This document discusses the use of health information technology in physician practices. It covers the functions of practice management programs and electronic health record systems. The advantages of electronic health records are described as well as the impact of health IT on documentation and coding. The key aspects of HIPAA legislation protecting patient information are explained, as are the additional privacy and security regulations introduced by the HITECH Act.
The document discusses key points healthcare providers should know about implementing electronic medical records (EMRs) by the 2014 mandate. It notes that current EMR vendors do not fully meet federal requirements and standards are still being developed. EMRs will be very expensive to implement and maintain, though government loans and grants are available to help fund them. Proper implementation requires addressing barriers like costs, unclear returns on investment, training needs, and resistance to change. Non-adoption will result in lower Medicare reimbursements starting in 2015.
This document discusses the implementation of electronic medical records (EMRs) in healthcare as mandated by 2014. It notes that current EMR vendors do not meet federal requirements and standards are still being developed. The costs of implementation are high and there are barriers like funding, IT resources, and provider resistance. It provides answers to questions about costs, funding sources like grants and loans, and the long-term benefits of EMRs like reduced errors and improved care coordination.
EU cybersecurity requirements under current and future medical devices regula...Erik Vollebregt
Presentation delivered at Q1 MEDICAL DEVICE CYBERSECURITY RISK MITIGATION conference in Washington on 25 July 2016 concerning EU cybersecurity requirements under current and future medical devices regulation
This document discusses enabling a total healthcare IT transformation through various solutions and services focused on patient-centered care. It addresses concerns in healthcare like improving clinical outcomes, data interoperability, patient safety and engagement. It emphasizes aligning technologies and solutions to processes and people. Specific solutions discussed include electronic medical records, population health management, mobile care, security, and consumption-based funding models. The document also promotes a total approach that spans the entire healthcare ecosystem through integrated solutions.
What is Health Information Management and Technology lecture slidesCMDLearning
This document defines key terms and concepts in health information management and technology (HIT). It describes electronic health information management and the transition from paper to electronic health records. It also covers HIT hardware and software, including different types of networks, data entry devices, and professional organizations that support HIT. The document defines common acronyms used in HIPAA, HIT, and various government agencies that provide oversight and support health information technology. The overall purpose is to help readers understand terminology used in the field of HIT.
This document discusses how cloud-based machine-to-machine (M2M) technology can improve patient care. It describes how M2M allows devices to communicate peer-to-peer through the cloud, exchanging data and receiving updates. This enables remote monitoring of patients and clinical devices. Examples discussed include using M2M to transmit data from insulin pumps and glucose sensors, monitor vital signs in ambulances, and update firmware on medical equipment remotely. Regulatory considerations for medical M2M systems and ensuring security of patient data are also covered.
Improving Efficiency and Outcomes in Healthcare using Internet of ThingsCitiusTech
With the adoption of cloud and big data technologies, healthcare organizations are in a position to begin experimenting with IoT. Ranging from home care to smart facilities, there are many ways in which provider organizations can benefit by using IoT in their patient care workflows. E.g., a mobile app with patient geo-fencing capabilities can help optimize physician rounds by dynamically routing the physician to the nearest patient
Payers can leverage insights generated by IoT infrastructure to improve population health, increase patient awareness and reduce healthcare costs. Payers can also design more effective reward and retention programs using IoT generated data.
As IoT is evolving, adoption is slow but steady, and investments are being made by both startups and industry leaders. Healthcare is among the top 5 industries investing in IoT.
This document discusses how IoT can be leveraged to drive efficiency in healthcare workflows and enhance clinical outcomes.
The document discusses key points healthcare providers should know about implementing electronic medical records (EMRs) by the 2014 mandate. It notes that current EMR vendors do not fully meet federal requirements and standards are still being developed. EMRs will be very expensive to implement and maintain, though government loans and grants are available to help fund them. Proper implementation requires addressing barriers like costs, unclear returns on investment, training needs, and resistance to change. Non-adoption will result in lower Medicare reimbursements starting in 2015.
This document discusses the implementation of electronic medical records (EMRs) in healthcare as mandated by 2014. It notes that current EMR vendors do not meet federal requirements and standards are still being developed. The costs of implementation are high and there are barriers like funding, IT resources, and provider resistance. It provides answers to questions about costs, funding sources like grants and loans, and the long-term benefits of EMRs like reduced errors and improved care coordination.
EU cybersecurity requirements under current and future medical devices regula...Erik Vollebregt
Presentation delivered at Q1 MEDICAL DEVICE CYBERSECURITY RISK MITIGATION conference in Washington on 25 July 2016 concerning EU cybersecurity requirements under current and future medical devices regulation
This document discusses enabling a total healthcare IT transformation through various solutions and services focused on patient-centered care. It addresses concerns in healthcare like improving clinical outcomes, data interoperability, patient safety and engagement. It emphasizes aligning technologies and solutions to processes and people. Specific solutions discussed include electronic medical records, population health management, mobile care, security, and consumption-based funding models. The document also promotes a total approach that spans the entire healthcare ecosystem through integrated solutions.
What is Health Information Management and Technology lecture slidesCMDLearning
This document defines key terms and concepts in health information management and technology (HIT). It describes electronic health information management and the transition from paper to electronic health records. It also covers HIT hardware and software, including different types of networks, data entry devices, and professional organizations that support HIT. The document defines common acronyms used in HIPAA, HIT, and various government agencies that provide oversight and support health information technology. The overall purpose is to help readers understand terminology used in the field of HIT.
This document discusses how cloud-based machine-to-machine (M2M) technology can improve patient care. It describes how M2M allows devices to communicate peer-to-peer through the cloud, exchanging data and receiving updates. This enables remote monitoring of patients and clinical devices. Examples discussed include using M2M to transmit data from insulin pumps and glucose sensors, monitor vital signs in ambulances, and update firmware on medical equipment remotely. Regulatory considerations for medical M2M systems and ensuring security of patient data are also covered.
Improving Efficiency and Outcomes in Healthcare using Internet of ThingsCitiusTech
With the adoption of cloud and big data technologies, healthcare organizations are in a position to begin experimenting with IoT. Ranging from home care to smart facilities, there are many ways in which provider organizations can benefit by using IoT in their patient care workflows. E.g., a mobile app with patient geo-fencing capabilities can help optimize physician rounds by dynamically routing the physician to the nearest patient
Payers can leverage insights generated by IoT infrastructure to improve population health, increase patient awareness and reduce healthcare costs. Payers can also design more effective reward and retention programs using IoT generated data.
As IoT is evolving, adoption is slow but steady, and investments are being made by both startups and industry leaders. Healthcare is among the top 5 industries investing in IoT.
This document discusses how IoT can be leveraged to drive efficiency in healthcare workflows and enhance clinical outcomes.
The Electronic Health Record (EHR) is a longitudinal electronic record of patient health
information generated by one or more encounters in any care delivery setting. Included in this
information are patient demographics, progress notes, problems, medications, vital signs, past
medical history, immunizations, laboratory data, and radiology reports. The EHR automates and
streamlines the clinician's workflow. The EHR has the ability to generate a complete record of a
clinical patient encounter, as well as supporting other care-related activities directly or indirectly
via interface including evidence-based decision support, quality management, and outcomes
reporting.
The document discusses MBM eHealthCare Solutions' HIPAA and HITECH compliance consulting services. It provides an overview of the HIPAA Privacy and Security Rules and their requirements regarding protected health information. MBM offers compliance assessments, risk analyses, audits, and training to help covered entities meet HIPAA's standards for privacy, security, and electronic health records.
This document proposes a security policy for smart grids. It identifies types of personal information collected by smart meters and potential privacy and security threats. This includes threats to confidentiality from unauthorized access to data, threats to integrity from tampered data, and threats to availability from system failures. The policy aims to address these threats through high-level statements on access controls, implementation guidelines, and recommendations to fill gaps not covered by existing privacy laws and regulations.
Healthcare Compliance: HIPAA and HITRUSTControlCase
ControlCase discusses the following:
•Healthcare compliance in general
•What is HIPAA
•What is HITRUST
•How do they relate?
•Advantages of being HITRUST certified
Challenges and Opportunities Around Integration of Clinical Trials DataCitiusTech
Conducting a Clinical Trial is a complex process, consisting of activities such as protocol preparation, site selection, approval of various authorities, meticulous collection and management of data, analysis and reporting of the data collected
Each activity is benefited from the development of point applications which ease the process of data collection, reporting and decision making. The recent advancements in mobile technologies and connectivity has enabled the generation and exchange of a lot more data than previously anticipated. However, the lack of interoperability and proper planning to leverage this data, still acts as a roadblock in allowing organizations truly harness their data assets. This document will help life sciences IT professionals and decision makers understand challenges and opportunities around clinical data integration
MBM eHealthCare Solutions HIPAA-HITECH & Meaningful Use Risk AnalysisCharles McNeil
The document provides an overview of HIPAA and HITECH privacy and security requirements for small healthcare practices, including risk analysis. It discusses key aspects of HIPAA, including the Privacy Rule, Security Rule, and HITECH Act. It outlines the requirements for conducting a risk analysis under the HIPAA Security Rule and Meaningful Use Stage 2, including identifying ePHI, threats, vulnerabilities, and implementing security updates. The presentation emphasizes that third-party assistance may be needed to properly conduct a HIPAA-compliant risk analysis given the expertise required and resources of small practices.
HIPAA Audit Implementation discusses the need to implement HIPAA audits to ensure compliance. HIPAA establishes privacy and security provisions for protected health information. It requires covered entities like healthcare providers and their business associates to implement controls to secure patient data and mitigate the risk of breaches. Noncompliance can result in civil penalties up to $1.5 million per year or criminal penalties of up to 10 years in prison.
iHT2 Health IT Summit Boston 2013 – Chris Petteruti, Director of Technology Department, Kaiser Permanente – NCAL Case Study "Strategies for Minimizing Uncertainty and Downtime”
Learning Objectives:
∙ Eliminating clinician frustration during IT outages
∙ Improving employee communication with desktop messages
∙ Strategies to get the most out of your communication platform investment
eHealth - Medical Systems Interoperability & Mobile Healthulmedical
The Medical Device industry is rapidly adopting technologies that enable communication and connectivity of health products and systems to improve both speed and quality of care as well as patient safety. The users (i.e. hospitals and others) are demanding an approach that will support interoperability among multiple independently sourced medical devices. Industry will require standardization to support such interoperability. Government and regulators, on behalf of the patients and in compliance with their mission to protect public health, as well as users and manufacturers require that such interoperability is safe. This complementary webinar will introduce the eHealth sector and applications, outline the challenges and risks inherent in connecting heterogeneous equipment into medical device systems, and provide insights to how manufacturers can demonstrate compliance with the rapidly changing regulatory landscape for interoperable medical devices.
This webinar was presented by UL eHealth experts on October 30, 2013.
ABM Healthcare Support Services provides clinical engineering and healthcare technology solutions services including maintenance, repair, management and support for medical equipment through fixed price agreements. Their comprehensive programs focus on continuous compliance, increasing IT connectivity, and responsive service, and have earned them over 350 loyal clients and a 98% customer satisfaction score. ABM also helps facilities manage the convergence of information technology and medical devices through customized support programs.
MPCA HIPAA Compliance/Meaningful Use Requirements and Security Risk Assessment Series: HIPAA/HITECH Requirements for FQHCs and the New Omnibus Rule (Part 1)
The document describes the Clear Health medical information security platform. The original platform provided financial services but has been transformed into a platform to securely input, store, and share medical records online, on USB drives, and smartphones. It includes personal health records, clinical records, electronic medical records, and other features like telemedicine, billing, and research. The platform aims to improve healthcare access and quality while reducing costs for consumers, providers, and HMOs.
Implementation of Consent in Health Information Exchange (HIE)CitiusTech
The issue of whether to what extent, and how individuals should have the ability to access and control over their health information represents one of the foremost policy challenges related to the electronic exchange of health information.
A Proposed Framework for Regulating AI Based Applications in SaMDEMMAIntl
One of the backbones of the current Industry 4.0 is Artificial Intelligence (AI). It is the process of simulating human intelligence in machines such as learning and problem-solving. Machine Learning (ML) forms a subset of AI and it provides the ability for computers to constantly learn from huge data sets and improve themselves to perform human functions. Presently, AI and ML are widely used in several domains such as financial, e-commerce, real estate, and most significantly in health care and medical devices...
The document discusses electronic claim objects to support India's health insurance sector. It proposes using standardized electronic objects based on FHIR resources to enable interoperable and automated claim processing. This would allow faster claims processing, reduced costs, and improved data for monitoring. The electronic objects would include minimum required coded data elements in a JSON format to represent claims, payments, and clinical summaries like discharge records.
Presentation at the yearly Regulanet conference about application of EU data protection rules to medical devices and end-to-end solutions incorporating medical devices.
Information Security & Compliance in Healthcare: Beyond HIPAA and HITECHNovell
The document discusses challenges around information security, privacy and compliance in the healthcare industry. It notes that traditional approaches are not adequate due to the complexity of healthcare systems and data. It advocates for a new integrated approach that can correlate log and event data across operations, security, compliance and privacy domains. This will help address issues around user identity management and privacy regulations like HIPAA, HITECH and meaningful use requirements.
Health Delivery Information Systems (HDIS) provide applications and software to record and manage healthcare data for every patient encounter. The document discusses designing a scalable and standards-based HDIS, including implementing it using a microservices architecture approach adhering to design principles from the National Digital Health Blueprint. Key elements include using interoperability standards, a mobile-first design, and building modules focused on core functionality for initial implementation.
The document proposes a phased approach for Ingenix and DOSSIA to provide a personal health record solution. In Phase I, they would pilot a solution using existing vendor relationships. In Phase II, they would scale the pilot solution to include all member data. In Phase III, they would further scale the solution to the broader market. The proposal also describes Ingenix's role in providing various applications and analytic engines to power the personal health record, and a vision for sharing health information between care managers, providers, and consumers.
The document provides an overview of DSC's PowerSeries security products, including control panels, keypads, modules, sensors, and communications devices. It highlights the features of wireless panels, keypads, sirens, detectors, and other accessories. The catalog also provides specifications and approval listings for each product.
The document discusses the five senses of sight, hearing, touch, taste, and smell. It provides details on the body parts involved with each sense, such as the iris, pupil, and lens in the eye for sight. Sounds enter the ear and travel through the ear canal to the eardrum and inner ear to be heard. The sense of touch is felt through the skin, especially on fingers. Taste is detected by taste buds on the tongue, and smell is sensed through the nose and nasal cavities. The five senses allow us to see, hear, feel, taste, and smell our surroundings.
The Electronic Health Record (EHR) is a longitudinal electronic record of patient health
information generated by one or more encounters in any care delivery setting. Included in this
information are patient demographics, progress notes, problems, medications, vital signs, past
medical history, immunizations, laboratory data, and radiology reports. The EHR automates and
streamlines the clinician's workflow. The EHR has the ability to generate a complete record of a
clinical patient encounter, as well as supporting other care-related activities directly or indirectly
via interface including evidence-based decision support, quality management, and outcomes
reporting.
The document discusses MBM eHealthCare Solutions' HIPAA and HITECH compliance consulting services. It provides an overview of the HIPAA Privacy and Security Rules and their requirements regarding protected health information. MBM offers compliance assessments, risk analyses, audits, and training to help covered entities meet HIPAA's standards for privacy, security, and electronic health records.
This document proposes a security policy for smart grids. It identifies types of personal information collected by smart meters and potential privacy and security threats. This includes threats to confidentiality from unauthorized access to data, threats to integrity from tampered data, and threats to availability from system failures. The policy aims to address these threats through high-level statements on access controls, implementation guidelines, and recommendations to fill gaps not covered by existing privacy laws and regulations.
Healthcare Compliance: HIPAA and HITRUSTControlCase
ControlCase discusses the following:
•Healthcare compliance in general
•What is HIPAA
•What is HITRUST
•How do they relate?
•Advantages of being HITRUST certified
Challenges and Opportunities Around Integration of Clinical Trials DataCitiusTech
Conducting a Clinical Trial is a complex process, consisting of activities such as protocol preparation, site selection, approval of various authorities, meticulous collection and management of data, analysis and reporting of the data collected
Each activity is benefited from the development of point applications which ease the process of data collection, reporting and decision making. The recent advancements in mobile technologies and connectivity has enabled the generation and exchange of a lot more data than previously anticipated. However, the lack of interoperability and proper planning to leverage this data, still acts as a roadblock in allowing organizations truly harness their data assets. This document will help life sciences IT professionals and decision makers understand challenges and opportunities around clinical data integration
MBM eHealthCare Solutions HIPAA-HITECH & Meaningful Use Risk AnalysisCharles McNeil
The document provides an overview of HIPAA and HITECH privacy and security requirements for small healthcare practices, including risk analysis. It discusses key aspects of HIPAA, including the Privacy Rule, Security Rule, and HITECH Act. It outlines the requirements for conducting a risk analysis under the HIPAA Security Rule and Meaningful Use Stage 2, including identifying ePHI, threats, vulnerabilities, and implementing security updates. The presentation emphasizes that third-party assistance may be needed to properly conduct a HIPAA-compliant risk analysis given the expertise required and resources of small practices.
HIPAA Audit Implementation discusses the need to implement HIPAA audits to ensure compliance. HIPAA establishes privacy and security provisions for protected health information. It requires covered entities like healthcare providers and their business associates to implement controls to secure patient data and mitigate the risk of breaches. Noncompliance can result in civil penalties up to $1.5 million per year or criminal penalties of up to 10 years in prison.
iHT2 Health IT Summit Boston 2013 – Chris Petteruti, Director of Technology Department, Kaiser Permanente – NCAL Case Study "Strategies for Minimizing Uncertainty and Downtime”
Learning Objectives:
∙ Eliminating clinician frustration during IT outages
∙ Improving employee communication with desktop messages
∙ Strategies to get the most out of your communication platform investment
eHealth - Medical Systems Interoperability & Mobile Healthulmedical
The Medical Device industry is rapidly adopting technologies that enable communication and connectivity of health products and systems to improve both speed and quality of care as well as patient safety. The users (i.e. hospitals and others) are demanding an approach that will support interoperability among multiple independently sourced medical devices. Industry will require standardization to support such interoperability. Government and regulators, on behalf of the patients and in compliance with their mission to protect public health, as well as users and manufacturers require that such interoperability is safe. This complementary webinar will introduce the eHealth sector and applications, outline the challenges and risks inherent in connecting heterogeneous equipment into medical device systems, and provide insights to how manufacturers can demonstrate compliance with the rapidly changing regulatory landscape for interoperable medical devices.
This webinar was presented by UL eHealth experts on October 30, 2013.
ABM Healthcare Support Services provides clinical engineering and healthcare technology solutions services including maintenance, repair, management and support for medical equipment through fixed price agreements. Their comprehensive programs focus on continuous compliance, increasing IT connectivity, and responsive service, and have earned them over 350 loyal clients and a 98% customer satisfaction score. ABM also helps facilities manage the convergence of information technology and medical devices through customized support programs.
MPCA HIPAA Compliance/Meaningful Use Requirements and Security Risk Assessment Series: HIPAA/HITECH Requirements for FQHCs and the New Omnibus Rule (Part 1)
The document describes the Clear Health medical information security platform. The original platform provided financial services but has been transformed into a platform to securely input, store, and share medical records online, on USB drives, and smartphones. It includes personal health records, clinical records, electronic medical records, and other features like telemedicine, billing, and research. The platform aims to improve healthcare access and quality while reducing costs for consumers, providers, and HMOs.
Implementation of Consent in Health Information Exchange (HIE)CitiusTech
The issue of whether to what extent, and how individuals should have the ability to access and control over their health information represents one of the foremost policy challenges related to the electronic exchange of health information.
A Proposed Framework for Regulating AI Based Applications in SaMDEMMAIntl
One of the backbones of the current Industry 4.0 is Artificial Intelligence (AI). It is the process of simulating human intelligence in machines such as learning and problem-solving. Machine Learning (ML) forms a subset of AI and it provides the ability for computers to constantly learn from huge data sets and improve themselves to perform human functions. Presently, AI and ML are widely used in several domains such as financial, e-commerce, real estate, and most significantly in health care and medical devices...
The document discusses electronic claim objects to support India's health insurance sector. It proposes using standardized electronic objects based on FHIR resources to enable interoperable and automated claim processing. This would allow faster claims processing, reduced costs, and improved data for monitoring. The electronic objects would include minimum required coded data elements in a JSON format to represent claims, payments, and clinical summaries like discharge records.
Presentation at the yearly Regulanet conference about application of EU data protection rules to medical devices and end-to-end solutions incorporating medical devices.
Information Security & Compliance in Healthcare: Beyond HIPAA and HITECHNovell
The document discusses challenges around information security, privacy and compliance in the healthcare industry. It notes that traditional approaches are not adequate due to the complexity of healthcare systems and data. It advocates for a new integrated approach that can correlate log and event data across operations, security, compliance and privacy domains. This will help address issues around user identity management and privacy regulations like HIPAA, HITECH and meaningful use requirements.
Health Delivery Information Systems (HDIS) provide applications and software to record and manage healthcare data for every patient encounter. The document discusses designing a scalable and standards-based HDIS, including implementing it using a microservices architecture approach adhering to design principles from the National Digital Health Blueprint. Key elements include using interoperability standards, a mobile-first design, and building modules focused on core functionality for initial implementation.
The document proposes a phased approach for Ingenix and DOSSIA to provide a personal health record solution. In Phase I, they would pilot a solution using existing vendor relationships. In Phase II, they would scale the pilot solution to include all member data. In Phase III, they would further scale the solution to the broader market. The proposal also describes Ingenix's role in providing various applications and analytic engines to power the personal health record, and a vision for sharing health information between care managers, providers, and consumers.
The document provides an overview of DSC's PowerSeries security products, including control panels, keypads, modules, sensors, and communications devices. It highlights the features of wireless panels, keypads, sirens, detectors, and other accessories. The catalog also provides specifications and approval listings for each product.
The document discusses the five senses of sight, hearing, touch, taste, and smell. It provides details on the body parts involved with each sense, such as the iris, pupil, and lens in the eye for sight. Sounds enter the ear and travel through the ear canal to the eardrum and inner ear to be heard. The sense of touch is felt through the skin, especially on fingers. Taste is detected by taste buds on the tongue, and smell is sensed through the nose and nasal cavities. The five senses allow us to see, hear, feel, taste, and smell our surroundings.
The document discusses the main human body systems including the circulatory, respiratory, digestive, and excretory systems. The circulatory system transports blood, oxygen, and nutrients throughout the body. The respiratory system provides oxygen and removes carbon dioxide, while the digestive system breaks down food for nutrients. The excretory system eliminates waste and maintains homeostasis in the body.
Make A Living Through Giving - http://www.sendoutcards.com/isagiftkimberlyscards
This document describes the SendOutCards online greeting card and gift service business opportunity. SendOutCards allows users to select, personalize and send real greeting cards and gifts for around $1 each through their website. The document outlines the benefits of the service and business, including financial freedom and flexible schedule. It details the compensation plan where distributors are paid $140 for each wholesale package sold with increasing bonuses as higher manager levels are achieved. The goal is to build a global network of card senders and distributors to become a $1 billion company.
This document discusses scheduling appointments in Medisoft software. It covers how to use the Office Hours window to schedule appointments, enter follow-ups, search for time slots, and book repeated appointments. It also explains how to add patients to a recall list, enter provider breaks, print schedules, and create a report of patients with overdue balances who have upcoming appointments. The chapter aims to teach users how to navigate the Office Hours features to efficiently schedule appointments and manage a provider's schedule.
The document discusses the four main human body systems - the circulatory system which transports blood, oxygen, and nutrients; the respiratory system which provides oxygen and removes carbon dioxide; the digestive system which breaks down food for nutrients; and the excretory system which eliminates waste and maintains homeostasis. Each system is briefly described with their key functions. The document also includes a challenge question section testing knowledge of the different body systems.
The document discusses life on Earth and the biosphere. It explains that the biosphere includes the hydrosphere, lithosphere, and atmosphere. It also describes the abiotic and biotic factors that make up the biosphere. It then covers the basic life cycle of birth, adolescence, adult, reproduction. It defines important life functions like nutrition, adaptation, and reproduction. It also discusses ecosystems as a community of living and nonliving things and their habitats. Finally, it outlines the five kingdoms of living organisms - Monera, Protists, Fungi, Plants, and Animals.
This document discusses the use of health information technology in physician practices. It covers the functions of practice management programs and electronic health record systems. The advantages of electronic health records are described as well as the impact of health IT on documentation and coding. The key aspects of HIPAA legislation protecting patient information are explained, as are the additional privacy and security regulations introduced by the HITECH Act.
The document discusses the water cycle and the stages of a river. It begins by explaining that water exists on Earth in three states: liquid, solid, and gas. It then describes the water cycle process of evaporation, condensation, precipitation, and melting. Finally, it outlines the three stages of a river: the upper, middle, and lower courses. The upper course is steep with fast flow; the middle course is wider with tributaries; and the lower course is slow and prone to flooding as it reaches the sea.
Satish Marwat collected questions from various websites to create a single document for .NET interview preparation. The document contains questions about .NET frameworks, tools, terminology, assemblies and other topics. Satish provided his email for feedback on any mistakes and wants to ensure the material is accurate.
This document provides an overview of the Medisoft medical practice management software. It describes the six databases Medisoft uses to store information, the various menus and toolbar functions, how to enter, edit, save and delete data, how to change the program date, and the different types of help available in Medisoft. It also discusses how to create and restore backup files, the file maintenance utilities, and Medisoft's security features to ensure compliance with healthcare regulations.
The document discusses life on Earth and the biosphere. It explains that the biosphere includes the hydrosphere, lithosphere, and atmosphere. It also describes the key components of ecosystems like biotic factors, abiotic factors, habitats, and communities. It outlines the five kingdoms of life - Monera, Protists, Fungi, Plants, and Animals. Within Animals it distinguishes between vertebrates and invertebrates, listing the main classes within each group.
The document discusses the four main human body systems - the circulatory system which transports blood, oxygen, and nutrients; the respiratory system which provides oxygen and removes carbon dioxide; the digestive system which breaks down food for nutrients; and the excretory system which eliminates waste and maintains homeostasis. Each system is briefly described with their key functions. The document also includes a challenge question section testing knowledge of the different body systems.
Thanksgiving is an American and Canadian holiday celebrated on the last Thursday of November. The first Thanksgiving was a harvest feast shared between the Pilgrims and Wampanoag Native Americans in 1621. Today, people celebrate by gathering with family for a traditional meal that often includes turkey, mashed potatoes, and pumpkin pie. They watch football and parades, and shop on Black Friday sales the following day. The true meaning of Thanksgiving is being thankful and spending time with loved ones.
This document discusses weather and climate concepts. It defines weather as short-term atmospheric conditions while climate describes average weather patterns over long periods of time. It describes elements that influence climate such as temperature, wind, precipitation and atmospheric pressure. Specific climate zones are also outlined including equatorial, tropical, temperate, mountain and polar zones. Climate zones within Spain are identified as well.
El documento presenta fotos de niños de 5 años en la Edad Media en Valdelecrin. En 3 oraciones breves resume la información clave del documento sin incluir detalles específicos.
The document discusses the challenges and requirements around implementing electronic medical records (EMRs) based on federal mandates. It notes that EMR standards will not be available until 2010-2011, implementation costs are high, and about 1/3 of existing EMRs have failed. Providers must use certified EMR applications or face penalties. Funding sources for implementation include federal loans and grants, with $19.5 billion earmarked in stimulus funds starting in 2011. Long term benefits include improved quality, safety, efficiency and access to patient health data.
The document discusses the challenges and requirements around implementing electronic medical records (EMRs) based on federal mandates. It notes that EMR standards will not be available until 2010-2011, implementation costs are high, and about 1/3 of existing EMR implementations have failed. It also outlines funding sources like federal loans and grants, and long term benefits like reduced errors and improved care coordination. Certification requirements and panels to ensure EMRs meet standards are also discussed.
The document discusses the challenges and requirements around implementing electronic medical records (EMRs) based on federal mandates. It notes that EMR standards will not be available until 2010-2011, implementation costs are high, and about 1/3 of existing EMR implementations have failed. It also outlines funding sources like federal loans and grants, and long term benefits like reduced errors and improved care coordination. Certification requirements and panels to develop standards are discussed to ensure EMRs meet federal meaningful use criteria.
The document discusses key considerations for healthcare providers implementing electronic medical records (EMRs) in preparation for federal mandates going into effect in 2014. It notes that EMR implementation can be expensive but more affordable through software-as-a-service agreements. It also outlines various funding sources including federal loans and grants as well as expected long-term benefits like reduced errors and improved care coordination. Vendors' software must meet certification requirements to qualify for federal incentive payments.
Scenario:
Midwest Regional Health is one of Wisconsin's largest and most sophisticated hospitals, is Implementing a new EHR system that will better their services to their internal and external customers. They are asking ITMC (I-Tech Medical Consortium) to help them navigate through this long term project, thereby improving their commitment to their surrounding community.
Redspin February 17 2011 Webinar - Meaningful UseRedspin, Inc.
· EHR Meaningful Use Incentive Program: Progress to Date
· What's New on the Security Front
· Navigating Meaningful Use Amidst a Changing Political Landscape
· Case Studies
· Mapping Your Internal Security Program for Compliance and Long Term Success
· The Challenges of Creating a Secure, Private Cloud Environment
This document provides an overview of health information technology (HIT) in the United States, including its history, current components, and future potential. It discusses how the federal government has promoted HIT through legislation to incentivize adoption of electronic health records (EHRs) and other technologies. Key parts of HIT that are explained are EHRs, e-prescribing, personal health records, and health information exchanges. The document outlines the vision for HIT to improve care coordination, quality, and efficiency through seamless sharing of patient data across providers.
This document outlines the 10 steps of the medical billing cycle: 1) preregistering patients, 2) establishing financial responsibility, 3) checking patients in, 4) checking patients out and documenting diagnoses and procedures, 5) reviewing coding for compliance, 6) checking billing compliance, 7) preparing and transmitting insurance claims, 8) monitoring payer adjudication of claims, 9) generating patient statements, and 10) following up on payments and handling collections. It also defines key terms related to medical billing and coding.
This document provides an overview and agenda for a webinar on HIPAA compliance and security requirements for Federally Qualified Health Centers (FQHCs). The webinar will cover HIPAA/HITECH requirements including the new Omnibus Rule, the importance of security, and administrative, physical, and technical security standards. It will discuss required security risk assessments and the presenter's qualifications. Breach notification rules, costs of data breaches, and lessons learned will also be reviewed to emphasize the importance of security compliance.
This document discusses system selection for electronic health records. It compares commercial off-the-shelf (COTS) software to in-house developed systems, outlining advantages and disadvantages of each. COTS software has lower development costs but limits customization, while in-house systems are tailored to needs but have higher costs. The document also describes ONC certification requirements and Meaningful Use criteria to receive federal stimulus incentives for implementing health IT systems.
The document discusses how the HITECH Act and meaningful use requirements will impact the future of healthcare technology management by requiring hospitals and providers to adopt and meaningfully use electronic health records in order to receive incentive payments, which aims to improve quality, safety and efficiency and reduce costs through greater health information exchange and use of clinical decision support. It also outlines the stages of meaningful use and quality measures that must be met, as well as considerations for ensuring compliance and leveraging best practices to help transition systems and processes under the new health IT requirements.
Chapter 17 Implementing and Upgrading an Information System Soluti.docxcravennichole326
Chapter 17 Implementing and Upgrading an Information System
Solution
Christine D. Meyer
No matter whether the electronic health record (EHR) is new or an upgrade, the ultimate goal in implementations is to provide the highest level of care at the lowest cost with the least risk.
Objectives
At the completion of this chapter the reader will be prepared to:
1.Discuss the regulatory and nonregulatory reasons for implementing or upgrading an electronic information system
2.Compare the advantages and disadvantages of the “best of breed” and integrated system approaches in selecting healthcare information system architecture
3.Explain each step in developing an implementation plan for a healthcare information system
4.Develop strategies for the successful management of each step in the implementation of a healthcare information system
5.Analyze the benefits of an electronic information system with an integrated clinical decision support system
6.Explain the implications of unintended consequences or e-iatrogenesis as it relates to implementing an electronic health record (EHR)
Key Terms
Best of breed, 277
Big bang, 284
Phased go-live, 284
Scope creep, 276
Tall Man lettering, 276
Workarounds, 279
Abstract
The decision to implement a new electronic health record (EHR) or to upgrade a current system is based on several factors, including providing safe and up-to-date patient care, meeting federal mandates and Meaningful Use requirements, and leveraging advanced levels of clinical decision support. Implementing EHRs entails multilayered decisions at each stage of the implementation. Major decisions include evaluating vendor and system selection, determining go-live options, redesigning workflow, and developing procedures and policies. The timeline and scope of the project is primarily dictated by expenses, staff, resources, and the drop-dead date for go-live. Success depends on variables such as a well-thought-out and detailed project plan with regular review and updating of the critical milestones, unwavering support from the organization's leadership, input from users during the design and build phases, mitigation of identified risk factors, and control of scope creep. The implementation of an EHR is never finished. Medication orders, nonmedication orders, and documentation screens or fields will continuously need to be added, modified, or inactivated; patches will be installed and tweaks to workflows and functionality will be ongoing.
Introduction
This chapter focuses on the implementation of healthcare information systems. Of course, many different types of applications are used within a healthcare information system. The general principles for implementing these many different applications are the same; however, for the purposes of discussion this chapter will focus mainly on the implementation of an electronic health record (EHR) to demonstrate these general principles. In 2004 President George W. Bush promoted the i ...
HIMSS16_IHE USA_Impact of IHE Profiles on Patient Care_Final-FullSeonho Kim
1) Three case studies demonstrated how adopting IHE profiles and interoperability standards accelerated the release of information process.
2) The first case study automated the social security administration disability determination workflow through programmatic querying and electronic retrieval and submission of medical records.
3) The second case study semi-automated CMS Medicare audit submissions by enabling electronic submission of medical documentation through an esMD gateway using IHE XDR profiles.
4) The third case study used Direct Secure Messaging and IHE profiles to replace faxing and enable a more efficient directed exchange for release of information between providers.
eHealth BC guides electronic health initiatives in British Columbia. It was established in response to pressures to increase healthcare system efficiency and enable electronic services. The strategic framework outlines pillars like primary care, hospitals, labs, and telehealth. It also identifies foundational components and stakeholders. The service oriented architecture uses loosely coupled interoperable services and standards to allow information sharing and improve quality, safety, and access to healthcare in BC.
e-Health refers to the use of electronic communication and technology in healthcare environments and the delivery of health services and information. e-Health applications are software and services that manage, transmit, store or record patient health information electronically and use the internet to transmit and store data for providers and payers. e-Health applications include electronic health records, mobile health apps, and telemedicine services and must comply with privacy laws like HIPAA to securely protect patient information.
The document discusses electronic health records (EHR) in long-term care facilities. It covers the goals of EHR which include improving care, sharing records efficiently, and using data to enhance care delivery. However, several issues need to be addressed such as standards development, costs, security, and usability. Nursing facilities can participate in local EHR initiatives and ensure their vendors plans support emerging requirements for interoperable health records. The vision is for an integrated healthcare system and strategies include incentivizing EHR adoption, reducing investment risks, and developing national and regional health information networks.
AAMI_HITECH MU: Impact on the Future of HC ITAmy Stowers
Relate the components of The HITECH Act and Meaningful Use to health management technology
Identify whether existing systems meet requirements
Communicate technology needs and request feedback from end users for a smooth transition
Implement best practices to move people and systems forward under these new requirements
I. What can be expected with Meaningful Use
II. Two possible workflows for compliance
III. Three components of Meaningful Use data
IV. What does Meaningful Use mean for radiology?
V. How CARESTREAM RIS can help
VI. Meaningful Use compliance with RIS
Additional Meaningful Use resources:
A. Meaningful Use Podcast Series
i. Keith Dreyer, DO, Ph.D, Massachusetts General Hospital
ii. Steven Fischer, CIO, Center for Diagnostic Imaging
B. Webinar
i. Keith Dreyer, DO, Ph.D, Massachusetts General Hospital
ii. Marjorie Calvetti, Administrative Director, Radiology, Memorial Medical Center
C. Whitepaper: Customizable CARESTREAM RIS Enables US Facilities to Meet Meaningful Use Requirements
For more about Carestream RIS, visit http://www.carestream.com/ris
A Comprehensive Guide to DeFi Development Services in 2024Intelisync
DeFi represents a paradigm shift in the financial industry. Instead of relying on traditional, centralized institutions like banks, DeFi leverages blockchain technology to create a decentralized network of financial services. This means that financial transactions can occur directly between parties, without intermediaries, using smart contracts on platforms like Ethereum.
In 2024, we are witnessing an explosion of new DeFi projects and protocols, each pushing the boundaries of what’s possible in finance.
In summary, DeFi in 2024 is not just a trend; it’s a revolution that democratizes finance, enhances security and transparency, and fosters continuous innovation. As we proceed through this presentation, we'll explore the various components and services of DeFi in detail, shedding light on how they are transforming the financial landscape.
At Intelisync, we specialize in providing comprehensive DeFi development services tailored to meet the unique needs of our clients. From smart contract development to dApp creation and security audits, we ensure that your DeFi project is built with innovation, security, and scalability in mind. Trust Intelisync to guide you through the intricate landscape of decentralized finance and unlock the full potential of blockchain technology.
Ready to take your DeFi project to the next level? Partner with Intelisync for expert DeFi development services today!
Monitoring and Managing Anomaly Detection on OpenShift.pdfTosin Akinosho
Monitoring and Managing Anomaly Detection on OpenShift
Overview
Dive into the world of anomaly detection on edge devices with our comprehensive hands-on tutorial. This SlideShare presentation will guide you through the entire process, from data collection and model training to edge deployment and real-time monitoring. Perfect for those looking to implement robust anomaly detection systems on resource-constrained IoT/edge devices.
Key Topics Covered
1. Introduction to Anomaly Detection
- Understand the fundamentals of anomaly detection and its importance in identifying unusual behavior or failures in systems.
2. Understanding Edge (IoT)
- Learn about edge computing and IoT, and how they enable real-time data processing and decision-making at the source.
3. What is ArgoCD?
- Discover ArgoCD, a declarative, GitOps continuous delivery tool for Kubernetes, and its role in deploying applications on edge devices.
4. Deployment Using ArgoCD for Edge Devices
- Step-by-step guide on deploying anomaly detection models on edge devices using ArgoCD.
5. Introduction to Apache Kafka and S3
- Explore Apache Kafka for real-time data streaming and Amazon S3 for scalable storage solutions.
6. Viewing Kafka Messages in the Data Lake
- Learn how to view and analyze Kafka messages stored in a data lake for better insights.
7. What is Prometheus?
- Get to know Prometheus, an open-source monitoring and alerting toolkit, and its application in monitoring edge devices.
8. Monitoring Application Metrics with Prometheus
- Detailed instructions on setting up Prometheus to monitor the performance and health of your anomaly detection system.
9. What is Camel K?
- Introduction to Camel K, a lightweight integration framework built on Apache Camel, designed for Kubernetes.
10. Configuring Camel K Integrations for Data Pipelines
- Learn how to configure Camel K for seamless data pipeline integrations in your anomaly detection workflow.
11. What is a Jupyter Notebook?
- Overview of Jupyter Notebooks, an open-source web application for creating and sharing documents with live code, equations, visualizations, and narrative text.
12. Jupyter Notebooks with Code Examples
- Hands-on examples and code snippets in Jupyter Notebooks to help you implement and test anomaly detection models.
TrustArc Webinar - 2024 Global Privacy SurveyTrustArc
How does your privacy program stack up against your peers? What challenges are privacy teams tackling and prioritizing in 2024?
In the fifth annual Global Privacy Benchmarks Survey, we asked over 1,800 global privacy professionals and business executives to share their perspectives on the current state of privacy inside and outside of their organizations. This year’s report focused on emerging areas of importance for privacy and compliance professionals, including considerations and implications of Artificial Intelligence (AI) technologies, building brand trust, and different approaches for achieving higher privacy competence scores.
See how organizational priorities and strategic approaches to data security and privacy are evolving around the globe.
This webinar will review:
- The top 10 privacy insights from the fifth annual Global Privacy Benchmarks Survey
- The top challenges for privacy leaders, practitioners, and organizations in 2024
- Key themes to consider in developing and maintaining your privacy program
Fueling AI with Great Data with Airbyte WebinarZilliz
This talk will focus on how to collect data from a variety of sources, leveraging this data for RAG and other GenAI use cases, and finally charting your course to productionalization.
Driving Business Innovation: Latest Generative AI Advancements & Success StorySafe Software
Are you ready to revolutionize how you handle data? Join us for a webinar where we’ll bring you up to speed with the latest advancements in Generative AI technology and discover how leveraging FME with tools from giants like Google Gemini, Amazon, and Microsoft OpenAI can supercharge your workflow efficiency.
During the hour, we’ll take you through:
Guest Speaker Segment with Hannah Barrington: Dive into the world of dynamic real estate marketing with Hannah, the Marketing Manager at Workspace Group. Hear firsthand how their team generates engaging descriptions for thousands of office units by integrating diverse data sources—from PDF floorplans to web pages—using FME transformers, like OpenAIVisionConnector and AnthropicVisionConnector. This use case will show you how GenAI can streamline content creation for marketing across the board.
Ollama Use Case: Learn how Scenario Specialist Dmitri Bagh has utilized Ollama within FME to input data, create custom models, and enhance security protocols. This segment will include demos to illustrate the full capabilities of FME in AI-driven processes.
Custom AI Models: Discover how to leverage FME to build personalized AI models using your data. Whether it’s populating a model with local data for added security or integrating public AI tools, find out how FME facilitates a versatile and secure approach to AI.
We’ll wrap up with a live Q&A session where you can engage with our experts on your specific use cases, and learn more about optimizing your data workflows with AI.
This webinar is ideal for professionals seeking to harness the power of AI within their data management systems while ensuring high levels of customization and security. Whether you're a novice or an expert, gain actionable insights and strategies to elevate your data processes. Join us to see how FME and AI can revolutionize how you work with data!
HCL Notes und Domino Lizenzkostenreduzierung in der Welt von DLAUpanagenda
Webinar Recording: https://www.panagenda.com/webinars/hcl-notes-und-domino-lizenzkostenreduzierung-in-der-welt-von-dlau/
DLAU und die Lizenzen nach dem CCB- und CCX-Modell sind für viele in der HCL-Community seit letztem Jahr ein heißes Thema. Als Notes- oder Domino-Kunde haben Sie vielleicht mit unerwartet hohen Benutzerzahlen und Lizenzgebühren zu kämpfen. Sie fragen sich vielleicht, wie diese neue Art der Lizenzierung funktioniert und welchen Nutzen sie Ihnen bringt. Vor allem wollen Sie sicherlich Ihr Budget einhalten und Kosten sparen, wo immer möglich. Das verstehen wir und wir möchten Ihnen dabei helfen!
Wir erklären Ihnen, wie Sie häufige Konfigurationsprobleme lösen können, die dazu führen können, dass mehr Benutzer gezählt werden als nötig, und wie Sie überflüssige oder ungenutzte Konten identifizieren und entfernen können, um Geld zu sparen. Es gibt auch einige Ansätze, die zu unnötigen Ausgaben führen können, z. B. wenn ein Personendokument anstelle eines Mail-Ins für geteilte Mailboxen verwendet wird. Wir zeigen Ihnen solche Fälle und deren Lösungen. Und natürlich erklären wir Ihnen das neue Lizenzmodell.
Nehmen Sie an diesem Webinar teil, bei dem HCL-Ambassador Marc Thomas und Gastredner Franz Walder Ihnen diese neue Welt näherbringen. Es vermittelt Ihnen die Tools und das Know-how, um den Überblick zu bewahren. Sie werden in der Lage sein, Ihre Kosten durch eine optimierte Domino-Konfiguration zu reduzieren und auch in Zukunft gering zu halten.
Diese Themen werden behandelt
- Reduzierung der Lizenzkosten durch Auffinden und Beheben von Fehlkonfigurationen und überflüssigen Konten
- Wie funktionieren CCB- und CCX-Lizenzen wirklich?
- Verstehen des DLAU-Tools und wie man es am besten nutzt
- Tipps für häufige Problembereiche, wie z. B. Team-Postfächer, Funktions-/Testbenutzer usw.
- Praxisbeispiele und Best Practices zum sofortigen Umsetzen
Best 20 SEO Techniques To Improve Website Visibility In SERPPixlogix Infotech
Boost your website's visibility with proven SEO techniques! Our latest blog dives into essential strategies to enhance your online presence, increase traffic, and rank higher on search engines. From keyword optimization to quality content creation, learn how to make your site stand out in the crowded digital landscape. Discover actionable tips and expert insights to elevate your SEO game.
Trusted Execution Environment for Decentralized Process MiningLucaBarbaro3
Presentation of the paper "Trusted Execution Environment for Decentralized Process Mining" given during the CAiSE 2024 Conference in Cyprus on June 7, 2024.
FREE A4 Cyber Security Awareness Posters-Social Engineering part 3Data Hops
Free A4 downloadable and printable Cyber Security, Social Engineering Safety and security Training Posters . Promote security awareness in the home or workplace. Lock them Out From training providers datahops.com
Freshworks Rethinks NoSQL for Rapid Scaling & Cost-EfficiencyScyllaDB
Freshworks creates AI-boosted business software that helps employees work more efficiently and effectively. Managing data across multiple RDBMS and NoSQL databases was already a challenge at their current scale. To prepare for 10X growth, they knew it was time to rethink their database strategy. Learn how they architected a solution that would simplify scaling while keeping costs under control.
HCL Notes and Domino License Cost Reduction in the World of DLAUpanagenda
Webinar Recording: https://www.panagenda.com/webinars/hcl-notes-and-domino-license-cost-reduction-in-the-world-of-dlau/
The introduction of DLAU and the CCB & CCX licensing model caused quite a stir in the HCL community. As a Notes and Domino customer, you may have faced challenges with unexpected user counts and license costs. You probably have questions on how this new licensing approach works and how to benefit from it. Most importantly, you likely have budget constraints and want to save money where possible. Don’t worry, we can help with all of this!
We’ll show you how to fix common misconfigurations that cause higher-than-expected user counts, and how to identify accounts which you can deactivate to save money. There are also frequent patterns that can cause unnecessary cost, like using a person document instead of a mail-in for shared mailboxes. We’ll provide examples and solutions for those as well. And naturally we’ll explain the new licensing model.
Join HCL Ambassador Marc Thomas in this webinar with a special guest appearance from Franz Walder. It will give you the tools and know-how to stay on top of what is going on with Domino licensing. You will be able lower your cost through an optimized configuration and keep it low going forward.
These topics will be covered
- Reducing license cost by finding and fixing misconfigurations and superfluous accounts
- How do CCB and CCX licenses really work?
- Understanding the DLAU tool and how to best utilize it
- Tips for common problem areas, like team mailboxes, functional/test users, etc
- Practical examples and best practices to implement right away
In the realm of cybersecurity, offensive security practices act as a critical shield. By simulating real-world attacks in a controlled environment, these techniques expose vulnerabilities before malicious actors can exploit them. This proactive approach allows manufacturers to identify and fix weaknesses, significantly enhancing system security.
This presentation delves into the development of a system designed to mimic Galileo's Open Service signal using software-defined radio (SDR) technology. We'll begin with a foundational overview of both Global Navigation Satellite Systems (GNSS) and the intricacies of digital signal processing.
The presentation culminates in a live demonstration. We'll showcase the manipulation of Galileo's Open Service pilot signal, simulating an attack on various software and hardware systems. This practical demonstration serves to highlight the potential consequences of unaddressed vulnerabilities, emphasizing the importance of offensive security practices in safeguarding critical infrastructure.
Salesforce Integration for Bonterra Impact Management (fka Social Solutions A...Jeffrey Haguewood
Sidekick Solutions uses Bonterra Impact Management (fka Social Solutions Apricot) and automation solutions to integrate data for business workflows.
We believe integration and automation are essential to user experience and the promise of efficient work through technology. Automation is the critical ingredient to realizing that full vision. We develop integration products and services for Bonterra Case Management software to support the deployment of automations for a variety of use cases.
This video focuses on integration of Salesforce with Bonterra Impact Management.
Interested in deploying an integration with Salesforce for Bonterra Impact Management? Contact us at sales@sidekicksolutionsllc.com to discuss next steps.
Generating privacy-protected synthetic data using Secludy and MilvusZilliz
During this demo, the founders of Secludy will demonstrate how their system utilizes Milvus to store and manipulate embeddings for generating privacy-protected synthetic data. Their approach not only maintains the confidentiality of the original data but also enhances the utility and scalability of LLMs under privacy constraints. Attendees, including machine learning engineers, data scientists, and data managers, will witness first-hand how Secludy's integration with Milvus empowers organizations to harness the power of LLMs securely and efficiently.
Programming Foundation Models with DSPy - Meetup SlidesZilliz
Prompting language models is hard, while programming language models is easy. In this talk, I will discuss the state-of-the-art framework DSPy for programming foundation models with its powerful optimizers and runtime constraint system.
Teaching Notes:
Have students define all key terms as an assignment. Then, in class, ask each student to define one key term aloud.
Optional assignment: Have students do an Internet search of one key term and write a short paragraph describing what they learned about that term from looking at a few websites.
Teaching Notes:
Have students define all key terms as an assignment. Then, in class, ask each student to define one key term aloud.
Optional assignment: Have students do an Internet search of one key term and write a short paragraph describing what they learned about that term from looking at a few websites.
Learning Outcome: 2.1 Describe the functions of practice management programs.
Pages: 28-32
Teaching Notes:
AHIMA is one of the groups that sets standards for management of HIT. http://www.ahima.org/ American Health Information Management Association.
Learning Outcome: 2.1 Describe the functions of practice management programs.
Pages: 28-32
Teaching Notes:
Many offices now use Electronic Medical Records which merge the front office computer software with the patient treatment information. Stress that an EMR is different from a PMP. If an office has used a PMP, then goes from paper to EMR, the person supervising the change must make sure that the two programs can communicate with each other.
Medisoft is a PMP. It is actually used in physician’s offices in the real world. Using a PMP helps save time and eliminate errors.
Large corporations usually use the same PMP throughout their system as well as tying that PMP to the computers in the hospital. This allows the physician to access information from hospital admissions.
Scheduling is easier, patient information input has less errors. Claims are submitted faster and money received faster. Patients account are easy to track. Financial reports can be pulled to justify purchases, staffing etc.
Learning Outcome: 2.1 Describe the functions of practice management programs.
Pages: 28-32
Teaching Notes:
There is a charge for handling practice management services. There are several companies that a practice can choose. Clearinghouses standardize claims and perform a detailed edit of the information making sure a claim is “clean,” meaning it is free of errors and has no missing information. This facilitates expedited payment from the insurance company.
A report, the audit/edit is sent to back to the practice stating the claim is either clean and it will be forwarded to the insurance company or that it contains errors and those errors are identified so the practice can correct them. Once corrected, the claim must be resent to the clearinghouse to be reviewed again.
Learning Outcome: 2.1 Describe the functions of practice management programs.
Pages: 28-32
Teaching Notes:
Although most offices file insurance for patients, they still need a walkout receipt. They may participate in a flexible spending plan and want to get reimbursed for their copay and/or coinsurance.
Autoposting saves time but the RA still needs to be reviewed to identify payments that are not as expected.
Learning Outcome: 2.2 Identify the core functions of an electronic health record system.
Pages: 32-38
Teaching Notes:
EMR’s are different from a PMP. They can include information from other places where the patient has been seen, such as laboratories, hospitals, pharmacies etc. A lot of hospitals now use hospitalists to take care of patients when they are admitted to the hospital instead of the patient’s primary physician. EMR’s allow the patient’s personal physician to access the information from a hospital visit when the patient is in the office for a follow-up appointment.
PHR’s are the information contained in the EMR. This is the information that you must have permission to release from the patient. Information comes from multiple providers and facilities.
Electronic prescribing is part of order management. It also helps save time and increase accuracy.
Learning Outcome: 2.2 Identify the core functions of an electronic health record system.
Pages: 32-38
Teaching Notes:
The following EHR functions are suggested by the Institute of Medicine
Key Data-Problem List, procedures, medication lists, allergies, medication list, allergies, demographics, diagnostic test results, health maintenance, advance directives. Clinical and Patient Narrative-signs and symptoms, diagnosis, procedures, level of service, treatment plan.
Results reporting, results notification, multiple views of data/presentation, multimedia support (images, scanned documents)
Computerized provider order entry(CPOE)-electronic prescribing, laboratory, pathology, x-rays, consultations
Access to knowledge sources, drug alerts, reminders, clinical guidelines and pathways, chronic disease management, clinician work list, diagnostic decision support, use of epidermiologic data, automated real-time surveilance
Provider-provider, team coordination, patient-provider, medical devices external partners (pharmacy, insurer, laboratory, radiology) integrated medical record (within setting, across settings, inpatient-outpatient
Patient education (access to patient education materials), family and informal caregiver education, data entered by patient, family, and/or informal caregiver (home monitoring, questionnaires)
Scheduling management (appointments, admissions, surgery and other procedures), eligibility determination (insurance, clinical trials, drug recalls, chronic disease management)
Patient safety and quality reporting, public health reporting, disease registries.
Learning Outcome: 2.3 Discuss the advantages of electronic health records.
Pages: 39-41
Teaching Notes:
Safety: medication and physician orders (illegible handwriting), electronic alerts allergies and drug reactions, alerts to physicians, record preservation, timely communication of information
Quality: reminders for patients for preventative care and screenings, patients w/chronic illnesses can monitor from home via internet
Efficiency: retrieval of information is immediate--essential in critical care situations, also increases efficiency of workflow, refilling of prescriptions, receiving payments, organization of the record and prevents loss of records.
Learning Outcome: 2.3 Discuss the advantages of electronic health records.
Pages: 39-41
Teaching Notes:
EHR’s facilitate evidence-based medicine by allowing physicians to share information quickly
HITECH is part of the American Reinvestment and Recovery Act of 2009, provider must show “meaningful use” of the EHR to qualify for the incentives.
Learning Outcome: 2.4 Describe the impact of health information technology on documentation and coding.
Pages: 41-44
Teaching Notes:
Electronic workflow is most efficient when the PMP and EHR being integrated in an office can easily exchange data with each other. It is always the goal to increase office efficiency.
Computer-assisted coding: Some programs assign codes based on keywords in a template, others analyze words, phrases, and sentences in the electronic documentation. They still need to be reviewed for accuracy before filing the claim.
Learning Outcome: 2.4 Describe the impact of health information technology on documentation and coding.
Pages: 41-44
Teaching Notes:
Discuss the importance of accuracy and compliance in documentation and coding.
Learning Outcome: 2.5 Discuss how the HIPAA Privacy Rule and Security Rule protect patient health information.
Pages: 44-51
Teaching Notes:
Have students discuss scenarios that might compromise HIPAA privacy rules.
Examples: Talking to friends about patients, talking on the phone to a patient within earshot of other patients.
Learning Outcome: 2.5 Discuss how the HIPAA Privacy Rule and Security Rule protect patient health information.
Pages: 44-51
Teaching Notes:
HIPAA Electronic Transaction and Code Sets Standards: Purpose is to reduce administrative costs and complexities by requiring use of standardized electronic formats for transmission of data.
EDI involves sending information from computer to computer using publicly available communications protocols.
EFT puts money directly into a designated bank account
Learning Outcome: 2.5 Discuss how the HIPAA Privacy Rule and Security Rule protect patient health information.
Pages: 44-51
Teaching Notes:
Claim formats
837P professional claim
CMS 1500- some small offices are exempt from HIPAA requirement to send electronic claims so they use this paper form
NPI-any individual or health care provider must have an NPI
Learning Outcome: 2.5 Discuss how the HIPAA Privacy Rule and Security Rule protect patient health information.
Pages: 44-51
Teaching Notes:
Covered entities (health plans, health care clearinghouses, and health care providers and their businesses associates) must follow all rules.
-adopt a set of privacy practices
-notify patients about their privacy rights
-train employees so they understand privacy practices
-appoint a staff member to be privacy official
-secure patient records
Learning Outcome: 2.5 Discuss how the HIPAA Privacy Rule and Security Rule protect patient health information.
Pages: 44-51
Teaching Notes:
3 categories of security standards
Administrative is assigned to one person
Physical threats include hackers, disgruntled employees, or angry patients. Unauthorized intrusion is access by individuals who do not have a “need to know”
Technical access is granted on a “need to know” basis. Passwords are designed to allow customized access.
Learning Outcome: 2.5 Discuss how the HIPAA Privacy Rule and Security Rule protect patient health information.
Pages: 44-51
Teaching Notes:
HIPAA enacted 1996
While the proliferation of health information networks provide many points of access to patient information, it also increases the possibility of unauthorized access.
Learning Outcome: 2.6 Explain how the measures put in place by the HITECH Act strengthen HIPAA privacy and security requirements.
Page: 51
Teaching Notes:
Breach notification: Requires notification of patients by covered entities of any breach of information. Also must notify the federal government and the media
Monetary penalities: Penalities for breaches ranging from $100-$50,000
Advanced enforcement: Office of Civil Rights is required to conduct audits to ensure compliance with HIPAA rules