1) The tutorial covers documenting a patient's health history in an EHR system, including recording the history of present illness, reviewing systems, and entering the comprehensive health history using logs.
2) Interns are instructed to record information from the patient interview on a paper form, review logs with the patient, and transcribe narratives to the EHR note.
3) The note is marked as complete once the history information is entered and ready for faculty review.
Your clinic needs are answered with this web-based, turnkey solution that is as effective as it is user-friendly. The ClinicPro Online will help doctors and healthcare professionals:
- Have more mobility in accessing clinic records anytime, anywhere
- Efficiently manage flow of and documents in the clinic
- Organize and speed up access to patient information
- Produce great-looking prescriptions, reports and other documents.
The biotechnology revolution - Background informationXplore Health
This guide provides background information on the current techniques used in biotechnology as well as information on the the ethical, legal and social aspects associated with biotechnology.
The Project Management Professional (PMP certification) is a must-have for any serious project manager. EITAcies® we pride ourselves on making sure that you are prepared to pass the project management certification exam on your first attempt.
After our 36 hours PMP camp you will have all the knowledge and tools needed to take the next step in your career. EITACIES solution consulting team assist in placements
Your clinic needs are answered with this web-based, turnkey solution that is as effective as it is user-friendly. The ClinicPro Online will help doctors and healthcare professionals:
- Have more mobility in accessing clinic records anytime, anywhere
- Efficiently manage flow of and documents in the clinic
- Organize and speed up access to patient information
- Produce great-looking prescriptions, reports and other documents.
The biotechnology revolution - Background informationXplore Health
This guide provides background information on the current techniques used in biotechnology as well as information on the the ethical, legal and social aspects associated with biotechnology.
The Project Management Professional (PMP certification) is a must-have for any serious project manager. EITAcies® we pride ourselves on making sure that you are prepared to pass the project management certification exam on your first attempt.
After our 36 hours PMP camp you will have all the knowledge and tools needed to take the next step in your career. EITACIES solution consulting team assist in placements
Discussion continuum - Kto placi za rozwoj lekowXplore Health
Cały proces od badań naukowych nad nowym lekiem do jego umieszczenia na półkach aptecznych jest długi i skomplikowany i związany ze znacznymi inwestycjami. Dzięki tej grze będziesz mógł omówić koszty rozwoju leków i inwestowanie w leczenie rzadkich chorób.
Creative Technosoft Systems (CTS) is a Software Product and Application Development Company from Hyderabad, India providing Custom Web Application Development and Mobile Application Development services and Social Media Analytics Tools.
Indeginous Raisins and Pastoralism Livelihood Presentation by Yasin Mahadifutureagricultures
The role of indigenous gums and resins in pastoralist livelihood security and climate change adaptation in Garbatulla area of Northern Kenya- A presentation by Yasin Mahadi of Future Agricultures
Homework Constructive Dividends, Redemptions, and Related Party .docxadampcarr67227
Homework
Constructive Dividends, Redemptions, and Related Party Losses
Suppose you are a CPA hired to represent a client that is currently under examination by the IRS. The client is the president and 95% shareholder of a building supply sales and warehousing business. He also owns 50% of the stock of a construction company. The client’s son owns the remaining 50% of the stock of the construction company. The client has received a Notice of Proposed Adjustments (NPA) on three (3) significant issues related to the building supply business for the years under examination. The issues identified in the NPA are unreasonable compensation, stock redemptions, and a rental loss. Additional facts regarding the issues are reflected below:
· Unreasonable compensation: The taxpayer receives a salary of $10 million composed of a $5 million base salary plus 5% of gross receipts not to exceed $5 million. The total gross receipts of the building supply business are $300 million. The NPA by the IRS disallows the salary based on 5% of gross receipts as a constructive dividend.
· Stock redemptions: During the audit period, the construction company redeemed 50% of the outstanding stock owned by the client and 50% of the stock owned by the client’s son, leaving each with the same ownership percentage of 50%. The IRS treated the redemption as a distribution under Section 301 of the IRC.
· Rental loss: The rental loss results from a building leased to the construction company owned by the client and his son.
Use the Internet to research the rules and income tax laws regarding unreasonable compensation, stock redemptions treated as dividends and related party losses. Be sure to use the six (6) step tax research process in Chapter 1 and demonstrated in Appendix A of your textbook as a guide for your written response.
Write a four to five (4-5) page paper in which you:
1. Based on your research and the facts stated in the scenario, prepare a recommendation for the client in which you advise either acceptance of the proposed adjustments or further appeal of the issue based on the potential for prevailing on appeal.
2. Create a tax plan for the future redemption of the client’s stock owned in the construction company that will not be taxed according to Section 301 of the IRC.
3. Propose a strategy for the client to receive similar amounts in compensation in the future and avoid the taxation as a constructive dividend.
4. Use the six (6) step tax research process, located in Chapter 1 and demonstrated in Appendix A of the textbook, to record your research for communications to the client.
The specific course learning outcomes associated with this assignment are:
· Analyze tax issues regarding corporate formations, capital structures, income tax, non-liquidating distributions, or other corporate levies.
· Prepare client, internal, and administrative documents that appropriately convey the results of tax research and .
HIM 500 Milestone One Guidelines and Rubric Overview I.docxpooleavelina
HIM 500 Milestone One Guidelines and Rubric
Overview: Imagine you have been contracted to consult on the recent developments at the Featherfall Medical Center. Featherfall has been struggling of late; it
has had a series of problems that have prompted your hiring. It has faced the following issues:
1. Featherfall has recently violated several government regulations regarding the current state of its technology and how it is being used. The technology
system is vastly out of date, and staff are not always using the technology that is in place or they are using the technology inappropriately. These
problems have lost the institution lots of money for not meeting government regulations and have caused operational and ethical problems from
inefficient and ineffective use of technology.
2. The staff at Featherfall are not well-trained on the use of technology and do not communicate appropriately about technology use. The roles that
pertinent to your consult are the health information management team, the clinical staff (doctors, nurses, etc.), and administrative staff. The health
information management team uses proper coding practices, and the current technology system serves them well, despite its age. However, other roles
in the hospital have had issues with the system. Clinical staff, for instance, have had record-keeping issues both due to lack of training on the system and
the system itself being out of date. Administrative staff within the organization have taken issue with the lack of communication about the technology
and its use between the various roles. When the current technology system was chosen many years ago, the needs of these various roles were not
considered.
In this milestone, you will submit a discussion of the history of healthcare information management/informatics and the current landscape in terms of
technology. This milestone will set the stage for your project.
Specifically the following critical elements must be addressed:
I. Preparation for Consult: In this section of your final project, you will prepare for your consultation on the organization’s technology choice. To prepare,
you will analyze the field of health information management for determining standard technologies and guidelines related to technology use in order to
inform your technology selection.
A. Analyze key historical events in the field of health informatics for how technology has been used that could inform the management of health
information. Be sure to support your response with appropriate examples.
B. Determine guidelines for technology use in the field of health information management that Featherfall could implement. Be sure to support
your response with research.
C. Determine the standard technologies currently used in the field of health information management. Be sure to support your response with
research. For example, what record-keeping technologies are typically used in the field?
D. Dev ...
Discussion continuum - Kto placi za rozwoj lekowXplore Health
Cały proces od badań naukowych nad nowym lekiem do jego umieszczenia na półkach aptecznych jest długi i skomplikowany i związany ze znacznymi inwestycjami. Dzięki tej grze będziesz mógł omówić koszty rozwoju leków i inwestowanie w leczenie rzadkich chorób.
Creative Technosoft Systems (CTS) is a Software Product and Application Development Company from Hyderabad, India providing Custom Web Application Development and Mobile Application Development services and Social Media Analytics Tools.
Indeginous Raisins and Pastoralism Livelihood Presentation by Yasin Mahadifutureagricultures
The role of indigenous gums and resins in pastoralist livelihood security and climate change adaptation in Garbatulla area of Northern Kenya- A presentation by Yasin Mahadi of Future Agricultures
Homework Constructive Dividends, Redemptions, and Related Party .docxadampcarr67227
Homework
Constructive Dividends, Redemptions, and Related Party Losses
Suppose you are a CPA hired to represent a client that is currently under examination by the IRS. The client is the president and 95% shareholder of a building supply sales and warehousing business. He also owns 50% of the stock of a construction company. The client’s son owns the remaining 50% of the stock of the construction company. The client has received a Notice of Proposed Adjustments (NPA) on three (3) significant issues related to the building supply business for the years under examination. The issues identified in the NPA are unreasonable compensation, stock redemptions, and a rental loss. Additional facts regarding the issues are reflected below:
· Unreasonable compensation: The taxpayer receives a salary of $10 million composed of a $5 million base salary plus 5% of gross receipts not to exceed $5 million. The total gross receipts of the building supply business are $300 million. The NPA by the IRS disallows the salary based on 5% of gross receipts as a constructive dividend.
· Stock redemptions: During the audit period, the construction company redeemed 50% of the outstanding stock owned by the client and 50% of the stock owned by the client’s son, leaving each with the same ownership percentage of 50%. The IRS treated the redemption as a distribution under Section 301 of the IRC.
· Rental loss: The rental loss results from a building leased to the construction company owned by the client and his son.
Use the Internet to research the rules and income tax laws regarding unreasonable compensation, stock redemptions treated as dividends and related party losses. Be sure to use the six (6) step tax research process in Chapter 1 and demonstrated in Appendix A of your textbook as a guide for your written response.
Write a four to five (4-5) page paper in which you:
1. Based on your research and the facts stated in the scenario, prepare a recommendation for the client in which you advise either acceptance of the proposed adjustments or further appeal of the issue based on the potential for prevailing on appeal.
2. Create a tax plan for the future redemption of the client’s stock owned in the construction company that will not be taxed according to Section 301 of the IRC.
3. Propose a strategy for the client to receive similar amounts in compensation in the future and avoid the taxation as a constructive dividend.
4. Use the six (6) step tax research process, located in Chapter 1 and demonstrated in Appendix A of the textbook, to record your research for communications to the client.
The specific course learning outcomes associated with this assignment are:
· Analyze tax issues regarding corporate formations, capital structures, income tax, non-liquidating distributions, or other corporate levies.
· Prepare client, internal, and administrative documents that appropriately convey the results of tax research and .
HIM 500 Milestone One Guidelines and Rubric Overview I.docxpooleavelina
HIM 500 Milestone One Guidelines and Rubric
Overview: Imagine you have been contracted to consult on the recent developments at the Featherfall Medical Center. Featherfall has been struggling of late; it
has had a series of problems that have prompted your hiring. It has faced the following issues:
1. Featherfall has recently violated several government regulations regarding the current state of its technology and how it is being used. The technology
system is vastly out of date, and staff are not always using the technology that is in place or they are using the technology inappropriately. These
problems have lost the institution lots of money for not meeting government regulations and have caused operational and ethical problems from
inefficient and ineffective use of technology.
2. The staff at Featherfall are not well-trained on the use of technology and do not communicate appropriately about technology use. The roles that
pertinent to your consult are the health information management team, the clinical staff (doctors, nurses, etc.), and administrative staff. The health
information management team uses proper coding practices, and the current technology system serves them well, despite its age. However, other roles
in the hospital have had issues with the system. Clinical staff, for instance, have had record-keeping issues both due to lack of training on the system and
the system itself being out of date. Administrative staff within the organization have taken issue with the lack of communication about the technology
and its use between the various roles. When the current technology system was chosen many years ago, the needs of these various roles were not
considered.
In this milestone, you will submit a discussion of the history of healthcare information management/informatics and the current landscape in terms of
technology. This milestone will set the stage for your project.
Specifically the following critical elements must be addressed:
I. Preparation for Consult: In this section of your final project, you will prepare for your consultation on the organization’s technology choice. To prepare,
you will analyze the field of health information management for determining standard technologies and guidelines related to technology use in order to
inform your technology selection.
A. Analyze key historical events in the field of health informatics for how technology has been used that could inform the management of health
information. Be sure to support your response with appropriate examples.
B. Determine guidelines for technology use in the field of health information management that Featherfall could implement. Be sure to support
your response with research.
C. Determine the standard technologies currently used in the field of health information management. Be sure to support your response with
research. For example, what record-keeping technologies are typically used in the field?
D. Dev ...
MGT-325 Developing an Organizational Change Communications PlDioneWang844
MGT-325: Developing an Organizational Change Communications Plan
Name:
<Name>Part 1 Directions:
Fill out the company's name below and then, using the updated question prompts starting in page 2 of this template, address each of the following 11 sections. Notice how these various sections relate to your three-part plan: summary, findings, and recommendations, as well as the connection to the ADKAR model you first learned about in Topic 2. In total, your responses will range between 750-1,000 words (i.e., approximately 70-90 words each).
Company Name:
Summary should address: Think "Awareness" and "Desire" in creating the summary.
· Key Stakeholders
· Key Activities
· Communications Team
· Communication Goals
Findings should address: Think "Knowledge" and "Ability" when collecting and summarizing observations and findings.
· Key Messages and Stories
· Target Personas
· Communication Channels and Techniques
· Communications Budget
Recommendations should address: Think "Reinforcement" when identifying next steps and success measurements.
· Tracking/Measuring Results
· Two Proactive Steps or Sacrifices
· Identify the Techniques, Channels, and Technologies for Both Internal and External Communication
Communications Plan
Adapted from Business Model Canvas, Strategyzer, and the Business Model Generation
KEY STAKEHOLDERS
Who will help you?
Of the three stakeholders identified in your Topic 3 research, identify the most impacted stakeholder and the importance/impact of change to this stakeholder. Describe ideal forms of communication for this stakeholder communication and reports that can be utilized. Describe establishment of feedback mechanisms for this stakeholder.
KEY ACTIVITIES
How do you do it?
Describe impending change, necessity of change, and sacrifices necessary. Indicate reports/metrics supporting impending change.
COMMUNICATIONS TEAM
Who do you need?
Identify role management will play during the change process, means to achieve collaboration, how servant leadership can be utilized by management, and the role of technology in communications.
COMMUNICATION GOALS
What do you need to accomplish?
Identify current vision, mission, values statement, manifestos, promises (etc.) for the organization, and what revisions should be made to these to align with the change?
TARGET PERSONAS
How do you describe your recipients?
Describe in detail the organization's primary personas of interest. Are there groups currently being served that are not a fit for the organization or groups not being served that should be considered?
COMMUNICATION CHANNELS AND TECHNIQUES
How do you reach them?
Summarize what communication channels are currently being used to reach the target personas. Provide examples of communication techniques applied. Identify untapped avenues that may be worth consideration as well as challenges related to technologically mediated communications whenconveying important information.
KEY MESSAGES AND STORIES
What will you commun ...
ASSOCIATE SCIENCE IN NURSINGCLINICAL WORKSHEET MATERNITY NU.docxjesuslightbody
ASSOCIATE SCIENCE IN NURSING
CLINICAL WORKSHEET: MATERNITY NURSING PROCESS CARE PLAN
STUDENT NAME
DATE
Client Initials
Culture/Ethnicity
Support System
Unit
Room/Bed
Religion
Age
Sex
Language
Pre-preg Wt
Pre-preg Ht
Marital Status
Children & Ages
Current Wt
Current Ht
Occupation
G
T
P
A
L
Health Insurance
Current Work Status
Current Medical Diagnosis
Name of Significant Other/Primary Caregiver
Highest Grade Completed
Pain
Rating, Quality & Location
Infant Feeding
Date/Time of Delivery
Delivery Type (Vaginal, Cesarean**, Forceps, Vacuum)
**Reason for Cesarean
Diagnostic procedures
Surgical procedures
Pathophysiology/Psychopathology (List Reference)
Reference
Today’s Assessment
M
Admissions Vital Signs
A
T
Frequency
B
P
U
R
BB
B/P
L
Allergies/Side Effects
E
H
Brief Health History
Diet with Rationale
Time
Flowsheet Notes
Activity Order
Limitations/Prosthetic Device
PERTINENT LABORATORY DATA
Lab Test # 1
Lab Test # 2
Lab Test # 3
Lab Test # 4
Hgb/Hct #1
Hgb/Hct #2
Results
Results
Results
Hgb/Hct #3
.
Rationale for abnormal results
Rationale for abnormal results
Rationale for abnormal results
Rationale for abnormal results
(
2
)
.
INTRAVENOUS SOLUTION #1
INTRAVENOUS SOLUTION #2
Type
Lactate Ringers’ (main IV)
Type
500 ml NS (piggyback)
cc/hr
125
gtts/min
cc/hr
gtts/min
2 milliunits/minute via pump
Additives
Additives
30 U Oxytocin
Rationale for solution
Rationale for solution
.
Medication Name Generic/Trade
Classification
Major Actions
(why taking meds)
Dose/ Route Safe Range
Adverse Effects
Nursing Implications
Assessment Data Subjective/Objective
Nursing Diagnosis
Plan Outcome Criteria (Client Centered)
Interventions (Nurse Centered)
Rationale for Interventions (REFERENCED)
Evaluation
Assessment Data Subjective/Objective
Nursing Diagnosis
Plan Outcome Criteria (Client Centered)
Interventions (Nurse Centered)
Rationale for Interventions (REFERENCED)
Evaluation
Have you received a push notification like this?
Real Message: I just want your $$$
@DrWendyGuess
Hi John. Your order should be arriving on Thursday. Would you like to set up a date & time to install it? Just reply with your preferences. Wendy
Real Message: You care about the customer)
Or …. Has a note like this one
arrived just at the perfect moment?
@DrWendyGuess
Which Would YOU Rather Read?
Welcome. Wondering about the MyTalk.Rocks?
Link -
http://mytalk.rocks
Rock The Speaker
Send A Photo
Share Feedback
Ask Questions?
@DrWendyGuess
What’s better for your LTV/ROI?
@DrWendyGuess
How would it be for your clients
to feel like you’re a mind reader?
@DrWendyGuess
@DrWendyGuess
Part 1: Design Campaign
What am I really delivering?
My guiding principles
Beyond the product…
For Support
To build Community
Improve Productivity.
Hospital management system project report.pdfKamal Acharya
The project Hospital Management system includes registration of patients, storing their details into the system, and also computerized billing in the pharmacy, and labs. The software has the facility to give a unique id for every patient and stores the details of every patient and the staff automatically. It includes a search facility to know the current status of each room. User can search availability of a doctor and the details of a patient using the id. The Hospital Management System can be entered using a username and password. It is accessible either by an administrator or receptionist. Only they can add data into the database. The data can be retrieved easily. The interface is very user-friendly. The data are well protected for personal use and makes the data processing very fast. Hospital Management System is powerful, flexible, and easy to use and is designed and developed to deliver real conceivable benefits to hospitals. Hospital Management System is designed for multispecialty hospitals, to cover a wide range of hospital administration and management processes. It is an integrated end-to-end Hospital Management System that provides relevant information across the hospital to support effective decision making for patient care, hospital administration and critical financial accounting, in a seamless flow. Hospital Management System is a software product suite designed to improve the quality and management of hospital management in the areas of clinical process analysis and activity-based costing. Hospital Management System enables you to develop your organization and improve its effectiveness and quality of work. Managing the key processes efficiently is critical to the success of the hospital helps you manage your processes.
I need the follwoing assignmentThe project is the creation of a w.docxnatishahaen
I need the follwoing assignment:
The project is the creation of a white paper.
Much of what happens in healthcare is about understanding the expectations of the many departments and personnel within the organization. Reimbursement drives the financial operations of healthcare organizations; each department affects the reimbursement process regarding timelines and the amount of money put into and taken out of the system. However, if departments do not follow the guidelines put into place or do not capture the necessary information, it can be detrimental to the reimbursement system.
An important role for patient financial services (PFS) personnel is to monitor the reimbursement process, analyze the reimbursement process, and suggest changes to help maximize the reimbursement. One way to make this process more efficient is by ensuring that the various departments and personnel are exposed to the necessary knowledge.
For your final project, you will assume the role of a supervisor within a PFS department and develop a white paper in which the necessary healthcare reimbursement knowledge is outlined.
The project is divided into three milestones, which will be submitted at various points throughout the course to scaffold learning and ensure quality final submissions. These milestones will be submitted in Modules One, Three, and Five.
In this assignment, you will demonstrate your mastery of the following course outcomes:
†
Analyze the impacts of various healthcare departments and their interrelationships on the revenue cycle
†
Compare third-party payer policies through analysis of reimbursement guidelines for achieving timely and maximum reimbursements
†
Analyze organizational strategies for negotiating healthcare contracts with managed care organizations
†
Critique legal and ethical standards and policies in healthcare coding and billing for ensuring compliance with rules and regulations
†
Evaluate the use of reimbursement data for its purpose in case and utilization management and healthcare quality improvement as well as its impact on
pay for performance incentives
Prompt
You are now a supervisor within the patient financial services (PFS) department of a healthcare system. It has been assigned to you to write a white paper to educate other department managers about reimbursement. This includes how each specific department impacts reimbursement for services, which in turn impacts the healthcare organization as a whole. The healthcare system may include hospitals, clinics, long-term care facilities, and more. For now, your boss has asked you to develop a draft of this paper for the hospital personnel only; in the future, there may be the potential to expand this for other facilities.
In order to complete the white paper, you will need to choose a hospital. You can choose one that you are familiar with or create an imaginary one. Hospitals vary in size, location, and focus.
Becker’s Hospital Review
has an excellent .
Exercises in Measurement and validity For this assignment, you.docxSANSKAR20
Exercises in Measurement and validity
For this assignment, you will be working through questions regarding measurement and validity.. Your answers should be written in complete sentences. Some of the answers may require you to show your work.
1. You have just started a new diet program. To mark your progress, you start weighing yourself three times a day. You also notice that each time you weigh yourself in a given day, the number of pounds is different. Based on the rules regarding the scales of measurement, why is it wrong to weigh yourself more than once a day?
2. Your hospital administration has received several phone complaints from patients about rude behavior from registration staff and long wait times to register in both the Dermatology and Audiology Outpatient Clinics. A decision is made to send a patient satisfaction survey to all Outpatient Clinic patients to determine overall patient satisfaction in the hospital’s Clinic setting. The survey developed uses this type of scoring: 1 = strongly disagree and 5 = strongly agree. What type of scale of measurement is this?
3. Your hospital wants to study patients readmitted within 30-days. What measures (e.g. Medicare patients only) would you recommend be included in the study (identify at least 3)? Where would you locate the data elements (e.g. admission records)?
4. Your hospital’s Pharmacy and Therapeutics Committee undertook a quality review of Medication forms from discharges in the first quarter of the year and identified the errors by 5 general categories and then calculated the percentage of the total errors by category. The results were: Dosage Form 6%, Name confusion 13%, Communication 19%, Labeling 20%, and Human Factors 42%. As the HIM Director you are a member of the P&T Committee, the Chair asks you to prepare a graphic display of the error results for Medical Staff review. What is the best choice of a graphic display to present this data to the Medical Staff? And why
a. Line Graph
b. Bar Graph
c. Pie chart
d. Data Table
5. Provide a definition and example for the following terms:
a. Content validity
b. Construct validity
c. Criterion validity
Running head: BUSINESS AND USER REQUIREMENTS DOCUMENT DRAFT 1
BUSINESS AND USER REQUIREMENTS DOCUMENT DRAFT 6
Business and User Requirements Document Draft
thanks for your Draft report on the EHR project and requirements. There are 3 main parts to cover: Sources of information, departments affected: Provide more information about the clinical departments. HIM is not the "most important" department for this system. Clean up some of the writing possible errors or misunderstandings, too. 5 /7 Methods to gather information: Glad you mentioned interviews, focus groups, and questionnaires and explained all three. 7 /7
Requirements statements:3 /6 You are not quite understanding what Requirements are yet. They are what the system must do. We will get later on in the class, onto project implementation tasks such ...
10:42 PM (CST)
Assignment Details
Assignment Description
Assignment Details
The HITECH Act was incorporated into ARRA to promote the adoption and meaningful use of health information technology. Subtitle D of the HITECH Act, sections 13400–
13424, addresses the privacy and security concerns associated with the electronic transmission of health information. It does so, in part, through several provisions that
strengthen the civil and criminal enforcement of the HIPAA rules. (HHS.gov, 2017)
Consider the following case from the course scenario on St. Michael's Medical Center.
Case I: The Blue Wall
Many patients and regulators have accused the hospital of neglecting its organizational responsibilities to respect patient rights. The hospital has established a socalled blue
wall to withhold information and protect its employees. The administration and the ethics committee overseeing these ethical issues were accused of coverup and making
decisions that endangered vulnerable people. In most cases, the hospital has failed to meet its responsibilities to patients and to comply with regulations. Some of the violations
are the following:
Employees have exposed patient information to unauthorized people.
Nurses have made unilateral decisions and ignored informed consent mandates.
Administrators have covered up instances of medication errors and failed to meet regulatory compliance regarding the handling, storage, and retention of medical records.
Visitors have found sensitive patient information in files left in hallways and on laptops left in patients' rooms. Mobile devices containing patient information that doctors
have claimed were missing have been found lying around in public areas.
Few employees have done the right thing. Organizational lapses in policies and procedures occur at all levels.
As the newly hired chief executive officer (CEO), you have been asked to address these issues. You will make a presentation to help managers, supervisors, and general staff
members to curb the Health Insurance Portability and Accountability Act (HIPAA) violations in the following areas:
Communication
Secure storage of information
Retention of health information
Prepare a 15slide PowerPoint addressing the following items:
What are 5 effective health information communication methods? What are the advantages and disadvantages of these methods?
What healthcare laws guide the sharing and delivery of health information among stakeholders? What type of health information could be shared and with whom?
What are the benefits of sharing patient health information? What current applications are available to share patient information?
What HIPAA mandates are about the disclosure of patient information, especially the Privacy and Security Rules?
What are the benefits of using social media applications for sharing health information? What limitations exist in sharing health information using social media
applications?
What is the purpose of seeking patient co ...
10:42 PM (CST)
Assignment Details
Assignment Description
Assignment Details
The HITECH Act was incorporated into ARRA to promote the adoption and meaningful use of health information technology. Subtitle D of the HITECH Act, sections 13400–
13424, addresses the privacy and security concerns associated with the electronic transmission of health information. It does so, in part, through several provisions that
strengthen the civil and criminal enforcement of the HIPAA rules. (HHS.gov, 2017)
Consider the following case from the course scenario on St. Michael's Medical Center.
Case I: The Blue Wall
Many patients and regulators have accused the hospital of neglecting its organizational responsibilities to respect patient rights. The hospital has established a socalled blue
wall to withhold information and protect its employees. The administration and the ethics committee overseeing these ethical issues were accused of coverup and making
decisions that endangered vulnerable people. In most cases, the hospital has failed to meet its responsibilities to patients and to comply with regulations. Some of the violations
are the following:
Employees have exposed patient information to unauthorized people.
Nurses have made unilateral decisions and ignored informed consent mandates.
Administrators have covered up instances of medication errors and failed to meet regulatory compliance regarding the handling, storage, and retention of medical records.
Visitors have found sensitive patient information in files left in hallways and on laptops left in patients' rooms. Mobile devices containing patient information that doctors
have claimed were missing have been found lying around in public areas.
Few employees have done the right thing. Organizational lapses in policies and procedures occur at all levels.
As the newly hired chief executive officer (CEO), you have been asked to address these issues. You will make a presentation to help managers, supervisors, and general staff
members to curb the Health Insurance Portability and Accountability Act (HIPAA) violations in the following areas:
Communication
Secure storage of information
Retention of health information
Prepare a 15slide PowerPoint addressing the following items:
What are 5 effective health information communication methods? What are the advantages and disadvantages of these methods?
What healthcare laws guide the sharing and delivery of health information among stakeholders? What type of health information could be shared and with whom?
What are the benefits of sharing patient health information? What current applications are available to share patient information?
What HIPAA mandates are about the disclosure of patient information, especially the Privacy and Security Rules?
What are the benefits of using social media applications for sharing health information? What limitations exist in sharing health information using social media
applications?
What is the purpose of seeking patient co ...
Healthcare ReimbursementI need help on the following assignment C.docxCristieHolcomb793
Healthcare Reimbursement
I need help on the following assignment: Create a white paper. I have coompleted the first part and can provide it to you for help on the second part of the paper.
Much of what happens in healthcare is about understanding the expectations of the many departments and personnel within the organization. Reimbursement drives the financial operations of healthcare organizations; each department affects the reimbursement process regarding timelines and the amount of money put into and taken out of the system. However, if departments do not follow the guidelines put into place or do not capture the necessary information, it can be detrimental to the reimbursement system.
An important role for patient financial services (PFS) personnel is to monitor the reimbursement process, analyze the reimbursement process, and suggest changes to help maximize the reimbursement. One way to make this process more efficient is by ensuring that the various departments and personnel are exposed to the necessary knowledge.
For your final project, you will assume the role of a supervisor within a PFS department and develop a white paper in which the necessary healthcare reimbursement knowledge is outlined.
The project is divided into three milestones, which will be submitted at various points throughout the course to scaffold learning and ensure quality final submissions. These milestones will be submitted in Modules One, Three, and Five.
In this assignment, you will demonstrate your mastery of the following course outcomes:
†
Analyze the impacts of various healthcare departments and their interrelationships on the revenue cycle
†
Compare third-party payer policies through analysis of reimbursement guidelines for achieving timely and maximum reimbursements
†
Analyze organizational strategies for negotiating healthcare contracts with managed care organizations
†
Critique legal and ethical standards and policies in healthcare coding and billing for ensuring compliance with rules and regulations
†
Evaluate the use of reimbursement data for its purpose in case and utilization management and healthcare quality improvement as well as its impact on
pay for performance incentives
Prompt
You are now a supervisor within the patient financial services (PFS) department of a healthcare system. It has been assigned to you to write a white paper to educate other department managers about reimbursement. This includes how each specific department impacts reimbursement for services, which in turn impacts the healthcare organization as a whole. The healthcare system may include hospitals, clinics, long-term care facilities, and more. For now, your boss has asked you to develop a draft of this paper for the hospital personnel only; in the future, there may be the potential to expand this for other facilities.
In order to complete the white paper, you will need to choose a hospital. You can choose one that you are familiar with or create an i.
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Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
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Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
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2. 1
Welcome to the Life University Clinic EHR documentation tutorial.
This is a set of lessons for beginning users as well as a reference for those familiar with the
clinic EHR documentation process.
The best way to learn this software is to use this tutorial as a guide as you enter
information in the Life University SmartCloud Training site. In addition to this tutorial, there
are also short videos, FAQs, process flow charts and a Quick Step-by-Step tutorial on the
course Blackboard site.
To get started you will need to enroll in the Life University SmartCloud Training site as
described in Section #1.
This tutorial is a work in progress. Lessons will be added and updated based on your
feedback and as major software updates are released.
Please visit periodically to view the latest updates and new lessons.
In an attempt to address the broad range of users (student interns, faculty clinicians,
administrators, auditors etc.), this tutorial contains clinic procedures, step-by-step
instructions, common errors seen, special tips and key steps and procedures. As a result certain
passages are marked with visual clues so that you can tell at a glance what kind of topic you are
dealing with.
3. 2
TABLE OF CONTENTS
New Users should follow each section in order
If you are using this as a reference, click on a topic to access it
Page
Access the Patient Electronic Record ...................................................................3
View the Health History Intake Form.....................................................................3
Record the History of Present Illness for each complaint......................................4
Start a New Note...................................................................................................4
The Comprehensive Case History ........................................................................5
Using History Logs ................................................................................................5
Verify and Edit Patient History logs .......................................................................6
The Review of Systems.........................................................................................7
Adding a History Log.............................................................................................7
Reason for Care or Current Complaint..................................................................8
Making Edits to an Incomplete or Pending Note ...................................................8
Add a Problem to the patient’s record ...................................................................8
Add an Introductory Sentence...............................................................................9
History of Present Illness Narrative .......................................................................9
View the Note......................................................................................................10
Complete the Note ..............................................................................................10
4. 3
Section # 3: The Health History
3.1 Access the Patient’s Electronic Health Record (EHR)
A. Click on the Select a Patient icon from the Workspace or the Select Patient button in
the ribbon across the top of the page.
B. Enter your patient’s last name in the search box, select your patient and click OK.
C. Your patient’s name will now appear in the blue highlighted area under the top ribbon.
3.2 View the Patient Health History Intake Form
A. Click the EHR Tab in the left column towards the bottom half of the screen
B. Click the Health Records Tab in the left column towards the upper half of the screen
C. Select Health_History_Intake from the list of documents. It will become highlighted
and you can preview it in a thumbnail to the right.
D. Click View Full Screen from the top ribbon
E. Review this form in its entirety to familiarize yourself with the patient’s health status
F. Contact your Faculty Clinician (FC) to review this form as well
If the form is incomplete: the FC will open for pt to make edits
If the form is complete: the FC will click “complete” to populate the comprehensive data
into the patient’s record.
If this form does not appear in the Health Records;
It has not been completed by the patient
3.3 Record the History of Present Illness (HPI)
The HPI includes the facts relevant to the Chief Complaint. This provides the reader full
comprehension of the problem(s) and the events surrounding it. This section should clarify and explain
each symptom and even include the absence of certain symptoms that are pertinent in the
development of a diagnosis. You should also include how the problem interferes with the patient’s
Activities of Daily Living (ADL) and any previous care they sought for the problem.
The HPI must include all components of “OPQRST” that you will learn in DIAG 2725 as well as enough
information to clarify the problem and the mechanism of injury.
5. 4
The Health History Intake form includes a section entitled “Problem Areas”. There
should be a separate Problem Area table for each patient complaint. The intern will
record (hand write) this information on a paper form called the Health History
Worksheet (HHW) as he/she clarifies and expands on the information while interviewing
the patient.
The HHW needs to be reviewed and approved by the Faculty doctor before the patient is
dismissed. The intern will eventually transcribe the HHW notes into a narrative format
in the Complaint Freeform area of the Subjective Speed Note. It must be transcribed
by the intern before the CMR appointment. The completed HHW needs to be scanned
into the patient’s EHR by the staff.
The HPI narrative can be typed directly into the Complaint Freeform area of the
Subjective Speed note as described is section 3.9 this Tutorial.
3.4 Start a New Note
A. Click the Documentation tab & Start New Note button in the upper ribbon.
B. Create New Note dialogue box will appear
C. Provider for the Note is the faculty clinician supervising the physical exam
D. Secondary Provider is the Intern
E. Click OK.
Click the drop down arrow and type the first
few letters of the doctor’s name who is
supervising the visit. Select that doctor by
Clicking on their name and then OK.
6. 5
The Comprehensive Case History
A comprehensive case history includes prior illnesses, symptoms, medications, medical
care, chiropractic care, traumas, surgeries, hospitalizations and specifics about each of
these. It also includes the patient’s present state of health such as exercise habits,
sleep habits, dietary habits, tobacco use and alcohol use. Family history and occupational
histories are also important factors in the patient’s health and are recorded in this
section.
3.5 Enter the Comprehensive portion of the Case History using History Logs
The intern will complete this step during the initial case history immediately after
recording the HPI on the Health History Worksheets. Most of the information from the
Health History Intake form is automatically populated into the patient record with the
exception of the “Problem Areas”. Information that is automatically populated is in the
form of History Logs. The intern will review each History Log with the patient and
clarify and expand upon the information that the patient entered.
7. 6
Verify and edit each patient Hx Log and add to note
A. Click the EHR tab in the left column towards the bottom of the page.
B. Click each History Category
C. Double click each History Log
D. Review the information with the patient and add any clarifying
information in each History Log.
E. Do not add information in the Comments box (it is not viewable).
F. Check the “Add to current note” box.
G. Repeat for each History log.
Note
If a patient denies problems
for a History Log you should
Clear the Onset date field
8. 7
The Review of Systems (ROS)
On the Health History Intake form the patient was asked about conditions in each of the
body systems. A History Log is created for each system that is denied as well as for
each complaint reported in each system. If the patient incorrectly completes the intake
form and doesn’t click the “none” button” for a system, the intern will have to add a
history log to record that system. Currently Immunological, Psychological and EENT
systems are not asked on the intake form and the intern will need to add a log for each.
The intern needs to review each History Log with the patient and ask further questions
regarding each of the systems.
If the patient denies symptoms in a system;
A. Click the Denied box,
B. clear the Date of Onset
C. Add to current note.
If the patient reports symptoms in a body system
A. Confirm if it is Past or Present
B. Add any clarifying information in the Description or Details boxes
a. This would include; the resolved date, treatment sought, residual
effects and other pertinent information.
C. There are times when you will have to create a New Problem for a Present
condition.
3.6 Adding a History Log
There are times when you will have to add a history log to the patient’s record.
Upon interviewing the patient, you may find that they did not include something on the Health
History Intake form or some questions were not asked on the form.
To add a History Log:
A. Click the Add History button in the top ribbon
B. Click on the History category that you want to add
C. Complete the appropriate fields in the dialogue box
You will find that there are several items missing from the HHI form that need to be
added to the patient record: You do that by adding a History log.
Family History for grandparents may need to be added.
ROS: Immunological, Pychological and EENT (Ear, Eye, Nose, throat) may also need to be
added.
9. 8
All of the above information needs to be completed with the patient present. The HHW
paper form needs to be completed and signed by the Faculty Clinician and the Intern
should click the “Complete Note” box in the upper ribbon of the patient EHR.
****The information added below can be entered after the patient is released.****
Reason for Care and/or Chief Complaint
This is the reason(s) why the patient is consulting with you today. Commonly there is more than one reason and
each “problem” must be a separate entry in the patient health record. In the Electronic Health Record (EHR),
the term “problem” relates to the reason for care as well as a health complaint.
3.7 Enter the Patient’s Reason(s) for Care and/or Health Complaint(s)
Making Edits to an incomplete or pending note
If you are resuming this section after closing the program, you will need to select
your patient (section 3.1) and resume the incomplete or pending note by clicking
the number to the right of your name on the blue highlighted bar and then Edit
(see Making Edits to a Note in the FAQs section). I strongly suggest that you
resume the original note for a new patient visit.
Add a “Problem” to the Patient Record
A. Click Add Problem from the ribbon at the top of the page
B. Type PC in the Code Search box.
C. Scroll down to find the “problem” that most
closely matches your patient’s “reason for care”.
Click Next in the bottom bar to bring up the
next 15 selections if needed.
D. Do not type anything in the Onset Comments
or Comments box at this time.
E. Be sure to check the
Add to Current Note check box.
F. Click OK.
G. Repeat this for each complaint
10. 9
Repeat this for each Complaint, Reason for Care or Current Review of Systems issue.
If you click on the Problem list tab in the upper left, you can see all of the problems you
entered. You can edit each problem by double clicking on it. To verify that the information is
being added or to see what it will look like in the note, click “Note” in the center of the blue
highlighted bar where the patient name is listed.
3.8 Add an Introductory Sentence to the EHR note
The Introductory sentence should introduce the patient and the purpose of the visit.
A. Click Documentation in the lower left column.
B. Click Introductory Sentence in the upper left column.
C. Type the introductory sentence for the note in the space provided.
3.9 Type the History of Present Illness narrative
The Intern has already interviewed the patient and recorded the History of Present Illness for
each complaint on the paper Health History Worksheets. (see section 3.3)
If you are resuming this section after closing the program, you will need to select your patient
and resume the incomplete or pending note (see Making Edits to a Note in the FAQs section).
A. Click Subjective Speed Note in the upper left column.
B. All of the active problems should appear in the Chief Complaint box. (If they are
not listed, return to the Problem list and add them to the current note.)
C. Click on the first problem (It will appear highlighted) and transcribe the notes
that you recorded on the Health History Worksheet into a narrative format in the
Complaint Freeform area toward the bottom of the page.
D. Repeat this for each “Problem” by clicking on the problem and repeating the
process.
Do not enter anything in
the area above the
Freeform section
for the initial history
11. 10
View the Note
As you are working through the History, you can view it at any time by clicking
Note in the highlighted area of the top ribbon. You should view your note often to
see how it will appear in its finalized form.
Complete the Note
When you enter all of the history information and are ready to have your faculty
clinician (FC) review it; click Complete Note.
This will add your signature to the note and mark it as pending.
The note will still be available in your Incomplete Notes basket and
you will still be able to make edits to a pending note.