zilongwang/ReadingBank huggingface dataset:
Teams) told us, “I have learned from various health team experiences that the most important thing is being able to give to other people. To not just focus on me as the person with the illness but on my relationships with others.” DC told us, “I was always the caregiver in my family but the team helped me to let others help and support me.” BT said, “I learned that I could be more playful and curious about my health issues. When I develop a new symptom I am now more curious and do not feel that I have to accept old definitions, such as a new pain is a bad sign.” Positively Impacting On How Health Team Members Perform Their Health Uniformly, participants in the Health Teams said the experience had a positive impact on how they perform their own health. SF (a Health Team member for three years) said, “We have formed a health team in my household that supports us to work with our doctors in new ways. It helps us to prepare questions when we go for a visit. It helps me to do my health as an ongoing activity, not as just a one-time effort.” HP said, “I am more inclined to talk about my health issues with my partner and we work as a team.” Team member JH said, “I am more grounded in my own health issues. They are not so dramatic and I am less victimized by my health problems.” MW discovered that being on a health team opened up new ways of doing health. He told us, “Guys don’t like to ask for help.” Transforming The Relationship Between Patient And Provider We found that as the teams begin to work as an ensemble and participate in the totality of the patient’s health activity, the interface between patient and provider became a prominent part of the conversations. The following are some comments from Health Team members about how their relationship with providers has changed in this process.
Green Lanes N4 2NU Tel: 020 7683 4753 9:30 – 11:00am Fountayne Road Health Centre 1a Fountayne Road, N16 7EA Tel: 020 7683 4800/4831 1:30pm – 3:30pm St. Leonard's Health Centre Nuttall Street, N1 5LZ Tel: 020 7683 4151 *Updated February 2018 In addition to the above drop-in clinics, there are appointment clinics at local GP surgeries. You will also receive appointments for your baby’s health and development reviews. Please ask your health visitor for more information.
Internal Assessment Resource Achievement standard: 91237 Standard title: Take action to enhance an aspect of people’s well-being within the school or wider community Credits: 5 Resource title: Let’s get moving Resource reference: Health 2.3C Student instructions Introduction This assessment activity requires you to take action to promote an aspect of people’s in your local community by planning, implementing, and evaluating a plan for health promotion focused on providing opportunities for young people in your community to participate in physical activity. You are going to be assessed on how you take comprehensive action to enhance an aspect of well-being for young people in your community. You are required to develop a plan that is detailed and includes actions that are critical for addressing the well-being issue, and explanations of these, along with critically evaluating the outcomes for individual and community well-being. The following instructions provide you with a way to structure your work to demonstrate what you have learnt and achieve success in this standard. Teacher note: It is expected that the teacher will read the student instructions and modify them if necessary to suit their students. Task Working in a small group, plan and use health promotion strategies to take positive action to bring about health-enhancing change in relation to an identified issue related to people’s participation in physical activity in your community. You will need to document individually the planning, implementation and evaluation of your health promoting action. Identify the issue To find out the specific well-being needs of people in your community, you will first need to find information that tells you the nature of the issues related to participation in sport and recreation activities that exist. This will help you to decide on a SMART goal, as well as the specific actions that you will take to achieve your goal. There are two options for this: use the information from Resource A (Sport NZ survey findings) develop and carry out a survey for a group of young people in your community (see Resource B for guidance). being
Code Green – Evacuation The same method for evacuation is used regardless of the cause (fire, flood, gas leak etc.). If there is a need to evacuate, “Code Green” (including location) will be paged through the desk sets and handheld phones. Staff nurses in affected areas will direct the evacuation The ‘Team and Chain System’ will be used: Staff line up singly or in pairs from the area of danger out to an area of safety First staff/pair go into the room and check room, evacuate resident, place red tag on door and walk resident down to next pair of staff (i.e. resident is removed to an area of safety) Second pair of staff receive resident and walk them down to next pair First pair go to next room Process continues until all residents in affected area are moved to safety Priority order of evacuation: Residents in immediate danger Residents/ visitors who can walk on their own Residents who can move on their own but need some assistance Residents unable to move on their own 4. “Code Green – All Clear” will be paged three (3) times through the desk sets and handheld phones. Volunteer Responsibilities: Report to the nearest nursing station – follow directions of the staff nurse. Code Yellow – Missing Resident Some residents in continuing care may be in danger of ‘eloping’ from the building. Good communication and quick action are essential if a resident is missing. If a resident is missing, “Code Yellow (resident name, home unit)” will be paged three (3) times through the desk sets and handheld phones. All staff will immediately begin searching all areas of the building Two (2) staff will search grounds and two staff will search a four (4) block radius by car Police non- emergency will be notified, as well as family/responsible person “Code Yellow – All Clear” will be paged three (3) times once the resident is found Volunteer Responsibilities: Check your work area and report to staff immediately if you discover the resident. Health and Safety for Volunteers
ARTICULATION AGREEMENT Between Massachusetts Community Colleges And Massachusetts Chapter 74-Approved Secondary Career/Vocational Technical Health Assisting Programs Effective Date: November 13, 2014 for more information, click (Licenses and Certifications/Specialty Programs) Certified Nursing Assistant 80 Hours www.bostonredcross.org/general Home Health Aid 50 Hours www.mahomecareaides.com Patient Care Technician 50 Hours www.nhaow.com Activity Assistant – Certified AAC 180 Hours www.nccap.org/certification/levels/aac EKG Technician 75 Hours www.nhaow.com Pharmacy Technician 100 Hours www.nationaltechexam.org www.mass.gov/Eeohhs2 Emergency Medical Technician 140 Hours www.mass.gov Alzheimer’s Care Provider 12 Hours www.alz.org/MA Medication Administration Program 30 Hours www.medicationadministration.com Direct Care Specialist 75 Hours
Table S2. Description of estimated exposure and burden linked to transportation patterns in 2008 and 2031 for the greater Montreal 2008 2031 Percentage of variation Population 3,283,015 4,155,891 +27 Number of trips (total, per capita) by Driving Walking to public transit Walking Cycling Other Total 4,041,556(1.23) 1,319,123 (0.40) 733,145 (0.22) 137,452 (0.04) 384,024 (0.12) 6,615,300 (2.02) 5,286,602(1.27) 1,561,900 (0.38) 834,649 (0.20) 165,183 (0.04) 540,403 (0.13) 8,388,737 (2.02) +31 (3) +18 (-6) +14 (-10) +20 (-5) +41 (11) +27 (0) Km per day by a Cars and light trucks 41,713,387 57,809,509 +39 Pedestrians: Walking to public transit Walk to destination 1,109,238 638,654 1,325,345 733,046 +19 +15 Cyclists 477,765 566,443 +19 Minutes per week spent in active transportation (mean, Q1 Q3) 52 (0-85) 48 (0-83) -7 NO2 concentration in ppb (mean, Q1-Q3) 6.16 (5.19-6.79) 3.98 (3.94-4.00) -35 DALYs (total, per 100,000 person) 14,972 (456) 17,281(416) +15 (-9) Burden
Table S5. Description of point estimates and exposure-response relationships used Exposure Health outcomes Shape of the relationship (exponent of the dose response)# Point estimate* Population Reference Air pollution (µg/m3 of NO2) Cardiovascular deaths Linear 1.008 Men and women (18 years old and over) Chen et al. 2013 Incidence of asthma Linear 1.004 Men and women (0-13 years old) Tetreault et al. 2016 Physical activity (Mets) Cardiovascular diseases Curvy-linear (0.25) 0,9863 Men and women (18 years old and over) Sattelmair et al. 2011 Incidence of type II diabetes Curvy-linear (0.25) 0,9815 Men and women (18 years old and over) Jeon et al. 2007 Breast Cancer Curvy-linear (0.25) 0,9992 Women (18 years old and over) Wu et al. 2013 Colon Cancer Curvy-linear (0.25) 0,9905 Men and women (18 years old and over) Wollin et al. 2009 Traffic (Vehicle km Fatally and severely Injured cyclists (per year) Linear Ln VKT2: 0.0157 Ln CKT3: 0.9065 Men and women (all age groups) This study Fatally and severely Injured motor vehicle occupants Linear Ln VKT2: 0.6733 Men and women (all age groups) This study
PID worker: It depends. If you fill in an app, you will see a doctor as soon as possible. Man: Thanks for your help. PID worker: No problem, mate. Read the conversation and answer the questions. Tick () the answers. What’s wrong with the man? He’s got toothache He’s depressed. He has a headache and sore throat. How can the man get an appointment with a doctor? Fill in a form called an app. Ring the doctor. When can the man see a doctor? Tomorrow. They don’t know. Grammar: have got / has got He’s got a headache and a sore throat. Write the words into the table. they’ve I’ve he’s we’ve she’s you’ve I have = I’ve got a headache. you have = got a sore throat. he has = got - earache.
she has = got - asthma. we have = got a cough. they have = got a nosebleed. Grammar: word order got / a / headache / have / I I have got a headache. He / asthma / got / has _________________________ nosebleed / got / I / ‘ve / a _________________________ You / a / cough / ‘ve / got _________________________ Task 3 – Saying how you feel What’s he saying to the doctor?
a the nurse b on the 1's landing on each wing 1.3 1a 2a 3b 1.4 T F F T F F T 1.5 1d 2a 3b 4c Task 2 – speaking about health 1.1 1 low 2 urgently 3 unwell 4 injury 1.2 1. no 2. a check-up 3. the well man clinic 4. fill in an application (app) 5. once a year/every year Task 3 – filling in apps 1.1 Full name: he forgot his surname
PLANNING AND ORGANISATIONAL SKILLS Prioritises attention to patients. Organise own tasks for day from instructions. PHYSICAL SKILLS: Ability to move and handle patients and equipment safely and appropriately following the patient Moving and Handling assessment carried out by trained staff. RESPONSIBILITY FOR PATIENT /CLIENT CARE Carry out assigned tasks in delivering and supporting direct patient care under the direction of a registered nurse to ensure delivery of a high quality of patient care. Provide routine personal care i.e. washing, toileting, transferring and feeding patients. Maintaining fluid balance, dealing with bodily fluids. Maintain good relationships and an caring approach to clients' carers and relatives and refer them to a trained nurse for any questions they may have on the clients' condition or for any suggestions or complaints that they wish to raise. Report observed changes in the clients' physical/psychological needs and participate in maintaining accurate and up-to-date records to ensure effective communication. Record patient observation eg. fluid balance, urinalysis. Chaperone, support and reassure patients undergoing examination. Assist with occupational and diversional therapy. Assist in the transfer of patients between wards and other clinical areas. Assist trained staff in the admission and discharge of patients e.g. weighing, introduction to ward environment. Collect urine, faecal, sputum and vomit specimens. COMMUNICATION AND RELATIONSHIP SKILLS; Co-operate with and maintain good relationships with other disciplines that are attending and treating clients to maximise patient care. Giving and receiving routine information in relation to patient care, to patients, other staff, relatives, and members of multidisciplinary teams in both verbal and written format. Convey patient information to inform colleagues. Answer telephone, take record and convey messages. Use tact, reassurance, and sensitivity when necessary to overcome barriers to understanding. RESPONSIBILITY FOR POLICIES/SERVICE DEVELOPMENT Work within Health Board and ward policies and procedures to ensure maintenance of safe working practices for patients and colleagues.
At all times behave in a manner that reflects the company's equal opportunities statement and maintains the reputation of the organisation. To maintain strict confidentiality of service users' circumstances. Staff members will not discuss other staff or service users with their service users. A breach of this could lead to disciplinary action. To maintain necessary records as required. To receive regular supervision, attend team meetings and undertake training as required. Undertake any other reasonable task as directed by the Registered Manager. This list of duties is not exhaustive and may be subject to changes in line with business needs, in which case we would consult with you first. I confirm that I have read and understood the above job description and that I have received a copy for my own reference. Signed: Name: Date:
‘love your SSKIN’ bundle of preventative care identifies five key strategies for pressure injury prevention: Surface Skin inspection Keep moving Incontinence Nutrition. Using the same tracer methodology as auditors use, facilities can assess their own care, treatment and services for a resident with a pressure injury. So, for example, when tracing the care of a resident with a pressure injury or at risk of a pressure injury, a facility might refer to the SSKIN bundle of preventative care to consider: how appropriate the support Surfaces used were, when caring for the resident in bed or in a chair whether there is evidence that the resident’s Skin was inspected what actions were taken to Keep the resident moving, including changing their position how Incontinence was managed, including by keeping the resident clean and dry what the resident’s Nutritional requirements were, especially if they had a wound. The interRAI assessment data on residents with pressure injuries or at risk of pressure injuries is useful to guide quality improvement initiatives and for tracking your facility’s progress over time. The interRAI education team runs regular workshops for facility managers and clinical leads that cover how to monitor residents at risk of pressure injury as well as the other areas of risk regarding clinical and functional status that can be triggered from interRAI assessment of long-term care facilities. To book a place on interRAI managers’ training in your area, please email: . ACC is encouraging clinicians, including nurses, to complete ACC 45 and ACC 2152 (treatment injury claim forms) for aged care residents with all grades of pressure injuries except grade 1. You need to follow international guidelines to classify pressure injuries: see pages 12–13 of Prevention and Treatment of Pressure Ulcers: Clinical Practice Guideline (www.nzwcs.org.nz/pressure-injuries-ulcers/2014-pressure-ulcers-clinical-practice-guideline). Everyone involved in providing care – including the cook, the health care assistant, the owner and the board member, to name a few – needs to understand what their role is in preventing pressure injuries. Working together we can prevent these injuries.
Notification of reconfiguring services or building a new hospital 1. Premises Legal entity name Premises name 2. Proposal description Please tick the box or boxes that best describes your proposal. Increase in patient client capacity the transfer current clinical services a new build Please describe the proposal. 3. Services and bed numbers Please provide details of services and bed numbers in the table below. Service type Existing bed numbers Proposed changes to bed numbers Proposed final bed numbers Hospital Services – Medical services Hospital Services - Child Health Hospital Services – Mental Health Hospital services – Maternity Hospital Services – Surgical Residential Disability Services – Physical Residential Disability Services – Sensory Residential Disability Services – Intellectual Residential Disability Services – Psychiatric Hospital/rest home (dual service) Hospital services – Geriatric (excluding psychogeriatric) Hospital services – Geriatric (psychogeriatric) Secure Dementia care Rest home care (excluding secure dementia care) Total bed numbers 4. Contact Person to do with changes
SFSP - Health Department Notification Letter Instructions: The sponsor is required to notify the local health department of: The planned summer meal service sites before site operations begin. New sites, closed sites, and meal service changes (dates, days, times, meals) as they occur throughout the summer. The sponsor is required to submit a copy of the initial health department notification letter with the Sponsor Application Packet. Example of a completed notification letter: June 1, 2017 Any County Health Department 1234 Main Street Anytown, WA 98000 RE: Summer Food Service Program Anytown Parks & Recreation would like to inform you of our intention to sponsor the Summer Food Service Program (SFSP). The program is administered in Washington State by the Office of Superintendent of Public Instruction (OSPI), Child Nutrition Services. The SFSP regulations require us to notify the local health department of our intention to operate a summer meal site, with the following information. Meal service will be at the following sites: Site Name Address Dates of Operation Days of Operation Meal Service Type(s) and Time(s) Site Supervisor’s Name Phone # Anytown Park 4320 College Street June 26 – Sept 1 Monday - Friday Breakfast 10:00-10:30 Lunch 2:00 – 3:00 Sunny Smith 123.456.7890 Skate Park 9874 Main Street June 26 – Sept 1 Mon, Wed, Fri Lunch 12:00-1:00 Snack 3:30-4:00 Sunny Smith 123.456.7890 Meals for the above site(s) are prepared at the following facility: Food Preparation Center Delivery Times Anytown School District 5682 School Lane (Central kitchen address) Daily, 30 minutes before meal service Snack will be delivered at same time as lunch Please feel free to visit the above locations any time during the SFSP operation. We will notify you if there are any changes to the site information. Sincerely, Sunny Smith Anytown Parks & Recreation 4321 College Street Anytown, WA, 98000
First Name: Middle: Last Name: Nick Name: Address: City: State: Birthdate: Driver’s License #: Male: Female: Employer: School: Email (for recall reminders twice a year) Home Phone: Cell Phone: Okay to send text? (for making appointments, etc.) Work Phone: Spouse/Partner First Name: Spouse/Partner Last Name: Emergency Contact: Emergency. Contact Phone: Do you have metal in your body or a mitral valve prolapse or any other reason you need antibiotics before dental work? Please explain? If you are currently pregnant, what is your due date? MEDICATION or Latex Allergies (Please List): Primary Doctor Info: Name: Address or General Location: Phone: Pharmacy Info: Pharmacy Name: Address or General Location: Phone: Dental Insurance Policyholder Information: (If you have an insurance card, you don't need to fill out this section. We will make a copy.) Insurance Company: Subscriber ID/SSN: Policyholder's 1st Name: Policyholder's Middle: Policyholder's Last Name: Policyholder's Birth date: Policyholder's Employer: Group Plan ID: Dr. Larry Nelson, DDS Family Dentistry 215 10th Street, Suite 210 * Des Moines, IA 50309 515-288-0433 * Fax: 515-288-0643 e-mail: info@drlarrynelson.com office cell for emergencies: 515-468-0199 2nd Dental Insurance Policyholder Info: Insurance Company: Subscriber ID/SSN: Policyholder's 1st Name: Policyholder's Middle: Policyholder's Last Name: Policyholder's Birth date: Policyholder's Employer: Group Plan ID: Prescription Medications: Non-prescription Medications:
Season Summer Autumn Winter Spring Health area Healthy Eating Social and Emotional Smokefree Physical Activity Step 3 Decide on two “Healthy People Strategies” for each season. Healthy People Strategies focus on encouraging and supporting staff to adopt healthy lifestyles (e.g. organising health related talks or information sessions). Season Summer Autumn Winter Spring Health area Healthy Eating Social and Emotional Smokefree Physical Activity People strategy 1 Put up healthy eating posters around the workplace. Promote telephone support services throughout the workplace. Provide information about quit smoking support services. Promote the use of stairs instead of the lifts. People strategy 2 Host a seminar with a qualified nutritionist. Encourage employees to join local recreation and community clubs and activities. Subsidise nicotine replacement therapy for employees and family members. Hold a walking challenge. Step 4 Decide on one “Healthy Place Strategy” for each season. Healthy Place Strategies aim to create a workplace environment that supports healthy lifestyle behaviours (e.g. changing vending machines to stock healthier options). Season Summer Autumn Winter Spring Health area Healthy Eating Social and Emotional Smokefree Physical Activity
Contact: Bryan Schaaf Certified Angus Beef LLC 330-345-0307 The Certified Angus Beef ® brand named among healthiest employers Premium beef company lauded for employee health CHICAGO – Oct. 18, 2017 – More and more, people are discovering the robust list of health benefits consuming beef provides to a balanced diet. According to one of the nation’s top health and wellness analytics companies, not only is the beef healthy, but also the people behind the world’s first and most successful brand of beef. The Certified Angus Beef ® brand, which is fast approaching its 40th anniversary later this month, was honored by Springbuk recently on its list of the Healthiest 100 Employers in America, an award given at the FitBit Captivate conference. The beef company was ranked 91st in the country, which places it in the top 1 percent of all companies in terms of employee health. The award is aimed at recognizing companies that proactively shape the health of employees, influencing both the health of the workplace and the bottom line. Healthiest Employers works with more than 5,000 companies and 60 percent of the Fortune 500. Award applicants were evaluated across six key categories: Culture and Leadership, Foundational Components, Strategic Planning, Communication and Marketing, Programming and Interventions, and Reporting and Analysis. Completed assessments were ranked with the proprietary Healthiest Employer Index, a 1-100 metric for wellness programming. For more than a decade, wellness professionals of the Certified Angus Beef ® brand have diligently tracked health metrics of their staff and now have years of aggregate data showcasing the substantial improvements in overall employee health. “We have seen dramatic improvement in multiple areas measured through the yearly Health Assessments,” says Pam Cottrell, director of human resources for the brand. “Ninety percent of our employees passed four out of six cardio metabolic numbers (a combination of risk factors that increase the risk of heart disease, diabetes and stroke) compared to the national average of 65 percent.” -more-
Approaches and Technologies At the conclusion of this presentation fellows will be able to: Identify best practices in: 1. improving the quality and timeliness of data collection at the local level 2. Managing health information and data in health facilities 3. Reporting for use in evidence-based decision making 10:30 - 10:45 pm Break 10:45 - 12:00 pm Introduction to the Case Study: Karibuni Clinic: Group Assignments Learning Objective: Practical problem – solving in data collection, management and reporting Fuller 12:00 - 1:30 pm Lunch Break 1:30 - 3:15 pm Karibuni Clinic Case – Analysis and Problem Solving: Develop answers to assigned questions for presentation to class. Team Work 3.15 - 3.30 pm Break 3.30 – 5:00 pm Karibuni Clinic Case – Analysis and Problem Solving Team Work and Presentations
Day 3 Time Title Presenter(s) 9:00 - am Karibuni Clinic Case --- Lessons Learned All Reducing Data Redundancy: Collect Data Once/Use Many Times for Evidence-Based Practice: Review Fuller (Lead discussion) 10:30 - 10:45 am Break 10:45 - 12:00 pm Disease Surveillance Systems: Concepts and Strategies Fuller 12:00 - 1:30 pm Lunch Break 1:30 – 2:30 pm Explore surveillance tools and technologies (EpiSurveyor (MAGPI), EPIINFO, others) Demos – Nganga, Fuller 2:30- 3:00 pm Travel to Kenyatta National Hospital: Understanding data collection and reporting in clinical settings Class will be broken into small groups and each group will be assigned questions to investigate and report on. 3:00 – 5:00 pm Understanding Data Collection and Reporting in Clinical Setting Site visit -- Leader: Nganga Day 4
Time Title Presenter 9:00 - 10:30 am Site Visit Findings Discussion: Group Reports Lessons Learned Class Discussion 10:30 - 10:45 am Break 10:45 - 12:00 am Ehealth and Mhealth Technologies; Best Practices At the conclusion of this presentation fellows will be able to: Define e-health and mHealth Give 3 examples of mobile technologies applications that are being used to improve healthcare Identify barriers to e-health implementation and approaches to overcoming them. Fuller 12:00 - 1:30 pm Lunch Break 1:30 - 3:15 am Distance Teaching and Learning Resources and Technologies: Best Practices (MEPI example, Skype, Moodle, Wikis, Google docs) Nganga and Fuller 3:15 - 3:30 pm Break 3:30 – 5:00 pm Online Work -- Explore and Utilize Distance Learning Technologies: Complete Assignment Group Work
FAILURE OF THE BIDDER/RESPONDENT TO SUBMIT THE REQUIRED INFORMATION IS CAUSE FOR AUTOMATIC REJECTION CHECK ONE: I certify that the list below contains the names and home addresses of all stockholders holding 10% or more of the issued and outstanding stock of the undersigned. I certify that no one stockholder owns 10% or more of the issued and outstanding stock of the undersigned. Legal Name of Respondent’s Business_______________________________________________________ Check which business entity applies: Partnership Corporation Sole Proprietorship Limited Partnership Limited Liability Partnership Limited Liability Corporation Subchapter S Corporation Other __ Complete if the bidder/respondent is one of the 3 types of Corporations: Date Incorporated: Where Incorporated: __ Business Address: Street Address City State Zip Telephone # Fax # Email Listed below are the names and addresses of all stockholders, partners or individuals who own 10% or more of its stock of any classes, or who own 10% or greater interest therein. Name Home Address Name Home Address Continue on Additional Sheets if Necessary: Yes No Signature: Date: Printed Name and Title: SOMERSET COUNTY LIBRARY SYSTEM NON-COLLUSION AFFIDAVIT State of _____________ County of _____________ ss:
Notes: 45 1000 Healthcare situation awareness RACES All Healthcare Situational Awareness provided to ESF 8 (SimCell) via RACES Notes: 46 1015 Walk-ins (hazmat patients) have self-presented at all the hospitals. In person Hospitals Start decon process Notes: Event # Event Time Event Description Method of Delivery Recipient Player(s) Expected Outcome of Player Action 47 1030 Hospitals provide ESF8 with patient tracking information RACES ESF 8 Notes: 47 Healthcare situation awareness RACES All Healthcare Situational Awareness provided to ESF 8 (SimCell) via RACES 1045
Page 2 Requesting records from: Name of Practice: Name of Physician: Fax number: Address: Types of records we are requesting ☐Any and all types of records you have for this patient ☐Doctor visit notes ☐Doctors orders ☐Emergency room notes ☐Nurses notes ☐Urgent care notes ☐Discharge summary ☐History and physical ☐Lab reports ☐Hospital progress notes ☐Radiology reports ☐Operation or procedure notes ☐Consultations ☐Clinic notes ☐Other ☐Pathology reports Records within the following dates: ☐All records for this patient ☐Records dated between and Please send records to: Attention: At fax number: Or mail to: For any questions please call (phone number): and ask for:
Brief Patient Feedback Form We would like your honest feedback. Please answer these questions either yes or no about the visit you had today. Think about a specific provider or staff member – for example, your doctor, nurse, medical assistant – when answering. Did this provider or staff member explain things in a way that was easy to understand? Yes No Did this provider or staff member use medical words you did not understand? Yes No Was this provider or staff member warm and friendly? Yes No Did this provider or staff member listen carefully to you? Yes No Did this provider or staff member encourage you to ask questions? Yes No Did this provider or staff member answer all your questions to your satisfaction? Yes No Did you see this provider or staff member for a specific illness or for any health condition? Yes No If No, Form Is Complete If Yes, 7a. Did this provider or staff member give you instructions about what to do to take care of this illness or health condition? Yes No If No, Form Is Complete If Yes, 7b. Were these instructions easy to understand? Yes No 7c. Did this provider or staff member ask you to describe how you were going to follow these instructions? Yes No
Debra Baker, DNP, FNP-BC Chad Hillyer, PA-C Lyndsey Degenhardt, PA-C Tuesday each week The Urology Center, PC John Bishay, MD John Donovan, MD Brett Hill, MD Steven Koukol, MD Stephen Lim, MD P: (402) 562-8114 to schedule appt F: (402) 562-4458 Monday – Friday each week After hours call (402) 397-9800 UNMC Department of Internal Medicine – Diabetes, Endocrinology, and Metabolism (DEM) Leslie Eiland, MD P: (402) 559-8700 to schedule appt F: (402) 559-3130 Telehealth 1st & 3rd Thursday AM 2nd & 4th Thursday PM UNMC Department of Internal Medicine – Rheumatology and Immunology Marcus Snow MD P: (402) 596-4411 to schedule appt F: (402) 559-6788 2nd & 4th Tuesday of each month UNMC Department of Psychiatrists – Geriatric Psychiatry Thomas Magnuson, MD P: (402) 552-6007 F: (402) 552-7213 Telehealth UNMC Department of Surgery – Vascular G. Matthew Longo, MD P: (402) 559-7300 to schedule appt F: (402) 559-8985 1st Tuesday of each month 230 Linn Family Chiropractic, PC Justin Linn, DC Alyssa Fischbach, DC P: (402) 564-6565 F: (402) 564-0003 250 Columbus General Surgery Ronald Ernst, MD Myron Morse, MD Jeremy Albin, MD P: (402) 564-5333 F: (402) 564-9372 260 Columbus Women’s Healthcare, PC Nicholas Wulf, DO Amanda Wilson, DO Kady Kiichler, MD Jennifer Nekl, APRN Mary Nolte, APRN P: (402) 564-0205 F: (402) 564-2607
Establish the need for Identify the need for advice, support and/or signposting The customer/patient/representative may identify the need for self-care and/or signposting when: Purchasing an OTC medicine Presenting/collecting a prescription Requesting medicines through either a PGD or minor ailment service Requesting public health advice The member of pharmacy staff may identify the need for self-care and/or signposting when: The customer/patient/representative presents a prescription for a high risk medicine (see below in section titled “Consult the patient”) The customer/patient/representative requests to speak to the pharmacist or the health and well being advisor The customer/patient/representative explicitly asks for information regarding a long-term condition As part of a brief intervention Consult the patient Explain to the that you may need to ask them a few questions to give them the best possible advice Ask the whether they would prefer to speak in private in the consultation room Ask the exactly what they would like advice on Using WWHAM questions (or similar), assess the customer’s/ patient’s symptoms/condition(s) and enquire about any medicines/ supplements/alternative medicines the customer/patient takes It is imperative that customer/patient/representative confidentiality is maintained throughout the consultation process – this will be particularly important when assisting with an embarrassing or sensitive query Consider the possibility that if the customer/patient has symptoms, they may be experiencing these due to the side-effects of medication if taken Refer to the ” and ” resource for guidance on WWHAM questions WWHAM questions should be used as a starting point and further questions should be used where necessary Customers/patients in ‘high risk’ groups (defined below) may require different or additional advice – this is because there may be restrictions specified in the Summaries of Product Characteristics (SPC) meaning that the product is not licensed to be sold OTC for use in their condition The RP must be referred to in the following circumstances: Those with the following warning conditions: Unexplained bleeding Loss of appetite Severe pain Visual disturbances Persistent symptoms that have lasted longer than expected Vomiting (when not associated with an acute viral condition) When the customer/patient is in a ‘high risk’ group – in this pharmacy, a high risk patient is defined as: A baby or child A pregnant/breastfeeding woman Someone with a disability Someone taking multiple medicines care care
going to use vibrant paints and art to keep it from looking like a clinic or hospital. Recruitment events for the staff will offer incentives for Cuban, Spanish speaking employees. The staff includes nutritionists, doctors, nurses, and social workers. In order to reach out to the community I will use Spanish radio stations and television stations. Enlisting highly regarded members of the community and involving Havana Haven in community events, clients will learn more about our services. Hosting blood pressure monitoring and glucose screening events before Havana Haven opens will help bring in clients once we open. Surveys will be handed out asking what services they would like to see offered. If they have a say and feel involved, people will be more likely to come. Havana Haven’s message is that this is being built for their needs. Havana Haven is in the community, for the community. Havana Haven will offer numerous amounts of services. The include Blood pressure monitoring and glucose and cholesterol screenings. A nutritionist will be on staff to offer teaching on healthy cooking variations of traditional Cuban cuisine. The service “Sabor y Salud” (Flavor and health) focuses on healthy eating. The goal is to teach clients that healthy eating does not mean abandoning your favorite, traditional dishes and it does not mean eating flavorless food. Sabor y Salut will offer cooking demos and social events with these healthier recipes. The Health and Wellness Center will have a Café providing these healthy meals. This will be an alternative to eating fast food. It will have regular business hours and clients are more than welcomed to stop by during lunch breaks. The various nutritionists will also help teach clients about weight management. Being at a healthy weight does not have to be full of torturous dieting and exercising. At
Roth, D. S. (2008, September 23). Cubans’ share of Miami-Dade County population up again. Miami Herald. Retrieved from http://www.soflo.fau.edu/media/article.aspx?articleID=508
2. DOD Pharmaceutical Update David Bobb – Chief of Pharmacy Operations, Defense Health Agency (CONFIRMED) ___________________________________________________________________ 3. DHA/VA Shared Services ECAT System Adoption, DAPAs and More Dan Keefe – Medical Director of Supply Operations, Defense Logistics Agency (CONFIRMED) 12:30 – 1:30 1:30 - 2:30 1. MSPV-NG, Formulary, MSPV 2.0 and More Rick Lemmon – Acting Chief Procurement and Logistics Office, VHA (CONFIRMED) Jaime Friedel – Procurement Director, SAC (CONFIRMED) ___________________________________________________________________ 2. VA Pharmaceutical Update Tom Emmendorfer – Deputy Chief Consultant, Pharmacy Benefits Management Service, VA
How to raise a concern about NHS Services. All NHS organisations have procedures for concerns. If you have a concern about an NHS service you can speak to the staff who provided the service or to the service’s complaints manager. You can also put your concern in writing, remembering to include; • Who or what the concern is about • When and where the incident happened • Any action you have already taken regarding the issue • What you wish to get out of the concern, such as an explanation, apology or change in procedure. Concerns should be made as soon as possible but you can take up to 12 months of the incident. A written concern should receive a written acknowledgement within two working days. Your concern will be investigated in confidence and you will not be penalised for raising a concern. You should normally receive a written response to your concern within 30 working days. You can get help with raising a concern from your local Community Health Council (CHC), who should also be able to arrange for an interpreter if required. You can contact them on 0845 644 7814 or go to the website For more information on raising a concern go to the website
Principles and Rights at Work. In particular, the 1998 declaration reaffirmed universal rights to; • freedom of association and the effective recognition of the right to collective bargaining; • the elimination of all forms of forced or compulsory labour; • the effective abolition of child labour; • the elimination of discrimination in respect of employment and occupation. The underpinning right to free bargaining is set out in Article 4 of C98 as follows; Measures appropriate to national conditions shall be taken, where necessary, to encourage and promote the full development and utilisation of machinery for voluntary negotiation between employers or employers' organisations and workers' organisations, with a view to the regulation of terms and conditions of employment by means of collective agreements. Access to ‘...voluntary negotiation...’ is denied to workers by a number of mechanisms contained within the FW Act including the imposition of ‘permitted matters’; the requirement for individual flexibility arrangements (IFA) which are not negotiated with a union; restrictions placed on workers freely taking industrial action to further their interests; latitude given to employer’s to take ‘employer response action’ that undermines worker’s rights to collective bargaining; an inadequate ‘good faith bargaining’ framework, and the capacity for Fair Work Australia (“The Tribunal”) to suspend or terminate industrial action in certain circumstances. Having regard to the ALPs Forward with Fairness statements and the FW Act objects, it is clear that legislative change has not given full effect to the restoration of workers’ rights. This breaks a significant promise given to the voting public by the ALP in their 2007 election platform and is inconsistent with Australia’s international obligations. Good faith bargaining
Coalition for Government Procurement Fourth Annual Healthcare Forum 7:30 - 8:30 & 8:30 - 8:35 Roger Waldron - President, Coalition for Government Procurement 8:35 – 8:45 Legislative Outlook Former Congressman Jeff Miller – Senior Legislative Advisor, McDermott Will & Emery 8:45 – 9:15 Keynote Address – A View from the Hill Congressman Phil Roe (R-TN) – Chairman, House Committee on Veterans Affairs 9:15 - 9:45 DHA Keynote Address – An update on the MHS Reorganization Guy Kiyokawa – Deputy Director, Defense Health Agency (CONFIRMED) 9:45 10:15 Improving Clinical Input in the MSPV Program Tammy Czarnecki – Assistant Deputy Undersecretary of Health for Administrative Operations, VA 10:15 11:15 VA Study on Fair and Reasonable Pricing - Update Tom Leney – Director Small & Veteran Business Programs, VA (CONFIRMED) 11:15 11:30 SESSIONS 11:30 - 12:30 1. Health IT Update Keith Nakasone – Deputy Assistant Commissioner, IT Category, GSA (CONFIRMED) John Tenaglia – Head of Contracting, Defense Health Agency (CONFIRMED)
MCA §41-7-191 (sets out everything that needs CON approval) - Requires CON approval for any of the following 10 types of activity: 1. Any expenditure that exceeds the “capital expenditure threshold,” as defined by MDOH $1.5M for major medical equipment $2M for anything else 2. Construction, development, establishment of a new health care facility “Health Care Facility” = hospitals, nursing homes, comprehensive medical rehab facilities, ambulatory service centers, home health agencies NOT doctors’ offices, dentists’ offices, diagnostic testing facilities 3. Relocation of a health care facility or portion thereof, or major medical equipment Unless within a mile; AND Costs less than capital expenditure threshold What is a “portion” of a health care facility/service? CON Manual says wing, unit, service, or beds = parts of a facility 4. These always require CON: Open heart surgery, cardiac catheterization, skilled nursing beds, home health services, MRI/PET scanners* (exam Q), radiation therapy, ASC (if single specialty), LTAC service, invasive diagnostics, swing beds, etc. 8. Relocation of one or more health services (within mile, under cap, etc.) 6. Acquisition or control of “major medical equipment” (if your replacing a new one since old one worn out, then you don’t need CON if bought at FMV) 7. Change in ownership 10. Any capital expenditure b or on behalf of a health care facility not covered in 1-10 above Can’t have someone else build for you, and then you buy from them trying to avoid CON laws
- May be requested by a minor child -CMS says... -“Emergency Medical Condition” means: -A medical condition manifesting itself by acute symptoms of sufficient severity such that the absence of immediate medical attention could reasonable be expected to result in- Placing the health of the individual (or, with respect to a pregnant woman, the health of the woman or her unborn child) inserious jeopardy; Serious impairment to bodily functions; or Serious dysfunction of any bodily organ or part - Baby K case if child leaves stable & then comes back with same respiratory problems, hospital still must treat sick patient Not decision for doctor to make; must stabilize the baby -EMTALA Says... Stabilization Requirement If any individual comes to the hospital and has an emergency me “Stabilized” means no material deterioration of the condition is likely, within reasonable medical probability, to result from or occur .... “Appropriate transfer” means: -A hospital that has specialized capabilities or facilities shall not refuse to accept an appropriate transfer of an individual who requires such specialized capabilities or facilities if the hospital has the capacity to treat the individual -On-Call Physicians - Each hospital must maintain an on-call list of physicians on its medical staff. -HOSPITAL has ultimate responsibility for ensuring adequate coverage. -List to be maintained in manner that will best meet the needs of patients, in view of hospital’s resources. -Physician group names are not sufficient., must have individual names
Condition Age 16-44 Age 45-64 Age 65-74 Age 75+ Musculo-skeletal Higher Lower Lower Cardio-vascular Higher Lower Respiratory Higher Mental health Higher Hearing Higher It is fair to say that, for the most part, the health problems experienced by older veterans are the result of age. By contrast, the problems experienced by younger veterans are more likely to have something to do with their Service history. Indeed, more than half of veterans aged 25-44 with a long-term illness attribute it to their Service. Service injuries Serving in the Forces is a dangerous job and some of the poor health outcomes reported by veterans will be a direct result of the injuries they received in the line of duty. This is an important point when one considers the commissioning context, where veterans are entitled to priority of access to certain NHS treatments if and only if their condition is suspected to be related to their Service. Of the 20,000 or so personnel leaving the Forces each year, around 10% (2,000) are discharged for medical reasons, the majority of which are directly related to Service. The most common cause of medical discharge is muscular-skeletal injury, which accounted for roughly 55%-60% of all medical discharges in the period Other medical conditions relating to Service include: Burns Injury, wounds and scarring Physical disorders including infectious diseases Neurological disorders (including spinal cord, head or brain injuries) Disorders with the senses Loss of limbs Fractures and dislocations To put this discussion into local terms, according to Norfolk Insight, as of 12 July 2011 there were 2020 veterans in Norfolk in receipt of a disablement pension under the War Pension Scheme (WPS) and a further 85 in receipt of payments from the Armed Forces and Reserve Forces Compensation Scheme (AFCS). The WPS was a compensation scheme paid to ex-Service personnel who sustained serious injury, illness or death in Service prior to 2005, when it was replaced by the AFCS. The total figure of 3015 veterans receiving compensation for conditions relating to Service consisted of just 3.3% of Norfolk’s total veteran population (at the time that the estimate was made) but it must be acknowledged that the figure is approximate and does not indicate the needs not met by the pension.
Additional language skills are desirable Attitudes and values needed: Committed to helping people have a voice Non Judgemental Committed to equal opportunities practice Reliable and trustworthy Respect for others Interested in developing new skills Please click this link for a description of the roles we are recruiting to at the moment.
To create a balanced breakfast, pick a food from at least three of the food groups: Fruit and Vegetable Group Cereal, Bread and Potato Group The Dairy Group The Meat Group Orange Juice Apple Juice Fresh Fruit e.g. Banana, berries or apple Dried fruit in your cereal e.g. raisins Grilled tomatoes or mushrooms Breakfast cereal e.g. bran flakes or Weetabix Porridge or instant hot cereals Brown Bread Toast Soda Bread Crackers Milk on breakfast cereal or a glass of milk Cheese Yogurt, yoghurt drink or fromage frais Eggs e.g. boiled, scrambled or poached Omelette Lean Rashers Peanut Butter Build a Healthy Lunch Lunches should be composed of a variety of foods and include a food from at least three of the food groups To create a balanced lunch, pick a food from at least three of the food groups: Fruit and Vegetable Group Cereal, Bread and Potato Group The Dairy Group The Meat Group Orange Juice Apple Juice Fresh Fruit e.g. Banana, berries or apple Dried fruit e.g. raisins Salad: lettuce, tomatoes etc. Fresh tomato sauce Brown Bread Pitta Bread Tortilla Wrap Soda Bread Crackers Pasta Milk Cheese Yogurt, yoghurt drink or fromage frais Ham Chicken Eggs Tuna Peanut Butter