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Healthcare

Mohammad Anas Wahaj | 31 aug 2017

Executive pay is always a topic of debate and more so when it is a case of nonprofits. Moreover, when nonprofit healthcare executives are in focus, the dynamics of the issue become even more complex. As healthcare is an essential aspect of everybody's life, rich or poor, and has a humanitarian dimension, the issue is an everyone's concern. In healthcare, just like in education, for-profit and nonprofit delivery models co-exist, but general population treats these sectors as noble and a large number despises the business-like profit-making approach. A debate is brewing up at the University of Vermont Medical Center (USA), a nonprofit healthcare provider, where CEO's salary is more than US$ 2 million. To justify the compensation, hospital board members say that their executive pay is in line with competitors and makes up a small portion of their budget. But there are other differing views. Sen. Chris Pearson (P/D-Chittenden) says, 'To see that the CEO of our hospital is getting US$ 2 million...it's just way out of whack with the Vermont economy.' State of Vermont has 14 hospitals, all of them nonprofits. Kevin Mullin, the state's chief health care regulator, decided to highlight the salaries of top officials in these hospitals. He says, 'I think it might be illuminating to the public.' Scottie Emery-Ginn, UVM's board chair, justifying executive compensation, says, 'Our health care professionals come from a national market...In order for us to get the best people and keep the best people, we need to pay competitively.' There are no clear rules on salaries of nonprofit employees. The IRS requires only that compensation be 'reasonable', which has been interpreted to mean comparable to similar organizations. A Wall Street Journal analysis of Form 990s found that, in 2014, 2700 nonprofits provided seven-figure compensation packages, and 3/4th of those organizations worked in the health care sector. Executive pay is a concern during the debates on cost of medical care. The US spends US$ 3 trillion annually on health care - more than any other country - and administrative costs are 20-30% of that sum. Sen. Pearson says, 'It obviously inflates our health care costs...When you have public-relations people at the state's largest nonprofit hospital making half a million a year, it undermines confidence in the entire system.' Views of other employees are important in this regard. Maggie Belensz, a nurse at UVM's neurological unit, says, 'It's difficult to hear those numbers as a nurse.' Laurie Aunchman, a UVM nurse and president of Vermont Federation of Nurses & Health Professionals, acknowledged the need to pay competitively but said the hospital should balance 'offering someone a million dollars or 2 million dollars' with investing money in 'taking care of the patient.' Mari Cordes, a UVM nurse and health care activist, says, 'We think it's an ethical issue. That excess money could be used to improve access to health care for everyone in Vermont...It could be used to provide support for people actually providing the frontline high-quality care.' Dr. Deb Richter, a universal health care proponent, described executive pay at Vermont hospitals as 'obscene.' Read on...

Seven Days VT: Million-Dollar Question - How Much Should Nonprofit Hospital CEOs Earn?
Author: Alicia Freese


Mohammad Anas Wahaj | 19 apr 2017

Sometimes a simple idea or a message can provide a direction and approach that leads to great long-lasting results. Same happened with Alan McCormick, a partner with a Dubai-based investment firm Legatum, when he was seeking investment ideas for philanthropic funding. He came across a simple message from Alan Fenwick, professor of tropical parasitology at Imperial College London - 'For a fraction of the amount being donated to treat HIV and other potentially fatal infectious diseases, the annual distribution of basic existing drugs to schoolchildren could help prevent widespread infection by a parasite that causes stunting of growth and malnourishment, and limits access to education - with life-long consequences.' The quote inspired Mr. McCormick and his firm to fund pilot programs in Africa to tackle neglected tropical diseases and finally create their own health-focused funding vehicle, The End Fund, with a small staff to co-ordinate and support programs. The programs have provided impressive return on investment and inspired others searching for ways to donate for maximum impact. According to Mr. McCormick, 'It's relatively tough giving away money and doing it well...Ideas need champions, so you need to create an organization...The End Fund model is about the ability to have people come together and collaborate, and bring their expertise.' Read on...

The Financial Times: Philanthropy - The search for the best way to give
Author: Andrew Jack


Mohammad Anas Wahaj | 30 mar 2017

According to CMS.gov website, 'Accountable Care Organizations (ACOs) are groups of doctors, hospitals, and other health care providers, who come together voluntarily to give coordinated high quality care to their Medicare patients. The goal of coordinated care is to ensure that patients, especially the chronically ill, get the right care at the right time, while avoiding unnecessary duplication of services and preventing medical errors. When an ACO succeeds both in delivering high-quality care and spending health care dollars more wisely, it will share in the savings it achieves for the Medicare program.' ACOs promise to get patients more involved in their own treatments. These healthcare delivery systems are held accountable to meet cost and quality criteria. The study, 'A Multilevel Analysis of Patient Engagement and Patient-Reported Outcomes in Primary Care Practices of Accountable Care Organizations' (Authors - Stephen M. Shortell, Bing Ying Poon, Patricia P. Ramsay, Hector P. Rodriguez, Susan L. Ivey, and Thomas Huber of the UC Berkeley School of Public Health (USA); Jeremy Rich of HealthCare Partners Institute for Applied Research and Education, Los Angeles, CA; and Tom Summerfelt, Advocate Health, Chicago, IL), published in Journal of General Internal Medicine, found that adult patients who were treated in a primary care practice site that promoted a patient-centered culture reported fewer depression symptoms and displayed better physical functioning. According to Prof. Stephen M. Shortell, principal investigator of the study, 'These findings add to a growing literature on the importance of engaging patients in their care to achieve better outcomes that matter to patients like how they function physically and socially. In addition, it breaks new ground by identifying specific features of primary care practices that appear to be associated with achieving such outcomes through increased patient engagement.' He adds, '...more highly activated, engaged patients ask more questions to have their concerns addressed, and, as a result, are more satisfied with their care experience and more motived to achieve desired outcomes.' Prof. Hector P. Rodriguez, study co-investigator, says, 'Healthcare organizations will increasingly need to find ways to efficiently collect patient-reported data and strategies to use this information for monitoring treatment plans, engaging patients in their own care, and improving their health behaviors.' Read on...

UC Berkeley Research: How patients, ACOs, and researchers partner to achieve better health
Author: Jaron Zanerhaft


Mohammad Anas Wahaj | 12 mar 2017

Researchers from Hokkaido University (Japan) have created 'fiber-reinforced soft composites' or tough hydrogels combined with woven fiber fabric. The study, 'Energy-Dissipative Matrices Enable Synergistic Toughening in Fabric Reinforced Soft Composites' (Authors - Yiwan Huang, Daniel R. King, Taolin Sun, Takayuki Nonoyama, Takayuki Kurokawa, Tasuku Nakajima, Jian Ping Gong), was recently published in Advanced Functional Materials. Researchers combined hydrogels containing high levels of water with glass fiber fabric to create bendable, yet tough materials, employing the same method used to produce reinforced plastics. They found that a combination of polyampholyte (PA) gels, a type of hydrogel they developed earlier, and glass fiber fabric with a single fiber measuring around 10µm in diameter produced a strong, tensile material. The procedure to make the material is simply to immerse the fabric in PA precursor solutions for polymerization. The developed fiber-reinforced hydrogels are 25 times tougher than glass fiber fabric, and 100 times tougher than hydrogels. Moreover, the newly developed hydrogels are 5 times tougher compared to carbon steel. According to lead researcher, Prof. Jian Ping Gong, 'The fiber-reinforced hydrogels, with a 40 percent water level, are environmentally friendly. The material has multiple potential applications because of its reliability, durability and flexibility. For example, in addition to fashion and manufacturing uses, it could be used as artificial ligaments and tendons, which are subject to strong load-bearing tensions.' Read on...

Hokkaido University News: New "tougher-than-metal" fiber-reinforced hydrogels
Authors: Jian Ping Gong, Naoki Namba


Mohammad Anas Wahaj | 27 feb 2017

'healthymagination Mother and Child Program', a collaborative effort of GE and Santa Clara University's Miller Center for Social Entrepreneurship, provides mentorship and training aimed at improving and accelerating maternal and/or child health outcomes in Africa. The program was designed to help the social entrepreneurs acquire business fundamentals, improve their strategic thought processes and articulate a business plan that demonstrates impact, growth and long-term financial sustainability. According to Robert Wells, Executive Director of healthymagination, 'GE believes there is much for social enterprises and large businesses to learn from each other. As the center of the ecosystem, social entrepreneurs are key to building Africa's sustainable future.' First cohort of 14 social entrepreneurs that have completed the program are ready to present their social enterprises to a group of potential investors and supporters. Jay Ireland, President & CEO of GE Africa, says, 'This group of people are helping solve some of Africa's biggest health challenges through their initiatives aimed at improving mother and child care. This is another great example of the strong entrepreneurial spirit in Africa.' According to Thane Kreiner, ED of Miller Center for Social Entrepreneurship, 'Addressing the global health challenges of women and children living in sub-standard conditions or facing high-risk pregnancies demands all the determination, diligence and creative solutions we can muster.' Following are the social entrepreneurs and their respective social enterprises - Daphne Ngunjiri, Kenya (AccessAfya.com); Habib Anwar and Zubaida Bai, Kenya (ayzh.com); Tyler Nelson, Rwanda (HealthBuilders.org); Pratap Kumar, Kenya (Health-E-Net.org); Steve Alred Adudans, Kenya (HewaTele.org); Stefanie Weiland, Uganda, Burundi and DRC (LNInternational.org); Julius Mbeya and Ash Lauren Rogers, Kenya (LwalaCommunityAlliance.org); Brian Iredale, Uganda (NurtureAfrica.ie); Segun Ebitanmi, Nigeria (Outreach Medical Services); Cobby Amoah, Ghana (Peach Health); Olufemi Sunmonu, Nigeria (ThePurpleSource.com); Yohans Emiru, Ethiopia (HelloDoctorEthiopia.com); Natalie Angell-Besseling, Uganda (ShantiUganda.org); Anne Gildea, Kenya (VillageHopeCore.org). Read on...

CNBC: 14 social entrepreneurs to improve maternal & child health in Africa
Author: NA


Mohammad Anas Wahaj | 15 nov 2016

One of the ways in which health systems, particularly in the resource-starved developing countries, can improve is by applying concepts that make social enterprises successful. Health systems serving the most vulnerable, bottom of the pyramid market, can learn from social enterprises that make challenging markets work better. Yasmin Madan, global marketing director at Population Services International (PSI), explains in an interview with Lizzie Cohen, that adapting the model of a social enterprise can ensure a more sustainable health system that continues beyond donor funding. She says, 'Any successful business has the consumer right at the center as its main audience and it generates value for the consumer as well as the market.' According to Ms. Madan, 'Social enterprises by addressing failures, by putting consumers at the center, by generating value, are strengthening health systems, or put simply - making markets work better.' Read on...

devex: The evolution of health systems - Service providers as social enterprise
Authors: Lizzie Cohen, Jacques Jimeno, Julie Espinosa


Mohammad Anas Wahaj | 27 sep 2016

Patient focused care delivery driven by technological advancements is bringing transformations in healthcare ecosystem. Experts in a panel discussion 'Future of Health Care: Technology Innovations' shared their views on high level technology that has been in use in Pittsburgh (USA) as biotechnology, informatics and medicine are used to create a more responsive system for both consumers and health providers. Dr. Rasu Shrestha, Chief Innovation Officer and EVP of UPMC Enterprises, said, '...we'll go with a 'best of breed' approach, solutions that work best toward specific ends and, while doing so, invest in interoperability, or making those systems talk to each other. This was 10 years ago. No one else was doing this; this was before 'interoperability' became the buzzword that it is today in the industry.' According to Prof. Don Taylor, Assistant Vice Chancellor of University of Pittsburgh, 'The future of health care coordination rests, in part, with analytics, the ability to make data useful in the same way companies like Amazon and Netflix are able to suggest what movies to watch or what products to buy.' Ellen Beckjord of UPMC Health Plan, while describing the current state of digital health information, used the analogy of the cookbook that contains unorganized list of all ingredients that are disaggregated from recipes. She said, 'Just because it's integrated and all in one place doesn't mean it's actionable.' Kim Jacobs, VP of consumer innovation for UPMC Health Plan, said, 'Close to 60% of UPMC's telemedicine encounters led to emergency room avoidance.' According to Prof. Steven Handler of University of Pittsburgh's School of Medicine, 'Telemedicine increases access to qualified professionals and reduces variability of care. It hits the sweet spot of medical devices, informatics and clinical medicine.' Read on...

Pittsburgh Business Times: Analytics key to future of health care coordination, panel says
Author: Lydia Nuzum


Mohammad Anas Wahaj | 04 jul 2016

Team of researchers from IIT-Madras (India) and University of Nebraska at Lincoln (USA), are developing an ingestible capsule, that can stay in human body for close to a week, with sensors that will take readings of an individual's calorie intake, that can eventually help in diagnosis of diseases like cancer and permit sustained delivery of drugs. According to Prof. Benjamin Terry of UNL, 'The capsule, made of biocompatible materials, works like a parasite by latching on to the intestinal wall.' The sensors communicate their readings to an external device through low-intensity radio waves. Prof. P. V. Manivannan of IIT-M, says, 'The device is kept a metre away from the body. We use only low intensity waves that don't harm the body.' According to experts, biosensors could help monitor factors that influence digestive health. Prof. Terry adds that the mechanism could also serve as a long-term vessel for capsule endoscopes, the ingestible pill-shaped cameras that permit physicians to record images of the gastrointestinal tract. Read on...

The Times of India: From IIT-M - Capsule in body to count calories, diagnose cancer
Author: Ekatha Ann John


Mohammad Anas Wahaj | 30 may 2016

As the need for intensive and intermediate care increases, the hospitals must have spaces that can fulfil the requirement. The multi-organizational collaborative EVICURES project at Seinäjoki Central Hospital in Finland was undertaken to develop a new design model for future intensive and intermediate care needs. The result of research conducted by VTT Technical Research Centre of Finland on evidence-based design (EBD) and user orientation were applied to design work. Currently, there are no ICUs with single patient rooms in Finland. According to Kari Saarinen, Project Manager of the EVICURES project and Chief Physician at ICU of Hospital District of South Ostrobothnia, 'The international trend is that the need for intermediate care in particular is increasing. More and more demanding methods are being used for treating patients, and the share of elderly patients is increasing.' Regarding the project, he adds, 'The operations will be more cost-efficient and of higher quality, when the equipment and nursing staff are concentrated into one place. We also expect the solution to have remarkable effects on patient healing.' The hospital staff, management, patients and their families, the hospital district, and other cooperation partners participated in the design work. Tiina Yli-Karhu, Design Coordinator at Hospital District of South Ostrobothnia, says, 'A user-oriented approach was an essential foundation for the whole project. This way we can all together make the major change about to happen easier, when the nursing staff is moving from facilities for multiple patients to working alone in single rooms.' Using the Human Thermal Model tool, VTT performed questionnaire studies and measurements to evaluate the individual thermal sensation and comfort of both the staff and patients, that were utilized in HVAC design. Seinäjoki University of Applied Sciences used CAD methods to model a virtual space in accordance with the architectural drawing, which VTT utilised for improving user-friendliness. From this 3D model, VTT developed a Unity3D game for computer and tablet, allowing the staff to move around in the ICU facilities virtually and to experience realistic interactive care situations in the new working area in advance. Finland's first single-patient intensive and intermediate care and cardiac unit designed in accordance with this model will become operational in 2018. Read on...

VTT Research News: A new treatment room design model for future hospitals
Author: Nykänen Esa


Mohammad Anas Wahaj | 29 may 2016

A number of studies have strengthened the common belief that being around trees and close to nature improves one's mental and physical well-being. Research by Prof. Bin Jiang of the University of Illinois at Urbana-Champaign (now at University of Hong Kong) and his team, further emboldens the belief regarding the soothing aspects of green environment on stress levels and blood pressure. The study was undertaken to determine the dose-response curve between tree cover density and stress recovery. It included 158 volunteers in mildly stressful situations. The experiment utilized virtual reality headset to view 360-degree videos of an urban space with varying amounts of tree canopy visible. Results obtained from the tests showed a positive linear association between the density of trees and the self reported recovery from stress. Prof. Jiang comments, 'These finding suggest that viewing a tree canopy in communities can aid stress recovery and that every tree matters.' Researchers found that regardless of age, gender, and baseline stress levels the greater the exposure to trees, the less stress the subject felt. Read on...

Total Landscape Care: University study - Stress falls as exposure to trees increases
Author: Jill Odom

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