Evolving Psychiatry: Technology for Patient Care
|
|
- Curtis Davis
- 6 years ago
- Views:
Transcription
1 Evolving Psychiatry: Technology for Patient Care David C. Mohr, PhD Director, Center for Behavioral Intervention Technologies Professor, Department of Preventive Medicine Northwestern University, Feinberg School of Medicine Chicago, IL Julia Hoffman, PsyD National Director of Mobile Mental Health US Department of Veterans Affairs Menlo Park, CA 2015 Otsuka America Pharmaceutical, Inc., Rockville, MD MRC2.CORP.D advice or professional diagnosis. Users seeking medical advice should consult with their physician or other healthcare professional.
2 This program is paid for by Otsuka America Pharmaceutical, Inc. The speaker is a paid contractor of Otsuka America Pharmaceutical, Inc. 2 advice or professional diagnosis. Users seeking medical advice should consult with their physician or other healthcare professional.
3 PsychU Virtual Forum Rules of Engagement: Otsuka America Pharmaceutical, Inc. (OAPI) has entered into collaboration with Open Minds, L.L.C. to explore new ways of bringing/increasing awareness around serious mental illness. OAPI s interaction with Open Minds is through PsychU, an online, non-branded portal dedicated to providing information and resources on important disease state and care delivery topics related to mental illness. One of the methods employed for the sharing of information will be the hosting of virtual fora. Virtual fora conducted by OAPI are based on the following parameters: When conducting medical dialogue, whether by presentation or debate, OAPI and/or its paid consultants aim to provide the viewer with information that is accurate, not misleading, scientifically rigorous, and does not promote OAPI products. OAPI and/or their paid consultants do not expect to be able to answer every question or comment during a PsychU Virtual Forum; however, they will do their best to address important topics and themes that arise. OAPI and/or their paid consultants are not able to provide clinical advice or answer questions relating to specific patient s condition. Otsuka employees and contractors should not participate in this program (e.g., submit questions or comments) unless they have received express approval to do so from Otsuka Legal Affairs. OAPI operates in a highly regulated and scrutinized industry. Therefore, we may not be able to discuss every issue or topic that you are interested in, but we will do our best to communicate openly and directly. The lack of response to certain questions or comments should not be taken as an agreement with the view posed or an admission of any kind. 3
4 Learning Objectives To consider potential advantages that digital technology may offer in the assessment and management of mental illness To review existing technologies including digital psychosocial interventions, mhealth sensors, mobile device applications and telepsychiatry To discuss some of the challenges to the adoption of digital technology 4
5 Overview Digital technologies are intended to address some barriers to psychiatric care 1,2 Digital tools are designed to attempt to capture comprehensive, ecologically rich patient data and to enable in-the-moment interventions 3,4 Digital technologies have the potential to improve medication adherence through real-time monitoring 5,6 Clinical decision support technology is designed to assist physicians in clinical decision-making by providing patient-specific assessments and evidence-based information 7,8 Technology-assisted delivery of psychosocial interventions may increase access to care 9 and can augment traditional in-person psychological services 1 1. APA Council on Psychiatry & Law. 2014; Hilty DM, et al. Telemed J E Health. 2013;19: Ben-Zeev D, et al. Schizophr Bull. 2014;40: Kumar S, et al. Am J Prev Med. 2013;45: Velligan D, et al. Schizophr Bull. 2013;39: Frangou S, et al. Telemed J E Health. 2005;11: Berner ES. Agency for Healthcare Research and Quality Publication No EF. 8. Sim I, et al. J Am Med Inform Assoc. 2001;8: American Psychological Association. Accessed September 30,
6 Digital Technology Is Poised to Become the Fourth Wave of Evolution in Mental Health Care 1890s 1952 Psychoanalysis 1 Psychopharmacology s- 90s Evidence-based practice in mental health care 3, Digital psychiatry 5,6 Suboptimal treatment response remains an ongoing concern 7 1. Gleitman H, et al. Psychology. 8th ed. W. W. Norton & Company. 2011; Ahuja N. A Short Textbook of Psychiatry. 7th ed. Jaypee Brothers Medical Publishers (P) Ltd. 2011; Spring B. J Clin Psychol. 2007;63: APA Presidential Task Force on Evidence-Based Practice. Am Psychol. 2006;61: Kumar S, et al. Am J Prev Med. 2013;45: Mohr DC, et al. Gen Hosp Psychiatry. 2013;35: Lehman AF, et al. Am J Psychiatry. 2004;161:
7 There Are Many Barriers to Access to Optimal Mental Health Care in the United States SHORTAGE OF SHORTAGE OF MENTAL PROFESSIONALS HEALTH PROFESSIONALS 1 1 TRANSPORTATION TRANSPORTATION DIFFICULTIES DIFFICULTIES 2 2 $ COST OF THERAPY 2 TIME CONSTRAINTS 2 FEAR OF CONCERNS STIGMATIZATION ABOUT WHAT 2 OTHERS WOULD THINK 2 A X C LIMITED ENGLISH LANGUAGE PROFICIENCY BARRIERS Thomas KC, et al. Psychiatr Serv. 2009;60: Mohr DC, et al. Ann Behav Med. 2006;32: Bauer AM, et al. Med Care. 2010;48:
8 Digital Technology May Provide New Tools for Patient Assessment and Management mhealth sensors 1 Mobile device applications 2 Digital psychosocial interventions 3 Digital neurocognitive assessments and remediation 4,5 Telepsychiatry 6 Medication adherence technologies 7 Clinical decision support systems 8 1. Kumar S, et al. Am J Preven Med. 2013;45: Ben-Zeev D, et al. Schizophr Bull. 2014;40: American Psychological Association. Accessed September 30, Moore RC, et al. Schizophr Res. 2013;144: Fisher M, et al. Schizophr Bull. 2015;41: APA Council on Psychiatry & Law. 2014; Velligan D, et al.schizophr Bull. 2013;39: Kurian BT, et al. Prim Care Companion J Clin Psychiatry. 2009;11:
9 Limitations of Current Methods of Patient Assessment Inability to capture dynamic processes 1 Current methods cannot record patients symptoms and subjective experiences over time Recall bias 2,3 In retrospective self-reports, respondents usually rely on partial recall when asked to report on past behavior and experiences, which contributes to recall biases Uncertain accuracy Retrospective summary reports are not always accurate in capturing one s most intense, most recent, or variability of experiences and symptoms 1 Information obtained in the clinical interview may also sometimes be inaccurate, with patients minimizing or exaggerating symptoms 3 1. Ben-Zeev D, et al. Schizophr Bull. 2012;38: Schwarz N. In: Stone AA, et al, eds. The Science of Real-Time Data Capture: Self-Reports in Health Research. Oxford University Press. 2007; Vergare MJ, et al. Am J Psychiatry. 2006;163:
10 Digital Technology May Offer Some Advantages for Assessing and Managing Mental Illnesses Gathering more comprehensive data 1 Multiple sensors and modalities may provide more ecologically rich data sets Analysis of real-world behaviors or experiences 2,3 Ecological momentary assessment methods allow assessment of behaviors and experiences in their ecological context Providing in-the-moment interventions 4 Pervasive nature of mobile technologies allows the delivery of interventions in the moment Potential to provide a continuous connection between a care system and the patient Assessment and interventions for treatment adherence 1 Discerning those factors that influence adherence behaviors Providing feedback and support to improve adherence 1. Kumar S, et al. Am J Prev Med. 2013;45: Schwarz N. In: Stone A, et al, eds. The Science of Real-Time Data Capture: Self-Reports in Health Research. Oxford University Press. 2007; Stone AA, et al. In: Stone AA, et al, eds. The Science of Real-Time Data Capture: Self- Reports in Health Research. Oxford University Press. 2007; Mohr DC, et al. Gen Hosp Psychiatry. 2013;35:
11 Mobile Health Technologies (mhealth) Are Designed to Capture In-the-Moment Assessments and Deliver Real-time Interventions Mobile technology based applications and sensors (mhealth) are designed to provide a reliable way to detect changes in subjective state (thought, mood) and physiology 1-3 They can be used to collect data, often in real time 4 Data collected by mhealth can potentially help to inform in-the-moment delivery of tailored interventions 2 Guido Mieth/Getty Images 1. Ben Zeev D, et al. Schizophr Bull. 2012;38: Ben Zeev D, et al. Schizophr Bull. 2014;40: Prociow P, et al. Int J Ment Health Syst. 2012;6:5. 4. Kumar S, et al. Am J Preven Med. 2013;45:
12 Digital Psychosocial Interventions May Bridge Gaps in Care UNMET NEEDS The treatment gap for severe mental illnesses is large 1 Shortage of mental health professionals 2 Multiple factors contribute to limited use of psychosocial interventions 3 Concerns about what others would think Financial concern for patients Time constraints POTENTIAL BENEFITS Increased access to care 4 Convenience 4 Augment in-person services 4 POTENTIAL CHALLENGES Understanding the therapeutic relationship and factors that influence it 5 ; legal, regulatory, and licensure requirements 5 ; emergency management 4 1. Kohn R, et al. Bull World Health Organ. 2004;82: Thomas KC, et al. Psychiatr Serv. 2009;60: Mohr DC, et al. Ann Behav Med. 2006;32: American Psychological Association. Accessed September 30, Sucala M, et al. J Med Internet Res. 2012;14:e
13 Discussion There are lots of apps and treatment websites available. How do we know people will use them? 13
14 Digital Neurocognitive Assessments and Remediation May Lead to Improved Treatment Outcomes UNMET NEEDS Major contributing factors to lack of recovery in patients with schizophrenia are: Impaired insight 1 Negative symptoms 2 Neurocognitive deficits 2 Impaired social cognition 2 Current cognitive remediation therapy programs are heterogeneous in method and effects, and the source of their overall benefits has yet to be determined 3 POTENTIAL CHALLENGES POTENTIAL BENEFITS Standardized administration 4,5 User-friendly format 4 Largely language independent 4 Flexible batteries 4 Automated test instructions and scoring 5 Less resource intensive 5 Do not require face-to-face implementation 6 Reliability and validity of digital assessments, 7 cost, 4 lack of comparison to traditional neuropsychological tests 4 1. Drake RJ, et al. Br J Psychiatry. 2000;177: Lehman AF, et al. Am J Psychiatry. 2004;161: Wykes T, et al. Am J Psychiatry. 2011;168: Levaux M-N, et al. Eur Psychiatry. 2007;22: Silverstein SM, et al. J Clin Exp Neuropsychol. 2010;32: Fisher M, et al. Schizophr Bull. 2015;41: Vergare MJ, et al. Am J Psychiatry. 2006;163:
15 Telepsychiatry May Improve Patient Access to Care and Treatment Retention UNMET NEEDS Access to care Cost and transportation barriers 1 Shortage of mental health professionals 2 POTENTIAL BENEFITS Increased access to care 3 Improved retention 4,5 Outcomes comparable to face-to-face meetings 4,6 POTENTIAL CHALLENGES Data storage and other technical issues, licensing 3 1. Mohr DC, et al. Ann Behav Med. 2006;32: Thomas KC, et al. Psychiatr Serv. 2009;60: APA Council on Psychiatry & Law. 2014; Mohr DC, et al. JAMA. 2012;307: Leigh H, et al. J Telemed Telecare. 2009;15: Hilty DM, et al. Telemed J E Health. 2013;19:
16 Technology May Improve Methods for the Measurement of Medication Adherence UNMET NEED Methods to assess medication adherence are only estimates of patients actual behavior 1 POTENTIAL BENEFIT Potential for improved adherence measurement through a number of technologies Electronic bottle caps and pill containers 2,3 Telemonitoring 4 POTENTIAL CHALLENGES Clinical implementation 5 1. Sabate E. World Health Organization Nakonezny PA, et al. Psychiatry Res. 2008;157: Hayes TL, et al. Conf Proc IEEE Eng Med Biol Soc. 2006;1: Frangou S, et al. Telemed J E Health. 2005;11: Velligan D, et al. Schizophr Bull. 2013;39:
17 To Optimize Clinical Care, Physicians Need Up-to-Date Information Oliver Burston/Getty Images Clinical decision support systems are designed to assist physicians in clinical decision-making by offering recommendations based on patient-specific assessments and evidence-based information 1. Sim I, et al. J Am Med Inform Assoc. 2001;8:
18 Supportive Technology May Inform Decision-making UNMET NEED Clinical practice guidelines are often unavailable in electronic medical record systems 1 POTENTIAL BENEFITS May increase compliance with treatment guidelines 2 Can help reduce inference gap 3 POTENTIAL CHALLENGES Legal, financial, and policy concerns 1,3 ; impact on workflow 4 ; relevance and accuracy of information 1,4 1. Mardon R, et al. Agency for Healthcare Research and Quality Publication No EF. 2. Trivedi MH, et al. BMC Med Inform Decis Making. 2009;9:6. 3. Olsen LA, et al. The Learning Healthcare System: Workshop Summary. The National Academies Press; Berner ES. Agency for Healthcare Research and Quality Publication No EF. 18
19 Discussion How can digital technologies be integrated into care systems and settings? 19
20 mhealth Technologies and Devices Are Still Evolving Emerging nature of mhealth technologies is associated with several challenges Concerns about privacy, security, and confidentiality 1 Patient and therapist familiarity with technology 2 Risk of obsolescence prior to complete validation 1 Data analytics 1 Impact of cultural differences on how patients experience mhealth interventions 3 1. Kumar S, et al. Am J Preven Med. 2013;45: Palmier-Claus JE, et al. BMC Psychiatry. 2013;13: Aguilera A, et al. JMIR Mhealth Uhealth. 2014;2:e47. 20
21 Several Challenges to Adoption of Digital Technology Reimbursement 1 Privacy 2 Security 2,3 Familiarity with technology 4,5 Acceptability 4,6 Implementation in clinical practice 2 1. APA Council on Psychiatry & Law Mardon R, et al. Agency for Healthcare Research and Quality Publication No EF. 3. Kumar S, et al. Am J Prev Med. 2013;45: Depp CA, et al. J Nerv Ment Dis. 2010;198: Palmier-Claus JE, et al. BMC Psychiatry. 2013;13: Musiat P, et al. BMC Psychiatry. 2014;14:
22 Discussion Do digital technologies create an expectation of an always-on healthcare system (increased health care professional burden) or do they lighten the load? 22
23 Summary Digital technology may possibly transform psychiatry by Increasing patient access to care and potentially enhancing costeffectiveness 1,2 Capturing real-time data and delivering tailored interventions 3,4 Optimizing clinical decision-making with evidence-based support 5 To facilitate widespread adoption of digital technology in psychiatry, several challenges need to be overcome, such as Reimbursement 1 Privacy 3,6 Security 3,6 Familiarity with technology 7,8 Acceptability 7,9 Implementation in clinical practice 6 1. APA Council on Psychiatry & Law. 2014; Hilty DM, et al. Telemed J E Health. 2013;19: Kumar S, et al. Am J Preven Med. 2013;45: Ben Zeev D, et al. Schizophr Bull. 2014;40: Sim I, et al. J Am Med Inform Assoc. 2001;8: Mardon R, et al. Agency for Healthcare Research and Quality Publication No EF. 7. Depp CA, et al. J Nerv Ment Dis. 2010;198: Palmier-Claus JE, et al. BMC Psychiatry. 2013;13: Musiat P, et al. BMC Psychiatry. 2014;14:
24 QUESTIONS 32
25 CLOSING 32
Telepsychiatry: Enhancing Access to Mental Health Care
Telepsychiatry: Enhancing Access to Mental Health Care Jonathan Evans Chief Executive Officer Safe Harbor Behavioral Health and InnovaTel Telepsychiatry, LLC., Erie, PA Meera Narasimhan, MD Associate Provost
More informationMeasurement Informed Treatment Assistant for Mental Health
CLICK TO DISCOVER 1 Measurement Informed Treatment Assistant for Mental Health Otsuka Pharmaceutical Development & Commercialization, Inc. 2018 Otsuka Pharmaceutical Development & Commercialization, Inc.
More informationSuboptimal Response in Psychotic & Mood Disorders: Causes, Consequences, and Management Strategies
Suboptimal Response in Psychotic & Mood Disorders: Causes, Consequences, and Management Strategies Henry A. Nasrallah, MD Sydney W. Souers Professor and Chair, Department of Psychiatry, Saint Louis University,
More informationDecember 2014 MRC2.CORP.D.00011
This program is paid for by Otsuka America Pharmaceutical, Inc. and Lundbeck, LLC. The speaker is a paid contractor of Otsuka America Pharmaceutical, Inc. advice or professional diagnosis. Users seeking
More informationBecome A Supporting Organization
Become A Supporting Organization 2018 Otuska Pharmaceutical Development & Commercialization, Inc. May 2018 MRC2.CORP.X.02619 Contents 1.0 Table Of Contents 1.1-1.7 PsychU Overview 1.1-1.2 Overview 1.3
More informationCo-Occurrence Of Substance Use Disorders With Mood Disorders & Psychosis
Co-Occurrence Of Substance Use Disorders With Mood Disorders & Psychosis Rebecca Roma, MD, MBA Medical Director of the Community Treatment Team Mercy Behavioral Health, Pittsburgh, PA Robert Nelson, MD
More informationUnderstanding and Addressing Medication Adherence in Psychiatry
Understanding and Addressing Medication Adherence in Psychiatry Dawn Velligan, PhD Director Division of Community Recovery, Research and Training Henry B. Dielmann Chair, Department of Psychiatry University
More informationLearn how you can support
Learn how you can support Sponsored by Otsuka Pharmaceutical Development and Commercialization, Otsuka America Pharmaceutical, Inc., Lundbeck, L.L.C. and Avanir Pharmaceuticals, Inc. 2016 Otsuka Pharmaceutical
More informationMeasurement-based Scales in Major Depressive Disorder:
This program is paid for by Otsuka Pharmaceutical Development & Commercialization, Inc. and Lundbeck, LLC. The speaker is a paid contractor of Otsuka Pharmaceutical Development and Commercialization, Inc.
More informationAntidepressant Utilization in Bipolar Disorder: What Is the Evidence?
Antidepressant Utilization in Bipolar Disorder: What Is the Evidence? 2018 Otsuka Pharmaceutical Development & Commercialization, Inc., Rockville, MD Lundbeck, LLC March 2018 MRC2.CORP.D.00336 Today s
More informationA Collaborative Approach To Care Coordination For Patients With Schizophrenia: Perspectives From Nursing & Social Work
A Collaborative Approach To Care Coordination For Patients With Schizophrenia: Perspectives From Nursing & Social Work Brooke Kempf PMHNP Psychiatric Mental Health Nurse Practitioner Hamilton Center, Inc.
More informationAssessing Medication Adherence
Assessing Medication Adherence Dr. Lauren Hanna and Dr. Delbert Robinson Northwell Health National Council for Behavioral Health Montefiore Medical Center Northwell Health New York State Office of Mental
More informationNEUROSCIENCE TRIALS OF THE FUTURE: A WORKSHOP Pragmatic Trials: Challenges and Opportunities for Neuroscience Trials
NEUROSCIENCE TRIALS OF THE FUTURE: A WORKSHOP Pragmatic Trials: Challenges and Opportunities for Neuroscience Trials Mark J. Cziraky, PharmD, CLS Vice President of Research HealthCore Inc. Wilmington,
More informationConsultation response form: Together for a Dementia Friendly Wales ( ) Proposed Together for a Dementia Friendly Wales ( )
Consultation response form: Together for a Dementia Friendly Wales (2017-22) Overview Proposed Together for a Dementia Friendly Wales (2017-22) How to respond Responses should be submitted by 3 April 2017
More informationJune 2015 MRC2.CORP.D.00030
This program is paid for by Otsuka America Pharmaceutical, Inc. and Lundbeck, LLC. The speaker is a paid contractor of Otsuka America Pharmaceutical, Inc. June 2015 MRC2.CORP.D.00030 advice or professional
More informationVirtual & Onsite Patient-Developed Mental Health Groups
Virtual & Onsite Patient-Developed Mental Health Groups Magda Czegledi MD Sue Miller ICD.D Mental Wellness Recovery 1 Presenter Disclosure Presenter: Magda Czegledi Relationships that may introduce potential
More informationNovember 2014 MRC2.CORP.X.00004
This program is paid for by Otsuka America Pharmaceutical, Inc. and Lundbeck, LLC. The speaker is a paid consultant of Otsuka America Pharmaceutical, Inc. advice or professional diagnosis. Users seeking
More informationSupporting Dermatology Patients in the Digital Age. GlobalSkin White Paper January 2018
Supporting Dermatology Patients in the Digital Age GlobalSkin White Paper January 2018 Supporting Dermatology Patients in the Digital Age Contents Introduction.2 What are the challenges we need to resolve?...3
More informationOpinions on the Treatment of MDD. Results of Surveys from the New York, North Carolina, and California PsychU Communities
Opinions on the Treatment of MDD Results of Surveys from the New York, North Carolina, and California PsychU Communities January 27 th, 2017 Otsuka Pharmaceutical Development & Commercialization, Inc.
More informationMental Health Peer Support in Primary Care
Mental Health Peer Support in Primary Care Successful Implementations Mental Wellness Recovery 1 Faculty/Presenter Disclosure Faculty: Magda Czegledi Relationships that may introduce potential bias and/or
More informationWhat s App? Challenges and Opportunities in Diabetes Mobile Technologies
Disclosure Information What s App? Challenges and Opportunities in Diabetes Mobile Technologies I have no conflicts of interest to disclose. Addie L. Fortmann, PhD Scripps Whittier Diabetes Institute,
More informationEHR Developer Code of Conduct Frequently Asked Questions
EHR Developer Code of Conduct Frequently Asked Questions General What is the purpose of the EHR Developer Code of Conduct? EHR Association (the Association) members have a long tradition of working with
More informationHealth Literacy and Health Disparities: Opportunities for Trans-disciplinary Collaboration
Health Literacy and Health Disparities: Opportunities for Trans-disciplinary Collaboration Lisa A. Cooper, MD, MPH Professor of Medicine Johns Hopkins University School of Medicine Questions How do we
More informationFrom recruiting to data collection, the impact of connected digital health in clinical trials. Practical Example : The VERKKO study
From recruiting to data collection, the impact of connected digital health in clinical trials Practical Example : The VERKKO study Nadir AMMOUR Head Patients & Partner Sanofi R&D 1 If Change is happening
More informationJune 21, Harry Feliciano, MD, MPH Senior Medical Director Part A Policy Palmetto GBA PO Box (JM) AG-275 Columbia, SC 29202
June 21, 2018 Harry Feliciano, MD, MPH Senior Medical Director Part A Policy Palmetto GBA PO Box 100238 (JM) AG-275 Columbia, SC 29202 Submitted electronically: A.Policy@PalmettoGBA.com RE: Proposed LCD
More informationAn Update From NCQA : Focusing On HEDIS Behavioral Health Measures
An Update From NCQA : Focusing On HEDIS Behavioral Health Measures HEDIS = Healthcare Effectiveness Data & Information Set NCQA = National Committee For Quality Assurance 2018 Otsuka Pharmaceutical Development
More informationAdherence Schizophrenia: A Engagement Resource for Providers
Understanding and Diagnosing Combating Promoting Stigma for Treatment Patients With Bipolar Adherence Disorder in Schizophrenia: A Engagement Resource for Providers Strategies for Health Care Providers,
More informationAdherence in A Schizophrenia:
Understanding and Diagnosing Bipolar Disorder Treatment Promoting for Bipolar Treatment Disorder Adherence in A Schizophrenia: Resource for Providers Engagement Strategies for Health Care Providers, Case
More informationInteractive Mobile Health and Rehabilitation
Interactive Mobile Health and Rehabilitation Table of Contents Brief Overview... 4 What Makes imhere Unique... 6 Applications... 11 Steakholders... 15 Brief Overview imhere is a mhealth platform for providing
More informationThe Danish Medicines Agency s availability strategy
låst DECEMBER 2016 The Danish Medicines Agency s availability strategy 2017 2021 Danish Medicines Agency, 2016 This publication may be freely quoted with appropriate acknowledgement of the source. Images
More informationBackground. Opportunity. The Proposed Study of e-mh for Youth and Young Adults
Background Alberta s healthcare system is currently challenged to meet the needs of youth and young adults with addiction and mental health (AMH) issues, particularly anxiety, mood and substance use disorders.
More informationCollaborating to Develop Digital Biomarkers with Passive Data Collection
Collaborating to Develop Digital Biomarkers with Passive Data Collection Iain Simpson IXICO June 2018 1 Setting of Data Collection Market evolution: biosensors and digital biomarkers Clinic Home Digital
More information2015 Exam Committees Report for the National Physical Therapy Examination Program
2015 Exam Committees Report for the National Physical Therapy Examination Program Executive Summary This report provides a summary of the National Physical Therapy Examination (NPTE) related activities
More informationDiabetes Management: Mobile Phone Applications Used Within Healthcare Systems for Type 2 Diabetes Self-Management
Diabetes Management: Mobile Phone Applications Used Within Healthcare Systems for Type 2 Diabetes Self-Management Community Preventive Services Task Force Finding and Rationale Statement Ratified August
More informationSchool Psychologist Evaluation Rubric
School Psychologist Evaluation Rubric Domain 1: Planning and Preparation 1a: Demonstrates knowledge and skill in using psychological instruments to evaluate students Unsatisfactory Psychologist demonstrates
More informationJuly 7, Dockets Management Branch (HFA-305) Food and Drug Administration 5630 Fishers Lane, Rm Rockville, MD 20852
July 7, 2012 Dockets Management Branch (HFA-305) Food and Drug Administration 5630 Fishers Lane, Rm. 1061 Rockville, MD 20852 Re: Docket No. FDA 2012-N-0408: Risk Evaluation and Mitigation Strategy Assessments:
More information2/12/2016. Disclosure. Objectives. The Hospice Medical Director: What Should They Be Doing?
The Hospice Medical Director: What Should They Be Doing? Tommie W. Farrell, MD HMDCB FAAHPM Pathways at Hendrick Hospital Palliative and Supportive and Hospice Care Abilene Texas Disclosure Governing Board
More informationPatient-Centered Endpoints in Oncology
Patient-Centered Endpoints in Oncology SIXTH ANNUAL PATIENT-REPORTED OUTCOME CONSORTIUM WORKSHOP April 29-30, 2015 Silver Spring, MD Disclaimer The views and opinions expressed in the following slides
More informationDO PEOPLE WITH MENTAL ILLNESS FEEL WELCOME IN MY PARISH?
A PASTORAL RESPONSE TO MENTAL ILLNESS RESOURCES FOR THE CATHOLIC COMMUNITY WHY IS THIS IMPORTANT TO MY PARISH COMMUNITY? mental illness is a disease A that causes mild to severe disturbances in thought
More informationSubmitted to the House Energy and Commerce Committee. Federal Efforts to Combat the Opioid Crisis
STATEMENT FOR THE RECORD Submitted to the House Energy and Commerce Committee Federal Efforts to Combat the Opioid Crisis October 25, 2017 America s Health Insurance Plans 601 Pennsylvania Avenue, NW Suite
More informationLAIs and the Challenge of Medication Non-Adherence The Care Transitions Network
LAIs and the Challenge of Medication Non-Adherence The Care Transitions Network Lauren Hanna, M.D. The Zucker Hillside Hospital Northwell Health National Council for Behavioral Health Montefiore Medical
More informationClinical Guidelines for the Pharmacologic Treatment of Schizophrenia
Clinical Guidelines for the Pharmacologic Treatment of Community Behavioral Health (CBH) is committed to working with our provider partners to continuously improve the quality of behavioral healthcare
More informationAsthma: Evaluate and Improve Your Practice
Potential Barriers and Suggested Ideas for Change Key Activity: Initial assessment and management Rationale: The history and physical examination obtained from the patient and family interviews form the
More informationAbstract: "Evidence-Based Psychotherapy for Schizophrenia: Past, Present, and Future (Intermediate)
Shaun M. Eack, PhD David E. Epperson Professor of Social Work and Professor of Psychiatry School of Social Work and Department of Psychiatry University of Pittsburgh Pittsburgh, PA Abstract: "Evidence-Based
More informationPatricia Bax, RN, MS August 17, Reaching New York State Tobacco Users through Opt-to-Quit
Patricia Bax, RN, MS August 17, 2015 Reaching New York State Tobacco Users through Opt-to-Quit Good Afternoon! Welcome Roswell Park Cessation Services and Opt-to-Quit Overview Featured Site: Stony Brook
More informationCollege of American Pathologists
College of American Pathologists Comments to the Food and Drug Administration on the draft guidance In Vitro Companion Diagnostics Devices October 12, 2011 College of American Pathologists 1350 I Street,
More informationehealth (Telemedicine) and concepts of virtual clinical trials Prof. Dr. med. Siegfried Jedamzik Berlin, 09. November 2017
ehealth (Telemedicine) and concepts of virtual clinical trials Prof. Dr. med. Siegfried Jedamzik Berlin, 09. November 2017 Agenda Number Titel 1.0 Introduction Bayerische TelemedAllianz (BTA) 2.0 Telemedicine
More informationAAM Fall Tech Conference November 6-8, 2017 Rockville, MD
AAM Fall Tech Conference 2017 November 6-8, 2017 Rockville, MD Excipients Breakout Session Highlights of FDA-USP workshop on Critical Importance of Excipients in Drug Development Why Excipients are Important
More information2018 Otsuka Pharmaceutical Development & Commercialization, Inc., Rockville, MD Lundbeck, LLC.
Neuromodulation Techniques: State of the Science Philip G. Janicak, MD Adjunct Professor Department of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine Consultant
More informationRxVACCINATE: A National Education and Practice Support Initiative to Increase Pharmacist Administered Pneumococcal Vaccinations.
RxVACCINATE: A National Education and Practice Support Initiative to Increase Pharmacist Administered Pneumococcal Vaccinations. Pfizer Grant 45130: LOI Pneumococcal Disease Prevention Grant ID: 45130
More informationPre-Employment Psychological Evaluation Guidelines
Pre-Employment Psychological Evaluation Guidelines Ratified by the IACP Police Psychological Services Section Denver, Colorado, 2009 1. Purpose 1.1. The IACP Police Psychological Services Section developed
More informationCore Competencies for Peer Workers in Behavioral Health Services
BRINGING RECOVERY SUPPORTS TO SCALE Technical Assistance Center Strategy (BRSS TACS) Core Competencies for Peer Workers in Behavioral Health Services OVERVIEW In 2015, SAMHSA led an effort to identify
More informationOverview of Engaging Young Men Project Follow-Up to Recommendations made in the Young Men and Suicide Project Report
Overview of Engaging Young Men Project Follow-Up to Recommendations made in the Young Men and Suicide Project Report Background Between March 2011 and October 2012, the Men s Health Forum in Ireland (MHFI)
More informationPeople with type 1 diabetes and Do It Yourself (DIY) technology solutions ABOUT THIS POSITION STATEMENT
Position Statement People with type 1 diabetes and Do It Yourself (DIY) technology solutions ABOUT THIS POSITION STATEMENT Diabetes Australia believes that people with diabetes should have choice and access
More informationHELPING RESHAPE SHARED DECISION MAKING WITH THE DIABETES MEDICATION OPTIONS DECISION AID
HELPING RESHAPE SHARED DECISION MAKING WITH THE DIABETES MEDICATION OPTIONS DECISION AID The Diabetes Decision Aid is favorably reviewed by the AADE and featured on the Together 2 Goal website. DIABETES
More informationUsing social media to improve dietary behaviors
Using social media to improve dietary behaviors Sophie Desroches, PhD, RD Associate Professor, School of Nutrition Researcher, INAF and CHU de Québec Audrée-Anne Dumas, MSc, RD PhD candidate in Nutrition
More informationApplying Mobile Technology to Mental Health and Substance Use Disorders: The State of the Science
Applying Mobile Technology to Mental Health and Substance Use Disorders: The State of the Science Lisa A. Marsch, PhD Director, Dartmouth Center for Technology and Behavioral Health Director, Northeast
More informationSolutions for Language Services in Healthcare
Solutions for Language Services in Healthcare We improve communication between patients and providers to enhance patient care and reduce cost, while improving patient outcomes. InDemand partners with today
More informationRepresenting Homeopaths in Europe
The European Council for Classical Homeopathy School House, Market Place, Kenninghall, Norfolk NR16 2AH United Kingdom Telephone & Fax: (44) 1953 888163 http://www.homeopathy-ecch.org Email: ecch@homeopathy-ecch.org
More informationHIV HEALTH & HUMAN SERVICES PLANNING COUNCIL OF NEW YORK Oral Health Care Directive - Tri-County Approved by the HIV Planning Council 3/31/16
1) To promote optimal health and quality of life resulting from the prevention, early detection and treatment of dental decay and periodontal disease, opportunistic infections, and other health-related
More informationTelemedicine in Mental Health
Telemedicine in Mental Health Transforming Healthcare Globally The healthcare professional conducting a mental health visit may be hundreds of miles away from the patient, but just as effective, thanks
More informationAcceptability of a Mobile Sensing Platform for Collecting and Sharing Behavioral Biomarkers
Acceptability of a Mobile Sensing Platform for Collecting and Sharing Behavioral Biomarkers Cogito ADVANCED RESEARCH AND DEVELOPMENT Cogito s Advanced Product Development Team partners with academic institutions,
More informationNorthwestern University. Consent Form and HIPAA Authorization for Research
Northwestern University Consent Form and HIPAA Authorization for Research PROTOCOL TITLE: Yoga Versus Resistance Training in Parkinson s Disease: A Randomized, Controlled Pilot Study of Feasibility & Efficacy
More informationTELEPSYCHOLOGY FOR THE PSYCHOLOGIST IN PRIVATE PRACTICE
TELEPSYCHOLOGY FOR THE PSYCHOLOGIST IN PRIVATE PRACTICE Dr. Madalina Sucala Icahn School of Medicine at Mount Sinai Department of Oncological Sciences OUTLINE Video conferencing as a delivery method Assessment
More informationGDm-Health is free to download and use. Its use may result in efficiency savings from reducing face-to-face clinic appointments.
pat hways Health app: GDm-Health for people with gestational diabetes Medtech innovation briefing Published: 13 November 2017 nice.org.uk/guidance/mib131 Summary About this app GDm-Health is a health application
More informationA Foundational Approach to the Treatment of Schizophrenia
A Foundational Approach to the Treatment of Schizophrenia Noel Gardner, MD Adjunct Professor of Psychiatry, University of Utah School of Medicine Medical Director and Executive Director, The Polizzi Clinic
More informationGuidance for Industry
Reprinted from FDA s website by Guidance for Industry Bar Code Label Requirements Questions and Answers (Question 12 Update) DRAFT GUIDANCE This guidance document is for comment purposes only. Submit comments
More informationPersonalized patient data and behavioral nudges to improve adherence to chronic cardiovascular medications (The Nudge Study)
Personalized patient data and behavioral nudges to improve adherence to chronic cardiovascular medications (The Nudge Study) Text Messaging at Scale in Diverse Health Systems to Support Adherence to Cardiac
More informationRevision of the CIOMS ethical guidelines for Biomedical Research
Revision of the CIOMS ethical guidelines for Biomedical Research Prof dr JJM van Delden MD PhD Professor of medical ethics, UMC Utrecht, NL Chair revision WG CIOMS j.j.m.vandelden@umcutrecht.nl What is
More informationE-mental health for eating disorders Proud2Bme and Featback
E-mental health for eating disorders Proud2Bme and Featback Eric F. van Furth, PhD, FAED Clinical Director, Center for Eating Disorders Ursula, Leidschendam, the Netherlands Professor of Eating Disorders,
More informationUSE OF UNLICENSED MEDICINES AND OFF-LABEL MEDICINES WHERE A LICENSED MEDICINE IS AVAILABLE
NHS Scotland Directors of Pharmacy and Scottish Association of Medical Directors USE OF UNLICENSED MEDICINES AND OFF-LABEL MEDICINES WHERE A LICENSED MEDICINE IS AVAILABLE CONSENSUS STATEMENT This consensus
More informationHas your nonprofit ever applied to the Community Foundation? Yes Has your nonprofit ever received funding from the Community Foundation No
Date:8/14/2014 Contact Information: Organization Name: Minding Your Mind Contact Name: Trish Larsen, Executive Director 42 West Lancaster Ave 2 nd Floor Ardmore, PA 19003 emailtrish@mindingyourmind.org
More informationTHE 21st CENTURY CURES ACT
THE 21st CENTURY CURES ACT 2017 Otsuka Pharmaceutical Development & Commercialization, Inc., Rockville, MD February 2017 MRC2.CORP.D.00224 advice or professional diagnosis. Users seeking medical advice
More informationAHIP Webinar: Top Tips for a Successful National Diabetes Prevention Program
AHIP Webinar: Top Tips for a Successful National Diabetes Prevention Program September 20, 2016 2:00 3:00 PM EST Project funding supported through a cooperative agreement with the CDC #5US8DP004157 Welcome
More informationHow E-connected medicine will change the value of pharmaceuticals. Overview of current initiatives on digital pill
How E-connected medicine will change the value of pharmaceuticals Overview of current initiatives on digital pill Professor Mondher Toumi Aix Marseille University ISPOR Asia Pacific 08 Agenda Burden of
More informationPsychological & Neuropsychological Test
An Independent Licensee of the Blue Cross and Blue Shield Association Psychological & Neuropsychological Test BEACON HEALTH STRATEGIES, LLC ORIGINAL EFFECTIVE DATE HAWAII LEVEL OF CARE CRITERIA 2013 CURRENT
More informationAgency Information Collection Activities; Submission for Office of Management and Budget
This document is scheduled to be published in the Federal Register on 01/28/2016 and available online at http://federalregister.gov/a/2016-01690, and on FDsys.gov 4164-01-P DEPARTMENT OF HEALTH AND HUMAN
More informationSee Important Reminder at the end of this policy for important regulatory and legal information.
Clinical Policy: (Rexulti) Reference Number: NE.PMN.68 Effective Date: 01/01/2017 Last Review Date: Line of Business: Medicaid Coding Implications Revision Log See Important Reminder at the end of this
More informationExploring Nonpharmacological Anti-inflammatory Strategies in Mental Health: Connecting Science to Clinical Practice
Exploring Nonpharmacological Anti-inflammatory Strategies in Mental Health: Connecting Science to Clinical Practice Otsuka Pharmaceutical Development & Commercialization, Inc. Lundbeck, LLC 2017 Otsuka
More informationCapacity building for decision makers to use evidence in policy making in Sudan
Capacity building for decision makers to use evidence in policy making in Sudan Bashir Ali & Amira A. Osman discusses the gaps, needs and challenges faced by policy makers and civil society on gender issues
More informationAssessment of the Health Related Effects of Compliance Optimization in Asthma through use of SMS
Assessment of the Health Related Effects of Compliance Optimization in Asthma through use of SMS Claus Møldrup PhD (pharm.) Professor. Birthe Søndergaard Jonathan Stein University of Copenhagen Faculty
More informationCancer Control Council Evaluation and Monitoring Framework
Cancer Control Council Evaluation and Monitoring Framework Table of contents 1. Purpose...1 2. Background...1 3. Clarification of key tasks...2 4. International evaluation and monitoring frameworks...3
More informationKNOWLEDGE VALORIZATION
KNOWLEDGE VALORIZATION The goal of this valorisation chapter is to describe how the knowledge resulting from the research in this dissertation can be made valuable for clinical and social use. This dissertation
More informationPre-Employment Psychological Evaluation Guidelines
Pre-Employment Psychological Evaluation Guidelines IACP Police Psychological Services Section Proposed 2009 Revision Not for use or distribution outside the membership of the IACP Police Psychological
More informationGUIDELINES: PEER REVIEW TRAINING BOD G [Amended BOD ; BOD ; BOD ; Initial BOD ] [Guideline]
GUIDELINES: PEER REVIEW TRAINING BOD G03-05-15-40 [Amended BOD 03-04-17-41; BOD 03-01-14-50; BOD 03-99-15-48; Initial BOD 06-97-03-06] [Guideline] I. Purpose Guidelines: Peer Review Training provide direction
More informationRoad Home Program: Center for Veterans and Their Families at Rush. Philip Held, Ph.D. Research Director
Road Home Program: Center for Veterans and Their Families at Rush Philip Held, Ph.D. Research Director Overview Local Problem Design and Implementation Utilization of Health IT Value Derived Posttraumatic
More informationSmith, J., & Noble, H. (2014). Bias in research. Evidence-Based Nursing, 17(4), DOI: /eb
Bias in research Smith, J., & Noble, H. (2014). Bias in research. Evidence-Based Nursing, 17(4), 100-101. DOI: 10.1136/eb- 2014-101946 Published in: Evidence-Based Nursing Document Version: Peer reviewed
More informationEvaluation of new technology-based tools for dietary intake assessment
Evaluation of new technology-based tools for dietary intake assessment Alison Eldridge, PhD, RD Nestlé Research Center, Lausanne On behalf of the ILSI Europe Expert Group Evaluation of new methods for
More informationDefinitions of substandard and falsified medical products
EXECUTIVE SUMMARY EXECUTIVE SUMMARY Introduction In 2015, the World Health Organization (WHO) Member State mechanism commissioned a study on the public health and socioeconomic impact of substandard and
More informationTechnology-based innovations for increasing cancer screening
Technology-based innovations for increasing cancer screening David P. Miller, MD, MS, FACP Associate Director, Clinical and Translational Science Institute Professor, Internal Medicine and Public Health
More informationSound Off DR. GOOGLE S ROLE IN PRE-DIAGNOSIS THROUGH TREATMENT. Ipsos SMX. June 2014
Sound Off DR. GOOGLE S ROLE IN PRE-DIAGNOSIS THROUGH TREATMENT June 2014 Ipsos SMX : Sound bits (of advice) and bites (of research) from Ipsos SMX Ipsos social media research division, dedicated to providing
More informationFRASER RIVER COUNSELLING Practicum Performance Evaluation Form
FRASER RIVER COUNSELLING Practicum Performance Evaluation Form Semester 1 Semester 2 Other: Instructions: To be completed and reviewed in conjunction with the supervisor and the student, signed by both,
More informationThe Canadian Hearing Society gratefully acknowledges The Law Foundation of Ontario for its financial support of this project.
The Canadian Hearing Society gratefully acknowledges The Law Foundation of Ontario for its financial support of this project. THE CANADIAN HEARING SOCIETY HEAD OFFICE 271 Spadina Road, Toronto, Ontario
More informationCardiovascular Disease Prevention and Control: Mobile Health (mhealth) Interventions for Treatment Adherence among Newly Diagnosed Patients
Cardiovascular Disease Prevention and Control: Mobile Health (mhealth) Interventions for Treatment Adherence among Newly Diagnosed Patients Community Preventive Services Task Force Finding and Rationale
More informationComprehensive Cancer Control Technical Assistance Training and Communication Plan. PI: Mandi Pratt-Chapman, MA. Cooperative Agreement #1U38DP
Comprehensive Cancer Control Technical Assistance Training and Communication Plan PI: Mandi Pratt-Chapman, MA Cooperative Agreement #1U38DP004972-01 July 2014 Acknowledgement: This work was supported by
More informationAssessment in Integrated Care. J. Patrick Mooney, Ph.D.
Assessment in Integrated Care J. Patrick Mooney, Ph.D. Purpose of assessment in integrated care: Assessment provides feedback to promote individual and group learning and change. Physicians Mental health
More informationAdvancing Molecular Diagnostics for Oncology: Partnerships to Accelerate Evidence Development
Advancing Molecular Diagnostics for Oncology: Partnerships to Accelerate Evidence Development Assessing Clinical Utility with Real-World Evidence IOM/CMTP Workshop May 2012 G. Rossi Ph.D. V.P. Payer and
More informationPROJECT PERIODIC REPORT
PROJECT PERIODIC REPORT Project acronym: Project full title: Grant agreement no: CuPiD Closed-loop system for personalized and at-home rehabilitation of people with Parkinson's Disease ICT 288516 Project
More informationEvolution of Occupational Therapy Practice: Life History of Nancy Rentfrow
University of North Dakota UND Scholarly Commons Oral History Student Papers Occupational Therapy Oral Histories 2017 Evolution of Occupational Therapy Practice: Life History of Nancy Rentfrow Maddi Buscho
More informationPharmacy Medical Necessity Guidelines: Atypical Antipsychotic Medications. Effective: December 12, 2017
Pharmacy Medical Necessity Guidelines: Effective: December 12, 2017 Prior Authorization Required Type of Review Care Management Not Covered Type of Review Clinical Review Pharmacy (RX) or Medical (MED)
More information