Healthcare Revolution in Pakistan
Healthcare is a leading industry in Pakistan instead of being called as service. Since long time, no such policy was introduced by the government until 2010. Taking an initiative by then Chief Minister of Punjab Mr. Shahbaz Shareef, Punjab Healthcare Commission (PHC) was formed.The Punjab Healthcare Commission (PHC)PHC is an autonomous health regulatory body established under the PHC Act 2010. The PHC aims to improve the quality, safety and efficiency of healthcare service delivery for all Public and Private Healthcare Establishments (HCEs) including Allopaths, Homeopaths and Tibbs in the province of Punjab.The PHC is responsible for developing and enforcing Minimum Service Delivery Standards (MSDS) at all levels of healthcare, to improve the quality of healthcare services and foster a culture of Clinical Governance. All Healthcare Establishments are required to implement MSDS to acquire a License to deliver healthcare services in Punjab.Minimum Service Delivery Standards (MSDS)The MSDS define a set of the benchmarks for minimum level of mandatory services that a Healthcare Establishment (HCE) is responsible to do and patients have a right to expect. It entails a package of yardsticks essential for all types and Categories of the Healthcare Establishments and encompasses all the disciplines of healthcare and focuses on ensuring Quality Healthcare Services.The standards prescribed in the MSDS cover the following functional areas for assuring quality healthcare services delivery:
Access, Assessment and Continuity of Care (AAC)
Care of Patients (COP)
Management of Medication (MOM)
Patient Rights and Education (PRE)
Hospital Infection Control (HIC)
Continuous Quality Improvement (CQI)
Responsibilities of Management (ROM)
Facility Management and Safety (FMS)
Human Resource Management (HRM)
Information Management System (IMS)
Healthcare Information Management System (HIMS)HIMs is an information management system applied to automate healthcare establishments (HCE). It is the practice of acquiring, analyzing and protecting digital and traditional medical information vital to providing quality patient care. With the widespread computerization of health records, traditional (paper-based) records are being replaced with electronic health records (EHRs). The tools of health informatics and health information technology are continually improving to bring greater efficiency to information management in the health care sector.HIMS Initiative In PakistanWith the increasing pressure from global organizations, including USAID and WHO, about the accuracy of healthcare data in Pakistan, Softech Systems Private Limited (a renowned and leading software solutions developing company in Pakistan) has been given a mandate by Government of Punjab (GoP) to automate healthcare establishments in Punjab.Softech Systems’ HIMSDeveloped under the years of collaboration between top healthcare professionals and software development experts at Softech Systems, HealthConnect has become widely accepted Healthcare Information Management System and hospital management solution across the country due to its flexibility, scalability and quality user experience.HealthConnect caters for the full life-cycle of the processes in a modern hospital, incorporating comprehensive work flows for complex processes of a healthcare facility including patient registration, queue management, OPD, IPD, medical record management, pharmacy, blood bank, Waste management, Radiology, pathology and other departments of a hospital.HIMS Deployment in PunjabIn the year 2016, Government of Punjab decided to implement HIMS in public sector healthcare establishments across Punjab with fully integrated end-to-end solution. In this regard, Softech Systems won the tender in open bidding and started deploying their in-house developed HIMS named as HealthConnect. Softech System has the mandate to deploy HIMS in 35 public healthcare establishments across the province including 15 THQs and 20 DHQs. By now in 2018, this HIMS has been successfully deployed in 25 hospitals out which 8 are THQs and 17 are DHQs.However, GOP initiative is not the only HIMS deployment that Softech has done. Kulsoom International Hospital ( KIH ) Islamabad was the pilot project and has been a great success. Softech’s HIMS solution is also live at first ever Hepatitis Prevention and Treatment Clinic (HPTC) of Pakistan Kidney & Liver Institute and Research Center Lahore ( PKLI ).
Budgeting Your Home Utilities – Heating and Electrical Bill
For many people, the imperatives of paying your heating and electrical bill can be a serious difficulty during the winter. If you add to this the fact that the economy is in a terrible position (and appears to be getting worse), homeowners in America may find themselves in worse budgeting trouble before it gets better. In fact, for many Americans the fast-approaching winter months will put a very difficult pressure on paying home utility bills which, combined with the increased price of oil and the general economic difficulties, the American homeowner could be in serious distress before this winter is over.That is the proverbial ‘bad news.’ Economic times are tough, utilities need to be paid, and the winter is coming. But this does not mean that the smart and attentive homeowner does not have options to help them condense their budget and get their finances back in check. Two such options that homeowners have are to reduce the cost of their heating bill and to cut back the use of their electronics bill.To begin with, the heating bill is an essential part of your home utilities. While you definitely will want to look for ways to cut down on the cost of your heating bill, you should not sacrifice the well being and quality of life that your heating unit provides. As a homeowner, you should look for other avenues through which to cut-costs besides jeopardizing you and your family’s quality of life. So, since you do not want to get rid of your heating unit all together, how can you make the bets use of it? You might take the example of American businesses as your model. Businesses succeed when they maximize their profit, that is to say, when they make the best use of what they have.The first part of this maximization, or efficiency, is cutting waste. Before you can invest in other products (like a new heating unit or a new pair of socks) you first need to cut down on the resources that you are not putting to get use. To reduce temperature waste in your home, make sure that you closely monitor your thermostat — keep it at as low a temperature as you can comfortably live with. If you ever notice yourself feeling hot during these summer months, you should definitely drop the dial down.While you can do a lot to reduce your utilities bill through warming efficiency, you may find the most opportunities to save money cutting back on your electronics use. Television, computers, lighting, and stereos are all electricity sucking objects, and should be limited when possible. You should especially be on the look out for objects like computers and VCRS which continue to use electricity and cost you money even when they are not in use. If these objects are plugged into an outlet and turned on, they will be costing you money.These are two of the best ways to cut back on your utilities bill. It is advisable that you pursue cost-cutting measures through efficient use of heating and reduction in electronics use, but if you must have a priority, you should focus on reducing your electronics use as the heating bill is much more of a necessity.
The Road To Fitness
For most of us, choosing to be fit is more a test of will than a one time decision. Being “fit” covers a change in our lifestyle much more than just embarking upon a new exercise or diet program. For me, the choice came about 15 years ago. I was about 24 years old when friends of mine convinced me to start going to the gym as a group. At that time, I knew I didn’t really like the way I looked, so I thought it would be a good idea. How hard could it be? Well, it didn’t take long before I knew the answer to that question. And to tell you the truth, at that time my workouts were not that difficult. But getting up at 5am to be at the gym by 5:30, certainly was, Also, since there were 4 of us and only 1 really knew what he was doing, the workouts were VERY long. Too long when you mix in the water cooler talk that often took over some workouts.So, after trying this approach for about 3 weeks I still wasn’t motivated nor did I look forward to working out and was about to quit. As luck would have it for me, 2 guys in the group beat me to it, leaving just myself and the only person who knew anything about working out correctly at that time. That changed everything.With just 2 of us now, we were much more focused and I got some really good coaching on the basics. After a month of 1-1 time, we started increasing the intensity of the workouts and mixing in some really fun cycle classes. Somewhere within the next month, I saw a change. Not just in my appearance, but my outlook and attitude were all effected. At that point, I was hooked. I worked out consistently at the gym 5 times a week incorporating cardio, running and weights. I looked and felt good thinking this would always be my way of life.And it was, until about 5 years ago. In 2007, my mother was diagnosed with brain cancer and turned my life upside down. I quickly lost interest in many of my normal activities including fitness. During the next 2 years, I really let myself go and didn’t much care to get back into the swing of things. A major life changing event will do this to a person, and I was no exception. My wife became really concerned about my decline in fitness and began encouraging me to get back into it. I tried but absolutely could not get motivated. After much research and a hard look in the mirror, I was able to pull back the self discipline I once had. It was not easy, and it took a lot of planning and hard work. So, today, I want to share what helped me conquer my fitness demons. Hope these help you.The reason I’m giving so much background of my personal fitness experience is to show that each of us will struggle in different ways with choosing fit. Lifetime fitness really isn’t a “one size fits all” approach. We all have different situations that initiate our interest of getting in shape, keeping us motivated and sustaining the lifestyle for the long term. However, I do believe there are some common practices we can all adopt to help us overcome obstacles at any of these stages and become an improved, healthier and fit person.1. Initiate – This may be the easiest of the 3 stages because it only requires us to decide to get fit, but not actually do anything. That said, don’t underestimate the importance and key factors that should be use to initiate your fitness journey. The main things to remember here are these:Do this for you! Be sure you’re not just giving in to pressure from others. You need to be willing to take this step and feel good its the right approach for you.
Start with the end in mind. Set goals and imagine what you want your body and health to reflect during the journey. Lose 25 pounds, Get ripped, lower cholesterol, feel better, keep up with the kids.
Choose the right program.- The right fitness program for you is very important and will vary depending on your fitness starting point. Choosing one too hard, or that doesn’t yield results fast enough will quickly discourage you and run the risk of bailing too quickly. Find the balance of enjoyable exercise that challenge you enough to hit early goals. Don’t discount the power of proven favorites like walking, jogging and biking to get started. These can help your body start getting into a routine that will be a base to adopt going forward. Just try to perform your exercise at the same time daily to get your internal clock know what to expect. As you establish a rhythm, and hit some milestones you’ve set, it may be time to try new programs or increase the difficulty of your current routines. For a list of some awesome routines, just leave a comment requesting it.
Accept that your eating habits MUST change. Like it or not, it is part of the game. By not embracing the fact that the workouts alone will not cut it, you’re bound to fail when results do not come. The good news is, the change in eating habits can actually be a very positive experience. You’ll feel great and have the energy to workout the right way. Completely removing everything you like about food is the WRONG way to approach this. You can still eat really good tasting and satisfying foods without sabotaging your hard work. There are even ways to sneak in your favorites and not feel guilty about it, so don’t worry about that. Just know that what and how you eat makes all the difference in the end.2. Stay Motivated – Everyone is motivated out of the gate when starting a fitness program, but that quickly fades for many people when they realize the process is more difficult than they imagined. Make no mistake, getting fit is HARD, but the challenge is not unlike anything else worth having in life. You must commit and keep motivated using several tactics, of which I’ve tried many. Try these to help you stay on track.Aim for some quick results. Everyone wants this, but it is key to see some quick results early on so that the momentum of starting the program does not dwindle. Losing a pound or two, dropping a pant size, completing a workout without stopping, whatever makes you feel good. Be realistic about this, but have something you shoot for so you can taste success and drive you to continue.
Read about being fit. This is truly a big motivator as it shows you success stories and gives a lot of ideas about achieving goals. So take the time to read a magazine or internet article about your favorite exercise, or healthy food. You’ll be surprised how engaged you may quickly become.
Get the sweat flowing. For me, a workout that doesn’t do this leaves me somewhat empty. Getting your heart rate up (and sweating) activates all of the key things that makes exercise so effective. It burns calories, strengthen the heart and cardio system, and releases endorphins in the brain that make you feel great. You’ll see!
Never settle – Set, Reset and Reset your PB (Personal Best). Constantly challenging your last record is an awesome way to stay in the game. Run that mile faster, go longer, extra reps, extra sets, higher jumps, deeper lunges, better form. The list can go on and on. You can be your best competition and there’s nothing like competition to motivate the heart and soul. So kick your own butt! You’ll enjoy it.
Do what you can! We all have limits and quite often use them as excuses that interfere with our fitness routines. Time, stress, aches, and tiredness all contribute to our justification to digress or completely stop a program. Don’t let that happen. If you find yourself giving in to one of these temptations, try to at least do something. Convince yourself you can at least do 1/2 or even 1/3 of a workout. (10 minutes? Don’t go as intense or fast. Give yourself a break, without actually giving yourself a break. You may be surprised by convincing yourself to at least get started, you’ll be more willing to push harder during the workout.
Don’t tempt yourself or give in to food junkies. Everyone I know encounters this during their fitness journey. It involves either being introduced to a food situation that makes it difficult to say no, or being encouraged by others to “cheat” even when they know how you feel about staying on track. By giving in to either, you will likely feel guilty afterwards, which oddly enough increases your chances to continue cheating. The negative feeling of guilt are powerful and can actually begin a vicious cycle of continuing the pattern, so don’t let this happen. The first of these is actually easier to deal with by simply planning around it, or modifying the portions of food you have available so they at least meet some of the standards of your diet. For the second, if you find yourself in this situation often, have a gameplan. Either be ready to defend your stance on cheating or plan to deal with it in another way. Maybe use it as your cheat meal, compensate for it on the next day or week, or modify the portions so you can at least control the damage.
Keep a support network. Family, friends, social networks, whatever. Have some person you can confide in about your struggles that can offer positive support. Works wonders in the beginning.3. Sustain the Life Style. This part can seem a little easier once you achieve your goals, but the long term approach to fitness is actually one that must always be top of mind. While this stage is a practice of discipline, even an “iron will” can be bent when the lifestyle is too far from what a person enjoys. So how can you force yourself to embrace a long term lifestyle that doesn’t match who you are? Well, actually you can’t. I think people are amazing and capable of just about anything. But not allowing yourself to be YOU jeopardizes your character and simply said, is not right for anyone.Because of this, let’s look at this challenge from a different approach. How do create a lifestyle that is both fit and matches your personality? The answer may be a little different for everyone, but for me, I can provide a few tips that helped. Consider these and possibly modify to suit your own needs.Find your fit, in fitness! Put another way, find exercise and diet that allow you to be fulfilled. What activities do you enjoy, or for that matter, dislike? Running, walking, lifting, bike riding, Plyometrics, calisthenics, WiiFit, whatever. If nothing lights your fire, you will have a tough road hereJ However, if you’ve read this far into the post, I doubt there’s nothing for you.
Challenge yourself! Once you’ve found the exercise(s) you enjoy, don’t always settle for moderate workout. You need to push yourself for various reasons. It not only keeps your workouts interesting, it provides the edge required to make an impact on your fitness. The level of “intensity” differs from person to person, but you know when you’ve given your all. Don’t cheat yourself out of real benefits. I don’t think someone really taps into the true benefits of fitness until they crank up the volume of the workout. You’ll look better, feel better, and even be more confident and positive.
Learn how to eat clean, then do it 90% of the time. There are a ton of books on the topic of eating right, and they all have some validity. Find a good nutrition plan that works for your body, and learn the framework. Once you understand the basics of nutrition, portion control and the most harmful foods to avoid, the rest can be adapted to your eating habits. Now, eat this way 90% of the time. This gives you the break people need to keep their sanity. I eat approx 5 times a day, which means I have 35 meals per week. In my world, I allow 3 of those meals to stray from my normal eating. I don’t lock myself to a day, or time of day to do this. I choose the right meal to allow this based on “life”. Sometimes it’s a donut breakfast with my daughter or an awesome dinner with my wife. Maybe a good ole fashion home cooked meal from my mother in law. It doesn’t matter, just stay committed not to go beyond this limit and please don’t overdo it. The 90% rule is not a free for all at the dinner table. That could really wreck your progress! It is a way to give yourself the freedom you need to eat foods you really enjoy to make the system work for you.
Variety, Variety, Variety! Did I say that enough? If so, it’s because I believe without variety in your fitness it will inevitably become boring while not allowing enough areas of the body to get attention. If workouts become stale and mundane, you run the risk of disengaging in them and eventually quit. Who wants to do always do something that’s boring and hard..NOT! This doesn’t mean you have to always recreate your entire workout. Most often slight adjustment to your current routine will provide the mix needed to spice them up. If you run/bike, change the route, look at modifying the weights or reps on a lifting routine, even changing the intensity or order of the exercises can help liven things up. Whatever you decide to do to make them a little different helps and you’ll see how quickly it rekindles your interest in staying fit.Hopefully these tips on “Choosing Fit” will help you Set, Hit and Maintain your fitness goals. They have done wonders for me in my life and I am constantly looking for new items to add in each section. Let me know your own ideas, and feel free to share with all your fit friends. Like I said, it’s a tough road but worth it and doable with a little bit of strategy. Hope this helps you on your journey.