A publication dedicated to bringing articles and advice, specific to the anesthesia and pain management community, that are practical and tangible.
This edition covers the following topics:
• Using Big Data for Big Research: MPOG, NACOR and other Anesthesia Registries
• Another Year of Changes Lies Ahead for Anesthesiologists
• Disruptive Change, Anesthesiologists, and ASCs
• Performing High Acuity Cases in ASCs: The Anesthesiologist’s Role
• Endoscopy: Revisited
• Reporting Postoperative Pain Management in 2014
• 2014 CPT Coding and Key Reimbursement Changes
Mobile Healthcare: Patient Data Delivery by Jim BloedauHIMSS
Â
Mobile healthcare technologies are increasingly allowing clinicians to access patient data and documentation using wireless devices. These mobile patient data delivery systems can reduce the time clinicians spend moving between points of care and accessing paper records. They offer benefits like improved quality of care, increased clinical effectiveness, better patient safety, and workforce improvements. However, adoption challenges remain as clinicians must adapt to new technologies and address security concerns. Overall the mobile healthcare market is growing rapidly as wireless networks and devices transform how care is delivered and documented.
CMS opposes adding unique device identifiers (UDIs) to insurance claims forms because it would entail significant technological and financial challenges. Inserting UDIs could cost over $700 million to implement due to necessary changes to claims processing systems across the healthcare industry. It may also result in inaccurate data on claims forms if UDIs are entered incorrectly. While CMS supports including UDIs in electronic health records and registries, it believes alternative methods like clinical registries could gather useful post-market information without burdening providers and payers. Key standards groups also have concerns about mandating UDIs on claims forms at this time.
This document discusses the rise of "docpreneurs", or young physician entrepreneurs who are using their medical training and technology skills to launch startups aimed at improving healthcare. It profiles several physician entrepreneurs in the Boston area who have started companies like Twiage, an app that sends patient data from ambulances to hospitals, and Symcat, a symptom checker app. These docpreneurs are being supported by Boston's strong academic institutions and growing entrepreneurial ecosystem. While these physicians still practice clinically, they are also pursuing entrepreneurship to have a bigger impact on healthcare and drive innovation. Hackathons and accelerators are helping generate and develop their ideas into new companies.
Digital technology is changing the relationship between patient and doctor, and healthcare providers must adopt new approaches to data and information.
Read our new article to gain insights of how the adoption of cloud affects the healthcare industry.
The document summarizes insights from panels at the Health 2.0 London conference on developing tools for physicians and hospitals. Key topics discussed included the need for interoperability between different hospital systems and tools, challenges of healthcare data workflow, and how to create mobile and wearable physician tools that integrate smoothly into the workflow without being too intrusive. Presentations on specific tools like TicTrac and Google Glass demonstrated approaches to help physicians better manage patient data and improve efficiency.
A publication dedicated to bringing articles and advice, specific to the anesthesia and pain management community, that are practical and tangible.
This edition covers the following topics:
• Using Big Data for Big Research: MPOG, NACOR and other Anesthesia Registries
• Another Year of Changes Lies Ahead for Anesthesiologists
• Disruptive Change, Anesthesiologists, and ASCs
• Performing High Acuity Cases in ASCs: The Anesthesiologist’s Role
• Endoscopy: Revisited
• Reporting Postoperative Pain Management in 2014
• 2014 CPT Coding and Key Reimbursement Changes
Mobile Healthcare: Patient Data Delivery by Jim BloedauHIMSS
Â
Mobile healthcare technologies are increasingly allowing clinicians to access patient data and documentation using wireless devices. These mobile patient data delivery systems can reduce the time clinicians spend moving between points of care and accessing paper records. They offer benefits like improved quality of care, increased clinical effectiveness, better patient safety, and workforce improvements. However, adoption challenges remain as clinicians must adapt to new technologies and address security concerns. Overall the mobile healthcare market is growing rapidly as wireless networks and devices transform how care is delivered and documented.
CMS opposes adding unique device identifiers (UDIs) to insurance claims forms because it would entail significant technological and financial challenges. Inserting UDIs could cost over $700 million to implement due to necessary changes to claims processing systems across the healthcare industry. It may also result in inaccurate data on claims forms if UDIs are entered incorrectly. While CMS supports including UDIs in electronic health records and registries, it believes alternative methods like clinical registries could gather useful post-market information without burdening providers and payers. Key standards groups also have concerns about mandating UDIs on claims forms at this time.
This document discusses the rise of "docpreneurs", or young physician entrepreneurs who are using their medical training and technology skills to launch startups aimed at improving healthcare. It profiles several physician entrepreneurs in the Boston area who have started companies like Twiage, an app that sends patient data from ambulances to hospitals, and Symcat, a symptom checker app. These docpreneurs are being supported by Boston's strong academic institutions and growing entrepreneurial ecosystem. While these physicians still practice clinically, they are also pursuing entrepreneurship to have a bigger impact on healthcare and drive innovation. Hackathons and accelerators are helping generate and develop their ideas into new companies.
Digital technology is changing the relationship between patient and doctor, and healthcare providers must adopt new approaches to data and information.
Read our new article to gain insights of how the adoption of cloud affects the healthcare industry.
The document summarizes insights from panels at the Health 2.0 London conference on developing tools for physicians and hospitals. Key topics discussed included the need for interoperability between different hospital systems and tools, challenges of healthcare data workflow, and how to create mobile and wearable physician tools that integrate smoothly into the workflow without being too intrusive. Presentations on specific tools like TicTrac and Google Glass demonstrated approaches to help physicians better manage patient data and improve efficiency.
Technology and healthcare: difficult marriage B Spot
Â
Despite the many advances in technology, one of the most important parts of our lives – healthcare – continues to be a cautious and slow adopter. This is not because of the shortage of relevant technologies (quite the contrary, a lot of innovation geared at this space has taken place); rather, it is due to the healthcare industry itself, which is difficult to work with due to its complicated legislation, resistance from healthcare institutions and professionals and the tight funding conditions that most public healthcare institutions are subject to. It is also the case that outside the large-scale and traditional IT environment, the healthcare industry lacks a strong collaboration model with the world of technology innovation. Investing in healthcare needs to take a long-term perspective and requires great knowledge of the inherent challenges that will be faced. The high tech industry, on the other hand, has little patience. Tech companies, including those that are excited by recent big data opportunities should be warned: it takes a battle to get your teeth into the healthcare sweet spot.
The University of Washington Medical Center in Seattle has successfully increased radiology department productivity through strategic deployment of technology and process improvements. They now complete 15-20% more exams annually with 10 fewer full time employees. This is due in large part to their strong technology partnership with GE Healthcare and use of Centricity RIS/PACS solutions, which have doubled or quadrupled functionality over recent years. The medical center serves as a model for maximizing efficiency through data-driven decisions and optimized workflows enabled by integrated imaging technologies.
Using analytics to mine large datasets for insights, commonly known as Big Data, is already transforming industries ranging from consumer goods to transportation. Certainly, the healthcare sector has the raw information to join this group. For example, Kaiser Permanente, a California-based health network, has an estimated 27 to 44 million gigabytes of potentially useful patient information. Expectations are that the U.S. healthcare sector will soon have a zettabyte of these data.
To learn more about the research programme, visit http://hospitalresilience.eiu.com/.
This document provides a marketing plan for TC Telemedicine, a startup company providing telemedicine installation services using Polycom video conferencing systems. The plan outlines TC Telemedicine's target market of rural hospitals within 200 miles of Tupelo, MS, and analyzes market needs, trends, competitors, and TC Telemedicine's strengths, weaknesses, opportunities and threats. The marketing strategy focuses on reducing healthcare costs for rural hospitals through telemedicine consultations. The marketing mix details Polycom products, competitive pricing, and promotion through personal selling, trade partnerships, direct marketing and social media.
- Healthcare spending in the US is concentrated among a small portion of the population and must be reduced to control costs. Chronic conditions are a major driver of spending and will continue growing.
- There is an explosion of healthcare data from a variety of sources, but most of this data is unstructured and difficult for computers to interpret. Leveraging this data through analytics could provide insights to improve care and reduce costs.
- Continuous care that extends beyond traditional clinical settings will be needed to effectively manage chronic conditions, which account for most US healthcare costs and 157 million Americans by 2020. Big and small data analytics that incorporate lifestyle, behavioral and socioeconomic factors may help with continuous care and population health management.
The report provides an overview of telemedicine, which uses information and communication technologies to deliver health care services over distance. Telemedicine aims to increase access to care, especially for rural communities. While telemedicine originated in the late 19th century, recent advances in technologies have accelerated its development. The report discusses opportunities for developing countries and barriers to realizing telemedicine's potential. It also reviews literature on telemedicine applications and lessons learned.
Big data has the potential to significantly impact healthcare and medicine by enabling the discovery of patterns within vast amounts of data. For the first time, adequate computing power and machine learning algorithms exist to analyze both structured and unstructured data at scale. This could lead to innovations like predicting disease outbreaks from search engine or social media data, and more personalized medical treatment based on a patient's individual risk factors and data patterns over time. However, big data in healthcare remains roughly defined and raises concerns around data privacy and security that must be addressed. If these challenges can be overcome, big data may help fuel major advances in areas like predictive medicine, medical decision support, and a shift towards more proactive and customized care models focused on the patient.
E-Health - Enabler for Australia\'s Healthcare Reformbartlettc
Â
This report discusses the place of E-Health initiatives in the Australian Health care system,
the need for IT in the reform agenda and the case for change.
Caresoft Hospital Information System is a customizable, integrated hospital management software that offers standard, premium, and basic modules. It provides features like patient registration, billing, reporting, doctor management, lab, pharmacy, and other modules. The system aims to improve hospital management with a performance-based, intelligent approach through automation, integration, and analytics.
Social Media in Pharma Summit 2011: Drug SafetyMichael Ibara
Â
This document discusses successfully incorporating social media in drug safety strategies. It covers the history of social media and issues with applying traditional pharmacovigilance concepts. The current system was built for sparse data but we now have abundant data online. Implications include that the regulatory framework is unsuitable for the digital era. Solutions proposed include reconstructing the field from new fundamentals and focusing on where data comes from rather than traditional concepts like serious vs. nonserious adverse events. Designating social media data as a public good and allowing search/matching of potential adverse events is suggested.
AnesthesiaOS is a cloud-based electronic health record (EHR) system developed by anesthesiologists to be intuitive and mobile. It captures data from different sources to provide a holistic view of a patient's health. AnesthesiaOS aims to simplify workflows for healthcare providers and improve clinical outcomes while lowering costs. The system leverages technologies from Dell and Microsoft and provides analytics and customizable reports to help clients improve efficiency.
VN-Enablement is a Learning Healthcare SystemLarry Sitka
Â
The document discusses the ONC's vision for a future "Learning Healthcare System" that enables continuous learning and improved health through interconnected electronic health information. It argues that a Vendor Neutral Archive (VNA) provides the necessary foundation to build this system by allowing standardized and interoperable sharing of patient data across organizations. A VNA can aggregate clinical content from different sources to provide healthcare workers with suggestive access to patient information and improve outcomes. For the system to work, healthcare organizations must take ownership of patient data and focus on standards-based interoperability.
Improve Patient Care and Reduce IT Costs with Vendor Neutral Archiving and Cl...EMC
Â
This white paper discusses how vendor neutral archiving (VNA) combined with cloud storage on the EMC Atmos platform can help healthcare organizations improve patient care and reduce IT costs. By breaking down PACS silos and providing secure access to medical images from any device, VNA and cloud storage reduce storage and archive costs while enabling images to be accessed at the point of care. A case study is presented of how one healthcare network leveraged this approach to improve medical imaging workflows.
TOPIC 2AnthonyThe movie that I watched for this week, Cons.docxturveycharlyn
Â
TOPIC 2:
Anthony:
The movie that I watched for this week, Constantine, would almost certainly have been censored. This movie explores some of things in religion that most God fearing individuals would rather not. The idea that an evil would threaten the very existence of mankind. Not to mention the way some of the demons and victims were killed or eliminated. The Motion Picture Production Code of 1930 or The Hays Code, established guidelines for movie producers. The following is a short explanation of his code: Â
The Code was based on three general principles: No picture shall be produced that will lower the moral standards of those who see it. Hence the sympathy of the audience should never be thrown to the side of crime, wrongdoing, evil or sin. Correct standards of life, subject only to the requirements of drama and entertainment, shall be presented. Law, natural or human, shall not be ridiculed, nor shall sympathy be created for its violation. These were developed in a series of rules grouped under the self-explanatory headings Crimes Against The Law, Sex, Vulgarity, Obscenity, Profanity, Costume, Dances (i.e. suggestive movements), Religion, Locations (i.e. the bedroom), National Feelings, Titles and "Repellent Subjects" (extremely graphic violence) (BFI. n.d.)
Constantine (2005)Â http://www.imdb.com/title/tt0360486/
BFI Screenonline: The Hays Code. (n.d.). Retrieved January 24, 2017, from http://www.screenonline.org.uk/film/id/592022/
Robert:
I'm pretty sure that "The Evil Dead" would have received an "X" rating upon release had it come out 50 years ago since "The Excorcist" had that rating upon its release. There is a parallel between the two since in both cases audiences became more likely to laugh at the scarier scenes than to be frightened by them. Both also had religious imagery that would be offensive to alot of people. Times have really changed since the late 1960s concerning the ratings system; films like "Midnight Cowboy" and "A Clockwork Orange" that had X ratings at one point would be very comfortably in the "R" category today.
· Write a four to five (4-5) page paper in which you:
1. Identify and analyze what you believe to be the most significant new technology requirements for the health care industry. Indicate how providers should approach the implementation of this new technology requirement that you have identified. Provide support for the response.
2. Analyze the basic technology underlying health care information systems. Argue that the need for technological innovation and / or modification is most pressing. Support the argument with examples.
3. Recommend an innovation / modification, and explain how the recommendation could improve the overall level of health care in your own community. Include specific example(s) using local hospitals or other health care providers to support the response.Â
4. Suggest a key action that senior health care leadership could take in the community in which you live to push the b ...
1. The document discusses the advantages and disadvantages of implementing an electronic health record (EHR) system to replace a paper-based system.
2. A key disadvantage is the high cost of implementation, with the cost of Alberta's new clinical information system estimated at $1.6 billion over 10 years.
3. Another disadvantage is a lack of interoperability between existing EHR systems, which prevents patient information from being shared and understood across health settings.
The document provides background information on the HITECH provision of the ARRA, including what it is, how it allocates funding, and what it aims to accomplish. Key aspects of HITECH discussed include establishing the ONC, creating standards for meaningful use of EHRs, funding regional extension centers and testing/certification bodies, and increasing penalties for non-compliance with HIPAA privacy rules. The document aims to explain how HITECH is intended to modernize health records and information exchange to improve outcomes and lower costs across the healthcare system over the next decade.
Computer Information Systems and the Electronic Health RecordRebotto89
Â
Paper-based health records are being replaced by electronic health records (EHRs) to improve patient care. A clinical information system (CIS) is a collection of applications that provides centralized access to patient information across locations. Choosing a CIS requires input from all users and consideration of costs, which can range from $1-2 million for small hospitals to over $1 billion for large hospitals. Ensuring security of patient data and regular system updates are also important factors in selecting and implementing a CIS/EHR.
Innovation in Enterprise Imaging: Clinical Context is What's NextTodd Winey
Â
Clinicians have one word for what they want from your next generation enterprise imaging solutions. Context. A recent study in the Journal of Digital Imaging suggests that nearly 60% of radiology orders have no mention of important chronic conditions, calling it “an alarming lack of communication” that “may negatively impact interpretation quality.” Imaging orders such as “chest pain” or “lower abdominal pain,” for example, are essentially context free, giving clinicians little information to work with. Access to a complete clinical history behind those orders can help clinicians provide richer input for more accurate diagnoses and more effective care plans, along with results of the imaging study.
The document discusses a collaboration between several organizations including healthcare providers, technology companies, and regulators to improve the system of spontaneous adverse event reporting. They aim to demonstrate that utilizing standardized data and new technologies can enhance data quality, reduce the burden on reporters, and ultimately benefit public health monitoring. The project calls for incorporating reporting into normal clinical workflows using structured EHR data to create safety reports.
This document discusses factors to consider when evaluating a clinical information system (CIS), including:
- Who is involved in choosing, implementing, and revising a CIS
- Factors to consider before implementing a CIS such as costs and failure rates
- How a CIS should be structured and updated
- Companies that design clinical decision support systems
- Security, access controls, and costs including implementation, support personnel, and purchasing options.
- How users should be educated on a system and updates through various learning methods.
Technology and healthcare: difficult marriage B Spot
Â
Despite the many advances in technology, one of the most important parts of our lives – healthcare – continues to be a cautious and slow adopter. This is not because of the shortage of relevant technologies (quite the contrary, a lot of innovation geared at this space has taken place); rather, it is due to the healthcare industry itself, which is difficult to work with due to its complicated legislation, resistance from healthcare institutions and professionals and the tight funding conditions that most public healthcare institutions are subject to. It is also the case that outside the large-scale and traditional IT environment, the healthcare industry lacks a strong collaboration model with the world of technology innovation. Investing in healthcare needs to take a long-term perspective and requires great knowledge of the inherent challenges that will be faced. The high tech industry, on the other hand, has little patience. Tech companies, including those that are excited by recent big data opportunities should be warned: it takes a battle to get your teeth into the healthcare sweet spot.
The University of Washington Medical Center in Seattle has successfully increased radiology department productivity through strategic deployment of technology and process improvements. They now complete 15-20% more exams annually with 10 fewer full time employees. This is due in large part to their strong technology partnership with GE Healthcare and use of Centricity RIS/PACS solutions, which have doubled or quadrupled functionality over recent years. The medical center serves as a model for maximizing efficiency through data-driven decisions and optimized workflows enabled by integrated imaging technologies.
Using analytics to mine large datasets for insights, commonly known as Big Data, is already transforming industries ranging from consumer goods to transportation. Certainly, the healthcare sector has the raw information to join this group. For example, Kaiser Permanente, a California-based health network, has an estimated 27 to 44 million gigabytes of potentially useful patient information. Expectations are that the U.S. healthcare sector will soon have a zettabyte of these data.
To learn more about the research programme, visit http://hospitalresilience.eiu.com/.
This document provides a marketing plan for TC Telemedicine, a startup company providing telemedicine installation services using Polycom video conferencing systems. The plan outlines TC Telemedicine's target market of rural hospitals within 200 miles of Tupelo, MS, and analyzes market needs, trends, competitors, and TC Telemedicine's strengths, weaknesses, opportunities and threats. The marketing strategy focuses on reducing healthcare costs for rural hospitals through telemedicine consultations. The marketing mix details Polycom products, competitive pricing, and promotion through personal selling, trade partnerships, direct marketing and social media.
- Healthcare spending in the US is concentrated among a small portion of the population and must be reduced to control costs. Chronic conditions are a major driver of spending and will continue growing.
- There is an explosion of healthcare data from a variety of sources, but most of this data is unstructured and difficult for computers to interpret. Leveraging this data through analytics could provide insights to improve care and reduce costs.
- Continuous care that extends beyond traditional clinical settings will be needed to effectively manage chronic conditions, which account for most US healthcare costs and 157 million Americans by 2020. Big and small data analytics that incorporate lifestyle, behavioral and socioeconomic factors may help with continuous care and population health management.
The report provides an overview of telemedicine, which uses information and communication technologies to deliver health care services over distance. Telemedicine aims to increase access to care, especially for rural communities. While telemedicine originated in the late 19th century, recent advances in technologies have accelerated its development. The report discusses opportunities for developing countries and barriers to realizing telemedicine's potential. It also reviews literature on telemedicine applications and lessons learned.
Big data has the potential to significantly impact healthcare and medicine by enabling the discovery of patterns within vast amounts of data. For the first time, adequate computing power and machine learning algorithms exist to analyze both structured and unstructured data at scale. This could lead to innovations like predicting disease outbreaks from search engine or social media data, and more personalized medical treatment based on a patient's individual risk factors and data patterns over time. However, big data in healthcare remains roughly defined and raises concerns around data privacy and security that must be addressed. If these challenges can be overcome, big data may help fuel major advances in areas like predictive medicine, medical decision support, and a shift towards more proactive and customized care models focused on the patient.
E-Health - Enabler for Australia\'s Healthcare Reformbartlettc
Â
This report discusses the place of E-Health initiatives in the Australian Health care system,
the need for IT in the reform agenda and the case for change.
Caresoft Hospital Information System is a customizable, integrated hospital management software that offers standard, premium, and basic modules. It provides features like patient registration, billing, reporting, doctor management, lab, pharmacy, and other modules. The system aims to improve hospital management with a performance-based, intelligent approach through automation, integration, and analytics.
Social Media in Pharma Summit 2011: Drug SafetyMichael Ibara
Â
This document discusses successfully incorporating social media in drug safety strategies. It covers the history of social media and issues with applying traditional pharmacovigilance concepts. The current system was built for sparse data but we now have abundant data online. Implications include that the regulatory framework is unsuitable for the digital era. Solutions proposed include reconstructing the field from new fundamentals and focusing on where data comes from rather than traditional concepts like serious vs. nonserious adverse events. Designating social media data as a public good and allowing search/matching of potential adverse events is suggested.
AnesthesiaOS is a cloud-based electronic health record (EHR) system developed by anesthesiologists to be intuitive and mobile. It captures data from different sources to provide a holistic view of a patient's health. AnesthesiaOS aims to simplify workflows for healthcare providers and improve clinical outcomes while lowering costs. The system leverages technologies from Dell and Microsoft and provides analytics and customizable reports to help clients improve efficiency.
VN-Enablement is a Learning Healthcare SystemLarry Sitka
Â
The document discusses the ONC's vision for a future "Learning Healthcare System" that enables continuous learning and improved health through interconnected electronic health information. It argues that a Vendor Neutral Archive (VNA) provides the necessary foundation to build this system by allowing standardized and interoperable sharing of patient data across organizations. A VNA can aggregate clinical content from different sources to provide healthcare workers with suggestive access to patient information and improve outcomes. For the system to work, healthcare organizations must take ownership of patient data and focus on standards-based interoperability.
Improve Patient Care and Reduce IT Costs with Vendor Neutral Archiving and Cl...EMC
Â
This white paper discusses how vendor neutral archiving (VNA) combined with cloud storage on the EMC Atmos platform can help healthcare organizations improve patient care and reduce IT costs. By breaking down PACS silos and providing secure access to medical images from any device, VNA and cloud storage reduce storage and archive costs while enabling images to be accessed at the point of care. A case study is presented of how one healthcare network leveraged this approach to improve medical imaging workflows.
TOPIC 2AnthonyThe movie that I watched for this week, Cons.docxturveycharlyn
Â
TOPIC 2:
Anthony:
The movie that I watched for this week, Constantine, would almost certainly have been censored. This movie explores some of things in religion that most God fearing individuals would rather not. The idea that an evil would threaten the very existence of mankind. Not to mention the way some of the demons and victims were killed or eliminated. The Motion Picture Production Code of 1930 or The Hays Code, established guidelines for movie producers. The following is a short explanation of his code: Â
The Code was based on three general principles: No picture shall be produced that will lower the moral standards of those who see it. Hence the sympathy of the audience should never be thrown to the side of crime, wrongdoing, evil or sin. Correct standards of life, subject only to the requirements of drama and entertainment, shall be presented. Law, natural or human, shall not be ridiculed, nor shall sympathy be created for its violation. These were developed in a series of rules grouped under the self-explanatory headings Crimes Against The Law, Sex, Vulgarity, Obscenity, Profanity, Costume, Dances (i.e. suggestive movements), Religion, Locations (i.e. the bedroom), National Feelings, Titles and "Repellent Subjects" (extremely graphic violence) (BFI. n.d.)
Constantine (2005)Â http://www.imdb.com/title/tt0360486/
BFI Screenonline: The Hays Code. (n.d.). Retrieved January 24, 2017, from http://www.screenonline.org.uk/film/id/592022/
Robert:
I'm pretty sure that "The Evil Dead" would have received an "X" rating upon release had it come out 50 years ago since "The Excorcist" had that rating upon its release. There is a parallel between the two since in both cases audiences became more likely to laugh at the scarier scenes than to be frightened by them. Both also had religious imagery that would be offensive to alot of people. Times have really changed since the late 1960s concerning the ratings system; films like "Midnight Cowboy" and "A Clockwork Orange" that had X ratings at one point would be very comfortably in the "R" category today.
· Write a four to five (4-5) page paper in which you:
1. Identify and analyze what you believe to be the most significant new technology requirements for the health care industry. Indicate how providers should approach the implementation of this new technology requirement that you have identified. Provide support for the response.
2. Analyze the basic technology underlying health care information systems. Argue that the need for technological innovation and / or modification is most pressing. Support the argument with examples.
3. Recommend an innovation / modification, and explain how the recommendation could improve the overall level of health care in your own community. Include specific example(s) using local hospitals or other health care providers to support the response.Â
4. Suggest a key action that senior health care leadership could take in the community in which you live to push the b ...
1. The document discusses the advantages and disadvantages of implementing an electronic health record (EHR) system to replace a paper-based system.
2. A key disadvantage is the high cost of implementation, with the cost of Alberta's new clinical information system estimated at $1.6 billion over 10 years.
3. Another disadvantage is a lack of interoperability between existing EHR systems, which prevents patient information from being shared and understood across health settings.
The document provides background information on the HITECH provision of the ARRA, including what it is, how it allocates funding, and what it aims to accomplish. Key aspects of HITECH discussed include establishing the ONC, creating standards for meaningful use of EHRs, funding regional extension centers and testing/certification bodies, and increasing penalties for non-compliance with HIPAA privacy rules. The document aims to explain how HITECH is intended to modernize health records and information exchange to improve outcomes and lower costs across the healthcare system over the next decade.
Computer Information Systems and the Electronic Health RecordRebotto89
Â
Paper-based health records are being replaced by electronic health records (EHRs) to improve patient care. A clinical information system (CIS) is a collection of applications that provides centralized access to patient information across locations. Choosing a CIS requires input from all users and consideration of costs, which can range from $1-2 million for small hospitals to over $1 billion for large hospitals. Ensuring security of patient data and regular system updates are also important factors in selecting and implementing a CIS/EHR.
Innovation in Enterprise Imaging: Clinical Context is What's NextTodd Winey
Â
Clinicians have one word for what they want from your next generation enterprise imaging solutions. Context. A recent study in the Journal of Digital Imaging suggests that nearly 60% of radiology orders have no mention of important chronic conditions, calling it “an alarming lack of communication” that “may negatively impact interpretation quality.” Imaging orders such as “chest pain” or “lower abdominal pain,” for example, are essentially context free, giving clinicians little information to work with. Access to a complete clinical history behind those orders can help clinicians provide richer input for more accurate diagnoses and more effective care plans, along with results of the imaging study.
The document discusses a collaboration between several organizations including healthcare providers, technology companies, and regulators to improve the system of spontaneous adverse event reporting. They aim to demonstrate that utilizing standardized data and new technologies can enhance data quality, reduce the burden on reporters, and ultimately benefit public health monitoring. The project calls for incorporating reporting into normal clinical workflows using structured EHR data to create safety reports.
This document discusses factors to consider when evaluating a clinical information system (CIS), including:
- Who is involved in choosing, implementing, and revising a CIS
- Factors to consider before implementing a CIS such as costs and failure rates
- How a CIS should be structured and updated
- Companies that design clinical decision support systems
- Security, access controls, and costs including implementation, support personnel, and purchasing options.
- How users should be educated on a system and updates through various learning methods.
White paper explores Intel’s latest SSD technology, new Carestream solutions, the impact for PACS, and a look at the future of medical imaging data, access, storage and analysis.
Big Data Plays a Vital Role in Healthcare Sector Discussion.pdfbkbk37
Â
Big data plays a vital role in the healthcare sector by enabling benefits like more accurate patient data analysis as well as personalized care, while also presenting challenges and risks if not properly implemented and regulated. One benefit is improved diagnosis and treatment through analytics of large clinical datasets. However, a challenge is ensuring privacy and security of sensitive patient information. Strategies to address this include developing strong policies and oversight of data access.
ehCOS: Global Pionner in the development of "Next-Generation Electronic Healt...everis/ ehCOS
Â
Gartner, in "Market Trends: Vertical-Specific Software Will Be the Heart of New Global Healthcare Bodies" highlights two key aspects of the future EHR: Modular, Flexible, open, and ready to incorporate technological trends That will shape the coming decades. In this White papers, we explain why ehCOS CLINIC, has emerged as an new generation EHR today.
Personiform is a social health record platform that allows patients to securely share health information with providers and caregivers. It aims to improve patient-provider communication and engagement by allowing patients to log symptoms and health concerns, and request evaluations from providers. Providers can then generate medical codes from the patient information to integrate with electronic medical records for billing and records. The platform seeks to address limitations of existing health IT and better engage patients in their care through an intuitive social media-like interface.
The document discusses quality management in anesthesia practices. It introduces the Anesthesia Incident Reporting System (AIRS), which allows providers to anonymously report unintended events or "near misses" that did not harm patients but had potential to. Near misses provide teaching opportunities at morbidity and mortality conferences. Mature practices encourage self-reporting of near misses through online forms or other methods. Reported cases are reviewed to identify those with educational value for discussing key decision points with the goal of improving patient safety.
Gain insights from data analytics and take action! Learn why everyone is making a big deal about big data in healthcare and how data analytics creates action.
The Healthcare Payments Hub: A New Paradigm for Funds and Data Transfers in H...Ed Dodds
Â
The document proposes establishing an interoperable "Healthcare Payments Hub" that would enable straight-through processing of healthcare financial transactions. It describes the opportunity for cost savings and efficiencies through such a hub. The document recommends forming a pilot program to test operational cost savings and improved efficiencies for stakeholders like healthcare providers, banks, and health plans. The pilot would create a prototype hub platform to streamline the transfer of electronic funds and associated remittance data between stakeholders.
The Communique is a publication dedicated to bringing articles and advice, specific to the anesthesia and pain management community, that are practical and relevant.
Anesthesia Business Consultants' Communique newsletter is dedicated to bringing articles and advice, specific to the anesthesia and pain management community, that are practical and tangible.
Anesthesia Business Consultants' Communique newsletter is dedicated to bringing articles and advice, specific to the anesthesia and pain management community, that are practical and tangible.
This edition covers the following topics:
Working For Tips
M&As Still Going Strong: Position Your Anesthesia Practice
Pre-Op Your Anesthesia Practice
What’s Your Anesthesia Group Worth? And Why it Might Not Make Any Difference.
Management Service Organizations and Anesthesia Practices Today and in the Future
Changes Involving Payment for Post-Operative Pain Procedures
The Role of Anesthesiologists in the Intensive Care Unit
Improving the Documentation of Anesthesia Procedures
Reporting Critical Care Services
Field Avoidance and Special Positioning
This issue features the following pieces:
The Dark Side of Quality
Quality and Other Components of the Value Proposition
What Do Hospitals Want From Anesthesia Groups?
The Physician-Owned Management Services Organization
Should You Apologize for a Poor Outcome?
Thinking of Investing In, or Renting Space In, an ASC?
ICD-10 is the Latest Y2K: The Potential Impact on Provider Revenue
5-hydroxytryptamine or 5-HT or Serotonin is a neurotransmitter that serves a range of roles in the human body. It is sometimes referred to as the happy chemical since it promotes overall well-being and happiness.
It is mostly found in the brain, intestines, and blood platelets.
5-HT is utilised to transport messages between nerve cells, is known to be involved in smooth muscle contraction, and adds to overall well-being and pleasure, among other benefits. 5-HT regulates the body's sleep-wake cycles and internal clock by acting as a precursor to melatonin.
It is hypothesised to regulate hunger, emotions, motor, cognitive, and autonomic processes.
10 Benefits an EPCR Software should Bring to EMS Organizations Traumasoft LLC
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The benefits of an ePCR solution should extend to the whole EMS organization, not just certain groups of people or certain departments. It should provide more than just a form for entering and a database for storing information. It should also include a workflow of how information is communicated, used and stored across the entire organization.
Histololgy of Female Reproductive System.pptxAyeshaZaid1
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Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
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We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.
share - Lions, tigers, AI and health misinformation, oh my!.pptxTina Purnat
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• Pitfalls and pivots needed to use AI effectively in public health
• Evidence-based strategies to address health misinformation effectively
• Building trust with communities online and offline
• Equipping health professionals to address questions, concerns and health misinformation
• Assessing risk and mitigating harm from adverse health narratives in communities, health workforce and health system
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This SlideShare presentation provides a comprehensive overview of the Declaration of Helsinki, a foundational document outlining ethical guidelines for conducting medical research involving human subjects.
The skin is the largest organ and its health plays a vital role among the other sense organs. The skin concerns like acne breakout, psoriasis, or anything similar along the lines, finding a qualified and experienced dermatologist becomes paramount.
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These lecture slides, by Dr Sidra Arshad, offer a simplified look into the mechanisms involved in the regulation of respiration:
Learning objectives:
1. Describe the organisation of respiratory center
2. Describe the nervous control of inspiration and respiratory rhythm
3. Describe the functions of the dorsal and respiratory groups of neurons
4. Describe the influences of the Pneumotaxic and Apneustic centers
5. Explain the role of Hering-Breur inflation reflex in regulation of inspiration
6. Explain the role of central chemoreceptors in regulation of respiration
7. Explain the role of peripheral chemoreceptors in regulation of respiration
8. Explain the regulation of respiration during exercise
9. Integrate the respiratory regulatory mechanisms
10. Describe the Cheyne-Stokes breathing
Study Resources:
1. Chapter 42, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 36, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 13, Human Physiology by Lauralee Sherwood, 9th edition
28. Professional Events
ANESTHESIA
BUSINESS CONSULTANTS
255 W. Michigan Ave.
P.O. Box 1123
Jackson, MI 49204
Phone: (800) 242-1131
Fax: (517) 787-0529
Web site: www.anesthesiallc.com
Date Event Location Contact Info
Oct. 17-21, 2009 ASA Annual Meeting Morial Convention Center,
New Orleans, LA
www.asahq.org
Oct. 11-14, 2009 MGMA Annual Conference Colorado Convention Center,
Denver, CO
www.mgma.com
Oct. 26-30, 2009 CSA Fall Hawaiian Seminar Grand Hyatt Kauai Resort & Spa,
Poipu Beach, Kauai
trowe@csahq.org
Nov. 6-8, 2009 Association of Anesthesiology Program
Directors/Society of Academic
Anesthesiology Chairs Annual Meeting
Boston Park Plaza,
Boston, MA
www.aapd-saac.org
Dec. 11-15, 2009 New York State Society of Anesthesiologists
Postgraduate Assembly in Anesthesiology
Marriott Marquis,
New York, NY
www.nyssa-pga.org
Jan. 17-22, 2010 Clinical Update in Anesthesiology,
Surgery and Perioperative Medicine
Paradise Island, Bahamas Helen.phillips@mountsinai.org
Jan. 18-22, 2010 CSA Winter Hawaiian Seminar Hyatt Regency Maui Resort & Spa,
Ka’anapali Beach, Maui
trowe@csahq.org
Jan. 29-31, 2010 ASA Conference on Practice Management Marriott Marquis,
Atlanta, GA
m.teister@asahq.org