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.
Why Electronic Health Records are Ill Suited for Population Health 012616infomc
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.
PHM Tools and Strategies to Support Care Coordination infomc
This document discusses population health management tools and strategies to support care coordination. It describes how InfoMC's InSpotlight tools can help identify at-risk individuals in a population for improved health outcomes through targeted care coordination. The tools aggregate data from multiple sources to stratify populations and identify factors contributing to poor health. This supports effective care plans and workflows to better integrate physical and behavioral healthcare across providers.
The role of health information managers in the healthcare delivery systemResearchWap
The study was an “The Role of Health Information Managers in Healthcare Delivery System (A Case Study of University of Uyo Health Centre. Uyo, Akwa Ibom State). The main objective of the study was to access the academic and knowledge level of Health information managers in their practice, while specific objective are: To assess the strength of Health Information managers in academic level. To verify factors affecting the efficiency of health information managers in the hospital. To examine the availability of equipment for effective and efficient functioning of health information management staff in their practice. Related literature were reviewed base on several authors which worked into 16 sub-topics related to the role of health information managers. Descriptive survey design was adopted and 110 respondents were selected using purposive sampling to chores 20 health information management staff from unit and 90 other staff from the health centre. The finding showed that 74.5% of the respondents accepted that, the higher the health information managers academic level, the more they gained knowledge while their practice gives them experience to understand the study also revealed that inadequate storage space and equipment for killing patients records are the factors affecting the efficiency of health information managers in the health centre. While 26.5% disagree. The researcher recommended that hospital management should try to address the problems that affect health information management for them to function effectively and efficiency in the health centre. However, the researcher also found it necessary for further studies to be extended to other hospital
Validity and bias in epidemiological studyAbhijit Das
Validity and bias are essential aspects of any research—a brief description of internal and external validity and different types of bias related to the epidemiological study.
Partnering with Patients, Families and Communities for Health: A Global Imper...EngagingPatients
Engagement is an essential tool to improving global health. This report introduces a new framework for engagement to help countries assess current programs and think strategically about future engagement opportunities. It spotlights barriers to engagement and offers concrete examples of effective engagement from around the globe.
This document outlines the thesis proposal for assessing the health information system in the Buea Health District of Cameroon. The proposal includes an introduction that provides background on health information systems and identifies problems with Cameroon's system. The objectives are to assess the adequacy of the Buea Health District's health information system and identify areas for improvement. The methodology describes a descriptive survey design involving health organizations in the district. Data will be collected using the WHO health metrics network assessment tool and analyzed to evaluate the system's components and overall adequacy. The proposal also includes chapters on literature review, methodology, and references.
Health information system is that that system in which collection, utilization, analysis and transmission of information is done for conducting health services, training and research.
Multispecialty Physician Networks: Improved Quality and Accountability - The ...EvidenceNetwork.ca
Multispecialty Physician Networks: Improved Quality and Accountability - The “Health Care Neighbourhood”
by Thérèse A. Stukel, Rick Glazier, Sue Schultz, Jun Guan Institute for Clinical Evaluative Sciences Toronto
Funded by: CIHR Emerging Team Grant in Applied Health Services and Policy Research
Why Electronic Health Records are Ill Suited for Population Health 012616infomc
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.
PHM Tools and Strategies to Support Care Coordination infomc
This document discusses population health management tools and strategies to support care coordination. It describes how InfoMC's InSpotlight tools can help identify at-risk individuals in a population for improved health outcomes through targeted care coordination. The tools aggregate data from multiple sources to stratify populations and identify factors contributing to poor health. This supports effective care plans and workflows to better integrate physical and behavioral healthcare across providers.
The role of health information managers in the healthcare delivery systemResearchWap
The study was an “The Role of Health Information Managers in Healthcare Delivery System (A Case Study of University of Uyo Health Centre. Uyo, Akwa Ibom State). The main objective of the study was to access the academic and knowledge level of Health information managers in their practice, while specific objective are: To assess the strength of Health Information managers in academic level. To verify factors affecting the efficiency of health information managers in the hospital. To examine the availability of equipment for effective and efficient functioning of health information management staff in their practice. Related literature were reviewed base on several authors which worked into 16 sub-topics related to the role of health information managers. Descriptive survey design was adopted and 110 respondents were selected using purposive sampling to chores 20 health information management staff from unit and 90 other staff from the health centre. The finding showed that 74.5% of the respondents accepted that, the higher the health information managers academic level, the more they gained knowledge while their practice gives them experience to understand the study also revealed that inadequate storage space and equipment for killing patients records are the factors affecting the efficiency of health information managers in the health centre. While 26.5% disagree. The researcher recommended that hospital management should try to address the problems that affect health information management for them to function effectively and efficiency in the health centre. However, the researcher also found it necessary for further studies to be extended to other hospital
Validity and bias in epidemiological studyAbhijit Das
Validity and bias are essential aspects of any research—a brief description of internal and external validity and different types of bias related to the epidemiological study.
Partnering with Patients, Families and Communities for Health: A Global Imper...EngagingPatients
Engagement is an essential tool to improving global health. This report introduces a new framework for engagement to help countries assess current programs and think strategically about future engagement opportunities. It spotlights barriers to engagement and offers concrete examples of effective engagement from around the globe.
This document outlines the thesis proposal for assessing the health information system in the Buea Health District of Cameroon. The proposal includes an introduction that provides background on health information systems and identifies problems with Cameroon's system. The objectives are to assess the adequacy of the Buea Health District's health information system and identify areas for improvement. The methodology describes a descriptive survey design involving health organizations in the district. Data will be collected using the WHO health metrics network assessment tool and analyzed to evaluate the system's components and overall adequacy. The proposal also includes chapters on literature review, methodology, and references.
Health information system is that that system in which collection, utilization, analysis and transmission of information is done for conducting health services, training and research.
Multispecialty Physician Networks: Improved Quality and Accountability - The ...EvidenceNetwork.ca
Multispecialty Physician Networks: Improved Quality and Accountability - The “Health Care Neighbourhood”
by Thérèse A. Stukel, Rick Glazier, Sue Schultz, Jun Guan Institute for Clinical Evaluative Sciences Toronto
Funded by: CIHR Emerging Team Grant in Applied Health Services and Policy Research
Challenges and Opportunities in Nursing in Canadaanne spencer
This document discusses challenges and opportunities in nursing in Canada. It outlines the agenda which includes an overview of Canadian nursing, challenges and opportunities, and a focus on documenting nursing in a digital age. Some key challenges discussed are chronic understaffing, political restructuring, and issues around licensure and scope of practice. Opportunities mentioned include nursing leadership, a national nursing report card, and nursing informatics. The remainder of the document focuses on documenting nursing data in electronic health records, including standards like C-HOBIC and requirements for capturing and analyzing nursing data.
Management information evaluation system, e- nursing, telenursing, telemedicinesilla elsa soji
This document discusses management information and evaluation systems (MIES), e-nursing, telenursing, and telemedicine. It defines each topic and discusses their objectives, importance, types, standards, advantages, disadvantages, and issues. For MIES, it outlines its classification, implementation methods, and importance for organizational planning and decision-making. For e-nursing, it examines its goals, types, strategies, and benefits for learners, organizations, and the nursing profession. Telenursing is defined as using technology to provide nursing care from a distance, while telemedicine delivers healthcare services remotely using information and communication technologies.
Dr. Salma Burton's presentation outlines the six key building blocks of an effective health system: 1) service delivery, 2) health workforce, 3) health information systems, 4) medical products/vaccines/technologies, 5) health financing, and 6) governance. Each building block plays an important role in ensuring people have access to safe, effective, and quality health services. Strong leadership and coordination across these areas through a systems thinking approach can help improve overall population health outcomes.
Dear all
Please go through the slides if you want to know something about "Core competencies for public health informatics".
I think these slides will be useful for you.
Population Health Management: Where are YOU?Phytel
This presentation explains how population health is fundamental to value-based delivery models, including key principles and definitions of PHM, as well as how to assess your organization’s “population health readiness.”
Apa format…450 words each. please include biblical integration. a AASTHA76
The document discusses the roles and functions of health informatics (HI) professionals. It covers several key points:
1. HI professionals are responsible for collecting, storing, organizing, and managing health data to improve healthcare services. Their roles require technical skills with health information systems, clinical knowledge of medical processes, and administrative skills.
2. Proper education and training are needed to build the clinical competence required for various HI roles. Experience and graduate-level education are important for advancing to higher positions.
3. HI professionals play critical roles on healthcare teams by ensuring standardized data, analyzing collected information, and supporting quality patient care through the use of technology.
The document discusses the challenges and opportunities facing the US healthcare system in light of the Patient Protection and Affordable Care Act (PPACA). It notes the fragmented and episodic nature of care prior to reforms, and the goals of PPACA to introduce new models like accountable care organizations (ACOs) and health insurance marketplaces. However, it also acknowledges the uncertainties created by reform and ongoing tests of new programs. The document advocates for a coordinated, team-based approach leveraging emerging technologies like telehealth to improve outcomes across domains and overcome common challenges in a sustainable way.
2 why did you decide to pursue a baccalaureate degree in nursinAASTHA76
This survey asked 65 nurses about their reasons for pursuing a baccalaureate degree in nursing. It identified six main themes in their responses: desire to help others, lifelong dream of being a nurse, ability to advance their career, availability of jobs, earning potential, and loss of a previous job. However, the summary does not provide details about the level of measurement used in the study or how frequently each theme was reported. This information is important for determining what descriptive statistics are most appropriate.
Patient Centered Medical home talk at WVUPaul Grundy
To employers the cost of healthcare is now a business issue and this talk is about what one large buyer IBM did to drive transformation via broad coalition with other large employers to form the Patient Centered Medical Home movement and the covenant between buyer and provider away from the garbage we now buy episodic uncoordinated disintegrated care. In the change of convenient conversation we have worked with the Primary care providers to give us coordinated, integrated, accessible and compressive care with a set of principles know as the Patient centered medical home.
A Patient Centered Medical Home (PCMH) happens when primary care healers keeping that core healing relationship with their patients step up to become specialists in Family and Community Medicine. The move is to the discipline of leading a team that delivers population health management, patent centered prevention, care that is coordination, comprehensive accessible 24/7 and integrated across a deliver system. PCMH happens when the specialists in Family and Community Medicine wake up every morning and ask the question how will my team improve the health of my community today?
All over the world three huge factors are in play that is driving the concept of Patient Centered Medical Home. They are:
1) Cost and demography
2) Information technology and data (information that is actionable will equal a demand for accountability by the payer or buyer of the care)
3) Consumer demand to engage healthcare differently (at least as well as they can their bank- on line) have a question about lab results why not e-mail?
But at its core it is a move toward integration of a healing relationship in primary care and population management all at the point of care with the tools to do just that.
The document discusses three trends in healthcare administration: electronic health records, patient-centered care, and chronic care management. Electronic health records improve quality of care by enabling data sharing, reducing repetitive tests, providing more patient history, and enhancing care. Patient-centered care encourages wellness, interoperability, patient access to data for self-care, and informed shared decision-making between patients and physicians. Chronic care management is needed to help the aging population with conditions like pain, disability, and loss of independence through organized delivery systems, community support, self-management training, and clinical information systems.
The document discusses efforts in the United States to implement electronic health records (EHRs) across the healthcare system from 2004 onward. It outlines initiatives by the federal government including an executive order to put EHRs in place for most Americans within 10 years. It describes programs at agencies like the VA, DOD, IHS to adopt and customize EHR systems. Federal agencies are also working on standards, incentives for adoption, and a national health information network to facilitate data sharing and interoperability between systems. Public-private partnerships are further addressing issues around HIT connectivity and standards.
Informatics and healthcare disparities 2014dcarla904
The document discusses health disparities and barriers to healthcare access in the United States. It notes that factors like financial concerns, geography, literacy, race, culture and others can contribute to population-specific differences in disease burden and access to care. Some populations experience disproportionately higher rates of chronic illnesses and mortality from certain causes. Efforts are needed to improve access, reduce disparities, and accelerate quality improvement, especially around preventive care and patient safety, in order to ensure all patients receive high-quality care.
Engines of Success for U.S. Health Reform?
Eric B. Larson, MD, MPHVice President for Research, Group Health Executive Director, Group Health Research Institute
Strengthening Acute to Post Acute-Care Connection: Cohesively Manage CareCentralPAHEF
WellSpan Health is a large integrated health system in central Pennsylvania serving over 1 million people. It operates 6 hospitals, a medical group with over 1200 physicians, and provides various post-acute services including home health, rehabilitation, and long-term care. WellSpan is working to strengthen connections between acute and post-acute care by standardizing care, improving care coordination and transitions, and developing preferred partnerships with post-acute providers. The goal is to improve patient outcomes and experiences while decreasing healthcare costs through more cohesive management of care across settings.
Rob Reid: Redesigning primary care: the Group Health journeyThe King's Fund
Rob Reid, Senior Investigator at Group Health Research Institute, explains the journey taken by Group Health in support of integrated primary care. A case study in how primary care can be delivered effectively and efficiently to a population, Rob laid out the challenges facing general practice in the States, and how Group Health worked to improve the situation for both patients and the workforce.
Break-out session slides Session 1: 1.1 Population health management in pract...NHS England
Population health management aims to improve the health outcomes of an entire population through proactive care. It uses data-driven strategies like segmentation, stratification, and impactability modeling to identify at-risk groups and design targeted interventions. The National Health Service in England is promoting population health management approaches across integrated care systems to help systems better understand health needs and match services accordingly. Primary care networks will assess their local populations and work with communities to support those most at risk of poor health outcomes through proactive approaches.
This document discusses challenges with patient matching in health information exchange. Accurately matching patient data between organizations is difficult due to issues like missing data and data entry errors. This can lead to problems like delayed care, safety issues, and costs. The authors propose that improving data quality, matching algorithms, and best practices could increase patient matching rates from an initial 10-15% to over 95%. Strong patient matching is needed for health information exchange to achieve its benefits.
Eng. Hassan Ossama A. Gawad has over 30 years of experience as a project manager for large construction projects in Egypt and Algeria. He has managed projects with budgets up to $600 million USD, overseeing the construction of buildings, hotels, residential compounds, and infrastructure. Currently, he is the project manager of an international residential project in Cairo with a $600 million USD budget.
Why Electronic Health Records are Ill Suited for Population Healthinfomc
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.
Aaron Kent is a lecturer in film studies and English literature. He holds a PGCE in film studies and English literature from Truro College and an MA in film and television from Falmouth University. His areas of expertise include screenwriting, poetry, and popular culture analysis. He has written several feature film scripts and poetry collections. He regularly publishes and performs his poetry.
Challenges and Opportunities in Nursing in Canadaanne spencer
This document discusses challenges and opportunities in nursing in Canada. It outlines the agenda which includes an overview of Canadian nursing, challenges and opportunities, and a focus on documenting nursing in a digital age. Some key challenges discussed are chronic understaffing, political restructuring, and issues around licensure and scope of practice. Opportunities mentioned include nursing leadership, a national nursing report card, and nursing informatics. The remainder of the document focuses on documenting nursing data in electronic health records, including standards like C-HOBIC and requirements for capturing and analyzing nursing data.
Management information evaluation system, e- nursing, telenursing, telemedicinesilla elsa soji
This document discusses management information and evaluation systems (MIES), e-nursing, telenursing, and telemedicine. It defines each topic and discusses their objectives, importance, types, standards, advantages, disadvantages, and issues. For MIES, it outlines its classification, implementation methods, and importance for organizational planning and decision-making. For e-nursing, it examines its goals, types, strategies, and benefits for learners, organizations, and the nursing profession. Telenursing is defined as using technology to provide nursing care from a distance, while telemedicine delivers healthcare services remotely using information and communication technologies.
Dr. Salma Burton's presentation outlines the six key building blocks of an effective health system: 1) service delivery, 2) health workforce, 3) health information systems, 4) medical products/vaccines/technologies, 5) health financing, and 6) governance. Each building block plays an important role in ensuring people have access to safe, effective, and quality health services. Strong leadership and coordination across these areas through a systems thinking approach can help improve overall population health outcomes.
Dear all
Please go through the slides if you want to know something about "Core competencies for public health informatics".
I think these slides will be useful for you.
Population Health Management: Where are YOU?Phytel
This presentation explains how population health is fundamental to value-based delivery models, including key principles and definitions of PHM, as well as how to assess your organization’s “population health readiness.”
Apa format…450 words each. please include biblical integration. a AASTHA76
The document discusses the roles and functions of health informatics (HI) professionals. It covers several key points:
1. HI professionals are responsible for collecting, storing, organizing, and managing health data to improve healthcare services. Their roles require technical skills with health information systems, clinical knowledge of medical processes, and administrative skills.
2. Proper education and training are needed to build the clinical competence required for various HI roles. Experience and graduate-level education are important for advancing to higher positions.
3. HI professionals play critical roles on healthcare teams by ensuring standardized data, analyzing collected information, and supporting quality patient care through the use of technology.
The document discusses the challenges and opportunities facing the US healthcare system in light of the Patient Protection and Affordable Care Act (PPACA). It notes the fragmented and episodic nature of care prior to reforms, and the goals of PPACA to introduce new models like accountable care organizations (ACOs) and health insurance marketplaces. However, it also acknowledges the uncertainties created by reform and ongoing tests of new programs. The document advocates for a coordinated, team-based approach leveraging emerging technologies like telehealth to improve outcomes across domains and overcome common challenges in a sustainable way.
2 why did you decide to pursue a baccalaureate degree in nursinAASTHA76
This survey asked 65 nurses about their reasons for pursuing a baccalaureate degree in nursing. It identified six main themes in their responses: desire to help others, lifelong dream of being a nurse, ability to advance their career, availability of jobs, earning potential, and loss of a previous job. However, the summary does not provide details about the level of measurement used in the study or how frequently each theme was reported. This information is important for determining what descriptive statistics are most appropriate.
Patient Centered Medical home talk at WVUPaul Grundy
To employers the cost of healthcare is now a business issue and this talk is about what one large buyer IBM did to drive transformation via broad coalition with other large employers to form the Patient Centered Medical Home movement and the covenant between buyer and provider away from the garbage we now buy episodic uncoordinated disintegrated care. In the change of convenient conversation we have worked with the Primary care providers to give us coordinated, integrated, accessible and compressive care with a set of principles know as the Patient centered medical home.
A Patient Centered Medical Home (PCMH) happens when primary care healers keeping that core healing relationship with their patients step up to become specialists in Family and Community Medicine. The move is to the discipline of leading a team that delivers population health management, patent centered prevention, care that is coordination, comprehensive accessible 24/7 and integrated across a deliver system. PCMH happens when the specialists in Family and Community Medicine wake up every morning and ask the question how will my team improve the health of my community today?
All over the world three huge factors are in play that is driving the concept of Patient Centered Medical Home. They are:
1) Cost and demography
2) Information technology and data (information that is actionable will equal a demand for accountability by the payer or buyer of the care)
3) Consumer demand to engage healthcare differently (at least as well as they can their bank- on line) have a question about lab results why not e-mail?
But at its core it is a move toward integration of a healing relationship in primary care and population management all at the point of care with the tools to do just that.
The document discusses three trends in healthcare administration: electronic health records, patient-centered care, and chronic care management. Electronic health records improve quality of care by enabling data sharing, reducing repetitive tests, providing more patient history, and enhancing care. Patient-centered care encourages wellness, interoperability, patient access to data for self-care, and informed shared decision-making between patients and physicians. Chronic care management is needed to help the aging population with conditions like pain, disability, and loss of independence through organized delivery systems, community support, self-management training, and clinical information systems.
The document discusses efforts in the United States to implement electronic health records (EHRs) across the healthcare system from 2004 onward. It outlines initiatives by the federal government including an executive order to put EHRs in place for most Americans within 10 years. It describes programs at agencies like the VA, DOD, IHS to adopt and customize EHR systems. Federal agencies are also working on standards, incentives for adoption, and a national health information network to facilitate data sharing and interoperability between systems. Public-private partnerships are further addressing issues around HIT connectivity and standards.
Informatics and healthcare disparities 2014dcarla904
The document discusses health disparities and barriers to healthcare access in the United States. It notes that factors like financial concerns, geography, literacy, race, culture and others can contribute to population-specific differences in disease burden and access to care. Some populations experience disproportionately higher rates of chronic illnesses and mortality from certain causes. Efforts are needed to improve access, reduce disparities, and accelerate quality improvement, especially around preventive care and patient safety, in order to ensure all patients receive high-quality care.
Engines of Success for U.S. Health Reform?
Eric B. Larson, MD, MPHVice President for Research, Group Health Executive Director, Group Health Research Institute
Strengthening Acute to Post Acute-Care Connection: Cohesively Manage CareCentralPAHEF
WellSpan Health is a large integrated health system in central Pennsylvania serving over 1 million people. It operates 6 hospitals, a medical group with over 1200 physicians, and provides various post-acute services including home health, rehabilitation, and long-term care. WellSpan is working to strengthen connections between acute and post-acute care by standardizing care, improving care coordination and transitions, and developing preferred partnerships with post-acute providers. The goal is to improve patient outcomes and experiences while decreasing healthcare costs through more cohesive management of care across settings.
Rob Reid: Redesigning primary care: the Group Health journeyThe King's Fund
Rob Reid, Senior Investigator at Group Health Research Institute, explains the journey taken by Group Health in support of integrated primary care. A case study in how primary care can be delivered effectively and efficiently to a population, Rob laid out the challenges facing general practice in the States, and how Group Health worked to improve the situation for both patients and the workforce.
Break-out session slides Session 1: 1.1 Population health management in pract...NHS England
Population health management aims to improve the health outcomes of an entire population through proactive care. It uses data-driven strategies like segmentation, stratification, and impactability modeling to identify at-risk groups and design targeted interventions. The National Health Service in England is promoting population health management approaches across integrated care systems to help systems better understand health needs and match services accordingly. Primary care networks will assess their local populations and work with communities to support those most at risk of poor health outcomes through proactive approaches.
This document discusses challenges with patient matching in health information exchange. Accurately matching patient data between organizations is difficult due to issues like missing data and data entry errors. This can lead to problems like delayed care, safety issues, and costs. The authors propose that improving data quality, matching algorithms, and best practices could increase patient matching rates from an initial 10-15% to over 95%. Strong patient matching is needed for health information exchange to achieve its benefits.
Eng. Hassan Ossama A. Gawad has over 30 years of experience as a project manager for large construction projects in Egypt and Algeria. He has managed projects with budgets up to $600 million USD, overseeing the construction of buildings, hotels, residential compounds, and infrastructure. Currently, he is the project manager of an international residential project in Cairo with a $600 million USD budget.
Why Electronic Health Records are Ill Suited for Population Healthinfomc
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.
Aaron Kent is a lecturer in film studies and English literature. He holds a PGCE in film studies and English literature from Truro College and an MA in film and television from Falmouth University. His areas of expertise include screenwriting, poetry, and popular culture analysis. He has written several feature film scripts and poetry collections. He regularly publishes and performs his poetry.
This document provides a social media strategy and plan for Taylor Roy's personal brand for 2016-2017. It includes an executive summary, social media audit of current profiles, objectives to increase followers and engagement, branding guidelines, content strategies and tools, timing of key dates, roles and responsibilities, social media policies, response plans, and metrics for measuring results. The main priorities are growing Taylor's online following across social platforms like Instagram and Facebook through more frequent posting of visually appealing content and deeper engagement with followers.
Parceria entre Construtora x Projetista x Executor Rodrigo Menuzzo
O documento descreve um projeto de fundações para um edifício residencial em São Paulo que envolveu a execução de 2.845m3 de paredes diafragma e barretes. O solo apresentava altos níveis de contaminação que exigiram o uso de um fluído estabilizante para garantir a estanqueidade da escavação e evitar a propagação dos contaminantes. Após alguns problemas iniciais, o uso do Sistema G3® permitiu controlar a densidade e teor de areia do fluído, garantindo a estabilidade da escavação e a inte
Mobile mapping refers to collecting geospatial data using mapping sensors mounted on moving platforms like cars, boats, and airplanes. Mobile mapping systems use GNSS and INS technologies to precisely calculate position, velocity, and orientation in 3D. Time-synchronized navigation sensors integrate with imaging sensors to directly map landscapes, objects, and features. Mobile mapping provides advantages like safety, 24/7 collection, accessibility to otherwise inaccessible areas, and ability to rapidly collect huge amounts of data compared to static scanning. Disadvantages include higher purchase prices and data quantities produced.
This document discusses implementing the national call to action to eliminate health care disparities. It provides three case studies of hospitals that have taken actions to achieve the goals of increasing collection and use of race, ethnicity, and language (REAL) data, analyzing REAL data to improve quality of care, and developing community actions to improve diabetes care and outcomes for underserved populations. The case studies highlight best practices such as creating multidisciplinary teams, analyzing REAL data to identify disparities and target improvements, and using community health workers to improve access and management of chronic conditions. Leadership buy-in, consistent training, and incorporating initiatives into quality improvement plans were factors in the organizations' successes.
Paper Assignment # 2 Using your exploration from paper 1, .docxbunyansaturnina
Paper Assignment # 2
Using your exploration from paper 1, choose one (1) way to use health information
technology to address your identified community health related issue and describe
the process of implementation in a chosen context. Paper should be approximately
5-6 pages, (not including title or reference pages). It is to be written in APA format.
The following information needs to be included in the paper:
1. Introduce your idea and identify the context of how your HIT idea will be used
2. Discuss theoretical support for your idea
3. Identify a goal for your idea and three (3) objectives
4. Detail strategies you will take to implement your idea
5. Discuss anticipated barriers to implementation
Limited Developing Mastery
Introduction and
identification of
context
No introduction or
elementary
introduction with no
context or
supporting evidence
provided
Basic introduction
with limited
details and
minimal context or
supporting
evidence
Detailed introduction
of topic with context
and supporting
evidence provided.
Theoretical support,
goal statement and
objectives (Total 3
objectives must be
provided)
No theoretical
support, goal
statement or less
than 3 objectives
for proposed idea
Basic discussion of
theory, basic goal
statement and non-
specific objectives
Detailed, in-depth
discussion of how
theory applies to idea,
detailed goal
statement and (3)
specific measurable
objectives.
Process for
implementation and
anticipated barriers
No process of
implementation
presented or no
barriers identified
Limited process of
implementation
discussed with few
examples and
minimal discussion
of barriers
Detailed Process
of implementation
discussed,
multiple
examples, and
substantial
discussion of
barriers
Conclusion No conclusion
paragraph included
Basic conclusion Detailed conclusion of
topic
References 0-2 references 3-4 references 5 or more references
Paper Assignment #1
Some of the health related issues from the community commons report include being
overweight and obesity. These conditions increase a person's chances of dying from type 2
diabetes, hypertension, coronary heart disease, stroke, osteoarthritis, respiratory issues, and sleep
apnea, and breast, colon, and prostate cancers. Research shows that maintaining physical fitness
can help stop or decrease some to the chances in getting some of these illnesses.
Using the EHR System to Improve Outcomes for Older Adults
Studies conducted by nurses show that the effective use of Electronic Health Record
System (EHR) can progress results of significance to older adults suffering from pressure ulcers
and falls. Bowles and colleagues assessed the effect of an assimilated EHR in various hospitals
on the course and outcome indicators for patient falls and pressure ulcers acquired from the
hospitals. They discovered that the EHR system was linked with improved fall and pressure u.
EHR and HIS systems can improve patient care in several ways:
1. EHR decreases wait times, improves safety by tracking medications and medical history, and allows easy sharing of records between providers.
2. HIS streamlines processes across hospitals and providers, reducing costs. It provides centralized access and management of patient medical records and appointments.
3. Both systems increase productivity and quality of care by giving providers fast access to patient information.
EHR and HIS systems can improve patient care in several ways:
1. EHR decreases wait times, improves safety by tracking medications and medical history, and allows easy sharing of records between providers.
2. HIS streamlines processes across hospitals and providers, reducing costs. It provides centralized access and management of patient medical records and appointments.
3. Both systems increase productivity and quality of care by giving providers fast access to patient information.
76 CHAPTER 4 Assessing Health and Health Behaviors Objecti.docxpriestmanmable
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.
This document provides information on quality improvement strategies, protocols, and evidence-based healthcare. It discusses principles of designing information systems and strategies for evaluating them. It also covers quality improvement tools like the PDCA cycle and factors that help create and sustain healthcare informatics as a new field. The learning objectives are outlined on quality improvement tools, factors to create healthcare informatics, and understanding the PDCA cycle. The introduction defines quality and different approaches to defining it. Six criteria for right healthcare are also mentioned.
Protocols and Evidence based Healthcare: information technology tools to support best practices in health care, information technology tools that inform and empower patients.
Importance of nursing informatics in health care delivery vlad posaran
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.
This quality improvement project aimed to enhance clinical data sharing between an emergency department and community health center treating homeless patients. An assessment found the organizations currently shared some electronic health data but the health center lacked access to patient summary data from the hospital. A clinical data integration plan was then developed to modify their electronic medical record systems and improve access to accurate medical information across sites of care for homeless individuals.
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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.
Healthcare by Any Other Name - Centricity Business WhitepaperGE Healthcare - IT
This document discusses new models of healthcare delivery such as accountable care organizations and integrated health organizations that aim to improve outcomes and reduce costs through greater coordination and integration of care. It summarizes that these models seek to address long-standing issues with the traditional fragmented healthcare system such as its focus on episodic treatment rather than prevention. Critical to enabling these new models is developing an information technology infrastructure that includes electronic medical records, revenue cycle management systems, clinical decision support, and health information exchange capabilities to facilitate data sharing and population health management.
Primary Health Care Strategy:
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Steve Creed & Philip Gander
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A clinical information system (CIS) integrates various technologies to provide a centralized repository of patient information to help clinicians make decisions. Key players in choosing, implementing, and revising a CIS include nurses, physicians, pharmacists, hospital administration, support staff, IT personnel, patients/families, and other health professionals. An effective CIS contains components like the electronic health record, order entry, decision support, and communication tools to safely and efficiently deliver patient care.
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Health Homes Require More Than EHRs
1. HEALTH HOMES REQUIRE
MORE THAN ELECTRONIC
HEALTH RECORDS
For Effective Population Health
Susan Norris, Ph.D., Chief Clinical Officer, InfoMC
Allen S. Daniels, Ed.D., Clinical Director, InfoMC
September 2016
2. September 2016
2Health Homes Require More Than Electronic Health Records for Effective Population Health
INTRODUCTION
Medical Records are the cornerstone of quality medical practice. As early as the era of Hippocrates, the
medical doctrine of observation and documentation have established principles of sound clinical practice.
Throughout medical history, paper records were the norm and limited and variable standards existed.
Fast forward to the late 1960s and early 70s when a number of electronic health records (EHR) were
developed and deployed and early adopters included Harvard, Duke, and Indiana (Regenstreif Institute)
Universities. In 1985, the Veterans Administration implemented their first EHR, which is still in operation
today. Other advances in health technology include the use of computerized order entry, electronic
prescribing platforms, and disease or health registries. Meaningful use standards have fostered a
patient-centered approach to EHRs. Yet, a central challenge to the EHR has been its ability to track health
information that is documented outside of the clinical system it supports and its limitations for a broader
population health focus.
Registries are condition-specific tools for tracking care and managing quality outcomes for people with
chronic illnesses. The World Health Organization (1974) defines registries in health information
technology as “a file of documents containing uniform information about individual persons, collected in a
systematic and comprehensive way, in order to serve a predetermined purpose.” Registries have been
successfully implemented for managing chronic conditions like diabetes and heart disease, but their utility
for tracking and coordinating care for those with multiple chronic illnesses and behavioral health
conditions has been limited.
Community-based Health Information Exchanges (HIE) are beginning to proliferate as an attempt to
better share patient-level demographic and clinical information. These systems promote the linkage
between clinical systems for enhanced access to shared clinical information. They are generally limited to
care which is provided regionally among participating systems of care. And issues of Federal
confidentiality for the re-disclosure of substance use conditions plague the shared dissemination of
behavioral health clinical data across systems of care.
Electronic Health Records have shown limited capacity to support integrated health care for individuals
with behavioral health conditions. Challenges have been noted for the coordination of care among
multiple providers (primary, specialty, and behavioral health) across different settings and over time.
This includes supporting integrated care teams developing and working from shared care plans, and
adequate documentation from providers of multiple clinical disciplines. “This limitation made it difficult
for practices to find, extract, and track relevant behavioral health and physical health information to
monitor quality and improve the delivery of integrated care” (Cifuentes et al., 2015). Additionally, these
challenges require provider systems to adopt a number of workarounds to utilize their EHRs to support
population health management. Some of these include:
3. September 2016
3Health Homes Require More Than Electronic Health Records for Effective Population Health
Duplicate data entry and double documentation; transporting documents and scanning
and merging information;
Reliance on patients and their clinicians for the recall of inaccessible information; and
Development and use of additional tracking systems.
HEALTH MANAGEMENT AND
CHRONICALLY ILL POPULATIONS
Many studies have demonstrated that individuals with chronic illnesses are more costly to care for than
those who do not have these conditions. In addition, these costs rise significantly when there are multiple
chronic conditions. And when there are co-morbid chronic and behavioral health conditions these costs
raise exponentially. Care coordination has been recognized as an effective tool for improving care
outcomes and reducing healthcare costs in these populations.
There are a number of root causes for poorly coordinated healthcare (Kripalani et al, 2007). These
include the challenges of linking multiple providers and facilities together into effective and integrated
systems that effectively share treatment goals, care plans, and health information. Some of the key
difficulties and challenges for effective care coordination include:
Provider systems that have different electronic health records and systems;
Difficulties for hospitals to effectively transmit information to physician offices after a
patient’s discharge;
Failure of primary care providers to know that transitions in care have occurred;
Communicating the results of specialty tests, services, consultations, and referrals;
Limited financial incentives or penalties for the failure to transmit information that
supports care coordination;
The availability of health information technology solutions to support care coordination
across physical and behavioral health providers, and community and social supports.
It is important to note that each of these care coordination components require effective resources and
tools for sharing information among providers, health facilities, and community supports. EHRs are ill-
suited for this task because they are generally proprietary to separate clinical systems and closed to
As healthcare moves to greater accountability among providers and
reimbursement is increasingly based on population health outcomes,
new technology resources are required.
4. September 2016
4Health Homes Require More Than Electronic Health Records for Effective Population Health
external access and input. Care coordination IT solutions provide a hub for the necessary clinical and
other patient information to support integration of providers and effective health outcomes.
Improved outcomes and reduction in healthcare costs can be achieved through the following operational
efficiencies:
Costs of Care
Costs of Care are reduced through effective coordination of services and resources. The
reduction of unnecessary service utilization including hospital and emergency department
admissions are achieved when care is integrated among providers and systems.
Effective Outcomes
Effective Outcomes are achieved when care coordination fosters services that are
integrated, evidence-based, and medically necessary. Quality based outcomes are
promoted by care coordination workflows that support integrated care teams.
Organizational Efficiencies
Organizational Efficiencies are realized when technology resources are leveraged to
support all members of the care team with timely information and effective work flows. Care
coordination technology is able to support all providers across physical and behavioral
health care, and social systems.
Quality Improvement and Compliance Management
Quality Improvement and Compliance Management are promoted through care
coordination staff and technology resources focused on improving outcomes, reducing costs,
and maintaining clinical standards. Standardized quality metrics can be applied to monitor
the process and outcomes of clinical services.
Utilization Management
Utilization Management is supported through technology resources that allow care
coordinators to automate and monitor authorizations, and improve claims tracking and
payment. Operational efficiencies support lower administrative costs and improved
organizational effectiveness.
THE HEALTH HOME MODEL
The Affordable Care Act (ACA) is driving the growth of new delivery systems focused on providing
comprehensive care coordination for individuals with chronic conditions. Provider organizations are
5. September 2016
5Health Homes Require More Than Electronic Health Records for Effective Population Health
forming new systems of care such as Health Homes to place a higher focus on the identification of persons
with chronic illnesses and the system’s ability to plan, coordinate, and manage these conditions for
improved health outcomes. Utilizing a care coordination approach to improve healthcare outcomes and
reduce costs are key goals for Health Homes and their recipients of care.
Effective care coordination addresses the existing gaps in patient care, transitions between services and
levels of care, and challenges to an individual’s community tenure. It also ensures that both physical and
behavioral health needs are addressed and integrated among all providers. Integrated care
coordination requires effective technology platforms that bridge the data sharing gaps across multiple
provider systems, and establish workflows that direct and support the full spectrum of healthcare, social
systems, and others who care for individuals. The information technology (IT) requirements to support
Health Home model and approach go well beyond the capacity of existing EHRs, requiring the ability to
perform comprehensive care planning, collect a full range of health data, and support continuous care
workflows across multiple systems.
TECHNOLOGY FOR HEALTH HOMES
EHR’s are designed to document care that has been provided, but fail to serve as coordination tools and
lack the necessary work follows for chronic illness management across multiple providers, facilities and
systems of health and community based care. The Health
Homes comprehensive approach requires sophisticated
information technology systems that are capable of
supporting a core set of standards. These care coordination
components go well beyond the capabilities of EHRs and
include:
Establishing comprehensive system-wide care
coordination activities, registries, and
established workflows;
Care management documentation across
multiple provider and payer systems;
Tracking referrals across multiple levels of care (ambulatory and facilities); and,
Facilitating and integrating communications across health systems, community based
coordination resources, and patients and caregivers.
Enrollment – enrollment systems have the capacity to track assigned populations that may be fluid
and change month-to-month and to track designated members that may be in active care or not
presently affiliated with any care system.
6. September 2016
6Health Homes Require More Than Electronic Health Records for Effective Population Health
Network and Provider Management – in order to provide care to designated populations it is
necessary to establish a provider network. This includes the ability to monitor and track credentialing
requirements and assign provider profiles and reimbursement schedules for both providers and
facilities.
Referral – effective care management requires the capacity to monitor and track referrals for
designated services, both within a provider system or outside of a designated network. Additionally, it
may cover referrals across multiple levels of care, facilities, and providers.
Care Coordination and Management – a cornerstone of an effective Health Home model is the
development of care plans with evidence-based options, reviewing and tracking progress,
coordination of care between physical and behavioral health providers, and designated workflows
and data analytics.
Utilization Review – medical necessity criteria are the guidelines which track, monitor, and determine
the appropriate services and levels of care provided within covered benefits. In collaboration with
care managers, utilization review standards coordinate care between providers and across levels of
care.
Claims Adjudication – claims adjudication is the ability to assign different levels of reimbursement for
designated services. This level of functionality tracks covered services, adjudicates reimbursements,
and either pays claims or tracks financial liability against designated risk management models.
Financial Reporting and Risk Management – the ability to accept financial risk for designated
populations requires the ability to monitor expenditures for care and track health outcomes and
complex financial tracking and adjudication of services and reporting of services provided and
outcomes. Predictive Modeling identifies candidates likely to have high care expenses and coordinates
their service needs with care management resources.
Quality Monitoring and Reporting – quality standards exist across the entire spectrum of both
providers and payers of healthcare services. At the provider level these may be accreditation
standards like the Joint Commission and the payer-level NCQA. The ability to assimilate and report
health data and outcomes are critical functions for a managed care IT system.
ELECTRONIC HEALTH RECORDS AND
HEALTH MANAGEMENT SYSTEMS
There are a number of key differences between EHRs and Health Management technology solutions
that support care coordination and integrated care.
7. September 2016
7Health Homes Require More Than Electronic Health Records for Effective Population Health
Functionality EHR Health Management Systems
Enrollment Capacity is limited to former
and existing patients
Able to receive and track covered enrollees
across benefit plans and service systems
Network and Provider
Management
Limited to EHR user profiles Track and monitor credentials for a network of
providers
Referral Generally designed for referrals
from practice sites to other
providers for existing patients
Able to establish referral guidelines and track
patient and provider authorizations across
multiple systems of care
Care Management Limited to practice guidelines
and established care plans in
the EHR
On-line care management based on established
and custom care plans and workflows
Utilization Review Generally not a functional
capacity of the EHR
Capacity to review, track and authorize care
based upon established protocols and workflows
Claims Adjudication Generally not a functional
capacity of the EHR, and
limited to services billed within
the EHR practice
System capacity to accept, adjudicate, and
authorize for payment any claims/services
submitted
Financial Reporting
and Risk Management
Generally not a EHR function –
ability to bill provider charges
only
Ability to monitor and track charges, claims
payments, and report on contracts, risk
corridors, and population health outcomes
Quality Monitoring
and Reporting
Limited to active patient
populations
Standard and custom reporting on quality
metrics and population care data
FINAL WORD
Electronic Health Records are an integral component of modern day healthcare provider systems. They
are designed to manage and share patient-level data within defined systems of care and providers.
This established functionality supports tracking and billing for services within closed systems of care,
but is ill-suited as a coordination tool and lack the necessary work flows for chronic illness management
across multiple providers, facilities and systems of health and community based care.
8. September 2016
8Health Homes Require More Than Electronic Health Records for Effective Population Health
As outlined above, within the Health Home model there is a real need to manage member-level data
that is well beyond the scope of patients who receive care within a single system. Additionally, there is
the need to meet the data requirements for provider network development and credentialing. Care
coordination and utilization review resources promote effective and efficient care outcomes between
health systems and community support resources for complex cases. Risk-based population
management also requires the capacity to adjudicate claims from diverse provider groups and monitor
capitation, incentive payments, and risk corridors.
As healthcare continually evolves through an era of reform, the information technology needs are also
expanding. EHRs are fundamental yet limited in their capacity to support Health Homes’ and other
models requiring risk-based population management. Provider systems that are assuming greater risk
for health outcomes will need to recognize the limitations of their EHR and build the necessary
resources to accommodate contracts for population health outcome management.
ABOUT INFOMC
InfoMC Inc. is a leading provider of cloud-based healthcare management and care coordination software
designed to help close gaps in health care systems. InfoMC offers a suite of rules-based workflow, data
exchange, and analytics products to health plans, managed care organizations (MCOs), health systems, and
state, county and community health centers and programs. The InfoMC Coordinated Care Solution provides
tools for optimal care coordination of complex or chronic physical and behavioral health conditions and
populations, resulting in improved quality and cost of care outcomes. The solution is designed to enable care
teams – across multiple providers and stakeholders – to play an active role in the patients’ plan of care. With
InfoMC solutions, our customers receive comprehensive, sophisticated functionality that eliminates costly
administrative and clinical process inefficiencies while promoting improved quality and cost outcomes.
CONTACT US
Email Phone InfoMC, Inc.
info@infomc.com Tel: 484-530-0100 101 West Elm Street, Suite G10
sales@infomc.com Fax: 484-530-0111 Conshohocken, PA 19428
Follow our Blog:
https://infomcblog.wordpress.com/
Follow us on LinkedIn:
https://www.linkedin.com/company/infomc
9. September 2016
8Health Homes Require More Than Electronic Health Records for Effective Population Health
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Brooke EM. The current and future use of registers in health information systems. Geneva: World Health
Organization; 1974.
Cifuentes, M, Davis, M, Fernald, D, Gunn, R, Dickinson, P, Cohen, D. Electronic Health Record Challenges,
Workarounds, and Solutions Observed in Practices Integrating Behavioral health and Primary Care. JABFM, Sept-
Oct 2105, Vol. 28 Supplement.
Kripalani, S., LeFevre, F., Phillips, C.O., Williams, M.V., Basaviah, P., & Baker, D.W. (2007).
Deficits in Communication and Information Transfer between Hospital-based and Primary Care Physicians. Journal
of the American Medical Association, 297(8), 831-841.
McDonald, K.M., Sundaram, V., Bravata, D.M., Lewis, R., Lin, N., Kraft, S.A., McKinnon, M., Paguntalan, H., &
Owens, D.K. (2007). Definitions of Care Coordination and Related Terms. In Closing the Quality Gap: A Critical
Analysis of Quality Improvement Strategies (Vol. 7: Care Coordination). (Technical Reviews, No. 9.7). Rockville, MD:
Agency for Healthcare Research and Quality. Retrieved from http://www.ncbi.nlm.nih.gov/books/NBK44012/.