Chronic Illness Resource Usage
|
|
|
- Irma Lloyd
- 5 years ago
- Views:
Transcription
1 Chronic Illness Resource Usage, Assoc Prof Girosi, Dr David Dean HRT 1520 Innovations Workshops and Awards November 2015, Sydney
2 2 Innovation Summary Key problem: DRGs do not take into account chronic conditions very well in resource usage. Aim of Innovation: Determine if there is a large resource change when a chronic condition is present. Baseline data/ current situation: Several years of HRT demographics and costing data was used. Changes implemented: Determine admission LOS and Cost for episodes where a patient had / does not have a chronic condition. Outcomes: Patients that had a chronic condition used approximately twice the resources both in cost and length of stay as those that had no chronic condition. Conclusions: A better method of classifying patients may be necessary that includes chronic conditions
3 Key Problem There is a wide variation in patients in the DRGs and they can affect the variation in resource usage and clinical pathways required. DRGs are used to reflect the resource usage in funding circumstances but may not take into account all relevant information. DRGs have been continually refined however they may need to better account for chronic conditions. 3
4 Aim of this innovation The aim of this analysis was to determine if patients that also had Chronic conditions used more resources than those that did not. Three definitions were used for defining Chronic Conditions (A) The Six Chronic disease categories used with the 45 and Up linked data by Professor Louisa Jorm et al UNSW. (B) The chronic diseases defined by the new U ICD codes and their respective codes that are used when they affect patient treatment. (C) The chronic diseases that appear in the AIHW list of codes for potentially avoidable hospital admissions. 4
5 5 Baseline Data / Current Situation The data we used was the public hospital Health Roundtable data from 2012 and 2013 Financial Year. The data was recoded into DRG 7.0 by the HRT. There were approximately 4 million episodes of costed demographic data from about 60 hospitals.
6 Three methods of defining Chronic conditions Model 1: ICD Codes for Diabetes, Heart disease, Hypertension, Obesity, Smoking and Stroke Model 2: ICD Codes for Obesity, Cystic fibrosis, Dementia (incl in Alzheimer's), Schizophrenia, Depression, Disorder of intellectual development Model 3: Asthma, Congestive cardiac failure, Diabetes complications, COPD, Bronchiectasis, Angina, Iron deficiency anaemia, Hypertension, Nutritional deficiencies, Rheumatic heart diseases 6
7 7 Chronic conditions influence LOS and Cost
8 8 Resource usage by DRG and Chronic Flag
9 Lessons Learnt Chronic conditions have a significant effect on both length of stay and the cost of the patient stay in hospital On average patients with chronic conditions used between two and three times the amount of resources than non-chronic patients. That is independent of the definition of chronic. The change in resource usage for chronic illness is in addition to DRG complexity. 9
10 Contact for this Innovation For more information Contact: Dr David Dean Associate Professor Federico Girosi 10
How a universal health system reduces inequalities: lessons from England
How a universal health system reduces inequalities: lessons from England Appendix 1: Indicator Definitions Primary care supply Definition: Primary care supply is defined as the number of patients per full
More Than A Pain In The Big Toe
More Than A Pain In The Big Toe Organisation Name: Counties Manukau Health Presenter(s): Rebecca Lawn HRT 1520 Innovations Workshops and Awards 19-20 November 2015, Sydney Key Problem There are more than
Supplementary Online Content
Supplementary Online Content Dharmarajan K, Wang Y, Lin Z, et al. Association of changing hospital readmission rates with mortality rates after hospital discharge. JAMA. doi:10.1001/jama.2017.8444 etable
JAMA, January 11, 2012 Vol 307, No. 2
JAMA, January 11, 2012 Vol 307, No. 2 Dementia is associated with increased rates and often poorer outcomes of hospitalization Worsening cognitive status Adequate chronic disease management is more difficult
Supplementary Online Content
Supplementary Online Content Khera R, Dharmarajan K, Wang Y, et al. Association of the hospital readmissions reduction program with mortality during and after hospitalization for acute myocardial infarction,
Selected tables standardised to Segi population
Selected tables standardised to Segi population LIST OF TABLES Table 4.2S: Selected causes of death, all-ages, 2000 2004 (Segi Standard) Table 5.3S: Public hospitalisations by major cause of admission
SMR Palliative Care Forum The Intersection: Chronic disease and Palliative Care. Chronic Heart Failure
SMR Palliative Care Forum The Intersection: Chronic disease and Palliative Care. Chronic Heart Failure Bruce Jackson Physician (General Medicine, Nephrology, Cardiology) Inpatient ward service in General
Definitions of chronic conditions used to define the number of serious comorbidities in the study.
Supplementary Table 1 Definitions of chronic conditions used to define the number of serious comorbidities in the study. Comorbidity ICD-9 Code Description CAD/MI 410.x Acute myocardial infarction 411.x
NAME: DATE: SCHOOL/ORGANISATION:
HEALTH AND FITNESS NAME: DATE: SCHOOL/ORGANISATION: INSTRUCTIONS 1. Make sure you read the bold text in boxes throughout the worksheet as they contain important information. These boxes contain instructions
How Can We Protect Scotland s Most Vulnerable Lungs from Air Pollution? British Lung Foundation 2017 blf.org.uk/scotland
How Can We Protect Scotland s Most Vulnerable Lungs from Air Pollution? British Lung Foundation 2017 /Scotland Agenda Why tackling respiratory health needs to be a priority How this is linked with Air
APPENDIX EXHIBITS. Appendix Exhibit A2: Patient Comorbidity Codes Used To Risk- Standardize Hospital Mortality and Readmission Rates page 10
Ross JS, Bernheim SM, Lin Z, Drye EE, Chen J, Normand ST, et al. Based on key measures, care quality for Medicare enrollees at safety-net and non-safety-net hospitals was almost equal. Health Aff (Millwood).
Quality Care Innovation lead clinician for integrated respiratory service georges ng* man kwong
Working in partnership Quality Care Innovation lead clinician for integrated respiratory service georges ng* man kwong chest physician pronounced ning qualified 1990 chief clinical information officer
Results of the liberalisation of Medisave for a population-based diabetes management programme in Singapore
Results of the liberalisation of Medisave for a population-based diabetes management programme in Singapore Woan Shin TAN 1, Yew Yoong DING 1, 2, Christine WU 3, Bee Hoon HENG 1 1 Health Services and Outcomes
Measuring Long-Term Conditions in Scotland - A summary report
Measuring Long-Term Conditions in Scotland - A summary report Introduction This summary report provides insight into: What are the most common long-term conditions in Scotland? What is the population prevalence
CHOPS. Care of the confused hospitalised Older person Study. Anthea Temple Project Officer Aged Health Network. February 2014
CHOPS Care of the confused hospitalised Older person Study February 2014 Anthea.temple@aci.health.nsw.gov.au Anthea Temple Project Officer Aged Health Network Population growth over 65yrs 13% of Australia
CHRONIC MEDICATION PROGRAMME INCLUDES PRESCRIBED MINIMUM BENEFIT CHRONIC DISEASE LIST (CDL)
CHRONIC MEDICATION PROGRAMME INCLUDES PRESCRIBED MINIMUM BENEFIT CHRONIC DISEASE LIST (CDL) A. GENERAL INFORMATION LIST OF CHRONIC CONDITIONS Conditions covered under KeyHealth s chronic medication benefit
Very few seniors contemplated suicide. The mortality rate for suicide among seniors decreased in both Peel and Ontario between 1986 and 2001.
Mental Health HIGHLIGHTS In the 23 Canadian Community Health Survey, two-thirds of seniors in Peel and Ontario rated their mental health as excellent or very good (65%). In 21, the prevalence of depression
Low-dose aspirin prevents myocardial infarction and stroke and increases bleeding in people without known cardiovascular disease
Low-dose aspirin prevents myocardial infarction and stroke and increases bleeding in people without known cardiovascular disease Questions In adults 40 years of age or older without known cardiovascular
Following the health of half a million participants
Following the health of half a million participants Cathie Sudlow UK Biobank Scientific Conference London, June 2018 Follow-up of participants in very large prospective cohorts Aim: identify a wide range
Cost-of-Illness Summaries for Selected Conditions
January 2006 RTI International RTI-UNC Center of Excellence in Health Promotion Economics Costs (in billions of $) Costs adjusted to 2004 (in billions of $) Disease Total Direct Indirect Intangible Total
CHRONIC MEDICINE PROGRAMME GENERAL INFORMATION LETTER
RAND WATER MEDICAL SCHEME RAND WATER MEDICAL SCHEME CHRONIC MEDICINE PROGRAMME GENERAL INFORMATION LETTER LIST OF CHRONIC CONDITIONS Conditions covered under s chronic medication benefit are detailed below.
Screening and Referral. Unit: Programming Pilates Matwork
Screening and Referral Unit: Programming Pilates Matwork Learning outcomes & assessment criteria Learning outcome: The learner will: LO2: Understand how to screen clients prior to a Pilates matwork programme
Indicator Specification:
Indicator Specification: CCG OIS 2.6 (NHS OF 2.3.i) Unplanned hospitalisation for chronic ambulatory care sensitive conditions Indicator Reference: I00757 Version: 1.5 Date: September 2014 Author: Clinical
Methodological Issues
Methodological Issues Presentation by Ian Brownwood for the meeting of Health Promotion, Prevention and Primary Care Subgroup 22 October, 2009, Paris The Indicators Asthma* Chronic Obstructive Pulmonary
Supplemental Table 1. Disease codes used for patient exclusion, endpoints, or stratification analyses for Humedica (A) and THIN (B).
Supplemental Table 1. Disease codes used for patient exclusion, endpoints, or stratification analyses for Humedica (A) and THIN (B). A. ICD-9 diagnosis codes in Humedica Analysis Vascular disease ICD-9
State of Cardiovascular Health in the NT DR MARCUS ILTON
State of Cardiovascular Health in the NT DR MARCUS ILTON Background NT Population For whom we provide Cardiac Care Population - 250,000 Darwin - 140,000 Alice Springs - 40,000 Katherine - 10,000 Tennant
Top 10 ICD-10 Coding Errors (and how to fix them!) Presented by Jennifer Warfield, BSN, HCS-D, COS-C Education Director, PPS Plus
(and how to fix them!) Presented by Jennifer Warfield, BSN, HCS-D, COS-C Education Director, PPS Plus Top 10 ICD-10 Coding Errors (and how to fix them!) Top 10 Primary Diagnoses In ICD-10 ICD-10 Codes
Chronic Disease Summary: Nunavut (Fiscal Years )
Chronic Disease Summary: Nunavut (Fiscal Years 2004 2012) The following chronic disease data was produced using the Canadian Chronic Disease Surveillance System (CCDSS), which is a federal initiative that
Tennessee Department of Health in collaboration with Tennessee State University and University of Tennessee Health Science Center
Tennessee Department of Health in collaboration with Tennessee State University and University of Tennessee Health Science Center 2006 Tennessee Department of Health 2006 ACKNOWLEDGEMENTS CONTRIBUTING
CHRONIC TREATMENT GUIDELINES
CHRONIC TREATMENT GUIDELINES REGISTRATION OF CHRONIC CONDITIONS You can only access benefits for chronic medication, as listed below, if your prescribing/treating doctor or pharmacist registers your chronic
BTS Guideline for Home Oxygen use in adults Appendix 9 (online only) Key Questions - PICO 10 December 2012
BTS Guideline for Home Oxygen use in adults Appendix 9 (online only) Key Questions - PICO 10 December 2012 Evidence base for Home Oxygen therapy in COPD, non-copd respiratory disease and nonrespiratory
CHRONIC MEDICINE PROGRAMME: GENERAL INFORMATION LETTER
CHRONIC MEDICINE PROGRAMME: GENERAL INFORMATION LETTER The Prescribed Minimum Benefit Chronic Disease List In terms of the Medical Scheme Act Regulations that came into effect on 1 January 2004, Medical
Are recommended alcohol consumption limits for older people too low?
Are recommended alcohol consumption limits for older people too low? Dr Iain Lang, Epidemiology & Public Health Group, Peninsula Medical School, Exeter, UK. Email: iain.lang@pms.ac.uk Prof Robert B. Wallace,
WITBANK COALFIELDS MEDICAL AID SCHEME (WCMAS) CHRONIC MEDICINE PROGRAMME GENERAL INFORMATION LETTER
WITBANK COALFIELDS MEDICAL AID SCHEME (WCMAS) CHRONIC MEDICINE PROGRAMME GENERAL INFORMATION LETTER The Prescribed Minimum Benefit Chronic Disease List In terms of the Medical Scheme Act Regulations that
2013 Performance Incentive Metrics
1 2013 Performance Incentive Metrics The Performance Incentive Subcommittee presents the following set of proposed 2013 MiPCT Performance Incentive Metrics for consideration and recommends they be approved
Health History Questionnaire
LTC Health History Questionnaire The first step in long-term care expense planning is determining insurability. Long-term care insurance is medically underwritten. Health history will determine carrier,
Risk Mitigation in Bundled Payment
Risk Mitigation in Bundled Payment When to Hold Them and When To Fold Them Lily Pazand, MPH NYU Langone Medical Center Jonathan Pearce, MBA, CPA, FHFMA Singletrack Analytics Jessica Walradt, MS Association
Statistical Fact Sheet Populations
Statistical Fact Sheet Populations At-a-Glance Summary Tables Men and Cardiovascular Diseases Mexican- American Males Diseases and Risk Factors Total Population Total Males White Males Black Males Total
APPLICATION FORM CHRONIC MEDICINE BENEFIT 2019
APPLICATION FORM CHRONIC MEDICINE BENEFIT 2019 1. Medication for all chronic conditions that are covered may be registered telephonically on 0800 132 345 (doctors and pharmacists only). 2. Alternatively,
Care Pathways: Conditions most likely to cause blockages within emergency hospital care
Care Pathways: Conditions most likely to cause blockages within emergency hospital care Dr Rod Jones (ACMA) Statistical Advisor www.hcaf.biz Executive Summary Conditions scoring high across various dimensions
Drug prescriptions (Pharm) Exposure (36/48 months)
ANNEX SECTION PART A - Study design: Figure 1 overview of the study design Drug prescriptions (Pharm) 2006-2010 Exposure (36/48 months) flexible time windows (e.g. 90 days) time index date (hospital discharge)
Alzheimer s s Disease (AD) Prevalence
Barriers to Quality End of Life Care for People with Dementia Steve McConnell, PhD Alzheimer s s Association Washington, DC Office Alliance for Health Care Reform Briefing on End of Life Care June 8, 2007
Making the Business Case for Long-Acting Injectables
Making the Business Case for Long-Acting Injectables David R. Swann, MA, LCAS, CCS, LPC, NCC Senior Healthcare Integration Consultant MTM Services Chief Clinical Officer Partners Behavioral Health Management
Washoe County Health District Influenza Surveillance Program Final Hospitalization & Death Data
Washoe County Health District 2017-2018 Influenza Surveillance Program Final Hospitalization & Death Data Date: Monday, September 17, 2018 Overview of Hospitalized Cases, 2017-18 Influenza Surveillance
Appendix Identification of Study Cohorts
Appendix Identification of Study Cohorts Because the models were run with the 2010 SAS Packs from Centers for Medicare and Medicaid Services (CMS)/Yale, the eligibility criteria described in "2010 Measures
ACOFP 55th Annual Convention & Scientific Seminars. How Complicated is Your Panel? Effective Risk Coding in Primary Care. Alison Mancuso, DO, FACOFP
8 ACOFP 55th Annual Convention & Scientific Seminars How Complicated is Your Panel? Effective Risk Coding in Primary Care Alison Mancuso, DO, FACOFP How Complicated is Your Panel?: Effective Risk Coding
Dr. Karim Khan, Professor of Sports Medicine, Editor of the British Journal of Sports Medicin
11Although evidence for exercise as a major public health preventive approach and a potent medical therapy is widely recognized, the challenge is to get the right information to the right patient at the
CHRONIC MEDICINE PROGRAMME: PICK N PAY PLUS OPTION - GENERAL INFORMATION LETTER
CHRONIC MEDICINE PROGRAMME: PICK N PAY PLUS OPTION - GENERAL INFORMATION LETTER Prescribed Minimum Benefits The prescribed minimum benefits (PMBs) comprise a list of 270 conditions or group of conditions
Beccy Maeso, The James Lind Alliance The James Lind Alliance Perspective
Beccy Maeso, The James Lind Alliance The James Lind Alliance Perspective The James Lind Alliance Tackling treatment uncertainties together Beccy Maeso James Lind Alliance JLA Priority Setting Partnerships
4. Which survey program does your facility use to get your program designated by the state?
TRAUMA SURVEY Please complete one survey for each TCD designation you have in your facility. There would be a maximum of three surveys completed if your facility was designated as a trauma, stroke and
Fall-related injury in people with dementia
Fall-related injury in people with dementia Dr Lara Harvey NHMRC Early Career Research Fellow Neuroscience Research Australia Dementia Collaborative Research Centers- Assessment and Better Care Overview
PREOPERATIVE ANAEMIA PATHWAY
PREOPERATIVE ANAEMIA PATHWAY Surname: Unit No. Forename: DOB: / / Age: NHS Number: Likes to be called: Address: Tel. No. Religion/Spirituality: GP Name: GP Practice: Planned Operation: Postcode: Mobile
Episodes of Care Risk Adjustment
Episodes of Care Risk Adjustment Episode Types Wave 1 Asthma Acute Exacerbation Perinatal Total Joint Replacement Wave 2 Acute Percutaneous Coronary Intervention COPD Acute Exacerbation Non-acute Percutaneous
Patient Centric Data
Patient Centric Data Analysing Chronic Conditions APAC Conference September 2015 Ian Tebbutt www.healthroundtable.org APAC Abstract Introduction: Casemix narrows our thinking to episodes, DRGs and LOS.
The Preventing Dementia MOOC: Education as a Public Health Intervention FACULTY OF HEALTH
The Preventing Dementia MOOC: Education as a Public Health Intervention FACULTY OF HEALTH Dementia is THE Public Health issue of the 21 st Century 2015 World Alzheimer Report (Alzheimer s Disease International)
An overview from CIHI reports related to seniors and aging.
Presentation to the Alzheimer Society of Ontario s Virtual Policy Series on Dementia An overview from CIHI reports related to seniors and aging. Presented by Cheryl Gula, Manager, Health Reports, CIHI.
Using the Patient Activation Measure to Improve Outcomes and Control Costs
Using the Patient Activation Measure to Improve Outcomes and Control Costs Judith H. Hibbard, DrPH Health Policy Research Group University of Oregon 2014 University of Oregon What is Activation? An activated
NORTH CAROLINA STATE HEALTH PLAN FOR TEACHERS AND STATE EMPLOYEES
NORTH CAROLINA STATE HEALTH PLAN FOR TEACHERS AND STATE EMPLOYEES Using Clinical Risk Groups to Focus Board Strategic Initiatives July 26, 2013 Copyright 2013 by The Segal Group, Inc., parent of The Segal
Oxygen and Oxygen Equipment
Oxygen and Oxygen Equipment I. Policy University Health Alliance (UHA) will reimburse for home oxygen and oxygen equipment when it is determined to be medically necessary and when it meets the medical
JAWDA Performance Quarterly KPI Profile (Clinic & Centers) March 2018
JAWDA Performance KPI Profile (Clinic & Centers) March 2018 1 P a g e Introduction: Physician office, clinic, and healthcare centers provide primary care function including health education, prevention,
Prof. Dr. Gabor Ternak
Prof. Dr. Gabor Ternak Noninfectious diseases can't be passed from one person to another. Instead, these types of diseases are caused by factors such as the environment, genetics and lifestyle. The term
Oxygen and Oxygen Equipment
Oxygen and Oxygen Equipment Policy Number: Original Effective Date: MM.01.008 12/01/2010 Line(s) of Business: Current Effective Date: HMO; PPO; QUEST 09/01/2013 Section: DME Place(s) of Service: Home I.
The 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
PROGRESS ON HCQI RESEARCH AND DEVELOPMENT WORK
PROGRESS ON HCQI RESEARCH AND DEVELOPMENT WORK Ian Brownwood, HCQI Project, OECD HCQI Expert Group Meeting 21 and 22 may 2015 R&D Agenda for 2014 Primary Care Indicators Avoidable Hospital Admission Indicators
Johns Hopkins University Health Disparities Seminar Series. Eliminating Health Disparities in Maryland
Johns Hopkins University Health Disparities Seminar Series Eliminating Health Disparities in Maryland Joshua M. Sharfstein, MD, Secretary Maryland Department of Health & Mental Hygiene and Carlessia A.
PROFMED MEDICAL SCHEME CHRONIC MEDICINE BENEFIT GENERAL INFORMATION
PROFMED MEDICAL SCHEME CHRONIC MEDICINE BENEFIT GENERAL INFORMATION The Prescribed Minimum Benefit Chronic Disease List In terms of the Medical Schemes Act Regulations that came into effect on 1 January
Medical Declaration Form. Important information to read before completing the form:
Administered by Medical Declaration Form Important information to read before completing the form: Pre-Existing Medical conditions Travel insurance only provides cover for emergency medical events that
NQF-ENDORSED VOLUNTARY CONSENSUS STANDARD FOR HOSPITAL CARE. Measure Information Form Collected For: CMS Outcome Measures (Claims Based)
Last Updated: Version 4.3 NQF-ENDORSED VOLUNTARY CONSENSUS STANDARD FOR HOSPITAL CARE Measure Information Form Collected For: CMS Outcome Measures (Claims Based) Measure Set: CMS Readmission Measures Set
S2 File. Clinical Classifications Software (CCS). The CCS is a
S2 File. Clinical Classifications Software (CCS). The CCS is a diagnosis categorization scheme based on the ICD-9-CM that aggregates all diagnosis codes into 262 mutually exclusive, clinically homogeneous
ANNUAL FOLLOW-UP QUESTIONNAIRE
SLEEP HEART HEALTH STUDY - TUCSON ANNUAL FOLLOW-UP QUESTIONNAIRE - 2003 Dear Sleep Heart Health Study participant: Today s Date: / / Month Day Year Please take the time to complete and return this short
What can the NHS do to reduce premature mortality? Professor Sir Mike Richards NHS Health Check National Learning Event April 2013
What can the NHS do to reduce premature mortality? Professor Sir Mike Richards NHS Health Check National Learning Event April 2013 The role of the NHS in reducing premature mortality Overview The scale
Cardiovascular Disease in Tennessee. Audrey M Bauer, DVM, MPH Surveillance, Epidemiology and Evaluation Tennessee Department of Health
Cardiovascular Disease in Tennessee Audrey M Bauer, DVM, MPH Surveillance, Epidemiology and Evaluation Tennessee Department of Health Practical Strategies in Medication Adherence for Cardiac and Stroke
APR DRG Data Discovery
APR DRG Data Discovery Henry Johnson MD, MPH Midas+ Vice President and Medical Director Vanessa Dorr RN MSN Midas+ DataVision Clinical Consultant Review: Agenda 3M APR DRG Methodology DataVision: Web and
SENIOR PDHPE HEALTH PRIORITIES IN AUSTRALIA INTRODUCTORY NOTES NAME SCHOOL / ORGANISATION DATE
SENIOR PDHPE HEALTH PRIORITIES IN AUSTRALIA NAME SCHOOL / ORGANISATION DATE INTRODUCTORY NOTES AUSTRALIA S HEALTH PRIORITIES The current AIHW report, Australia s Health, identifies nine major categories
The relationship between quality of care and hospital costs in Europe. Unto Häkkinen and EuroDRG teams in Finland, France, Germany, Spain and Sweden
The relationship between quality of care and hospital costs in Europe Unto Häkkinen and EuroDRG teams in Finland, France, Germany, Spain and Sweden 1 Aims and data Motivation: Does introduction of cost
The Medically At-Risk Driver Cognitive Impairment Leads the Way
The Medically At-Risk Driver Cognitive Impairment Leads the Way Bonnie M. Dobbs, PhD* and Allen R. Dobbs, PhD * University of Alberta, Edmonton, Canada DriveABLE Assessment Centres Inc. Paper presented
Oxygen and Oxygen Equipment
Oxygen and Oxygen Equipment Policy Number: Original Effective Date: MM.01.008 12/01/2010 Line(s) of Business: Current Effective Date: HMO; PPO; QUEST Integration 08/25/2017 Section: DME Place(s) of Service:
Supplementary materials
Supplementary materials Table S1 Patient comorbidities by diagnosis Total Asthma n (%) 5348 (148.4) COPD n (%) 4563 (143.4) ACOS n (%) 469 (197.9) No other comorbidities 95 (26.4) 614 (19.3) 27 (11.4)
BTS/ICS Guidelines for the ventilatory management of acute hypercapnic respiratory failure in adults
BTS/ICS Guidelines for the ventilatory management of acute hypercapnic respiratory failure in adults British Thoracic Society Intensive Care Society Introduction Acute Hypercapnic Respiratory Failure (AHRF)
Submission of Webicina.com for the Social Innovation Tournament
Submission of Webicina.com for the Social Innovation Tournament Webicina LLC Bertalan Mesko, MD Twitter.com/Berci info@webicina.com Skype: ncurse How does Webicina serve the public? Webicina.com curates
Heart 101. Objectives. Types of Heart Failure How common is HF? Sign/Symptoms, when to see a doctor? Diagnostic testing
EXAMING HEART FAILURE: HOW TO RECOGNIZE AND TREAT THE WEAK HEART What is Heart Failure? Treatment of Heart Failure End Stage Heart Failure Munir S. Janmohamed M.D. FACC Assistant Clinical Professor of
We ve P.I.T.C.H.E.D it all back to basic s. Organisation Name: The Prince Charles Hospital, Brisbane. Presenter(s): Wendy Austin
We ve P.I.T.C.H.E.D it all back to basic s. Organisation Name: The Prince Charles Hospital, Brisbane. Presenter(s): Wendy Austin HRT 1520 Innovations Workshops and Awards 19-20 November 2015, Sydney Caring
TENNCARE Bundled Payment Initiative: Description of Bundle Risk Adjustment for Wave 2 Episodes
TENNCARE Bundled Payment Initiative: Description of Bundle Risk Adjustment for Wave 2 Episodes Acute COPD exacerbation (COPD); Screening and surveillance colonoscopy (COL); and Outpatient and non-acute
Recent developments in mortality
Recent developments in mortality Richard Willets Willets Consulting Recent developments in mortality Patterns of aggregate mortality change Underlying causes Heart disease Lung cancer Other cancers Patterns
Supplementary Online Content
Supplementary Online Content Lee C-C, Lee M-tG, Chen Y-S. Risk of aortic dissection and aortic aneurysm in patients taking oral fluoroquinolone. JAMA Internal Medicine. Published online October 5, 2015.
Information Management. A System We Can Count On. Chronic Conditions. in the Central East LHIN
Information Management A System We Can Count On Chronic Conditions in the Central East LHIN Health System Intelligence Project October 2007 Table of Contents About HSIP..................................ii
Improving diabetes care in general practice through Joint Specialist Case Conference
Improving diabetes care in general practice through Joint Specialist Case Conference Organisation Name: Western Sydney Diabetes Initiative, Western Sydney LHD Presenters: Sian Bramwell, Mani Manoharan,
How Capturing True Clinical Intent Improves Patient Care March 1, 2016
How Capturing True Clinical Intent Improves Patient Care March 1, 2016 John W. Showalter MD, MSIS Chief Health Information Officer University of Mississippi Medical Center Conflict of Interest John W.
Length of stay and cost impact of hospital acquired diagnoses: multiplicative model for SESLHD
University of Wollongong Research Online Australian Health Services Research Institute Faculty of Business 2014 Length of stay and cost impact of hospital acquired diagnoses: multiplicative model for SESLHD
Specialty Mapping Guides ICD-9 to ICD-10
Specialty Mapping Guides ICD-9 to ICD-10 The conversions contained within this crosswalk were the most current version at the time of development. All efforts should be made by the attendee to stay current
Aboriginal and Torres Strait Islander Health Performance Framework Report
Aboriginal and Torres Strait Islander Health Performance Framework 26 Report Report Findings Tier 1: Health Status and Outcomes Improvements: Mortality Infant Mortality Deaths due to Circulatory Disease
Acute Care of Older Surgical Patients. Dr Shane O Hanlon Consultant Geriatrician St Vincent s University Hospital IHFM 8 th Nov 2017
Acute Care of Older Surgical Patients Dr Shane O Hanlon Consultant Geriatrician St Vincent s University Hospital IHFM 8 th Nov 2017 NCEPOD 2010 overall care % 50 45 40 35 30 25 20 15 10 5 0 Good practice
Nutrients and Circulatory Function
Clinical Nutrition Research Centre Nutrients and Circulatory Function Peter Howe Clinical Nutrition Research Centre University of Newcastle Nutritional Physiology Research Centre University of South Australia
Key Findings. Friday Harbor Psychometrics Workshop Aug 22 27, Canadian Study of Health and Aging
Key Findings http://www.csha.ca/ Prevalence of Dementia Canada 1991-92 400 Rate per 1,000 350 300 250 200 150 100 50 0 65-74 75-84 85 + Women Men Total Source: Can Med Assoc J 1994;150:899-913 Estimated
The links between physical health in mental health
The links between physical health in mental health A holistic approach to managing mental and physical health is needed. Physical and mental health are inextricably linked 1 What is the problem? It is
Hu J, Gonsahn MD, Nerenz DR. Socioeconomic status and readmissions: evidence from an urban teaching hospital. Health Aff (Millwood). 2014;33(5).
Appendix Definitions of Index Admission and Readmission Definitions of index admission and readmission follow CMS hospital-wide all-cause unplanned readmission (HWR) measure as far as data are available.
CLINICAL USE CASES FOR RMT
1 of 5 CLINICAL USE CASES FOR RMT USE CASE: WEANING FROM MECHANICAL VENTILATOR Benefits: Quicker time to ventilator liberation and trach decannulation A majority of LTAC patients are hard to wean from
Improved IPGM: Demonstrating the Value to both Patients and Hospitals
Improved IPGM: Demonstrating the Value to both Patients and Hospitals Osama Hamdy, MD, PhD, FACE Medical Director, Inpatient Diabetes Program Joslin Diabetes Center Harvard Medical School, Boston, MA Cost
The Heart of a Woman. Karen E. Friday, M.D. Associate Professor of Medicine Section of Endocrinology Louisiana State University School of Medicine
The Heart of a Woman Karen E. Friday, M.D. Associate Professor of Medicine Section of Endocrinology Louisiana State University School of Medicine American Heart Association Women, Heart Disease and Stroke
OECD S HEALTH AT A GLANCE 2015 WHAT INSIGHTS FOR THE UK? Mark Pearson, Deputy Director Directorate for Employment, Labour and Social Affairs
OECD S HEALTH AT A GLANCE 2015 WHAT INSIGHTS FOR THE UK? Mark Pearson, Deputy Director Directorate for Employment, Labour and Social Affairs Health at a Glance 2015 How does the UK perform? A leader in