Introduction to EMR
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The document discusses the origins and requirements of the Health Information Technology for Economic and Clinical Health (HITECH) Act, which provides $19.2 billion in incentives for healthcare providers to adopt electronic medical records (EMRs). The act requires EMRs to be certified and demonstrate meaningful use, though these terms are still being defined. While some hospitals have implemented basic EMR functions, full integrated systems have only been adopted by 1.5% of US hospitals. The challenges of implementing complex EMR systems that can exchange and integrate data both within and between healthcare organizations are discussed.
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The document advertises a webinar on HIPAA compliance and electronic health records. It discusses recent changes to HIPAA regulations that expand its scope and increase penalties. The webinar will cover how the new rules impact electronic health records and what systems need to do to maintain compliance, such as tracking all access to patient records. It aims to help attendees understand and meet new HIPAA requirements for adopting electronic records while qualifying for federal incentive programs.
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The document discusses several key points about electronic health records (EHRs):
1) Currently, none of the EHR vendors meet federal requirements because their systems are not interoperable between each other.
2) For EHRs to have value, they must be interconnected and allow information to be shared between different providers and organizations through regional and national health information networks.
3) A network of interconnected EHRs has much higher value than individual systems that are not connected.
What to consider before implementing hit final 052710_nn
This document discusses considerations for implementing health information technology (HIT) and electronic health records (EHR). It defines key terms like HIT, EHR, and EMR. It also outlines the purpose and types of tools available in HIT toolkits to help organizations assess readiness, plan, select, implement, and utilize EHR systems. The document provides an overview of the various stages of EHR adoption and examples of specific tools and resources available at each stage.
New Age Technology in Healthcare
The document discusses various aspects of electronic health records (EHR), including:
1. EHR have become essential in healthcare to save time and money by digitizing patient records.
2. An EHR combines hardware, software, and networks to collect, create, and share patient information for improved care.
3. The document then breaks down eight key components of EHR and how they are used, such as health information, order entry, decision support, and administrative processes.
From EMR 1.0 to EHR 2.0
The document discusses the transition from EMR 1.0 to EHR 2.0 and the opportunities for care collaboration this enables. EMR 1.0 lacked interoperability and connectivity while EHR 2.0 utilizes new technologies like web/cloud computing and open APIs to allow data sharing and clinical workflows across organizations. This networked environment requires new business models and financial incentives to encourage collaboration between providers in managing patient care.
Overcoming Major Electronic Health Record (EHR) Challenges in 2018
Overcoming Major Electronic Health Record (EHR) Challenges in 2018Medical Transcription Service Company
The key electronic health record challenges that providers face in 2018 relate to security, interoperability, and physician burnout. Security breaches continue to plague the healthcare industry and reducing the benefits of EHRs. Achieving true interoperability between health systems is difficult due to a lack of standardization and high costs. Physician burnout is also a major problem caused by the increased workload of maintaining patient records in EHR systems.Implementing EHR in Behavioral Health Blog Post
The document discusses key considerations for behavioral health organizations implementing electronic health records systems. It covers regulatory compliance with HIPAA, the meaningful use program, impacts of the local healthcare environment, best practices for system implementation, managing organizational change, and aligning clinical and business workflows with the new system. Maintaining privacy of sensitive patient information while meeting regulatory requirements is emphasized.
HIM 500 Milestone One Guidelines and Rubric Overview I.docx
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 ...
Running head ANALYSIS PAPER .docx
Running head: ANALYSIS PAPER 1
ANALYSIS PAPER 2
Analysis Paper
Krista Kim
Rasmussen College
Author Note
This paper is being submitted on January 21st, 2018, for Kim Sanders’s H490/HSA4922 Section 01 Healthcare Management Capstone - Online Plus - 2018 Winter Quarter
Analysis Paper
Based on the results of the SWOT analysis, what should Barbara recommend as an overall strategy?
From the SWOT analysis, the overall strategy that Barbara should recommend is a system that is capable of meeting the needs of the healthcare facility effectively and efficiently. The strategy focuses on having systems that are fast to allow for easy processing of information and offer quality support to the patients. It should also have a high level of functionality to allow for the normalizing, analyzing, access and the storage of the entire patient's data and saving it for easy retrieving in the future. The system should also be user-friendly so that the professionals and the staff using it can be in a position to easily maneuver in the process of care delivery. The other component of the system that the company should consider is that it should have a wide range of features to enhance maximum utilization and the ease of data access by the patients and physicians. Finally, the medical professionals should also be trained on how to use the system upon implementation.
How will the selection of the chosen EHR system contribute to the strategy? Further explain why it was the best choice.
One of the ways in which the selection of eClinical works EHR will contribute to strategy is that it is the ability to maintain highly organized data; it’s fast and also has amazing features. The EHR system adapted for use in the organization should be in a position to increase effectiveness, efficiency, achieve quality in the delivery of care and also enhance the patient’s outcomes (Sinha et al., 2013). Due to its organization, the system will make it easy for the health care professionals to retrieve the patients’ information while at the same time ensuring security to prevent access of the patient information by unauthorized persons. The e-Clinical works will also contribute to the strategy because it offers low and affordable prices and has low maintenance costs and this aids in the reduction of the costs that the healthcare facilities incur in the maintenance. The other way in which the system will contribute to the strategy is that it has a wide scope of features which make it easy for the patients and the physicians to login into their portals and interact with each other.
On what basis should she develop actions items? What should the action items be, as they directly relate to the strategy?
The action items should be developed based on their importance in m ...
Reducing Health Care Costs by Pulling IT into Healthcare Organizations
Much has made of the government’s effort to “push” IT, or more accurately electronic health records into healthcare. This article examines how we might pull other IT solutions such as evidence based medicine and secure physician communication into healthcare organizations.
Electronic Health Records Implementation Roundtable
DATAMARK and Creative Health Care (CHC) recently brought together CIOs, physicians and other stakeholders from U.S.-based hospital organizations to share experiences with implementation of Electronic Health Records systems to meet Meaningful Use requirements of healthcare reform.
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Physiology of Special Chemical Sensation of Taste
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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Physiology of Chemical Sensation of smell.pdf
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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Introduction to EMR
- 1. Electronic Medical Records & HITECH Lyon, Popanz Forester May 13, 2009 An Introduction to:
- 3. $19.2 billion for health information technology http://content.nejm.org/cgi/content/full/NEJMp0900665?query=TOC Part of $787 billion economic stimulus package American Recovery and Reinvestment Act of 2009 The Health Information Technology for Economic and Clinical Health Act or HITECH The origin and the dollars
- 8. Scope: EMR Other systems: Billing and payments; HR; Hospital operations: dietary; etc. Hospitals Doctors’ Offices Clinics Support Services, e.g. Labs HITECH EMR
- 9. Scope: EMR & PHR EMR – electronic medical records managed by source of the data, e.g., hospital, doctor, etc. PHR – personal health records managed by the patient/consumer using Google, Microsoft, etc. HITECH EMR Hospitals Doctors’ Offices Clinics Support Services, e.g. Labs Google/Microsoft PHR Pharmacy e.g., refills Medical Devices e.g. iPhone Support Services e.g. Labs Family, etc. access
- 10. Scope/Value/Quality A complete accurate record that is available now is far more valuable than one that is incomplete or has errors or is “off line” The value is in the network, the number of participants, and the quality of the data These are the basic lessons of the Internet
- 11. Status of Implementation The Wall Street Journal identified 10 types of EMR systems and assessed their implementation in hospitals: Highest: Laboratory Results 75% Lowest: Physician’s Notes & Clinical Guidelines:15% All others: 27% to 52% Full EMR: 1.5% of US hospitals * The survey did not address the question of whether or not these systems can be integrated into a common network without significant modification or replacement http://online.wsj.com/article_email/SB124104350516570503-lMyQjAxMDI5NDAxMTAwNDEzWj.html April 30, 2009 * There are about 5,000 hospitals of which about 3,000 have 100 beds or more