PALLIATIVE CARE: ACHIEVEMENTS AND CHALLENGES FOR PUBLIC HEALTH

Größe: px
Ab Seite anzeigen:

Download "PALLIATIVE CARE: ACHIEVEMENTS AND CHALLENGES FOR PUBLIC HEALTH"

Transkript

1 CAMPUS GROSSHADERN CAMPUS INNENSTADT PALLIATIVE CARE: ACHIEVEMENTS AND CHALLENGES FOR PUBLIC HEALTH Prof. Dr. Claudia Bausewein PhD MSc

2 Cicely Saunders ( ) Founder of the modern hospice movement Nurse in World War II Trained as social worker Medical School Research on Morphine as analgesic Founded the first modern hospice, St. Christopher s in London, in 1967

3 Total pain spiritual physical psychological social Cicely Saunders 1963

4 Hospice and Palliative Care high-person-low-technology pain and symptom management psychosocial and spiritual care commitment to continuity of care individual care integration of volunteers coordination and supervision research teaching and training Dame Cicely Saunders 1977

5 Palliative care is an approach that improves the quality of life of patients and their families facing the problems associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychosocial and spiritual. WHO 2002

6 Palliative care worldwide

7 Palliative care concepts

8 An idea put into practice

9

10 Current situation in Germany Palliative Care Units Always part of hospital Physician-led Aim: symptom management and discharge (Ø 12 days) Funding: health insurances Inpatient Hospices Independent, free-standing Nurse-led, medical input from GPs Aim: long-term care for terminally ill patients (Ø 20 days) Funding: mixture of health insurance, long-term care insurance & hospice

11 Development of hospices & PCU

12

13 Current situation in Germany Palliative Care Consult Services Often, not always in connection with a PCU Multiprofessional Number not known Specialist palliative home care Since 2007 right of every patient (social law) Teams with doctors and nurses Realisation challenging No clear overarching concept Planned 320 teams for Germany (1 team/ inhabitants) Currently 225 teams

14 Area coverage of specialist palliative home care Dark blue full coverage Light blue 30 teams in federal state Grey no teams Red negotiations with health care insurances

15 Challenges for the future Who receives palliative care? How is palliative care provided? When should palliative care start?

16 Challenges for the future Who receives palliative care? How is palliative care provided? When should palliative care start?

17 Who receives palliative care? D UK

18 Leading causes of death Mathers & Loncar, PLoS Medicine 2006

19 UK deaths and potential palliative care needs Low estimate Diagnoses (ICD-10) Primary diagnoses on death certificate: cancer, chronic heart, kidney, lung and liver disease, neuro-degenerative disease, Alzheimer, HIV/AIDS Proportion 63% Intermediate estimate - lower limit Intermediate estimate - upper limit Maximum estimate Low estimate & Alzheimer, dementia, chronic kidney disease Stage V as secondary diagnoses on death certificate 69% 75% Secondary diagnoses as low estimate 82% All deaths (without acute deaths) 97% Murtagh & Bausewein, Palliative Care Funding Review 2011

20 Population in Germany ,8 Mio 22,3 Mio 83 Mio. 77 Mio.

21 Births and deaths 2010: Dying 2030: Dying German Federal Statistics Office 2011

22 Place of death 47% currently die in hospital no data on home death deaths in hospitals Simon & Bausewein, Pub Health 2012

23 Future developments Until 2030: increase in cancer incidence by 50% (Deutsche Krebshilfe), in new cancer diagnoses Increase in chronic disease 2030: appr. 2 Mio. people with dementia (2010 1,1 Mio.) Medical advances increase life expectancy but also longer life with illness (UK: men appr 14,7 years, women 16,9 years with bad health (National for Council Palliative Care 2012)

24 The palliative care patient in 20 years suffers from cancer is older... Suffers more often from dementia might have a different religious and cultural background lives longer with chronic illness

25 Challenges for the future Who receives palliative care? How is palliative care provided? When should palliative care start?

26 Palliative Care Provision Generalist palliative care Both in home care and inpatient setting No clear defintion No reimbursement Specialist palliative care Inappropriate funding State Governement Victoria.Strengthening Palliative care: Policy and stratetic directions

27 Need for palliative care Extrapolated from actual deaths Patients with malignant disease Patients with non-malignant disease Recommended referrals for assessment 90% 50% Ongoing consultative capacity 70% 30% Direct care 20% 10% Palliative Care Service Provision in Australia: A Planning Guide. 2003

28 Need for palliative care and hospice inpatient beds Country Beds/ 1 Mio Inhabitants Germany (2004) 50 Austria (2004) 60 Ireland (2001) Switzerland (2008) Germany (2030)?

29 Future palliative care provision Hospital support teams For every hospital Specialist palliative home care Full coverage, comparable structures and funding Day care Day hospices Palliative care outpatient clinics Palliative care units with quality standards Hospices

30 Challenges for the future Who receives palliative care? How is palliative care provided? When should palliative care start?

31 Early Integration of Palliative Care newly diagnosed metastatic non smallcell lung cancer stage III b ECOG 0-2 standard oncologic care alone early palliative care integrated with standard oncological care palliative care when needed 3 weeks after diagnoses, at least monthly Temel J. et al N Engl J Med. 2010

32 Results Improved quality of life (98.0 vs. 91.5; p=0.03) Less depression (16% vs. 38%, p = 0.01). Fewer patients received aggressive end-of-life care (33% vs. 54%, p=0.05) Survival: 11,6 vs. 8,9 months (p=0.02) Temel J. et al N Engl J Med. 2010

33 Disease trajectories cancer Chronic kidney disease, conservatively managed Cardiorespiratory failure Frailty Murray, S. A et al. BMJ 2008;336

34 Palliative Care Concepts American Thoracic Society 2008

35 When does palliative care start? Palliative Care according to needs and not diagnoses or prognoses

36 When does palliative care start? Palliative Care according to needs and not diagnoses or prognoses Screening & regular evaluation of palliative care needs

37 When does palliative care start? Palliative Care according to needs and not diagnoses or prognoses Screening & regular evaluation of palliative care needs Disease related indicators for screening

38 Indicators for assessment of palliative care needs Tumour NSCLC Melanoma Sarcoma Ca Pancreas Ca breast Ca prostate stage IIIb IV IV alll metastases/ recurrence & systemic chemotherapy recurrence/ metastases (refractory to Doxotacel) Gärtner et al, Supp Care Ca 2011

39 General quesions 1 general clinical sign Boyd & Murray BMJ 2010

40 COPD Chronic heart failure Kidney disease Boyd & Murray BMJ 2010

41 Assessment of palliative care needs

42 Palliative Care Concepts American Thoracic Society 2008

43 What do we need to meet these challenges?

44 Qualification of professionals Palliative Care as compulsory subject in medical and nursing schools, for social workers, chaplains, physiotherapists etc. Sufficient coverage But Palliative Care as career? Only symptomatologists? How do we teach attitudes?

45 Qualification of doctors Palliative Medicine as subspeciality For generalist palliative care Training in form of courses as already provided Palliative Medicine as speciality In addtion to subspeciality 2 years general medical training & 3-4 years specialist training Clinical leads, complex cases, teaching, training, supervision, Similar for other professional groups

46 Palliative care research Burning questions Evidence based symptom control Patients wishes (e.g. preferred place of care, place of death) Needs of underserved groups Social, cultural, spiritual and ethical aspects Qualification in research methods Research networks Research funding

47 Ethical issues Physician assisted suicide? Legalisation of active euthansia? Euthanasia as part of palliative care?

48

49 Association for Palliative Medicine It does not depend on predicting the future but to be prepared for the future. Perikles, griech. Staatsmann, v.chr.

Frühe Integration der Palliativmedizin in die Onkologie

Frühe Integration der Palliativmedizin in die Onkologie Frühe Integration der Palliativmedizin in die Onkologie 1 Frühe Integration der Palliativmedizin in die Onkologie Dr. med. Marc Schlaeppi, M.Sc. Leitender Arzt Onkologie & Hämatologie Zentrum für Integrative

Mehr

Possible Solutions for Development of Multilevel Pension System in the Republic of Azerbaijan

Possible Solutions for Development of Multilevel Pension System in the Republic of Azerbaijan Possible Solutions for Development of Multilevel Pension System in the Republic of Azerbaijan by Prof. Dr. Heinz-Dietrich Steinmeyer Introduction Multi-level pension systems Different approaches Different

Mehr

How does the Institute for quality and efficiency in health care work?

How does the Institute for quality and efficiency in health care work? Health Care for all Creating Effective and Dynamic Structures How does the Institute for quality and efficiency in health care work? Peter T. Sawicki; Institute for Quality and Efficiency in Health Care.

Mehr

Inequality Utilitarian and Capabilities Perspectives (and what they may imply for public health)

Inequality Utilitarian and Capabilities Perspectives (and what they may imply for public health) Inequality Utilitarian and Capabilities Perspectives (and what they may imply for public health) 1 Utilitarian Perspectives on Inequality 2 Inequalities matter most in terms of their impact onthelivesthatpeopleseektoliveandthethings,

Mehr

Occupational Medicine in Germany

Occupational Medicine in Germany Outline Occupational Medicine in Germany Univ.-Prof. Dr. med. Thomas Kraus tkraus@ukaachen.de Occupational Medicine at Universities DGAUM German society for occupational and environmental medicine Legal

Mehr

Demografic Agency for the economy in Lower Saxony. Johannes Grabbe s presentation at the German-British trades union forum in London, 2nd July 2012

Demografic Agency for the economy in Lower Saxony. Johannes Grabbe s presentation at the German-British trades union forum in London, 2nd July 2012 Demografic Agency for the economy in Lower Saxony Johannes Grabbe s presentation at the German-British trades union forum in London, 2nd July 2012 Collaborative project of: Governmental aid: Content 1.

Mehr

Die ambulante Gesundheitsversorgung in der Schweiz ein Blick von Aussen

Die ambulante Gesundheitsversorgung in der Schweiz ein Blick von Aussen Die ambulante Gesundheitsversorgung in der Schweiz ein Blick von Aussen Reinhard Busse, Prof. Dr. med. MPH FFPH FG Management im Gesundheitswesen, Technische Universität Berlin (WHO Collaborating Centre

Mehr

TMF projects on IT infrastructure for clinical research

TMF projects on IT infrastructure for clinical research Welcome! TMF projects on IT infrastructure for clinical research R. Speer Telematikplattform für Medizinische Forschungsnetze (TMF) e.v. Berlin Telematikplattform für Medizinische Forschungsnetze (TMF)

Mehr

Gesundheitssystem Österreich FINANZIERUNG

Gesundheitssystem Österreich FINANZIERUNG Gesundheitssystem Österreich FINANZIERUNG Ausgaben Entwicklung der Gesundheitsausgaben in Österreich in % des Bruttosozialproduktes 10 8 6 4 2 0 1971 1973 1975 1977 1979 1981 1982 1983 1984 1985 1986 1987

Mehr

Level 1 German, 2012

Level 1 German, 2012 90886 908860 1SUPERVISOR S Level 1 German, 2012 90886 Demonstrate understanding of a variety of German texts on areas of most immediate relevance 9.30 am Tuesday 13 November 2012 Credits: Five Achievement

Mehr

GRIPS - GIS basiertes Risikoanalyse-, Informations- und Planungssystem

GRIPS - GIS basiertes Risikoanalyse-, Informations- und Planungssystem GRIPS - GIS basiertes Risikoanalyse-, Informations- und Planungssystem GIS based risk assessment and incident preparation system Gregor Lämmel TU Berlin GRIPS joined research project TraffGo HT GmbH Rupprecht

Mehr

Risk of Suicide after Bariatric Surgery

Risk of Suicide after Bariatric Surgery Overview Risk of Suicide after Bariatric Surgery Obesity and Depression Suicidality and Obesity German Obesity-Suicidality Study Birgit Wagner, PhD Department of Psychosomatic Medicine and Psychotherapy

Mehr

Swiss 5 th IV Revision: Prevention Early Intervention Systematic Engagement

Swiss 5 th IV Revision: Prevention Early Intervention Systematic Engagement Swiss 5 th IV Revision: Prevention Early Intervention Systematic Engagement Nancy Wayland Bigler, Head of Section Development, Federal Social Insurance Office, Switzerland 1 Objectives To present the situation

Mehr

APPLICATION. DeutscherAkademischerAustauschDienst GERMAN ACADEMIC EXCHANGE SERVICE 871 UN Plaza, New York, NY 10017

APPLICATION. DeutscherAkademischerAustauschDienst GERMAN ACADEMIC EXCHANGE SERVICE 871 UN Plaza, New York, NY 10017 APPLICATION DeutscherAkademischerAustauschDienst GERMAN ACADEMIC EXCHANGE SERVICE 871 UN Plaza, New York, NY 10017 Telephone: (212) 758-3223 Fax: (212) 755-5780 E-Mail: daadny@daad.org Website: http://www.daad.org

Mehr

Work-Life-Balance Issues in Germany Recent Developments

Work-Life-Balance Issues in Germany Recent Developments Work-Life-Balance Issues in Germany Recent Developments Maresa Feldmann, TU Dortmund University Sozialforschungsstelle (sfs) Germany politics.co.uk Outline Legal requirements Different child care services

Mehr

Franke & Bornberg award AachenMünchener private annuity insurance schemes top grades

Franke & Bornberg award AachenMünchener private annuity insurance schemes top grades Franke & Bornberg award private annuity insurance schemes top grades Press Release, December 22, 2009 WUNSCHPOLICE STRATEGIE No. 1 gets best possible grade FFF ( Excellent ) WUNSCHPOLICE conventional annuity

Mehr

Health Care System AUSTRIA

Health Care System AUSTRIA Health Care System AUSTRIA Dr. Markus Schwarz Institut für Public Health der PMU Christian Doppler Klinik, Salzburg ma.schwarz@aon.at Health Care System Austria - Outline History Health Status in Austria

Mehr

Level 2 German, 2015

Level 2 German, 2015 91126 911260 2SUPERVISOR S Level 2 German, 2015 91126 Demonstrate understanding of a variety of written and / or visual German text(s) on familiar matters 2.00 p.m. Friday 4 December 2015 Credits: Five

Mehr

Wie sollte die Notfallversorgung in Berlin und Brandenburg im Jahr 2030 aussehen? Reinhard Busse, Prof. Dr. med. MPH FFPH

Wie sollte die Notfallversorgung in Berlin und Brandenburg im Jahr 2030 aussehen? Reinhard Busse, Prof. Dr. med. MPH FFPH Wie sollte die Notfallversorgung in Berlin und Brandenburg im Jahr 2030 aussehen? Reinhard Busse, Prof. Dr. med. MPH FFPH FG Management im Gesundheitswesen, Technische Universität Berlin (WHO Collaborating

Mehr

FIVNAT-CH. Annual report 2002

FIVNAT-CH. Annual report 2002 FIVNAT-CH Schweizerische Gesellschaft für Reproduktionsmedizin Annual report 2002 Date of analysis 15.01.2004 Source: FileMaker Pro files FIVNAT_CYC.FP5 and FIVNAT_PAT.FP5 SUMMARY TABLE SUMMARY RESULTS

Mehr

Labour law and Consumer protection principles usage in non-state pension system

Labour law and Consumer protection principles usage in non-state pension system Labour law and Consumer protection principles usage in non-state pension system by Prof. Dr. Heinz-Dietrich Steinmeyer General Remarks In private non state pensions systems usually three actors Employer

Mehr

ugendmigrationsrat Local youth projects Youth Migration and Youth Participation Kairo/Menzel-Bourguiba/Fès/Bochum/Stuttgart

ugendmigrationsrat Local youth projects Youth Migration and Youth Participation Kairo/Menzel-Bourguiba/Fès/Bochum/Stuttgart Local youth projects Youth Migration and Youth Participation Kairo/Menzel-Bourguiba/Fès/Bochum/Stuttgart Profil der engagierten Jugendlichen aged 18 to 25 activ in a youth organisation interested in participation

Mehr

The Mrs.Sporty Story Founders and History

The Mrs.Sporty Story Founders and History Welcome to The Mrs.Sporty Story Founders and History 2003: vision of Mrs. Sporty is formulated 2004: pilot club opened in Berlin 2005: launch of Mrs.Sporty franchise concept with Stefanie Graf Stefanie

Mehr

Old People and Culture of Care.

Old People and Culture of Care. Old People and Culture of Care. Palliative and Dementia Care Reflections of a Study Course Elisabeth Wappelshammer Dirk Müller Andreas Heller One Study - Course two Cities two Semesters Berlin Vienna Study

Mehr

DAS ZUFRIEDENE GEHIRN: FREI VON DEPRESSIONEN, TRAUMATA, ADHS, SUCHT UND ANGST. MIT DER BRAIN-STATE-TECHNOLOGIE DAS LEBEN AUSBALANCIEREN (GE

DAS ZUFRIEDENE GEHIRN: FREI VON DEPRESSIONEN, TRAUMATA, ADHS, SUCHT UND ANGST. MIT DER BRAIN-STATE-TECHNOLOGIE DAS LEBEN AUSBALANCIEREN (GE DAS ZUFRIEDENE GEHIRN: FREI VON DEPRESSIONEN, TRAUMATA, ADHS, SUCHT UND ANGST. MIT DER BRAIN-STATE-TECHNOLOGIE DAS LEBEN AUSBALANCIEREN (GE READ ONLINE AND DOWNLOAD EBOOK : DAS ZUFRIEDENE GEHIRN: FREI

Mehr

Case Management for low skilled young people

Case Management for low skilled young people Case Management for low skilled young people c mon14 DSA Oliver Korath c mon17 Barbara Erhart March 2011 März 2011 1 starting situation why c mon14 / c mon17? high number of school drop outs preventive

Mehr

PALLIATIVE CARE GESTERN HEUTE - MORGEN HERBERT WATZKE ABTEILUNG FÜR PALLIATIVMEDIZIN MEDIZINISCHE UNIVERSITÄT / AKH WIEN

PALLIATIVE CARE GESTERN HEUTE - MORGEN HERBERT WATZKE ABTEILUNG FÜR PALLIATIVMEDIZIN MEDIZINISCHE UNIVERSITÄT / AKH WIEN PALLIATIVE CARE GESTERN HEUTE - MORGEN HERBERT WATZKE ABTEILUNG FÜR PALLIATIVMEDIZIN MEDIZINISCHE UNIVERSITÄT / AKH WIEN CICELY SAUNDERS CICELY SAUNDERS 1918 LONDON 1941 PFLEGEAUSBILDUNG St.Thomas Hospital

Mehr

German Geography Cookie Unit Haley Crittenden Gordon German Teacher Lee High School & Key Middle School (adapted from Angelika Becker)

German Geography Cookie Unit Haley Crittenden Gordon German Teacher Lee High School & Key Middle School (adapted from Angelika Becker) German Geography Cookie Unit Haley Crittenden Gordon German Teacher Lee High School & Key Middle School (adapted from Angelika Becker) Goal Students will learn about the physical geography of Germany,

Mehr

Presentation of BFI OÖ s Health and Social Care Training Programme in 2012

Presentation of BFI OÖ s Health and Social Care Training Programme in 2012 Presentation of BFI OÖ s Health and Social Care Programme in 2012 BFI OÖ Akademie für Gesundheits- und Sozialberufe 1 al Migrants Beginners Lateral entrants University Access Vocational Educated People

Mehr

POST MARKET CLINICAL FOLLOW UP

POST MARKET CLINICAL FOLLOW UP POST MARKET CLINICAL FOLLOW UP (MEDDEV 2.12-2 May 2004) Dr. med. Christian Schübel 2007/47/EG Änderungen Klin. Bewertung Historie: CETF Report (2000) Qualität der klinischen Daten zu schlecht Zu wenige

Mehr

Accreditation of Prior Learning in Austria

Accreditation of Prior Learning in Austria Accreditation of Prior Learning in Austria Birgit Lenger ibw Institut für Bildungsforschung der Wirtschaft Institute for Research on Qualifications and Training of the Austrian Economy October, 2009 TOPICS

Mehr

1. General information... 2 2. Login... 2 3. Home... 3 4. Current applications... 3

1. General information... 2 2. Login... 2 3. Home... 3 4. Current applications... 3 User Manual for Marketing Authorisation and Lifecycle Management of Medicines Inhalt: User Manual for Marketing Authorisation and Lifecycle Management of Medicines... 1 1. General information... 2 2. Login...

Mehr

PONS DIE DREI??? FRAGEZEICHEN, ARCTIC ADVENTURE: ENGLISCH LERNEN MIT JUSTUS, PETER UND BOB

PONS DIE DREI??? FRAGEZEICHEN, ARCTIC ADVENTURE: ENGLISCH LERNEN MIT JUSTUS, PETER UND BOB Read Online and Download Ebook PONS DIE DREI??? FRAGEZEICHEN, ARCTIC ADVENTURE: ENGLISCH LERNEN MIT JUSTUS, PETER UND BOB DOWNLOAD EBOOK : PONS DIE DREI??? FRAGEZEICHEN, ARCTIC ADVENTURE: Click link bellow

Mehr

Making quality visible. National Quality Certificate for Old Age and Nursing Homes in Austria (NQC)

Making quality visible. National Quality Certificate for Old Age and Nursing Homes in Austria (NQC) Making quality visible. National Quality Certificate for Old Age and Nursing Homes in Austria (NQC) Human Rights Council Genf, 15 September 2015 The Austrian System of Long Term Care System: 2 main components:

Mehr

Wie wird grenzüberschreitende Gesundheitsversorgung bezahlt?? Brigitte van der Zanden Healthacross, 14 Dezember 2010

Wie wird grenzüberschreitende Gesundheitsversorgung bezahlt?? Brigitte van der Zanden Healthacross, 14 Dezember 2010 Wie wird grenzüberschreitende Gesundheitsversorgung bezahlt?? Brigitte van der Zanden Healthacross, 14 Dezember 2010 Einleitung Directive Grenzüberschreitende Strömen Wie wird das bezahlt? Herausforderungen

Mehr

networks for people suffering from dementia

networks for people suffering from dementia Demenz im Blick networks for people suffering from dementia - Aims and functions of the Landesinitiative Demenz-Service in NRW - Kick off event of the medical association Westfalen-Lippe und Nordrhein

Mehr

Educational technologists in higher education: innovators, supporters and managers

Educational technologists in higher education: innovators, supporters and managers Eduhub Days 2010 Educational technologists in higher education: innovators, supporters and managers Responses to the Questions provided with Conference Registration Process Who we are? Job description

Mehr

Therapeutische Maßnahmen am Lebensende. Dr. Johann Zoidl Palliativstation

Therapeutische Maßnahmen am Lebensende. Dr. Johann Zoidl Palliativstation Therapeutische Maßnahmen am Lebensende Dr. Johann Zoidl Palliativstation Begriffsklärung Θεραπεία: Dienen, Achtungsbezeigung, mit Aufmerksamkeit behandeln, Pflegen, Heilung. Lebensende A prospective cohort

Mehr

Der Weg zur Europäischen Patient Summary

Der Weg zur Europäischen Patient Summary Der Weg zur Europäischen Patient Summary Kathrin Morawetz Isabella Weber ehealth Summit Austria Wien, 24.05.2013 Hintergrund Erhöhte Mobilität Wahlfreiheit bei Versorgung Spezialisierung der Dienstleister

Mehr

Workshop: Monitoring Dementia Towards a Dementia Monitoring System and a Dementia Registry in Germany. Bonn, 17th November, 2011

Workshop: Monitoring Dementia Towards a Dementia Monitoring System and a Dementia Registry in Germany. Bonn, 17th November, 2011 Dementia and long-term care Workshop: Monitoring Dementia Towards a Dementia Monitoring System and a Dementia Registry in Germany Bonn, 17th November, 2011 Prof. Dr. Heinz Rothgang Zentrum für Sozialpolitik

Mehr

Digitalfunk BOS Austria

Digitalfunk BOS Austria Amt der Tiroler Landesregierung Abteilung Zivil- und Katastrophenschutz Digitalfunk BOS Austria BOS: Behörden und Organisationen mit Sicherheitsaufgaben ( System in Tirol, AT) L ESPERIENZA DEL TIROLO Trento

Mehr

Studentische Versicherung. Kathrin Cuber AOK Südlicher Oberrhein

Studentische Versicherung. Kathrin Cuber AOK Südlicher Oberrhein Studentische Versicherung Kathrin Cuber AOK Südlicher Oberrhein Wann kann sich jemand als Student versichern? Einschreibung an einer staatlich anerkannten Hochschule Deutschland/Europa Noch keine 30 Jahre

Mehr

Einsatz einer Dokumentenverwaltungslösung zur Optimierung der unternehmensübergreifenden Kommunikation

Einsatz einer Dokumentenverwaltungslösung zur Optimierung der unternehmensübergreifenden Kommunikation Einsatz einer Dokumentenverwaltungslösung zur Optimierung der unternehmensübergreifenden Kommunikation Eine Betrachtung im Kontext der Ausgliederung von Chrysler Daniel Rheinbay Abstract Betriebliche Informationssysteme

Mehr

Cluster Health Care Economy has been established in 2008 Regional approach to develop health care industries Head of the cluster is Ms.

Cluster Health Care Economy has been established in 2008 Regional approach to develop health care industries Head of the cluster is Ms. How to develop health regions as driving forces for quality of life, growth and innovation? The experience of North Rhine-Westphalia Dr. rer. soc. Karin Scharfenorth WHO Collaborating Centre for Regional

Mehr

Corporate Digital Learning, How to Get It Right. Learning Café

Corporate Digital Learning, How to Get It Right. Learning Café 0 Corporate Digital Learning, How to Get It Right Learning Café Online Educa Berlin, 3 December 2015 Key Questions 1 1. 1. What is the unique proposition of digital learning? 2. 2. What is the right digital

Mehr

Developing a research data centre for Germany: and its IT-guidelines. Dr. Felix F. Schäfer, German Archaeology Institute (DAI) Berlin

Developing a research data centre for Germany: and its IT-guidelines. Dr. Felix F. Schäfer, German Archaeology Institute (DAI) Berlin Developing a research data centre for Germany: and its IT-guidelines Dr. Felix F. Schäfer, German Archaeology Institute (DAI) Berlin http://www.ianus-fdz.de Data processing in archaeology projects / activities:

Mehr

Level 1 German, 2016

Level 1 German, 2016 90886 908860 1SUPERVISOR S Level 1 German, 2016 90886 Demonstrate understanding of a variety of German texts on areas of most immediate relevance 2.00 p.m. Wednesday 23 November 2016 Credits: Five Achievement

Mehr

The English Tenses Die englischen Zeitformen

The English Tenses Die englischen Zeitformen The English Tenses Die englischen Zeitformen Simple Present (Präsens einfache Gegenwart) Handlungen in der Gegenwart die sich regelmäßig wiederholen oder einmalig geschehen I go you go he goes she goes

Mehr

EVANGELISCHES GESANGBUCH: AUSGABE FUR DIE EVANGELISCH-LUTHERISCHE LANDESKIRCHE SACHSEN. BLAU (GERMAN EDITION) FROM EVANGELISCHE VERLAGSAN

EVANGELISCHES GESANGBUCH: AUSGABE FUR DIE EVANGELISCH-LUTHERISCHE LANDESKIRCHE SACHSEN. BLAU (GERMAN EDITION) FROM EVANGELISCHE VERLAGSAN EVANGELISCHES GESANGBUCH: AUSGABE FUR DIE EVANGELISCH-LUTHERISCHE LANDESKIRCHE SACHSEN. BLAU (GERMAN EDITION) FROM EVANGELISCHE VERLAGSAN DOWNLOAD EBOOK : EVANGELISCHES GESANGBUCH: AUSGABE FUR DIE EVANGELISCH-LUTHERISCHE

Mehr

Grade 12: Qualifikationsphase. My Abitur

Grade 12: Qualifikationsphase. My Abitur Grade 12: Qualifikationsphase My Abitur Qualifikationsphase Note 1 Punkte Prozente Note 1 15 14 13 85 % 100 % Note 2 12 11 10 70 % 84 % Note 3 9 8 7 55 % 69 % Note 4 6 5 4 40 % 54 % Note 5 3 2 1 20 % 39

Mehr

Workshop Quality Assurance Forum 2014

Workshop Quality Assurance Forum 2014 Workshop Quality Assurance Forum 2014 How do connotations of to learn and to teach influence learning and teaching? Andrea Trink Head of Quality Management Fachhochschule Burgenland - University of Applied

Mehr

Mediziner nur noch Ärzte oder auch noch Forscher?

Mediziner nur noch Ärzte oder auch noch Forscher? Mediziner nur noch Ärzte oder auch noch Forscher? Prof. em. Dr. med. Peter Meier-Abt, Schweizerischen Akademie der Medizinischen Wissenschaften (SAMW) Basel Erfolge von Wissenschaften und Innovationen

Mehr

The DFG Review Process

The DFG Review Process The DFG Review Process Contents 1. Who ensures scientific merit? 2. Who reviews proposals? 3. How are reviewers selected? 4. How does the decision-making process work? 5. What are the DFG's review criteria?

Mehr

DWG-Lunch-Workshop. 10. Dezember 2015. Prof. Dr. Katharina Janus

DWG-Lunch-Workshop. 10. Dezember 2015. Prof. Dr. Katharina Janus DWG-Lunch-Workshop 10. Dezember 2015 Prof. Dr. Katharina Janus Direktor, Center for Healthcare Management, Deutschland, und Columbia University New York 1 Agenda Ziel: Wie sieht das optimale multimodale,

Mehr

Exercise (Part XI) Anastasia Mochalova, Lehrstuhl für ABWL und Wirtschaftsinformatik, Kath. Universität Eichstätt-Ingolstadt 1

Exercise (Part XI) Anastasia Mochalova, Lehrstuhl für ABWL und Wirtschaftsinformatik, Kath. Universität Eichstätt-Ingolstadt 1 Exercise (Part XI) Notes: The exercise is based on Microsoft Dynamics CRM Online. For all screenshots: Copyright Microsoft Corporation. The sign ## is you personal number to be used in all exercises. All

Mehr

Climate change and availability of water resources for Lima

Climate change and availability of water resources for Lima Climate change and availability of water resources for Lima András Bárdossy bardossy@iws.uni-stuttgart.de Lima Marzo 12. 2009 1 Engineers and the future Knowledge about Past Design for Future Lima Marzo

Mehr

Level 2 German, 2013

Level 2 German, 2013 91126 911260 2SUPERVISOR S Level 2 German, 2013 91126 Demonstrate understanding of a variety of written and / or visual German text(s) on familiar matters 9.30 am Monday 11 November 2013 Credits: Five

Mehr

There are 10 weeks this summer vacation the weeks beginning: June 23, June 30, July 7, July 14, July 21, Jul 28, Aug 4, Aug 11, Aug 18, Aug 25

There are 10 weeks this summer vacation the weeks beginning: June 23, June 30, July 7, July 14, July 21, Jul 28, Aug 4, Aug 11, Aug 18, Aug 25 Name: AP Deutsch Sommerpaket 2014 The AP German exam is designed to test your language proficiency your ability to use the German language to speak, listen, read and write. All the grammar concepts and

Mehr

European Qualification Strategies in Information and Communications Technology (ICT)

European Qualification Strategies in Information and Communications Technology (ICT) European Qualification Strategies in Information and Communications Technology (ICT) Towards a European (reference) ICT Skills and Qualification Framework Results and Recommendations from the Leornardo-da-Vinci-II

Mehr

Work, age, health and employment a conceptual framework

Work, age, health and employment a conceptual framework Work, age, health and employment a conceptual framework Hans Martin Hasselhorn Federal Institute for Occupational Safety and Health, BAuA, Berlin Division Work and Health hasselhorn.hans martin@baua.bund.de

Mehr

Einführung Physiotherapie

Einführung Physiotherapie Einführung Physiotherapie Was können Physiotherapeuten außer massieren? 29.08.166 Cologne Dr. rer. medic. Christina Stark PT M.Sc. Klinik und Poliklinik für Kinder- und Jugendmedizin Lernziele Nach Abschluss

Mehr

CNC ZUR STEUERUNG VON WERKZEUGMASCHINEN (GERMAN EDITION) BY TIM ROHR

CNC ZUR STEUERUNG VON WERKZEUGMASCHINEN (GERMAN EDITION) BY TIM ROHR (GERMAN EDITION) BY TIM ROHR READ ONLINE AND DOWNLOAD EBOOK : CNC ZUR STEUERUNG VON WERKZEUGMASCHINEN (GERMAN EDITION) BY TIM ROHR PDF Click button to download this ebook READ ONLINE AND DOWNLOAD CNC ZUR

Mehr

The poetry of school.

The poetry of school. International Week 2015 The poetry of school. The pedagogy of transfers and transitions at the Lower Austrian University College of Teacher Education(PH NÖ) Andreas Bieringer In M. Bernard s class, school

Mehr

Which data and when?

Which data and when? PRO-data for market access in Germany where and when? Frank-Ulrich Fricke PRO-data for market access in Germany where and when? AMNOG the German assessment Which data and when? Requirements to be met Seite

Mehr

Danish Horticulture a long history!

Danish Horticulture a long history! Danish Association of Horticultural Producers Danish Association of Horticultural Producers The National Centre acts as a development and support unit for the. The 46 local advisory centres sell advice

Mehr

Europe Job Bank Schülerumfrage. Projektpartner. Euro-Schulen Halle

Europe Job Bank Schülerumfrage. Projektpartner. Euro-Schulen Halle Europe Job Bank Schülerumfrage Projektpartner Euro-Schulen Halle Alter: Geschlecht: M W Ausbildung als: F 1 Was war der Hauptgrund für Deine Wahl der Ausbildung / Deine Berufswahl? a. Freunde b. Familie

Mehr

Qualitätskriterien in der ambulanten und stationären Behandlung

Qualitätskriterien in der ambulanten und stationären Behandlung Qualitätskriterien in der ambulanten und stationären Behandlung Welche Voraussetzungen sind zu erfüllen um anerkannte Behandlungsleitlinien umsetzen zu können? NICE Guidelines, Wiener Konsensus AN Telefonumfrage

Mehr

Notice: All mentioned inventors have to sign the Report of Invention (see page 3)!!!

Notice: All mentioned inventors have to sign the Report of Invention (see page 3)!!! REPORT OF INVENTION Please send a copy to An die Abteilung Technologietransfer der Universität/Hochschule An die Technologie-Lizenz-Büro (TLB) der Baden-Württembergischen Hochschulen GmbH Ettlinger Straße

Mehr

Die Bedeutung der Sicherheitskultur für die Patientensicherheit

Die Bedeutung der Sicherheitskultur für die Patientensicherheit Die Bedeutung der Sicherheitskultur für die Patientensicherheit Prof. Dr. Tanja Manser Institut für Patientensicherheit Jahrestagung Aktionsbündnis Patientensicherheit, 16./17. April 2015, Berlin Offenlegung

Mehr

Netzwerk Frauen und AIDS. in Austria

Netzwerk Frauen und AIDS. in Austria Network Women and AIDS Network Women and AIDS in Austria Im Herbst 2008 haben wir das in Österreich gegründet. In autumn 2008 we founded the Network Women and AIDS in Austria Wir, das sind Frauen, die

Mehr

Was ist kardiale Rehabilitation?

Was ist kardiale Rehabilitation? UNIVERSITÄTSKLINIKUM Schleswig-Holstein Kardiale Rehabilitation im internationalen Vergleich:, Professionen, Versorgungsmodelle PD Dr. Oskar Mittag Institut für Sozialmedizin Universitätsklinikum Schleswig-Holstein

Mehr

Advanced Nursing Practice in GB Qualifizierung und Aufgaben Jacqueline Filkins Berlin 08.10.13

Advanced Nursing Practice in GB Qualifizierung und Aufgaben Jacqueline Filkins Berlin 08.10.13 Fachtagung Deutscher Bildungsrat für Pflegeberufe Advanced Nursing Practice in GB Qualifizierung und Aufgaben Jacqueline Filkins Berlin 08.10.13 1 Fragen werden beantwortet! Was versteht man unter Advanced

Mehr

Mitglied der Leibniz-Gemeinschaft

Mitglied der Leibniz-Gemeinschaft Methods of research into dictionary use: online questionnaires Annette Klosa (Institut für Deutsche Sprache, Mannheim) 5. Arbeitstreffen Netzwerk Internetlexikografie, Leiden, 25./26. März 2013 Content

Mehr

Universität - Hausarzt 2.0 - wie sieht die künftige Tätigkeit in vernetzten Systemen mit weiteren Leistungserbringern aus?

Universität - Hausarzt 2.0 - wie sieht die künftige Tätigkeit in vernetzten Systemen mit weiteren Leistungserbringern aus? Universität - Hausarzt 2.0 - wie sieht die künftige Tätigkeit in vernetzten Systemen mit weiteren Leistungserbringern aus? Prof. Dr. Dr. Thomas Rosemann Institut für Hausarztmedizin, Universität Zürich

Mehr

How to develop and improve the functioning of the audit committee The Auditor s View

How to develop and improve the functioning of the audit committee The Auditor s View How to develop and improve the functioning of the audit committee The Auditor s View May 22, 2013 Helmut Kerschbaumer KPMG Austria Audit Committees in Austria Introduced in 2008, applied since 2009 Audit

Mehr

New X-ray optics for biomedical diagnostics

New X-ray optics for biomedical diagnostics New X-ray optics for biomedical diagnostics Franz Pfeiffer, Julia Herzen Technical University Munich, Physics-Department, Chair for Biomedical Physics (E17) Jürgen Mohr, Johannes Kenntner Karlsruhe Institute

Mehr

Home care nursing: A comparison of homecare Austria and Germany.

Home care nursing: A comparison of homecare Austria and Germany. Home care nursing: A comparison of homecare Austria and Germany. AT/12/LLP-LdV/IVT/158048 1 Project Information Title: Home care nursing: A comparison of homecare Austria and Germany. Project Number: AT/12/LLP-LdV/IVT/158048

Mehr

Kostenreduktion durch Prävention?

Kostenreduktion durch Prävention? Gesundheitsökonomische Aspekte der Prävention: Kostenreduktion durch Prävention? Nadja Chernyak, Andrea Icks Jahrestagung DGSMP September 2012 Agenda Spart Prävention Kosten? Ist Prävention ökonomisch

Mehr

Challenges for the future between extern and intern evaluation

Challenges for the future between extern and intern evaluation Evaluation of schools in switzerland Challenges for the future between extern and intern evaluation Michael Frais Schulentwicklung in the Kanton Zürich between internal evaluation and external evaluation

Mehr

Vocational Education and Training (VET) in Switzerland and Schaffhausen

Vocational Education and Training (VET) in Switzerland and Schaffhausen Presentation at Information Event February 18, 2015 Karin Baumer, Office for Vocational Education and Training Vocational Education and Training (VET) in Switzerland and Schaffhausen Seite 1 Commercial

Mehr

ETHISCHES ARGUMENTIEREN IN DER SCHULE: GESELLSCHAFTLICHE, PSYCHOLOGISCHE UND PHILOSOPHISCHE GRUNDLAGEN UND DIDAKTISCHE ANSTZE (GERMAN

ETHISCHES ARGUMENTIEREN IN DER SCHULE: GESELLSCHAFTLICHE, PSYCHOLOGISCHE UND PHILOSOPHISCHE GRUNDLAGEN UND DIDAKTISCHE ANSTZE (GERMAN ETHISCHES ARGUMENTIEREN IN DER SCHULE: GESELLSCHAFTLICHE, PSYCHOLOGISCHE UND PHILOSOPHISCHE GRUNDLAGEN UND DIDAKTISCHE ANSTZE (GERMAN READ ONLINE AND DOWNLOAD EBOOK : ETHISCHES ARGUMENTIEREN IN DER SCHULE:

Mehr

Diabetes mellitus The silent killer. Peter Diem Universitätspoliklinik für Endokrinologie, Diabetologie und Klinische Ernährung Inselspital - Bern

Diabetes mellitus The silent killer. Peter Diem Universitätspoliklinik für Endokrinologie, Diabetologie und Klinische Ernährung Inselspital - Bern Diabetes mellitus The silent killer Peter Diem Universitätspoliklinik für Endokrinologie, Diabetologie und Klinische Ernährung Inselspital - Bern Diabetes mellitus und KHK Diabetiker leiden häufig an KHK

Mehr

Journal: Journal of Clinical Oncology Publikationsjahr: 2012 Autoren: Paulo M. Hoff, Andreas Hochhaus, Bernhard C. Pestalozzi et al.

Journal: Journal of Clinical Oncology Publikationsjahr: 2012 Autoren: Paulo M. Hoff, Andreas Hochhaus, Bernhard C. Pestalozzi et al. Cediranib Plus FOLFOX/CAPOX Versus Placebo Plus FOLFOX/CAPOX in Patients With Previously Untreated Metastatic Colorectal Cancer: A Randomized, Double Blind, Phase III Study (HORIZON II) Journal: Journal

Mehr

Environmental management in German institutions of higher education: Lessons learnt and steps toward sustainable management

Environmental management in German institutions of higher education: Lessons learnt and steps toward sustainable management Environmental management in German institutions of higher education: Lessons learnt and steps toward sustainable management Lüneburg, Juni 23/24, 2005 Joachim Müller Sustainable Management of Higher Education

Mehr

Quality Management is Ongoing Social Innovation Hans-Werner Franz

Quality Management is Ongoing Social Innovation Hans-Werner Franz Quality Management is Ongoing Social Innovation Hans-Werner Franz ICICI Conference, Prague 1-2 October 2009 What I am going to tell you social innovation the EFQM Excellence model the development of quality

Mehr

South-North Tourism Connection II

South-North Tourism Connection II South-North Tourism Connection II D/2006/PL(EX)/4304400286 1 Projektinformationen Titel: Projektnummer: Projekttyp: Bewerbung Einzelpersonen: Status: Jahr: 2006 Marketing Text: Zusammenfassung: South-North

Mehr

Zertifikate: Nutzen für wen?

Zertifikate: Nutzen für wen? Zertifikate: Nutzen für wen? Zertifikate = Bessere Qualität? Hans Ulrich Rothen, Vorsitzender Qualitätskommission Inselspital Zertifizierungen Überprüfung von Prozessen (Arbeitsabläufen) und deren Ergebnisse

Mehr

Themen für Seminararbeiten WS 15/16

Themen für Seminararbeiten WS 15/16 Themen für Seminararbeiten WS 15/16 Institut für nachhaltige Unternehmensführung Themenblock A: 1) Carsharing worldwide - An international Comparison 2) The influence of Carsharing towards other mobility

Mehr

German hospital nurses attitudes concerning evidence-based nursing practice

German hospital nurses attitudes concerning evidence-based nursing practice German hospital nurses attitudes concerning evidence-based nursing practice Anja Behncke, Katrin Balzer, Sascha Köpke Evidence-based practice (EBP) Claim for EBP best research evidence patient values clinical

Mehr

job and career at CeBIT 2015

job and career at CeBIT 2015 1. Überschrift 1.1 Überschrift 1.1.1 Überschrift job and career at CeBIT 2015 Marketing Toolkit DE / EN 1 Inhalte Smart Careers in DIGITAL BUSINESS 1 Logo Seite 3 2 Signatur Seite 4 3 Ankündigungstext

Mehr

Informationen zum Elterngeld in Englisch. Parental allowance

Informationen zum Elterngeld in Englisch. Parental allowance Informationen zum Elterngeld in Englisch Parental allowance Who can get parental allowance? Parents can claim parental allowance for their own child. The child must live with the mother or the father in

Mehr

Kybernetik Intelligent Agents- Decision Making

Kybernetik Intelligent Agents- Decision Making Kybernetik Intelligent Agents- Decision Making Mohamed Oubbati Institut für Neuroinformatik Tel.: (+49) 731 / 50 24153 mohamed.oubbati@uni-ulm.de 03. 07. 2012 Intelligent Agents Environment Agent Intelligent

Mehr

Bringing sense and simplicity to life

Bringing sense and simplicity to life Neue Einsatzbereiche der digitalen Spracherkennung: Informationsaufbereitung für Elektronische Patientenakten mit Wissensbanken und medizinischen Terminologien Klaus Stanglmayr Wednesday, June 20, 2007

Mehr

Einsamkeit im Alter Eine Herausforderung für die Pflege. Dr. Lorenz Imhof, PhD, RN Altersforum Winterthur, 24.03.2011

Einsamkeit im Alter Eine Herausforderung für die Pflege. Dr. Lorenz Imhof, PhD, RN Altersforum Winterthur, 24.03.2011 Einsamkeit im Alter Eine Herausforderung für die Pflege Dr. Lorenz Imhof, PhD, RN Altersforum Winterthur, 24.03.2011 11 Wir teilen eine Welt mit anderen Menschen 2 Das Alleinsein Manchmal wollen wir in

Mehr

Vom DAAD Ärzteprogramm zum FP7 Projekt RAMSES

Vom DAAD Ärzteprogramm zum FP7 Projekt RAMSES Vom DAAD Ärzteprogramm zum FP7 Projekt RAMSES Prof. Dr. Konrad Brockmeier Director of Pediatric Cardiology Faculty of Medicine University of Cologne, Germany Was ist Kinderkardiologie? Universität zu Köln

Mehr

job and career at IAA Pkw 2015

job and career at IAA Pkw 2015 1. Überschrift 1.1 Überschrift 1.1.1 Überschrift job and career at IAA Pkw 2015 Marketing Toolkit job and career Aussteller Marketing Toolkit DE / EN Februar 2015 1 Inhalte Smart Careers in the automotive

Mehr

Aufgaben der Breast Care Nurse

Aufgaben der Breast Care Nurse 28. Deutscher Krebskongress 2008 20. - 23.02.2008 Aufgaben der Breast Care Nurse Gudrun Kemper Gudrun Kemper: Aufgaben der Breast Care Nurse 28. Deutscher Krebskongress 2008 1 von 17 Die Breast Care Nurse

Mehr

USBASIC SAFETY IN NUMBERS

USBASIC SAFETY IN NUMBERS USBASIC SAFETY IN NUMBERS #1.Current Normalisation Ropes Courses and Ropes Course Elements can conform to one or more of the following European Norms: -EN 362 Carabiner Norm -EN 795B Connector Norm -EN

Mehr

APPLICATION. DeutscherAkademischerAustauschDienst GERMAN ACADEMIC EXCHANGE SERVICE 871 UN Plaza, New York, NY 10017

APPLICATION. DeutscherAkademischerAustauschDienst GERMAN ACADEMIC EXCHANGE SERVICE 871 UN Plaza, New York, NY 10017 APPLICATION DeutscherAkademischerAustauschDienst GERMAN ACADEMIC EXCHANGE SERVICE 871 UN Plaza, New York, NY 10017 Telephone: (212) 758-3223 Fax: (212) 755-5780 E-mail: daadny@daad.org Website: http://www.daad.org

Mehr

Field Librarianship in den USA

Field Librarianship in den USA Field Librarianship in den USA Bestandsaufnahme und Zukunftsperspektiven Vorschau subject librarians field librarians in den USA embedded librarians das amerikanische Hochschulwesen Zukunftsperspektiven

Mehr