This is about an Electronic Medical Record System for General Practitioners, especially for those who are from developing countries like Sri Lanka. Details are there in www.lakmedi.com
This presentation talks about the context of developing the Electronic Health records for India. the guidelines as mentioned in the GOI site is described vividly with examples, for better understanding.
N.B: Please download the ppt first, for the animations to work better.
This is about an Electronic Medical Record System for General Practitioners, especially for those who are from developing countries like Sri Lanka. Details are there in www.lakmedi.com
This presentation talks about the context of developing the Electronic Health records for India. the guidelines as mentioned in the GOI site is described vividly with examples, for better understanding.
N.B: Please download the ppt first, for the animations to work better.
Transforming Post-Acute Care with IMPACTCitiusTech
On October 6, 2014, a bipartisan bill on Improving Medicare Post-Acute Care Transformation (IMPACT) was signed. The IMPACT Act seeks to standardize assessments for vital care issues across the gamut of post-acute care (PAC) providers and builds a framework to ensure that the delivered care is mindful of the patient needs; thereby eliminating the current silo-focused approach to quality measurement and resource utilization.
In this presentation, you’ll learn all about electronic health records (EHRs), what types of data they can store, what their benefits are and why they are needed for achieving Meaningful Use.
Looking for more info? The last slide has a list of resources for you to continue learning about EHRs.
21st Century Act and its Impact on Healthcare ITCitiusTech
This document gives an overview, core objectives of the act and enumerates purpose of each part / division of the 21st Century Act. It lists down the sections of the act which have a direct impact on Healthcare IT and gives a brief overview of each section.This document also explains the impact of 21st Century Cures Act on regulatory bodies: FDA / NIH / HSS.
An Introduction to Clinical InformaticsCorinn Pope
Why should you care about clinical informatics? Because those who practice clinical informatics just may help our healthcare system get out of its funk and become an efficient, lean, and tech-savvy machine. Plus, the industry is growing and growing fast.
Health IT Summit Houston 2014 - Case Study "EHR Optimization for Organizational Value in a Changing Healthcare Environment"
Luis Saldana, MD, MBA, FACEP
CMIO
Texas Health Resources
iHT2 case studies and presentations illustrate challenges, successes and various factors in the outcomes of numerous types of health IT implementations. They are interactive and dynamic sessions providing opportunity for dialogue, debate and exchanging ideas and best practices. This session will be presented by a thought leader in the provider, payer or government space.
Quality Improvement Strategies: quality improvement tools, factors that help to create and sustain Healthcare Informatics as a new field. quality improvement cycle: PDCA (Plan, Do, Check, Act) Cycle.
Transforming Post-Acute Care with IMPACTCitiusTech
On October 6, 2014, a bipartisan bill on Improving Medicare Post-Acute Care Transformation (IMPACT) was signed. The IMPACT Act seeks to standardize assessments for vital care issues across the gamut of post-acute care (PAC) providers and builds a framework to ensure that the delivered care is mindful of the patient needs; thereby eliminating the current silo-focused approach to quality measurement and resource utilization.
In this presentation, you’ll learn all about electronic health records (EHRs), what types of data they can store, what their benefits are and why they are needed for achieving Meaningful Use.
Looking for more info? The last slide has a list of resources for you to continue learning about EHRs.
21st Century Act and its Impact on Healthcare ITCitiusTech
This document gives an overview, core objectives of the act and enumerates purpose of each part / division of the 21st Century Act. It lists down the sections of the act which have a direct impact on Healthcare IT and gives a brief overview of each section.This document also explains the impact of 21st Century Cures Act on regulatory bodies: FDA / NIH / HSS.
An Introduction to Clinical InformaticsCorinn Pope
Why should you care about clinical informatics? Because those who practice clinical informatics just may help our healthcare system get out of its funk and become an efficient, lean, and tech-savvy machine. Plus, the industry is growing and growing fast.
Health IT Summit Houston 2014 - Case Study "EHR Optimization for Organizational Value in a Changing Healthcare Environment"
Luis Saldana, MD, MBA, FACEP
CMIO
Texas Health Resources
iHT2 case studies and presentations illustrate challenges, successes and various factors in the outcomes of numerous types of health IT implementations. They are interactive and dynamic sessions providing opportunity for dialogue, debate and exchanging ideas and best practices. This session will be presented by a thought leader in the provider, payer or government space.
Quality Improvement Strategies: quality improvement tools, factors that help to create and sustain Healthcare Informatics as a new field. quality improvement cycle: PDCA (Plan, Do, Check, Act) Cycle.
Chapter 4 Electronic Health RecordsRobert Hoyt MDVishnu Moh.docxrobertad6
Chapter 4: Electronic Health Records
Robert Hoyt MD
Vishnu Mohan MD
After reading this chapter the reader should be able to:
State the definition and history of electronic health records (EHRs)
Describe the limitations of paper-based health records
Identify the benefits of electronic health records
List the key components of an electronic health record
Describe the ARRA-HITECH programs to support EHRs
Describe the benefits and challenges of computerized order entry and clinical decision support systems
State the obstacles to purchasing, adopting and implementing an electronic health record
Enumerate the steps to adopt and implement an EHR
Learning Objectives
2
There is no topic in health informatics as important, yet controversial, as the electronic health record (EHR)
In spite of fledgling EHRs being around for the past 35-40 years they are still controversial in the eyes of many
Due to the federal government reimbursement programs for EHR use by physicians and hospitals, EHRs are now part of the healthcare landscape
Some of the famous early EHRs are listed on the next slide
Introduction
The Problem Oriented Medical Information System (PROMIS)
American Rheumatism Association Medical Information System (ARAMIS)
Regenstrief Medical Record System (RMRS)
Summary Time Oriented Record (STOR)
Health Evaluation Through Logical Processing (HELP)
Computer Stored Ambulatory Record (COSTAR)
De-Centralized Hospital Computer Program (DHCP)—forerunner of VistA (Veterans Health Administration)
Early EHRs
Electronic Health Record: “An electronic record of health-related information on an individual that conforms to nationally recognized interoperability standards and that can be created, managed and consulted by authorized clinicians and staff across more than one healthcare organization”
While the “experts” can debate the difference between EHR and EMR, we will not and will stick with EHR throughout the textbook and slides
Definition
Paper records are severely limited: less legible, more difficult to retrieve, store and share and unstructured data. Also, electronic records less likely to be missing and available 24/7 from multiple locations. Paper records do not permit clinical decision support
Need for improved efficiency and productivity: clinicians are more productive if charts are available and retrieval of results is faster. EHR access from home while on call helps productivity
Quality of care and patient safety: the factors already described in last two bullets plus clinical decision support, quality reports and secure messaging as part of an EHR
Why do we need EHRs?
Public expectations: EHRs may increase patient satisfaction through faster results, messaging, patient portals, electronic patient education, e-prescribing and online scheduling
Governmental expectations: federal government considers EHR to be transformational and hence why they support reimbursement for u.
How to Address Scotland’s Five Strategic eHealth Goals an Orion Health Perspe...NHSScotlandEvent
Orion Health's eHealth Maturity Model provides some signposts as to the challenges and opportunities ahead as the new national eHealth strategy is implemented - particularly as Scotland faces the growing 'care burden' of patients with long term conditions.
The Imperative of Linking Clinical and Financial Data to Improve Outcomes - H...Health Catalyst
Quality and cost improvements require the intelligent use of financial and clinical data coupled with education for multi-disciplinary teams who are driving process improvements. Once a data warehouse is established, healthcare organizations need to set up multi-disciplinary clinical, financial, and IT specialist teams to make the best use of the data. Sometimes, financial involvement is minimized or even excluded for a number of reasons that can turn out to be counterproductive. However, including financial measurements and participation up front can help enhance the recognized value and sustainability of quality improvement or waste reduction efforts. the In this session you will learn keys to success and real-life examples of linking clinical, financial and patient satisfaction data via multi-disciplinary teams that produce impressive results.
Protocols and Evidence based Healthcare: information technology tools to support best practices in health care, information technology tools that inform and empower patients.
eHealth Practice in Europe: where do we stand?chronaki
eHealth as the use of Information and communication technologies in the practice of health care comprises Electronic health records, Healthcare information exchange cross-jurisdictions, Personal health records, Telehealth, telemedicine and remote monitoring.
There are several efforts to reflect and measure the practice of eHealth including efforts by the OECD and WHO, but in general there is little reported sharing of health data particularly with patients. Specific barriers frequently mentioned are supporting policies and coherent widely implemented standards.
The presentation discusses relevant efforts and programs supported by the European Commission such as the eHealth DSI, eStandards, ASSESS CT, and openMedicine aiming at large scale eHealth adoption It calls for engagement of European Society, its national societies, and its members.
Medting is a web platform that allows physicians to share medical images, videos and create clinical cases.
Medting can be useful for medical education, telemedicine, knolwedge sharing and second opinion networks.
An organization or a workgroup can create private and exclusevely collaboration spaces trhough medting
New version of Medting.
Medting is a web platform that allows clinicians to upload images, videos and share clinical cases. It's a professional platform that uses SNOMED, supports DICOM and integrates PubMed. By using Medting.com an individual doctor can upload and store media, search on content and share cases with colleagues, all for free.
Those Hospitals or Healthcare organizations that like Medting but want to have a private, exclusively and personalized platform, can use Medting Enterprise (http://medting.com/enterprise.php) . It can be useful for medical social networking, asynchronous telemedicine, second opinion, multidisciplinary committees, specialized committees and medical education.
Presentación utilizada por Stephen Lieber, HIMSS Global CEO en la reunión con CIO's organizada en Madrid (Febrero 2010). Acerca del evento World of Health IT 2010, en barcelona
Medting International Telestroke NetworkMiguel Cabrer
Project Presentation
First International Telestroke Network sample video. Department of Neurology (Mayo Clinic, Arizona). Use of Medting as second opinion platform to share and discuss clinical cases between different countries. In the video a sample dialogue between Mayo Clinic (Dr. Bart Demaerschalk, Vascular Neurology) and Hotel Dieu Grace (Dr. Goron Vail, Emergency Medicine, Canada).
Presented by Dr. Demaerschalk
Technology used: Medting.com
Medical Images Organiser (MIO) and Medting (Youtube for doctors) combined together offer big clinical possibilities.
Telemedicine and interconsultation workflows: teledermatology, teleophthalmology, telestroke, telecardiology…
Medical departamental repository:dermatology, ophthalmology, cardiology, digestive system…
Medical collaborative platform: research, congress papers, education, second opinion...
Medting is the website where doctors can exchange medical images, videos and build clinical cases.
Also medical meetings are allowed.
Medting is useful for telemedicine, clinical research, medical content repository.
Encryption in Microsoft 365 - ExpertsLive Netherlands 2024Albert Hoitingh
In this session I delve into the encryption technology used in Microsoft 365 and Microsoft Purview. Including the concepts of Customer Key and Double Key Encryption.
GraphRAG is All You need? LLM & Knowledge GraphGuy Korland
Guy Korland, CEO and Co-founder of FalkorDB, will review two articles on the integration of language models with knowledge graphs.
1. Unifying Large Language Models and Knowledge Graphs: A Roadmap.
https://arxiv.org/abs/2306.08302
2. Microsoft Research's GraphRAG paper and a review paper on various uses of knowledge graphs:
https://www.microsoft.com/en-us/research/blog/graphrag-unlocking-llm-discovery-on-narrative-private-data/
Generating a custom Ruby SDK for your web service or Rails API using Smithyg2nightmarescribd
Have you ever wanted a Ruby client API to communicate with your web service? Smithy is a protocol-agnostic language for defining services and SDKs. Smithy Ruby is an implementation of Smithy that generates a Ruby SDK using a Smithy model. In this talk, we will explore Smithy and Smithy Ruby to learn how to generate custom feature-rich SDKs that can communicate with any web service, such as a Rails JSON API.
Key Trends Shaping the Future of Infrastructure.pdfCheryl Hung
Keynote at DIGIT West Expo, Glasgow on 29 May 2024.
Cheryl Hung, ochery.com
Sr Director, Infrastructure Ecosystem, Arm.
The key trends across hardware, cloud and open-source; exploring how these areas are likely to mature and develop over the short and long-term, and then considering how organisations can position themselves to adapt and thrive.
JMeter webinar - integration with InfluxDB and GrafanaRTTS
Watch this recorded webinar about real-time monitoring of application performance. See how to integrate Apache JMeter, the open-source leader in performance testing, with InfluxDB, the open-source time-series database, and Grafana, the open-source analytics and visualization application.
In this webinar, we will review the benefits of leveraging InfluxDB and Grafana when executing load tests and demonstrate how these tools are used to visualize performance metrics.
Length: 30 minutes
Session Overview
-------------------------------------------
During this webinar, we will cover the following topics while demonstrating the integrations of JMeter, InfluxDB and Grafana:
- What out-of-the-box solutions are available for real-time monitoring JMeter tests?
- What are the benefits of integrating InfluxDB and Grafana into the load testing stack?
- Which features are provided by Grafana?
- Demonstration of InfluxDB and Grafana using a practice web application
To view the webinar recording, go to:
https://www.rttsweb.com/jmeter-integration-webinar
Neuro-symbolic is not enough, we need neuro-*semantic*Frank van Harmelen
Neuro-symbolic (NeSy) AI is on the rise. However, simply machine learning on just any symbolic structure is not sufficient to really harvest the gains of NeSy. These will only be gained when the symbolic structures have an actual semantics. I give an operational definition of semantics as “predictable inference”.
All of this illustrated with link prediction over knowledge graphs, but the argument is general.
DevOps and Testing slides at DASA ConnectKari Kakkonen
My and Rik Marselis slides at 30.5.2024 DASA Connect conference. We discuss about what is testing, then what is agile testing and finally what is Testing in DevOps. Finally we had lovely workshop with the participants trying to find out different ways to think about quality and testing in different parts of the DevOps infinity loop.
Securing your Kubernetes cluster_ a step-by-step guide to success !KatiaHIMEUR1
Today, after several years of existence, an extremely active community and an ultra-dynamic ecosystem, Kubernetes has established itself as the de facto standard in container orchestration. Thanks to a wide range of managed services, it has never been so easy to set up a ready-to-use Kubernetes cluster.
However, this ease of use means that the subject of security in Kubernetes is often left for later, or even neglected. This exposes companies to significant risks.
In this talk, I'll show you step-by-step how to secure your Kubernetes cluster for greater peace of mind and reliability.
UiPath Test Automation using UiPath Test Suite series, part 4DianaGray10
Welcome to UiPath Test Automation using UiPath Test Suite series part 4. In this session, we will cover Test Manager overview along with SAP heatmap.
The UiPath Test Manager overview with SAP heatmap webinar offers a concise yet comprehensive exploration of the role of a Test Manager within SAP environments, coupled with the utilization of heatmaps for effective testing strategies.
Participants will gain insights into the responsibilities, challenges, and best practices associated with test management in SAP projects. Additionally, the webinar delves into the significance of heatmaps as a visual aid for identifying testing priorities, areas of risk, and resource allocation within SAP landscapes. Through this session, attendees can expect to enhance their understanding of test management principles while learning practical approaches to optimize testing processes in SAP environments using heatmap visualization techniques
What will you get from this session?
1. Insights into SAP testing best practices
2. Heatmap utilization for testing
3. Optimization of testing processes
4. Demo
Topics covered:
Execution from the test manager
Orchestrator execution result
Defect reporting
SAP heatmap example with demo
Speaker:
Deepak Rai, Automation Practice Lead, Boundaryless Group and UiPath MVP
Essentials of Automations: Optimizing FME Workflows with ParametersSafe Software
Are you looking to streamline your workflows and boost your projects’ efficiency? Do you find yourself searching for ways to add flexibility and control over your FME workflows? If so, you’re in the right place.
Join us for an insightful dive into the world of FME parameters, a critical element in optimizing workflow efficiency. This webinar marks the beginning of our three-part “Essentials of Automation” series. This first webinar is designed to equip you with the knowledge and skills to utilize parameters effectively: enhancing the flexibility, maintainability, and user control of your FME projects.
Here’s what you’ll gain:
- Essentials of FME Parameters: Understand the pivotal role of parameters, including Reader/Writer, Transformer, User, and FME Flow categories. Discover how they are the key to unlocking automation and optimization within your workflows.
- Practical Applications in FME Form: Delve into key user parameter types including choice, connections, and file URLs. Allow users to control how a workflow runs, making your workflows more reusable. Learn to import values and deliver the best user experience for your workflows while enhancing accuracy.
- Optimization Strategies in FME Flow: Explore the creation and strategic deployment of parameters in FME Flow, including the use of deployment and geometry parameters, to maximize workflow efficiency.
- Pro Tips for Success: Gain insights on parameterizing connections and leveraging new features like Conditional Visibility for clarity and simplicity.
We’ll wrap up with a glimpse into future webinars, followed by a Q&A session to address your specific questions surrounding this topic.
Don’t miss this opportunity to elevate your FME expertise and drive your projects to new heights of efficiency.
Elevating Tactical DDD Patterns Through Object CalisthenicsDorra BARTAGUIZ
After immersing yourself in the blue book and its red counterpart, attending DDD-focused conferences, and applying tactical patterns, you're left with a crucial question: How do I ensure my design is effective? Tactical patterns within Domain-Driven Design (DDD) serve as guiding principles for creating clear and manageable domain models. However, achieving success with these patterns requires additional guidance. Interestingly, we've observed that a set of constraints initially designed for training purposes remarkably aligns with effective pattern implementation, offering a more ‘mechanical’ approach. Let's explore together how Object Calisthenics can elevate the design of your tactical DDD patterns, offering concrete help for those venturing into DDD for the first time!
Transcript: Selling digital books in 2024: Insights from industry leaders - T...BookNet Canada
The publishing industry has been selling digital audiobooks and ebooks for over a decade and has found its groove. What’s changed? What has stayed the same? Where do we go from here? Join a group of leading sales peers from across the industry for a conversation about the lessons learned since the popularization of digital books, best practices, digital book supply chain management, and more.
Link to video recording: https://bnctechforum.ca/sessions/selling-digital-books-in-2024-insights-from-industry-leaders/
Presented by BookNet Canada on May 28, 2024, with support from the Department of Canadian Heritage.
IT has become recognized as significant contributor to the delivery of health care HIMSS vision is that healthcare has and utilizes the best in systems (information and management) for the best possible care HIMSS mission: move from that state where HIMSS is the “Gathering Place” to where HIMSS is the source of knowledge, expertise, leadership
HR 1 Speaker of the House reserves bill numbers for key pieces of legislation. #1 was reserved for Economic Stimulus.
Understanding the level of EMR capabilities in hospitals is a challenge in the U.S. healthcare IT market today. The EMR Adoption Model identifies the levels of EMR capabilities ranging from the initial clinical data repository (CDR) environment through a paperless EMR environment. HIMSS Analytics has developed a methodology and algorithms to automatically score the 5,071 hospitals in our database relative to their progress in implementing the components of an EMR and to provide peer comparisons for care delivery organisations as they strategize their path to a complete EMR and participation in EHR initiatives. The stages of the model are as follows: Stage 0: Some clinical automation may be present, but all three of the major ancillary department systems for laboratory, pharmacy, and radiology are not implemented. Stage 1: All three of the major ancillary clinical systems (pharmacy, laboratory, radiology) are installed. Stage 2: Major ancillary clinical systems feed data to a clinical data repository (CDR) that provides physician and other clinician access for retrieving and reviewing results. The CDR contains a controlled medical vocabulary (CMV), and the clinical decision support/rules engine (CDSS) for rudimentary conflict checking. Information from document imaging systems may be linked to the CDR at this stage. Stage 3: Clinical documentation (e.g. vital signs, flow sheets) is required; nursing notes, care plan charting, and/or the electronic medication administration record (eMAR) system are scored with extra points, and are implemented and integrated with the CDR for at least one service or one unit in the hospital. The first level of clinical decision support is implemented to conduct error checking with order entry (i.e., drug/drug, drug/food, drug/lab conflict checking normally found in the pharmacy). Some level of medical image access from picture archive and communication systems (PACS) is available for access by physicians via the organisation’s intranet or other secure networks outside of the confines of the radiology department. Stage 4: Computerised Practitioner/Physician Order Entry (CPOE) for use by any clinician is added to the nursing and CDR environment along with the second level of clinical decision support capabilities related to evidence based medicine protocols. If one patient service area (not counting the Emergency Department) has implemented CPOE and completed the previous stages, then this stage has been achieved. Stage 5: The closed loop medication administration environment is fully implemented in at least one patient care service area . The eMAR and bar coding or other auto identification technology, such as radio frequency identification (RFID), are implemented and integrated with CPOE and pharmacy to support the five rights of medication administration, thereby maximizing point of care patient safety processes. Stage 6: Full physician documentation/charting (using structured templates) is implemented for at least one patient care service area. Level three of clinical decision support provides guidance for all clinician activities related to protocols and outcomes in the form of variance and compliance alerts. A full complement of radiology PACS systems provides medical images to physicians via an intranet and displaces all film-based images. If a hospital has cardiology PACS, extra points are given. Stage 7: The hospital has a paperless EMR environment. Clinical information can be readily shared via Continuity of Care (CCD) electronic transactions with all entities within health information exchange networks (i.e., other hospitals, ambulatory clinics, sub-acute environments, employers, payers and patients). This stage allows the healthcare organization to support the true sharing and use of health and wellness information by consumers and providers alike. Also at this stage, HCOs use data warehousing and mining technologies to capture and analyze care data, and improve care protocols via decision support.
This language is in Statute.
It is expected that hospitals and eligible professionals will follow a stepped approach of increasing maturation of the stages. To earn the first incentive, eligible professionals and hospitals must meet the requirements for Stage I. To continue receiving the incentive as the years progress, you must demonstrate advancement through the stages.
Page 103 of the NPRM begins a 5-page chart that pulls out the 25 measures and stages. The clinical quality measures are defined beginning on page 123.
Note that the patient has the right to request that communication be provided via electronic means.