Diabetes, PHRs,at teams - Hopkins Capstone

•Download as PPT, PDF•

1 like•466 views

Wade Schuette

This is my capstone project for my MPH at Johns Hopkins, 2008.

Health & Medicine

Can disadvantaged urban diabetes patients leverage the sharing of Personal Health Record data with self-management support teams to improve empowerment, access, and outcomes? Capstone Presentation A Research Grant Proposal at the Johns Hopkins Bloomberg School of Public Health May 1, 2007 R. Wade Schuette

Diabetes is a major problem ,[object Object],[object Object],[object Object],[object Object]

NIH is seeking proposals (R21) http://grants.nih.gov/grants/guide/pa-files/PA-06-337.html ,[object Object],[object Object],[object Object],[object Object],[object Object]

Can we improve the Chronic Care Model? http:// www.ihi.org/IHI/Topics/ChronicConditions /

First, computers have evolved since my uncle Roger’s day http://www.sprintspecialoffers.com

Second, theories are changing… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Third, the personal health record (PHR) is already here ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

But - When groups advocate the PHR, they may mean two very different things: ,[object Object],[object Object],[object Object],[object Object]

So, how can we exploit this? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

How would success show up ? ,[object Object],[object Object],[object Object]

Long-Term Effect of the Internet-Based Glucose Monitoring System on HbA1c Reduction and Glucose Stability, Diabetes Care , vol. 29 no. 12, Dec. 2006, by Cho

Impact of an Electronic Medical Record on Diabetes Quality of Care, Annals of Family Med ., vol. 3, no. 4, July/August 2005 by O’Connor ,[object Object],[object Object],[object Object],[object Object],[object Object]

So, a tentative proposal ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Proposed intervention (continued) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

The crux of the problem: “feedback control loop ” from Control Systems Engineering textbook: Feedback Control of Dynamic Systems , 4 th edition, by Franklin, Powell, & Emami-Naeini (2002)

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],1 2 3 5 + 4

Usable feedback is critical (SkyMark’s i-PathMaker line of team software – www.skymark.com )

To close the circuit and make the lights go on, we’ll need a “blue gozinta” ,[object Object],[object Object]

So the first-pass design is this: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Next steps ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Take home messages ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Aside -- even without a PHR, there are now reliable, simple tools for collaboration through blogs and cell-phones and “social networking” – (“Power to the people” is here today) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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

What's hot

As today’s worksite wellness practitioners face unprecedented pressure to demonstrate program accountability and impact, evaluation efforts are ramping up in worksites of all sizes. Whether you are simply thinking about how to evaluate, planning an evaluation, or expanding the scope of an evaluation, this webinar highlights two new resources that can enhance your efforts. The first resource is the soon-to-be-released Effective Practice Guidelines report, “Worksite Wellness Evaluation: Strategies for Employers,” published by the SHRM Foundation. The report describes and illustrates how worksite wellness practitioners can use various data analysis and evaluation techniques such as claims data analysis, break-even analysis, benefit-cost analysis, and forecasting in their particular setting. The second resource we’ll discuss is a free Massive Open Online Course or MOOC entitled “Dynamic Strategies in Worksite Wellness Evaluation & ROI,” sponsored by the University of Wisconsin. The MOOC consists of four sessions and will be available entirely online beginning October 20th. This webinar will describe the concept of a MOOC, its flexible format, an outline of the four sessions, and how to register for this no-cost course that has already attracted well over 500 participants.

Evaluation Resources to Drive Your Worksite Wellness Programs Toward Greater ...

HPCareer.Net / State of Wellness Inc.

Health Centers are called upon to help patients with both acute and chronic pain.. Our desire to help patients with pain often exceeds our skill set and resources. Health Centers across the country have been stepping up to become better educated and trained in this complex area of clinical practice. One thing we’ve learned is that it requires the whole team to be successful. In this webinar we will look at the contribution of each member of the expanded care team in addressing needs of patients with chronic pain, and the strategies that support their work.

Caring for Patients with Pain is a Team Sport

CHC Connecticut

Chits july 27__2010

Alvin Marcelo

Samantha Harden discuss provides an overview of the RE_AIM framework which evaluates the effectiveness of interventions based on the following five dimensions: Reach into the target population Effectiveness or efficacy Adoption by target settings, institutions and staff Implementation - consistency and cost of delivery of intervention Maintenance of intervention effects in individuals and settings over time. We will also practice using RE-AIM in planning, implementation, and evaluation and share resources available on RE-AIM.org. Learning Objectives 1. Understand the five RE-AIM dimensions 2. Practice using RE-AIM for planning, implementation, and evaluation 3. Explore available resources found at RE-AIM.org

Planning, Implementing, and Evaluation Using the RE-AIM Framework with Samant...

HPCareer.Net / State of Wellness Inc.

BYO App: Announcing Linq from Open mHealth

Ida Sim

The Consolidated Framework for Implementation Research (CFIR) is used to guide the adaptation and plan for the implementation of public health interventions. The tool is appropriate for individuals and groups involved in planning and implementing existing interventions. To see the summary statement of this tool developed by NCCMT, click here: http://www.nccmt.ca/registry/view/eng/210.html NCCMT is one of six NCCs for Public Health in Canada. More on the NCCs at www.nccph.ca. Production of this webinar has been made possible through a financial contribution from the Public Health Agency of Canada. The views expressed herein do not necessarily represent the views of the Public Health Agency of Canada.

NCCMT Spotlight Webinar - The Consolidated Framework for Implementation Resea...

The National Collaborating Centre for Methods and Tools

Practicum presentation nidhi 2013

Carolina Health Informatics Program @ UNC

The Applicability and Transferability Tool helps you determine whether the evidence you find can be applied to your own local situation. Find the A&T tool on the NCCMT website: http://www.nccmt.ca/resources/publications/9 NCCMT is one of six NCCs for Public Health in Canada. More on the NCCs at www.nccph.ca. Production of this webinar has been made possible through a financial contribution from the Public Health Agency of Canada. The views expressed herein do not necessarily represent the views of the Public Health Agency of Canada.

NCCMT webinar - Applicaibilty and Transferability of Evidence (A&T) Tool

The National Collaborating Centre for Methods and Tools

The Contextualizing Guidance Workbook can help you consider factors from the broader health system and political system so you make the most appropriate policy recommendations and decisions. Find out how this tool can help you apply recommendations from a guidance document to address the issue/problem in your local context: View our summary of this resource here: http://www.nccmt.ca/resources/search/238 NCCMT is one of six NCCs for Public Healthh in Canada More on the NCCs at www.nccph.ca Production of this webinar has been made possible through a financial contribution from the Public Health Agency of Canada. The views expressed herein do not necessarily represent the views of the Public Health Agency of Canada.

NCCMT Webinar - Contextualizing Guidelines Workbook

The National Collaborating Centre for Methods and Tools

The Use of Predictive Analytics in Health Care

jetweedy

Interoperability & Crowdsourcing: Can these improve the management of ANC pro...

MEASURE Evaluation

The Tool for Sharing Best Practices helps public health professionals by outlining five practical steps to share best practices throughout their organizations. Sharing best practices can help your organization learn from successes, replicate successful programs, and improve outcomes. Find out more and how to use the tool: http://www.nccmt.ca/resources/search/84 NCCMT is one of six NCCs for Public Health in Canada. More on the NCCs at www.nccph.ca. Production of this webinar has been made possible through a financial contribution from the Public Health Agency of Canada. The views expressed herein do not necessarily represent the views of the Public Health Agency of Canada.

NCCMT Spotlight Webinar - Sharing Best Practices

The National Collaborating Centre for Methods and Tools

Readiness to Train Assessment Tool™ - National Launch

CHC Connecticut

Symposium Agenda Final

MEASURE Evaluation

My Health Record & change management webinar katrina otto 230616

Katrina Otto

Hamann big institution to community care

Trimed Media Group

Capstone EBP fall prevention programming

AmandaDiveleyMHAPTA

Knowledge Mobilization for Mt Royal 131002

KMb Unit, York University

Chapter 18

bodo-con

Person-generated health data: How can it help us to feel better?

Kathleen Gray

What's hot (20)

Evaluation Resources to Drive Your Worksite Wellness Programs Toward Greater ...

Caring for Patients with Pain is a Team Sport

Chits july 27__2010

Planning, Implementing, and Evaluation Using the RE-AIM Framework with Samant...

BYO App: Announcing Linq from Open mHealth

NCCMT Spotlight Webinar - The Consolidated Framework for Implementation Resea...

Practicum presentation nidhi 2013

NCCMT webinar - Applicaibilty and Transferability of Evidence (A&T) Tool

NCCMT Webinar - Contextualizing Guidelines Workbook

The Use of Predictive Analytics in Health Care

Interoperability & Crowdsourcing: Can these improve the management of ANC pro...

NCCMT Spotlight Webinar - Sharing Best Practices

Readiness to Train Assessment Tool™ - National Launch

Symposium Agenda Final

My Health Record & change management webinar katrina otto 230616

Hamann big institution to community care

Capstone EBP fall prevention programming

Knowledge Mobilization for Mt Royal 131002

Chapter 18

Person-generated health data: How can it help us to feel better?

Similar to Diabetes, PHRs,at teams - Hopkins Capstone

Taking Collaborations to Scale to Improve Population Health

Practical Playbook

Join us for a discussion of methods and tools that can be used to support evidence-informed decision making in the context of health equity. Learn about resources to help you apply health equity principles to planning processes that contribute to evidence informed public health. Guest speakers from Niagara Region Public Health discussed the use of the 10 promising practices to address health equity. This included the results of a qualitative study to identify barriers and facilitators, and provided recommendations for strengthening planning and implementation practice to improve health equity. This webinar is jointly produced by the National Collaborating Centre for Methods and Tools (NCCMT) and the National Collaborating Centre for Determinants of Health (NCCDH), and is supported through funding from the Public Health Agency of Canada. The National Collaborating Centre for Methods and Tools is funded by the Public Health Agency of Canada and affiliated with McMaster University. The views expressed herein do not necessarily represent the views of the Public Health Agency of Canada. NCCMT is one of six National Collaborating Centres (NCCs) for Public Health. The Centres promote and improve the use of scientific research and other knowledge to strengthen public health practices and policies in Canada.

Methods and Tools for Integrating Health Equity into Public Health Program Pl...

The National Collaborating Centre for Methods and Tools

Towards a learning health system

ACROSEAS Global Solutions

mHealth Across the Continuum of Care

CORE Group

Big Data Means Big Potential Challenges for Nurse Execs Response.pdf

bkbk37

Evidence-Informed Public Health Decisions Made Easier: Take it one Step at a ...

Health Evidence™

Improving Chronic Care - a NZ experience using a breakthrough series collabor...

Health Informatics New Zealand

Data Science at NIH and its Relationship to Social Computing, Behavioral-Cult...

Philip Bourne

Making Information Available to Improve Health

MEASURE Evaluation

Himss open mic

kyleCAH

ProCor audience survey results

procor

Effective utilisation and allocation of health resources

Health Informatics New Zealand

Engaging Patients in Research and Tool Development

Patient-Centered Outcomes Research Institute

THE LARGE DATA DEMO - ONE MODEL

Stephen Allan Weitzman

An Integrated Electronic Lifestyle and Mental Health Patient Self-Assessment ...

Health Informatics New Zealand

HIT Asthma: A Tale of Woe and Enlightenment

Yiscah Bracha

HITAsthma: A Tale of Woe and Enlightenment

gueste165460

Co-Creating Health through Digital Technology

Sarah Amani

Josephine Briggs, MD Director National Center for Complementary and Alternative Medicine National Institutes of Health Opening Keynote "Research in an IT Connected World: Building Better Partnerships – NIH and Health Care Systems" The era of ‘Big Data’ has arrived for biomedical research, bringing with it immense challenges as well as spectacular opportunities. NIH is establishing major programs with the potential to transform the future of US biomedical research by building the capacities necessary for these challenges. These programs will strengthen research partnerships with health care systems and the IT networks that support them. The Big Data to Knowledge (BD2K) initiative, to be launched in 2014, will implement a set of recommendations from the Data and Informatics Working Group to the Advisory Committee to the Director. Investments are planned to meet scientific needs to manage and utilize large complex datasets, including strengthening training, and investing in improved analysis methods and software development and dissemination. NIH is also evaluating strengthening data and software sharing policies, and the potential creation of catalogs of research data, and data/metadata standards. The Common Fund’s Health Care Systems (HCS) Research Collaboratory program has the goal to strengthen the national capacity to implement cost-effective large-scale research studies by engaging major health care delivery organizations as research partners. The aim of the program is to provide a framework of implementation methods and best practices that will enable the participation of many health care systems in clinical research. Research conducted in partnership with health care systems is essential to strengthen the relevance of research results to health practice. Seven demonstration projects, currently in a feasibility phase, are developing detailed methods to implement rigorous randomized studies of questions of major public health impact. These studies, and the IT infrastructure that will make them possible, will be described in detail.

iHT² Health IT Summit Seattle 2013 - Josephine Briggs, MD, National Center fo...

Health IT Conference – iHT2

Improving health care outcomes with responsible data science

Wessel Kraaij

Similar to Diabetes, PHRs,at teams - Hopkins Capstone (20)

Taking Collaborations to Scale to Improve Population Health

Methods and Tools for Integrating Health Equity into Public Health Program Pl...

Towards a learning health system

mHealth Across the Continuum of Care

Big Data Means Big Potential Challenges for Nurse Execs Response.pdf

Evidence-Informed Public Health Decisions Made Easier: Take it one Step at a ...

Improving Chronic Care - a NZ experience using a breakthrough series collabor...

Data Science at NIH and its Relationship to Social Computing, Behavioral-Cult...

Making Information Available to Improve Health

Himss open mic

ProCor audience survey results

Effective utilisation and allocation of health resources

Engaging Patients in Research and Tool Development

THE LARGE DATA DEMO - ONE MODEL

An Integrated Electronic Lifestyle and Mental Health Patient Self-Assessment ...

HIT Asthma: A Tale of Woe and Enlightenment

HITAsthma: A Tale of Woe and Enlightenment

Co-Creating Health through Digital Technology

iHT² Health IT Summit Seattle 2013 - Josephine Briggs, MD, National Center fo...

Improving health care outcomes with responsible data science

Recently uploaded

Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service Available Our agency presents a selection of young, charming call girls #J11 available for bookings at Oyo Hotels. Experience high-class escort services at pocket-friendly rates, with our female escorts exuding both beauty and a delightful personality, ready to meet your desires. Whether it's Housewives,#J11 College girls, Russian girls, Muslim girls, or any other preference, we offer a diverse range of options to cater to your tastes. We provide both in-call and out-call services for your convenience. Our in-call location in Lucknow ensures cleanliness, hygiene, and 100% safety, while our out-call services offer doorstep delivery for added ease. We value your time and money, hence we kindly request pic collectors, time-passers, and bargain hunters to refrain from contacting us. Our services feature various packages at competitive rates: One shot: ₹2000/in-call, ₹5000/out-call Two shots with one girl: ₹3500/in-call, ₹6000/out-call Body to body massage with sex: ₹3000/in-call Full night for one person: ₹7000/in-call, ₹10000/out-call Full night for more than 1 person: Contact us at 🔝 7877925207 🔝. for details Operating 24/7, we serve various locations in Lucknow, including Green Park, near metro stations. For premium call girl services in Lucknow 🔝 7877925207 🔝. Thank you for considering us!

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

adilkhan87451

Call Girls Shimla Just Call 8617370543 Top Class Call Girl Service Available Easy & Fast Booking Procedure Of Shimla Escorts Call girls are ready and waiting to provide the quality essentialness that will help ease away life's tensions Shimla Escorts are regular companions of elite gentlemen and can take them places they could only dream of visiting. These ladies take great care in maintaining themselves to look appealing; visiting salons and spas regularly keeps them looking their best; their portfolios can be found online via an escort’s agency website. EXCITING OPTIONS AVAILABLE AT OUR INDEPENDENT ESCORTS Candlelight dinner Evening date Night clubs or parties Hotels or your flats Business trip Business party Stripping party Shimla Escort Service are adept at performing wild anal sex, deep throat sex and cum eating - perfect for satisfying all your sexual needs and playing any game imaginable. Affordable professional assistants are readily available and ready to assist with any situation - be it romantic date or solo night. Their beautiful appearances and striking personalities will leave you speechless, while they can accompany you to restaurants or bars where their presence will surely leave an impression.

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

Dipal Arora

Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426 Call Girls in Call\\Us))),(Delhi) We are Provide best Genuine Normal, High class call girls. escort service at affordable price. We Are One Of The Oldest Escorts and Call girls Agencies in Delhi You Will Find That Our Female Escorts Are Full Of Fun, Sexy And They Would Love Enjoy Your Company. We Have A Fantastic Selection Of Callo Girls Ladies Available For In-Calls As Well As Out-Calls. Our Escorts Are Not Only Beautiful But All Have Great Personalities Making Them The Perfect Companion For Any Occasion. In-Call: — You Can Come at Our Location in Delhi Which Is Very Clean Hygienic 100% safe Accommodation. Out-Call: — You have To come and Pick Girl From My Place We are Also Provide Door Step Services in Delhi , Gurgaon, Noida. Hygienic: — Full Ac Neat And Clean Rooms Available In Hotel 24 * 7 Hour In Delhi NCR, We Are Providing : — all Types of girls Indian, North East , Foreigner , Airhostess, many More. Service type — In-call Shot 1500, 2,000– In — Call Night /Out-call Night 6,000, to 7,000 — Hi-Fi Rates Shot — 2,000 to 4,000 Full Night 8,000 to 10,000 More Details, Call//WhatsApp, 97111 🔝 ⇛47426

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

jennyeacort

Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service Available Easy & Fast Booking Procedure Of Tirupati Escorts Call girls are ready and waiting to provide the quality essentialness that will help ease away life's tensions Tirupati Escorts are regular companions of elite gentlemen and can take them places they could only dream of visiting. These ladies take great care in maintaining themselves to look appealing; visiting salons and spas regularly keeps them looking their best; their portfolios can be found online via an escort’s agency website. EXCITING OPTIONS AVAILABLE AT OUR INDEPENDENT ESCORTS Candlelight dinner Evening date Night clubs or parties Hotels or your flats Business trip Business party Stripping party Tirupati Escort Service are adept at performing wild anal sex, deep throat sex and cum eating - perfect for satisfying all your sexual needs and playing any game imaginable. Affordable professional assistants are readily available and ready to assist with any situation - be it romantic date or solo night. Their beautiful appearances and striking personalities will leave you speechless, while they can accompany you to restaurants or bars where their presence will surely leave an impression.

Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service Available

Dipal Arora

VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋 Call Mr Chirag Ji +91-7877925207 NORTH/SOUTH INDIANS HIGH CLASS MODELS/COLLEGE GIRLS/ HOUSEWIVES/BODY TO BODY MASSAGE, SANDWICH MASSAGE, SHOWER BATHING, BLOW JOB, LICKING, FRONT AND BACK SHOT, RUBBING, KISSING SMOOCHING ETC ETC... UNLIMITED FUN Call 24/7. Your assistance for your service... ☛ ✔✔ secure✔✔ 100% safe ✔✔ Vip Callgirl Service offers you the most beautiful High Profile sexy independent female Escorts in genuine ✔✔✔ To enjoy with hot and sexy girls ✔✔✔ A03524SW ★providing:- • Models • vip Models • Russian Models • Foreigner Models • TV Actress and Celebrities • Receptionist • Air Hostess • Call Center Working Girls/Women • Hi-Tech Co. Girls/Women • Housewife • Collage Going Girls. • Travelling Escorts. • Ramp-models • Foreigner And Many More.. ★OUR BEST SERVICES: - FOR BOOKING ★ A-Level (5 star escort) ★ Strip-tease ★ BBBJ (Bareback Blowjob)

VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋

TANUJA PANDEY

Call Girls Visakhapatnam Just Call 8250077686 Top Class Call Girl Service Available Easy & Fast Booking Procedure Of Visakhapatnam Escorts Call girls are ready and waiting to provide the quality essentialness that will help ease away life's tensions Visakhapatnam Escorts are regular companions of elite gentlemen and can take them places they could only dream of visiting. These ladies take great care in maintaining themselves to look appealing; visiting salons and spas regularly keeps them looking their best; their portfolios can be found online via an escort’s agency website. EXCITING OPTIONS AVAILABLE AT OUR INDEPENDENT ESCORTS Candlelight dinner Evening date Night clubs or parties Hotels or your flats Business trip Business party Stripping party Visakhapatnam Escort Service are adept at performing wild anal sex, deep throat sex and cum eating - perfect for satisfying all your sexual needs and playing any game imaginable. Affordable professional assistants are readily available and ready to assist with any situation - be it romantic date or solo night. Their beautiful appearances and striking personalities will leave you speechless, while they can accompany you to restaurants or bars where their presence will surely leave an impression.

Call Girls Visakhapatnam Just Call 8250077686 Top Class Call Girl Service Ava...

Dipal Arora

(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Celebrity for 5* Hotels 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

(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...

parulsinha

🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In Hyderabad Escorts Service Escorts Service Available Whatsapp Chaya ☎️ : [+91-9352852248 ] Escorts Service Hyderabad are always ready to make their clients happy. Their exotic looks and sexy personalities are sure to turn heads. You can enjoy with them, including massages and erotic encounters.#P12Our area Escorts are young and sexy, so you can expect to have an exotic time with them. They are trained to satiate your naughty nerves and they can handle anything that you want. They are also intelligent, so they know how to make you feel comfortable and relaxed SERVICE ✅ ❣️ ⭐➡️HOT & SEXY MODELS // COLLEGE GIRLS HOUSE WIFE RUSSIAN , AIR HOSTES ,VIP MODELS . AVAILABLE FOR COMPLETE ENJOYMENT WITH HIGH PROFILE INDIAN MODEL AVAILABLE HOTEL & HOME ★ SAFE AND SECURE HIGH CLASS SERVICE AFFORDABLE RATE ★ SATISFACTION,UNLIMITED ENJOYMENT. ★ All Meetings are confidential and no information is provided to any one at any cost. ★ EXCLUSIVE PROFILes Are Safe and Consensual with Most Limits Respected ★ Service Available In: - HOME & HOTEL Star Hotel Service .In Call & Out call SeRvIcEs : ★ A-Level (star escort) ★ Strip-tease ★ BBBJ (Bareback Blowjob)Receive advanced sexual techniques in different mode make their life more pleasurable. ★ Spending time in hotel rooms ★ BJ (Blowjob Without a Condom) ★ Completion (Oral to completion) ★ Covered (Covered blowjob Without condom ★ANAL SERVICES.

🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...

Call Girls In Delhi Whatsup 9873940964 Enjoy Unlimited Pleasure

Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service Available Easy & Fast Booking Procedure Of Rishikesh Escorts Call girls are ready and waiting to provide the quality essentialness that will help ease away life's tensions Rishikesh Escorts are regular companions of elite gentlemen and can take them places they could only dream of visiting. These ladies take great care in maintaining themselves to look appealing; visiting salons and spas regularly keeps them looking their best; their portfolios can be found online via an escort’s agency website. EXCITING OPTIONS AVAILABLE AT OUR INDEPENDENT ESCORTS Candlelight dinner Evening date Night clubs or parties Hotels or your flats Business trip Business party Stripping party Rishikesh Escort Service are adept at performing wild anal sex, deep throat sex and cum eating - perfect for satisfying all your sexual needs and playing any game imaginable. Affordable professional assistants are readily available and ready to assist with any situation - be it romantic date or solo night. Their beautiful appearances and striking personalities will leave you speechless, while they can accompany you to restaurants or bars where their presence will surely leave an impression.

Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service Available

Dipal Arora

Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟ 9332606886 ⟟ Call Me For Genuine Sex Service At Affordable Rate Booking Contact Details Whatsapp Chat :+91- 9332606886 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 30 apr 24 (LK)

Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟ 9332606886 ⟟ Call Me For G...

narwatsonia7

💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lonely Housewife In Top Rated Hotel WhatsApp Chat : +91-9257276172 Get More Information About Jaipur Escorts Service Jaipur Escorts offer their services to their clients at any time of day or night - including sex, travel and tours. Contact them via telephone or the internet. Hire an escort as your movie partner, date or party companion - they're sure to exceed all your expectations. Girls available 24/7 make for great companions who offer sensual body massages and drinks/food service during your time together. Find one who fits with your personality or budget - these girls have you covered.

💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...

khalifaescort01

Top Rated Hyderabad Call Girls Chintal ⟟ 9332606886 ⟟ Call Me For Genuine Sex Service At Affordable Rate Booking Contact Details WhatsApp Chat: +91-9332606886 Hyderabad 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 Hyderabad 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. 02-May(Ast) y

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

chandars293

Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Massage and Pleasant Why you Choose Us- +91-6378878445 Bangalore 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 I Have Extremely Beautiful Broad Minded Cute Sexy & Hot Call Girls and Escorts, We Are Located in 3* 4* 5* Hotels. Safe & Secure High Class Services Affordable Rate 100% Satisfaction, Unlimited Enjoyment. Any Time for Model/Teens Escort in Delhi High class luxury and premium escorts agency. CALL US High Class Luxury and Premium Escort Service We Provide Well Educated,Royal Class Female,High-Class Escort Service Offering a Top High Class Escort Service In The & Several Nearby All Places of $L16

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

tanya dube

Call Girls Guntur Just Call 8250077686 Top Class Call Girl Service Available Easy & Fast Booking Procedure Of Guntur Escorts Call girls are ready and waiting to provide the quality essentialness that will help ease away life's tensions Guntur Escorts are regular companions of elite gentlemen and can take them places they could only dream of visiting. These ladies take great care in maintaining themselves to look appealing; visiting salons and spas regularly keeps them looking their best; their portfolios can be found online via an escort’s agency website. EXCITING OPTIONS AVAILABLE AT OUR INDEPENDENT ESCORTS Candlelight dinner Evening date Night clubs or parties Hotels or your flats Business trip Business party Stripping party Guntur Escort Service are adept at performing wild anal sex, deep throat sex and cum eating - perfect for satisfying all your sexual needs and playing any game imaginable. Affordable professional assistants are readily available and ready to assist with any situation - be it romantic date or solo night. Their beautiful appearances and striking personalities will leave you speechless, while they can accompany you to restaurants or bars where their presence will surely leave an impression.

Call Girls Guntur Just Call 8250077686 Top Class Call Girl Service Available

Dipal Arora

Top Rated Bangalore Call Girls Mg Road ⟟ 9332606886 ⟟ Call Me For Genuine Sex Service At Affordable Rate Booking Contact Details Whatsapp Chat :+91- 9332606886 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 30 apr 24 (LK)

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

narwatsonia7

Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 Star Hotel Service Available Booking Contact Details WhatsApp Chat: +91-8617370543 Patna 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 Patna 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.

Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...

Dipal Arora

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

Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl In 5 Star Hotel Service Available Booking Contact Details WhatsApp Chat: +91-8617370543 Guwahati 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 Guwahati 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.

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

Dipal Arora

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

Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time Call Mr Chirag Ji +91-6378878445 We offer all types of girls of your choice with space. Our escorts are fully cooperative and understand your needs. All types of call girls like Housewives, College girls, Russian girls, Muslim girls, Afghani girls, Bengali girls, Working girls, south Indian girls, Punjabi girls, etc. In-Call: — You Can Reach At Our Place in Our place Which Is Very Clean Hygienic 100% safe Accommodation. Out-Call: — Service for Out Call You have To Come Pick The Girl From My Place We Also Provide Door-Step Services Hygienic: — Full Ac Neat And Clean Rooms Available In Hotel 24 * 7 Hrs In 03-May-2024 (chd) Our Services and Rates: – One Shot — 2500/in call (time ½ hour), 5000/out call Two shot with one girl — 5000/in call (time 1 hour), 6000/out call Body to body massage with sex- 3000/in call (time 1 hour) full night for one person– 8000/in call, 10000/out call (shot limit 4 shot) We are available 24*7 all days of the year Call us — 6378878445 !! Thank you for Visiting.

Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time

Call Girls Delhi

Recently uploaded (20)