Matthew Holt analyzed several forecasts and scenarios related to health care spending and insurance coverage in the United States. His analysis showed that forecasts from 2010 underestimated the number of uninsured Americans and overestimated per capita health care spending. Reform after 2010 led to fewer uninsured Americans but health care spending as a share of GDP remained higher than predicted. Without reform, more Americans would be uninsured and health care costs would continue to rise rapidly.
The document provides an overview of child health issues globally and in South Africa. It discusses the major causes of child mortality worldwide, which include neonatal deaths, malaria, diarrhea, and pneumonia. It also outlines key international conventions related to child health, such as the Millennium Development Goals, which aim to reduce child mortality rates by two-thirds by 2015. Additionally, it addresses challenges facing child health in South Africa, where under-five mortality is increasing due to HIV, and neonatal mortality accounts for about 30% of under-five deaths annually.
A peek into "The Power of Data" with specific ref to Supply-chain where lots of data is generated by the minute & Teams are busy fire -fighting every moment !!
Towards Recovery - What Sales Managers and Consumers Tell Us, February 2010Amarach Research
A presentation of findings from recent surveys of sales managers and directors in Ireland about prospects for 2010. As well as details of recent consumer surveys relating to spending drivers and intentions.
Financial analysis lafarge sa - lafarge sa supplies a wide range of buildin...BCV
Lafarge SA is a French supplier of construction materials that produces cement, aggregates, concrete, and gypsum products. It markets its products across Europe, Africa, Asia, North America, and Latin America. In 2012, Lafarge generated over 15 billion euros in revenue with cement and aggregates & concrete accounting for the majority of sales. The company operates geographically diverse segments with its largest markets being Western Europe, Middle East & Africa, and North America.
Solidiance shares the current opportunities and challenges of the Vietnamese market.
Where is Vietnam going from here? After formidable economic growth for the past 5 years, will Vietnam be able to sustain high level of foreign direct investment during the 2009 economic crisis.
web2.0:Beyond Open Source in Health Caretobyo_init
The document discusses the emergence and applications of Web 2.0 technologies in healthcare. It describes how Web 2.0 utilizes open-source platforms like Linux, Apache, MySQL and PHP to allow users to control their own data through services rather than packaged software. Examples of Web 2.0 applications that could benefit healthcare include blogs, wikis, social networking, tagging, and media sharing sites for clinicians, patients and consumers.
Shared By The Many: Advances in technology are allowing for the provision of affordable, decentralized healthcare for the masses and are lowering the barriers to entry in less developed markets.
The analysis in PSFK’s Future of Health Report has yielded a number of insights, the most evident of which is mobile technology as a catalyst for change. The mobile phone and connected tablet computer are allowing for the distribution of a broad range of medical and support services. This is especially important in countries with little or no healthcare infrastructure and areas in which there are few trained healthcare professionals. These technologies also allow trained professionals to perform quality control remotely.
Amongst the many significant developments is a shift towards one-on-one, in- field diagnostics and monitoring. Services that were once only available at a doctor’s office or hospital are now available on-demand through low-tech, affordable solutions. Personal systems allow for ‘good enough’ diagnostics that would have been difficult, expensive and timely to attain previously.
Using a basic phone with adapted software, a health worker can test for myriad symptoms - even cancer. This information can be relayed to a central medical care center where doctors and trained professionals can react to the data, provide prompt diagnosis and suggest treatment options. The ability to capture this data and get quick responses remotely means better healthcare, fewer trips to the hospital (which, for many means days away from home and family), and less time away from work.
A change is also occurring that is seeing increased access to and sharing of health information. This is made possible by the proliferation of systems designed to overcome infrastructure insufficiencies. these systems are enabling the broadcast of information and receipt of subsequent feedback in virtually any setting. From ‘town crier’ systems to ‘internet by text’, the collective knowledge found on the web is being made available to populations around the world who previously lacked access. The connectivity that is enabling the sharing of health information is also powering the growth of social networks focused on health and medical care. These networks are allowing professionals, health workers and individuals to connect and share knowledge quickly.
PSFK’s Future of Health Report details 15 trends that will impact health and wellness around the world. Simple advances such as off-the-grid energy and the introduction of gaming into healthcare service offerings sit alongside more future-forward developments such as bio-medical printing. It is our hope that this report will inspire your thinking and lead to services, applications and technologies which will allow for more available, quality healthcare.
For a download of this report - visit: http://www.psfk.com/future-of-health
The document provides an overview of child health issues globally and in South Africa. It discusses the major causes of child mortality worldwide, which include neonatal deaths, malaria, diarrhea, and pneumonia. It also outlines key international conventions related to child health, such as the Millennium Development Goals, which aim to reduce child mortality rates by two-thirds by 2015. Additionally, it addresses challenges facing child health in South Africa, where under-five mortality is increasing due to HIV, and neonatal mortality accounts for about 30% of under-five deaths annually.
A peek into "The Power of Data" with specific ref to Supply-chain where lots of data is generated by the minute & Teams are busy fire -fighting every moment !!
Towards Recovery - What Sales Managers and Consumers Tell Us, February 2010Amarach Research
A presentation of findings from recent surveys of sales managers and directors in Ireland about prospects for 2010. As well as details of recent consumer surveys relating to spending drivers and intentions.
Financial analysis lafarge sa - lafarge sa supplies a wide range of buildin...BCV
Lafarge SA is a French supplier of construction materials that produces cement, aggregates, concrete, and gypsum products. It markets its products across Europe, Africa, Asia, North America, and Latin America. In 2012, Lafarge generated over 15 billion euros in revenue with cement and aggregates & concrete accounting for the majority of sales. The company operates geographically diverse segments with its largest markets being Western Europe, Middle East & Africa, and North America.
Solidiance shares the current opportunities and challenges of the Vietnamese market.
Where is Vietnam going from here? After formidable economic growth for the past 5 years, will Vietnam be able to sustain high level of foreign direct investment during the 2009 economic crisis.
web2.0:Beyond Open Source in Health Caretobyo_init
The document discusses the emergence and applications of Web 2.0 technologies in healthcare. It describes how Web 2.0 utilizes open-source platforms like Linux, Apache, MySQL and PHP to allow users to control their own data through services rather than packaged software. Examples of Web 2.0 applications that could benefit healthcare include blogs, wikis, social networking, tagging, and media sharing sites for clinicians, patients and consumers.
Shared By The Many: Advances in technology are allowing for the provision of affordable, decentralized healthcare for the masses and are lowering the barriers to entry in less developed markets.
The analysis in PSFK’s Future of Health Report has yielded a number of insights, the most evident of which is mobile technology as a catalyst for change. The mobile phone and connected tablet computer are allowing for the distribution of a broad range of medical and support services. This is especially important in countries with little or no healthcare infrastructure and areas in which there are few trained healthcare professionals. These technologies also allow trained professionals to perform quality control remotely.
Amongst the many significant developments is a shift towards one-on-one, in- field diagnostics and monitoring. Services that were once only available at a doctor’s office or hospital are now available on-demand through low-tech, affordable solutions. Personal systems allow for ‘good enough’ diagnostics that would have been difficult, expensive and timely to attain previously.
Using a basic phone with adapted software, a health worker can test for myriad symptoms - even cancer. This information can be relayed to a central medical care center where doctors and trained professionals can react to the data, provide prompt diagnosis and suggest treatment options. The ability to capture this data and get quick responses remotely means better healthcare, fewer trips to the hospital (which, for many means days away from home and family), and less time away from work.
A change is also occurring that is seeing increased access to and sharing of health information. This is made possible by the proliferation of systems designed to overcome infrastructure insufficiencies. these systems are enabling the broadcast of information and receipt of subsequent feedback in virtually any setting. From ‘town crier’ systems to ‘internet by text’, the collective knowledge found on the web is being made available to populations around the world who previously lacked access. The connectivity that is enabling the sharing of health information is also powering the growth of social networks focused on health and medical care. These networks are allowing professionals, health workers and individuals to connect and share knowledge quickly.
PSFK’s Future of Health Report details 15 trends that will impact health and wellness around the world. Simple advances such as off-the-grid energy and the introduction of gaming into healthcare service offerings sit alongside more future-forward developments such as bio-medical printing. It is our hope that this report will inspire your thinking and lead to services, applications and technologies which will allow for more available, quality healthcare.
For a download of this report - visit: http://www.psfk.com/future-of-health
Medicine of the Future—The Transformation from Reactive to Proactive (P4) Med...Ryan Squire
Medicine of the Future—The Transformation from Reactive to Proactive (P4) Medicine as presented at the Ohio State University Medical Center Personalized Health Care National Conference.
Leroy Hood, MD, PhD, is the president and founder of the Institute of Systems Biology. Dr. Hood is a member of the National Academy of Sciences, the American Philosophical Society, the American Academy of Arts and Sciences, the Institute of Medicine and the National Academy of Engineering. His professional career began at Caltech where he and his colleagues pioneered four instruments — the DNA gene sequencer and synthesizer and the protein synthesizer and sequencer — which comprise the technological foundation for contemporary molecular biology. In particular, the DNA sequencer played a crucial role in contributing to the successful mapping of the human genome during the 1990s.
http://www.systemsbiology.org/Scientists_and_Research
This document discusses the opportunity for transformation in healthcare through a P4 (Predictive, Preventive, Personalized, and Participatory) approach. It notes that the current healthcare system spends most of its resources on treating preventable chronic diseases. It proposes using complex systems approaches and personalized medicine to shift focus toward prevention, wellness, and patient engagement. The document outlines pilot projects at Ohio State applying a P4 approach to wellness and care coordination for chronic conditions.
This document discusses how healthcare organizations can leverage Web 2.0 technologies like social media, blogs and online communities. It provides examples of how these tools are being used for self-care management by patients, consumer-driven healthcare research, physician networking and recruitment. While return on investment is difficult to calculate, these technologies can help drive traffic, enhance reputation and empower employees if implemented as part of an overall online strategy.
The document discusses the progression of Health 2.0 from user-generated health care to partnerships reforming health care delivery to data driving decisions and discovery. It outlines the stages of Health 2.0 and how data from individuals, populations, and references is integrated through a data utility layer to power unplatforms and composite applications that inform decisions and actions.
Edwina Rogers, executive director of Patient-Centered Primary Care Collaborative, began her presentation by highlighting the movement to advance medical homes.
With the U.S. being the number one in the world for the cost of healthcare and ranked number 37 in the quality category, something needs to change. Rogers discussed the broad stakeholder support and participation for the movement, as well as the incredible volunteer involvement. The four ‘centers’ include: the Center to Promote Public-Payer Implementation, the Center for Multi-Stakeholder Demonstration, the Center for eHealth Information Adoption and Exchange and the Center for Health Benefit Redesign and Implementation. Medical Homes will provide superb access to care, patient engagament in care, clinical information systems, care coordination, team care, patient feedback and publically available information.
Edwards explained that the Obama administration believes the medical homes concept is the best way to approach healthcare reform. The U.S. House of Representatives has showed great support for the movement and is helping develop and allocate funds for a five-year pilot program. She expressed her enthusiasm for the movement and her prediction that the medical home model is certainly the future of health care.
A complete version of Rogers’ presentation on the Patient-Centered Primary Care Collaborative is available online.
Health 2.0 refers to the application of Web 2.0 technologies and principles to healthcare, including personalized search tools, online health communities that share information, and new interfaces and analytics that unlock health data. The document outlines the current state of Health 2.0 with search, communities and tools, and predicts future directions such as better integration of these areas and new "unplatforms" that bring together applications and data across different services. The goal is more engaged patients and improved healthcare through leveraging collective knowledge and data.
- The document discusses the rise of participatory health and Health 2.0, where patients are more actively engaged in managing their own health through online tools and communities.
- Key aspects of Health 2.0 include personalized search/information, online communities for support/knowledge sharing, and new tools that unlock health data and enable transactions.
- Participatory health involves patients partnering with providers to reform healthcare delivery through continuous involvement in care, supported by online/mobile resources.
The document discusses trends in healthcare including user-generated healthcare, consumers connecting directly with providers, and partnerships to reform healthcare delivery. It focuses on four main topics: wellness 2.0 and prevention through exercise and food; making healthcare cheaper by focusing on high-cost patients, accountable care models, and paying for outcomes; connecting consumers to providers; and the evolution of research through open data, real-time data capture, and crowdsourced information. Data is seen as driving decisions and discovery.
Dr. Leroy Hood lectured to a group of Ohio State University College of Medicine students and faculty on May 13, 2010 in advance of an announcement of a partnership between the Ohio State University Medical Center and the Institute for Systems Biology. The partnership will be known as
Rashad's Analysis of China's Healthcare EconomicsRashad Salaam
China's healthcare spending has grown faster than GDP in recent decades. However, China still spends much less than other nations on healthcare per capita. China also lags in several health outcomes compared to other countries. The fee-for-service model in China may incentivize overspending. To improve its system, China could reform payments and invest more in public health prevention.
A presentation built by Clay Marsh, MD. executive director of the OSU Center for Personalized Medicine, designed to explain some of the scientific and social angles that are a part of personalized health care.
The role of primary care providers in occupational healthHealth and Labour
presentation by dr. Richard Roberts, president of the World Organisation of Family Doctors (Wonca) at the WHO/TNO/Dutchgovernment Congres 'Connecting Health and Labour' 29 - 1 December 2012
C1 Primary Care21st Century Final Presentationisduser
This document provides an overview of a presentation about the importance of primary care in the 21st century healthcare system. The summary is:
Primary care is essential to achieving high-quality, affordable, patient-centered healthcare but faces many challenges in the current system. These include a lack of primary care physicians and nurses, inadequate compensation for primary care providers, and a need for health systems that are coordinated, use health IT effectively, and are led by clinicians. Transforming primary care will require payment reform, greater use of teams, and making primary care practices more patient-centered through a focus on prevention, care coordination, and effective use of health technologies.
The Outlook for Investment in Health Care Properties: Medical Office Building...Virtual ULI
This document summarizes a report on the outlook for investment in healthcare properties such as medical office buildings and outpatient facilities. It notes that the U.S. elderly population is growing significantly and visiting physicians more often. It also shows increasing healthcare expenditures like Medicare that will strain government budgets. The length of hospital stays is decreasing while outpatient surgeries and medical tests are rising. Finally, more medical practices are being owned by hospitals rather than physicians.
The document provides an overview of the American College of Cardiology (ACC). It lists the current leadership of the ACC including the president, president-elect, vice president, and chair of the board of governors. It discusses the mission of the ACC to transform cardiovascular care and improve heart health. It also invites attendees to the upcoming ACC.13 conference in San Francisco and provides disclosure information for the presenter.
The document discusses drivers of rising healthcare costs in the US. It shows that US healthcare spending as a percentage of GDP and in absolute per capita terms far exceeds other developed nations. The high costs are driven by overutilization, high administrative expenses, and lack of coordination. Additionally, a small portion of the population accounts for a large percentage of total healthcare spending, indicating a concentration of costs among those with complex or chronic conditions. There is also a disparity between higher spending and lower quality of care outcomes in the US compared to other countries.
This document provides an overview of health reform and how hospitals are responding to changes. It discusses rising healthcare costs in the US compared to other countries. Key aspects of the reform are outlined, including the creation of Accountable Care Organizations and a shift to paying for outcomes rather than procedures. The document also summarizes some of the main ways hospitals are responding, such as aligning with physicians, focusing on the full care continuum, increasing transparency, emphasizing value over volume, and developing a shared community vision. Employer strategies for incentivizing employees to use high quality, low cost providers are also reviewed.
Brazil's healthcare market is poised for significant growth driven by multiple factors. The expansion of the middle class will increase the number of insured people in Brazil. Increased availability of generic drugs and biosimilars will make medications more accessible. Government investments and initiatives like SUS aim to improve and expand healthcare access. Rapid disease burden growth areas include obesity, diabetes, cancer and hypertension. Overall, Brazil's complex but evolving healthcare system and market represent a major opportunity for both existing players and new entrants.
The National Fraud Authority aims to reduce fraud in the UK through cooperation between government, private industry, and non-profits. Fraud costs the public sector £21.2 billion, private sector £12 billion, and charities £1.3 billion annually. A survey found that charities underestimate their fraud risk, with 63% thinking they are not at risk, though the NFA estimates undetected fraud against charities may be 2.4% of annual income, equivalent to £1.3 billion. The NFA encourages charities to use resources like Action Fraud and the Charity Commission to implement anti-fraud policies and guidance.
Medicine of the Future—The Transformation from Reactive to Proactive (P4) Med...Ryan Squire
Medicine of the Future—The Transformation from Reactive to Proactive (P4) Medicine as presented at the Ohio State University Medical Center Personalized Health Care National Conference.
Leroy Hood, MD, PhD, is the president and founder of the Institute of Systems Biology. Dr. Hood is a member of the National Academy of Sciences, the American Philosophical Society, the American Academy of Arts and Sciences, the Institute of Medicine and the National Academy of Engineering. His professional career began at Caltech where he and his colleagues pioneered four instruments — the DNA gene sequencer and synthesizer and the protein synthesizer and sequencer — which comprise the technological foundation for contemporary molecular biology. In particular, the DNA sequencer played a crucial role in contributing to the successful mapping of the human genome during the 1990s.
http://www.systemsbiology.org/Scientists_and_Research
This document discusses the opportunity for transformation in healthcare through a P4 (Predictive, Preventive, Personalized, and Participatory) approach. It notes that the current healthcare system spends most of its resources on treating preventable chronic diseases. It proposes using complex systems approaches and personalized medicine to shift focus toward prevention, wellness, and patient engagement. The document outlines pilot projects at Ohio State applying a P4 approach to wellness and care coordination for chronic conditions.
This document discusses how healthcare organizations can leverage Web 2.0 technologies like social media, blogs and online communities. It provides examples of how these tools are being used for self-care management by patients, consumer-driven healthcare research, physician networking and recruitment. While return on investment is difficult to calculate, these technologies can help drive traffic, enhance reputation and empower employees if implemented as part of an overall online strategy.
The document discusses the progression of Health 2.0 from user-generated health care to partnerships reforming health care delivery to data driving decisions and discovery. It outlines the stages of Health 2.0 and how data from individuals, populations, and references is integrated through a data utility layer to power unplatforms and composite applications that inform decisions and actions.
Edwina Rogers, executive director of Patient-Centered Primary Care Collaborative, began her presentation by highlighting the movement to advance medical homes.
With the U.S. being the number one in the world for the cost of healthcare and ranked number 37 in the quality category, something needs to change. Rogers discussed the broad stakeholder support and participation for the movement, as well as the incredible volunteer involvement. The four ‘centers’ include: the Center to Promote Public-Payer Implementation, the Center for Multi-Stakeholder Demonstration, the Center for eHealth Information Adoption and Exchange and the Center for Health Benefit Redesign and Implementation. Medical Homes will provide superb access to care, patient engagament in care, clinical information systems, care coordination, team care, patient feedback and publically available information.
Edwards explained that the Obama administration believes the medical homes concept is the best way to approach healthcare reform. The U.S. House of Representatives has showed great support for the movement and is helping develop and allocate funds for a five-year pilot program. She expressed her enthusiasm for the movement and her prediction that the medical home model is certainly the future of health care.
A complete version of Rogers’ presentation on the Patient-Centered Primary Care Collaborative is available online.
Health 2.0 refers to the application of Web 2.0 technologies and principles to healthcare, including personalized search tools, online health communities that share information, and new interfaces and analytics that unlock health data. The document outlines the current state of Health 2.0 with search, communities and tools, and predicts future directions such as better integration of these areas and new "unplatforms" that bring together applications and data across different services. The goal is more engaged patients and improved healthcare through leveraging collective knowledge and data.
- The document discusses the rise of participatory health and Health 2.0, where patients are more actively engaged in managing their own health through online tools and communities.
- Key aspects of Health 2.0 include personalized search/information, online communities for support/knowledge sharing, and new tools that unlock health data and enable transactions.
- Participatory health involves patients partnering with providers to reform healthcare delivery through continuous involvement in care, supported by online/mobile resources.
The document discusses trends in healthcare including user-generated healthcare, consumers connecting directly with providers, and partnerships to reform healthcare delivery. It focuses on four main topics: wellness 2.0 and prevention through exercise and food; making healthcare cheaper by focusing on high-cost patients, accountable care models, and paying for outcomes; connecting consumers to providers; and the evolution of research through open data, real-time data capture, and crowdsourced information. Data is seen as driving decisions and discovery.
Dr. Leroy Hood lectured to a group of Ohio State University College of Medicine students and faculty on May 13, 2010 in advance of an announcement of a partnership between the Ohio State University Medical Center and the Institute for Systems Biology. The partnership will be known as
Rashad's Analysis of China's Healthcare EconomicsRashad Salaam
China's healthcare spending has grown faster than GDP in recent decades. However, China still spends much less than other nations on healthcare per capita. China also lags in several health outcomes compared to other countries. The fee-for-service model in China may incentivize overspending. To improve its system, China could reform payments and invest more in public health prevention.
A presentation built by Clay Marsh, MD. executive director of the OSU Center for Personalized Medicine, designed to explain some of the scientific and social angles that are a part of personalized health care.
The role of primary care providers in occupational healthHealth and Labour
presentation by dr. Richard Roberts, president of the World Organisation of Family Doctors (Wonca) at the WHO/TNO/Dutchgovernment Congres 'Connecting Health and Labour' 29 - 1 December 2012
C1 Primary Care21st Century Final Presentationisduser
This document provides an overview of a presentation about the importance of primary care in the 21st century healthcare system. The summary is:
Primary care is essential to achieving high-quality, affordable, patient-centered healthcare but faces many challenges in the current system. These include a lack of primary care physicians and nurses, inadequate compensation for primary care providers, and a need for health systems that are coordinated, use health IT effectively, and are led by clinicians. Transforming primary care will require payment reform, greater use of teams, and making primary care practices more patient-centered through a focus on prevention, care coordination, and effective use of health technologies.
The Outlook for Investment in Health Care Properties: Medical Office Building...Virtual ULI
This document summarizes a report on the outlook for investment in healthcare properties such as medical office buildings and outpatient facilities. It notes that the U.S. elderly population is growing significantly and visiting physicians more often. It also shows increasing healthcare expenditures like Medicare that will strain government budgets. The length of hospital stays is decreasing while outpatient surgeries and medical tests are rising. Finally, more medical practices are being owned by hospitals rather than physicians.
The document provides an overview of the American College of Cardiology (ACC). It lists the current leadership of the ACC including the president, president-elect, vice president, and chair of the board of governors. It discusses the mission of the ACC to transform cardiovascular care and improve heart health. It also invites attendees to the upcoming ACC.13 conference in San Francisco and provides disclosure information for the presenter.
The document discusses drivers of rising healthcare costs in the US. It shows that US healthcare spending as a percentage of GDP and in absolute per capita terms far exceeds other developed nations. The high costs are driven by overutilization, high administrative expenses, and lack of coordination. Additionally, a small portion of the population accounts for a large percentage of total healthcare spending, indicating a concentration of costs among those with complex or chronic conditions. There is also a disparity between higher spending and lower quality of care outcomes in the US compared to other countries.
This document provides an overview of health reform and how hospitals are responding to changes. It discusses rising healthcare costs in the US compared to other countries. Key aspects of the reform are outlined, including the creation of Accountable Care Organizations and a shift to paying for outcomes rather than procedures. The document also summarizes some of the main ways hospitals are responding, such as aligning with physicians, focusing on the full care continuum, increasing transparency, emphasizing value over volume, and developing a shared community vision. Employer strategies for incentivizing employees to use high quality, low cost providers are also reviewed.
Brazil's healthcare market is poised for significant growth driven by multiple factors. The expansion of the middle class will increase the number of insured people in Brazil. Increased availability of generic drugs and biosimilars will make medications more accessible. Government investments and initiatives like SUS aim to improve and expand healthcare access. Rapid disease burden growth areas include obesity, diabetes, cancer and hypertension. Overall, Brazil's complex but evolving healthcare system and market represent a major opportunity for both existing players and new entrants.
The National Fraud Authority aims to reduce fraud in the UK through cooperation between government, private industry, and non-profits. Fraud costs the public sector £21.2 billion, private sector £12 billion, and charities £1.3 billion annually. A survey found that charities underestimate their fraud risk, with 63% thinking they are not at risk, though the NFA estimates undetected fraud against charities may be 2.4% of annual income, equivalent to £1.3 billion. The NFA encourages charities to use resources like Action Fraud and the Charity Commission to implement anti-fraud policies and guidance.
Use your data to inspire, motivate and engageCharityComms
The document provides guidance on effectively measuring and communicating an organization's impact through data. It discusses choosing the right data to present to different audiences, accurately using statistics, and telling stories with data to inspire and engage supporters. The session will cover understanding your own research, talking about statistics, identifying robust data, and overcoming barriers to effectively sharing impact.
The Economics of Health Reform: Implications for Health ProfessionalsSage Growth Partners
Context and discussion regarding the problems, implications and solutions to health care reform with a contrarian point twist. Includes discussion of The Patient Protection and Affordable Care Act, economic data, insurance data, H.R. 3590, H.R. 4872, a history of health reform. Finally, the presentation outlines the implications for business, physicians and the health care system.
Ähnlich wie Matthew Holt talk at HIMSS N. Cal (15)
Adhd Medication Shortage Uk - trinexpharmacy.comreignlana06
The UK is currently facing a Adhd Medication Shortage Uk, which has left many patients and their families grappling with uncertainty and frustration. ADHD, or Attention Deficit Hyperactivity Disorder, is a chronic condition that requires consistent medication to manage effectively. This shortage has highlighted the critical role these medications play in the daily lives of those affected by ADHD. Contact : +1 (747) 209 – 3649 E-mail : sales@trinexpharmacy.com
One health condition that is becoming more common day by day is diabetes.
According to research conducted by the National Family Health Survey of India, diabetic cases show a projection which might increase to 10.4% by 2030.
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Osteoporosis - Definition , Evaluation and Management .pdfJim Jacob Roy
Osteoporosis is an increasing cause of morbidity among the elderly.
In this document , a brief outline of osteoporosis is given , including the risk factors of osteoporosis fractures , the indications for testing bone mineral density and the management of osteoporosis
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
Hiranandani Hospital in Powai, Mumbai, is a premier healthcare institution that has been serving the community with exceptional medical care since its establishment. As a part of the renowned Hiranandani Group, the hospital is committed to delivering world-class healthcare services across a wide range of specialties, including kidney transplantation. With its state-of-the-art facilities, advanced medical technology, and a team of highly skilled healthcare professionals, Hiranandani Hospital has earned a reputation as a trusted name in the healthcare industry. The hospital's patient-centric approach, coupled with its focus on innovation and excellence, ensures that patients receive the highest standard of care in a compassionate and supportive environment.
- Video recording of this lecture in English language: https://youtu.be/Pt1nA32sdHQ
- Video recording of this lecture in Arabic language: https://youtu.be/uFdc9F0rlP0
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Cell Therapy Expansion and Challenges in Autoimmune DiseaseHealth Advances
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
4. Guess ONE:
65m uninsured; 19% of GDP
2010 Reality?
&
Guess TWO:
52 million uninsured
$10,000 per capita
47m uninsured; 16% of
…leads to… spending only $8,300
Per capita GDP &
Reform after 2010
Share of GDP 17.3% $8,600 per capita
…leads to…
No Reform after 2010
5. Who do Americans Believe
Can Predict the Future?
50
45
40
35
30
25
20
15
10
5
0
Bi Fa As Ps Po Ou M
bl rm tro yc lls ag
Percentage who ic al er log hi
cs ter ija B ic
Pr 's er s oa 8B
believe op Al s rd all
he m
cy an
ac
Source: Peter D. Hart Research Associates, for the Shell Poll 1998
10. 7000
Dollars spent per capita
6000
Canada
France Us
Average
5000 Germany
spending on
health United Kingdom Them
per capita
United States
4000
($US PPP)
3000
2000
Source: Gerard F.
1000
Anderson, Ph.D.,
and Patricia
Markovich,
Data: OECD Health
Data 2008 (June 0
2008)
Commonwealth 1980 1984 1988 1992 1996 2000 2004
Fund 2008
11. Health spending as share of GDP
16
Average
spending on
14
health Us
per capita
($US PPP)
12 Them
10
Canada
France
8 Germany
Switzerland
United Kingdom
6 United States
Source: Gerard F.
Anderson, Ph.D.,
and Patricia
Markovich,
Data: OECD Health
Data 2008 (June
4
2008) 1980 1984 1988 1992 1996 2000 2004
Commonwealth
Fund 2008
12. I = f(PDI) = f(M5B + MBZ)
Where:
• I is increase in health care costs
• PDI is physicians’ desired
income
• M5B is mortgage payment on a 5
bedroom house with a pool
• MBZ is monthly lease on
a new 300 series Mercedes
13. Rapid Increase in Uninsurance; in the Middle
Working adults in US who were uninsured for at least 3 months in a 2 year period
60%
51% 52% Lowest
48% 50%
48% quintile
41%
44% Second
40% 39%
35% 37%
Third
24% 25%
20% 20% 21% Fourth
18%
8% 10% 10% 11% 11% Highest
4% 5% 6% 6% 5% quintile
0%
1999* 2000 2001 2002 2003
Source: Analysis of the March 1988–2004 Current Population Surveys by
Danielle Ferry, Columbia University, for The Commonwealth Fund
14. And it got much worse (2010)
Adults in Percentage of
families with a those who had
job loss in past insurance
2 years = 47%
= 24% or
Percentage of
43 million those who lost
insurance
= 57% or 9m
Source: The Commonwealth Fund Biennial Health Insurance Survey (2010).
15.
16.
17. But in health care:
the future is like the present,
only longer
18. We do a shitty job with
chronically ill patients
19. Who can’t do chronic care?
Views of the Health Care System from those with chronic illness
Percent AUS CAN FR GER NETH NZ UK US
Only minor changes
needed 22 32 41 21 42 29 38 20
Fundamental
changes needed 57 50 33 51 46 48 48 46
Rebuild completely 20 16 23 26 9 21 12 33
Base: Adults with any chronic condition
Data collection: Harris Interactive, Inc.
Source: 2008 Commonwealth Fund International Health
Policy Survey of Sicker Adults.
20. Disease managed? Maybe not…
% of diabetics who received four key preventative services*
80
67
59
60
43
39 40
40
31
20
0
CAN FR GER NETH UK US
* Hemoglobin A1c checked in past six months; feet examined for sores or irritations in
past year; eye exam for diabetes in past year; and cholesterol checked in past year.
Data collection: Harris Interactive, Inc.
Source: 2008 Commonwealth Fund International Health Policy
Survey of Sicker Adults.
21. Did Not Get a Recommended Test, Treatment
or Follow-up Due to Cost, by Income
50% Below average income Above average income
36%
25%
17% 18%
14% 14%
9% 11%
4% 4% 2%
0%
AUS CAN NZ UK US
2001Commonwealth Fund International Health Policy Survey
Commonwealth Fund/Harvard/Harris Interactive
22. Adults Uninsured for Any Time Had Highest Rates
of Cost-Related Problems Getting Needed Care
Percent of adults ages 19–64 who had any of four access problems*
in past year because of cost
75 2001 2005 2010
63 66
60 59
55
52
50
37 41
29 28 31
25 21
0
Total Insured all year Insured now, time Uninsured now
uninsured in past
year
*Did not fill a prescription; did not see a specialist when needed; skipped recommended medical test, treatment, or follow-up; had a
medical problem but did not visit doctor or clinic.
Source: The Commonwealth Fund Biennial Health Insurance Surveys (2001, 2005, and 2010).
23. We do different things to the same
people in different places
24. Cost & Quality in Healthcare
Health Affairs
April 7, 2004
More spending
≠ better
Ritz-Carlton
outcomes
Quality
Motel 6
Cost
37. IT History Quiz, Part 1
• 1947 Christmas Eve
– Shockley & pals invent the transistor
• 1959
– Noyce (Intel) & Kilby (the other guy from TI) invent the integrated
circuit (separately)
• 1981
– IBM introduces the PC (Bonus Question--Why did they give it
away?)
– Expected to sell 295,000 in first ten years!
• 1986
– Microsoft and Oracle go public
38. IT History Quiz, Part 2
• 1991 & 1993
– WWW & Mosaic Browser
• 1998
– Google founded
• 2004
– Google goes public (Bonus Question--Why didn’t Matthew buy the
stock?)
– Thought it was overvalued at $80 a share!
• 2004
– Facebook (but for students only for 3 years)
• 2007
– Apple releases iPhone
• 2010
– Apple releases iPad
39. The Rise of the CyberChondriacs
2007
160 million adults
84% of those online
Source: Harris Interactive
53. What is “Health 2.0”
Holt’s best guess at the constituent parts
• Personalized search that looks into the long tail, and
cares about the user experience
• Communities that capture the accumulated
knowledge of patients and caregivers – and explain it to
the world
• Intelligent tools for content delivery -- and transactions
• Better integration of data with content
And not just a maybe….
Technologies fusing as patients increasingly guide their
own care
80. Can You and Your Loved Ones Answer These
Questions?
1.On a scale of 1 to 5, where do you fall on this continuum?
1 2 3 4 5
Let me die in my own bed, without any Don't give up on me no matter what, try any proven
medical intervention and unproven intervention possible
2.If there were a choice, would you prefer to die at home, or in a hospital?
3.Could a loved one correctly describe how you’d like to be treated in the
case of a terminal illness?
4.Is there someone you trust that you’ve appointed to advocate on your
behalf when the time is near?
5.Have you completed any of the following: written a living will, appointed
a healthcare power of attorney, or completed an advanced directive?
engagewithgrace.org The One Slide Project