James Presentation - Holbrook et al

•Download as PPT, PDF•

1 like•299 views

James Mullen

CATCH-IT Journal Club

Health & Medicine

Outline ,[object Object],[object Object],[object Object],[object Object]

The Paper ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Study investigators ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Principle author ,[object Object],Holbrook AM, Thabane L, Shcherbatykh IY, O'Reilly D. E-health interventions as complex interventions: improving the quality of methods of assessment . AMIA.Annu.Symp.Proc. 2006:952. Mollon B, Chong J,Jr, Holbrook AM, Sung M, Thabane L, Foster G. Features predicting the success of computerized decision support for prescribing: a systematic review of randomized controlled trials. BMC Med.Inform.Decis.Mak. 2009 Feb 11;9:11. Mollon B, Holbrook AM, Keshavjee K, Troyan S, Gaebel K, Thabane L, et al. Automated telephone reminder messages can assist electronic diabetes care. J.Telemed.Telecare 2008;14(1):32-36. Shcherbatykh I, Holbrook A, Thabane L, Dolovich L, COMPETE III investigators. Methodologic issues in health informatics trials: the complexities of complex interventions. J.Am.Med.Inform.Assoc. 2008 Sep-Oct;15(5):575-580.

Patients ,[object Object],[object Object],[object Object],[object Object],n = 1610 n = 511 n = 258 n = 253 Total patients identified Total patients eligible Control Intervention

Intervention ,[object Object],[object Object],[object Object]

Intervention COMPETE II EMR Telephone 5 different types of EMRs

Patient Screen *http://www.cmaj.ca/cgi/data/cmaj.081272/DC2/2

Physician Screen *http://www.cmaj.ca/cgi/data/cmaj.081272/DC2/1

Intervention ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Context ,[object Object],[object Object],[object Object]

Context ,[object Object],[object Object],*http://www.hc-sc.gc.ca/hcs-sss/pubs/chipp-ppics/2003-compete/final-eng.php

Methods ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Timelines ,[object Object],[object Object]

Scores ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Analysis ,[object Object],[object Object],[object Object]

Process Outcomes ,[object Object],[object Object]

Clinical Outcomes ,[object Object],[object Object]

Other Outcomes ,[object Object],[object Object],[object Object]

Hypothesis validated? ,[object Object],[object Object]

What can: ,[object Object],[object Object],[object Object],[object Object]

What others are saying ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],*Grant RW, Middleton B. Improving primary care for patients with complex chronic disease: can health information technology play a role? CMAJ. 2009 Jul 7;181(1-2):37-44.

What others are saying ,[object Object],[object Object],[object Object],*Grant RW, Middleton B. Improving primary care for patients with complex chronic disease: can health information technology play a role? CMAJ. 2009 Jul 7;181(1-2):37-44.

Class comments ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Questions ,[object Object],[object Object],[object Object]

Questions ,[object Object],[object Object],[object Object],[object Object]

Questions ,[object Object],[object Object],[object Object],[object Object],[object Object]

Questions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

What's hot

Evidence based medicine

Dr Vaziri

High psychiatric readmission rates continue while evidence suggests that care is not perceived by patients as “patient centered.” Research has focused on aftercare strategies with little attention to the inpatient treatment itself as an intervention to reduce readmission rates. Quality improvement strategies based on patient-centered care may offer an alternative. We evaluated outcomes and readmission rates using a benchmarking methodology with a naturalistic data set from an inpatient psychiatric facility (N 2,247) that used a quality-improvement strategy called systematic patient feedback. A systematic patient feedback system, the Partners for Change Outcome Management System (PCOMS), was used. Overall pre-post effect sizes were d 1.33 and d 1.38 for patients diagnosed with a mood disorder. These effect sizes were statistically equivalent to RCT benchmarks for feedback and depression. Readmission rates were 6.1% (30 days), 9.5% (60 days), and 16.4% (180 days), all lower than national benchmarks. We also found that patients who achieved clinically significant treatment outcomes were less likely to be readmitted. We tentatively suggest that a focus on real-time patient outcomes as well as care that is “patient centered” may provide lower readmission rates.

PCOMS and an Acute Care Inpatient Unit: Quality Improvement and Reduced Readm...

Barry Duncan

> Why HEOR? > Costs, Consequences and Perspectives > Key Stakeholders in HEOR > What is Health Economics and Pharmaco-economic Research? > Economic Evaluations > Incremental Cost Effectiveness Ratio (ICER) > Concept of HRQoL > Comparative Effectiveness Research (CER) > Pragmatic Clinical Trials > Observational Studies > Systematic Reviews and Meta-Analysis > Application of CER > Health Technology Assessment (HTA) > Real World Evidence (RWE) > Patient Reported Outcomes (PROs) > Patient Focused Drug Development (PFDD) > Application of Health Economic Evaluations > Challenges and Barriers

Fundamentals of Health Economics and Outcomes Research (HEOR)

MarksMan Healthcare Communications

Impact Of Computer Software Appplication On Medication Therapy Adherence

Yayra Nyoagbe

Patient support programmes within medicines optimisation – the pros and cons

PM Society

whitepaper - bytes not books uk.ashx

Liz Pugh

Supporting medicines adherence developing the pharmacist contribution

PM Society

The drug effectiveness review project: governments collaborating to use syste...

cmaverga

Poem 2012

Juan Delgado Delgado

community ebp poster presentation

Naomi Farkas, RN BSN

From Clinical Decision Support to Precision Medicine

Kent State University

Medication adherence is a growing public health concern in the US. It is the extent to which patients are taking medications as prescribed by their healthcare providers. Simply put, are patients eating their pills on time? We looked at patient data from Medicare part D program released by Centers for Medicare & Medicaid services. We built a prediction model to ascertain whether a patient would be adherent based on a variety of social, economic and behavioral aspects.

Team Lift: Predicting Medication Adherence

Neil Ryan

Making evidence accessible to clinicians

cmaverga

Lisa Castellano RN EBP Poster

Lisa Castellano BS, RN-BC

humanastatinarticle

newtonsapple

Does publication bias inflate the apparent efficacy of psychological treatmen...

Scott Miller

Improving Methods and Processes for Assessing Codependent Technologies

Office of Health Economics

Wound Healing Predictive Model

TrustRobin

Introduction to Evidence-Based Medicine (EBM)

Imhotep Virtual Medical School

Assessing and reporting outcomes that are important to patients in trials and...

cmaverga

What's hot (20)

Evidence based medicine

PCOMS and an Acute Care Inpatient Unit: Quality Improvement and Reduced Readm...

Fundamentals of Health Economics and Outcomes Research (HEOR)

Impact Of Computer Software Appplication On Medication Therapy Adherence

Patient support programmes within medicines optimisation – the pros and cons

whitepaper - bytes not books uk.ashx

Supporting medicines adherence developing the pharmacist contribution

The drug effectiveness review project: governments collaborating to use syste...

Poem 2012

community ebp poster presentation

From Clinical Decision Support to Precision Medicine

Team Lift: Predicting Medication Adherence

Making evidence accessible to clinicians

Lisa Castellano RN EBP Poster

humanastatinarticle

Does publication bias inflate the apparent efficacy of psychological treatmen...

Improving Methods and Processes for Assessing Codependent Technologies

Wound Healing Predictive Model

Introduction to Evidence-Based Medicine (EBM)

Assessing and reporting outcomes that are important to patients in trials and...

Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Rajasthan Booking Details Are here 06-May-2024( Mj) Click On WhatsApp Chat +91-9521753030 Jaipur Escorts Make You Feel Like Royalty Jaipur Escorts catering to high profile clients are available 24-7 to meet their clients' needs and are also available for dinner dates, business conferences, foreign travel trips and clubbing activities. Their customers are contacted directly through in order to prevent risky situations from developing.is home to some of India's most beautiful women. These girls come highly educated with great backgrounds; furthermore they are extremely beautiful and will make you feel like royalty if hired for hours or days! Siya Khan | FOR BOOKING CALL Our All Services :- 1 )★ (Oral to consummation) bjnonCovered 2 )★ Special Massage 3 )★ O-Level (Oral sex) 4 )★ Blow Job; 5 )★ COB (Come On Body) 6 )★. Extraball (Have sex ordinarily) 7 )★ A-Level (5 star escort) 8 )★ Strip-bother 9 )★ BBBJ (Bareback Blowjob) 10 )★ Spending time in my rooms 11 )★ BJ (Blowjob Without a Condom) 12 )★ COF (Come On Face) 13 )★ Completion

Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...

Sheetaleventcompany

Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Rajasthan Booking Details Are here 05-May-2024( Mj) Click On WhatsApp Chat +91-8445551418 Jaipur Escorts Make You Feel Like Royalty Jaipur Escorts catering to high profile clients are available 24-7 to meet their clients' needs and are also available for dinner dates, business conferences, foreign travel trips and clubbing activities. Their customers are contacted directly through in order to prevent risky situations from developing.is home to some of India's most beautiful women. These girls come highly educated with great backgrounds; furthermore they are extremely beautiful and will make you feel like royalty if hired for hours or days! Siya Khan | FOR BOOKING CALL Our All Services :- 1 )★ (Oral to consummation) bjnonCovered 2 )★ Special Massage 3 )★ O-Level (Oral sex) 4 )★ Blow Job; 5 )★ COB (Come On Body) 6 )★. Extraball (Have sex ordinarily) 7 )★ A-Level (5 star escort) 8 )★ Strip-bother 9 )★ BBBJ (Bareback Blowjob) 10 )★ Spending time in my rooms 11 )★ BJ (Blowjob Without a Condom) 12 )★ COF (Come On Face) 13 )★ Completion

Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...

parulsinha

Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High profile Girls VIP Call Girl Pune As Enjoy Never Ending Pune VIP Call Girls is highly qualified professionals. #S10 They will offer only top quality services and never try to scam or drain you of money; in fact, they strive to give complete satisfaction so that each cent spent was worth its worth. Furthermore, these professionals pride themselves in keeping customer details confidential; any information gleaned will never be shared with any third party. Two shots with one girl: ₹4500/in-call, ₹7500/out-call Body to body massage with : ₹5500/in-call Full night for one person: ₹7000/in-call, ₹12000/out-call •𝐂𝐨𝐥𝐥𝐞𝐠𝐞 𝐆𝐢𝐫𝐥𝐬 •𝐇𝐨𝐮𝐬𝐞𝐰𝐢𝐯𝐞𝐬 •𝐇𝐢𝐠𝐡 𝐏𝐫𝐨𝐟𝐢𝐥𝐞 𝐆𝐢𝐫𝐥𝐬 •𝐑𝐚𝐦𝐩 𝐌𝐨𝐝𝐞𝐥𝐬 •𝐅𝐨𝐫𝐞𝐢𝐠𝐧𝐞𝐫 𝐆𝐢𝐫𝐥𝐬 𝐎𝐮𝐫 𝐞𝐬𝐜𝐨𝐫𝐭 𝐬𝐞𝐫𝐯𝐢𝐜𝐞𝐬 •𝐇𝐉 (𝐇𝐚𝐧𝐝 𝐉𝐨𝐛) •𝐁𝐉 (𝐁𝐥𝐨𝐰𝐣𝐨𝐛) # Completion # (Oral To Completion) # Special Massage # O-Level (Oral ) # Oral With A Noncondom) # COB (Come On Body) # Extraball (Have Many Times) # All Meetings 100%Safe Call Payal:-- 9352988975

Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...

chetankumar9855

Call Girls Hosur Just Call 9630942363 Top Class Call Girl Service Available

GENUINE ESCORT AGENCY

Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Girl UKHBET Escorts Service Available ✔ All Day And Night Booking Details Are here 05-May-2024( Mj) Click On WhatsApp Chat +91-8445551418 Jaipur Escorts Make You Feel Like Royalty Jaipur Escorts catering to high profile clients are available 24-7 to meet their clients' needs and are also available for dinner dates, business conferences, foreign travel trips and clubbing activities. Their customers are contacted directly through in order to prevent risky situations from developing.is home to some of India's most beautiful women. These girls come highly educated with great backgrounds; furthermore they are extremely beautiful and will make you feel like royalty if hired for hours or days! Siya Khan | FOR BOOKING CALL Our All Services :- 1 )★ (Oral to consummation) bjnonCovered 2 )★ Special Massage 3 )★ O-Level (Oral sex) 4 )★ Blow Job; 5 )★ COB (Come On Body) 6 )★. Extraball (Have sex ordinarily) 7 )★ A-Level (5 star escort) 8 )★ Strip-bother 9 )★ BBBJ (Bareback Blowjob) 10 )★ Spending time in my rooms 11 )★ BJ (Blowjob Without a Condom) 12 )★ COF (Come On Face) 13 )★ Completion

Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...

parulsinha

Top Rated Bangalore Call Girls Mg Road ⟟ ⟟ Call Me For Genuine Sex Service At Affordable Rate Booking Contact Details Whatsapp Chat :+91- These professional and Call girls in Bangalore can satisfy your every desire - be it sensual massage or an erotic shower, they are always more than willing to meet them. Furthermore, they pay close attention to body language cues to ensure you enjoy every minute spent in their company - both in-call and outcall services are offered. Is an excellent choice for anyone seeking an exciting and thrilling night of fun and excitement The Oberoi, Bengaluru Taj West End The Leela Palace Bengaluru JW Marriott Hotel Bengaluru The Ritz-Carlton, Bangalore Sheraton Grand Bangalore Hotel at Brigade Gateway Conrad Bengaluru ITC Gardenia, Bengaluru Renaissance Bengaluru Race Course Hotel The Lalit Ashok Bangalore

Most Beautiful Call Girl in Bangalore Contact on Whatsapp

Inaaya Sharma

All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP Call Girl At Their Home & Hotels Booking Contact Details WhatsApp Chat: +91-9820252231 Mumbai Escort Service includes providing maximum physical satisfaction to their clients as well as engaging conversation that keeps your time enjoyable and entertaining. Plus they look fabulously elegant; making an impressionable. Independent Escorts Mumbai understands the value of confidentiality and discretion - they will go the extra mile to meet your needs. Simply contact them via text messaging or through their online profiles; they'd be more than delighted to accommodate any request or arrange a romantic date or fun-filled night together. We provide - Flexibility Choices and options Lists of many beauty fantasies Turn your dream into reality Perfect companionship Cheap and convenient In-call and Out-call services And many more. 01-05-24 (Smt)

All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...

Arohi Goyal

Call Girls Raipur Just Call 9630942363 Top Class Call Girl Service Available

GENUINE ESCORT AGENCY

Recently uploaded (20)

Model Call Girls In Chennai WhatsApp Booking 7427069034 call girl service 24 ...

Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...

Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...

Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...

Top Rated Bangalore Call Girls Mg Road ⟟ 9332606886 ⟟ Call Me For Genuine S...

Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available

Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426

Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...

Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...

Call Girls Vasai Virar Just Call 9630942363 Top Class Call Girl Service Avail...

Top Rated Hyderabad Call Girls Chintal ⟟ 9332606886 ⟟ Call Me For Genuine Se...

Call Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service Available

Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...

Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...

Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...

Call Girls Hosur Just Call 9630942363 Top Class Call Girl Service Available

Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...

Most Beautiful Call Girl in Bangalore Contact on Whatsapp

All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...

Call Girls Raipur Just Call 9630942363 Top Class Call Girl Service Available