An advance health care directive, also known as living will, personal directive, advance directive, or advance decision, is a legal document in which a person specifies what actions should be taken for their health if they are no longer able to make decisions for themselves because of illness or incapacity. In the U.S. it has a legal status in itself, whereas in some countries it is legally persuasive without being a legal document.A living will is one form of advance directive, leaving instructions for treatment. Another form is a specific type of power of attorney or health care proxy, in which the person authorizes someone to make decisions on their behalf when they are incapacitated. People are often encouraged to complete both documents to provide comprehensive guidance regarding their care. An example of combination documents includes the Five Wishes in the United States. The term living will is also the commonly recognised vernacular in many countries, especially the U.K. Wikipedia.
News Article | May 6, 2017
PAHO Foundation and CGF Collaborate to Advance Health and Wellness in Latin America Atlanta, GA, May 06, 2017 --( “Harnessing the power of partnerships with this MoU being a key exemplar is the way forward when solving some of the region’s greatest threats to health and wellness,” PAHO Foundation President and CEO Dr. Jennie Ward-Robinson said. “Having the ability to work across sectors will enable PAHO Foundation and CGF to generate positive health outcomes throughout the region. On behalf of the Foundation, I look forward to collaborating with CGF’s team of industry experts and believe that this integral partnership will foster additional opportunities benefitting people throughout Latin America.” The signing of the MoU symbolizes a shared commitment to build healthier, more secure futures for families and communities in the region. To accomplish this, the Foundation and CGF agree to shepherd the following principles on health and wellness stewardship: - Health and wellness is the foundation of productive and prosperous societies and an important component of the economy; - Society benefits from jointly leveraging the capabilities of the private sector in combination with those of government and non-governmental organizations to help people lead healthier lives; - Health and wellness is a priority as is the need to promote innovation, including through public-private partnerships; - The parties believe in sharing information and best practices that lead to promoting healthy lifestyles among all sectors of society; and - Health and wellness in Latin America can be improved by: (i) building relationships, improving communications, and enhancing cooperation and coordination among public and private sector stakeholders; (ii) identifying health and wellness challenges in Latin America; (iii) investigating the causes of these challenges in Latin America; (iv) identifying, testing, and implementing potential solutions to health and wellness challenges in Latin America; and (v) mobilizing the resources needed to accomplish the foregoing. Additionally, the Foundation and CGF recognize the unique ability both parties share in providing vital guidance and expertise during multi-stakeholder collaboration-making processes – the Foundation with its Foundation Technical Advisory Group (FTAG) built of leading scientists, researchers, and academics in global health and CGF with its External Advisory Council (EAC) of recognized, international health scholars and researchers. “PAHO Foundation plays a critical role in improving public health across Latin America,” CGF Managing Director Peter Freedman said. “Our partnership is an exciting opportunity for us to combine PAHO Foundation’s expertise with the consumer industry’s own unique capabilities - in the interests of our vision of empowered, healthy consumers everywhere. We look forward to working with PAHO Foundation on innovative solutions to the health and wellness challenges in the region.” The MoU is only the beginning of an ongoing partnership between the Foundation and CGF. The two agree to engage in an ongoing dialogue to identify opportunities to jointly mobilize public and private sector resources to improve health equity and help people in Latin America live healthier and more productive lives. Atlanta, GA, May 06, 2017 --( PR.com )-- PAHO Foundation and The Consumer Goods Forum (CGF), a global, nonprofit association of leading companies in the retail and consumer packaged goods industry, have signed a Memorandum of Understanding (MoU). Through their strategic partnership, the Foundation and CGF agree to “foster innovation leading to improved health and wellness outcomes in Latin America.”“Harnessing the power of partnerships with this MoU being a key exemplar is the way forward when solving some of the region’s greatest threats to health and wellness,” PAHO Foundation President and CEO Dr. Jennie Ward-Robinson said. “Having the ability to work across sectors will enable PAHO Foundation and CGF to generate positive health outcomes throughout the region. On behalf of the Foundation, I look forward to collaborating with CGF’s team of industry experts and believe that this integral partnership will foster additional opportunities benefitting people throughout Latin America.”The signing of the MoU symbolizes a shared commitment to build healthier, more secure futures for families and communities in the region. To accomplish this, the Foundation and CGF agree to shepherd the following principles on health and wellness stewardship:- Health and wellness is the foundation of productive and prosperous societies and an important component of the economy;- Society benefits from jointly leveraging the capabilities of the private sector in combination with those of government and non-governmental organizations to help people lead healthier lives;- Health and wellness is a priority as is the need to promote innovation, including through public-private partnerships;- The parties believe in sharing information and best practices that lead to promoting healthy lifestyles among all sectors of society; and- Health and wellness in Latin America can be improved by: (i) building relationships, improving communications, and enhancing cooperation and coordination among public and private sector stakeholders; (ii) identifying health and wellness challenges in Latin America; (iii) investigating the causes of these challenges in Latin America; (iv) identifying, testing, and implementing potential solutions to health and wellness challenges in Latin America; and (v) mobilizing the resources needed to accomplish the foregoing.Additionally, the Foundation and CGF recognize the unique ability both parties share in providing vital guidance and expertise during multi-stakeholder collaboration-making processes – the Foundation with its Foundation Technical Advisory Group (FTAG) built of leading scientists, researchers, and academics in global health and CGF with its External Advisory Council (EAC) of recognized, international health scholars and researchers.“PAHO Foundation plays a critical role in improving public health across Latin America,” CGF Managing Director Peter Freedman said. “Our partnership is an exciting opportunity for us to combine PAHO Foundation’s expertise with the consumer industry’s own unique capabilities - in the interests of our vision of empowered, healthy consumers everywhere. We look forward to working with PAHO Foundation on innovative solutions to the health and wellness challenges in the region.”The MoU is only the beginning of an ongoing partnership between the Foundation and CGF. The two agree to engage in an ongoing dialogue to identify opportunities to jointly mobilize public and private sector resources to improve health equity and help people in Latin America live healthier and more productive lives. Click here to view the list of recent Press Releases from PAHO Foundation
News Article | June 14, 2017
Not only did Health Advance appoint a new chairman of the board of directors but also a new CEO, Vice President, and an in-house certified public accountant, in addition to contracting a media relations firm in Canada. Dr. Muhammad Mukhtar, Ph.D who will be serving as the new Secretary, (Acting) CEO, and Chief Board Advisor. Dr. Muhammad Mukhtar Ph.D. has served as a professor at the American University of Ras Al Khaimah (AURAK), United Arab Emirates. Before his arrival at AURAK, he served as Vice Chancellor/Professor of three Universities in Pakistan concomitantly – a unique honor for any academic leader. Through his wise academic leadership and innovative governance, he converted a regional higher education institution in Pakistan to one of the top-ranked in the country. Dr. Mukhtar received his Masters and MPhil in the field of Biochemistry from Pakistan and his Ph.D. in biosciences from the Drexel University of Philadelphia, USA, and also completed a Graduate Certificate in Research Management from Thomas Jefferson University in Philadelphia, USA. He served in various academic/administrative positions in the USA on an outstanding scientist (O-1) visa. Dr. Mukhtar is also an avid researcher. His laboratory developed an in-vitro model of the human blood-brain barrier to study viral neuropathogenesis. Dr. Mukhtar as Principal or Co-Investigator has received several awards from organizations including American Diabetes Association, American Society for Microbiology, Diabetes Trust Foundation, US National Institutes of Health, , and the Higher Education Commission of Pakistan. Human blood-brain barrier model developed in his laboratory is extensively used to understand ferrying of viruses into the brain and finding cures for neurological ailments. Dr. Mukhtar holds specialized Certificates in Public Health and Bioinformatics. Committed to the role of technology in biomedical research, he serves as managing editor of Frontiers in Bioscience and is on the editorial board of several research journals. He feels pride in mentoring researchers, scientists, teachers and administrators and committed professionals aspiring to excel in their practical life. He has several research publications, including peer-reviewed research, review articles, invited articles, book chapters, commissioned articles and critiques to his credit. A book describing accomplishments of Dr. Mukhtar's educational leadership has been published in Urdu language entitled "Hayat Zauq e Safar Kay Siwa Kuch Aur Naheen" and it's English Version "The Making of a Best National University" is in progress. Dr. Hauke Kolster, Ph.D. will serve as the company's new Vice President. Dr. Kolster is an innovative scientist and engineer with outstanding quantitative and analytical skills. Technically versed professional with progressive experience in coordinating projects as well as working in cross-functional teams in multiple disciplines. A goal oriented individual who excels in problem-solving and managing complex projects with strict timelines amid multiple stakeholders. Since 2012 Dr. Kolster has owned and operated Windmiller Kolster Scientific in California offering scientific and research consulting, technology and software for the neuroimaging sector. Supported leading neuroscientific research groups at top domestic and international universities. Previously Dr. Kolster served as a Research Assistant Professor at KU Leuven Medical School (Leuven) and Research Assistant Professor at Department of Neuroscience since 2007. Dr. Kolster's professional training includes research fellowship program at Harvard Medical School, in addition to working as a senior post-doctoral associate at Massachusetts Institute of Technology at Cambridge. Dr. Kolster studied and graduated at LMU Munich, Munich for his Ph.D. and Bonn University (Bonn, Germany) for a master's degree in physics. These new management selections are just the beginning of changes the company announced in its recent SEC and State of Wyoming filings. The company has moved from Las Vegas to a new physical office location in Colorado Springs. The company also plans to file SEC Forms S-3 and S-6 registration statements to secure payments for related investments in the company and to inform investors about major changes. The company has been trading on the PINKS but has decided to apply for acceptance onto the OTCQB exchange. Health Advance, Inc. is a publicly traded Wyoming corporation that develops, manufacturers, and distributions cost-effective dietary supplements and medical foods from organic sources that contain botanical extract blends as an alternative to synthetic drugs and herbal supplements, in efforts to treat pain, cancer, opiates/alcohol withdrawal, epilepsy, PTSD, and other severe illnesses. For more information about Health Advance go to www.hadvinc.com, or go to their one-minute company overview video clip on YouTube.
Veredas F.,University of Malaga |
Mesa H.,Advance Health |
Morente L.,Area de Enfermeria Comunitaria
IEEE Transactions on Medical Imaging | Year: 2010
A pressure ulcer is a clinical pathology of localized damage to the skin and underlying tissue caused by pressure, shear, or friction. Diagnosis, treatment, and care of pressure ulcers are costly for health services. Accurate wound evaluation is a critical task for optimizing the efficacy of treatment and care. Clinicians usually evaluate each pressure ulcer by visual inspection of the damaged tissues, which is an imprecise manner of assessing the wound state. Current computer vision approaches do not offer a global solution to this particular problem. In this paper, a hybrid approach based on neural networks and Bayesian classifiers is used in the design of a computational system for automatic tissue identification in wound images. A mean shift procedure and a region-growing strategy are implemented for effective region segmentation. Color and texture features are extracted from these segmented regions. A set of κ multilayer perceptrons is trained with inputs consisting of color and texture patterns, and outputs consisting of categorical tissue classes which are determined by clinical experts. This training procedure is driven by a κ-fold cross-validation method. Finally, a Bayesian committee machine is formed by training a Bayesian classifier to combine the classifications of the κ neural networks. Specific heuristics based on the wound topology are designed to significantly improve the results of the classification. We obtain high efficiency rates from a binary cascade approach for tissue identification. Results are compared with other similar machine-learning approaches, including multiclass Bayesian committee machine classifiers and support vector machines. The different techniques analyzed in this paper show high global classification accuracy rates. Our binary cascade approach gives high global performance rates (average sensitivity =78.7\%, specificity =94.7\%, and accuracy =91.5\%) and shows the highest average sensitivity score (=86.3%) when detecting necrotic tissue in the wound. © 2010 IEEE.
McManus M.A.,Advance Health |
Pollack L.R.,Advance Health |
Cooley W.C.,National Health Care Transition Center |
McAllister J.W.,National Health Care Transition Center |
And 3 more authors.
Pediatrics | Year: 2013
OBJECTIVE: To examine current US performance on transition from pediatric to adult health care and discuss strategies for improvement. METHODS: The 2009-2010 National Survey of Children with Special Health Care Needs is a nationally representative sample with 17 114 parent respondents who have youth with special health care needs (YSHCN) ages 12 and 18. They are asked about transition to an adult provider, changing health care needs, increasing responsibility for health care needs, and maintaining insurance coverage. We analyzed the association of selected characteristics with successful transition preparation. RESULTS: Overall, 40% of YSHCN meet the national transition core outcome. Several factors are associated with transition preparation, including female gender; younger age; white race; non-Hispanic ethnicity; income ≥400% of poverty; little or no impact of condition on activities; having a condition other than an emotional, behavioral, or developmental condition; having a medical home; and being privately insured. CONCLUSIONS: Most YSHCN are not receiving needed transition preparation. Although most providers are encouraging YSHCN to assume responsibility for their own health, far fewer are discussing transfer to an adult provider and insurance continuity. Although changes in sample design limit trend analysis, there have been no discernible improvements since this transition outcome was measured in the 2005-2006 National Survey of Children with Special Health Care Needs. The 2011 release of the American Academy of Pediatrics/American Academy of Family Physicians/American College of Physicians clinical recommendations on transition, new transition tools, and the spread of medical home should stimulate future improvements in transition performance.
Jeffery D.R.,Advance Health
Therapeutic Advances in Chronic Disease | Year: 2013
The development of new pharmacologic agents for the treatment of multiple sclerosis (MS) and advances in testing for exposure to the JC virus have led to changes in the treatment of MS. In addition several new agents are in late stage development for MS and their entry onto the market will provide additional treatment options. In 2012 and in early 2013, it is likely that both terifunomide and BG-12 will be approved by the United States Food and Drug Administration (FDA) for the treatment of relapsing forms of MS. The therapeutic environment has already changed and is likely to change rapidly over the next several years. Fingolimod was the first oral agent approved for the treatment of MS and this agent is now widely used in patients intolerant of injections and the side effects associated with the older platform therapies. In many settings it is also used a first-line agent. Owing to the risk of progressive multifocal leukoencephalopathy, natalizumab had previously been reserved for patients with active disease who were intolerant of first-line agents or patients who were worsening despite standard therapy. With the availability of JC virus antibody testing, natalizumab is now being used as a first-line agent in patients negative for JC virus antibodies. Teriflunomide and BG-12 will become available in the next year. Both agents have suitable efficacy and a favorable safety and tolerability profile. There are advantages and disadvantages associated with all of the oral agents. In this article we summarize the clinical trial results regarding the efficacy and safety of the oral agents and discuss the changes that are already taking place in the therapeutic landscape for MS. © The Author(s), 2012.
Lloyd T.,Advance Health
Orthopaedic Nursing | Year: 2011
Prevention of falls is an issue of concern for all hospitalized patients. Certain units, however, may be at higher risk for falls due to patient diagnosis, comorbidities, and other intrinsic factors. Creation of a unit-specific fall-prevention program may be more effective at reducing incidence of falls in the adult orthopaedic inpatient setting. It may also be better valued by staff according to a critical analysis of the literature and staff survey of perceptions. This information was used as a starting point to create a template for a unit-based fall program specifically for high-risk units. The evidence from this analysis could be used to identify high-risk units and adapt existing generic fall-prevention programs to this higher risk population. Copyright © 2011 National Association of Orthopaedic Nurses.
Advance Health | Date: 2013-12-30
A medical screening system includes: a mobile device including: a user interface embodied in an input/output system; a processor; and a memory in communication with the processor, including stored instructions that, when executed by the processor, cause the processor to: provide a medical screening intake system that receives objective medical data, subjective medical data, and medical test results for a person as input through the user interface; receive the objective medical data, subjective medical data, and medical test results for the person as input through the user interface; automatically process the objective medical data, subjective medical data, and medical test results to generate one or more plans of care specifically adapted for the person; and communicate the one or more plans of care specifically adapted for the person to the person as a report embodied in a structured data output.
Prior M.,Advance Health |
Prior M.,Georgetown University |
McManus M.,Advance Health |
White P.,Advance Health |
Davidson L.,Georgetown University
Pediatrics | Year: 2014
BACKGROUND AND OBJECTIVES: Without adequate support, adolescents transitioning from the pediatric to the adult health care system are at increased risk for poor health outcomes. Numerous interventions attempt to improve this transition, yet few comprehensively evaluate efficacy. To advance evaluation methods and ultimately the quality of transition services, it is necessary to understand the current state of health care transition measurement. This study examines and categorizes transition measures by using the "Triple Aim" framework of experience of care, population health, and cost of care. METHODS: Ovid Medline and the Cumulative Index to Nursing and Allied Health Literature were searched for articles published between 1995 and 2013. Two reviewers independently screened studies and included those that evaluated the impact of a health care transition intervention. Measures were subsequently classified according to population health, experience of care, and costs of care. RESULTS: Of the 2282 studies initially identified, 33 met inclusion criteria. Population health measures were used in 27 studies, with disease-specific measures collected most frequently. Fifteen studies measured cost, most often service utilization. Eight studies measured experience of care, with satisfaction assessed most commonly. Only 3 studies examined all 3 domains of the " Triple Aim." Transition interventions described in the gray literature were not reviewed. CONCLUSIONS: Transition programs are inconsistently evaluated in terms of their impact on population health, patient experience, and cost. To demonstrate improvement in the transition from pediatric to adult health care, a more robust and consistent set of measures is needed. Copyright © 2014 by the American Academy of Pediatrics.
News Article | January 27, 2015
Chantilly, Virginia-based Advance Health, a health risk assessments provider, has secured $40 million in funding. Summit Partners led the round with participation from Noro-Moseley Partners. Choate Hall & Stewart LLP advised Summit Partners on the transaction while Bass, Berry & Sims PLC advised Advance Health. In conjunction with the funding, Mark deLaar of Summit Partners has been added to Advance Health’s board of directors. Chantilly, VA and Boston, MA – January 27, 2015 – Advance Health, a leading provider of managed care prospective health assessments and care management solutions, announced that it received a $40 million minority growth equity investment led by Summit Partners, with participation from Noro-Moseley Partners. Advance Health will use the funding to continue product innovation, broaden market awareness, and expand its sales and services capabilities. Advance Health provides in-home health risk assessments and chronic care management services through its extensive provider network. The company’s combination of proprietary mobile workflow technology and highly experienced, dedicated care providers yields outstanding program results and better outcomes for clients and their health plan members. “Summit’s deep experience in the healthcare sector will help our team accelerate Advance Health’s long-term business plans, enabling us to capitalize on new market opportunities,” said Brian Wise, CEO of Advance Health. “Our goal is to meet the demands of the fast-moving healthcare marketplace by providing clients with innovative health assessment and care management services.” “Advance Health is a clear leader in the managed care market,” added Mark deLaar of Summit Partners, who has joined the Advance Health Board of Directors. “With its broad geographic reach, exceptional team and innovative technology, Advance Health is delivering the highest level of services available in the marketplace today. We are honored to partner with Brian, Marc and the rest of the management team to support the company’s continued growth.” Allen Moseley, a General Partner with Noro-Moseley Partners, added, “Advance Health is the first provider to offer complete electronic assessment capture at the point of care through its proprietary iOS iPad and HTML5 application. We’re delighted to partner with Advance Health as they move on to the next generation of quality and care.” “With our new equity partners, we are even more excited about the future of Advance Health. Our innovative technology and differentiated solution will continue to set us apart in the managed care marketplace,” said Marc Wise, the President of Advance Health. Advance Health’s clients include many of the country’s largest managed care companies. These entities rely on Advance Health to provide outstanding care and service to their patients. Advance Health was advised by Bass, Berry & Sims PLC. Summit Partners was advised by Choate Hall & Stewart LLP. About Advance Health Founded in 2010 and headquartered in Chantilly, VA, Advance Health is the leading healthcare provider of prospective health risk assessments (“HRAs”). Advance Health offers in-home and facility-based HRAs and chronic care management services for health plans. Advance Health employs a network of full-time Nurse Practitioners to provide its services. The company has developed a proprietary technology platform that providers use at the point of care. To date, the company has completed thousands of assessments for many of the largest Medicare Advantage programs in the United States. Visit Advance Health at www.advancehlth.com to learn more. About Summit Partners Founded in 1984, Summit Partners is a growth equity firm that has raised more than $16 billion in capital. Summit has invested in more than 400 companies in healthcare, technology and other growth sectors. These companies have completed more than 135 public offerings, and more than 150 have been acquired through strategic mergers and sales. Notable healthcare companies financed by Summit Partners include CareCentrix, HealthCare Partners, Heart to Heart Hospice, Lincare, MDVIP, Mednax and OB Hospitalist Group. Summit maintains offices in North America and Europe, and invests in companies around the world. For more information, visit www.summitpartners.com or follow on Twitter at @SummitPartners. About Noro-Moseley Partners Noro-Moseley Partners, based in Atlanta, is a venture capital firm focused on early growth stage companies in the healthcare IT and services sectors and information technology sectors. Since 1983, NMP has been a leader in its market, investing more than $650 million in over 175 companies. The managers of NMP’s current fund, Noro-Moseley Partners VII, have more than 60 years collectively of direct venture investing experience and bring a diverse set of skills to assist entrepreneurs in growing their companies. For more information, visit www.noro-moseley.com.