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August 18, 2020 (TORONTO) — Canada Health Infoway (Infoway) and Loblaw Companies Limited (Loblaw) are pleased to announce that they have reached an agreement to advance e-prescribing in renova for sale online Canada how much renova cost. Under the agreement, Shoppers Drug Mart, Loblaw retail pharmacies and QHR Technologies’ AccuroEMR®, Canada’s largest single electronic medical record platform, will work towards connecting with PrescribeIT®, Infoway’s national e-prescribing service.As a first step in the initiative, Shoppers Drug Mart and Loblaw will begin to roll out PrescribeIT® in pharmacies already using software that is integrated with PrescribeIT®. “This agreement will accelerate the adoption of e-prescribing in Canada, bringing significant benefits to patients, prescribers and health care systems across the country,” said Ashesh Desai, Executive Vice President Pharmacy and Healthcare Businesses at how much renova cost Shoppers Drug Mart.“PrescribeIT® has shown tremendous momentum since it launched,” said Michael Green, President and CEO of Infoway.

€œThis is an important expansion for PrescribeIT® and will help extend the benefits of the service more broadly.”Loblaw will continue to operate FreedomRx, the e-prescribing and messaging platform that is currently available predominantly to Loblaw and Shoppers Drug Mart pharmacies and physicians using AccuroEMR® as their electronic medical records system.About Canada Health InfowayInfoway helps to improve the health of Canadians by working with partners to accelerate the development, adoption and effective use of digital health across Canada. Through our investments, we help deliver better quality how much renova cost and access to care and more efficient delivery of health services for patients and clinicians. Infoway is an independent, not-for-profit organization funded by the federal government.

Visit www.infoway-inforoute.ca.About PrescribeIT®Canada Health Infoway is working with Health Canada, the provinces and territories, and industry stakeholders to develop, operate and maintain how much renova cost the national e-prescribing service known as PrescribeIT®. PrescribeIT® will serve all Canadians, pharmacies and prescribers and provide safer and more effective medication management by enabling prescribers to transmit a prescription electronically between a prescriber’s electronic medical record (EMR) and the pharmacy management system (PMS) of a patient’s pharmacy of choice. PrescribeIT® will protect Canadians’ personal health information from being sold or used for how much renova cost commercial activities.

Visit www.PrescribeIT.ca.About Loblaw Companies LimitedLoblaw is Canada's food and pharmacy leader, and the nation's largest retailer. Loblaw provides Canadians with grocery, pharmacy, health and beauty, apparel, general merchandise, financial services how much renova cost and wireless mobile products and services. With more than 2,400 corporate, franchised and Associate-owned locations, Loblaw, its franchisees and associate-owners employ approximately 200,000 full- and part-time employees, making it one of Canada's largest private sector employers.Loblaw's purpose – Live Life Well® – puts first the needs and well-being of Canadians who make one billion transactions annually in the company's stores.

Loblaw is positioned to meet and exceed those needs in many how much renova cost ways. Convenient locations. More than 1,050 grocery stores that span the value how much renova cost spectrum from discount to specialty.

Full-service pharmacies at nearly 1,400 Shoppers Drug Mart® and Pharmaprix® locations and close to 500 Loblaw locations. PC Financial® how much renova cost services. Affordable Joe Fresh® fashion and family apparel.

And three of Canada's top-consumer brands in Life Brand, no name® and how much renova cost President's Choice. For more information, visit Loblaw's website at www.loblaw.ca.-30-Media Inquiries Catherine ParrySenior Director, Marketing &. CommunicationsCanada Health Infoway(647) 267-7013 Email UsFollow @InfowayCatherine ThomasSenior Director, External CommunicationLoblaw Companies Limited This email address is being protected from spambots.

You need JavaScript enabled to how much renova cost view it.Inquiries about PrescribeIT®July 22, 2020 (Toronto) – Rexall Pharmacy Group Ltd. (Rexall) and Canada Health Infoway (Infoway) are pleased to announce that PrescribeIT®, Infoway’s national e-prescribing service, will soon become available in more than 250 Rexall pharmacies across Canada. PrescribeIT® enables prescribers and pharmacists to electronically create, receive, renew and cancel prescriptions, while improving how much renova cost overall patient care through secure clinician messaging.“Rexall is an important addition to the PrescribeIT® roster of partners and we are very pleased to have them on board,” noted Jamie Bruce, Executive Vice President, Canada Health Infoway.

€œTogether we can help improve patient care through more effective medication management.”“At Rexall, we strive to build partnerships aimed at providing our pharmacists with innovative solutions to help improve overall patient care,” said Nicolas Caprio, President, Rexall. €œPrescribeIT® is a great opportunity for us to continue strengthening our digital offering, allowing pharmacists and physicians to increase their communication how much renova cost and ultimately positively impact patient health.”In anticipation of the agreement, Rexall has already introduced the service in key locations in Ontario, Alberta and New Brunswick. Additional sites will start to offer PrescribeIT® starting in the next several weeks.About Canada Health InfowayInfoway helps to improve the health of Canadians by working with partners to accelerate the development, adoption and effective use of digital health across Canada.

Through our investments, we help deliver better quality and access to care and more efficient delivery of health services for patients and how much renova cost clinicians. Infoway is an independent, not-for-profit organization funded by the federal government. Visit www.infoway.ca.About PrescribeIT®Canada Health Infoway is working with Health Canada, the provinces and territories, and industry stakeholders to develop, operate and maintain the national e-prescribing service how much renova cost known as PrescribeIT®.

PrescribeIT® will serve all Canadians, pharmacies and prescribers and provide safer and more effective medication management by enabling prescribers to transmit a prescription electronically between a prescriber’s electronic medical record (EMR) and the pharmacy management system (PMS) of a patient’s pharmacy of choice. PrescribeIT® will protect Canadians’ personal health information from being sold or used how much renova cost for commercial activities. Visit www.prescribeit.ca.About Rexall Pharmacy Group Ltd.With a heritage dating back over a century, Rexall is a leading drugstore operator with a dynamic history of innovation and growth, dedicated to caring for Canadians’ health…one person at a time.

Operating over 400 pharmacies across Canada, Rexall’s how much renova cost 8,500 employees provide exceptional patient care and customer service. Rexall is part of the Rexall Pharmacy Group Ltd. And a proud member of the global McKesson how much renova cost Corporation family.

For more information, visit rexall.ca. Follow us how much renova cost on Twitter. @RexallDrugstore, on Instagram at @RexallDrugstoreOfficial and on Facebook at @RexallDrugstore.-30-Media Inquiries Catherine ParrySenior Director, Marketing &.

CommunicationsCanada Health Infoway(647) 267-7013 Email UsFollow @InfowayInquiries about PrescribeIT®Inquiries about McKesson CanadaAndrew ForgioneDirector, Media Relations and Public AffairsMcKesson Canada(905) 671-4586.

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The transpopulation represents a vulnerable population segment both socially and medically, with renova manufacturer coupon a higher incidence of mental health issues. During the skin care products outbreak, transgender persons have faced additional social, psychological and physical difficulties.1 2 In Italy and in several other countries access to healthcare has been difficult or impossible thereby renova manufacturer coupon hindering the start or continuation of hormonal and psychological treatments. Furthermore, several planned gender-affirming surgeries renova manufacturer coupon have been postponed. These obstacles may have caused an additional psychological burden given the positive effects of medical and surgical treatments renova manufacturer coupon on well-being, directly and indirectly, reducing stressors such as workplace discrimination and social inequalities.3 Some organisational aspects should also be considered.

Binary gender policies may worsen inequalities and marginalisation of transgender subjects potentially increasing the risk of morbidity and mortality.As with the general population, during the lockdown, the Internet and social media were useful in reducing isolation and, in this particular population, were also relevant for keeping in touch with associations renova manufacturer coupon and healthcare facilities with the support of telemedicine services.4 Addressing the role of the telemedicine in the transpopulation, between May and June 2020 we conducted an anonymous web-based survey among transgenders living in Italy (ClinicalTrials.gov Identifier NCT04448418). Among the 108 respondents, with a mean age of 34.3±11.7 years, 73.1% were transmen and 26.9% transwomen and 88.9% were undergoing gender-affirming hormonal treatment (GAHT). One in four subjects (24.1%) renova manufacturer coupon presented a moderate-to-severe impact of the renova event (Impact of Event Scale score ≥26). The availability of telematic renova manufacturer coupon endocrinological visit was associated with better Mental Health Scores in the 12-items Short Form Health Survey(SF-12) (p=0.030) and better IES (p=0.006).Our survey suggests a positive effect of telemedicine as the availability of telematic endocrinological consultations may have relieved the distress caused by the renova by offering the opportunity to avoid halting GAHT.

In fact, deprivation of GAHT may result in several negative effects such as the increase in short-term self-medication and in depression and suicidal behaviour not only for those waiting for the start of treatment but also for those already using hormones.5 In conclusion, renova manufacturer coupon particular attention should be paid to vulnerable groups like the transpopulation who may pay a higher price during the renova. The use of telemedicine for continuation and monitoring of GAHT may be an effective tool for mitigating the negative effects of the renova.AcknowledgmentsThe authors thank Julie Norbury for English copy editing.The British Medical Association recently published their report on the impact of skin care products on mental health in England, highlighting the urgent need for investment in mental health services and further recruitment of mental health staff.1 Like many others, they have predicted a substantial increase in demand on mental health renova manufacturer coupon services in the coming months. Their recommendations include a call for detailed workforce planning at local, national and renova manufacturer coupon system levels. This coincides with the publication of the ‘NHS People Plan’ which also emphasised the need to maximise staff potential.2 The message from both is clear, it is time for Trusts to revise and improve how they use their multidisciplinary workforce, including non-medical prescribers (NMPs).Pharmacists have been able to register as independent prescribers since 20063 and as such, can work autonomously to prescribe any medicine for any medical condition within their areas of competency.4 There has been a slow uptake of pharmacists into this role5 renova manufacturer coupon and while a recent General Pharmaceutical Council survey found only a small increase between the number of active prescribers from 2013 (1.094) to 2019 (1.590), almost a quarter of prescribers included mental health within their prescribing practice.6 More recently, we have started to see increasing reports of the value of pharmacist independent prescribers in mental health services.7 8Pharmacists bring a unique perspective to patient consultation.

Their expertise in pharmacology and medicine use means they are ideally placed to help patients optimise their medicines treatment4 and to ensure that patients are involved in decisions about their medicines, taking into account individual views and preferences. This approach is consistent with the guidance on medicines optimisation from the National Institute for Health and Care Excellence9 and the Royal Pharmaceutical Society,10 and the Department of Health’s drive to involve patients actively in clinical decisions.11 An increased focus on precision psychiatry in urging clinicians to tailor medicines to patients according to evidence about individualised renova manufacturer coupon risks and benefits.12 13 However, it takes time to discuss medicine choices and to explore individual beliefs about medicines. This is especially relevant in Psychiatry, where a large group of medicines (eg, antipsychotics) renova manufacturer coupon may have a wide range of potential side effects. Prescribing pharmacists could provide leadership and support in tailoring medicines for patients, as part of the wider multidisciplinary renova manufacturer coupon team.10The recent news that Priadel, the most commonly used brand of lithium in the UK, is planned to be discontinued14 is another example where a new and unexpected burden on psychiatric services could be eased by sharing the workload with prescribing pharmacists.

The Medicines and Healthcare Products Regulatory Agency recommends that patients should have an individualised medication review in order to switch from one brand of lithium to another.14 This is work that can be done by prescribing pharmacists renova manufacturer coupon who have an in-depth knowledge of the pharmacokinetics of lithium formulations.Importantly, this is a role that can be delivered using telepsychiatry and enhanced by the use of digital tools. Patients can renova manufacturer coupon meet pharmacists from the comfort of their own home using video conferencing. Pharmacists can upload and share medicines information on the screen while discussing the benefits, risks and individual medication needs with each client. Increasingly organisations are using technology whereby prescriptions can be prepared electronically and sent securely to patients or their medicines providers.15We know from systematic reviews that NMPs in general are considered to provide a responsive, efficient and convenient service5 and to deliver similar prescribing outcomes as doctors.16 Medical professionals who have worked with NMPs have found that this support permits them to concentrate on clinical issues that require medical expertise.5 A patient survey carried out in 2013 indicated that independent non‐medical prescribing was valued highly by patients and that generally there were few perceived differences in the care received from respondents’ NMP and their usual doctor.17 The literature also suggests that an NMP’s role is more likely to flourish when linked to a strategic vision of NMPs within an National Health Service (NHS) Trust, along with a well-defined area of practice.18Mental health trusts are being asked to prepare for a surge in referrals and as part of this planning, they will need to ensure that they get the most renova manufacturer coupon out of their highly skilled workforce.

There are active pharmacist prescribers in many trusts, however, this role is not yet commonplace.19 Health Education England has already identified renova manufacturer coupon that this is an important area of transformation for pharmacy and has called on mental health pharmacy teams to develop and share innovative ways of working.19 The ‘NHS People Plan’ outlines a commitment to train 50 community-based specialist mental health pharmacists within the next 2 years, along with a plan to extend the pharmacy foundation training to create a sustainable supply of prescribing pharmacists in future years.2We suggest that Mental Health Trusts should urgently develop prescribing roles for specialist mental health pharmacists, which are integrated within mental health teams. In these roles, prescribing pharmacists can actively support their multidisciplinary renova manufacturer coupon colleagues in case discussion meetings. Furthermore, they should host regular medication review renova manufacturer coupon clinics, where patients can be referred to discuss their medicine options and, as advancements in precision therapeutics continue, have their treatment individually tailored to their needs. This is the way forward for a modern and patient-oriented NHS in the UK..

The transpopulation represents a vulnerable population segment both socially and how much renova cost look at this now medically, with a higher incidence of mental health issues. During the skin care products outbreak, transgender persons have faced additional social, how much renova cost psychological and physical difficulties.1 2 In Italy and in several other countries access to healthcare has been difficult or impossible thereby hindering the start or continuation of hormonal and psychological treatments. Furthermore, several planned gender-affirming surgeries how much renova cost have been postponed.

These obstacles may have caused an additional psychological burden given the positive effects how much renova cost of medical and surgical treatments on well-being, directly and indirectly, reducing stressors such as workplace discrimination and social inequalities.3 Some organisational aspects should also be considered. Binary gender policies may worsen inequalities and marginalisation of transgender subjects potentially increasing the risk how much renova cost of morbidity and mortality.As with the general population, during the lockdown, the Internet and social media were useful in reducing isolation and, in this particular population, were also relevant for keeping in touch with associations and healthcare facilities with the support of telemedicine services.4 Addressing the role of the telemedicine in the transpopulation, between May and June 2020 we conducted an anonymous web-based survey among transgenders living in Italy (ClinicalTrials.gov Identifier NCT04448418). Among the 108 respondents, with a mean age of 34.3±11.7 years, 73.1% were transmen and 26.9% transwomen and 88.9% were undergoing gender-affirming hormonal treatment (GAHT).

One in four subjects (24.1%) presented a moderate-to-severe impact of the renova event how much renova cost (Impact of Event Scale score ≥26). The availability of telematic endocrinological visit was associated with better Mental Health Scores in the 12-items Short Form Health Survey(SF-12) (p=0.030) and better how much renova cost IES (p=0.006).Our survey suggests a positive effect of telemedicine as the availability of telematic endocrinological consultations may have relieved the distress caused by the renova by offering the opportunity to avoid halting GAHT. In fact, deprivation of GAHT may result in several how much renova cost negative effects such as the increase in short-term self-medication and in depression and suicidal behaviour not only for those waiting for the start of treatment but also for those already using hormones.5 In conclusion, particular attention should be paid to vulnerable groups like the transpopulation who may pay a higher price during the renova.

The use of how much renova cost telemedicine for continuation and monitoring of GAHT may be an effective tool for mitigating the negative effects of the renova.AcknowledgmentsThe authors thank Julie Norbury for English copy editing.The British Medical Association recently published their report on the impact of skin care products on mental health in England, highlighting the urgent need for investment in mental health services and further recruitment of mental health staff.1 Like many others, they have predicted a substantial increase in demand on mental health services in the coming months. Their recommendations include a call for how much renova cost detailed workforce planning at local, national and system levels. This coincides with the publication of the ‘NHS People Plan’ which also emphasised the need to maximise staff potential.2 The message from both is clear, it is time for Trusts to revise and improve how they use their multidisciplinary workforce, including non-medical prescribers (NMPs).Pharmacists have been able to register as independent prescribers since 20063 and as such, can work autonomously to prescribe any medicine for any medical condition within their areas of competency.4 There has been a slow uptake of pharmacists into this role5 and while a recent General how much renova cost Pharmaceutical Council survey found only a small increase between the number of active prescribers from 2013 (1.094) to 2019 (1.590), almost a quarter of prescribers included mental health within their prescribing practice.6 More recently, we have started to see increasing reports of the value of pharmacist independent prescribers in mental health services.7 8Pharmacists bring a unique perspective to patient consultation.

Their expertise in pharmacology and medicine use means important source they are ideally placed to help patients optimise their medicines treatment4 and to ensure that patients are involved in decisions about their medicines, taking into account individual views and preferences. This approach is consistent with the guidance on medicines optimisation from the National Institute for Health and Care Excellence9 and the Royal Pharmaceutical Society,10 and the Department of Health’s how much renova cost drive to involve patients actively in clinical decisions.11 An increased focus on precision psychiatry in urging clinicians to tailor medicines to patients according to evidence about individualised risks and benefits.12 13 However, it takes time to discuss medicine choices and to explore individual beliefs about medicines. This is especially relevant in Psychiatry, where a large group of how much renova cost medicines (eg, antipsychotics) may have a wide range of potential side effects.

Prescribing pharmacists could provide leadership and support in tailoring medicines for patients, as how much renova cost part of the wider multidisciplinary team.10The recent news that Priadel, the most commonly used brand of lithium in the UK, is planned to be discontinued14 is another example where a new and unexpected burden on psychiatric services could be eased by sharing the workload with prescribing pharmacists. The Medicines and Healthcare Products Regulatory Agency recommends that patients should have an individualised medication review in order to switch how much renova cost from one brand of lithium to another.14 This is work that can be done by prescribing pharmacists who have an in-depth knowledge of the pharmacokinetics of lithium formulations.Importantly, this is a role that can be delivered using telepsychiatry and enhanced by the use of digital tools. Patients can meet pharmacists from the comfort of their own home using video conferencing how much renova cost.

Pharmacists can upload and share medicines information on the screen while discussing the benefits, risks and individual medication needs with each client. Increasingly organisations are using technology whereby prescriptions can be prepared electronically and sent securely to patients or their medicines providers.15We know from systematic reviews that NMPs in general are considered to provide a responsive, efficient and convenient service5 and to deliver similar prescribing outcomes as doctors.16 Medical professionals who have worked with NMPs have found that this support permits them to concentrate on clinical issues that require medical expertise.5 A patient survey carried out how much renova cost in 2013 indicated that independent non‐medical prescribing was valued highly by patients and that generally there were few perceived differences in the care received from respondents’ NMP and their usual doctor.17 The literature also suggests that an NMP’s role is more likely to flourish when linked to a strategic vision of NMPs within an National Health Service (NHS) Trust, along with a well-defined area of practice.18Mental health trusts are being asked to prepare for a surge in referrals and as part of this planning, they will need to ensure that they get the most out of their highly skilled workforce. There are active pharmacist prescribers in many trusts, however, this role is not yet commonplace.19 Health Education England has already identified that this is an important area of transformation for pharmacy and has called on mental health pharmacy teams to develop and share innovative ways of working.19 The ‘NHS People Plan’ outlines a commitment to train 50 community-based specialist mental health pharmacists within the next 2 years, along with a plan to extend the pharmacy foundation training to create a sustainable supply of prescribing pharmacists in future years.2We suggest how much renova cost that Mental Health Trusts should urgently develop prescribing roles for specialist mental health pharmacists, which are integrated within mental health teams.

In these roles, prescribing pharmacists can actively support their how much renova cost multidisciplinary colleagues in case discussion meetings. Furthermore, they should host regular medication review clinics, where patients can be referred to discuss their medicine options and, as advancements in precision therapeutics continue, have their treatment individually tailored to their how much renova cost needs. This is the way forward for a modern and patient-oriented NHS in the UK..

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Susan M how to apply renova go to my site. White Conceptualization, Formal analysis, Funding acquisition, Investigation, Resources, Supervision, Visualization, Writing - original draft, Writing - review &. Editing 2Victorian Clinical Genetics Services, Murdoch Children’s Research Institute, Parkville, Australia3Department of Paediatrics, University of Melbourne, Parkville, Australia Search for other works by this author on:Gerald I.

White Conceptualization, Formal analysis, Funding http://www.em-martin-schongauer-strasbourg.site.ac-strasbourg.fr/bienvenue/ acquisition, Investigation, how much renova cost Resources, Supervision, Visualization, Writing - original draft, Writing - review &. Editing 2Victorian Clinical Genetics Services, Murdoch Children’s Research Institute, Parkville, Australia3Department of Paediatrics, University of Melbourne, Parkville, http://www.em-oberschaeffolsheim.ac-strasbourg.fr/?p=1053 Australia Search for other works by this author on:Gerald I. Shulman Conceptualization, Funding acquisition, Investigation, Methodology, Project administration, Resources, Supervision, Validation, Visualization, Writing - original draft, Writing - review &.

Kf renova

It is http://johnmcdonaghconsulting.com/where-to-get-ventolin-pills/ scheduled to be published on 12/02/2020 kf renova. Once it is published it will be available on this page in an official form. Until then, you can download the unpublished PDF version.

Although we make a concerted effort to reproduce the original document in full on our Public Inspection kf renova pages, in some cases graphics may not be displayed, and non-substantive markup language may appear alongside substantive text. If you are using public inspection listings for legal research, you should verify the contents of documents against a final, official edition of the Federal Register. Only official editions of the Federal Register provide legal notice to the public and judicial notice to the courts under 44 U.S.C.

1503 & kf renova. 1507. Learn more here.Start Preamble Office of the Secretary, Department of Health and Human Services.

Request for kf renova information (RFI). The U.S. Department of Health and Human Services (HHS) seeks to gain a comprehensive understanding of the impact of changes adopted by health care systems and health care providers in response to the skin care products renova.

Many healthcare systems and clinicians have kf renova rapidly reengineered their policies and programs to improve access, safety, quality, outcomes including mortality and morbidity, cost, and value for both skin care products and non-skin care products related medical conditions. HHS plans to identify and learn from effective innovative approaches and best practices implemented by non-HHS organizations in order to inform HHS priorities and programs. We recommend that you submit your comments through the Innovation RFI Response Portal (https://rfi.grants.nih.gov/​?.

S=​5f89e1e8400f00001a0036f2) to ensure kf renova consideration. Comments must be received through this portal no later than midnight Eastern Time (ET) on December 24, 2020. Submissions received after the deadline will not be reviewed.

Comments may also be submitted kf renova in regulations.gov. Comments, including mass comment submissions, must be submitted electronically using the Innovation RFI Response Portal (https://rfi.grants.nih.gov/​?. S=​5f89e1e8400f00001a0036f2).

Please respond concisely, in plain language, and in a narrative format in the kf renova field provided for each question, to ensure accurate interpretation and analysis. You may respond to some or all of the topic areas covered in the RFI, and/or you can also provide relevant information that may not have been referenced. You can also include links to online material or interactive presentations.

Please do not include kf renova any personally identifiable patient information or confidential business information in your comment. Start Further Info CAPT Meena Vythilingam, Director, Center for Health Innovation, Office of the Assistant Secretary for Health, Meena.Vythilingam@HHS.gov or 202 260 7382. End Further Info End Preamble Start Supplemental Information I.

Background In response to the 2019 novel skin care or skin care products renova, the Secretary of Health kf renova and Human Services (HHS) declared a public health emergency effective January 27, 2020, under section 319 of the Public Health Start Printed Page 75022Service Act (42 U.S.C. 247d [] ) and renewed it continually since its issuance. The impact of the skin care products renova on the nation's healthcare system has been complex, widespread, and potentially enduring.

This unprecedented kf renova renova has impacted the safety, quality, continuity, outcomes, value, and access to timely health care in numerous healthcare settings. Anecdotal reports as well as data from varied public sources confirmed that in addition to skin care products-related increases in mortality and morbidity, the mortality and morbidity for numerous non-skin care products-related medical conditions has also increased.[] The skin care products public health emergency is disproportionately affecting vulnerable populations, particularly the elderly, and racial and ethnic minorities.[] Local health systems with a significant burden of skin care products cases have faced multiple challenges including surge capacity, staffing, and supply chain issues, that directly impact access, quality, and experience of care for all medical conditions.[] Decreases in help-seeking behaviors in the context of the skin care products renova may have also contributed to delays in accessing timely care, resulting in poor outcomes.[] In addition to the disruption in healthcare, the delivery of long-term services and supports (LTSS) to many seniors and people with disabilities has also been disrupted during the renova. In response to the skin care products renova, medical providers, medical facilities, academic centers, and health systems rapidly reengineered healthcare policies and programs to ensure preservation of health care access, safety, quality, continuity, value, and outcomes.

As a result, there kf renova has been a proliferation of innovative programs, policies, and best practices to prevent and mitigate the consequences of skin care products, while simultaneously preserving access to routine and emergency healthcare services for non-skin care products medical conditions.[] An example of the paradigmatic shift in the delivery of health care is the rapid adoption and scaling of telehealth services.[] Although the renova disrupted the entire health care ecosystem in the U.S., it also provided an opportunity and impetus to innovate across the continuum of individual and population health, including screening, surveillance, prevention, treatment, supply chain management, and public health interventions. These changes may persist for the duration of the public health emergency, and potentially beyond it. HHS strongly supports innovation to preserve a resilient healthcare system in the face of the skin care products renova and recognizes the importance of learning from effective and innovative approaches and best practices implemented by non-HHS healthcare systems, academic centers, and healthcare providers.

HHS will determine if these innovative kf renova approaches and best practices can help inform and/or improve HHS priorities and programs. II. Scope and Assumptions The main purpose of this Request for Information (RFI) is for HHS to gather information on effective innovative approaches and best practices in health care in response to the skin care products renova by non-HHS health care systems and providers.

The information provided will help inform and guide the HHS response to kf renova build a healthy and resilient nation. This RFI includes innovations and best practices in health care for both skin care products and non-skin care products health conditions. The definition of “health” system or services and/or “healthcare” system or services, for the purposes of this RFI, is broad.

We seek an kf renova understanding of effective best practices and innovations in the provision of services across the health and public health continuum by a variety of organizations. Responses can focus on select aspects or on the entire continuum of care, to include surveillance, screening, prevention, treatment, and/or public health interventions. We are specifically interested in novel approaches and best practices that are associated with data confirming efficacy and/or effectiveness with demonstrated improvements in one or more of the following measures.

Patient outcomes, kf renova access to health care, safety, quality, and/or value. Responses should include the following. ○ A description of the innovation/best practice.

○ The rationale for the implementation kf renova of the innovation/best practice. ○ Data and/or results confirming efficacy and/or effectiveness of the innovation/best practice, including demographic data. Control conditions.

Outcomes measures kf renova (e.g., mortality, morbidity, health care access, safety, quality, cost, value, etc.). Analytic strategy. And results.

If the evaluation is currently kf renova underway, please describe the study design and expected timeline for completion of the study. ○ Costs associated with implementing the the innovation/best practice. ○ Have these innovations/best practices been incorporated as permanent organizational changes?.

If not, kf renova why not?. ○ Can the innovation/best practice be scaled to larger, diverse groups and/or locations for a longer period?. If yes, please describe the potential impacts on outcomes.

○ Did or could specific HHS policies or programs facilitate the kf renova design and implementation of an innovation/best practice?. (If yes, please provide details of how the policy or program affects or could affect the innovation/best practice positively). ○ By contrast, did or could specific HHS policies or programs hinder the design and implementation of an innovation/best practice?.

(If yes, please kf renova provide details of how the policy or program affects or could affect the innovation/best practice negatively). III. Information Requested/Key Questions Please respond to specific topics in which you have the most amount of evidence and expertise.

Respondents are requested to share the objective results of an evaluation for each topic kf renova when possible. Response to every item is not required. A.

Health Promotion kf renova and Prevention of skin care products and Non-skin care products Medical Conditions Please provide the following information. —‹ A description of the innovation/best practice. ○ The rationale for the implementation of the innovation/best practice.

Start Printed Page 75023 ○ Data and/or results confirming efficacy and/or effectiveness of the innovation/best practice, including kf renova demographic data. Control conditions. Outcomes measures (e.g., mortality, morbidity, health care access, safety, quality, cost, value, etc.).

Analytic strategy kf renova. And results. If the evaluation is currently underway, please describe the study design and expected timeline for completion of the study.

○ Costs associated with implementing the the innovation/best kf renova practice. ○ Have these innovations/best practices been incorporated as permanent organizational changes?. If not, why not?.

○ Can the innovation/best practice be scaled to larger, diverse groups and/or locations for a kf renova longer period?. If yes, please describe the potential impacts on outcomes. ○ Did or could specific HHS policies or programs facilitate the design and implementation of an innovation/best practice?.

(If yes, please provide details of how the policy or program kf renova affects or could affect the innovation/best practice positively). ○ By contrast, did or could specific HHS policies or programs hinder the design and implementation of an innovation/best practice?. (If yes, please provide details of how the policy or program affects or could affect the innovation/best practice negatively).

1 kf renova. Describe effective innovations/best practices that prevented the transmission of skin care s in staff, patients and/or beneficiaries. 2.

Describe effective innovations/best practices to prevent skin care kf renova outbreaks among residents and staff in long-term care facilities including assisted living facilities, nursing homes, rehabilitation facilities, intermediate care facilities for individuals with intellectual disabilities (ICF/ID), and palliative care settings. 3. Describe innovative programs/policies and best practices to ensure timely access to health care and continuity of care for patients with chronic illnesses that increase vulnerability to skin care products.

4. Provide details on innovations or best practices that prevented increases in morbidity and mortality due to deferred care for acute medical conditions (e.g., cardiac arrests, strokes, etc.). 5.

Describe effective programs or practices that helped ensure timely administration of immunizations to pediatric patients and other vulnerable populations including the elderly and individuals with disabilities. 6. Elaborate on effective educational and messaging campaigns targeting prevention.

7. Describe effective health promotion and prevention policies and programs implemented in response to skin care products, that will continue beyond this renova. B.

Screening/Surveillance/Case Identification of skin care products and Non-skin care products Medical Conditions Please provide the following information. ○ A description of the innovation/best practice. ○ The rationale for the implementation of the innovation/best practice.

○ Data and/or results confirming efficacy and/or effectiveness of the innovation/best practice, including demographic data. Control conditions. Outcomes measures (e.g., mortality, morbidity, health care access, safety, quality, cost, value, etc.).

Analytic strategy, and results. If the evaluation is currently underway, please describe the study design and expected timeline for completion of the study. ○ Costs associated with implementing the the innovation/best practice.

○ Have these innovations/best practices been incorporated as permanent organizational changes?. If not, why not?. ○ Can the innovation/best practice be scaled to larger, diverse groups and/or locations for a longer period?.

If yes, please describe the potential impacts on outcomes. ○ Did or could specific HHS policies or programs facilitate the design and implementation of an innovation/best practice?. (If yes, please provide details of how the policy or program affects or could affect the innovation/best practice positively).

○ By contrast, did or could specific HHS policies or programs hinder the design and implementation of an innovation/best practice?. (If yes, please provide details of how the policy or program affects or could affect the innovation/best practice negatively). 1.

Describe effective approaches to screening, surveillance and case identification of skin care products. 2. Describe efforts to ensure that patients continue to receive United States Preventive Services Task Force-recommended screening procedures on time during the skin care products renova.

Please include data on the program's ability to prevent negative outcomes due to timely screening and early detection, if available. 3. Outline innovative programs to continue screening for HIV, hepatitis and sexually transmitted diseases during the renova, (e.g., in syringe services programs (SSPs)).

C. Treatment for skin care products and Non-skin care products Medical Conditions Please provide the following information. ○ A description of the innovation/best practice.

○ The rationale for the implementation of the innovation/best practice. ○ Data and/or results confirming efficacy and/or effectiveness of the innovation/best practice, including demographic data. Control conditions.

Outcomes measures (e.g., mortality, morbidity, health care access, safety, quality, cost, value, etc.). Analytic strategy, and results. If the evaluation is currently underway, please describe the study design and expected timeline for completion of the study.

○ Costs associated with implementing the the innovation/best practice. ○ Have these innovations/best practices been incorporated as permanent organizational changes?. If not, why not?.

○ Can the innovation/best practice be scaled to larger, diverse groups and/or locations for a longer period?. If yes, please describe the potential impacts on outcomes. ○ Did or could specific HHS policies or programs facilitate the design and implementation of an innovation/best practice?.

(If yes, please provide details of how the policy or program affects or could affect the innovation/best practice positively). ○ By contrast, did or could specific HHS policies or programs hinder the design and implementation of an innovation/best practice?. (If yes, please provide details of how the policy or program affects or could affect the innovation/best practice negatively).

1. Describe innovations/best practices in skin care products treatment that resulted in decreased mortality and morbidity. 2.

Describe if and how a health care system was effectively reengineered to ensure timely access and quality of care in the Emergency Department, Outpatient or Inpatient settings. 3. Describe how appropriate utilization of emergency medical services was facilitated during the renova.

4. Detail effective changes in intensive care unit (ICU) care and post-hospital care/follow-up. 5.

Detail best practices to ensure continuity of treatment for HIV, hepatitis and sexually transmitted diseases during the renova.Start Printed Page 75024 6. Describe effective programs/policies to prevent/manage dental emergencies during the renova. 7.

Outline novel and effective approaches to ensure compliance with medications, including refills, during the renova. 8. Please list effective treatment-related policies or programs that will continue beyond the skin care products renova.

D. Telehealth Please provide the following information. ○ A description of the innovation/best practice.

○ The rationale for the implementation of the innovation/best practice. ○ Data and/or results confirming efficacy and/or effectiveness of the innovation/best practice, including demographic data. Control conditions.

Outcomes measures (e.g., mortality, morbidity, health care access, safety, quality, cost, value, etc.). Analytic strategy, and results. If the evaluation is currently underway, please describe the study design and expected timeline for completion of the study.

○ Costs associated with implementing the the innovation/best practice. ○ Have these innovations/best practices been incorporated as permanent organizational changes?. If not, why not?.

○ Can the innovation/best practice be scaled to larger, diverse groups and/or locations for a longer period?. If yes, please describe the potential impacts on outcomes. ○ Did or could specific HHS policies or programs facilitate the design and implementation of an innovation/best practice?.

(If yes, please provide details of how the policy or program affects or could affect the innovation/best practice positively). ○ By contrast, did or could specific HHS policies or programs hinder the design and implementation of an innovation/best practice?. (If yes, please provide details of how the policy or program affects or could affect the innovation/best practice negatively).

1. Describe effective best practices to deliver clinical and nonclinical services using telehealth (e.g., surveillance, prevention and treatment services, etc). 2.

Describe best practices and innovations to improve access to care for rural/remote populations using telehealth, during the renova. 3. Detail effective use of remote monitoring/telemonitoring of chronic medical conditions including diabetes and hypertension and for delivering home health services.

4. List criticial barriers to implement telehealth in healthcare systems. 5.

What are some of the key facilitators of telehealth?. 6. Outline innovative approaches to integrate telehealth into the clinical work flow.

7. List effective telehealth programs that will continue beyond this renova. 8.

Describe technological systems that facilitate telehealth, including use of audio or video telehealth, telehealth programs or apps, or other approaches. 9. Describe technological systems that might or might not facilitate telehealth, including uses of audio or video telehealth, telehealth programs or apps, or other approaches.

E. Mental Health/Behavioral Health and Substance Use Disorder Innovations/Best Practices Please provide the following information. ○ A description of the innovation/best practice.

○ The rationale for the implementation of the innovation/best practice. ○ Data and/or results confirming efficacy and/or effectiveness of the innovation/best practice, including demographic data. Control conditions.

Outcomes measures (e.g., mortality, morbidity, health care access, safety, quality, cost, value, etc.). Analytic strategy, and results. If the evaluation is currently underway, please describe the study design and expected timeline for completion of the study.

○ Costs associated with implementing the the innovation/best practice. ○ Have these innovations/best practices been incorporated as permanent organizational changes?. If not, why not?.

○ Can the innovation/best practice be scaled to larger, diverse groups and/or locations for a longer period?. If yes, please describe the potential impacts on outcomes. ○ Did or could specific HHS policies or programs facilitate the design and implementation of an innovation/best practice?.

(If yes, please provide details of how the policy or program affects or could affect the innovation/best practice positively). ○ By contrast, did or could specific HHS policies or programs hinder the design and implementation of an innovation/best practice?. (If yes, please provide details of how the policy or program affects or could affect the innovation/best practice negatively).

1. Describe effective, novel mental health prevention and/or treatment programs in response to the skin care products renova. 2.

Describe effective and innovative substance use disorder programs during the skin care products renova. 3. Describe innovative efforts to provide medication-assisted treatment, including access to counseling and support groups, during the renova.

4. Provide information on effective suicide prevention programs implemented during the renova. 5.

Provide information on effective programs designed to identify childhood abuse, elder abuse and/or domestic violence during the renova. 6. Detail effective approaches to prevent skin care products transmission in psychiatric and substance use disorder residential and group treatment facilities.

F. Population-Level Interventions Please provide the following information. ○ A description of the innovation/best practice.

○ The rationale for the implementation of the innovation/best practice. ○ Data and/or results confirming efficacy and/or effectiveness of the innovation/best practice, including demographic data. Control conditions.

Outcomes measures (e.g., mortality, morbidity, health care access, safety, quality, cost, value, etc.). Analytic strategy, and results. If the evaluation is currently underway, please describe the study design and expected timeline for completion of the study.

○ Costs associated with implementing the the innovation/best practice. ○ Have these innovations/best practices been incorporated as permanent organizational changes?. If not, why not?.

○ Can the innovation/best practice be scaled to larger, diverse groups and/or locations for a longer period?. If yes, please describe the potential impacts on outcomes. ○ Did or could specific HHS policies or programs facilitate the design and implementation of an innovation/best practice?.

(If yes, please provide details of how the policy or program affects or could affect the innovation/best practice positively). ○ By contrast, did or could specific HHS policies or programs hinder the design and implementation of an innovation/best practice?. (If yes, please provide details of how the policy or program affects or could affect the innovation/best practice negatively).

1. Describe innovations/best practices in preventing and/or treating skin care products in high risk and vulnerable populations including but not limited to, African-Americans, Asian Americans, Start Printed Page 75025Hispanics/Latinos, American Indians/Alaska Natives, persons with disabilities, persons with limited English proficiency and others who might have been disproportionately impacted by skin care products, directly or because treatment for other medical conditions has been disrupted. 2.

Provide details on effective, community-based, innovative programs to improve population health during the skin care products renova (e.g., programs to address social determinants of health). 3. Outline effective and innovative approaches to address health disparities across the continuum of care during the skin care products renova.

4. Detail effective approaches to address social isolation in vulnerable populations including older-adults and people with disabilities in both institutional and community settings. G.

Other Topics 1. Please describe effective strategies to address other critical barriers, including work force concerns, provider well-being, supply chain, etc., to ensure continuity of operations in a healthcare system. 2.

Outline best practices to ensure seamless delivery of long-term services and supports (LTSS) to residents of group homes for individuals with disabilities, and other recipients of home-and-community-based services during the renova. 3. Detail new programs/policies and efforts that were implemented during the renova, but found to be ineffective in improving healthcare access, safety, quality, continuity, value and outcomes.

4. Please describe other input not already covered by the previous topics. HHS encourages all potentially interested parties including individuals, healthcare providers, networks and/or associations, academic researchers and institutions, non-HHS federal healthcare systems, non-governmental organizations, and private sector entities to respond.

IV. How To Submit Your Response Please upload your responses to each question in this Innovation RFI response tool which has clearly marked sections for individual questions. Please respond concisely, in plain language, and in narrative format.

You may respond to some or all of the questions listed in the RFI. Please ensure it is clear which question you are responding to. You may also include links to online material or interactive presentations.

Please note that this is a request for information (RFI) only. In accordance with the implementing regulations of the Paperwork Reduction Act of 1995 (PRA), specifically 5 CFR 1320.3(h) (4), this general solicitation is exempt from the PRA. Facts or opinions submitted in response to general solicitations of comments from the public, published in the Federal Register or other publications, regardless of the form or format thereof, provided that no person is required to supply specific information pertaining to the commenter, other than that necessary for self-identification, as a condition of the agency's full consideration, are not generally considered information collections and therefore not subject to the PRA.

This RFI is issued solely for information and planning purposes. It does not constitute a Request for Proposal (RFP), applications, proposal abstracts, or quotations. This RFI does not commit the U.S.

Government to contract for any supplies or services or make a grant award. Further, we are not seeking proposals through this RFI and will not accept unsolicited proposals. We note that not responding to this RFI does not preclude participation in any future procurement, if conducted.

It is the responsibility of the potential responders to monitor this RFI announcement for additional information pertaining to this request. HHS may or may not choose to contact individual responders.

1507. Learn more here.Start Preamble Office of the Secretary, Department of Health and Human Services. Request for information (RFI).

The U.S. Department of Health and Human Services (HHS) seeks to gain a comprehensive understanding of the impact of changes adopted by health care systems and health care providers in response to the skin care products renova. Many healthcare systems and clinicians have rapidly reengineered their policies and programs to improve access, safety, quality, outcomes including mortality and morbidity, cost, and value for both skin care products and non-skin care products related medical conditions.

HHS plans to identify and learn from effective innovative approaches and best practices implemented by non-HHS organizations in order to inform HHS priorities and programs. We recommend that you submit your comments through the Innovation RFI Response Portal (https://rfi.grants.nih.gov/​?. S=​5f89e1e8400f00001a0036f2) to ensure consideration.

Comments must be received through this portal no later than midnight Eastern Time (ET) on December 24, 2020. Submissions received after the deadline will not be reviewed. Comments may also be submitted in regulations.gov.

Comments, including mass comment submissions, must be submitted electronically using the Innovation RFI Response Portal (https://rfi.grants.nih.gov/​?. S=​5f89e1e8400f00001a0036f2). Please respond concisely, in plain language, and in a narrative format in the field provided for each question, to ensure accurate interpretation and analysis.

You may respond to some or all of the topic areas covered in the RFI, and/or you can also provide relevant information that may not have been referenced. You can also include links to online material or interactive presentations. Please do not include any personally identifiable patient information or confidential business information in your comment.

Start Further Info CAPT Meena Vythilingam, Director, Center for Health Innovation, Office of the Assistant Secretary for Health, Meena.Vythilingam@HHS.gov or 202 260 7382. End Further Info End Preamble Start Supplemental Information I. Background In response to the 2019 novel skin care or skin care products renova, the Secretary of Health and Human Services (HHS) declared a public health emergency effective January 27, 2020, under section 319 of the Public Health Start Printed Page 75022Service Act (42 U.S.C.

247d [] ) and renewed it continually since its issuance. The impact of the skin care products renova on the nation's healthcare system has been complex, widespread, and potentially enduring. This unprecedented renova has impacted the safety, quality, continuity, outcomes, value, and access to timely health care in numerous healthcare settings.

Anecdotal reports as well as data from varied public sources confirmed that in addition to skin care products-related increases in mortality and morbidity, the mortality and morbidity for numerous non-skin care products-related medical conditions has also increased.[] The skin care products public health emergency is disproportionately affecting vulnerable populations, particularly the elderly, and racial and ethnic minorities.[] Local health systems with a significant burden of skin care products cases have faced multiple challenges including surge capacity, staffing, and supply chain issues, that directly impact access, quality, and experience of care for all medical conditions.[] Decreases in help-seeking behaviors in the context of the skin care products renova may have also contributed to delays in accessing timely care, resulting in poor outcomes.[] In addition to the disruption in healthcare, the delivery of long-term services and supports (LTSS) to many seniors and people with disabilities has also been disrupted during the renova. In response to the skin care products renova, medical providers, medical facilities, academic centers, and health systems rapidly reengineered healthcare policies and programs to ensure preservation of health care access, safety, quality, continuity, value, and outcomes. As a result, there has been a proliferation of innovative programs, policies, and best practices to prevent and mitigate the consequences of skin care products, while simultaneously preserving access to routine and emergency healthcare services for non-skin care products medical conditions.[] An example of the paradigmatic shift in the delivery of health care is the rapid adoption and scaling of telehealth services.[] Although the renova disrupted the entire health care ecosystem in the U.S., it also provided an opportunity and impetus to innovate across the continuum of individual and population health, including screening, surveillance, prevention, treatment, supply chain management, and public health interventions.

These changes may persist for the duration of the public health emergency, and potentially beyond it. HHS strongly supports innovation to preserve a resilient healthcare system in the face of the skin care products renova and recognizes the importance of learning from effective and innovative approaches and best practices implemented by non-HHS healthcare systems, academic centers, and healthcare providers. HHS will determine if these innovative approaches and best practices can help inform and/or improve HHS priorities and programs.

II. Scope and Assumptions The main purpose of this Request for Information (RFI) is for HHS to gather information on effective innovative approaches and best practices in health care in response to the skin care products renova by non-HHS health care systems and providers. The information provided will help inform and guide the HHS response to build a healthy and resilient nation.

This RFI includes innovations and best practices in health care for both skin care products and non-skin care products health conditions. The definition of “health” system or services and/or “healthcare” system or services, for the purposes of this RFI, is broad. We seek an understanding of effective best practices and innovations in the provision of services across the health and public health continuum by a variety of organizations.

Responses can focus on select aspects or on the entire continuum of care, to include surveillance, screening, prevention, treatment, and/or public health interventions. We are specifically interested in novel approaches and best practices that are associated with data confirming efficacy and/or effectiveness with demonstrated improvements in one or more of the following measures. Patient outcomes, access to health care, safety, quality, and/or value.

Responses should include the following. ○ A description of the innovation/best practice. ○ The rationale for the implementation of the innovation/best practice.

○ Data and/or results confirming efficacy and/or effectiveness of the innovation/best practice, including demographic data. Control conditions. Outcomes measures (e.g., mortality, morbidity, health care access, safety, quality, cost, value, etc.).

Analytic strategy. And results. If the evaluation is currently underway, please describe the study design and expected timeline for completion of the study.

○ Costs associated with implementing the the innovation/best practice. ○ Have these innovations/best practices been incorporated as permanent organizational changes?. If not, why not?.

○ Can the innovation/best practice be scaled to larger, diverse groups and/or locations for a longer period?. If yes, please describe the potential impacts on outcomes. ○ Did or could specific HHS policies or programs facilitate the design and implementation of an innovation/best practice?.

(If yes, please provide details of how the policy or program affects or could affect the innovation/best practice positively). ○ By contrast, did or could specific HHS policies or programs hinder the design and implementation of an innovation/best practice?. (If yes, please provide details of how the policy or program affects or could affect the innovation/best practice negatively).

III. Information Requested/Key Questions Please respond to specific topics in which you have the most amount of evidence and expertise. Respondents are requested to share the objective results of an evaluation for each topic when possible.

Response to every item is not required. A. Health Promotion and Prevention of skin care products and Non-skin care products Medical Conditions Please provide the following information.

—‹ A description of the innovation/best practice. ○ The rationale for the implementation of the innovation/best practice. Start Printed Page 75023 ○ Data and/or results confirming efficacy and/or effectiveness of the innovation/best practice, including demographic data.

Control conditions. Outcomes measures (e.g., mortality, morbidity, health care access, safety, quality, cost, value, etc.). Analytic strategy.

And results. If the evaluation is currently underway, please describe the study design and expected timeline for completion of the study. ○ Costs associated with implementing the the innovation/best practice.

○ Have these innovations/best practices been incorporated as permanent organizational changes?. If not, why not?. ○ Can the innovation/best practice be scaled to larger, diverse groups and/or locations for a longer period?.

If yes, please describe the potential impacts on outcomes. ○ Did or could specific HHS policies or programs facilitate the design and implementation of an innovation/best practice?. (If yes, please provide details of how the policy or program affects or could affect the innovation/best practice positively).

○ By contrast, did or could specific HHS policies or programs hinder the design and implementation of an innovation/best practice?. (If yes, please provide details of how the policy or program affects or could affect the innovation/best practice negatively). 1.

Describe effective innovations/best practices that prevented the transmission of skin care s in staff, patients and/or beneficiaries. 2. Describe effective innovations/best practices to prevent skin care outbreaks among residents and staff in long-term care facilities including assisted living facilities, nursing homes, rehabilitation facilities, intermediate care facilities for individuals with intellectual disabilities (ICF/ID), and palliative care settings.

3. Describe innovative programs/policies and best practices to ensure timely access to health care and continuity of care for patients with chronic illnesses that increase vulnerability to skin care products. 4.

Provide details on innovations or best practices that prevented increases in morbidity and mortality due to deferred care for acute medical conditions (e.g., cardiac arrests, strokes, etc.). 5. Describe effective programs or practices that helped ensure timely administration of immunizations to pediatric patients and other vulnerable populations including the elderly and individuals with disabilities.

6. Elaborate on effective educational and messaging campaigns targeting prevention. 7.

Describe effective health promotion and prevention policies and programs implemented in response to skin care products, that will continue beyond this renova. B. Screening/Surveillance/Case Identification of skin care products and Non-skin care products Medical Conditions Please provide the following information.

○ A description of the innovation/best practice. ○ The rationale for the implementation of the innovation/best practice. ○ Data and/or results confirming efficacy and/or effectiveness of the innovation/best practice, including demographic data.

Control conditions. Outcomes measures (e.g., mortality, morbidity, health care access, safety, quality, cost, value, etc.). Analytic strategy, and results.

If the evaluation is currently underway, please describe the study design and expected timeline for completion of the study. ○ Costs associated with implementing the the innovation/best practice. ○ Have these innovations/best practices been incorporated as permanent organizational changes?.

If not, why not?. ○ Can the innovation/best practice be scaled to larger, diverse groups and/or locations for a longer period?. If yes, please describe the potential impacts on outcomes.

○ Did or could specific HHS policies or programs facilitate the design and implementation of an innovation/best practice?. (If yes, please provide details of how the policy or program affects or could affect the innovation/best practice positively). ○ By contrast, did or could specific HHS policies or programs hinder the design and implementation of an innovation/best practice?.

(If yes, please provide details of how the policy or program affects or could affect the innovation/best practice negatively). 1. Describe effective approaches to screening, surveillance and case identification of skin care products.

2. Describe efforts to ensure that patients continue to receive United States Preventive Services Task Force-recommended screening procedures on time during the skin care products renova. Please include data on the program's ability to prevent negative outcomes due to timely screening and early detection, if available.

3. Outline innovative programs to continue screening for HIV, hepatitis and sexually transmitted diseases during the renova, (e.g., in syringe services programs (SSPs)). C.

Treatment for skin care products and Non-skin care products Medical Conditions Please provide the following information. ○ A description of the innovation/best practice. ○ The rationale for the implementation of the innovation/best practice.

○ Data and/or results confirming efficacy and/or effectiveness of the innovation/best practice, including demographic data. Control conditions. Outcomes measures (e.g., mortality, morbidity, health care access, safety, quality, cost, value, etc.).

Analytic strategy, and results. If the evaluation is currently underway, please describe the study design and expected timeline for completion of the study. ○ Costs associated with implementing the the innovation/best practice.

○ Have these innovations/best practices been incorporated as permanent organizational changes?. If not, why not?. ○ Can the innovation/best practice be scaled to larger, diverse groups and/or locations for a longer period?.

If yes, please describe the potential impacts on outcomes. ○ Did or could specific HHS policies or programs facilitate the design and implementation of an innovation/best practice?. (If yes, please provide details of how the policy or program affects or could affect the innovation/best practice positively).

○ By contrast, did or could specific HHS policies or programs hinder the design and implementation of an innovation/best practice?. (If yes, please provide details of how the policy or program affects or could affect the innovation/best practice negatively). 1.

Describe innovations/best practices in skin care products treatment that resulted in decreased mortality and morbidity. 2. Describe if and how a health care system was effectively reengineered to ensure timely access and quality of care in the Emergency Department, Outpatient or Inpatient settings.

3. Describe how appropriate utilization of emergency medical services was facilitated during the renova. 4.

Detail effective changes in intensive care unit (ICU) care and post-hospital care/follow-up. 5. Detail best practices to ensure continuity of treatment for HIV, hepatitis and sexually transmitted diseases during the renova.Start Printed Page 75024 6.

Describe effective programs/policies to prevent/manage dental emergencies during the renova. 7. Outline novel and effective approaches to ensure compliance with medications, including refills, during the renova.

8. Please list effective treatment-related policies or programs that will continue beyond the skin care products renova. D.

Telehealth Please provide the following information. ○ A description of the innovation/best practice. ○ The rationale for the implementation of the innovation/best practice.

○ Data and/or results confirming efficacy and/or effectiveness of the innovation/best practice, including demographic data. Control conditions. Outcomes measures (e.g., mortality, morbidity, health care access, safety, quality, cost, value, etc.).

Analytic strategy, and results. If the evaluation is currently underway, please describe the study design and expected timeline for completion of the study. ○ Costs associated with implementing the the innovation/best practice.

○ Have these innovations/best practices been incorporated as permanent organizational changes?. If not, why not?. ○ Can the innovation/best practice be scaled to larger, diverse groups and/or locations for a longer period?.

If yes, please describe the potential impacts on outcomes. ○ Did or could specific HHS policies or programs facilitate the design and implementation of an innovation/best practice?. (If yes, please provide details of how the policy or program affects or could affect the innovation/best practice positively).

○ By contrast, did or could specific HHS policies or programs hinder the design and implementation of an innovation/best practice?. (If yes, please provide details of how the policy or program affects or could affect the innovation/best practice negatively). 1.

Describe effective best practices to deliver clinical and nonclinical services using telehealth (e.g., surveillance, prevention and treatment services, etc). 2. Describe best practices and innovations to improve access to care for rural/remote populations using telehealth, during the renova.

3. Detail effective use of remote monitoring/telemonitoring of chronic medical conditions including diabetes and hypertension and for delivering home health services. 4.

List criticial barriers to implement telehealth in healthcare systems. 5. What are some of the key facilitators of telehealth?.

6. Outline innovative approaches to integrate telehealth into the clinical work flow. 7.

List effective telehealth programs that will continue beyond this renova. 8. Describe technological systems that facilitate telehealth, including use of audio or video telehealth, telehealth programs or apps, or other approaches.

9. Describe technological systems that might or might not facilitate telehealth, including uses of audio or video telehealth, telehealth programs or apps, or other approaches. E.

Mental Health/Behavioral Health and Substance Use Disorder Innovations/Best Practices Please provide the following information. ○ A description of the innovation/best practice. ○ The rationale for the implementation of the innovation/best practice.

○ Data and/or results confirming efficacy and/or effectiveness of the innovation/best practice, including demographic data. Control conditions. Outcomes measures (e.g., mortality, morbidity, health care access, safety, quality, cost, value, etc.).

Analytic strategy, and results. If the evaluation is currently underway, please describe the study design and expected timeline for completion of the study. ○ Costs associated with implementing the the innovation/best practice.

○ Have these innovations/best practices been incorporated as permanent organizational changes?. If not, why not?. ○ Can the innovation/best practice be scaled to larger, diverse groups and/or locations for a longer period?.

If yes, please describe the potential impacts on outcomes. ○ Did or could specific HHS policies or programs facilitate the design and implementation of an innovation/best practice?. (If yes, please provide details of how the policy or program affects or could affect the innovation/best practice positively).

○ By contrast, did or could specific HHS policies or programs hinder the design and implementation of an innovation/best practice?. (If yes, please provide details of how the policy or program affects or could affect the innovation/best practice negatively). 1.

Describe effective, novel mental health prevention and/or treatment programs in response to the skin care products renova. 2. Describe effective and innovative substance use disorder programs during the skin care products renova.

3. Describe innovative efforts to provide medication-assisted treatment, including access to counseling and support groups, during the renova. 4.

Provide information on effective suicide prevention programs implemented during the renova. 5. Provide information on effective programs designed to identify childhood abuse, elder abuse and/or domestic violence during the renova.

6. Detail effective approaches to prevent skin care products transmission in psychiatric and substance use disorder residential and group treatment facilities. F.

Population-Level Interventions Please provide the following information. ○ A description of the innovation/best practice. ○ The rationale for the implementation of the innovation/best practice.

○ Data and/or results confirming efficacy and/or effectiveness of the innovation/best practice, including demographic data. Control conditions. Outcomes measures (e.g., mortality, morbidity, health care access, safety, quality, cost, value, etc.).

Analytic strategy, and results. If the evaluation is currently underway, please describe the study design and expected timeline for completion of the study. ○ Costs associated with implementing the the innovation/best practice.

○ Have these innovations/best practices been incorporated as permanent organizational changes?. If not, why not?. ○ Can the innovation/best practice be scaled to larger, diverse groups and/or locations for a longer period?.

If yes, please describe the potential impacts on outcomes. ○ Did or could specific HHS policies or programs facilitate the design and implementation of an innovation/best practice?. (If yes, please provide details of how the policy or program affects or could affect the innovation/best practice positively).

○ By contrast, did or could specific HHS policies or programs hinder the design and implementation of an innovation/best practice?. (If yes, please provide details of how the policy or program affects or could affect the innovation/best practice negatively). 1.

Describe innovations/best practices in preventing and/or treating skin care products in high risk and vulnerable populations including but not limited to, African-Americans, Asian Americans, Start Printed Page 75025Hispanics/Latinos, American Indians/Alaska Natives, persons with disabilities, persons with limited English proficiency and others who might have been disproportionately impacted by skin care products, directly or because treatment for other medical conditions has been disrupted. 2. Provide details on effective, community-based, innovative programs to improve population health during the skin care products renova (e.g., programs to address social determinants of health).

3. Outline effective and innovative approaches to address health disparities across the continuum of care during the skin care products renova. 4.

Detail effective approaches to address social isolation in vulnerable populations including older-adults and people with disabilities in both institutional and community settings. G. Other Topics 1.

Please describe effective strategies to address other critical barriers, including work force concerns, provider well-being, supply chain, etc., to ensure continuity of operations in a healthcare system. 2. Outline best practices to ensure seamless delivery of long-term services and supports (LTSS) to residents of group homes for individuals with disabilities, and other recipients of home-and-community-based services during the renova.

3. Detail new programs/policies and efforts that were implemented during the renova, but found to be ineffective in improving healthcare access, safety, quality, continuity, value and outcomes. 4.

Please describe other input not already covered by the previous topics. HHS encourages all potentially interested parties including individuals, healthcare providers, networks and/or associations, academic researchers and institutions, non-HHS federal healthcare systems, non-governmental organizations, and private sector entities to respond. IV.

How To Submit Your Response Please upload your responses to each question in this Innovation RFI response tool which has clearly marked sections for individual questions. Please respond concisely, in plain language, and in narrative format. You may respond to some or all of the questions listed in the RFI.

Please ensure it is clear which question you are responding to. You may also include links to online material or interactive presentations. Please note that this is a request for information (RFI) only.

In accordance with the implementing regulations of the Paperwork Reduction Act of 1995 (PRA), specifically 5 CFR 1320.3(h) (4), this general solicitation is exempt from the PRA. Facts or opinions submitted in response to general solicitations of comments from the public, published in the Federal Register or other publications, regardless of the form or format thereof, provided that no person is required to supply specific information pertaining to the commenter, other than that necessary for self-identification, as a condition of the agency's full consideration, are not generally considered information collections and therefore not subject to the PRA. This RFI is issued solely for information and planning purposes.

It does not constitute a Request for Proposal (RFP), applications, proposal abstracts, or quotations. This RFI does not commit the U.S. Government to contract for any supplies or services or make a grant award.

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All of us are indebted to them. Here at the Labor Department we can work to improve people’s lives because our values endure -- thanks to those who died to how much renova cost defend them. I am humbled to serve a nation that has produced such outstanding soldiers. My heart is with their families this weekend, and I pray for their peace and comfort. Thank you, and please continue to take how much renova cost precautions to keep yourselves and your families safe this weekend.

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