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  • 1. Strayer University HSA 590 Dr. Steven L. Jordan, Sr. Ph.D, Professor
  • 2.
    • by
    • Cathy L. Webb
  • 3.
    • A Directed Study Project Submitted to
    • the Faculty of the
    • Graduate School of
    • Health Services Administration in
    • Candidacy for the
    • Degree of Master of Health Services Administration
    • Submitted to:
    • Steven L. Jordan, Sr. PhD
    • June 2009
  • 4. Statement of the Problem
    • Interoperability within the health care system is a great concern for medical professionals and consumers. Disease prevalence increases and requires extensive monitoring and reporting with information technology (IT). Since the rate of new infections of HIV/AIDS increases yearly, this study will explore how these cases are reported to the appropriate agencies and analyze the link between the methods used to transfer them against delays in their being received and any problems that may result.
  • 5. Research Question and Sub-questions
    • Is the current HIV/AIDS data tracking system in Forsyth County, North Carolina effective?
    • 1. What is the current HIV/AIDS data tracking system in Forsyth County, North Carolina?
    • 2. How has this system caused problems in such areas as patient privacy rights and HIPAA guidelines?
    • 3. Is the prevalence of HIV/AIDS in this county enough to reform its public health information system?
  • 6. Research Methodology
    • A qualitative and quantitative research design will be employed to address the primary research question and the sub-questions.
    • Within the course of this research, secondary data will be accumulated, examined and deciphered to address the specific sub-questions of this research.
    • The research will include collecting up-to-date data on specific variables and deriving conclusions based upon the analysis of the data.
  • 7. Organization of the Study
    • This individual research study consists of six chapters.
    • The first chapter is the proposal and the introduction. The introduction includes the context of the problem, the statement of the problem, the primary research question, sub-questions, the significance of the study, and the research methodology.
    • Chapter 2 is the review of related literature. This will be a synopsis of the data, its relevance to the primary research question. It will serve as the basis for analysis.
  • 8. Organization of the Study (cont.)
    • Chapters 3-5 will restate and elaborate the sub-questions. The secondary data accumulated along with its findings will be discussed for each sub-question.
    • Chapter 6 will be a summary of this research proposal. It will include an overview of the research processes, their findings and the subsequent inferences that have been made. There will also be a conclusions subsection that will include recommendations, their relevance to the study and suggestions for future research.
  • 9. Assumptions
    • The data collected is from 2003-2007 which is the most recent available. In using this information, several assumptions were made:
    • 1. The system is used by all or a majority of medical providers in the county.
    • 2. HIPAA standards and guidelines are
    • up-to-date.
    • 3. The data is accurate and up-to-date.
  • 10. Limitations
    • North Carolina has 100 counties but only the current data tracking system used in Forsyth County and its efficiency level over a 5-year span (2003-2007) will be used in this study.
    • This is the primary time frame although tables or figures may include additional years.
    • HIV/AIDS will be compared to other diseases and conditions but it will be the main focus of the research.
  • 11. Secondary Research
    • This research collected, examined and make interpretations using only secondary data from
    • 2003-2007.
    • This information was gathered from several sources including printed books, peer-reviewed journal articles, and medical journals as well as medical facility websites and a television station website.
  • 12. Introduction
    • A major illness that knows no geographical limitation and one that requires immediate worldwide attention is HIV. This virus is extremely volatile and contagious and results in the disease known as Acquired Immune Deficiency Syndrome or AIDS.
    • Tracking new and existing HIV/AIDS cases is a challenging task and depends on several factors.
  • 13. Introduction (cont.)
    • State and local health departments collect patient information and submit the data to the CDC. This allows trends, disparities and other vital details to be analyzed.
    • The Division of Public Health (DPH) has forms for surveillance and investigation of communicable diseases. Some areas rely on non-confidential means (fax or mail) to transfer these reports. This has the potential to violate patient privacy rights and increase inaccuracy and inefficiency within the system.
  • 14. Literature Review
    • Introduction-The present and future challenges of tracking the HIV/AIDS epidemic in Forsyth County and North Carolina have been discussed in numerous journal articles and other medical information sources. Also discussed was how electronic means would improve the system, problems that arose from use of the system and potential trends in the illnesses. Due to their prevalence, up-to-date information in needed to better educate medical professionals and consumers in terms of prevention and clinical care.
  • 15. Summary
    • HIV/AIDS have altered the lives of many. Because of this influence, individuals must begin to take control of their health by learning their status. Once this happens, the chance for increased positive numbers is likely and additional funding for prevention and education programs could be available. The success rate of programs depends on the active participation of everyone.
    • Although there were some fluctuations in the number of positive results in the county, they were not significant enough to lead to a complete change in the current transmission formats.
  • 16. Discussion
    • The purpose of this research project was to examine the HIV/AIDS data tracking system used in Forsyth County, NC and determine if a single electronic transmission method would increase accuracy in the number of positive results.
    • This project examined the system, past and potential future problems and the prevalence of the illnesses within the county.
  • 17. Conclusions, Implications, Recommendations
    • The primary research question and sub-questions discussed the rational behind altering the data tracking system and transmission methods of HIV/AIDS test results in Forsyth County, NC. The timeframe of 2003-2007 was analyzed. The population will increase by a slight margin over the next few years. To be better prepared, the current data tracking system should be reanalyzed for possible upgrades to a completely electronic format within 5-10 years.
  • 18.
    • Are There Any Questions?
  • 19. The End
    • Thank you for your time and attention!