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Pharmacist

9/26/2022

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​​​September 25 is World Pharmacists Day

Pharmacist Resources and Information from the CDC
JULY 6, 2018

​Over the years, CDC has developed excellent resources for and about pharmacists–but sometimes they’re hard to find. See below for a compilation!
Table of Contents
  • Pharmacists and the Opioid Crisis
  • Pharmacists and Tobacco Cessation
  • Pharmacists Role in Chronic Disease Prevention and Control
  • Pharmacists’ Impact on the Nation’s Health
  • Pharmacist and Management of Diabetes
  • Pharmacists and the Management of Cardiovascular Disease
  • Pharmacists and Immunizations
  • Continuing Education Resources from the CDC
  • Other Information

CDC also has a variety of resources available about collaborative practice agreements. See more on the CPA resource page.

Pharmacists and the Opioid Crisis
  • Pharmacists: On the Front Lines – Addressing Prescription Opioid Abuse and Overdose – Excellent one pager, front and back, outlining pharmacists' ability to address prescription opioid abuse by using their patient facing interactions to assess risk factors and communicate with patients.

Pharmacists and Tobacco Cessation
  • Pharmacists: Help Your Patients Quit Smoking – CDC resource with links for pharmacists to engage in a key role in the fight against tobacco use.  This resource provides links to several handouts, fact sheets, free continuing education, and videos to aid pharmacists in helping their patients quit smoking.

Pharmacists’ Role in Chronic Disease Prevention and Control
  • A Program Guide for Public Health: Partnering with Pharmacists in the Prevention and Control of Chronic Diseases – A guide to provide a starting point in moving the role of pharmacist beyond simply dispensing medications into a more involved relationship with state health departments and communities to address chronic disease management.
  • Preventing Chronic Disease: Provision of Clinical Preventive Services by Community Pharmacists – Article on community pharmacists providing opportunities for team-based approaches to expand the population’s access to clinical preventative services.  This article highlights the accessibility of community pharmacists and takes studies of four clinical preventative services that can be offered by community pharmacists: preventative medication; healthy behaviors; chronic disease screening; and infectious disease screening.

Pharmacists’ Impact on the Nation’s Health
  • How Pharmacists Can Improve Our Nation’s Health – Presentation illustrating how pharmacists' impact team-based care models to provide a variety of preventative care and wellness services to increase access care for patients.  Please see slides below:
  • Weighing in on Antibiotic Resistance: Community Pharmacists Tip the Scale – Free Continuing Education! Review the importance of understanding antibiotic resistance and how to promote the proper use of antibiotics among many other related topics while earning CE credit.

Pharmacist and Management of Diabetes

​The CDC has worked to develop a comprehensive guide and toolkit for providers of pharmacy, podiatry, optometry, and dentistry (PPOD) to help providers come together to provide diabetes care, decrease the risk for complications as a result of diabetes, and manage medication therapy.  Those resources, both the guide and toolkit can be found below:
  • Working Together to Manage Diabetes:
    • A Guide for Pharmacy, Podiatry, Optometry, and Dentistry
    • A Toolkit for Pharmacy, Podiatry, Optometry, and Dentistry
  • Emerging Practices in Diabetes Prevention and Control: Working with Pharmacists – In this document the CDC highlights three states: Colorado, Iowa, and Ohio and their experience with the role of pharmacists in chronic disease management.  This Emerging Practices document focuses primarily on medication therapy management (MTM) and team-based care.

Pharmacists and the Management of Cardiovascular Disease
  • Science-In-Brief: Impact of Pharmacist Care in the Management of Cardiovascular Disease Risk Factors – This brief CDC overview of the role pharmacists play in the management of cardiovascular disease (CVD) and the associated risk factors uses a review of multiple studies to show the positive impact of pharmacist intervention groups at improving CVD risk factors.
  • Using the Pharmacists’ Patient Care Process to Manage High Blood Pressure: A Resource Guide for Pharmacists – The CDC’s resource guide for pharmacists on managing high blood pressure serves as a call to action to health care providers to use the Pharmacists’ Patient Care Process as a way to prevent and manage high blod pressure through team-based care.  With this team-based approach the goal is to utilize pharmacists to reduce heart disease and stroke in the United States.
  • Cardiovascular Health Medication Adherence – Action Steps for Health Benefit Managers – Outlining major risk factors for heart disease: smoking, high blood pressure, high cholesterol, this publication highlights pharmacist's role on the frontlines of identifying risk factors and aiding with medication adherence in patients for better results.
  • Blood Pressure Control: Helping Patients take Their Medicine – Here the CDC brings attention to the fact that at least 25% of adults, ages 65 or older, with Medicare Part D prescription drug insurance are not taking their blood pressure medication as directed.  Here the CDC calls for action on the part of the healthcare community to improve medication adherence for better results, pointing towards pharmacists as an excellent source of information in their patient facing role.
  • Vital Signs: Disparities in Antihypertensive Medication Nonadherence Among Medicare Part D Beneficiaries – A 2014 study on nonadherence to blood pressure medication and how that nonadherence is represented across geographic, racial-ethnic, and other disparities among Medicare Part D beneficiaries.
  • CDC Guides Promote Involvement of Pharmacists to Manage Hypertension – APhA article outlining the CDC’s resources aimed at placing community pharmacists squarely in the treatment and prevention of high blood pressure.  This article outlines many of the resources above and serves a great resource overview.

Pharmacists and Immunizations
  • Pharmacists Play Crucial Part in Measles Prevention – With some resurgence of measles occuring in association with international travel pharmacists play a large role in educating patients about the importance and effectiveness of the Measles Mumps Rubella (MMR) Vaccine and can use their role to help encourage patients to vaccinate themselves and their children following the vaccine guidelines.

Continuing Education Resources from the CDC
  • STEADI: The Pharmacist’s Role in Older Adult Fall Prevention – This continuing education resource from the CDC is available and valid until March 24, 2020.  The Centers for Disease Control and Prevention (CDC) developed the Stopping Elderly Accidents, Deaths, and Injuries (STEADI) initiative to provide sought after tools and resources to help pharmacists and other healthcare providers.  As the leading cause of both fatal and non-fatal injuries among people 65 years and older falls pose a serious risk to the health and independence of older adults.  Pharmacists play a critical role in fall prevention with their expert knowledge of medications and their ability to communicate that knowledge through their accessibility.

Other Information
  • Methods & Resources For Engaging Pharmacy Partners – This resource is geared toward public health departments as a way of engaging pharmacy partners to utilize their services to aid with public health concerns.  The publication of this article aims to help establish or expand pharmacy services as part of public health initiatives; provide resources to help public health departments better understand pharmacy practices and pharmacy health care initiatives; and inform health departments on resources provided by pharmacies for advancing public health initiatives and services.
  • Characteristics of Pharmacists – 1978-1979 Survey – A blast from the past. See how the pharmacy profession has changed by taking a look at this survey report from the 1970’s.

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Talk to your pharmacist about which over-the-counter medicines are safe to use in combination with your prescription medicines.

​Get to Know Your Pharmacist
​
An important member of your health care team is as close as your local drugstore. With nearly 9 in 10 Americans living within 5 miles of a community pharmacy, your pharmacist may be the health professional you see most often and talk with about your health.

Learn the many ways your community pharmacist can help you manage your health.

Pharmacists can work closely with your doctor or nurse to give you expert information and guidance about your health and any health conditions you may have.

Talk to your pharmacist about which over-the-counter medicines are safe to use in combination with your prescription medicines.

What Your Community Pharmacist Can Do for You. Your pharmacist can help support your health by:
  • Talking to you about your medicine. Your pharmacist can explain the small print—what the medicine is for, how best to use it, what side affects you may experience, and what to do if you have side effects.
  • Suggesting ways to help you take your medicine. Your pharmacist can help you learn how to take your medicines as directed, as well as solve any problems you might have in doing this. For example, your pharmacist can suggest routines or tools such as a daily pillbox to help you take your medicine at the right time in the right dose. Your pharmacist can also help connect you to prescription discounts and aid programs.
  • Talking to you about medicine safety. Your pharmacist can give you important advice on which over-the-counter medicines, such as pain medicines and dietary supplements, are safe to use in combination with your prescription medicines.
  • Identifying or managing health problems. For example, if you get your blood pressure checked at the drugstore, share your numbers with your pharmacist. Your pharmacist can talk to you about your risk for high blood pressure, help you monitor your blood pressure, and direct you to medical care if needed. Your pharmacist can also consult your doctor to ensure you get the best treatment available.
  • Helping you manage other heath conditions. Pharmacists can provide immunizations, such as yearly flu shots, and teach you how to use health equipment such as blood glucose monitors if you have diabetes and inhalers if you have asthma.

Questions to Ask Your Pharmacist

The next time you head to the pharmacy, take this list of questions with you.
  • What is this medicine supposed to do?
  • How and when should I take it?
  • What are possible side effects? What should I do if I get them?
  • Should I avoid certain activities, such as driving or running?
  • Should I avoid certain foods, such as milk products or grapefruit, while taking the medicine?
  • If I’m having problems with this medicine, when should I call my doctor?
  • Can you give me a list of my prescribed medicines?

​How Your Pharmacist Works with Your Health Care Team
Pharmacists have special training to help you manage and improve your health, including working with your health care team. For example, your pharmacist can alert your doctors if they separately prescribe medicines that interact badly, before a problem occurs. Your pharmacist can also consult your doctor and advocate for you if you’re struggling with taking your medicines or have side effects.

How Your Pharmacist Can Help You Take Your Medicine as Directed

Medicine adherence means taking your medicines as directed—the right dose, the right number of doses per day, at the right times of day, and with or without food, drink, or other medicines.

​Adherence matters. For instance, not taking prescribed blood pressure medicine as directed can raise your risk of cardiovascular-related death.2 However, only half of Americans treated for high blood pressure take their medicine as directed.

Watch this video on blood pressure medicine adherence to learn more.
It can be hard to keep track of your medicines but taking them correctly is essential to good treatment. Your pharmacist can touch base with you regularly, ask how you’re managing, and give you encouragement.
Learn questions to ask your pharmacist the next time you visit the drugstore.
More Information
  • Food and Drug Administration: Stop – Learn – Go: Tips for Talking with Your Pharmacist to Learn How to Use Medicines Safelyexternal icon

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​September 25 is World Pharmacists Day

10 Questions to Ask Your Pharmacist
Posted on September 20, 2022, by Blog Adminstrator
​
Pharmacists are a bridge between you and your doctor. Your pharmacist might also be the health professional you see and talk to most often about your health. (1)

Pharmacists are trained to help you manage and improve your health every day. Your pharmacist—along with your doctor or nurse—can give you patient-centered answers to questions on many topics, including medicines and immunizations. They can also teach you practical skills, including how to use blood glucose monitors and asthma inhalers, and advise ways you can prepare your health for emergencies.

Here are some example questions you might ask your pharmacist the next time you visit the pharmacy.
  1. How do I prepare an emergency supply of medicines? Talk to your doctor or pharmacist about how you can create an emergency supply of medicines. Some states have emergency prescription refill laws that authorize pharmacists to refill a prescription before it’s due when under an emergency declaration. These laws vary by state. Learn more about the law where you live.
  2. What type of over-the-counter drugs should I include in my emergency supplies? Maintain an emergency supply of over-the-counter medicines, including pain and fever relievers, cough and cold suppressants, antihistamines, and antidiarrheal medicines in age-appropriate strengths.
  3. What kind of records should I keep with my important paperwork? Keep copies of all your prescriptions. You may need them in case you lose, run out, or damage your medicine. Having written records of your prescriptions makes it easier for another doctor to write a refill if you can’t reach your doctor or pharmacy during an evacuation or emergency. (2)
  4. How do I travel (e.g., evacuate) with medicine? Do not keep medicines in the glove compartment of your car. Keep them in their original containers. Keep the containers away from and out of sight of children and pets.(3, 4)
  5. How do I take care of my medicine during an emergency? Keep your medicines in a cool, dry place away from heat, air, light, and moisture.
  6. How do I store medicines safely at home and when traveling (e.g., evacuating) with children and pets? Any medicine, including those you buy without a prescription, can cause harm if taken in the wrong way or by the wrong person or a pet. Put your medicines up and away and out of reach and sight to prevent adverse drug effects.
  7. How do I keep medicines cold during a power outage? Use a cooler, ice, and chemical ice packs. If you use insulin to manage diabetes, try to keep your insulin as cool as possible without freezing it. Insulin that has been frozen can break down and is less effective. You can use insulin in opened or unopened vials that have been stored at room temperature (between 59°F and 86°F) for up to 4 weeks. (5)
  8. How do I judge the safety of medicine after an emergency? Do not take medicine that has changed color, texture, or smell, regardless of its expiration date. Also, do not take pills that stick together, are harder or softer than normal, or are cracked or chipped. Contact your pharmacist or healthcare provider if you are unsure about a drug’s safety. When in doubt, throw it out. (6)
  9. How do I safely dispose of expired, unwanted, unused, or damaged prescription medicines? The best way to dispose of most types of medicines is to drop them off at a drug take-back location.(7) This may be your local pharmacy or police station.
  10. What can I do if I am unable to take my medicine as prescribed because it was damaged? Can I share medicines with a friend or family member if they take the same kind? Medicines are only safe to use by the person whose name is on the prescription. You could experience an allergic reaction, an interaction with other medications, or other serious side effects from using someone else’s prescription medicine. People who share their drugs may experience side effects if they ration their supply to share with others. (8)

Make your pharmacist an important member of your healthcare team. Contact your local pharmacist or the FDA if you have questions about medicine.

FDA’s Division of Drug Information has pharmacists available to answer questions about drug use and safety. You contact them at 1-855-543-3784, [email protected], and on Twitter at @FDA_Drug_Info.
Learn more ways to prepare your medicine cabinet for emergencies.

​References
  1. https://www.cdc.gov/heartdisease/pharmacist.htm
  2. https://blogs.cdc.gov/publichealthmatters/2017/10/preparing-your-medicine-cabinet-for-an-emergency/
  3. https://medlineplus.gov/ency/patientinstructions/000534.htm
  4. https://www.cdc.gov/medicationsafety/protect/campaign.html
  5. https://www.cdc.gov/diabetes/library/spotlights/managing-insulin-emergency.html
  6. https://www.fda.gov/drugs/emergency-preparedness-drugs/safe-drug-use-after-natural-disaster
  7. https://www.fda.gov/drugs/safe-disposal-medicines/disposal-unused-medicines-what-you-should-know
  8. https://health.gov/myhealthfinder/healthy-living/safety/use-medicines-safely

​Thanks in advance for your questions and comments on this Public Health Matters post. Please note that CDC does not give personal medical advice. If you are concerned you have a disease or condition, talk to your doctor.
Have a question for CDC? CDC-INFO (https://www.cdc.gov/cdc-info/index.html) offers live agents by phone and email to help you find the latest, reliable, and science-based health information on more than 750 health topics.

Posted on September 20, 2022, by Blog Adminstrator
Categories: General, personal health, preparedness, prevention
Tags: disaster readiness, emergency preparedness, insulin, medication safety, pharmacist, pharmacy, power outage, prescription medicine

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Reduce Healthcare Costs and Increase Tacit Knowledge

​PATENT PENDING

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St. Louis College of Pharmacy, St. Louis
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​University Hospital - MU Health Care
About the patent Inventor: Umesh Bhargava, BS., B. Pharm., MS., Ph. D., R. Ph.  is a first-generation Indian American who completed his MS in Pharmacy from St. Louis College of Pharmacy in 1961, shown above on the left. Then started Research Assistantship on Black Walnut with Missouri University Hospital at Columbia, shown on the right. While on Research Assistantship, he did his Ph. D. in Pharmacology in 1967 with the research on Pharmacology of Ellagic Acid from Black Walnut. Ellagic Acid is a polyphenolic compound present in many fruits and vegetables which works against diabetes, heart disease, cancer, etc., that became popular on the internet between 1970 and 1990. Ellagic Acid might have popularized the consumption of fruits and vegetables in people who believed Vegan lifestyle. According to Oncologists, a published report, Ellagic Acid was the best discovery of the decades. Fruits like pomegranate, blueberries, raspberries, strawberries, cranberries, walnuts, and pecans are rich in ellagic acid.

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​Programs & Services  - HHS

HHS administers more than 100 programs across its operating divisions. HHS programs protect the health of all Americans and provide essential human services, especially for those who are least able to help themselves.
Social Services - Programs and services such as Temporary Assistance for Needy Families (TANF), Head Start, child care, and child support help individuals, families, and communities.
Prevention & Wellness HHS agencies offer resources to help you eat smart, exercise regularly, and get routine health screenings and vaccinations.
Providers & Facilities Locate health care providers and facilities, compare your options, and find resources for caregivers.
Public Health & Safety - HHS agencies offer resources to help you and your family stay safe by informing you about food, drugs, medical devices, violence prevention, and more.
Emergency Preparedness & Response - HHS leads the nation in preventing, preparing for, and responding to the adverse health effects of public health emergencies and disasters.
Research - Learn how HHS expands scientific understanding of health care, public health, human services, biomedical research, and availability of safe food and drugs.
​Featured Topic  Websites - Discover HHS websites on topics such as the flu, vaccines, tobacco, health care, mental health, food safety, bullying, HIV/AIDS, and more.
Education & Training Opportunities - Find HHS education and training opportunities for health professionals and students including loans, scholarships, and training programs.
Complaints & Appeals - Find out how to file a complaint or appeal a decision related to health information privacy, civil rights, Medicare, and more.

Health Literacy

"Health literacy is the degree to which individuals have the capacity to obtain, process, and understand basic health information needed to make appropriate health decisions.
Low health literacy is more prevalent among:

Older adults
Minority populations
Those who have low socioeconomic status
Medically underserved people"


What is our role in promoting health literacy?

Health literacy is a common thread through all of our programs. A large portion of the people we serve are poor and medically underserved.
​
They need help understanding and navigating a complex health care system. They require culturally competent providers who speak their language so they can make informed health care choices. A number of patients may be confused with certain medical language, have difficulty understanding English, struggle with filling out forms, or have limited access to health providers in their community. With the proper training, health care professionals can identify patients' specific health literacy levels and make simple communication adjustments."

The healthcare sector relies heavily on knowledge that is evidence-based information, diagnoses, and treatments that are implemented quickly in a patient’s best interests in treating patients. In the healthcare industry, the correct information can quite literally save lives—but only if professionals can have the ability to access it quickly from anywhere, at any time. HHS provides evidence-based, timely health information to the public participating through its main partners FDA, CDC, NCI, NIH, and NAID. A website containing such information would reduce overall healthcare costs in America by eliminating unnecessary expenses.
​
The Information and resources related to evidence-based programs and policies are shown below:
​
  • Advisory Committee on Immunization Practices (ACIP)
    A group of medical and public health experts that develops recommendations on how to use vaccines to control diseases in the United States
  • CDC Guidelines and Recommendations
    One-stop shop for guidelines or recommendations developed by CDC (and CDC collaborations with other organizations and agencies), or by CDC federal advisory committees; includes recommendations, strategies, and information to help decision makers choose courses of action in specific situations
  • Prevention of HIV/AIDS, Viral Hepatitis, STDs, and TB Through Health Care Website
    Information on policies and practices that leverage the healthcare system to help prevent HIV/AIDS, viral hepatitis, STD, and TB infections
  • Compendium of Proven Community-Based Prevention Programs External
    Compendium of 79 evidence-based disease and injury prevention programs that have saved lives and improved health
  • Guide to Community Preventive Services (The Community Guide)External
    Resource that helps users choose evidence-based programs and policies to improve health and prevent disease in communities
  • Prevention Status Reports
    Reports that highlight—for all 50 states and the District of Columbia—the status of public health policies and practices designed to prevent or reduce 10 important public health problems
  • US Preventive Services Task Force External
    Independent panel of nonfederal experts in prevention and evidence-based medicine that conducts scientific evidence reviews of a broad range of clinical preventive health care services and develops recommendations for primary care clinicians and health systems

With my experience in the hospital, this website is suitable for the hospitals. But it can be used by any industry that wants to reduce healthcare costs for their employees by improving health and educating them with health information. The website contains evidence-based healthcare information and tools when adopted on a large scale would reduce overall healthcare costs in America. The website also has a provision for users to enter their information on ten or more website pages if the user wants. The Department of Health and Human Services has launched Healthy People 2030, with the goals for this decade as follows:
​
  • Attain healthy, thriving lives and well-being, free of preventable disease, disability, injury, and premature death.
  • Eliminate health disparities, achieve health equity, and attain health literacy to improve the health and well-being of all.
  • Create social, physical, and economic environments that promote attaining full potential for health and well-being for all.
  • Promote healthy development, healthy behaviors, and well-being across all life stages.
  • Engage leadership, key constituents, and the public across multiple sectors to take action and design policies that improve the health and well-being of all.

The update addresses personal health literacy and organizational health literacy and provides the following definitions:
​
  • Personal health literacy is the degree to which individuals have the ability to find, understand, and use information and services to inform health-related decisions and actions for themselves and others.
  • Organizational health literacy is the degree to which organizations equitably enable individuals to find, understand, and use information and services to inform health-related decisions and actions for themselves and others.

In 2015 the U.S. spent nearly $9,000 for the health of every American — far more than what the governments of other countries spend on the health of their citizens – yet life expectancy and health outcomes are generally worse for Americans than for citizens of other developed nations in North America and Europe.

For the reasons of the high cost to treat disease in America, "disease prevention should be woven into all aspects of our lives, including where and how we live, learn, work and play. Everyone—government, businesses, educators, health care institutions, communities and every single American—has a role in creating a healthier nation.

The website has five major sections.  1. User Section: The home page entitled hospital has many links to get health information quickly. The home page is like an independent website to learn anything about healthcare. If the hospital wants to add specific information for their departments, this is the place to provide it.  2. Most Economic Burden Diseases:  Describe diseases like arthritis, diabetes, chronic diseases, health literacy, heart disease, and stroke. 3. CDC Main Categories: Data & Statistics, Diseases & Conditions, Emergency Preparedness, Environmental Health, Featured content, Global Health, Healthy Living, Injury, Violence, & Safety, State, Tribal, Local, & Territorial, Travel Health, Workplace Safety & Health, and Other. 4. Media Type: Infographics, Microsites, Videos, and Widgets & CDC TV. 5. Footer: The footer is also like an independent website available on every website page. Here employees can make comments after reading articles to get credit for CE.

About the patent Inventor: Umesh Bhargava, BS., B. Pharm., MS., Ph. D., R. Ph.  is a first-generation Indian American who completed his MS in Pharmacy from St. Louis College of Pharmacy in 1961, shown above on the left. Then started Research Assistantship on Black Walnut with Missouri University Hospital at Columbia, shown on the right. While on Research Assistantship, he did his Ph. D. in Pharmacology in 1967 with the research on Pharmacology of Ellagic Acid from Black Walnut. Ellagic Acid is a polyphenolic compound present in many fruits and vegetables which works against diabetes, heart disease, cancer, etc., that became popular on the internet between 1970 and 1990. Ellagic Acid might have popularized the consumption of fruits and vegetables in people who believed Vegan lifestyle. According to Oncologists, a published report, Ellagic Acid was the best discovery of the decades. Fruits like pomegranate, blueberries, raspberries, strawberries, cranberries, walnuts, and pecans are rich in ellagic acid.

The healthcare sector relies heavily on knowledge that is evidence-based information, diagnoses, and treatments that could be implemented quickly in a patient’s best interests. CDC and others have tried to record this knowledge and communicate through different mediums such as articles, prints, audios, microsites, videos, widgets, and other records that can be quickly and easily transmitted from one individual to another for easier use. But the healthcare industry is so complex that no matter what the delivery system is. It involves multiple professionals in diverse workplaces collaborating to deliver proper care to patients. In addition, it requires tacit knowledge in the form of expert opinion gained through years of experience. Learning is a continuous process, but the goal of this website is to increase this knowledge to provide decision-makers with the tools they need to turn information into a Permanent Tacit Health Knowledge Asset within the healthcare facility they use it.

A healthcare website can create a more efficient flow of information between all your doctors and staff; nurses, pharmacists, respiratory therapists, and dieticians, which could ultimately increase healthcare efficiency and productivity. Developing this type of Tacit Health Knowledge Asset would decrease Healthcare Costs when adopted in most hospitals in America. On this website, I have tried to bring information from many sources outside to gain users experience. 

By using the Walnut Healthcare Global System creative tool, every hospital has a chance to achieve maximum productivity through increasing healthcare efficiency by involving multi-talented groups of people within the hospital and technology working together to reduce healthcare costs. This website provides a lifelong educational offerings experience that develops management competencies and improves professional skills vital to succeeding through this tool. A separate booklet on the Self Power Leadership is available to management upon request.
The Self Power Leadership:  An introductory guide to The Self Power Leadership and how to succeed at it.
By Umesh C. Bhargava, Ph. D., Walnut Healthcare Global System Creative Business Tool

How to Grow the Tacit Health Knowledge Asset?  This knowledge or know-how is embedded or rooted in the mind of talented people, acquired through years of experience, expanded by getting together with talented people, as it is hard to communicate on this subject, sometimes it may be better to let the minds of people speak to each other through socialization as it can increase creativity and innovation in your organization. START A DISCUSSION BETWEEN EACH OTHER PICK A TOPIC.

Generally, a royalty is an agreement between the inventor (the licensor) and manufacturer, publisher, agent, or user (the licensee). In this case, the licensor has permitted to let the other users, or the hospitals use the inventor's ideas and creations free of royalty fees, as long as the licensee keeps the intellectual property performing well by allowing the maximum benefit to both parties, the licensor, and licensee, who have interest in the success this creation. There is no single way to charge or not charge royalty rates at the beginning. When you know the value of the patents, trademark, or copyright, you’ll be able to calculate the royalty rates more accurately and decide what to do. In the beginning, a licensing agreement will be made between the licensor and the licensee, free of charge for at least one year. But each customer has to pay yearly operation fees to maintain the website. Walnut Healthcare Global System owns and will continue to develop the four websites. Customer services and educational advocacy are to be provided by Walnut Healthcare. Each hospital or business will build the Tacit Health Knowledge Asset by their plan using the website and the Walnut Healthcare Global System Creative Tools as appropriate.  Walnut Healthcare is the facilitator and completes the contractual agreements to start the process. Walnut Healthcare Global System can also add information to the customer's portion of the website at a low cost to make the site more useful to the business. We have four different websites for customers to test. For more information or questions, please contact [email protected]. 
Walnut Healthcare Global System (WHCGS) Creative Tools

The Walnut Healthcare Global System developed the Creative Tools to achieve maximum productivity through increasing health literacy involving multi-talented groups of people and technology working together to achieve the best results to reduce healthcare costs. Together with discovering the drivers of spending and spending growth in US health care. How do the organization’s strategy and decision-making processes impact total spending and value, and how to control them? Lifelong educational offerings that develop management competencies and improve professional skills are vital to succeed through this tool.

​You also need Self Power learned with experience; it is that kind of power that helps you see things through your inner eye. For “The Self Power” to work, organizations need to create an environment that encourages creativity and innovation. Creativity in art increases boundaries beyond norms; for example, in recent years, woodturning has become an artistic craving for Sarena Bhargava’s creative expression, allowing her to explore the organic splendor and diverse energy of wood to create her art. Each piece of wood has a story to share and how it is transformed into a distinctively inspired expression of beauty and function. The art in the movie can be seen in the filmography at the International Movie Database (IMBd) by clicking here. Creativity and innovations can benefit humankind in many ways – Linda Naiman, founder of Creativity at Work.  Institutions should focus on bringing together multi-talented groups of individuals who collaborate to exchange ideas and knowledge to shape different directions of the future.

Our mind works like a global brain that connects with other people using the different systems without even knowing them. For a computer to work, it needs an internet connection, the global brain works using other methods, and your mind expands manifolds and handles complex problems without any personal interference. Organizations led by such leaders would have a higher success rate in innovation, employee engagement, for any change, and renewal.

​This website is the result of three patent applications working on the following concepts:

The first patent application deals with Providing and Spreading Health Literacy in Unique ways through Websites using Phones, WhatsApp, and Computers Singularly or in Combination with the Public and Healthcare Professionals to Decrease Nation's Healthcare Costs.  The patent shows a website can effectively spread healthcare information to the public and healthcare professionals in a cost-effective manner on a large scale using 10,250 healthcare articles from the CDC   that can theoretically be increased to a maximum of 250,000. 


The second patent application deals with "Our mind works like a global brain that connects with other people using the different systems without even knowing them. For a computer to work, it needs an internet connection but, the global brain works using other methods, and your mind expands manifolds and handles complex problems without any personal interference. Organizations led by such leaders would have a higher success rate in innovation, employee engagement, any change, and renewal."

"The Walnut Healthcare Global System is a creative tool to achieve maximum productivity through increasing health literacy involving multi-talented groups of people and technology working together to achieve the best results to reduce healthcare costs. Together with discovering the drivers of spending and spending growth in US health care. How do the organization’s strategy and decision-making processes impact total spending and value, and how to control them? Lifelong educational offerings that develop management competencies and improving professional skills are vital to succeed through this tool.

The Self Power can be learned, it is that kind of power that helps you see things through your inner eye. For “The Self Power” to work, organizations need to create an environment that encourages creativity and innovation. After that, they should focus on bringing together multi-talented groups of individuals who collaborate to exchange ideas and knowledge to shape the direction of the future."

The third patent application deals with the design of the website.  The website was created by making hundreds of websites, doing research, and using art and creativity on making websites with colors for over six years. Design thinking draws upon logic, imagination, intuition, and systemic reasoning to explore all possibilities as shown on the following figure. 
Picture

​According to Linda Naiman, founder of Creativity at Work.  creativity and innovations can benefit humankind in many ways "What if you could repair your body at the cellular level? Could food be grown right in the crowded cities where people live? How far can we extend the human life span?"


“Innovation distinguishes between a leader and a follower.” Steve Jobs

“The true sign of intelligence is not knowledge but imagination.” Albert Einstein


Artist's mind works differently than other people woodturning has become an artistic craving for Sarena Bhargava’s creative expression, allowing her to explore the organic splendor and diverse energy of wood. Each piece of wood has a story to share and how it is transformed into a distinctively inspired expression of beauty and function. These creative expressions can be seen in her filmographic work at the International Movie Database (IMBd): by clicking here.

To learn about Art and Health Creative Innovations go to the following sites:

Artist Gallery (5 pages)
Complete Happiness to Cure for all Pain and Suffering

Creative Mind Expansion
​How does the Global Brain Work?
​
What is Creativity?  in Website:  
https://artandhealthadvocates.weebly.com/ (Use password 1234)
​Who is Artist?  in Website: http://www.communitycare.cc/
​Zen Happiness

From Harvard 12 ways to cut health care costs

​In the healthcare industry, the correct information can quite literally save lives—but only if professionals can have the ability to access it quickly from anywhere, at any time.  The Internet has shifted toward more patient-centered care, enabling consumers to gather health-related information themselves; communicate with care providers, health plan insurance companies, and other consumers electronically; and even be willing to receive care in the home.  Healthcare Knowledge in the form of links from many sources is shown below:

CDC A-Z Index   👈
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CLEAR HEALTH FROM NIH ​​​​​ 
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👉A   B   C   D   E   F    G   H   I   J   K   L   M   N   O   P   Q   R   S   T   U   V   W   X   Y   Z
​
NHS A-Z LIST OF COMMON ILLNESSES AND CONDITIONS INCLUDING THEIR SYMPTOMS, CAUSES AND TREATMENTS

👉A   B   C   D   E   F   G   H   I  J   K   L   M   N   O   P   Q   R   S   T   U     V   W   X   Y   Z


DAILYMED​         MEDLINEPLUS®        MICROMEDIX         UPTODATE 

  

A-Z INDEX (NIOSH) FOR WORKPLACE SAFETY & HEALTH TOPICS
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​
​👉​OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION (OSHA'S) >> A TO Z INDEX​​👈
​
Diabetes Mellites👈

  • 4 Steps to Manage Your Diabetes for Life 
  • Diabetes and Women
  • Diabetes and Your Feet
  • Diabetes Features & Spotlights
  • Diabetes-Related Press Releases and Media Advisories
  • ​Evaluation Resources
  • Fact Sheets
  • Flu & People with Diabetes
  • Gestational Diabetes
  • Gestational Diabetes and Pregnancy
  • Health Care Providers ​
  • How to Save Money on Diabetes Care
  • Infographics
  • Making Physical Activity a Part of a Child’s Life
  • Making Physical Activity a Part of an Older Adult’s Life
  • Managing Diabetes 
  • Prediabetes: Your Chance to Prevent Type 2 Diabetes
  • Prevent Type 2 Diabetes in Kids
  • Reports and Publications
  • Social Media
  • Videos and Podcasts
  • Webinars and Videos

​Heart Diseases👈 

  • About Heart Disease
  • About Million Hearts® 2027
  • Coronary Artery Disease (CAD)
  • Facts about Atrial Septal Defect
  • Health, United States, 2013 includes special section on prescription drugs
  • Heart Age Infographics | VitalSigns
  • Heart Disease
  • Heart Disease and Men
  • Heart Disease Facts
  • Heart Disease: It Can Happen at Any Age | CDC Features
  • Heart Disease Patient Education Handouts
  • Heart Attack Symptoms, Risk, and Recovery
  • Heart Disease Resources for Health Professionals
  • ​High Blood Pressure
  • High Blood Pressure Symptoms and Causes
  • How Cardiac Rehabilitation Can Help Heal Your Heart
  • How much physical activity do older adults need?
  • Know Your Risk for Heart Disease
  • Learn & Prevent | Million Hearts
  • Lower Your Risk for the Number 1 Killer of Women 
  • Million Hearts and Eating Well launch heart-healthy nutrition resource
  • Million Hearts® e-Updates
  • Million Hearts® Syndicated Content
  • Prevent Heart Disease
  • Snapshots of Progress - Centers for Disease Control 
  • Sodium Reduction in Communities Program (SRCP)
  • Three Things You May Not Know About CPR
  • Vital Signs: High Blood Pressure and Cholesterol-Out of Control
  • Women and Heart Disease

Additional Health & Medical Online Resources (See Disclaimer on Table below)
American Cancer Society - cancer.org
Fighting cancer with research, education, patient care, and rehabilitation.

CDC - cdc.gov
Fights disease and supports communities and citizens to do the same.

Department of Health and Human Services - hhs.gov
Principal agency for protecting the health of U.S. citizens.

Drugs.com - drugs.com
Easy-to-read drug information and useful online tools including a pill identifier.

Epocrates - epocrates.com
Point of care diagnostic and treatment information for doctors. Subscription required.

Everyday Health - everydayhealth.com
Personalized health advice, tools, and communities.

Healthline - healthline.com
Condition and procedure topics, symptom checker, and pill identifier.

Mayo Clinic - mayoclinic.org
Award-winning medical and health information for healthy living.

MedicineNet - medicinenet.com
Authoritative medical information for consumers.

Medline Plus - medlineplus.gov
Diseases, symptoms, injuries, and more with photographs and illustrations.

Medpage Today - medpagetoday.com
Latest clinical and policy coverage geared towards health care professionals.

Medscape - medscape.com
Medical information for specialists, physicians, and industry professionals.

Merck Manuals - merckmanuals.com
The world's most widely-used medical guides, available online.

NIH - nih.gov
Focal point for medical research in the United States.

OpenMD - openmd - Also see: Health Site Directory
Health search engine spanning thousands of medical organizations and government databases.

RxList - rxlist.com
Drug information for consumers and medical health professionals.

UpToDate - uptodate.com
Evidence-based clinical decision support resource for health care providers.

WebMD - webmd.com

Thousands of medical entries from abdomen to zygote.

Doctor Reviews

CareDash - caredash.com
Provider ratings and patient reviews. Make informed decisions about your health.

Castle Connoly
Top doctors based on peer nomination and review by a physician-directed research team.
castleconnolly.com

Health Grades - healthgrades.com
Details on provider's experience, patient satisfaction and hospital quality.

U.S. News Health - health.usnews.com
Directory includes 750,000+ physicians and surgeons.

Vitals - vitals.com

Find, rate or check up on a doctor in the United States. Search by location, specialty or ailment.

Zocdoc - zocdoc.com
​Find a doctor and book an appointment. Read verified doctor reviews and ratings by patients.

Medical Journals

BioMed Central - biomedcentral.com
Provides open access to hundreds of peer-reviewed medical journals.

Free Medical Journals - freemedicaljournals.com - Also see: Free Medical Books
Site that promotes and links to free full-text medical journals and resources.

JAMA - freebooks4doctors.com
The most widely circulated peer-reviewed medical journal in the world.

New England Journal of Medicine - nejm.org
Publishes new medical research findings, review articles, and editorial opinion.

PubMed Central - ncbi.nlm.nih.gov
Free digital archive of biomedical and life sciences journal literature.

Child and Teen Health

Girls Health - girlshealth.gov
Reliable, supportive health information for girls ages 10 to 16.

Partnership for a Drug Free America - drugfree.org
Answers and guidance on drug abuse, prevention, and treatment.

Pregnancy Helpline - thehelpline.org
Education and information for those experiencing pregnancy related issues.

Teen Health - kidshealth.org
Honest information and advice about health, relationships, and growing up.

DISCLAIMER: The following website links provide information relating to healthcare and education decisions. The website has these Internet links as a courtesy to our users. The website inventor does not take responsibility for the accuracy, availability, or content of these external site.
Medical Information web sites

  • AARP MedicareRx Plans United Healthcare
  • ​Antibiotics Dosing (Johns Hopkins)
  • DailyMed (Current Medication Information)
  • EMedicine (Online Medical Textbook)
  • F D A - US Food and Drug
  • GlobalRPh.Com 
  • Institute For Safe Medication 
  • Lexi-Comp 
  • MedicineNet.com
  • Perinatology
  • ​PREVLINE (Prevention Online)
  • PubMeD Central Journal
  • ResourceClinical - Clinical & Prescribing 
  • RPhWorld.com (Drugs, calculators)
 
 DRUG/HEALTH CARE FOR CONSUMERS
  • CVS Caremark
  • Directory of Spine Specialists 
  • Drug.Com
  • Free Medication Programs
  • Everyday Health
  • Healthline
  • Mayo Clinic Health Information Center
  • MedLine Plus Site - Drugs/Medical A-Z
  • National Library of Medicine (World's Largest Medical Library)
  • Preventive health Services
  • U.S. Department of Health & Human Services (Healthfinder.gov)
  • Walgreens (Walgreens Website)
  • WebMD 
  • Weight Watchers

HEALTH INFORMATION FOR PROFESSIONALS
  • C D C - Centers for Disease Control and Prevention
  • ​Education Resources Information Center (ERIC)
  • www.emedicine.com
  • Hardin.MD
  • ​National Institute of Aging
  • Perinatology
  • UK National Health Service 
  • ​W H O - World Health Organization: Health Topics

NURSING WEBSITES
  • Allnurses.com
  • Anatomy of the Human Body (Gray's Anatomy) 
  • Cancer.gov
  • Family Practice Notebook
  • HardinMD
  • HIV InSite
  • NOAH: New York Online Access to Health
  • NursingCenter.Com
  • Perinatology

PEDIATRIC WEBSITES
  • American Academy of Pediatrics
  • CHADD Attention-Deficit/Hyperactivity Disorder (ADHD)
  • KidsHealth
  • Medem
  • MedCalculater
  • Pediatric Dosage Calculator
  • Pediatric On Call
  • Perinatology

PHYSICIAN WEBSITES
  • Americal Medical Association
  • Am Academy Family Phys
  • British Medical Journal
  • DailyMed (Current Medication Information)
  • DocFinder 
  • Family Doctor
  • Family Practice Notebook
  • Health Grades
  • Infectious Diseases Society of America
  • Medicare Participating Physician Directory
  • Medpage Today
  • MedScape (Free CME Resource For Physicians)
  • New England Journal Medicine 
  • PDQ® – National Cancer Institute
  • Perinatology

​Other Useful Links
  • Acute Care Online
  • Latex Drugs
  • OvidSP

SOURSE MEDICALNEWSTODAY  owned by Healthline Media  >>>
Medical & health news posted daily with advertisements on the right ​
Health Conditions
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Health Conditions
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  • Women's Health
  • Alcohol may be less harmful for people over 50212K views28 Feb 2019
  • Study reveals how much fiber we should eat to prevent disease87K views11 Jan 2019
  • These common drugs may increase dementia risk63K views25 Jun 2019
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  • Osteoporosis breakthrough: Bone mass increased by 800 percent30K views12 Jan 2019
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  • Giving up alcohol for just 1 month has lasting benefits24K views3 Jan 2019
  • New treatment under trial could restore brain cells in Parkinson's24K views27 Feb 2019
  • How do oral bacteria make colorectal cancer more aggressive?24K views4 Mar 2019
  • New HIV vaccine could expose latent virus and kill it24K views9 Apr 2019
  • DASH diet reduced heart failure risk 'by almost half' in people under 7524K views14 May 2019
  • Common heartburn drug linked with fatal conditions24K views4 Jun 2019
  • Eating earlier in the day aids weight loss by curbing appetite24K views24 Jul 2019
  • Alzheimer's blood test detects brain damage years before symptoms22K views22 Jan 2019
  • Simple drug formula regenerates brain cells22K views11 Feb 2019
  • Higher cholesterol, egg consumption linked to heart disease22K views18 Mar 2019
  • Knee osteoarthritis: A low-carb diet may relieve symptoms22K views27 Mar 2019
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  • Intermittent fasting: How I got started22K views21 Jun 2019
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  • Fasting boosts metabolism and fights aging20K views4 Feb 2019
  • New stem cells could be 'universally transplanted'20K views19 Feb 2019
  • New device can detect cancer in just a drop of blood20K views26 Feb 2019
  • The FDA approve esketamine nasal spray for severe depression20K views8 Mar 2019
  • Does eating mushrooms protect brain health?20K views15 Mar 2019
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  • Muscle-building protein shakes may threaten health20K views3 May 2019
  • Scientists discover anti-aging potential in old drug20K views29 May 2019    
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  • Exercise may increase lifespan 'regardless of past activity levels'20K views29 Jun 2019
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  • What are the perks and problems of being a night owl?16K views14 Jun 2019
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  • How your immune system uses chaos to prevent disease14K views22 Jan 2019
  • High blood pressure linked to zinc deficiency14K views29 Jan 2019
  • How safe are e-cigarettes? The debate continues14K views12 Feb 2019
  • Marijuana may be risky for those with heart disease14K views18 Feb 2019
  • Vitamin D and brain health: New mechanism may explain link14K views25 Feb 2019
  • Single injection gives mammals night vision14K views4 Mar 2019
  • New brain stimulation therapy is effective against depression14K views12 Mar 2019
  • Ovarian cancer: New drug may prevent recurrence14K views14 Mar 2019
  • Skin moisturizer could reduce risk of disease14K views17 Mar 2019
  • More evidence links weight gain to meal times14K views25 Mar 2019
  • Could probiotics evolve in the gut and cause harm?14K views29 Mar 2019
  • Chili pepper compound may slow down lung cancer14K views9 Apr 2019
  • How ketamine can change the brain to fight depression14K views24 Apr 2019
  • Does living alone increase mental health risk?14K views2 May 2019
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  • How do we recall the past? New mechanism revealed14K views22 May 2019
  • Night owls' health may benefit from 'simple' routine adjustments14K views10 Jun 2019
  • World first: Researchers completely remove HIV from mice14K views3 Jul 2019
  • Spinach supplement may increase muscle strength14K views5 Jul 2019
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  • 'Reprogramming' immune cells to attack cancer tumors12K views22 Jan 2019

HELPFUL LINKS

  • American Academy of Allergy, Asthma, and Immunology
  • American College of Allergy, Asthma, and Immunology
  • Pollen Forecasts
  • American Board of Allergy and Immunology
Clinical Resources and Tools

​Clinical Tools:
  • Maternal Patient Safety Bundles developed by the former Council on Patient Safety in Women’s Health Care.
  • Maternal Early Warning Signs (MEWS) Protocol developed by the former Council on Patient Safety in Women’s Health Care.
  • Toolkit for Improving Perinatal Safety developed by the Agency for Healthcare Research and Quality (AHRQ).
  • Guide to Patient and Family Engagement in Hospital Quality and Safety developed by the Agency for Healthcare Research and Quality (AHRQ).

Healthcare Professional Education:
  • POST-BIRTH Warning Signs Education Program developed by the Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN).
  • Back to Basics: Foundations for Mindful Care developed by the Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN).
  • Eliminating Preventable Maternal Mortality and Morbidity from the American College of Obstetricians and Gynecologists (ACOG).
  • Maternal Cardiac Conditions: Addressing a Leading Cause of Pregnancy-Related Death--Webinar hosted by the American College of Obstetricians and Gynecologists (ACOG).

Implicit Bias and Stigma:
  • March of Dimes’ Professional Education, including Implicit Bias Training focused on maternity care.
  • Beyond Labels: Reducing Stigma developed by March of Dimes.
  • SPEAK UP Program by the Institute for Perinatal Quality Improvement.
    • Video: A Physician Shares Stories about Listening to Black Women
  • AWHONN Insights Podcast: The Impact of Implicit Bias in Healthcare
  • Healthy Equity, Implicit Bias, Stigma & Antiracism developed by the Michigan Department of Health and Human Services.

​Health Equity and Cultural Awareness:
  • American Medical Association (AMA) Center for Health Equity.
  • Importance of Social Determinants of Health and Cultural Awareness in the Delivery of Reproductive Health Careexternal icon by the American College of Obstetricians and Gynecologists (ACOG).
  • Birth Equity developed by the Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN).
  • Think Cultural Healthexternal icon developed by the Office of Minority Health.
  • The EveryONE Project™ developed by the American Academy of Family Physicians.

Additional resources related to maternal health and pregnancy-related complications.