National Digital Health Strategy Consultation
|
|
- Brendan Leonard Cannon
- 6 years ago
- Views:
Transcription
1 Natinal Digital Health Strategy Cnsultatin Submissin frm the Clinical Onclgy Sciety f Australia and Cancer Cuncil Australia January 2017 The Clinical Onclgy Sciety f Australia (COSA) is the peak natinal bdy representing health prfessinals frm all disciplines whse wrk invlves the care f cancer patients. Cancer Cuncil Australia is Australia's peak natinal nn-gvernment cancer cntrl rganisatin and advises the Australian Gvernment and ther bdies n evidence-based practices and plicies t help prevent, detect and treat cancer and als advcates fr the rights f cancer patients fr best treatment and supprtive care. Cntact: Paul Grgan, Directr, Public Plicy and Knwledge Management, Cancer Cuncil Australia: paul.grgan@cancer.rg.au (02) Hw well the current healthcare system wrks What aspects f healthcare currently wrk well frm yur perspective? Overall, the health f the Australian ppulatin cmpares well internatinally. Life expectancy is amng the highest in the wrld, with Australia ranked sixth highest in the OECD at 82.2 years. In additin, Australia s infant mrtality rate is amngst the lwest in the wrld. Imprtantly, Australia is able t achieve gd ppulatin health utcmes relatively efficiently, with health expenditure at 8.8% f GDP, which is n par with the OECD average f 8.9%. The Australian health system has been shwn t deliver better cancer utcmes than health systems in cmparable cuntries. A recent study that cmpared survival rates fr 11 cmmn cancers acrss 67 cuntries has shwn that survival rates in Australia were amngst the best in the wrld. Specifically, five-year net survival was high fr all 11 cancers, in particular cancers f the cln, rectum, breast and prstate. Australia s wrld-leading cancer survival utcmes are likely t be due t the significant investments in screening, early detectin and treatment that the Australian Gvernment has made ver many years alng with a readily accessible public health system. There is als sme evidence in cancer that clinical trials help t imprve cancer utcmes verall and Australia has a lng standing cmmitment t internatinal trials f new therapeutics. COSA & Cancer Cuncil Australia Page 1 f 8
2 In Australia, there are three natinal ppulatin-based screening prgrams, fr breast, cervical and bwel cancers, that help detect cancers early and, in sme cases, detect early changes that culd g n t becme cancer. The intrductin f ppulatin-based screening prgrams has resulted in significant reductins in mrtality attributed t these cancers. The increased availability and quality f diagnstic services and treatment services, including timely access t the right cmbinatin f surgery, raditherapy, and chemtherapy, have als cntributed t imprvements in cancer survival in Australia. What aspects f healthcare need imprvement? There is evidence f variability in cancer utcmes by factrs such as regin, sciecnmic status and ethnicity. The reasns fr disparities are cmplex but the gap is nt clsing fr lw sci-ecnmic status cmmunities; relative survival is imprving slwly in Indigenus Australians cmpared with nn-indigenus Australians. If a patient is unable t travel t receive treatment at a public centre, they may be frced t pay a high premium elsewhere r chse subptimal care. As a cnsequence, utcmes fr patients living in rural and remte areas f Australia are inferir t thse f their urban cunterparts. It is critical that patient access t affrdable, gegraphically accessible health services, including specialist services, is supprted. Sme f these issues are addressed by Australian Gvernment investment in rural cancer centres but sme are likely t be the result f an verlay f lw sci-ecnmic status in rural cmmunities. Ppulatin cancer registries are unable t explre unwarranted clinical variatin in utcmes until stage, treatment and recurrence infrmatin is integrated in bth clinical infrmatin systems and cancer registries. Thus a majr area fr imprvement is enabling electrnic health recrds t be integrated with natinal data cllectins. We welcme the Gvernment s current apprach t sharing MBS and PBS data t enable easier linkage f state and natinal data t help imprve understanding f utcme variatins. Plicies are needed t address increasing ut-f-pcket healthcare csts, which cmprise a significant prtin f health spending cmpared with ther OECD cuntries. Cancer patients in Australia experience significant ut-f-pcket csts fr their treatment. Fr example, in a study f cancer patients in NSW and Victrian hspitals, ne in three said the ut-f-pcket csts f their treatment impsed significant financial burden. Fr the aspects f healthcare that yu cnsider need imprvement, what d yu think are the barriers t imprving perfrmance in this area? Alternative mdels f care have been put frward t help address the gap between rural and urban cancer utcmes in Australia. One such mdel invlves the use f telehealth services such as videcnferencing (synchrnus r real time telehealth) and stre-and-frward technlgy (asynchrnus telehealth) in cancer care. Despite its ptential advantages, the uptake f telehealth services in Australia has been slw and incnsistent, which may be due t a number f factrs. COSA & Cancer Cuncil Australia Page 2 f 8
3 Current telehealth-related MBS item numbers nly cver real-time vide interactins, while asynchrnus stre-and-frward telehealth services such as thse used in teledermatlgy are nt cvered. Similarly, there are currently n MBS item numbers that cver patient cnsultatins with allied health prfessinals. In additin, the level f telehealth-related knwledge and skills within the health wrkfrce is limited. In services where staff turnver can be high, such as in rural and remte areas, and new staff are faced with a high initial wrklad and steep learning curve, enthusiasm fr new ways f delivering health services, such as telehealth, may be limited. Practical prblems assciated with scheduling, crdinatin, integratin between public and private health services, as well as interperability f equipment, have als been identified as barriers t the adptin f telehealth services in Australia. Patients wh travel lng distances t access essential services, have limited mbility and/r a lw sciecnmic status, experience a significant financial burden assciated with hidden csts such as parking and transprtatin and lst wages due t carer respnsibilities, +which may be reduced by the implementatin f telehealth strategies. Gvernment schemes aimed at subsidising expenses assciated with travel t and frm services d nt adequately cver the csts brne by patients, and are falling shrt f supprting affrdable access t essential cancer care. Being in cntrl f yur healthcare One f the Australian Gvernment s key aims is t empwer peple t be in cntrl f their wn care. What des being in cntrl f yur healthcare mean t yu? We understand the phrase being in cntrl f yur healthcare t encmpass a number f cmpnents, including health literacy, shared decisin-making and supprted selfmanagement. An individual s health literacy, defined as the degree t which they have the capacity t btain, prcess, and understand basic health infrmatin and services needed t make apprpriate health decisins, is an imprtant determinant f their ability t be in cntrl f their healthcare. Health utcmes tend t be prer, and hspitalisatin rates higher, in thse with lw health literacy. Shared decisin-making is a prcess in which patients and healthcare prfessinals wrk tgether in rder t make decisins abut care and treatment based n bth evidence-based best practice and the individual patient s preferences. A key part f shared decisin-making is the acknwledgement that patients and healthcare prfessinals bring different, but equally imprtant, skills and knwledge t the prcess. In the area f cancer care, shared decisin-making has been identified as an imprtant part f patient-centred care, and has been assciated with imprved patient knwledge abut treatment ptins and increased satisfactin with the verall care experience. COSA & Cancer Cuncil Australia Page 3 f 8
4 Self-management is the active engagement f peple suffering frm chrnic and cmplex health prblems in the management f their wn health. Self-management interventins in cancer may help patients manage the physical symptms and psychscial distress assciated with the treatment phase f the cancer-care cntinuum, while interventins during the pst-treatment phase may be fcused n issues such as stress, depressin, sleeplessness, fear, r changes in bdy image. Imprtantly, digital health initiatives such as the My Health Recrd, which enable patients t access their wn health infrmatin, have the ptential t help them better mnitr and manage their chrnic and cmplex health prblems. Digital technlgies used in health and wellbeing activities In recent times, digital technlgies have changed the way we shp, travel, bank and scialise. T what extent d yu agree with the fllwing statement: Strngly Agree Agree Indifferent Disagree Strngly Disagree Hw wuld yu like t see digital technlgies change peple s experiences f managing their health, and the way they interact with the healthcare system? The widespread adptin f bradband and wireless technlgies in the hme, tgether with the availability f a variety f prtable, smart devices, can imprve care fr patients in all phases f life, frm wellness t acute and pst-acute care. Individuals can nw actively participate in the management f their wn health, and interact with the health system in a variety f ways: Dwnladed applicatins (apps) allw patients t track and recrd varius symptms including, pain, distress and anxiety, mbility and functin. These apps can prvide reminders fr medicatin, as well as prvide a patient with general health infrmatin. These activities can be undertaken between cnsultatins t cntinuusly capture accurate infrmatin abut their health status and facilitate nging cmmunicatin between the patient and their care team. Infrmatin frm apps shuld be dwnladable nt patient electrnic health recrds which can be accessed by members f the care team. This facilitates selfmanagement by the patient and alerts the care team t changes in the patient s cnditin. The vast amunt f infrmatin prvided t patients during a cnsultatin with their healthcare prfessinal can be verwhelming, and can lead t cnfusin and an inability t accurately recall and cmprehend the infrmatin given t them. Apps such as CAN.recall functin as a cmmunicatin aid that allws patients t recrd COSA & Cancer Cuncil Australia Page 4 f 8
5 their cnsultatin, replay it t imprve their understanding f their specialist s advice and share it with family and friends as necessary. Thrugh the My Health Recrd, patients shuld be able t access active prescriptins and referrals, which may reduce unnecessary cnsultatins. Healthcare prfessinals What gets in the way f healthcare prfessinals being able t cnnect, cmmunicate and crdinate with the right peple? Despite the fact that telehealth technlgies have the ptential t achieve cnsiderable health system efficiencies and reduce csts, little prgress has been made twards their widespread adptin fr a number f reasns: There has been a lack f widespread supprt fr the implementatin f these technlgies in clinical practice, as this requires significant planning and investment in bth infrastructure and human resurces, including training fr the health wrkfrce in hw t effectively use these technlgies. Resistance t adpt new mdels f care, particularly in a resurce pr, busy healthcare envirnment, where there are many cmpeting pririties. A lack f understanding f the benefits t bth the health f patients and health prfessinals in their practice. Limited evidence n the clinical and cst-effectiveness f these technlgies. Until recently, the absence f a cmprehensive electrnic patient recrd cntaining a medical histry which can be used t supprt infrmed decisin making regarding a patient s care. A lack f flexible funding and reimbursement pathways t supprt the widespread adptin f new mdels f care. Reluctance by health care prfessinals t engage with new technlgies that hld patient infrmatin due t mediclegal and privacy cncerns. What d health prfessinals need t be able t effectively cnnect, cmmunicate and crdinate with the right peple? In rder fr new mdels f care, such as telehealth, t make the transitin frm pilt prjects and trials int mainstream healthcare delivery, a significant shift is needed: Training fcused n new systems and technlgies that health prfessinals will need t understand and utilise, in rder t effectively manage the care f their patients. Integrating ptimal care pathways int prfessinal develpment prgrams ffered thrugh prfessinal bdies, in rder t increase awareness, understanding and applicatin f up-t-date, evidence-based best practice which can be implemented within the lcal healthcare cntext. COSA & Cancer Cuncil Australia Page 5 f 8
6 Endrsement and mdelling by key pinin leaders r champins within a clinical speciality. Ideally, widespread adptin by health service rganisatins, bth public and private. Rutine cllectin, analysis and cmmunicatin f utcmes data demnstrating the value f the technlgy ver time, fr patients, prviders and the healthcare system. Ensuring prcesses are in place t capture and incrprate feedback frm users regarding a wide variety f issues t infrm systems imprvement. Building relatinships with peak bdies such as the Clinical Onclgy Sciety f Australia, t mre effectively cmmunicate the benefits f integrating digital technlgy int clinical service delivery, as well as pprtunities fr training and skills develpment with their multidisciplinary cancer care membership. Organisatinal pririties and digital health What are yur rganisatin s pririties in respect t digital health r ehealth? Cntinuity f care is acknwledged as an essential characteristic f high-quality healthcare, and research suggests that cntinuity f care fr patients with chrnic cnditins prevents hspitalisatins and reduces healthcare csts; hwever, prviding care that is cherent and linked, and is the result f gd infrmatin flw, gd interpersnal skills, and gd crdinatin, is challenging. In the case f cancer, best practice care is delivered by a multidisciplinary team, which ensures that the needs f the patient, including treatment, psychscial, and supprtive care, are addressed in a timely manner. Fr peple diagnsed with cancer, survivrship care plans help ensure that the patient and all f the members f their healthcare team knw what fllw-up is needed, when it is needed, and wh they shuld see fr that care. The use f digital technlgies such as the My Health Recrd will facilitate multi-disciplinary care, enabling the sharing f data acrss different healthcare prviders and rganisatins, and may be particularly useful in areas such as cancer survivrship. It is imprtant that patient access t affrdable, gegraphically accessible health services, including specialist services, is supprted. This facilitates the utilisatin f the mst effective interventins t supprt the management f an individual patient s cnditin. In cancer, we knw that access t services affects use f services, which in turn can impact n health utcmes. This is particularly relevant in reginal and rural areas, where there is less specialisatin f medical services, which influences treatment decisins and utcmes. The adptin f telenclgy mdels f care ffer the pprtunity fr patients living utside f majr metrplitan centres t access specialist treatment and eligible clinical trials clser t hme, reducing the need fr travel and increasing treatment ptins. This type f mdel als links healthcare prfessinals t supprt and nging prfessinal develpment thrugh upskilling and mentring prgrams. COSA & Cancer Cuncil Australia Page 6 f 8
7 Data, technlgy, and imprved health and wellbeing Hw culd data and technlgy be better used t imprve health and wellbeing? The availability f quality data is critical t the delivery f cancer care and cancer cntrl services mre bradly. In Australia, there are gaps in cancer data, where the data is either nt available, incmplete, r nt sufficient fr natinal reprting purpses. Fr example, with advances in preventin, screening and treatment, many f thse affected by cancer are nw living lnger, either free f disease r with recurrent disease; hwever, despite this, there is little data describing the quality f life f patients after treatment, intermediate and lng-term txicities, r the impact f new treatments and technlgies. Therefre, imprvements in the cmpleteness, quality and availability f cancer data will help strengthen the evidence base n emerging cancer issues, current and planned cancer cntrl interventins, and future trends. Australia has a number f high value cancer datasets, which when linked, will enable better infrmed health plicies and service delivery and mre efficient use f health resurces; hwever, ne f the key cncerns with data linkage is the prtectin f individuals privacy. While the cnsideratin f privacy standards is very imprtant, it is als imprtant t nte that well-established linkage prtcls that are capable f preserving individual privacy already exist in Australia. It is critical that gvernment cntinues t fund initiatives such as the Ppulatin Health Research Netwrk (PHRN), which is develping and testing leadingedge technlgy t ensure the safe and secure linking f data cllectins whilst wrking t prtect peple s identity and privacy. One such example is the Secure Unified Research Envirnment (SURE) system, a remte-access data research labratry develped by the Sax Institute as part f the PHRN, that enables structured access fr researchers t secure and sensitive datasets held n separate secure servers. Pririty initiative fr My Health Recrd What shuld be the immediate pririty initiative fr the My Health Recrd t ensure it delivers real value fr clinicians and the public? Persnally cntrlled health recrds such as the My Health Recrd have many benefits, including helping cnsumers becme mre practive participants in the management f their wn health, as well as imprved cnsumer-prvider cmmunicatin, access t data in medical emergencies and chrnic disease management. In the case f cancer, best practice care is delivered by a multi-disciplinary team, which ensures that the treatment, psychscial, and supprtive care needs f the patient are addressed in a timely manner. The use f persnally cntrlled health recrds will facilitate multi-disciplinary care, enabling the sharing f data acrss different healthcare prviders and rganisatins, and may be particularly useful in areas such as cancer survivrship. There are als challenges assciated with the use f persnally cntrlled health recrds. Individuals are able t remve clinical r Medicare dcuments frm their My Health Recrd at any time, and as a result these dcuments may n lnger be accessible, even in an COSA & Cancer Cuncil Australia Page 7 f 8
8 emergency. If individuals remve infrmatin withut cnsulting with the relevant healthcare prfessinal(s), this raises cncerns abut the accuracy and reliability f the data cntained within the recrd. Australian Medical Assciatin (AMA) president Michael Gannn has nted that Giving patients such cntrl, as the My Health Recrd system des, is a big handicap t the clinical usefulness f shared electrnic medical recrds. Individuals shuld have the right t access their My Health Recrd, including the right t request edits r crrectins fr reasns f accuracy; hwever, serius cnsideratin needs t be given t the level f cntent cntrl patients currently have, as it is likely t have an impact n hw the recrd is viewed by healthcare prfessinals, and as a cnsequence its utility in clinical practice and its value t health and medical research. COSA & Cancer Cuncil Australia Page 8 f 8
Strategic Plan Publication No: EO-SP
Strategic Plan 2017-2019 Publicatin N: EO-SP-170223 +61 2 9036 5002 www.pcg.rg.au pcg.ffice@sydney.edu.au This dcument was prepared by the PCG Executive Office PCG Publicatin number: EO-SP-170223 Psych-nclgy
More informationSwindon Joint Strategic Needs Assessment Bulletin
Swindn Jint Strategic Needs Assessment Bulletin Swindn Diabetes 2017 Key Pints: This JSNA gives health facts abut peple with diabetes r peple wh might get diabetes in Swindn. This helps us t plan fr medical
More informationHealth Consumers Queensland submission
Health Cnsumers Queensland submissin Inquiry int Public Health (Medicinal Cannabis) Bill 2016 Queensland Parliament Health, Cmmunities, Disability Services and Family Vilence Preventin Cmmittee Cntact:
More informationService Change Process. Gateway 1 High-level Proposition. Innovation project name: Patient Self-Monitoring/Management of Warfarin
Service Change Prcess Gateway 1 High-level Prpsitin Innvatin prject name: Patient Self-Mnitring/Management f Warfarin NHS Bury Please describe the service change being prpsed. Please describe what service(s)
More informationVCCC Research and Education Lead for Breast Cancer
VCCC Research & Educatin Lead VCCC Research and Educatin Lead fr VCCC Visin The Victrian Cmprehensive Cancer Centre (VCCC) will save lives thrugh the integratin f cancer research, educatin and clinical
More informationACSQHC National Consensus Statement: Essential Elements for High Quality End-oflife Care in Acute Hospitals.
27 March 2014 Prfessr Debra Picne Chief Executive Officer Australian Cmmissin n Safety and Quality in Health Care c/ Ms Jennifer Hill, Senir Prject Officer Level 5, 255 Elizabeth Street SYDNEY NSW 2000
More informationState Health Improvement Plan Choosing Priorities, Creating a Plan. DHHS DPH - SHIP Priorities (Sept2016) 1
State Health Imprvement Plan 2017-2021 Chsing Pririties, Creating a Plan DHHS DPH - SHIP Pririties (Sept2016) 1 Creating a Plan: 2017-2021 SHIP Welcme! Wh s here? What is the State Health Imprvement Plan
More informationImproving Surveillance and Monitoring of Self-harm in Irish Prisons
HSE Mental Health Divisin Stewart s Hspital, Palmerstwn, Dublin 20 Tel: 01 6201670 Email: inf@nsp.ie www.nsp.ie Imprving Surveillance and Mnitring f Self-harm in Irish Prisns Prject Scpe Dcument 8 th June
More informationOntario 2018 provincial election issues backgrounder
Ontari 2018 prvincial electin issues backgrunder Dietitians f Canada Pririties May 2018 Access t dietitians in Ontari s health system Diet is the #1 risk factr fr chrnic diseases that cst Ontari $90 billin
More informationTASKFORCE REPORT AIMS TO BOOST CANCER SURVIVAL AND TRANSFORM PATIENT EXPERIENCE
Sunday 19 July, 2015 TASKFORCE REPORT AIMS TO BOOST CANCER SURVIVAL AND TRANSFORM PATIENT EXPERIENCE SIX STRATEGIC pririties have tday (Sunday) been recmmended by the Independent Cancer Taskfrce t help
More informationPublic consultation on the NHMRC s draft revised Australian alcohol guidelines for low-risk drinking
Public cnsultatin n the NHMRC s draft revised Australian alchl guidelines fr lw-risk drinking Recmmendatins frm The Cancer Cuncil Australia The Cancer Cuncil Australia is Australia s peak nn-gvernment
More informationPalliative Medicine Specialist
Date: June 2017 Jb Title : Palliative Medicine Specialist Department : Palliative Care Services, Specialty Medicine & Health f Older Peple Divisin Lcatin : Nrth Shre Hspital primarily, althugh there may
More informationDiabetes Canada Pre-Budget Consultation Submission. Standing Committee on Finance and Economic Affairs. Government of Ontario.
Diabetes Canada 2018 Pre-Budget Cnsultatin Submissin Standing Cmmittee n Finance and Ecnmic Affairs Gvernment f Ontari January 17, 2018 1 Executive Summary Tday, abut 4.4 millin Ontarians, r 29 per cent
More informationPrimary Health Networks Greater Choice for At Home Palliative Care Central Queensland Wide Bay Sunshine Coast PHN
Primary Health Netwrks Greater Chice fr At Hme Palliative Care Central Queensland Wide Bay Sunshine Cast PHN Dcument cntrl 1 1. Planned activities funded under the Activity Primary Health Netwrks Greater
More informationBreast Cancer Awareness Month 2018 Key Messages (as of June 6, 2018)
Breast Cancer Awareness Mnth 2018 Key Messages (as f June 6, 2018) In this dcument there are tw sectins f messages in supprt f Cancer Care Ontari s Breast Cancer Awareness Mnth 2018: 1. Campaign key messages
More informationSTAKEHOLDER IN-DEPTH INTERVIEW GUIDE
STAKEHOLDER IN-DEPTH INTERVIEW GUIDE PURPOSE The Stakehlder In-Depth Interview Guide cntributes t understanding the scale-up prcess by asking key stakehlders t evaluate what has been achieved in scaleup,
More information23/11/2015. Introduction & Aims. Methods. Methods. Survey response. Patient Survey (baseline)
Intrductin & Aims Drug and Alchl Cnsultatin Liaisn (AOD CL) services aim t imprve identificatin and treatment f patients with AOD mrbidity. The csts and cnsequences f targeting AOD patients presenting
More informationMedical Director of Palliative Care INFORMATION PACK
Medical Directr f Palliative Care INFORMATION PACK CONTENTS: Selectin Criteria (please address in a cver letter) & Hw T Apply Cntext and Scpe HammndCare s Mtivatin, Missin and Missin in Actin (ur cre values)
More informationLEVEL OF CARE GUIDELINES: INTENSIVE BEHAVIORAL THERAPY/APPLIED BEHAVIOR ANALYSIS FOR AUTISM SPECTRUM DISORDER HAWAII MEDICAID QUEST
OPTUM LEVEL OF CARE GUIDELINES: INTENSIVE BEHAVIORAL THERAPY / APPLIED BEHAVIOR ANALYSIS FOR AUTISM SPECTRUM DISORDER HAWAII MEDICAID QUEST LEVEL OF CARE GUIDELINES: INTENSIVE BEHAVIORAL THERAPY/APPLIED
More informationExclusion of Key Populations and People Living with HIV from implementation of programmes 10 June To: CC:
Exclusin f Key Ppulatins and Peple Living with HIV frm implementatin f prgrammes 10 June 2016 T: CC: Mr. Nrbert Hauser, Chair f the Bard f the Glbal Fund t fight AIDS, TB and Malaria Ms. Aida Kurtvic,
More informationA. Catalonia World Health Organization Demonstration Project
A. Catalnia Wrld Health Organizatin Demnstratin Prject In 1989, the Health Department f Catalnia (Spain) and the Cancer Unit at the WHO (Geneva) designed and planned a demnstratin prject fr implementatin
More informationAUTHORISED BY: CEO. Introduction. Whistle Blowing
GUIDELINE NAME: Field Cmplaints Disclsure Guidelines SECTION : Refer t Excel Guidelines list Dcument N: DISTRIBUTION: All Emplyees FIRST ISSUED: April 2013 DATE UPDATED: Dec 2014 ISSUED/UPDATED BY: Peple
More informationBritish Sign Language (BSL) Plan October 2018 Scottish Charity Regulator
British Sign Language (BSL) Plan 2018-2024 Octber 2018 Scttish Charity Regulatr Cntents Sectin 1: Intrductin and cntext 1.1 Intrductin 1.2 Our wrk and what we d Sectin 2: Our BSL Plan 2.1 Scttish Public
More informationCOMPARING & CONTRASTING HIE ALTERNATIVES November 9, 2017
COMPARING & CONTRASTING HIE ALTERNATIVES Nvember 9, 2017 WISCONSIN STATEWIDE HEALTH INFORMATION NETWORK WWW.WISHIN.ORG INTRODUCTION There are many effrts and initiatives aimed at making clinical data related
More informationFIGHT DEMENTIA ACTION PLAN
FIGHT DEMENTIA ACTION PLAN DEMENTIA IS A HEALTH PRIORITY Dementia will be the majr health prblem f this century. Over ne millin Australians are already affected by the disease themselves r are caring fr
More informationAssessment Field Activity Collaborative Assessment, Planning, and Support: Safety and Risk in Teams
Assessment Field Activity Cllabrative Assessment, Planning, and Supprt: Safety and Risk in Teams OBSERVATION Identify a case fr which a team meeting t discuss safety and/r safety planning is needed r scheduled.
More informationNHS North Norfolk, NHS South Norfolk and NHS Norwich Clinical Commissioning Groups. Dementia Strategy and Action Plan: 2018 to 2020
NHS Nrth Nrflk, NHS Suth Nrflk and NHS Nrwich Clinical Cmmissining Grups Dementia Strategy and Actin Plan: 2018 t 2020 1. Intrductin This strategy sets ut prgress that NHS Nrth Nrflk Clinical Cmmissining
More informationPosition Title Diabetes Educator Program / Funding Stream Primary Health Care
P O S I T I O N P R O F I L E POSITION TITLE: Diabetes Educatr Psitin Title Diabetes Educatr Prgram / Funding Stream Primary Health Care Psitin Classificatin RAHP Leve 4 - Level 5 r NUR Level 3 - Level
More informationMGPR Training Courses Guide
MGPR Training Curses Guide fiscal cde 92107050921 1. Descriptin The training prgram supprted by MGPR is prpsed by a grup f excellent mentrs/educatrs, accmplished in Pesticides Management and Analysis,
More informationAssessment criteria for Primary Health Disciplines Eligibility for Recognition as Credentialled Diabetes Educator. December 2015 ADEA
Assessment criteria fr Primary Health Disciplines Eligibility fr Recgnitin as Credentialled Diabetes Educatr December 2015 ADEA ASSESSMENT CRITERIA FOR PRIMARY HEALTH DICIPLINES ELIGIBILITY FOR RECOGNITION
More informationCompleting the NPA online Patient Safety Incident Report form: 2016
Cmpleting the NPA nline Patient Safety Incident Reprt frm: 2016 The infrmatin cntained within this dcument is in line with the current Data Prtectin Act (DPA) requirements. This infrmatin may be subject
More informationApproaches to the Care and Support of Individuals with Dementia
Unit 14: Persn-centred Appraches t the Care and Supprt f Individuals with Dementia Unit reference number: H/601/2879 Level: 2 Unit type: Optinal Credit value: 2 Guided learning hurs: 17 Unit summary Understanding
More informationMedication Assisted Treatment for Opioid Use Disorder in Rural Colorado
Medicatin Assisted Treatment fr Opiid Use Disrder in Rural Clrad Why is piid use disrder getting s much attentin? Opiid Use Disrder (OUD) has seen an epidemic rise in the United States ver the past decade.
More informationContinuous Quality Improvement: Treatment Record Reviews. Third Thursday Provider Call (August 20, 2015) Wendy Bowlin, QM Administrator
Cntinuus Quality Imprvement: Treatment Recrd Reviews Third Thursday Prvider Call (August 20, 2015) Wendy Bwlin, QM Administratr Gals f the Presentatin Review the findings f Treatment Recrd Review results
More informationStructured Assessment using Multiple Patient. Scenarios (StAMPS) Exam Information
Structured Assessment using Multiple Patient Scenaris (StAMPS) Exam Infrmatin 1. Preparing fr the StAMPS assessment prcess StAMPS is an assessment mdality that is designed t test higher rder functins in
More informationEXECUTIVE SUMMARY INNOVATION IS THE KEY TO CHANGING THE PARADIGM FOR THE TREATMENT OF PAIN AND ADDICTION TO CREATE AN AMERICA FREE OF OPIOID ADDICTION
EXECUTIVE SUMMARY INNOVATION IS THE KEY TO CHANGING THE PARADIGM FOR THE TREATMENT OF PAIN AND ADDICTION TO CREATE AN AMERICA FREE OF OPIOID ADDICTION The Bitechnlgy Innvatin Organizatin (BIO) and ur member
More informationAthabasca Health Authority Keewatin Yatthé Health Region Mamawetan Churchill River Health Region
Athabasca Health Authrity Keewatin Yatthé Health Regin Mamawetan Churchill River Health Regin Nrthern Saskatchewan Health Indicatrs Reprt 2011 Summary Athabasca Health Authrity Keewatin Yatthé Health Regin
More informationWCPT awards programme 2015
WCPT awards prgramme 2015 The WCPT awards prgramme recgnises utstanding cntributins and leadership by individual physical therapists and grups t the prfessin and/r glbal health at an internatinal level.
More informationFrequently Asked Questions: IS RT-Q-PCR Testing
Questins 1. What is chrnic myelid leukemia (CML)? 2. Hw des smene knw if they have CML? 3. Hw is smene diagnsed with CML? Frequently Asked Questins: IS RT-Q-PCR Testing Answers CML is a cancer f the bld
More informationRisk factors in health and disease
Risk factrs in health and disease Index 1 Intrductin 2 Types f risk factrs 2.1 Behaviural risk factrs 2.2 Psychlgical risk factrs 2.3 Demgraphic risk factrs 2.4 Envirnmental risk factrs 2.5 Genetic risk
More informationAwareness of Autistic Spectrum Conditions
Unit 21: Awareness f Autistic Spectrum Cnditins Unit reference number: H/616/7304 Level: 2 Unit type: Optinal Credit value: 2 Guided learning hurs: 17 Unit summary This unit intrduces yu t autistic spectrum
More informationCommissioning Policy: South Warwickshire CCG (SWCCG)
Cmmissining Plicy: Suth Warwickshire CCG (SWCCG) Treatment Indicatin Criteria FreeStyle Libre Flash Cntinuus Glucse Mnitring System Type I Diabetes Prir apprval must be requested frm the Individual Funding
More informationFOUNDATIONS OF DECISION-MAKING...
Table f Cntents FOUNDATIONS OF DECISION-MAKING... Errr! Bkmark nt Describe the decisin-making prcess pp.62-66... Errr! Bkmark nt Explain the three appraches managers can use t make decisins pp.67-70 Errr!
More informationA fake medicine that passes itself off as a real, authorised medicine. (1)
Falsified medicines Index 1 Intrductin 2 Types f falsified medicines 3 Eurpean regulatin n falsified medicines 4 Risks f falsified medicines 5 Buying medicine nline safely 6 References 7 Further resurces
More informationInterpretation. Historical enquiry religious diversity
Name: Year 8 Histry Prject 3: D The Cmmnwealth Games Still Matter In The 21 st Century? Mdule: Date Set: Deadline: Descriptin f the task: The prject is split int three separate parts: The prject is split
More informationWho is eligible for LifeCare? What services are available?
Wh is eligible fr LifeCare? What services are available? LifeCare is an emplyer prvided wrk/life benefit frm The University f Texas at Austin available t all benefits eligible emplyees and their husehld
More informationFrontier School of Innovation District Wellness Policy
Frntier Schl f Innvatin 6700 Crprate dr. Suite 150 Phne: 816-363-1907 http://www.kcfsi.rg/ Frntier Schl f Innvatin District Wellness Plicy The Bard prmtes healthy schls, by supprting wellness, gd nutritin,
More informationImmunisation and Disease Prevention Policy
Immunisatin and Disease Preventin Plicy Quality Area 2: Children s Health and Safety 2.1 Each child s health is prmted 2.1.4 Steps are taken t cntrl the spread f infectius diseases and t manage injuries
More informationCode of employment practice on infant feeding
Cde f emplyment practice n infant feeding An Emplyer s guide t: Sectin 69Y f the Emplyment Relatins Act 2000 Frewrd As Minister f Labur, I am pleased t publish the Cde f Emplyment Practice n Infant Feeding.
More informationFull-time or part-time to a minimum of 0.8FTE (30 hours per week) Job Reference: CLS00161
Jb Title: Medical Statistician Grade: 8 Salary: 42,418 t 47,722 per annum Department: Research Design Service (RDS) and Leicester Clinical Trials Unit (LCTU) Cntract: Open ended cntract subject t fixed
More informationLaw Fellowships in Legal Empowerment
Law Fellwships in Legal Empwerment Abut Namati Namati is dedicated t putting the law in peple s hands. We strive t build a just wrld, in which every ne f us can take part in the decisins and demand accuntability
More informationNIA Magellan 1 Spine Care Program Interventional Pain Management Frequently Asked Questions (FAQs) For Medicare Advantage HMO and PPO
NIA Magellan 1 Spine Care Prgram Interventinal Pain Management Frequently Asked Questins (FAQs) Fr Medicare Advantage HMO and PPO Questin GENERAL Why is Flrida Blue implementing a Spine Management prgram
More informationCode of Conduct for Employees
Crprate Human Resurces Plicy Cntent Updated: 2016-06-22 Wrk Envirnment Plicy N: HR-01-09 Page 1 f 5 Apprval: 2014-09-24 Cde f Cnduct fr Emplyees POLICY STATEMENT The residents and businesses f the City
More informationThe Integration of Oral Health with Primary Care Services and the Use of Innovative Oral Health Workforce in Federally Qualified Health Centers
The Integratin f Oral Health with Primary Care Services and the Use f Innvative Oral Health Wrkfrce in Federally Qualified Health Centers Presented by: Margaret Langelier, MSHSA Center fr Health Wrkfrce
More informationA pre-conference should include the following: an introduction, a discussion based on the review of lesson materials, and a summary of next steps.
NAU Mdel Observatin Prtcl The mdel prtcl was develped with supprt and expertise frm the Natinal Institute fr Excellence in Teaching (NIET) and is based in great part n NIET s extensive experience cnducting
More informationUNIT 6. DEVELOPING THREAT/HAZARD-SPECIFIC ANNEXES
UNIT 6. DEVELOPING THREAT/HAZARD-SPECIFIC ANNEXES This page intentinally left blank. UNIT INTRODUCTION Visual 6.1 This unit presents infrmatin n annexes that shuld be included in a schl emergency peratins
More informationUS Public Health Service Clinical Practice Guidelines for PrEP
Webcast 1.3 US Public Health Service Clinical Practice Guidelines fr PrEP P R E S ENTED BY: M A R K T H R U N, M D A S S O C I AT E P R O F E S S O R, U N I V E R S I T Y O F C O L O R A D O, D I V I S
More information2017 CMS Web Interface
CMS Web Interface CARE-2 (NQF 0101): Falls: Screening fr Future Fall Risk Measure Steward: NCQA Web Interface V1.0 Page 1 f 18 11/15/2016 Cntents INTRODUCTION... 3 WEB INTERFACE SAMPLING INFORMATION...
More informationCorporate Governance Code for Funds: What Will it Mean?
Crprate Gvernance Cde fr Funds: What Will it Mean? The Irish Funds Industry Assciatin has circulated a draft Vluntary Crprate Gvernance Cde fr the Funds Industry in Ireland. 1. Backgrund On 13 June 2011,
More informationHospital Preparedness Checklist
Hspital Preparedness Checklist http://pandemicflu.gv Preparedness Subject 1. Structure fr planning and decisin making An internal, multidisciplinary planning cmmittee fr influenza preparedness has been
More informationPracticum Evaluation Form - Formative Assessment
Practicum Evaluatin Frm - Frmative Assessment Candidate Name: Candidate ID#: Mentr/Principal Name: LEA/District: Cllege/University: Prgram Crdinatr: This frm is t be cmpleted and frmally shared with the
More informationKey Points Enterovirus D68 in the United States, 2014 Note: Newly added information is in red.
Key Pints Entervirus D68 in the United States, 2014 Nte: Newly added infrmatin is in red. The United States is currently experiencing a natinwide utbreak f entervirus D68 (EV-D68) assciated with severe
More informationMeeting the Nutritional Requirements of Individuals with Dementia
Unit 15: Understanding and Meeting the Nutritinal Requirements f Individuals with Dementia Unit reference number: D/616/7124 Level: 3 Unit type: Optinal Credit value: 3 Guided learning hurs: 26 Unit summary
More informationPennsylvania Guidelines on the Use of Opioids to Treat Chronic Noncancer Pain
Pennsylvania Guidelines n the Use f Opiids t Treat Chrnic Nncancer Pain Chrnic pain is a majr health prblem in the United States, ccurring with a pintprevalence f abut ne-third f the US ppulatin.(1) Mre
More informationDental Benefits. Under the TeamstersCare Plan, you and your eligible dependents have three basic options when you need dental care.
Dental Benefits Under the TeamstersCare Plan, yu and yur eligible dependents have three basic ptins when yu need dental care. Optin #1: TeamstersCare Dentists. Yu can use ur in-huse Charlestwn, Chelmsfrd,
More informationNational Imaging Associates, Inc. (NIA) Frequently Asked Questions (FAQ s) For PA Health & Wellness Providers
Natinal Imaging Assciates, Inc. (NIA) Frequently Asked Questins (FAQ s) Fr PA Health & Wellness Prviders Questin GENERAL Why is PA Health & Wellness implementing a Medical Specialty Slutins Prgram? Answer
More information2017 Optum, Inc. All rights reserved BH1124_112017
1) What are the benefits t clients f encuraging the use f MAT? Withut MAT, 90% f individuals with Opiid Use Disrder (OUD) will relapse within ne year. With MAT, the relapse rate fr thse with OUD decreases
More informationHOSA 105 EMERGENCY PREPAREDNESS
HOSA 105 EMERGENCY PREPAREDNESS MODULE 2: MEDICAL RESERVE CORPS (MRC) PURPOSE The Medical Reserve Crps (MRC) is an imprtant part f the Citizen Crps. The prgram reprts directly t Surgen General f the U.S.
More informationWHAT IS HEAD AND NECK CANCER FACT SHEET
WHAT IS HEAD AND NECK CANCER FACT SHEET This infrmatin may help answer sme f yur questins and help yu think f ther questins that yu may want t ask yur cancer care team; it is nt intended t replace advice
More informationIll Health. Unit reference number: L/616/7295 Level: 3. Credit value: 3 Guided learning hours: 16. Unit summary
Unit 11: Understand Mental Ill Health Unit reference number: L/616/7295 Level: 3 Unit type: Optinal Credit value: 3 Guided learning hurs: 16 Unit summary Mental ill health culd be ne f the mst serius health
More informationNew London County Unified Intake for Homeless Families
New Lndn Cunty Unified Intake fr Hmeless Families Presentatin by Lisa Tepper Bates, Executive Directr Mystic Area Shelter & Hspitality (MASH) 2011 Snapsht: Family Hmelessness in Sutheastern CT Frm 2010
More informationCampus Climate Survey
Campus Climate Survey Executive Summary www.ecu.edu/ecyu 2016 A prject spnsred by the Office fr Equity and Diversity Executive Summary Prject Backgrund In FY 2013-2014, the Campus Climate Cmmissin prpsed
More informationGuidance for Applicants to the Global fund to Fight AIDS, TB and Malaria Round 8 Call for proposals 28 February 2008
Guidance fr Applicants t the Glbal fund t Fight AIDS, TB and Malaria Rund 8 Call fr prpsals 28 February 2008 Sexual Minrities Backgrund: The bard f the Glbal Fund t Fight AIDS, TB and Malaria at its 16
More informationMEASURE #10: PLAN OF CARE FOR MIGRAINE OR CERVICOGENIC HEADACHE DEVELOPED OR REVIEWED Headache
MEASURE #10: PLAN OF CARE FOR MIGRAINE OR CERVICOGENIC HEADACHE DEVELOPED OR REVIEWED Headache Measure Descriptin All patients diagnsed with migraine headache r cervicgenic headache wh had a headache management
More informationKey Points Enterovirus D68 in the United States, 2014 Note: Newly added information is in red.
Key Pints Entervirus D68 in the United States, 2014 Nte: Newly added infrmatin is in red. Over the last several mnths, the United States has experienced a natinwide utbreak f entervirus D68 (EV- D68) assciated
More informationOrange County Heroin Task Force: A targeted approach to improving outcomes
Orange Cunty Herin Task Frce: A targeted apprach t imprving utcmes Christpher Hunter, M.D., Ph.D. Directr, Orange Cunty Health Services Department Assciate Medical Directr, Orange Cunty EMS System Cntents
More informationThe data refer to persons aged between 15 and 54.
Drug-related hspital stays in Australia 1993-2005 Prepared by Amanda Rxburgh and Luisa Degenhardt, Natinal Drug and Alchl Research Centre Funded by the Australian Gvernment Department f Health and Ageing
More informationCFS Private Sector modalities
CFS Private Sectr mdalities APPROVED September 8, 2011 A. BACKGROUND 1. Fd security exists when all peple at all times have physical and ecnmic access t sufficient, safe and nutritius fd t meet their dietary
More informationSpecifically, on page 12 of the current evicore draft, we find the statement:
Octber 23, 2016 evicre Healthcare Attn: Dr Greg Allen 400 Buckwalter Place Bulevard Blufftn, SC 29910 RE: evicre Draft Onclgy Imaging Guidelines, v 19.0 Gentlepersns: Prstate Cancer Internatinal is a nt-fr-prfit
More informationStatement of Work for Linked Data Consulting Services
A. Backgrund Infrmatin Statement f Wrk fr Linked Data Cnsulting Services The Natinal Library f Medicine (NLM), in Bethesda, Maryland, is a part f the Natinal Institutes f Health, US Department f Health
More informationPodcast Transcript Title: Common Miscoding of LARC Services Impacting Revenue Speaker Name: Ann Finn Duration: 00:16:10
Pdcast Transcript Title: Cmmn Miscding f LARC Services Impacting Revenue Speaker Name: Ann Finn Duratin: 00:16:10 NCTCFP: Welcme t this pdcast spnsred by the Natinal Clinical Training Center fr Family
More informationWorld Confederation for Physical Therapy Congress , May Singapore
Wrld Cnfederatin fr Physical Therapy Cngress 2015 1-4, May Singapre Call fr applicatins fr Chair f the Internatinal Scientific Cmmittee The Executive Cmmittee f WCPT invites applicatins and suggestins
More informationImplementation of Early retention monitoring of HIV positive pregnant and breastfeeding women; and data use in the EMTCT program MOH-UGANDA
Implementatin f Early retentin mnitring f HIV psitive pregnant and breastfeeding wmen; and data use in the EMTCT prgram MOH-UGANDA Presentatin utline Backgrund Methdlgy Issues addressed Challenges identified
More informationduring Last Days of Life
Unit 36: Supprting Individuals during Last Days f Life Unit reference number: F/616/7374 Level: 3 Unit type: Optinal Credit value: 4 Guided learning hurs: 32 Unit summary Prmting respnsive care in the
More informationLeading the way to the elimination of hepatitis C
2018-2019 Pre-budget submissin Nvember 2017 Abut Hepatitis Australia Our visin is an end t hepatitis B and hepatitis C in Australia. Our missin is t lead an effective natinal cmmunity respnse t hepatitis
More informationDementia Cal MediConnect Project DEMENTIA CARE MANAGER TRAINING FACILITATOR GUIDE
Dementia Cal MediCnnect Prject DEMENTIA CARE MANAGER TRAINING FACILITATOR GUIDE This prject is supprted, in part by grant numbers 90DS2002-01-00 and 90DS2017-01-00, frm the Administratin n Aging, U.S.
More information1. Purpose of assignment & Background: on Infant Young Child feeding) among mothers and caregivers.
Natinal Cnsultant Advert fr Terms f Reference fr Natinal Cnsultancy t Supprt the Develpment f a Behaviur Change Cmmunicatin Strategy n first 1000 f life Maldives Ad t TOR Reference Number: TOR/2017/24
More informationCONSENT FOR KYBELLA INJECTABLE FAT REDUCTION
CONSENT FOR KYBELLA INJECTABLE FAT REDUCTION INSTRUCTIONS This is an infrmed cnsent dcument which has been prepared t help yur Dctr infrm yu cncerning fat reductin with an injectable medicatin, its risks,
More informationModule 6: Goal Setting
Mdule 6: Gal Setting Objectives T understand the cncept f gal setting in Brief CBT T acquire skills t set feasible and apprpriate gals in Brief CBT What is gal setting, and why is it imprtant t set gals
More informationName: Anchana Ganesh Age: 21 years Home Town: Chennai, Tamil Nadu Degree: B.Com. Profilometer Score. Profilometer Graph
Ms. Archana Ganesh Candidate Analyzed n: August 7 th, 2012 Candidate Infrmatin: Name: Anchana Ganesh Age: 21 years Hme Twn: Chennai, Tamil Nadu Degree: B.Cm Abut Prfilmeter Prfilmeter is a Psychmetric
More informationYear 10 Food Technology. Assessment Task 1: Foods for Special Needs. Name: Teacher:
Year 10 Fd Technlgy Assessment Task 1: Fds fr Special Needs Name: Teacher: Due Date: Term 2, Week 1 Type f Task: Design Task Planning Fd Requirements Cllectin f Assessment: Submit in Class Assessment Plicy:
More informationAnnual Assembly Abstract Review Process
Annual Assembly Abstract Review Prcess AAHPM and HPNA cllabrate t review and select abstracts fr Annual Assembly. The cmmittees meet prir t the calls t review and update the Assembly bjectives (Planning
More informationNational Imaging Associates, Inc. (NIA) Frequently Asked Questions (FAQs) For Louisiana Healthcare Connections Providers
Natinal Imaging Assciates, Inc. (NIA) Frequently Asked Questins (FAQs) Fr Luisiana Healthcare Cnnectins Prviders Questin GENERAL Why did Luisiana Healthcare Cnnectins implement a Medical Prgram? Answer
More informationCatherine Worthingham Fellows of APTA Instructions for Writing a Letter of Support
Catherine Wrthingham Fellws f APTA Instructins fr Writing a Letter f Supprt Fllwing is infrmatin designed t assist persns asked t write a letter f supprt fr a nminee fr the American Physical Therapy Assciatin
More informationChapter 6: Impact Indicators
Overview Chapter 6: Impact Indicatrs The best measure f the lng-term impact f all HIV preventin activities is the HIV incidence rate, namely the number f new cases f HIV infectin per year divided by the
More informationTELCOMMUNICATIONS CONSUMER PROTECTIONS CODE (C628:2012) EXPLANATORY STATEMENT
TELCOMMUNICATIONS CONSUMER PROTECTIONS CODE (C628:2012) EXPLANATORY STATEMENT Intrductin This is the Explanatry Statement fr the revised Cmmunicatins Alliance Telecmmunicatins Cnsumer Prtectins (TCP) Industry
More informationPandemic H1N1 2009: DrillSafe Update. David Blizzard BD Manager, Energy Mining and Infrastructure
Pandemic H1N1 2009: DrillSafe Update David Blizzard BD Manager, Energy Mining and Infrastructure Pandemic H1N1 Update CDC.Gv USA Pandemic H1N1 Summary Pints Virus cntinues t spread with nearly all WHO
More informationEvaluation of a Shared Decision Making Intervention between Patients and Providers to Improve Menopause Health Outcomes: Issue Brief
Evaluatin f a Shared Decisin Making Interventin between Patients and Prviders t Imprve Menpause Health Outcmes: Issue Brief Key Findings Tablet technlgy can be successfully incrprated int primary practices
More informationDATA RELEASE: UPDATED PRELIMINARY ANALYSIS ON 2016 HEALTH & LIFESTYLE SURVEY ELECTRONIC CIGARETTE QUESTIONS
DATA RELEASE: UPDATED PRELIMINARY ANALYSIS ON 216 HEALTH & LIFESTYLE SURVEY ELECTRONIC CIGARETTE QUESTIONS This briefing has been specifically prepared fr the Ministry f Health t prvide infrmatin frm this
More informationNational Imaging Associates, Inc. (NIA) Frequently Asked Questions (FAQs) For Managed Health Services (MHS)
Questin GENERAL Why did MHS implement a Medical Specialty Slutins Prgram? Natinal Imaging Assciates, Inc. (NIA) Frequently Asked Questins (FAQs) Fr Managed Health Services (MHS) Answer Effective Nvember
More information