Playing the Game of Health: Best Practices for Health Optimization Program in a Worksite Setting, with Case Study of a Real World Example

While there have been multiple efforts to improve the health of the population, and simultaneously reducing the cost of healthcare and improving the quality of care, there is no single model for improving population health. Worksite health is a microcosm of the health of the nation and the results of been mixed. This paper considers the best practices associated with key worksite health. These best practices include the type of worksite intervention, attention to health literacy, engagement, onsite clinics, coaching and care plans, a digital platform, social support, population health, performance excellence, performance improvement, and an evaluation strategy. While each best practice is considered important, very few programs provide all of the components, and most emphasize one component over the other. A gap in the literature, therefore, is how these best practices can be combined into a single program. Following the review of literature of best practices, a case study, of the program design, of a comprehensive worksite program was conducted to demonstrate how these best practices are operationalized. The Game of Health, is a cognitive based program that focuses on stress management and behavior change in a program that provides onsite programs, a medical clinic, and a digital platform

Playing the game of health: Best practices for health optimization in a worksite setting with a case study of a real world example

While there have been multiple efforts to improve the health of the population, and simultaneously reducing the cost of healthcare and improving the quality of care, there is no single model for improving population health. Worksite health is a microcosm of the health of the nation and the results of been mixed. This paper considers the best practices associated with key worksite health. These best practices include the type of worksite intervention, attention to health literacy, engagement, onsite clinics, coaching and care plans, a digital platform, social support, population health, performance excellence, performance improvement, and an evaluation strategy. While each best practice is considered important, very few programs provide all of the components, and most emphasize one component over the other. A gap in the literature, therefore, is how these best practices can be combined into a single program. Following the review of literature of best practices, a case study, of the program design, of a comprehensive worksite program was conducted to demonstrate how these best practices are operationalized. The Game of Health, is a cognitive based program that focuses on stress management and behavior change in a program that provides onsite programs, a medical clinic, and a digital platform

Playing the game of health: Best practices for health optimization in a worksite setting with a case study of a real world example

While there have been multiple efforts to improve the health of the population, and simultaneously reducing the cost of healthcare and improving the quality of care, there is no single model for improving population health. Worksite health is a microcosm of the health of the nation and the results of been mixed. This paper considers the best practices associated with key worksite health. These best practices include the type of worksite intervention, attention to health literacy, engagement, onsite clinics, coaching and care plans, a digital platform, social support, population health, performance excellence, performance improvement, and an evaluation strategy. While each best practice is considered important, very few programs provide all of the components, and most emphasize one component over the other. A gap in the literature, therefore, is how these best practices can be combined into a single program. Following the review of literature of best practices, a case study, of the program design, of a comprehensive worksite program was conducted to demonstrate how these best practices are operationalized. The Game of Health, is a cognitive based program that focuses on stress management and behavior change in a program that provides onsite programs, a medical clinic, and a digital platform

A személyre szabott betegoktatás lehetőségei

A betegek oktatásának fontos szerepe van a betegségek prevenciójában és terápiájában. Az oktatás lehetővé teszi a szükséges információk átadását, a készségek fejlesztését, valamint a megfelelő motivációk kialakítását, a betegséggel való megküzdés támogatását. Bár számos információforrás rendelkezésre áll, továbbra is szükség van szervezett betegoktatásra. A személyre szabott betegoktatás hatékonyabbnak bizonyult, mint az általános oktatóanyagok használata. Az információtechnológia megfelelő alkalmazása lehetővé teszi a személyre szabott oktatás széles körű, költséghatékony megvalósítását. A szerzők megvizsgálják, hogy egy ilyen rendszer kialakításához milyen komponensekre van szükség. Orv. Hetil., 2013, 154, 403–408. | Patient education has an important role in the prevention and therapy. It enables the delivery of necessary information, development of skills and motivations and supporting to cope with the disease. Although many information sources are available, it is still necessary to provide organized patient education. Tailored patient education was proved to be more effective than using general information materials. The proper use of information technology enables the widespread and cost-effective implementation of tailored patient education. The authors analyse the components necessary for development of such a system. Orv. Hetil., 2013, 154, 403–408

Key Trends In Digital Health And The Future Of Clinical Trials In The Us

With the increasing burden of chronic diseases on the global population, many stakeholders see digital health technologies and devices as potential solutions to improve patient self-management of their disease and offer novel treatment methods. Digital health solutions including mobile apps, web-based programs, texting, and connected devices have been applied to a wide variety of diseases. In recent years, interest in digital health technologies has exploded with almost 200 digital health related articles published in PubMed in 2019 alone. In particular, digital health holds great potential in improving and enhancing the traditional clinical trial by increasing patient recruitment and retention and introducing novel assessment and collection methods that shift clinical trials from the physical site to the patients’ home. Digital health is poised to fundamentally shift how clinical trials are conducted. However, serious challenges from potential regulatory restrictions and data privacy issues will need to be addressed before patients, physicians, and other stakeholders can fully realize the benefits of digital health

DEVELOPMENT AND CROSS-VALIDATION OF A PREDICTION EQUATION FOR ESTIMATING STEP COUNT IN INDIVIDUALS WITH TRANSTIBIAL AMPUTATION

Outcome measures can be utilized to assess physical function in controlled settings, but do not provide a comprehensive view of free-living mobility for individuals with transtibial amputation (TTA). We sought to expand upon established clinical-based outcome measures by developing and cross validating two equations for predicting daily steps. The relationship between health state predictors and performance on 1) the Timed Up and Go (TUG) Test, and 2) the Prosthetic Limb User’s Survey of Mobility (PLUS-M) was also assessed via the model predictions. Adults with TTA were assigned activPAL and Fitbit accelerometers to wear for seven days. Participant data were randomly separated into training (n = 80) and testing (n = 26) groups. LASSO regression with 3-fold cross validation was implemented to construct each equation according to a participant’s health state, TUG Test, L Test of Functional Mobility, and PLUS-M data. Each equation’s validity was assessed in the testing group. An inverse relationship was noted between daily steps and TUG Test performance and higher PLUS-M T-scores were associated with greater daily steps. The equation overestimated steps for those with significantly low daily steps and underestimated steps for those with significantly high daily steps, which is to be expected given the nature of linear regression. We also assessed the validity of the Fitbit Inspire 3 for assessing steps among individuals with TTA. Daily step data were compared between the Fitbit Inspire 3 and the activPAL 3. The Fitbit overestimated physical activity by estimating higher daily steps compared to the activPAL. Because of the significant mean differences between the devices, the activPAL and Fitbit are not interchangeable for estimating steps in this group. The results will be interpreted and explored in the context of prosthetic rehabilitation and underscore the importance of personalized mobility assessments and interventions aimed at improving the free-living mobility of individuals with TTA

ANALYSIS OF INFORMATION VALUE CHAINS FOR GOUT SELF-CARE MANAGEMENT

This value chain analysis study sought to identify information needed by gout patients to successfully manage their disease, leading to a model for information extraction from patient health records. A scoping review was conducted to identify the types of information needed by gout patients. The findings of each included study were divided and analyzed according to the stages of the care delivery value chain. The results of the review were then used to create a gout information value chain as criteria for annotating the information deemed important for gout patients contained in publicly available patient education materials according to the stages of care delivery. The resulting annotations were used to develop a named entity recognition model capable of automatically labelling medical concepts from clinical notes by value chain stage. To identify concepts specifically relevant to gout patients, the concepts extracted from patient notes were used as candidate features in a phenotyping algorithm to identify concepts associated with gout flares. While this study was able to develop a model for identifying information relevant to gout flares, the findings suggest that there is information missing from patient education materials and their clinical notes that could be valuable to gout patients for self-management