Comparing perioperative EHRs to outpatient settings

Comparison Of Perioperative Versus Outpatient Setting
Comparison of Perioperative versus Outpatient Setting
There are many different healthcare settings, which Electronic Health Records (EHR) have been
implemented. One may think EHR's are the same for all settings; however, based on the needs and
application to each area, there are similarities and differences. This paper will delve into the
Perioperative setting and Ambulatory setting in primary care. Information provided will highlight
the value of Electronic Health Information (EHI), its impact at the warehouse and regional level as
it improves patient care among the respective practitioners in these settings and its impact to Public
Health Information Networks (PHIN) and National Health Information Networks (NHIN). The
value of Information, Knowledge and Decision Support in the Perioperative and Outpatient Clinical
Settings
A perioperative nurse's role is to be the hub of all activity in the surgical setting, they are expected to
be clinician and technician, in addition to being a patient advocate during a patient's procedure
(Sweeney, 2011). Therefore, the perioperative nurse is expected to be skilled in managing electronic
equipment during the procedure (Sweeney, 2011). An EHR is necessary, so multiple departments
within a hospital setting may access patient information. Cerner is the system explored in this paper,
utilized by the Alaska Native Medical Center (ANMC). Cerner has its own perioperative solutions
portion. This solution consolidates pre–operative,
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Essay On Ehr
Implementing EHR Systems and Achieving Meaningful Use:
Troughs and Peaks
The traditional patient chart is migrating from a paper base to electronic base in 21st century. This is
achieved by use of instantly available and secure Electronic Health Records (EHRs) which are real
time, patient. The EHRs have evolved from simply being the repositories of vital data, prescription
history and treatment histories of patients, to a broader view of patient care stemming from
healthcare intelligence and clinical decision support systems. The EHRs today are used to manage
practice operations; and share and coordinate information and knowledge with other providers,
departments and organizations so as to streamline a patient's health care and treatment regime.

Regional Health Information Network (Rhios)
U.S. healthcare delivery system is very fragmented. In 2004, health information exchange (HIE)
was formulated by President Bush. The organizations designed to accomplish HIE are often called
regional health information organizations (RHIOs). "RHIO is a type of health information exchange
organization that brings together healthcare stakeholders within a defined geographic area and
governs health information exchange among them for the purpose of improving health and care in
that community" (Health Resources & Services Administration [HRSA], n.d.). These organizations
work simultaneously to form a network referred as regional health information network (RHIN).
"The HIE networks has the potential to reduce up to 18% of patient safety errors and ... Show more
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Consider a scenario of a teenager boy for comparing with this case study. A teenager boy who was
found lying unconscious on the road was brought to the ER by EMS. The only information available
at that time was his name and date of birth. Due to availability of RHIO in the ER, the physician
was quickly able to access his demographics and past medical records. RHIO immensely helped in
locating his parents and diagnose his medical condition. If there was no RHIO system available,
then the hospital would have spent significant amount of time and resources in locating his parents
as well as finding his medical history. Moreover, the hospital would have performed unnecessary
diagnostic tests to figure out the reason of his unconsciousness. Also, the boy's condition would
have worsened by the time the hospital have been able to obtain his accurate medical information.
This scenario provides a good comparison between the use of RHIO by WHIN and its current
applications. The above scenario made me realized the advantages of RHIO. In my opinion, I would
have encouraged the use of RHIO by EMS personnel. This could have helped the EMS in
identifying the appropriate cause of his unconsciousness and they could have been able to manage
his medical condition prior to the ER

What Is Pp Global Institutional Model
PP Global is the international division of Planned Parenthood Federation of America (PPFA), one of
the world's leading sexual and reproductive health organizations. For over 40 years PP Global has
worked globally with local partners to extend access and reduce barriers to sexual and reproductive
health services. Through PP Global, this experience has been leveraged to improve the health and
rights of women and families around the world, with emphasis on those who are most vulnerable
and underserved. More than 400 organizations in 61 countries have been supported to provide
sexual and reproductive health care services and support local advocacy. Financial and technical
support is provided to partners, designed to create sustainable organizational ... Show more content
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The services of a consultant are being engaged to work with the teams at the different levels across
the organization to improve and develop the system with all components linked together. They
envisage that this system should have standard operating procedures (SOP) – expectations,
information requirements, methodology, data collection tools, data analysis procedures and
techniques, data quality assurance, reporting channels, dissemination processes and a central
repository. The system will have descriptions and documentation of how the various components are
supposed to

Essay about Analysis of Initiatives of Healthcare Reform
Over the last 5–10 years the healthcare system has begun reformation to increase safety, efficiency,
cost reduction, increasing continuum of care, and increases in information technology (IT). There
are many influences that are creating this need for change including laws, regulations, and the
consumers of the healthcare system. The consumer is beginning to take charge of their health and
become an advocate of their healthcare needs and plans of action. This transformation has created a
greater need for the healthcare system to increase the use of health management information system
(HMIS). HMIS is meant to help all departments within a healthcare organization, such as a hospital,
to communicate easier creating a better care experience ... Show more content on Helpwriting.net ...
Challenges Associated with each Initiative Even the most well planned out strategy will have
challenges that are associated with them. This statement is true for each initiative occurring in the
healthcare system. One of the problems faced when changing a system or adding to a system is
resistance by the end–users. This resistance can come from any level, including the leadership. This
creates a need to make the leadership understand the reasons for the change and allow them to
become a part of the change, allowing them to buy–in. This buy–in from leadership will help the
employees to understand the reasons for the change. This will help to reduce resistance, but not
completely get rid of it. This challenge will be seen by each of these initiatives; however, each of the
initiatives will come with their own challenges. One way to overcome the challenge of resistance is
to get the buy–in from the leadership positions. First, the organization must have a Chief
Information Officer (CIO) that has built up three important traits trustworthiness, effective
communication, and be inspirational (Tan & Payton, 2010). With these traits the CIO can allow the
leadership team to understand the change, know why they are occurring, and finally feel like they
are part of the solution. This creates a buy–in of the

Magnolia Regional Medical Center Case Study
Community Magnolia Regional Medical Center is based upon a mezzo level. The hospital target
social problems of the patients, and finance. Within the community, emergency clients in the
hospital serves the biggest social problem. Medical Assistance Program provides financial
assistance to those in need. When people are admitted to the emergency room the hospital provides
assistance without insurance to low–income families or anyone in need. Providing health care
without insurance places a burden on the hospital because if the person becomes admitted from the
emergency room to inpatient they cannot receive funds from insurance companies. The hospital
pays for treatment, surgery, or whatever the person may need. For example, if a person enters ...
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It is a survey administrated to patients' perspective of hospital care. The survey ask questions about
Communication with Nurse, Doctor, Responsiveness of Hospital Staff, Pain Management,
Communication about Medicines, Care Transition, Discharge Information, Cleanliness of Hospital
and Quietness of Hospital. Their overall average score of 2015 was 89.8% in the state average. The
hospital overall score for United State Average equal to 91.2%. Hospital Compare is another source
of evaluations. MRCM measurement of satisfactory is done internally. They focus on the
perspective of their patients

Comparing The Denmark Healthcare System And The Danish...
Introduction This paper attempts to highlight a general overview and compares The Danish
Healthcare System and the Canadian Healthcare System organization frameworks. Additionally, the
paper will review how the Danish healthcare system is financed and monitored, the healthcare
coverage, and the responsibilities of government and the private sector in the system. Denmark
Overview Denmark is in Northern Europe and is part of Scandinavia with a population of 5.7
million (Denmark.Dk, 2016). According to this official statistic of Denmark, the average life
expectancy of women in the country is 82.5 and men 78.6. Like Canada, Denmark belongs to
countries with high human development index – 15 out of 187 countries – as set by United Nations
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The National health ministry health of Denmark is responsible for the setting framework, general
planning, and setting standards of the healthcare provision for all the regions and municipalities.
Moreover, the National government is responsible for allocating block grants and design the
equalization schemes to fund the regional and municipality levels of health care services through
risk–assessment formula and annual financial agreements negotiated every year between the
government and the associations representing the regions and the municipalities (Healthcare in
Denmark, 2017). Regional level Like Canada's provinces, the regions own, manage, and finance –
from the block grant– the regional healthcare service delivery according to the needs the population
and can adjust services accordingly (Healthcare in Denmark, 2017). The five regions and their local
health authorities are responsible for their own hospitals, psychiatry, and doctor services including
private practice. The regions are monitored/assessed by and answer to the national health authorities
so they live up to their promised targets, standards, and achievements. Overall, the regions must take
actions in case of under–achievements; otherwise, the Danish

First Time And New Mothers Who Use Social Media
1. Target Audience: i. First time and new mothers who use social media: Twitter, Facebook, Forums,
Blogging, and Surveys. ii. Mothers who currently are being treated for or in the pass have been
treated for PPD postpartum and who spend time on social media. iii. Mother in underserved
communities and rural communities who are a risk of health disparities such as PPD within the
community. 2. Determine your objective: a. i. Create a "Break the silence because you are not alone
in postpartum depression" campaign. ii. Provide information on signs and symptoms of PPD to
mother within the local and regional community through social media, community outreach, and
practitioners services. iii. Encourage healthcare professionals to promote a ... Show more content on
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Factors to consider are mother's material status, work status, infant feeding and nap schedules, and
other siblings. Its expected that mothers who are working will be less likely to participate in
blogging and surveys, but are more likely to scroll through news feed in Facebook. Stays at home
mothers are more likely to participate in social media when infant is napping or breastfeeding. Many
outreach and community that encourage mother and child involvement will occur mid–morning, or
will following older sibling being taken to school or pre–school. Audience communication and
participation is expected to be highest during mid–afternoon into evening and late evening. These
intervals are most appropriate and offer to provide the best encouragement when a mother is feeling
tried from the day's activities. The evening and late evening are also more likely to have another
parent or caregiver present allowing the mother time for herself. 4. Goal Integration: a. It is the
mission of the organization to promote and encourage women who may be experiencing PPD to
seek help and treatment in the local and regional community. Research has indicated that many
women are unaware of what PPD is and how it can have long–lasting and devastating effects on
mental health and family wellness. The number one objective of our organization to promote
resources within local and regional area were women will feel

Corporate Culture ( Vision Mission, Values
Corporate Culture (Vision, Mission, Values) CoxHealth's Mission is to improve the health of the
communities we serve through quality health care, education & research. CoxHealth's Vision is to
be the best for those who need them. CoxHealth's Values are Safety, Compassion, Respect &
Integrity. The vision of CoxHealth to be the best for their patients is disseminated through the
organization effectively as the careforce at CoxHealth is comprised of employees, physicians, and
volunteers who are united by the common goal of providing their patients (and their families) the
best experience possible. The employees are inspired by this vision and they believe in this
vision/mission statement to care for their patients. The CEO of the organization, Mr. Steve Edwards
also stressed on this vision/ mission statement and values while delivering his speech for the new
employee orientation. The vision/ mission statement guides day–to–day operations of the
organization and the employees are constantly made aware of the fact that they have to be "always"
available for their patients. Employees are shown the "Culture of Always" video at Employee
forums in which they are shown how to be always available for their patients. The leadership of the
organization also stresses on the importance of quality health care for the patients by keeping the
employees informed about the latest quality standards. Also education is stressed throughout the
organization by offering education about the latest

Summary Of New York Presbyterian Hospital
New York–Presbyterian is the overall brand, and then there is New York–Presbyterian Hospital, and
then there are New York–Presbyterian regional hospitals. New York–Presbyterian has four major
divisions which are NewYork–Presbyterian Hospital, NewYork–Presbyterian Regional Hospital
Network, NewYork–Presbyterian Physician Services, and NewYork–Presbyterian Community and
Population Health. NewYork–Presbyterian Physician Services connects medical experts with
patients in their communities to expand coordinated health care delivery across the region.
NewYork–Presbyterian Community and Population Health encompasses ambulatory care network
sites and community health care initiatives.
The Hospital is committed to serving the vast array of ... Show more content on Helpwriting.net ...
Presently, BBKH works in Harlem, Northern Manhattan, and the Bronx(About Us). The Hospital
also makes available free care programs for qualifying patients under its charity care and financial
aid policy. During the registration, billing and collection process, a patient's eligibility for free care
funds is determined. For patients who do not receive free care and who are determined to be eligible
for charity care in the form of discounted medical services under the Hospital's charity care and
financial aid policy, care given but not paid for is classified as charity care(CONSOLIDATED
FINANCIAL STATEMENTS AND SUPPLEMENTARY INFORMATION). NY Presbyterian is
made up of six campuses(About Us): NewYork–Presbyterian / Columbia University Medical
Center, NewYork–Presbyterian / Weill Cornell Medical Center, NewYork–Presbyterian / The Allen
Hospital, NewYork–Presbyterian / Morgan Stanley Children's Hospital, NewYork–Presbyterian /
Lower Manhattan Hospital, and NewYork–Presbyterian / Westchester Division. NewYork–
Presbyterian Regional Hospital Network comprises of leading regional hospitals in the New York
metropolitan region which includes: NewYork–Presbyterian Brooklyn Methodist Hospital,
NewYork–Presbyterian / Lawrence Hospital, NewYork–Presbyterian / Hudson Valley Hospital, and
NewYork–Presbyterian / Queens.
New York Presbyterian Hospital is a tax–exempt organization that was incorporated under New
York State

A Brief Note On Increase Funding From Member States...
Firstly the WHO needs to establish and publicly make the case to increase funding from member
states without political obstacles. They also need more investment in technology to increase
information flow from effected areas so all levels of officials are up to date about the situation on
the ground and can make decisions quickly and efficiently. Through cooperation with middle level
officials the WHO can efficiently assist in establishing logistical ways to deployed resources and
vaccines in a time efficient manner to stop further spreading of the virus. And actively making it a
priority to increase cooperation within and between all levels of officials in organizations, regional
coordinators, and healthcare workers. By establishing goals and implementing ways to achieve
those goals, the WHO demonstration their reliability and creditability, therefore gaining larger
public approval and fixing their damage image. With a better public image the organization will
have more trust and support from member countries and in turn gain more financial assistance,
therefore proving more resources for medical staff and vaccines to patients. By achieving their goals
through organization, cooperation, and collaboration between all levels of officials within different
organizations and governments, the WHO will become more reliable. Recourses and funding that
are being deployed should be utilized effectively and better assist in protecting international
healthcare workers, because

Interview With Adults Essay
nvestigating Class I, II and III Hotlines and complaints regarding seniors and adults with disabilities
in the community, facilities and/or providers. This is comprised of interviewing the hotline reporter,
reported adult, alleged perpetrators and all other concerned individuals. I determine the facts in the
cases which allows me to be able to make decisions as to whether or not the allegations are
substantiated, unsubstantiated or suspected. Working to hold alleged perpetrators accountable for
their actions. Working with law enforcement and other agencies. Pursue
Guardianship/Convertorships, 96 hour holds, Entry Warrants and consult with OGC/SIU/AGO.
Perform intake screening and processes reports. Conduct home visits, hospital visits, skilled nursing
facility visits, adult day care visits, ... Show more content on Helpwriting.net ...
to observe surroundings and interview reported adults, caregivers, and alleged perpetrators. Assesses
living arrangements, physical capabilities, cognitive abilities, medical requirements, and financial
resources to determine level of care required and eligibility for Medicaid–funded in–home services.
Develops protective service plans and provides on–going follow–up and monitoring to reduce risks
and increase safety of reported adults. Recommends legal interventions, such as guardianship,
power of attorney, protective services, and/or placement, as necessary to ensure clients' safety and
well–being. Authorizes, coordinates, and monitors Medicaid–funded in–home services, such as
housekeeping, meal preparation, health, and/or personal care to enable senior and/or disabled adults
to remain in the least restrictive environment. Provides information and referrals to local agencies
and organizations; coordinates community resources and state services. Interacts with health care
providers, community organizations, law enforcement, and

The Difference Between the Arabs and the South and...
The difference between the Arabs and the South and Southeast Asians! The lure of regionalism – a
belief in regional co–operation and integration as a method to advance a region's shared political,
economic or security interests – has had profound effects on the foreign policies of all countries.
The conventional wisdom is that such collaborative efforts will serve as the building blocks of a
future Economic Community, as well as Unions. Many attempts at uniting as a region are informed
by the experiences of the European Union and North America. But the argument is also put forward
that many regional co–operation efforts are 'homegrown', an organic development, given specific
historic, political, ... Show more content on Helpwriting.net ...
In order to manage emergencies caused by nature and food storage they have established the Food
Bank with the participation of all countries that will provide food security to the people of the
region. They fought corruption by exchanging information on national experience combating
corruption to effectively address this problem. They have given the right for outside countries to
play the role of observers in order to benefit from these external linkages and help its economic
integration with the international community. So many actions were taken in order to sustain
economic development. For example they have trained regional lawyer, judges and magistrates
yearly on the "justice ability" of human rights, in order to provide justice and equality among all the
people. The establishment of the Asian Development Bank to provide financial assistance and
economic stability by helping the countries to: identify and prioritize sub regional projects;
developing action programs; and preparing a needs assessment, including human resource
development, for implementing the action program in the five priority sectors. Improvements in the
region and the constant growth shows us that both associations are trying to achieve their goals and
to obtain a sustained economy., and they are working together for a prosperous

Health Information Exchange And The Cost Of Set Up And...
Health Information Exchange and the Cost of set up and maintenance Introduction Electronic health
information exchange allows doctors, nurses, pharmacists, other health care providers and patients
to access and securely share a patient's vital medical information electronically improving the speed,
quality, safety and cost of patient care. In this paper I am going to explain the challenges of
exchanging health information, privacy and security concerns, cost of set up and maintenance. Also,
the three different types of exchanges. The benefits of health information exchange. History The
Health Information exchange really took off with the advent of computers and their ability to engage
in communicating with one another. In 2006 the ... Show more content on Helpwriting.net ...
Challenges and Implementation of the system One of the challenges of health information exchange
is privacy and security. Even though having electronic health information exchange reduces a lot of
privacy and security issues, it raises new issues as well. A breach that formerly affected a single
paper record now can expose an entire database of patient records. At the same time, health
information exchange presents powerful new ways to improve the privacy and security of patients '
data, including encryption, authentication and authorization controls, and electronic audit trails. Two
of the biggest challenges we've encountered are patient matching/master patient index
synchronization issues and the vendors' variable use of interoperability standards. The biggest issues
we've experienced, so far are relate to the MPI synchronization of patients across all the entities.
Public HIEs, as well as the private HIE vendors, should focus on this challenge. Technically,
interoperable platforms, EHR's, are often hindered by the inability to determine an exact patient
match, because the eMPI solutions aren't robust enough. This also potentially creates data integrity
and patient safety issues, if the clinical data goes across multiple records. There also some struggles
with the variable use of the interoperability standards between the EHR vendors. One of

Leading World Health Organization Of The United Nations
Leading World Health The World Health Organization (WHO) which is an agency of the United
Nations, is one of the success stories of sound management principles. It is headquartered in
Geneva, and it coordinates all its activities from this center (WHO, 2016). The organization is
mandated to promote and find health solutions to global health challenges. Through funding, it
supports research initiatives and health programs geared towards restoring global health. The
expansiveness of the mandate of WHO means that proper leadership and management cannot be
underestimated (Clift, 2013). The need for enhanced coordination and coherence in the programs
translates to better health care management. WHO is an organization that has set many regional
offices across the world and hence the need to embrace proper communication that is key to proper
management of the global health (WHO, 2016). It pays critical emphasis to governance in its policy
formulations. The fulfillment of its mandate relies on solid partnerships and collaboration among
global stakeholders. The data on the management of WHO is sourced from its website and other
scholarly materials available on the internet. Additionally, scholarly articles will be used to relate
WHO management to universal management theories. Therefore, WHO identifies itself as a
learning organization where competency management and governance are instilled in its
stakeholders. The management and leadership of WHO is guided by the Director

Essay on Health of People Living in Rural Australia
Background:
Living in a remote area has always been thought to have negative influences on the individual.
There are 35 % of the total population in Australia living in rural area(Phillips, 2009).Rural areas in
Australia and all over the world are not geographically isolated and disadvantaged only but also
culturally and economically deprived which has great consequences on the health status of the
population. The main two factors that have a major effect on rural health are socioeconomic status
and cultural issues(Beard, Tomaska, Earnest, Summerhayes, & Morgan, 2009).
People living in rural areas are experiencing highly limited excess to health care facilities either
because they are not aware of the disease symptoms as a ... Show more content on Helpwriting.net
...
The Australian government realized that there is something different about rural health that requires
special actions. This realization was the reason for the development of rural health policies. The aim
of the policies is to insure 'equivalent' access to good health and health care for people in rural
places. The implementation of this policies was highly challenged by different factors including
political and community reactions and therefore the outcome of the policy is affected also (Farmer
& Currie, 2009) .
Rural health has been always a major concern for different parties in Australia. Various groups are
involved in the process of decision making in order to insure that health care system is accessible
and equitable to every person in Australia including those in rural areas. Examples of these groups
are:
Department of Health and Ageing
National Rural Health Alliance
Rural health workforce Australia
AIHW (Australian institute of health and welfare)
Department of Health and Ageing:
Department of Health and Ageing in Australia has a range of responsibilities but all of these
responsibilities aim to insure "Better

Essay On Meaningful Use In Healthcare
The purpose of this assignment is to identify both the factual content and critical reflections of
meaningful use as it pertains to the healthcare industry, its future impact, how it relates to the
current role of Regional Extension Centers, and what the current compliance standards for
physicians and hospitals are. For the purpose of this assignment, current is defined as 2016 or more
recent. Meaningful Use and Healthcare Simply stated, the way in which healthcare defines the
meaningful use of Electronic Health Records (EHRs) is the improvement of safety, quality, and
efficiency of care (Blumenthal & Tavenner, 2010). In order to achieve such broad goals, meaningful
use has been divided into three stages over nearly a decade. Currently, the healthcare industry has
reached the third and final stage of meaningful use, which aims to simplify the EHR programs and
drive interoperability amongst the different EHRs (Athenahealth, 2018). Implementation of the
infrastructure should be complete and healthcare providers are expected to begin linking their
networks with other networks. Hospital and Physician Compliance In 2018, the Health Information
Technology for ... Show more content on Helpwriting.net ...
Existing healthcare organizations can expect a greater push for collaboration amongst physicians,
more application program interfaces to improve dataflow, and the focus will turn from compliance
to patient outcome (CMS' Slavitt, 2016). The previous stages of meaningful use will provide the
standards for new physician entering the healthcare industry, as a way for them to develop their own
EHR system. Meaningful use has established a precedence, which may impact other industries
which are on the brink of a technological revolution. Prior to meaningful use, very few healthcare
organizations had the motivation or resources to achieve a database as extensive as the electronic
health

3 Ms Info
Muda Mura and Muri | Lean Manufacturing Wastes Lean Manufacturing Wastes
When people think of waste in manufacturing they usually only think about all of the scrap material
that gets thrown away or if your lucky recycled, they often forget about all of the other actions that
waste our time, our resources and our MONEY..
When someone who has had some contact with Lean Manufacturing talks about waste they are
often talking about Muda, or the seven wastes (or 8+ wastes depending on your definitions), but
they often forget the other wastes defined within the Toyota Production System; Mura and Muri.
Muda, The Seven Wastes
Muda is any activity or process that does not add value, a physical waste of your time, resources and
ultimately ... Show more content on Helpwriting.net ...
Country | Slovenia | 2. National / subnational / local or mixture | Subnational | 3. European Union
status | Member (since 2004) | 4. Title of example | Programme MURA | 5. Summary | Programme
MURA is a subnational programme developed in the early 2000s out of the implementation of the
investment for health concept in Slovenia. Its goals are: (i) to improve the health and quality of life
for the people in the Pomurje region through the identification, development, implementation and
strengthening of best practices in the field of socioeconomic and environmental development; (ii) to
ensure that an understanding of health underpins the development potential of the region and vice
versa, that is, development as the basis for better health. To achieve these aims, the programme aims
to integrate health into the regional development programme in the Pomurje region, which at the
time the initiative began was one of the most disadvantaged regions in Slovenia in terms of health
and socioeconomic indicators. Intersectoral collaboration plays an important role in the success of
the programme. Regional inequalities in health outcomes are tackled through specific initiatives and
activities designed to address educational and employment opportunities and to improve the
economic and environmental sustainability of the region, such as

Health Information Exchange : History, Benefits, Risks,...
HEALTH INFORMATION EXCHANGE: HISTORY, BENEFITS, RISKS & CHALLENGES By:
Elizabeth J. Clark Professor: Sayler Devry University HIT 141 AUGUST 1, 2015 Table of Contents
I. Health Information Exchange: History, Benefits, Risks and Challenges 3 a. What exactly is the
Health Information Exchange? 3 II. History of the Health Information Exchange 4 a. Who can
access health information via the Health Information Exchange? 4 III. Pros and Cons of The Health
Information Exchange 5 a. How are privacy and security concerns addressed? 5 IV. Current
challenges associated with The Health Information Exchange and how to overcome
them.........................................................................................6 a.
Conclusion....................................................................................6 V.
References.............................................................................................7 HEALTH INFORMATION
EXCHANGE: HISTORY, BENEFITS, RISKS & CHALLENGES. The Health Information
Exchange has proven to be convenient and beneficial in essence of improving patient and health
professionals' ability to access patient medical histories and records by providing quicker, more
reliable access. There have been some challenges recognized with the implementation of the health
information exchange. While speeding up the process of retrieval of sensitive medical records has
been a blessing, the process of electronic delivery of medical records has also been seen by some as
risky. The electronic health information exchange allows health care providers to release vital
private patient healthcare information via

The Importance Of A Perioperative Nurse Is Patient
Team members have little time to familiarize themselves with a patient and are only able to focus on
gathering pertinent information. One of the primary points of focus for a perioperative nurse is
patient safet, this is where the EMR has become invaluable. The EMR allows all members of the
multidisciplinary team to access pertinent patient information at the same time; increasing patient
safety by decreasing transcription errors and duplication of effort (St. Jacques & Minear, 2008). The
EMR also allows the perioperative nurse to easily access patient information and communicate
pertinent patient facts to other departments for transfer (Roeder, 2009). Various other patient care
departments also have immediate access to surgery details, ... Show more content on
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Rader, Edmunds, & Bishop (2015), report that when patient data is integrated and available in real
time, a home care EMR has the potential to improve health care decision making and outcomes.
Warehouse
Computers play an integral part in gathering data as well as dissemination of that information
(Roeder, 2009). The use and development of both the EMR and electronic health record (EHR) have
made the concept of extracting data from patient records more feasible. Information entered into the
electronic health record by HHC and OR staff can be aggregated into a single, central system such
as data warehouse making it more accessible and actionable (Bercovitz, Park–Lee, & Jamoom,
2013). Data generated throughout the perioperative experience can be used to analyze patient care in
a process–based approach that can help identify opportunities for improvement (St. Jacques &
Minear, 2008). Reports generated from warehouse data collected throughout the perioperative
experience enables identification of key process steps, productivity, procedure cost comparison,
trends of surgical site infections, among others (Jacques & Minear, 2008). The ability of the
computer software to generate countless categories of data allows healthcare providers to support an
optimal perioperative process (Jacques & Minear, 2008). Utilization of data reports generated
through the data warehouse will facilitate ongoing process improvement and fine tuning of a
complex

E-Health and M-Health in Kazakhstan
Faculty of Information Technology
Department of Computer Engineering
Researching analysis report
E–health and m–health in Kazakhstan
Prepared by: Duisenbayeva Assemgul
Baimuhanova Moldir
Abisheva Aizhan
Satybaldy Aidyn
Almaty 2013
Table of contents
Executive Summary....................................................................................3
Study Objectives..........................................................................................4
Methodology.................................................................................................4
eHealth, mhealth and telemedicine in general.................................5
Telemedicine in ... Show more content on Helpwriting.net ...
Early forms of telemedicine achieved with telephone and radio have been supplemented with
videotelephony, advanced diagnostic methods supported by distributed client/server applications,
and additionally with telemedical devices to support in–home care.
Telemedicine in Kazakhstan
In Kazakhstan in 2012 conducted 16,000 consultations via telemedicine. This was reported by the
Minister of Health Salidat Kairbekova the Government Hour in the Majilis.
"Today, almost all central district hospitals, 148 out of 156, have telemedicine centers, which may, if
necessary to enter the regional and national clinics for advice in the treatment of the patient. During
the 12 months of 2012 have been more than 16,000 telemedicine consultations and
videoconferencing 3650 "– said S.Kairbekova.
According to the Ministry of Health, in the framework of rural medical service in 2012, built and
put 86 objects in the village.
The functioning of mobile medical complexes and "train health" allowed to carry out survey in 2012
about 600,000 people living in rural communities.
It was found about 1.5 million laboratory diagnostic services and consultations by specialists.

Visit of Minister of Health Salidat Kairbekova in Kyzylorda region to clarify the President 's
Message to the people next to continued

Privacy And Security Issues: Regional Health Information
Privacy and security issues such as, the ability to exchange and transmit information in support of
improved care delivery for individual patients and improved population health requires an extensive
commitment to developing policies over a wide range of issues. Including but not limited to: Data
use limitations, Data ownership, Governance, Liability, Anti–trust. Roles and responsibilities of
individuals and organizations are being handled by the RHIO (Regional Health Information
Organizations) is a term that is being used in many discussions of health IT and HIE. In thinking
about the role of State and local policy makers in HIE development, "regional health information
organization" implies that a fully formed unit exists with rules of engagement and a model for
operation. ... Show more content on Helpwriting.net ...
They are responsible for the development and implementation of an organization's privacy policies
and procedures to protect patient information. The Chief Privacy Officer is a person that oversees
activities related to the development, implementation, and maintenance of, and obedience to,
organizational policies and procedures regarding the privacy of and access to patient–specific
information and ensures compliance with federal, state, and accrediting body rules and regulations
concerning the confidentiality and privacy of health–related

HSA 505 Assignment 1 Essay
Introduction
Over the past four decades, spending on healthcare in the United States grew more rapidly than the
economy (Baker, Birnbaum, Geppert, Mishol, Moyneur, 2008, p. 541). Healthcare has nearly tripled
its share of national income during this time (p. 543). All aspects of the nation's health system have
been affected by this ongoing spending growth. Strategically marketing the development of products
and services during this intense competition and uncertainty is vital for any healthcare organization
to stay profitable and to ensure continued growth.
Justification of The Villages Regional Hospital Associate Life Cycle The Villages Regional Hospital
(TVRH) is part of the Central Florida Health Alliance (CFHA) which has been ... Show more
Different targeted audiences have different perceptions, preferences, and needs. The healthcare
marketer needs to devote significant attention to branding throughout both changing environments
(Fortenberry, 2010, p. 77).
Benefit of Portfolio Analysis
Lederer and Hill's Brand Portfolio Molecule analyzes an organization's brand in a multidimensional
view. Every organization should have a brand portfolio which categorizes how the organization
identifies its goods and services in order to distinguish their product offerings from the competitors
(Fortenberry, 2010, p. 76). According to Lederer and Hill's Brand Portfolio Molecule an
organization's product offerings are synergistically related. The Brand Portfolio Molecule identifies
a large central or lead brand. This brand represents the most influential brand with the organization's
portfolio. Lederer and Hill also identify the strategic and support brands which influence customer
purchases. The network of relationships that exist amongst the brands whether positive or negative
provide a map for the marketer to manage the current product offerings the portfolio represents (p.
77).
Two Examples that Display Differential Advantages Strategic and tactical initiatives are two
examples of utilizing differential advantages to improve marketing performance. Each initiative
offers a differential perspective or advantage. Tactical marketing focuses

Health Information Exchange
Table of Contents INTRODUCTION 3 HEALTH INFORMATION EXCHANGE (HIE) 3 WHAT IS
HIE? 3 HISTORY OF HIE 4 COMMUNITY HEALTH MANAGEMENT INFORMATION
SYSTEMS 4 COMMUNITY HEALTH INFORMATION NETWORKS 4 IOM REPORTS 5
REGIONAL HEALTH INFORMATION ORGANIZATIONS 5 HIE TODAY 6 BENEFITS OF HIE
7 CURRENT CHALLENGES 7 ESTABLISHING A BASE OF SUPPORT 7
INTERCONNECTING TECHNOLOGY 8 ESTABLISHING FINANCIAL LIABILITY AMID
UNCERTAINTY 8 HIM ROLE IN HIE 9 CONCLUSION 9 REFERENCES 10 Introduction
Consumers today have the ability to access information related to their daily lives or even
information related to events happening on the opposite side of the world. However, if this same
consumer needed access to his or her personal ... Show more content on Helpwriting.net ...
In an attempt to overcome some of the pitfalls learned in 1990, CHINs employed decentralized data
structures that made it less likely to violate some privacy concerns. (HIT Knowledgebase, 2012)
Despite the fact that anywhere from 75 to 500 CHINs existed or were in the planning stages during
the 1990s, most failed to survive. There are several reasons that led to this failure. First, there was a
lack of focus on community stakeholders. (Vest and Gamm, 2010) In addition, technology vendors,
who were building the systems to collect fees associated with electronic transmission, seemed to pit
the interests of hospitals against those of community physicians. Finally, there was no clear return
on investment. (HIT Knowledgebase, 2012) IOM Reports In 1999, the Institute of Medicine
released the first of a series of reports that would ignite a national focus on patient safety and quality
of care. This first report, To Err is Human, addressed the fact that healthcare in the United States is
not as safe as it should be. "At least 44,000 people, and perhaps as many as 98,000 people, die in
hospitals each year as a result of medical errors that could have been prevented, according to
estimates from two major studies." (IOM, 1999) A follow up report in 2001 pointed out how health
information technology (HIT) and health information exchange (HIE) can be used to reduce errors
and improve efficiency and effectiveness of our healthcare system. This new national focus

Essay On The Impact Of Health Reform On Public Health...
Impact of Health Reform on Public Health Informatics
Shaikh Akhtaruzzaman
Instructor: Kim Sanders
PH6512 A01
July 27, 2016
Argosy University
Impact of Health Reform on Public Health Informatics
Task 1
Electronic Health Records (EHR) – The provision of storing patient health information in electronic
system instead of paper based system is referred to as EHR. A fully functional EHR system has the
potential to collect, store, and share the information with the requisite authority for the health
benefits of the patient.
Interoperability of health information system – The provision of sharing information across various
department of health care is referred to as interoperability. In particular, it is important for the health
IT ... Show more content on Helpwriting.net ...
Maintain data standards in health care are important such that sharing or collaborating the clinical
and laboratory test results can bring effective health care delivery outcomes.
Health information exchange (HIE) – Framing network system to connect all the institutions,
centres, clinics, and individual mobile health care facility is referred to as HIE that aims to share and
collaborate with informational sharing. This procedure can be useful in terms of managing the
digital exchange of clinical information across regions and communities.
Regional Health Information Organization (RHIO) – This is a type of health exchange organization
that brings the health care stakeholders within a specific area to exchange the information. This
further aims to improve the health care delivery within the specified region.
National Health Information Network (NHIN) – The organization which is involved in setting
standards, services, and policies to make a secure networking of health information exchange via

Workplace Rewards
Job Redesign and Workplace Rewards Assessment Grinnell Regional Medical Center (GRMC)
consists of a hospital and some affiliated physician clinics. With the changes in the payment models
that are coming, GRMC joined an Accountable Care Organization (ACO) through Mercy Medical
Center in Des Moines, Iowa. This particular ACO received a $10 million dollar grant to help rural
clinics throughout the state of Iowa figure out how to sustain care while they move from a pay–for–
service to a pay–for–performance model. Through this grant, the ACO, and respective affiliated
hospitals hired registered nurses (RN) to become health coaches within these rural hospitals and
clinics. In this paper, we are going to take a closer look at this particular position ... Show more
257). Due to the RN health coach position being very new in rural Iowa clinics, the health coach has
a lot of autonomy in this job. During the first few months after starting the job, the health coach was
responsible for developing the various processes and procedures for collecting data, performing
chart reviews, closing gaps in care, the completion of annual wellness visits, and transitioning of
patients from acute care to the ambulatory care setting. Additionally, the health coach continues to
be responsible for the design of the forms that are used to complete chart reviews and annual
wellness visits; updating them depending on the current clinic needs and evidence–based practice
recommendations (Grinnell Regional Medical Center,

Mayo Clinic : A Hybrid Regional Health Information...
Mayo Clinic Case Study The Mayo Clinic resembles a hybrid regional health information
organization (RHIO). Efforts being put forth by the clinic show a progressive approach to
integrative communication and information systems architecture and information systems
infrastructure (Tan & Payton, 2010). There are several elements involved in the implementation of
an EMR system, which will be discussed within this research paper.
Financial Considerations A provision of the American Recovery and Reinvestment Act of 2009, is
the Health Information for Economic and Clinical Health Act (HITECH). HITECH makes the
implementation of electronic health records (EHR) a nationwide priority (Fleming, et al, 2011).
Healthcare organizations whom ... Show more content on Helpwriting.net ...
A sizeable practice requires additional time due to the large number of templates to be created, in
addition to, the staff which will require further training as well (Columbus, 2011). This automation
literally changes the method of how healthcare is going to be delivered. The estimated price of
installing an EMR ranges from $15,000.00 to $70,000.00 per healthcare provider (HealthIT, 2011).
Depending on whether a web–based or on–site EMR is deployed will give you a ballpark figure of
the costs involved. Software as a Service (SaaS) has a fixed monthly subscription rate. On–Site pays
for continuing support and help for their data servers over a specified period of time (HealthIT,
2011). The chart below contains an estimated average of the cost associated with either EMR
deployment. Costs were estimated by Regional Extension Centers in the Michigan area in 2011.
Cost In–Office SaaS Upfront Cost Yearly Cost 5 Year TCO Upfront Cost Yearly Cost 5 Year TCO
Estimated Average Cost $33,000 $4,000 $48,000 $26,000 $8,000 $58,000
Michigan Center for Effective IT Adoption, 2011 An example of a large corporation such as Kaiser,
purchased an EMR system known as EPIC. It cost Kaiser an estimated four billion dollars and five
years to get the system up and running as it should (Leonard & Tozzi, 2012). This implementation
involved 36 Kaiser Hospitals and 16,587 providers in all. As you

Hr Functions of Forbes Regional Hospital
HR Functions of Forbes Regional Hospital JoAnn Westerberg HSA320 January 31, 2013 Sherrie H.
Lu, PhD HR Functions of Forbes Regional Hospital Since 1978, Forbes Regional Hospital has been
the leading care provider in the eastern suburbs of Pittsburgh, offering comprehensive care so
patients can receive their treatment in one place rather than being transported to a downtown
hospital. Forbes Regional Hospital is a 350 bed facility which annually, has 50,000 emergency room
visits, 12,000 surgeries, and 15,000 patient admissions. Forbes Regional Hospital offers the latest
medical innovations and procedures so the patients can receive the best care in their own
community. Based on the data collected, some of the possible ... Show more content on
Helpwriting.net ...
HIPAA eliminated the possibility of individuals being denied coverage because of pre–existing
medical conditions. It further requires insurance companies to provide coverage for small employer
groups or to individual employees who lose their group coverage. The significant section of HIPAA
has been Title II, "Preventing Health Care Fraud and Abuse, Administrative Simplification, and
Medical Liability Reform." The Privacy Rule has affected nearly all health care plans and all health
care providers. Physicians' offices, hospitals, laboratories, pharmacies, dentists, medical equipment
dealers, billing services and others providing administrative services have all been required to
implement systems designed to protect all forms of patient information. All subcontractors and
suppliers coming into contact with patient information must comply with the Privacy Rule.
Healthcare employees expect their employers to provide: Infrastructure, HR practices and support
which are linked to improved performance especially in relation to patient care and service
innovations. Public service values may be a strong determinant of performance as it relates to
patients, moderating potential short–term adverse effects of unmet expectations of the employer.
Training is imperative. There has to be a shift in the

Health Information Exchange Model
In today's fragmented healthcare system, clinical decisions are made based on the available
information. Unfortunately, the available information is not always complete. Patients have been
using an increasing number of providers and health systems, many of which have no way to
effectively communicate clinical information. This forces healthcare providers to make decisions
based on incomplete information at the cost of outcomes to the patients and dollars to the health
system. It is estimated that the use of health information exchange (HIE) could save $78 billion in
healthcare costs per year (Shortliffe, 2014, p425). A concerted effort to solve this problem began in
2009, when The Office of the National Coordinator for Health Information Technology ... Show
more content on Helpwriting.net ...
California has had a number of failures and has, yet to develop a high–quality state HIE. One of the
first failures was the Santa Barbara County Data Exchange (SBCDE). What caused the failure was a
lack of value for participants in the program. The SBCDE began as non–profit organization in 1998.
The goal of the organization was to create a single access site for all providers Santa Barbara
county. The program was initially funded using grant money. The SBCDE received a $10 million,
three–year grant (Wagner, 2013). The program failed to develop a sustainability plan for when the
grant money ran out and had been utilizing grant money for operational cost. They were relying on
participants to fund the program during the post–grant period. When the grant money ran out, it
became evident that there was a lack of value to potential stakeholders and the SBCDE was unable
to continue funding the project. The SBDCE also encountered much difficulty with the lack of
standards, requiring a great deal of customization to facilitate each individual system. This resulted
in a draining of resources that also contributed to the projects failure. Through this project failure we
learned that successful projects utilize step–wise implementation with a long–term sustainability
plan. This project was over ambitious resulting in its

Electronic Health Information Exchange Essay
Electronic health information exchange is a dynamic evolving landscape that can help all doctors,
pharmacists, nurses and any health care providers and patients to properly access fast to share
patient basic health medical information via electronically improving quality, safety and speed and
the cost of patient care HIE is fault finding for successful health care reform allowing to happen
interoperability and significant use of health IT, and Health care Information and Management
System Society (HIMSS) is here to help health care and health IT is qualified to understand all of
the latest developments. There are various types of health information exchange and health
information exchange organizations that are currently across the United States and its nation.
Propriety HIEs/Private– Focus on a single society or an organization, frequently based within a
single organization that includes ... Show more content on Helpwriting.net ...
State wide HIEs– is run by the government of the particular states, or may be the (SDT) State's
Designated Entity. Regional/Community HIOs– is inter administrative and depends on a difference
of funding sources but most are not for profit. Even though the significant use program that's been
fueling modernized HIE activity accomplished over the years, health information exchange efforts
has been flowing for more than a decade. Subsequently burning through seed money some health
information exchange have run out of funds. Persuasive medical management providers contribute
advice with adversaries about their patients has been a hard bargain, as has the approach of hospitals
and physicians compensating contributions fees to engage in and become economically supportive
with these data backup training. The Meaning Use benchmark demanding more patients facts giving
are developing people's

Health Information Exchange Essay
HEALTH INFORMATION EXCHANGE
Heather S
HIT 141–10129
Professor Patricia Brennan
October 12, 2014
Table of Contents
Introduction.................................................................................page 3
What is Health Information Exchange .....................................page 3
The History behind Health Information Exchange ................page 4
Benefits having an Health Information Exchange System......page 5
The different challenges surrounding having an HIE ..............page 6–7
Conclusion.......................................................................................page 7–8
Work Cited/Reference Page........................................................page 9
Introduction
There are many different ways to explain HIE to someone that knows what is going on, but for
someone who doesn't know what it is, it can be challenging. They are may be many parts and
information that ... Show more content on Helpwriting.net ...
Consumer Mediated exchanged is used to by the patients to control what is in their medical records
and retrieve records whenever. Query based is used by the providers to gain access from other
providers to retrieve their patient's medical records. (Health HIT , 2014)
History behind Health Information Exchange Remember when everything was paper based and
computers never existed, what happen to those days? What happen to having to do things manual?
Well technology sure has changed and had made things easier and more cost effective in some ways.
In the 1980s and the 1990s, Electronic Health Records (EHR) was just being introduced in such
organizations such as Intermountain Health Care–Utah, Partners Healthcare–Boston, and Wishard
Memorial Hospital–Indiana were among the few to see the quality and efficiency of EHR. (Byers,
2011) The uses of hybrid records are used in some practices that might be getting used to having the
electronic records. With today's practices and even most big name hospitals are using the EHR or
EMR. Patients should always have to sign consent for those doctors to receive their medical records.
In some cases if the doctors are in the same building and are using the same programs they should
be able to see all records within the facility. If you are coming from an outside facility and your
clinic has EHR and so does the office were you are going

Healthcare Information Technology Summary
The United States health care industry is a dynamic industry that is consistently evolving to meet the
changing needs of patients. This use of information technology to improve how patients are being
managed within a healthcare organization is generating substantial awareness amongst hospitals and
physicians. Your CEO hired pClinical Research, LLC to provide a summarized overview on how
Healthcare Information Technology (HIT), more specifically electronic medical records (EMR) is
impacting the healthcare system. After reviewing this summary, your leadership team will learn how
intergrading electronic health records (EHR) within your entire organization will (1) improve
patient care management (2) provide financial incentive to your hospital ... Show more content on
Helpwriting.net ...
Change is never easy and is often met with resistence. HIT is essential to the medical needs of our
changing healthcare system. Most industry such as retail would fail if they did not incorporate
information technology within their business strategy. Walmart is able to offer good products at an
affordable rate because they depend on information they receive to analyze consumer behavior and
product positioning. The healthcare system is far beyond most industries that capitalize on
information technology. However, the impact of HIT is undeniable and the potential to save billions
of dollars to the healthcare system is receiving attention from providers. At 90 percent adoption of
EMR the efficiency saving could be $77 billion annually by reducing hospital bed stays, reducing
nurse work hours, reducing drug and radiology usage (Hillestad et al, 2005). More importantly HIT
has the opportunity to improve the quality of care of patients with chronic disease. Patients suffering
from cancer, heart disease, and other chronic illness are undermanaged or mismanaged. HIT can
eliminate redundant testing and provide relevant patient information so the provider can make better
medical decisions for the

The Hippocratic Oath Essay
Dear Brian Mills (CEO of Community Health Network), Introduction Medical care in the United
States of America is significant to allow individuals to have an increased quality of life. There are
many health care providers in America that work long hours so that other individuals in
communities are able to function and live out their daily life. The Hippocratic Oath is significant for
these health care providers because patients are the first priority in order to help or save lives and
uphold ethics of providing care. Certain issues must be expressed and enforced because they are
effecting the economy, the public, and several other areas that effect the entire community of
Kokomo and Howard County. However, I understand several of the reasons as to why you support
the merger of both health care entities to meet certain standards. As a politician representing the
county, I disagree strongly because the hospital would not be able to sustain care for the community
and research suggest from several sources that merging causes negative effects to the consumer of
health care. Although, it may be able to continue providing care as a nonprofit organization related
to Community Health Network, but a medical organization must consider the public as its first
priority because of medical conditions, injuries, illnesses, and other distinct issues that people have.
However, there are negative issues that arise when mergers occur. Gregory Curfman, Medical
Doctor, Editor in Chief of Harvard

Primary Care Leader Benefits From Ahrq Essay
PART 2
Primary Care Leader Benefits From AHRQ–Seeded Health Information Exchange
I was not the least bit surprised at how many case studies there were on the AHRQ (Agency for
Healthcare Research & Quality) website on funding of health information technology. I really
believe that this technology is the future for health care, there are many benefits to this change. The
case study that stood out the most to me while I did my research on the AHRQ website was titled
"Primary Care Leader Benefits From AHRQ–Seeded Health Information Exchange" this article
stood out to me at first glance. As I said before health information technology is the future of health
care if all organizations can get the funding they can all reap the benefits that ... Show more content
on Helpwriting.net ...
The use of the use of this model has done beyond of what is expected including the immediate
exchange of health information, sending secure immediate alerts, reduce costly services, as well as
reducing errors. Lastly the most important part of using the model would of course have to be the
better patient centered care.
Colorado Health Information Exchange Made Possible by AHRQ Contract
The main reason institutions are switching to the new technology of exchanging health information
is specifically to reduce costs and help improve health care quality. In this case study that is what
San Luis Valley Regional Medical Center wanted exactly, to effortlessly exchange patient's medical
information. San Luis Valley Regional Medical Center which is a rural hospital in Alamosa
Colorado is one of the many hospitals and providers that can benefit from this change. In 2004
AHRQ signed a contract to the University of Colorado Health and sciences Center, which later on
developed a point–of–care inquiry system for four healthcare organizations in the Denver region.
The system allowed emergency room clinicians within the four locations to exchange medical data.
They were able to sufficiently and rapidly retrieve and send patient medical histories, x–rays,
medication lists, and all problem lists. The AHRQ contract also help started the development of the

Quality Insurance
Quality Improvement Plan: Part III – Managing and Improving Quality
In today's health care environment, competition remains high and many organizations are seeking
new ways to improve their quality of care, as well as remain competitive with other health care
organizations in the process. Various methods exist today for organizations to integrate quality
improvement strategies to help in the measurement of performance improvements. This paper will
discuss:1) several methodologies, the pros and cons that exist with these methods, 2) describe
information technology applications, how they may be used to improve patient falls, 3)discuss how
benchmarking and milestones are involved in managing the use of quality indicators, and finally,4)
... Show more content on Helpwriting.net ...
The Customer Inspired Quality methodology identifies, defines, analyzes, and improves the quality
and effectiveness of processes in the health care environment with an emphasis on the following
work process evaluating components:
* Integrates department services that are related to defined systems concerning care
* Improves productivity and efficiency, while reducing unneeded work processes and costs
* Can be implemented as short–term or long–term quality improvement processes
* Patient loyalty and satisfaction is enhanced (Shaw Resources, n.d.).
Pros and Cons of Quality Improvement Methodologies
There are always pros and cons to any quality improvement methodology. For instance, the pros of
Six Sigma tend to place extreme importance on leadership and its support for the success of the
project. Another pro is the integration of different human elements, which include cultural change,
and focus on the customer and their needs. "By using the concept of statistical thinking, Six Sigma
encourages applications of statistical tools and techniques that reduce variability" (Harry, 2000). The
cons of Six Sigma include, not having the quality data available, especially when a new process has
been implemented without having the data available. Often the solutions that Six Sigma proposes
can be costly and only a small

The Social Services Agency ( Ssa ) Of Orange County Essay
Structure is the basis through which an organization seeks to create control the direction of an
organization. This is completed through clear definitions of the allocation of work, differentiation,
and the coordination of having those responsibilities working together towards the efforts of the
organization, integration (Bolman & Deal, 1993, pp). Through these methods, the organization is
able to devise a division of labor that collaborates to bring about the missions and goals of an
organization. The structure that comes about from this can be varied in their rigidness and flexibility
it allows, and to an extent this is a great contribution to its success. The Social Services Agency
(SSA) of Orange County can be considered a divisionalized organization; in that the bulk of the
work is completed by quasi–autonomous departments (Bolman & Deal, 1993, pp). As exemplified
by Bolman and Deal (2013), with freestanding campuses in multicampus universities, each with the
ability to plan differently based on needs (pp 80). In the same manner SSA's four departments are
run by its own set of policies and procedures, which are directly related to the community members'
they serve. The agencies four departments are comprised of the following: Administrative Services,
Adult Services & Assistance Programs (ASAP), Children & Family Services (CFS), and Family
Self–Sufficiency (FSS). Of these four departments I work under the department of Family Self–
Sufficiency (FSS). FSS administers the

The High Cost Of Healthcare
The high cost of healthcare continues to rise and many in the United States are optimistic for health
information technology to reduce and improve our current situation. Health IT encompasses a broad
array of new technologies designed to manage and share health–related information. When properly
implemented, these systems can help coordinate patient care, reduce medical errors, and improve
administrative efficiency. Therefore, implementing a Regional Health Information Organization
(RHIO) will help the National Health Information Network (NHIN) achieve their goals in
improving quality of care for the citizens of the United States. Thus, in order for the health IT to
deliver on its promise, several obstacles must be overcome. Healthcare systems are highly complex,
fragmented, and use multiple information technology systems and vendors who incorporate
different standards resulting in inefficiency, waste, and medical errors (Healthinformatics, 2016). A
patient 's medical information often gets trapped in silos, which prevents information from being
shared with members of the healthcare community (Healthinformatics, 2016). With increasing
healthcare costs, a system needed to be created that would lead to the development and nationwide
implementation of an interoperable health information technology system to improve the quality and
efficiency of healthcare. Introducing the National Health Information Network (NHIN), this
organization can be defined as a set of

Return On Investment : Electronic Health Records
Return on Investment Electronic Health Records have enhanced how information is stored and
transmitted in the healthcare setting. They are a safe and much more secure way of maintaining
records. In addition to security, it speeds up service times for patients and records can be transported
through the click of a mouse. EHRs are now mandatory as a directive set by the Affordable Care Act
(ACA) and all healthcare organizations must conform or face a heavy penalty (EHR adoption,
2011). Despite the fact that many organizations do not like change, there are some positive
outcomes that could occur if an organization switches from the "old" way of doing things to a new
EHR system. By implementing an EHR system, an organization could see more money to the
bottom line. Many organizations have been noticing that EHRs are allowing them to become more
efficient and they have seen business grow in recent years. Dr. Larry Garber a physician and
medical director for informatics at Worcester, Mass based Reliant Medical group said" The $24
million EHR investment was worth every penny, the medical group has seen return on investment,
big revenue boosts and a huge increase in compliance and clinical results. (McCann, 2013). EHRs
can be designed by the individual organization. They don't have to come in a one size fit all
category. Dr. Gerber spoke about his practice designing an EHR feature for radiologist that allowed
them to correct the percentage of incorrectly ordered

Case Study : Columbus Regional Hospital
Describe Your Current Practice Setting
Columbus Regional Health (n.d.) serves 10 counties in Southeast Indiana. The demographics
include a predominantly Caucasian population of approximately 300,000 people (Economic
Opportunities through Education by 2015, n.d.). In southeastern Indiana, about 140,000 individuals
have employment, and 15% of them, who are over the age of 24, have a bachelor's degree
(Economic Opportunities through Education by 2015, n.d.). Approximately 30% of the high–school
students drop out in this mainly rural area with a flat population growth (Economic Opportunities
through Education by 2015, n.d.).
Columbus Regional Hospital (CRH), a non–for–profit organization with 225 beds, is the system's
star facility (Columbus Regional Health, n.d.). CRH has a Privacy Excellence Award, and the
National Committee for Quality Assurance recognized CRH for outstanding patient–centered
medical home practices (Columbus Regional Health, n.d.). Additionally, the Becker's Hospital
Review named CRH as a great community hospital, and Thomson Reuters acknowledged CRH in
the top 100 hospitals (Columbus Regional Health, n.d.). Moreover, CRH is one of the most beautiful
hospitals in America (Columbus Regional Health, n.d.). They provide emergency and surgical
services and comprehensive care in many specialty areas, such as, mental health (Columbus
Regional Health, n.d.).
CHR's Mental Health (MH) unit has 17 beds and a seclusion room. Healthcare professionals provide

Comparing perioperative EHRs to outpatient settings

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