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The Vision For Vital Connect Programs Essay
4. RESOLUTION The vision for vital connect program is to create a model for coordinated, collaborative and coordinated patient care system. This
model can be implemented by creating a well structured and connected province–wide health information technology solution. This HIT solution will
consist of following: Provincial clinical information system E–referral system Personal health portal 4.1 Provincial clinical information system EHR is
defined in the Health Information Act (HIA)[4] as " the interconnected electronic health information which is developed to be shared across authorized
users in a secure environment ." By creating a vast network of interconnected repositories, EHR will provide a easy access to health information about
individual patients to care, providers.To create a province–wide clinical information system, the first challenge is to connect individual Electronic
Medical Records (EMR) that may be concise to a particular healthcare facility. Currently, more than 1200 standalone EMR systems exist within Alberta
Health Services (AHS), with very few of them interconnected and most of them outdated. The vision to create a province–wide fully connected clinical
information system can be fulfilled if all these stand–alone systems are updated and attached to each other to facilitate seamless flow of information
and instructions. There are various advantages to using provincial CIS: Better Patient Care Increased efficiency Better quality of care
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Lifelong Personal Health Data And Application Software Via...
Summary of the academic paper "Lifelong personal health data and application software via virtual machines in the cloud" by Van Gorp, P &
Comuzzi, M
The authors emphases their research on exploring and presenting a novel prototype system which would provide opportunities for patients to access
their Personal Health Records (PHR) regardless of location and time and, also very importantly to share this information with relevant health
practitioners and institution. They identify that "Cloud computing offers unique opportunities for supporting long–term record preservation" . The
authors further argued that the latest cloud technology would be the best solution architecturally to access PHR data from virtually any device. They
state that ... Show more content on Helpwriting.net ...
With the radiology case, the authors used real patient data collected over the past 15 years to show that real savings could be made if patients were able
to show their PHR history to every specialist, as record shows duplication in scan exams. The authors were certain that this indicates that there is no
data integration between different health institutions. In the second use case they refer to the importance of PHR data privacy, and how this data, if
revealed to organizations like employers or banks could compromise relationships with these institutions. The authors establish that the cloud setup
would meet all requirements extracted from those two use cases: particularly a patient's ability to share PHR with any medical institution from any
physical location and at any time, and also patients providing and assigning access to relevant health institution whilst ensuring that data will not be
used inappropriately. Based on those requirements, the authors argue that current PHR systems only meet part of the requirements but not the whole
set of them produced from real 2 case studies From the requirements, the author's derived prototype for MyPHRMachine technical architecture, requires
a Java enabled browser or native RDP client. The authors explain that cloud technology would be used for MyPHRMachines allowing patients to build
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Evolution of Health Care Information Systems
Evolution of Health Care Information Systems
Health Information Systems
HCS/533
April 21, 2013
Evolution of Health Care Information Systems
The evolution of the health care information systems (HCIS) since 20 years ago had a profound impact in how health care is deliver today. In the
mid–60's health care information system began its history with President Lyndon Johnson signing of the law that provides medical coverage to the
poor, the elderly, and the people with long–term disabilities through Medicare and Medicaid programs. This revolution brought along the Computer
system technology to speed the billing and reimbursement from Medicare and Medicaid. The health care system notice the necessity to improve the
billing process ... Show more content on Helpwriting.net ...
Similar to any other industries, the nature of healthcare industry has changed over time from a relatively stable industry to a dynamic one. And health
information systems have evolved through several different technologies" (Almunawar & Anshari, 2011, p. 1) 20 years ago these technologies did
not exist in many hospitals and organizations including the Veteran Hospital Administration for that reason many hospital suffered multiple medical
errors, loss of documentations, time consuming for providers and staff at the time of updating patient's document records, more workload, unable to
make reports, the collecting of data was poor, and decreasing hospital revenues. The majority of health care documents 20 years ago including the
Veteran Hospital Administration were hand–written with carbon copy to be store or send to pharmacy for prescriptions. In the Mid 60's the Veteran
Hospital Administration was using paper based documentation and medication cards making the billing process difficult and increasing the workload.
In the past the roles of computers in the health care industry was marginal, and normally use just for administrative and human resources purposes.
Two major events that influenced current health care information systems was the implementation of the health information technology (HIT) and
electronic
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The Patient Monitoring System
The Patient Monitoring System The patient monitoring system defined in the problem was developed 5 years ago. That means it was developed
somewhere in the year 2009. C32 was the standard at that time. Consolidated Clinical Document Architecture (CCDA) was not developed until 2011.
This means that the system was never designed by keeping meaningful use of EHRs in mind. Hence, it should be difficult for the system to pass all
the criteria of meaningful use. Since the criteria described in Stage 1 of meaningful use are present in Stage 2 as well, only Stage 2 will be discussed in
the following section. Problematic Meaningful Use Certification Criteria Following is a list of Meaningful Use certification criteria that will likely be
problematic for the patient monitoring system of the ICU in Stage 2 attestations: Transitions of Care The EHR technology used in patient monitoring
system must be able to receive, display, transmit and incorporate transition of care document. For this, the system must use the specification for such
documents. Since this system is fairly old, it will not support the structured documents that are supported by new systems. Electronic Prescribing
Electronic prescription allows the user to create a prescription electronically. The user can attach all kinds of information to this electronic prescription.
Again, the structured document used by this system is not in conformance with the current standards and hence will be problematic in Stage 2
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The Preferred Format For Clinical Health Information
The preferred format for clinical health information is Health Level Seven (HL7) Clinical Document Architecture (CDA) for both Personal Health
Record (PHR) and Electronic Medical Record (EMR). It is XML–based format identifies the encoding, configuration, and semantics of a clinical file.
Blue Button+ Direct implementation ensures ease of transmission of medical records to a third party by the health care provider or patient. Direct uses
SMTP, S/MIME, and X.509 licenses to maintain security, data reliability, privacy and verification of sender and receiver. Additionally, it meets the
requirements for Meaningful Use (MU) Stage 2 of View, Download, and Transmit (VDT) that is required for certified electronicmedical record (EMR)
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PHRs can contain medical information from the patient, whereas an EHR contains medical records, medical history, patient demographics,
medications, vital and weight, and diagnosis.
Some PHRs are obtainable by covered entities under the Health Insurance Portability and Accountability Act(HIPAA) Privacy Rule. The HIPAA
Privacy Rule applies to these types of PHRs. However, in the cases where PHRs are not offered by HIPAA covered entity, it becomes the
responsibility of the PHR vendor to establish privacy policies and follow any laws that may apply protecting the data in the PHR (HHS, 2003). HIPAA
covered entities are regulated by the Privacy Rule on how they access the PHR to enter health information. Furthermore the Privacy Rule oversees the
use and disclosure of an individual's protected health information (PHI) and EHR, gives individuals certain rights to their health information, and
requires the cover entity to appropriately safeguard health information. Covered entities may hire a third party entity, as a business associate, to
administer the PHR and its related tasks. The covered entity must ensure that the information will be appropriately safeguarded by the business
associate through a contract or agreement. The business associate nor the covered entity can release information for any
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Joint Legacy Viewer (JLV): Feasibility Study
Feasibility Study SCQC Environment: Joint Legacy Viewer (JLV) 2 June 2015 Prepared By: Valytics LLC 10758 Riverscape Run Great Falls, VA
22066 Version tested: JLV v2.3.0.9 Hardware requirements (memory, HD space)?
===================================================================================== Begin template http:/
/www.projectmanagementdocs.com/project–initiation–templates/feasibility–study.html#ixzz3eYfxjQy6
===================================================================================== 1. Executive Summary The Joint
Legacy Viewer (JLV )is a patient–centric, web presentation system that pulls information from disparate health–care systems in real time for
presentation in a browser design.... Show more content on Helpwriting.net ...
It is widely used to transmit arbitrarily structured data in mixed client/server environments. XML and HTML are compatible members of a family
of markup languages called Standard Generalized Markup Language (SGML). HTML is an SGML language with a specific Document Object
Model (DOM) focused on describing hypertext documents. Document Object Model (DOM) is a dictionary and grammar for interpreting HTML. A
DOM describes HTML elements and their attributes and properties and how they are used to create web pages. JavaScript Object Notation (JSON) is
a language–independent system for representing data objects, although it is based on JavaScript. It is simpler than XML and is often used as an
alternative to XML in Ajax applications to transfer data objects between a server and a script running in a user's browser. Ext JS is a JavaScript UI
library that uses HTML and CSS to build its UI controls and widgets. Ext JS has a complete suite of layout management tools that allow full control
over organizing and manipulating the UI as requirements dictate. Dynamic Content Creation (CGI) Utilizing all of the above components, the web
content can reload without a complete page refresh for updated data received. It generates html for new text, hyperlinks and tables rows. It does not
create any additional scripting. 5.2 Server–side
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What Are The Advantages And Disadvantages Of Electronic...
Digitization has transformed the world order almost in every sector, including health sector. There are numbers of Information and Communication
Technology (ICT) based tools and applications in the health sector. Electronic Health Record (EHR), one of such popular ICT based systems, is an
electronic record system that acts as a depository of patients' past and present medical records. Clinical documentation, clinical test and imaging results,
computerized order entry system and decision support system are all comprised in EHR (Hayrinen, Saranto & Nykanen, 2008). Thus EHR can
construct an errorless data management system for quality, safety and efficienthealth sector.
EHR have both merits and demerits. From merit prospective, trying to avoid the fragile ambiguity of human mind to process larger amount of data
EHR will help the physicians. Patient can achieve the leverage of esthetic knowledge in ... Show more content on Helpwriting.net ...
n.d.b). As one of the third world countries, Bangladesh face a daunting challenge to provides a healthier health service. Over 159 million people
live in Bangladesh; population density is 881 people per square KM, more than 60% people lives below the poverty line, and 77% people lives in
rural areas (Siddiqua & Awal, 2012). The doctor patient ratio is 1: 2000 (Directorate General of Health Services, n.d.a), thus, the Bangladesh is one
of 55 countries which have a shortage of health workforce (Hoque, Mazmum & Bao, 2014). As a result, on aggregate level almost 40.21% people
obtain their treatment from dispensary or pharmacy, 24.46% visit private doctors, 14.34% go to government doctors and 15.57% people are not getting
any treatment at all (Sikder et al.,
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Evaluation Of Integration Technologies For The Healthcare...
Evaluation of integration technologies
In an attempt to provide a clear perspective of the available technological approaches that can be implemented in the healthcare supply chain, this
section discusses the overall advantages and disadvantages of each integration technology, in particular, message– and object–oriented technologies.
Electronic data interchange
For many years, EDIFACT has been the most widely used protocol for EDI messages. Many healthcare organisations, as well as businesses in other
industries, have used the EDI approach in order to exchange specific domain documents towards the elimination of labour–intensive tasks. Generally
speaking, EDI facilitates the application–to–application electronic exchange of syntactically structured data–oriented documents. However, over the
years it has become apparent that healthcare communication standards, such as EDI messages, fail to effectively establish requirements for the internal
structure and architecture of communicating systems, requiring the information in any one system to be mapped twice: once into the message standard
format by the contributing system, and once back into the internal representation of the receiving system (Dudeck, 1998).Although the EDI approach
achieves integration at the data level, it does not provide process integration. Thus, it has been characterised by many as a complex technology owing
to the daunting task of the mapping activity. Moreover, it does not provide high flexibility,
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List Of Figures And Functions Requirements
List of Figures Figure NumberFigure Figure 1Number of recruiting studies and percentage Figure 2Clinical Trials Figure 3MediData Figure
4Mongo DB Figure 5Word Cloud Figure 6Search results Figure 7Google Charts Figure 8State of Art Figure 9center watch website Figure 10FDA
website Figure 11National Library of Medicine Figure 12Clinical Trials website Figure 13Mediate website Figure 14PERT Chart Figure 15Agile
Software Development Figure 16Architecture Design Figure 17Use case Diagram Figure 18Database Design Figure 19Periodic update of database
Figure 20Connectivity Interface Diagram Figure 21User interaction flow diagram Figure 22UI Mockup Figure 23Component diagram Figure 24Test
plan cycle Figure 25Testing with... Show more content on Helpwriting.net ...
Millions of researches are being carried out across the world. Hence the scope is very limited for a person/organization to follow all the studies
going on. Even if you track a study, it becomes a real problem to analyze data that is being updated continuously on that trial. Apart from this
problem, there are many other obstacles like inaccurate results in search of a particular medical problem and even if you do find accurate results, it
becomes hard to put all information at one place retrieved from various sources. In order to overcome the above problems, we are developing a
one–stop clinical trials user–friendly application that addresses all the related problems. In addition, we plan on providing a platform for business
users to analyze the stocks of the companies that are conducting the clinical trials. Business users can benefit by making use of these analyses to make
right choice before investing on a stock. When a company starts the research on any disease, its stock prices see a change relative to this research. If
the research seems useful and helpful for the society, it grabs the attention of the investors thereby, increases the stock prices of that firm. This analysis
is carried out in this project. 1.2Problem and motivation There are numerous clinical trials being conducted around the world every day. In spite of the
technological advances like Internet,
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The Importance Of Order Sets
Order Sets Seeing that order sets are part of the new record is the responsibility of the EHR team. Thus, by following The Center for Medicare and
Medicaid Services (CMS) 2013 optional measure for CPOE, EHR will obtain meaningful use and order sets used will create a protected and
efficient way to enter patient information and order medications, labs, etc. Also, referred to as Meaningful Use Stage 1, using a measure of greater
than 30 percent of specific patients with one or more medications in their EHR seen by a health care professional, has one medication order using
CPOE (HealthIT, 2015) [Click and drag to move] . Another method to ensure order sets are part of the new record is to follow the Meaningful Use
Stage 1 Changes Tip sheet... Show more content on Helpwriting.net ...
And, by quickly checking off boxes on the checklist, selections will automatically correspond to an approved process worksheet you can access from a
link on the page for improvement modifications if necessary(The Office of the National Coordinator for Health Information Technology, 2016) [Click
and drag to move] . Furthermore, using multiple avenues for internal communications may be necessary, as well as meetings and training sessions for
ultimate success during this transition. As well as, ongoing communications during the entire process so the staff team members are aware of the
changes and the schedule for the changes. And, the important details are: Schedule of changes and who it affects The technology used in the process
Training schedule Computer tracking of work achieved (HealthIT, 2014) [Click and drag to move] Indeed, consideration for all communication
channels is important. For example, meetings, email, desktop messaging, visual screensaver messages, computer surveys, computer desktop ticker with
implementation updates scrolling, and internal newsletters (SnapComms, 2017) [Click and drag to move] . On the other hand, providers while in the
exam room should follow the five communication practices designed by the National Learning Consortium (NLC) to foster a effortless integration and
transition of computers into their practice: Allow patient to look on computer
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The Defense Of Defense Health Agency Essay
The Department of Defense has multiple components supporting our nation with servicemen, servicewomen, and their dependents around the world
and in support of the United States of America. The healthcare of these individuals is a critical mission for the United States of America. There was a
time in recent history that each component of the United States of America military was the responsibility of each component of the armed services.
Recently the United States of America determined that the health care of the service members and their families need a centralized health care
agency. On October 1, 2013, the Defense Health Agency was established. This research paper will discuss the primary role and purpose of the Defense
Health Agency and how it performs the critical mission of serving the health needs of the Department of Defense. Company Description The Defense
Health Agency is a multi–service, integrated military agency that enables the Army, Navy, and Air Force to provide medical services and medically
ready force to Combatant Commands in both peacetime and wartime. The Defense Health Agency ensures the delivery of integrated, affordable, and
high–quality health services to Military Health System beneficiaries. The Defense Health Agency is responsible for driving greater integration of
clinical and business processes across the Military Health System. The Defense Health Agency accomplishes this mission by implementing shared
services with common
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Business Analysis : Health Care Industry
Table of Contentsоїї Word did not find any entries for your table of contents. In your document, select the words to include in the table of contents, and
then on the Home tab, under Styles, click a heading style. Repeat for each heading that you want to include, and then insert the table of contents in your
document. To manually create a table of contents, on the Document Elements tab, under Table of Contents, point to a style and then click the down
arrow button. Click one of the styles under Manual Table of Contents, and then type the entries manually.оїѕ Executive Summary Health–care industry
needs several reforms, especially in cost management strategies, in order to survive in a bruised–economy of 21st... Show more content on
Helpwriting.net ...
This business report details how SaaS delivery of "intelligent" healthcare cost containment solutions offers deep and significant impact from a
business, technology and economic perspective. The organization will be able to increase recoveries in less time and at lower cost, a beneficial plan
for Queensland Health which is looking for to innovate their larger healthcare cost management strategies. After implementation of SaaS the
organization can achieve greater operational efficiency as a result of effective interaction and decreased paper work among xxx. Additionally,
improved ability to access information creates integrated ecosystem which is more reliable and accurate. Through Usable, flexible and scalable
systems Queensland Health will manage to gain incremental cost saving without concern of growing patient base. However, before implementation of
SaaS Queensland Health need to pay close attention to several factors such as terms of Service Legal Agreement, data security and selection of
experienced on–demand software provider for which offers suitable healthcare customization. It should be noted that sufficient project governance has
an utmost importance for successful implementation of SaaS. Introduction HealthCare Industry is witnessing a surge in the adoption of cloud
computing and software on–demand is expected to bring about a revolution in the healthcare IT market. Meanwhile, hospitals are expected to deliver
more while reducing
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Designing A Model For A Computer As A Soft Copy And The...
In the literature analysis, alternates are used to differentiate between the characteristics of the information that had been saved in files on a computer
as a soft copy and the information that had been saved in less thoroughly reviewed outlet. This review identifies more focused literature requirements
for the literature survey phase of the research. More specific topics give a solid background and knowledge to develop a model and methodology to
solve the research problems. The study of this research builds the prototype model. Building stage is the phase of the requirements, design, specifying
software tools, and designing the interfaces. Prototyping stage is the phase of coding and testing. The study of this research will prove that the model
works. The model provides prototyping stage developer with outlines to follow. There are three approaches. The first is top down. That is, the research
starts from the top component and ends with the bottom component. The second is bottom up; the research starts from the bottom component and ends
with the top component. The third is hybrid; the research starts from the middle of the model and ends with both the top and bottom components. 2.1
Health Informatics When physiology is defined as 'the logic of life', and pathology is defined as 'the logic of disease', then health informatics means
the logic of healthcare. Health informatics is the study of how clinical knowledge is established, formed, shared, and employed. It is
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Getting Successful Universal Ehr Is Not Just Technology...
Getting successful universal EHR is not just technology selection, implementation question it needs to address many other aspects such as physician's
acceptance, policy/laws, incentives, security, and privacy and training issues before we can concentrate or focus on technology selection and
implementations. The ecosystem should be ready with all these critical elements addressed only then successful EHR implementation can sustain in
US. First and foremost there is a need to have consistency around the state/federal and HIPPA regulations which defines security and privacy issues in
US. Due to conflicting requirements in these regulations mass acceptance of any medical system/technology cannot be effectively done. Second
biggest issue for universal EHR adoption is the acceptance of EHR by physician's communities. The benefits of EHR has been identified and
acknowledged by medical communities at large however the rate of adoption and use after implementation is sluggish. The biggest common
contributor for implementation, design and use of EHR systems is physician. Physicians should be properly trained and emphasis on continual
education should also be placed through continuing education credits. Unless small physician office (stand–alone offices) buy–in the adoption of EHR
no matter what technology and processes we have in place, EHR won't be universally accepted and the entire benefit and value associated with EHR
can be realized with universal acceptance of EHR. Thus need for
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Inrodction to Health Services and Information System
Introduction to Health Services and Information Systems Barnabas Health is a nonprofit nonsectarian hospital own by john F. Bonamo, MD, MS
President and CEO. It's New Jersey's largest integrated health care delivery system. It includes Clara Maass Medical Center in Belleville; Community
Medical Center in Toms River; Kimball Medical Center in Lakewood; Monmouth Medical Center in Long Branch; Newark Beth Israel Medical Center
in Newark; Barnabas Health Behavioral Health Center in Toms River; and Saint Barnabas Medical Center in Livingston. The System also includes the
Barnabas Health Outpatient Centers with the Barnabas Health Ambulatory Care Center in Livingston and the Saint Barnabas Family Imaging and Breast
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A team of clinical adoption strategists from Cerner met with representatives at the acute care hospitals. These process team leaders, who are
subject matter experts for the team they represent, will serve to ensure that all designs, decisions, and work flow changes are discussed at the
hospital level and communicated so all have an equal voice in this project. These process team leaders will meet with all levels of staff at their
hospital to gather information related to current processes and practices. The IT Clinical analysts are assigned to work with each process team to
facilitate, gather, and support completion of assigned tasks. This information will be shared with all other process teams at weekly meetings as they
work to implement a standardized, enterprise wide clinical information system. Cerner Solution Architects or SA's, are assigned to each team and will
guide us through this process every step of the way. This is an exciting time for Barnabas Health as they move along a path focused on clinical
excellence, connecting our hospitals to provider offices, and building an architecture that supports the capture and sharing of real time information. We
are pleased to have a staff, both clinical and technical,
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Big Data And Analytics Analysis
BIG DATA AND ANALYTICS: The emergence of new technologies, applications and network systems makes it hard to run the current business
models and huge data types, and thus emerged various types of analytic tools like Big Data, which make this work easier by way of proper
organization of data. Big Data is all about analyzing different forms of data (Structured, Semi–structured and Un–structured) and it is not about the
procedure, creation or consumption of data. Definition of Big Data: "Big Data technologies are the new generation of technologies and architectures
that are designed to economically extract value from very large volumes of a wide variety of data, by enabling high velocity capture, discovery and/or...
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Velocity: Refers to the speed of data processing. There is huge demand to analyze the data on a more regular basis and at a faster pace. This 3v's
model has several challenges of big data management, which result from the expansion of all the above properties, rather than just the volume alone.
Big Data Technologies and Analytics: Big Data is now going to be the mainstream, as a result various new technologies have come into the market.
The table below is an overview of them: We are currently using Hadoop and Data warehousing as a means for analysis of huge data sets in my
organization. I work for a Population health management company which is a health care IT organization. There are various sources from which we
receive data for analytics some of them include: Ambulatory, Inpatient and Outpatient EHRs. Pharmacies. Labs, Radiology and other testing services.
Physical Therapy and Rehab services. Nursing homes, PCMH and extended care facilities/ Disease registries Behavioral health and hospice care.
Patient generated data Public health agencies Specialty and sub–specialty practices. Few other Big data sources beyond HER include genomics,
Combination data from multiple body systems and Social determinants of health like economic status and insurance eligibility. Different types of
Analytics: There are mainly
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A Brief Note On The Migration Of Patient Health Records
Samara Zamora
Final Project
Steps Involved in Migration of Patient Health Records
A hospital in Orlando, FL has decided to switch from a paper–based system to an electronic health record system. An electronic health record is a
computerized, accessible record that contains multimedia data (scanned images, digital, video, voice, and so on) about the patient; it is basically the
patient's paper chart. EHR's are real–time records which allow instant availability to those who have authorized access to the EHR (Bowie, 2011).
There are many reasons for a hospital to want to change from paper records to an EHR; the usual primary reason is to improve medical documentation.
First and foremost it is important to establish what the hospital's primary reason is to establish an EHR. Knowing this will make the transition
smoother and faster because of comprehensive EHR software and hardware installation that is comprised of a number of different components
(Medflow).
The steps involved in the migration of patient health records from a paper–based system to an electronic health record in a hospital setting are as
follows:
1.It is important to have an estimated project budget for the transition, having this will prevent delays or cost overruns later.
2.The hospital might need to hire an outside company or decentralize document imaging at different locations in the practice. If an outside company is
hired records are sent offsite to be scanned and converted, the hospital needs to
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Information Technology Systems, Their Performance And Risk...
–According to Richard Brisebois, Greg Boyd, and Ziad Shadid, "IT Governance focuses specifically on information technology systems, their
performance and risk management. The primary goals of IT Governance are to assure that the investments in IT generate business value, and to
mitigate the risks that are associated with IT. This can be done by implementing an organizational structure with well–defined roles for the
responsibility of information, business processes, applications, and infrastructure." (Brisebois, Boyd, and Shadid, n.d.). IM/IT priorities recently
changed to concentrate on the integration of systems across several facilities, computerization of patient records and improve decision support for
clinicians and managers. The IT Governance Institute business models developed an in–depth value realization process, directing IM/IT leadership to
obtain their goals, and guides organizations make business decisions accurately and timely. The five primary components of a healthcare IM/IT
governance includes 1) Developing a consistent IM/IT strategy, 2) Aligning IM/IT with organizational strategy, 3) Developing IM/IT infrastructure,
architecture, and policies, 4) Setting IM/IT project priorities, and overseeing investments in IM/IT infrastructure, and 5) Using IM/IT benefits
assessment to enhance accountability. The first component, Developing a Consistent IM/IT Strategy, information systems supporting the strategic
goals, objectives, and priorities of the
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Compare And Contrast Ccd And Ccr
Compare CDA, CCD, CCR, describe each of them and who uses these standard for what purpose?
CDA stands for clinical documentation architecture is a documentation standard that is overseen or governed by the HL7 organization. This XML
based standards holds the intended use of encoding, semantics and even structure for clinical documentation exchanged. CDA is certified under
ASNI–certified standard through HL7 international. With CDA, it specifies the given framework with full semantics of the clinical documentation.
These clinical documents would have the following six characteristics.
Persistence
Stewardship
Potential for authentication
Context
Wholeness
Human readability
Some CDA may contain clinical notations, discharge summaries, imaging reporting's, ... Show more content on Helpwriting.net ...
The primary purpose for CCD is for the exchange of information when a patient is transitioning from one care setting to the next. CCD allows for the
development of clinical data by our physicians so that they are able to transmit electronic health information to other providers especially in the
instances of transition of care or medication reconciliation. CCR helps with the prevention or loss of data meaning which ultimately improves patient
care all together. To specify patient summary data of the continuation of care document includes demographic, clinical information facts, health
encounters and administrative information.
CCR stands for Continuity of Care record. This health record standard was collaboratively developed by the healthcare information and management
systems society or HIMSS, American Academy of Family Physicians, ASTM international and otherhealth informatics vendors. The continuation of
care records helps with the involvement of the patient, allowing each individual the opportunity to manage their own health while reducing the
likelihood of error. This patient summary
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Framework For Clinical Decision Support Systems With...
tual Framework for clinical Decision Support Systems with Considering the Distributed Electronic Health Records and Centralized Knowledge Engines
Hassan Ghaedi1,*, Hassan SHakeri2, Elham Gholami3, Alireza Chamkoori4
1,4Department Of computer, Khormuj Branch, Islamic Azad University, Khormuj, Iran
*Hassan.ghaedi@yahoo.com
chamkoori_alireza@yahoo.co.uk
3Department Of computer, Shirvan Branch, Islamic Azad University, Shirvan, Iran
Gholami.elh@gmail.com
2Department Of computer, Mashhad Branch, Islamic Azad University, Mashhad, Iran
Hassan.shakeri@gmail.com
Abstract: In this paper, a new Clinical Decision Support System (CDSS) Framework was proposed which satisfies the compatibility, interoperability,
and scalability objectives of EHR. The system will also have a set of Distributed Electronic Health Records and centralized Knowledge Engines.
These Electronic Health Records are minimized and distributed In some parts of the country Knowledge Engines are centralized and work together.
Each centralized Knowledge Engine is specialized in a specific domain.
Index Terms– Clinical decision support systems, Electronic Health Record, Knowledge Engine, decision making
I.INTRODUCTION
A Decision Support System is an interactive computer–based system intended to help decision makers utilize data and models in order to identify and
solve problems and make decisions [1]. AClinical Decision Support System (CDSS) is an active knowledge system, where two or more items of patient
data
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Health Information Technology
Introduction: Office of National coordinator for Health Information Technology (ONC) has funded this program to find breakthrough innovations in
the field of Health Information Technology (IT). This research program was awarded $60 million and this program is divided into four focus areas.
This program brings together researchers, healthcare providers, and other health IT sector stakeholders in order to transform the research products into
practice. This program is designed to improve quality, safety and efficiency of healthcare using advanced information technology. According to
Healthit.gov "current adoption rates of health IT in different states we see that some states are better than others" [1], hence this program is designed to
find the factors that are hindering the adoption of health IT and the products developed using this project should help propagate the growth of health IT.
This program has both short–term and long–term related goals hence they focus both on current and future needs of health IT products. I have selected
this program because it is important to understand the factors that are effecting healthcare practices health IT adoption and work towards analyzing
and finding solutions to those problems, so that there is a 100% rate of adoption and data flow is seamless between the healthcare practices. This
program helps keep the maintenance cost of the products developed to minimal as it focuses both short and long term needs. There are 4 focus areas to
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Data Quality Management : The Business Processes That...
Data Quality Management: The business processes that ensure the integrity of an organization 's data during collection, application (including
aggregation), warehousing, and analysis. While the healthcare industry still has quite a journey ahead in order to reach the robust goal of national
healthcare data standards, the following initiatives are a step in the right direction for data exchange and interoperability: Continuity of Care Document
(CCD), Clinical Documentation Architecture (CDA) Data Elements for Emergency Department Systems (DEEDS) Uniform Hospital Discharge Data
Set (UHDDS) Minimum Data Set (MDS) for long–term care ICD–10–CM/PCS, Systemized Nomenclature of Medicine–Clinical Terms (SNOMED
CT), Logical Observation Identifiers Names and Codes (LOINC). Data Quality Measurement: A quality measure is a mechanism to assign a quantity to
quality of care by comparison to a criterion. Quality measurements typically focus on structures or processes of care that have a demonstrated
relationship to positive health outcomes and are under the control of the healthcare system. This is evidenced by the many initiatives to capture quality
/performance measurement data, including: The Joint Commission Core Measures Outcomes and Assessment Information Set (OASIS) for home
health care National Committee for Quality Assurance 's (NCQA) Health Plan Employer Data and Information Set (HEDIS) Meaningful Use–defined
core and menu sets These data sets will be used within
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Questions On The Healthcare System
Discussion Questions 1.As the healthcare system prepares to select a outsource company as its vendor for this project, what types of information
should it give to and gather from each vendor under consideration? An request for information (RFI) is typically used as a pre–screening tool and is
generally sent to a large number of vendors who EHR systems could potentially meet the needs of the organization. Essentially, it is used in the
planning process to eliminate vendors. Typically, the scope of an RFI includes vendor background information, system technical architecture,
interoperability & health information exchange, system features and functionality, specific patient centered care functions are features (what's makes
your product different), typically implementation process and install time; and lastly training and support. Once the vendor list is eliminated to a select
few, an RFP is issued to those vendors. RFP is generally a request is more specific details on the system requirements and provides guidelines for
vendors to following bidding. Typically, the RFP includes 1) instructions for vendor bidding, 2) organizational objectives, 3) organizational background
and description of the facility including departmental applications and current infrastructure, 4) the type of system and applications being sought along
with necessary requirements, 5) vendor qualifications with background information, experience, number of installs, financial reports, and
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The CCR and CCD Contain Some of the Same Standard Rules Essay
One of the demands in healthcare today is to have the ability to allow healthcare organizations to exchange patient health related information with other
healthcare organizations. This was made possible by the creation of the electronic health record (EHR), electronic medical record (EMR) and personal
health record (PHR). The EHR, PHR and the EMR allowed for patient's paper medical charts into transformed into electronic charts. This allowed for a
better way to organize the information that was contained the paper medical chart. The health organization began to realize they could use these
electronic charts for a better way to care and share patient health related information. However, as the transmission of data continued, the need... Show
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This allows for the transmission of information to happen either electronically or paper based. Therefore patients can either carry their information
manually to the receiving physician, especially for the receiving physicians that do not have the current or compatible technology to transfer
documents accurately (Health, 2009). With the current technologies, most documents are transferred electronically. In order for this to happen, a
structure electronic format must be created. Therefore, CCR is a XML based standard that is used for the exchange of clinical data (Health,
2009). The CCR format must adhere to a strict XML schema and accompanied by implementation guide required to support the standards
compliant interoperability (E31.25, 2012). The XML scheme creates flexibility for the transmission and view of the CCR in many ways, such as
in a web browser, Health Level 7(HL7) messaging, secured emails, PDF files, HTML files and word documents. This XML schema also makes it
possible for the interchange of data with electronic healthcare records (EHR) with CCR data (E31.25, 2012). However, one problem the CCR faces is
that it cannot send free text and is not acceptable by all system (Health, 2009). Therefore, the CCR opened doors for the creations of Continuity of
CARE Document (CCD). Another organization that creates standards for the creation of healthcare systems is Health Seven 7 (HL7)
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Clinical Health Information Analysis
The preferred format for clinical health information is Health Level Seven (HL7) Clinical Document Architecture (CDA) for both Personal Health
Record (PHR) and Electronic Medical Record (EMR). It is XML–based format identifies the encoding, configuration, and semantics of a clinical file.
Blue Button+ Direct implementation ensure ease of transmission of medical records to a third party by the health care provider or patient. Direct uses
SMTP, S/MIME, and X.509 licenses to maintain security, data reliability, privacy and verification of sender and receiver. Additionally, it meets the
requirements for Meaningful Use (MU) Stage 2 of View, Download, and Transmit (VDT) that is required for certified EMR/EHR (Graham–Jones &
Panchadsaram, 2013). ... Show more content on Helpwriting.net ...
There concerns whether the information in the PHRs was correct and might possible result in a medical error. Another concern was inappropriate or
unapproved access to the information in PHRs as patients are unclear of what information to put in their PHR and that some information should be
verified by a HCP before it is entered in the PHR. Some other concerns were patients might try to use their PHR to inappropriately request narcotics.
Providers also acknowledged possible barriers related to PHRs if a patient has to get online to access the information and then the provider has to page
through multiple pages to find what he needs in a fifteen minute appointment timeframe. Some providers said they have concerns over accuracy and
want to be able to control the data going in the PHRs. Specifically when it comes to medications and doses some provides stated concerns that the
patient should not be able to enter the information without their HCP ensuring its correct (Witry et al., 2010). **PATIENT
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Cloud Computing And Healthcare Industry Essay
Cloud computing in healthcare Neha DubeySangeeta Vishwakarma Department of Computer ApplicationDepartment of Computer Application Sardar
Patel Institute of TechnologySardar Patel Institute of Technology Bhavan's Campus, Munshi Nagar, Andheri (W), Mumbai Bhavan's Campus, Munshi
Nagar, Andheri (W), Mumbai Abstract– Healthcare sector is facing more number of problems like high IT costs, more processing power, scalability and
demand for interoperability etc. Present health technology is deficient to address these challenges. Cloud computing having many qualities such as
multi–tenancy, flexibility and metered delivery appears a viable approach. The purpose of this document is to provide a point of view on how cloud
computing is applicable in healthcare and set some of the key principles that healthcare industry need to focus on when building a strategy for their
organization's adoption of cloud computing. The paper also addresses the common problem that are being faced by different healthcare industry while
implementing cloud computing. Index Terms– Cloud computing, Healthcare I.INTRODUCTION In order to understand Cloud Computing in the
healthcare industry, we must understand the basics of cloud computing in general. Fig 1, gives overview of Cloud computing There are different
definition available of cloud computing, one of them is as "Cloud computing is a new way of delivering computing resources and services. There are
many researcher and experts believe that
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Clinically Related Data in the Healthcare Industry
Healthcare industry generates large volumes of clinically related data every minute. It can be in the form of electronic records, scan reports, printed
documents, images etcetera. The sources of these records are technologies like CT scan, MRI scan, Ultrasound, ECG, Dialysis, biopsy equipment etc.
The objectives of this smart approach are to make this data useful and productive for analysis and study of health patterns and create statistics. A
detailed analysis can help the community to get awareness for improved nutrition and hygiene. Objectives Perform empirical analysis on the data and
determine the forecasting power of thecollected data to study health patterns Create statistics based on the information obtained in the form of user
friendly charts andgraphs Build an extensive GUI which makes the product understandable and easy to comprehend Help the customers customize the
API to cater their needs. Design and implement use cases to tailor the needs of the health industry. Construct a web console with administrative
facilities, a customizable dashboard, and a web accessible application for importing and exporting data. 1.2Problem statement, project motivation, and
needs In today's world, all the information and knowledge is being collected in the form of data. The amount of data is huge, continually increasing and
changing. To utilize this data, analyze it and derive useful information out of it, some cutting–edge technologies are being devised. To
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Continuity Of Care Essay
In order to ensure patient safety, maintain the continuity of patient care, and improve patient outcomes, complete and accurate patient information must
be collected. Standards and guidelines for patient documentation have been established that hospitals must adhere to in order to either maintain current
accreditation, or receive payment. The three organizations setting these standards are The Joint Commission (TJC), The Commission on Accreditation
of Rehabilitation Facilities (CARF), and The Center for Medicare and Medicaid (CMS). The Joint Commission (TJC), in an independent, not for profit,
organization that accredits healthcare organizations. The Commission was founded in 1951 with the goal of improving healthcare to the pubic by...
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Patient documentation is an essential element in patient safety. Failing to adequately document patient information not only affects the quality of
care provided to the patient, it posses a legal risk to the provider and the institution, and affects reimburse levels. The medical record should
document the care of the patient in Chronological order. This enables the physician or health practitioner to not only evaluate the care being given
but also create a "road map" of the treatment plan. This helps to provide immediate treatment for the patient, and continues over time in order to
monitor the patient care along the way. This will also assist to maintain the quality and continuity of care among physicians and practitioners
involved in the patients overall care. (Centers for Medicare and Medicaid Services, 2016) There are ten principles of proper documentation for
medical records as outlined by the Center for Medicare and Medicaid. In order for practitioners to meet these standards, these best practice guidelines
should be All medical records need to be complete, accurate, and legible. Entries in the patient's medical record that are not clearly written can lead to
medical errors. If documentation is illegible clarification of orders, progress notes, medication dosages must first be confirmed prior to initiating patient
treatment. (Centers for Medicare and Medicaid Services, 2016) The documentation of each patient
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Health Current Toolkit Paper
While I was looking over the Health Current Toolkit information, I was very impressed on how they covered just about everything. One of my
favorite things that I found was the frequently asked questions page, for me it was very helpful because this is all new to me and this page was
extremely helpful to understand the basics about HIE records. I feel that the whole thing had all the details you needed to understand what they
were and how they worked. The only thing that was not too clear for me was that they are able to access your all your records in the case of an
emergency. I am all for that because in an emergency, I want all my records available to receive the best care, however what is classified as an
emergency and are there a... Show more content on Helpwriting.net ...
I also like the fact that if for whatever reason I felt that I did not want some information to be accessible, I can opt out there and then they cannot
access that information. Overall, I feel that HIE is a safe and helpful program that I would want my information in. Some data that might be
considered sensitive is maybe if one had an illness that almost cost them their life or an injury or an accident or the death of a loved one due to
illness. I do feel that this data should be shared differently. I feel like this type of data should have its own set of opt in and opt out system because
this is data that could be very sensitive to a patient and should be treated with care. Although this data can be helpful in diagnosing problems or
treatments, I feel that they should not be talked about casually if they are talked about, they should be spoken of with just the doctor and the patient
and whomever else the patient wishes to hear the sensitive data and that is it. As long as this data is handled with care and not taken lightly, it will not
be a problem. The relationship between standards is that they are rules or guidelines that help in keeping the information safe. According to himss.org
(1), 'The Consolidated Clinical Document Architecture (C–CDA) is an emerging document standard for the transmission of structured
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Biopsy
Ateneo de Zamboanga University
College of Nursing
Nursing Skills Output (NSO)
Biopsy
Report no.___
I. Description: A biopsy is a medical test commonly performed by a surgeon, interventional radiologist, or an interventional cardiologist involving
sampling of cells or tissues for examination. It is the medical removal of tissue from a living subject to determine the presence or extent of a disease.
The tissue is generally examined under a microscope by a pathologist, and can also be analyzed chemically. When an entire lump or suspicious area is
removed, the procedure is called an excisional biopsy. When only a sample of tissue is removed with preservation of the histological architecture of the
tissue's cells, the procedure is called ... Show more content on Helpwriting.net ...
If the area being biopsied is on the skin, ascalpelwill beused to scrape off a sample.The biopsy may be taken with the assistance of medical imaging
such asultrasound. The medical imaging is used to correctly identify the area of interestso that the sample is taken from the right place.In a
wire–guided biopsy, the imaging is used while fine wires are placed to mark the area which needs to be biopsied, and a surgeon uses the wires as a
guide for asurgical biopsy.
Assess client's response. IV. Diagram/ Illustration
September 12–14,2011Date Que, Honey Sharlotte Clinical Instructor's InitialsIllustration/diagram
NURSING RESPONSIBILITIES Before Procedure:
Before the procedure, you need to discuss a range of issues with your doctor or surgeonincluding:
Medical history, including any prescription drugs, over–the–counter drugs, herbs, vitaminor mineral supplements you may be taking. Some
preparations can interact with surgicalmedications and need to be avoided.
Other tests, such as blood tests or ultrasound scans, may need to be done prior to the biopsy (depending on the nature of the condition under
investigation).
Clean the area where the biopsy is supposed to be done. If hair is present, shave it off.
Inform the patient that he/she will experience discomfort during the procedure.
Instruct the patient to stay completely still during the procedure, if conscious. During Procedure:
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Emr System Proposal
Existing healthcare record system is incomplete and inefficient which cannot provide the reliable and efficient healthcare services to patients. So, the
proposed EMR System's Architecture design is produced by keeping following in mind:
a.After an increased emphasis on needs of integrated prevented care system is versioned,
b.After an increased complexity of medicine, standards of clinical care, shortage of qualified physicians and healthcare delivery is spotted,
c.An increased population which require efficient healthcare system.
The backbone of proposed EMR System is centralization of patient's information which will be securely accessed from any physician's office (after
patient's consent). Therefore, the proposed EMRS is designed ... Show more content on Helpwriting.net ...
For instance, the design has servers that verifies and validates through activate directory of users. Through active directory, access to specific
applications/databases is determined. In addition, encryption and firewall rules will further enhance the security of data. Moreover, 2–factor
authentication feature is designed for remote users accessing EMRS database from remote locations.
Scalability & Extensibility: The modular based design of EMRS offers scalability and extensibility to meet dynamic requirements.
Furthermore, the EMR System proposed in this report is developed while keeping major lessons learned from existing users and developers. The
proposed system is designed to support workflow in customization fashion. It is designed to keep users and stakeholders' needs and users can test or
pilot this EMR System before even make any decision to acquire it. All related hardware is ergonomically designed to fit user's comfort and needs. In
addition, user would not have to spend enormous time to learn this system. Some additional features are:
1.With customizable features to support workflow
2.User can test the EMRS before final procurement decision can be made. The testing feature not only focuses on daily use functions, but also
ergonomics
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Immunization Information Systems At University Of...
Immunization Information Systems at University of Pennsylvania Background The University of Pennsylvania conducted a case study for managing
information privacy and security with their Immunization Information Systems. Healthcare information systems are credited with helping with the
overall improvement of healthcare in the United States today at the same time reducing costs with providing healthcare. Research has now become an
important reason for information systems to provide data needed to target specific patient populations. Immunization programs have been an important
part of saving lives and improve productivity. What is needed is more than just security there is an apparent need for these systems to be an accurate
and accessible... Show more content on Helpwriting.net ...
(Artz, 2007) Smart Objectives The development of an effective information system will require the development of specific objectives. These
objectives in the interest of achieving good public health must be strong enough to monitor progress and achieve the required outcomes. Healthcare
organizations that struggle with the creation of objectives find it difficult with those that measure progress and make sense to all stakeholders. "A
SMART objective is one that is specific, measurable, achievable, relevant and time–bound" (Minnesota Department of Health, 2017, para. 1). The
University of Pennsylvania in collaboration with the Centers for Disease Control has the following objectives that must be implemented no later than
December of 2017. (CDC.gov, 2017) Objectives 1. Support the delivery of clinical immunization services at the point of immunization administration,
regardless of setting. The system will need to provide individual immunization records for authorized users The system should have an automated
function that determines vaccines due, past due or coming due The system should be able to enable the production of reminder–recall notifications
from interoperable systems in accordance with the CDC. 2. Maintain data quality that is accurate, complete, and timely on all immunization and
demographic information entered into the system. The system should
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Evaluation Of Smart On Fhir Website
Evaluation of SMART on FHIR Introduction According to the HealthIT.gov website, the Strategic Health IT Advanced Research Projects (SHARP)
Program is a major collaboration at the University of Illinois at Urbana–Champaign, the University of Texas at Houston, Harvard University, the Mayo
Clinic of Medicine, and Massachusetts General Hospital. SHARP program was chosen as one of the awarded grants to evaluate due to its four clearly
set goals. Those four goals focused on achieving breakthrough advances to address well–documented problems that have impeded adoption: 1)
Security of Health Information Technology; 2) Patient–Centered Cognitive Support; 3) Healthcare Application and Network Platform Architectures;
and, 4) Secondary Use of EHR... Show more content on Helpwriting.net ...
SMART platform project was then created to achieve the goals of 1) Develop a user interface which allows "iPhone–like" substitutability for medical
apps based upon shared basic components; and 2) Create a set of services that enables efficient data capture, storage, retrieval and analytics, which are
scalable to the national level and respectful of institutional autonomy and patient privacy. Mandel et al. (2016) described SMART as an
interoperability project with the distinctive goal of developing a platform to enable medical applications to be written once and run unmodified across
different healthcare IT systems. HL7 FHIR Standard Fast Healthcare Interoperability Resources (FHIR, pronounced "fire") is an emerging HL7
standard that, despite still being in draft status, has gained a tremendous following with significant investments from academic, government, and
commercial sectors. For instance, both Cerner and Epic, the two largest EHR vendors in the United States, have committed to development based on
FHIR. FHIR differs from past HL7 messaging standards in that it takes a more service–oriented approach to information exchange that combines data
(e.g., patient, encounter, practitioner, lab result) with operations that can be performed on them (e.g., read, create, update, query). These operations are
invoked using commodity networking protocols that are simple and straightforward to implement. According to the HL7's
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Root Cause Analysis
Determining the potential issues that cause poor usability require a systematic and comprehensive approach. The key to identifying the root cause of a
usability problem is to combine multiple testing methods. By running separate studies to measure the information architecture and the user interface,
the likelihood of correctly identifying the cause of usability issues is increased. There are several root cause analysis (RCA) tools used for data
collection, data display and analysis, idea generation, problem solving, and risk assessment (Amatayakul, 2017). A good place to start is with
workflow and process mapping. Comparing what the intended process flow was versus what actually happened may lend itself to some valuable
insight. Revelations ... Show more content on Helpwriting.net ...
Naturalness – Naturalness also refers to how familiar and easy an application is to use and to what extent it follows the "natural" workflow of the
system (Hollin, Griffin, & Kachnowski, 2012). Logically structuring interface content based on work flow and highlighting task–critical information
mirrors user work flow in real health care operations. EMR interface design should make entry processes as natural as possible for users and avoid
mismatches between EHR work flow and actual clinical processes.
2.Consistency – Consistency is an important usability principle that should be considered in interactive system interface design in order to reduce
learnability and increase task efficiency. Basic colors and unified form layouts allow users to predict experiences once they learn the patterns of the
system. Standards and conventions in product design should be followed.
3.Minimizing cognitive load – By facilitating efficient information navigation, EHR designers can reduce a user's mental workload and cognitive
processing. This can be accomplished in a variety of ways. Use a design structure matrix that minimizes or eliminates the number of steps to complete
a task. Rank data in terms of importance and presented only highly ranked items on the screen for clinicians. Delete objects on screen and that may not
be relevant to a user's work domain and increase relevant domain–related content. Combine related information and use fewer screens to reduce errors
and task completion time.
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Health Information Exchange Analysis
Health information exchange (HIE) delivers information when and where it is needed to provide improvements in healthcare quality and efficiency.
HIE requires essential coding standards throughout health information management so that information can be accessed, merged, divided and/or
shared with other healthcare organizations. In order to reach interoperability; message, exchange, and terminological standards are a few key attributes
needed. HL7 v2, CDA and RxNorm aid in reaching these standards to achieve HIE. Standards are important because it facilitates good representation
of data and interoperability across systems. It also creates consistency in how we represent data. A large portion of utilizing data is around
data–management and clean–up because data is inconsistently represented. The HL7 v2 standard helps achieve data standardization by having
required segments in messages met so that all relevant information delivered can be interpreted clearly by the receiving party. HL7 v2 messages use a
non–XML syntax that is based on segments separated by one–character delimiters. While not all segments are required, it is pertinent to have agreed on
relevant segments, limit over–customization, and overcome implementation challenges. What type of systems exchange HL7... Show more content on
Helpwriting.net ...
CDA is an XML–based document markup standard that specifies the structure and semantics of "clinical documents" for the purpose of exchange
between healthcare providers and patients. CDA content is composed of two main parts. First, the textual part, which is mandatory, and allows for
human interpretations of the content. Second, the structured part, which is optional, and based on coding systems to represent concepts for software
processing. SNOMED and LOINC are examples of coding systems used in structured parts. What type of systems exchange CDA's? Add one sentence
concluding how this is important to
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Integrated Audit Practice Case 5th Edition Solutions Essay
Integrated Audit Practice
Case 5th Edition Solutions
Free PDF eBook Download:
Integrated Audit Practice Case 5th Edition Solutions
Download or Read Online eBook integrated audit practice case 5th edition solutions in PDF Format From The Best User
Guide Database
5th Edition (2011); Armond Dalton IntegratedAudit Practice Case (group mark). 15% . Attempting homework before looking at the solutions will test
your. Integrated Audit Practice Case, 5th edition, by Kerr, Elder & Arens (ISBN No.
978–0–. 912503–35–6) identify issues and to research solutions. 6. Understand the . Integrated Audit Practice Case, 4th edition, by Kerr, Elder &
Arens (ISBN No. 978–0–. 91–250325–7) identify issues and to research solutions. 6. Understand the . ... Show more content on Helpwriting.net ...
Dessalegn Getie Mihret.
Department of Accounting and Finance, Faculty of Business and This PDF book provide ethiopian study guide. To download freeinternal audit
effectiveness: an ethiopian public sector case you need to register.
Peach Blossom Cologne Company: Short Audit Case, 1998
Peach Blossom
Cologne Company:
Short Audit Case,
1998
Aug 9, 2013 – Short audit case the Valley Publishing Company, Ben B. Barr, Inspiration Your Ultimate
Calling, Wayne W. Dyer, Jun 20, 2007, Self
–Help, 255 . This PDF book provide help with valley publishing company audit case guide. To download
free peach blossom cologne company: short audit case, 1998 you need to register.
Peach Blossom Cologne Company: Short Audit Case, 1998
Peach Blossom
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Calling, Wayne W. Dyer, Jun 20, 2007, Self
–Help, 255 . This PDF book incorporate bible lesson wedding banquet kids activities guide. To download
free peach blossom cologne company: short audit case, 1998 you need to register.
NARUC Rate Case and Audit Manual Institute of Public Utilities
NARUC Rate Case
And Audit Manual
Institute Of Public
Utilities
Rate Case and Audit Manual Prepared by NARUC Staff. Subcommittee on Accounting and Finance
(2003). 1 FOCUSING THE AUDIT. . OPERATING EXPENSES
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Case Study Patient Referral
Patient Referral Case Study The referral of a patient to care outside of your practice is an importance decision for a primary care manager (PCM)
in the care of their beneficiaries. The referral decision must include not only whether that patient would be best since by a specialist, but by which
specialist (Kinchen, Cooper et al. 2004) the beneficiary would best benefit. In order to ensure the best care from the specialist effective patient
information must be exchanged between care providers in a timely manner. Health Information Exchange (HIE), which is also known as "Summary
of Care", is an objective that is required for eligible professionals (EPs), eligible hospitals and critical access hospitals (CAHs) that are taking part of
the Electronic Health Record (EHR) Incentive Program from 2015 until 2017 under Meaningful Use Stage 2 (MU2). The objective contains one
required measure for participation in the program. The measure is: certified EHR technology (CEHRT) must be used to create a summary of care
record which is to be used transmit care information between entities involved in the care of the patient referred (Services 2016). The items that must
be included in the Summary of Care documents, provided the referring provider knows the information, are shown in Table 1 (Mostashari 2012,
Services 2016). Currently the standard format that has been adopted for Summary of Care documents follows Consolidated Clinical Document
Architecture (C–CDA) guidelines.
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Xacc/280 Week 6 Cloud Auditing
Your paper this week should explain in your own words the responsibilities of auditors in understanding the security risks facing their organization
with the use of cloud services. How has auditing's role changed as we've moved from client–server architecture to the cloud model? Include steps
auditors must take to assess the level of compliance of the CSP with standards. Provide examples of how auditors assure due diligence when it comes
to security and risk. Some of the characteristics that affect organization's audit by cloud computing services are: Cloud services are never dependable
they are easily transformable and by which it can change the entity's organization processes and internet command over financial reporting during
broadcasting period. Majority of organizations migrate to cloud because it is very easy to deploy, cost efficient and readily available throughout an
entity. It may result in cloud environments being applied with low involvement or minimal control by entity's IT department and thus may... Show more
content on Helpwriting.net ...
Without an Internal Audit Group to shepherd the IT's activities and guarantee that they stay agreeable with the security administration systems to
which the association has submitted, the presentation of danger could be intemperate and a genuine risk to the fruitful operation of the association. The
Audit's presentation and Compliance Framework denote a noteworthy change in the Office's audit hones. Further, it reasoned that the presentation of
the graduated danger based methodology has met global principles and speak to best work on, bringing about a viable and effective audit
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Hospital Information Security
A hospitals HIM director needs to understand how to maintain the integrity and security of all financial and clinical data as it travels seamlessly across
a network of different applications. For this to happen, the applications must first go through a hardwired translation process to ensure proper
communication between the various software systems; this is called integration. However, none of this is possible without interfaces which connect the
multitude of hardware devices and software applications that are used throughout the different departments in a hospital system. Information security is
another major concern the director of HIM has to account for during the system selection process. Confidentiality and privacy of personal health...
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During the system selection process, the HIM director should choose a vendor that offers full interoperability. "The Office of the National Coordinator
for Health IT (ONC) defines interoperability as ensuring that health–related information flows seamlessly. Information needs to follow the patient
regardless of geographic, organizational, or vendor boundaries. Interoperability refers to the architecture or standards that make it possible for diverse
EHR systems to work compatibly" (American Health Information Management Association, 2013). The system should include standard functional
interface capabilities to ensure data integrity, and privacy is kept between different departmental and care setting information systems. For example,
can the proposed vendor support the transmission of data to and from various department information systems? Accurate lab results need to be
populated into the patients' health record, and pharmacy orders are sent to the automated drug dispensing machines and show up on patient's
medication profile so that nurses can administer the right drug at the appropriate dosage and then document
... Get more on HelpWriting.net ...

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The Vision For Vital Connect Programs Essay

  • 1. The Vision For Vital Connect Programs Essay 4. RESOLUTION The vision for vital connect program is to create a model for coordinated, collaborative and coordinated patient care system. This model can be implemented by creating a well structured and connected province–wide health information technology solution. This HIT solution will consist of following: Provincial clinical information system E–referral system Personal health portal 4.1 Provincial clinical information system EHR is defined in the Health Information Act (HIA)[4] as " the interconnected electronic health information which is developed to be shared across authorized users in a secure environment ." By creating a vast network of interconnected repositories, EHR will provide a easy access to health information about individual patients to care, providers.To create a province–wide clinical information system, the first challenge is to connect individual Electronic Medical Records (EMR) that may be concise to a particular healthcare facility. Currently, more than 1200 standalone EMR systems exist within Alberta Health Services (AHS), with very few of them interconnected and most of them outdated. The vision to create a province–wide fully connected clinical information system can be fulfilled if all these stand–alone systems are updated and attached to each other to facilitate seamless flow of information and instructions. There are various advantages to using provincial CIS: Better Patient Care Increased efficiency Better quality of care ... Get more on HelpWriting.net ...
  • 2. Lifelong Personal Health Data And Application Software Via... Summary of the academic paper "Lifelong personal health data and application software via virtual machines in the cloud" by Van Gorp, P & Comuzzi, M The authors emphases their research on exploring and presenting a novel prototype system which would provide opportunities for patients to access their Personal Health Records (PHR) regardless of location and time and, also very importantly to share this information with relevant health practitioners and institution. They identify that "Cloud computing offers unique opportunities for supporting long–term record preservation" . The authors further argued that the latest cloud technology would be the best solution architecturally to access PHR data from virtually any device. They state that ... Show more content on Helpwriting.net ... With the radiology case, the authors used real patient data collected over the past 15 years to show that real savings could be made if patients were able to show their PHR history to every specialist, as record shows duplication in scan exams. The authors were certain that this indicates that there is no data integration between different health institutions. In the second use case they refer to the importance of PHR data privacy, and how this data, if revealed to organizations like employers or banks could compromise relationships with these institutions. The authors establish that the cloud setup would meet all requirements extracted from those two use cases: particularly a patient's ability to share PHR with any medical institution from any physical location and at any time, and also patients providing and assigning access to relevant health institution whilst ensuring that data will not be used inappropriately. Based on those requirements, the authors argue that current PHR systems only meet part of the requirements but not the whole set of them produced from real 2 case studies From the requirements, the author's derived prototype for MyPHRMachine technical architecture, requires a Java enabled browser or native RDP client. The authors explain that cloud technology would be used for MyPHRMachines allowing patients to build ... Get more on HelpWriting.net ...
  • 3. Evolution of Health Care Information Systems Evolution of Health Care Information Systems Health Information Systems HCS/533 April 21, 2013 Evolution of Health Care Information Systems The evolution of the health care information systems (HCIS) since 20 years ago had a profound impact in how health care is deliver today. In the mid–60's health care information system began its history with President Lyndon Johnson signing of the law that provides medical coverage to the poor, the elderly, and the people with long–term disabilities through Medicare and Medicaid programs. This revolution brought along the Computer system technology to speed the billing and reimbursement from Medicare and Medicaid. The health care system notice the necessity to improve the billing process ... Show more content on Helpwriting.net ... Similar to any other industries, the nature of healthcare industry has changed over time from a relatively stable industry to a dynamic one. And health information systems have evolved through several different technologies" (Almunawar & Anshari, 2011, p. 1) 20 years ago these technologies did not exist in many hospitals and organizations including the Veteran Hospital Administration for that reason many hospital suffered multiple medical errors, loss of documentations, time consuming for providers and staff at the time of updating patient's document records, more workload, unable to make reports, the collecting of data was poor, and decreasing hospital revenues. The majority of health care documents 20 years ago including the Veteran Hospital Administration were hand–written with carbon copy to be store or send to pharmacy for prescriptions. In the Mid 60's the Veteran Hospital Administration was using paper based documentation and medication cards making the billing process difficult and increasing the workload. In the past the roles of computers in the health care industry was marginal, and normally use just for administrative and human resources purposes. Two major events that influenced current health care information systems was the implementation of the health information technology (HIT) and electronic ... Get more on HelpWriting.net ...
  • 4. The Patient Monitoring System The Patient Monitoring System The patient monitoring system defined in the problem was developed 5 years ago. That means it was developed somewhere in the year 2009. C32 was the standard at that time. Consolidated Clinical Document Architecture (CCDA) was not developed until 2011. This means that the system was never designed by keeping meaningful use of EHRs in mind. Hence, it should be difficult for the system to pass all the criteria of meaningful use. Since the criteria described in Stage 1 of meaningful use are present in Stage 2 as well, only Stage 2 will be discussed in the following section. Problematic Meaningful Use Certification Criteria Following is a list of Meaningful Use certification criteria that will likely be problematic for the patient monitoring system of the ICU in Stage 2 attestations: Transitions of Care The EHR technology used in patient monitoring system must be able to receive, display, transmit and incorporate transition of care document. For this, the system must use the specification for such documents. Since this system is fairly old, it will not support the structured documents that are supported by new systems. Electronic Prescribing Electronic prescription allows the user to create a prescription electronically. The user can attach all kinds of information to this electronic prescription. Again, the structured document used by this system is not in conformance with the current standards and hence will be problematic in Stage 2 ... Get more on HelpWriting.net ...
  • 5. The Preferred Format For Clinical Health Information The preferred format for clinical health information is Health Level Seven (HL7) Clinical Document Architecture (CDA) for both Personal Health Record (PHR) and Electronic Medical Record (EMR). It is XML–based format identifies the encoding, configuration, and semantics of a clinical file. Blue Button+ Direct implementation ensures ease of transmission of medical records to a third party by the health care provider or patient. Direct uses SMTP, S/MIME, and X.509 licenses to maintain security, data reliability, privacy and verification of sender and receiver. Additionally, it meets the requirements for Meaningful Use (MU) Stage 2 of View, Download, and Transmit (VDT) that is required for certified electronicmedical record (EMR) ... Show more content on Helpwriting.net ... PHRs can contain medical information from the patient, whereas an EHR contains medical records, medical history, patient demographics, medications, vital and weight, and diagnosis. Some PHRs are obtainable by covered entities under the Health Insurance Portability and Accountability Act(HIPAA) Privacy Rule. The HIPAA Privacy Rule applies to these types of PHRs. However, in the cases where PHRs are not offered by HIPAA covered entity, it becomes the responsibility of the PHR vendor to establish privacy policies and follow any laws that may apply protecting the data in the PHR (HHS, 2003). HIPAA covered entities are regulated by the Privacy Rule on how they access the PHR to enter health information. Furthermore the Privacy Rule oversees the use and disclosure of an individual's protected health information (PHI) and EHR, gives individuals certain rights to their health information, and requires the cover entity to appropriately safeguard health information. Covered entities may hire a third party entity, as a business associate, to administer the PHR and its related tasks. The covered entity must ensure that the information will be appropriately safeguarded by the business associate through a contract or agreement. The business associate nor the covered entity can release information for any ... Get more on HelpWriting.net ...
  • 6. Joint Legacy Viewer (JLV): Feasibility Study Feasibility Study SCQC Environment: Joint Legacy Viewer (JLV) 2 June 2015 Prepared By: Valytics LLC 10758 Riverscape Run Great Falls, VA 22066 Version tested: JLV v2.3.0.9 Hardware requirements (memory, HD space)? ===================================================================================== Begin template http:/ /www.projectmanagementdocs.com/project–initiation–templates/feasibility–study.html#ixzz3eYfxjQy6 ===================================================================================== 1. Executive Summary The Joint Legacy Viewer (JLV )is a patient–centric, web presentation system that pulls information from disparate health–care systems in real time for presentation in a browser design.... Show more content on Helpwriting.net ... It is widely used to transmit arbitrarily structured data in mixed client/server environments. XML and HTML are compatible members of a family of markup languages called Standard Generalized Markup Language (SGML). HTML is an SGML language with a specific Document Object Model (DOM) focused on describing hypertext documents. Document Object Model (DOM) is a dictionary and grammar for interpreting HTML. A DOM describes HTML elements and their attributes and properties and how they are used to create web pages. JavaScript Object Notation (JSON) is a language–independent system for representing data objects, although it is based on JavaScript. It is simpler than XML and is often used as an alternative to XML in Ajax applications to transfer data objects between a server and a script running in a user's browser. Ext JS is a JavaScript UI library that uses HTML and CSS to build its UI controls and widgets. Ext JS has a complete suite of layout management tools that allow full control over organizing and manipulating the UI as requirements dictate. Dynamic Content Creation (CGI) Utilizing all of the above components, the web content can reload without a complete page refresh for updated data received. It generates html for new text, hyperlinks and tables rows. It does not create any additional scripting. 5.2 Server–side ... Get more on HelpWriting.net ...
  • 7. What Are The Advantages And Disadvantages Of Electronic... Digitization has transformed the world order almost in every sector, including health sector. There are numbers of Information and Communication Technology (ICT) based tools and applications in the health sector. Electronic Health Record (EHR), one of such popular ICT based systems, is an electronic record system that acts as a depository of patients' past and present medical records. Clinical documentation, clinical test and imaging results, computerized order entry system and decision support system are all comprised in EHR (Hayrinen, Saranto & Nykanen, 2008). Thus EHR can construct an errorless data management system for quality, safety and efficienthealth sector. EHR have both merits and demerits. From merit prospective, trying to avoid the fragile ambiguity of human mind to process larger amount of data EHR will help the physicians. Patient can achieve the leverage of esthetic knowledge in ... Show more content on Helpwriting.net ... n.d.b). As one of the third world countries, Bangladesh face a daunting challenge to provides a healthier health service. Over 159 million people live in Bangladesh; population density is 881 people per square KM, more than 60% people lives below the poverty line, and 77% people lives in rural areas (Siddiqua & Awal, 2012). The doctor patient ratio is 1: 2000 (Directorate General of Health Services, n.d.a), thus, the Bangladesh is one of 55 countries which have a shortage of health workforce (Hoque, Mazmum & Bao, 2014). As a result, on aggregate level almost 40.21% people obtain their treatment from dispensary or pharmacy, 24.46% visit private doctors, 14.34% go to government doctors and 15.57% people are not getting any treatment at all (Sikder et al., ... Get more on HelpWriting.net ...
  • 8. Evaluation Of Integration Technologies For The Healthcare... Evaluation of integration technologies In an attempt to provide a clear perspective of the available technological approaches that can be implemented in the healthcare supply chain, this section discusses the overall advantages and disadvantages of each integration technology, in particular, message– and object–oriented technologies. Electronic data interchange For many years, EDIFACT has been the most widely used protocol for EDI messages. Many healthcare organisations, as well as businesses in other industries, have used the EDI approach in order to exchange specific domain documents towards the elimination of labour–intensive tasks. Generally speaking, EDI facilitates the application–to–application electronic exchange of syntactically structured data–oriented documents. However, over the years it has become apparent that healthcare communication standards, such as EDI messages, fail to effectively establish requirements for the internal structure and architecture of communicating systems, requiring the information in any one system to be mapped twice: once into the message standard format by the contributing system, and once back into the internal representation of the receiving system (Dudeck, 1998).Although the EDI approach achieves integration at the data level, it does not provide process integration. Thus, it has been characterised by many as a complex technology owing to the daunting task of the mapping activity. Moreover, it does not provide high flexibility, ... Get more on HelpWriting.net ...
  • 9. List Of Figures And Functions Requirements List of Figures Figure NumberFigure Figure 1Number of recruiting studies and percentage Figure 2Clinical Trials Figure 3MediData Figure 4Mongo DB Figure 5Word Cloud Figure 6Search results Figure 7Google Charts Figure 8State of Art Figure 9center watch website Figure 10FDA website Figure 11National Library of Medicine Figure 12Clinical Trials website Figure 13Mediate website Figure 14PERT Chart Figure 15Agile Software Development Figure 16Architecture Design Figure 17Use case Diagram Figure 18Database Design Figure 19Periodic update of database Figure 20Connectivity Interface Diagram Figure 21User interaction flow diagram Figure 22UI Mockup Figure 23Component diagram Figure 24Test plan cycle Figure 25Testing with... Show more content on Helpwriting.net ... Millions of researches are being carried out across the world. Hence the scope is very limited for a person/organization to follow all the studies going on. Even if you track a study, it becomes a real problem to analyze data that is being updated continuously on that trial. Apart from this problem, there are many other obstacles like inaccurate results in search of a particular medical problem and even if you do find accurate results, it becomes hard to put all information at one place retrieved from various sources. In order to overcome the above problems, we are developing a one–stop clinical trials user–friendly application that addresses all the related problems. In addition, we plan on providing a platform for business users to analyze the stocks of the companies that are conducting the clinical trials. Business users can benefit by making use of these analyses to make right choice before investing on a stock. When a company starts the research on any disease, its stock prices see a change relative to this research. If the research seems useful and helpful for the society, it grabs the attention of the investors thereby, increases the stock prices of that firm. This analysis is carried out in this project. 1.2Problem and motivation There are numerous clinical trials being conducted around the world every day. In spite of the technological advances like Internet, ... Get more on HelpWriting.net ...
  • 10. The Importance Of Order Sets Order Sets Seeing that order sets are part of the new record is the responsibility of the EHR team. Thus, by following The Center for Medicare and Medicaid Services (CMS) 2013 optional measure for CPOE, EHR will obtain meaningful use and order sets used will create a protected and efficient way to enter patient information and order medications, labs, etc. Also, referred to as Meaningful Use Stage 1, using a measure of greater than 30 percent of specific patients with one or more medications in their EHR seen by a health care professional, has one medication order using CPOE (HealthIT, 2015) [Click and drag to move] . Another method to ensure order sets are part of the new record is to follow the Meaningful Use Stage 1 Changes Tip sheet... Show more content on Helpwriting.net ... And, by quickly checking off boxes on the checklist, selections will automatically correspond to an approved process worksheet you can access from a link on the page for improvement modifications if necessary(The Office of the National Coordinator for Health Information Technology, 2016) [Click and drag to move] . Furthermore, using multiple avenues for internal communications may be necessary, as well as meetings and training sessions for ultimate success during this transition. As well as, ongoing communications during the entire process so the staff team members are aware of the changes and the schedule for the changes. And, the important details are: Schedule of changes and who it affects The technology used in the process Training schedule Computer tracking of work achieved (HealthIT, 2014) [Click and drag to move] Indeed, consideration for all communication channels is important. For example, meetings, email, desktop messaging, visual screensaver messages, computer surveys, computer desktop ticker with implementation updates scrolling, and internal newsletters (SnapComms, 2017) [Click and drag to move] . On the other hand, providers while in the exam room should follow the five communication practices designed by the National Learning Consortium (NLC) to foster a effortless integration and transition of computers into their practice: Allow patient to look on computer ... Get more on HelpWriting.net ...
  • 11. The Defense Of Defense Health Agency Essay The Department of Defense has multiple components supporting our nation with servicemen, servicewomen, and their dependents around the world and in support of the United States of America. The healthcare of these individuals is a critical mission for the United States of America. There was a time in recent history that each component of the United States of America military was the responsibility of each component of the armed services. Recently the United States of America determined that the health care of the service members and their families need a centralized health care agency. On October 1, 2013, the Defense Health Agency was established. This research paper will discuss the primary role and purpose of the Defense Health Agency and how it performs the critical mission of serving the health needs of the Department of Defense. Company Description The Defense Health Agency is a multi–service, integrated military agency that enables the Army, Navy, and Air Force to provide medical services and medically ready force to Combatant Commands in both peacetime and wartime. The Defense Health Agency ensures the delivery of integrated, affordable, and high–quality health services to Military Health System beneficiaries. The Defense Health Agency is responsible for driving greater integration of clinical and business processes across the Military Health System. The Defense Health Agency accomplishes this mission by implementing shared services with common ... Get more on HelpWriting.net ...
  • 12. Business Analysis : Health Care Industry Table of Contentsоїї Word did not find any entries for your table of contents. In your document, select the words to include in the table of contents, and then on the Home tab, under Styles, click a heading style. Repeat for each heading that you want to include, and then insert the table of contents in your document. To manually create a table of contents, on the Document Elements tab, under Table of Contents, point to a style and then click the down arrow button. Click one of the styles under Manual Table of Contents, and then type the entries manually.оїѕ Executive Summary Health–care industry needs several reforms, especially in cost management strategies, in order to survive in a bruised–economy of 21st... Show more content on Helpwriting.net ... This business report details how SaaS delivery of "intelligent" healthcare cost containment solutions offers deep and significant impact from a business, technology and economic perspective. The organization will be able to increase recoveries in less time and at lower cost, a beneficial plan for Queensland Health which is looking for to innovate their larger healthcare cost management strategies. After implementation of SaaS the organization can achieve greater operational efficiency as a result of effective interaction and decreased paper work among xxx. Additionally, improved ability to access information creates integrated ecosystem which is more reliable and accurate. Through Usable, flexible and scalable systems Queensland Health will manage to gain incremental cost saving without concern of growing patient base. However, before implementation of SaaS Queensland Health need to pay close attention to several factors such as terms of Service Legal Agreement, data security and selection of experienced on–demand software provider for which offers suitable healthcare customization. It should be noted that sufficient project governance has an utmost importance for successful implementation of SaaS. Introduction HealthCare Industry is witnessing a surge in the adoption of cloud computing and software on–demand is expected to bring about a revolution in the healthcare IT market. Meanwhile, hospitals are expected to deliver more while reducing ... Get more on HelpWriting.net ...
  • 13. Designing A Model For A Computer As A Soft Copy And The... In the literature analysis, alternates are used to differentiate between the characteristics of the information that had been saved in files on a computer as a soft copy and the information that had been saved in less thoroughly reviewed outlet. This review identifies more focused literature requirements for the literature survey phase of the research. More specific topics give a solid background and knowledge to develop a model and methodology to solve the research problems. The study of this research builds the prototype model. Building stage is the phase of the requirements, design, specifying software tools, and designing the interfaces. Prototyping stage is the phase of coding and testing. The study of this research will prove that the model works. The model provides prototyping stage developer with outlines to follow. There are three approaches. The first is top down. That is, the research starts from the top component and ends with the bottom component. The second is bottom up; the research starts from the bottom component and ends with the top component. The third is hybrid; the research starts from the middle of the model and ends with both the top and bottom components. 2.1 Health Informatics When physiology is defined as 'the logic of life', and pathology is defined as 'the logic of disease', then health informatics means the logic of healthcare. Health informatics is the study of how clinical knowledge is established, formed, shared, and employed. It is ... Get more on HelpWriting.net ...
  • 14. Getting Successful Universal Ehr Is Not Just Technology... Getting successful universal EHR is not just technology selection, implementation question it needs to address many other aspects such as physician's acceptance, policy/laws, incentives, security, and privacy and training issues before we can concentrate or focus on technology selection and implementations. The ecosystem should be ready with all these critical elements addressed only then successful EHR implementation can sustain in US. First and foremost there is a need to have consistency around the state/federal and HIPPA regulations which defines security and privacy issues in US. Due to conflicting requirements in these regulations mass acceptance of any medical system/technology cannot be effectively done. Second biggest issue for universal EHR adoption is the acceptance of EHR by physician's communities. The benefits of EHR has been identified and acknowledged by medical communities at large however the rate of adoption and use after implementation is sluggish. The biggest common contributor for implementation, design and use of EHR systems is physician. Physicians should be properly trained and emphasis on continual education should also be placed through continuing education credits. Unless small physician office (stand–alone offices) buy–in the adoption of EHR no matter what technology and processes we have in place, EHR won't be universally accepted and the entire benefit and value associated with EHR can be realized with universal acceptance of EHR. Thus need for ... Get more on HelpWriting.net ...
  • 15. Inrodction to Health Services and Information System Introduction to Health Services and Information Systems Barnabas Health is a nonprofit nonsectarian hospital own by john F. Bonamo, MD, MS President and CEO. It's New Jersey's largest integrated health care delivery system. It includes Clara Maass Medical Center in Belleville; Community Medical Center in Toms River; Kimball Medical Center in Lakewood; Monmouth Medical Center in Long Branch; Newark Beth Israel Medical Center in Newark; Barnabas Health Behavioral Health Center in Toms River; and Saint Barnabas Medical Center in Livingston. The System also includes the Barnabas Health Outpatient Centers with the Barnabas Health Ambulatory Care Center in Livingston and the Saint Barnabas Family Imaging and Breast ... Show more content on Helpwriting.net ... A team of clinical adoption strategists from Cerner met with representatives at the acute care hospitals. These process team leaders, who are subject matter experts for the team they represent, will serve to ensure that all designs, decisions, and work flow changes are discussed at the hospital level and communicated so all have an equal voice in this project. These process team leaders will meet with all levels of staff at their hospital to gather information related to current processes and practices. The IT Clinical analysts are assigned to work with each process team to facilitate, gather, and support completion of assigned tasks. This information will be shared with all other process teams at weekly meetings as they work to implement a standardized, enterprise wide clinical information system. Cerner Solution Architects or SA's, are assigned to each team and will guide us through this process every step of the way. This is an exciting time for Barnabas Health as they move along a path focused on clinical excellence, connecting our hospitals to provider offices, and building an architecture that supports the capture and sharing of real time information. We are pleased to have a staff, both clinical and technical, ... Get more on HelpWriting.net ...
  • 16. Big Data And Analytics Analysis BIG DATA AND ANALYTICS: The emergence of new technologies, applications and network systems makes it hard to run the current business models and huge data types, and thus emerged various types of analytic tools like Big Data, which make this work easier by way of proper organization of data. Big Data is all about analyzing different forms of data (Structured, Semi–structured and Un–structured) and it is not about the procedure, creation or consumption of data. Definition of Big Data: "Big Data technologies are the new generation of technologies and architectures that are designed to economically extract value from very large volumes of a wide variety of data, by enabling high velocity capture, discovery and/or... Show more content on Helpwriting.net ... Velocity: Refers to the speed of data processing. There is huge demand to analyze the data on a more regular basis and at a faster pace. This 3v's model has several challenges of big data management, which result from the expansion of all the above properties, rather than just the volume alone. Big Data Technologies and Analytics: Big Data is now going to be the mainstream, as a result various new technologies have come into the market. The table below is an overview of them: We are currently using Hadoop and Data warehousing as a means for analysis of huge data sets in my organization. I work for a Population health management company which is a health care IT organization. There are various sources from which we receive data for analytics some of them include: Ambulatory, Inpatient and Outpatient EHRs. Pharmacies. Labs, Radiology and other testing services. Physical Therapy and Rehab services. Nursing homes, PCMH and extended care facilities/ Disease registries Behavioral health and hospice care. Patient generated data Public health agencies Specialty and sub–specialty practices. Few other Big data sources beyond HER include genomics, Combination data from multiple body systems and Social determinants of health like economic status and insurance eligibility. Different types of Analytics: There are mainly ... Get more on HelpWriting.net ...
  • 17. A Brief Note On The Migration Of Patient Health Records Samara Zamora Final Project Steps Involved in Migration of Patient Health Records A hospital in Orlando, FL has decided to switch from a paper–based system to an electronic health record system. An electronic health record is a computerized, accessible record that contains multimedia data (scanned images, digital, video, voice, and so on) about the patient; it is basically the patient's paper chart. EHR's are real–time records which allow instant availability to those who have authorized access to the EHR (Bowie, 2011). There are many reasons for a hospital to want to change from paper records to an EHR; the usual primary reason is to improve medical documentation. First and foremost it is important to establish what the hospital's primary reason is to establish an EHR. Knowing this will make the transition smoother and faster because of comprehensive EHR software and hardware installation that is comprised of a number of different components (Medflow). The steps involved in the migration of patient health records from a paper–based system to an electronic health record in a hospital setting are as follows: 1.It is important to have an estimated project budget for the transition, having this will prevent delays or cost overruns later. 2.The hospital might need to hire an outside company or decentralize document imaging at different locations in the practice. If an outside company is hired records are sent offsite to be scanned and converted, the hospital needs to ... Get more on HelpWriting.net ...
  • 18. Information Technology Systems, Their Performance And Risk... –According to Richard Brisebois, Greg Boyd, and Ziad Shadid, "IT Governance focuses specifically on information technology systems, their performance and risk management. The primary goals of IT Governance are to assure that the investments in IT generate business value, and to mitigate the risks that are associated with IT. This can be done by implementing an organizational structure with well–defined roles for the responsibility of information, business processes, applications, and infrastructure." (Brisebois, Boyd, and Shadid, n.d.). IM/IT priorities recently changed to concentrate on the integration of systems across several facilities, computerization of patient records and improve decision support for clinicians and managers. The IT Governance Institute business models developed an in–depth value realization process, directing IM/IT leadership to obtain their goals, and guides organizations make business decisions accurately and timely. The five primary components of a healthcare IM/IT governance includes 1) Developing a consistent IM/IT strategy, 2) Aligning IM/IT with organizational strategy, 3) Developing IM/IT infrastructure, architecture, and policies, 4) Setting IM/IT project priorities, and overseeing investments in IM/IT infrastructure, and 5) Using IM/IT benefits assessment to enhance accountability. The first component, Developing a Consistent IM/IT Strategy, information systems supporting the strategic goals, objectives, and priorities of the ... Get more on HelpWriting.net ...
  • 19. Compare And Contrast Ccd And Ccr Compare CDA, CCD, CCR, describe each of them and who uses these standard for what purpose? CDA stands for clinical documentation architecture is a documentation standard that is overseen or governed by the HL7 organization. This XML based standards holds the intended use of encoding, semantics and even structure for clinical documentation exchanged. CDA is certified under ASNI–certified standard through HL7 international. With CDA, it specifies the given framework with full semantics of the clinical documentation. These clinical documents would have the following six characteristics. Persistence Stewardship Potential for authentication Context Wholeness Human readability Some CDA may contain clinical notations, discharge summaries, imaging reporting's, ... Show more content on Helpwriting.net ... The primary purpose for CCD is for the exchange of information when a patient is transitioning from one care setting to the next. CCD allows for the development of clinical data by our physicians so that they are able to transmit electronic health information to other providers especially in the instances of transition of care or medication reconciliation. CCR helps with the prevention or loss of data meaning which ultimately improves patient care all together. To specify patient summary data of the continuation of care document includes demographic, clinical information facts, health encounters and administrative information. CCR stands for Continuity of Care record. This health record standard was collaboratively developed by the healthcare information and management systems society or HIMSS, American Academy of Family Physicians, ASTM international and otherhealth informatics vendors. The continuation of care records helps with the involvement of the patient, allowing each individual the opportunity to manage their own health while reducing the likelihood of error. This patient summary ... Get more on HelpWriting.net ...
  • 20. Framework For Clinical Decision Support Systems With... tual Framework for clinical Decision Support Systems with Considering the Distributed Electronic Health Records and Centralized Knowledge Engines Hassan Ghaedi1,*, Hassan SHakeri2, Elham Gholami3, Alireza Chamkoori4 1,4Department Of computer, Khormuj Branch, Islamic Azad University, Khormuj, Iran *Hassan.ghaedi@yahoo.com chamkoori_alireza@yahoo.co.uk 3Department Of computer, Shirvan Branch, Islamic Azad University, Shirvan, Iran Gholami.elh@gmail.com 2Department Of computer, Mashhad Branch, Islamic Azad University, Mashhad, Iran Hassan.shakeri@gmail.com Abstract: In this paper, a new Clinical Decision Support System (CDSS) Framework was proposed which satisfies the compatibility, interoperability, and scalability objectives of EHR. The system will also have a set of Distributed Electronic Health Records and centralized Knowledge Engines. These Electronic Health Records are minimized and distributed In some parts of the country Knowledge Engines are centralized and work together. Each centralized Knowledge Engine is specialized in a specific domain. Index Terms– Clinical decision support systems, Electronic Health Record, Knowledge Engine, decision making I.INTRODUCTION A Decision Support System is an interactive computer–based system intended to help decision makers utilize data and models in order to identify and solve problems and make decisions [1]. AClinical Decision Support System (CDSS) is an active knowledge system, where two or more items of patient data ... Get more on HelpWriting.net ...
  • 21. Health Information Technology Introduction: Office of National coordinator for Health Information Technology (ONC) has funded this program to find breakthrough innovations in the field of Health Information Technology (IT). This research program was awarded $60 million and this program is divided into four focus areas. This program brings together researchers, healthcare providers, and other health IT sector stakeholders in order to transform the research products into practice. This program is designed to improve quality, safety and efficiency of healthcare using advanced information technology. According to Healthit.gov "current adoption rates of health IT in different states we see that some states are better than others" [1], hence this program is designed to find the factors that are hindering the adoption of health IT and the products developed using this project should help propagate the growth of health IT. This program has both short–term and long–term related goals hence they focus both on current and future needs of health IT products. I have selected this program because it is important to understand the factors that are effecting healthcare practices health IT adoption and work towards analyzing and finding solutions to those problems, so that there is a 100% rate of adoption and data flow is seamless between the healthcare practices. This program helps keep the maintenance cost of the products developed to minimal as it focuses both short and long term needs. There are 4 focus areas to ... Get more on HelpWriting.net ...
  • 22. Data Quality Management : The Business Processes That... Data Quality Management: The business processes that ensure the integrity of an organization 's data during collection, application (including aggregation), warehousing, and analysis. While the healthcare industry still has quite a journey ahead in order to reach the robust goal of national healthcare data standards, the following initiatives are a step in the right direction for data exchange and interoperability: Continuity of Care Document (CCD), Clinical Documentation Architecture (CDA) Data Elements for Emergency Department Systems (DEEDS) Uniform Hospital Discharge Data Set (UHDDS) Minimum Data Set (MDS) for long–term care ICD–10–CM/PCS, Systemized Nomenclature of Medicine–Clinical Terms (SNOMED CT), Logical Observation Identifiers Names and Codes (LOINC). Data Quality Measurement: A quality measure is a mechanism to assign a quantity to quality of care by comparison to a criterion. Quality measurements typically focus on structures or processes of care that have a demonstrated relationship to positive health outcomes and are under the control of the healthcare system. This is evidenced by the many initiatives to capture quality /performance measurement data, including: The Joint Commission Core Measures Outcomes and Assessment Information Set (OASIS) for home health care National Committee for Quality Assurance 's (NCQA) Health Plan Employer Data and Information Set (HEDIS) Meaningful Use–defined core and menu sets These data sets will be used within ... Get more on HelpWriting.net ...
  • 23. Questions On The Healthcare System Discussion Questions 1.As the healthcare system prepares to select a outsource company as its vendor for this project, what types of information should it give to and gather from each vendor under consideration? An request for information (RFI) is typically used as a pre–screening tool and is generally sent to a large number of vendors who EHR systems could potentially meet the needs of the organization. Essentially, it is used in the planning process to eliminate vendors. Typically, the scope of an RFI includes vendor background information, system technical architecture, interoperability & health information exchange, system features and functionality, specific patient centered care functions are features (what's makes your product different), typically implementation process and install time; and lastly training and support. Once the vendor list is eliminated to a select few, an RFP is issued to those vendors. RFP is generally a request is more specific details on the system requirements and provides guidelines for vendors to following bidding. Typically, the RFP includes 1) instructions for vendor bidding, 2) organizational objectives, 3) organizational background and description of the facility including departmental applications and current infrastructure, 4) the type of system and applications being sought along with necessary requirements, 5) vendor qualifications with background information, experience, number of installs, financial reports, and ... Get more on HelpWriting.net ...
  • 24. The CCR and CCD Contain Some of the Same Standard Rules Essay One of the demands in healthcare today is to have the ability to allow healthcare organizations to exchange patient health related information with other healthcare organizations. This was made possible by the creation of the electronic health record (EHR), electronic medical record (EMR) and personal health record (PHR). The EHR, PHR and the EMR allowed for patient's paper medical charts into transformed into electronic charts. This allowed for a better way to organize the information that was contained the paper medical chart. The health organization began to realize they could use these electronic charts for a better way to care and share patient health related information. However, as the transmission of data continued, the need... Show more content on Helpwriting.net ... This allows for the transmission of information to happen either electronically or paper based. Therefore patients can either carry their information manually to the receiving physician, especially for the receiving physicians that do not have the current or compatible technology to transfer documents accurately (Health, 2009). With the current technologies, most documents are transferred electronically. In order for this to happen, a structure electronic format must be created. Therefore, CCR is a XML based standard that is used for the exchange of clinical data (Health, 2009). The CCR format must adhere to a strict XML schema and accompanied by implementation guide required to support the standards compliant interoperability (E31.25, 2012). The XML scheme creates flexibility for the transmission and view of the CCR in many ways, such as in a web browser, Health Level 7(HL7) messaging, secured emails, PDF files, HTML files and word documents. This XML schema also makes it possible for the interchange of data with electronic healthcare records (EHR) with CCR data (E31.25, 2012). However, one problem the CCR faces is that it cannot send free text and is not acceptable by all system (Health, 2009). Therefore, the CCR opened doors for the creations of Continuity of CARE Document (CCD). Another organization that creates standards for the creation of healthcare systems is Health Seven 7 (HL7) ... Get more on HelpWriting.net ...
  • 25. Clinical Health Information Analysis The preferred format for clinical health information is Health Level Seven (HL7) Clinical Document Architecture (CDA) for both Personal Health Record (PHR) and Electronic Medical Record (EMR). It is XML–based format identifies the encoding, configuration, and semantics of a clinical file. Blue Button+ Direct implementation ensure ease of transmission of medical records to a third party by the health care provider or patient. Direct uses SMTP, S/MIME, and X.509 licenses to maintain security, data reliability, privacy and verification of sender and receiver. Additionally, it meets the requirements for Meaningful Use (MU) Stage 2 of View, Download, and Transmit (VDT) that is required for certified EMR/EHR (Graham–Jones & Panchadsaram, 2013). ... Show more content on Helpwriting.net ... There concerns whether the information in the PHRs was correct and might possible result in a medical error. Another concern was inappropriate or unapproved access to the information in PHRs as patients are unclear of what information to put in their PHR and that some information should be verified by a HCP before it is entered in the PHR. Some other concerns were patients might try to use their PHR to inappropriately request narcotics. Providers also acknowledged possible barriers related to PHRs if a patient has to get online to access the information and then the provider has to page through multiple pages to find what he needs in a fifteen minute appointment timeframe. Some providers said they have concerns over accuracy and want to be able to control the data going in the PHRs. Specifically when it comes to medications and doses some provides stated concerns that the patient should not be able to enter the information without their HCP ensuring its correct (Witry et al., 2010). **PATIENT ... Get more on HelpWriting.net ...
  • 26. Cloud Computing And Healthcare Industry Essay Cloud computing in healthcare Neha DubeySangeeta Vishwakarma Department of Computer ApplicationDepartment of Computer Application Sardar Patel Institute of TechnologySardar Patel Institute of Technology Bhavan's Campus, Munshi Nagar, Andheri (W), Mumbai Bhavan's Campus, Munshi Nagar, Andheri (W), Mumbai Abstract– Healthcare sector is facing more number of problems like high IT costs, more processing power, scalability and demand for interoperability etc. Present health technology is deficient to address these challenges. Cloud computing having many qualities such as multi–tenancy, flexibility and metered delivery appears a viable approach. The purpose of this document is to provide a point of view on how cloud computing is applicable in healthcare and set some of the key principles that healthcare industry need to focus on when building a strategy for their organization's adoption of cloud computing. The paper also addresses the common problem that are being faced by different healthcare industry while implementing cloud computing. Index Terms– Cloud computing, Healthcare I.INTRODUCTION In order to understand Cloud Computing in the healthcare industry, we must understand the basics of cloud computing in general. Fig 1, gives overview of Cloud computing There are different definition available of cloud computing, one of them is as "Cloud computing is a new way of delivering computing resources and services. There are many researcher and experts believe that ... Get more on HelpWriting.net ...
  • 27. Clinically Related Data in the Healthcare Industry Healthcare industry generates large volumes of clinically related data every minute. It can be in the form of electronic records, scan reports, printed documents, images etcetera. The sources of these records are technologies like CT scan, MRI scan, Ultrasound, ECG, Dialysis, biopsy equipment etc. The objectives of this smart approach are to make this data useful and productive for analysis and study of health patterns and create statistics. A detailed analysis can help the community to get awareness for improved nutrition and hygiene. Objectives Perform empirical analysis on the data and determine the forecasting power of thecollected data to study health patterns Create statistics based on the information obtained in the form of user friendly charts andgraphs Build an extensive GUI which makes the product understandable and easy to comprehend Help the customers customize the API to cater their needs. Design and implement use cases to tailor the needs of the health industry. Construct a web console with administrative facilities, a customizable dashboard, and a web accessible application for importing and exporting data. 1.2Problem statement, project motivation, and needs In today's world, all the information and knowledge is being collected in the form of data. The amount of data is huge, continually increasing and changing. To utilize this data, analyze it and derive useful information out of it, some cutting–edge technologies are being devised. To ... Get more on HelpWriting.net ...
  • 28. Continuity Of Care Essay In order to ensure patient safety, maintain the continuity of patient care, and improve patient outcomes, complete and accurate patient information must be collected. Standards and guidelines for patient documentation have been established that hospitals must adhere to in order to either maintain current accreditation, or receive payment. The three organizations setting these standards are The Joint Commission (TJC), The Commission on Accreditation of Rehabilitation Facilities (CARF), and The Center for Medicare and Medicaid (CMS). The Joint Commission (TJC), in an independent, not for profit, organization that accredits healthcare organizations. The Commission was founded in 1951 with the goal of improving healthcare to the pubic by... Show more content on Helpwriting.net ... Patient documentation is an essential element in patient safety. Failing to adequately document patient information not only affects the quality of care provided to the patient, it posses a legal risk to the provider and the institution, and affects reimburse levels. The medical record should document the care of the patient in Chronological order. This enables the physician or health practitioner to not only evaluate the care being given but also create a "road map" of the treatment plan. This helps to provide immediate treatment for the patient, and continues over time in order to monitor the patient care along the way. This will also assist to maintain the quality and continuity of care among physicians and practitioners involved in the patients overall care. (Centers for Medicare and Medicaid Services, 2016) There are ten principles of proper documentation for medical records as outlined by the Center for Medicare and Medicaid. In order for practitioners to meet these standards, these best practice guidelines should be All medical records need to be complete, accurate, and legible. Entries in the patient's medical record that are not clearly written can lead to medical errors. If documentation is illegible clarification of orders, progress notes, medication dosages must first be confirmed prior to initiating patient treatment. (Centers for Medicare and Medicaid Services, 2016) The documentation of each patient ... Get more on HelpWriting.net ...
  • 29. Health Current Toolkit Paper While I was looking over the Health Current Toolkit information, I was very impressed on how they covered just about everything. One of my favorite things that I found was the frequently asked questions page, for me it was very helpful because this is all new to me and this page was extremely helpful to understand the basics about HIE records. I feel that the whole thing had all the details you needed to understand what they were and how they worked. The only thing that was not too clear for me was that they are able to access your all your records in the case of an emergency. I am all for that because in an emergency, I want all my records available to receive the best care, however what is classified as an emergency and are there a... Show more content on Helpwriting.net ... I also like the fact that if for whatever reason I felt that I did not want some information to be accessible, I can opt out there and then they cannot access that information. Overall, I feel that HIE is a safe and helpful program that I would want my information in. Some data that might be considered sensitive is maybe if one had an illness that almost cost them their life or an injury or an accident or the death of a loved one due to illness. I do feel that this data should be shared differently. I feel like this type of data should have its own set of opt in and opt out system because this is data that could be very sensitive to a patient and should be treated with care. Although this data can be helpful in diagnosing problems or treatments, I feel that they should not be talked about casually if they are talked about, they should be spoken of with just the doctor and the patient and whomever else the patient wishes to hear the sensitive data and that is it. As long as this data is handled with care and not taken lightly, it will not be a problem. The relationship between standards is that they are rules or guidelines that help in keeping the information safe. According to himss.org (1), 'The Consolidated Clinical Document Architecture (C–CDA) is an emerging document standard for the transmission of structured ... Get more on HelpWriting.net ...
  • 30. Biopsy Ateneo de Zamboanga University College of Nursing Nursing Skills Output (NSO) Biopsy Report no.___ I. Description: A biopsy is a medical test commonly performed by a surgeon, interventional radiologist, or an interventional cardiologist involving sampling of cells or tissues for examination. It is the medical removal of tissue from a living subject to determine the presence or extent of a disease. The tissue is generally examined under a microscope by a pathologist, and can also be analyzed chemically. When an entire lump or suspicious area is removed, the procedure is called an excisional biopsy. When only a sample of tissue is removed with preservation of the histological architecture of the tissue's cells, the procedure is called ... Show more content on Helpwriting.net ... If the area being biopsied is on the skin, ascalpelwill beused to scrape off a sample.The biopsy may be taken with the assistance of medical imaging such asultrasound. The medical imaging is used to correctly identify the area of interestso that the sample is taken from the right place.In a wire–guided biopsy, the imaging is used while fine wires are placed to mark the area which needs to be biopsied, and a surgeon uses the wires as a guide for asurgical biopsy. Assess client's response. IV. Diagram/ Illustration September 12–14,2011Date Que, Honey Sharlotte Clinical Instructor's InitialsIllustration/diagram NURSING RESPONSIBILITIES Before Procedure: Before the procedure, you need to discuss a range of issues with your doctor or surgeonincluding: Medical history, including any prescription drugs, over–the–counter drugs, herbs, vitaminor mineral supplements you may be taking. Some preparations can interact with surgicalmedications and need to be avoided. Other tests, such as blood tests or ultrasound scans, may need to be done prior to the biopsy (depending on the nature of the condition under investigation). Clean the area where the biopsy is supposed to be done. If hair is present, shave it off. Inform the patient that he/she will experience discomfort during the procedure. Instruct the patient to stay completely still during the procedure, if conscious. During Procedure:
  • 31. ... Get more on HelpWriting.net ...
  • 32. Emr System Proposal Existing healthcare record system is incomplete and inefficient which cannot provide the reliable and efficient healthcare services to patients. So, the proposed EMR System's Architecture design is produced by keeping following in mind: a.After an increased emphasis on needs of integrated prevented care system is versioned, b.After an increased complexity of medicine, standards of clinical care, shortage of qualified physicians and healthcare delivery is spotted, c.An increased population which require efficient healthcare system. The backbone of proposed EMR System is centralization of patient's information which will be securely accessed from any physician's office (after patient's consent). Therefore, the proposed EMRS is designed ... Show more content on Helpwriting.net ... For instance, the design has servers that verifies and validates through activate directory of users. Through active directory, access to specific applications/databases is determined. In addition, encryption and firewall rules will further enhance the security of data. Moreover, 2–factor authentication feature is designed for remote users accessing EMRS database from remote locations. Scalability & Extensibility: The modular based design of EMRS offers scalability and extensibility to meet dynamic requirements. Furthermore, the EMR System proposed in this report is developed while keeping major lessons learned from existing users and developers. The proposed system is designed to support workflow in customization fashion. It is designed to keep users and stakeholders' needs and users can test or pilot this EMR System before even make any decision to acquire it. All related hardware is ergonomically designed to fit user's comfort and needs. In addition, user would not have to spend enormous time to learn this system. Some additional features are: 1.With customizable features to support workflow 2.User can test the EMRS before final procurement decision can be made. The testing feature not only focuses on daily use functions, but also ergonomics ... Get more on HelpWriting.net ...
  • 33. Immunization Information Systems At University Of... Immunization Information Systems at University of Pennsylvania Background The University of Pennsylvania conducted a case study for managing information privacy and security with their Immunization Information Systems. Healthcare information systems are credited with helping with the overall improvement of healthcare in the United States today at the same time reducing costs with providing healthcare. Research has now become an important reason for information systems to provide data needed to target specific patient populations. Immunization programs have been an important part of saving lives and improve productivity. What is needed is more than just security there is an apparent need for these systems to be an accurate and accessible... Show more content on Helpwriting.net ... (Artz, 2007) Smart Objectives The development of an effective information system will require the development of specific objectives. These objectives in the interest of achieving good public health must be strong enough to monitor progress and achieve the required outcomes. Healthcare organizations that struggle with the creation of objectives find it difficult with those that measure progress and make sense to all stakeholders. "A SMART objective is one that is specific, measurable, achievable, relevant and time–bound" (Minnesota Department of Health, 2017, para. 1). The University of Pennsylvania in collaboration with the Centers for Disease Control has the following objectives that must be implemented no later than December of 2017. (CDC.gov, 2017) Objectives 1. Support the delivery of clinical immunization services at the point of immunization administration, regardless of setting. The system will need to provide individual immunization records for authorized users The system should have an automated function that determines vaccines due, past due or coming due The system should be able to enable the production of reminder–recall notifications from interoperable systems in accordance with the CDC. 2. Maintain data quality that is accurate, complete, and timely on all immunization and demographic information entered into the system. The system should ... Get more on HelpWriting.net ...
  • 34. Evaluation Of Smart On Fhir Website Evaluation of SMART on FHIR Introduction According to the HealthIT.gov website, the Strategic Health IT Advanced Research Projects (SHARP) Program is a major collaboration at the University of Illinois at Urbana–Champaign, the University of Texas at Houston, Harvard University, the Mayo Clinic of Medicine, and Massachusetts General Hospital. SHARP program was chosen as one of the awarded grants to evaluate due to its four clearly set goals. Those four goals focused on achieving breakthrough advances to address well–documented problems that have impeded adoption: 1) Security of Health Information Technology; 2) Patient–Centered Cognitive Support; 3) Healthcare Application and Network Platform Architectures; and, 4) Secondary Use of EHR... Show more content on Helpwriting.net ... SMART platform project was then created to achieve the goals of 1) Develop a user interface which allows "iPhone–like" substitutability for medical apps based upon shared basic components; and 2) Create a set of services that enables efficient data capture, storage, retrieval and analytics, which are scalable to the national level and respectful of institutional autonomy and patient privacy. Mandel et al. (2016) described SMART as an interoperability project with the distinctive goal of developing a platform to enable medical applications to be written once and run unmodified across different healthcare IT systems. HL7 FHIR Standard Fast Healthcare Interoperability Resources (FHIR, pronounced "fire") is an emerging HL7 standard that, despite still being in draft status, has gained a tremendous following with significant investments from academic, government, and commercial sectors. For instance, both Cerner and Epic, the two largest EHR vendors in the United States, have committed to development based on FHIR. FHIR differs from past HL7 messaging standards in that it takes a more service–oriented approach to information exchange that combines data (e.g., patient, encounter, practitioner, lab result) with operations that can be performed on them (e.g., read, create, update, query). These operations are invoked using commodity networking protocols that are simple and straightforward to implement. According to the HL7's ... Get more on HelpWriting.net ...
  • 35. Root Cause Analysis Determining the potential issues that cause poor usability require a systematic and comprehensive approach. The key to identifying the root cause of a usability problem is to combine multiple testing methods. By running separate studies to measure the information architecture and the user interface, the likelihood of correctly identifying the cause of usability issues is increased. There are several root cause analysis (RCA) tools used for data collection, data display and analysis, idea generation, problem solving, and risk assessment (Amatayakul, 2017). A good place to start is with workflow and process mapping. Comparing what the intended process flow was versus what actually happened may lend itself to some valuable insight. Revelations ... Show more content on Helpwriting.net ... Naturalness – Naturalness also refers to how familiar and easy an application is to use and to what extent it follows the "natural" workflow of the system (Hollin, Griffin, & Kachnowski, 2012). Logically structuring interface content based on work flow and highlighting task–critical information mirrors user work flow in real health care operations. EMR interface design should make entry processes as natural as possible for users and avoid mismatches between EHR work flow and actual clinical processes. 2.Consistency – Consistency is an important usability principle that should be considered in interactive system interface design in order to reduce learnability and increase task efficiency. Basic colors and unified form layouts allow users to predict experiences once they learn the patterns of the system. Standards and conventions in product design should be followed. 3.Minimizing cognitive load – By facilitating efficient information navigation, EHR designers can reduce a user's mental workload and cognitive processing. This can be accomplished in a variety of ways. Use a design structure matrix that minimizes or eliminates the number of steps to complete a task. Rank data in terms of importance and presented only highly ranked items on the screen for clinicians. Delete objects on screen and that may not be relevant to a user's work domain and increase relevant domain–related content. Combine related information and use fewer screens to reduce errors and task completion time. ... Get more on HelpWriting.net ...
  • 36. Health Information Exchange Analysis Health information exchange (HIE) delivers information when and where it is needed to provide improvements in healthcare quality and efficiency. HIE requires essential coding standards throughout health information management so that information can be accessed, merged, divided and/or shared with other healthcare organizations. In order to reach interoperability; message, exchange, and terminological standards are a few key attributes needed. HL7 v2, CDA and RxNorm aid in reaching these standards to achieve HIE. Standards are important because it facilitates good representation of data and interoperability across systems. It also creates consistency in how we represent data. A large portion of utilizing data is around data–management and clean–up because data is inconsistently represented. The HL7 v2 standard helps achieve data standardization by having required segments in messages met so that all relevant information delivered can be interpreted clearly by the receiving party. HL7 v2 messages use a non–XML syntax that is based on segments separated by one–character delimiters. While not all segments are required, it is pertinent to have agreed on relevant segments, limit over–customization, and overcome implementation challenges. What type of systems exchange HL7... Show more content on Helpwriting.net ... CDA is an XML–based document markup standard that specifies the structure and semantics of "clinical documents" for the purpose of exchange between healthcare providers and patients. CDA content is composed of two main parts. First, the textual part, which is mandatory, and allows for human interpretations of the content. Second, the structured part, which is optional, and based on coding systems to represent concepts for software processing. SNOMED and LOINC are examples of coding systems used in structured parts. What type of systems exchange CDA's? Add one sentence concluding how this is important to ... Get more on HelpWriting.net ...
  • 37. Integrated Audit Practice Case 5th Edition Solutions Essay Integrated Audit Practice Case 5th Edition Solutions Free PDF eBook Download: Integrated Audit Practice Case 5th Edition Solutions Download or Read Online eBook integrated audit practice case 5th edition solutions in PDF Format From The Best User Guide Database 5th Edition (2011); Armond Dalton IntegratedAudit Practice Case (group mark). 15% . Attempting homework before looking at the solutions will test your. Integrated Audit Practice Case, 5th edition, by Kerr, Elder & Arens (ISBN No. 978–0–. 912503–35–6) identify issues and to research solutions. 6. Understand the . Integrated Audit Practice Case, 4th edition, by Kerr, Elder & Arens (ISBN No. 978–0–. 91–250325–7) identify issues and to research solutions. 6. Understand the . ... Show more content on Helpwriting.net ... Dessalegn Getie Mihret. Department of Accounting and Finance, Faculty of Business and This PDF book provide ethiopian study guide. To download freeinternal audit effectiveness: an ethiopian public sector case you need to register. Peach Blossom Cologne Company: Short Audit Case, 1998 Peach Blossom Cologne Company: Short Audit Case, 1998 Aug 9, 2013 – Short audit case the Valley Publishing Company, Ben B. Barr, Inspiration Your Ultimate Calling, Wayne W. Dyer, Jun 20, 2007, Self –Help, 255 . This PDF book provide help with valley publishing company audit case guide. To download free peach blossom cologne company: short audit case, 1998 you need to register.
  • 38. Peach Blossom Cologne Company: Short Audit Case, 1998 Peach Blossom Cologne Company: Short Audit Case, 1998 Aug 9, 2013 – Short audit case the Valley Publishing Company, Ben B. Barr, Inspiration Your Ultimate Calling, Wayne W. Dyer, Jun 20, 2007, Self –Help, 255 . This PDF book incorporate bible lesson wedding banquet kids activities guide. To download free peach blossom cologne company: short audit case, 1998 you need to register. NARUC Rate Case and Audit Manual Institute of Public Utilities NARUC Rate Case And Audit Manual Institute Of Public Utilities Rate Case and Audit Manual Prepared by NARUC Staff. Subcommittee on Accounting and Finance (2003). 1 FOCUSING THE AUDIT. . OPERATING EXPENSES ... Get more on HelpWriting.net ...
  • 39. Case Study Patient Referral Patient Referral Case Study The referral of a patient to care outside of your practice is an importance decision for a primary care manager (PCM) in the care of their beneficiaries. The referral decision must include not only whether that patient would be best since by a specialist, but by which specialist (Kinchen, Cooper et al. 2004) the beneficiary would best benefit. In order to ensure the best care from the specialist effective patient information must be exchanged between care providers in a timely manner. Health Information Exchange (HIE), which is also known as "Summary of Care", is an objective that is required for eligible professionals (EPs), eligible hospitals and critical access hospitals (CAHs) that are taking part of the Electronic Health Record (EHR) Incentive Program from 2015 until 2017 under Meaningful Use Stage 2 (MU2). The objective contains one required measure for participation in the program. The measure is: certified EHR technology (CEHRT) must be used to create a summary of care record which is to be used transmit care information between entities involved in the care of the patient referred (Services 2016). The items that must be included in the Summary of Care documents, provided the referring provider knows the information, are shown in Table 1 (Mostashari 2012, Services 2016). Currently the standard format that has been adopted for Summary of Care documents follows Consolidated Clinical Document Architecture (C–CDA) guidelines. ... Get more on HelpWriting.net ...
  • 40. Xacc/280 Week 6 Cloud Auditing Your paper this week should explain in your own words the responsibilities of auditors in understanding the security risks facing their organization with the use of cloud services. How has auditing's role changed as we've moved from client–server architecture to the cloud model? Include steps auditors must take to assess the level of compliance of the CSP with standards. Provide examples of how auditors assure due diligence when it comes to security and risk. Some of the characteristics that affect organization's audit by cloud computing services are: Cloud services are never dependable they are easily transformable and by which it can change the entity's organization processes and internet command over financial reporting during broadcasting period. Majority of organizations migrate to cloud because it is very easy to deploy, cost efficient and readily available throughout an entity. It may result in cloud environments being applied with low involvement or minimal control by entity's IT department and thus may... Show more content on Helpwriting.net ... Without an Internal Audit Group to shepherd the IT's activities and guarantee that they stay agreeable with the security administration systems to which the association has submitted, the presentation of danger could be intemperate and a genuine risk to the fruitful operation of the association. The Audit's presentation and Compliance Framework denote a noteworthy change in the Office's audit hones. Further, it reasoned that the presentation of the graduated danger based methodology has met global principles and speak to best work on, bringing about a viable and effective audit ... Get more on HelpWriting.net ...
  • 41. Hospital Information Security A hospitals HIM director needs to understand how to maintain the integrity and security of all financial and clinical data as it travels seamlessly across a network of different applications. For this to happen, the applications must first go through a hardwired translation process to ensure proper communication between the various software systems; this is called integration. However, none of this is possible without interfaces which connect the multitude of hardware devices and software applications that are used throughout the different departments in a hospital system. Information security is another major concern the director of HIM has to account for during the system selection process. Confidentiality and privacy of personal health... Show more content on Helpwriting.net ... During the system selection process, the HIM director should choose a vendor that offers full interoperability. "The Office of the National Coordinator for Health IT (ONC) defines interoperability as ensuring that health–related information flows seamlessly. Information needs to follow the patient regardless of geographic, organizational, or vendor boundaries. Interoperability refers to the architecture or standards that make it possible for diverse EHR systems to work compatibly" (American Health Information Management Association, 2013). The system should include standard functional interface capabilities to ensure data integrity, and privacy is kept between different departmental and care setting information systems. For example, can the proposed vendor support the transmission of data to and from various department information systems? Accurate lab results need to be populated into the patients' health record, and pharmacy orders are sent to the automated drug dispensing machines and show up on patient's medication profile so that nurses can administer the right drug at the appropriate dosage and then document ... Get more on HelpWriting.net ...