MPH
Medical Director, Clinical Design and Innovation
Population Health Management
Dartmouth-Hitchcock Health System

3
For people to stay engaged
in their health, digital
health services must be
easy to set up and use,
offer continuous, real
time value, and focus on
behavior change

5
• Behavior change design
• Consumer friendly health wearables
• Evidence-based care pathways from
Dartmouth-Hitchcock
• Dartmouth-Hitchcock background and
expertise in research, value based care
• Secure Microsoft cloud technology
solutions, cloud analytics capabilities, and
IoT platform
ImagineCare is a technical and human
system to empower people to live
healthier lives and manage their
chronic illnesses.

7
Caregiver/Family
• 24/7 coordinated care
• Medical neighborhood integration
• Evidence-based, dynamic care
pathways
• Advanced analytics & Machine
Learning

8
• Easy to use mobile app
• 24/7 proactive support
• Latest sensors integration capability (sensor agnostic)
• Seamless set-up from app to sensor to live care
• Evidence based care plans:
Activity
Sleep
Mood, Stress, Depression
Engagement
COPD
CHF
Diabetes
Hypertension
More pathways added continually…

9
ImagineCare Platform ImagineCare 24/7 Digital Health Centers ImagineCare Data

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Yoga for Hypertension and Heart Diseases Yoga Hypertension and Heart Diseases Certificate Course Prevention and healing have been always the main purpose of yoga therapy practice. Yoga therapy is the process of empowering every individual to progress toward better health and optimal well-being through the application of the teachings and practices of Yoga therapy class. With the support of the Yoga trainer, implements a personalized and evolving Yoga therapy techniques that not only addresses the illness in a multi-dimensional manner, Pancha Kosa (Five Sheaths): Annamaya Kosha (Physical Body), Pranamaya Kosha (Energy Field), Manomaya Kosha (Mental Dimension), Vignanamaya Kosha (Psychic level of experience), Anandamaya Kosha (Bliss and Beatitude). It helps to reduce patient suffering in a progressive, non-invasive and complementary manner. Why to study yoga Hypertension and Heart Diseases course? Consequently, the demand for yoga therapist with specialized knowledge in yoga as a therapeutic tool, in different fields such as: health management organizations, hospitals and alcohol rehabilitation centers have grown rapidly. Studying yoga therapy as a tool to overcome and ease the symptoms of common illnesses has become extremely popular recently, due to the great therapeutic effects yoga practitioners experience in their body, mind and soul. What you will learn from this course? You may offer special seminars for people with similar diseases/conditions. You will learn how to use yoga to assist in healing ailments and managing conditions? You aim to be part of a positive change regarding health and lifestyle habits. You want to teach people how to prevent diseases. In group classes, you can teach your students how to become healthy. You will feel more self-confident when approached by students that come to yoga seeking for support in their healing process. Therapeutic applications of posture, movement and breathing. Pre-Requisites: This course is open to all students who wish to deepen their knowledge and application of some of the highest teachings of Participants do not need to be yoga Mastery of any yoga practice is not Only yours sincere desire for knowledge and your commitment to personal Love for Yoga is the most important eligibility factor for learning this course. Students who want to know Yoga in totality and move beyond Asana and Pranayama, Mudra & Bandha. Assessment and Certification The students are continuously assessed throughout the course at all levels. There will be a written exam at the end of the course to evaluate the understanding of the philosophy of Yoga and skills of the students. Participants should pass all different aspects of the course to be eligible for the course diploma. What do I need for the online course? Yoga mat Computer / Smartphone with camera Internet connection Yoga Blocks Pillow or Bolster or Cushion Strap Notebook and Pen Zoom Recommended Texts Asana Pranayama Mudra Bandha by Swami

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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

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50 Hr – Hatha-Vinyasa Yoga Teacher Training Course 50 hours – Hatha-Vinyasa Yoga Teacher Training Course Course Fee: INR 32,000 for Indian citizens only, for foreigners USD 350. Yoga Manual (01) Certificate Excluded with accommodation and food Upcoming Batches 50 Hr Non-Residential (Week-Days/Week-End) Professional Yoga Teacher Training Our 50 hours Yoga Teachers Training Course Hatha-Vinyasa Yoga Teacher Training Course is beautifully programmed for those enthusiasts who desire to have a professional certificate in the future but can’t afford the time of two months in one slot. If you have less time or you want to learn slowly, so 50-hour yoga teacher training course in Bangalore can be the perfect yoga course for you, karuna yoga offers a self-paced yoga teacher training course in Bangalore India, and you can join the other half in 1 year of time to complete 200/300 hours Teacher Training Course. In order to obtain a professional certificate of 200/300 Hour, Teachers Training Course affiliated with Yoga alliance one has to complete the 200 Hours which is usually completed in one or two months of time, we designed this course in such a way that if any participant wants to first get introduced with the way and process of professional yoga teacher training course and have only short time then students can enroll for this yoga course. Our 50 hours Yoga Teacher Training Course program runs along with our regular student of 200/300-hour Teacher Training Course students in the first phase, upon completion of the course if a student wants to finish remaining their balance of 150/250 hours of Teacher Training Course in the future, then students can continue the course of the second stage of Teacher Training Course to obtain 200/300-hour Teacher Training Course certificate affiliated with Yoga Alliance in order to have a professional certificate. Our 50 hours can be accepted as continuing education from Yoga Alliance if in the future you want to continue the training from our center. Please make a note while completing 50 hour TTC you will be only provided with a certificate issued by our organization and the certificate will not be affiliated with Yoga Alliance, and only after completion of the second stage of balance 150/250 hours of TTC, which technically becomes 200/300 hours in total of training, we will issue the certificate of 200/300-hour Teacher Training Course. Karuna Yoga Vidya Peetham is a Registered Yoga teacher training school in Bangalore, India with an affiliation of Yoga Alliance, USA which offers 50 Hour Yoga Teacher Training in Bangalore, India. If you look forward to the course then this is the best choice. International Certification Upon successful completion of the course, you will receive a certificate of completion of the 20 hour Hatha Yoga course, that you can count towards your continuing education. Our yoga teacher training courses are accredited by Yoga Alliance USA. Pre-requisites: This course is open to all student

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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.

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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.

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1. Transforming Chronic Disease Management with ImagineCare Digital Health Ethan Berke, MD, MPH Medical Director, Clinical Design and Innovation Population Health Management Dartmouth-Hitchcock Health System

2. 2

3. 3 For people to stay engaged in their health, digital health services must be easy to set up and use, offer continuous, real time value, and focus on behavior change

4. 4

5. 5 • Behavior change design • Consumer friendly health wearables • Evidence-based care pathways from Dartmouth-Hitchcock • Dartmouth-Hitchcock background and expertise in research, value based care • Secure Microsoft cloud technology solutions, cloud analytics capabilities, and IoT platform ImagineCare is a technical and human system to empower people to live healthier lives and manage their chronic illnesses.

6. 6

7. 7 Caregiver/Family • 24/7 coordinated care • Medical neighborhood integration • Evidence-based, dynamic care pathways • Advanced analytics & Machine Learning

8. 8 • Easy to use mobile app • 24/7 proactive support • Latest sensors integration capability (sensor agnostic) • Seamless set-up from app to sensor to live care • Evidence based care plans: Activity Sleep Mood, Stress, Depression Engagement COPD CHF Diabetes Hypertension More pathways added continually…

9. 9 ImagineCare Platform ImagineCare 24/7 Digital Health Centers ImagineCare Data

10. 10

Editor's Notes

Uncoordinated, not personalized, inconvenient, fragmented (misses opportunities and increases potential for errors), and costly!
Here’s what the future looks like
Here’s what the future looks like
Here’s what the future looks like
24/7 nursing and health navigators Not enough to create technology – need human solution and workforce innovation
Here’s what the future looks like
Here’s what the future looks like
Here’s what the future looks like
Here’s what the future looks like

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