...To: Senator Gina Walsh (D-MO), Secretary, MO Minority Caucus From: David Smith, RDH, Program Director, Oral Health Integration Committee CC: Michelle Grant, Director, Missouri Oral Health Coalition William Suter, Dental Director, Community Treatment Inc. Date: June 8, 2014 RE: SB 621– Telehealth Services Executive Summary On the behalf of Community Treatment Inc. and the Missouri Oral Health Coalition, I would like to encourage you to support bill SB 621. The bill defines the term telehealth and authorizes any licensed health care provider to provide telehealth services within his or her scope of practice with the same standard of care as services provided in person (SB 621, n.d.). Also, this bills "specifies individuals who are licensed in Missouri that are to be considered eligible health care providers for the provision of telehealth services in the MO HealthNet Program (Committee on legislative, n.d.)." This legislation would include the utilization of dental hygienist and other providers in telehealth services. SB 621, n.d.). Rural Missourians face immense and complex factors that create disparities in healthcare. Socioeconomic factors and lack of recognition by legislators and the isolation incurred from living in remote areas all impede our residents ability to lead a normal, healthy life. For years, telemedicine programs across the country have connected rural patients to specialists in nontraditional settings. This bill will help Comtrea...
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...Preventing Heart Failure Readmissions Henry D. Santos Purdue University Calumet I. Introduction High morbidity, mortality, and healthcare spending have been connected with heart failure management. As per Gheorghiade et al., every year, there are almost a million cases of hospitalization for heart failure, responsible for 6.5 million hospital days, and estimated expenditures of $37.2 billion here in the United States alone (2013). The incident of heart failure readmissions has increased over the last decades, distinctly related to the aging population and surpassed recovery after a myocardial infarction. Based on the Centers for Medicare and Medicaid Services (CMS) 2005 data, heart failure is the most frequent diagnosis among Medicare beneficiaries and the third highest reimbursement for hospitals (AHRQ, 2013). In 2009, CMS started the public reporting of readmission rates after being discharge for heart failure, and, the year after, the Patient Protection and Affordable Act inaugurated financial penalties for healthcare establishments with most rates of readmission within the 30 days after discharge. The elevated concern relating the want to decrease readmissions has been the biggest focused of national researchers and hospitals with the efforts of identifying and predicting which patients with heart failure are likely to be readmitted. Formulated designs and preventive strategies have been established, in order to avoid unnecessary readmissions. Heart failures risk...
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...Telenursing: The Way of the Future for Nursing Paula Heser, RN Chamberlain College of Nursing NR361: RN Info Systems in Healthcare Fall 2015 Telenursing: The Way of the Future for Nursing “The concept of Telehealth is not really new. When humans first began space exploration in the 1960s, astronauts’ health was monitored by transmitting physiologic parameters back to physicians on earth” (Stokowski, 2013). “Telehealth is the use of telecommunications technologies ad electronic information to exchange healthcare information and to provide and support service such as long distance clinical healthcare to clients” (Hebda &Czar, 2013). Telenursing is a new and exciting way of nursing that is innovative and shows the potential for growth in the ever-changing world of technology. Hebda & Czar defines Telenursing as the use of telecommunication and IT for the delivery of nursing services. An important role of the nurse is to completed the nursing process; assess, diagnosis, plan, implement and evaluate. In telenursing, a nurse conducts their patient centered care in the same way. As stated in Healthy People 2020, in addition, despite increased access to technology, other forms of communication are essential to ensuring that everyone, including non-Web users, is able to obtain, process, and understand health information to make good health decisions. Buy using telenursing, the nurse can assess and monitor the patient then advise and educate the patient and send...
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...Medical Technology MEDICAL TECHNOLOGY VOL ATILE INDUSTRIES? A SAFE HAVEN for Novumed Spotlight Novumed Spotlight Novumed Spotlight The Benefit of Expansion into Medical Technology financial crisis 2008 2009 2010 2011 Segment comparison at Agilent 2008 - 2011, in US$ M. Source: Agilent annual reports, Novumed Life Science Consulting In 1999, several business units were spun off from global computer technology provider HewlettPackard to form Agilent, with approx. US$ 8 billion in revenues. This spin-off marked the largest initial public offering in the history of Silicon Valley. Initially, Agilent’s revenues came predominantly from the sales of its electronic test & measurement and semiconductor business units. With its strong ties to the communication industry, specifically the internet, Agilent’s stock was valued highly. Despite this high regard, management decided not to focus solely on its core sectors, by creating a life sciences business unit in 2000. A wise decision in retrospect. The life sciences and chemical analysis units now collectively generate half of the company’s sales, and allowed Agilent to remain profitable despite the collapse of the electronic measurement unit’s profits during the financial crisis. As one of many examples, this illustrates the growing importance of the medtech segment, which is gaining attention of industry groups from various sectors. What factors make medical technology so attractive? Which industries...
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...Telehealth utilizes electronic data and telecommunications to support long-distance, clinician-based patient and professional health education, public health and health administration (HHS, 2013). Components of telehealth include videoconferencing, the internet, store-and-forward imaging, streaming media, terrestrial and wireless communications (HHS, 2013). Telehealth systems such as the Health Resources and Services Administration aims to increase and improve the use of telehealth to meet the needs of its underserved patients by (HHS, 2013): •Developing relationships within HRSA and other Federal agencies, states and private organizations to create telehealth projects. •Administers telehealth grant programs. •Provides technical support. •Evaluation of telehealth technology and programs. •Development of telehealth policy initiatives aimed at improving care access and quality health services. •Promotion of knowledge exchange regarding best telehealth practices. Telehealth is an invaluable addition to multiple care settings. Store-and-forward programs provide the smaller hospital to draw upon the knowledge of its much larger counterparts (HHS, 2013). As such, teleradiology and teledermatology programs are of particular interest to critical care facilities and rural health centers (HHS, 2013). Applications such as teleradiology and remote EKG services carry a greater likelihood of being covered by third party payers as they do not typically involve...
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...Prevention of Hospital Readmissions Related to Symptoms of Congestive Heart Failure NRS 441V Professional Capstone March 1, 2014 Abstract Providing patients diagnosed with Congestive Heart Failure effective teaching can eliminate reoccurring hospitalizations. Patients are discharged with CHF and readmitted within 30 days. The information provided will examine the process of enhancing patient knowledge and provide additional resources essential for effective health care management. Research evidence provides data that proves patients who are diagnosed with CHF needs a variety of health care needs during admission and after discharge. The proposal will display an evaluation plan, implementation plan and a dissemination of the evidence. Provide at least 1 evidence based literature; for at least 1 evidence based solution. Keywords: congestive heart failure, therapy, education, patient outcomes Description of the Problem Prevention of Hospital Readmissions Related to Symptoms of Congestive Heart Failure Health care providers must ensure skills, knowledge and teaching is effective when providing care to their patients and families about symptoms of CHF. The length of stay for an average hospital visit can be two days however, for more chronic issues warrant an even longer stay. To avoid readmission of the disease processes of CHF warrants additional care and resources during and after discharge. . Some patients cannot follow up with their primary care physician because...
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...Institute for Health Technology Transformation Population Health Management A Roadmap for Provider-Based Automation in a New Era of Healthcare Acknowledgements Alide Chase, MS Senior Vice President for Quality and Service Kaiser Foundation Health Plan, Inc. & Kaiser Foundation Hospitals Connie White Delaney, PhD, RN, FAAN, FACMI School of Nursing Professor & Dean Academic Health Center Director, Biomedical Health Informatics (BMHI) Acting Director of the Institute for Health Informatics (IHI) University of Minnesota Don Fetterolf, MD, MBA Principal Fetterolf Healthcare Consulting Robert Fortini VP & Chief Clinical Officer Bon Secours Health System Paul Grundy, MD, MPH Global Director of Healthcare Transformation IBM President Patient-Centered Primary Care Collaborative Richard Hodach, MD, PHD, MPH Chief Medical Officer Phytel Michael B. Matthews Chief Executive Officer Central Virginia Health Network Margaret O’Kane President National Committee for Quality Assurance Andy Steele, MD, MPH, MSC Director, Medical Informatics Denver Health 2 Dear Colleagues, Population health management has been around for a while, but only recently has it gained serious attention from mainstream healthcare organizations. The reason is simple: healthcare reimbursement is changing, and hospitals, healthcare systems, and physician groups must adapt to a new world in which providers are rewarded for meeting quality objectives for their entire patient panel, and not just those actively...
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...Athens Information Technology Master in Management of Business, Innovation & Technology (MBIT) Management Information Systems E-Health in Greece compared to EU/US and the impact of Big Data in healthcare Prepared by: Athina Klaoudatou Christos Panagiotou Abstract The aim of this report is to describe the eHealth market. The focus is the Greek business landscape, current trends in the market, industry growth, drivers, and restraints, the technologies and the players in various aspects of the field. Data are presented about the evolution of the market and there are descriptions of what Greek companies offer. Moreover implementation measures are presented, along with progress achieved with respect to national and regional eHealth solutions in EU and EEA Member States. Table of Contents 1. The National Health System 1 1.1. Organizational structure 1 1.2. Some facts & figures 1 2. What is eHealth, definitions, areas of application, benefits 5 2.1. What is eHealth 5 2.2. Forms of eHealth 5 2.3. Benefits of eHealth 6 3. eHealth framework in European Union countries 7 3.1. eHealth Action Plan 2012 - 2020 7 3.2. eHealth in the European Countries 8 4. Application of eHealth practices 10 4.1. Electronic Health records (EHR) 10 4.1.1. Examples of current EHR use 10 4.1.2. Electronic Health Record in Greece 12 4.1.3. Summing up 14 4.2. Interoperability 15 4.2.1. Defining Interoperability in Healthcare Systems 15 4.2...
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...The wearable computing market: a global analysis By Jody Ranck CONNECTED CONSUMER Table of contents EXECUTIVE SUMMARY INTRODUCTION HISTORY FITNESS AND WELLNESS DEVICES European sector Other areas of fitness WEARABLES IN THE ENTERPRISE ENVIRONMENT OPTICAL WARE SKIN SENSORS DISABILITY TECHNOLOGIES FASHION AND ALTERNATIVE PARADIGMS FOR COMPUTING THE INTERSECTION OF WEARABLES, GAMING AND ENTERTAINMENT AUGMENTED REALITY AND WEARABLE TECHNOLOGIES TRENDS COMPANIES TO WATCH KEY TAKEAWAYS ABOUT JODY RANCK ABOUT GIGAOM PRO FURTHER READING 3 4 6 7 8 9 9 10 12 13 15 17 18 19 22 24 25 25 26 The wearable computing market: a global analysis July 2012 -2 - CONNECTED CONSUMER Executive summary “During a Formula 1 race a driver experiences wrenching forces of more than 4.5G. His heart rate may exceed 180 beats per minute and his blood pressure could rise by half. With soaring temperatures inside the cramped cockpit he will also dehydrate, typically losing 2–3 litres of water during the race. Yet the driver must concentrate well enough to achieve lap times that might vary by just a tenth of a second. This is tough, on both mind and body. Hence it is not just the performance of the car itself which an array of sensors keeps an eye on, wirelessly transmitting data about the engine, suspension and so on to the pit crews. The drivers’ own vital signs are constantly monitored, too.” —Economist, Nov. 3, 2011 Wearable computing, or wearables, has recently moved from the realm...
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...How do new technologies impact on workforce organisation? Rapid review of international evidence Report developed by The Evidence Centre for Skills for Health Contents Key Themes ............................................................................................................................................ 3 Scope .................................................................................................................................................................... 3 How are teams being organised?.......................................................................................................... 7 Substituting grades and roles ............................................................................................................................... 7 Reducing staff or team size .................................................................................................................................. 8 Empowering patients............................................................................................................................................. 9 Changing the place of care ................................................................................................................................. 10 Working across organisations ............................................................................................................................. 10 Working across regional areas .........................
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...-Aa posteriori distribution a priori distribution A.C. pulse abandoned connection abbreviated address calling abend aberration abnormal end abnormal reflection abnormal termination abort sequence abort, to aborted connection absolute code absolute delay absolute error absolute error of measurement absolute instruction absolute instrument absolute pressure absolute stability of a system absolute system of electrical units absolute-value device absolutely stable system absolutely summable absorb, to absorbant absorbing state absorption cross-section absorption loss absorption modulation absorption absorption spectrum absorption trap absorptive attenuator abstract abstract symbol abstract syntax tree abstraction AC AC/DC converter accelerate, to accelerated test accelerating relay acceleration of gravity sonsal dağılım önsel dağılım almaşık akım darbesi yarıda kalan bağlantı kısa numarayla arama olağandışı sonlanma sapınç olağandışı son olağandışı yansıma olağandışı son durdurma dizisi (bitirmeden) durdurmak yarıda kalan bağlantı makina dilindeki kod, mutlak kod mutlak gecikme mutlak hata mutlak ölçüm hatası makina dilindeki komut, mutlak komut mutlak ölçü aleti mutlak basınç bir dizgenin mutlak kararlılığı elektrik birimlerinin mutlak sistemi mutlak değer aygıtı mutlak kararlı dizge mutlak toplanır soğurmak soğurgan soğurucu durum etkin soğurma alanı soğurum yitimi enerji soğurum kiplenimi soğurulma, soğurum soğurum izgesi soğurum tuzağı soğurgan zayıflatıcı 1) öz; 2) soyut soyut...
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...NATIONAL INSTITUTE OF TECHNOLOGY SILCHAR Bachelor of Technology Programmes amï´>r¶ JH$s g§ñWmZ, m¡Úmo{ à VO o pñ Vw dZ m dY r V ‘ ñ Syllabi and Regulations for Undergraduate PROGRAMME OF STUDY (wef 2012 entry batch) Ma {gb Course Structure for B.Tech (4years, 8 Semester Course) Civil Engineering ( to be applicable from 2012 entry batch onwards) Course No CH-1101 /PH-1101 EE-1101 MA-1101 CE-1101 HS-1101 CH-1111 /PH-1111 ME-1111 Course Name Semester-1 Chemistry/Physics Basic Electrical Engineering Mathematics-I Engineering Graphics Communication Skills Chemistry/Physics Laboratory Workshop Physical Training-I NCC/NSO/NSS L 3 3 3 1 3 0 0 0 0 13 T 1 0 1 0 0 0 0 0 0 2 1 1 1 1 0 0 0 0 4 1 1 0 0 0 0 0 0 2 0 0 0 0 P 0 0 0 3 0 2 3 2 2 8 0 0 0 0 0 2 2 2 2 0 0 0 0 0 2 2 2 6 0 0 8 2 C 8 6 8 5 6 2 3 0 0 38 8 8 8 8 6 2 0 0 40 8 8 6 6 6 2 2 2 40 6 6 8 2 Course No EC-1101 CS-1101 MA-1102 ME-1101 PH-1101/ CH-1101 CS-1111 EE-1111 PH-1111/ CH-1111 Course Name Semester-2 Basic Electronics Introduction to Computing Mathematics-II Engineering Mechanics Physics/Chemistry Computing Laboratory Electrical Science Laboratory Physics/Chemistry Laboratory Physical Training –II NCC/NSO/NSS Semester-4 Structural Analysis-I Hydraulics Environmental Engg-I Structural Design-I Managerial Economics Engg. Geology Laboratory Hydraulics Laboratory Physical Training-IV NCC/NSO/NSS Semester-6 Structural Design-II Structural Analysis-III Foundation Engineering Transportation Engineering-II Hydrology &Flood...
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