Both Hands on the Wheel – Ministry Health Care & Kohl’s Cares PSA – Video


Both Hands on the Wheel - Ministry Health Care Kohl #39;s Cares PSA
A joint effort of Ministry St. Joseph #39;s Children #39;s Hospital and Kohl #39;s Cares, this TV spot dramatically warns teen drivers about the dangers of distracted driving, specifically texting and...

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Both Hands on the Wheel - Ministry Health Care & Kohl's Cares PSA - Video

WEBINAR: Moving The Industry/Health Care Professional Partnership Forward – Video


WEBINAR: Moving The Industry/Health Care Professional Partnership Forward
September 16th, 12:30 14:00 CET (11:30 13:00 UK) In preparation for the implementation of The EFPIA Code outlining the disclosure of transfers of value to healthcare professionals,...

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WEBINAR: Moving The Industry/Health Care Professional Partnership Forward - Video

As health care digitizes, consumer technologies will have greatest impact, says panel

The health care industry has long been a laggard in adopting technology, but that will soon change as the challenge of aligning doctors, insurance companies and patients is figured out.

Health care has always been 30 years behind adopting technology compared to other industries, said Chris Gordon, managing director at investment firm Bain Capital, during the discussion Wednesday at The Economists Health Care Forum in Boston.

U.S. government efforts to spur the use of electronic health records created an infrastructure for storing patient data. The next challenge, Gordon said, is delivering meaningful results to people, an issue that Apple, Google and other major technology firms can potentially solve as they enter the health care space.

Now that that information is available and can flow, youll see big players come on and well be able to bridge that gap, he said. The building blocks are in place to see that over the next decade.

Disruption is finally coming to health care, said Unity Stokes, president and founder of StartUp Health, a startup accelerator aimed at helping health care startups grow, who noted that entrepreneurs from outside health care are entering the market.

But this upheaval wont follow the traditional path taken by startups looking to shake up a market. Instead of going around incumbent players, health care startups will work with stakeholders like the government and care providers.

In health care, you need to work with stakeholders to navigate the system, Stokes said.

Combining smartphone technology, human genome sequencing and the Internet can have a quantum-leap effect on health care, but only if these disruptive technologies are integrated into existing workflows, said Anita Goel, chairman and CEO of Nanobiosym.

Her company develops portable testing systems to quickly identify diseases such as HIV. Nanobiosym customizes mobile apps to fit with current systems so the technology can get outside the lab and have an impact.

To assuage data security concerns, people need to see how sharing health information can have positive effects on their health, Stokes said. Allowing a doctor access to health information, for example, can lead to the early detection of possible health problems, he said.

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As health care digitizes, consumer technologies will have greatest impact, says panel

Local health care providers save millions for Medicare

Amarillo, TX - A collaboration of area doctors, physicians and nurse practitioners is cutting local Medicare costs by millions.

About two years ago, the Amarillo Legacy Medical Accountable Care Organization (ALMA) formed here in Amarillo to streamline medicare services. Thursday they received results of how their efforts are keeping more patients out of the hospital and in turn, saving taxpayer's money.

ALMA serves 10,876 Medicare patients across the Panhandle.The organization created strategies for 109 local health care providers to work together to prevent illnesses before they cause costly hospitalizations.They did this by improving access to care, coordinating health care between providers and by exchanging health care information.

"This was kind of an experiment of sorts that for the first time competing groups could work together and design programs that would benefit their mutual patients in order to improve quality and save money," explained ALMA CEO and Medical Director Dr. William Biggs.

So far, Dr. Biggs said the collaboration experiment is working. Hospital admissions for Medicare patients in Amarillo are down 23 percent since 2012.

Overall, the actual cost per patient in 2013 compared to the expected cost saved Medicare $461 per patient. That may not seem like a lot, but when you multiply that number by the total amount of Medicare patients they served last year, it adds up to almost $5 million in savings. "We thought we might be able to save about $1 million for the year, so $5 million in our mind is a huge amount of money. It blows away our expectations," said Dr. Biggs.

Medicare does return a portion of the savings to ALMA's group of providers as an incentive to participate. They will use part of that money to improve their efficiency and save even more federal money. "We plan basically to use that to reinvest and expand the program," said Dr. Biggs. "We're going to expand our care management to have more staff that will do that, we're going to extend our health information exchange to include the hospitals and additional medical groups, and we hope to have other medical groups join us in the coming year so that we'll have more doctors included."

So far, Accountable Care Organizations across the nation said they have saved more than $372 million in Medicare services.

To view the full presentation on Amarillo's Accountable Care Organization, click here.

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Local health care providers save millions for Medicare

Ramsay Health Care chief leads the sellers

Ramsay's Christopher Rex. Photo: Rob Homer

Overall director activity declined substantially this week thanks to reduced director selling.

The scorecard registered $6 million to $12 million in favour of sellers, compared with buying of $4 million and sales of $65 million previously.

Ramsay Health Care chief Christopher Rex headed the sellers' list when he peeled off 6 per cent of his stake, collecting $3.7 million.

He also picked up about $543,000 of stock under an incentive plan and he is now sitting on a handy $55 million of stock.

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The estate of the late Paul Ramsay this month raised about $215 million through the sale of shares at $49 a piece.

Elsewhere, Donald McLay, chairman of Credit Corp, continued selling shares.

He has sold about $5 million worth of shares in the debt collection group in the last couple of months.

At last count, his interests held more than $16 million of stock.

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Ramsay Health Care chief leads the sellers

Project Health Care Kit to Flood and Landslide Victims Nepal – Video


Project Health Care Kit to Flood and Landslide Victims Nepal
Death toll from landslide at Mankha VDC in Sindhupalchok district has risen to 157. The District Administration Office Sindhupalchowk today declared those missing as dead as there was no possibilit...

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Project Health Care Kit to Flood and Landslide Victims Nepal - Video

University of Michigan | Mechanical Engineering for Education & Health Care Facilities – Video


University of Michigan | Mechanical Engineering for Education Health Care Facilities
Video transcript of an ASHRAE 90.1 markup session by Mike Anthony, Larry Spielvogel and Karl Watson during September 17, 2014 teleconference. Note that the markup session started during the...

By: Mike Anthony

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University of Michigan | Mechanical Engineering for Education & Health Care Facilities - Video

U.S. Health System Among Least Efficient Before Obamacare

The U.S. health-care system was among the least efficient in the developed world two years before major changes from Obamacare began to go into effect.

Americas health-care system ranked 44th of 51 nations assessed by Bloomberg, in terms of per person spending, life expectancy and health-care cost as a percentage of the economy. Its an improvement from 46th of 48 last year, yet Serbia, Turkey and China still scored better.

Singapore, with the top ranking, spent $2,426 per person and had a life expectancy of 82.1 years in 2012, the most recent year for which data are available. In comparison, the U.S. shoveled cash into health care -- $8,895 per person, per year -- and Americans are expected to live for 78.7 years.

Theres a lack of accountability among Americans, according to policy experts. We keep protecting individuals from the health-care costs that come from the fact that we dont have healthy lifestyles, Cindy Gillespie, a senior managing director at the law and policy firm McKenna Long & Aldridge LLP. We havent accepted that people have an element of personal responsibility around their health.

This year the Patient Protection and Affordable Care Act, or Obamacare, required all Americans to get health coverage. A goal of the law is to cut costs while improving Americans health.

Bloombergs ranking used life expectancy, health care as a percentage of gross domestic product and total expenditures. It assessed 51 countries with populations of at least 5 million, per capita gross domestic product of $5,000, and life expectancies of at least 70 years.

Experts have criticized life expectancy as a sole measure of health, since factors such as income and education level affect a persons health as well. The ranking is meant to employ a simple approach and life expectancy is a reflection of how well a health-care system works.

About 60 percent of Americans get insurance through work, according to the Robert Wood Johnson Foundation -- leaving many with little ability to compare coverage prices on the open market. Even if people wanted to price shop, theres little transparency about what theyre buying, since the cost of services at hospitals a few miles apart can vary by hundreds or thousands of dollars, Gillespie said.

The countries ranked the best all have some type of national health system. Singapore, Hong Kong, Italy and Japan make up the top four.

Singapores health-care spending grew 13 percent from 2011 to $2,426 per person. Spending as a percentage of GDP was constant, 4.5 percent in 2012 from 4.4 percent in 2011.

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U.S. Health System Among Least Efficient Before Obamacare

Offering assists Health Care REIT

Published: Thursday, 9/18/2014

BY JON CHAVEZ BLADE BUSINESS WRITER

Toledos Health Care REIT Inc. said Wednesday that it has successfully completed a public offering of 17,825,000 shares that, after a sale price of $63.75 per share, raised $1.1 billion.

The company plans to use the money to repay its primary unsecured credit loans and possibly invest in more health care and seniors housing properties.

The sale included 2,325,000 shares sold to offerings underwriters. Goldman, Sachs & Co.; RBC Capital Markets, BofA Merrill Lynch, Citigroup, Deutsche Bank Securities, J.P. Morgan, and Morgan Stanley assisted Health Care REIT in the offering.

The Toledo law firm of Shumaker, Loop & Kendrick served as the sole lead counsel in the completion of the public offering.

Along with a common stock offering in May in which the company sold 16.1 million shares and reaped $1 billion, Health Care REIT has completed the two largest individual overnight marketed common stock offerings by any New York Stock Exchange-listed company thus far in 2014 based on total gross proceeds, the real estate investment trust said.

Zacks Equity Research said the public offering will reduce Health Care REITs interest expenses and strengthen its liquidity, allowing it to make more strategic investments and add to its portfolio.

But adding 17.8 million shares will dilute the companys share value, Zacks said. Health Care REIT already had 308.5 million shares outstanding.

In trading Wednesday, the companys stock fell 10 cents to close at $63.74 a share. The announcement was made after the market closed.

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Offering assists Health Care REIT

US health system not properly designed to meet needs of patients nearing end of life, says IOM

PUBLIC RELEASE DATE:

17-Sep-2014

Contact: Jennifer Walsh news@nas.edu 202-334-2138 National Academy of Sciences

WASHINGTON -- The U.S. health care system is not properly designed to meet the needs of patients nearing the end of life and those of their families, and major changes to the system are necessary, says a new report from the Institute of Medicine. The 21-member committee that wrote the report envisioned an approach to end-of-life care that integrates traditional medical care and social services and that is high-quality, affordable, and sustainable. The committee called for more "advance care planning" for end-of-life by individuals, for improved training and credentialing for clinicians, and for federal and state governments and private sectors to provide incentives to patients and clinicians to discuss issues, values, preferences, and appropriate services and care.

"Patients can, and should, take control of the quality of their life through their entire life, choosing how they live and how they die, and doctors should help initiate discussions with their patients about such decisions," said Philip Pizzo, co-chair of the committee and David and Susan Heckerman Professor of Pediatrics and Microbiology and Immunology and former dean of medicine at Stanford University. "For most people, death does not come suddenly. Instead, dying is a result of one or more diseases that must be managed carefully and compassionately over weeks, months, or even years, through many ups and downs. It is important that the health care options available to individuals facing the end of life help relieve pain and discomfort, maximize the individual's ability to function, alleviate depression and anxiety, and ease the burdens of loved ones in a manner consistent with individual preferences and choices."

Americans express strong views about the care they want to receive when they are seriously ill and approaching death. In general, they prefer to die at home and want to remain in charge of decisions about their care. However, the vast majority of Americans have not engaged in an end-of-life discussion with their health care provider or family. A 2013 national survey of adult Americans found that while 90 percent believe having family conversations about end-of-life wishes is important, fewer than 30 percent have done so.

The committee proposed a model for "advance care planning," which encompasses the whole process of discussing end-of-life care, clarifying related values and goals, and seeing that written documents and medical orders embody patients' preferences. The committee's model suggests that an initial conversation about values and life goals is held around certain mature milestones, such as obtaining a driver's license, turning 18, leaving home, or getting married. Additional situation-specific planning should occur for those in high-risk occupations; at onset of chronic illness; when applying for Medicare; when health worsens; and in the final year of expected life, when that seems to be known. These conversations can be guided by physicians, social workers, or other professionals, but should include family and loved ones. The conversations should address the patient's preferences, including possibly identifying a health care agent for the individual if they are not in a position to effectively represent their own interests.

In addition, clinicians should initiate high-quality conversations about advance care planning, and integrate them into the ongoing care plans of patients, the report says. However, too few clinicians are proficient in basic palliative care, and often clinicians are reluctant to have honest and direct conversations with patients and families about end-of-life issues. The committee called for improved training and certification -- specifically regarding communication skills, interprofessional collaboration, and symptom management -- for all clinicians who care for individuals with serious illness so they can provide quality end-of-life care consistent with patients' values and preferences. In addition, federal and state government and private sector payers should provide incentives to patients and clinicians to discuss end-of-life matters, document patient preferences, and provide appropriate services and care.

"Individuals should have time with their doctors to talk about end-of-life issues, and clinicians should receive the training and financial incentives for such discussions," said Dave Walker, co-chair of the committee and former U.S. comptroller general. "The U.S. health system is geared toward providing curative care aimed at curing disease, rather than providing the supportive and comfort care most people prefer at the end of life. Without adequate advance care planning, the default decision is for clinicians to treat a disease or condition, no matter the prognosis. This is far from a patient-centered, family-oriented approach that honors the preferences for care for those near the end of life in an affordable and sustainable manner."

"This is one of the most comprehensive and up-to-date studies that has been performed on end-of-life care for people of all ages who are approaching death," said Victor Dzau, president of the Institute of Medicine. "Health care delivery for people nearing the end of life has changed remarkably since IOM published its 1997 report Approaching Death: Improving Care at the End of Life. Since that report, the number of palliative care teams within hospital settings has increased, and palliative care is well-established in the professions of medicine, nursing, and social work. The time is now for our nation to develop a modernized end-of-life care system as envisioned by this report."

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US health system not properly designed to meet needs of patients nearing end of life, says IOM