A comparative review of palliative care development in six countries represented by the Middle East Cancer Consortium (MECC)

Palliative care development and services were reviewed in the region represented by the six members of the Middle East Cancer Consortium: Cyprus, Egypt, Israel, Jordan, the Palestinian Authority, and Turkey. The multimethod review synthesized evidence from ethnographic field visits to inpatient units, home care hospice teams and free-standing hospices, including interviews with hospice and palliative care clinicians, administrators, volunteers, policy makers and academic researchers. Public health data and relevant literature were collated together with internet-accessed information on services and health care systems. A total of 69 services were located; two country members have a history of relatively sustained development of hospice and palliative care, but provision across the Middle East Cancer Consortium region is highly variable at a local level. Considerable barriers to service development were identified in a region already struggling with many military and political conflicts. Key problems are a lack of secure funds and government support, inadequate professional training programs, opioid phobia in professionals and the public, and a lack of awareness and understanding of palliative care needs at public, government, and professional levels. Key areas for further attention were increasing national and international professional training and public education programs, improving opioid legislation and health care policies, negotiating for secure government or health insurance funding provision, raising awareness about the need for pediatric services and for patients with other illnesses, as well as for those with cancer, and working to integrate palliative care into mainstream health service provision and education

Towards A Well-Secured Electronic Health Record in the Health Cloud

The major concerns for most cloud implementers particularly in the health care industry have remained data security and privacy. A prominent and major threat that constitutes a hurdle for practitioners within the health industry from exploiting and benefiting from the gains of cloud computing is the fear of theft of patients health data in the cloud. Investigations and surveys have revealed that most practitioners in the health care industry are concerned about the risk of health data mix-up amongst the various cloud providers, hacking to comprise the cloud platform and theft of vital patients’ health data.An overview of the diverse issues relating to health data privacy and overall security in the cloud are presented in this technical report. Based on identifed secure access requirements, an encryption-based eHR security model for securing and enforcing authorised access to electronic health data (records), eHR is also presented. It highlights three core functionalities for managing issues relating to health data privacy and security of eHR in health care cloud

Sustaining the Promise: Realizing the Potential of Workforce Intermediaries and Sector Projects

Reviews the outcomes of sector-specific workforce development projects run by intermediaries with a comprehensive, long-term approach. Outlines the challenges of and recommendations for securing sustainability in financing, infrastructure, and operations

The Veterans Health Administration: Implementing Patient-Centered Medical Homes in the Nation's Largest Integrated Delivery System

Describes the implementation of a model that organizes care around an interdisciplinary team of providers who work to identify and remove barriers to access and clinical effectiveness in primary care clinics. Outlines two case studies and lessons learned

Investing in Workforce Program Innovation: A Formative Evaluation of Five Workforce Organizations' Experiences During the Human Capital Innovation Fund Initiative

In this report, Investing in Workforce Program Innovation: A Formative Evaluation of Five Workforce Organizations' Experiences during the Human Capital Innovation Fund Initiative, we describe the five organizations' experiences planning, implementing, and adapting new strategies. Investing in Workforce Program Innovation offers insights into the complex work of developing and maintaining relationships that cross institutions. We discuss factors grantees considered when identifying partner organizations, the approaches they used to find common ground and work effectively together, and the ways in which partnerships evolved and deepened over time. We describe how organizations cultivated long-term relationships with employers to not only inform workforce program design and promote job placement, but also to engage employers to reflect upon their hiring and employment practices. Finally, we discuss the ways in which HCIF-supported organizations tailored comprehensive and ongoing supports to the unique needs of their participants to help them succeed in and beyond training programs

Business Models for e-Health: Evidence from Ten Case Studies

An increasingly aging population and spiraling healthcare costs have made the search for financially viable healthcare models an imperative of this century. The careful and creative application of information technology can play a significant role in meeting that challenge. Valuable lessons can be learned from an analysis of ten innovative telemedicine and e-health initiatives. Having proven their effectiveness in addressing a variety of medical needs, they have progressed beyond small-scale implementations to become an established part of healthcare delivery systems around the world

Living Longer on Less

Economic security for seniors was built on the three-legged stool of retirement (Social Security, pensions, and savings) at the core of the social contract that rewards a lifetime of productivity. Economic security of seniors, however, is being challenged by two simultaneously occurring trends: a weakening of the three legs of retirement security income and dramatically increasing expenses, such as for healthcare and housing. This report examines the long-term economic security of seniors, depicts current trends and suggests policies promoting the enduring well-being of seniors. Particular areas of vulnerability include: Housing45% of senior households spend nearly a third of their income on housing. 31% either rent or have no home equity to draw on in tough times; Healthcare40% of senior households spend more than 15% of their income on healthcare;Budgets1 in 3 senior households has no money whatsoever left over after meeting essential expenses;AssetsMore than half of all senior households (54 percent) do not have sufficient financial resources to meet median projected expenses based on their current financial net worth, projected Social Security, and pension incomes

e-Health for Rural Areas in Developing Countries: Lessons from the Sebokeng Experience

We report the experience gained in an e-Health project in the Gauteng province, in South Africa. A Proof-of-Concept of the project has been already installed in 3 clinics in the Sebokeng township. The project is now going to be applied to 300 clinics in the whole province. This extension of the Proof-of-Concept can however give rise to security aws because of the inclusion of rural areas with unreliable Internet connection. We address this problem and propose a safe solution

Kresge Foundation 2010-2011 Annual Report

Contains an introduction to Kresge's strategy; board chair's letter; president's letter; foundation timeline; program information; grant summary, including geographic distribution; grants lists; financial summary; and lists of board members and staff