The Future Is in Our Hands but What Are We Doing about It?
|
|
- Valentine Mosley
- 5 years ago
- Views:
Transcription
1 The Future Is in Our Hands but What Are We Doing about It? Carl V. Granger, MD Executive Director, UDSMR Director, CFAR Professor of Rehabilitation Medicine, University at Buffalo 2012 Uniform Data System for Medical Rehabilitation. FIM, LIFEware, UDSMR, and the UDSMR logo are trademarks of Uniform Data System for Medical Rehabilitation, a division of UB Foundation Activities, Inc.
2 Welcome! We are delighted with this opportunity to share information and stories and by our first-ever Rehabilitation Physician Conference The information we present will help doctors who are being bombarded with an increasing array of regulations and mandates from CMS and the insurance industry We offer our support to inpatient and outpatient rehabilitation practitioners doctors, nurses, therapists, social workers, and other team members 2
3 Mission, Vision, and Values Each year at UDSMR, we review our stated mission, vision, and values We are proud that our mission remains relevant as stated: to enable healthcare providers and related entities to document and improve the outcomes, processes, and perceptions of care in uniform ways 3
4 My Background and History Early in my career, physiatrists were treating soldiers with severe physical and mental impairments who were returning home from WWII and the Korean War Additionally, we cared for many, many thousands of people paralyzed by the polio epidemic After the enactment of Medicare in 1965, physiatrists were charged with caring for the elderly, with their unique and multiple debilities Today, the field of physiatric rehabilitation is faced with a number of challenges caring for persons impacted by war, terrorism, chronic and infectious diseases, natural and man-made disasters, accidents, aging, obesity, developmental disabilities, and many more, all with very finite and dwindling resources 4
5 Anticipated Needs In 1976, my presidential address at the American Academy of Physical Medicine and Rehabilitation Epidemiology, Disability, and Physiatric Practice anticipated the direction and needs for the rehabilitation field Much of what I discussed remains highly relevant today I will share the future of rehabilitation as I saw it over three decades ago, discuss the progress we have made, and examine the unfulfilled needs that remain today 5
6 1976 AAPM&R Presidential Address: Progress/Accomplishments 1976: The rehabilitation industry needs to develop standardized terminology and evaluation methods to describe functional limitations 2012: We have made much progress with the development of the FIM instrument for inpatients and other tools for outpatients and children 1976: Measures to show the impact and general benefit of rehabilitation to society on an ongoing basis 2012: Development and implementation of the FIM instrument, the LIFEware SM System, and the UDSMR program evaluation model (PEM), plus UDSMR data aggregation and reporting 6
7 1976 AAPM&R Presidential Address: Progress/Accomplishments 1976: The design and execution of collaborative scientific studies using epidemiologic principles and methods to measure disability and show the favorable impact that rehabilitation programs bring to society 2012: CFAR, the Center for Functional Assessment Research, has been doing this for several decades and will continue the efforts 1976: Research to identify patterns of patient behaviors associated with each impairment to better manage disability and predict outcomes 2012: CFAR has been participating in collaborative investigations and publishing its findings, and it will continue to do both 7
8 The Bad News Government Report: Health Cost Relief Only Temporary, by Ricardo Alonso-Zaldivar Chronic illness eats up 75% of the $2.6 trillion that the US now spends annually on health care The number of physically unhealthy days has risen slightly, from 3.3 days in 2000 to 3.6 days in 2009 Those who reported 14 or more mentally unhealthy days rose from 9.6% of the population in 2000 to 10.6% in 2009 About 30% of healthcare costs are wasted due to unnecessary tests and procedures (Berwick, JAMA, 2012) 8
9 The Bad News Government Report: Health Cost Relief Only Temporary, by Ricardo Alonso-Zaldivar By the next decade, healthcare spending will grow roughly 2% faster than the overall economy By 2021, healthcare will account for nearly 20% of the US gross domestic product, up from 14% in 2000 The rate of growth in healthcare costs during the past three years was about 4% This has coincided with a shift to paying hospitals and doctors for better quality, not just for the sheer volume of tests and procedures 9
10 The Bad News Government Report: Health Cost Relief Only Temporary, by Ricardo Alonso-Zaldivar Other cost drivers include an aging baby-boom population and the spread of expensive new medical technologies From 2015 to 2021, healthcare spending will grow 6% a year, which is about 2% faster than the expected economic growth This is unsustainable The government s proportion of healthcare spending will rise from 46% in 2011 to 50% in
11 The Good News The Simple Idea That Is Transforming Health Care, by Laura Landro A focus on quality of life helps medical providers see the big picture and results in healthier, happier patients A very simple new question is changing the delivery of medical care: How is your health affecting your quality of life? 11
12 The Good News The Simple Idea That Is Transforming Health Care, by Laura Landro For decades, the medical model has driven the use of numbers to treat diseases Public health officials focused on reducing mortality rates and hitting targets like blood-sugar levels or cholesterol levels Doctors still monitor such numbers, but healthcare providers are now adding a more subjective bio-psychosocial model that measures how people feel about their well-being and the life they are seeking to fulfill 12
13 Well-Being Noreen Clark, director of the Center for Managing Chronic Disease at the University of Michigan: People aren t motivated to follow their clinical regimen if in fact it doesn t improve the way they function and get along with others and manage day to day Numerous studies show that people with a higher sense of well-being have fewer hospitalizations and emergency-room visits, miss fewer days of work, and use less medication 13
14 Challenges Still Remaining 1976: Function had to be the foundation of what I called the science of rehabilitative measurement ; I also said, Disease descriptors and clinical terminology are insufficient to describe frequency, severity, longevity, and consequences of impairment 2012: Function is captured by the FIM instrument and should remain the core of any instrument moving forward 14
15 Challenges Still Remaining 1976: We need to conduct latent trait analysis to construct patient measurement systems to document and measure all of the systems within a person (i.e., functional health) 2012: The LIFEware SM System was created to fill this need for outpatients for longitudinal tracking for outcomes; unfortunately, the healthcare system still does not focus on holistic treatment 15
16 Challenges Still Remaining 1976: A critical resource for obtaining the optimal result for disabled patients is the inpatient rehabilitation hospital ; in addition, the number of inpatient rehabilitation beds in the US has been decreasing, and during the next 20 years, aging baby boomers could be denied intensive rehabilitation 2012: More than ever, we must ensure access to this precious resource 16
17 Challenges Still Remaining 1976: Realizing the ideal of a continuum of care measuring outcomes across time and settings requires the ability to measure and manage outcomes and predict which types of patients benefit most, in which settings, and at which times during their illness, along with the durations of services and costs 2012: The FIM instrument and its derivatives measure function and burden of care and can fill this need 17
18 The Response from Physiatrists Murray Brandstater, MD: A major and important advance in rehabilitation care was the introduction of systems to measure disability, notably the... [FIM instrument], which has provided the tools to record patient progress and measure functional outcome. The quality of rehabilitation care also improved as nursing and allied health professionals brought a higher level of knowledge and skill to the rehabilitation process through enhanced education. 18
19 Challenges Still Remaining 1976: Patient-centered care must overtake all other care approaches so that outcomes how well the patient does drive medical decisions, not economics or available technology 2012: This is still an urgent issue in today s healthcare system 19
20 The Response from Physiatrists Elizabeth Sandel, MD: We will need to provide expert care across many settings... [Our work] will provide optimal functional and medical outcomes for the most complex populations we serve. Kurt Hoppe, MD: Because technology will be subjected to comparative analysis research, it is proper that physiatrists provide the best evidence for treating disabling conditions to patients and their families as unbiased as possible from undue outside interests. 20
21 UDSMR s Goals We at UDSMR desire to design and execute collaborative scientific studies with physiatrists and other rehabilitation practitioners We propose using epidemiological principles and methods to measure our national disability problem We want to demonstrate the ways in which rehabilitation programs improve functional health and lower costs on an ongoing basis 21
22 The Future of Rehabilitation Will the progress made in the field continue as the US healthcare system remains seriously underfunded, costly, and disorganized? The field must rise to the challenges ahead by: Using functional assessment data in new ways to provide the most effective and most efficient care Working closely with other medical specialties to treat the whole person Implementing a seamless continuum of care that meets the needs of the patient, rehabilitation facilities, providers, and payers 22
23 UDSMR Systems UDSMR systems quantify functional health as experienced by the person We call it precision case management with decision support tools, and it helps facilitate a life of wellness and fulfillment for the patient For more information, see The Future Is in Our Hands, Physical Medicine & Rehabilitation, 3,
Using the AcuteFIM Instrument for Discharge Placement
Using the AcuteFIM Instrument for Discharge Placement Paulette Niewczyk, MPH, PhD Manager of CFAR / Director of Research Center for Functional Assessment Research Uniform Data System for Medical Rehabilitation
More informationComprehensive, Conservative Care Model: ChiroFirst Study
Comprehensive, Conservative Care Model: ChiroFirst Study PROGRAM SUMMARY Overview Chiropractic Care of Minnesota, Inc. (CCMI) is launching a research study, called ChiroFirst, which will evaluate a comprehensive,
More informationInpatient Rehabilitation in the Era of Population Health Management: Why We Must Change
Inpatient Rehabilitation in the Era of Population Health Management: Why We Must Change William A. Adair, MD 2017 UDSMR Annual Conference 1 UDSMR is a trademark of Uniform Data System for Medical Rehabilitation,
More informationMeasuring Functional Change in Outpatient Therapy Claims-Based Data Collection Reqs. for Outpatient Therapy Services
Measuring Functional Change in Outpatient Therapy Paulette Niewczyk, MPH, PhD Director of Research Manager of Research, Development, and Analytical Services Manager of CFAR Uniform Data System for Medical
More informationOral Presentation to the H.E.L.P. Committee on February 14, 2012 Philip A. Pizzo, MD
Oral Presentation to the H.E.L.P. Committee on February 14, 2012 Philip A. Pizzo, MD 1. I am Dr. Philip A Pizzo, Dean of the Stanford University School of Medicine as well as Professor of Pediatrics and
More informationFunctional Outcomes among the Medically Complex Population
Functional Outcomes among the Medically Complex Population Paulette Niewczyk, PhD, MPH Director of Research Uniform Data System for Medical Rehabilitation 2015 Uniform Data System for Medical Rehabilitation,
More informationCANADIAN DIABETES ASSOCIATION
CANADIAN DIABETES ASSOCIATION Submission to the PREMIER S CONVERSATION ON HEALTH July 2007 Canadian Diabetes Association 360 1385 West 8 th Avenue Vancouver, BC V6H 3V9 Phone: (604) 732-1331 Fax: 604-732-8444
More informationThe Opioid Scourge DR. CAROLINE CARNEY CHIEF MEDICAL OFFICER
The Opioid Scourge NOUN: A PERSON OR THING THAT CAUSES GREAT TROUBLE OR SUFFERING SYNONYMS: AFFLICTION, BANE, CURSE, MENACE, BURDEN, EVIL DR. CAROLINE CARNEY CHIEF MEDICAL OFFICER 1,000,000,000,000 72,000
More informationVia Electronic Submission. March 13, 2017
APTQI 20 F Street, NW Suite #700 Washington, DC 20001 Phone: 202-507-6354 www.aptqi.com Via Electronic Submission Centers for Medicare & Medicaid Services Department of Health & Human Services Attention:
More informationPREVENTION FOR A HEALTHIER AMERICA: Investments in Disease Prevention Yield Significant Savings, Stronger Communities
PREVENTION FOR A HEALTHIER AMERICA: Investments in Disease Prevention Yield Significant Savings, Stronger Communities Jeffrey Levi, PhD Executive Director, Trust for America s Health Barbara A. Ormond,
More informationPeripheral Vascular Care: Should You Have a Vascular Center?
Peripheral Vascular Care: Should You Have a Vascular Center? Barbara Sallo, RN, MBA Abstract Cardiovascular care is big business for hospitals. Although a lot of attention and resources are directed to
More informationC-Change Making the Business Case Questions & Answers
C-Change Making the Business Case Questions & Answers How To Use This Document Following are a set of questions and answers about C-Change s multi-year Making the Business Case for cancer prevention and
More informationNational Stroke Association s Guide to Choosing Stroke. Rehabilitation Services
National Stroke Association s Guide to Choosing Stroke Rehabilitation Services Rehabilitation, often referred to as rehab, is an important part of stroke recovery. Through rehab, you: Re-learn basic skills
More informationHOW YOGA TRANSFORMS LIVES
HOW YOGA TRANSFORMS LIVES TABLE OF CONTENTS GIVE BACK YOGA FOUNDATION A LETTER FROM OUR DIRECTOR YOGA OF 12-STEP RECOVERY ADDICTION YOGA4CANCER CANCER MINDFUL YOGA THERAPY VETERANS' HEALTH PRISON YOGA
More informationAdvancing the management of Chronic Kidney Disease. Employee Benefits Planning Association- December s Program 12/6/2017 1
Advancing the management of Chronic Kidney Disease. Employee Benefits Planning Association- December s Program 12/6/2017 1 Today s Topics Chronic Kidney Disease Causes & Financial Impact Managing comorbid
More informationJanuary 2, Dear Technical Review Committee Members:
Glenn A. Ally, Ph.D., M.P. (A Professional Psychology Corporation) Clinical Neuropsychologist Advanced Practice Medical Psychologist 155 Hospital Drive, Suite 200 Lafayette, Louisiana 70503 (337) 235-8304
More informationWhat Duke Energy Employees are Saying
WORKING TOGETHER COE Designated Member of the OPTUM Centers of Excellence network in the area of Spine and Joint Surgeries Readmission rate consistently lower than state and national averages Hospital-acquired
More informationTable of Contents. Page 2 of 20
Page 1 of 20 Table of Contents Table of Contents... 2 NMHCTOD Participants... 3 Introduction... 4 Methodology... 5 Types of Data Available... 5 Diabetes in New Mexico... 7 HEDIS Quality Indicators for
More informationTexas Chronic Disease Burden Report. April Publication #E
Texas Chronic Disease Burden Report April 2010 Publication #E81-11194 Direction and Support Lauri Kalanges, MD, MPH Medical Director Health Promotion and Chronic Disease Prevention Section, Texas Department
More informationVISION CARE INVESTMENT PAYS BIG BENEFITS.
VSP WHITE PAPER VISION CARE INVESTMENT PAYS BIG BENEFITS. Study shows a 127% return on investment with VSP Vision Care. EXECUTIVE SUMMARY An investment in VSP vision coverage can lower overall healthcare
More informationA COMPREHENSIVE REPORT ISSUED BY THE AMERICAN ASSOCIATION OF CLINICAL ENDOCRINOLOGISTS IN PARTNERSHIP WITH:
A COMPREHENSIVE REPORT ISSUED BY THE AMERICAN ASSOCIATION OF CLINICAL ENDOCRINOLOGISTS IN PARTNERSHIP WITH: Amputee Coalition of America Mended Hearts National Federation of the Blind National Kidney Foundation
More information2018 Healthy Aging Summit- Call for Abstracts
1 2018 Healthy Aging Summit- Call for Abstracts Deadline for submission of abstracts is 11:59 pm (Eastern Standard Time) Monday, February 5, 2018. The U.S. Department of Health and Human Services (HHS),
More informationShaping our future: a call to action to tackle the diabetes epidemic and reduce its economic impact
Shaping our future: a call to action to tackle the diabetes epidemic and reduce its economic impact Task Force for the National Conference on Diabetes: The Task Force is comprised of Taking Control of
More informationThis is an edited transcript of a telephone interview recorded in March 2010.
Sound Advice This is an edited transcript of a telephone interview recorded in March 2010. Dr. Patricia Manning-Courtney is a developmental pediatrician and is director of the Kelly O Leary Center for
More informationLow Tolerance Long Duration (LTLD) Stroke Demonstration Project
Low Tolerance Long Duration (LTLD) Stroke Demonstration Project Interim Summary Report October 25 Table of Contents 1. INTRODUCTION 3 1.1 Background.. 3 2. APPROACH 4 2.1 LTLD Stroke Demonstration Project
More informationSenior Leaders and the Strategic Alignment of Community Benefit Programs: The Example of Diabetes
Senior Leaders and the Strategic Alignment of Community Benefit Programs: The Example of Diabetes Posted: February 17, 2009 By Patsy Matheny, Community Benefit Consultant. Sugar Grove, Ohio Moving community
More informationThe aging population and the case for integrating Manual Osteopathy in the normal healthcare framework. Marinus van Aarle (B.Sc)
The aging population and the case for integrating Manual Osteopathy in the normal healthcare framework Marinus van Aarle (B.Sc) National Academy of Osteopathy Research Thesis February 12, 2016 Hypothesis:
More informationMerkin Brain and Health Policy Innovation Program 2013
Merkin Brain and Health Policy Innovation Program 2013 Table of Contents Meet 2013 Fellow Daniella Meeker Research Spotlight on Alzheimer s Disease Meet 2013 Fellow Daniella Meeker 1 Research Spotlights:
More informationHealthcare Transformation: Translating Aspiration into Action. Charlotte Yeh, MD Chief Medical Officer, AARP Services, Inc.
Healthcare Transformation: Translating Aspiration into Action Charlotte Yeh, MD Chief Medical Officer, AARP Services, Inc. The Healthcare Transformation Mission: Deliver on the promise of quality care
More informationCAMPAIGN BRIEF: WHY DO WE NEED ACTION ON DEMENTIA?
CAMPAIGN BRIEF: WHY DO WE NEED ACTION ON DEMENTIA? Changes in Government Policy The Government has terminated the Dementia Initiative and risks squandering 6 years of investment. The Dementia Initiative
More informationThe DIABETES CHALLENGE IN PAKISTAN FIFTH NATIONAL ACTION PLAN
1. INTRODUCTION The DIABETES CHALLENGE IN PAKISTAN FIFTH NATIONAL ACTION PLAN 2014 2018 UNITE AGAINST DIABETES STOP RISING TREND Diabetes is a significant and growing challenge globally that affects individuals,
More informationPresentation to the Standing Committee on Health Chronic Diseases Related to Aging. October 17, 2011
THE CANADIAN CHIROPRACTIC ASSOCIATION Presentation to the Standing Committee on Health Chronic Diseases Related to Aging October 17, 2011 Prevention as a mean to manage or delay chronic diseases related
More informationMember-centered cancer care In Georgia
Quality health plans & benefits Healthier living Financial well-being Intelligent solutions Member-centered cancer care In Georgia Ira Klein, MD, MBA, FACP GASCO Annual Meeting September 5, 2015 > One
More informationLooking to grow your practice?
Looking to grow your practice? Discover how to substantially increase revenue and benefit patients, ethically and reliably DyAnsys, Inc. 300 North Bayshore Boulevard, San Mateo, CA 94401 USA Tel: Toll
More informationc i r c l e o f l i f e a w a r d C I R C L E o f L I F E
circle of life award 2017 The 2017 awards are supported, in part, by the California Health Care Foundation, based in Oakland, California, and Cambia Health Foundation, based in Portland, Oregon. Major
More informationModule 6: Substance Use
Module 6: Substance Use Part 1: Overview of Substance Abuse I am Martha Romney and I am presenting on substance abuse. This module focuses on the healthy people 2020 objective to reduce substance abuse
More informationCHS 2009 Baltimore City Community Health Survey: Summary Results Report
CHS 2009 Baltimore City Community Health Survey: Summary Results Report About the Survey: A representative sample of 1,134 Baltimore residents participated in the Community Health Survey The survey reached
More information*GERIATRIC FELLOWSHIP COMPETENCY CHECKLIST EDUCATIONAL GOALS:
*GERIATRIC FELLOWSHIP COMPETENCY CHECKLIST EDUCATIONAL GOALS: The goal of geriatric fellowship training is to prepare fellows for competency in the following core areas: Check and record date completed
More informationValue-Driven Population Health Strategies: Designing Models for Different Populations
Value-Driven Population Health Strategies: Designing Models for Different Populations Expert presenters Dan Dunn, Ph.D., SVP, Business Solutions, Distinguished Fellow, Optum Mark Leenay, M.S., M.D., Chief
More informationThe Journey towards Total Wellbeing A Health System s Innovative Approach
The Journey towards Total Wellbeing A Health System s Innovative Approach Company Profile Wellness A state of complete physical, mental and social wellbeing and not merely the absence of disease or infirmity
More informationBest practices for a successful wellness screening program
Health & Wellness Best practices for a successful wellness screening program Identify risk. Increase engagement. Incite change. Identifying health risks in your employee population People at risk for chronic
More informationThe Value of Providing Collaborative Care Models For Treating Employees with Depression
The Value of Providing Collaborative Care Models For Treating Employees with Depression Summary Depression is one of the costliest health issues for employers because of its high prevalence and co-morbidity
More informationDecember 18, Submitted Electronically
December 18, 2017 Seema Verma, Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services Attn: CMS-4182-P PO Box 8013 Baltimore, MD 21244-8013 Submitted Electronically
More information4-A Healing TREATMENT. making biomedical. a reality. ALLERGY ADHD AUTISM ASTHMA
ALLERGY ADHD AUTISM ASTHMA 4-A Healing MAKING BIOMEDICAL TREATMENT A REALITY making biomedical www.4ahealingfoundation.org TREATMENT a reality 1 in 150 children is diagnosed with autism 1 in 16 children
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 informationRewarding Healthy Behaviors: A Step-by-Step Guide to Workplace Incentives for Tobacco Cessation
Rewarding Healthy Behaviors: A Step-by-Step Guide to Workplace Incentives for Tobacco Cessation PRESENTED BY: TABLE OF CONTENTS Executive Summary... 3 What Motivates People to Change?... 4 The Comprehensive
More informationExecutive Summary Background: The Costs and Damage Caused by Drug Diversion
Are We Doing Enough? Executive Summary In 2017, Porter Research conducted a survey about the theft of narcotics by US healthcare workers. Onehundred fifty health care professionals, representing over one-hundred
More informationHuman Services in Contemporary America
Test Bank for Human Services in Contemporary America Ninth Edition William R. Burger Kingsborough Community College of The City University of New York Chapter One Multiple Choice Questions: 1. According
More informationUp to $402,000. Insight HIV. Drug Class. 1.2 million people in the United States were living with HIV at the end of 2011 (most recent data).
HIV Background, new developments, key strategies Drug Class Insight INTRODUCTION Human Immunodeficiency Virus (HIV) is the virus that can lead to Acquired Immunodeficiency Syndrome, or AIDS. No safe and
More informationPalliative Care and Hospice. University of Illinois at Chicago College of Nursing
Palliative Care and Hospice University of Illinois at Chicago College of Nursing 1 Learning Objectives Upon completion of this module, participants will be better able to: 1. Describe Palliative Care 2.
More informationAdvaMed Medtech Value Assessment Framework in Practice
AdvaMed Medtech Value Assessment Framework in Practice Application of the Medtech Value Assessment Framework to Cymedica s e-vive System Value Framework Overview In response to the growing need to demonstrate
More information9/18/2018. Reforming Care Beyond Healthcare: Opportunities & Challenges for True Palliative Care. Perspectives
Midwest Conference on Palliative & End of Life Care Palliative Care Pre-Conference Kansas City, Missouri October 2018 Reforming Care Beyond Healthcare: Opportunities & Challenges for True Palliative Care
More informationCommunity mobilization in major emergencies
COMMUNITY TOOLS Tool 1 Community mobilization in major emergencies Response: What do you see in these pictures? Disasters that can affect a community such as earthquakes or floods. What are some other
More informationJOINT TESTIMONY. Homeless Services United Catherine Trapani Executive Director, HSU
New York City Council Committees on General Welfare and Health Oversight - Part 1: Medical Health Services in the DHS Shelter System Int. No. 929 - in relation to requiring information on health services
More informationFor a Universal Healthy School Food Program
For a Universal Healthy School Food Program Presented by the Members and Supporters of The Coalition for Healthy School Food THE COALITION FOR HEALTHY SCHOOL FOOD members of the coalition for healthy school
More informationPsychcare I Florida Association of Health Plans
Psychcare I Florida Association of Health Plans GENERAL SESSION I: HEALTH CARE COST DRIVERS September 6 th, 2012 PSYCHCARE psychcare.com September 6 th, 2012 1 Introduction Beacon Health Strategies Industry
More informationJournal of Professional Exercise Physiology
Journal of Professional Exercise Physiology ISSN 1550-963X August 2016 Vol 14 No 8 American Society of Exercise Physiologists The Professional Organization of Exercise Physiologists The Correct Title is
More informationMeasure, Asses,Treat & Improve THE TELEREHABILITATION REVOLUTION KOUROSH PARSAPOUR, MD MBA
Measure, Asses,Treat & Improve THE TELEREHABILITATION REVOLUTION KOUROSH PARSAPOUR, MD MBA 5plus DISCLOSURES Founder, CEO TeleRehab Systems Founder, Board of Directors Specialists on Call Shareholder Physical
More information17IS PLENARY PRESENTATION
17IS PLENARY PRESENTATION CREATING COMMUNITY: CHANGING THE WORLD OF MENTAL HEALTH Joel Corcoran, Executive Director, Clubhouse International Good Afternoon! Well that was certainly a powerful morning.
More informationREGIONAL SPECIALIZED GERIATRIC SERVICES GOVERNANCE AUTHORITY. Call for Expressions of Interest from Seniors Advocate/Public Member
REGIONAL SPECIALIZED GERIATRIC SERVICES GOVERNANCE AUTHORITY Call for Expressions of Interest from Seniors Advocate/Public Member A. BACKGROUND Specialized Geriatric Services (SGS) provide a range of services
More informationThe Care Variation Short List
Crimson Continuum of Care The Care Variation Short List Targeting High ROI Opportunities for Reducing Care Variation For more information about Crimson Continuum of Care, please contact Corey Lewson at
More informationThere For You. Your Compassionate Guide. World-Class Hospice Care Since 1979
There For You Your Compassionate Guide World-Class Hospice Care Since 1979 What Is Hospice? Hospice is a type of care designed to provide support during an advanced illness. Hospice care focuses on comfort
More informationCatholic Family Services of Durham Case for Support
Imagine if every child in our community grew up in a loving, permanent family. Imagine if every teen and young adult in need of guidance had a dedicated mentor, and unemployed adults could be matched with
More informationPalliative Care A Tool for Transformation
Palliative Care A Tool for Transformation Rae Seitz, MD Kokua Mau Summit November 10, 2011 Today s Summit: A Call to Action Our healthcare systems requires change We, all of us, are the change agents Palliative
More informationREHABILITATION UNIT ANNUAL OUTCOMES REPORT Prepared by
REHABILITATION UNIT ANNUAL OUTCOMES Prepared by REPORT - 2014 Keir Ringquist, PT, PhD, GCS Rehabilitation Program Manager Director of Occupational and Physical Therapy DEMOGRAPHICS OF THE REHABILITATION
More informationTHE ENVIRONMENTAL HEALTH AND SAFETY
1 THE ENVIRONMENTAL HEALTH AND SAFETY OUTSOURCING GUIDE HOW EHS OUTSOURCING CAN SAVE YOUR COMPANY TIME AND MONEY TABLE OF CONTENTS 1. WHAT IS SAFETY OUTSOURCING? 2. WHY OUTSOURCE SAFETY? 3. BENEFITS OF
More informationHospice and Palliative Care An Essential Component of the Aging Services Network
Hospice and Palliative Care An Essential Component of the Aging Services Network Howard Tuch, MD, MS American Academy of Hospice and Palliative Medicine Physician Advocate, American Academy of Hospice
More informationPaying for Routine HIV Testing
THE AIDS INSTITUTE Paying for Routine HIV Testing Carl Schmid, Deputy Executive Director US Conference on AIDS Orlando FL September 13, 2010 Why Reimbursement is Important Estimated 21 percent, or 231,000
More informationOUTCOMES, ACCESS, AND COST THE CHIROPRACTIC ANSWER: COPAY PARITY
OUTCOMES, ACCESS, AND COST THE CHIROPRACTIC ANSWER: COPAY PARITY N C C H I R O P R AC T I C AS S O C I A T I O N Dr. Joe Siragusa Executive Director www.ncchiro.org drjoe@ncchiro.org 919-832-0611 ext.
More informationGet the Facts: Minnesota s 2013 Tobacco Tax Increase is Improving Health
Get the Facts: Minnesota s 2013 Tobacco Tax Increase is Improving Health February 10, 2015 Lisa R. Mattson, MD Frank J. Chaloupka, PhD Raymond Boyle, PhD, MPH Overview The tobacco industry has a well-known
More informationCasa Colina Centers for Rehabilitation: A unique physician-directed model of care that works
Casa Colina Centers for Rehabilitation: A unique physician-directed model of care that works Emily R. Rosario, PhD Why is Casa Colina unique? Continuum of care offering medical and rehabilitation services
More informationProvincial Cancer Control Advisory Committee
Provincial Cancer Control Advisory Committee Annual Performance Report 2012-2013 Table of Contents 1.0 Overview... 4 2.0 Shared Partnerships... 7 3.0 Highlights and Accomplishments... 7 4.0 Report on
More informationPrehabilitation & Rehabilitation in Cancer Survivorship
Prehabilitation & Rehabilitation in Cancer Survivorship Julie K. Silver, MD Associate Professor, Department of PM&R, Harvard Medical School Associate Chair and Director of Cancer Rehabilitation Department
More informationFigure 1. Survivorship Program Model
Implementation of a Breast Cancer Survivorship Program Heather Lowry MSN, WHNP-BC, Nayana Dekhne MD, Ryan Wood, BCSc-IE, MBA, CSSBB, Angela DeLaere, MBA Beaumont Health, Royal Oak, MI Background As of
More informationWorld Health Day 2013 Remarks of PAHO Director Carissa F. Etienne
World Health Day 2013 Remarks of PAHO Director Carissa F. Etienne Hon. Ambassadors, Mr. Bill Corr, Deputy Secretary, U.S. Dept. of Health and Human Services, Distinguished Speakers, Executive Management
More informationHealth of Those Who Have Served Report 2018
Health of Those Who Have Served Report 2018 Behaviors Community & Environment Health Outcomes Policy Clinical Care America s Health Rankings and America s Health Rankings Health of Those Who Have Served
More informationAddressing the rapid rate of change in the DOT-regulated world
DOT Regulations Addressing the rapid rate of change in the DOT-regulated world Health care trends affecting today s commercial vehicle drivers and their companies June 2016 Today there is a heightened
More informationStrategies for Federal Agencies
Confronting Pain Management and the Opioid Epidemic Strategies for Federal Agencies Over the past 25 years, the United States has experienced a dramatic increase in deaths from opioid overdose, opioid
More informationREHABILITATION UNIT ANNUAL OUTCOMES REPORT
REHABILITATION UNIT ANNUAL OUTCOMES REPORT - 2013 Prepared by Keir Ringquist, PT, PhD, GCS Rehabilitation Program Manager Director of Occupational and Physical Therapy 1 DEMOGRAPHICS OF THE REHABILITATION
More informationINSERT COMPANY LOGO HERE
2013 2014 INSERT COMPANY LOGO HERE 2014 North American 2013 North Positron American Emission SSL Tomography Certificate (PET) Imaging Technology Product Innovation Leadership Leadership Award Award Industry
More informationJuly 6, Scott Gottlieb, MD Commissioner U.S. Food and Drug Administration New Hampshire Avenue Silver Spring, MD 20993
Scott Gottlieb, MD Commissioner U.S. Food and Drug Administration 10903 New Hampshire Avenue Silver Spring, MD 20993 RE: Draft Revisions to the Food and Drug Administration Blueprint for Prescriber Education
More informationADDRESSING THE MENTAL HEALTH NEEDS OF OLDER ADULTS IN AGE-FRIENDLY COMMUNITIES A Guide for Planners
Geriatric Mental Health Alliance Of New York ADDRESSING THE MENTAL HEALTH NEEDS OF OLDER ADULTS IN AGE-FRIENDLY COMMUNITIES A Guide for Planners By Kimberly A. Williams Michael B. Friedman January 2010
More informationVaccine Financing and Delivery: Room for Improvement
Transcript Details This is a transcript of an educational program accessible on the ReachMD network. Details about the program and additional media formats for the program are accessible by visiting: https://reachmd.com/programs/focus-on-public-health-policy/vaccine-financing-and-delivery-room-forimprovement/3738/
More informationHow Many Times? Result: an Unsatisfactory Outcome That Can Be Avoided
Removing Obstacles to a Peaceful Death by Revising Health Professional Training and Payment Systems Professor Kathy L. Cerminara Nova Southeastern University Shepard Broad College of Law October 24, 2018
More informationResearch and Best Practices in Domestic Violence. Julie Beck, LMSW Rose Brooks Center, Inc.
Research and Best Practices in Domestic Violence Julie Beck, LMSW Rose Brooks Center, Inc. Who am I? Former Director of the Bridge Program for Rose Brooks Center, Inc. (8 years) Member of the Family Violence
More informationDENTAL RELATED VISITS TO HOSPITAL EMERGENCY ROOMS- PAY ME NOW OR PAY ME LATER Oral Health Florida Conference July 31, 2014 Orlando
Frank Catalanotto, DMD Professor and Chair Department of Community Dentistry and Behavioral Science University of Florida College of Dentistry College of Dentistry DENTAL RELATED VISITS TO HOSPITAL EMERGENCY
More informationStrategic Plan
Strategic Plan 2013-2015 The key to a strong, responsive organization is a clearly defined mission, complete with specific goals and intended outcomes. Our strategic goals are essential to the association
More informationThe Special Diabetes Program
The Special Diabetes Program Advancing Research & Improving Lives on the Path to a Cure Charlie was diagnosed with T1D at 10 months old. Some days, he wants to be a doctor when he grows up. Other days,
More informationInclude Substance Use Disorder Services in New Hampshire Medicaid Managed Care
Include Substance Use Disorder Services in New Hampshire Medicaid Managed Care New Futures mission is to advocate, educate, and collaborate to reduce alcohol and other drug problems in New Hampshire. Expanding
More informationHow Wheaton Franciscan is meeting the NEEDS of our community. NSWERING HE CALL
ANSWERING THE CALL MEETING OUR COMMUNITY NEEDS S July 1, 2013 June 30, 2016 How Wheaton Franciscan is meeting the NEEDS of our community. NSWERING HE CALL COMMUNITY HEALTH NEEDS IMPLEMENTATION PLAN: ST.
More informationInsight ONCOLOGY. Drug Class. Background, new developments, key strategies INTRODUCTION. Incidence of cancer types per year
Drug Class Insight ONCOLOGY Background, new developments, key strategies INTRODUCTION Over 1.6 million Americans will be diagnosed in 2014 1 Total annual costs for cancer: $216 billion, including $87 billion
More informationThe NALC Health Benefit Plan HBR Report
The NALC Health Benefit Plan HBR Report Vol. 18-4 Fredric V. Rolando, President Brian Hellman, Director Aug 2018 20547 Waverly Court Ashburn, VA 20149-703.729.4677. Immunization Awareness Month Board of
More informationMedication trends shaping workers compensation. A 2018 update of the prevailing industry influences impacting pharmacy outcomes
Medication trends shaping workers compensation A 2018 update of the prevailing industry influences impacting pharmacy outcomes This page intentionally left blank Trends impacting workers compensation pharmacy
More informationAlberta Alcohol and Drug Abuse Commission. POSITION ON ADDICTION AND MENTAL HEALTH February 2007
Alberta Alcohol and Drug Abuse Commission POSITION ON ADDICTION AND MENTAL HEALTH POSITION The Alberta Alcohol and Drug Abuse Commission (AADAC) recognizes that among clients with addiction problems, there
More informationSTATE AND COMMUNITY MODELS FOR IMPROVING ACCESS TO DENTAL CARE FOR THE UNDERSERVED
American Dental Association STATE AND COMMUNITY MODELS FOR IMPROVING ACCESS TO DENTAL CARE FOR THE UNDERSERVED October 2004 Executive Summary American Dental Association. State and Community Models for
More informationSecond China-EU Symposium on Gender Equality under HPPD
Boosting Employment and Entrepreneurship of Young Women Shanghai, 14 November 2017 Ms Annelies Pierrot Bults, Executive Member of the European Women s Lobby Madam President of the All China Women s Federation,
More informationBehavioral Health Hospital and Emergency Department Health Services Utilization
Behavioral Health Hospital and Emergency Department Health Services Utilization Rhode Island Fee-For-Service Medicaid Recipients Calendar Year 2000 Prepared for: Prepared by: Medicaid Research and Evaluation
More informationInputs from Medical Unit, Ministry of Social Security and Ministry of Health Mauritius1
1. In your country/region, how is long-term care for older persons defined and provided for in legal and policy frameworks? What types of support and service are covered? Long term care for older persons
More information29 October For immediate release MEDIA RELEASE
29 October 2009 For immediate release MEDIA RELEASE EXPECTANT MOMS, BABIES SUBJECTS OF NEW STUDY TO FIND WAYS TO PREVENT OBESITY AND DIABETES - Official launch of Growing Up in Singapore Towards healthy
More informationCHECK AGAINST DELIVERY:
Beijing launch of Preventing Chronic Disease: a vital investment Speech by Dr Catherine Le Galès-Camus, Assistant Director-General, World Health Organization, Non-communicable Diseases and Mental Health
More information