MaineGeneral Health Services' Workplace Health department works with 250 businesses employing 20,000 people to help reduce healthcare costs through workplace wellness programs. The department saved MaineGeneral $1 million in insurance costs during a large hospital construction project by providing on-site medical care. It has also helped lower healthcare claims and workers' compensation costs for businesses like J.S. McCarthy Printers by providing services like health coaching, wellness programs, and injury prevention. MaineGeneral's own program for its 4,300 employees has contributed to lower than expected healthcare costs since 2008.
Lower back injuries are highly prevalent in healthcare settings, accounting for over 70% of injuries. Risk factors include tasks like lifting patients, which can place up to 1,150 pounds of pressure on the lower back. Common injuries are low back pain, herniated discs, and strained muscles or tendons. Prevention strategies include proper lifting techniques, exercise, ergonomic adjustments to workstations, job modifications, and back injury education programs. Implementing a comprehensive ergonomic management program can help reduce injuries and their associated costs.
- Many lost workdays from injuries are preventable, but 60-80% involve non-medical factors prolonging time off. Effective communication between physicians, employers, and employees is key to addressing issues like motivational problems or poor workplace relationships that inhibit recovery.
- Physicians play an important role in injury management by diagnosing accurately, providing treatment plans, and accepting responsibility for addressing both medical and non-medical barriers to returning to work. Addressing just the medical factors is not enough.
- Preventing prolonged disability requires a cooperative approach where physicians obtain information from employers about job duties and employers help injured workers feel supported in returning to restricted work.
The document provides an overview of an upcoming occupational health course being offered by Denise Dumont-Bernier, Director of Workplace Health at Hospital-based Occupational Medicine. The course will feature presentations from various experts on topics like shoulder injuries, back injury prevention, employee wellbeing, ergonomics, aging workers, and workers' compensation. It also lists Denise Dumont-Bernier as presenting on preplacement evaluations and provides her contact information.
This document discusses ergonomics and employee behavior change. It outlines 10 essential elements: understanding the 3 elements of ergonomics (work, worker, worksite); recognizing risk factors that can be changed; understanding the behavior change process; setting employees up for success through education and support; and teaching proper techniques like lifting, flexibility, exercises, workstation setup, pacing, and wellness. The goal is to help employees adopt new habits to prevent injuries through awareness, commitment to change, and consistent practice of safe behaviors.
This document provides information about Healthy People of the Kennebec Valley (HPKV), a collaborative focused on promoting worksite wellness in the Kennebec Valley region. HPKV focuses on providing resources and education to employers on workplace health and wellness best practices. It lists upcoming events on nutrition, medical self-care, and National Employee Health and Fitness Day. Membership benefits include wellness program consultation, networking opportunities, and discounted rates for events. The document encourages businesses to become members at various sponsorship levels to support HPKV's mission of engaging employers to promote health and wellness.
The Portland Public Works department implemented a stretching program to address high injury rates among employees, particularly in the Solid Waste Division. A study by the Maine Municipal Association found that many injuries were sprains and strains occurring early in the work day. A physical therapist then developed a customized stretching program called Fit For Work, which includes warm-up exercises, stretches for major muscle groups, and flexibility tests. The 10-minute program is performed daily in a standing position. It reduced injuries and improved employees' range of motion. Dedicated supervisors and management support were keys to the program's success.
Stretching the Limits at Work discusses implementing successful workplace stretch programs. Many companies have implemented such programs to prevent sprain and strain injuries, which cost $45-54 billion annually. While basic science shows stretching reduces injuries, studies of workplace programs' efficacy are equivocal. A successful program includes proper stretches led by trained peers, management support, and monitoring. Proper implementation considers employee duties and injury patterns. The value of stretch programs includes reduced injuries and costs if coordinated with an organizational safety culture.
The document describes Oakland's new stretching program for municipal employees led by Denise Dumont-Bernier and Libby Parr. The program aims to prevent unnecessary strain and injuries through proper stretching. It is mandatory for employees over 50 years old in high risk departments. The program takes 5-10 minutes in the morning and has improved employee health, morale and reduced workers compensation costs for Oakland.
Back injuries are common, accounting for 1 in 5 workplace injuries. Lifting heavy objects, twisting, prolonged sitting or standing, and falls are common causes. The spine consists of vertebrae, discs, joints, ligaments and muscles that can be injured. Maintaining good posture and lifting techniques, exercising for back strength and flexibility, stretching, and being aware of ergonomic risks can help prevent back injuries.
The document discusses the aging workforce and challenges employers may face. As people are living longer and legislation prevents mandatory retirement, the average age of workers is increasing. This presents physical, cognitive and sensory challenges for older employees. The document outlines these challenges and provides suggestions on how employers can accommodate an aging workforce through ergonomic adjustments, wellness programs, training and health screenings. Accommodating aging workers benefits both employees and employers by improving productivity and reducing health costs.
This document discusses trends in an aging workforce and how employers can prepare. It notes that older workers are staying in the workforce longer due to various factors. The aging process can impact workers physically in areas like vision, hearing, balance and joint health. Employers should consider wellness programs, ergonomic improvements and training to help older employees stay healthy and productive. Key steps include assessing employee health risks, implementing wellness programs, and promoting a culture of health and wellness. This can help control rising healthcare costs while benefiting employee health and engagement.
This document discusses aging workers and how to accommodate them. It notes trends showing that workers are aging and staying in the workforce longer. The effects of aging include declines in musculoskeletal, sensory, cardiovascular and other body systems. Injuries among older workers tend to be more severe and disabling. Wellness programs and ergonomic accommodations can help older workers stay healthy, productive and safe on the job. The document provides examples of specific accommodations employers can implement regarding vision, hearing, balance and more. It emphasizes that wellness programs are important for controlling healthcare costs and maintaining a productive workforce.
This document discusses the business case for workplace wellness programs. It notes that chronic conditions are increasing as the workforce ages and obesity rises. Poor health leads to higher medical costs and lost productivity. Data from MaineGeneral Health shows that their wellness program reduced health risks and medical claims costs for participating employees. The personal case for wellness is also made, with five rules to live by: quantify your health status, eat well and watch portions, get regular physical activity, get good sleep, and quit smoking. The document advocates being a smart healthcare consumer by getting the right care, at the right time, and in the right place.
This document summarizes a presentation given by Denise Dumont-Bernier and LeeAnna Lavoie of MaineGeneral's workplace health program. The presentation reviewed declining health trends in Maine, the rising costs of poor health to businesses, and how implementing a comprehensive wellness program can help integrate health as a business priority. The speakers discussed using behavioral economics to encourage healthy choices and changing organizational culture to support wellness. They provided an example of MaineGeneral's program centered on nurses and employees and emphasizing prevention, healthy environments, and community resources to create a culture where health is valued and supported.
This document summarizes a presentation on optimizing health outcomes in the workplace. It discusses:
1) Different types of healthcare like primary care, specialty care, and occupational health care and when each is appropriate.
2) Signs that warrant emergency care vs when self-care or seeing a primary care provider is sufficient.
3) Ways employers can positively impact healthcare like wellness programs, health plan design, and creating a culture that supports healthy behaviors.
4) How better health consumerism can control costs, increase productivity and improve outcomes.
This document discusses the growing costs and prevalence of chronic health conditions and how employers can promote employee wellness to improve health and reduce costs. It provides data showing chronic conditions and obesity are increasing in the US workforce. Poor health contributes significantly to medical and productivity costs. The document outlines MaineGeneral Health's successful wellness program which reduced health risks and costs through health coaching, incentives, and measuring outcomes. Their program shifted many employees to lower risk categories, lowering claims costs by nearly $1 million. The summary emphasizes how wellness programs can systematically improve workforce health and enhance business performance if they take a long-term, data-driven approach to health behavior change.
On-site medical clinics are becoming more common and accessible for small employers. While traditionally only available to large companies, on-site clinics can provide value to employers of all sizes by improving employee health, reducing medical costs and workers' compensation claims, and boosting productivity and engagement. A case study of CM Almy, a manufacturing company with 79 employees in Pittsfield, Maine, found their on-site clinic reduced workers' compensation premiums by 60% and eliminated $60,000 in lost productivity costs. On-site services should be tailored to meet the needs of the specific employer but can include occupational health, injury treatment, wellness programs, and basic non-occupational care.
- Employee health and wellness programs can help lower healthcare costs and improve productivity for businesses. Presenters from MaineGeneral Health reviewed key health trends, the impact of chronic conditions on lost productivity, and the full costs of employee poor health beyond just medical claims.
- MaineGeneral implemented a comprehensive workplace wellness program that included leadership support, health coaching, focus on company culture, and rewards for participation and healthy behaviors. This helped lower their employees' health risks and medical spending without raising benefits costs for three years.
- Critical factors for an effective wellness program include visible leadership support, making healthy choices easy, offering health coaching, focusing on developing a healthy culture, emphasizing employee engagement, and recognizing success. MaineGeneral's program
MaineGeneral Health's mission is to enhance the health of the local community. Their workplace wellness program aims to make health a priority and part of the business strategy to reduce costs from claims, health plan costs, absences and lost productivity. The program focuses on becoming role models, demonstrating results, and partnering with customers. Over time they have expanded programming, engaged stakeholders, and shown outcomes like no health insurance premium increases in three years and millions saved. Their goals are to continuously communicate commitment, make health part of the culture, and encourage staff participation to support a healthier, happier, and more engaged workforce.
Unit 1: Introduction to Histological and Cytological techniques
ï‚· Differentiate histology and cytology
ï‚· Overview on tissue types
ï‚· Function and components of the compound light microscope
ï‚· Overview on common Histological Techniques:
o Fixation
o Grossing
o Tissue processing
o Microtomy
o Staining
o Mounting
ï‚· Application of histology and cytology
1. Explain the physiological control of glomerular filtration and renal blood flow
2. Describe the humoral and autoregulatory feedback mechanisms that mediate the autoregulation of renal plasma flow and glomerular filtration rate
This presentation provides a detailed exploration of the morphological and microscopic features of pneumonia, covering its histopathology, classification, and clinical significance. Designed for medical students, pathologists, and healthcare professionals, this lecture differentiates bacterial vs. viral pneumonia, explains lobar, bronchopneumonia, and interstitial pneumonia, and discusses diagnostic imaging patterns.
💡 Key Topics Covered:
✅ Normal lung histology vs. pneumonia-affected lung
✅ Morphological changes in lobar, bronchopneumonia, and interstitial pneumonia
✅ Microscopic features: Fibroblastic plugs, alveolar septal thickening, inflammatory cell infiltration
✅ Stages of lobar pneumonia: Congestion, Red hepatization, Gray hepatization, Resolution
✅ Common causative pathogens (Streptococcus pneumoniae, Klebsiella pneumoniae, Mycoplasma, etc.)
✅ Clinical case study with diagnostic approach and differentials
🔬 Who Should Watch?
This is an essential resource for medical students, pathology trainees, and respiratory health professionals looking to enhance their understanding of pneumonia’s morphological aspects.
Here discussing various cases of Obstructive jaundice namely Choledocholithiassis, Biliary atresia, Carcinoma Pancreas, Periampullary Carcinoma and Cholangiocarcinoma.
Op-eds and commentaries 101: U-M IHPI Elevating Impact seriesKara Gavin
Ìý
A slide set about writing opinion and commentary pieces, created for the University of Michigan Institute for Healthcare Policy and Innovation in Jan. 2025
The course covers the steps undertaken from tissue collection, reception, fixation,
sectioning, tissue processing and staining. It covers all the general and special
techniques in histo/cytology laboratory. This course will provide the student with the
basic knowledge of the theory and practical aspect in the diagnosis of tumour cells
and non-malignant conditions in body tissues and for cytology focusing on
gynaecological and non-gynaecological samples.
The Portland Public Works department implemented a stretching program to address high injury rates among employees, particularly in the Solid Waste Division. A study by the Maine Municipal Association found that many injuries were sprains and strains occurring early in the work day. A physical therapist then developed a customized stretching program called Fit For Work, which includes warm-up exercises, stretches for major muscle groups, and flexibility tests. The 10-minute program is performed daily in a standing position. It reduced injuries and improved employees' range of motion. Dedicated supervisors and management support were keys to the program's success.
Stretching the Limits at Work discusses implementing successful workplace stretch programs. Many companies have implemented such programs to prevent sprain and strain injuries, which cost $45-54 billion annually. While basic science shows stretching reduces injuries, studies of workplace programs' efficacy are equivocal. A successful program includes proper stretches led by trained peers, management support, and monitoring. Proper implementation considers employee duties and injury patterns. The value of stretch programs includes reduced injuries and costs if coordinated with an organizational safety culture.
The document describes Oakland's new stretching program for municipal employees led by Denise Dumont-Bernier and Libby Parr. The program aims to prevent unnecessary strain and injuries through proper stretching. It is mandatory for employees over 50 years old in high risk departments. The program takes 5-10 minutes in the morning and has improved employee health, morale and reduced workers compensation costs for Oakland.
Back injuries are common, accounting for 1 in 5 workplace injuries. Lifting heavy objects, twisting, prolonged sitting or standing, and falls are common causes. The spine consists of vertebrae, discs, joints, ligaments and muscles that can be injured. Maintaining good posture and lifting techniques, exercising for back strength and flexibility, stretching, and being aware of ergonomic risks can help prevent back injuries.
The document discusses the aging workforce and challenges employers may face. As people are living longer and legislation prevents mandatory retirement, the average age of workers is increasing. This presents physical, cognitive and sensory challenges for older employees. The document outlines these challenges and provides suggestions on how employers can accommodate an aging workforce through ergonomic adjustments, wellness programs, training and health screenings. Accommodating aging workers benefits both employees and employers by improving productivity and reducing health costs.
This document discusses trends in an aging workforce and how employers can prepare. It notes that older workers are staying in the workforce longer due to various factors. The aging process can impact workers physically in areas like vision, hearing, balance and joint health. Employers should consider wellness programs, ergonomic improvements and training to help older employees stay healthy and productive. Key steps include assessing employee health risks, implementing wellness programs, and promoting a culture of health and wellness. This can help control rising healthcare costs while benefiting employee health and engagement.
This document discusses aging workers and how to accommodate them. It notes trends showing that workers are aging and staying in the workforce longer. The effects of aging include declines in musculoskeletal, sensory, cardiovascular and other body systems. Injuries among older workers tend to be more severe and disabling. Wellness programs and ergonomic accommodations can help older workers stay healthy, productive and safe on the job. The document provides examples of specific accommodations employers can implement regarding vision, hearing, balance and more. It emphasizes that wellness programs are important for controlling healthcare costs and maintaining a productive workforce.
This document discusses the business case for workplace wellness programs. It notes that chronic conditions are increasing as the workforce ages and obesity rises. Poor health leads to higher medical costs and lost productivity. Data from MaineGeneral Health shows that their wellness program reduced health risks and medical claims costs for participating employees. The personal case for wellness is also made, with five rules to live by: quantify your health status, eat well and watch portions, get regular physical activity, get good sleep, and quit smoking. The document advocates being a smart healthcare consumer by getting the right care, at the right time, and in the right place.
This document summarizes a presentation given by Denise Dumont-Bernier and LeeAnna Lavoie of MaineGeneral's workplace health program. The presentation reviewed declining health trends in Maine, the rising costs of poor health to businesses, and how implementing a comprehensive wellness program can help integrate health as a business priority. The speakers discussed using behavioral economics to encourage healthy choices and changing organizational culture to support wellness. They provided an example of MaineGeneral's program centered on nurses and employees and emphasizing prevention, healthy environments, and community resources to create a culture where health is valued and supported.
This document summarizes a presentation on optimizing health outcomes in the workplace. It discusses:
1) Different types of healthcare like primary care, specialty care, and occupational health care and when each is appropriate.
2) Signs that warrant emergency care vs when self-care or seeing a primary care provider is sufficient.
3) Ways employers can positively impact healthcare like wellness programs, health plan design, and creating a culture that supports healthy behaviors.
4) How better health consumerism can control costs, increase productivity and improve outcomes.
This document discusses the growing costs and prevalence of chronic health conditions and how employers can promote employee wellness to improve health and reduce costs. It provides data showing chronic conditions and obesity are increasing in the US workforce. Poor health contributes significantly to medical and productivity costs. The document outlines MaineGeneral Health's successful wellness program which reduced health risks and costs through health coaching, incentives, and measuring outcomes. Their program shifted many employees to lower risk categories, lowering claims costs by nearly $1 million. The summary emphasizes how wellness programs can systematically improve workforce health and enhance business performance if they take a long-term, data-driven approach to health behavior change.
On-site medical clinics are becoming more common and accessible for small employers. While traditionally only available to large companies, on-site clinics can provide value to employers of all sizes by improving employee health, reducing medical costs and workers' compensation claims, and boosting productivity and engagement. A case study of CM Almy, a manufacturing company with 79 employees in Pittsfield, Maine, found their on-site clinic reduced workers' compensation premiums by 60% and eliminated $60,000 in lost productivity costs. On-site services should be tailored to meet the needs of the specific employer but can include occupational health, injury treatment, wellness programs, and basic non-occupational care.
- Employee health and wellness programs can help lower healthcare costs and improve productivity for businesses. Presenters from MaineGeneral Health reviewed key health trends, the impact of chronic conditions on lost productivity, and the full costs of employee poor health beyond just medical claims.
- MaineGeneral implemented a comprehensive workplace wellness program that included leadership support, health coaching, focus on company culture, and rewards for participation and healthy behaviors. This helped lower their employees' health risks and medical spending without raising benefits costs for three years.
- Critical factors for an effective wellness program include visible leadership support, making healthy choices easy, offering health coaching, focusing on developing a healthy culture, emphasizing employee engagement, and recognizing success. MaineGeneral's program
MaineGeneral Health's mission is to enhance the health of the local community. Their workplace wellness program aims to make health a priority and part of the business strategy to reduce costs from claims, health plan costs, absences and lost productivity. The program focuses on becoming role models, demonstrating results, and partnering with customers. Over time they have expanded programming, engaged stakeholders, and shown outcomes like no health insurance premium increases in three years and millions saved. Their goals are to continuously communicate commitment, make health part of the culture, and encourage staff participation to support a healthier, happier, and more engaged workforce.
Unit 1: Introduction to Histological and Cytological techniques
ï‚· Differentiate histology and cytology
ï‚· Overview on tissue types
ï‚· Function and components of the compound light microscope
ï‚· Overview on common Histological Techniques:
o Fixation
o Grossing
o Tissue processing
o Microtomy
o Staining
o Mounting
ï‚· Application of histology and cytology
1. Explain the physiological control of glomerular filtration and renal blood flow
2. Describe the humoral and autoregulatory feedback mechanisms that mediate the autoregulation of renal plasma flow and glomerular filtration rate
This presentation provides a detailed exploration of the morphological and microscopic features of pneumonia, covering its histopathology, classification, and clinical significance. Designed for medical students, pathologists, and healthcare professionals, this lecture differentiates bacterial vs. viral pneumonia, explains lobar, bronchopneumonia, and interstitial pneumonia, and discusses diagnostic imaging patterns.
💡 Key Topics Covered:
✅ Normal lung histology vs. pneumonia-affected lung
✅ Morphological changes in lobar, bronchopneumonia, and interstitial pneumonia
✅ Microscopic features: Fibroblastic plugs, alveolar septal thickening, inflammatory cell infiltration
✅ Stages of lobar pneumonia: Congestion, Red hepatization, Gray hepatization, Resolution
✅ Common causative pathogens (Streptococcus pneumoniae, Klebsiella pneumoniae, Mycoplasma, etc.)
✅ Clinical case study with diagnostic approach and differentials
🔬 Who Should Watch?
This is an essential resource for medical students, pathology trainees, and respiratory health professionals looking to enhance their understanding of pneumonia’s morphological aspects.
Here discussing various cases of Obstructive jaundice namely Choledocholithiassis, Biliary atresia, Carcinoma Pancreas, Periampullary Carcinoma and Cholangiocarcinoma.
Op-eds and commentaries 101: U-M IHPI Elevating Impact seriesKara Gavin
Ìý
A slide set about writing opinion and commentary pieces, created for the University of Michigan Institute for Healthcare Policy and Innovation in Jan. 2025
The course covers the steps undertaken from tissue collection, reception, fixation,
sectioning, tissue processing and staining. It covers all the general and special
techniques in histo/cytology laboratory. This course will provide the student with the
basic knowledge of the theory and practical aspect in the diagnosis of tumour cells
and non-malignant conditions in body tissues and for cytology focusing on
gynaecological and non-gynaecological samples.
Non-Invasive ICP Monitoring for NeurosurgeonsDhaval Shukla
Ìý
This presentation delves into the latest advancements in non-invasive intracranial pressure (ICP) monitoring techniques, specifically tailored for neurosurgeons. It covers the importance of ICP monitoring in clinical practice, explores various non-invasive methods, and discusses their accuracy, reliability, and clinical applications. Attendees will gain insights into the benefits of non-invasive approaches over traditional invasive methods, including reduced risk of complications and improved patient outcomes. This comprehensive overview is designed to enhance the knowledge and skills of neurosurgeons in managing patients with neurological conditions.
Invasive systems are commonly used for monitoring intracranial pressure (ICP) in traumatic brain injury (TBI) and are considered the gold standard. The availability of invasive ICP monitoring is heterogeneous, and in low- and middle-income settings, these systems are not routinely employed due to high cost or limited accessibility. The aim of this presentation is to develop recommendations to guide monitoring and ICP-driven therapies in TBI using non-invasive ICP (nICP) systems.
Stability of Dosage Forms as per ICH GuidelinesKHUSHAL CHAVAN
Ìý
This presentation covers the stability testing of pharmaceutical dosage forms according to ICH guidelines (Q1A-Q1F). It explains the definition of stability, various testing protocols, storage conditions, and evaluation criteria required for regulatory submissions. Key topics include stress testing, container closure systems, stability commitment, and photostability testing. The guidelines ensure that pharmaceutical products maintain their identity, purity, strength, and efficacy throughout their shelf life. This resource is valuable for pharmaceutical professionals, researchers, and regulatory experts.
Acute & Chronic Inflammation, Chemical mediators in Inflammation and Wound he...Ganapathi Vankudoth
Ìý
A complete information of Inflammation, it includes types of Inflammation, purpose of Inflammation, pathogenesis of acute inflammation, chemical mediators in inflammation, types of chronic inflammation, wound healing and Inflammation in skin repair, phases of wound healing, factors influencing wound healing and types of wound healing.
Local Anesthetic Use in the Vulnerable PatientsReza Aminnejad
Ìý
Local anesthetics are a cornerstone of pain management, but their use requires special consideration in vulnerable groups such as pediatric, elderly, diabetic, or obese patients. In this presentation, we’ll explore how factors like age and physiology influence local anesthetics' selection, dosing, and safety. By understanding these differences, we can optimize patient care and minimize risks.
Dr. Anik Roy Chowdhury
MBBS, BCS(Health), DA, MD (Resident)
Department of Anesthesiology, ICU & Pain Medicine
Shaheed Suhrawardy Medical College Hospital (ShSMCH)
Cardiac Arrhythmia definition, classification, normal sinus rhythm, characteristics , types and management with medical ,surgical & nursing, health education and nursing diagnosis for paramedical students.