Biography:

Roderick S. Hooker is a health policy consultant with an interest in organizational efficiency. He spent two decades with Kaiser Permanente as a health services researcher, as a PA, and then moved to the University of Texas and the Department of Veterans Affairs in Dallas, Texas. Following the VA he became a Senior Director with The Lewin Group in Washington, DC, a health policy-consulting firm. He is a cofounder of the International Health Workforce Collaborative that meets biennially to discuss medical organizational economics. Over the past decade Dr. Hooker served as a consultant to the Ministry of Health in Ontario and New Brunswick. A similar consultancy was in Queensland and Scotland developing their PA corps. He is now retired and lives in Southwest Washington State.

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Peter Trice, a founder and vice president of the Innova Group, has spent more than 30 years developing his expertise in healthcare planning. As an industry leader in the integration of new concepts in healthcare strategy and clinical operations into hospital and health system design, Peter’s passion is finding creative data driven solutions to current obstacles to the delivery of effective healthcare. Mr. Trice is dedicated to improving the quality of care worldwide, project by project. His recent work has been in the Middle East, Latin America, the United States, Mainland China, Viet Nam, Singapore and most recently Brunei. 

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The ethical and political challenges facing home care provision is fraught with complexity, none more so than for those who conduct home care businesses. The gaps in the literature reveal that home care for-profit providers have not had a voice in Australia. The purpose of this research is to gather information about home care business in Australia and how owners/managers meet quality accreditation processes. The intent of the research is to provide a forum in which participants can share experiences and challenges with the wider home care governing and research communities about the business of home care. The research has implications for informing policy and practice relating to the recent changes in consumer directed home care that will improve service delivery. This has specific political and economic implications for Australia as the population ages and consumer directed home care packages are implemented. An inclusive analysis of the discursive events is an important starting point to inform consumer directed change and is vital for ensuring quality provision of home care services for the consumers. In addition it will provide insights into how consumer driven care can be provided universally with a focus on equity and inclusion. This presentation will explore the ethical considerations of inclusive practice for the project using a post structural framework.

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The US health care system is facing complex challenges: an increasing and aging population, a paradigm shift from acute care to management of chronic disease, and impending shortages of physicians. Proposed solutions include greater reliance on team-based models of care delivery and creating environments in which health care professionals practice to the full extent of their education and training.1 Currently in the US, physician assistants (PAs) and nurse practitioners (NPs) contribute substantially to the provision of primary care services and chronic disease management, particularly in underserved communities where they often practice with little or no physician oversight.2 Nurse practitioners have full independent practice status in 21 states, and state laws that dictate PA practice generally allow for off-sight physician supervision. Research suggests that PAs and NPs can provide safe, high-quality care. In some settings, however, they may be underutilized. The main objectives of this presentation are to 1) review the recent literature on chronic disease management by PAs and NPs, 2) discuss the various roles NPs and PAs play in primary care, 3) examine barriers to PA and NP practice in primary care, and 4) discuss strategies for effective utilization of NPs and PAs going forward. 

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Leslie S. Zun, M.D., M.B.A. is the System Chair of the Department of Emergency Medicine in the Sinai Health System in Chicago, Illinois and Chairman & Professor, Department of Emergency Medicine and a secondary appointment in the Department of Psychiatry at the Rosalind Franklin University of Medicine and Science/Chicago Medical School in North Chicago, Illinois.  His background includes a medical degree (M.D.) from Rush Medical College and a business degree (M.B.A.) from Northwestern University's JL Kellogg School of Management. He is board certified in Emergency Medicine by the American Board of Emergency Medicine. Dr. Zun was a chief operating officer and acting chief executive officer for a 200 bed hospital in Chicago.  Dr Zun’s research interests include healthcare administration, violence prevention and behavioral emergencies. His publications have addressed the administration of the hospitals and emergency departments, physicians’ bonus and incentive plans and quality improvement topics. He has presented his research and lectured on these topics both nationally and internationally. He is a board member of American Academy of Emergency Medicine and the President Elect for the American Association for Emergency Psychiatry. He is the chief editor of the Behavioral Emergencies for Emergency Physicians textbook and course director for the past five years for the National Update on Behavioral Emergencies conference. 

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Studies have demonstrated that up to 45% of adult patients and up to 40% of pediatric patietnes have undiagnosed mental illness. Undiagnosed mental illness impairs the evaluation and treatment of many medical disorders. Primary care is the front door to the diagnosis and treatment of patients with diagnosed and undiagnosed  mental illness. This course will discuss the means to identify patients with mental illness, impact on their medical disorders and appropriate treatment. The course will feature common and uncommon mental illness that present to primary care.  

Biography:

Dr. O'Keefe is a lawyer (JD) and a registered nurse (RN), with a doctor of philosophy (PhD) in nursing and a licensed professional counselor (LPC). She has a certification as a Clinical Nurse Specialist in Psychiatric and Mental Health Nursing (CNS Psych/Mental Health) and has extensive training in alternate dispute resolution, including mediation and arbitration. Dr. O’Keefe is a Professor in the UTMB School of Nursing, Galveston, Texas, where she has been awarded the Constance Brewer Koomey Endowed Professorship in Nursing and is recognized as an University of Texas Distinguished Teaching Professor. She is also a Professor in the UTMB Graduate School of Biomedical Sciences, a Clinical Associate Professor in the UTMB School of Medicine, and a Visiting Professor in the Shantou University Schools of Medicine and Nursing, Shantou, China. Dr. O’Keefe has published a series of textbooks known as Nursing Practice and the Law: Avoiding Malpractice and Other Legal Risks. She has a pending publication entitiled Policy, Power, & Politics: Creating the Leadership Potential in Nursing Practice

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The State of Texas has over 54,000 legally incapacitated individuals, designated as Wards of the Court. Wards lack the physical and/or mental ability to provide shelter, financial management or physical care and therefore placed under Guardianship. This presentation discusses the Interprofessional partnership involving undergraduate nursing students in four programs across the State of Texas who served as Court Visitors to Texas Probate Courts. Students assessed the Wards providing independent evaluation of their health status. This groundbreaking Interprofessional entry into the legal system provided students with clinical experiences in non-traditional venues while serving as a springboard for the other seminal clinical programs including Interprofessional Pediatric Advocacy Model and Drug Court Clinical Model. Mentoring among and between professionals in nursing education and the legal system will be presented for the following campuses. (A) UTMB-School of Nursing (SON) and Galveston Court: (1) the Court Visitor Program Model (CVP); (2) Mentoring of Court, Faculty & Students in Model implementation; and, (3) Mentoring in development of unique related clinical programs. (B) UTMB-SON and CPS: (1) the Interprofessional Pediatric Advocacy Model; (2) Mentoring of Court, Faculty, and Students in Model implementation. (C) Blinn College Associate Degree Nursing Program: (1) Mentoring of Court, Faculty and Students in Model Implementation, and, (2) Drug Court Clinical Model. (D) UTArlington-SON and Tarrant Court: Court, Faculty and Student mentoring process in the development of the CVP. (E) UTAustin-SON and Travis Court: Court, Faculty and Student mentoring process in the development of the CVP for a RN-BSN Public Health Nursing practicum course.

Biography:

Maha A. Al Turki obtained a Master of Medical Sciences in Human Nutrition in 2006 and PhD of Human Nutrition in 2014, both from the University of Sheffield/UK. Upon her return to Saudi Arabia, she joined King Saud bin Abdulaziz University for Health Sciences (KSAU-HS) in Riyadh as an Assistant Professor of Clinical Nutrition. In her pursuit of academic excellence she is currently studying for a Master Degree of Medical Education at KSAU-HS. At present, she is holding a position of Assistant Dean at the College of Applied Medical Sciences at KSAU-HS. 

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Zachary Hartsell completed his physician assistant training at Touro College in 1998. He has worked in emergency medicine, cardiology, and hospital medicine. Mr. Hartsell has been working in both clinical and administrative roles at academic medical centers for the last 15 years. Most recently he worked as the Director of PAs at Wake Forest Baptist Medical Center and oversaw the workforce transformation and optimization of over 300 NPs and PAs. He is currently pursuing his doctorate in health administration at A.T. Still University with an emphasis in leadership development. Zachary regularly speaks both nationally and internationally on topics related to workforce optimization and development of NPs and PAs. Mr. Hartsell also serves on the editorial board of the Journal of the American Academy of Physician Assistants.                                    

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The rise of value-based care has created a system of greater accountability from providers in regards to cost, quality, and effectiveness.  While many different frameworks and benchmarking models for physician productivity exist, there are few models that can be correctly measured nurse practitioners (NP) or physician assistants (PAs) true value. As a result, many NPs and PAs are inadequately represented and often invisible in the reporting and finance system. This inability to accurately track NP and PR performance creates uncertainty and tension with budget development, as the NP or PAs true value may be undervalued or counted against physician performance. With the increase utilization of NPs and PAs several benchmarking tools have become available, but these tools suffer from poor sensitivity and specificity towards the NP or PAs actual work performed. This presentation will introduce a benchmarking tool aimed at accurately capturing data on the wRVU production of NPS and PAs. Focus will aim at introducing the challenges with the current benchmarking system and the description of a reproducible predictive modeling tool to determine the expected revenue generation of NPs and PAs.  The presentation will highlight the challenges in utilizing and developing financial benchmarking tools for NPs and PAs with a focus on understanding local/specialty practice patterns. The presentation will also introduce a nonfinancial incentive model focused on quality and patient satisfaction developed specifically for PAs. Finally, a review of the proper and improper application of shared visits will be discussed.

At the end of this presentation, participant should be able to

• Describe the challenges with using existing physician focused productivity benchmarking tools in the analysis of NP or PA practice.
• Explain the different types of nonfinancial quality metrics that capture the productivity of NPs and PAs most accurately.
• Apply shared visits in the appropriate setting and situation to maximize reimbursement and efficiency. 

Biography:

Daniel Tekie Ghebreselasie is an Eritrean Citizen, graduated his Medical studies and earned Degree of Doctor of Medicine from Latin America school of Medicine (ELAM), Cuba in 2009 at the Age of 26. He has recently completed his Masters studies in field of community medicine from University of Gezira, faculty of medicine in March, 2015. He is currently pursuing his PhD studies in field of Community Medicine at the University of Gezira, Sudan. As young junior doctor, he is always interested in research and publications. He has published three original articles in Gezira Journal of health science as lead author and presented an article in the Gezira first international Family & community medicine conference, under the theme“ Partnership & Integration towards comprehensive health care for families and communities” 26-28th, March, 2015, Wad-Medani city, Sudan. In Addition He has also Co-Authored an article in Journal of Eritrean Medical Association. He is so much interested in medical researches focusing mainly on Non-Communicable diseases.

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Tendai Nzirawa completed his Undergraduate Diploma in Nursing Studies (Adult) in 2005 (City University, London) and Bachelor of Science with Honours in Nursing Studies (Neonatal Care) in 2012 (City University, London). Currently, she is pursuing her Master of Science in Nursing Studies (Neonatal Care) from London Southbank University, London. Since 2010, she has been involved in setting up and running a Neonatal Parent Support Group with other health professionals. In July 2016, she won the Tony Fuller Cup- Clinical Audit Competition and in August 2016, she received the best poster award for presenting at the 6^th World Nursing and Healthcare Conference, London.

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Reviewing the data of the current community neonatal service in North East London over the past six years, there is political evidence of moving more hospital based services into community. In 2014, our trust closed level one special care baby unit and moved all neonatal services to the level two hospitals. The recent internal audits has shown the increase in early hospital discharge from the neonatal unit, increased home visits and increase in more complex babies being followed up by the community neonatal nurses. Reviewing all this evidence, the question would be what does the future hold for our pre-term and complex babies? Where our health care resources should be increased in terms of follow up in the community?

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Over eighty nine percent of children diagnosed with type 2 diabetes are considered obese or overweight (19). Childhood obesity is associated with an increased risk of kidney disease and the progression to and mortality of kidney disease (33). Most hospitals consider patient education as sufficient to helping this population to increase their physical activity and healthy eating (3,4,14). Without identifying the barriers to successful weight loss or successful increase in physical activity and health eating, this population will remain stagnant in their efforts to change. The purpose of this article is to identify the barriers of physical activity and healthy eating for patients with kidney disease or diabetes. A systemic literature review was conducted to identify the barriers of weight management for children and adolescents who have been diagnosed with kidney disease or diabetes. Upon identifying the barriers, the facilitators, which aim to improve health, can be established. Studies were found using pubmed, academic search premier, and the global internet. Search criteria included obesity rates for children, obesity rates for children with kidney disease, obesity rates for children with diabetes, physical inactivity rates for children, physical activity rates for children with kidney disease, physical activity rates for children with diabetes, unhealthy eating rates for children, unhealthy eating rates for children with kidney disease, unhealthy eating rates for children with diabetes, risk factors for children to acquire diabetes, risk factors for children to acquire kidney disease, barriers to healthy eating for children with kidney disease, barriers to healthy eating for children with diabetes, barriers to healthy eating, barriers to exercise, barriers to exercise for children with kidney disease, and barriers to exercise for children with diabetes. Although not all of the barriers were from research studies of patients with kidney disease or diabetes, there were multiple barriers which occurred in more than one study. These comprised lack of time, physical or personal appearance, lack of social support, lack of motivation, lack of money, weather, fatigue, and lack of access to exercise facilities for physical activity. Lack of time and cost of healthy food were both identified in at least two articles. Patient education alone is not sufficient to helping this population to increase their physical activity and healthy eating. Investigators must first understand what prevents the population from increasing their physical activity and healthy eating, so that they can develop and test potential solutions (facilitators) to the problem. More research is needed to identify barriers among specific populations such as children with diabetes or kidney disease, and to understand why many barriers differ among various populations. More research is also needed to identify and test facilitators to healthy eating and physical activity. Without identification of barriers and the facilitators to change, morbidity and mortality statistics of children with diabetes or kidney disease will continue to increase. 

Biography:

Mónica Carrasco-Gómez has completed his PhD at the age of 31 years from National Institute of Public Health in Mexico. She is Professor of National Council for Science and Technology attached to CIESAS-Sureste, a public research center in Mexico. She has published more than 3 papers in reputed journals.

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This work aims to determine the role of inequality in the provision of maternal health services among five regions in Mexico (northwest, northeast, central, the Mexico City-State of Mexico re- gion and the south). We consider the most important service providers corresponding to the main health institutions in Mexico (IMSS, ISSSTE, SESAS, IMSS-Oportunidades). Therefore, a cross-sec- tional prospective study was conducted to analyze eight intervention packages (Prenatal Care, Syphilis, Influenza, Obstetric Urgent Care, HIV in pregnancy, delivery care, neonatal care and ac- cessibility) offered by the Maternal and Perinatal Health (MPH) program. A quantitative analysis demonstrates low to marginal performance of the MPH program in three regions (South, Mexico City-State of Mexico and the Northwest) and marginal in two other regions (Central and Northeast). Furthermore, four of the intervention packages presented the lowest performance in the South (Prenatal Care, Syphilis, Influenza and Obstetric Urgent Care), as did the average of the total of the MPH packages. The performance of HIV in Pregnancy package was marginal in the Southern and Mexico City-State of Mexico regions and Neonatal Care was low in the Northwest. The assessment of the MPH intervention packages allows us to identify their strengths and weaknesses. This in- formation allows us to identify similarities and differences among the geographical regions in or- der to describe and analyze the strengths, weaknesses, opportunities and threats in the current system and hence to improve the decision making regarding the Maternal and Perinatal Health Programs in Mexico. The results suggest that a homogenization has taken place in terms of the low quality of the services.

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Biography:

Noella  Pereira  has  completed  her  D.C.H.  and  D.N.B.  at  the  age  of  32  years  from  the  University  of  Mumbai  and  the  National  Board  of  Examinations, New  Delhi  respectively.  She  has  been  an  Assistant  Professor  in  Pediatrics  for  over  two  years  at  the  Bai  Jerbai  Wadia  Hospital for  Children,  in  Mumbai, an  academic  centre  of  excellence  for  training  post  graduates. She  has  been  awarded  the  Best  Poster  award  for  her research  paper  at  Pedicon  2013 – a  National  Conference  for  Pediatricians  and  has  published  5  papers  in  reputed  international  journals. She  has  even  peer - reviewed  an  article  for  an  international  journal.

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Luke completed his medical training at Bristol University (UK) in 2012 and worked as a hospital doctor before undertaking a Global Health MPH at Harvard in 2014. He currently works as a global health researcher at Oxford University alongside consultancy work for the WHO. He is retiurning to clinical practice next year as a primary care trainee.

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The English National Childhood Measurement Programme aims to establish the Body Mass Index (BMI) of approximately 1m school children every year. Data from this rolling initiative is used to inform the healthy weight services provided in the primary care setting across England. Data are also used to allow analysis of trends in growth patterns, and for as a vehicle for engaging children and families on matters of healthy weight. This national programme that feeds into regional service planning is an excellent model for countries aiming to extend health coverage through better surveillance and strategic use of data. The model also provides cautionary lessons, as disadvantaged groups with the highest prevalence of obesity can be systematically excluded from data-collection: Schools for children with special needs are often exempted and BMI is an inappropriate measure of healthy weight in children with certain disabilities. Means for identifying and overcoming these barriers are discussed, along with the broader use of epidemiological surveillance in service of universal health coverage. The political economy of the British health system is discussed in reference to other models of provision around the world.

Biography:

Ayedh Alhajri is a first class honour medical student at the Royal College of Surgeons in Ireland and he is expected to graduate in May 2018 with MB, BCh, BAO, LRCP and LRCSI at the age of 25. He is a research assistant at Kuwait University, Faculty of Medicine, Department of Pediatrics. He is the founder of Kuwait Medical Students Team in Ireland which is functional since April 2014. He has contributed in two papers about pediatrics so far.

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Chiyori HAGA has completed her PhD in 2012 from Yamanashi University and worked there as an assistant professor. She is associate professor at Okayama University Graduate School of Health Sciences. She has conducted some cohort studies about health promotion for both children with and without disabilities. She has been serving as an editorial board member of International Journal of Nursing & Clinical Practice.

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Child care providers’ perceptions of chil-dren’s lifestyles and risk factors for obesity: The lifestyles of insufficient sleep and skipping breakfast have been pointed out as the problems on child-hood lifestyle since 2008. If the nurses have not had health guidance for parents in spite of knowing these associations, they would not grasp the recent situation on childhood lifestyles. This suggest that the nurses who will have a health guidance for childhood should interview not only parents, but also childcare providers. Therefore, this study attempts to understand child care providers’ perceptions of remarkable children’s lifestyles and discusses potentially successful strategies of cooperation among child care providers, parents, and health professionals for health promotion and the prevention of obesity in preschool children. We conducted 6 focus group discussions consisting of 34 child care providers employed by private and public child care centers, and a public kindergarten in Japan. Systematic thematic analysis was conducted to generate themes to address the study questions. Our results indicate that what the focus group participants discussed with felt mainly into the 3 different kinds of points: “Concerns of Child Care Providers Regarding Parental Attitudes about Nutrition and Nurture,” “Tensions Between Parents and Child Care Providers,” and “Current Obesity Prevention Activities and the Role of Child Care Profession-als.” Child care providers needed a system to demand helps from public health nurses in guiding parents would be effective in pre-venting childhood obesity. 

Biography:

Dr. Hasan Al Khaldi has completed his PhD in physical education specialized in sport management, He has worked in al Hashemite University in Jordan as assistant professor.  He was chair of sport administration and training Department, He was chair of sport rehabilitation department. He published more than 17 articles in field of sport administration, training and health. Beside that he has worked as fitness instructor in FIFA, AFC, JFA

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Harmandeep Kaur has completed her Bachelor’s in Anaesthesiology from Govt Medical College And Hospital (GMCH), Chandigarh, India. She is now doing research in Panjab University, Chandigarh. She has published more than 15 papers in reputed journals and has been serving as an editorial board member of repute

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AIDS is a severe immunological disorder caused by the retrovirus HIV, resulting in a defect in cell-mediated immune response that is manifested by increased susceptibility to opportunistic infections and to certain rare cancers. It is transmitted primarily by exposure to contaminated body fluids, especially blood and semen.

An observational study was conducted on randomly selected Female Sex Workers (FSW), High risk men who have sex with men (MSM), and transgender (TGs),Injecting drug users (IDUs) in the year 2015-16 in Chandigarh, Punjab, and Nepal.

The activities mainly includes STI services, Condom use, Behaviour Change Communication (BCC) through peer and outreach, Building enabling environment, Ownership building in the community, Linking prevention to HIV related care and support services. These activities are provided through ICTC, mobile ICTC, ART centres, network clinics and dispensaries. These activities are carried out as per the guidelines of NACO.

It can be concluded as the TI project focuses on FSWs to provide them preventive, promotive and curative facilities against HIV/AIDS

Biography:

Dr. Rabaa K Almomen, is a consultant and trainer family physician. Worked in the training of family physicians and research for many years. Interested in doctor -patient communication skills teaching, quality improvement and patients safety, evidence based medicine and women health care. Conducted and published research in the areas of interest.

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Chronic diseases continue to cause high morbidity and mortality in Saudi Arabia. Patients severing from diabetes mellitus, hypertension and associated complications have recently increased and most of these patients find it extremely difficult to understand or cope with their illness. The objective of this study is to determine the level of patients’ enablement in chronic disease and its predictors. Methods: A community based cross-sectional study was conducted between December 2014 and January 2015. Six hundred and four (604) Patients attending the Chronic Disease Clinic in Alwazarat Health center were randomly selected to participate in the study. Patients aged 18 years and above, who willingly agreed to participate, were included in the study. Self-reported questionnaire was used to determine patient level of enablement. Descriptive statistics such as mean and median were calculated and binary logistic regression was employed to determine the predictors of patient’s enablement to chronic disease. 

Results: Our results show that five hundred and sixty five (565) out of (604) patients participated in the study with 86.6% response rate. Type 2 diabetes mellitus affecting 40.65% while hypertension affecting 37.79% of the patients in Al wazarat health center. Patient’s enablement to chronic disease was very low and ranged between 2.41 and 1.53 out of 5.0. Binary logistic regression shows that age (male: OR; 0.84, 95% CI, 0.72 - 1.04, female. OR; 1.04, 95% CI 0.88 - 1.39), marital status (male: OR; 0.72, 95% CI 0.54 - 1.11, female: OR 1.01; 95% CI 0.82 - 1.29), patient educational level and number of problems discussed with physician and consultation length between male patients and their physician were statistically significant and correlated with patients enablement to chronic disease (P < 0.05).

Conclusion: This study shows that patient’s enablement in chronic disease is very low but constitutes an important arm in patients care management. It should be considered as a measurable patient outcome from healthcare services. More prospective studies on this important topic are highly recommended.  

Biography:

Dr. Qamarunissa Muhabat Khan  has been Graduated from Chandka Medical College, Larkana Pakistan as MBBS doctor. Later on she obtained his post-graduation in obstetrics and gynecology from Isra University Hospital Hyderabad and passed FCPS examination from College of Physician and Surgeons Pakistan (CPSP)  and then started working at The Aga Khan Maternal and Child Care Centre, Hyderabad , Pakistan as Consultant.

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Introduction: Depression is the most common mental disorders and a serious health problem in the world. It causes social, educational and biological problems in adolescents. Physiological changes during adolescence cause mental distress and make them more prone to depression. So, early diagnosis and treatment is very important.

Aim: Aim of this study was to examine depression in adolescent students and effects of related factors in schools of Tabriz, Iran.

Materials & Method: Data was gathered through the center of epidemiological studies depression scale for children from 903 adolescent students, including 455 boys and 448 girls who were selected by multi-stage cluster sampling. Data were analyzed by SPSS software/PC.

Results: The results showed that depression is a common event among adolescents. It was more in girls. There was correlation between depression and some factors such as: increased age, school and family problems, life events and self-concept of adolescents (p<0.05).

Conclusion: It is necessary that parents, primary healthcare centers and healthcare teams should pay more attention to risk factors of depression in adolescents.

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