Describe current and emerging roles of the patient record in HIT toda.pdf
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Describe current and emerging roles of the patient record in HIT today. Explain the relationship of enterprise information systems and EHR systems. Why are standards an essential component of HIT and EHR systems? Prepare a flowchart to contrast and illustrate how EHR systems work in a hospital settings versus in an ambulatory setting. Solution 1)Two goals were listed in ONC t plan: patient-focused healthcare and population health. Four themes were proposed under these two goals: 1) privacy and security, 2) interoperability, 3) adoption, and 4) collaborative governance. The discussion of the future roles of HIM in HIT will revolve around the four objectives defined by the ONC. Ensuring that patient information is secure and protected; Improving healthcare quality, reducing medical errors, reducing health disparities, and advancing delivery of patient-centered medical care;Reducing healthcare costs resulting from inefficiency, medical errors, inappropriate care, duplicative care, and incomplete information; Providing appropriate information to help guide medical decisions at the time and place of care; Ensuring that meaningful public input is included in development of such infrastructure; Improving the coordination of care and information among hospitals, laboratories, physician offices, and other entities for the secure and authorized exchange of healthcare information; Improving public health activities and facilitating the early identification and rapid response to public health threats; Facilitating health and clinical research and healthcare quality;.
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Ensuring Data IntegrityIn Health Information Exchange
Ensuring Data Integrity
In Health Information Exchange
Inaccurate health information may adversely affect the quality of an individual’s
healthcare, insurance, and employability. As computerization of health information
continues and the scope of organizational exchange of health information widens into
health information exchanges (HIEs), maintaining the integrity and completeness of
health data is paramount.
The overarching goal of HIEs is to allow authorized users to quickly and accurately
exchange health information to enhance patient safety and improve efficiency.
Achieving this goal is dependent on the ability to link (match) multiple, disparate
records relating to a single individual.
A 2008 RAND report, “Identity Crisis: An Examination of the Costs and Benefits of a
Unique Patient Identifier for the US Health Care System,” noted that avoiding adverse
drug events, which are often the result of incomplete linking information about a
patient’s medications or allergies, could save the healthcare system in the US about
$4.5 billion per year.1 This report also points out that on average an 8 percent duplicate
record rate existed in the master patient index (MPI) databases studied. The average
duplicate record rate increased to 9.4 percent in MPI databases with more than 1 million
records. Additionally, the report identified that the duplicate record rates of the enterprise
master patient/person index (EMPI) databases studied were as high as 39.1 percent.
High duplicate record rates within EMPI databases are commonly the result of loading
unresolved duplicate records from contributing MPI files. EMPI systems that leverage
advanced matching algorithms are designed to automatically link records from multiple
systems if there is only one existing viable matching record. If the EMPI system identifies
two or more viable matching records when loading a patient record, as is the case when
the EMPI contains unresolved duplicate record sets, it must create a new patient record
and flag it as an unresolved duplicate record set to be manually reviewed and resolved.
Therefore, if care is not taken to resolve the existing EMPI duplicate records, the duplicate
rate in an EMPI can significantly grow as additional MPI files are added.
Patient identity integrity is the accuracy, quality, and completeness of demographic data
attached to or associated with an individual patient. This includes the accuracy and
quality of the data as it relates to the individual, as well as the correctness of the linking
or matching of all existing records for that individual within and across information
AHIMA HIE Practice Council Contributors:
Linda Bailey-Woods, RHIA, CPHIMS; Teresa
M. Hall, MHA, RHIT, CPC; Aviva M. Halpert,
RHIA, MA, CHPS; Steven Kotyk ; Shirley Neal,
RHIT; Letha Stewart, MA, RHIA; and Susan O.
Torzewski, RHIA
Editor: Anne Zender, MA
Design: Candy Ramos
Representing more than 64,000 specially
educated health information management
professi ...
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This document discusses population health management and outlines four key aspects: data control and governance, population management and risk stratification, care management, and patient engagement. It summarizes the challenges of collecting and analyzing large amounts of patient data from electronic health records, developing risk profiles of patient subgroups, implementing targeted care models, and encouraging patient accountability through new technologies. The overall goal is for healthcare organizations to successfully address these areas and achieve true population health management.
BHR 3205 Health Information Systems-Lecture Notes (1).ppt
This document provides an overview of health management information systems (HMIS). It discusses how HMIS can help improve health service management by transforming data into useful information. Effective HMIS require collecting appropriate data, analyzing it, and disseminating summaries to support decisions at all levels of health management, from individual patient care to national policymaking. While new technologies continue to evolve, many existing health information systems still collect irrelevant data and do not utilize information optimally. For HMIS to fulfill their potential, stakeholders must be engaged and systems designed with user needs in mind.
Running Head THE HEALTH INFORMATION EXCHANGE (HIE) IN U.S 1.docx
Running Head: THE HEALTH INFORMATION EXCHANGE (HIE) IN U.S 1
THE HEALTH INFORMATION EXCHANGE (HIE) IN U.S 9
The Health Information Exchange (HIE) in U.S
Yehyun Park
Purdue University
01/02/2019
The impetus of Health Information Exchange in U.S
Health Information Exchange (HIE) is an information system that promotes a secure sharing of critical information as well the inclusive access critical medical information about a patient electronically (Abdelhak et al, 2014). One merit of the use of such electronic systems in the U.S is that they occur in different verities. The HIE also offer different types of services. Evidently, a recent development has enabled the HIE systems to promote the Marketplace and regional institutional services concerning the health sector. The merit of HIE applications included the improvement of speed, Quality, safety and reduced relative prices of charge per patient for care. This is made possible by the quick sharing of critical information among the doctors, pharmacists, nurses among all the relevant health personnel. The HGIE systems are such that, they are technically enabled to provide quick response to information demand with the relevant urgency and thus aids in the making of vital patient’s data and medical progress devoid of medical errors, readmissions, and duplicate testing. The resulting system has a generally improved diagnosis.
HIE enables three line of services in general: directed exchange, Query-based Exchange a consumer-mediated exchange services. Direct Exchange is the sending or receiving data electronically in the aid of coordination by caregivers. Whenever heath care provider wants to consult with other providers about a planned care, they employ the Query-based exchange while consumer-mediated Exchange enables patients to manage through control of the use of their personal information (Abdelhak et al, 2014). The availability of the three forms of health information Exchange makes the strong point of HIE since their integration in use is guided by some predetermined policies, technology, principles, and policies provision which have already been piloted before. The three forms are completely available throughout. With the Consumer-mediated Exchange system, the patient can be able to monitor the use of his personal medical information by their care provider. The patients can make a participation in their care enhancing through providing alternative providers with their heath condition, describe their heath information give the health missing or incorrect information, track and manage their own health.
Describe basic HIE organizational structures, architectures, and services
The commonly known architecture types of HIE includes the centralized hybrid and the federated models of HIE. The centralized HIE model is enabled with one Clinical Data Repository (CDR). The CDR is managed by HIE authority that is under the governance of the representatives from the relevant hospitals (Abdelhak .
Pg2 Beginning in 1991, the IOM (which stands for the Institute o.docx
Pg2 Beginning in 1991, the IOM (which stands for the Institute of Medicine of the National Academies) sponsored studies and created reports that led the way toward the concepts we have in place today for electronic health records. Originally, the IOM called them computer-based patient records.1 During their evolution, the EHR have had many other names, including electronic medical records, computerized medical records, longitudinal patient records, and electronic charts. All of these names referred to essentially the same thing, which in 2003, the IOM renamed as the electronic health records, or EHR.
Note: EHR
The acronym EHR is commonly used as shorthand for Electronic Health Records, and will be used in the remainder of this book.
Institute of Medicine (IOM)
The IOM report2 put forth a set of eight core functions that an EHR should be capable of performing:
Health information and data
This function provides a defined data set that includes such items as medical and nursing diagnoses, a medication list, allergies, demographics, clinical narratives, and laboratory test results. Further, it provides improved access to information needed by care providers when they need it.
Result management
Computerized results can be accessed more easily (than paper reports) by the provider at the time and place they are needed.
· Reduced lag time allows for quicker recognition and treatment of medical problems.
· The automated display of previous test results makes it possible to reduce redundant and additional testing.
· Having electronic results can allow for better interpretation and for easier detection of abnormalities, thereby ensuring appropriate follow-up.
· Access to electronic consults and patient consents can establish critical links and improve care coordination among multiple providers, as well as between provider and patient
Order management
Computerized provider order entry (CPOE) systems can improve workflow processes by eliminating lost orders and ambiguities caused by illegible handwriting, generating related orders automatically, monitoring for duplicate orders, and reducing the time required to fill orders.
· CPOE systems for medications reduce the number of errors in medication dose and frequency, drug allergies, and drug–drug interactions.
· The use of CPOE, in conjunction with an EHR, also improves clinician productivity.
Decision Support
Computerized decision support systems include prevention, prescribing of drugs, diagnosis and management, and detection of adverse events and disease outbreaks.
· Computer reminders and prompts improve preventive practices in areas such as vaccinations, breast cancer screening, colorectal screening, and cardiovascular risk reduction.
Electronic communication and connectivity
Electronic communication among care partners can enhance patient safety and quality of care, especially for patients who have multiple providers in multiple settings that must coordinate care plans.
· Electronic co.
Why Electronic Health Records are Ill Suited for Population Health 012616
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Why Electronic Health Records are Ill Suited for Population Health
Electronic health records are ill-suited for population health management for several reasons. EHRs were designed to manage patient data within individual healthcare systems and have limited ability to track health information from outside sources or support integrated care across multiple providers. Population health management requires more sophisticated technology that can perform tasks like enrollment tracking, provider networking, utilization review, and claims adjudication across different clinical systems. While EHRs are important for individual medical practices, organizations taking on financial risk for patient populations need systems with greater functionality for care coordination, quality monitoring, and financial reporting at a population level.
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- Benefits of health information technology include use of electronic health records to share information across providers, and personal health records allowing patients to manage their own care.
- Successful implementation requires strategic alignment with organizational goals and using a systems development life cycle methodology to select the right application.
- The senior management team should assist in the implementation process to help with the transition to a technology-driven quality
Recommended
Ensuring Data IntegrityIn Health Information Exchange
Ensuring Data Integrity
In Health Information Exchange
Inaccurate health information may adversely affect the quality of an individual’s
healthcare, insurance, and employability. As computerization of health information
continues and the scope of organizational exchange of health information widens into
health information exchanges (HIEs), maintaining the integrity and completeness of
health data is paramount.
The overarching goal of HIEs is to allow authorized users to quickly and accurately
exchange health information to enhance patient safety and improve efficiency.
Achieving this goal is dependent on the ability to link (match) multiple, disparate
records relating to a single individual.
A 2008 RAND report, “Identity Crisis: An Examination of the Costs and Benefits of a
Unique Patient Identifier for the US Health Care System,” noted that avoiding adverse
drug events, which are often the result of incomplete linking information about a
patient’s medications or allergies, could save the healthcare system in the US about
$4.5 billion per year.1 This report also points out that on average an 8 percent duplicate
record rate existed in the master patient index (MPI) databases studied. The average
duplicate record rate increased to 9.4 percent in MPI databases with more than 1 million
records. Additionally, the report identified that the duplicate record rates of the enterprise
master patient/person index (EMPI) databases studied were as high as 39.1 percent.
High duplicate record rates within EMPI databases are commonly the result of loading
unresolved duplicate records from contributing MPI files. EMPI systems that leverage
advanced matching algorithms are designed to automatically link records from multiple
systems if there is only one existing viable matching record. If the EMPI system identifies
two or more viable matching records when loading a patient record, as is the case when
the EMPI contains unresolved duplicate record sets, it must create a new patient record
and flag it as an unresolved duplicate record set to be manually reviewed and resolved.
Therefore, if care is not taken to resolve the existing EMPI duplicate records, the duplicate
rate in an EMPI can significantly grow as additional MPI files are added.
Patient identity integrity is the accuracy, quality, and completeness of demographic data
attached to or associated with an individual patient. This includes the accuracy and
quality of the data as it relates to the individual, as well as the correctness of the linking
or matching of all existing records for that individual within and across information
AHIMA HIE Practice Council Contributors:
Linda Bailey-Woods, RHIA, CPHIMS; Teresa
M. Hall, MHA, RHIT, CPC; Aviva M. Halpert,
RHIA, MA, CHPS; Steven Kotyk ; Shirley Neal,
RHIT; Letha Stewart, MA, RHIA; and Susan O.
Torzewski, RHIA
Editor: Anne Zender, MA
Design: Candy Ramos
Representing more than 64,000 specially
educated health information management
professi ...
2015 05 01 Pop Health - Laying the Foundation (00000002)
This document discusses population health management and outlines four key aspects: data control and governance, population management and risk stratification, care management, and patient engagement. It summarizes the challenges of collecting and analyzing large amounts of patient data from electronic health records, developing risk profiles of patient subgroups, implementing targeted care models, and encouraging patient accountability through new technologies. The overall goal is for healthcare organizations to successfully address these areas and achieve true population health management.
BHR 3205 Health Information Systems-Lecture Notes (1).ppt
This document provides an overview of health management information systems (HMIS). It discusses how HMIS can help improve health service management by transforming data into useful information. Effective HMIS require collecting appropriate data, analyzing it, and disseminating summaries to support decisions at all levels of health management, from individual patient care to national policymaking. While new technologies continue to evolve, many existing health information systems still collect irrelevant data and do not utilize information optimally. For HMIS to fulfill their potential, stakeholders must be engaged and systems designed with user needs in mind.
Running Head THE HEALTH INFORMATION EXCHANGE (HIE) IN U.S 1.docx
Running Head: THE HEALTH INFORMATION EXCHANGE (HIE) IN U.S 1
THE HEALTH INFORMATION EXCHANGE (HIE) IN U.S 9
The Health Information Exchange (HIE) in U.S
Yehyun Park
Purdue University
01/02/2019
The impetus of Health Information Exchange in U.S
Health Information Exchange (HIE) is an information system that promotes a secure sharing of critical information as well the inclusive access critical medical information about a patient electronically (Abdelhak et al, 2014). One merit of the use of such electronic systems in the U.S is that they occur in different verities. The HIE also offer different types of services. Evidently, a recent development has enabled the HIE systems to promote the Marketplace and regional institutional services concerning the health sector. The merit of HIE applications included the improvement of speed, Quality, safety and reduced relative prices of charge per patient for care. This is made possible by the quick sharing of critical information among the doctors, pharmacists, nurses among all the relevant health personnel. The HGIE systems are such that, they are technically enabled to provide quick response to information demand with the relevant urgency and thus aids in the making of vital patient’s data and medical progress devoid of medical errors, readmissions, and duplicate testing. The resulting system has a generally improved diagnosis.
HIE enables three line of services in general: directed exchange, Query-based Exchange a consumer-mediated exchange services. Direct Exchange is the sending or receiving data electronically in the aid of coordination by caregivers. Whenever heath care provider wants to consult with other providers about a planned care, they employ the Query-based exchange while consumer-mediated Exchange enables patients to manage through control of the use of their personal information (Abdelhak et al, 2014). The availability of the three forms of health information Exchange makes the strong point of HIE since their integration in use is guided by some predetermined policies, technology, principles, and policies provision which have already been piloted before. The three forms are completely available throughout. With the Consumer-mediated Exchange system, the patient can be able to monitor the use of his personal medical information by their care provider. The patients can make a participation in their care enhancing through providing alternative providers with their heath condition, describe their heath information give the health missing or incorrect information, track and manage their own health.
Describe basic HIE organizational structures, architectures, and services
The commonly known architecture types of HIE includes the centralized hybrid and the federated models of HIE. The centralized HIE model is enabled with one Clinical Data Repository (CDR). The CDR is managed by HIE authority that is under the governance of the representatives from the relevant hospitals (Abdelhak .
Pg2 Beginning in 1991, the IOM (which stands for the Institute o.docx
Pg2 Beginning in 1991, the IOM (which stands for the Institute of Medicine of the National Academies) sponsored studies and created reports that led the way toward the concepts we have in place today for electronic health records. Originally, the IOM called them computer-based patient records.1 During their evolution, the EHR have had many other names, including electronic medical records, computerized medical records, longitudinal patient records, and electronic charts. All of these names referred to essentially the same thing, which in 2003, the IOM renamed as the electronic health records, or EHR.
Note: EHR
The acronym EHR is commonly used as shorthand for Electronic Health Records, and will be used in the remainder of this book.
Institute of Medicine (IOM)
The IOM report2 put forth a set of eight core functions that an EHR should be capable of performing:
Health information and data
This function provides a defined data set that includes such items as medical and nursing diagnoses, a medication list, allergies, demographics, clinical narratives, and laboratory test results. Further, it provides improved access to information needed by care providers when they need it.
Result management
Computerized results can be accessed more easily (than paper reports) by the provider at the time and place they are needed.
· Reduced lag time allows for quicker recognition and treatment of medical problems.
· The automated display of previous test results makes it possible to reduce redundant and additional testing.
· Having electronic results can allow for better interpretation and for easier detection of abnormalities, thereby ensuring appropriate follow-up.
· Access to electronic consults and patient consents can establish critical links and improve care coordination among multiple providers, as well as between provider and patient
Order management
Computerized provider order entry (CPOE) systems can improve workflow processes by eliminating lost orders and ambiguities caused by illegible handwriting, generating related orders automatically, monitoring for duplicate orders, and reducing the time required to fill orders.
· CPOE systems for medications reduce the number of errors in medication dose and frequency, drug allergies, and drug–drug interactions.
· The use of CPOE, in conjunction with an EHR, also improves clinician productivity.
Decision Support
Computerized decision support systems include prevention, prescribing of drugs, diagnosis and management, and detection of adverse events and disease outbreaks.
· Computer reminders and prompts improve preventive practices in areas such as vaccinations, breast cancer screening, colorectal screening, and cardiovascular risk reduction.
Electronic communication and connectivity
Electronic communication among care partners can enhance patient safety and quality of care, especially for patients who have multiple providers in multiple settings that must coordinate care plans.
· Electronic co.
Why Electronic Health Records are Ill Suited for Population Health 012616
Electronic health records are ill-suited for population health management for several reasons. EHRs were designed to manage patient data within individual healthcare systems and have limited ability to track health information from outside sources or support integrated care across multiple providers. Population health management requires more sophisticated technology that can perform functions like enrollment tracking, provider networking, utilization review, claims processing, and quality reporting that are beyond the scope of most EHRs. While EHRs are important for individual medical practices, organizations taking on financial risk for patient populations need systems designed for the specific demands of population health management.
Why Electronic Health Records are Ill Suited for Population Health
Electronic health records are ill-suited for population health management for several reasons. EHRs were designed to manage patient data within individual healthcare systems and have limited ability to track health information from outside sources or support integrated care across multiple providers. Population health management requires more sophisticated technology that can perform tasks like enrollment tracking, provider networking, utilization review, and claims adjudication across different clinical systems. While EHRs are important for individual medical practices, organizations taking on financial risk for patient populations need systems with greater functionality for care coordination, quality monitoring, and financial reporting at a population level.
Medical informatics report
This document discusses implementing a medical informatics program at Nazarene Community Health Clinic. Key points include:
- Medical informatics can help improve quality of care through increased access to information, decision support systems, and evidence-based practice. This aligns with the clinic's strategic goal of providing high quality care.
- Benefits of health information technology include use of electronic health records to share information across providers, and personal health records allowing patients to manage their own care.
- Successful implementation requires strategic alignment with organizational goals and using a systems development life cycle methodology to select the right application.
- The senior management team should assist in the implementation process to help with the transition to a technology-driven quality
76 CHAPTER 4 Assessing Health and Health Behaviors Objecti.docx
76
CHAPTER 4
Assessing Health and Health Behaviors
Objectives
this chapter will enable the reader to:
1. Describe the expected outcomes of a nursing health assessment.
2. Identify the components of a nursing health assessment conducted for an individual client.
3. Examine life span, language, and culturally appropriate nursing health assessment tools for children, adults, and older adults.
4. Compare the similarities and differences among the various approaches to assessing the family, mindful of cultural influences.
5. Evaluate the criteria for conducting a screening in the community.
6. Compare the similarities and differences among the various approaches to assessing
the community.
Athorough assessment of health and health behaviors is the foundation for tailoring a health promotion-prevention plan. Assessment provides the database for making clinical judgments about the client’s health strengths, health problems, nursing diagnoses, desired health or behavioral outcomes, as well as the interventions likely to be effective. This information also forms the nature of the client–nurse partnership such as the frequency of con- tact and the need for coordination with other health professionals. The portfolio of assessment measures depends on the characteristics of the client, including developmental stage and cul- tural orientation. The nurse assesses age, language, and cultural appropriateness of the various measures selected.
Cultural competence is the ability to communicate effectively with people of different cultures. Providing culturally competent care is the cornerstone of the nursing assessment. The nurse’s aware- ness of her own attitude toward cultural differences and her cultural worldview and characteristics
Chapter4 • AssessingHealthandHealthBehaviors 77
are critical to her understanding and knowledge of various cultures. Recognizing that diversity exists in all cultures based on educational level, socioeconomic status, religion, rural/urban residence, and individual and family characteristics will ensure a more successful encounter (The Office of Minority Health, 2013). An online cultural educational program, designed specifically for nurses and featur- ing videotaped case studies and interactive tools, is available.
The Enhanced National Standards for Culturally and Linguistically Appropriate Services, based on a definition of culture expanded to include geography, spirituality, language, race and ethnicity, and biology, provides a practical guide to culturally and linguistically sensitive care (The Office of Minority Health, 2013).
Technology is having a significant impact on health care. The Electronic Health Record (EHR) promotes involvement of the client in developing a dynamic, tailored database. The EHR offers great promise to improve health and increase the client’s satisfaction with his care. Data aggregation, cross-continuum coordination, and clinical care plan management are critical com- ponents of the.
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64 journal of law, medicine & ethicsDreams and Nightmare.docx
64 journal of law, medicine & ethics
Dreams and
Nightmares:
Practical and
Ethical Issues
for Patients and
Physicians Using
Personal Health
Records
Matthew Wynia and Kyle Dunn
Introduction and Definitions
The term “Electronic Health Records” (EHR) means
something different to each of the stakeholders in
health care, but it always seems to carry a degree of
emotional baggage. Increasingly, EHRs are advert-
ized as a nearly unmitigated good that will transform
medical care, improve safety and efficiency, allow
better patient engagement, and open the door to an
era of cheap, effective, timely, and patient-centered
care.1 Indeed, for some EHR proponents the ben-
efits of adopting them are so obvious that adoption
has become an end in itself.2 But for others — and
especially for a number of skeptical practitioners and
patients — EHR is a code word that portends the cor-
porate transformation of health care delivery, the loss
of patient privacy, the demand that patients bear more
responsibility in health care, and the unreflective take-
over of the health care system by people who do not
understand medical care or how health care relation-
ships unfold.3
For our purposes, we will consider EHRs impar-
tially, as a set of tools that can be used for a variety of
purposes. We define EHRs broadly as any electronic
means of storing and transferring health-related
information. We exclude from this definition the use
of the telephone and fax, arguably precursors to the
electronic means of data exchange now available. Like
face-to-face and paper-based interactions, the tele-
phone and fax are generally limited to two people.
Breaches of phone line security, while possible and
perhaps even frequent, are unlikely to affect thou-
sands of people at once.
In this paper, we examine the development of a new
set of EHR tools, Personal Health Records (PHRs).
PHRs may be variously defined (Table I) and have sev-
eral potential functional and payment models (Table
II), but the general aim of all PHRs is to increase
patients’ access to and sense of ownership over their
health care information. According to the Markle
Foundation, the advent of PHRs “represents a transi-
tion from a patient record that is physician-centered
to one that is patient-centered, prospective, interac-
Matthew Wynia, M.D., M.P.H., is the Director of the In-
stitute for Ethics at the American Medical Association and a
Clinical Assistant Professor at the University of Chicago. He
received his M.D. from the Oregon Health and Science Univer-
sity in Portland, Oregon and his M.P.H. from Harvard Uni-
versity School of Public Health in Boston, MA. Kyle Dunn,
M.H.S., was a Research Assistant at the Institute for Ethics
at the American Medical Association and is now a Ph.D. can-
didate in the Department of Health Policy and Management
at the Johns Hopkins Bloomberg School of Public Health. He
received a B.S. in Molecular, Cellular and Developmental Bi-
ology .
H i t
The document provides an overview of health information technology (HIT). It discusses what HIT is, including the creation, design, development, use and maintenance of healthcare information systems. The electronic health record is the central component of HIT and includes an individual's health record that is shared among multiple facilities. Benefits of HIT include improved quality, reduced costs, and improved provider and patient convenience. Health information exchange allows for the sharing of patient health information among authorized individuals and organizations to improve patient care. Key components of HIT discussed include electronic health records, electronic medical records, personal health records, and regional health information organizations.
Role of Health Information Systems in Health CareIn the articl.docx
Role of Health Information Systems in Health Care
In the article, Robert Fichman, Rajiv Kohli, and Ranjani Krishnan discussed the role of the Health Information System in Health Care on the medical, social, and economic points related to the diagnosis providing and financial transactions. The main argument of the article indicates the future indispensability of the IS utilization in Health Care system regarding the optimization of the medical process, which will benefit the medical staff and clients’ recuperation. The authors support the claim stating that the involvement of the IS promotes the reduction of treatment costs caused by the mechanized data recording. Moreover, the adaptation of IS leads to the successful outperformance of the challenges related to the hierarchical nature of healthcare, which implies the physicians’ appropriate implementation of technology for the process of examination, treatment, and rehabilitation program elaboration, which intensifies the adherence of the medical professional to the client-centered orientation. Finally, IS deals with the privacy concern, which presents the obligation of the medical professional to ensure the security of the patient’s data to avoid the leakage of information as the issue of data loss deals with PHI, which can follow the court procedures. Hence, the authors lead to the point that the utilization of the Information Systems will optimize the quality of medical service due to the improvement of the data transfer, diagnosis and treatment program creation, and reduction of the cost of service.
Recommendations
1. According to Fichman, Kohli, and Krishnan (2011), the utilization of IS enhances the risk of patients’ data leakage, which captures media attention and violates security regulations. Regarding the presented perspective the recommendation implies ensuring IS with encryption, which will provide anonymity of the clients’ data and its automatic deletion in case of hacking attack. In this case, addressing the program of the identity based anonymization represents a reasonable solution of the privacy preservation as it encodes and removes patients’ identifiable information from the data set and means that the necessary information is visible for the clients/medical professionals and deleted for the hackers (Abouelmehdi, Beni Hessane, & Khaloufi, 2018).
2. Fichman, Kohli, and Krishnan (2011) state that the medical professionals apply IS during the process of treatment program creation, which aims to enhance patients’ satisfaction. However, the principal challenge of the presented point specifies the necessity of the correct assessment of the clients’ clinical history. Regarding the mentioned perspective, the recommendation means the elaboration of the separate Patient Data Analysis information system. PDA-IS utilizes the query engine, that implies the generation of standard and ad-hoc analytical patient and service-centric queries, which promotes the qualified analysis of the pati ...
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Page 1 Executive Summary Policy makers are looking.docx
Page 1
Executive Summary
Policy makers are looking carefully at the best ways to improve our healthcare system with much
emphasis being placed on the need for electronic health records for every American. This effort also
includes creating an infrastructure to allow the exchange of these records at the regional, state and
national levels. With the passing of the American Recovery and Reinvestment Act of 2009 (ARRA), the
federal government is poised to invest over $19 billion in healthcare information technology (HITECH
Act).1 This investment will provide significant incentives for healthcare providers to implement electronic
medical record (EMR) systems over the next five years. This action has the potential to dramatically
change the landscape of modern medicine and is generally seen as a tremendous step forward; however,
we must ensure that this course achieves the ultimate goals of this initiative.
If we are to improve healthcare information management, we must start with the accurate identification of
each person receiving or providing healthcare services, and anyone accessing or using this information.
As we move away from paper-based medical records that are controlled by physical access to buildings,
rooms, and files, we need to have an infrastructure that supports strong identity and security controls.
The issues with establishing identity are compounded as electronic medical records are used by many
different organizations at the regional, state, and national levels. There must be a way to uniquely and
securely authenticate each person across the healthcare infrastructure, whether that interaction is in
person or over the Internet.
Until now, there has been a slow and uncoordinated transition toward electronic medical records. There
are a myriad of systems on the market today, each with its own methods for handling patient and record
identification and each with varying levels of security and privacy controls. Many systems rely on simple
usernames and passwords to identify and control access. Far fewer implement strong multi-factor
authentication (such as smart cards). It is critical that a set of standards be established for identifying the
patient, the medical provider, and all others handling electronic records so that information across
different locations can be shared easily and securely and so that patient privacy is maintained. Accurate
identification and authentication seem like capabilities that should already exist in healthcare; however,
identification and authentication are currently uncontrolled and not standardized among medical systems,
locations, and organizations within the healthcare community.
This paper introduces the current challenges and explains why identity management in healthcare is an
essential and foundational element that must be made a priority by policy makers in order to achieve the
goals of widespread use of electronic health records to support t.
Electronic Health Records - Market Landscape
This document discusses electronic health records (EHRs) and related topics. It provides background on medical records and their value. EHRs offer benefits like being digitized and accessible across networks. The US is promoting EHR adoption through initiatives like the HITECH Act which provides incentives. Physicians generally see benefits of EHRs but costs are a concern. Challenges include ensuring data reliability and developing standards. Innovation in health IT offers opportunities through technologies like cloud-based EHRs.
The care business traditionally has generated massive amounts of inf.pdf
The care business traditionally has generated massive amounts of information, driven by record
keeping, compliance & regulative needs, and patient care [1]. whereas most knowledge is hold
on in text type, the present trend is toward fast conversion of those massive amounts of
information. Driven by obligatory needs and also the potential to enhance the standard of health
care delivery in the meantime reducing the prices, these huge quantities of information (known
as ‘big data’) hold the promise of supporting a good vary of medical and care functions, as well
as among others clinical call support, illness police work, and population health management [2,
3, 4, 5]. Reports say knowledge from the U.S. care system alone reached, in 2011, one hundred
fifty exabytes. At this rate of growth, huge knowledge for U.S. care can before long reach the
zettabyte (1021 gigabytes) scale and, shortly when, the yottabyte (1024 gigabytes) [6]. Kaiser
Permanente, the California-based health network, that has over nine million members, is
believed to possess between twenty six.5 and forty four petabytes of doubtless made knowledge
from EHRs, as well as pictures and annotations [6].
By definition, huge knowledge in care refers to electronic health knowledge sets therefore
massive and complicated that they\'re tough (or impossible) to manage with ancient computer
code and/or hardware; nor will they be simply managed with ancient or common knowledge
management tools and strategies [7]. huge knowledge in care is overwhelming not solely due to
its volume however additionally due to the range of information varieties and also the speed at
that it should be managed [7]. The totality of information associated with patient care and well-
being compose “big data” within the care business. It includes clinical knowledge from CPOE
and clinical call support systems (physician’s written notes and prescriptions, medical imaging,
laboratory, pharmacy, insurance, and alternative body knowledge); patient knowledge in
electronic patient records (EPRs); machine generated/sensor data, like from observance
important signs; social media posts, as well as Twitter feeds (so-called tweets) [8], blogs [9],
standing updates on Facebook and alternative platforms, and net pages; and fewer patient-
specific data, as well as emergency care knowledge, news feeds, and articles in medical journals.
For the massive knowledge person, there is, amongst this large quantity and array of information,
chance. By discovering associations and understanding patterns and trends inside the
information, huge knowledge analytics has the potential to enhance care, save lives and lower
prices. Thus, huge knowledge analytics applications in care cash in of the explosion in
knowledge to extract insights for creating higher enlightened selections [10, 11, 12], and as a
groundwork class square measure noted as, no surprise here, huge knowledge analytics in care
[13, 14, 15]. once huge knowledge is synthesized and an.
Questions On The Healthcare System
The document discusses questions regarding a healthcare system's vendor selection process for an IT project. It recommends the types of information an organization should provide to vendors in a Request for Information (RFI) and gather from vendors in the early planning stages. This includes vendor background, technical requirements, functionality, implementation processes, and training. An RFP with more specific details is issued to a select few vendors.
Health Homes Require More Than EHRs
Electronic health records have limitations for supporting effective population health management and care coordination required by health homes. While EHRs are designed for documenting care within provider systems, health homes require sophisticated technology to perform comprehensive care planning, collect a wide range of health data, and support continuous care workflows across multiple provider systems. Specifically, EHRs lack functionality for enrollment tracking, network management, cross-system referrals, utilization review, claims adjudication, and quality reporting needed by health homes' risk-based population management approach.
Health Homes Require More Than EHRs
Electronic health records have limitations for supporting effective population health management and care coordination required by health homes. While EHRs are designed for documenting care within provider systems, health homes require sophisticated technology to perform functions like comprehensive care planning, collecting a wide range of health data, and supporting continuous care workflows across multiple provider systems. Unlike EHRs, health management systems can enroll and track populations, establish networks, coordinate referrals, perform utilization review, and monitor quality/outcomes on a larger scale.
ELECTRONIC HEALTH RECORD SYSTEMS:
The document discusses the history and development of electronic health record systems (EHRs) in the United States. It describes how the US president called for widespread EHR adoption in 2004. It outlines the key components of EHRs and notes their benefits like improved patient care. It also discusses the roles of various government agencies and private organizations in initiatives to promote EHR adoption and interoperability through standards, funding, and public-private partnerships.
Mikhaela ripa
This document provides an overview of electronic health record systems (EHRs). It discusses how EHRs are used by various healthcare professionals and departments to longitudinally collect and share patient health information. Key features of EHRs discussed include providing access to patient data, clinical decision support, supporting efficient healthcare processes, and enabling remote access to patient records. Several examples of early EHR systems developed by the VA, DoD, and IHS in the 1970s are provided. The role of government agencies and standards organizations in facilitating EHR adoption is also summarized.
The Future of Hospital Care and Management: HIMS for the Win
The Future of Hospital Care and Management: HIMS for the Win" elucidates the transformative impact of Hospital Information Management Systems (HIMS) on healthcare. This analysis navigates the integration of digital solutions and patient-centric strategies, optimizing care quality and operational efficiency. Harnessing data analytics, HIMS revolutionizes hospital care and management, shaping the future of healthcare delivery.
Importance of nursing informatics in health care delivery
Nursing informatics is the integration of nursing, information management, and information technology to support health care. In the Philippines, nursing informatics education and electronic health records can help improve documentation, communication, and patient outcomes. However, most Philippine hospitals still rely on paper records and have yet to fully adopt electronic systems. Developing nursing informatics and electronic health records according to local needs could help address issues like high nurse-patient ratios and promote safer, higher quality care.
Implementing The Affordable Care Act Essay
The document discusses the benefits of implementing electronic health record (EHR) systems. It provides perspectives from a physician who was an early adopter of EHR technology. The physician found that the EHR system improved clinical quality measures through automated feedback on adherence to evidence-based standards of care. It also reduced administrative burdens on physicians and staff, improving productivity and income. Additional benefits discussed include increased patient engagement through access to health records online and fewer calls and visits to medical records offices. Keeping EHRs error-free is also important to maintain integrity of patient information.
Chandy Ravikumar
Regional extension centers (RECs) were created to help physicians implement electronic health record (EHR) systems and achieve meaningful use. However, RECs face limitations including short-term funding, endorsement of select EHR vendors, and lack of experience with all systems. The Veterans Health Administration (VHA) offers a successful example of large-scale EHR implementation through a collaborative development process tailored to clinician needs. While RECs aim to support physicians, their assistance may be constrained without long-term, sustainable support.
Give examples of system which can achieve some security requirement.pdf
Give examples of system which can achieve some security requirement?
Solution
Answer:
The security of the system depends upon these four pillars :
1. Secrecy
2. Integrity
3. Accountability
4. Availibility
Every computer must be aware about the security and must decide what is security to it. It is like
a legal law in some country can be illegal for other country..
Help me with these questions please.1. Name four characteristics t.pdf
Help me with these questions please.
1. Name four characteristics that are used to describe single variable data.
2. What are the advantages of using a stemplot over a histogram? What are the disadvantages?
3. What are the advantages of using the mean as the center? What are the disadvantages?
4. What are the advantages of using the median as the center? What are the disadvantages?
5. What type of graph is used for bivariate data?
6. What is the difference between explanatory and response variables?
7. What does the correlation coefficient, r, measure?
8. What is the range of values of r?
9. What does the coefficient of determination, r^2, measure?
10. What is the range of values of r^2?
11. How is a residual plot constructed?
12. How is a residual plot interpreted?
Solution
1) i. Randomness ii. Presentable iii. Reliable iv. Genuine
2) Stemplot gives list of values as it is in a easy form of presentation.
Disadvantage is while histogram enables comparison about the data, stemplot just presents data
in a grouped form
3) Mean is easily understood and also a good central measure. So many distributions we find that
sample mean estimates population parameter but disadvantage of mean is it is affected by
extreme items or outliers thus giving wrong picture about average.
4) Median is reliable and not affected by outliers as it is affectd only by the order of the item.
The disadvantage is that for continuous data, it is not possible always to arrange in ascending and
find median.
5) Planar graph with 2 coordinates used for bivariate data.
6) Explanatory variable is the independent variable which can take any value but response
variable value depends on the value of explanatory variable
7) Correlation coefficient measures the dependence or association of two variables
8) r lies between -1 and +1
9) Coefficient of determination represent variation of y wrt x. It is square of r, and always
positive thus gives a clear picture of relation between x and y.
10) r^2 varies from 0 to 1
11) Residual plot is constructed using scatter diagram and least square line.
REsidue plot is the deviation of actual from estimated regression curve.
12) REsidual plot is the absolute difference of y and y estimate..
More Related Content
Similar to Describe current and emerging roles of the patient record in HIT toda.pdf
76 CHAPTER 4 Assessing Health and Health Behaviors Objecti.docx
76
CHAPTER 4
Assessing Health and Health Behaviors
Objectives
this chapter will enable the reader to:
1. Describe the expected outcomes of a nursing health assessment.
2. Identify the components of a nursing health assessment conducted for an individual client.
3. Examine life span, language, and culturally appropriate nursing health assessment tools for children, adults, and older adults.
4. Compare the similarities and differences among the various approaches to assessing the family, mindful of cultural influences.
5. Evaluate the criteria for conducting a screening in the community.
6. Compare the similarities and differences among the various approaches to assessing
the community.
Athorough assessment of health and health behaviors is the foundation for tailoring a health promotion-prevention plan. Assessment provides the database for making clinical judgments about the client’s health strengths, health problems, nursing diagnoses, desired health or behavioral outcomes, as well as the interventions likely to be effective. This information also forms the nature of the client–nurse partnership such as the frequency of con- tact and the need for coordination with other health professionals. The portfolio of assessment measures depends on the characteristics of the client, including developmental stage and cul- tural orientation. The nurse assesses age, language, and cultural appropriateness of the various measures selected.
Cultural competence is the ability to communicate effectively with people of different cultures. Providing culturally competent care is the cornerstone of the nursing assessment. The nurse’s aware- ness of her own attitude toward cultural differences and her cultural worldview and characteristics
Chapter4 • AssessingHealthandHealthBehaviors 77
are critical to her understanding and knowledge of various cultures. Recognizing that diversity exists in all cultures based on educational level, socioeconomic status, religion, rural/urban residence, and individual and family characteristics will ensure a more successful encounter (The Office of Minority Health, 2013). An online cultural educational program, designed specifically for nurses and featur- ing videotaped case studies and interactive tools, is available.
The Enhanced National Standards for Culturally and Linguistically Appropriate Services, based on a definition of culture expanded to include geography, spirituality, language, race and ethnicity, and biology, provides a practical guide to culturally and linguistically sensitive care (The Office of Minority Health, 2013).
Technology is having a significant impact on health care. The Electronic Health Record (EHR) promotes involvement of the client in developing a dynamic, tailored database. The EHR offers great promise to improve health and increase the client’s satisfaction with his care. Data aggregation, cross-continuum coordination, and clinical care plan management are critical com- ponents of the.
Nursing informatic'spresentation
The document discusses the development and importance of Nursing Minimum Data Sets (NMDS) systems. It notes that the identification of NMDS in the 1980s spurred the development of similar nursing data sets around the world. The chapter provides a historical overview and synthesis of NMDS systems, and discusses how they can increase nursing data and information capacity to support knowledge building for the nursing discipline and profession. This data can help inform the development of electronic health record systems.
64 journal of law, medicine & ethicsDreams and Nightmare.docx
64 journal of law, medicine & ethics
Dreams and
Nightmares:
Practical and
Ethical Issues
for Patients and
Physicians Using
Personal Health
Records
Matthew Wynia and Kyle Dunn
Introduction and Definitions
The term “Electronic Health Records” (EHR) means
something different to each of the stakeholders in
health care, but it always seems to carry a degree of
emotional baggage. Increasingly, EHRs are advert-
ized as a nearly unmitigated good that will transform
medical care, improve safety and efficiency, allow
better patient engagement, and open the door to an
era of cheap, effective, timely, and patient-centered
care.1 Indeed, for some EHR proponents the ben-
efits of adopting them are so obvious that adoption
has become an end in itself.2 But for others — and
especially for a number of skeptical practitioners and
patients — EHR is a code word that portends the cor-
porate transformation of health care delivery, the loss
of patient privacy, the demand that patients bear more
responsibility in health care, and the unreflective take-
over of the health care system by people who do not
understand medical care or how health care relation-
ships unfold.3
For our purposes, we will consider EHRs impar-
tially, as a set of tools that can be used for a variety of
purposes. We define EHRs broadly as any electronic
means of storing and transferring health-related
information. We exclude from this definition the use
of the telephone and fax, arguably precursors to the
electronic means of data exchange now available. Like
face-to-face and paper-based interactions, the tele-
phone and fax are generally limited to two people.
Breaches of phone line security, while possible and
perhaps even frequent, are unlikely to affect thou-
sands of people at once.
In this paper, we examine the development of a new
set of EHR tools, Personal Health Records (PHRs).
PHRs may be variously defined (Table I) and have sev-
eral potential functional and payment models (Table
II), but the general aim of all PHRs is to increase
patients’ access to and sense of ownership over their
health care information. According to the Markle
Foundation, the advent of PHRs “represents a transi-
tion from a patient record that is physician-centered
to one that is patient-centered, prospective, interac-
Matthew Wynia, M.D., M.P.H., is the Director of the In-
stitute for Ethics at the American Medical Association and a
Clinical Assistant Professor at the University of Chicago. He
received his M.D. from the Oregon Health and Science Univer-
sity in Portland, Oregon and his M.P.H. from Harvard Uni-
versity School of Public Health in Boston, MA. Kyle Dunn,
M.H.S., was a Research Assistant at the Institute for Ethics
at the American Medical Association and is now a Ph.D. can-
didate in the Department of Health Policy and Management
at the Johns Hopkins Bloomberg School of Public Health. He
received a B.S. in Molecular, Cellular and Developmental Bi-
ology .
H i t
The document provides an overview of health information technology (HIT). It discusses what HIT is, including the creation, design, development, use and maintenance of healthcare information systems. The electronic health record is the central component of HIT and includes an individual's health record that is shared among multiple facilities. Benefits of HIT include improved quality, reduced costs, and improved provider and patient convenience. Health information exchange allows for the sharing of patient health information among authorized individuals and organizations to improve patient care. Key components of HIT discussed include electronic health records, electronic medical records, personal health records, and regional health information organizations.
Role of Health Information Systems in Health CareIn the articl.docx
Role of Health Information Systems in Health Care
In the article, Robert Fichman, Rajiv Kohli, and Ranjani Krishnan discussed the role of the Health Information System in Health Care on the medical, social, and economic points related to the diagnosis providing and financial transactions. The main argument of the article indicates the future indispensability of the IS utilization in Health Care system regarding the optimization of the medical process, which will benefit the medical staff and clients’ recuperation. The authors support the claim stating that the involvement of the IS promotes the reduction of treatment costs caused by the mechanized data recording. Moreover, the adaptation of IS leads to the successful outperformance of the challenges related to the hierarchical nature of healthcare, which implies the physicians’ appropriate implementation of technology for the process of examination, treatment, and rehabilitation program elaboration, which intensifies the adherence of the medical professional to the client-centered orientation. Finally, IS deals with the privacy concern, which presents the obligation of the medical professional to ensure the security of the patient’s data to avoid the leakage of information as the issue of data loss deals with PHI, which can follow the court procedures. Hence, the authors lead to the point that the utilization of the Information Systems will optimize the quality of medical service due to the improvement of the data transfer, diagnosis and treatment program creation, and reduction of the cost of service.
Recommendations
1. According to Fichman, Kohli, and Krishnan (2011), the utilization of IS enhances the risk of patients’ data leakage, which captures media attention and violates security regulations. Regarding the presented perspective the recommendation implies ensuring IS with encryption, which will provide anonymity of the clients’ data and its automatic deletion in case of hacking attack. In this case, addressing the program of the identity based anonymization represents a reasonable solution of the privacy preservation as it encodes and removes patients’ identifiable information from the data set and means that the necessary information is visible for the clients/medical professionals and deleted for the hackers (Abouelmehdi, Beni Hessane, & Khaloufi, 2018).
2. Fichman, Kohli, and Krishnan (2011) state that the medical professionals apply IS during the process of treatment program creation, which aims to enhance patients’ satisfaction. However, the principal challenge of the presented point specifies the necessity of the correct assessment of the clients’ clinical history. Regarding the mentioned perspective, the recommendation means the elaboration of the separate Patient Data Analysis information system. PDA-IS utilizes the query engine, that implies the generation of standard and ad-hoc analytical patient and service-centric queries, which promotes the qualified analysis of the pati ...
Patient relationship management on the cloud
The document discusses patient relationship management (PRM) systems and their benefits. It notes that as populations age, healthcare organizations want to improve patient satisfaction and care through stronger relationships. A PRM allows for more personalized treatment, improved understanding of patient needs and monitoring of care. It benefits both patients and healthcare organizations by providing a more customer-centric environment. Moving a PRM system to the cloud can further connect systems and data to improve inter-clinic communication and focus on patient health. The cloud provides cost-effective and secure storage of protected health information while allowing access from anywhere.
Connected Health Interoperability Platform_White Paper_Cisco UCSF_2016
The document discusses the Connected Health Interoperability Platform (CHIP) being developed by UC San Francisco's Center for Digital Health Innovation and Cisco. The CHIP aims to break down barriers to digital health innovation by creating a platform that connects digital health applications to dispersed patient data through a secure, cloud-hosted system with API services. This will allow applications to access and share data across EHRs, devices, and apps to improve referral management, care collaboration and the patient experience. The platform will include a health applications marketplace, core data and security services, and tools for application development.
Course Share Presentation
This document discusses recognizing value in and realizing value from health information technology (HIT). It covers topics like electronic health records, personal health records, e-prescribing, health information exchange, telemedicine, and wireless technology. It outlines both benefits and risks of HIT, as well as approaches to measuring value beyond just return on investment. New capabilities in HIT are also discussed.
Page 1 Executive Summary Policy makers are looking.docx
Page 1
Executive Summary
Policy makers are looking carefully at the best ways to improve our healthcare system with much
emphasis being placed on the need for electronic health records for every American. This effort also
includes creating an infrastructure to allow the exchange of these records at the regional, state and
national levels. With the passing of the American Recovery and Reinvestment Act of 2009 (ARRA), the
federal government is poised to invest over $19 billion in healthcare information technology (HITECH
Act).1 This investment will provide significant incentives for healthcare providers to implement electronic
medical record (EMR) systems over the next five years. This action has the potential to dramatically
change the landscape of modern medicine and is generally seen as a tremendous step forward; however,
we must ensure that this course achieves the ultimate goals of this initiative.
If we are to improve healthcare information management, we must start with the accurate identification of
each person receiving or providing healthcare services, and anyone accessing or using this information.
As we move away from paper-based medical records that are controlled by physical access to buildings,
rooms, and files, we need to have an infrastructure that supports strong identity and security controls.
The issues with establishing identity are compounded as electronic medical records are used by many
different organizations at the regional, state, and national levels. There must be a way to uniquely and
securely authenticate each person across the healthcare infrastructure, whether that interaction is in
person or over the Internet.
Until now, there has been a slow and uncoordinated transition toward electronic medical records. There
are a myriad of systems on the market today, each with its own methods for handling patient and record
identification and each with varying levels of security and privacy controls. Many systems rely on simple
usernames and passwords to identify and control access. Far fewer implement strong multi-factor
authentication (such as smart cards). It is critical that a set of standards be established for identifying the
patient, the medical provider, and all others handling electronic records so that information across
different locations can be shared easily and securely and so that patient privacy is maintained. Accurate
identification and authentication seem like capabilities that should already exist in healthcare; however,
identification and authentication are currently uncontrolled and not standardized among medical systems,
locations, and organizations within the healthcare community.
This paper introduces the current challenges and explains why identity management in healthcare is an
essential and foundational element that must be made a priority by policy makers in order to achieve the
goals of widespread use of electronic health records to support t.
Electronic Health Records - Market Landscape
This document discusses electronic health records (EHRs) and related topics. It provides background on medical records and their value. EHRs offer benefits like being digitized and accessible across networks. The US is promoting EHR adoption through initiatives like the HITECH Act which provides incentives. Physicians generally see benefits of EHRs but costs are a concern. Challenges include ensuring data reliability and developing standards. Innovation in health IT offers opportunities through technologies like cloud-based EHRs.
The care business traditionally has generated massive amounts of inf.pdf
The care business traditionally has generated massive amounts of information, driven by record
keeping, compliance & regulative needs, and patient care [1]. whereas most knowledge is hold
on in text type, the present trend is toward fast conversion of those massive amounts of
information. Driven by obligatory needs and also the potential to enhance the standard of health
care delivery in the meantime reducing the prices, these huge quantities of information (known
as ‘big data’) hold the promise of supporting a good vary of medical and care functions, as well
as among others clinical call support, illness police work, and population health management [2,
3, 4, 5]. Reports say knowledge from the U.S. care system alone reached, in 2011, one hundred
fifty exabytes. At this rate of growth, huge knowledge for U.S. care can before long reach the
zettabyte (1021 gigabytes) scale and, shortly when, the yottabyte (1024 gigabytes) [6]. Kaiser
Permanente, the California-based health network, that has over nine million members, is
believed to possess between twenty six.5 and forty four petabytes of doubtless made knowledge
from EHRs, as well as pictures and annotations [6].
By definition, huge knowledge in care refers to electronic health knowledge sets therefore
massive and complicated that they\'re tough (or impossible) to manage with ancient computer
code and/or hardware; nor will they be simply managed with ancient or common knowledge
management tools and strategies [7]. huge knowledge in care is overwhelming not solely due to
its volume however additionally due to the range of information varieties and also the speed at
that it should be managed [7]. The totality of information associated with patient care and well-
being compose “big data” within the care business. It includes clinical knowledge from CPOE
and clinical call support systems (physician’s written notes and prescriptions, medical imaging,
laboratory, pharmacy, insurance, and alternative body knowledge); patient knowledge in
electronic patient records (EPRs); machine generated/sensor data, like from observance
important signs; social media posts, as well as Twitter feeds (so-called tweets) [8], blogs [9],
standing updates on Facebook and alternative platforms, and net pages; and fewer patient-
specific data, as well as emergency care knowledge, news feeds, and articles in medical journals.
For the massive knowledge person, there is, amongst this large quantity and array of information,
chance. By discovering associations and understanding patterns and trends inside the
information, huge knowledge analytics has the potential to enhance care, save lives and lower
prices. Thus, huge knowledge analytics applications in care cash in of the explosion in
knowledge to extract insights for creating higher enlightened selections [10, 11, 12], and as a
groundwork class square measure noted as, no surprise here, huge knowledge analytics in care
[13, 14, 15]. once huge knowledge is synthesized and an.
Questions On The Healthcare System
The document discusses questions regarding a healthcare system's vendor selection process for an IT project. It recommends the types of information an organization should provide to vendors in a Request for Information (RFI) and gather from vendors in the early planning stages. This includes vendor background, technical requirements, functionality, implementation processes, and training. An RFP with more specific details is issued to a select few vendors.
Health Homes Require More Than EHRs
Electronic health records have limitations for supporting effective population health management and care coordination required by health homes. While EHRs are designed for documenting care within provider systems, health homes require sophisticated technology to perform comprehensive care planning, collect a wide range of health data, and support continuous care workflows across multiple provider systems. Specifically, EHRs lack functionality for enrollment tracking, network management, cross-system referrals, utilization review, claims adjudication, and quality reporting needed by health homes' risk-based population management approach.
Health Homes Require More Than EHRs
Electronic health records have limitations for supporting effective population health management and care coordination required by health homes. While EHRs are designed for documenting care within provider systems, health homes require sophisticated technology to perform functions like comprehensive care planning, collecting a wide range of health data, and supporting continuous care workflows across multiple provider systems. Unlike EHRs, health management systems can enroll and track populations, establish networks, coordinate referrals, perform utilization review, and monitor quality/outcomes on a larger scale.
ELECTRONIC HEALTH RECORD SYSTEMS:
The document discusses the history and development of electronic health record systems (EHRs) in the United States. It describes how the US president called for widespread EHR adoption in 2004. It outlines the key components of EHRs and notes their benefits like improved patient care. It also discusses the roles of various government agencies and private organizations in initiatives to promote EHR adoption and interoperability through standards, funding, and public-private partnerships.
Mikhaela ripa
This document provides an overview of electronic health record systems (EHRs). It discusses how EHRs are used by various healthcare professionals and departments to longitudinally collect and share patient health information. Key features of EHRs discussed include providing access to patient data, clinical decision support, supporting efficient healthcare processes, and enabling remote access to patient records. Several examples of early EHR systems developed by the VA, DoD, and IHS in the 1970s are provided. The role of government agencies and standards organizations in facilitating EHR adoption is also summarized.
The Future of Hospital Care and Management: HIMS for the Win
The Future of Hospital Care and Management: HIMS for the Win" elucidates the transformative impact of Hospital Information Management Systems (HIMS) on healthcare. This analysis navigates the integration of digital solutions and patient-centric strategies, optimizing care quality and operational efficiency. Harnessing data analytics, HIMS revolutionizes hospital care and management, shaping the future of healthcare delivery.
Importance of nursing informatics in health care delivery
Nursing informatics is the integration of nursing, information management, and information technology to support health care. In the Philippines, nursing informatics education and electronic health records can help improve documentation, communication, and patient outcomes. However, most Philippine hospitals still rely on paper records and have yet to fully adopt electronic systems. Developing nursing informatics and electronic health records according to local needs could help address issues like high nurse-patient ratios and promote safer, higher quality care.
Implementing The Affordable Care Act Essay
The document discusses the benefits of implementing electronic health record (EHR) systems. It provides perspectives from a physician who was an early adopter of EHR technology. The physician found that the EHR system improved clinical quality measures through automated feedback on adherence to evidence-based standards of care. It also reduced administrative burdens on physicians and staff, improving productivity and income. Additional benefits discussed include increased patient engagement through access to health records online and fewer calls and visits to medical records offices. Keeping EHRs error-free is also important to maintain integrity of patient information.
Chandy Ravikumar
Regional extension centers (RECs) were created to help physicians implement electronic health record (EHR) systems and achieve meaningful use. However, RECs face limitations including short-term funding, endorsement of select EHR vendors, and lack of experience with all systems. The Veterans Health Administration (VHA) offers a successful example of large-scale EHR implementation through a collaborative development process tailored to clinician needs. While RECs aim to support physicians, their assistance may be constrained without long-term, sustainable support.
Similar to Describe current and emerging roles of the patient record in HIT toda.pdf (20)
76 CHAPTER 4 Assessing Health and Health Behaviors Objecti.docx
76 CHAPTER 4 Assessing Health and Health Behaviors Objecti.docx
64 journal of law, medicine & ethicsDreams and Nightmare.docx
64 journal of law, medicine & ethicsDreams and Nightmare.docx
Role of Health Information Systems in Health CareIn the articl.docx
Role of Health Information Systems in Health CareIn the articl.docx
Connected Health Interoperability Platform_White Paper_Cisco UCSF_2016
Connected Health Interoperability Platform_White Paper_Cisco UCSF_2016
Page 1 Executive Summary Policy makers are looking.docx
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The care business traditionally has generated massive amounts of inf.pdf
The care business traditionally has generated massive amounts of inf.pdf
The Future of Hospital Care and Management: HIMS for the Win
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More from dbrienmhompsonkath75
Give examples of system which can achieve some security requirement.pdf
Give examples of system which can achieve some security requirement?
Solution
Answer:
The security of the system depends upon these four pillars :
1. Secrecy
2. Integrity
3. Accountability
4. Availibility
Every computer must be aware about the security and must decide what is security to it. It is like
a legal law in some country can be illegal for other country..
Help me with these questions please.1. Name four characteristics t.pdf
Help me with these questions please.
1. Name four characteristics that are used to describe single variable data.
2. What are the advantages of using a stemplot over a histogram? What are the disadvantages?
3. What are the advantages of using the mean as the center? What are the disadvantages?
4. What are the advantages of using the median as the center? What are the disadvantages?
5. What type of graph is used for bivariate data?
6. What is the difference between explanatory and response variables?
7. What does the correlation coefficient, r, measure?
8. What is the range of values of r?
9. What does the coefficient of determination, r^2, measure?
10. What is the range of values of r^2?
11. How is a residual plot constructed?
12. How is a residual plot interpreted?
Solution
1) i. Randomness ii. Presentable iii. Reliable iv. Genuine
2) Stemplot gives list of values as it is in a easy form of presentation.
Disadvantage is while histogram enables comparison about the data, stemplot just presents data
in a grouped form
3) Mean is easily understood and also a good central measure. So many distributions we find that
sample mean estimates population parameter but disadvantage of mean is it is affected by
extreme items or outliers thus giving wrong picture about average.
4) Median is reliable and not affected by outliers as it is affectd only by the order of the item.
The disadvantage is that for continuous data, it is not possible always to arrange in ascending and
find median.
5) Planar graph with 2 coordinates used for bivariate data.
6) Explanatory variable is the independent variable which can take any value but response
variable value depends on the value of explanatory variable
7) Correlation coefficient measures the dependence or association of two variables
8) r lies between -1 and +1
9) Coefficient of determination represent variation of y wrt x. It is square of r, and always
positive thus gives a clear picture of relation between x and y.
10) r^2 varies from 0 to 1
11) Residual plot is constructed using scatter diagram and least square line.
REsidue plot is the deviation of actual from estimated regression curve.
12) REsidual plot is the absolute difference of y and y estimate..
Dont change the templates, and just fill out the TODO parts on .pdf
Don\'t change the templates, and just fill out the // TODO parts on below of templates, please.
Instruction
Reimplement a program using List and ArrayList . Recall that it is a
little tricky to merge arrays of window orders when the arrays may have dierent
sizes. Using List to represent arrays of window orders is more convenient since
we can add a new window order if its size is not found in the existing orders.
To this end, we have added a new class called TotalOrder , which represents
a list of window orders. It contains methods to add a single window order or
another total order. These methods will ensure that the orders are propertly
merged by window sizes.
What to implement?
You will use in the methods for classes described above. The provided code
template has instruction in the comments above the methods that you will
implement.
Output
20 apartments with (Living room: 5 (6 X 8 window))(Master bedroom: 3 (4 X 6 window))
15 apartments with (Living room: 5 (6 X 8 window))(Master bedroom: 3 (4 X 6 window))
(Guest room: 2 (5 X 6 window))
10 apartments with (Living room: 5 (6 X 8 window))(Master bedroom: 3 (4 X 6 window))
(Guest room: 2 (5 X 6 window))(Guest room: 2 (5 X 6 window))
Window orders are:
225 6 X 8 window
135 4 X 6 window
70 5 X 6 window
Note
TotalOrder:
o add(WindowOrder newOrder): To add the “newOrder” at first check if a similar order is
already stored in the array list. You should check this within a loop structure. If it already exists
you should merge it with the similar window order using a method call to “add” (which is a
method declared in WindowOrder to merge the orders). Otherwise, simply add the “newOrder”
to the end of the array list through calling the “add” method of the array list. The method returns
the current object.
o add(TotalOrder that): this method makes use of the previous one. You should iterate over all of
the window orders listed in “that” and add them to the array list by passing each one of its
elements them as the input argument to the above “add” method.
o times(int num): for every element stored in the arraylist of the class, call “times” method and
pass “num” as the input argument to it.
o toString(): for every element stored in the arraylist, call its toString() method +”\ ”. Store the
result in a String variable and then return it.
- Apartment:
o orderForOneUnit(): create a new “TotalOrder” object. Add the window orders of every room
to the total order. Return the total order.
o totalOrder(): call the previous method to get the total order for one unit. Call the “times”
method of the total order and use number of apartments as input.
- Building:
o order(): declare and create a TotalOrder object. Add the total order of each apartment into the
object you just created and return it after the loop.
Templates
TotalOrder.java
import java.util.ArrayList;
import java.util.List;
// This class represents a collection of window orders using an ArrayList
public class TotalOrder {
List orders = new ArrayList.
Directions Problem 1. A female with Muppetrus bristle mates with a .pdf
Directions: Problem 1. A female with Muppetrus bristle mates with a male with Flonasean body
color, producing the following counts: F1 Generation Males Disease-Disease WIT-Disease WT-
WT Disease-WT 243 239 Females WT-Disease Disease Disease WT-WT Disease-WT 254 254
Solution
Parents are heterozygous. Given that each parent has one disease phenotype at one locus and
wild type at other locus.
Female\'s disease phenotype is Muppetrus bristle. Let its symbol be WT.
Cross is: +/disease (phenotype Muppetrus) crossed to +/disease (phenotype Flonasean)
The answer cannot be homozygous lethal because WT-WT and Disease-Disease are there.
Similarly it cannot be autosomal recessive, because in females Disease-Disease is 0.
This means that the mode of inheritance is sex-linked recessive.
In Drosophila males, crossing over does not occur. Only one X chromosome, which comes from
the female parent. So, genotype of males will be \"WT (wild type)\" phenotype on X-
chromosome. In females Disease-Disease is zero because of this..
Describe the roll of each of the following in membrane transport a.pdf
Describe the roll of each of the following in membrane transport
a.)facilities diffusion
b.)osmosis
c.)active transport
d.)endocytosis
e.)exocytosis
Solution
a)
Facilitated diffusion is the process of spontaneous passive passage of molecules or ions across a
cell\'s membrane passing through specific transmembrane integral proteins. Its role:
b) Osmosis is the net movement of water across a semipermeable membrane from an area of
lower solute concentration to an area of higher solute concentration.In other word it is the
diffusion of water down the water potential gradient. It’s role:
c) active transport:
d) and e) Exocytosis and endocytosis:Endocytosis and exocytosis are both forms of bulk
transport that move materials into and out of cells, respectively, via vesicles. not by membrane
transport..
Compare and contrast transactional and transformational leadership.pdf
Compare and contrast transactional and transformational leadership
Solution
Transactional leadership
The transactional leaders are works within the framework of self interest of his or her
constituency.
Classify about the transactional leaders are opinion leader, bureaucrats, executive leaders.
Transactional leaders effect over on efforts, satisfaction, and effectiveness of subordinates.
Transactional leaders are give the rewards and benefits whether positive or negative to
subordinates by fulfillment of agreement with the leader
Transactional leaders have four dimensions are contingent rewards, active management by
exception, passive management by exception, laissez-faire.
Transformational leadership
Transformational leader moves to change the framework.
Classify about the Transformational leader were categorized as intellectual leaders, leader of
reform, ideologues.
Transformational leaders asks followers to transcend their own self interest for the food of the
group, organization to consider their long term needs to develop, followers should aware of
really important needs.
Transformational leaders four dimension are charismatic, inspirational, intellectual stimulation,
and individualized consideration.
______________________________________________________________________.
Calculator Which of the following is not an asset Oa, owners equi.pdf
Calculator Which of the following is not an asset? Oa, owner\'s equity Oc. investments Od.
inventory
Solution
a.owner\'s equity
Asset is a component of balance sheet.Balance sheet is made of asset, liabilities and owners
equity.Other than a. all are assets. a. Is owners equity which is not asset..
You are installing a KVM switch for a small business customer so tha.pdf
You are installing a KVM switch for a small business customer so that he can use a single
keyboard, monitor, and mouse to manage two separate hardware servers. The KVM switch will
allow him to toggle back and forth between the two machines with the peripheral devices. To
successfully install the KVM switch, what special tools will you need?
A. A set of hex wrenches
B. A Phillips screwdriver
C. ESD protection devices
D. None
Solution
D. You shouldn’t need to use any special tools when installing the KVM switch, since the cable
connections are usually tightened by hand and you don’t need to open up any of the machines..
Why is metabolism important for physiological processesSolution.pdf
Why is metabolism important for physiological processes?
Solution
Answer:
Energy is needed for any type of physiological processes. A metabolism is a set of chemical
reactions, where energy is released that used for physiological processes like growth,
maintainance of structures, responding to the environment and reproduction. Hence the
metabolism is important for physiological processes..
Which macromolecule is primarily responsible for producing the pheno.pdf
Proteins are primarily responsible for producing the phenotype of an organism. While DNA contains the blueprint, proteins determine physical appearance as they are produced from DNA instructions. Proteins are thus the macromolecules that determine an organism's physical characteristics.
which invertebrate phylum is considered the most evolutionarily succe.pdf
which invertebrate phylum is considered the most evolutionarily successful as measured by
having the most species, producing the greatest number of offspring, and occupying the most
habitats? acopods. cnidarians echinoderms arthropods
Solution
D. Arthropods.
It is largest phylum in animal kingdom having more than 1 million species. Arthropods inhabitat
almost all the regions of globe. They found on land, in water, in air in burrows and underground..
What suggestions would you offer to parents and teachers who want to.pdf
What suggestions would you offer to parents and teachers who want to socialize children into
more androgynous and flexible gender roles? Be specific.
Solution
A) Parents treat sons and daughters alike (interact
equally, are equally warm) except for behaviour related to gender roles
• Dolls, dress-up, helping an adult are encouraged with girls
• Rough and tumble play is encouraged with boys
• Parents react more positively when children play with toys typical for their sex
• Fathers are more likely to encourage behaviour associated with gender stereotypes.
B) Many teachers and schools make gender salient in the classroom - eg. Separate lines for boys
and girls
• Might call on boys more than girls
• Are more likely to scold boys more for disruptive behaviour
• Since most elementary school teachers are female, classroom activities, readings, wall
dressings, etc. might be more appealing for girls
• When boys are not interested in something they tend not to do it..
What is the F2 generation when the F1 generation of +++y cv f is cr.pdf
What is the F2 generation when the F1 generation of +++/y cv f is crossed with +++/Y? Can
recombination be seen in the F2 generation?
Solution
Recombination seen in the F2 generation as +++/yY cv.
Two parental types, carrying either the Y+ y+ allele combination seen in the original mother (the
female of the P generation) or the Y y+ allele combination seen in the original father (the male of
the P generation). The remaining half of the gametes will be of two recombinant types, in which
reshuffling has produced either YY or Y y allele combinations not seen in the P generation
parents of the F1 females..
What features on the plasmid allows it to replicate independent o.pdf
What features on the plasmid allows it to replicate independent of the chromosomes
What features on the plasmid allows it to replicate independent of the chromosomes
Solution
Plasmids are the extra chromosomal DNA found in bacteria. Plasmids possesses a replicon or an
origin of replication of specific nucleotide sequence. This replicon helps the plasmids to replicate
independently. The tra genes or the transfer genes present in the plasmids helps them to get
transferred to the next generation with the help of relaxosome (a combination of DNA and tra
protein) which breaks one of the two strands of plasmid DNA and helps to unwind and it gets
treansferred throgh pilus. Mob genes also helps them for mobilisation during transformation.
Some plasmids undergo binary fission..
What are the use of Fibonacci numbers or the Golden Ratio in nature,.pdf
What are the use of Fibonacci numbers or the Golden Ratio in nature, art, music, architecture, or
some other real world application?
Solution
In the nature we can find some examples like:
- The arrangement of petals of flowers
- The distribution of leaves on a stem
Some structures are designe by this number, for example The Parthenon
In the music Bela Bartok (1881-1945), who have used such succession as a yardstick to
determine certain elements of his compositions
We can find many examples, because applications are diverse and varied.
Based on the following schematic with 3 D flip-flops, Write complete .pdf
Based on the following schematic with 3 D flip-flops, Write complete VHDL codes with clock
as input, and A, B, C are outputs
Solution
entity count is
Port ( Clock : in STD_LOGIC;
A,B,C : inout STD_LOGIC);
end count;
architecture Behavioral of count is
component DFF
Port ( Clock : in STD_LOGIC;
D : in STD_LOGIC;
Q : out STD_LOGIC);
end component;
signal DA,DB,DC:STD_LOGIC;
begin
DA<=(A xor \'1\');
DB<=(A xor B);
DC<=(A and B)xor C;
uA: DFF(Clock,DA,A);
uB: DFF(Clock,DB,B);
uC: DFF(Clock,DC,C);
end Behavioral;
//code for D Fliflop
entity DFF is
Port ( Clock : in STD_LOGIC;
D : in STD_LOGIC;
Q : out STD_LOGIC);
end DFF;
architecture Behavioral of DFF is
begin
process(clk,D)
begin
if(rising_edge(clk)) then
Q <= D;
end if;
end process;
end Behavioral;.
Although O_2 does not participate directly in the reactions of the TC.pdf
Although O_2 does not participate directly in the reactions of the TCA cycle, the cycle operates
only under aerobic conditions. Briefly explain this fact. How many ATP molecules are
generated during the complete oxidative degradation of phosphoenolpyruvate (PEP) to CO_2
and H_2O? Assume the glycerol phosphate shuttle is operating and show how you arrived at
your answer.
Solution
2) even though oxygen does not participate in the TCA Cycle but the ATP and NADPH
produced are passed in the ETC cycle where the oxygen acts as a electron transport.. Hence there
the role of oxygen takes place which is not found in the case of anaerobic situations..
3) when PEP gets converted to pyurvate I release 2 molecules of ATP.. But in this case only 1
ATP is produced as the one molecule of di-hydrooxyacetone phosphate converted to glyecerol-3-
phosphate by glycerol cycle hence in the glycolysis step 1 molecule gets reduced hence 1 ATP
gets reduced..!!.
8. Which of the following is NOT a transcriptionally repressed genom.pdf
8. Which of the following is NOT a transcriptionally repressed genomic region?
a. telomeres b. CpG islands c. one mating type locus in S. cerevisiaed. centromeres
Solution
b.CpG islands.
The CpG sites or CG sites are regions of DNA where a cytosine nucleotide occurs next to a
guanine nucleotide in the linear sequence of bases along its length.
CpG is a shorthand , cytosin and guanine separated by only one phosphate : phosphate links any
two nucleosides together in DNA.
It is not trancriptionally repressed genomic region..
49. Autonomic nervous system function is influenced by A) cerebral co.pdf
49. Autonomic nervous system function is influenced by A) cerebral cortex B) hypothalamus.
C) reticular system D) A and B only. E) A, B, and C
Solution
Theanswer is B)hypothalamus because the hypothalamus is usually present above the brain
stem.Moreover it works as an integrator for autonomic functions.This involves receiving and the
regulatory input from the limbic system to perform various actions which inclucdes the control
of respiration, cardiac regulation , vasomotor activity.ITalso regulates the cardiac regulation and
helps in reflex actions such as coughing, sneezing, swallowing..
Think about the structure of a root tip. In which region would you e.pdf
Think about the structure of a root tip. In which region would you expect the majority of water
and nutrient uptake to occur?
Root cap
Apical lens (meristem)
Zone of cell division
Zone of cell elongation
Zone of cell maturation
Solution
Answer : Apical lens (meristem)
Apical lens (meristem) helps the majority storage of water and nutrients for plant growth.
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