William J. Ennis DO,MBA Professor of Clinical Surgery Chief Section Wound Healing and Tissue Repair University of Illinois Hospital and Health
|
|
- Carmel Chapman
- 5 years ago
- Views:
Transcription
1 William J. Ennis DO,MBA Professor of Clinical Surgery Chief Section Wound Healing and Tissue Repair University of Illinois Hospital and Health Sciences System
2 I am speaking to you as an independent physician, no entity paid for my travel and I will not receive an honorarium for my presentation Full time employed Professor of Surgery at the University of Illinois Hospital and Health Sciences System I am currently not on any industry scientific advisory board or speaker s bureau I am a consultant to Accelecare wound centers, a management company in Bellevue WA
3 Field of wound care 1962, 1978, 1982, 1998
4 The Scope of the Problem 14 billion dollar global industry US 2 billion dollar market, with a CAGR of 10% between 2010 and % US population > 65 in 2020 Elderly have more chronic disease states Increased venous ulcerations Increased peripheral arterial disease, amputations, stroke, MI etc. 8% US diabetic, 15% develop a diabetic foot ulcer 67% US population is overweight Increases in surgical procedures
5 The Scope of the problem Chronic wounds lead to lost days of work, decreased quality of life, depression Acute wounds with substandard treatment can transition into chronic wounds Complications from surgical wounds can lead to increased length of stay, higher healthcare costs and readmissions Pressure ulcers can impact the most vulnerable populations, the elderly and spinal cord injured patients
6 The scope of the problem
7 CER Need for better evidence Gaps in quality and efficiency in health care 18% GDP, 2009 or 2.5 trillion By 2025 will be > 25% GDP Up to 30% of spending reflects medical care of uncertain or questionable value IOM reports <50% of treatments delivered are supported by evidence
8 Wound care is Unique? Is it? Treatments take a long time Treatments can span sites of care Not all patients can be cured/healed Access to care can be compromised Nutritional issues Psychological impact of disease on patient and care providers Costly therapy
9 Wound care is Unique? Is it? Complex group of patients with a highly prevalent condition that has a large economic impact on the healthcare industry Innovation can be slow based on regulatory pathways, product adoption, poorly defined endpoints, Clinical situations often require clinicians to use multiple agents at the same time or in sequence despite research based on each treatment utilized as a stand alone therapy
10 The last two slides could be used in a presentation focused on Oncology, Transplantation, Connective tissue disorders, Spinal cord injury, etc.
11 Wound Care Patients Medically complex but unlike most other medical conditions, the wound is a manifestation of a collection of underlying co-morbid conditions. This potentially confounds the treatment directed at the wound surface and complicates research. Currently treatments are currently regulated based on their impact on complete healing A cancerous lesion might be treated with neo-adjuvant chemo to shrink the mass, followed by surgical excision, followed by radiation therapy Each therapeutic step would be assessed on its ability to achieve the desired outcome
12 Wound Care Patients Standard of care Has been decided in wound care but wide variation exists within each subcategory Debridement- High powered venturi effect water based removal of full thickness slough is a debridement, use of a sterile 2mm curette is a debridement. Offloading, Moist environment, bioburden control, Oncology- removal of colon and harvesting nodes is fairly uniform Need to agree upon SOC in all trials
13
14 Donaldson BMJ 2002 Declining effectiveness Problem Between /46 studies with economic outcomes ended up with results in box C1 So recommendations to approve due to increasing cost effectiveness but leads to overall increase in cost Problems with allocative efficiency A? B C? Increasing cost
15 Can we predict who will heal? How long should it take What treatments should we use In what order / In what setting If they heal will it stay healed Will/Can the patient adhere to protocol What are the goals and objectives of the patient and do they have access Centers of Excellence Economic alignment for total episode of care
16 Site of Care Outcomes Table 1. The Overall Healing Rate and the Mean and Median Time to Healing from Two Sources 2008 Third Congress of the World Union of Healing Societies, Toronto, Canada *Ref Ennis et al Ostomy/Wound Management 1998;44(11):22-39 Communit y Hospita l-based Outpati ent Clinic* Number of Wounds Tertiary care Hospit al Outpati ent Clinic Wounds Healed 225 (74%) 252 (73%) Kaplan Meier derived mean time to healing 14± 1 12 ± 1 Kaplan Meier derived median time to healing 9 ± 1 9 ± 1
17 CONSISTENCY
18 Reproducible over time Outcomes Single Hospital based outpatient wound clinic (Patients / Wounds) Patients / 580 Wounds Screened -At Risk Population Patients / 2515 Wounds Screened -At Risk Population Consult Only 102 patients with 114 wounds Active at Trial End 24 / 36 Consult Only 266 patients with 652 wounds Active at Trial End 46 / 75 Study Population ITT 310 Patients / 431 Wounds (71.1%, 74.3% of screened) Study Population ITT 763 Patients / 1788 Wounds (70.8%, 71.1% of screened) Completely Healed Wounds 319 / 431 (74%) Completely Healed Wounds 1388 / 1788 (77.6%) Patients in which all wounds healed 214 / 310 (69%) Patients in which all wounds healed 519 / 763 (68%)
19
20 Issue # wound Total wound Total wound healed % healed NA Active at completion Consult only d/c cv,fp,im,surg,plastic Died Lost to nh,another facility Lost to f/u Moved Pt request
21 Solutions? Think about the trial designs required for wound care technologies of the near future Registries, SOC, Use product/technology to achieve specific physiological endpoints Cell therapy, gene therapy, small molecular weight proteins, systemic pharma based therapy, scaffoldings with active cytokines etc. Think about quality of healing, how important is total healing if it only lasts for 3 weeks? Non invasive diagnostic methods to assess quality of healing need to be developed Consider patient focused outcomes and include patient input in trial design of future innovations
22 Competing Paradigms Quality Access Cost Innovation
23
24
25 WHAT THE PATIENT SAYS ABOUT PATIENT CENTERED OUTCOMES SUMMIT JULY 25 TH, 2012 William J Ennis DO,MBA Professor Clinical Surgery, Chief Section Wound Healing and Tissue Repair University of Illinois Hospital and Health Sciences System
26 PATIENT CENTERED OUTCOMES SUMMIT
27
DIABETES AND THE AT-RISK LOWER LIMB:
DIABETES AND THE AT-RISK LOWER LIMB: Shawn M. Cazzell Disclosure of Commercial Support: Dr. Shawn Cazzell reports the following financial relationships: Speakers Bureau: Organogenesis Grants/Research Support:
More information6/12/2014. Peripheral Arterial Disease US Population. Defining CLI and the Scope of the Problem. Defining CLI and the Scope of the Problem
6/12/2014 Defining CLI and the Scope of the Problem Defining CLI and the Scope of the Problem Barry T. Katzen, MD Founder and Executive Medical Director Clinical Professor of Radiology and Surgery FIU
More informationCost-effectiveness of becaplermin for nonhealing neuropathic diabetic foot ulcers Sibbald R G, Torrance G, Hux M, Attard C, Milkovich N
Cost-effectiveness of becaplermin for nonhealing neuropathic diabetic foot ulcers Sibbald R G, Torrance G, Hux M, Attard C, Milkovich N Record Status This is a critical abstract of an economic evaluation
More informationOtis W. Brawley, MD, FACP, FASCO
Otis W. Brawley, MD, FACP, FASCO Chief Medical and Scientific Officer American Cancer Society Professor of Hematology, Medical Oncology, Medicine and Epidemiology Emory University Prostate Cancer and
More informationGlobal Spine Market with Focus on Spinal Fusion: Industry Analysis & Outlook ( )
Industry Research by Koncept Analytics Global Spine Market with Focus on Spinal Fusion: Industry Analysis & Outlook ----------------------------------------- (2016-2020) December 2016 1 Executive Summary
More informationAppendix E - Summary form Oxaliplatin and capecitabine for the adjuvant treatment of colon cancer table of consultee comments
Oxaliplatin and capecitabine for the adjuvant treatment of colon cancer table of consultee comments Section Consultees Comments Action Objective Roche RCP RCP As far as capecitabine is concerned, the objective
More informationDiabetes Prevention in. Massachusetts: Prediabetes and the Diabetes Prevention Program. Diabetes Prevention and Control
Diabetes Prevention in r Massachusetts: Prediabetes and the Diabetes Prevention Program Diabetes Prevention and Control www.mass.gov/dph/diabetes Massachusetts Department of Public Health 29 million with
More informationView Report Details. Global Aortic Aneurysm Market: Trends and Opportunities ( )
View Report Details Global Aortic Aneurysm Market: Trends and Opportunities (2014-2019) View Report Details Scope of the Report The report titled Global Aortic Aneurysm Market: Trends and Opportunities
More informationObjectives. Comparative Effectiveness Research: What is it and How is it Relevant to Pharmacy? How much do you know about CER? Glen T.
Comparative Effectiveness Research: What is it and How is it Relevant to Pharmacy? Glen T. Schumock Illinois Council of Health-System Pharmacists 2011 Annual Meeting, September 17 2011 The speaker has
More informationNUMERATOR: Venous Leg Ulcers within the denominator that achieved healing or closure within 12 months of its initial encounter.
CDR 6: Venous Leg Ulcer outcome measure: Healing or Closure MEASURE STEWARD: Alliance of Wound Care Stakeholders and the US Wound Registry This measure was developed via a consensus process in collaboration
More informationAccel-Heal. An effective treatment for healing leg ulcers. Guide for Clinicians
Accel-Heal An effective treatment for healing leg ulcers Guide for Clinicians Accel-Heal an innovative treatment for healing leg ulcers Leg ulcers are commonly slow to heal with many ulcers still remaining
More informationA Pilot Study of Oxygen Therapy for Acute Leg Ulcers
A Pilot Study of Oxygen Therapy for Acute Leg Ulcers Background: The concept of increasing the oxygen concentration in healing wounds developed originally with hyperbaric oxygen therapy and from the fact
More informationThe Linked SEER-Medicare Data and Cancer Effectiveness Research
The Linked SEER-Medicare Data and Cancer Effectiveness Research Arnold L. Potosky, PhD Professor of Oncology Director of Health Services Research Georgetown University Medical Center Lombardi Comprehensive
More informationDisclosures. Outpatient NPWT Options Free up Hospital Beds, but Do They Work? Objectives. Clinically Effective: Does it Work?
4/16/16 Disclosures Consultant, Volcano Corporation Outpatient Options Free up Hospital Beds, but Do They Work? UCSF Vascular Symposium 16 Jonathan Labovitz, DPM Medical Director, Foot & Ankle Center Associate
More informationQuality Outcomes and Financial Benefits of Nutrition Intervention. Tracy R. Smith, PhD, RD, LD Senior Clinical Manager, Abbott Nutrition
Quality Outcomes and Financial Benefits of Nutrition Intervention Tracy R. Smith, PhD, RD, LD Senior Clinical Manager, Abbott Nutrition January 28, 2016 SHIFTING MARKET DYNAMICS PROVIDE AN OPPORTUNITY
More informationA new classification of the diabetic ischaemic foot promotes a modern approach to treatment. Michael Edmonds King s College Hospital London
A new classification of the diabetic ischaemic foot promotes a modern approach to treatment Michael Edmonds King s College Hospital London Disclosure Speaker name: Michael Edmonds... I have the following
More informationAWMA MODULE ACCREDITATION. Module Six: Management of Oncology Related and Palliative Wounds
AWMA MODULE ACCREDITATION Module Six: Management of Oncology Related and Palliative Wounds Introduction- The Australian Wound Management Association Education & Professional Development Sub Committee-(AWMA
More informationNegative Pressure Wound Therapy
Ontario Health Technology Assessment Series 2010; Vol. 10, No. 22 Negative Pressure Wound Therapy An Evidence Update Presented to the Ontario Health Technology Advisory Committee in September 2010 December
More informationEconomic Considerations of Amputation Prevention
Economic Considerations of Amputation Prevention Adam Landsman, DPM, PhD Assistant Professor of Surgery Harvard Medical School Chief, Division of Podiatric Surgery Cambridge Health Alliance Cambridge,
More informationSetting The setting was primary care. The economic study was carried out in the UK and the USA.
Validation of venous leg ulcer guidelines in the United States and United Kingdom McGuckin M, Waterman R, Brooks J, Cherry G, Porten L, Hurley S, Kerstein M D Record Status This is a critical abstract
More informationFluorescence Angiography in Limb Salvage
Fluorescence Angiography in Limb Salvage Ryan H. Fitzgerald, DPM, FACFAS Associate Professor of Surgery-University Of South Carolina School of Medicine, Greenville Etiology of Lower extremity wounds Neuropathy
More informationThe Georgetown Team Approach to Diabetic Limb Salvage: 2013
The Georgetown Team Approach to Diabetic Limb Salvage: 2013 John S. Steinberg, DPM FACFAS Associate Professor, Department of Plastic Surgery Georgetown University School of Medicine Disclosures: None Need
More informationIT S ALL ABOUT EVIDENCE
IT S ALL ABOUT EVIDENCE COVERAGE WITH EVIDENCE DEVELOPMENT IN CANADA DEVIDAS MENON, SCHOOL OF PUBLIC HEALTH, UNIVERSITY OF ALBERTA 2012 CADTH SYMPOSIUM, Ottawa, 17 April 2012 What s this all about? Experience
More informationThe Role of Information Technology in Disease Management: A Case for Heart Failure
The Role of Information Technology in Disease Management: A Case for Heart Failure Teresa De Peralta, MSN, APN-C Heart Failure Product Workflow Consultant Medtronic Population Management Level 3: As patient
More information1/5. Introduction. Primary endpoint Time to reach readiness for closure by surgical intervention or left for closure by secondary intention
1/5 Introduction Materials and methods Animal studies show that intermittent NPWT has potential to increase the rate of granulation tissue formation compared with adjustable intermittent (AI) NPWT 1 However,
More informationPeripheral Nerve Problems
Patient Education Peripheral Nerve Problems How they develop and ways to treat them This handout provides general information about how nerves work, what happens when they are injured, and how peripheral
More informationLet s Talk about Nutrition: Communication Skills for Health Care Professionals Topic 39
Let s Talk about Nutrition: Communication Skills for Health Care Professionals Topic 39 Module 39.2. Nutrition Facts: Cost-effectiveness of Nutrition Support Prof. Maurizio Muscaritoli, MD Full Professor
More informationPeripheral Nerve Problems
UW MEDICINE PATIENT EDUCATION Peripheral Nerve Problems How they develop and ways to treat them This handout explains how nerves work, what happens when they are injured, and how peripheral nerve problems
More information11th Annual Population Health Colloquium. Stan Skrzypczak, MS, MBA Sr. Director, Marketing Genomic Health, Inc. March 15, 2011
11th Annual Population Health Colloquium Stan Skrzypczak, MS, MBA Sr. Director, Marketing Genomic Health, Inc. March 15, 2011 Agenda Personalized medicine in oncology healthcare Clinical relevance of personalized
More informationThe summit and its purpose
Sponsors: 1 The summit and its purpose The Translational Hearing Research Summit: Biological and Pharmacological Approaches was an international summit that gathered 159 delegates, from 14 countries to
More informationNext-Generation Remote Patient Monitoring for Heart Failure March 3, 2016
Next-Generation Remote Patient Monitoring for Heart Failure March 3, 2016 Raj Khandwalla, MD Cedars-Sinai Medical Center Martin S. Kohn, MD, Sentrian Conflict of Interest Raj Khandwalla, M.D. M.A. FACC
More informationInternational Pressure Ulcer Guidelines Update Aamir Siddiqui, MD, FACS Division of Plastic Surgery Henry Ford Hospital Detroit MI
International Pressure Ulcer Guidelines Update 2015 Aamir Siddiqui, MD, FACS Division of Plastic Surgery Henry Ford Hospital Detroit MI Disclosure Aamir Siddiqui has listed no financial interest/arrangement
More informationRESEARCH AND OUTCOMES: WHY ARE THEY IMPORTANT TO O&P?
RESEARCH AND OUTCOMES: WHY ARE THEY IMPORTANT TO O&P? AOPA FUTURES CONFERENCE Sam Liang January 11 th, 2015 Disclaimer: The views, observations and opinions I express in this presentation are being made
More informationWater Works. The Value of Water
Water Works The Value of Water The Value of Water Water Works Water is vital for the body Accounting for roughly 60% of body weight, water is the largest component of the human body and the major constituent
More information2016 Uterine Cancer Annual Report
2016 Uterine Cancer Annual Report Overview At Carolinas HealthCare System s Levine Cancer Institute, we offer comprehensive care focused on using the latest technology and innovative techniques in the
More informationNAACR Treatment Webinar Quiz 1
NAACR Treatment Webinar Quiz 1 1. Which of the following would NOT be considered cancer-directed treatment? a. Hemicolectomy b. Incisional biopsy c. Whole breast radiation d. MRI e. All of the above f.
More informationTHE POTENTIAL IMPACT OF VITALSTIM THERAPY ON HEALTHCARE COSTS: A White PaperVitalStim Therapy has significant
Dysphagia THE POTENTIAL IMPACT OF VITALSTIM THERAPY ON HEALTHCARE COSTS: A White PaperVitalStim Therapy has significant Contents potential to dramatically impact the health care costs arising from oropharyngeal
More informationMArch The 2014 Drug Trend Report Highlights
MArch 2015 The 2014 Drug Report Highlights Highest Increase in U.S. Drug Spend Over Past Decade In 2014, the pharmacy landscape underwent a seismic change, and the budgetary impact to healthcare payers
More informationCost-Effectiveness of Lung Volume Reduction Surgery
Cost-Effectiveness of Lung Volume Reduction Surgery The Health Industry Forum October 24, 2007 - Washington DC The National Emphysema Treatment Trial National Emphysema Treatment Trial (NETT) Multicenter,
More informationNational Diabetes Foot Care Audit Third Annual Report
National Diabetes Foot Care Audit Third Annual Report England and Wales 14 July 2014 to 31 March 2017 V1.0 14 March 2018 Introduction: Contents Key Introduction Key messages Care structures survey Participation
More informationDiabetes Mellitus and the Dental Healthcare Professional
Diabetes Mellitus and the Dental Healthcare Professional Jerry A. Brown DMD, CDE University of South Florida Department of Internal Medicine jabrown7@health.usf.edu Learning Objectives Diabetes- The Disease
More informationCaroline E. Fife, MD. Professor of Geriatrics Baylor College of Medicine Houston, TX. Medical Director CHI St. Luke s Wound Clinic The Woodlands, TX
The Big Squeeze: MIPS and Its Implications to the Wound Care Practitioner Caroline E. Fife, MD Professor of Geriatrics Baylor College of Medicine Houston, TX Medical Director CHI St. Luke s Wound Clinic
More informationSchool of Healthcare FACULTY OF MEDICINE AND HEALTH
Exploring Histories and Futures of Innovation in Advanced Wound Care Welcome AHRC Cross-Disciplinary Wounds Research Network #woundhistsoc @woundinnovation wounds.leeds.ac.uk Thackray Wireless 1, 2 or
More informationEvaluations. Dementia Update: A New National Plan for Alzheimer s Disease Research, Care and Services. Disclosure Statements.
Dementia Update: A New National Plan for Alzheimer s Disease Research, Care and Services June 21, 2012 Featured Speaker David Hoffman M.Ed. C.C.E, NYS DOH Office of Health Insurance Programs Clinical Associate
More informationVenous Leg Ulcers. Care for Patients in All Settings
Venous Leg Ulcers Care for Patients in All Settings Summary This quality standard focuses on care for people who have developed or are at risk of developing a venous leg ulcer. The scope of the standard
More informationClinical and Economic Benefits of Healing Diabetic Foot Ulcers With a Rigid Total Contact Cast
Clinical and Economic Benefits of Healing Diabetic Foot Ulcers With a Rigid Total Contact Cast Shishir Shah, DO Sub-optimal offloading results in delayed healing and thus directs the clinician into considering
More informationThe Diabetic Foot Screen and Management Foundation Series of Modules for Primary Care
The Diabetic Foot Screen and Management Foundation Series of Modules for Primary Care Anita Murray - Senior Podiatrist Diabetes, SCH Learning Outcomes Knowledge of the Model of Care For The Diabetic Foot
More informationTraditional Silicone Technology
Innovative Non-Silicone Low Trauma Adhesives versus Traditional Silicone Technology A Review and Comparison Alan Neil Medical Industry Consultant Advanced Wound Care Lohmann Corporation 2016 Chronic wound
More informationDefining Outcomes for Clinical Wound Research in Older Adults February 21, 2014
Defining Outcomes for Clinical Wound Research in Older Adults February 21, 214 Harold Brem, MD Professor of Surgery Stony Brook University School of Medicine Chief, Division of Wound Healing and Regenerative
More informationHospice and Palliative Care: Value-Based Care Near the End of Life
Hospice and Palliative Care: Value-Based Care Near the End of Life Mary Dittrich, MD, FASN Senior Medical Director, Remedy Partners Joseph W. Shega, MD National Medical Director, VITAS Healthcare 2017
More information3-year results of the OLIVE registry:
3-year results of the OLIVE registry: A prospective multicenter study in patients with critical limb ischemia Osamu Iida, MD Kansai Rosai Hospital Cardiovascular Center Amagasaki, Hyogo, Japan Disclosure
More informationWorking Under Pressure is Not Always. a Good Thing. Kathya M. Zinszer, DPM, MPH, MAPWCA. Geisinger Hospital System Orthopedics Department Danville, PA
Working Under Pressure is Not Always a Good Thing Kathya M. Zinszer, DPM, MPH, MAPWCA Geisinger Hospital System Orthopedics Department Danville, PA Disclosures No relevant financial relationships to disclose.
More informationDiagnosing wound infection - a clinical challenge
Diagnosing wound infection - a clinical challenge Keith F Cutting Merimbula, 5 th November 2010 Wound infection microbial load immune system microbial load + + + immune system infection host response Diagnosing
More informationHospice and Palliative Care: Value-Based Care Near the End of Life
Hospice and Palliative Care: Value-Based Care Near the End of Life Mary Dittrich, MD, FASN Senior Medical Director, Remedy Partners Joseph W. Shega, MD National Medical Director, VITAS Healthcare 2017
More informationFor personal use only
Sirtex Medical Limited SARAH Clinical Study Results Investor Presentation Nigel Lange, Interim CEO Dr David N. Cade, CMO 24 April 2017 SIR-Spheres is a registered trademark of Sirtex SIR-Spheres Pty Ltd
More informationSlide 1. Slide 2. Slide 3 History of Nurse Navigator
Slide 1 The Nurse Navigators role in Early Stage Breast Cancer, and Development of Tailored Treatment Plan Laura Ochoa, RN, ANP-BC, Ph.D. Slide 2 Barnes Jewish Hospital at Washington University Slide 3
More informationStandards of excellence
The Accreditation Canada Stroke Distinction program was launched in March 2010 to offer a rigorous and highly specialized process above and beyond the requirements of Qmentum. The comprehensive Stroke
More informationImproving documentation and coding of malnutrition a five year journey
Improving documentation and coding of malnutrition a five year journey Natalie Simmance, Chief Dietitian Clara Newsome Sally Bell Sonia Grundy St Vincent's Hospital Melbourne Patient Malnutrition common
More informationThe 2011 IOM Reports on Oral Health: Implications for Delivery Systems
The 2011 IOM Reports on Oral Health: Implications for Delivery Systems Paul Glassman DDS, MA, MBA Professor and Director of Community Oral Health University of the Pacific School of Dentistry San Francisco,
More information2016 Report Card Gwen Neilsen Anderson Rehabilitation Center Inpatient Rehabilitation Unit. stlukesonline.org
2016 Report Card Gwen Neilsen Anderson Rehabilitation Center Inpatient Rehabilitation Unit stlukesonline.org Why the Gwen Neilsen Anderson Rehabilitation Center? The Gwen Neilsen Anderson Rehabilitation
More informationOntario s Seniors Strategy: Where We Stand. Where We Need to Go
Ontario s Seniors Strategy: Where We Stand. Where We Need to Go Dr. Samir K. Sinha MD, DPhil, FRCPC Provincial Lead, Ontario s Seniors Strategy Director of Geriatrics Mount Sinai and the University Health
More informationNovoSorb BTM. A unique synthetic biodegradable wound scaffold. Regenerating tissue. Changing lives.
NovoSorb BTM A unique synthetic biodegradable wound scaffold Regenerating tissue. Changing lives. Overview NovoSorb BTM is a unique synthetic biodegradable wound scaffold that delivers good cosmetic and
More informationTopical Oxygen Wound Therapy (MEDICAID)
Topical Oxygen Wound Therapy (MEDICAID) Last Review Date: September 8, 2017 Number: MG.MM.DM.15C8v2 Medical Guideline Disclaimer Property of EmblemHealth. All rights reserved. The treating physician or
More informationUsing A Quality Improvement Program to Reduce Length of Stay and Readmissions: Real World Evidence from One Health Care System
Using A Quality Improvement Program to Reduce Length of Stay and Readmissions: Real World Evidence from One Health Care System Wm. Thomas Summerfelt, PhD April 19, 2017 Becker s Hospital Review Conference
More informationConnecting the Dots: Cluster Randomized Trial. Behavioral Economics and a. Adrian F. Hernandez, MHS
Connecting the Dots: Behavioral Economics and a Cluster Randomized Trial Adrian F. Hernandez, MHS Disclosures Research grant to the Duke Clinical Research Institute from: Novartis (Independent Investigator
More informationCoding for Ulcer Debridement
Coding for Ulcer Debridement Faculty Jeffrey D. Lehrman, DPM, FASPS, MAPWCA Adjunct Clinical Professor Temple University School of Podiatric Medicine Panel Physician Crozer Center for Wound Healing and
More informationAdvaMed Medtech Value Assessment Framework in Practice
AdvaMed Medtech Value Assessment Framework in Practice Application of the Medtech Value Assessment Framework to Rotation Medical s Bioinductive Implant Value Framework Overview In response to the growing
More informationChronicity and Aging: The Geriatric Imperative
Chronicity and Aging: The Geriatric Imperative Steven L. Phillips, MD Medical Director Sanford Center for Aging Professor, Clinical Internal Medicine University of Nevada, Reno School of Medicine dhs.unr.edu/aging
More informationRobert J. McKenna M.D. Chief, Thoracic Surgery Cedars Sinai Medical Center
You Smoke, You Get Lung Cancer, You Die: Can Screening Change this Paradigm? Robert J. McKenna M.D. Chief, Thoracic Surgery Cedars Sinai Medical Center AATS Saturday 4/28/2012 Cancer Screening Cancer
More informationMentors on Discharge
Mentors on Discharge Repeated psychiatric hospitalizations are costly, impede recovery and are demoralizing to individuals, families, and clinicians. Between 40 to 50 percent of patients with a history
More informationGlobal Spine Market with Focus on Spinal Fusion: Industry Analysis & Outlook ( )
Industry Research by Koncept Analytics Global Spine Market with Focus on Spinal Fusion: Industry Analysis & Outlook ----------------------------------------- (2017-2021) January 2018 Global Spine Market
More informationMultisciplinary Team and Diabetic Foot Syndrome
Multisciplinary Team and Diabetic Foot Syndrome Giacomo Clerici MD Roberto Ferraresi MD Amputation Prevention Centre Humanitas Hospitals Group Milan and Bergamo giacomoclerici@me.com Twitter @diabeticfoot1
More informationThe National Kidney Foundation (NKF) is pleased to submit testimony regarding the impact of
STATEMENT OF THE NATIONAL KIDNEY FOUNDATION 30 EAST 33 RD STREET NEW YORK, NY 10016 SUBMITTED TO THE HOUSE COMMITTEE ON APPROPRIATIONS; SUBCOMMITTEE ON LABOR, HHS, EDUCATION, AND RELATED AGENCIES IN SUPPORT
More informationADJUVANT CHEMOTHERAPY...
Colorectal Pathway Board: Non-Surgical Oncology Guidelines October 2015 Organization» Table of Contents ADJUVANT CHEMOTHERAPY... 2 DUKES C/ TNM STAGE 3... 2 DUKES B/ TNM STAGE 2... 3 LOCALLY ADVANCED
More informationSmart Solutions for Serious Wounds. An advanced bilayer dermal regeneration matrix FDA approved for the treatment of diabetic foot ulcers.
Smart Solutions for Serious Wounds An advanced bilayer dermal regeneration matrix FDA approved for the treatment of diabetic foot ulcers. A New Approach to Diabetic Foot Ulcer Care Supported by Over Two
More informationMedical-Legal Implications of Iatrogenic Injuries in Geriatric Care Facilities
Medical-Legal Implications of Iatrogenic Injuries in Geriatric Care Facilities Aimée D. Garcia, MD, CWS, FACCWS, FAPWCA Associate Professor, Department of Medicine Geriatrics Section, Baylor College of
More informationREGISTRY- BASED IDES FOR THERAPEUTIC DEVICES: INDUSTRY VIEW
REGISTRY- BASED IDES FOR THERAPEUTIC DEVICES: INDUSTRY VIEW SANDEEP BRAR, M.D. SENIOR DIRECTOR, CLINICAL RESEARCH MEDTRONIC HOW DID WE GET HERE? SAFE-PCI Proof of concept for a treatment strategy IDE trial
More informationRegulating the Cell Cycle
Regulating the Cell Cycle The cell cycle is controlled by regulatory proteins both inside and outside the cell. Cyclins proteins that regulate the timing of the cell cycle in eukaryotic cells. Internal
More informationRegenerative Tissue Matrix in Treatment of Wounds
Regenerative Tissue Matrix in Treatment of Wounds Learning Objectives Differentiate between reparative and regenerative healing Review surgical techniques for applying a regenerative tissue scaffold to
More informationWOUND CARE. By Laural Aiesi, RN, BSN Alina Kisiel RN, BSN Summit ElderCare
WOUND CARE By Laural Aiesi, RN, BSN Alina Kisiel RN, BSN Summit ElderCare PRESSURE ULCER DIABETIC FOOT ULCER VENOUS ULCER ARTERIAL WOUND NEW OR WORSENING INCONTINENCE CHANGE IN MENTAL STATUS DECLINE IN
More informationChapter 10 Notes. Cancer & Stem Cells
Chapter 10 Notes Cancer & Stem Cells THINK ABOUT IT How do cells know when to divide? Controls on Cell Division How is the cell cycle regulated? The cell cycle is controlled by regulatory proteins both
More informationTHE MATRIXX POWER SUIT CO. LLC
THE MATRIXX Presents Wearable Wellness Technology That Improves Your Health & Performance Private Research Study By Dr. Bijan Najafi PhD Baylor College of Medicine Global Wellness Summit 2017 Patented
More informationWound culture. (Sampling methods) M. Rostami MSn.ICP Rajaei Heart Center
Wound culture (Sampling methods) M. Rostami MSn.ICP Rajaei Heart Center Infection is a major impairment in delayed and nonhealing chronic wounds. Cultures of chronic wounds are not routinely performed
More informationSupportive Care and Medicine Matters in the older cancer patients: The Asian Perspective
Supportive Care and Medicine Matters in the older cancer patients: The Asian Perspective Alex Chan, Pharm.D., MPH, BCPS, BCOP Assistant Head and Associate Professor National University of Singapore Specialist
More informationMultiple Interventions for Diabetic Foot Ulcer Treatment Trial (MIDFUT)
Multiple Interventions for Diabetic Foot Ulcer Treatment Trial (MIDFUT) Nikki Dewhirst MIDFUT Clinical Co-ordinator, Clinical Trials Research Unit, University of Leeds Senior Vascular Research Nurse, Leeds
More informationEvaluating the use of a topical haemoglobin spray as adjunctive therapy in non-healing chronic wounds a pilot study Liezl Naude
Evaluating the use of a topical haemoglobin spray as adjunctive therapy in non-healing chronic wounds a pilot study Liezl Naude Abstract Wound Management Specialist Eloquent Health & Wellness Centre, Pretoria,
More informationCountry Coverage. Company Coverage
Global Heart Valve Devices Market: Analysis By Procedure (Replacement & Repair), Replacement Procedure By Technique (Mechanical, Bioprosthetic & TAVR), Repair Procedure By Technique (Surgical, Balloon
More informationREGULATION AND HTA OF MEDICAL DEVICES IN EU: WHAT CAN WE LEARN?
REGULATION AND HTA OF MEDICAL DEVICES IN EU: WHAT CAN WE LEARN? Rosanna Tarricone, PhD Associate Dean, Government Health and Non Profit Division Issue Panel Opportunities and challenges in international
More informationStatement. behalf of the. Federal Republic of Germany. at the. 52 nd Session of the Commission on Population and Development 1 5 April 2019
Statement on behalf of the Federal Republic of Germany at the 52 nd Session of the Commission on Population and Development 1 5 April 2019 Agenda item 3: General Debate (a) Actions for the further implementation
More informationEarly Integration of Palliative Care
Early Integration of Palliative Care Dr. Camilla Zimmermann Head, Palliative Care Program University Health Network Toronto November 1, 2014 www.fpon.ca Early Integration of Palliative Care: Evidence and
More informationThe New Role of Cancer Patient Engagement in Value Based Models
Mini Summit XIX: Case Studies in Specialty Medical Homes: How to Design APMs to Support Patients with Serious Health Conditions that Cannot be Managed by a PCP Ray Page, DO PhD The New Role of Cancer Patient
More informationConsultation on Australian Medical Research and Innovation Priorities for
Australian Medical Research Advisory Board Consultation on Australian Medical Research and Innovation Priorities for 2018-2021 Submission from Dementia Australia July 2018 1 About Dementia Australia Dementia
More informationWhat It Takes to Get Incorporation Into Guidelines and Reimbursement for Advanced Cancer Diagnostics: Lessons from Oncotype DX
What It Takes to Get Incorporation Into Guidelines and Reimbursement for Advanced Cancer Diagnostics: Lessons from Oncotype DX WSMOS Meeting Oct 2013 Steven Shak, MD Genomic Health Disclosure: October
More informationMean percent reduction in ulcer area from baseline at six weeks 62 % SANTYL Ointment + supportive care* + sharp debridement 1 (P<0.
Evaluating two common adjuncts to sharp debridement in the treatment of diabetic foot ulcers Mean percent reduction in ulcer area from baseline at six weeks 62 % 40 % SANTYL Ointment + supportive care*
More information2nd International Conference and Exhibition on Rhinology and Otology
2nd International Conference and Exhibition on Rhinology and Otology Date & Venue: March 18-20, 2015 Dubai, UAE (Theme: Implications and Current concepts in the field of Rhinology & Otology) Summary: Otolaryngology
More information7/30/2017. One World Medical Physics: Challenges and Opportunities in Cancer Care. Worldwide Demographic Shift
People 60 Years and Older ( in Millions) 7/30/2017 One World Medical Physics: Challenges and Opportunities in Cancer Care Jatinder R Palta PhD, FAAPM, FASTRO, FACR Virginia Commonwealth University, and
More informationNumber of people with diabetes
Written evidence from Diabetes UK DIABETES: THE BIGGEST HEALTH CHALLENGE OF OUR TIME A SYSTEM IN CRISIS 1. The Rising Tide of Diabetes and the Challenge for the NHS 2.1 Diabetes has become one of the biggest
More informationAgenda. ICD-10 CM ICD-10 PCS Prior Auth Guidelines Claims Processing
ICD-10 OVERVIEW Agenda ICD-10 CM ICD-10 PCS Prior Auth Guidelines Claims Processing ICD 10 goes live All HIPAA-covered entities, including health plans, clearinghouses, and healthcare providers must adopt
More informationDeveloping a Business Case
Developing a Business Case Elena Karahanna University of Georgia CPD Workshop April 6-7, 2017 The Business Case Requirements Scope Timeline Problem Provides the basis for deciding whether or not to move
More information