Dr. Edward Wagner, Director (Emeritus) MacColl Center, Senior Investigator, Group Health Research Institute addresses the 2014 Weitzman Symposium on The Future of Primary Care
The Beryl Institute 2013 State of the Patient Experience Benchmarking StudyEngagingPatients
This document summarizes the key findings of a survey of over 1,000 US hospitals regarding their efforts to improve the patient experience. It finds that while patient experience remains a top priority, hospitals feel somewhat less positive about their progress than two years ago. Most hospitals now have a formal definition and structure for patient experience. Leadership support and HCAHPS scores are the top factors driving patient experience work. Hospitals continue focusing on communication, noise reduction, and discharge processes to improve patient experience.
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.
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.
Weitzman 2013: State Health Policy Initiatives as Drivers for Improving Care...CHC Connecticut
Sue Birch presents on State Health Policy Initiatives as Drivers for Improving Care Outcomes: Colorado's Accountable Care Collaborative at the 2013 Weitzman Symposium
Patient-centered medical homes (PCMHs) are intended to actively provide effective care by physician-led teams, Where patients take a leading role and responsibility. Objective: To determine whether the Walter Reed PCMH has reduced costs while at least maintaining if not improving access to and quality of care, and to determine
whether access, quality, and cost impacts differ by chronic condition status. Design, setting, and patients: This study
conducted a retrospective analysis using a patient-level utilization database to determine the impact of the Walter Reed PCMH on utilization and cost metrics, and a survey of enrollees in the Walter Reed PCMH to address access to care and quality of care. Outcome measures: Inpatient and outpatient utilization, per member per quarter costs, Healthcare Effectiveness Data and Information Set metrics, and composite measures for access, patient satisfaction, provider communication, and customer service are included. Results: Costs were 11% lower for those with chronic conditions compared to 7% lower for those without. Since treating patients with chronic conditions is 4 times more costly than treating patients without such conditions, the vast majority of dollar savings are attributable to chronic care.
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.
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.
The document summarizes a presentation by Paul Grundy on extracting value from the patient centered medical home model. It discusses:
1) How the patient centered medical home model creates partnerships across the healthcare system to drive primary care redesign, offer population health management, and move away from an episodic, fee-for-service model.
2) Studies that show improvements in costs, quality, access, and utilization from implementing the patient centered medical home model, including reduced hospital and ER use.
3) How payment models are shifting towards value-based purchasing tied to quality, utilization, and patient satisfaction outcomes rather than volume of services.
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.
Creating a standard of care for patient and family engagementChristine Winters
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.
This document provides a summary of evidence on the impact of patient-centered medical homes (PCMHs) and primary care innovations on cost and quality from 2013-2014. It finds that PCMH interventions are associated with modest improvements in quality of care and reductions in utilization and costs. It also discusses challenges in evaluating PCMHs and outlines opportunities to further integrate primary care with other specialties and engage consumers. The future of the PCMH relies on continued financial support, training interprofessional teams, harnessing technology, and partnering with patients and communities.
National Conference on Health and Domestic Violence. Plenary talk Paul Grundy
explaining how the Patient Centered Medical Home (PCMH) platform for healthcare deliver is more likely to support domestic violence prevention and creat a safer environment than the FFS episode of care system we are in now. The medical Home is a home for the data where the all the data goes and is held accountable this idea was first articulated by Dr. Calvin C.J. Sia, a Honolulu-based pediatrician in 1967.
This concept of the medical home was integrated with Ed Wagners Chronic disease Model and Thomas Bodenheimer Kevin Grumbach advanced/proactive primary care at the request of the Patient Centered Primary care Collaborative into a set of principles Know as the Joint principles of the Patient centered medical home.
The patient-centered medical home (PCMH), is a team based health care delivery set of principles led by a physician that provides comprehensive and continuous medical care to patients with the goal of obtaining maximized health outcomes. It is "an approach to providing comprehensive primary care for children, youth and adults" The provision PCMH medical homes allow better access to health care, increase satisfaction with care, and improve health. Joint principles that define a PCMH have been established through the cohesive efforts of the American Academy of Pediatrics (AAP), American Academy of Family Physicians (AAFP), American College of Physicians (ACP), and American Osteopathic Association (AOA).[10] Care coordination is an essential component of the PCMH. Care coordination requires additional resources such as health information technology, and appropriately trained staff to provide coordinated care through team-based models. Additionally, payment models that compensate PCMHs for their effort devoted to care coordination activities and patient-centered care management that fall outside the face-to-face patient encounter may help encourage coordination.
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 document discusses various topics related to physical therapy (PT) practice. It notes that in 2014, PTs can avoid PQRS penalties by reporting 3 quality measures for 50% of patients, and the number of measures required to receive bonuses will increase from 3 to 9. It also eliminates reporting via measures groups through claims. The document discusses focusing on developing quality measures for PT, payment models that promote value, and public policy initiatives to advance the role of PT in areas like disease management. It also discusses improving access, eliminating self-referral profits, and ensuring an adequate PT workforce.
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.
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.
Practical and legal dimensions of job announcementsİş ve Yönetim
The document discusses legal and practical dimensions of job announcements. It begins by introducing the authors and context for the study. The bulk of the document is presented in a question and answer format addressing common issues that arise in job announcements from both an HR and legal perspective. Some of the key issues addressed include:
- Sex discrimination and whether specifying male or female candidates constitutes discrimination
- Potential penal sanctions for discrimination in job announcements under EU and Turkish law
- Factors like experience, university attended, pay, and competencies that can and cannot be specified
- Additional requirements around height, photos, smoking, military service, and insurance status.
The document aims to provide guidance to HR professionals and employers on creating legally compliant
The film industry, also known as the motion picture industry, comprises companies involved in the production and distribution of films. Major components include production studios, cinemas, film festivals, and distribution networks. India produces the most films annually, while the United States has the largest market. Hollywood, a neighborhood in Los Angeles, gave its name to the American film industry after becoming the dominant film production center in the early 20th century. Key events in Hollywood's history include the founding of major studios, the rise of silent films and talkies, and its ongoing global influence through exported films and franchising.
The document describes a company event in 2015 where employees had fun, participated in a marathon in Budapest, ate fruit at lunch, and received massages. They encourage joining again in 2016 for more fun at the company.
This document provides instructions for recording a PowerPoint presentation using Camtasia Studio in 3 ways:
1. Setting up the recording by launching Camtasia Studio within PowerPoint, adjusting recording settings, and displaying the camera preview.
2. Controlling the recording by clicking "Record" to start the slideshow, checking the microphone level, and controlling the presentation during recording.
3. After recording, the user can choose to produce or edit the recording before producing it, and cancel a recording by pressing Esc and confirming the deletion.
The document provides an introduction to how and why the UK government department for Business, Innovation and Skills (BIS) uses social media. It discusses that BIS uses major social media channels like Twitter, YouTube and Flickr to engage with the public. It also explains how individuals within BIS are already using social media to monitor policy discussions, find research, build relationships and more. The document outlines guidelines for civil servants on personal social media use and adhering to the civil service code.
The document provides an agenda and materials for a session on developing team-based care capabilities. The session will include:
1) Summarizing progress and milestones from the previous six weeks, learning how to use data for improvement, and learning from specific aims and tests of change from various healthcare teams.
2) A presentation on using data for improvement, including displaying data over time, types of variation, and run charts.
3) Reports from three healthcare teams on their specific aims and tests of change from the previous period to improve team-based care.
4) Next steps and resources for the teams to continue their work in the coming six weeks.
Implementing Post-Graduate Nurse Practitioner and Clinical Psychology Residen...CHC Connecticut
In this final webinar of the Training the Next Generation series, we featured successful postgraduate nurse practitioner and psychology residency programs from around the country. Each presenter shared their unique experiences, successes, and failures of implementing these programs at their health centers.
Este documento presenta la biografía y experiencia profesional de Fernando Romero M., un consultor financiero, profesor y autor. Detalla su educación, que incluye títulos en finanzas e ingeniería, así como cursos y diplomas adicionales. También describe su experiencia laboral en consultoría financiera, educación y regulación bancaria. El documento cubre temas relacionados con arrendamientos, incluyendo definiciones, tipos de arrendamientos, criterios de clasificación y tratamiento contable.
Cambios propuestos por el pmi para la guía del pmbok, 6ta versiónElizabeth Ontaneda
El Project Management Institute (PMI), organización internacional que promueve metodología de dirección de proyectos, publicará a mediados del 2017 la nueva edición de sus estándares La Guía de los Fundamentos para la Dirección de Proyectos (Guía del PMBOK®). Entre otros cambios, la guía incluirá más detalle de aproximaciones ágiles, énfasis en conocimiento estratégico del negocio, así como más información sobre el Triángulo del Talento™ y las habilidades para el éxito en el mercado laboral actual. En esta charla, Renzo Toledo explicó los cambios propuestos y sus implicancias para la dirección de sus proyectos.
Innovation Excellence is proud to announce the Top 40 Innovation Bloggers of 2014, some of the most popular and prolific innovation writers on the Internet.
This document summarizes a study on the challenge of Vibrio bacteria in high density shrimp production systems. The study tested zero-water exchange raceways stocked with Pacific White Shrimp at high densities. Water quality was maintained through aeration and biofloc filtration. The study found that Vibrio concentrations increased over time, resulting in disease outbreaks and increased mortality in both raceways. While a probiotic helped suppress Vibrio initially, it did not prevent mortality. The study demonstrates the risk of Vibrio outbreaks in intensive, biofloc-based systems and the need for better prevention and control methods.
Este documento presenta el currículum de Fernando Romero M., un consultor financiero y profesor de finanzas ecuatoriano. Incluye información sobre su educación académica, cursos realizados, reconocimientos, logros y experiencia laboral. También contiene el programa de un curso sobre instrumentos financieros de renta fija que imparte, con descripciones y ejemplos de cómo valorar diferentes tipos de instrumentos.
This document contains slides from a presentation on change leadership and change management. It discusses barriers to effective change, characteristics of effective change leaders, positioning change management and leadership, stakeholder analysis, change team roles, and change personas. Key points emphasized include the importance of leadership, clear vision and communication, addressing resistance, and engaging stakeholders in the change process. Soft skills like culture change and mindsets are identified as larger barriers than technical "hard skills".
Part 5: Your people are where it's at. But do you have a strategy for them?PeopleFirm
Pretty much every organization will tell you that their people are their #1 asset. But they often don’t plan that way. Which means that HR departments are routinely forced to be reactive rather than proactive.
The problem is that while most companies have top-level plans for sales and capitalization, they often don't have one for their people. This needs to change. An impactful people strategy is the decoder ring that connects the dots between your corporate strategy and your people. It's a must in world where people are your last competitive frontier. Here's four things you need to know to create a great one.
Why our executive team didn't write our culture deck, on Harvard Business Review: http://blogs.hbr.org/cs/2013/06/why_executive_teams_shouldnt_write.html
Is corporate culture really about organizational structure and incentives? What the company’s founders and executive team is on a mission to accomplish? How those same people ideally want their culture projected to investors? Or is company culture more about who people are and how they interact – what commonalities they share, and how they work and play?
Genuine culture is organic, not imposed. It’s why our executive team did not write our culture deck. Culture is what keeps people at Nanigans – not our mission statement or how our teams are structured. Our culture deck is a guide for company hiring and fit, as much as it is a signature of what’s made us so successful to date.
This document discusses the patient-centered medical home (PCMH) model and its benefits. It provides examples of organizations that have implemented PCMH initiatives to improve care coordination, access, costs and outcomes. Key points include:
- PCMH aims to strengthen primary care through care coordination, enhanced access, quality improvement and payment reform.
- Studies show PCMH can reduce costs by decreasing ER visits and hospital days while improving outcomes.
- Several large employers, the Department of Defense, and state governments have adopted PCMH models for the populations they insure.
- Successful PCMH models integrate primary care, specialists, hospitals, and community resources through use of health IT, data sharing and care
This document discusses the patient-centered medical home (PCMH) model and its benefits. It provides 3 key points:
1) The PCMH model emphasizes primary care-led, coordinated, and comprehensive care centered around the patient. It aims to improve access, outcomes and reduce costs through care coordination and an emphasis on prevention.
2) Studies show PCMH interventions can reduce hospital and ER use by over 30% each and lower total costs by 9% while maintaining or improving outcomes.
3) Successful PCMH models require health IT and data sharing to facilitate care coordination, population health management, and quality improvement. They also rely on payment reforms that appropriately recognize the added value of the medical
The document discusses the patient-centered medical home (PCMH) model of care delivery. It provides evidence that PCMH is associated with improved outcomes, lower costs, and a better experience of care compared to the traditional fee-for-service model. The document argues that widespread adoption of PCMH is needed to transform healthcare delivery and address issues of cost, quality and access.
PCPCC on the Patient-Centered Medical Homedebronkart
The document discusses transforming primary care practices into patient-centered medical homes (PCMHs) through collaboration between large employers, employer coalitions, and primary care providers. The key points are:
1) Establishing long-term patient-doctor relationships and comprehensive primary care focused on patients' needs can improve health outcomes and reduce costs.
2) The current healthcare system fails to support primary care adequately through funding and incentives.
3) Transforming primary care practices into PCMHs through collaborative efforts between employers and providers can help fix these issues by improving care coordination and shifting reimbursements to support comprehensive care.
Innovation in Care Delivery: The Patient JourneyJane Chiang
The document describes innovations in care delivery at Massachusetts General Hospital aimed at improving the patient experience. It discusses the implementation of innovation units to test changes to care delivery and identifies three key areas of focus: implementing relationship-based care, enhancing the role of the attending nurse, and standardizing processes. The goals are to improve patient and staff satisfaction, clinical quality, and reduce costs.
The document discusses the patient-centered medical home (PCMH) model for healthcare delivery. It defines key principles of the PCMH model, including having a personal primary care physician, care coordination by an interdisciplinary team, and a focus on comprehensive, high-quality care. The document argues that the PCMH model should be adopted now because the current healthcare system is broken and unsustainable due to rising costs and quality issues. It also outlines how various stakeholders could benefit from the PCMH model through things like improved health outcomes, reduced costs, and enhanced care coordination.
Patient engagement is evolving to include a composite of practices that impact patient behaviors and health. Contemporary models of patient engagement include the HIMSS 5 phases of patient engagement and the Regional Primary Care Coalition's 6 dimensions of patient engagement. Meaningful Use Phase 3 identifies key priorities around patient access to health records and secure messaging. Barriers to patient engagement include defining engagement and integrating diverse engagement tools and technologies.
This document discusses team-based care in the context of the patient-centered medical home (PCMH) model. It outlines six key qualities of effective team-based care: 1) a physician servant leader, 2) a clear mission and goals, 3) defined roles, 4) strong communication, 5) optimized systems, and 6) enhanced training. The article then provides strategies for implementing team-based care in small practices, noting they have limited resources but are adaptable, and in larger practices with multiple locations. Overall, the document emphasizes that developing the right team is essential before practices can transform to the patient-centered medical home model.
The document discusses improving health in communities by aligning incentives to make health profitable. It notes the US healthcare system is strained by chronic conditions exacerbated by an aging population. Experts discuss changing models and behaviors, and how to ensure healthcare reform improves overall community health rather than just preserving existing imbalances. Key ideas discussed include making health states profitable through business models, improving data sharing and transparency, and driving behavioral changes through community efforts.
Team based care model for better productivityJessica Parker
The document discusses the benefits of a team-based care model over the traditional physician-only model. In the team-based model, clinical assistants help with data gathering and documentation to share the workload with physicians. This model has been shown to improve healthcare delivery and help address workforce shortages. Effective teams require all members, including specialty medical billers and coders, working together with physicians, PAs, NPs and other providers. As information grows, no single practitioner can handle it all, making specialized team-based care a necessity.
Overcoming Challenges in implementation of Quality Process in Healthcare By D...Healthcare consultant
Research has shown that 95 percent of diets fail over the long term. Oddly enough, various studies show that 60 to 80 percent of major change initiatives also fail. In both cases, it is certainly not for lack of good intentions. For a person who has been on a successful diet, it is frustrating to see those pounds sneak back on. And it is just as frustrating for an organization which has implemented a major improvement initiative to have costs, errors or inefficiencies creep in again. This is the short-term-gain, long-term-wane syndrome.
Patient Centered Medical home talk at WVUPaul Grundy
To employers the cost of healthcare is now a business issue and this talk is about what one large buyer IBM did to drive transformation via broad coalition with other large employers to form the Patient Centered Medical Home movement and the covenant between buyer and provider away from the garbage we now buy episodic uncoordinated disintegrated care. In the change of convenient conversation we have worked with the Primary care providers to give us coordinated, integrated, accessible and compressive care with a set of principles know as the Patient centered medical home.
A Patient Centered Medical Home (PCMH) happens when primary care healers keeping that core healing relationship with their patients step up to become specialists in Family and Community Medicine. The move is to the discipline of leading a team that delivers population health management, patent centered prevention, care that is coordination, comprehensive accessible 24/7 and integrated across a deliver system. PCMH happens when the specialists in Family and Community Medicine wake up every morning and ask the question how will my team improve the health of my community today?
All over the world three huge factors are in play that is driving the concept of Patient Centered Medical Home. They are:
1) Cost and demography
2) Information technology and data (information that is actionable will equal a demand for accountability by the payer or buyer of the care)
3) Consumer demand to engage healthcare differently (at least as well as they can their bank- on line) have a question about lab results why not e-mail?
But at its core it is a move toward integration of a healing relationship in primary care and population management all at the point of care with the tools to do just that.
From Patients to ePatients Driving a new paradigm for online clinical collabo...ddbennett
CareTech eHealth Innovation Series
From Patients to ePatients Driving a new paradigm for online clinical collaboration and health management
David Bennett, SVP, Interactive Solutions
StayWell Custom Communications
Anthony Chipelo, Director, Portal Strategies
CareTech Solutions
Engaging your patients & community in healthcare reform effortsRenown Health
1⁄2 FTE
Programs: Monthly lunch meetings with speakers; social events; newsletter;
volunteer opportunities; recognition events.
Benefits: Sense of community, camaraderie, purpose, connection to BH.
Major benefit to Development, Volunteers, Community Relations
22
Mini-Medical School
Began: 2001
Goal: Educate the community about health and wellness in an engaging, fun way.
Format: 6 weekly 2-hour sessions with MDs, RNs, other clinicians.
Topics: Heart disease, cancer, diabetes, women’s health, men’s health, nutrition.
Participants: 150-200 community members per session.
Cost: $
Developing non-clinical approaches and are pathways to fundamental socioeconomic issues that are presented in the primary care and secondary care settings
Chocking the Barriers to Change in Healthcare System.By.Dr.Mahboob ali khan Phd Healthcare consultant
Change is undeniably hard, whether the subject is weight control for an individual or “wait control” in the emergency department. But even though it is easy to come up with excuses for allowing diets or change initiatives to slide, there are measurable rewards for adopting an approach that allows a person or an institution to set the right targets, achieve those goals and stay on track.
This document summarizes the goals and strategies of an organization called Family Medicine for America's Health (FMAHealth). FMAHealth aims to strengthen primary care in America through seven core strategies, including ensuring everyone has a primary care provider, achieving the triple aim of better health, better care and lower costs, and moving payment models away from fee-for-service. To achieve these goals, FMAHealth has established six tactic teams focused on areas like practice redesign, workforce, technology, payment models, research and engagement.
Rob Reid: Redesigning primary care: the Group Health journeyThe King's Fund
Rob Reid, Senior Investigator at Group Health Research Institute, explains the journey taken by Group Health in support of integrated primary care. A case study in how primary care can be delivered effectively and efficiently to a population, Rob laid out the challenges facing general practice in the States, and how Group Health worked to improve the situation for both patients and the workforce.
Samantha Jones, Director of New Models of Care at NHS England, appealed to the National Primary Care Network for support in implementing new models of care outlined in the NHS Five Year Forward View. Members provided 12 responses with suggestions, including focusing on understanding communities' experiences, ensuring full involvement of local pharmacy networks, and guarding against a top-down process that could stifle innovation outside of selected vanguard sites. Members emphasized the importance of clinical leadership, quality improvement, and creating space for innovative change.
As a nation, we are faced with a critical health care worker shortage that needs both immediate and long-term solutions. Everyone is affected by healthcare: as citizens whose health and that of our loved ones is affected by how well our healthcare system is functioning; as healthcare staff who are facing increasing levels of burnout and lack of motivation to work within a broken system; as healthcare administrators whose job it is to optimize resources to ensure that patients receive comprehensive and equitable care and that healthcare workers receive the support they need to thrive in a safe working environment; to legislators whose job it is to create practices and policies that allow the healthcare system to achieve these goals.
The COVID-19 pandemic has created several challenges for our country’s health care infrastructure, and the community health center workforce is no exception. Join us as we describe strategies to get patients back into dental care. Along with these strategies, participants will learn how to recognize challenges in dental practices, as well as how to engage the interdisciplinary care team through role redesign and integration to increase access to comprehensive care.
NTTAP Webinar Series - June 7, 2023: Integrating HIV Care into Training and E...CHC Connecticut
In order for health centers to provide compassionate and respectful HIV prevention, care, and treatment in comprehensive primary care settings, the clinical workforce must be knowledgeable, confident, and competent in their ability to do so.
We’ll explore the need to integrate HIV care into training and education for the clinical care team, as well as educational models to train the next generation. Using Community Health Center Inc.’s Center for Key Populations Fellowship for Nurse Practitioners (NPs) as a framework for best practices, experts will discuss how to implement specialty care for key populations in your training programs. Additionally, participants will gain awareness of the importance of training the clinical workforce on key population competencies in HIV programs (e.g. HCV, MOUD, LGBTQI+ health, homelessness, and harm reduction).
Utilizing the Readiness to Train Assessment Tool (RTAT™) To Assess Your Capac...CHC Connecticut
Improve educational training experiences at your health center by assessing your capacity and infrastructure to host health professions students.
Join the upcoming hands-on interactive activity session to learn how to utilize the Readiness to Train Assessment Tool (RTAT™). This tool was developed by HRSA-funded National Training and Technical Assistance Partners (NTTAP) at Community Health Center, Inc. (CHC) to understand organizational readiness to host health professions student training programs.
NTTAP Webinar Series - May 18, 2023: The Changing Landscape of Behavioral Hea...CHC Connecticut
The COVID-19 pandemic has resulted in significant shifts in the mode of care from face-to-face to virtual interactions. Join us as we discuss the challenges currently facing behavioral health care and at least one strategy for each. Along with these strategies, panelists will go over what integrated behavioral health care was and is before and following COVID-19, as well as what actions should be taken going forward to increase access to comprehensive care.
Panelists:
• Dr. Tim Kearney, PhD, Chief Behavioral Health Officer, Community Health Center, Inc.
• Melinda Gladden, LCSW, PMHC, Behavioral Health Clinician, Community Health Center, Inc.
• Jodi Anderson, LMFT, Virtual Telehealth Group Coordinator, Community Health Center, Inc.
Newborn screening involves testing newborns for treatable genetic and metabolic disorders through methods like dried bloodspot testing, hearing screening, and pulse oximetry. The goals are to identify at-risk newborns early before symptoms present, when treatment is most effective. Abnormal screening results require follow up diagnostic testing, education of families, and treatment if a condition is confirmed. Future directions may include expanded screening panels and genomic newborn screening, though these raise additional complex issues to consider.
Health Professions Student Training Webinar: Assessing Organizational CapacityCHC Connecticut
This document provides information about a webinar on assessing organizational capacity for health professions student training. It includes details about continuing education credits, speakers, objectives, and an overview of key aspects of assessing capacity. These include identifying willing and available faculty members, maintaining a spreadsheet of available preceptors, conducting a secondary review of space, training, and onboarding needs, and negotiating placements with academic affiliations. It also discusses best practices for clinical observation and feedback forms, and introduces some preceptor panelists. Finally, it provides an overview of the Readiness to Train Assessment Tool (RTAT) and how it can be used to understand an organization's capacity based on survey results.
Training the Next Generation: Investing in Workforce TrainingCHC Connecticut
This document provides information about an upcoming webinar on workforce training. The webinar will discuss why health centers should invest in health professions education and training programs, how to assess organizational readiness to implement such programs, and best practices for developing replicable training models. Attendees will learn how workforce development planning makes business sense by reducing costs from employee turnover and increasing access to care. A tool called the Readiness to Train Assessment can help organizations evaluate their capacity and motivation to engage in training programs. Successful training requires identifying qualified preceptors and building a culture of learning in the organization.
NTTAP Webinar Series - April 13, 2023: Quality Improvement Strategies in a Te...CHC Connecticut
Join us for a webinar on quality improvement in team-based care!
Building a quality improvement (QI) infrastructure within team-based care is an organizational strategy that will establish a culture of continuous improvement across departments and improve quality in all domains of performance.
Participants will learn about:
• QI infrastructure
• Facilitating QI committees
• Coach training within health centers
Faculty will also provide an example of how trained coaches use QI tools to test and implement changes within an organization.
Addressing Genetics Workforce Shortage - April 11, 2023CHC Connecticut
The document discusses the shortage of geneticists and genetic counselors in the United States. It notes that there are currently only around 1,240 medical geneticists and 4,700 genetic counselors serving the population, below the recommended levels. Many states have fewer than the recommended number of geneticists per population. The document explores ways primary care physicians can help address gaps, such as playing a more active role in selected genetic situations like cancer risk assessment. It also identifies growing the educational opportunities in genetics as important for increasing the workforce.
Implementation of Timely and Effective Transitional Care Management ProcessesCHC Connecticut
Join us to discuss best practices for integrating daily follow-ups for patients recently hospitalized for health emergencies. Effectively following up with patients is a critical responsibility for integrated care teams.
Experts will share how their teams respond to patients to identify care gaps and support the transition of care. Workflow descriptions will provide participants with the tools to support their work to adapt specific steps into their model of team-based care.
Panelists:
• Mary Blankson, DNP, APRN, FNP-C, FAAN, Chief Nursing Officer, Community Health Center, Inc.
• Veena Channamsetty, MD, FAAFP, Chief Medical Officer, Community Health Center, Inc.
• Bibian Ladino-Davis, Behavioral Health Coordinator, Weitzman Institute
Direct to Consumer Test and Ancestry Testing - March 14, 2023CHC Connecticut
Direct to Consumer Genetic and Ancestry Testing
This document discusses direct-to-consumer (DTC) genetic and ancestry testing. It defines DTC testing as testing that can be ordered by consumers without a health care provider. The document outlines the types of information provided by DTC tests, including ancestry, traits, disease risks, and results for some Mendelian conditions. However, it notes limitations like low predictive value without family history and risks of false positives. It provides examples of patients impacted by DTC testing results and emphasizes the need for confirmation of pathogenic variants by clinical genetics. The document also discusses privacy and legal issues related to DTC testing.
Implement Behavioral Health Training Programs to Address a Crucial National S...CHC Connecticut
Health centers are uniquely positioned to address the unprecedented need for behavioral health services but are challenged by the workforce shortage. Participants will gain the knowledge needed to begin conceptualization of a training pathway.
Join us to discuss the considerations of sponsoring an in-house training program across all educational levels, including the benefits, program structure, design, curriculum, supervisors' role, and required resources.
Experts will provide participants with examples from practicum and postdoctoral level training programs to help them gain confidence in developing a behavioral health training pathway.
Genetic Connections to Breast Cancer - February 14, 2023CHC Connecticut
This document discusses genetic connections to breast cancer. It begins by outlining the learning objectives, which are to understand the importance of collaboration between genetics and non-genetics experts for hereditary breast cancer patients, emphasize obtaining accurate family histories, and discuss benefits and limitations of next generation sequencing panel tests. It then discusses genetic counselors' role in oncology, hereditary cancer risks and patterns, BRCA genes, obtaining family histories, genetic testing options like multi-gene panels, interpreting results, cancer screening recommendations, and prophylactic surgery options. Resources and established risk models are also referenced.
Connective Tissue Disorders Slides - January 17, 2023CHC Connecticut
This document discusses several genetic connective tissue disorders including Ehlers Danlos syndromes, Marfan syndrome, Loeys-Dietz syndrome, Stickler syndrome, Shprintzen Goldberg syndrome, Cutis Laxa, and Osteogenesis Imperfecta. It highlights the importance of identifying these disorders to allow for timely detection of serious complications and management by multiple medical specialists. Connective tissues are the most abundant tissues in the body and connect, support, bind or separate other tissues. Identification of a connective tissue disorder through genetic diagnosis guides appropriate care.
Implementation of Facial Recognition Software for Clinical Genetics Practice...CHC Connecticut
This document discusses the potential uses of facial recognition software in clinical genetics practice and education. It provides 3 examples of how facial recognition software could help in rare disease identification and interpreting genetic testing results. The document also outlines learning objectives about identifying medical uses of facial recognition, using facial grids to match patterns to syndromes, and the importance of diverse training data.
HIV Prevention: Combating PrEP Implementation ChallengesCHC Connecticut
Expert faculty present case-based scenarios illustrating common challenges to integrating HIV PrEP in primary care. As part of improving clinical workforce development, this session will delve into a variety of specific PrEP implementation challenges. Participants will leave with strategies to overcome these obstacles to establish or strengthen their PrEP program.
Panelists:
• Marwan Haddad, MD, MPH, AAHIVS, Medical Director, Center for Key Populations, Community Health Center, Inc.,
• Jeannie McIntosh, APRN, FNP-C, AAHIVS, Family Nurse Practitioner, Center for Key Populations, Community Health Center, Inc.
NTTAP Webinar Series - December 7, 2022: Advancing Team-Based Care: Enhancing...CHC Connecticut
Join us as expert faculty outline the differences between case management, care coordination and complex care management to frame up a discussion on strategies to leverage effective models for both in-person and remote services.
Expert faculty will discuss the role of the medical assistant and the nurse in care management, as well as how standing orders and delegated orders support this work. This session will discuss how telehealth and remote patient monitoring enhancements can support complex care management for patients with chronic conditions.
Participants will leave this session with the knowledge and tools to begin or enhance implementation of chronic care management by enhancing the role of the medical assistant, nurse and the technology that supports the clinical care.
Panelists:
• Mary Blankson, DNP, APRN, FNP-C, Chief Nursing Officer, Community Health Center, Inc.
• Tierney Giannotti, MPA, Senior Program Manager, Population Health, Community Health Center Inc.
Genetics Cases and Resources Webinar Slides - November 8, 2022CHC Connecticut
The document discusses various metabolic diseases, including those that cause muscle symptoms like long chain hydroxyacyl CoA dehydrogenase (LCHAD) deficiency and Pompe disease. It provides information on fatty acid oxidation defects, describing how the body metabolizes fatty acids and the consequences of defects in breaking down different chain length fatty acids. Symptoms of long chain fatty acid oxidation defects are discussed, including fasting intolerance, encephalopathy, liver dysfunction, and muscle involvement. The diagnosis and treatment of these conditions is also summarized.
NTTAP Webinar: Postgraduate NP/PA Residency: Discussing your Key Program Staf...CHC Connecticut
This document discusses a webinar presented by Community Health Center, Inc. on their postgraduate nurse practitioner and physician assistant residency and fellowship programs. It provides an agenda for the webinar which will discuss the key program staff and their responsibilities, including the program director, clinical director, preceptors, mentors and other faculty. The webinar objectives are to identify drivers for implementing such programs, describe the implementation process, discuss program structure and highlight the roles of program staff.
Training the Next Generation within Primary CareCHC Connecticut
This document summarizes a presentation about training the next generation within primary care. It discusses Community Health Center Inc.'s various workforce development programs, including clinical and non-clinical fellowships and student programs. Specifically, it focuses on administrative fellowships, outlining their purpose and key factors to consider when establishing one, such as the fellow's access and experiences. It also describes other opportunities at the Weitzman Institute for training students, such as research programs with Wesleyan University and health policy fellowships. The presentation emphasizes that community health centers are important training grounds and considers how to structure diverse programs to support succession planning.
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
The Importance of Gratitude in Daily Life.pptxMartaLoveguard
Prezentacja - The Importance of Gratitude in Daily Life
Slide 1: Introduction
Welcome to the presentation on the importance of gratitude in daily life. Today, we'll explore how cultivating gratitude can significantly impact our mental, emotional, and physical well-being.
Slide 2: What is Gratitude?
Gratitude is the practice of acknowledging and appreciating the good things in our lives, big and small. It involves recognizing the positive aspects of our experiences, relationships, and circumstances rather than focusing solely on what's lacking or negative. Cultivating gratitude involves a mindset shift towards abundance and appreciation.
Slide 3: Psychological Benefits
Gratitude plays a crucial role in enhancing mental health by reducing negative emotions such as envy, resentment, and frustration. Research indicates that practicing gratitude promotes more positive emotions like happiness and satisfaction with life. Studies have shown that gratitude can lead to improved overall well-being and a greater sense of fulfillment.
Slide 4: Emotional Resilience
Gratitude fosters emotional resilience by helping individuals cope with stress and adversity more effectively. It encourages a mindset that focuses on solutions and growth rather than dwelling on problems. By finding reasons to be grateful even in challenging times, individuals can develop resilience and maintain a positive outlook.
Slide 5: Social Benefits
Expressing gratitude strengthens relationships by fostering feelings of connection and appreciation. When we show gratitude towards others, it deepens our bonds and encourages reciprocity in kindness and support. Gratitude also enhances empathy and compassion, leading to more meaningful social interactions.
Slide 6: Physical Health Benefits
Gratitude isn't just beneficial for mental and emotional well-being; it also impacts physical health. Research suggests that grateful individuals may experience better sleep, reduced inflammation, and improved immune function. Adopting a grateful mindset can contribute to overall holistic health and well-being.
Slide 7: Cultivating Gratitude
There are practical ways to cultivate gratitude in daily life. Keeping a gratitude journal, where you write down things you're thankful for each day, can help reinforce positive emotions. Additionally, expressing gratitude to others through thank-you notes or verbal appreciation can strengthen relationships and increase overall happiness.
Slide 8: Conclusion
In conclusion, integrating gratitude into our daily routines can lead to profound positive changes in our lives. By focusing on what we are thankful for, we shift our perspective towards abundance and possibilities. Embracing gratitude empowers us to live more fully and joyfully, enhancing both our personal well-being and the quality of our relationships.
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.
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
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
Reimbursement Bootcamp- Coding, Coverage & Payment lecture by David Farber, K...Levi Shapiro
Presentation by David Farber, King & Spalding LLP, "Reimbursement Bootcamp- Coding, Coverage & Payment". Includes a comparison of FDA and CMS – The Important Differences. Setting Expectations and Understanding Timing. FDA Approval/Clearance vs. CMS (Medicare) Coverage. “Reasonable and Necessary”
CMS coverage determination
(formal or informal);
Focus on health benefits;
Economic data is important;
Superiority endpoint often needed; Focus on Medicare beneficiaries; Public processes; Publishes proposed decisions. Information Considered by CMS. Center for Medicare & Medicaid Services. Clinical evidence (including FDA submissions)
External technology assessments;
Advisory committee recommendations;
Position statements by relevant groups; Expert opinions;
Public comments;
Economic and other cost-effectiveness data;
Other informal opinions. The Basics of Reimbursement
• Coverage
Is the item or service eligible for payment?
• Coding
How is the item or service identified?
• Payment
What are the payment methodologies and amounts?
Medicare Coverage:
Defined Benefit Category
Not Excluded
“Reasonable and necessary for
the diagnosis or treatment
of illness or injury or to improve
the functioning of a malformed
body member.”
— Social Security Act § 1862(a)(1)(A). CMS and Its Contractors Make
Medicare Coverage Decisions
• National Coverage
Determinations (NCDs)
• Local Coverage
Determinations (LCDs)
• Individual Consideration
National Coverage
Determinations (NCD):
National and binding decision by CMS
Coverage and Analysis Group (CAG).
May be requested by anyone
(CMS or external party.)
Public process that generally takes
9-12 months once initiated.
May include certain conditions for coverage (including Coverage with Evidence
Development (CED)). Coverage with Evidence Development (CED). Evidence-based coverage paradigm
that permits CMS to develop
coverage policies for treatments
that are likely to show health benefits
for Medicare beneficiaries but for
which the evidence base is not
sufficiently developed. Two kinds of CED: (1) clinical study
and (2) registry. Local Coverage
Determinations (LCD):
Issued by local Medicare
Administrative Contractors (MACs).
May be requested by anyone
(MAC or external party.)
New formal process in 2019 to
request LCDs.
Limited to particular MAC jurisdiction. Medicare Administrative Contractors. Coding is the “language of
reimbursement.”
Coding operationally links
coverage and payment.
Having a code does not
guarantee reimbursement! TYPE OF CODE, CODING SYSTEM, WHO SETS CODE? WHO USES CODE? Diagnosis, Procedure or Service, Products and Certain Services, Drugs. Current Procedural Terminology (CPT) Codes. Maintained by the AMA CPT Editorial Panel.
Identify medical services furnished by physicians.
5-digit numeric codes with generic descriptors.
Three types of CPT codes. Application process takes at least 15 months for Category I codes, with specific clinical data requirements.
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.
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
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
1. The Future of Primary Care
Ed Wagner, MD, MPH, MACP
MacColl Center for Health Care Innovation
Group Health Research Institute
2. Why worry about the future?
“I look to the future because that’s where I’m going to
spend the rest of my life”.
George Burns
2
3. Only 8 years ago
Primary care
providers are
dispirited, burning
out, and diminishing
in number.
Primary Care —
Will It Survive?
Bodenheimer T. N Engl J Med. 2006
4. Percentage of medical students choosing
primary care specialties
0
5
10
15
20
Family
Medicine
General Internal
Medicine
Pediatrics
1999
2009
5. 5
Percent
Physician Satisfaction with Practicing Medicine
Source: 2012 Commonwealth Fund International Health Policy Survey of Primary Care Physicians.
6. What’s Threatening Primary Care?
Changing demography and
practice content increasing
demand
Greater care complexity
Working harder and harder
just to keep up
Professional isolation
Declining real income
7. But then hope!
• Federal healthcare reform is counting
on a robust primary care sector to
improve quality and reduce costs.
• “The Patient Protection and Affordable
Care Act (PPACA) of 2010 … has the
potential to reestablish primary care as
the foundation of US health care
delivery.”*
*Goodson J. Ann Int Med. 2010; 152:742
8. The ACA is betting that more effective primary care
reduce health care costs?
Effective primary care will lower total costs by reducing
hospital admissions and ER visits.
How? By taking better care of individuals with multiple
chronic illnesses—aka complex patients.
The future of primary care may well depend on its ability
to manage complex patients well.
It was abundantly clear that traditional, doctor-driven,
reactive practice is not up to the task; we needed a new
model.
9. For primary care to re-establish itself as the
foundation of American healthcare, it will have to
manage complex patients well, the very group that
may be contributing to its existential crisis.
10. The Questions
10
• Can primary care effectively and manage complex
chronically ill patients?
• Can primary care reconnect with hospitals and specialists
to improve care sharing and coordination?
• Can primary care once again be an attractive career option?
• Will primary care get the resources it needs to truly
become the “foundation of US health care delivery”.
• Will hospital driven ACOs consider primary care as its
foundation or a cost center?
11. Primary Care Teams:
Learning from Effective
Ambulatory Practices
“The future is here. It’s just
not widely distributed yet”.
William Gibson
Dr. Margaret Flinter – co-Director
12. Collect data on innovations and change
processes, best practices
Collect data on innovations and change
processes, best practices
Develop a toolkit for broad
dissemination
Develop a toolkit for broad
dissemination
Create a learning community among
exemplar sites
Identify up to 30 exemplar sitesIdentify up to 30 exemplar sites
14. What are we learning?
LEAP practices view performance as a system property,
not a function of how smart everyone is.
LEAP practices measure performance by provider and
regularly review it.
LEAP practices are constantly changing, trying to
improve.
LEAP practices innovate “because it is the right thing to
do”, regardless of reimbursement.
15. LEAP sites really understand the functions
that lead to higher quality and lower costs
Team Care
Population management
Planned, proactive care
Self-management support
Medication Management
Care management/Follow-up/Care Coordination
Cost-effective specialty input
TO “really understand” a function means hard wiring it into
your care system—staff training, IT, work flows.
16. It begins with Skilled and Well-organized Care
Teams
Involvement of non-physician care team members in care has
been associated with a 0.75% reduction in HbA1c and a 13
mmHg reduction in BP.
Without effective teams, practices find they can’t do many of
the other functions.
17. What have LEAP sites
done to create effective teams?
Hire bright, energetic folks with
good interpersonal skills.
Define key roles and tasks and
distribute them among the
team members (everybody at
top of their license).
Train staff to perform tasks.
Use protocols and standing
orders so that staff can operate
independently.
Give teams time to meet.
18. Population Management
Many of the deficiencies in care quality relate to the
reactive nature of medical care.
Defining panels and developing and using IT tools to
assess the panel to identify care gaps was a key step .
LEAP sites link assessment with outreach. May account
for the biggest leaps in clinical performance.
20. How do LEAP sites implement self-
management support
20
21. Medication Management
Protocol-based prescribing and monitoring of adherence and
outcomes is associated with better outcomes.
LEAP sites view medication reconciliation as a critical
intervention for both patient and practice.
Pharmacists and RNs can play important roles in complex
med. rec., titrating medications, and addressing non-
adherence and other drug problems.
21
22. Planned follow-up and Care Management
(outside of visits)
Follow-up can range in intensity from periodic status checks
by telephone or e-mail to active care management.
LEAP care teams regularly monitor patients (evidence-based!).
Higher risk patients (poor disease control, frailty, etc.) benefit
from regular follow-up (monitoring) AND active care
management.
25. Is practice in a LEAP site more
satisfying?
All staff Physicians
Most people in the
practice enjoy their work 79% agree 84% agree
This practice is a place of
joy and hope 64% agree 69% agree
People in our practice
actively seek new ways to
improve
92% agree 94% agree
25
26. The Questions
26
• Can primary care effectively and manage complex
chronically ill patients?
• Can primary care reconnect with hospitals and specialists
to improve care sharing and coordination?
• Can primary care once again be an attractive career option?
• Will hospital driven ACOs consider primary care as its
foundation or a cost center?
• Will primary care get the resources it needs to truly
become the “foundation of US health care delivery”.
27. A. Goroll, NEJM December 2008 27
“The solution is not an intramural “food fight”
over payment. The way to get money redirected
to primary care is to improve care management
and coordination by the primary care
physician.”