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“Decisions of value – how the NHS can balance quality and finance in decision-making” NHS decision-makers have to balance the priorities of quality improvement and financial sustainability, in other words they have to deliver value. This balancing act is increasingly challenging as the demands on the NHS change and grow, with more expected within an ever tighter budget. Decisions of Value is a project commissioned by the Department of Health and led jointly by the Academy of Medical Royal Colleges and the NHS Confederation. It has spent six months studying what influences how decisions are made and brings together a large amount of research to show how factors such as relationships, behaviours and environment influence the value delivered, extending beyond Whitehall to the front line. The project’s findings have recently been published and emphasise the importance of the cultural, rather than structural, changes needed to move towards delivering better value and look at how they rely on having the right relationships, behaviours and environments in place. It presents insights into how people interact in the NHS and the crucial factors affecting how they operate within a particular context. In many cases, it indicates a ‘back to basics’ approach that involves a fundamental understanding of how humans interact and operate. As such, it doesn’t look to define good decisions, but rather gives an insight into the principles of good decision-making. For more information, please see: http://www.nhsconfed.org/decisions-of-value

NHS Quality conference - Paul Healy

“National Patient Safety Collaborative Programme” The National Patient Safety Collaborative Programme, launched on the 14th October 2014 will be the largest patient safety initiative ever attempted in the world. Led by the 15 Academic Health Science Networks and supported by NHS England and NHS Improving Quality, they will be undertaking a challenging programme of work over the next 5 years. This session will outline the actions to date and the next steps moving forwards.

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Narrative shapes every aspect of the healthcare experience. It molds our understanding of the past and forms our expectations for the future. Narratives are even being employed as health interventions. This track will explore how narratives have and will drive both personal and systemic change in healthcare from the perspective of the provider, patient, designer, and researcher. We will discover how harnessing narrative as a tool can transform the experience and delivery of care.

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Nothing drives a message home like a well-told story. And an increasing number of healthcare organizations are making patient testimonials a central part of their marketing strategy, harnessing the power of a compelling story to build loyalty, highlight compelling cases and showcase their best work. In this session, experts will share best practices—and common pitfalls—to keep in mind when using patient testimonials.

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As the healthcare system continues its unprecedented trend of consolidation, driven by factors such as the rapid move to value-based care, many hospitals and health systems wonder how a merger or acquisition might affect their hard-earned brand identity and reputation. This session will explore that question in depth as speakers from Baylor Scott & White Health, the largest not-for-profit health system in Texas formed in 2013 after an $8.3 billion merger of two well-known healthcare organizations, share lessons learned and offer practical marketing and branding strategies.

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“#CWPZeroHarm” Cheshire and Wirral Partnership NHS Foundation Trust (CWP) – a provider of mental health and community physical health services – has responded proactively with an initiative to tackle the patient safety challenge posed by Hard Truths. Its #CWPZeroHarm ‘Stop, Think, Listen’ campaign, underpinned by the 6Cs, aims to drive cultural change to deliver improvements in safe care and provide better outcomes. The case study describes how CWP has invested in a number of plans to tackle unwarranted variations in health care by helping staff to deliver continuous improvement. The campaign has already started to make a positive difference – CWP achieved the highest score in the country for ‘overall experience of services’ in the CQC survey of users of its mental health community services.

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“Community Wellbeing Services tender – involvement team” This engaging presentation will demonstrate how Northamptonshire Healthcare NHS Foundation Trust (NHFT) practiced: People first, working together for patients in everything we do. The team of service users, carers and staff supported the development of a Community Wellbeing Service bid from June to September 2014. All involved were valued as experts and important in the development of a robust tender submission. We are looking forward to sharing with you the journey experienced by the people involved in developing the service delivery model including the lessons learnt. We are hoping that you will be inspired to involve others more and to consider how our learning can support your organisation to take the next steps.

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Patient engagement is viewed by many to be a critical component of achieving safe healthcare. The question becomes how best to engage all patients - the public - in the effort towards increasing safer healthcare practices. Other prevention efforts have effectively engaged the public in achieving significant cultural shifts in attitudes and actions. The campaign to decrease smoking is one such example. For instance, anti-smoking efforts have made it unacceptable to smoke with your children in the car. The efforts toward increasing patient safety could benefit from the lessons learned in the anti-smoking campaigns.

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The HIPAA Security Rule establishes national standards to protect individuals’ electronic personal health information that is created, received, used, or maintained by a covered entity. The Security Rule requires appropriate administrative, physical and technical safeguards to ensure the confidentiality, integrity, and security of electronic protected health information. The Security Rule is located at 45 CFR Part 160 and Subparts A and C of Part 164. HIPAA Security Rule list 28 adminstrative safeguards, 12 Physical safeguards, 12 technical safeguards along with specific organization and policies and procedures requirements. EHR 2.0 HIPAA security assessment services help covered entities to discover the gap areas based on the required and addressable requirements. There are two main rules for HIPAA. One is a rule on privacy and the other on Security. The HIPAA Privacy Rule establishes national standards to protect individuals’ medical records and other personal health information and applies to health plans, health care clearinghouses, and those health care providers that conduct certain health care transactions electronically. The Rule requires appropriate safeguards to protect the privacy of personal health information, and sets limits and conditions on the uses and disclosures that may be made of such information without patient authorization. The Rule also gives patients rights over their health information, including rights to examine and obtain a copy of their health records, and to request corrections. The Privacy Rule is located at 45 CFR Part 160 and Subparts A and E of Part 164. How often the security should be reviewed? Security standard mentioned under HIPAA should be reviewed and modified as needed to continue provision of reasonable and appropriate protection of electronic protected health information. Confidentiality Limiting information access and disclosure to authorized users (the right people) Integrity Trustworthiness of information resources (no inappropriate changes) Availability Availability of information resources (at the right time) http://ehr20.com/services/hipaa-security-assessment/

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Software developers building mobile health applications need to be HIPAA compliant if their application will be collecting and sharing protected health information. This free plain language guide gives developers everything they need to know about mobile health app development and HIPAA. Not every mHealth app needs to be HIPAA compliant. Not sure whether your mHealth application needs to be HIPAA compliant or not? Read the guide to find out!

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Expo is the most significant annual health and social care event in the calendar, uniting more NHS and care leaders, commissioners, clinicians, voluntary sector partners, innovators and media than any other health and care event. Expo 15 returned to Manchester and was hosted once again by NHS England. Around 5000 people a day from health and care, the voluntary sector, local government, and industry joined together at Manchester Central Convention Centre for two packed days of speakers, workshops, exhibitions and professional development. This year, Expo was more relevant and engaging than ever before, happening within the first 100 days of the new Government, and almost 12 months after the publication of the NHS Five Year Forward View. It was also a great opportunity to check on and learn from the progress of Greater Manchester as the area prepares to take over a £6 billion devolved health and social care budget, pledging to integrate hospital, community, primary and social care and vastly improve health and well-being. More information is available online: www.expo.nhs.uk

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Population Health Management is in its early stages of maturity, suffering from inconsistent definitions and understanding, and is overhyped by vendors and ill-defined by the industry. And yet, many systems are moving forward in innovative pioneering ways to address this growing trend. In this session, you will hear from two very different, successful health systems: a physician-led group and a large integrated delivery system. They will share their best practices, learnings, and different approaches to population health management.

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The transformation towards more integrated and accountable healthcare delivery systems is aligning physicians, outpatient care, hospitals and ultimately payers in unprecedented numbers. Yet creating a successful clinically integrated network can be a daunting and complicated undertaking. Yale New Haven Health System (YNHHS), a nonprofit academic medical center, is following a seven-phase plan to achieve a regional, clinically integrated network with the ultimate goal of population health management. Conifer Health President of Value-Based Care, Megan North and Gayle Capozzalo, FACHE Executive Vice President/Chief Strategy Officer, Yale New Haven Health System (YNHHS), co-presented at the the Becker’s Hospital Review 7th Annual Meeting in Chicago. North and Capozzalo shared “A Seven-Step Approach to a Clinically Integrated Network,” to provide insights into each step of the clinical integration road map.

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In January 2013, Catholic Health Initiatives began a multi-phase journey to develop a population health management solution across all of its regions. This presentation will describe the strategies the health system pursued for: creating a clinically integrated network as a first step in managing the health of populations and integrating care across the patient experience; aligning hospitals and physician groups to create successful clinical models; creating a data platform to share clinical measures and benchmarks; and ultimately becoming a risk-bearing shared savings ACO. Participants will hear real-world examples of best practices for how to meet FTC regulations, create an effective governance structure to manage performance, and align financial incentives. Learn how one of the nation's largest hospital systems developed a system-wide population health management solution in order to achieve the necessary transformation from fee-for-service to fee-for-value.

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Accountable Care Organizations and Physician Joint Ventures Jeffrey P. Harrison Chapter 9 “I will continue with diligence to keep abreast of advances in medicine. I will treat without exception all who seek my ministrations, so long as the treatment of others is not compromised thereby, and I will seek the counsel of particularly skilled physicians where indicated for the benefit of my patient.” —from The Hippocratic Oath (modern version) Copyright 2016 Foundation of the American College of Healthcare Executives. Not for sale. 1 Learning Objectives Demonstrate an understanding of the interparty relationships associated with healthcare joint ventures and accountable care organizations. Understand some of the dynamics and controversies surrounding the concept of accountable care organizations as an alternative approach to the current marketplace. Demonstrate a basic understanding of the patient-centered medical home with attention to how it supports network-based delivery systems. Master the concept of physician–hospital alignment and health system integration including consumer, provider, and regulatory developments. Assess the emerging role of medical groups and hospital-owned group practices across the continuum of healthcare services. Copyright 2016 Foundation of the American College of Healthcare Executives. Not for sale. 2 Key Terms and Concepts Accountable care organization (ACO) Clinical integration Equity-based joint venture Hospitalist model Integrated physician model Medical foundation Patient-centered medical home (PCMH) Copyright 2016 Foundation of the American College of Healthcare Executives. Not for sale. 3 Introduction A positive relationship between hospitals and physicians is important to the success of the US healthcare system, because hospitals and physicians can be both collaborators and competitors. Many hospitals and healthcare systems have moved to various models of physician integration through which hospitals hope to capture market share and physicians seek financial security. After the Affordable Care Act (ACA) was passed in 2010, physician–hospital alignment became driven by another factor: cost control and quality outcomes in the accountable care era (Reiboldt 2013). Physicians work in a wide range of settings and serve in leadership positions that have significant responsibility for quality of care. Copyright 2016 Foundation of the American College of Healthcare Executives. Not for sale. 4 Clinical Integration What Is It? Coordination of patient care between hospitals and physicians across the healthcare continuum— e.g., an accountable care organization (ACO). Provides an opportunity to coordinate services through centralized scheduling, electronic health records, clinical pathways, management of chronic diseases, and innovative quality improvement programs. Clinical integration is necessary to delivering high-quality, affordable care in the current environment (Jacquin 2014). Clinical.

Accountable Care Organizations and Physician Joint Ventures .docx

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MAYO CLINIC Mayo Clinic Mayo Clinic Health care is the maintenance or improvement of health via prevention, diagnosis and treatment of disease, illness, injury and other physical and mental impairments in people. It may vary across countries, communities and individuals largely influenced by social and economic conditions as well as health policies. Providing health care services means “the timely use of personal health’s services to achieve the best possible health outcomes." Factors to consider in terms of health care assess include financial limitations, geographical barriers and personal limitations. Health care systems are organizations established to meet the health needs of targeted populations. A well-functioning health care system requires a financing mechanism, a well-trained and adequately paid workforce, reliable information on which to base decisions and policies, and well-maintained health facilities to deliver quality medicines and technologies (Clin Oral Investing, 2018). An efficient health care system can contribute to a significant part of the country's economy, development and industrialization. In my project, the organization I selected is Mayo Clinic. The reason for choosing it is because it is mostly ranked the top ten among the best organizations in the US. It contains the best facilities that is advanced technologies and clinical research trials. Most well-known specialists like William James Mayo who is not only the son of the founder on the clinic but also an excellent surgeon, John Kirkland who developed the first commercial heart-lung bypass machine and Earl Wood who is known for the development of G-suit in the US. Mayo Clinic is a nonprofit academic medical center based in Rochester, Minnesota, focused on integrated clinical practice, education and research. It specializes in treating difficult cases throughout tertiary care and destination medicine. It spends over $660 million a year on research and has more than 3000 full time research personnel. It has major campuses in Arizona and Florida being ranked among the best and maintaining that position for over 27 years. For more than 100 years, millions of people from all walks of life have found answers at Mayo clinic. These patients tell us they leave Mayo clinic with peace of mind knowing they received care from the world's leading experts. Mayo clinic is the first and largest integrated not for profit group in the world. At Mayo, a team of specialists is assembled to take their time and listen, understand and care for patient’s health issues and concerns. These teams draw from more than 3700 physicians, 50 scientists, and 100 allied staff that work at Mayo's campuses based in Minnesota, Florida and Arizona. Mayo clinic’s organization structure is majorly of the matrix form. The authority flows down ranking from the highest rank which is the board of trustees and.

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Chris Carnahan, President of Carnahan Group, presented at the National Association of Certified Valuators and Analysts' (NACVA) Advanced Valuation: Applications and Models Workshop on December 6, 2016. The presentation covers valuing physician practices; specifically,fair market valuations (FMVs) in healthcare, the government regulations surrounding FMVs, the current trends and marketplace, as well as valuing physician compensation.

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Bring a person-centered approach into the way we think about, prescribe and take medications. The magic pills to cure our ills seem to multiply on our kitchen tables as we age or if we get sick. This creates significant, and sometimes dangerous consequences, that continue to emerge. Jay Gupta wondered why no one seems to be talking about polypharmacy, so he decided to do something about that. He will share his perspective about the problem and offer solutions that can change the way we all think about medication. This includes the emerging role of a powerful blockbuster drug that is safe if used as prescribed, easy to take and can be highly effective.

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