...Technology and Health: Telehealth Sandra Stephenson University of Phoenix HCS/351 March 24, 2014 Humberto Munoz Technology and Health: Telehealth With millions of people uninsured and the increasing cost of health care, organization are trying to figure out how to increase access, improve outcomes and efficiency, and contain cost of health care. The advances in technology may just hold the solution to part of the health care problem. This paper will discuss the impact telehealth has had on the quality of care, quality of life, cost of care, access and social, ethical, and economic impact to health care. The use of telemedicine can go back to the invention of the telephone. Medical advice could be given over the phone to patients, nurses, and doctors. (Shi & Singh, 2012) Defines telemedicine as equipment used for medical diagnosis by physicians when they are unable to see a patient face-to-face, or when a generalist is communicating with a specialist. Telemedicine usually includes audio and two-way video equipment. Patients in rural areas or hospitals can be interviewed and assessed by a physician without the physician being on site. The Department of Health (DH) defines telehealth as “Electronic sensors or equipment that monitors vital signs remotely for example, in your home. These readings are automatically transmitted to an appropriately trained person who can monitor the health vital signs and make decisions about potential interventions in real time...
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...Telemedicine: An Important Force in the Transformation of Healthcare 1. Introduction As we enter the new decade, healthcare for an aging population is a top-of-mind issue for government policy makers, business leaders and consumers alike. Healthcare costs have been steadily increasing, and a growing number of healthcare providers and patients worry that the recent budget crunches faced by healthcare providers will affect patient care in the years ahead. Healthcare providers are taking advantage of the American Recovery and Reinvestment Act (ARRA) stimulus funding to launch telehealth initiatives to face down some of healthcare’s most daunting challenges. According to the American Telemedicine Association: "Telemedicine is the use of medical information exchanged from one site to another via electronic communications to improve patients' health status. Closely associated with telemedicine is the term 'telehealth,' which is often used to encompass a broader definition of remote health care that does not always involve clinical services. Videoconferencing, transmission of still images, e-health including patient portals, remote monitoring of vital signs, continuing medical education and nursing call centers are all considered part of telemedicine and telehealth." Following decades of media attention focused on the potential for telemedicine to transform health care delivery, the technology has matured, as has the acceptance of its use among providers and payers. ...
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...Planning in an Era of Health Care Reform Strategic Planning in an Era Of Health Care Reform ‘Volume to Value’ Abstract The White House and the current administration of President Obama made the passage of Health Care Reform a top priority and signed the bill into law March 23, 2010. There are two laws that make up the reform package; the first is the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act. Critics both in support and opponents claim the bills do little to alter healthcare inflation or uneven delivery of care (Ferman, 2010). The goal of the bill is to change a volume based model in to a value based business model. A comment by Moody’s Investor services exclaimed that the reform will undoubtedly require healthcare leaders to focus even more on multi-year strategies to ensure long term financial stability (Kim, Majka, & Sussman, 2011). Leaders will have to establish a long range plan that includes financial projections and goals, long range capital expenditure requirements, debt capacity, capital position analysis, capital shortfall analysis and sensitivity and risk analysis (Kim, Majka, & Sussman, 2011). There will be substantial increases in the number of newly insured that will place a tremendous amount of stress and unknown consequences on an already burdened healthcare infrastructure (Tyson, 2010). The objective of this paper will attempt to examine the implications of reform on strategic planning of health...
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...University New Orleans Outcomes Management Project Defined Issue or Problem of Interest The selected problem of interest is hospital readmissions after being discharged from hospitals/medical facilities. Several patients enter the hospital and soon after discharge are catapulted back into the seemingly revolving doors of the hospital. Readmission rates affect all areas of healthcare. Center for Medicare and Medicaid (CMS) has targeted readmissions as a guideline of poor quality of care. Engaging patients during their inpatient admission as they transition to alternate levels of care may reduce readmission by 50% (Service, 2008). The intent of this proposed paper is to take a look at hospital readmissions rates in correlation with the patient being elderly and having a diagnosis of heart failure and assess what can be done to positively change these statistics, which increase the quality of care we as healthcare professionals provide to our patients. A Rationale for Selecting the Issue or Problem of Interest Hospital readmissions can occur throughout the patient’s transition through the healthcare system. Many times readmissions occur among those who are frail and have chronic conditions. Readmissions account for approximate 18% of Medicare patients, of this 13%, are suspected to be avoidable and are directly linked to poor quality. Quality is affecting outcomes, which impacts reimbursements and patient safety. Core Measures initiatives are part of every hospital’s...
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...at an increased risk of high financial impact of readmission penalties. While not all readmissions are preventable, some may be prevented through patient education. Illnesses which can be positively impacted by increasing health literacy are heart failure (CHF), pneumonia (PN), acute myocardial infarction (AMI), and chronic obstructive pulmonary disease (COPD), but other chronic illnesses could also be impacted positively such as diabetes mellitus (DM), pancreatitis, colitis, and diverticulitis. The coordination of community resources during the transition from hospital to home is a job best suited to well-prepared Care Managers to develop community programs to decrease preventable readmission to the hospital and emergency department by providing health promotion and disease prevention and management is key to improving patient health and well-being. With approximately 20% of the United States population living in rural settings, it is imperative that healthcare reform looks at how to better serve these populations. Evaluation of the population’s ability to participate in their own health maintenance is a key factor in improving the quality of life for those persons with chronic illnesses in the rural setting. As healthcare professionals, we need to develop strategies to enhance health literacy and disease management within the framework of social, economic and environmental factors. Evidence-based theories to help determine the course of health maintenance programs include...
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...Annotated Bibliographies Lisa Stevens Kaplan University Annotated Bibliographies Au, A., McAlister, F., Bakal, J., Ezekowitz, J., Kaul, P., & vanWalraven, C. (2012). Predicting the risk of unplanned readmission or death within 30 days of discharge after a heart failure hospitalization. American Heart Journal, 164(3). 365-372. Retrieved from: http://www.medscape.com/viewarticle/771215_print This article sought to find an appropriate model to predict the risk of unplanned heart failure readmissions. The primary outcome from chart reviews also included death of heart failure patients within 30 days of discharge. The study looked at Centers for Medicaid and Medicare Services (CMS) models and the LACE+ index, to mention two of many that looked at prediction ability. The LACE+ index is a model that looks at length of stay, acuity, the Charlson comorbidity score and age, to predict readmissions. They found that no one model was appropriate in predicting the 30-day readmission rates, although using a combination of the models was an improvement to that predictor. The authors are all physicians, PhDs, or have a Master’s degree- helping to establish credibility. The authors also make a statement as to the funding of the project and that they (the authors) were solely responsible for all data collection, design and submission approval writing for the project, also lending credibility to the study. The references used for this study were appropriate in age, of the 28; 13 were...
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...Healthcare in Germany By Nabil Fakhoury Florida Atlantic University Into to Healthcare Systems (HSA 6103) Dr. Shehadeh Fall 2014 Table of contents Abstract2 Introduction2 Access and Coverage2 Expenditures and Finance3 Advantages4 Drawbacks5 Hospitals and physicians6 Conclusion7 Introduction The German healthcare system can be traced back to the 1883, when Prince Otto Von Bismark passed a health insurance bill into a law. The German healthcare model is still known as the “Bismark Model” today (Khazan, 2014). There are many differences between the healthcare systems in the United States and in Germany. The German healthcare system does have some drawbacks; however, its many advantages rank it as one of top countries for providing accessible and quality healthcare. Despite all the controversy surrounding the many changes that the German system has undergone, Germany is still able to spend a fraction of what the United States spends on healthcare while still providing quality care that is accessible to everyone (Green & Irving, 2001). Germany spends $4,495 per capita while the U.S. Spends $8,508 per capita (Gopffarth, 2012). According to Dr. Dirk Gopffarth, Germany favors balancing its healthcare management over balancing the market competition (Gopffarth, 2012). Healthcare financing relies mostly on sick funds and government contributions. Germany is the only country in the European Union with a supplemental private health insurance (Riesberg & Worz...
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...in the Workplace Essay Vieva Villegas Grand Canyon University HLT-313V Safety, Quality, and Interdisciplinary Approaches to Care 11 June 2016 Instructor: Dr. Deborah Fisher Managing Quality Assurance in the Workplace Hospital Industry and as whole organization will provide, manage and gets reimbursed for their wonderful and healthcare services, which are to name a few: nursing, home health, internal and medical care, psychiatry, occupational, physical and speech therapy, and specialty services. The great demand for growth is expected to double and triple by the year 2022. (per U.S. Bureau of Labor Statistics, 2012). The health care organization is very critically important to striving the transition in providing various health care services to meet the needs of patients, family and community. It will be very essential and have a major impression patient safety, risk management, and quality assurance on yet to be determining but definitely in the works moving forward with technology towards the future. In addition to having adequate and good health care insurance for all Americans and safe and adequate staffing healthcare professionals for all allied and medical services provided in hospitals, facilities and clinics across our beautiful United States nation. How best can the United Sates, as a country, manage this growth in the allied health sector? Provide examples. Let’s take a look further into the focus of a community hospital on physical well-being patient...
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...innovative products to prevent and cure diseases, to ease suffering and to enhance the quality of life. We also want to provide a shareholder return that reflects outstanding performance and to adequately reward those who invest ideas and work in our company. 4 | GROUP REVIEW 19 | H E A LT H C A R E P O R T F O L I O 57 | C O R P O R AT E C I T I Z E N S H I P 8 5 | C O R P O R AT E G O V E R N A N C E 111 | C O M P E N S AT I O N R E P O R T 1 31 | F I N A N C I A L R E P O R T 1 2 N OVART I S G R OU P AN N UA L R E PO R T 2 010 CONTENTS GROUP REVIEW Financial Highlights News in 2010 Letter from Daniel Vasella Interview with Joseph Jimenez 4 5 7 15 19 23 35 39 45 51 57 61 67 73 78 83 85 90 101 111 112 HEALTHCARE PORTFOLIO Contents Pharmaceuticals Novartis Institutes for BioMedical Research Vaccines and Diagnostics Sandoz Consumer Health CORPORATE CITIZENSHIP Contents Commitment to Patients Commitment to People and Communities Commitment to the Environment Commitment to Ethical Business Conduct Independent Assurance Report CORPORATE GOVERNANCE Contents Our Board of Directors Our Management COMPENSATION REPORT Contents Compensation Report NOVARTIS GROUP FINANCIAL REPORT Contents Operating and Financial Review Equity Strategy Novartis Group Consolidated Financial Statements Financial Statements of Novartis AG Annual Report Photography Key Dates 2011, Contact Information and Forward-Looking Statements 131 134 177 180 252 268 270 ...
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...art of principled compromise. This report is part of a series commissioned by the BPC to advance the substantive work of the Leaders’ Project on the State of American Health Care. It is intended to explore policy trade-offs and analyze the major decisions involved in improving health care delivery, and discuss them in the broader context of health reform. It does not necessarily reflect the views or opinions of Senators Baker, Daschle, and Dole or the BPC’s Board of Directors. The Leaders’ Project was launched in March 2008. Co-Directed by Mark B. McClellan and Chris Jennings, its mission is (1) to create a bipartisan plan for health reform that can be used to transform the U.S. health care system, and (2) to demonstrate that health reform is an achievable political reality. Over the course of the project, Senators Baker, Daschle, and Dole hosted public policy forums across the country, and orchestrated a targeted outreach campaign to Members of Congress, the Administration, and key health care constituencies. In June 2009, they released the Project’s final report entitled, Crossing Our Lines: Working Together to Reform the U.S. Health System, which includes a slate of comprehensive policy recommendations to address the delivery, cost, coverage, and financing challenges facing the nation’s health system. For more...
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...Implementing Successful Transitional Care: A structured move from Acute to Sub-Acute or Ambulatory Care Introduction Transitional care is defined as a set of actions designed to ensure the coordination and conti- nuity of health care as patients transfer between different locations or different levels of care. Representative locations include (but are not limited to) hospitals, sub-acute and post-acute nursing homes, the patient’s home, primary and specialty care offices, and long-term care fa- cilities. Transitional care is based on a comprehensive plan of care and the availability of health care practitioners who are well-trained in chronic care and have current information about the patient’s goals, preferences, and clinical status. It includes logistical arrangements, education of the patient and family, and coordination among the health professionals involved in the transition. Transitional care, which encompasses both the sending and the receiving aspects of the transfer, is essential for persons with complex care needs.1 Contents 1 Introduction 1 Historical Problems 2 Attempted Solutions 3 AmerisourceBergen Solution 3 Benefits 5 Outcomes 5 Summary Historical Problems with Transitional Care Despite considerable attention focused on improving 30-day readmission rates to hospitals, only modest change has been achieved according to the Centers for Medicare & Medicaid Services (CMS). Medicare Readmission Penalties Max Penalty 278 Hospitals ...
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...and Interprofesional Team Development Patient Family Centered Care Organization Practice Setting Currently I have the privilege to work for the largest Not-for-Profit healthcare system in Texas. Memorial Hermann Health System is more than a hospital system, we are designed to be a healthcare delivery model, incorporating affiliated physicians with care delivery hospitals, effortlessly working together with one goal in mind, the goal of advancing health. By setting our focus on evidence based medicine, the constant pursuit of healthcare quality, and patient safety, Memorial Hermann Health System has been recognized as a national and regional leader in quality healthcare. As an integrated healthcare system, Memorial Hermann has surrounded the city of Houston with 12 acute care hospitals, three heart and vascular hospitals, a neuroscience institute, two sports medicine institute locations, a chemical dependency treatment center, a home health agency, a retirement community, a nursing home, several surgical, and cancer centers. Working in conjunction with our physician network Memorial Hermann also offers local employers with health solutions and health benefits through its wholly owned insurance company. (Memorial Hermann Houston Hospital, Institutes & Centers, n.d.) Within this vary large framework of a healthcare system, I work within one of our acute care hospitals, Memorial Hermann Northeast Hospital, located in the Houston suburb of Humble, Texas. Our mission is to serve the...
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...The Future of Cardiovascular Diagnostics THE MARKET, TRENDS & FUTURE DIRECTIONS Extracted on: 20 Apr 2011 Reference Code: BI00021-008 Publication Date: 02 Mar 2010 Publisher: Datamonitor © Datamonitor This content is a licensed product, no part of this publication shall be reproduced, sold, modified or stored in a retrieval system or transmitted in any form by any means, electronic, mechanical, photocopying, recording or otherwise, without the prior permission of Datamonitor. The information in this document has been extracted from published research by a registered user of the Datamonitor360 platform. Datamonitor shall not be responsible for any loss of original context and for any changes made to information following its extraction. All information was current at the time of extraction although the original content may have been subsequently updated. Please refer back to the website http://360.datamonitor.com/ to view the most recent content and the original source of the information. To the maximum extent permitted by applicable law we exclude all representations, warranties and conditions relating to the facts of all publications. At time of publication no guarantee of accuracy or suitability, whether express or implied, shall attach to this publication (including, without limitation, any warranties implied by law of satisfactory quality, fitness for purpose and/or the use of reasonable care and skill). Please note that the findings, conclusions and recommendations...
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...The Pharmaceutical industry in the Global Economy Summer 2005 Larry Davidson* and Gennadiy Greblov Indiana University Kelley School of Business Bloomington, Indiana *Davidson is Professor of Business Economics and Public Policy and Greblov is working towards his MBA degree at the Kelley School of Business Prepared for the Indiana Economic Development Corporation with the support of the Center for International Business Education and Research at the Indiana University Kelley School of Business. Information Services via the World Trade Atlas, U.S. State Export Edition. To receive free copies of the export report please contact the Indiana Economic Development Corporation’s Office of International Trade at 317.232.4949. Direct questions to the authors of the report to Larry Davidson at davidso@indiana.edu or 812.855.2773. Introduction This paper summarizes the results of our global pharmaceutical industry analysis and is intended to increase awareness of the general public – investors, policy makers, managers, employees of the companies – about its current developments. The paper has the following major goals: 1) To analyze the current situation, major challenges and the prospects of the pharmaceutical industry; 2) To identify major players of the global pharmaceutical industry and make a comparative analysis of their business practices and financial results; 3) To determine the relative position of the U.S. pharmaceutical...
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...The Pharmaceutical industry in the Global Economy Summer 2005 Larry Davidson* and Gennadiy Greblov Indiana University Kelley School of Business Bloomington, Indiana *Davidson is Professor of Business Economics and Public Policy and Greblov is working towards his MBA degree at the Kelley School of Business Prepared for the Indiana Economic Development Corporation with the support of the Center for International Business Education and Research at the Indiana University Kelley School of Business. Information Services via the World Trade Atlas, U.S. State Export Edition. To receive free copies of the export report please contact the Indiana Economic Development Corporation’s Office of International Trade at 317.232.4949. Direct questions to the authors of the report to Larry Davidson at davidso@indiana.edu or 812.855.2773. Introduction This paper summarizes the results of our global pharmaceutical industry analysis and is intended to increase awareness of the general public – investors, policy makers, managers, employees of the companies – about its current developments. The paper has the following major goals: 1) To analyze the current situation, major challenges and the prospects of the pharmaceutical industry; 2) To identify major players of the global pharmaceutical industry and make a comparative analysis of their business practices and financial results; 3) To determine the relative position of the U.S. pharmaceutical...
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