Keynote Forum - imedpub.com · Keynote Forum Day 1. Page 10 Quality in Primary Care 2017 Volume 25...

Euro Primary Healthcare 2017

November 29-30, 2017 Madrid, Spain

5th International Congress on

Primary Healthcare &Family Medicine

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Quality in Primary Care 2017Volume 25 Issue 7



Primary Healthcare & Family Medicine


Medicine and civilization: The role of medicine in population control and civilization building from the dawn of civilization until the present time

Medicine has always been inextricably linked with politics and has served power in noble and

insidious ways to accomplish the hidden goals of the fundamental laws of civilization building, laws that have never been written down and constitute not only the most important knowledge but also the deepest and most closely guarded secret of the highest echelon of power. Now that the fundamental laws of civilization building and the population control objectives they entail have been exposed, a reorientation of medicine is required to reestablish the public’s trust in the profession, cleanse it of the subversive influence of global politics and the machinations of organized religion, and change the relationship between medicine and society.

BiographyKevin M Galalae is the world’s foremost authority on the depopulation/globalization axis around which the world revolves since the inception of the United Nations in 1945. He is the Founder and Director of the Center of Global Consciousness, The People’s Protection Force, OM, and Freedom in Education, four NGOs with global reach focused on reforming the international system. He is a Historian and Political Activist who has published ten books on Geopolitics and hundreds of articles and has changed policy both nationally and internationally. He is also Editor of the newly formed Medical journal, Medicine and Civilization.

[email protected]

Kevin M Galalae1Center of Global Consciousness - European Union, Canada

2Global Freedom University, Australia

Kevin M Galalae, Quality in Primary Care

mailto:[email protected]






Understanding primary care healthcare disparities at the community, regional and state level through visualization

Disparities in the distribution of healthcare workforce in rural areas have been a persistent problem in the

United States for decades. Adding to this problem are complexities of causes surrounding the lack of quality and consistent data regarding rural population health and workforce. Since 2007, the National Center for the Analysis of Healthcare Data (NCAHD) created a data collection process for the generation of national healthcare workforce datasets of physicians, nurse practitioners, physician assistants, dentists, and eleven other healthcare providers that is made available through a free internet mapping portal. Much has been documented about current primary care workforce disparities and the need for new incentives and policies to cause more effective change. But to truly understand the impact these disparities have upon rural we must assess them over time and utilize these results for future program planning, program evaluation and policy development. Through the National Center for the Analysis of Healthcare Data Enhanced State Licensure (ESL) dataset, trend analysis of primary care workforce impact has been conducted to demonstrate the impact upon rural over time. Our presentation will provide statistics results of healthcare workforce trends and instruction on how to utilize our free national healthcare

workforce internet mapping portal to generate maps, perform spatial analysis in the following manners: view 14 different healthcare providers at the state, county and zip code levels and download the data to your own computer, create service areas based upon drive distance from a user-defined site (e.g. clinic, city, etc.) and perform spatial analysis, view and then download the providers by state, county, zip code, view healthcare primary care provider workforce migration trends analysis and drill down from national to community level data in support of policy and economic decisions. As healthcare providers, educators, grant writers and policy makers have easier access to current healthcare workforce data and other relevant data (demographic, socio-economic, healthcare facilities, healthcare training institutions, etc.), they will be able to make better informed decisions. The participants of this my session will learn about the value data visualization within healthcare management and planning.

BiographyAnn K Peton established and the Director of the National Center for the Analysis of Healthcare Data (NCAHD) located in Blacksburg, Virginia. The mission of NCAHD is to provide data mapping and analysis support of advocacy, healthcare education planning/expansion, research, and other healthcare workforce planning at the national, state and local levels using the nation’s most complete collection of physician and non-physician data, demographic, socio-economic, and political data.

[email protected]

Ann K PetonNational Center for the Analysis of Healthcare Data, USA

Ann K Peton, Quality in Primary Care






Notes:


Primary care 2.0: Use of information technology to enhance care quality and to deliver high value care

The modern primary healthcare is entering a new stage- a truly patient-centered, personalized care

model with the aid of health information technology (IT), such as mobile technology, patient portals, telemedicine, and online patient communities. This innovative health IT tools significantly enhance chronic disease management, mitigate health disparities, personalize individual treatments, strengthen patient education, empower patient self-management, provide home monitoring, and solidify the patient-provider relationship. However, challenges remain before the full adoption. For example, healthcare providers now have access to a bevy of mobile health apps in almost every domain of medicine that can be used at the point-of-care to facilitate a variety of tasks. Certain prescribed apps have shown promising results in randomized controlled trials. Nonetheless, with estimated over 165,000 mobile health apps in major app stores and lack of supervising

authorities, it is challenging to know how to best use these apps. Therefore, today’s frontline providers must not only be compassionate to healthcare professionals but also become cutting-edge leaders in ‘primary care 2.0.’ In order to enhance care quality, reduce healthcare cost, achieve better outcome, and meet the ultimate goal of improving population health, the primary care providers have to adapt and learn how to best utilize information technology in their day-to-day practice to deliver high-value care in this modern world.

BiographyCheng-Kai Kao is an Academic Hospitalist who is board certified in Clinical Informatics. His areas of interests include Mobile Health, Clinical Decision Support, Population Health Management, and International Patient Care. He currently serves as Medical Director of Informatics at University of Chicago, and his work focuses on leveraging information technology to enhance healthcare outcomes, optimize clinical workflow, develop clinical decision support tools, and make innovations to improve care quality and patient experience. He is the Principal Investigator of two cross-national phase III clinical trials. He is also the Course Instructer of Biomedical Informatics at the University of Chicago Pritzker School of Medicine and the Master’s Program in University of Chicago Graham School.

[email protected]

Cheng-Kai KaoUniversity of Chicago, USA

Cheng-Kai Kao, Quality in Primary Care





Primary Healthcare &Family Medicine

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Two year data and lessons from Sandwell & West Birmingham (UK) integrated diabetes model (DiCE) regarding future of diabetes services – the way forward?Background: The impact of bludgeoning diabetes prevalence in Sandwell and West Birmingham CCG is huge, and primary care has significant difficulty in managing increasing numbers, reducing HbA1c, diabetes complications and maintaining skills in diabetes.

Aim: Sandwell & West Birmingham CCG commissioned us to deliver a community diabetes service in all the 89 practices from April 1, 2014. We named this model, DiCE – Diabetes in Community Extension - joint diabetes clinics within GP practices every eight weeks (practices identify difficult diabetes patients) for a one-off advice and management plan by an assigned team of consultant & diabetes specialist nurse. Options also include virtual clinics, case notes review and Advice & Guidance. The financial model was based on block contract.

Results: From April 2014 - May 2016: Year 1 - 3060 patients (53 practices), Year 2 - 1985 patients (61 practices) were seen. 595 fewer outpatient appointments were made, 25/53 practices (50%) have decreased their outpatient activity. All practices gave extremely positive feedback for DiCE, especially - care closer to home, up-skilling as extremely beneficial for

staff, joint consultations helping to educate patients and thus becoming more responsive, access to support and teamwork.

Conclusions: Our DiCE model has won a National QiC Award in 2014 and has been praised for its simplicity and effectiveness and can be adopted by any CCG - a patient is at the heart of service delivery with GP/PN up-skilling and year on year excellent feedback from CCG. It is a cost-effective model liked by stakeholders and could change how chronic disease is managed in future.

BiographyParijat De is a Consultant Physician in Diabetes, Endocrinology, and Lipid Metabolism at City Hospital (Sandwell & West Birmingham NHS Trust), Birmingham. He started as a Consultant Physician in January 2003 and trained as a Specialist Registrar in Wales. He has completed his MD degree from India. He has wide interest and expertise in all aspects of Diabetes, especially in the field of Metabolic Medicine and Diabetes Renal disease. His special interest in Diabetes is Metabolic Syndrome as well as the growing problem of obesity including new oral and injectable therapies for weight loss. He has published widely in his field and pursues an active research interest. He has published numerous papers in peer reviewed journals. He has set up a regular nurse-led diabetic renal review clinic and is involved in research and projects involving diabetic nephropathy and renal disease. He has also set up community based diabetes clinics in Birmingham, which are amongst the first in the country. He has received national acclaim for the Diabetes in Community Extension (DiCE) work. He has an active interest in all aspects of Endocrinology and has regular out-patient clinics as well as managing in-hospital referrals. His special interest is in the adrenal gland, endocrine hypertension, thyroid and vitamin D deficiency. He is involved in both undergraduate and postgraduate MRCP teaching and is an MRCP Examiner and host. He has previously been the trust Clinical Governance Lead, College Tutor and is currently the Clinical Lead. He has set up local protocols and guidelines in most aspects of metabolic medicine including emergencies in Diabetes as well as Endocrinology.

[email protected]

Parijat DeSandwell & West Birmingham NHS Trust, UK

Parijat De, Quality in Primary Care






Notes:


Does training of general practitioners affect their knowledge and performance? A Jordan experience at United Nations relief and working agency clinicsBackground: Training and capacity building is the mainstay in any health system, but training models for the primary health care level have not been adequately evaluated in a Middle Eastern setting.

Methods: In 2013-2014, 84 general practitioners working in United Nations Relief and Working Agency (UNRWA) primary health care clinics in Jordan were enrolled in a training program. Training was provided in three stages: i) needs assessment, ii) lectures, roleplay, interactive learning and audio-visual materials, and iii) on-the-job training. Evaluation of the training was done with regard to theoretical knowledge and practical performance. For knowledge, a pre- and post-training test was used, while for performance, an on-the-job

training checklist was employed to evaluate adherence to guidelines and training material.

Results: There was a strong and significant improvement in theoretical knowledge before and after the training: the mean test score increased from 46% to 81% (p<0.0001). The practical performance on selected indicators such as communication, examination and diagnosis were excellent at the end of the training. The participants’ satisfaction with the training program was high.

Conclusion: A structured training program at the primary health care level increased theoretical knowledge and yielded a high on-the-job practical performance.

BiographyAmjad AlShdaifat is an Assistant Professor at Hashemite University, Jordon from December 2016 till now and Specialist at Prince Hamza Diabetes and Endocrine Center January 2017 to till now.

[email protected]

Amjad AlshdaifatHashemite University, Jordan

Amjad Alshdaifat, Quality in Primary Care


Keynote Forum - imedpub.com · Keynote Forum Day 1. Page 10 Quality in Primary Care 2017 Volume 25...

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