How Disease Management, Case Management And Corporate Health Programs Can Sup...The HR Observer
This seminar will explain the paradigm shift in health care from acute diseases to chronic conditions. Based on this understanding the importance and potential of disease and case management programs as well as corporate health programs will be described. The role of self-management and the tremendous impact of HR on health and disease related costs will be highlighted. The relationship of patients to physicians is no longer the unique interaction in health care, but health coaches and HR interventions play a more and more important and effective role. At the end of the seminar HR representatives will be able
• To understand what is a Disease Management and Case management program
• To know how preventive Corporate Health Programs add value to HR functions
• To evaluate which programs may support HR in controlling health insurance premium
This presentation was used at HR Summit and Expo 2013 www.hrsummitexpo.com
Strategies for Safe and Effective Resident SupervisionVineet Arora
Presented at Accreditation Council of Graduate Medical Education (ACGME) meeting in Nashville, TN Mar 2010. Includes overview of resident supervision, function and type of supervision in various specialties, and the SUPERB/SAFETY model of effective supervision. Includes link to video on YouTube for facilitating discussion.
SBAR communication model in healthcare organizationAbdalla Ibrahim
Introducing SBAR as an effective communication model in healthcare organization that seeks to foster patient safety through proper transfer of patient information at the transition point.
GRADUATE SPOTLIGHT – REY PJ CELIZ – DIAGNOSTIC MEDICAL SONOGRAPHYCBD College
Graduate Spotlight Article - Rey Pj Celiz is a recent Graduate of the Diagnostic Medical Sonography Program at CBD College and he was one of two Student Speakers at the Summer 2018 Graduation Ceremony. Read about his background, his experience at CBD College and how CBD has prepared him for post-Graduate life.
How Disease Management, Case Management And Corporate Health Programs Can Sup...The HR Observer
This seminar will explain the paradigm shift in health care from acute diseases to chronic conditions. Based on this understanding the importance and potential of disease and case management programs as well as corporate health programs will be described. The role of self-management and the tremendous impact of HR on health and disease related costs will be highlighted. The relationship of patients to physicians is no longer the unique interaction in health care, but health coaches and HR interventions play a more and more important and effective role. At the end of the seminar HR representatives will be able
• To understand what is a Disease Management and Case management program
• To know how preventive Corporate Health Programs add value to HR functions
• To evaluate which programs may support HR in controlling health insurance premium
This presentation was used at HR Summit and Expo 2013 www.hrsummitexpo.com
Strategies for Safe and Effective Resident SupervisionVineet Arora
Presented at Accreditation Council of Graduate Medical Education (ACGME) meeting in Nashville, TN Mar 2010. Includes overview of resident supervision, function and type of supervision in various specialties, and the SUPERB/SAFETY model of effective supervision. Includes link to video on YouTube for facilitating discussion.
SBAR communication model in healthcare organizationAbdalla Ibrahim
Introducing SBAR as an effective communication model in healthcare organization that seeks to foster patient safety through proper transfer of patient information at the transition point.
GRADUATE SPOTLIGHT – REY PJ CELIZ – DIAGNOSTIC MEDICAL SONOGRAPHYCBD College
Graduate Spotlight Article - Rey Pj Celiz is a recent Graduate of the Diagnostic Medical Sonography Program at CBD College and he was one of two Student Speakers at the Summer 2018 Graduation Ceremony. Read about his background, his experience at CBD College and how CBD has prepared him for post-Graduate life.
Communication using the SBAR tool, Patient Safety Team, NHS Improving Quality,
more at http://www.nhsiq.nhs.uk/improvement-programmes/patient-safety.aspx
Beyond the Hospital Stay: Targeting patient support via mobile technology to ...Ken Saman
Presented at the Health Informatics Conference 2016, Melbourne Australia.
Adrian Saunders ADON, St Andrew’s Hospital
James Kollias MBBS FRACS MD CCPU
Ken Saman CEO, Personify Care
Dr Anne Creaton talks about the healthcare capacity building in Fiji.
Fiji was struck by Cyclone Winston in 2016. It caused widespread devastation and the impact will be felt for a long time in the future.
The most important thing that Fiji has taught her is faith, patience and persistence.
Anne begins by talking about the three Rs that are essential in trainees who want to work in Fiji or similar situations.
The three Rs being: Realistic, Resilient and Resourceful.
Emotional intelligence is also very important. Most of the people are highly trained, but always in a high resource environment. Dysfunctional systems in places like Fiji, can impact the clinician’s welfare and performance.
Critical care systems are made up of multiple building blocks with doctors playing a small part. Anne compares critical care systems in Fiji to a game of Jenga. This is because multiple blocks that are essential for critical care systems are non-existent.
Anne divides the Jenga blocks of a critical care system into three: a pre-hospital block, a hospital block, and an administration and governance block.
The pre-hospital block consists of scene care, transport care, communication, hazmat, decontamination and retrieval.
The hospital blocks consist of factors like triage, medical assessment, equipment, drugs and patient flow.
The administrative and governance block provides data, audits, leadership and human resource activities such as training, recruitment and retention.
All these blocks put together form the critical care system. This illustrates how when the different blocks in critical care services are removed, it makes it very difficult to successfully treat a patient.
She explains how doctors face multiple difficulties like faulty equipment, untrained staff, lack of timely transport vehicles, inaccessibility to interventional cardiology, lack of risk management and quality improvement. They also lack hazmat, decontamination, personal protective equipment (PPE), proper communication.
Anne then gives an example of using the three Rs technique to reduce VF arrest by early defibrillation.
Realistic: Automatic external defibrillator (AED) for all health facilities.
Resilient: Placed all AEDs in pelican cases.
Resourceful: Acquired the AEDs via Twitter.
Anne ends by saying that life is about expectation management and you need to understand that there will be a gap between the type of care you want to provide and what you will be able to provide in situations like Fiji.
So, are you ready to play critical care Jenga?
For more like this, head to our podcast page. #CodaPodcast
October 27, 2016
Concurrent, or overlapping, surgeries involve the simultaneous scheduling of substantial portions of two or more surgeries under the supervision of a single surgeon, requiring delegation of responsibility to trainees and assistants if necessary. The practice is not uncommon, especially at teaching hospitals, but patients often have no idea that their doctor may also be operating on someone else at the same time. This panel discussion described the practice, its risks and benefits, and recommended approaches to preserve patient trust and safety.
Panelists
- Jonathan Saltzman, Reporter, The Boston Globe Spotlight Team (contributor to “Clash in the Name of Care”) - Setting the Stage: Key issues and concerns raised by concurrent surgeries, patient experiences and outcomes
- Griffith R. Harsh IV, MD, MA, MBA, FACS, Professor of Neurosurgery and Associate Dean, Postgraduate Medical Education, Stanford University - Surgeon’s Perspective: Pros and cons of concurrent scheduling, pressures to schedule this way, potential impact on patients, and the recent statement by the American College of Surgeons
- I. Glenn Cohen, JD, Professor, Harvard Law School; Faculty Director, Petrie-Flom Center - Legal and ethical perspectives: Institutional risk, medical malpractice, informed consent, and applicable regulations
- Moderator: Robert Truog, MD, Frances Glessner Lee Professor of Medical Ethics, Anaesthesia, & Pediatrics and Director, Center for Bioethics, Harvard Medical School; Executive Director, Institute for Professionalism & Ethical Practice and Senior Associate in Critical Care Medicine, Boston Children's Hospital
This event was free and open to the public.
Sponsored by the Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics at Harvard Law School and the Center for Bioethics at Harvard Medical School, with support from the Oswald DeN. Cammann Fund.
oint Commission International Accreditation Standards for Hospitals, 6th Edition, provides the basis for accreditation of hospitals throughout the world. Joint Commission International (JCI) standards define the performance expectations, structures, and functions that must be in place for a hospital to be accredited by JCI. The standards are divided into two main sections: 1) patient-centered care and 2) health care organization management.
Presented at the George Washington University 1st GME Retreat. Includes overview of handoff function and content, pitfalls for handoffs, and strategies for safe and effective communication during handoffs, and how to use process improvement techniques to make handoffs safer. Handout includes handoff menu of educational tools to be used by faculty teaching.
Coupling customer journey maps with twitterAli Anani, PhD
The presentation suggests a new strategic canvas by combining customer journey maps with information mined from social media. Using a case study the merit of marrying social media to customer pain points becomes obvious and provides management with excellent tools to handle complaints efficiently and timely manners.
Resident Performance from the Patient's View: Richard Wardrop, MD, PhD, FAAPPicker Institute, Inc.
Principal investigator: Richard M. Wardrop III, MD, PhD, FAAP, FACP, WakeMed Faculty Physicians, Internal Medicine and Pediatrics, Assistant Professor at Virginia Tech Cailion School of Medicine and the University of North Carolina School of Medicine
The Resident Performance project intended to adapt an existing attendant-based evaluation into a patient-centered prototype tool that is concise, valid and reliable, and that enables patients to accurately assess resident performance on 4/6 ACGME competencies. Performance with regard to ACGME core competencies of residents who receive feedback and coaching using the patient-centered tool was compared to that of those who received attending-only feedback.
Communication using the SBAR tool, Patient Safety Team, NHS Improving Quality,
more at http://www.nhsiq.nhs.uk/improvement-programmes/patient-safety.aspx
Beyond the Hospital Stay: Targeting patient support via mobile technology to ...Ken Saman
Presented at the Health Informatics Conference 2016, Melbourne Australia.
Adrian Saunders ADON, St Andrew’s Hospital
James Kollias MBBS FRACS MD CCPU
Ken Saman CEO, Personify Care
Dr Anne Creaton talks about the healthcare capacity building in Fiji.
Fiji was struck by Cyclone Winston in 2016. It caused widespread devastation and the impact will be felt for a long time in the future.
The most important thing that Fiji has taught her is faith, patience and persistence.
Anne begins by talking about the three Rs that are essential in trainees who want to work in Fiji or similar situations.
The three Rs being: Realistic, Resilient and Resourceful.
Emotional intelligence is also very important. Most of the people are highly trained, but always in a high resource environment. Dysfunctional systems in places like Fiji, can impact the clinician’s welfare and performance.
Critical care systems are made up of multiple building blocks with doctors playing a small part. Anne compares critical care systems in Fiji to a game of Jenga. This is because multiple blocks that are essential for critical care systems are non-existent.
Anne divides the Jenga blocks of a critical care system into three: a pre-hospital block, a hospital block, and an administration and governance block.
The pre-hospital block consists of scene care, transport care, communication, hazmat, decontamination and retrieval.
The hospital blocks consist of factors like triage, medical assessment, equipment, drugs and patient flow.
The administrative and governance block provides data, audits, leadership and human resource activities such as training, recruitment and retention.
All these blocks put together form the critical care system. This illustrates how when the different blocks in critical care services are removed, it makes it very difficult to successfully treat a patient.
She explains how doctors face multiple difficulties like faulty equipment, untrained staff, lack of timely transport vehicles, inaccessibility to interventional cardiology, lack of risk management and quality improvement. They also lack hazmat, decontamination, personal protective equipment (PPE), proper communication.
Anne then gives an example of using the three Rs technique to reduce VF arrest by early defibrillation.
Realistic: Automatic external defibrillator (AED) for all health facilities.
Resilient: Placed all AEDs in pelican cases.
Resourceful: Acquired the AEDs via Twitter.
Anne ends by saying that life is about expectation management and you need to understand that there will be a gap between the type of care you want to provide and what you will be able to provide in situations like Fiji.
So, are you ready to play critical care Jenga?
For more like this, head to our podcast page. #CodaPodcast
October 27, 2016
Concurrent, or overlapping, surgeries involve the simultaneous scheduling of substantial portions of two or more surgeries under the supervision of a single surgeon, requiring delegation of responsibility to trainees and assistants if necessary. The practice is not uncommon, especially at teaching hospitals, but patients often have no idea that their doctor may also be operating on someone else at the same time. This panel discussion described the practice, its risks and benefits, and recommended approaches to preserve patient trust and safety.
Panelists
- Jonathan Saltzman, Reporter, The Boston Globe Spotlight Team (contributor to “Clash in the Name of Care”) - Setting the Stage: Key issues and concerns raised by concurrent surgeries, patient experiences and outcomes
- Griffith R. Harsh IV, MD, MA, MBA, FACS, Professor of Neurosurgery and Associate Dean, Postgraduate Medical Education, Stanford University - Surgeon’s Perspective: Pros and cons of concurrent scheduling, pressures to schedule this way, potential impact on patients, and the recent statement by the American College of Surgeons
- I. Glenn Cohen, JD, Professor, Harvard Law School; Faculty Director, Petrie-Flom Center - Legal and ethical perspectives: Institutional risk, medical malpractice, informed consent, and applicable regulations
- Moderator: Robert Truog, MD, Frances Glessner Lee Professor of Medical Ethics, Anaesthesia, & Pediatrics and Director, Center for Bioethics, Harvard Medical School; Executive Director, Institute for Professionalism & Ethical Practice and Senior Associate in Critical Care Medicine, Boston Children's Hospital
This event was free and open to the public.
Sponsored by the Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics at Harvard Law School and the Center for Bioethics at Harvard Medical School, with support from the Oswald DeN. Cammann Fund.
oint Commission International Accreditation Standards for Hospitals, 6th Edition, provides the basis for accreditation of hospitals throughout the world. Joint Commission International (JCI) standards define the performance expectations, structures, and functions that must be in place for a hospital to be accredited by JCI. The standards are divided into two main sections: 1) patient-centered care and 2) health care organization management.
Presented at the George Washington University 1st GME Retreat. Includes overview of handoff function and content, pitfalls for handoffs, and strategies for safe and effective communication during handoffs, and how to use process improvement techniques to make handoffs safer. Handout includes handoff menu of educational tools to be used by faculty teaching.
Coupling customer journey maps with twitterAli Anani, PhD
The presentation suggests a new strategic canvas by combining customer journey maps with information mined from social media. Using a case study the merit of marrying social media to customer pain points becomes obvious and provides management with excellent tools to handle complaints efficiently and timely manners.
Resident Performance from the Patient's View: Richard Wardrop, MD, PhD, FAAPPicker Institute, Inc.
Principal investigator: Richard M. Wardrop III, MD, PhD, FAAP, FACP, WakeMed Faculty Physicians, Internal Medicine and Pediatrics, Assistant Professor at Virginia Tech Cailion School of Medicine and the University of North Carolina School of Medicine
The Resident Performance project intended to adapt an existing attendant-based evaluation into a patient-centered prototype tool that is concise, valid and reliable, and that enables patients to accurately assess resident performance on 4/6 ACGME competencies. Performance with regard to ACGME core competencies of residents who receive feedback and coaching using the patient-centered tool was compared to that of those who received attending-only feedback.
The Art Pastor's Guide to Sabbath | Steve ThomasonSteve Thomason
What is the purpose of the Sabbath Law in the Torah. It is interesting to compare how the context of the law shifts from Exodus to Deuteronomy. Who gets to rest, and why?
Basic Civil Engineering Notes of Chapter-6, Topic- Ecosystem, Biodiversity Green house effect & Hydrological cycle
Types of Ecosystem
(1) Natural Ecosystem
(2) Artificial Ecosystem
component of ecosystem
Biotic Components
Abiotic Components
Producers
Consumers
Decomposers
Functions of Ecosystem
Types of Biodiversity
Genetic Biodiversity
Species Biodiversity
Ecological Biodiversity
Importance of Biodiversity
Hydrological Cycle
Green House Effect
The Roman Empire A Historical Colossus.pdfkaushalkr1407
The Roman Empire, a vast and enduring power, stands as one of history's most remarkable civilizations, leaving an indelible imprint on the world. It emerged from the Roman Republic, transitioning into an imperial powerhouse under the leadership of Augustus Caesar in 27 BCE. This transformation marked the beginning of an era defined by unprecedented territorial expansion, architectural marvels, and profound cultural influence.
The empire's roots lie in the city of Rome, founded, according to legend, by Romulus in 753 BCE. Over centuries, Rome evolved from a small settlement to a formidable republic, characterized by a complex political system with elected officials and checks on power. However, internal strife, class conflicts, and military ambitions paved the way for the end of the Republic. Julius Caesar’s dictatorship and subsequent assassination in 44 BCE created a power vacuum, leading to a civil war. Octavian, later Augustus, emerged victorious, heralding the Roman Empire’s birth.
Under Augustus, the empire experienced the Pax Romana, a 200-year period of relative peace and stability. Augustus reformed the military, established efficient administrative systems, and initiated grand construction projects. The empire's borders expanded, encompassing territories from Britain to Egypt and from Spain to the Euphrates. Roman legions, renowned for their discipline and engineering prowess, secured and maintained these vast territories, building roads, fortifications, and cities that facilitated control and integration.
The Roman Empire’s society was hierarchical, with a rigid class system. At the top were the patricians, wealthy elites who held significant political power. Below them were the plebeians, free citizens with limited political influence, and the vast numbers of slaves who formed the backbone of the economy. The family unit was central, governed by the paterfamilias, the male head who held absolute authority.
Culturally, the Romans were eclectic, absorbing and adapting elements from the civilizations they encountered, particularly the Greeks. Roman art, literature, and philosophy reflected this synthesis, creating a rich cultural tapestry. Latin, the Roman language, became the lingua franca of the Western world, influencing numerous modern languages.
Roman architecture and engineering achievements were monumental. They perfected the arch, vault, and dome, constructing enduring structures like the Colosseum, Pantheon, and aqueducts. These engineering marvels not only showcased Roman ingenuity but also served practical purposes, from public entertainment to water supply.
Embracing GenAI - A Strategic ImperativePeter Windle
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
Honest Reviews of Tim Han LMA Course Program.pptxtimhan337
Personal development courses are widely available today, with each one promising life-changing outcomes. Tim Han’s Life Mastery Achievers (LMA) Course has drawn a lot of interest. In addition to offering my frank assessment of Success Insider’s LMA Course, this piece examines the course’s effects via a variety of Tim Han LMA course reviews and Success Insider comments.
This presentation provides an introduction to quantitative trait loci (QTL) analysis and marker-assisted selection (MAS) in plant breeding. The presentation begins by explaining the type of quantitative traits. The process of QTL analysis, including the use of molecular genetic markers and statistical methods, is discussed. Practical examples demonstrating the power of MAS are provided, such as its use in improving crop traits in plant breeding programs. Overall, this presentation offers a comprehensive overview of these important genomics-based approaches that are transforming modern agriculture.
15. Pre operative Teaching Minimally invasive surgery instructions General outline of pre-op questions Procedure specific consent checklists Reliable internet sources
16. Let’s pretend you are the patient and you are at the doctor’s office… You do not know about your condition, You don’t know how to read…and the receptionist put you in the “special room, where the diplomas are, the golf pictures and the “I love my accomplishments” wall.
26. Pre-operative Teaching: Setting the Patient up for Success Provide minimally invasive surgery instructions Provide general outline of pre-op questions Inform the patient regarding: procedure specific consent checklists Verification checklists and/or pre-procedure checklists Provide Reliable internet sources
27.
28. To assess what the patient knows first before tackling the questions they may ask
29. To ask open ended questions to solicit information
30. Top Ten Questions How long will the surgery take? How long will I be in the hospital? What can’t I do when I get home? What will I need help with when I get home? Will I be on a special diet?
56. Pre-operative Briefing Key element is two way communication Clarify any questions the team might have about the procedure or the equipment Checklists on grease-boards are utilized in the pre-op area to insure that the whole team is on the same page
61. There is nothing so annoying as to have two people talking when you’re busy interrupting. Mark Twain
62. Debriefing Closing Counts? Labeling of specimens? EBL? Any equipment problems? What went well? What could we do different next time?
63. Team: A group of people with a full set of complementary skills that work together interdependently & cooperatively to complete a task.
64. Key markers associated with superior team performance: Leadership Assertive Communication Situational Awareness
65. Leadership Accept risk and responsibility Seek the collective wisdom of the team Create an atmosphere conducive to assertive communication Remember the leader of the team is a part of the team
66. Assertive Communication …an obligation, not just a right …must be timely …must not be criticized or ridiculed …is critical to patient safety in the OR
67. Situational Awareness Understanding what is happening in the surrounding environment and why Monitoring the current situation and accurately predicting what is likely to happen next to help the team prepare for the anticipated outcome
70. Nurse vs Physician perception Nurses describe good collaboration as having their input respected Physicians describe good collaboration as having nurses that anticipated their needs and followed direction
71. Who’s on your team? Strong leadership, assertive communication and situational awareness bridge the gaps between team members and are essential for safety in the OR as well as in the cockpit
72. Bibliography American College of Surgeons, Committee on Development of High Performance Teamwork in Surgery through Education. Statement on high-performance teams. Bulletin of the American College of Surgeons 2010; 95:23-24. Haynes AB, Weiser TG, Berry WR, et al. A Surgical Safety Checklist to Reduce Morbidity and Mortality in a Global Population. N Engl J Med 360:491, Jan 29, 2009. Makary MA, Sexton JB, Freischlag JA, et al. Operating Room Teamwork among Physicians and Nurses: Teamwork in the Eye of the Beholder. J Am Coll Surg 2006; 202: 746-752. Stokowski LA. Perioperative Nurses: Dedicated to a Safe Operating Room. Available at www.medscape.com/viewarticle/562998 Accessed February 15, 2010