Delivered by Dr. Paul Seale, Family Physician and Professor & Director of Research in the Dept. of Family Medicine Navicent Health/Mercer University, this presentation shows the potential Georgia has for being a leader implementing SBIRT.
Expedited patient-centered outcome measurement development for cancer careCancer Institute NSW
The need for real-time access to outcomes data is well-recognized. However, providers, payers, and patients lack access to timely and relevant outcomes data to support informed decision-making and comparisons across providers and over time. To help address these gaps, MD Anderson initiated a project to develop patient-centered outcome measures and to integrate data collection within the electronic health record (EHR) in 2014.
The document discusses problems with the current healthcare system including long wait times, lack of access to patient information, and poor communication between providers. It identifies that patients often lack health information and there is no standardized IT system to share data. A proposed solution is a national patient database that would give authorized healthcare providers up-to-date patient information to improve coordination and allow for more informed care decisions. The expected benefits include increased efficiency, reduced wait times, and improved health outcomes.
This document contains a report summarizing two articles about the relationship between diet and sleep. The first article summarizes a study finding that high fat diets may cause daytime sleepiness. The second article describes a study of over 1800 Australian men that found those with high fat intake were more likely to experience daytime sleepiness and sleep apnea. The report provides a critical review of both articles, noting limitations such as reliance on self-reported data and limited population samples. It concludes that while the findings could influence public health, they have minimal implications for nutrition professionals due to weaknesses in the study methods.
Denesha Harvey has over 10 years of experience as a licensed registered nurse, including in home health care, medical-surgical units, and hematology/oncology. She holds a Master's of Science in Nursing from Walden University and a Bachelor's of Science in Nursing from Columbus State University. Her clinical experiences include primary care, obstetrics/gynecology, and pediatrics. She seeks a position as a family nurse practitioner where she can utilize her leadership skills and experience providing comprehensive patient care.
e-bulletin - 001 - Study Looping Nutrition Assessment’s Counseling and Suppor...Bill Philip Okaka
This document discusses a study on the effectiveness of patient self-management (PSM) in strengthening patient engagement, adherence, retention, and health outcomes for people living with HIV (PLHIV) in Kenya. It notes that while stigma and HIV prevalence are declining with increased prevention, care, and treatment, malnutrition among PLHIV remains high. The study aims to demonstrate that mutually agreed upon goals between patients and healthcare workers through the PSM process can improve wellness and adherence. The joint research hopes to increase patient engagement, retention in care, viral load suppression, nutrition status, and reduce infections. Last week, 10 research assistants were trained on qualitative and quantitative data collection methods to collect quality data to guide policymaking on scaling up the P
Sandra K. Tyson has directed two major healthcare programs since 2012. The first is the Texas Medicaid Network Access Improvement Program, which has funded 21 projects at the UT Health Science Center-Houston including new community health centers and medical homes for at-risk groups. The second is the Texas 1115 Medicaid Transformation Waiver Delivery System Reform Incentive Payment Program, for which the UT Health Science Center-Houston has implemented 22 projects expanding access to primary care, specialty care, and behavioral healthcare in community clinics and underserved areas. Both programs receive funding from the Centers for Medicare and Medicaid Services and aim to improve healthcare delivery and access.
Is awareness of DOTS amoung medical practitioners in Mysore a worry ?-Mudassi...IPHIndia
This document reports on a study that assessed awareness of DOTS (Directly Observed Treatment, Short-course) among medical practitioners in Mysore, India. The study found that overall awareness and usage of DOTS was low, particularly among doctors who graduated before DOTS was included in the curriculum and those practicing in the private sector. However, doctors working in government sectors felt DOTS was more effective than other treatment methods. The study concludes there is a need for improved communication between tuberculosis programs and doctors, and suggestions are made to enhance DOTS education and engagement of private medical practitioners.
The Rhode Island Infectious Diseases Research Program (RIID) is led by Director Kerry LaPlante and focuses on outcomes and pharmacoepidemiology research as well as antimicrobial pharmacology. The program includes post-doctoral fellows, physician candidates, pharmacy students, and staff across several areas including antimicrobial stewardship, clinical trials, and vaccines.
Integrating nutrition into national HIV policies and programs: experience fro...RENEWAL-IFPRI
This document discusses integrating nutrition into national HIV policies and programs based on experience from Africa. It summarizes the scientific evidence showing that nutritional supplementation can improve energy and protein intake as well as body weight and composition in HIV-positive individuals. However, more research is still needed to determine the impact on clinical outcomes like CD4 count and mortality. It also describes challenges faced and lessons learned from programmatic experiences integrating nutrition services into HIV care in several African countries. Key research gaps are identified around determining the effectiveness and cost-effectiveness of different food products and better harmonizing food security and nutrition programs for HIV-positive populations.
Joanne Anderson has over 15 years of experience in oncology nursing. She is currently the Clinical Manager of Oncology Services at Munson Healthcare where she coordinates cancer care services and works to improve quality standards. Previously, she was the Assistant Department Manager at Sparrow Cancer Center where she oversaw day-to-day operations and developed quality initiatives. She has extensive leadership experience in oncology nursing and a passion for improving patient care and outcomes.
The responsibilities of doctors who specialize in critical care medicine have vastly changed along with the times. Primarily, this field of medicine was focused on ensuring patient survival from severe illnesses. However, the treatments involved looked at the short-term and may come at cost. Some treatments and therapies have adverse effects to the patient’s quality of life after their confinement in the ICU.
The document discusses a study that found nutritional supplements can help reduce hospital readmission rates. Hospitals face fines under the Affordable Care Act if their readmission rates are too high. To avoid fines, hospitals may create new outpatient programs and follow-ups using nutritional supplements to help elderly patients recover fully after being discharged. The 11-year study from USC and Stanford found supplements cut readmission rates by giving patients more energy and nutrition to recover at home instead of being readmitted.
1. The study examined the experiences of over 3,400 caregivers of individuals with autism spectrum disorder (ASD) in receiving an ASD diagnosis and follow-up services in Pennsylvania.
2. It found that over time, the gap between first developmental concern and age of diagnosis has decreased, and the distance traveled for diagnosis has also decreased but remains high in some counties.
3. More recently diagnosed children received more extensive follow-up services compared to older individuals.
The researchers assessed physical medicine and rehabilitation residents' knowledge of Medicare principles before and after a one-hour educational intervention. The mean score on a 10-question pre-test was 38% for all residents, showing a knowledge gap. After the presentation, the mean post-test score increased significantly to 85%, demonstrating that the intervention was effective in improving knowledge. However, scores did not differ between post-graduate years, indicating residents may not learn these fundamentals over their residency without targeted education. The researchers call for larger studies of effective teaching methods for systems-based practice.
Engaging the Participant - Telehospitalist program (innotech)JoAnna Cheshire
A telehospitalist is a physician who provides care for hospitalized patients at a distance using telemedicine. As the US faces a projected physician shortage, telemedicine and utilizing advanced practice clinicians can help address gaps, especially in rural areas with limited access to care. The document describes a telehospitalist program launched in Oklahoma in 2014 connecting physicians in Oklahoma City to patients in rural hospitals over 60 miles away. The program has had over 3,900 telemedicine visits for more than 1,100 patients. Key lessons learned include the importance of local buy-in, flexibility, and focusing on patient-centered care.
Paul Bristow, BKPA, and Karen Thomas, UKRR gave a presentation at BRS2017: Embedding patient reported experience into future QI - 1st National PREM Pilot Survey 2016
The document summarizes 15 research articles that evaluated the accuracy of the Confusion Assessment Method for the ICU (CAM-ICU) in identifying delirium in adult ICU patients compared to practitioner judgment. The majority of studies were quasi-experimental and found that the CAM-ICU more accurately identified delirium than practitioner judgment alone. However, the CAM-ICU had lower sensitivity than specificity, so it could potentially under-identify delirium. The studies concluded that while the CAM-ICU is currently the most accurate tool, it should be used along with practitioner judgment until a screening tool with higher sensitivity is developed.
Blastech Private Limited is a company that specializes in mining and excavation. It appears to be located in India and have expertise in extracting resources from the earth. The document provides little other information about the company, its services, leadership, or operations.
Find Easily Free Events And Free Conferences. Also Know About Free Trade Shows, Free Events Information And Reviews Upcoming Events In US. Visit With Your Family Lucky For You in US
Find here all the information related to Hotels, Resorts, Restaurants, Movies, Car Hire, Advocates, Doctors, Local Dating, Local Health Information In Palo Alto. For more details visit our site http://www.bipamerica.com
The document summarizes renovations made to the Thrive Acupuncture Office. Key changes included upgrading both workspaces and treatment rooms with custom storage solutions, warm lighting, comfortable furnishings, and upgraded technology. Additional upgrades such as new paint, plants, and a waiting room library were aimed at creating a warm, welcoming environment for patients.
Durisol is a building system that uses recycled wood to form insulating concrete wall units. The wood is "mineralized" and formed into durable blocks with an open cell structure that provides insulation but does not burn, rot, or support insects. The lightweight blocks are dry stacked without mortar, then filled with concrete to form a monolithic concrete frame. Durisol walls can achieve high insulative values while offering construction cost and time savings compared to traditional methods. The blocks have been used internationally for over 60 years to construct a variety of buildings from houses to schools to high-rises.
Driving is a serious responsibility that requires obeying traffic laws and showing courtesy to others. Having a driver's license is a privilege that comes with expectations to drive safely and follow all rules of the road. Driver education is important as it teaches skills that can prevent accidents and their high costs. The automobile has significantly impacted society through increased mobility, new industries, and urban development, though it also creates health issues like pollution. Future automobiles may be powered by new sources and include advanced safety technologies.
Chapter 9 gravity flow water supply systemGokul Saud
This document provides an overview of gravity flow water supply systems that are commonly used in rural, hilly areas of Nepal. It describes the key components of these systems including various types of intakes, collection chambers, reservoirs, pipelines, and tap stands. It also discusses the feasibility and design process, including assessing community need, conducting surveys, and applying hydraulic principles. Design considerations like avoiding U-profiles in pipelines and using break pressure tanks are also covered.
Donna P. Michael-Wilson is seeking a position in food and nutrition services. She has over 20 years of experience managing food and nutrition departments in hospitals. Her experience includes directing daily operations, facilitating performance improvement, managing budgets, and serving as a clinical preceptor. She has a Master's degree in Human Nutrition and is a Registered and Licensed Dietitian.
Lynne E. Becker seeks a position in corporate project research based on her extensive experience managing clinical research projects and studies. She has over 20 years of experience developing research protocols, recruiting study sites and participants, ensuring regulatory compliance, and using information technology to efficiently achieve research goals. Becker has managed both small and large studies of up to $250,000 and $5 million respectively. She is skilled in all aspects of clinical research including protocol development, site selection and training, patient recruitment, database design, and regulatory reporting.
The Elderhaus PACE program in North Carolina aims to improve functional outcomes for elderly participants while reducing healthcare costs. Preliminary data shows that after 5 years of operation, 46% of participants improved their functional independence and 20% maintained their level, while utilizing less costly hospital and institutional care. The program organizes care plans around standard domains of biopsychosocial function and uses quantitative measures to document baseline functionality and improvements. Next steps include disseminating this care planning process to other PACE programs to measure its impact on outcomes and costs.
1. The study compared the effects of a 12-week team-based learning (TBL) diabetes education intervention versus traditional lecture-based education on patient outcomes. 57 patients were randomized into either the TBL or control group.
2. While both groups showed improvements in clinical markers and knowledge over time, the TBL group showed a significant difference in A1C levels compared to the control group at 6 months. The TBL group also showed significant improvements in systolic blood pressure and self-efficacy.
3. Overall, the study found that TBL patient education led to better retention of diabetes knowledge and some improved clinical outcomes compared to traditional lecture-based education, suggesting TBL is a useful approach for diabetes
A Rare International Dialogue (Saturday May 11, 2019)
Translating Research into Care and Treatment
GenCOUNSEL: Optimizing Genetic Counselling with the Clinical Implementation of Genome-Wide Sequencing - Alison Elliott, University of British Columbia
This document summarizes a presentation on physician assessment and retraining through a collaboration between the KSTAR program and JPS Health Network. It provides background on physician re-entry to practice after an absence, outlines the KSTAR assessment process and mini-residency program at JPS, and shares demographic data and outcomes of the first 28 physicians who completed the program. The collaboration uses a comprehensive assessment to determine physicians' needs and place them in a 3-month mini-residency to address areas for improvement before returning to unrestricted practice. Most physicians are able to complete the program successfully and return to patient care.
This document describes several family history tools developed to assist primary care providers. It discusses the Pregnancy & Health Profile tool, which was implemented in four clinical settings and evaluated with positive feedback from patients and providers. It also describes the development of a pediatric family history tool in partnership with the AAP to launch in September 2013. Both tools integrate family history data with clinical decision support to help identify genetic risks and improve patient care.
To address family history collection, interpretation, and application in busy primary care practices, NCHPEG has collaborated collaborating with the March of Dimes, Genetic Alliance, Harvard Partners, and the Health Resources and Services Administration to develop and evaluate a novel family history tool that focuses on prenatal and neonatal health. The tool helps to improve health outcomes for the female patient, fetus, and family by providing clinical decision support and educational resources for risk assessment based on family history. A set of screenshots and an overview of the module can be reviewed via this downloadable ppt.
Donna P. Michael is seeking a position as Regional Dietetic Internship Director. She has over 30 years of experience in food and nutrition services management, clinical nutrition, education, and administration. Her background includes directing food service operations and clinical nutrition programs at several hospitals. She also has experience as an adjunct instructor, precepting dietetic interns, managing budgets, and facilitating quality improvement projects.
The document summarizes best practices in rural health care presented at the 2010 Virginia Rural Health Summit. It identifies common barriers to rural health care access such as lack of providers and long distances. It then highlights exemplar programs in four areas - oral health, maternal/newborn health, behavioral health, and telemedicine. For each area, one or two programs are described that improved health outcomes through innovative models of service delivery. The document concludes with policy opportunities to advance rural health, such as improving Medicaid reimbursement and reforming regulations around dental hygienists and malpractice insurance.
SBIRT is an evidence based approach to the delivery of early intervention and treatment to people with substance use disorders and those at risk of developing these disorders. Collaborative SBIRT Training for Maine’s Future Health Profession Leaders is a three-year grant totaling $870,000 from the U.S. Department of Health and Human Services’ Substance Abuse and Mental Health Services Administration (SAMHSA). The first of its kind to be awarded in Maine, this grant utilizes an interprofessional approach to the development and implementation of training programs to teach UNE students across 8 health professions the skills necessary to provide evidence-based Screening and Brief Intervention as well as Referral to Treatment for patients who are at risk for a substance use disorder (SUD). Additionally, the training will develop the leadership skills needed in order to champion the implementation of SBIRT throughout our healthcare system with the ultimate goal of helping clients avoid substance use disorders.
This presentation deals with SBIRT and Social Work in particular.
Bobbie Kithcart has over 30 years of experience in clinical nursing, health administration, and pharmaceutical consulting. She currently works as a Clinical Science Consultant for Boehringer-Ingelheim Pharmaceuticals, where she has led several initiatives to reduce readmission rates, improve medication adherence, and increase the use of new oral anti-coagulants. Previously, she has held leadership roles developing medical management programs, directing evidence-based asthma education, and obtaining multiple grants to study and prevent chronic diseases. Kithcart also has extensive experience cultivating partnerships across academia, healthcare organizations, and government to implement successful public health programs.
Mary Rose Gaughan has over 30 years of experience in nursing education, clinical practice, and healthcare administration. She currently works as an Assistant Professor of Nursing at Erie Community College, where she teaches medical surgical and pediatric nursing courses. Previously, she has held roles as an adjunct professor, clinical manager, insurance outreach specialist, and nurse educator. Gaughan has a PhD, Master's degree in Nursing Administration, and Bachelor's degree in Nursing. She has a proven track record of expanding programs, achieving measurable outcomes, and receiving awards for her work in healthcare.
RESEARCH Open AccessTelecoaching plus a portion control pl.docxsyreetamacaulay
RESEARCH Open Access
Telecoaching plus a portion control plate
for weight care management: a
randomized trial
Jill M. Huber1, Joshua S. Shapiro2, Mark L. Wieland1, Ivana T. Croghan1, Kristen S. Vickers Douglas3,
Darrell R. Schroeder4, Julie C. Hathaway5 and Jon O. Ebbert1,6*
Abstract
Background: Obesity is a leading preventable cause of death and disability and is associated with a lower health-
related quality of life. We evaluated the impact of telecoaching conducted by a counselor trained in motivational
interviewing paired with a portion control plate for obese patients in a primary care setting.
Methods: We conducted a randomized, clinical trial among patients in a primary care practice in the midwestern
United States. Patients were randomized to either usual care or an intervention including telecoaching with a
portion control plate. The intervention was provided during a 3-month period with follow-up of all patients
through 6 months after randomization. The primary outcomes were weight, body mass index (BMI),waist
circumference, and waist to hip ratio measured at baseline, 6, 12, 18, and 24 weeks. Secondary outcomes included
measures assessing eating behaviors, self-efficacy, and physical activity at baseline and at 12 and 24 weeks.
Results: A total of 1,101 subjects were pre-screened, and 90 were randomly assigned to telecoaching plus portion
control plate (n = 45) or usual care (n = 45). Using last-value carried forward without adjustment for baseline
demographics, significant reductions in BMI (estimated treatment effect -0.4 kg/m2, P = .038) and waist to hip ratio
(estimated treatment effect -.02, P = .037) at 3 months were observed in the telecoaching plus portion control plate
group compared to usual care. These differences were not statistically significant at 6 months. In females, the
telecoaching plus portion control plate intervention was associated with significant reductions in weight and BMI
at both 3 months (estimated treatment effect -1.6 kg, P = .016 and -0.6 kg/m2, P = .020) and 6 months (estimated
treatment effect -2.3 kg, P = .013 and -0.8 kg/m2, P = .025). In males, the telecoaching plus portion control
intervention was associated with a significant reduction in waist to hip ratio at 3 months (estimated treatment
effect -0.04, P = .017), but failed to show a significant difference in weight and BMI.
Conclusion: Telecoaching with a portion control plate can produce positive change in body habitus among obese
primary care patients; however, changes depend upon sex.
Trial registration: ClinicalTrials.gov NCT02373878, 13 February 2015. https://clinicaltrials.gov/ct2/show/
NCT02373878.
Keywords: Obesity, Telecoaching, Portion control plate, Primary care, Patient-centered medical home
* Correspondence: [email protected]
1Division of Primary Care Internal Medicine, Department of Medicine,
Rochester, MN 55905, USA
6Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA
Full list of author information is ...
Incorporation Population Health into Medical EducationGPHA
The document outlines plans to incorporate population health into the medical education curriculum at the Medical College of Georgia at Georgia Health Sciences University. It discusses assessing internal resources and community needs. A framework is proposed to introduce population health concepts into the 3rd and 4th year of medical school through lectures, seminars, clinical experiences, and service learning opportunities. The goal is to better prepare physicians for a healthcare system focused on prevention and community health as recommended by organizations like the Institute of Medicine and licensing exams. Contact information is provided for those wanting more details on the population health initiative.
This document summarizes the October 2016 edition of "Good News You Should Know", a newsletter from the LBJ campus of UTHealth. The newsletter highlights recent progress and achievements in quality care at LBJ Hospital and affiliated clinics. It discusses the hospital receiving re-designation as a Pathway to Excellence facility for nursing care. It also summarizes several quality improvement projects from LBJ faculty that were recognized in a quality competition.
Original ArticleThe Establishment of Evidence-BasedPract.docxhoney690131
Original Article
The Establishment of Evidence-Based
Practice Competencies for Practicing
Registered Nurses and Advanced Practice
Nurses in Real-World Clinical Settings:
Proficiencies to Improve Healthcare Quality,
Reliability, Patient Outcomes, and Costs
Bernadette Mazurek Melnyk, RN, PhD, CPNP/PMHNP, FNAP, FAANP, FAAN •
Lynn Gallagher-Ford, RN, PhD, DPFNAP, NE-BC • Lisa English Long, RN, MSN, CNS •
Ellen Fineout-Overholt, RN, PhD, FAAN
Keywords
evidence-based
practice,
competencies,
healthcare quality
ABSTRACT
Background: Although it is widely known that evidence-based practice (EBP) improves healthcare
quality, reliability, and patient outcomes as well as reduces variations in care and costs, it is still
not the standard of care delivered by practicing clinicians across the globe. Adoption of specific
EBP competencies for nurses and advanced practice nurses (APNs) who practice in real-world
healthcare settings can assist institutions in achieving high-value, low-cost evidence-based health
care.
Aim: The aim of this study was to develop a set of clear EBP competencies for both practicing
registered nurses and APNs in clinical settings that can be used by healthcare institutions in their
quest to achieve high performing systems that consistently implement and sustain EBP.
Methods: Seven national EBP leaders developed an initial set of competencies for practicing
registered nurses and APNs through a consensus building process. Next, a Delphi survey was
conducted with 80 EBP mentors across the United States to determine consensus and clarity
around the competencies.
Findings: Two rounds of the Delphi survey resulted in total consensus by the EBP mentors,
resulting in a final set of 13 competencies for practicing registered nurses and 11 additional
competencies for APNs.
Linking Evidence to Action: Incorporation of these competencies into healthcare system ex-
pectations, orientations, job descriptions, performance appraisals, and clinical ladder promotion
processes could drive higher quality, reliability, and consistency of healthcare as well as reduce
costs. Research is now needed to develop valid and reliable tools for assessing these competen-
cies as well as linking them to clinician and patient outcomes.
BACKGROUND
Evidence-based practice (EBP) is a life-long problem-solving
approach to the delivery of health care that integrates the best
evidence from well-designed studies (i.e., external evidence)
and integrates it with a patient’s preferences and values
and a clinician’s expertise, which includes internal evidence
gathered from patient data. When EBP is delivered in a context
of caring and a culture as well as an ecosystem or environment
that supports it, the best clinical decisions are made that
yield positive patient outcomes (see Figure 1; Melnyk &
Fineout-Overholt, 2011).
Research supports that EBP promotes high-value health
care, including enhancing the quality and reliability of health
care, improving health outcomes,.
Original ArticleThe Establishment of Evidence-BasedPract.docxvannagoforth
Original Article
The Establishment of Evidence-Based
Practice Competencies for Practicing
Registered Nurses and Advanced Practice
Nurses in Real-World Clinical Settings:
Proficiencies to Improve Healthcare Quality,
Reliability, Patient Outcomes, and Costs
Bernadette Mazurek Melnyk, RN, PhD, CPNP/PMHNP, FNAP, FAANP, FAAN •
Lynn Gallagher-Ford, RN, PhD, DPFNAP, NE-BC • Lisa English Long, RN, MSN, CNS •
Ellen Fineout-Overholt, RN, PhD, FAAN
Keywords
evidence-based
practice,
competencies,
healthcare quality
ABSTRACT
Background: Although it is widely known that evidence-based practice (EBP) improves healthcare
quality, reliability, and patient outcomes as well as reduces variations in care and costs, it is still
not the standard of care delivered by practicing clinicians across the globe. Adoption of specific
EBP competencies for nurses and advanced practice nurses (APNs) who practice in real-world
healthcare settings can assist institutions in achieving high-value, low-cost evidence-based health
care.
Aim: The aim of this study was to develop a set of clear EBP competencies for both practicing
registered nurses and APNs in clinical settings that can be used by healthcare institutions in their
quest to achieve high performing systems that consistently implement and sustain EBP.
Methods: Seven national EBP leaders developed an initial set of competencies for practicing
registered nurses and APNs through a consensus building process. Next, a Delphi survey was
conducted with 80 EBP mentors across the United States to determine consensus and clarity
around the competencies.
Findings: Two rounds of the Delphi survey resulted in total consensus by the EBP mentors,
resulting in a final set of 13 competencies for practicing registered nurses and 11 additional
competencies for APNs.
Linking Evidence to Action: Incorporation of these competencies into healthcare system ex-
pectations, orientations, job descriptions, performance appraisals, and clinical ladder promotion
processes could drive higher quality, reliability, and consistency of healthcare as well as reduce
costs. Research is now needed to develop valid and reliable tools for assessing these competen-
cies as well as linking them to clinician and patient outcomes.
BACKGROUND
Evidence-based practice (EBP) is a life-long problem-solving
approach to the delivery of health care that integrates the best
evidence from well-designed studies (i.e., external evidence)
and integrates it with a patient’s preferences and values
and a clinician’s expertise, which includes internal evidence
gathered from patient data. When EBP is delivered in a context
of caring and a culture as well as an ecosystem or environment
that supports it, the best clinical decisions are made that
yield positive patient outcomes (see Figure 1; Melnyk &
Fineout-Overholt, 2011).
Research supports that EBP promotes high-value health
care, including enhancing the quality and reliability of health
care, improving health outcomes, ...
This document provides an overview of behavioral health among youth in Georgia. It discusses that behavioral health encompasses both mental health and substance use disorders. Nearly half of US youth experience a behavioral health condition, and among Georgia youth, nearly 1 in 10 have been diagnosed with a behavioral health condition. The most prevalent conditions among Georgia youth are substance use disorders, anxiety, and depression. A variety of social factors can influence behavioral health, such as adverse childhood experiences, poverty, and access to healthcare and education. Over half of Georgia children have experienced at least one adverse childhood experience.
This webinar reviewed the bills, resolution, and budgetary items discussed during the 2016 Legislative Session that may impact Georgia’s health care system and health care consumers. The slides can be dowloaded below, or the archived webinar can be accessed via the HealthTec distance learning site at http://www.healthtecdl.org/events/details/Changes-in-Health-Care-and-Policy-in-the-2016-Georgia-Legislative-Session.cfm.
The document describes a case study of Cover Georgia, a coalition formed in 2012 with over 70 organizations and a steering committee to advocate expanding Medicaid in Georgia. The coalition holds regular meetings and communicates via Google groups. It aims to facilitate information sharing and collaboration among consumer health advocates on policy issues. The document outlines best practices for effective coalitions, including defining goals, conducting needs assessments, and evaluating progress.
The document summarizes Georgians for a Healthy Future's policy priorities and advocacy opportunities for the 2016 Georgia legislative session. GHF's top priorities include closing Georgia's coverage gap by expanding Medicaid, setting and enforcing network adequacy standards for health plans, and ending surprise out-of-network medical bills. The document outlines the Georgia legislative process and opportunities for public advocacy, such as testifying at committee hearings or contacting legislators.
The National Association of Insurance Commissioners (NAIC) unanimously adopted an updated version of its Network Adequacy Model Act in 2015. The Model Act serves as draft legislation that states can enact. Key provisions of the updated Act include strengthening protections against surprise medical bills, requiring accurate provider directories, and establishing standards for health plan networks to ensure adequate access to care. The Act also provides continuity of care protections and a mediation process to address out-of-network bills over $500 for those receiving care from out-of-network providers at in-network facilities.
Georgians for a Healthy Future advocates for expanding access to healthcare in Georgia. The Affordable Care Act has reduced the uninsured rate, but Georgia did not expand Medicaid so a coverage gap remains for low-income adults. Expanding Medicaid could improve access for over 400,000 Georgians currently ineligible for subsidies.
Delivered by Dr. Gabe Kuperminc from Georgia State University, the presentation details the results of the Georgia BASICS initiative where SBIRT was implemented in emergency rooms in Georgia.
This document describes a program called SBIRT in Schools that implements Screening, Brief Intervention, and Referral to Treatment (SBIRT) for adolescents at risk of substance abuse. It will partner with six communities to screen youth and link those at low-moderate risk to a brief mentoring intervention aimed at enhancing social supports. Youth identified at higher risk will be referred to treatment. The goals are to increase youth SBIRT capacity, connect sites to resources and best practices, and test approaches that can be more widely replicated to prevent substance abuse.
This presentation provides an overview of the Georgia Enrollment Assistance Resource Network, known as GEAR. GEAR is a one-stop shop for community organizations, enrollment assisters, and others working directly with consumers to educate them about health care.
This document summarizes the Affordable Care Act and its impact in Georgia. It discusses that Georgia has a Federally-Facilitated Marketplace, and that during Open Enrollment 2, over 541,000 Georgians enrolled in Marketplace plans, with the average premium being $73 per month after tax credits. It also outlines organizations that provided enrollment assistance and challenges faced, such as issues with Healthcare.gov and limited health insurance literacy. The document concludes by providing information on the upcoming Open Enrollment 3 period.
This chart book is chock full of infographics, data points, and maps that break down how Georgia's Medicaid program works, what the coverage gap is, and provides recommendations to close that gap.
This document discusses Georgia's coverage gap under the Affordable Care Act and the opportunity to close it. Georgia currently has over 300,000 residents who fall into the coverage gap because they earn too much to qualify for Medicaid but not enough to qualify for subsidies on the exchange. Closing the gap would provide affordable health care access for these residents. It would also benefit the economy, health care industry, and workforce by creating jobs and new economic activity. Studies of other states that have expanded Medicaid found budget savings, reduced uncompensated care costs, and improved health outcomes.
Georgians for a Healthy Future's (GHF) 2015 policy agenda focused on closing Georgia's coverage gap, ensuring access to quality healthcare for Medicaid and PeachCare beneficiaries, maximizing enrollment and a positive consumer experience for private health insurance, increasing Georgia's tobacco tax, and reinvesting in public health. The presentation provided background on these issues, GHF's role in advocating for related policies, and resources for attendees to get involved in the legislative process through advocacy opportunities like meeting with their legislators.
This slideshow presents best practices, lessons learned, and policy recommendations around covering Georgia's uninsured. It is based on a review of the open enrollment period for the Health Insurance Marketplace that ran from fall 2014 to winter 2015 and includes findings from interviews with enrollment assisters and other community partners.
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.
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
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Asana Pranayama Mudra Bandha by Swami
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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.
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
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
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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:
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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.
50 Hr – Restorative Yoga Teacher Training Certificate Course
50 Hr – Restorative Yoga Teacher Training Course
Course Fee: INR 15,000 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 Restorative Yoga Teachers 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 the Yoga alliance one has to complete 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 students who wish to deepen their
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5 Must-Have’s in ePCR Software for a More PROFITABLE and EFFICIENT EMS, NEM...
SBIRT Training in Georgia
1. Georgia: National Leader in
Training an SBIRT Workforce
J. Paul Seale, MD
Family Physician
Professor & Director of Research
Dept. of Family Medicine
Navicent Health/Mercer University
Macon, GA, USA
2. Healthy Habits Project 2002-3
Macon Family Medicine clinic
Clinicians trained: 25 residents, 8
faculty and 2 physician assistants (now
108 residents after 13 years)
Screened 3,041 patients, 241 (8%)
positive screens, 115 (3.8%) received
BIs
Demonstrated SBIRT’s feasibility
Seale, Shellenberger et al, Substance Abuse 2005; Seale, Shellenberger et al,
BMC Family Practice 2005
3. Project 2: GA-TX “Improving
Brief Intervention” Project
Timeline: 2005-2007
Aim: Replicate results of Healthy Habits
Project in 8 residency programs (4 in GA,
4 in TX)
Engaged “early adopter” faculty to serve
as site coordinators: Rome (Floyd Medical
Center), Atlanta (Morehouse Family
Medicine), Albany (Phoebe Putney Family
Medicine), Savannah (Memorial Family
Medicine)
4. Dissemination Results
189 residents & 6
faculty trained
Broad geographic
distribution across
Georgia
Shellenberger, Seale et al, Academic Medicine 2009;
Seale, Velasquez et al, Substance Abuse 2012
5. Project 3: Georgia BASICS State
SBIRT Initiative 2008-2013
Aim: Implement alcohol/drug SBIRT in
2 largest hospital systems in GA
Partnered with state health dept, Grady
Health Systems, Emory & GA State U.
Focused on SBIRT in emergency
departments
New: “specialist model” of SBI delivery
$15 million over 5 years
Johnson et al. Use of AUDIT-based measures, ACER 2013;
Johnson et al. Integration of screening question…Annals of Emerg Med 2013
6. SBIRT Grants by State, 2008
Missouri
W. Virginia
Georgia
Medical School Residency Grants
7. Project 4: Southeastern Consortium
for Substance Abuse Training
Rationale: limited SBI/substance abuse
initiatives in the southeastern US
Aim: Implement alcohol/drug SBIRT in
primary care residencies GA/NC/SC
Recruited 4 Family Medicine, 3 Internal
Medicine residencies & PA program
8. Dissemination Results
9 new clinics in 8 training programs,189
residents & 6 faculty trained in 3 states
Added SBI training in new discipline:
Physician Assistant training program
Training, systems intervention & strong
QI component led to increased SBI
rates in clinics
Pioneering work on coding & billing
Seale, Johnson et al, Academic Medicine 2015; Le, Johnson et al, JGIM 2015
9. Project 5: SECSAT for Advanced
Practice Registered Nurses
Rationale: as primary care delivery
changes to serve more patients, nurse
practitioners are in ideal role to do SBI
and bill for services provided
Engaged 6 GA advanced practice
nursing programs (Mercer, Emory,
UNG, Armstrong Atlantic, GCSU, South
U.)
Recruited 2 other “top ten” nursing
programs—Johns Hopkins, UAB
10. Dissemination Outcomes
Training in 8 new nursing programs,
587 students, 74 faculty and preceptors
trained in initial 2 years (goal: 900)
Creation of online training materials for
distance learners
Very high level of interest, engagement
and ownership of this important
preventive practice
Major efforts toward establishing
national SBIRT training standards
12. Newest Wave of SBIRT
Trainees (63 new US grants)
Augusta University
Medical students,
nurse practitioners,
residents in Family
Medicine and
psychiatry, &
psychology students
Morehouse School
of Medicine
Training students in
medicine, nursing
and social work
13. GA Workforce—Poised for
SBIRT Dissemination
13 years of training projects
>2,600 students/residents & 118 faculty
in medicine, nursing and PA programs
across Georgia & nearby states
Follow-up interviews indicate these
trainees use SBI after graduation
Opportunities to accelerate use of this
important preventive service by
“turning on” and funding SBIRT codes