1
Running head: PATIENT DATA
15
Running head: PATIENT DATA
Protecting Patient Data
Walden University
Since the inception of recording-keeping medical records have earned a place in society where the population of medical data from each individual patient is essential not only to trend progression but also as a general record-keeping system of a patients overall health. Accordingly, a patient file tends to generally contain: Hospital summaries (admittance, discharge, and follow-up care), radiological images, consultation reports, list if medications, allergy information, physical exams, etc. However, certain things such as the exchange of information between lawyers, doctors, and medical indemnity providers tend to be excluded based on current law and should not to be taken as part of a patient’s medical record (Ken, 2009). As such, patient records tend to contain a significant amount of sensitive information that must be safeguarded thus the need to provide proper safety and security measures are essential to patient care.
Since compilation, storage, and access of information is such an important part of patient care it is essential to provide proper safeguards to prevent unauthorized access such as steel enclosures with locks for those still utilizing paper records or complicated encryptions methods for those utilizing electronic medical records. However, with the enactment of newer laws and compliance measures of meaningful use the value of a safe and secure medical record system should not be overlooked. Thus, a comprehensive record-keeping system that is secure and fulfills the needs of patients, physicians, various other health care providers, insurance billers, and other third party entities is of the utmost importance. After analysis of United General’s policy manual some of the proposed changes below could a comprehensive update that is able to fulfill all requirements:
· Records should be kept in a secure electronic format that is legible, easily understood, written with American Medical Association approved acronyms and/or abbreviations, and easily transmissible from one organization to another.
· The medical record, at a minimum, must contain a thorough history, physical examination findings, tests and/or procedures performed on the patient along with their results, possible consultations, assessment and plan, medication history, and any other medically relevant information that allows a comprehensive compiling of patient-specific medical data.
· The medical record should include all possible discussions regarding any proposed procedures and/or the treatment options, along with risk to benefit analysis, in order to clearly demonstrate that all options were presented to the patient and they were allowed to choose without prejudice or cohesion.
· The medical record must safeguard, via encryption methods, files of any written consent issued by AND to the patient for any and all medica ...
The document discusses computer-based patient records (CPRs). It defines CPRs and compares them to electronic medical records (EMRs). CPRs contain complete patient data across providers and are designed to support users. EMRs focus on a single provider and usually stay within a practice. The document also outlines characteristics of CPRs like accountability, flexibility, interoperability and comprehensiveness. Benefits include coordinated care, reduced errors and costs. Legal issues involve privacy and patients' rights to access their health records.
Write why all medical systems be mandated to use electronic health records up...intel-writers.com
Mandating the use of electronic health records
(EHRs) across all medical systems has numerous benefits and is crucial for advancing healthcare in today’s digital age. Here are several reasons why implementing EHRs as a universal standard is important:
Enhanced Patient Care: Electronic health records allow for comprehensive and readily accessible patient information. With EHRs, healthcare providers have instant access to medical histories, test results, medications, allergies, and treatment plans. This facilitates more accurate and coordinated care, enabling healthcare professionals to make informed decisions and provide timely interventions.
Improved Patient Safety: EHRs contribute to enhanced patient safety by reducing errors and minimizing the potential for miscommunication. The use of standardized electronic formats for recording and transmitting information reduces the risk of illegible handwriting, misplaced paper records, and lost or incomplete documentation. EHRs also support alerts and reminders for medication interactions, allergies, and preventive care, helping healthcare providers deliver safer and more effective treatments.
Efficient Information Exchange: Electronic health records enable seamless sharing and exchange of patient information among different healthcare providers, clinics, hospitals, and healthcare systems. This improves care coordination, particularly during transitions of care, such as referrals or hospital admissions. The ability to quickly access and transmit patient data promotes timely decision-making and eliminates the need for redundant tests or procedures.
This document discusses building consensus for electronic health records (EHRs) in healthcare. It begins by outlining goals for improving healthcare quality put forth by the Institute of Medicine. It then discusses executive mandates for implementing EHRs and defines EHRs and how they differ from electronic medical records. Factors driving the need for EHRs are described. The stages of EHR implementation and meaningful use requirements are outlined. Attributes of EHRs that support continuity of care are listed. Considerations for EHR implementation including costs, downtime, caregiver assistance, and data integrity are also discussed.
In the healthcare industry, speed, efficiency, and accuracy are key elements in providing the best care to patients. Doctors, nurses and various support staff need access to a lot of data and information at their fingertips.
This document discusses the importance of databases in healthcare information systems (HIS). Databases allow for efficient collection and storage of patient data, easy exchange of information between healthcare providers, and monitoring to improve quality of care. They enable quick access to patient records, reduce paperwork, and help with diagnosis, treatment, and billing. Overall, well-designed healthcare databases improve efficiency, care quality, and health outcomes.
Patient Record System (Electronic Medical Records).pptxmamtabisht10
Patient record systems like electronic medical records (EMRs) and electronic health records (EHRs) digitize patients' clinical information to improve care. EMRs contain data from within a single facility like a doctor's office, while EHRs aggregate data across settings. EHRs offer broader access to records for authorized providers and support care coordination but require consistent standards and protections for privacy and security.
1Running Head Research Paper Final Draft6Research Paper.docxaulasnilda
1
Running Head: Research Paper Final Draft
6
Research Paper Final Draft
Research Paper Final Draft
Himaswetha Polavarapu
Dr.Mary Cecil
University Of The Cumberlands
Information Governance
12/01/2019
ABSTRACT
One of major issues in todays hospitals is period for which medical records are to be retained. Therefore health information managements professionals have traditionally performed record retention and also the destruction functions using media, including the paper, images, the optical disk, microfilm, the DVD, and also CD-ROM. Health information managements departments therefore has to maintain specific program in order to retain and also destruct records. The main purpose of this paper to investigate and maintain the retention and also destruction process of the medical records in hospitals and codifying appropriate guidelines. The research is conducted as cross-sectional descriptive study in hospitals in India. Data was collected using the Check List. Viewpoints to be obtained using Delphi technique. Data entry and also the statistical analysis are performed using the SPSS.
INTRODUCTION
Due to many practices and services offered to people in healthcare that cater to the basic needs of an individual, the company undergoes a series of changes in record overtime which are retained safely to avoid them landing into unauthorized hands because some documents may be carrying sensitive information about individuals. Record retention involves storing records that are not in use anymore for example marriage certificates. Because of this need, different companies have developed an online policy of record detention that will determine how long should these records be retained and provide a disposal guideline. In my research, I will analyze online policies developed by the Healthcare industry on the management of their record retention.
BACKGROUND
Record retention is a very important step initiated in healthcare to ensure there is continuity of care for a patient. Professionals traditionally have been maintaining records through different means like using media as well as paper from which it can be retrieved when the owner visits the healthcare unit again thus can be used for time reference. The management has established an online policy through an appropriate retention schedule which will ensure there is minimal or no legal discovery of the records detained, this approach has worked positively in many organizations including the healthcare sector. Advancement to an online system of record retention through technology has improved the management of this process where data can be retrieved from the system for a specific person very fast and securely according to (Kruse.et.al.2015).
LITERATURE REVIEW
Retention Policies
In the healthcare system, management of records involves some basic steps from creation to utilization to maintenance then finally to retention. The following guidelines are responsible for the development, managem ...
The document discusses the choice between storing health data for an elderly dementia patient in a paper chart or electronic health record (EHR). The author would prefer an EHR because it allows authorized providers to easily access secure patient information and make care decisions. However, EHRs raise ethical concerns about privacy and legal risks of data errors leading to wrong treatment. While EHRs can improve patient safety through alerts and access to records, their use for dementia patients requires policies to address privacy and security issues.
The document discusses computer-based patient records (CPRs). It defines CPRs and compares them to electronic medical records (EMRs). CPRs contain complete patient data across providers and are designed to support users. EMRs focus on a single provider and usually stay within a practice. The document also outlines characteristics of CPRs like accountability, flexibility, interoperability and comprehensiveness. Benefits include coordinated care, reduced errors and costs. Legal issues involve privacy and patients' rights to access their health records.
Write why all medical systems be mandated to use electronic health records up...intel-writers.com
Mandating the use of electronic health records
(EHRs) across all medical systems has numerous benefits and is crucial for advancing healthcare in today’s digital age. Here are several reasons why implementing EHRs as a universal standard is important:
Enhanced Patient Care: Electronic health records allow for comprehensive and readily accessible patient information. With EHRs, healthcare providers have instant access to medical histories, test results, medications, allergies, and treatment plans. This facilitates more accurate and coordinated care, enabling healthcare professionals to make informed decisions and provide timely interventions.
Improved Patient Safety: EHRs contribute to enhanced patient safety by reducing errors and minimizing the potential for miscommunication. The use of standardized electronic formats for recording and transmitting information reduces the risk of illegible handwriting, misplaced paper records, and lost or incomplete documentation. EHRs also support alerts and reminders for medication interactions, allergies, and preventive care, helping healthcare providers deliver safer and more effective treatments.
Efficient Information Exchange: Electronic health records enable seamless sharing and exchange of patient information among different healthcare providers, clinics, hospitals, and healthcare systems. This improves care coordination, particularly during transitions of care, such as referrals or hospital admissions. The ability to quickly access and transmit patient data promotes timely decision-making and eliminates the need for redundant tests or procedures.
This document discusses building consensus for electronic health records (EHRs) in healthcare. It begins by outlining goals for improving healthcare quality put forth by the Institute of Medicine. It then discusses executive mandates for implementing EHRs and defines EHRs and how they differ from electronic medical records. Factors driving the need for EHRs are described. The stages of EHR implementation and meaningful use requirements are outlined. Attributes of EHRs that support continuity of care are listed. Considerations for EHR implementation including costs, downtime, caregiver assistance, and data integrity are also discussed.
In the healthcare industry, speed, efficiency, and accuracy are key elements in providing the best care to patients. Doctors, nurses and various support staff need access to a lot of data and information at their fingertips.
This document discusses the importance of databases in healthcare information systems (HIS). Databases allow for efficient collection and storage of patient data, easy exchange of information between healthcare providers, and monitoring to improve quality of care. They enable quick access to patient records, reduce paperwork, and help with diagnosis, treatment, and billing. Overall, well-designed healthcare databases improve efficiency, care quality, and health outcomes.
Patient Record System (Electronic Medical Records).pptxmamtabisht10
Patient record systems like electronic medical records (EMRs) and electronic health records (EHRs) digitize patients' clinical information to improve care. EMRs contain data from within a single facility like a doctor's office, while EHRs aggregate data across settings. EHRs offer broader access to records for authorized providers and support care coordination but require consistent standards and protections for privacy and security.
1Running Head Research Paper Final Draft6Research Paper.docxaulasnilda
1
Running Head: Research Paper Final Draft
6
Research Paper Final Draft
Research Paper Final Draft
Himaswetha Polavarapu
Dr.Mary Cecil
University Of The Cumberlands
Information Governance
12/01/2019
ABSTRACT
One of major issues in todays hospitals is period for which medical records are to be retained. Therefore health information managements professionals have traditionally performed record retention and also the destruction functions using media, including the paper, images, the optical disk, microfilm, the DVD, and also CD-ROM. Health information managements departments therefore has to maintain specific program in order to retain and also destruct records. The main purpose of this paper to investigate and maintain the retention and also destruction process of the medical records in hospitals and codifying appropriate guidelines. The research is conducted as cross-sectional descriptive study in hospitals in India. Data was collected using the Check List. Viewpoints to be obtained using Delphi technique. Data entry and also the statistical analysis are performed using the SPSS.
INTRODUCTION
Due to many practices and services offered to people in healthcare that cater to the basic needs of an individual, the company undergoes a series of changes in record overtime which are retained safely to avoid them landing into unauthorized hands because some documents may be carrying sensitive information about individuals. Record retention involves storing records that are not in use anymore for example marriage certificates. Because of this need, different companies have developed an online policy of record detention that will determine how long should these records be retained and provide a disposal guideline. In my research, I will analyze online policies developed by the Healthcare industry on the management of their record retention.
BACKGROUND
Record retention is a very important step initiated in healthcare to ensure there is continuity of care for a patient. Professionals traditionally have been maintaining records through different means like using media as well as paper from which it can be retrieved when the owner visits the healthcare unit again thus can be used for time reference. The management has established an online policy through an appropriate retention schedule which will ensure there is minimal or no legal discovery of the records detained, this approach has worked positively in many organizations including the healthcare sector. Advancement to an online system of record retention through technology has improved the management of this process where data can be retrieved from the system for a specific person very fast and securely according to (Kruse.et.al.2015).
LITERATURE REVIEW
Retention Policies
In the healthcare system, management of records involves some basic steps from creation to utilization to maintenance then finally to retention. The following guidelines are responsible for the development, managem ...
The document discusses the choice between storing health data for an elderly dementia patient in a paper chart or electronic health record (EHR). The author would prefer an EHR because it allows authorized providers to easily access secure patient information and make care decisions. However, EHRs raise ethical concerns about privacy and legal risks of data errors leading to wrong treatment. While EHRs can improve patient safety through alerts and access to records, their use for dementia patients requires policies to address privacy and security issues.
Electronic Health Record System and Its Key Benefits to Healthcare IndustryCalance
This case study discusses how Electronic Health Record can turn out to be a solution to the problems associated with paper based clinical records. It’s a future-proof solution decreasing chances of error and loss while increasing patient-provider communication. Find out the key challenges faced by US health industry, key benefits of EHRs, and how Calance can help developing an HER solution. For more info about Calance, visit http://www.calanceus.com
My Health Record Gives Worthy Support to Doctors.pdfssuserbed838
My Health Records increase patient safety and save time with an embedded support system. A medical professional can quickly access stored information before proceeding with treatments. Some of the worthy benefits are listed below.
INFORMATIVE TECHNOLOGY - ELECTRONIC HEALTH RECORD.pdfDolisha Warbi
definition, advantage of EHR, disadvantage of EHR, component, challenges of EHR, impact of EHR on care, EHR adoption model, stage of EHRAM framework, EHR system in clinical practice, use of EHR in nursing practice, future recommendation on EHR.
The electronic health record (EHR) is the digital version of a patient's paper medical chart. It contains the patient's medical history, diagnoses, medications, treatment plans, immunization dates, allergies, radiology images, and laboratory and test results. EHRs allow multiple providers to access a patient's complete medical data electronically, improving care coordination and preventing medical errors. However, some physicians have complained that EHRs can be time-consuming and interfere with patient care due to poor usability and excessive alerts. Proper implementation of EHRs through project management is important for a successful transition to digital medical records.
Key attributes of medical records include accuracy, accessibility, comprehensiveness, consistency, and timeliness. Accuracy refers to correctness of data and can be affected by factors like a patient's health and a provider's documentation skills. Accessibility relates to ease of retrieving data and is impacted by how records are organized. Records should contain all required data components and have consistent, reliable data that has not been corrupted. Information should be documented as close to real time as possible to influence patient care and treatment. Medical record management involves ensuring records are accessible, secure, and properly stored and destroyed.
Why is data privacy a crucial aspect of using Electronic Records.pptxMocDoc
Electronic records offer many benefits, but they also pose significant privacy risks. Learn why data privacy is crucial and how you can stay safe when using electronic records.
Major health care information systems (emr, ehr, phr, lhr)abhijyotsaini
This document provides an overview of major health care information systems including electronic medical records (EMR), electronic health records (EHR), personal health records (PHR), and legal health records (LHR). It discusses the definitions, components, benefits, and challenges of each system. The document emphasizes that health care information systems can improve patient care, administrative functions, and overall health care operations if implemented successfully. However, significant financial investment, user training, and overcoming resistance to change are necessary for full adoption and utilization of these systems.
Pg2 Beginning in 1991, the IOM (which stands for the Institute o.docxrandymartin91030
Pg2 Beginning in 1991, the IOM (which stands for the Institute of Medicine of the National Academies) sponsored studies and created reports that led the way toward the concepts we have in place today for electronic health records. Originally, the IOM called them computer-based patient records.1 During their evolution, the EHR have had many other names, including electronic medical records, computerized medical records, longitudinal patient records, and electronic charts. All of these names referred to essentially the same thing, which in 2003, the IOM renamed as the electronic health records, or EHR.
Note: EHR
The acronym EHR is commonly used as shorthand for Electronic Health Records, and will be used in the remainder of this book.
Institute of Medicine (IOM)
The IOM report2 put forth a set of eight core functions that an EHR should be capable of performing:
Health information and data
This function provides a defined data set that includes such items as medical and nursing diagnoses, a medication list, allergies, demographics, clinical narratives, and laboratory test results. Further, it provides improved access to information needed by care providers when they need it.
Result management
Computerized results can be accessed more easily (than paper reports) by the provider at the time and place they are needed.
· Reduced lag time allows for quicker recognition and treatment of medical problems.
· The automated display of previous test results makes it possible to reduce redundant and additional testing.
· Having electronic results can allow for better interpretation and for easier detection of abnormalities, thereby ensuring appropriate follow-up.
· Access to electronic consults and patient consents can establish critical links and improve care coordination among multiple providers, as well as between provider and patient
Order management
Computerized provider order entry (CPOE) systems can improve workflow processes by eliminating lost orders and ambiguities caused by illegible handwriting, generating related orders automatically, monitoring for duplicate orders, and reducing the time required to fill orders.
· CPOE systems for medications reduce the number of errors in medication dose and frequency, drug allergies, and drug–drug interactions.
· The use of CPOE, in conjunction with an EHR, also improves clinician productivity.
Decision Support
Computerized decision support systems include prevention, prescribing of drugs, diagnosis and management, and detection of adverse events and disease outbreaks.
· Computer reminders and prompts improve preventive practices in areas such as vaccinations, breast cancer screening, colorectal screening, and cardiovascular risk reduction.
Electronic communication and connectivity
Electronic communication among care partners can enhance patient safety and quality of care, especially for patients who have multiple providers in multiple settings that must coordinate care plans.
· Electronic co.
The document provides an overview of electronic medical records (EMRs), including their key components and benefits. It discusses how EMRs work, allowing patients to create and access their own medical records electronically from anywhere. Medical information is stored digitally and can be shared securely between providers. EMRs improve care quality by facilitating access to complete patient histories and enabling features like clinical decision support, electronic ordering, and reminders for preventative care. Overall, EMRs increase efficiency, coordination, and safety of healthcare delivery.
MANAGING THE INFORMATION SECURITY ISSUES OF ELECTRONIC MEDICAL RECORDSijsptm
The document discusses three key factors for securing electronic medical records:
1) Sharing sensitive patient information securely across healthcare providers through centralized databases while connecting more hospitals.
2) Creating laws and regulations focused on protecting sensitive health information and electronic medical records.
3) Increasing awareness among healthcare providers about the importance of health information security through training programs.
Building a consensus for the electronic health recordNursing353
This document discusses building consensus for electronic health records (EHRs). It begins by defining EHRs and distinguishing them from electronic medical records (EMRs). The document outlines the benefits of EHRs, such as reducing medical errors, improving patient outcomes, and empowering patients. It also discusses meaningful use standards and key aspects of EHR implementation like computerized physician order entry. Overall, the document emphasizes that successful EHR adoption requires thorough preparation, customized training, and comprehensive security planning.
Building a consensus for the electronic health recordtschenf
This document discusses building consensus for electronic health records (EHRs). It begins by defining EHRs and distinguishing them from electronic medical records (EMRs). The document outlines the benefits of EHRs, such as reducing medical errors, improving patient outcomes, and empowering patients. It also discusses meaningful use standards and key aspects of EHR implementation like computerized physician order entry. Overall, the document emphasizes that successful EHR adoption requires thorough preparation, customized training, and comprehensive security planning.
Building a consensus for the electronic health recordtschenf
This document discusses building consensus for electronic health records (EHRs). It begins by defining EHRs and distinguishing them from electronic medical records (EMRs). The document outlines the benefits of EHRs, such as reducing medical errors, improving patient outcomes, and empowering patients. It also discusses meaningful use standards and key aspects of EHR implementation like computerized physician order entry. Overall, the document emphasizes that successful EHR adoption requires thorough preparation, customized training, and comprehensive security planning.
Building a consensus for the electronic health recordNursing353
This document discusses building consensus for electronic health records (EHRs). It begins by defining EHRs and distinguishing them from electronic medical records (EMRs). The document outlines the benefits of EHRs, such as reducing medical errors, improving patient outcomes, and empowering patients. It also discusses meaningful use standards and key aspects of EHR implementation like computerized physician order entry. Overall, the document emphasizes that successful EHR adoption requires thorough preparation, customized training, and comprehensive security planning.
The document outlines the top 10 most frequent recommendations made by TMLT's Risk Managers during on-site practice reviews in 2017. These include: 1) updating medical records to ensure consistency and accuracy of information; 2) establishing policies for electronic health record security and documentation of review; 3) documenting diagnostic report review, patient instructions, and emergency protocols; and 4) properly recording injections administered and patient monitoring. The goal is to help physicians address medical liability risks through improving documentation practices.
This presentation talks about the context of developing the Electronic Health records for India. the guidelines as mentioned in the GOI site is described vividly with examples, for better understanding.
N.B: Please download the ppt first, for the animations to work better.
Framework for Data Warehousing and Mining Clinical Records of Patients: A ReviewBRNSSPublicationHubI
This document discusses a framework for data warehousing and mining clinical records of patients. It begins with an abstract that describes how a clinical data warehouse can provide access to clinical data for healthcare providers and support areas like research and management. The rest of the document reviews the background and need for integrating disparate clinical data sources, describes challenges in current fragmented systems, and discusses the significance of developing a clinical data warehousing and mining framework to organize and extract medical records from different systems.
Confidentiality Of Health Information EssaysJessica Tanner
The document discusses confidentiality of patient health information in electronic medical records. It notes that while computers are important for storing medical records, facilities must maintain control over the information and avoid unauthorized access. The AMA code of ethics states that any changes to records should be time-stamped and the person making changes identified. Patients should also be advised about computer databases storing their medical information and informed before any release of health information. Procedures for purging outdated data from electronic records should also be established to protect patient privacy and confidentiality.
Managing Medical Records_ Compliance and Best Practices for Healthcare Provid...StockHolding1
In the intricate tapestry of healthcare, the management of medical records is a pivotal element that dictates patient care, operational efficiency, and regulatory adherence. With the ever-evolving landscape of healthcare technology and the critical need for patient data security, healthcare providers must adopt robust compliance measures and implement best practices in managing medical records. This blog post will delve into the essential aspects of medical records management, focusing on compliance and outlining best practices for healthcare providers.
Business UseWeek 1 Assignment #1Instructions1. Plea.docxfelicidaddinwoodie
Business Use
Week 1: Assignment #1
Instructions
1. Please read these two articles:
· Using forensics against a fitbit device to solve a murder: https://www.cbsnews.com/news/the-fitbit-alibi-21st-century-technology-used-to-help-solve-wisconsin-moms-murder/
· How Amazon Echo could be forensically analyzed! https://www.theverge.com/2017/1/6/14189384/amazon-echo-murder-evidence-surveillance-data
2. Then go around in your residence / dwelling (home, apartment, condo, etc) and be creative.
3. Identify at least five appliances or devices that you THINK could be forensically analyzed and then identify how this might be useful in an investigation. Note - do not count your computer or mobile device. Those are obvious!
4. I expect at least one paragraph answer for each device.
Why did I assign this?
The goal is to have you start THINKING about how any device, that is capable of holding electronic data (and transmitting to the Internet) could be useful in a particular investigation!
Due Date
This is due by Sunday, May 10th at 11:59PM
Surname 6
Informative speech on George Stinney Jr.
A. Info research analysis
The general purpose of the speech was to inform people about the civil injustice being done against the African American community in the United States. The specific purpose of the speech was to portray to the audience how an innocent 14-year old black boy suffered in the hands of the South Carolina State law enforcing officers. He was falsely accused of killing two white girls and electrocuted within two months after conviction.
I decided the topic of my speech after perusing through all the suggested topics ad found that the story of George Stinney Jr. was touching and emotional entirely.
This topic benefits the audience and the society in general by giving them an insight of the cruelty that the American law system has against the African American community. The audience gets to know how the shady investigations were done with claims that George had pleaded guilty to the charges of murder when there was no real evidence tying him to the crime or a signed plea agreement.
The alternative view that I found in the research was the version of the investigating officer of the case who claimed that the 14-year old boy managed to kill two girls aged 11 and 7 with a blunt object and ditch them in a nearby trench. This alternative point of view did not make sense because it is hard for a 14-year old boy to use the force that was reported by postmortem results to kill the girls. Therefore, I knew everything was a lie and I had to take the point of view of George’s innocence.
B. informative outline
Introduction:
George Stinney Jr. was an African American boy born on October 21, 1929 in Pinewood, South Carolina, U.S. He is considered as the youngest person to be executed by the United State government in 20th century.
Main body
Investigations of the alleged crimes (Bickford, 05)
The investigations concerning the alleged crimes of George S.
Business UsePALADIN ASSIGNMENT ScenarioYou are give.docxfelicidaddinwoodie
Business Use
PALADIN ASSIGNMENT
Scenario:
You are given a PC and you are faced with this scenario: you don’t know the password to the PC which means you can’t login so you can use a forensic tool like FTK IMAGER to capture the hard drive as a bit-for-bit forensic image AND/OR
1. The hard drive is either soldiered onto the motherboard (there are some new hard drives like this!) or cannot be removed because the screws are stripped (this has happened to me);
2. Even if you figured out the password or got an admin password the PC may have its USB ports blocked via a GPO policy (this is very common in corporations now);
3. Even if you can get the GPO policy overridden you may have some concerns about putting it on the network (which is true especially if you are dealing with malware).
So what you can you do? The best solution is to boot the PC up into forensically sound environment that lets you bypass the password aspect; GPO policy; etc and take a bit-for-bit image. One software that has done the job very well for me is Paladin.
How to get points
If you can send me a screenshot showing me that you had installed Paladin .ISO and made your USB device a bootable device with Paladin using Rufus then you get 10 points.
If you can send me a screenshot showing that you had a chance to boot your computer into Paladin then you will earn an extra 10 points. It is not necessary for you to take a forensic image of your PC but I have included generic instructions here.
Assumptions:
1. You have downloaded Rufus on your computer
2. You have downloaded Paladin on your computer.
Instructions:
1. Make sure you have at least one USB drive.
2. If not down already, download Rufus from https://rufus.ie/.
3. If not done already, download the Paladin ISO image from this website: https://sumuri.com/product/paladin-64-bit-version-7/ which is free. It’s suggested price is $25.00 but you can adjust the price to $0 then order. To be clear – do not pay anything.
4. Insert the USB device in your computer.
5. Run Rufus where you install the Paladin .ISO file on the USB device and make it bootable. Now I could provide you step by step instructions, but this is a Masters class so I want you to explore a bit and figure this out. One good video is this: https://www.youtube.com/watch?v=V6JehM0WDTI.
6. After you are done using Rufus where you have installed Paladin.ISO on the USB device and made it bootable then make sure the USB device is in the PC.
7. Restart your PC. Press F9(HP) laptop) or F12 (Dell laptop) so you can be taken into the BIOS bootup menu.
8. This is where things get a bit tricky e.g. your compute may be configured differently where you have to adjust your BIOS settings. If you do not feel comfortable doing this then stop here. I do not want you to mess up your computer. You have already earned ten extra points!
9. If you still proceed then you will see a list of bootable devices. You may, for example, see a list of devices. Pick the device .
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Electronic Health Record System and Its Key Benefits to Healthcare IndustryCalance
This case study discusses how Electronic Health Record can turn out to be a solution to the problems associated with paper based clinical records. It’s a future-proof solution decreasing chances of error and loss while increasing patient-provider communication. Find out the key challenges faced by US health industry, key benefits of EHRs, and how Calance can help developing an HER solution. For more info about Calance, visit http://www.calanceus.com
My Health Record Gives Worthy Support to Doctors.pdfssuserbed838
My Health Records increase patient safety and save time with an embedded support system. A medical professional can quickly access stored information before proceeding with treatments. Some of the worthy benefits are listed below.
INFORMATIVE TECHNOLOGY - ELECTRONIC HEALTH RECORD.pdfDolisha Warbi
definition, advantage of EHR, disadvantage of EHR, component, challenges of EHR, impact of EHR on care, EHR adoption model, stage of EHRAM framework, EHR system in clinical practice, use of EHR in nursing practice, future recommendation on EHR.
The electronic health record (EHR) is the digital version of a patient's paper medical chart. It contains the patient's medical history, diagnoses, medications, treatment plans, immunization dates, allergies, radiology images, and laboratory and test results. EHRs allow multiple providers to access a patient's complete medical data electronically, improving care coordination and preventing medical errors. However, some physicians have complained that EHRs can be time-consuming and interfere with patient care due to poor usability and excessive alerts. Proper implementation of EHRs through project management is important for a successful transition to digital medical records.
Key attributes of medical records include accuracy, accessibility, comprehensiveness, consistency, and timeliness. Accuracy refers to correctness of data and can be affected by factors like a patient's health and a provider's documentation skills. Accessibility relates to ease of retrieving data and is impacted by how records are organized. Records should contain all required data components and have consistent, reliable data that has not been corrupted. Information should be documented as close to real time as possible to influence patient care and treatment. Medical record management involves ensuring records are accessible, secure, and properly stored and destroyed.
Why is data privacy a crucial aspect of using Electronic Records.pptxMocDoc
Electronic records offer many benefits, but they also pose significant privacy risks. Learn why data privacy is crucial and how you can stay safe when using electronic records.
Major health care information systems (emr, ehr, phr, lhr)abhijyotsaini
This document provides an overview of major health care information systems including electronic medical records (EMR), electronic health records (EHR), personal health records (PHR), and legal health records (LHR). It discusses the definitions, components, benefits, and challenges of each system. The document emphasizes that health care information systems can improve patient care, administrative functions, and overall health care operations if implemented successfully. However, significant financial investment, user training, and overcoming resistance to change are necessary for full adoption and utilization of these systems.
Pg2 Beginning in 1991, the IOM (which stands for the Institute o.docxrandymartin91030
Pg2 Beginning in 1991, the IOM (which stands for the Institute of Medicine of the National Academies) sponsored studies and created reports that led the way toward the concepts we have in place today for electronic health records. Originally, the IOM called them computer-based patient records.1 During their evolution, the EHR have had many other names, including electronic medical records, computerized medical records, longitudinal patient records, and electronic charts. All of these names referred to essentially the same thing, which in 2003, the IOM renamed as the electronic health records, or EHR.
Note: EHR
The acronym EHR is commonly used as shorthand for Electronic Health Records, and will be used in the remainder of this book.
Institute of Medicine (IOM)
The IOM report2 put forth a set of eight core functions that an EHR should be capable of performing:
Health information and data
This function provides a defined data set that includes such items as medical and nursing diagnoses, a medication list, allergies, demographics, clinical narratives, and laboratory test results. Further, it provides improved access to information needed by care providers when they need it.
Result management
Computerized results can be accessed more easily (than paper reports) by the provider at the time and place they are needed.
· Reduced lag time allows for quicker recognition and treatment of medical problems.
· The automated display of previous test results makes it possible to reduce redundant and additional testing.
· Having electronic results can allow for better interpretation and for easier detection of abnormalities, thereby ensuring appropriate follow-up.
· Access to electronic consults and patient consents can establish critical links and improve care coordination among multiple providers, as well as between provider and patient
Order management
Computerized provider order entry (CPOE) systems can improve workflow processes by eliminating lost orders and ambiguities caused by illegible handwriting, generating related orders automatically, monitoring for duplicate orders, and reducing the time required to fill orders.
· CPOE systems for medications reduce the number of errors in medication dose and frequency, drug allergies, and drug–drug interactions.
· The use of CPOE, in conjunction with an EHR, also improves clinician productivity.
Decision Support
Computerized decision support systems include prevention, prescribing of drugs, diagnosis and management, and detection of adverse events and disease outbreaks.
· Computer reminders and prompts improve preventive practices in areas such as vaccinations, breast cancer screening, colorectal screening, and cardiovascular risk reduction.
Electronic communication and connectivity
Electronic communication among care partners can enhance patient safety and quality of care, especially for patients who have multiple providers in multiple settings that must coordinate care plans.
· Electronic co.
The document provides an overview of electronic medical records (EMRs), including their key components and benefits. It discusses how EMRs work, allowing patients to create and access their own medical records electronically from anywhere. Medical information is stored digitally and can be shared securely between providers. EMRs improve care quality by facilitating access to complete patient histories and enabling features like clinical decision support, electronic ordering, and reminders for preventative care. Overall, EMRs increase efficiency, coordination, and safety of healthcare delivery.
MANAGING THE INFORMATION SECURITY ISSUES OF ELECTRONIC MEDICAL RECORDSijsptm
The document discusses three key factors for securing electronic medical records:
1) Sharing sensitive patient information securely across healthcare providers through centralized databases while connecting more hospitals.
2) Creating laws and regulations focused on protecting sensitive health information and electronic medical records.
3) Increasing awareness among healthcare providers about the importance of health information security through training programs.
Building a consensus for the electronic health recordNursing353
This document discusses building consensus for electronic health records (EHRs). It begins by defining EHRs and distinguishing them from electronic medical records (EMRs). The document outlines the benefits of EHRs, such as reducing medical errors, improving patient outcomes, and empowering patients. It also discusses meaningful use standards and key aspects of EHR implementation like computerized physician order entry. Overall, the document emphasizes that successful EHR adoption requires thorough preparation, customized training, and comprehensive security planning.
Building a consensus for the electronic health recordtschenf
This document discusses building consensus for electronic health records (EHRs). It begins by defining EHRs and distinguishing them from electronic medical records (EMRs). The document outlines the benefits of EHRs, such as reducing medical errors, improving patient outcomes, and empowering patients. It also discusses meaningful use standards and key aspects of EHR implementation like computerized physician order entry. Overall, the document emphasizes that successful EHR adoption requires thorough preparation, customized training, and comprehensive security planning.
Building a consensus for the electronic health recordtschenf
This document discusses building consensus for electronic health records (EHRs). It begins by defining EHRs and distinguishing them from electronic medical records (EMRs). The document outlines the benefits of EHRs, such as reducing medical errors, improving patient outcomes, and empowering patients. It also discusses meaningful use standards and key aspects of EHR implementation like computerized physician order entry. Overall, the document emphasizes that successful EHR adoption requires thorough preparation, customized training, and comprehensive security planning.
Building a consensus for the electronic health recordNursing353
This document discusses building consensus for electronic health records (EHRs). It begins by defining EHRs and distinguishing them from electronic medical records (EMRs). The document outlines the benefits of EHRs, such as reducing medical errors, improving patient outcomes, and empowering patients. It also discusses meaningful use standards and key aspects of EHR implementation like computerized physician order entry. Overall, the document emphasizes that successful EHR adoption requires thorough preparation, customized training, and comprehensive security planning.
The document outlines the top 10 most frequent recommendations made by TMLT's Risk Managers during on-site practice reviews in 2017. These include: 1) updating medical records to ensure consistency and accuracy of information; 2) establishing policies for electronic health record security and documentation of review; 3) documenting diagnostic report review, patient instructions, and emergency protocols; and 4) properly recording injections administered and patient monitoring. The goal is to help physicians address medical liability risks through improving documentation practices.
This presentation talks about the context of developing the Electronic Health records for India. the guidelines as mentioned in the GOI site is described vividly with examples, for better understanding.
N.B: Please download the ppt first, for the animations to work better.
Framework for Data Warehousing and Mining Clinical Records of Patients: A ReviewBRNSSPublicationHubI
This document discusses a framework for data warehousing and mining clinical records of patients. It begins with an abstract that describes how a clinical data warehouse can provide access to clinical data for healthcare providers and support areas like research and management. The rest of the document reviews the background and need for integrating disparate clinical data sources, describes challenges in current fragmented systems, and discusses the significance of developing a clinical data warehousing and mining framework to organize and extract medical records from different systems.
Confidentiality Of Health Information EssaysJessica Tanner
The document discusses confidentiality of patient health information in electronic medical records. It notes that while computers are important for storing medical records, facilities must maintain control over the information and avoid unauthorized access. The AMA code of ethics states that any changes to records should be time-stamped and the person making changes identified. Patients should also be advised about computer databases storing their medical information and informed before any release of health information. Procedures for purging outdated data from electronic records should also be established to protect patient privacy and confidentiality.
Managing Medical Records_ Compliance and Best Practices for Healthcare Provid...StockHolding1
In the intricate tapestry of healthcare, the management of medical records is a pivotal element that dictates patient care, operational efficiency, and regulatory adherence. With the ever-evolving landscape of healthcare technology and the critical need for patient data security, healthcare providers must adopt robust compliance measures and implement best practices in managing medical records. This blog post will delve into the essential aspects of medical records management, focusing on compliance and outlining best practices for healthcare providers.
Similar to 1Running head PATIENT DATA15Running head PATIENT DATA.docx (20)
Business UseWeek 1 Assignment #1Instructions1. Plea.docxfelicidaddinwoodie
Business Use
Week 1: Assignment #1
Instructions
1. Please read these two articles:
· Using forensics against a fitbit device to solve a murder: https://www.cbsnews.com/news/the-fitbit-alibi-21st-century-technology-used-to-help-solve-wisconsin-moms-murder/
· How Amazon Echo could be forensically analyzed! https://www.theverge.com/2017/1/6/14189384/amazon-echo-murder-evidence-surveillance-data
2. Then go around in your residence / dwelling (home, apartment, condo, etc) and be creative.
3. Identify at least five appliances or devices that you THINK could be forensically analyzed and then identify how this might be useful in an investigation. Note - do not count your computer or mobile device. Those are obvious!
4. I expect at least one paragraph answer for each device.
Why did I assign this?
The goal is to have you start THINKING about how any device, that is capable of holding electronic data (and transmitting to the Internet) could be useful in a particular investigation!
Due Date
This is due by Sunday, May 10th at 11:59PM
Surname 6
Informative speech on George Stinney Jr.
A. Info research analysis
The general purpose of the speech was to inform people about the civil injustice being done against the African American community in the United States. The specific purpose of the speech was to portray to the audience how an innocent 14-year old black boy suffered in the hands of the South Carolina State law enforcing officers. He was falsely accused of killing two white girls and electrocuted within two months after conviction.
I decided the topic of my speech after perusing through all the suggested topics ad found that the story of George Stinney Jr. was touching and emotional entirely.
This topic benefits the audience and the society in general by giving them an insight of the cruelty that the American law system has against the African American community. The audience gets to know how the shady investigations were done with claims that George had pleaded guilty to the charges of murder when there was no real evidence tying him to the crime or a signed plea agreement.
The alternative view that I found in the research was the version of the investigating officer of the case who claimed that the 14-year old boy managed to kill two girls aged 11 and 7 with a blunt object and ditch them in a nearby trench. This alternative point of view did not make sense because it is hard for a 14-year old boy to use the force that was reported by postmortem results to kill the girls. Therefore, I knew everything was a lie and I had to take the point of view of George’s innocence.
B. informative outline
Introduction:
George Stinney Jr. was an African American boy born on October 21, 1929 in Pinewood, South Carolina, U.S. He is considered as the youngest person to be executed by the United State government in 20th century.
Main body
Investigations of the alleged crimes (Bickford, 05)
The investigations concerning the alleged crimes of George S.
Business UsePALADIN ASSIGNMENT ScenarioYou are give.docxfelicidaddinwoodie
Business Use
PALADIN ASSIGNMENT
Scenario:
You are given a PC and you are faced with this scenario: you don’t know the password to the PC which means you can’t login so you can use a forensic tool like FTK IMAGER to capture the hard drive as a bit-for-bit forensic image AND/OR
1. The hard drive is either soldiered onto the motherboard (there are some new hard drives like this!) or cannot be removed because the screws are stripped (this has happened to me);
2. Even if you figured out the password or got an admin password the PC may have its USB ports blocked via a GPO policy (this is very common in corporations now);
3. Even if you can get the GPO policy overridden you may have some concerns about putting it on the network (which is true especially if you are dealing with malware).
So what you can you do? The best solution is to boot the PC up into forensically sound environment that lets you bypass the password aspect; GPO policy; etc and take a bit-for-bit image. One software that has done the job very well for me is Paladin.
How to get points
If you can send me a screenshot showing me that you had installed Paladin .ISO and made your USB device a bootable device with Paladin using Rufus then you get 10 points.
If you can send me a screenshot showing that you had a chance to boot your computer into Paladin then you will earn an extra 10 points. It is not necessary for you to take a forensic image of your PC but I have included generic instructions here.
Assumptions:
1. You have downloaded Rufus on your computer
2. You have downloaded Paladin on your computer.
Instructions:
1. Make sure you have at least one USB drive.
2. If not down already, download Rufus from https://rufus.ie/.
3. If not done already, download the Paladin ISO image from this website: https://sumuri.com/product/paladin-64-bit-version-7/ which is free. It’s suggested price is $25.00 but you can adjust the price to $0 then order. To be clear – do not pay anything.
4. Insert the USB device in your computer.
5. Run Rufus where you install the Paladin .ISO file on the USB device and make it bootable. Now I could provide you step by step instructions, but this is a Masters class so I want you to explore a bit and figure this out. One good video is this: https://www.youtube.com/watch?v=V6JehM0WDTI.
6. After you are done using Rufus where you have installed Paladin.ISO on the USB device and made it bootable then make sure the USB device is in the PC.
7. Restart your PC. Press F9(HP) laptop) or F12 (Dell laptop) so you can be taken into the BIOS bootup menu.
8. This is where things get a bit tricky e.g. your compute may be configured differently where you have to adjust your BIOS settings. If you do not feel comfortable doing this then stop here. I do not want you to mess up your computer. You have already earned ten extra points!
9. If you still proceed then you will see a list of bootable devices. You may, for example, see a list of devices. Pick the device .
Business UsePractical Connection WorkThis work is a writte.docxfelicidaddinwoodie
Business Use
Practical Connection Work
This work is a written assignment where students will demonstrate how this course research has connected and been put into practice within their own career.
Assignment:
Provide a reflection of at least 500 words of how the knowledge, skills, or theories of this course, to date, have been applied, or could be applied, in a practical manner to your current work environment.
If you are not currently working, then this is where you can be creative and identify how you THINK this could be applied to an employment opportunity in your field of study.
Requirements:
Provide a 500 word minimum reflection.
Use of proper APA formatting and citations. If supporting evidence from outside resources is used those must be properly cited.
Share a personal connection that identifies specific knowledge and theories from this course.
You should NOT provide an overview of the assignments given in the course. Reflect and write about how the knowledge and skills obtained through meeting course objectives were applied or could be applied in the workplace.
// Pediatric depressionTherapy for Pediatric Clients with Mood Disorders
An African American Child Suffering From Depression
BACKGROUND INFORMATION
The client is an 8-year-old African American male who arrives at the ER with his mother. He is exhibiting signs of depression.
Client complained of feeling “sad” Mother reports that teacher said child is withdrawn from peers in class Mother notes decreased appetite and occasional periods of irritation Client reached all developmental landmarks at appropriate ages Physical exam unremarkable Laboratory studies WNL Child referred to psychiatry for evaluation Client seen by Psychiatric Nurse Practitioner
MENTAL STATUS EXAM
Alert & oriented X 3, speech clear, coherent, goal directed, spontaneous. Self-reported mood is “sad”. Affect somewhat blunted, but child smiled appropriately at various points throughout the clinical interview. He denies visual or auditory hallucinations. No delusional or paranoid thought processes noted. Judgment and insight appear to be age-appropriate. He is not endorsing active suicidal ideation, but does admit that he often thinks about himself being dead and what it would be like to be dead.
The PMHNP administers the Children's Depression Rating Scale, obtaining a score of 30 (indicating significant depression)
RESOURCES
§ Poznanski, E., & Mokros, H. (1996). Child Depression Rating Scale--Revised. Los Angeles, CA: Western Psychological Services.
Decision Point OneSelect what the PMHNP should do:Begin Zoloft 25 mg orally daily
Begin Paxil 10 mg orally daily
Begin Wellbutrin 75 mg orally BID
.
Business System Analyst
SUMMARY:
· Cognos Business In experience intelligence with expertise in Software Design, Development, and Analysis, Teradata, Testing, Data Warehouse and Business Intelligence tools.
· Expertise in Cognos 11/10.2, 10.1, 8.x (Query Studio, Report Studio, Analysis Studio, Business Insight/Workspace, Business Insight/Workspace Advanced, Metric Studio (Score carding), Framework Manager, Cognos Connection)
· Expertise in Installation and Configuration of Cognos BI Products in Distributed environment on Windows
· Expertise with Framework Manager Modeling (Physical Layer, Business Layer, Packages) and Complex Report building with Report Studio.
· Expertise developing complex reports using drill-through reports, prompts, dashboards, master-detail, burst-reports, dynamic filtering in Cognos.
· Expertise in creating Dashboard reports using Java Script in Report studio.
· Expertise in building scorecard reports and dashboard reports using metric studio.
· Expertise with Transformer models and cubes that were used in Power play analysis and also these cubes were used in various Analysis Studio reports.
· Expertise with MDX Functions in Report Studio using Multi-dimensional Sources.
· Expertise with Cognos security (LDAP, Active Directory, Access manager, object level security, data security).
· Expertise with Tabbed Inter-phases and with Interactive Behavior of value based chart highlighting.
· Sound Skills in developing SQL Scripts, PL/SQL Stored Procedures, functions, packages.
· Expertise on production support and troubleshoot/test issues with existing reports and cubes.
· Experienced with MS SQL Server BI Tools like SSIS, SSRS and SSAS.
· Expertise in creation of packages, Data and Control tasks, Reports and Cubes using MS SQL Server BI Tools.
· Ability to translate business requirements into technical specifications and interact with end users to gather requirements for reporting.
· Good understanding of business process in Financial, Insurance and Healthcare areas.
· Expertise in infrastructure design for the cognos environment and security setup for different groups as per business requirement.
· Creating training material on all the Ad-Hoc training
· Expertise in all the basic administrative tasks like deployments, routing rule setup’s , user group setup , folder level securities etc.
· Have deployment knowledge of IBM Cognos report in Application servers like WAS.
· Have knowledge on handling securities and administration functionalities on IBM Cognos 10.x
· Good work ethics, detail oriented, fast learner, team oriented, flexible and adaptable to all kinds of stressful environments. Possess excellent communication and interpersonal skills.
Technical Skills:
BI Platform
Cognos 11,10.2, 10.1, 8.x (Query Studio, Report Studio, Analysis Studio, Business Insight/Workspace, Business Insight/Workspace Advanced, Metric Studio (Score carding), Framework Manager, Cognos Connection)
Data Base
MS Access, MS SQL Server, Orac.
Business StrategyOrganizations have to develop an international .docxfelicidaddinwoodie
Business Strategy
Organizations have to develop an international Human Resources Management Strategy, when they expand globally. Which do you think is more critical for international Human Resource Management:
Understanding the cultural environment, or
Understanding the political and legal environment?
Please choose 1 position and give a rationale; examples are also a way to demonstrate your understanding of the learning concepts.
.
Business StrategyGroup BCase Study- KFC Business Analysis.docxfelicidaddinwoodie
Business Strategy
Group B
Case Study- KFC Business Analysis
Abstract
Introduced in 1952 by Colonel Sanders
Second largest restaurant chain today in terms of popularity
Annual revenue of $23 billion
Diversified its menu to suit cultural needs of people across different countries
Hindering factors in KFC’s growth are growing consumer health consciousness, animal welfare criticism, environmental criticism
Introduction
KFC was born in 1952 and its founder was Colonel Sanders
First franchise to grow globally over international market
By the 1960s – 1980s the market was booming in countries like England, Mexico, China
Management and ownership transferred over the years to Heublin, Yum Brands and PepsiCo.
Annual revenue of $23 billion in 2013
KFC had expanded its menu to suit cultural needs of people across different countries
Hindering factors in KFC’s growth are growing consumer health consciousness, animal welfare criticism, environmental criticism, logistic management issue in UK, cultural differences in Asian countries towards accepting the fried chicken menu.
Factors contributing to KFC’s global success
The core reason for KFCs success is it’s mandate to follow strict franchise protocols that have continuously satisfied customers demands:
The quality of the chicken cooked in KFC has certain specific guidelines
The size of the restaurant should be 24x60 feet.
The restaurant washrooms and ktichen has certain cleanliness standards
Food that is not sold off needs to be trashed
The workers need to have a specific clothing and uniform.
A certain % of the gross earnings should be used for advertisement and R&D
Air conditioning is mandatory in the outlets
Global number of KFC restaurants in the past decade
Importance of cultural factors to KFC’s sales success in India and China
Culture is the collective programming of the human mind that distinguishes the members of one human group from those of another. Culture in this sense is a system of collectively held values
“Culture is everything that people have, think, and do as members of their society”, which demonstrating that culture is made up of (1) material objects; (2) ideas, values, attitudes and beliefs; and (3) specified, or expected behavior.
Many scholars have theorized and studied the notion of cross-cultural adaptation, which tends to move from one culture to another one, by learning the elements such as rules, norms, customs, and language of the new culture (Oberg 1960, Keefe and Padilla 1987, Kealey 1989). According to Ady (1995),
“Cultural adaptation is the evolutionary process by which an individual modifies his personal habits and customs to fit into a particular culture. It can also refer to gradual changes within a culture or society that occur as people from different backgrounds participating in the culture and sharing their perspectives and practices.”
Cultural factors in India that go against KFC’s original recipe.
.
Business Strategy Differentiation, Cost Leadership, a.docxfelicidaddinwoodie
This document discusses various concepts related to business strategy and competitive advantage. It begins by defining a business-level strategy and outlining the "who, what, why, and how" of competing for advantage. It then discusses how industry and firm effects jointly determine competitive advantage. Key ideas around generating and sustaining advantage through barriers to imitation are presented. The document also discusses concepts like differentiation advantage, cost leadership, learning curves, economies of scale, value chains, and the resource-based view of the firm. Strategic coherence and dynamic strategic activity systems are defined.
Business RequirementsReference number Document Control.docxfelicidaddinwoodie
Business Requirements
Reference number:
Document Control
Change Record
Date
Author
Version
Change Reference
Reviewers
Name
Position
Table of Contents
2Document Control
1
Business Requirements
4
1.1
Project Overview
4
1.2
Background including current process
4
1.3
Scope
4
1.3.1
Scope of Project
4
1.3.2
Constraints and Assumptions
5
1.3.3
Risks
5
1.3.4
Scope Control
5
1.3.5
Relationship to Other Systems/Projects
5
1.3.6
Definition of Terms (if applicable)
5
1 Business Requirements
1.1 Project Overview
Provide a short, yet complete, overview of the project.
1.2 Background including current process
Describe the background to the project, (same section may be reused in the Quality Plan) include:
This project is
The project goal is to
The IT role for this project is
1.3 Scope
1.3.1 Scope of Project
The scope of this project includes a number of areas. For each area, there should be a corresponding strategy for incorporating these areas into the overall project.
Applications
In order to meet the target production date, only these applications will be implemented:
Sites
These sites are considered part of the implementation:
Process Re-engineering
Re-engineering will
Customization
Customizations will be limited to
Interfaces
the interfaces included are:
Architecture
Application and Technical Architecture will
Conversion
Only the following data and volume will be considered for conversion:
Testing
Testing will include only
Funding
Project funding is limited to
Training
Training will be
Education
Education will include
1.3.2 Constraints and Assumptions
The following constraints have been identified:
The following assumptions have been made in defining the scope, objectives and approach:
1.3.3 Risks
The following risks have been identified as possibly affecting the project during its progression:
1.3.4 Scope Control
The control of changes to the scope identified in this document will be managed through the Change Control, with business owner representative approval for any changes that affect cost or timeline for the project.
1.3.5 Relationship to Other Systems/Projects
It is the responsibility of the business unit to inform IT of other business initiatives that may impact the project. The following are known business initiatives:
1.3.6 Definition of Terms (if applicable)
List any definitions that will be used throughout the duration of the project.
5
A working structure is the fundamental programming that bargains with all the mechanical social affair and other programming on a PC. It other than pulls in us to visit with the PC without perceiving how to talk the piece PC programs language's. A working structure is inside theory of programming on a contraption that keeps everything together. Working systems visit with the's contraption. They handle everything from your solace and mice to the Wi-Fi radio, gathering contraptions, and show. Symbolically, a worki.
Business ProposalThe Business Proposal is the major writing .docxfelicidaddinwoodie
Business Proposal
The Business Proposal is the major writing assignment in the course. You are to create and submit a formal proposal that suggests how to change something within an organization. This organization can be large or small, a place of employment now or in the past, or an organization to which the students belong. From past experiences, it is best to use a business with fewer than 200 employees, and one with which you have personal experience. It could be a place where you currently work or a place you have worked or volunteered in the past.
The change can be specific to a unit or can apply to the whole organization; it can relate to how important information is distributed, who has access to important information, how information is accessed, or any other change in practices the students see as having a benefit. The proposal should be directed to the person or committee with the power to authorize the change. However, if you are working within a large organization, and asking for a small organizational change, communicating with a CEO or president may not make the most sense. You need to think about who within the organization might be the best person for the type of change suggested.
For the submission, you are to follow the guidelines for formal proposals available in Chapter 10 of the text. You can review 10.1, 10.4, and 10.19 for more information about specific components for a well-written formal business proposal. A complete proposal must have all required sections of a formal report excluding the copy of an RFP and the Authorization. The final draft of the proposal should be 1500–2000 words, and include the following necessary formal proposal components:
Letter of transmittal
Executive summary
Title page
Table of contents
List of illustrations
Introduction
Background: Purpose/problem
Proposal: plan, schedule, details
Staffing
Budget
Appendix
Formatting does matter for this assignment, and you are to check the text for details about how to format and draft the different proposal segments. Proposals don't just have text; graphics and charts are necessary, too. In addition, research is important, and footnotes and references must be included. All content should be concise, clear, and detailed. The proposal should be well-written with appropriate grammar, spelling, and punctuation.
This is a scaffolded writing project that consists of four assignments.
.
Business ProjectProject Progress Evaluation Feedback Form .docxfelicidaddinwoodie
Business Project
Project Progress Evaluation
Feedback Form Week 3
Date:
__________________________________________________
Student Name:
__________________________________________________
__________________________________________________
Project Title: Effect Of Increasing Training Budget
Project Type: Business Research
Researchers:
Has a topic been chosen and a problem statement created?
Yes { } NO { }
Was the problem statement submitted in a 1-4 page paper that includes an introduction to the topic with appropriate documentation?
Yes { } No { }
Specifically, if any, needs additional content or rewriting to create more clarity? What specific recommendations do you have to help in this process?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
What is your workable timetable that states specific objectives and target completion dates for completing the final draft of the plan? Write the timetable below:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Feedback Form #3 – Project Proposal and Plan
▼
THE UK’S LEADING PROVIDER OF EXPERT SERVICES FOR IT PROFESSIONALS
NATIONAL COMPUTING CENTRE
IT Governance
Developing a successful governance strategy
A Best Practice guide for decision makers in IT
IT Governance
Developing a successful governance strategy
A Best Practice guide for decision makers in IT
The effective use of information technology is now an accepted organisational imperative - for
all businesses, across all sectors - and the primary motivation; improved communications and
commercial effectiveness. The swift pace of change in these technologies has consigned many
established best practice approaches to the past. Today's IT decision makers and business
managers face uncertainty - characterised by a lack of relevant, practical, advice and standards
to guide them through this new business revolution.
Recognising the lack of available best practice guidance, the National Computing Centre has
created the Best Practice Series to capture and define best practice across the key aspects of
successful business.
Other Titles in the NCC Best Practice series:
IT Skills - Recruitment and Retention ISBN 0-85012-867-6
The New UK Data Protection Law ISBN 0-85012-868-4
Open Source - the UK opportunity ISBN 0-85012-874-9
Intellectual Property Rights - protecting your intellectual assets ISBN 0-85012-872-2
Aligning IT with Business Strategy ISBN 0-85012-889-7
Enterprise Architecture - underst.
BUSINESS PROCESSES IN THE FUNCTION OF COST MANAGEMENT IN H.docxfelicidaddinwoodie
BUSINESS PROCESSES IN THE FUNCTION OF COST
MANAGEMENT IN HEALTHCARE INSTITUTIONS
1
1
st
IVANA DRAŽIĆ LUTILSKY
Departement of Accounting
Faculty of Economics and Business
University of Zagreb
Croatia
[email protected]
2
nd
LUCIJA JUROŠ
Faculty of Economics and Business
[email protected]
Abstract: This paper is dealing with the importance of business processes regarding costs
tracking and cost management in healthcare institutions. Various changes within the health
care system and funding of hospitals require the introduction of management information
systems and cost accounting. The introduction of cost accounting in public hospitals would
allow the planning and control of costs, monitoring of costs per patient or service and the
calculation of indicators for the analysis and assessment of the economic performance of the
business of public hospitals and lead to the transparency of budget spending. A model that
would be suited to the introduction in the public hospital is full cost allocation model based on
activities or processes that occur, known as the ABC method. Given that this is a calculation
of cost of services provided through various internal business processes, it is important to
identify all business processes in order to be able to calculate the costs incurred by services.
Although the hospital does not do business with the aim to make a profit, they must follow all
the costs (direct and indirect) to be able to calculate the full costs i.e. the price of the service
provided. In addition, the long-term sustainability of business activities in terms of funding
difficulties and the continuous growth of cost of services provided, hospitals must control and
reduce the cost of the program and specific activities. Therefore, the objective of this paper is
to point out the importance of business processes while introducing ABC method.
Keywords: Business Processes, Cost management, ABC method, Healthcare Institutions
1
This work has been fully supported by University of Zagreb funding the project “Business processes in the
implementation of cost management in healthcare system”, Any opinions, findings, and conclusions or
recommendations expressed in this paper are those of the authors and do not necessarily reflect the views of
University of Zagreb.
mailto:[email protected]
1 Introduction
In recent years, the efficiency of the management in health care services and the system of
quality in health care institutions significantly increased. Patients expect more from
healthcare providers and higher standards of care. At the same time, those who pay for
health services are increasingly concerned about the rising costs of health care services, but
also the potential ineffectiveness of the health care system. Consequently, there is a broad
interest in understanding the ways of efficient work of health care management and .
Business Process Management JournalBusiness process manageme.docxfelicidaddinwoodie
Business Process Management Journal
Business process management: a maturity assessment of Saudi Arabian
organizations
Omar AlShathry,
Article information:
To cite this document:
Omar AlShathry, (2016) "Business process management: a maturity assessment of Saudi Arabian
organizations", Business Process Management Journal, Vol. 22 Issue: 3, pp.507-521, https://
doi.org/10.1108/BPMJ-07-2015-0101
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(2016),"Process improvement for professionalizing non-profit organizations: BPM approach",
Business Process Management Journal, Vol. 22 Iss 3 pp. 634-658 <a href="https://doi.org/10.1108/
BPMJ-08-2015-0114">https://doi.org/10.1108/BPMJ-08-2015-0114</a>
(2016),"Ownership relevance in aspect-oriented business process models", Business
Process Management Journal, Vol. 22 Iss 3 pp. 566-593 <a href="https://doi.org/10.1108/
BPMJ-01-2015-0006">https://doi.org/10.1108/BPMJ-01-2015-0006</a>
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*Related content and download information correct at time of download.
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Business process management:
a maturity assessment of Saudi
Arabian organizations
Omar AlShathry
Department of Information Systems,
Imam Mohammed Bin Saud University, Riyadh, Saudi Arabia
Abstract
Purpose – Business Process Management (BPM) has become increasingly common among organizations
in d.
Business Plan[Your Name], OwnerPurdue GlobalBUSINESS PLANDate.docxfelicidaddinwoodie
Business Plan[Your Name], Owner
Purdue Global
BUSINESS PLAN
Date
1. EXECUTIVE SUMMARY
1.1 Product
1.2 Customers
1.3 What Drives Us
2. COMPANY DESCRIPTION
2.1 Mission and Vision Statements
2.2 Principal Members at Startup (In Unit 7 you will expand on this section to include medium and long term personnel plans for all team members, including the line staff.)
2.2.1 Using chapter 10 of your text, write the plan, using the section in Chapter 10 that shows how to introduce each team member and describe their background and responsibilities. You will start with the leaders and managers, then discuss other employees as needed for your company to grow.
2.2.2 Use this spreadsheet to show the planning
Leaders/managers (unit 1)
When needed (number of months/years after opening)
Outside Services Needed
Key Functions
Add line staff (Unit 7)
2.3 Legal Structure
3. MARKET RESEARCH
3.1 Industry (from SBA, Business Guides by Industry, and Bureau of Labor Statistics)
3.1.1 Industry description
3.2.1 Resources used
3.2 Customers (from SBA site fill in worksheet, then use text for spreadsheets and follow-up explanations)
Add SBA part here:
Then, fill in spreadsheet using this example from the text:
Housewife:
Married Couple:
Age:
35–65
Age:
35–55
Income:
Fixed
Income:
Medium to high
Sex:
Female
Sex:
Male or Female
Family:
Children living at home
Family:
0 to 2 children
Geographic:
Suburban
Geographic:
Suburban
Occupation:
Housewife
Occupation:
Varies
Attitude:
Security minded
Attitude:
Security minded, energy conscious
Older Couple:
Elderly:
Age:
55–75
Age:
70+
Income:
High or fixed
Income:
Fixed
Sex:
Male or Female
Sex:
Male or Female
Family:
Empty nest
Family:
Empty nest
Geographic:
Suburban
Geographic:
Suburban
Occupation:
White-collar or retired
Occupation:
Retired
Attitude:
Security minded, energy conscious
Attitude:
Security minded, energy conscious
Explain who you are targeting and where they are located. Insert information here using these guidelines:
Information About Your Target Market – Narrow your target market to a manageable size. Many businesses make the mistake of trying to appeal to too many target markets. Research and include the following information about your market:
Distinguishing characteristics – What are the critical needs of your potential customers? Are those needs being met? What are the demographics of the group and where are they located? Are there any seasonal or cyclical purchasing trends that may impact your business?
Size of the primary target market – In addition to the size of your market, what data can you include about the annual purchases your market makes in your industry? What is the forecasted market growth for this group? For more information, see the market research guide for tips and free government resources that can help you build a market profile.
How much market share can you gain? – What is the market share.
Business PlanCover Page Name of Project, Contact Info, Da.docxfelicidaddinwoodie
Business Plan
Cover Page
Name of Project, Contact Info, Date
Picture/graphics
Table of Contents
Executive Summary
The Company
The Project
The Industry
The Market
Distribution
Risk Factors
Financing
Sources
List of sources, specific articles, and websites
I WILL PROVIDE MORE INFORMATION IN CHAT TO COMPLETE PROPOSAL.
.
Business Planning and Program Planning A strategic plan.docxfelicidaddinwoodie
This document discusses business planning and program planning. It explains that a strategic plan specifies how a program will achieve its objectives, while a business plan defines the path of a business and includes its organizational structure and financial projections. The document also discusses how the financial projection element of a business plan can impact a program's strategic planning process by influencing the program's budget. Finally, it notes that a program plan should include a funding request, as outlined in a business plan, to help secure necessary resources and facilitate achieving the program's goals and objectives.
Business Plan In your assigned journal, describe the entity you wil.docxfelicidaddinwoodie
Business Plan: In your assigned journal, describe the entity you will utilize and explain your decision.
Must be:
At required length or longer
Written in American English at graduate level
Received on or before the deadline
Must pass turn it in
Written in APA with references
.
Business Plan Part IVPart IV of the Business PlanPart IV of .docxfelicidaddinwoodie
Business Plan Part IV
Part IV of the Business Plan
Part IV of the business plan is due in week 7. Together with this part, you must show to your instructor that you have implemented the necessary corrections based on the part I feedback.
Part IV Requirements
1. Financials Plan
a. Present an in-depth narrative to demonstrate the viability of your business to justify the need for funding.
b. In this section describe financial estimates and rationale which include financial statements and forms that document the viability of your proposed business and its soundness as an investment.
c. Tables and figures must be introduced in the narrative.
i. Describe the form of business (sole-proprietor, LLC, or Corporation).
ii. Prepare three-year projections for income, expenses, and sources of funds.
iii. Base predictions on industry and historical trends.
iv. Make realistic assumptions.
v. Allow for funding changes at different stages of your company’s growth.
vi. Present a written rationale for your projections.
vii. Indicate your startup costs.
viii. Detail how startup funds will be used to advance your proposed business
ix. List current capital and any other sources of funding you may have
x. Document your calculations.
xi. Use reasonable estimates or actual data (where possible).
2. Continuous Improvement System
a. Present a brief summary of the continuous improvement processes that you will utilize for quality management (Six sigma, TQM, etc).
.
BUSINESS PLAN FORMAT Whether you plan to apply for a bu.docxfelicidaddinwoodie
BUSINESS PLAN FORMAT
Whether you plan to apply for a business loan or not, you need to have a roadmap or plan to get you from where you are to the successful operation of your business. The pages that follow demonstrate the content of a simple business plan which has been found to be successful in obtaining startup funds from banks. You are encouraged to use all or whatever portions of this fit your business.
Please DO NOT write page after page of drivel or copy from someone else’s plan or one of those templates you can find on the Internet. In most cases this will not “sound" like you, nor will it be short and to the point. Those who read these things are busy people and will not be inclined to spend time reading irrelevant paperwork.
Throughout this sample, there are
italicized
comments which are meant to guide you in preparation. If you follow this format it is reasonable to expect a finished document with 15-20 pages plus the supporting documents in the last section.
If you have good quality pictures of your space, products or other items, you might include them as another way to convey just what you plan to do. A map of your location, diagram of floor space, or other illustration is also sometimes helpful. On the other hand, do not add materials simply to “bulk-up” the report.
While content is critical, it is also important to make this presentation look as good as possible. For this course, you will create the business plan in Word and submit the plan and all attachments through the Assignment drop box. That means all attachments have to be in digital form. For a bank loan or an investor, you would normally provide them with a print version. Print the pages in black ink on a high quality tinted letterhead paper. Color is not necessary but would add some interest in headlines, etc. Bind the document in a presentation folder or with a spiral binding. Don’t simply punch a staple in the upper left corner.
If your were going to pursue a bank loan or an investor, it would be normal to take this business plan to your SCORE counselor for a review and critique.
NOTE: Before you begin your inspection of the simple plan outline which follows, take a moment to review the Business Plan Checklist on the next page.
BUSINESS PLAN CHECKLIST
By way of review, here is a concise list of the basic requirements for a Business Plan, as recommended by the MIT Enterprise Forum:
·
Appropriate Arrangement
- prepare an executive summary, a table of contents and chapters in the right order.
·
Right Length
- make it not too long and not too short, not too fancy and not too plain.
·
Expectations
- give a sense of what founder(s) and the company expect to accomplish three to seven years in the future.
·
Benefits
- explain in quantitative and qualitative terms the benefit to the consumer of the products and services.
·
Marketability
- present hard evidence of the mar.
Beyond Degrees - Empowering the Workforce in the Context of Skills-First.pptxEduSkills OECD
Iván Bornacelly, Policy Analyst at the OECD Centre for Skills, OECD, presents at the webinar 'Tackling job market gaps with a skills-first approach' on 12 June 2024
How to Make a Field Mandatory in Odoo 17Celine George
In Odoo, making a field required can be done through both Python code and XML views. When you set the required attribute to True in Python code, it makes the field required across all views where it's used. Conversely, when you set the required attribute in XML views, it makes the field required only in the context of that particular view.
How to Manage Your Lost Opportunities in Odoo 17 CRMCeline George
Odoo 17 CRM allows us to track why we lose sales opportunities with "Lost Reasons." This helps analyze our sales process and identify areas for improvement. Here's how to configure lost reasons in Odoo 17 CRM
Chapter wise All Notes of First year Basic Civil Engineering.pptxDenish Jangid
Chapter wise All Notes of First year Basic Civil Engineering
Syllabus
Chapter-1
Introduction to objective, scope and outcome the subject
Chapter 2
Introduction: Scope and Specialization of Civil Engineering, Role of civil Engineer in Society, Impact of infrastructural development on economy of country.
Chapter 3
Surveying: Object Principles & Types of Surveying; Site Plans, Plans & Maps; Scales & Unit of different Measurements.
Linear Measurements: Instruments used. Linear Measurement by Tape, Ranging out Survey Lines and overcoming Obstructions; Measurements on sloping ground; Tape corrections, conventional symbols. Angular Measurements: Instruments used; Introduction to Compass Surveying, Bearings and Longitude & Latitude of a Line, Introduction to total station.
Levelling: Instrument used Object of levelling, Methods of levelling in brief, and Contour maps.
Chapter 4
Buildings: Selection of site for Buildings, Layout of Building Plan, Types of buildings, Plinth area, carpet area, floor space index, Introduction to building byelaws, concept of sun light & ventilation. Components of Buildings & their functions, Basic concept of R.C.C., Introduction to types of foundation
Chapter 5
Transportation: Introduction to Transportation Engineering; Traffic and Road Safety: Types and Characteristics of Various Modes of Transportation; Various Road Traffic Signs, Causes of Accidents and Road Safety Measures.
Chapter 6
Environmental Engineering: Environmental Pollution, Environmental Acts and Regulations, Functional Concepts of Ecology, Basics of Species, Biodiversity, Ecosystem, Hydrological Cycle; Chemical Cycles: Carbon, Nitrogen & Phosphorus; Energy Flow in Ecosystems.
Water Pollution: Water Quality standards, Introduction to Treatment & Disposal of Waste Water. Reuse and Saving of Water, Rain Water Harvesting. Solid Waste Management: Classification of Solid Waste, Collection, Transportation and Disposal of Solid. Recycling of Solid Waste: Energy Recovery, Sanitary Landfill, On-Site Sanitation. Air & Noise Pollution: Primary and Secondary air pollutants, Harmful effects of Air Pollution, Control of Air Pollution. . Noise Pollution Harmful Effects of noise pollution, control of noise pollution, Global warming & Climate Change, Ozone depletion, Greenhouse effect
Text Books:
1. Palancharmy, Basic Civil Engineering, McGraw Hill publishers.
2. Satheesh Gopi, Basic Civil Engineering, Pearson Publishers.
3. Ketki Rangwala Dalal, Essentials of Civil Engineering, Charotar Publishing House.
4. BCP, Surveying volume 1
This slide is special for master students (MIBS & MIFB) in UUM. Also useful for readers who are interested in the topic of contemporary Islamic banking.
Walmart Business+ and Spark Good for Nonprofits.pdfTechSoup
"Learn about all the ways Walmart supports nonprofit organizations.
You will hear from Liz Willett, the Head of Nonprofits, and hear about what Walmart is doing to help nonprofits, including Walmart Business and Spark Good. Walmart Business+ is a new offer for nonprofits that offers discounts and also streamlines nonprofits order and expense tracking, saving time and money.
The webinar may also give some examples on how nonprofits can best leverage Walmart Business+.
The event will cover the following::
Walmart Business + (https://business.walmart.com/plus) is a new shopping experience for nonprofits, schools, and local business customers that connects an exclusive online shopping experience to stores. Benefits include free delivery and shipping, a 'Spend Analytics” feature, special discounts, deals and tax-exempt shopping.
Special TechSoup offer for a free 180 days membership, and up to $150 in discounts on eligible orders.
Spark Good (walmart.com/sparkgood) is a charitable platform that enables nonprofits to receive donations directly from customers and associates.
Answers about how you can do more with Walmart!"
Strategies for Effective Upskilling is a presentation by Chinwendu Peace in a Your Skill Boost Masterclass organisation by the Excellence Foundation for South Sudan on 08th and 09th June 2024 from 1 PM to 3 PM on each day.
Reimagining Your Library Space: How to Increase the Vibes in Your Library No ...Diana Rendina
Librarians are leading the way in creating future-ready citizens – now we need to update our spaces to match. In this session, attendees will get inspiration for transforming their library spaces. You’ll learn how to survey students and patrons, create a focus group, and use design thinking to brainstorm ideas for your space. We’ll discuss budget friendly ways to change your space as well as how to find funding. No matter where you’re at, you’ll find ideas for reimagining your space in this session.
हिंदी वर्णमाला पीपीटी, hindi alphabet PPT presentation, hindi varnamala PPT, Hindi Varnamala pdf, हिंदी स्वर, हिंदी व्यंजन, sikhiye hindi varnmala, dr. mulla adam ali, hindi language and literature, hindi alphabet with drawing, hindi alphabet pdf, hindi varnamala for childrens, hindi language, hindi varnamala practice for kids, https://www.drmullaadamali.com
1Running head PATIENT DATA15Running head PATIENT DATA.docx
1. 1
Running head: PATIENT DATA
15
Running head: PATIENT DATA
Protecting Patient Data
Walden University
2. Since the inception of recording-keeping medical records
have earned a place in society where the population of medical
data from each individual patient is essential not only to trend
progression but also as a general record-keeping system of a
patients overall health. Accordingly, a patient file tends to
generally contain: Hospital summaries (admittance, discharge,
and follow-up care), radiological images, consultation reports,
list if medications, allergy information, physical exams, etc.
However, certain things such as the exchange of information
between lawyers, doctors, and medical indemnity providers tend
to be excluded based on current law and should not to be taken
as part of a patient’s medical record (Ken, 2009). As such,
patient records tend to contain a significant amount of sensitive
information that must be safeguarded thus the need to provide
proper safety and security measures are essential to patient care.
Since compilation, storage, and access of information is such an
important part of patient care it is essential to provide proper
safeguards to prevent unauthorized access such as steel
3. enclosures with locks for those still utilizing paper records or
complicated encryptions methods for those utilizing electronic
medical records. However, with the enactment of newer laws
and compliance measures of meaningful use the value of a safe
and secure medical record system should not be overlooked.
Thus, a comprehensive record-keeping system that is secure and
fulfills the needs of patients, physicians, various other health
care providers, insurance billers, and other third party entities is
of the utmost importance. After analysis of United General’s
policy manual some of the proposed changes below could a
comprehensive update that is able to fulfill all requirements:
· Records should be kept in a secure electronic format that is
legible, easily understood, written with American Medical
Association approved acronyms and/or abbreviations, and easily
transmissible from one organization to another.
· The medical record, at a minimum, must contain a thorough
history, physical examination findings, tests and/or procedures
performed on the patient along with their results, possible
consultations, assessment and plan, medication history, and any
other medically relevant information that allows a
comprehensive compiling of patient-specific medical data.
· The medical record should include all possible discussions
regarding any proposed procedures and/or the treatment options,
along with risk to benefit analysis, in order to clearly
demonstrate that all options were presented to the patient and
they were allowed to choose without prejudice or cohesion.
· The medical record must safeguard, via encryption methods,
files of any written consent issued by AND to the patient for
any and all medical treatment including but not limited to
surgical and/or medical procedure(s).
· The medical record should document ANY type of a patient
compliance including but limited to refusal of consent to
undergo treatment such as testing, medical and/or surgical
procedures, vaccination, and ingestion of medication. Any and
all refusal against medical advice MUST be documented.
· All telephone conversations in which medical information is
4. discussed shall, to the proper extent of the law, be monitored
and/or recorded for quality and training purposes to ensure
adequate record keeping.
· All information pertaining to allergies (food and/or medicinal)
or any other conditions that may demand special attention or
bring harm to a patient shall be documented in the medical
record.
· The medical records should incorporate details of any clinical
opinion reached upon by the medical practitioners. The records
should also be comprehensive with the follow-up
recommendations and the compliance should be monitored.
· The medical record should have provisions that include
nightly reconciliation of data that has been inputted throughout
with in-session automatic saving of information that is being
typed and/or uploaded to ensure that not pertinent data is lost.
An additional security provision calls for monthly testing to
ensure the system is not vulnerable to security threats and have
a back-up access in the vent of a primary system failure.
· The medical record shall employ security protocols that not
only limits unauthorized access but alerts, in real-time,
unauthorized access to the patient records and secure areas of a
building in order to reduce any potential loss in secure
information.
While the proposed information above is not a comprehensive
list it does serve to provide as a starting point regarding the
restructuring and importance of United Generals agreement not
only to safe guard medical information but also be HIPPA
compliant. According to Thakkar & Davis (2009), the purpose
and importance of safe and secure health records allows for a
legalized form of record keeping that keeps track of decision
making in patient care that helps improve quality and safety by
containing patient information in a centralized source. Thus, the
proposed changes below help identify the importance and
purpose of proper medical record keeping along with keeping in
compliance with HIPPA:
· HIPPA serves as an ultimate authority in setting national
5. standards that protects and respects the privacy of an individual
pertaining to how and when their medical information is
accessed
· HIPPA compliance to safeguard a patient’s health information
is to be adhered by limiting, within reason, the unnecessary
sharing and usage of information along with utilizing accessed
information for its specific intended purpose(s).
· Agreements will be established with service providers, who
can execute tasks on behalf of the patients, in a secure manner
while ensuring that patient information is not disclosed to those
who are not authorized to be in possession of such material.
· Develop and implement a training program that teaches
individuals to not only safeguard patient information but also
continuous monitoring of who accesses patient information to
determine how that information will be used.
· Establish protocols that detect possible systemic breeches. In
addition, develop a step-wise approach that gathers information
in a manner that can inform a patient about a data breech.
· Electronic medical records help improve the level of
involvement a patient has regarding their medical decisions.
Active involvement in decision-making allows patients to track
and manage their health care needs while taking into account
ultimate end goals.
· A medical record allows for a complete legal and business
accord that documents all facts of medical care even when
multiple providers are being used. This documentation not only
gives patients piece of mind because it enables patients to keep
track of their medical care.
· Electronic medical records allow the dissemination of
information, especially in emergency situations, within a
moments notice ensuring that that the patient receives the best
care possible.
· Digital records allow a reduction in administrative cost
because the organization of clinical documents are in a digital
format that allows the searching of information relatively easy.
In addition, a digital format allows for increased efficiency
6. especially when it comes to prescription refills, scheduling and
automatic reminders, and referrals.
· Electronic records allow for a comprehensive familial
managed care by assisting caregivers the ability to track,
update, and interpret information especially in situations where
most family members see the same physician (Kaelber, 2008).
While the collection, storage, and retrieval of patient
information is essential for both the physician and patient,
concerns for those with proper authority with access along with
securely storing that information is of great concern. Based on
the situation that occurred with United General Hospital,
several ramifications along with proposed remedies to prevent
compromises in medical records will be suggested. Most of
these suggestions can apply to both electronic and paper
records, however, electronic records will be the main focused
since federal law dictates that an electronic format will comply
with most facets of health care reform.
· Both paper and electronic formats are subject to unauthorized
access and present a liability for the physician and/or medical
care facility thus is important to safeguard information.
Regarding electronic medical records, they are subject to
intended or unintended destruction/loss, inappropriate data
entry/corrections, and errors arising to transcription. To remedy
this situation one must take care to ensure that a master list is
consistently updated to ensure those with proper access retain it
and those who lose those privileges no longer have access. All
of this could be linked to the individual identification cards. In
addition, a complex security algorithm would keep files safe
because it would require extensive decryption methods.
· Paper formats would also be subject to unauthorized access a
bit easier than electronic records. In addition, they are subject
to being lost, stolen, damaged, and easily redacted since all it
requires is access and a pen to change information. Paper record
keeping is very inefficient since it requires special places for
them to be held along with debilitating need for constant
consumption of paper. The inefficient method of data gathering,
7. storage, and retrieval make this method have an astronomical
labor cost because it requires a team a significant amount of
time to ensure proper protocol is followed. However, since this
method is being phased out in order to comply with new federal
laws the focused has shifted into making electronic records the
safe mainstay option for all medical facilities.
· While electronic medical records have the potential to
interfere with patient interaction, thus preventing establishing a
solid and trustworthy bond, several steps could be taken to
ensure the patient does not feel neglected. Once should
interview the patient, write down relevant facts on a sheet of
paper or memorize them, then seek a computer after the visit to
formulate a comprehensive medical record.
· Unauthorized access to both electronic and paper medical
records is of great concerned, however, just as mentioned
previously the more barriers that are put into place such as
complex security algorithms for digital formats and locking
paper documents in a steel enclosure make it rather difficult for
someone looking to steal information they are not privileged to.
Now, based on the information provided, one can easily deduce
that security should be of the utmost concern when dealing with
sensitive information that can be found in a patient’s medical
record. A private practice and/or medical facility should always
adhere to standards that not only prevents unauthorized access
to medical records but ensure that the hospital is diligent in
training their staff to not disseminate any information whether
its of a close family friend, relative, or complete stranger.
Privacy and security should be a top priority along with patient
care. Thus, the creation of policy within the hospital setting that
complies and/or mirrors that of Health Insurance Portability and
Accountability Act will be elucidated below as follows:
· The development of policies and procedures that dictate
proper storage and security methods for onsite and offsite
retrieval methods for medical records for those who are
authorized to do so.
· Maintaining an up-to-date list, that is reviewed weekly, to
8. ensure those who active within the hospital system have proper
access to material that is needed to effectively do their job
while inactivating those who no longer have a relationship with
the hospital.
· Proper labeling of files and related information to ensure
proper storage and retrieval of records while ensuring that
unauthorized access is prevented.
· The development and implementation of automatic back-up
files that enables authorized users to focus on their work while
having peace of mind knowing the information is not only being
automatically saved but also backed-up in the event of primary
total system failure.
· Ensuring that third-party vendors are consistently meeting all
protocols of safety and proper management of information
through quarterly meeting that allows concerns to be voiced and
suggestions being made.
· Creating a custom unit that ensures the needs of the
organization are bing met, such as policies and procedures,
while addressing requests to modify components of the
electronic medical record to add/upgrade encryption capability,
amount of available storage, and further analysis of metadata to
extrapolate vital information (Wafa, 2010).
The invaluable experience of training allows for those to gain a
skill in which they are either not proficient at or serves to
remind those who are experienced to become current with any
proposed changes so they are found to be in compliance with
policies and procedures. Thus, the following topics serve to
inform staff on the proper methods of accessing and disclosing
patient information:
· Information and Security confidentiality should be at the
forefront of patient care especially when involving a patient’s
medical record. Improved security measures decrease the
amount the hospital needs to spend (reduced cost of possible
litigation) while ensuring healthier outcomes and increasing
patient trust in the organizations ability to keep records safe.
Accordingly, increased patient trust allows for an increased
9. compliance thus allowing for a more cohesive approach into an
informed decision regarding specifics of their medical care. In
addition, it is important create mock simulations that
demonstrate what impact data breeches could have on the
organization and patients since they could potentially tarnish
the reputation of the medical organization as well as having
lasting emotional and financial impacts to the patient.
According to the United States Health and Human Services
(n.d), a poorly performing organization that lacks proper safety
protocol measures exacerbate the vulnerability of information
leaving exposed to cyber attacks, which could maliciously use
information and destroy both the patient and hospitals
reputation.
· Compliance with HIPPA statues serves to protect not only the
well being of the patient but also all of the information that is
collected from them. Medical practitioners have a responsibility
to safeguard patients sensitive information and provide the
highest quality of medical care. At a minimum, demographic
information regarding past, present, or the future physical or
mental health should be safeguarded along with medication
history.
· All personnel that provide medical care must not only adhere
to HIPPA but must also comply with any changes that rise to
ensure the safety and quality of patient of patient care is never
compromised. As such, all providers should understand certain
standard financial and administrative proceedings that could
affect patient care and ensure that everything is being done to
safeguard patient information.
A lawsuit involving one of the former patients United General
use to provide medical care for enables us to analyze the level
of oversight when it came to patient confidentiality and
security. As such, a violation of patient privacy was noted when
information was not only accessed but also distributed in a
manner that was not consistent with hospital protocol and
HIPPA compliance. United General failed to comply with
regulations in protecting the privacy and security of health
10. information, thus violating the rules set forth by HIPPA. This is
a serious violation that has opened United General to
governmental inquiries as well as to federal lawsuits. Now,
based off that notion, some areas that breeched HIPPA
compliance will be analyzed:
· Collection, Use, and Disclosure of patient’s Information:
According to HIPPA, medical care providers should ALWAYS
obtain consent before collecting patient data, when disclosing or
using personal health information with other medical
professionals pertinent to diagnosis, and to whom information
can be discussed with. Just with everything else, federal law
provides exception to the rule and shall be followed
accordingly.
· Security: Medical records, whether paper or electronic format,
shall reside in a safe and secure environment where proper
safeguard procedures have been take to ensure integrity and
confidentiality. Accordingly, medical providers should be
vigilant and conduct monthly or quarterly assessments regarding
access to sensitive information as well as ongoing training
depicting scenarios that dictate responsibilities that one should
have when accessing medical records. In addition, modification
of protocols that ensure all medical professionals understand
that medical records are to be accessed for a legitimate purpose
and take reasonable steps to ensure they are protected from
theft, loss, unauthorized disclosure, and use.
· Storage: A patient record, whether digital or paper format,
should be stored in a secure manner that prevents theft,
unauthorized access, and intended or unintended destruction
and/or modification of information. Care should always be
taken to ensure that a back-up source is always available to
access in the event of catastrophic failure of resources.
The above-mentioned HIPPA analysis is not an all-
encompassing venture that exposed all of the areas needing
attention, however, it does provide a solid foundation in order
to address essential areas of weakness. Thus, it is in the best
interest for United General to develop policies that mimic those
11. established by HIPPA in order to educate medical providers on
the importance of handling and disposing of patient health care
records:
· Patient access to medical records are to be done strictly by the
patient who request them or to a person that have appointed
with their information as long as there is proper documentation
to do so. Additionally, patients may legally access their records
for free but shall pay a fee, in compliance with
state/local/federal law, in order to have their records printed.
All information shall be kept confident unless otherwise
expressed by the patient and state/local/federal law.
· All information must be inputted in a legible manner that is
consistent with American Medical Association standards dealing
with detailing and acronyms. Information must be easily
deciphered when presented to other health care professionals to
ensure there is uniformity in “language” to coordinate medical
care that best serves the patients interest.
· Access to patient medical records shall be accessed by those
with specific purpose and with proper credentials to coordinate
patient care. Those who do access information must take great
care that information is not easily seen and/or access. Medical
professionals accessing patient records shall document each
time the record is being accessed to ensure that proper
accountability is taken by those in possession with sensitive
information. The patient has the ability to deny or consent to
the release of information.
· Safeguarding information shall always be of the highest
concern not only for the best interest of the patient but also for
the medical organization. Secure medical information not only
keeps the patient at peace but also allows the medical provider
and medical care facility to provide the best quality of care
without compromising safety and value.
· All information shall by heavily encrypted against attempted
breech, however, if such an event occurs a full investigation
shall ensue. The patient must be notified and given a full
briefing that includes information regarding the type of
12. information that was taken along with steps in order to rectify
the situation.
Now, based on the present information it is imperative to have
medical personnel trained on the proper protocols to ensure that
each person is HIPPA complaint. Thus, there are several topics
that must be covered to educate them on the handling and
disposal of patient records. Some of which include:
· Types of Protected information: HIPPA dictates that virtually
all facts of patient information is deemed sensitive and requires
diligence when accessing information. Identifiable information
such as race, sex, demographics, and diagnosis should be
safeguarded. The only time patient information s not classified
at “protected” is when it interferes with public safety and other
exceptions deemed by law.
· Who must comply with HIPPA regulations: Everyone who
delivers medical care who may be directly and/or indirectly
involved should be bound to all HIPPA regulations.
Accordingly, health care providers who perform financial and
administrative actions are also held to the same standards as
those providing care.
· Importance of safety and security of patient information: The
security and safety of patient information has a directly
proportional relationship with quality of care. Accordingly,
secured patient information leads to better outcomes and more
satisfied patients. This enables the health care facility to
provide more services and be trusted provider who can be
trusted with all facets of patient care.
Those who are uninformed because they lack proper training or
proper protocols within the training manual have not been fairly
treated because they are misinformed. Thus, it would appear
that blame could be placed not only on the employee but also
the facility that should have ensured that employees receive the
necessary information with complete understanding of what it
entails. It is imperative that United General address the sparse
areas within the manual to update and convey its intended
message. Thus, several of the points below serve to initiate
13. handling and accessing patient records:
· First would be to establish the organizational mission and
value while ensuring that each person understands that a
collaborative effort is needed in order to be compliant.
Emphasis should be placed on the imperative nature of safety
and security regarding patient information. Management should
also provide ongoing training outlining changes along with
potential revisions the organization may implement as
supplement a holistic approach in privacy and security.
· Second would be proper and official documentation of all
findings to ensure that a record exists to validate any claims
that may arise. Documentation allows both the employer and
employee understand what is required from each other and the
moment the other party is not holding up their end of the
contract, documentation of such an event should occur.
· Third would be analysis of existing security measures in order
to understand and predict potential pitfalls where an employee
may lack understanding. The integrity and availability of policy
information must be presented to the employee in a manner
where there is no reasonable doubt regarding what steps should
be taken in order to not only abide by hospital policy but also
those set forth by HIPPA.
· Fourth would be to develop an action plan on behalf of the
employee that involves risk analysis of different scenarios
where the appropriate action plan is selected based on the
identified risk. The action plan should take into account HIPPA
policies with incorporated flexibilities that enables personnel
the ability to focus on the high priority threats as well as the
vulnerabilities.
· Fifth would be to establish firm policies regarding the
meaningful use of information accessed in order to be utilized
for direct patient care. Policies should dictate that information
accessed should be strictly limited to patient care of whom you
are directly involved in.
· Sixth would establish an ongoing monitoring of information
with quarterly updates to ensure all employees are up to date
14. and are equipped with the necessary tools to ensure they
perform their job correctly. Auditing serves as an assessment
tool that serves as a legal documentation regarding who, what,
when, where, and why thing can/need to be done.
The above provided suggestions serve as an excellent
foundation to addresses the potential inadequacies involving the
oversight in the United General handbook. As such, United
General should have developed a role-based security protocol
that enables users specific access to certain aspects of patient
care while restricting other aspects of the medical record.
According to Rupp (2016), role-based security allows for
automatic parameters to be set in order to limit or grant specific
privileges to sensitive information. In this particular case
United General would benefit from establishing a role-based
security access for patient records. The following would serve
as a preliminary measure to establish role-based access:
· Encryption of all sensitive data to be accessed from verified
personnel
· Color-coded ID’s to demonstrate the level of access a specific
medical provider has.
· Quarterly or annual mandatory password change consisting of
alphanumeric values.
· Routine security audits with simulated system threats from
non-authorized users to allow further development of security
protocols
· Implementation of back-ups to ensure access in the event of
primary system failure.
The above presented security measure held aid the medical
facility not only in the development but also implementation of
role-based security access. Thus, security level access can be
further refined into specific department along with job position
type and lastly a ranking list that defines the type of care being
provided with the specific type of access necessary to complete
desired tasks. Thus, the information presented throughout
elucidated many points and provided excellent examples of how
policies can be developed based on the types of situations that
15. can/will be encountered.
References:
Rupp, S. (2016). Keys to maintaining the security of a
practice’s ehr data. Retrieved from
Electronic Health Reporter:
http://electronichealthreporter.com/role-based-access-
control-audit-trails-password-protection-encryption-consent-
keys-maintaining-
security-practices-ehr-data/ on January 27, 2017.
Ken, T. (2009). Patient privacy-the new threats. Physicians
Practice Journal, 19(3).
Accessed on January 27, 2017.
Thakkar, M., & Davis, D.C. (2009). Health information
technology: benefits of ehr and hie: risks, barriers, and benefits
of ehr systems. Retrieved from http://www.kumc.edu/health-
informatics/hispc/for-consumerspatients/risks-and-benefits-of-
16. electronic-health-records.html on January 27, 2017.
Kaelber, D., & Pan, E.C. (2008). The value of personal health
record (phr) systems. AMIA Annual Symposium Proceedings,
343–347.
Wafa, T. (2010). How the lack of prescriptive technical
granularity in hipaa has compromised patient privacy. Northern
Illinois University Law Review. 30(3).
Running
head: PATIENT DATA
1
Protecting Patient Data