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Hawler Medical University Student -HMU/Medicine – stage one Trip to shaqlawa just Boys :D – Video

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Hawler Medical University Student -HMU/Medicine - stage one Trip to shaqlawa just Boys 😀
With lovely friend of college of medicine hawler. Stage one(Just boys) .. La roje jle kurdi 10/3/2015 rojeke zor xosh bw lahaaman kattda examy 3amaly biophysicsman habu wa pash exam bar kawtin...

By: Aram Karwan

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Hawler Medical University Student -HMU/Medicine - stage one Trip to shaqlawa just Boys 😀 - Video

Publication of sleep medicine quality measures promotes value-based care

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AASM initiative will help sleep specialists provide high quality, patient-centered care

DARIEN, IL - Today the American Academy of Sleep Medicine (AASM) published new quality measures for five common sleep disorders, which represents a landmark achievement in the promotion of high quality, patient-centered care in the medical subspecialty of sleep medicine.

The summary paper, "Measurement of Quality to Improve Care in Sleep Medicine," is published in the March issue of the Journal of Clinical Sleep Medicine along with five workgroup papers presenting outcome and process measures to aid in evaluating the quality of care of restless legs syndrome, insomnia, narcolepsy, obstructive sleep apnea in adults, and obstructive sleep apnea in children. Each paper describes the methods of development, explains the quality measures in detail and suggests potential implementation strategies.

"The Affordable Care Act is accelerating the U.S. health care system's transition away from a volume-based, fee-for-service payment model by promoting the implementation of alternative payment models that reward physicians for the quality of care provided to their patients," said AASM President Dr. Timothy Morgenthaler. "Implementation of the AASM quality measures will be an essential step to move sleep health care forward in this new era of value-based care."

Morgenthaler added that chronic sleep diseases such as obstructive sleep apnea increase the risk of other costly health complications such as hypertension, heart disease, Type 2 diabetes, stroke and depression. Therefore, sleep specialists are uniquely positioned to demonstrate the wide-reaching value of their care.

"The effective treatment of sleep apnea and other sleep diseases is critical to the success of our nation's attempts to reduce health care spending and improve chronic disease management," Morgenthaler said.

The AASM chartered five workgroups of sleep specialists in June 2013 to develop quality measures for assessment and management of common sleep disorders. For each workgroup, a literature review was performed to identify published evidence regarding the measurement of quality, care processes, or validated outcome tools. The AASM requested review of the draft measures and feedback from a variety of stakeholders including sleep specialists, primary care providers, other medical specialists, professional organizations, and patient advocacy groups.

As a result of his extensive experience championing quality improvement for Mayo Clinic, Morgenthaler was selected as chairman of the quality measures task force. In this role, he spearheaded development of the overall measurement strategy, led the education of workgroup members and presented measures to the AASM board of directors.

The final quality measures were reviewed and approved by the AASM board of directors. The AASM recommends the use of these measures as part of a quality improvement program that will enhance the ability to improve the quality of care for patients with sleep disorders.

Promoting high quality care in sleep medicine has always been a focus of the AASM, which accredited the first sleep center in 1977 and began developing evidence-based practice standards about 25 years ago. Today more than 2,500 AASM accredited sleep disorders across the U.S. are providing exceptional care for people who suffer from a chronic sleep disease.

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Publication of sleep medicine quality measures promotes value-based care

The Human Toll of Russian Roulette Medicine

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With all the changes in medicine, we sometimes forget the human toll of todays healthcare system. The lack of coordination and communication endemic steals peoples quality of life, not to mention money from their pocketbook. In the past, Ive written about the physician-entrepreneurs who are reinventing healthcare delivery. In particular, they are addressing the Hot Spotters that consume the majority of our healthcare dollars.

One of the physicians mentioned in the original New Yorker Hot Spotters article is Rushika Fernandopulle. His organization, Iora Health, is the living embodiment of the old adage an ounce of prevention is worth a pound of cure in the way they have reinvented primary care.

The payoff has been significant for their patients. The individual described in the story (Maria) was costing her Union Trust dearly. A key reason the union teamed up with Iora was saving money meant they could cover more people and actually give them raises since there is a direct tradeoff between wages and benefits. The union has looked in the eye of thehealthcare cost beastand vanquished it.

Rushika described his patient as playing Russian Roulette with the uncoordinated care she was receiving in his account below. He also highlighted how old approaches fell short. One of the impressive things about Iora Health is they have such a cost effective model, its being offered on a private-pay basis to immigrants not addressed by the Affordable Care Act. Clearly, if its affordable for a low-income immigrant, this is a model that can scale anywhere. [See Nobel Prize Winner Sets Sights on Fixing U.S. Healthcarefor more.]

Rushika Fernandopulle, MD: A few months ago I had the pleasure of caring for Maria, a 68 year old woman from Central America who still worked as a room attendant in a Las Vegas casino. She came to us directly from the hospital, where she had been admitted a week earlier for a fainting episode. She was lethargic and glassy eyed, disheveled and was pushed in a wheelchair by one of her daughters. She was on 27 different medicines prescribed by 11 different doctors, who obviously never communicated with each other. She was, for instance, on 7 different anti-hypertensive drugs, including 2 different doses of the same one, lisinopril.

I asked her daughter how on earth she was able to give her mother so many medicines- and she sheepishly admitted- Well doctor, I actually didnt give her all of them because I thought it was too many. She was right- that many meds would kill a horse.

So what did you do? I asked.

I let God decide, she replied. Each day Id say a prayer, and then reach into the bag and pull out 5 medicines. So on a day when she got one diabetes med, one anti-seizure med, and one or two anti hypertensive meds, her mom did fine, but on the day God wasnt paying attention and she pulled out 4 or 5 blood pressure pills- bam- fainting spell and to the hospital.

It took us about 2 hours that day to get old records, make a number of calls, and figure out what was really going on. I literally threw away 20 of her 27 medicines, told her to stop seeing 10 of the 11 doctors she was going to, and had our health coach spend another hour with the family explaining their conditions and what was needed to be done. We worked over the next few months on titrating her diabetes and blood pressure medicines, and got her on a healthier diet. I saw her last week- she walked in with a new hairstyle and makeup and had a twinkle in her eye. Her blood pressure and sugar were fine, and she felt great.

This story may be a bit extreme, but the basic outline is all too familiar. Patients too often are led to think the way to get good quality health care is to see a number of specialists for each organ system- a cardiologist to manage their hypertension, a pulmonologist to manage their asthma, a GI doc for their reflux, and so on. Unfortunately, as in this case, these docs usually only communicate by sending letters to a primary care doc who is often the most out of the loop, and so you end up with awful outcomes like Maria.

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The Human Toll of Russian Roulette Medicine

Medicine Hat Mayor Ted Clugston Banned From Driving For One Year

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MEDICINE HAT, Alta. - The mayor of a city in southeastern Alberta has been banned from driving for one year after pleading guilty to impaired driving.

Ted Clugston entered his plea today in Medicine Hat provincial court.

He was also fined $1,000.

Court heard police observed a vehicle drifting between lanes and said Clugston exhibited signs of impairment, such as glossy eyes, a red face, and slow speech after he was pulled over on Feb. 13.

Earlier this week, Clugston's lawyer entered a not guilty plea in court, but a few hours later, the mayor sent out a statement saying he changed his mind against the advice of his lawyer.

Clugston apologized in his statement, saying he "exercised very poor judgment'' and had to take responsibility for his actions.

The mayor also said his lawyer told him he had a good chance of being acquitted, but Clugston said he wanted to save his family and city from the humiliation of a trial.

"I will take time to reflect and learn from this in the coming months and years. Hopefully some good can come of this. Since this incident occurred I have continued to work and attend all public events and functions where possible and I intend to continue to do so."

(CJCY, The Canadian Press)

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Medicine Hat Mayor Ted Clugston Banned From Driving For One Year

Demystifying Medicine 2015 – Malaria: Bioengineering and the Global Epidemic of a Killer – Video

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Demystifying Medicine 2015 - Malaria: Bioengineering and the Global Epidemic of a Killer
Demystifying Medicine 2015 - Malaria: Bioengineering and the Global Epidemic of a Killer Air date: Tuesday, March 03, 2015, 4:00:00 PM Category: Demystifying Medicine Runtime: 01:59:55 ...

By: nihvcast

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Demystifying Medicine 2015 - Malaria: Bioengineering and the Global Epidemic of a Killer - Video

SECOND OPINION | Myth or Medicine | Puzzles and Alzheimer’s | BCBS – Video

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SECOND OPINION | Myth or Medicine | Puzzles and Alzheimer #39;s | BCBS
Alzheimer #39;s disease is a form of dementia that over time causes problems with memory, thinking and behavior. And although it is incurable, we often hear tips and advice on how to prevent...

By: Second Opinion

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SECOND OPINION | Myth or Medicine | Puzzles and Alzheimer's | BCBS - Video


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