Presentation by Megan Douglas, JD for the Third Annual Policy Prescriptions® Symposium
She is the associate director of Health Information Technology Policy in the National Center for Primary Care at Morehouse School of Medicine.
The symposium is designed for clinicians, healthcare workers, and healthcare executives interested in exploring the major themes that will emerge in health policy throughout the year. This year, the symposium will emphasize value in healthcare, health information technology, gun violence, insurance choices, the Affordable Care Act, and the viewpoints of the Presidential candidates on health care.
Interoperability is one of the most critical issues facing the health care industry today. A universal exchange language is needed to assist health care providers in sharing health information in order to coordinate diagnosis and treatment, while maintaining privacy and security of personal data. Health Information Exchanges (HIE) allow for the movement of clinical data between disparate systems; they enable providers to electronically share health records through a network. This presentation provides an overview of HIE and the Meaningful Use requirement related to the exchange of clinical information as well as information about standards of exchange and the recommended "next steps" for providers.
Healthcare evolves with Data InteroperabilityDinesh V
Data Interoperability is the ability to share and work within and across organizational boundaries to advance the effective delivery of healthcare for individuals and communities.
Presentation by Megan Douglas, JD for the Third Annual Policy Prescriptions® Symposium
She is the associate director of Health Information Technology Policy in the National Center for Primary Care at Morehouse School of Medicine.
The symposium is designed for clinicians, healthcare workers, and healthcare executives interested in exploring the major themes that will emerge in health policy throughout the year. This year, the symposium will emphasize value in healthcare, health information technology, gun violence, insurance choices, the Affordable Care Act, and the viewpoints of the Presidential candidates on health care.
Interoperability is one of the most critical issues facing the health care industry today. A universal exchange language is needed to assist health care providers in sharing health information in order to coordinate diagnosis and treatment, while maintaining privacy and security of personal data. Health Information Exchanges (HIE) allow for the movement of clinical data between disparate systems; they enable providers to electronically share health records through a network. This presentation provides an overview of HIE and the Meaningful Use requirement related to the exchange of clinical information as well as information about standards of exchange and the recommended "next steps" for providers.
Healthcare evolves with Data InteroperabilityDinesh V
Data Interoperability is the ability to share and work within and across organizational boundaries to advance the effective delivery of healthcare for individuals and communities.
Cis evaluation final_presentation, nur 3563 sol1SBU
An overview of a Computer Information System (CIS) and considerations that need to be taken with implementing an Electronic Health Record (EHR) in a healthcare setting.
The Application of Data to Problem-SolvingIn the modern era, the.docxtodd801
The Application of Data to Problem-Solving
In the modern era, there are few professions that do not to some extent rely on data. Stockbrokers rely on market data to advise clients on financial matters. Meteorologists rely on weather data to forecast weather conditions, while realtors rely on data to advise on the purchase and sale of property. In these and other cases, data not only helps solve problems, but adds to the practitioner’s and the discipline’s body of knowledge.
Of course, the nursing profession also relies heavily on data. The field of nursing informatics aims to make sure nurses have access to the appropriate date to solve healthcare problems, make decisions in the interest of patients, and add to knowledge.
In this Discussion, you will consider a scenario that would benefit from access to data and how such access could facilitate both problem-solving and knowledge formation.
To Prepare:
Reflect on the concepts of informatics and knowledge work as presented in the Resources.
Consider a hypothetical scenario based on your own healthcare practice or organization that would require or benefit from the access/collection and application of data. Your scenario may involve a patient, staff, or management problem or gap.
By Day 3 of Week 1
Post
a description of the focus of your scenario. Describe the data that could be used and how the data might be collected and accessed. What knowledge might be derived from that data? How would a nurse leader use clinical reasoning and judgment in the formation of knowledge from this experience?
By Day 6 of Week 1
Respond
to at least
two
of your colleagues
* on two different days
, asking questions to help clarify the scenario and application of data, or offering additional/alternative ideas for the application of nursing informatics principles.
Click on the
Reply
button below to reveal the textbox for entering your message. Then click on the
Submit
button to post your message.
*Note:
Throughout this program, your fellow students are referred to as colleagues.
Will be posting additional discussion replies that will require two replies which will be included in this discussion post.
Each requires at least three references and all need to be in APA format.
Monicas discussion
Discussion #1- Initial Post
All healthcare workers are trained to share the common goal of providing the best quality of care to their patients. Regardless of what role one may serve on the multidisciplinary team, they all have an obligation to accurately assess the needs of the patient, to efficiently collect and record data, to contribute to diagnosing, and to treat/ evaluate properly. “Informatics blend technology and information to blend something new that people, organizations and society can make use of” (Laureate, 2018). Advancement in technologies such as, electronic health records (EHR), electronic medication administration records (EMARS), computerized physician order entry (COPOE) and.
International Journal of Computational Engineering Research(IJCER)ijceronline
International Journal of Computational Engineering Research(IJCER) is an intentional online Journal in English monthly publishing journal. This Journal publish original research work that contributes significantly to further the scientific knowledge in engineering and Technology.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Evaluation of antidepressant activity of clitoris ternatea in animals
Nur3563 group project sol1 2
1. Clinical Information Systems Presented by Jennifer Ames, Jessica Blaha, Lee-Amy Choate, David Houzenga, and Windsor Lake
2. Introduction Nursing has changed so much in the last 100 years. From new medicines, new procedures, new diseases and to new forms of information sharing and storing. In the past ten years there has been a shift on the way patients health information has been stored and shared. With the creation of EHR (Electronic Health Records) patients health information is now permanently stored and ready to be shared to better care for that patient. The slides to follow discuss what a Clinical Information System is and different aspects of its creation and maintenance.
3. Clinical Information Systems A clinical information system (CIS) is a technology based system that is applied at the point of care and is designed to support the acquisition and processing of information as well as providing storage and processing capabilities. (McGonigle& Mastrian, 2009)
4.
5.
6. Implementation of a CIS cont. A study done on implementations of CIS and outcomes for the system, users, management and patients was looked at. The study looked at 18 systems and the leaders involved in the implementation of the CIS. Some of those involved included: Nurse project coordinators Full time RNs Clinical nurses with IT knowledge and experience Nurse educators Physicians VP’s of operations and IS leadership The study emphasized that members from all areas of the health care system need to be involved in the implementation of a CIS to ensures the success. (Gruber, Leblanc, Smith, 2009)
7. The Components of an EHR Health Information and Data: diagnoses, medications, allergies, and test results. Results Management: both current and historical radiology and laboratory reports. Order Entry Management: available for the clinician to enter medications and all other care orders. Decision Support: the computer alert system designed to protect and improve patient care. Electronic Communication and Connectivity: the online communication system between the healthcare team, patient and institutions. Patient Support: the patient education and self-monitoring tool. Administrative Processes: the electronic scheduling , billing, and claims management system. Reporting and Population Health Management: the data collection tools to support public and private reporting requirements.
8. Accessibility to the EHR The healthcare team should have access to all components of the EHR to help ensure patient safety and cost management for both the institution and patient. The billing department should have limited access to the EHR, which includes minimum information pertinent for job performance only. The patient should have slightly limited access including their HI, electronic communication and connectivity, patient support and administrative processes.
9. Necessity of the EHR These eight components cover essential items directed towards patient safety. Additional components can be added for more specialized practice such as pediatrics or women’s health. The EHR reduces medication errors, the capacity to perform surveillance and monitoring for disease conditions, increased use of guideline-based care, and a decreased utilization of care. It helps identify patients who qualify for research studies or prescription drug benefits offered by pharmaceutical companies. The EHR helps identify patients taking medications that have been recalled.
10. Clinical Decision Making Clinical decision making or support systems are interactive computer programs to assist clinicians with decision making tasks. It uses two or more items from patient data to generate advice. There are two types of CDSS: Knowledge Based and Non knowledge based.
11.
12. Logical condition- given a variable and a bound. Then it checks to see if the variables are with in the bounds and take action based on the results.
13. Casual Probabilistic Network- cause and effect. Will trace a pathway from symptom nodes all the way to disease classification nodes using probability to determine which path is the best fit. (Wikipedia, 2010)
14. Clinical Decision Systems for RN Alerts and reminders Clinical guidelines, best practice Online information retrieval Clinical order sets and protocols Online access to organization policies and procedures (McGonigle & Mastrian,2009)
15. Effectiveness of clinical decision support systems have improved practitioner performance. Evidence based medicine systems uses patient symptoms, medical history, family history, genetics as well as historical data geographic trends of disease occurrence. Clinical Decision Making systems- Metavision by iMDsoft Theradoc Lifecom Internist- I Visual DX Each program is different and some are involved in specialty areas. All programs will need to be updated periodically due to changing research and new EBP concepts that are presented. The Information system needs
16. Excellent article about Canada and their health care system. This talks about who the CDSS is working for and the perception of how it works. www.cche.net/about/files/clinical_decision_support_tools.pdf
17. CIS Safety Computers are linked together in what is called a network. They can all be housed in one building or across the United States. Because of the multiple number of users, safety of patients information is extremely important.
18. Secure medical data networks include 3 main aspects. The use and understanding of HIPPA needs to be in place to keep information confidential. The information needs to be available at all times. That includes having an emergency back up electrical system to power the computers as needed. Data should also be stored in more than one area in case of a disaster. Our local hospital store data off campus in town as well as a server in St. Louis. Last, the users need to know that the information they are using is accurate or the data has integrity. This is accomplished by a strict way of data being entered, changed, and tracked. (McGonigle, 2009)
19. To help secure who can use the network of information all users should be given an individual identification and password. The password is confidential and should never be shared. Users need to be encourage to make a strong password with letters, numbers, and signs. The CIS should have a way to monitor for hackers, worms, and viruses. This can be done by the use of firewalls and intrusion detection devices.
20. Networks are a way for sharing and storing data as well as a way for coworkers to communicate with each other via email. Emails from within the organization but especially personal emails from outside the organization can harm the network. Networks have to be monitored for viruses, worms and spyware. Antivirus software needs to be installed and updated on a regular basis to prevent harm to the network.
21. In a time of portable devices (such as laptops, PDA’s, USB memory sticks, and smartphones) the ability for information to be lost or stolen has grown. “Provisions in the federal stimulus package have tightened HIPPA notification and enforcement regulations and have made HIPPA violations more costly. For example, the maximum civil penalty from the Dept. of Health and Human Services for a data breach occurring after Feb 18, 2009, rose from $25,000 to $1.5 million.” (Dolan, 2010) Therefore, the use of encrypting is very important. Encrypting allows only the identified user to access the data. If the device is lost or stolen, others would not be able to view the stored data. Using encryption decreases the risk of a HIPPA violation.
22. Education Educating nurses for implementation of electronic healthcare charting should include the following; Nurses should be involved in making the basic system, designing and development. Attitude adjustments, nursing staff will need to openly communicate about the reason why a healthcare provider would switch to an EHR. User satisfaction. Nurses need to be involved in the product evaluation. user friendliness and appropriate needs. (McGonigle and Mastrian, 2009) A designated space for training would enhance the learning experience. Nursing staff should be available to help other nurses learn the EHR. (Gruber, 2010)
23. Additional points to consider Computer use may be difficult for the older nurse. Pre education on computer usage maybe necessary. Voice reorganization can be an option for the nurse that find it difficult to communicate on a computer by typing. Additional time will be needed to help nursing staff learn a new work flow. Low patient census can helpful for a month after implementation. (McGonigle and Mastrian, 2009)
24.
25. Nurses also need reference material because many nurses are independent learners and require reference resources.
26. Verbal communication is an additional assets for nurses to learn. Nurses use these skills daily in patient care. (Lee-Amy, 2010)
27. Conclusion There are many different aspects to computer information systems but ,for most EHR’s, the components are the same. Health Care changes on a daily basis and with new computer programs being developed the systems we know now will change and grow to fit the needs of the clients better.
28. References Blum, B. (1986). Clinical information systems. Western journal of medicine.vol. 145(6). (pp 791-797). Retrieved April 8, 2010, from http://www.ncbi.nlm.nih.gov/pmc/articles/pmc1307152/ Clinical information systems. From the University of Medicine and Dentistry website. Retrieved April 8, 2010, from http://informatics.umdnj.edu/clinical/information_systems.htm Dolan, P. (2010 ). Data security breaches often triggered by carelessness. Amednews.com. Retrieved from http://www.ama-assn.org/amednews/2010/02/22/bil20222.htm. Gruber N. (2010, Jan).Embracing change to improve performance: implementation of an electronic health record system. Long-term living: for the continuing care professional. 59. 28-31. Gurber, G., Leblanc, L., Smith, D. (2009). Factors influencing outcomes of clinical information systems implementation. CIN: Computers, informatics, Nursing.(27.3)(pp 151-163). Retrieved April 9, 2010, from http://www.nursingcenter.com/pdf.asp?AID=859442 Hayward, R. Clinical Decision Support Tools: Do they support the clinicians?. Future Practice. 2004. Pg 66-68.
29. References, cont. McGonigle, D., Mastian, K. (2009). A insider’s view of the utility of a clinical information system. Nursing informatics and the foundation of knowledge. (pp 193-195). Sudbury, MA: Jones and Bartlett Publishers. Wikipedia. en.wikipedia.org/wiki/Clinical_decision_support_system. Clinical Decision Making, retrieved April 9, 2010.