This document provides information about a lesson on transitioning to electronic health records. The lesson objectives are to evaluate factors driving adoption of electronic health records. It includes readings from textbooks and instructions for activities and assignments. The key assignment is to research challenges of converting to electronic records and how it could address organizational challenges.
This research paper outlines the idea of cost-effective health care, which minimizes 'unnecessary' patients tests and procedures that do not improve patient outcomes. The analysis focused on examining current trends in cost-effective health care, the rise of modern medical technologies involved in cost-effective health care, and the benefits of the U.S. implementing a cost-effective health care system. Mrs. McCallister and Dr. Pahwa were instrumental in the formation of this paper.
Healthcare Reform and 21st Century Healthcare Information Systems.docxbkbk37
The document discusses several initiatives associated with healthcare reform and their implications for 21st century healthcare information systems. It analyzes initiatives like telemedicine, patient portals, and bundled payment techniques. It evaluates the challenges of each initiative, such as high costs and limited resources. It also assesses the impact of the initiatives on leadership, strategic planning, and enterprise systems. Finally, it predicts increasing adoption of major standards and health information management systems over the next five years.
Amy Arnold works in various departments at a local North Carolina hospital and has gained experience in emergency department, medical staff office, information technology, performance improvement, and health information management over six years. In her blogs, she will discuss topics related to the evolution of health informatics, legal and ethical aspects of health information management, the role of statistics in health sciences, the impact of integrating electronic medical records, current health information systems, and continuous quality monitoring and accreditation in healthcare.
Amy Arnold works in various departments at a local North Carolina hospital and has gained experience in emergency department, medical staff office, information technology, performance improvement, and health information management over six years. She is interested in the role of health informatics in healthcare. Over six blog posts, she will discuss the evolution of health informatics, legal and ethical issues in health information management, the use and impact of statistics and electronic medical records in healthcare, current health information systems, and continuous quality monitoring and accreditation.
Amy Arnold works in various departments at a local North Carolina hospital and has gained experience in emergency department, medical staff office, information technology, performance improvement, and health information management over six years. She is interested in the role of health informatics in healthcare. Over six blog posts, she will discuss the evolution of health informatics, legal and ethical issues in health information management, the use and impact of statistics and electronic medical records in healthcare, current health information systems, and continuous quality monitoring and accreditation.
This document summarizes a lean transformation initiative at Ruby Hospital in Calcutta, India. Through gemba walks, the team found that only 31% of outpatients with drug prescriptions purchased them from the hospital pharmacy and only 50% purchased all prescribed items. They also found most purchases occurred during rush hours and that patients wanted to complete the purchase within 12 minutes of consultation. Process mapping, data collection, and analysis showed the biggest time wasters were walking to the pharmacy and item retrieval, contributing over 10 minutes. The root causes were identified as poor pharmacy location and unavailable inventory.
Assignment 1 Legal Aspects of U.S. Health Care System Administrat.docxbraycarissa250
Assignment 1: Legal Aspects of U.S. Health Care System Administration
Due Week 3 and worth 200 points
Prevailing wisdom reinforces the fact that working in U.S. health care administration in the 21st Century requires knowledge of the various aspects of health laws as they apply to dealing with medical professionals. Further, because U.S. health care administrators must potentially interact with many levels of professionals beyond the medical profession, it is prudent that they be aware of any federal, state, and local laws that may be applicable to their organizations. Thus, their conduct is also subject to the letter of the law. They must evaluate the quality of their professional interactions and be mindful of the implications and ramifications of their decisions.
Nearly 65 million surgical operations were performed in 2015 in the U.S. resulting in an estimated 200,000 deaths from complications or other post-operative issues (Ghaferi, Myers, Sutcliffe, & Pronovost, 2016). Ongoing innovation in healthcare can improve patient outcomes. According to the Harvard Business Review article, The Next Wave of Hospital Innovation to Make Patients Safer, over the past several decades, there have been three distinct waves of surgical improvement: technical advancements, standardizing procedures, and high reliability organizing.
Assume the role of a top health administrator at We Care Hospital. You are interested in propelling the hospital to the next level by applying for the Malcolm Baldrige National Quality Award. However, you want to ensure surgical outcomes for patient morbidity and mortality rates. You begin by researching the Surgical Care Improvement Project (SCIP) aimed to improve adherence to quality protocols. You need to ensure the hospital policy is consistent with the law and that the hospital is correctly reporting Sentinel Events to the Joint Commission, a hospital regulatory agency.
Note: You may create and / or make all necessary assumptions needed for the completion of this assignment.
Write a three to four (3-4) page paper in which you:
1. Analyze how standardizing procedures and documenting steps can improve outcomes when performing a complex procedure. Review the peer-reviewed journal article, The Next Wave of Hospital Innovation to Make Patients Safer. Articulate your position as the top administrator concerned about the importance of professional conduct and negligence in SCIP quality guidelines.
2. High Reliability Organizing emphasizes the varying actions that can affect patient safety given that standardized systems ignore the fact that each patient is different. Ascertain the major ramifications when the health care team “fails to rescue” the patient. Identify what hospital policies should be in place and identify previous case laws.
3. Analyze the four (4) elements required of a plaintiff to prove medical negligence.
4. Discuss the overarching duties of the health care governing board in mitigating the effects of medical non- ...
Unit 1 DBSubstantive PostsThese MUST be substantive to the Posts.docxshanaeacklam
The document discusses several posts on the topic of the US healthcare system. Post #1 notes that while the US is one of the richest countries, it ranks poorly in healthcare according to the WHO. Problems with the system include a focus on profits over people by insurance companies. The Affordable Care Act helped by requiring coverage of preexisting conditions. Post #2 discusses how electronic health records have revolutionized healthcare by improving efficiency, communication between providers and patients, and cost savings. Post #3 talks more about the Affordable Care Act and issues with redundancy and lack of oversight in the healthcare system.
This research paper outlines the idea of cost-effective health care, which minimizes 'unnecessary' patients tests and procedures that do not improve patient outcomes. The analysis focused on examining current trends in cost-effective health care, the rise of modern medical technologies involved in cost-effective health care, and the benefits of the U.S. implementing a cost-effective health care system. Mrs. McCallister and Dr. Pahwa were instrumental in the formation of this paper.
Healthcare Reform and 21st Century Healthcare Information Systems.docxbkbk37
The document discusses several initiatives associated with healthcare reform and their implications for 21st century healthcare information systems. It analyzes initiatives like telemedicine, patient portals, and bundled payment techniques. It evaluates the challenges of each initiative, such as high costs and limited resources. It also assesses the impact of the initiatives on leadership, strategic planning, and enterprise systems. Finally, it predicts increasing adoption of major standards and health information management systems over the next five years.
Amy Arnold works in various departments at a local North Carolina hospital and has gained experience in emergency department, medical staff office, information technology, performance improvement, and health information management over six years. In her blogs, she will discuss topics related to the evolution of health informatics, legal and ethical aspects of health information management, the role of statistics in health sciences, the impact of integrating electronic medical records, current health information systems, and continuous quality monitoring and accreditation in healthcare.
Amy Arnold works in various departments at a local North Carolina hospital and has gained experience in emergency department, medical staff office, information technology, performance improvement, and health information management over six years. She is interested in the role of health informatics in healthcare. Over six blog posts, she will discuss the evolution of health informatics, legal and ethical issues in health information management, the use and impact of statistics and electronic medical records in healthcare, current health information systems, and continuous quality monitoring and accreditation.
Amy Arnold works in various departments at a local North Carolina hospital and has gained experience in emergency department, medical staff office, information technology, performance improvement, and health information management over six years. She is interested in the role of health informatics in healthcare. Over six blog posts, she will discuss the evolution of health informatics, legal and ethical issues in health information management, the use and impact of statistics and electronic medical records in healthcare, current health information systems, and continuous quality monitoring and accreditation.
This document summarizes a lean transformation initiative at Ruby Hospital in Calcutta, India. Through gemba walks, the team found that only 31% of outpatients with drug prescriptions purchased them from the hospital pharmacy and only 50% purchased all prescribed items. They also found most purchases occurred during rush hours and that patients wanted to complete the purchase within 12 minutes of consultation. Process mapping, data collection, and analysis showed the biggest time wasters were walking to the pharmacy and item retrieval, contributing over 10 minutes. The root causes were identified as poor pharmacy location and unavailable inventory.
Assignment 1 Legal Aspects of U.S. Health Care System Administrat.docxbraycarissa250
Assignment 1: Legal Aspects of U.S. Health Care System Administration
Due Week 3 and worth 200 points
Prevailing wisdom reinforces the fact that working in U.S. health care administration in the 21st Century requires knowledge of the various aspects of health laws as they apply to dealing with medical professionals. Further, because U.S. health care administrators must potentially interact with many levels of professionals beyond the medical profession, it is prudent that they be aware of any federal, state, and local laws that may be applicable to their organizations. Thus, their conduct is also subject to the letter of the law. They must evaluate the quality of their professional interactions and be mindful of the implications and ramifications of their decisions.
Nearly 65 million surgical operations were performed in 2015 in the U.S. resulting in an estimated 200,000 deaths from complications or other post-operative issues (Ghaferi, Myers, Sutcliffe, & Pronovost, 2016). Ongoing innovation in healthcare can improve patient outcomes. According to the Harvard Business Review article, The Next Wave of Hospital Innovation to Make Patients Safer, over the past several decades, there have been three distinct waves of surgical improvement: technical advancements, standardizing procedures, and high reliability organizing.
Assume the role of a top health administrator at We Care Hospital. You are interested in propelling the hospital to the next level by applying for the Malcolm Baldrige National Quality Award. However, you want to ensure surgical outcomes for patient morbidity and mortality rates. You begin by researching the Surgical Care Improvement Project (SCIP) aimed to improve adherence to quality protocols. You need to ensure the hospital policy is consistent with the law and that the hospital is correctly reporting Sentinel Events to the Joint Commission, a hospital regulatory agency.
Note: You may create and / or make all necessary assumptions needed for the completion of this assignment.
Write a three to four (3-4) page paper in which you:
1. Analyze how standardizing procedures and documenting steps can improve outcomes when performing a complex procedure. Review the peer-reviewed journal article, The Next Wave of Hospital Innovation to Make Patients Safer. Articulate your position as the top administrator concerned about the importance of professional conduct and negligence in SCIP quality guidelines.
2. High Reliability Organizing emphasizes the varying actions that can affect patient safety given that standardized systems ignore the fact that each patient is different. Ascertain the major ramifications when the health care team “fails to rescue” the patient. Identify what hospital policies should be in place and identify previous case laws.
3. Analyze the four (4) elements required of a plaintiff to prove medical negligence.
4. Discuss the overarching duties of the health care governing board in mitigating the effects of medical non- ...
Unit 1 DBSubstantive PostsThese MUST be substantive to the Posts.docxshanaeacklam
The document discusses several posts on the topic of the US healthcare system. Post #1 notes that while the US is one of the richest countries, it ranks poorly in healthcare according to the WHO. Problems with the system include a focus on profits over people by insurance companies. The Affordable Care Act helped by requiring coverage of preexisting conditions. Post #2 discusses how electronic health records have revolutionized healthcare by improving efficiency, communication between providers and patients, and cost savings. Post #3 talks more about the Affordable Care Act and issues with redundancy and lack of oversight in the healthcare system.
The goal of this webinar is to help healthcare professionals improve care coordination for patients with advanced illness and to reduce hospital readmissions and length of stay (LOS).
3 Responses Needed
Unit 1 DB
Substantive Posts
These MUST be substantive to the Posts Herein.
Post # 1
Our country is one of the richest country on this planet but yet rank 37 by the World Health Organization. The health care system in the US works best if you are rich or have a decent job to pay for your own insurance. If we compare ourselves to our Canadian neighbor, they are well off than we are. Even to the point that some of our citizens that live close to the border go to Canada for treatments. One of the main problem in our health care system is the insurance companies. It appears to me that we value money or profit rather than life. The 44th president of our country put into law for our citizens to be seen or take insurance without been penalize for prior preexisting conditions. It is no secret that big companies do not like that and they continue to fight to amend Obama care and our country will never have the health care system that France, Canada, New Zealand, and Belgium citizens have.
Post # 2
The healthcare industry has undergone drastic changes in the last decade, which currently seems to be continuing that trend exponentially. With the emergence of the internet, and the technological advances with computers, people everywhere are becoming very comfortable with computer assisted devices integrating every aspect of our daily lives. This very idea has been embraced by the healthcare industry, as we can now see robots delivering medications to inpatient units, robotic surgery becoming standard in many specialties, and most importantly the emergence of electronic healthcare records (EHR)s. This technology has led to a transition from a monetary-driven healthcare system to a quality-driven healthcare system (Nelson, 2016).
EHRs have revolutionized the healthcare system and patient care. Baker (2016) noted that EHR systems have led to advancements, such as patient portals, which provides a secure way for patient and providers to communicate wirelessly and without an appointment, as well as the ability for healthcare systems to safely and securely transfer patient and files between providers and other facilities with ease. Tavares (2016) noted that due to rising costs and the current air of fiscal responsibility invading healthcare, many organizations see EHRs as a means for allowing patients to take a more active role in their healthcare, thereby allowing the system to be more efficient and cost-saving.
With the passage of the HITECH Act of 2009, and the implementation of the “meaningful use” incentives, many organizations are looking to efficiency metrics to fulfill some of these requirements (Neumeier, Butler, and Fuqua, 2016). Attaallah, Elzamzamy, Phelps, Ranganthan and Vallejo (2016) noted that one way of using an EHR for fiscal responsibility to fulfill the “meaningful use” incentive program by monitoring operating room metrics in order to assess efficiency, increase revenue through analyzin.
Evolution of Health Care Paper and TimelineThere are specifi.docxSANSKAR20
Evolution of Health Care Paper and Timeline
There are specific trends from manual to electronic operations in the health care facilities, healthcare providers and similar businesses operators. The evolution has taken place within the health care providers, administrative data and the insurance plans as well. The health care industries have automated several procedures such as the supply of drugs and accurate record keeping (Loker 2012). Electronic health care uses sophisticated technology unlike the manual one; this advanced technology has been applied in the provision of health care all over the world hence saving both time and cost It has also widened and perfected the scope of operation.
How has this change impacted the quality of care?
The change to electronic medical records has proven to be successful and helpful in providing quality patient care. Some ways that it has helped is improving patient care, increasing patient participation, improved care coordination, improved diagnostic and patient outcomes, and practice efficiencies and cost savings. (HealthIT.gov). Patients are able to be more involved in the patient care process and are able to access to their records which was not possible in the past. The transporting of records from one physician to another is much quicker now because it can be done by a click of a button. When needing to send a patient to a specialist or when getting an authorization for a patient’s recommended treatment can be done a lot quicker as well. This is speeding up the process in being able to provide quick and quality care so the patient does not need to wait as long as they would have had to in the past.
Percentage of physicians whose electronic health records provided selected benefits
(HealthIT.gov)
Electronic medical records has proven to be a good thing for both the medical provider as well as the patient and it has decreased the wait times to results or any potential errors and enhanced patient care.
Did Societal beliefs and values influence this change? Why or why not?
The health care delivery system in our country has its roots in the beliefs and values of the people (Shi & Singh, 2012). The firm belief in technological innovations leads to higher expectations of people, which has fueled the growth in technological innovations. The culture of individualism has led the medical practice to keep the individual healthy. Patients tend to evaluate the institutions by their acquisition of advanced technology. The expectation of Americans on what technology can do to cure illness is higher compared to the Canadians and Germans (Shi & Singh, 2012, p. 168). The societal beliefs and values impact not only the structure of health care delivery but also the training of health care providers.
The use of EHRs provided access to patients’ records on demand and have improved the quality of health care (Shi & Singh, 2012). Although the EHRs were to improve the quality of health care delivery, many ...
DQ 3-2Integrated health care delivery systems (IDS) was develope.docxelinoraudley582231
DQ 3-2
Integrated health care delivery systems (IDS) was developed to initiate excellence health care access and quality of care to entire populations and community by collaborating and coordinating diverse healthcare professionals. Main driving force of IDS is patient centered care by using resources such as collaborating care from physicians and allied health care professionals to construct continuum of care, to deliver care in the most cost-effective way, utilize trained and competent providers by utilizing evidenced -based practice and combine innovation such as EHR (Electronic Health Records) system and team work to produce improved healthcare system.
Excellence in care is attainable by incorporating allied healthcare professional, as high quality care is possible when coordination is unified and covers all areas of responsibilities. For an example-combining resources and coordination of care by involving physicians, dietitian, physical therapy or occupational therapy to work with patient diagnosed with obesity by promoting teamwork approach and ultimately delivering endurance in care and utilizing various resources.
Barriers to IDS can be a huge block in delivering quality care. Among many one limitation is physicians not participating in integrated healthcare system, which disconnect physicians from team based approached by deterring continuous quality improvement (essentialhospitals.org, n.d). This is because, system such as EHR or new innovative quality assurance programs are time consuming and overwhelming, thus decline in physicians support in IDS programs. By implementing user friendly system approach, enforcing focused based care and accepting the necessity of evidenced based practice can improve these barriers. Hence, increasing clinical expertise to produce better service and quality of care in integrated delivery system.
Essentialhospitls.org (n.d). Retrieved from: http://essentialhospitals.org/wp-content/uploads/2013/12/Integrated-Health-Care-Literature-Review-Webpost-8-22-13-CB.pdf
Dq 3-1
1.
In the US, there is not one type of health care system but rather a subset of systems, some of them catering to specific populations. These subsystems include managed care, military, and vulnerable populations. Managed care is a health care delivery system that seeks to achieve efficiency by integrating the basic functions of health care delivery, employs mechanisms to control utilization of medical services, and determines the price at which the services are purchased and how much the providers get paid, military health care system is available free of charge to active duty military personnel and covers preventative and treatment services that are provided by salaried health care personnel and this system combines public health with medical services, and vulnerable population subsystem offers comprehensive medical and enabling services targeted to the needs of vulnerable populations and government health insurance programs provide.
The document provides an overview of the key issues in the U.S. healthcare system and proposals for reform. It discusses problems like rising costs, uninsured populations, and disparities in quality. The reform proposals aim to expand coverage, reduce costs, and improve quality through mechanisms like insurance exchanges, individual and employer mandates, expanded Medicaid, and payment reforms. Stakeholders like insurers, providers, consumers would all be impacted by the reforms through changes to financing, coverage, and care delivery.
This document contains a summary of several articles from the September/October 2012 issue of Partners magazine. The cover story discusses how Virginia Mason Medical Center adapted the Toyota production method to healthcare to reduce waste and standardize care protocols. A special report profiles how Geisinger Health Care, Atrius Health, and Advocate Health Care are leading the way in coordinated care across the care continuum as accountable care organizations proliferate. The back page focuses on the complex rules and methodology surrounding the Medicare Readmissions Reduction Program.
Submission Id ab299d7c-b547-4cf3-958a-07922ca71f2765 SIM.docxdeanmtaylor1545
Submission Id: ab299d7c-b547-4cf3-958a-07922ca71f27
65% SIMILARITY SCORE 12 CITATION ITEMS 20 GRAMMAR ISSUES 0 FEEDBACK COMMENT
Internet Source 0%
Inst itut ion 65%
Patience Nehikhare
healthcaredeliverysystemchanges.docx
Summary
1175 Words
Running Head: HEALTHCARE DELIVERY SYSTEM
THE U.S. HEALTHCARE DELIVERY SYSTEM 2
Healthcare Delivery System
Patience Nehikhare
Grand Canyon University
December 22, 2019
The U.S. Healthcare Delivery System
There is a rapid change within the healthcare system in the United States. The
changes that have occurred were made for the purpose of improving quality,
rewarding value and not volume, as well as integrating and coordinating the care
(Seshamani & Sen, 2018). As such, this paper will seek to put into consideration
current healthcare laws within the U.S. and the nurse’s role within this continuously
changing environment; the manner in which quality measures and pay for performance
affect patient outcomes. Furthermore, the emerging trends in the healthcare system,
professional nursing leadership, and management roles will be discussed.
The Emerging Health Care Laws and their Effects on Nursing Practice
One of the most crucial healthcare legislat ions that has been enacted in the United
States since the inception of Medicare and Medicaid in 1965 is the Affordable Care
Act (Obama, 2016). The ACA was enacted in 2010. Issues relat ing to affordability,
ease of access, and the care quality within the United States healthcare system were
some of the driving factors that formed the list of many t ime spanning challenges
that compiled the init iat ion of this legislat ion. Between 2010 to 2015 there was a
decrease in the number of uninsured cit izens in the U.S. by forty three percent as an
effect of the Affordable Care Act.
The payment systems in healthcare are undergoing some changes and the access to
care has also improved (Obama, 2016). The ACA promotes preventive healthcare
models that put emphasis on quality care, primary care, and the funding of community
health init iat ives (Lathrop and Hodnicki, 2014). Millions of previously uninsured cit izens
are also provided insurance coverage and also some healthcare areas that need
reforms so as to meet the needs of patients’ improved healthcare outcomes are
highly focused by the act. The act has an effect on nursing practice in several ways.
The first effect is that the act creates a high demand for healthcare professionals
that are sufficiently trained to provide healthcare services that are up to the acts’
standards. The second effect is that Advanced Practice Registered Nurses (APRNs)
who hold the Doctor of Nursing Practice (DNP) are required to be prepared so that
they can meet the increased needs through the provision of leadership skills in
community health centers. These professionals are also held accountable for direct ing
and advocating for future init iates as well as ser.
Surveys a series of ethical, economic, clinical and also safety issues relating to the application of informatics to healthcare, focusing especially on the role of informatics in the Patient Protection and Affordable Care Act. Talk presented in the University at Buffalo Clinical/Research Ethics Seminar - Ethics, Informatics and Obamacare, November 20, 2012. Slides are available here: http://ontology.buffalo.edu/13/ethics-informatics-obamacare.pptx
The macro trends in healthcare and the associated careershivani rana
This document discusses emerging macro trends in the US healthcare system and their impact on future healthcare jobs. It identifies key trends like changes in demographics, lifestyle, technology, and government policy that are shaping the healthcare system and employment landscape. The aging population and rise of chronic diseases will increase demand for roles like home health aides. Growing technology usage will create jobs for health IT analysts. Changes to government policy like the Affordable Care Act aim to provide more accessible insurance and create a need for health policy analysts. These macro trends will significantly impact both the healthcare industry and the jobs of the future.
Digital health refers to technologies that improve healthcare outcomes and reduce costs. The report examines challenges facing various healthcare stakeholders and opportunities for digital solutions. Employers and payers struggle with rising costs and lack of data/tools for risk management. Healthcare systems face administrative burdens and difficulties with value-based care. Clinicians are overwhelmed by an explosion of data. Consumers lack price transparency and tools for managing health. Digital health companies can help address these issues through platforms for benefits management, risk analytics, clinical decision support, and patient engagement solutions.
Digital health refers to technologies that improve healthcare outcomes and reduce costs. The report examines challenges facing various healthcare stakeholders and opportunities for digital solutions. Employers and payers struggle with rising costs and lack of data insights. Healthcare systems face administrative burdens and a shift to value-based care. Patients lack health information and tools for managing care. Digital health companies can help address these issues through tools like telemedicine, data analytics, and patient engagement platforms.
The document discusses the rise of connected care in the U.S. healthcare system. Regulatory changes and new technologies are driving a shift towards a more connected and collaborative system focused on quality of care. Connected care aims to provide the right care at the right time and place through greater data sharing and care coordination between providers. Key technologies like electronic health records, mobile devices, analytics and cloud computing will enable connected care by facilitating access to patient information across settings. However, connected care also faces challenges in standardization, physician buy-in, and integrating fragmented systems.
Running head A REVIEW OF KEY CURRENT HEALTHCARE ISSUES QUALITY A.docxtoddr4
Running head: A REVIEW OF KEY CURRENT HEALTHCARE ISSUES: QUALITY AND VALUE IN THE U.S’S HEALTHCARE SYSTEM 1
A REVIEW OF KEY CURRENT HEALTHCARE ISSUES: QUALITY AND VALUE IN THE U.S’S HEALTHCARE SYSTEM
A Review of Key Current Healthcare Issues: Quality and Value in the U.S's Healthcare System
Student's Name
Institution Affiliation
Date
A Review of Key Current Healthcare Issues: Quality and Value in the U.S's Healthcare System
Healthcare regulations, funds, workload, and technology continue to complicate and inconvenient the U.S healthcare system. However, the quality and value of care tops. In the United States of America, despite significant healthcare transformation efforts, poor care lingers a considerable concern.
America is second to none in terms of healthcare expenditure across the globe. Ironically, evidence shows that its citizens do not receive the most appropriate care, or at least, which they need. For instance, Graban (2018) documents that preventive care is underutilized in the country, which is escalating the budget of managing advanced diseases. On the other hand, patients of chronic ailments such as diabetes, hypertension, and cardiac complications, do not also usually get treatments that are proven and effective (Wiler, Pines, & Ward, 2019). According to Strome (2019), this case is particularly true and event rampant to the persons that insured, uninsured, or under-insured. The lack of proper coordination of chronic diseases patients' care would only source more or exuberate poor healthcare. The unsurprising healthcare system's underlying fragmentation only fuels the issue given that many health care providers hardly have the payment support such related gears, necessary for effective communication and coordination to improve patient care.
While a significant number of patients miss medically necessary care, other clients get unnecessary or even unsafe attention. Research depicts terrific variations in hospital inpatient lengths of stay, specialists' visits, testing and procedures, and costs — not just by United States' unalike geographic areas, but from one health institution to another in the same town (Wiler, Pines, & Ward, 2019). Though limited, evidence on the most effective treatments and procedures, on the best way of informing providers about the efficacy of different treatments, and on the failures of detecting and reducing errors further underwrite the gaps care's quality and effectiveness (Strome, 2019). The concerns are especially pertinent to the Americans of the lower social classes as well as to those from diverse demographic and ethnic groups are usually frequent victims of a lot of incongruences in health and health care.
The implication of Poor Patient Care
Poor quality care impacts both patients and providers negatively. For patients, it reduces their survival changes, aggravates illnesses, and leads to unnecessary mortalities (Graban, 2018). To providers, such issu.
Running head A REVIEW OF KEY CURRENT HEALTHCARE ISSUES QUALITY A.docxhealdkathaleen
Running head: A REVIEW OF KEY CURRENT HEALTHCARE ISSUES: QUALITY AND VALUE IN THE U.S’S HEALTHCARE SYSTEM 1
A REVIEW OF KEY CURRENT HEALTHCARE ISSUES: QUALITY AND VALUE IN THE U.S’S HEALTHCARE SYSTEM
A Review of Key Current Healthcare Issues: Quality and Value in the U.S's Healthcare System
Student's Name
Institution Affiliation
Date
A Review of Key Current Healthcare Issues: Quality and Value in the U.S's Healthcare System
Healthcare regulations, funds, workload, and technology continue to complicate and inconvenient the U.S healthcare system. However, the quality and value of care tops. In the United States of America, despite significant healthcare transformation efforts, poor care lingers a considerable concern.
America is second to none in terms of healthcare expenditure across the globe. Ironically, evidence shows that its citizens do not receive the most appropriate care, or at least, which they need. For instance, Graban (2018) documents that preventive care is underutilized in the country, which is escalating the budget of managing advanced diseases. On the other hand, patients of chronic ailments such as diabetes, hypertension, and cardiac complications, do not also usually get treatments that are proven and effective (Wiler, Pines, & Ward, 2019). According to Strome (2019), this case is particularly true and event rampant to the persons that insured, uninsured, or under-insured. The lack of proper coordination of chronic diseases patients' care would only source more or exuberate poor healthcare. The unsurprising healthcare system's underlying fragmentation only fuels the issue given that many health care providers hardly have the payment support such related gears, necessary for effective communication and coordination to improve patient care.
While a significant number of patients miss medically necessary care, other clients get unnecessary or even unsafe attention. Research depicts terrific variations in hospital inpatient lengths of stay, specialists' visits, testing and procedures, and costs — not just by United States' unalike geographic areas, but from one health institution to another in the same town (Wiler, Pines, & Ward, 2019). Though limited, evidence on the most effective treatments and procedures, on the best way of informing providers about the efficacy of different treatments, and on the failures of detecting and reducing errors further underwrite the gaps care's quality and effectiveness (Strome, 2019). The concerns are especially pertinent to the Americans of the lower social classes as well as to those from diverse demographic and ethnic groups are usually frequent victims of a lot of incongruences in health and health care.
The implication of Poor Patient Care
Poor quality care impacts both patients and providers negatively. For patients, it reduces their survival changes, aggravates illnesses, and leads to unnecessary mortalities (Graban, 2018). To providers, such issu ...
Healthcare 2015 win win or lose lose IBM consulting reportbrandsynapse
The document discusses the challenges facing global healthcare systems and presents two potential scenarios for healthcare in 2015: a "win-win" scenario or a "lose-lose" scenario. A "win-win" scenario involves stakeholders transforming healthcare delivery to focus on prevention, chronic care management, and value. This would involve consumers taking more responsibility for their health and costs, and providers shifting care delivery models to better manage health. A "lose-lose" scenario could occur if systems do not change and "hit a wall", requiring major restructuring. The document provides recommendations for each stakeholder to enact the necessary transformations to achieve a sustainable, value-based healthcare system.
Study Guide Health Care ReformHealth Care Reform OverviewWhe.docxpicklesvalery
Study Guide: Health Care Reform
Health Care Reform: Overview
When it comes to healthcare in America, we seem to believe that more is better--but does more healthcare result in better health? As a nation, we spend more on healthcare per person than any European country, yet our health outcomes are worse. The PBS documentary, Money and Medicine was aired in 2012, and addresses one of the key issues of healthcare reform--the cost of health care. Watch the trailer below, or the entire episode here: http://video.pbs.org/video/2283573727/
(Links to an external site.)
http://youtu.be/a9oEtRwoVxs
(Links to an external site.)
The Affordable Care Act
The Patient Protection and Affordable Care Act (ACA), passed in 2010, is a collection of laws that were created to reform health insurance and healthcare.
The ACA significantly impacts nurses both personally and professionally. Bedside nurses are impacted by organizational changes that affect patient care, and may be providing information and resources to patients and caregivers about the ACA. However, as Hynds, Hatch and Samuels (2014) noted, nurses indicate they need more knowledge to understand the ACA policy implications of their practice.
Now, you can either read the 974 pages of the law itself, or you can watch this short, animated video produced by the Kaiser Family Foundation, and visit the helpful online resources below:
http://youtu.be/JZkk6ueZt-U
(Links to an external site.)
The YouToons Get Ready for Obamacare
0:01 / 6:52
<div class="player-unavailable"><h1 class="message">An error occurred.</h1><div class="submessage"><a href="http://www.youtube.com/watch?v=JZkk6ueZt-U" target="_blank">Try watching this video on www.youtube.com</a>, or enable JavaScript if it is disabled in your browser.</div></div> Minimize Video
Affordable Care Act: Five Years Later
The Commonwealth Fund has developed several online, interactive resources to illustrate the impact of the Affordable Care Act in its first five years of implementation. Through personal stories, population and health systems data analysis, and graphics, the Commonwealth fund paints the picture of the impact of the ACA on individuals, businesses, providers and healthcare systems. Take some time to explore these resources in preparation for this week's discussion board. Link: The Affordable Care Act: A Look Back at the First Five Years.
(Links to an external site.)
Review the two interactive digital features: Coverage Reform
(Links to an external site.)
and Delivery Reform
(Links to an external site.)
.
Value-Based Purchasing--"Pay for Performance"
Increasingly, hospitals and healthcare providers are reimbursed not just for the amount of services provided (fee-for service), but for the results that are achieved for a particular patient population. As nurses, you may have observed policy changes that emphasize patient experience, prevention of hospital-acquired infections, and effective discharge planning ...
NURS 6050 GCU Nursing in Florida Presentation.docxstirlingvwriters
This document discusses a presentation for NURS 6050 on nursing regulation in Florida. It provides an overview of boards of nursing and professional nursing associations. The presentation assignment requires describing differences between these groups, the board that regulates nursing in Florida, and how federal and state regulations influence nursing practice and healthcare delivery, costs, and access. Key sources on nursing organizations are also provided.
Ask Michael E. Mark about his company’s procedures for making a big .docxrandymartin91030
Ask Michael E. Mark about his company’s procedures for making a big capital investment, and he is likely to refer you to the Flextronics International Corporate Policy Manual. It has 80 pages – all of them blank. Although Marks is Flextronics’ chairman and CEO, he says he sometimes lets subordinates such as Humphrey W. Porter, the head of Flextronics’ European operations, do multi-million dollar acquisitions without showing him the paperwork. He disdains staff meetings at his San Jose (Calf.) headquarters, and he refuses to draw up an organization chart delineating his managers’ responsibilities.
One might think Marks’ style is too casual for a growing conglomerate. This is a giant that owns dozens of factories scattered over four continents and has big contracts with some of the most demanding corporate customers on earth, from Cisco Systems Inc. to Siemens. In recent years it has acquired manufacturing plants, design firms, and component makers in the United States, Europe and Asia. It also has landed huge manufacturing contracts with Motorola Inc. and Microsoft Corp.
As Marks sees it, the business of global contract manufacturing is all about speed. The time it takes to get a prototype into mass production and onto retail shelves across the globe can determine whether a leading-edge digital gadget succeeds or flops. And with the Internet and corporate makeovers rapidly reconfiguring entire industries, Marks thinks it’s a bigger sin to miss important opportunities than to make a mistake or two. So he doesn’t want to tie down his top managers with bureaucracy. One of Marks’ favorite dictums: “It’s not the big who eat the small. It’s the fast who eat the slow.”
So far Marks has managed to craft the right balance. A Harvard MBA who had run several small electronics makers, Marks helped engineer a takeover of Singapore domiciled Flextronics in 1993, when it was nearly bankrupt. After turning the company around, he began to rebuild. Flextronics became a favored supplier to companies like Cisco, 3Com, and Palm. Flextronics is poised to become the world’s second-largest contract manufacturer, after Milpitas (Calif.) based Solectron Corp. Beside the industrial parks in Hungary, it also has huge manufacturing campuses in Mexico, China and Brazil.
The basketball hoop hanging in Marks’ modest, somewhat disheveled office seems to sum up his self-image. Marks is a passionate player – even though he stands all of 5 ft. 2 in. Likewise, in the business world Marks seems determined to prove a point. One way or another, he’s convinced he can retain the agile management style of a start-up, while making Flextronics a global enterprise that can play in the big leagues.
1. Based on your reading of the case, describe Marks’ leadership process, style, behavior and the text term that best defines it. Do you think he is successful because of or in spite of his leadership approach?
2. What leadership theories covered in the chapter.
ask an expertwww.NursingMadeIncrediblyEasy.com JanuaryFe.docxrandymartin91030
Nurses should advocate for policy issues by getting involved in lobbying. The American Nurses Association believes it is nurses' responsibility to advocate for patient safety, care standards, and healthy work environments. Nurses can make a difference by participating in professional organizations, staying informed on issues, and contacting legislators. When lobbying, nurses should keep messages short and focused, build relationships with legislative staff, and time requests appropriately in the legislative process.
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The goal of this webinar is to help healthcare professionals improve care coordination for patients with advanced illness and to reduce hospital readmissions and length of stay (LOS).
3 Responses Needed
Unit 1 DB
Substantive Posts
These MUST be substantive to the Posts Herein.
Post # 1
Our country is one of the richest country on this planet but yet rank 37 by the World Health Organization. The health care system in the US works best if you are rich or have a decent job to pay for your own insurance. If we compare ourselves to our Canadian neighbor, they are well off than we are. Even to the point that some of our citizens that live close to the border go to Canada for treatments. One of the main problem in our health care system is the insurance companies. It appears to me that we value money or profit rather than life. The 44th president of our country put into law for our citizens to be seen or take insurance without been penalize for prior preexisting conditions. It is no secret that big companies do not like that and they continue to fight to amend Obama care and our country will never have the health care system that France, Canada, New Zealand, and Belgium citizens have.
Post # 2
The healthcare industry has undergone drastic changes in the last decade, which currently seems to be continuing that trend exponentially. With the emergence of the internet, and the technological advances with computers, people everywhere are becoming very comfortable with computer assisted devices integrating every aspect of our daily lives. This very idea has been embraced by the healthcare industry, as we can now see robots delivering medications to inpatient units, robotic surgery becoming standard in many specialties, and most importantly the emergence of electronic healthcare records (EHR)s. This technology has led to a transition from a monetary-driven healthcare system to a quality-driven healthcare system (Nelson, 2016).
EHRs have revolutionized the healthcare system and patient care. Baker (2016) noted that EHR systems have led to advancements, such as patient portals, which provides a secure way for patient and providers to communicate wirelessly and without an appointment, as well as the ability for healthcare systems to safely and securely transfer patient and files between providers and other facilities with ease. Tavares (2016) noted that due to rising costs and the current air of fiscal responsibility invading healthcare, many organizations see EHRs as a means for allowing patients to take a more active role in their healthcare, thereby allowing the system to be more efficient and cost-saving.
With the passage of the HITECH Act of 2009, and the implementation of the “meaningful use” incentives, many organizations are looking to efficiency metrics to fulfill some of these requirements (Neumeier, Butler, and Fuqua, 2016). Attaallah, Elzamzamy, Phelps, Ranganthan and Vallejo (2016) noted that one way of using an EHR for fiscal responsibility to fulfill the “meaningful use” incentive program by monitoring operating room metrics in order to assess efficiency, increase revenue through analyzin.
Evolution of Health Care Paper and TimelineThere are specifi.docxSANSKAR20
Evolution of Health Care Paper and Timeline
There are specific trends from manual to electronic operations in the health care facilities, healthcare providers and similar businesses operators. The evolution has taken place within the health care providers, administrative data and the insurance plans as well. The health care industries have automated several procedures such as the supply of drugs and accurate record keeping (Loker 2012). Electronic health care uses sophisticated technology unlike the manual one; this advanced technology has been applied in the provision of health care all over the world hence saving both time and cost It has also widened and perfected the scope of operation.
How has this change impacted the quality of care?
The change to electronic medical records has proven to be successful and helpful in providing quality patient care. Some ways that it has helped is improving patient care, increasing patient participation, improved care coordination, improved diagnostic and patient outcomes, and practice efficiencies and cost savings. (HealthIT.gov). Patients are able to be more involved in the patient care process and are able to access to their records which was not possible in the past. The transporting of records from one physician to another is much quicker now because it can be done by a click of a button. When needing to send a patient to a specialist or when getting an authorization for a patient’s recommended treatment can be done a lot quicker as well. This is speeding up the process in being able to provide quick and quality care so the patient does not need to wait as long as they would have had to in the past.
Percentage of physicians whose electronic health records provided selected benefits
(HealthIT.gov)
Electronic medical records has proven to be a good thing for both the medical provider as well as the patient and it has decreased the wait times to results or any potential errors and enhanced patient care.
Did Societal beliefs and values influence this change? Why or why not?
The health care delivery system in our country has its roots in the beliefs and values of the people (Shi & Singh, 2012). The firm belief in technological innovations leads to higher expectations of people, which has fueled the growth in technological innovations. The culture of individualism has led the medical practice to keep the individual healthy. Patients tend to evaluate the institutions by their acquisition of advanced technology. The expectation of Americans on what technology can do to cure illness is higher compared to the Canadians and Germans (Shi & Singh, 2012, p. 168). The societal beliefs and values impact not only the structure of health care delivery but also the training of health care providers.
The use of EHRs provided access to patients’ records on demand and have improved the quality of health care (Shi & Singh, 2012). Although the EHRs were to improve the quality of health care delivery, many ...
DQ 3-2Integrated health care delivery systems (IDS) was develope.docxelinoraudley582231
DQ 3-2
Integrated health care delivery systems (IDS) was developed to initiate excellence health care access and quality of care to entire populations and community by collaborating and coordinating diverse healthcare professionals. Main driving force of IDS is patient centered care by using resources such as collaborating care from physicians and allied health care professionals to construct continuum of care, to deliver care in the most cost-effective way, utilize trained and competent providers by utilizing evidenced -based practice and combine innovation such as EHR (Electronic Health Records) system and team work to produce improved healthcare system.
Excellence in care is attainable by incorporating allied healthcare professional, as high quality care is possible when coordination is unified and covers all areas of responsibilities. For an example-combining resources and coordination of care by involving physicians, dietitian, physical therapy or occupational therapy to work with patient diagnosed with obesity by promoting teamwork approach and ultimately delivering endurance in care and utilizing various resources.
Barriers to IDS can be a huge block in delivering quality care. Among many one limitation is physicians not participating in integrated healthcare system, which disconnect physicians from team based approached by deterring continuous quality improvement (essentialhospitals.org, n.d). This is because, system such as EHR or new innovative quality assurance programs are time consuming and overwhelming, thus decline in physicians support in IDS programs. By implementing user friendly system approach, enforcing focused based care and accepting the necessity of evidenced based practice can improve these barriers. Hence, increasing clinical expertise to produce better service and quality of care in integrated delivery system.
Essentialhospitls.org (n.d). Retrieved from: http://essentialhospitals.org/wp-content/uploads/2013/12/Integrated-Health-Care-Literature-Review-Webpost-8-22-13-CB.pdf
Dq 3-1
1.
In the US, there is not one type of health care system but rather a subset of systems, some of them catering to specific populations. These subsystems include managed care, military, and vulnerable populations. Managed care is a health care delivery system that seeks to achieve efficiency by integrating the basic functions of health care delivery, employs mechanisms to control utilization of medical services, and determines the price at which the services are purchased and how much the providers get paid, military health care system is available free of charge to active duty military personnel and covers preventative and treatment services that are provided by salaried health care personnel and this system combines public health with medical services, and vulnerable population subsystem offers comprehensive medical and enabling services targeted to the needs of vulnerable populations and government health insurance programs provide.
The document provides an overview of the key issues in the U.S. healthcare system and proposals for reform. It discusses problems like rising costs, uninsured populations, and disparities in quality. The reform proposals aim to expand coverage, reduce costs, and improve quality through mechanisms like insurance exchanges, individual and employer mandates, expanded Medicaid, and payment reforms. Stakeholders like insurers, providers, consumers would all be impacted by the reforms through changes to financing, coverage, and care delivery.
This document contains a summary of several articles from the September/October 2012 issue of Partners magazine. The cover story discusses how Virginia Mason Medical Center adapted the Toyota production method to healthcare to reduce waste and standardize care protocols. A special report profiles how Geisinger Health Care, Atrius Health, and Advocate Health Care are leading the way in coordinated care across the care continuum as accountable care organizations proliferate. The back page focuses on the complex rules and methodology surrounding the Medicare Readmissions Reduction Program.
Submission Id ab299d7c-b547-4cf3-958a-07922ca71f2765 SIM.docxdeanmtaylor1545
Submission Id: ab299d7c-b547-4cf3-958a-07922ca71f27
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Patience Nehikhare
healthcaredeliverysystemchanges.docx
Summary
1175 Words
Running Head: HEALTHCARE DELIVERY SYSTEM
THE U.S. HEALTHCARE DELIVERY SYSTEM 2
Healthcare Delivery System
Patience Nehikhare
Grand Canyon University
December 22, 2019
The U.S. Healthcare Delivery System
There is a rapid change within the healthcare system in the United States. The
changes that have occurred were made for the purpose of improving quality,
rewarding value and not volume, as well as integrating and coordinating the care
(Seshamani & Sen, 2018). As such, this paper will seek to put into consideration
current healthcare laws within the U.S. and the nurse’s role within this continuously
changing environment; the manner in which quality measures and pay for performance
affect patient outcomes. Furthermore, the emerging trends in the healthcare system,
professional nursing leadership, and management roles will be discussed.
The Emerging Health Care Laws and their Effects on Nursing Practice
One of the most crucial healthcare legislat ions that has been enacted in the United
States since the inception of Medicare and Medicaid in 1965 is the Affordable Care
Act (Obama, 2016). The ACA was enacted in 2010. Issues relat ing to affordability,
ease of access, and the care quality within the United States healthcare system were
some of the driving factors that formed the list of many t ime spanning challenges
that compiled the init iat ion of this legislat ion. Between 2010 to 2015 there was a
decrease in the number of uninsured cit izens in the U.S. by forty three percent as an
effect of the Affordable Care Act.
The payment systems in healthcare are undergoing some changes and the access to
care has also improved (Obama, 2016). The ACA promotes preventive healthcare
models that put emphasis on quality care, primary care, and the funding of community
health init iat ives (Lathrop and Hodnicki, 2014). Millions of previously uninsured cit izens
are also provided insurance coverage and also some healthcare areas that need
reforms so as to meet the needs of patients’ improved healthcare outcomes are
highly focused by the act. The act has an effect on nursing practice in several ways.
The first effect is that the act creates a high demand for healthcare professionals
that are sufficiently trained to provide healthcare services that are up to the acts’
standards. The second effect is that Advanced Practice Registered Nurses (APRNs)
who hold the Doctor of Nursing Practice (DNP) are required to be prepared so that
they can meet the increased needs through the provision of leadership skills in
community health centers. These professionals are also held accountable for direct ing
and advocating for future init iates as well as ser.
Surveys a series of ethical, economic, clinical and also safety issues relating to the application of informatics to healthcare, focusing especially on the role of informatics in the Patient Protection and Affordable Care Act. Talk presented in the University at Buffalo Clinical/Research Ethics Seminar - Ethics, Informatics and Obamacare, November 20, 2012. Slides are available here: http://ontology.buffalo.edu/13/ethics-informatics-obamacare.pptx
The macro trends in healthcare and the associated careershivani rana
This document discusses emerging macro trends in the US healthcare system and their impact on future healthcare jobs. It identifies key trends like changes in demographics, lifestyle, technology, and government policy that are shaping the healthcare system and employment landscape. The aging population and rise of chronic diseases will increase demand for roles like home health aides. Growing technology usage will create jobs for health IT analysts. Changes to government policy like the Affordable Care Act aim to provide more accessible insurance and create a need for health policy analysts. These macro trends will significantly impact both the healthcare industry and the jobs of the future.
Digital health refers to technologies that improve healthcare outcomes and reduce costs. The report examines challenges facing various healthcare stakeholders and opportunities for digital solutions. Employers and payers struggle with rising costs and lack of data/tools for risk management. Healthcare systems face administrative burdens and difficulties with value-based care. Clinicians are overwhelmed by an explosion of data. Consumers lack price transparency and tools for managing health. Digital health companies can help address these issues through platforms for benefits management, risk analytics, clinical decision support, and patient engagement solutions.
Digital health refers to technologies that improve healthcare outcomes and reduce costs. The report examines challenges facing various healthcare stakeholders and opportunities for digital solutions. Employers and payers struggle with rising costs and lack of data insights. Healthcare systems face administrative burdens and a shift to value-based care. Patients lack health information and tools for managing care. Digital health companies can help address these issues through tools like telemedicine, data analytics, and patient engagement platforms.
The document discusses the rise of connected care in the U.S. healthcare system. Regulatory changes and new technologies are driving a shift towards a more connected and collaborative system focused on quality of care. Connected care aims to provide the right care at the right time and place through greater data sharing and care coordination between providers. Key technologies like electronic health records, mobile devices, analytics and cloud computing will enable connected care by facilitating access to patient information across settings. However, connected care also faces challenges in standardization, physician buy-in, and integrating fragmented systems.
Running head A REVIEW OF KEY CURRENT HEALTHCARE ISSUES QUALITY A.docxtoddr4
Running head: A REVIEW OF KEY CURRENT HEALTHCARE ISSUES: QUALITY AND VALUE IN THE U.S’S HEALTHCARE SYSTEM 1
A REVIEW OF KEY CURRENT HEALTHCARE ISSUES: QUALITY AND VALUE IN THE U.S’S HEALTHCARE SYSTEM
A Review of Key Current Healthcare Issues: Quality and Value in the U.S's Healthcare System
Student's Name
Institution Affiliation
Date
A Review of Key Current Healthcare Issues: Quality and Value in the U.S's Healthcare System
Healthcare regulations, funds, workload, and technology continue to complicate and inconvenient the U.S healthcare system. However, the quality and value of care tops. In the United States of America, despite significant healthcare transformation efforts, poor care lingers a considerable concern.
America is second to none in terms of healthcare expenditure across the globe. Ironically, evidence shows that its citizens do not receive the most appropriate care, or at least, which they need. For instance, Graban (2018) documents that preventive care is underutilized in the country, which is escalating the budget of managing advanced diseases. On the other hand, patients of chronic ailments such as diabetes, hypertension, and cardiac complications, do not also usually get treatments that are proven and effective (Wiler, Pines, & Ward, 2019). According to Strome (2019), this case is particularly true and event rampant to the persons that insured, uninsured, or under-insured. The lack of proper coordination of chronic diseases patients' care would only source more or exuberate poor healthcare. The unsurprising healthcare system's underlying fragmentation only fuels the issue given that many health care providers hardly have the payment support such related gears, necessary for effective communication and coordination to improve patient care.
While a significant number of patients miss medically necessary care, other clients get unnecessary or even unsafe attention. Research depicts terrific variations in hospital inpatient lengths of stay, specialists' visits, testing and procedures, and costs — not just by United States' unalike geographic areas, but from one health institution to another in the same town (Wiler, Pines, & Ward, 2019). Though limited, evidence on the most effective treatments and procedures, on the best way of informing providers about the efficacy of different treatments, and on the failures of detecting and reducing errors further underwrite the gaps care's quality and effectiveness (Strome, 2019). The concerns are especially pertinent to the Americans of the lower social classes as well as to those from diverse demographic and ethnic groups are usually frequent victims of a lot of incongruences in health and health care.
The implication of Poor Patient Care
Poor quality care impacts both patients and providers negatively. For patients, it reduces their survival changes, aggravates illnesses, and leads to unnecessary mortalities (Graban, 2018). To providers, such issu.
Running head A REVIEW OF KEY CURRENT HEALTHCARE ISSUES QUALITY A.docxhealdkathaleen
Running head: A REVIEW OF KEY CURRENT HEALTHCARE ISSUES: QUALITY AND VALUE IN THE U.S’S HEALTHCARE SYSTEM 1
A REVIEW OF KEY CURRENT HEALTHCARE ISSUES: QUALITY AND VALUE IN THE U.S’S HEALTHCARE SYSTEM
A Review of Key Current Healthcare Issues: Quality and Value in the U.S's Healthcare System
Student's Name
Institution Affiliation
Date
A Review of Key Current Healthcare Issues: Quality and Value in the U.S's Healthcare System
Healthcare regulations, funds, workload, and technology continue to complicate and inconvenient the U.S healthcare system. However, the quality and value of care tops. In the United States of America, despite significant healthcare transformation efforts, poor care lingers a considerable concern.
America is second to none in terms of healthcare expenditure across the globe. Ironically, evidence shows that its citizens do not receive the most appropriate care, or at least, which they need. For instance, Graban (2018) documents that preventive care is underutilized in the country, which is escalating the budget of managing advanced diseases. On the other hand, patients of chronic ailments such as diabetes, hypertension, and cardiac complications, do not also usually get treatments that are proven and effective (Wiler, Pines, & Ward, 2019). According to Strome (2019), this case is particularly true and event rampant to the persons that insured, uninsured, or under-insured. The lack of proper coordination of chronic diseases patients' care would only source more or exuberate poor healthcare. The unsurprising healthcare system's underlying fragmentation only fuels the issue given that many health care providers hardly have the payment support such related gears, necessary for effective communication and coordination to improve patient care.
While a significant number of patients miss medically necessary care, other clients get unnecessary or even unsafe attention. Research depicts terrific variations in hospital inpatient lengths of stay, specialists' visits, testing and procedures, and costs — not just by United States' unalike geographic areas, but from one health institution to another in the same town (Wiler, Pines, & Ward, 2019). Though limited, evidence on the most effective treatments and procedures, on the best way of informing providers about the efficacy of different treatments, and on the failures of detecting and reducing errors further underwrite the gaps care's quality and effectiveness (Strome, 2019). The concerns are especially pertinent to the Americans of the lower social classes as well as to those from diverse demographic and ethnic groups are usually frequent victims of a lot of incongruences in health and health care.
The implication of Poor Patient Care
Poor quality care impacts both patients and providers negatively. For patients, it reduces their survival changes, aggravates illnesses, and leads to unnecessary mortalities (Graban, 2018). To providers, such issu ...
Healthcare 2015 win win or lose lose IBM consulting reportbrandsynapse
The document discusses the challenges facing global healthcare systems and presents two potential scenarios for healthcare in 2015: a "win-win" scenario or a "lose-lose" scenario. A "win-win" scenario involves stakeholders transforming healthcare delivery to focus on prevention, chronic care management, and value. This would involve consumers taking more responsibility for their health and costs, and providers shifting care delivery models to better manage health. A "lose-lose" scenario could occur if systems do not change and "hit a wall", requiring major restructuring. The document provides recommendations for each stakeholder to enact the necessary transformations to achieve a sustainable, value-based healthcare system.
Study Guide Health Care ReformHealth Care Reform OverviewWhe.docxpicklesvalery
Study Guide: Health Care Reform
Health Care Reform: Overview
When it comes to healthcare in America, we seem to believe that more is better--but does more healthcare result in better health? As a nation, we spend more on healthcare per person than any European country, yet our health outcomes are worse. The PBS documentary, Money and Medicine was aired in 2012, and addresses one of the key issues of healthcare reform--the cost of health care. Watch the trailer below, or the entire episode here: http://video.pbs.org/video/2283573727/
(Links to an external site.)
http://youtu.be/a9oEtRwoVxs
(Links to an external site.)
The Affordable Care Act
The Patient Protection and Affordable Care Act (ACA), passed in 2010, is a collection of laws that were created to reform health insurance and healthcare.
The ACA significantly impacts nurses both personally and professionally. Bedside nurses are impacted by organizational changes that affect patient care, and may be providing information and resources to patients and caregivers about the ACA. However, as Hynds, Hatch and Samuels (2014) noted, nurses indicate they need more knowledge to understand the ACA policy implications of their practice.
Now, you can either read the 974 pages of the law itself, or you can watch this short, animated video produced by the Kaiser Family Foundation, and visit the helpful online resources below:
http://youtu.be/JZkk6ueZt-U
(Links to an external site.)
The YouToons Get Ready for Obamacare
0:01 / 6:52
<div class="player-unavailable"><h1 class="message">An error occurred.</h1><div class="submessage"><a href="http://www.youtube.com/watch?v=JZkk6ueZt-U" target="_blank">Try watching this video on www.youtube.com</a>, or enable JavaScript if it is disabled in your browser.</div></div> Minimize Video
Affordable Care Act: Five Years Later
The Commonwealth Fund has developed several online, interactive resources to illustrate the impact of the Affordable Care Act in its first five years of implementation. Through personal stories, population and health systems data analysis, and graphics, the Commonwealth fund paints the picture of the impact of the ACA on individuals, businesses, providers and healthcare systems. Take some time to explore these resources in preparation for this week's discussion board. Link: The Affordable Care Act: A Look Back at the First Five Years.
(Links to an external site.)
Review the two interactive digital features: Coverage Reform
(Links to an external site.)
and Delivery Reform
(Links to an external site.)
.
Value-Based Purchasing--"Pay for Performance"
Increasingly, hospitals and healthcare providers are reimbursed not just for the amount of services provided (fee-for service), but for the results that are achieved for a particular patient population. As nurses, you may have observed policy changes that emphasize patient experience, prevention of hospital-acquired infections, and effective discharge planning ...
NURS 6050 GCU Nursing in Florida Presentation.docxstirlingvwriters
This document discusses a presentation for NURS 6050 on nursing regulation in Florida. It provides an overview of boards of nursing and professional nursing associations. The presentation assignment requires describing differences between these groups, the board that regulates nursing in Florida, and how federal and state regulations influence nursing practice and healthcare delivery, costs, and access. Key sources on nursing organizations are also provided.
Similar to photo 1.JPGphoto 2.JPGLESSON 16 Transition to Elec.docx (20)
Ask Michael E. Mark about his company’s procedures for making a big .docxrandymartin91030
Ask Michael E. Mark about his company’s procedures for making a big capital investment, and he is likely to refer you to the Flextronics International Corporate Policy Manual. It has 80 pages – all of them blank. Although Marks is Flextronics’ chairman and CEO, he says he sometimes lets subordinates such as Humphrey W. Porter, the head of Flextronics’ European operations, do multi-million dollar acquisitions without showing him the paperwork. He disdains staff meetings at his San Jose (Calf.) headquarters, and he refuses to draw up an organization chart delineating his managers’ responsibilities.
One might think Marks’ style is too casual for a growing conglomerate. This is a giant that owns dozens of factories scattered over four continents and has big contracts with some of the most demanding corporate customers on earth, from Cisco Systems Inc. to Siemens. In recent years it has acquired manufacturing plants, design firms, and component makers in the United States, Europe and Asia. It also has landed huge manufacturing contracts with Motorola Inc. and Microsoft Corp.
As Marks sees it, the business of global contract manufacturing is all about speed. The time it takes to get a prototype into mass production and onto retail shelves across the globe can determine whether a leading-edge digital gadget succeeds or flops. And with the Internet and corporate makeovers rapidly reconfiguring entire industries, Marks thinks it’s a bigger sin to miss important opportunities than to make a mistake or two. So he doesn’t want to tie down his top managers with bureaucracy. One of Marks’ favorite dictums: “It’s not the big who eat the small. It’s the fast who eat the slow.”
So far Marks has managed to craft the right balance. A Harvard MBA who had run several small electronics makers, Marks helped engineer a takeover of Singapore domiciled Flextronics in 1993, when it was nearly bankrupt. After turning the company around, he began to rebuild. Flextronics became a favored supplier to companies like Cisco, 3Com, and Palm. Flextronics is poised to become the world’s second-largest contract manufacturer, after Milpitas (Calif.) based Solectron Corp. Beside the industrial parks in Hungary, it also has huge manufacturing campuses in Mexico, China and Brazil.
The basketball hoop hanging in Marks’ modest, somewhat disheveled office seems to sum up his self-image. Marks is a passionate player – even though he stands all of 5 ft. 2 in. Likewise, in the business world Marks seems determined to prove a point. One way or another, he’s convinced he can retain the agile management style of a start-up, while making Flextronics a global enterprise that can play in the big leagues.
1. Based on your reading of the case, describe Marks’ leadership process, style, behavior and the text term that best defines it. Do you think he is successful because of or in spite of his leadership approach?
2. What leadership theories covered in the chapter.
ask an expertwww.NursingMadeIncrediblyEasy.com JanuaryFe.docxrandymartin91030
Nurses should advocate for policy issues by getting involved in lobbying. The American Nurses Association believes it is nurses' responsibility to advocate for patient safety, care standards, and healthy work environments. Nurses can make a difference by participating in professional organizations, staying informed on issues, and contacting legislators. When lobbying, nurses should keep messages short and focused, build relationships with legislative staff, and time requests appropriately in the legislative process.
Ask clarifying or thought provoking questions.Provide personal or .docxrandymartin91030
Ask clarifying or thought provoking questions.
Provide personal or professional examples that further illustrate relevant social psychological concepts identified in your classmate’s post.
Supply additional information that might influence your classmate’s interpretation. For example, recommend resources that further support their position or identify possible alternative explanations.
.
Asian American ResearchHello class, I hope this finds you all we.docxrandymartin91030
Asian American Research
Hello class, I hope this finds you all well!
For this week and the last we have been looking at an overview of Asian American Theatre, some of its origins, traditions, the rise of xenophobia against specific yet different Asian cultural groups, and Asian immigration over the last 150 years, as well as a brief look at where this culturally specific kind of Theatre and cinema stands today nationally and more locally with respect to the kinds of stories that are being told that are from an Asian P.O.V. as well as the actors that are cast to play these roles in the last 80 years of cinema, television and theater.
Consider your own overall outlook, knowledge and familiarity (including from our class) with Asian history in the U.S. and the potential struggles that Asian Americans have endured in the last century(s) with the mass migrations in the middle of the 1800’s, the struggle of the Gold and Railroad industries, the rise of wars and conflicts that set Asian Americans and immigrants against the prevailing attitudes in the U.S. about race in the last 150 years.
Looking at the Asian American experience in the U.S. is important as we consider the building blocks of our nation, with railroads, industry, wars, working and labor rights, internment camps during WWII, the deep culture of education and rich traditionalism that is so socially important to the overall history of this group of study, and the important contributions that we as a society have enjoyed from key figures in Asian American history.
We can all speak with a certain level of experience and knowledge, either directly or indirectly, to what we think would be important elements and issues to discuss within the Asian American culture.
Your assignment for this week is to research our topic of Asian American Arts and find an article or video link that deals with this topic in some way and then respond to it with a response paper.
This can be topics of:
1. The Issue of "Yellow Casting" and it's affects on modern Cinema
2. Insufficient roles for Asians in Cinema, T.V. and Theatre
3. Pay gap for Asian actors compared to white actors,
4. How many of the common stereotypes that we discussed are still seen and expressed in film and TV. today.
5. Highlighting an Individual Artist and their impact on pop culture and elevating Asian culture in some way:
- Director(s)
- Actor(s)
- Playwright(s)/Screenwriter(s)
- Any article or video you feel are relevant to our topic and this assignment that
you can write a reaction to in line with this assignment
Please upload your link with your 2-3 page reaction paper. (double space / MLA format)
.
ASIAN CASE RESEARCH JOURNAL, VOL. 23, ISSUE 1, 153–191 (2019).docxrandymartin91030
ASIAN CASE RESEARCH JOURNAL, VOL. 23, ISSUE 1, 153–191 (2019)
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This case was prepared by
Dr. Ivy S. N. Chen of Hong
Kong Polytechnic Univer-
sity, Professor Sherriff T. K.
Luk of Emlyon Business
School, France, and Dr.
Jinghui Tao of Nanjing
University of Finance and
Economics, as a basis for
classroom discussion rather
than to illustrate either effec-
tive or ineffective handling of
an administrative or business
situation.
Please send all correspon-
dence to Dr. Ivy S. N. Chen,
Department of Management
and Marketing, Hong Kong
Polytechnic University, Hung
Hom, Kowloon, Hong Kong.
E-mail: [email protected]
Kerry Logistics — Paving the
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OR.
Asian Americans had been excluded from entering the U.S. for more th.docxrandymartin91030
Asian Americans had been excluded from entering the U.S. for more than half a century through the litany of anti-Asian immigration legislation passed in the years (1882, 1917, 1924, 1934) leading up to WWII. How did the 1965 Immigration Act (Hart-Cellar Act) change this situation? Why have so many well-educated Asians immigrated into the U.S. after the passage of this act? To what extent will Asian immigrants continue to enter the U.S. in the 21
st
century? Drawing upon evidence presented in the course reading (Fong's chapter), make a case that Asian immigrants will continue to come in a steady pace to the U.S., or slow down significantly, or halt altogether.
.
Asia; Opera and Society and a DilemmaPlease respond to t.docxrandymartin91030
Asia; Opera and Society and a Dilemma
Please respond to the following,
using sources under the Explore heading
as the basis of your response.
Describe two (2) examples of how either black slaves or white abolitionists used literature or the visual arts as a form of protest against slavery. Compare this to a modern example of art used for social protest.
.
Ashry 1Nedal AshryProf. GuzikENGL 301B15 February 20.docxrandymartin91030
Ashry 1
Nedal Ashry
Prof. Guzik
ENGL 301B
15 February 2020
Education and Technology
The benefits of technology cannot be denied in how they help students getting their work done both in and outside of the classroom. Technology also saves students time by helping them submit their work when it’s due. Even with these great benefits, using screen-based-devices can distract students from staying focused. Handwriting notes is more efficient than typing it because the notes will be more specific. In this essay, I will discuss the benefits of screen-based-devices in education and their disadvantages. I will discuss a potential policy which California State University Long Beach should adopt in order to prevent students from multitasking and staying focused on getting one task done at a time. Administrators and instructors should develop ways to help students stay engaged in class by providing them with a productive environment for learning with the use of screen-based-devices.
Students who try to multitask can’t get things done in a timely manner since their brain can’t process two different things at the same time. According to Dr. Adam Gazzaley, who is a neuroscientist at the University of San Francisco, the prefrontal cortex faces challenges when the brain tries to process multiple tasks at the same time. Studies show that the brain works in harmony with the prefrontal cortex when one task is being accomplished. However, as soon as students start multitasking, the right hemisphere and left hemisphere of the brain are forced to work independently which stops them from getting things done on time. However, if they focus on doing schoolwork or taking notes individually from start to finish, they won’t be worried or concerned about checking their devices. In order for the prefrontal cortex to process things in harmony with the rest of the brain, students should minimize the use of screen-based-devices while they are in class or doing homework so that they can get tasks done on a timely manner.
Another disadvantage about screen-based-devices is the ability to retain information during lectures. Students spend the entire class time taking notes on their electronic devices without paying full attention to the material being taught. I have experienced this issue myself when I would be taking notes during class, and when I went home to study. I had a hard time understanding my notes because I didn’t spend as much time paying attention during class. With some professors drawing diagrams or not having uniform notes, I would not be able to copy down the information on my screen-based-device as quickly or in a manner that would make as much sense as what the professor wrote on the board. I also would get distracted as soon as I received a notification from either Facebook, Twitter or when I receive an important email. I would often find myself switching from one screen to another and oftentimes forget that I am in class. It came to a point where I prefer.
Ashford Graduate Intro Week Six Discussion Two 2 Examples.docxrandymartin91030
Ashford Graduate Intro Week Six Discussion Two: 2 Examples
Example One:
The purpose of this discussion is to compare and contrast a popular mainstream article
on cyber bullying with an article on the same topic in peer-reviewed scientific literature.
Cyber bullying is certainly a very important issue in the modern world, where we are, in
many ways, more connected and able to interact with each other technologically than ever
before. With the overall volume of social networking among youths and adolescents up, the
dangers posed by online abuse and bullying has come to the forefront in public awareness
and has become a topic often discussed in the mass media. With multiple high profile cases
of adolescents committing suicide as a result of constant cyber bullying, it is clear that the
issue is a serious one with deep psychological effects.
The two articles used in this discussion are a USA Today article by Robin Erb, entitled
Social-media abuse rampant in middle, high school, and an entry from a 2013 edition of
the Journal of Youth and Adolescence entitled, Cyber bullying and internalizing
difficulties: Above and beyond the impact of traditional form of bullying.
The most striking difference between the two articles can be found in the use of
language. The USA Today article is well-written, but it is done so in a manner that is
clearly intended to be easily consumable for both parents and potential young readers. The
scholarly article, naturally, is much more matter-of-fact and is clearly not designed for the
casual reader, void of the colorful language and first-person accounts heavily featured in
Erb’s piece. For instance, terms such as “throwing shade” are mentioned, and one quote
reads, “teenagers have these squishy little half-formed brains” (Erb, 2015). This use of
casual language is not brought up to belittle the article in any way, because it actually is
written in a way in which the average reader is much more likely to read the article to its
completion and also more likely to understand the content once they are finished than is the
more complex journal entry. However, for someone who is truly interested in the topic and
wants to explore it more fully, the journal entry provides a much deeper insight into the
psychological effects of cyber bullying and how those psychological effects correlate with
real-world consequences. It also brings up a few factors and concepts that are not openly
discussed in the USA Today article, such as the fact that evidence shows that “students
who are cyber victimized are less likely to report or seek help than teens who were
victimized by more traditional means” (Bonnano & Hymel, 2013, p. 695).
Perhaps the most important commonality between these two articles, besides the overall
topic itself, is the intent of the work. While the information is disseminated in a very
different manner, the overall message may be the same. Both articles are meant to bring .
Ashford 6 - Week 5 - Final ProjectFinal ProjectImagine that you.docxrandymartin91030
Ashford 6: - Week 5 - Final Project
Final Project
Imagine that you work for a health department and have been asked to make a presentation to a group of health care professionals on the role and responsibilities of community and public health.
After reviewing the materials throughout the course and based on what you have learned, create a PowerPoint presentation of at least six slides that covers the following topics:
Describe the role of community and public health in the well-being of populations.
Describe the public health organizational structure.
Examine the legal and ethical dimensions of public and community health services.
Analyze funding of public and community health services.
Discuss the role of communication in community and public health programs.
Creating the Final
The Final Presentation:
Must be created using a screencast program such as Jing, Screencast-O-Matic, Screenr, or other audio/video program.
Must be a minimum of six PowerPoint slides in length (excluding title and reference slide), and formatted according to APA style as outlined in the Ashford Writing Center.
Must include a title slide with the following:
Title of presentation
Student’s name
Course name and number
Instructor’s name
Date submitted
Must include a succinct thesis that is presented on the opening slide.
Must address the topics with critical thought.
Must use at least four scholarly sources (not including the course text), including a minimum of two from academic journals found in the Ashford University Library. Other sources should be obtained from appropriate epidemiological information.
Must document all sources in APA style, as outlined in the Ashford Writing Center.
Must include a separate reference slide, formatted according to APA style as outlined in the Ashford Writing Center.
.
ASD Services ResourcesAutism ResourcesFlorida Department of H.docxrandymartin91030
ASD Services Resources
Autism Resources/Florida Department of Health (www.floridahealth.gov.)
American Autism Association (www.myautism.org.)
Bloom Autism Services. ABA Therapy in South Florida (www.inbloomautims.com.
National Autism Association (https://nationalautimsassociation.org.)
Miami Dade County Autism Support Groups.
South Florida/Autism Speaks (www.autismspeaks.org.)
CAP4Kids Miami. Special Needs/Autism (https://cap4kids.org.)
The Autism Society of Miami Dade (www.ese.dadeschools.net.)
University of Miami Center for Autism and Related Disabilities (CARD)
Family Life Broward and Miami Dade. Miami Dade Special Needs Resources and Activities Guide (2019). (https://southfloridafamilylife.com.)
Running head: HIGHER EDUCATION 2
HIGHER EDUCATION 2
The Morrill Land-Grant Acts, Title V, Gratz v. Bollinger, and Grutter v. Bollinger
Student’s Name
Course Code
Institution Affiliation
Date
The Morrill Land-Grant Acts had the most significant positive impact on students' access to higher education. This is because this act made it possible for the new states in the west to put up colleges for their students. The institutions that were established gave a chance to a lot of farmers and other working-class people who could not previously access higher education. Since the land was the most readily available resource, it was given for these states to establish colleges. According to Christy (2017), even though some individuals misused the earnings from those lands, the Morrill land-grant Act gave the foundation of a national system of state colleges and universities. Finances from the lands even helped existing institutions, helped build new institutions, and other states were able to charter new schools.
Grutter v. Bollinger & Gratz v. Bollinger had the most influence in shaping how higher education institutions recruit and retain students from diverse backgrounds. This is because this ruling recognizes the benefits of diversity in education and validates any reasonable means which can be used to achieve that diversity. The verdict is even supported by a lot of studies which show that student body diversity promotes learning outcomes, and 'better prepares students for an increasingly diverse workforce and society…'" (The Civil Rights Project, 2010). Grutter vs. Bollinger laid a foundation for the diversity we see today in universities and colleges. Garces (2012) asserts that in our current world, which is diverse, access to higher education is what determines our legitimacy and strength. This all has been made possible by the Grutter v. Bollinger & Gratz v. Bollinger. The ruling helped break down stereotypes and for students to understand others from different races.
References
Christy, R. D. (2017). A century of service: Land-grant colleges and universities, 1890-1990. Routledge.
Garces, L. M. (2012). Necessary but not sufficient: The impact of Grutter v. Bollinger on student of color enrollment in graduate and profess.
ASCI 615
Aviation/Aerospace Accident
Investigation and Analysis
Data Collection Part II
Overview
• Records Review
• Electronic Evidence
CVR
FDR
ATC data
Weather
Aircraft Records
Crew Records
• Accident Photography
• Witness Interviews
Records Review
• Records are not as glamorous as wreckage, but may
tell a large part of the story. Personnel training and
qualification, aircraft maintenance and modification,
and company policies and procedures all help build a
picture of the operation prior to the accident
• Operations Specialist –
Gather personnel, medical, and training records of aircrew
involved.
Get copies of operating procedures, flying schedules, and
training procedures from the owner/operator.
Records Review (Cont.)
• Maintenance Specialists –
Gather aircraft, engine, appliance, maintenance, servicing, and overhaul
records.
Gather personnel and training records for maintainers involved with the
accident aircraft.
Gather records on maintenance procedures, policies, and training.
Gather the same records for any organization that did outsourced
maintenance.
• Air Traffic Control Specialist –
Gather copies of all ATC voice and radar tapes.
Gather copies of local ATC policies and procedures.
Gather personnel and training records of local ATC personnel if
involvement in the accident is suspected.
Records Review (Cont.)
• Human Factors Specialist –
Gather and analyze crew issues including medical records,
schedule, crew rest, off-duty activities, nutrition, hydration,
etc.
May involve interviews with family members to establish
activities leading up to the aircraft.
Research previous work done on human-machine interface
and ergonomics in the aircraft.
• Weather Specialist – FAA requires special weather
observation to be taken at the time of the accident.
Gather this as well as weather forecast provided to
the aircrew.
Records Review (Cont.)
• Survival Specialist –
Gather information from first responders and rescue
personnel on condition and location of survivors, condition
and location of casualties, and type and severity of injuries.
Gather emergency response procedures and established
plans (E.g., Airport Emergency Plan)
Gather data “CREEP” data (covered in a later module)
Gather information from operator on assigned seat location
for each individual on the aircraft, both crew and
passengers.
Records Analysis
• Personnel records (crew and maintenance) –
Look for the obvious first: medical problems, training deficiencies,
qualification issues, personal problems.
Analyze training received and adequacy of training for the job
Analyze currency of training
Make sure the people involved were trained, qualified, and
current to be doing the job they were doing for both crew and
maintenance
Make sure the people involved were capable of doing wha.
ASCM 631 – Integrative Supply Chain Management – Midterm Examination
Multiple Choice Questions. Choose the one alternative that best answers the question. 2 points each.
1)
Successful supply chain management requires which of the following decision phases?
1)
_______
A)
Supply chain strategy/design
B)
Supply chain operation
C)
Supply chain planning
D)
all of the above
E)
A and B only
2)
Supply chain surplus involves what two parts?
2)
_______
A)
Reliable transportation and supply chain cost
B)
Manufacturing cost and selling price
C)
Customer value and high quality products
D)
Customer value and supply chain cost
3)
Successful supply chain management requires many decisions relating to the flow of information, product, and funds. These decisions fall into three categories or phases. Which of the following is NOT one of these categories?
3)
_______
A)
Supply Chain Strategy and Design
B)
Supply Chain Operation
C)
Supply Chain Alliances
D)
Supply Chain Planning
4)
Customer arrival refers to
4)
_______
A)
the customer informing the retailer of what they want to purchase and the retailer allocating product to the customer.
B)
the process where product is prepared and sent to the customer.
C)
the process where the customer receives the product and takes ownership.
D)
the point in time when the customer has access to choices and makes a decision regarding a purchase.
E)
none of the above
5)
Which of the following is not a process in the customer order cycle?
5)
_______
A)
Customer order fulfillment
B)
Customer arrival
C)
Customer order receiving
D)
Customer order entry
E)
All are processes in the customer order cycle.
6)
Supply chain responsiveness includes the ability to do which of the following?
6)
_______
A)
Handle supply uncertainty
B)
Match supply chain responsiveness with the implied uncertainty of demand
C)
Ensure that all functional strategies within the supply chain support the supply chain's level of responsiveness
D)
Understand customers and supply chain uncertainty
E)
none of the above
7)
The key weakness of the ________ view is that different functions within a firm may have conflicting objectives.
7)
_______
A)
Intrafunctional scope
B)
Intercompany scope
C)
Intraoperation scope
D)
Interfunctional scope
8)
Supply chain responsiveness includes the ability to do which of the following?
8)
_______
A)
Meet short lead times
B)
Ensure that all functional strategies within the supply chain support the supply chain's level of responsiveness
C)
Match supply chain responsiveness with the implied uncertainty of demand
D)
Understand customers and supply chain
E)
all of the above
9)
A supply chain strategy involves decisions regarding all of the following except
9)
_______
A)
operating facilities.
B)
transportation.
C)
inventory.
D)
information flows.
E)
new product development.
10)
Pricing directly affects revenues but.
asapnursingProvide a Topic of Health Promotion Paper for App.docxrandymartin91030
asap
nursing
Provide a Topic of Health Promotion Paper for Approval
Health Topic
1. Describe a single health promotion/disease prevention problem from the Healthy People 2020 Objectives Introduction to population or problem. Describe incidence, prevalence, epidemiology, cost burden etc.,
2. Description of specific population, program or organization Discuss how the policy is intended for a specific population, program or organization.
3. Specific legislators involved Identify and discuss specific legislators involved in the policy development and policy, practice and outcomes.
4. Discuss how the policy influences clinical practice and is used to promote best outcomes. Policy, practice and the inter-professional team. Examine how the policy can be used by the inter-professional team to ensure coordinated.
Use of primary sources and evidence that is not older than 5 years. Writing, grammar and APA application Scholarly grammar, use of APA 6th edition.
.
Asap Essay Need, it needs to be 4-5pages long. I really want to get .docxrandymartin91030
Asap Essay Need, it needs to be 4-5pages long. I really want to get A+.... Please help...... NO PLAGIARISM...OR SPELLING MISTAKES..... IF FOUND YOU WILL BE IN TROUBLE........
Topic--There are probably a few things that have changed since you were in high school. Write an essay that might seve as a call to action.What would you change about high school systems in general and specially.
Please make sure that there is good introduction.. good attention in the intro... good transition... and there better be thesis....
Make sure there is a thesis...
Plagiarism
is the "wrongful appropriation" and "purloining and publication" of another
author
's "language, thoughts, ideas, or expressions," and the representation of them as one's own
original work
.
[1]
[2]
The idea remains problematic with unclear definitions and unclear rules.
[3]
[4]
[5]
[6]
The modern concept of plagiarism as
immoral
and
originality
as an
ideal
emerged in Europe only in the 18th century, particularly with the
Romantic movement
.
DO IT RIGHT OR MONEY BACK...
.
ASB 100Spring 2019Writing Assignment 3In this assignme.docxrandymartin91030
ASB 100
Spring 2019
Writing Assignment 3
In this assignment, you must select a topic, condition, or problem related to ‘water, sanitation, and hygiene’ or climate change that you consider to be a global health priority. This priority needs to be specific rather than a general concept such as ‘climate change.’
After describing the issue and justifying why it is a priority, design a health intervention to address the issue. The intervention must include at least two components: an educational component (e.g. dealing with beliefs and behavior); and an infrastructure or policy component (for example new construction, policy to limit emissions, etc.). For each component, state what you would do as well, why and how your intervention would have an effect, and how you would measure success (e.g. increasing handwashing rates).
You are encouraged to use visuals to help explain your intervention or to provide examples of your interventions. If you use images from the internet, please provide the website where you found the image.
Make sure that you address the ‘who, what, where, when, and why’ issues in both your justification as well as your proposed intervention. For example, do you focus on areas that lack access to adequate sanitation versus places where the quality of services may be an issue? Do you focus on areas that are at highest risk of climate change impacts, or areas that contribute the most to greenhouse gases? Do you focus on urban or rural areas? For the educational component, do you provide ads on tv, billboards, or in schools? Do you focus on adults, teenagers, or children? Do you propose policy at the global or national level?
You must include at least one unique source for each section of the proposal (justification, education/behavior, infrastructure/policy). You may use the same author or institution for each section (such as the World Health Organization), but the documents must be unique for each part. Please make sure that you identify the source of any information you use by using in-text citations (e.g. the WHO (2016) states…), and well as identifying any direct quotations with quotation marks (“”).
Topic:
Justification: (approximately 200 words)
Educational / Behavioral Component: (approximately 300-400 words)
Infrastructure / Policy Component: (approximately 300-400 words)
Citations:
· Ulrich, D. & Smallwood, N. 2004. Capitalizing on capabilities. Harvard Business Review, 82(6):119-127 (C)
· Porter, M. E. (2001). The value chain and competitive advantage. Understanding business processes, Chapter 5, pp. 50-59. The reading is available online at the following link.
· https://books.google.com/books?hl=en&lr=&id=lNEl9R4MWawC&oi=fnd&pg=PT54&dq=porter+value+chain&ots=XCm72AmYMJ&sig=gYW0LThqprzbiDfB1NNnPxIEKA8#v=onepage&q=porter%20value%20chain&f=false
· Porter’s Value Chain Analysis: https://www.toolshero.com/management/value-chain-analysis-porter/
www.hbr.org
A R T I C L E
H B R S
P.
asapnursingHealth policy unfolds daily and drives clinical p.docxrandymartin91030
asap
nursing
Health policy unfolds daily and drives clinical practice in the US. The student will investigate current policies or legislation underway for a specific health-related issue. The Student will develop a scholarly APA formatted supported by evidence. The rubric:
1. Introduction to population or problem (incidence, prevalence, epidemiology, cost burden etc)
2. Description of how the policy is intended for a specific population, program or organization
3. Specific legislators involved in the policy development and dissemination
4. Identify the role of the APRN in assisting with the policy or refuting the policy – this requires the evidence to support opinion, ideas and/or concepts.
5. Discuss how the policy influences clinical practice and is used to promote best outcomes
6. Examine how the policy can be used by the interprofessional team to ensure coordinated and comprehensive care for the specific population
7. Conclusion – summarize findings
8. APA format – use of primary peer-reviewed references as much as possible
.
Asam100bbXinyu ShangReading journal week1In the article Im.docxrandymartin91030
Asam100bb
Xinyu Shang
Reading journal week1
In the article Immigration and Livelihood, 1840s to 1930s, the key reason why the Asians moved to the United States was to look for jobs. The Asians were desperate for jobs and were ready to work even if they received low salaries. On the other hand, their employers loved the situation since they made a lot of profits. The first Asians to enter the United States made it through the Manila galleon trade. “An act for the governance of masters and servants” (Chan, 1991 p25). However, other communities felt as if the Asians brought competition, which could result in a reduction of job opportunities. Some of these were the Euro-Americans employees who saw the Asians as their competitors. Others were the nativists for all levels who were aggressive to them since they stopped them for restless reasons to prevent their coming.
Azuma Introduction tells that people who were born in Japan and later on shifted to America for studies had the right to express their views without any restrictions. Both the Tateishi and the Hoashi had not gotten a chance to become leaders in the Japenese colonist community, and they were not even recognized in America. “East is West West is East” (Azuma, 2005 p9). However, their routes were not highly valued compared to their expressions, especially during their times. These two communities had the capability of offering their shared predicament comprehensibly in public. Linking with the article on Mercantilists, Colonialists, and Laborers, the dilemma of these communities living through the claimed the separation for the East-West separation and linked binaries. The article also concentrates on the global history of Japanese immigrants and the procedure of creating the racial process. Additionally, the collective impacts of the organizational and figurative regulators control the experience of a marginal group that was viewed as a racial project.Chapter one talks about theoretical groups and how they are confusing. There was considerable confusion on whether the Japanese who relocated to the United States were there to colonize the U.S, or they had just come as immigrants. “Going to America” (Azuma, 2005 p23). The difficulty categorized the historical course of Japanese relocation to the United States as a varied nature of the early Issue community. It is clear that later on, after the Japanese had shifted to the United States, they implemented their capitalist economy, which brought more confusion concerning the issue of immigration and colonization. Therefore, this was one of the intercontinental histories of Japanese immigration in the American West, which brought about the contradiction issue.
On the Takaki talks about how the Chinese moved to one of the cities in the United States known as California. It happened to be a movement that had been formed by several people from various nations. These were inclusive of the Korean, Chinese, Filipino, and Japanese. “Cheap .
How to Make a Field Mandatory in Odoo 17Celine George
In Odoo, making a field required can be done through both Python code and XML views. When you set the required attribute to True in Python code, it makes the field required across all views where it's used. Conversely, when you set the required attribute in XML views, it makes the field required only in the context of that particular view.
ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...PECB
Denis is a dynamic and results-driven Chief Information Officer (CIO) with a distinguished career spanning information systems analysis and technical project management. With a proven track record of spearheading the design and delivery of cutting-edge Information Management solutions, he has consistently elevated business operations, streamlined reporting functions, and maximized process efficiency.
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Date: May 29, 2024
Tags: Information Security, ISO/IEC 27001, ISO/IEC 42001, Artificial Intelligence, GDPR
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বাংলাদেশের অর্থনৈতিক সমীক্ষা ২০২৪ [Bangladesh Economic Review 2024 Bangla.pdf] কম্পিউটার , ট্যাব ও স্মার্ট ফোন ভার্সন সহ সম্পূর্ণ বাংলা ই-বুক বা pdf বই " সুচিপত্র ...বুকমার্ক মেনু 🔖 ও হাইপার লিংক মেনু 📝👆 যুক্ত ..
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তাই একজন নাগরিক হিসাবে এই তথ্য গুলো আপনার জানা প্রয়োজন ...।
বিসিএস ও ব্যাংক এর লিখিত পরীক্ষা ...+এছাড়া মাধ্যমিক ও উচ্চমাধ্যমিকের স্টুডেন্টদের জন্য অনেক কাজে আসবে ...
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photo 1.JPGphoto 2.JPGLESSON 16 Transition to Elec.docx
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LESSON 16
Transition to Electronic Health Record
LEARNING OUTCOMES
_____________________________________________________
_________________________
In this lesson, you will do the following:
Evaluate the factors that drive an organization to adopt a
strategy to create an electronic health
care record.
READINGS
The following reading assignments are for Lessons 13 through
16:
2. Gartee Text:
Chapter 2, pp. 27 - 41
Chapter 7, pp. 152 - 181
Chapter 8, pp. 182 - 206
ACTIVITIES / ASSESSMENTS
The following activities/assessments are for Lessons 13 through
16:
1. Read the assigned pages from the Gartee text, Unit 4
PowerPoint, and Lecture Notes.
2. Participate in the weekly discussion question.
3. Complete the written assignment.
WRITTEN ASSIGNMENTS
Research and discuss three challenges facing an organization,
and review how the conversion to
3. a full electronic health record could address the challenges
identified.
PLEASE NOTE: All graded assignments for the lessons in this
unit should be grouped together
and submitted as ONE document using the Assignment
Submission form accessed from your
course homepage or http://www.sjcme.edu/gps/assignments.
All activities/assignments for this unit should be as follows:
1. Should include a cover sheet for each assignment stating the
following:
2. Each individual assignment number and copy of the
assignment directions should be
included in the submission as the starting header of each lesson.
3. Carefully check grammar and spelling.
4. 4. Use APA format for any research or sources that are being
used or quoted.
5. Email the instructor if you have questions regarding the
assignments.
http://www.sjcme.edu/gps/assignments
LESSON 16
Transition to Electronic Health Record
LECTURE NOTES
_____________________________________________________
_________________________________
The push for the conversion from paper-based to electronic
health records is clear and definite.
The mandate comes from the federal government in terms of
regulatory requirements, financial
incentives, and a desire to reduce costs and improve quality.
Research and experience has
indicated that a fully deployed electronic health record system
will achieve these desired
outcomes. The ability to enhance the productivity of personnel
is another business outcome that
5. health care providers will need to consider. However, there are
major challenges and barriers to
achieving full implementation of interoperable electronic health
records.
Costs of Care
The costs of health care in the United States are reported to be
almost 17% of the gross national
product (GNP), or about $7000 per capita for every person in
the country. The costs for health
care continue to rise faster than consumer inflation.
This makes the cost of health care in the United States the
highest in the world and about double
the cost of the next highest country. The perception has been
that the health care delivery system
in the United States is the best in the world, yet the outcomes
indicate otherwise.
While the costs are high, quality measures are not a priority
and, depending on the metric, the
United States is found to rank in the low teens when compared
to other developed nations. This
is not the outcome that is desired, nor are the costs sustainable.
6. Higher health care costs cause products made in the United
States to be higher than other
countries, simply because of these high costs, and make those
products less competitive in the
world market as well. Higher costs do not translate into better
care and outcomes.
Efforts by the government to address health care coverage and
costs go back to the 1950s when
Congress and President Eisenhower discussed the creation of a
health care program for the
country. Major legislation to reform a portion of health care
was eventually passed in 1965 in
the form of the Medicare and Medicaid programs. Medicare is
for health care payments for the
population over age 65, and Medicaid is for the poor. Both of
these programs were a step
forward in assuring coverage for these two groups.
Efforts by other public policy makers had not been successful in
assuring access to health care
services, including a plan in 1993 by President Clinton. In
2009, President Obama and Congress
7. finally passed a comprehensive plan for health care reform that
addresses the costs of health care,
access to health care, and outcomes to be achieved in the health
care system. Use of electronic
health care records was a significant strategy in the reform plan.
The debate over the direction for this legislation, the issue of
costs, and quality outcomes will
last for a while since the cost increase curve for health care
needs to change and access needs to
be expanded. With the United States facing other major
challenges as well, hopefully, the
commitment to improving outcomes and reducing costs will
continue.
Starting in January 2011, demographics indicate that 10,000
Baby Boomers a day are turning age
65 and becoming eligible for Medicare, which is a taxpayer-
supported health care payment
system. For the next 20 years, Boomers will continue to age
until all 77 million are enrolled in
the Medicare program, which is almost double the current
number in Medicare. This will create
8. even more health care costs and access challenges for the
country.
Veterans Administration Healthcare (VAH) has a perceived
reputation for providing less than
perfect health care for America’s veterans. Historically, that
might have been an accurate
observation, but no longer is that factual. Today, the VAH is
considered to be a model integrated
health care delivery system, both in terms of the cost of care
and the measurement of outcomes
to patients.
One of the root causes for this change has been the adoption of
a fully operational electronic
health record system, which started about 20 years ago. The
electronic health record software
system, called VISTA, is deployed across the country to all
VAH locations, including hospitals
and clinics. This allows veterans to be treated at any location,
and the employees of the VAH
can access any veteran’s health care record. This system
prevents duplicated services, finds
conflicts in medications, tracks outcomes, and provides
enhanced support to health care
9. providers in the VAH.
VISTA software was developed by the VAH and is available for
anyone to use free of charge
because it was created using federal, taxpayer funds. The tool
has been refined, developed, and
updated for the past 20 years and will continue to evolve. It is
online and can be downloaded,
yet it is not widely used outside of the VAH system. This is a
resource and model that other
providers should review, and they should consider adopting a
similar system.
As previously mentioned, the pressure caused by the high cost
of health information staff is
considered to be a challenge. Other direct care staff will also
be a problem that health care
leaders will need to address.
This high cost of health care staff is a major driving reason for
health care cost increases. If the
productivity of health care staff can be enhanced using
electronic technology, this would be an
outcome that could reduce the overall costs of care. Another
10. opportunity to reduce costs is to
prevent the duplication of tests. A comprehensive and fully
deployed electronic health care
record system could reduce or eliminate these unnecessary costs
of care.
Crossing the Quality Chasm
In 2001, the Institute of Medicine (IOM) continued its series of
reports on improving health care
outcomes and reducing the costs of care. Crossing the Quality
Chasm (IOM, 2001) declared that
100,000 lives could be saved each year in the health care
delivery system if certain quality
improvement processes were widely adopted by health care
providers. The recommendations
included the need for a fully integrated and interoperable
electronic health record system.
The IOM’s report in 2006, Preventing Medication Errors (IOM,
2006), continued the research
and recommendations on how to prevent avoidable errors in
dispensing medications to patients.
Again, a major recommendation was to use technology to order,
11. confirm, and dispense
medications in the health care setting.
For the past decade, researchers and health care professionals
have examined how quality might
be improved. A key driver is the ability to use technology to
enhance the standardization of
protocols in health care organizations. The technology
available for the electronic health care
record system has the ability to meet that need effectively and
cost efficiently.
WORKS CITED
Institute of Medicine. (2001). Crossing the quality chasm.
Washington, DC: National Academies
Press (http://www.nap.edu).
Institute of Medicine. (2006). Preventing medication errors.
Washington, DC: National
Academies Press (http://www.nap.edu).
12. http://www.nap.edu/
http://www.nap.edu/
LESSON 15
Hardware and Software for HIT
LEARNING OUTCOMES
_____________________________________________________
_________________________
In this lesson, you will do the following:
Discuss the use of hardware and software in health information
systems.
READINGS
The following reading assignments are for Lessons 13 through
16:
Gartee Text:
Chapter 2, pp. 27 - 41
13. Chapter 7, pp. 152 - 181
Chapter 8, pp. 182 - 206
ACTIVITIES / ASSESSMENTS
The following activities/assessments are for Lessons 13 through
16:
1. Read the assigned pages from the Gartee text, Unit 4
PowerPoint, and Lecture Notes.
2. Participate in the weekly discussion question.
3. Complete the written assignment.
WRITTEN ASSIGNMENTS
Discuss how hardware, software, and the operating system are
used collectively to keep health
information confidential and private.
14. PLEASE NOTE: All graded assignments for the lessons in this
unit should be grouped together
and submitted as ONE document using the Assignment
Submission form accessed from your
course homepage or http://www.sjcme.edu/gps/assignments.
http://www.sjcme.edu/gps/assignments
LESSON 15
Hardware and Software for HIT
LECTURE NOTES
_____________________________________________________
_________________________________
Introductory Comments on Hardware and Software Systems for
Health Care
Providers
It requires both hardware and software to make the health
information system function since
each has a part in the information creation process. Hardware is
the mechanical components of
the computer system such as monitors, keyboards, hard drives,
15. computer processing units
(CPU’s), random access memory (RAM), printers, servers,
modems, and other such physical
equipment. Most of the hardware components used by health
care providers are typical of all
businesses. However, there are some specialized pieces of
hardware unique to health care
businesses. Some of these are noted below.
Software is the programming used to make the computer
hardware function for the user. As
mentioned in a prior lesson, there are three basic functions for
software: word processing,
numbers processing (spreadsheets), and databases.
Health care providers do use some typical business software
such as accounting and financial
software. However, other software for a health care
organization needs to be highly specialized
for the electronic health record since it is required to perform
very specific tasks. While the
basic health care record is a sophisticated database system, the
format needed for the record is
significantly different from other database systems that non-
16. health care businesses might use for
their customers.
Special Hardware for Health Care
As electronic health care records evolved, manufacturers looked
for opportunities to upgrade and
enhance the health care equipment used with these records.
Many of these devices use wireless
connections, both Wi-Fi and Bluetooth protocols, to directly
input data into the system. Other
devices are directly wired to the computer or the network.
An example of input devices would include scales for weighing
a patient, blood pressure units,
blood monitors, imaging systems (PACS), laboratory
equipment, and point-of-care devices
(POC). The latter (POC) are devices that allow for the
inputting of information by para-
professional staff, using a handheld, dedicated kiosk or other
device that can be connected. The
POC might use a touch screen with graphic symbols as the
system for inputting. This allows for
a less-expensive input device, which is simpler to use than a
17. keyboard and is similar to a mouse
device with its point-and-click type of input.
Some physicians are using “smart phones” or other handheld
devices to access information on
patients, and these devices can be used to order treatments or
medications remotely. Physicians
can also access a database of the latest drugs and medications as
a reference tool, using one of
the thousands of applications developed for health care
providers.
Special Software for Health Care
The electronic health record is a database with some highly
specialized requirements and
functions. The health care record needs to have highly detailed
information that can be accessed
by a number of individuals and retrieved both as an individual
record and in combination with
other records for reporting purposes.
18. One very special software function that is used by physicians is
called CPOE, or computerized
provider order entry. This system gives users the ability to
enter data directly into the system,
without the need for having a clerk or other personnel transcribe
a handwritten or oral order.
This direct access to the system eliminates errors and removes
several steps from the inputting
process. Additionally, CPOEs can be created to assist
physicians in the ordering process by
using “drop down menus” of certain categories such as
medications. A sub-database of
medications allows the physician to type the first letters of the
medication, and the system then
provides several options. Dosages and other information can be
included in the setup. Some
systems can “learn” the preferred protocols of a physician and
can provide those first, and then
allow for further changes or refinement of an order.
Another specialized health-related software function is called
“decision support systems,” which
is used by physicians and other providers to look for
information when making a decision on a
19. treatment or condition of a patient. It allows access to the latest
research and evidence-based
practices for the diagnosis or condition being considered for
treatment. While this type of
software does not replace the professional judgment of the
provider, it can be an extremely
valuable tool that assists in the process.
One of the true values of collecting information in an electronic
format is the ability to compile
the information for research and analytical purposes. Report-
writing software allows users to
customize what information they want to extract, how it is
extracted, and how it is organized.
This provides an excellent tool for a variety of purposes,
including quality improvement,
governmental reporting, statistical review, as well as other
business functions.
LESSON 14
Paper vs. Electronic
21. The following activities/assessments are for Lessons 13 through
16:
1. Read the assigned pages from the Gartee text, Unit 4
PowerPoint, and Lecture Notes.
2. Participate in the weekly discussion question.
3. Complete the written assignment.
WRITTEN ASSIGNMENTS
Review the Case Study on page 178 of the Gartee text. What
might be the disadvantages and
challenges of transitioning to a full electronic health record, and
what might be done to overcome
those challenges?
PLEASE NOTE: All graded assignments for the lessons in this
unit should be grouped together
and submitted as ONE document using the Assignment
Submission form accessed from your
22. course homepage or http://www.sjcme.edu/gps/assignments.
http://www.sjcme.edu/gps/assignments
LESSON 14
Paper vs. Electronic
LECTURE NOTES
_____________________________________________________
_________________________________
Evolution of Information Systems in Health Care
The health care profession has used paper-based record systems
since the early 1900s, first by
the health care professions as a mandate for professional
standards and then by the organizations
paying for care and by governmental entities. Since that time,
health information systems have
evolved to become highly sophisticated and specialized record-
keeping systems. However, it
took nearly 90 years to develop this level of effectiveness.
While there are limitations and issues
23. with paper-based systems, they certainly have been tools that
allowed for the timely and accurate
recording of the care and condition of patients.
The development of computers began in the 1940s and were
simple systems that used vacuum
tubes and were housed in boxes the size of a living room. With
the invention of the transistor,
the computer began to shrink in physical size. As electronic
engineers experimented with this
new technology, computer systems began to evolve rapidly with
the ability to put a transistor on
a micro basis in the silicon chip.
The physical size of the computer continued to be reduced, but
the cost of the hardware was still
too high for smaller organizations. Most of the software that
was available required high levels
of expertise and special knowledge. It was the creation of the
micro-computer that drove the
cost of the units down and allowed for wide-area adoption of
the technology.
Hospitals and other health care organizations began to more
widely adopt electronic technology,
24. primarily in the accounting and finance departments as a
solution to the information needs of the
organization. Financial software became widely available for
business purposes and was readily
adopted by health care entities since numbers are just numbers.
Little or limited specialized
software was developed and used by health care entities. Using
the technology for health records
was probably considered and even used in some settings, but
only if the software was available.
However, most of the software was customized for the
organization and was very expensive to
develop.
As the size of the hardware was reduced and software evolved
to become more user friendly, the
value of computers began to be seen by many organizations and
professions. It was the
development of software that pushed the expansion of
computers into the public mainstream.
Computers started to become a tool to manage large amounts of
data in a small space and
manipulate that data in ways that had never been done so
quickly.
25. The development of the Internet and broad access to that system
by the general public created the
tipping point for the further explosion of computing. The
Internet was developed as a tool for
large government and academic entities so they could transmit
information between each other.
As it became available to the general public, it was readily
adopted for home and small business
use. Access to information, e-mail, games, personal software,
etc., all came into use, and the
high demand for Internet access expanded rapidly. Connection
to the Internet transformed into a
necessity of daily life.
Use of Computerized Systems in Health Care
In the early 1990s, the Institute of Medicine (IOM), a research
and think-tank organization,
evaluated the current paper-based health record with the
potential of using electronic technology
to record, compare, and manipulate patient data. The IOM
report suggested that an electronic
26. health record could create a number of functions that would
enhance the care and outcomes
delivered to a patient.
The IOM report created the potential for eight core functions
that the technology could perform
that would be an enhancement to the health care delivery
system. They saw the ability to create
a defined data set of information that would give researchers the
ability to assess treatment
outcomes and create evidence-based practices. They also saw
the potential for error reduction
and enhanced productivity in recording information by using a
computerized provider order
entry (CPOE) system and a decision support system that would
provide access to best practices
(Dick & Steen, 1991).
This IOM report started three decades of research by the IOM
and other research-based
organizations on the value of the electronic health record,
including the 2009 health care reform
legislation (H.R.1, 2009) that mandates the adoption of this
technology as a means to reduce both
27. errors and costs. Much of the strategy to “bend the cost” curve
of health care is being driven by
the expanded adoption of electronic health information systems.
There are a number of key items that the technology will need
to consider to allow the reduction
of errors, provide enhanced productivity, and lower the costs of
health care. These functional
issues are factors that will determine how information systems
are developed.
First, a standardized and mandated protocol for the format of
patient information needs to be
created and adopted. If every health care provider is left to
determine how the information will
be recorded and saved, the ability to compile information for
separate systems will be
compromised. While it is the decision of the provider on how
the data might be used internally,
the ability to share information from provider to provider on a
patient is essential if duplicate
services are to be eliminated and conflicting treatments are to
be prevented. A number of
organizations and entities are creating standards, including HL7
28. and CCHIT.
Another area similar to the protocol for transmitting
information is the adoption of a standardized
coding system, which is referred to as nomenclatures. This
assures that the terminology used is
the same from location to location, which again provides the
ability to conduct comparisons.
The systems used include SNOWMED-CT and MEDCIN.
The adoption of both of these key standards provides for
consistent inputting of health
information by each entity, which is a critical factor for quality
improvement purposes and to
achieve reduced costs. This consistency allows for the accurate
transmission of health
information to other providers, third-party payers, and
governmental entities.
_____________________________________________________
_________________________
29. WORKS CITED
Dick, R. S., & Steen, E. B. (1991). The computer-based patient
record: An essential technology
for health care. Washington, DC: Institute of Medicine,
National Academy Press. (Revised
1997, 2000).
111
th
Congress. (2009-2010). H.R.1: American recovery and
reinvestment act of 2009. Title XIII
Health Information Technology for Economic and Clinical
Health, February 17, 2009.
LESSON 13
Health Information Staffing
LEARNING OUTCOMES
_____________________________________________________
30. _________________________
In this lesson, you will do the following:
Differentiate the various roles of health information
professionals.
READINGS
The following reading assignments are for Lessons 13 through
16:
Gartee Text:
Chapter 2, pp. 27 - 41
Chapter 7, pp. 152 - 181
Chapter 8, pp. 182 - 206
ACTIVITIES / ASSESSMENTS
The following activities/assessments are for Lessons 13 through
16:
31. 1. Read the assigned pages from the Gartee text, Unit 4
PowerPoint, and Lecture Notes.
2. Participate in the weekly discussion question.
3. Complete the written assignment.
WRITTEN ASSIGNMENTS
Interview a Health Information Specialist (or their Supervisor)
or an individual in a similar
position, and review the roles of the various positions in a
Health Information Department and
how they impact the health information system.
PLEASE NOTE: All graded assignments for the lessons in this
unit should be grouped together
and submitted as ONE document using the Assignment
Submission form accessed from your
course homepage or http://www.sjcme.edu/gps/assignments.
32. http://www.sjcme.edu/gps/assignments
LESSON 13
Health Information Staffing
LECTURE NOTES
_____________________________________________________
_________________________________
Staffing and Organizing the Health Information Management
Department
The personnel needed to operate a health information
management system require specialized
training for this field of employment. Regardless of whether
the department is using a paper-
based health record, has converted to a partial electronic health
record, or has made the
commitment to a full electronic health record, health
information systems has become a highly
specialized field with many sub-specialties.
Each health care organization creates policies, procedures, and
protocols for using their health
33. care information records, regardless of whether it is paper-based
or electronic. While the
organization and their health information specialists follow
professional and governmental
requirements, each system is created and modified to meet the
specific needs of the organization.
As the saying goes, “If you have seen one health care
information system... you have seen only
one health care information system.” The newly hired health
care information specialist will
need to be trained and oriented to the organization’s system, the
policies and procedures, and the
other internal protocols of the organization.
For the paper-based record, the individual should possess skills
and knowledge of the structure
and organization of the health record, patient privacy and
confidentiality, state and federal laws
and regulations, storage and retention of records, organization
of the health care delivery system,
and medical terminology. The individual also needs to be
meticulous and detailed oriented since
the record is the primary legal document that supports the
services rendered to the patient. In
34. some positions, the ability to use statistical tools is needed,
especially for quality assurance and
other review and quality audit systems. If the individual is in a
leadership or supervisory
position, additional skills in management theory and
supervisory experience would be necessary
for success.
For the organization that uses an electronic health record, all of
the above mentioned skills are
necessary along with computer expertise. Individuals need
some technical skills on how the
electronic system operates, but not highly specific knowledge
on information technology.
Specialized training on hardware, software, and operating
systems would be critical for the
individual in the information technology (IT) department.
While the functioning of electronic health records is similar,
every system and vendor has
programs and operations that are unique to their software.
Having worked or trained on other
software systems is helpful, but most likely individuals will
need to have detailed and specific
35. training on their health care organization’s software and
protocols for health information.
Ongoing Training for HIM Professionals
Once individuals have been hired, orientated, and trained on the
health information system for
their employer, the training and learning process is merely a
beginning. Systems and
requirements change on a routine basis. Governmental payment
systems also change and are
updated regularly, and HMOs and insurance carriers make
changes to coding, reimbursement,
and other conditions for treatments to patients. All of these
require additional training and
knowledge.
Software vendors typically have normal maintenance changes to
their software systems to
correct bugs, malfunctions, and changes in rules or regulations.
Additionally, vendors are
constantly improving and upgrading their software giving users
36. the ability to enhance their use of
the system.
Health care information specialists also make suggestions to
vendors for system enhancements to
their software. This type of feedback is very valuable to
vendors since health care staff members
are using their systems on a regular basis and know the
challenges, issues, and any opportunities
for improvements.
Strategies for HIT Staffing
As health information positions become specialized, salaries
have been growing at a rapid pace,
especially for those who have skills with electronic health
records. During the past few years,
however, the recruitment for HIT and IT staff positions has not
been a major challenge for
employers, primarily due to the recession. As the recession
gradually ends, salaries for IT
positions will continue to increase and the competition for
qualified staff by employers will again
be a problem.
37. Some employers create programs to develop qualified HIT staff
in-house, using various on-the-
job programs to train individuals in their health information
system. This can be an excellent
strategy for addressing staffing needs and shortages. It also
provides a career path for the
organization’s staff, which can improve staff satisfaction and
enhance loyalty to the organization.
As salaries increase and competition for hiring becomes intense,
employers look for alternative
staffing strategies to consider for their HIT needs. One option
is to use temporary or contracted
staff to fill in during vacations or leaves of absence. They can
also be used to supplement
existing health care information staff when there are special
projects or when an increase in
productivity is required due to increased occupancy or other
circumstances. This strategy gives
the employer supplemental staffing when needed, and they do
not have the long-term cost of
hiring and training new staff.
38. Another option for HIT is to outsource much of the storage and
network function of their
electronic information system. However, this needs to be
carefully evaluated since privacy and
security issues are still the responsibility of the health care
organization. It becomes an issue of
balancing off the cost of permanent hiring with the use of
contract staffing.
Professional Organizations Representing HIM Professionals
There are a number of organizations that provide training,
advocacy, support, and certification
for health information specialists. The names of those
associations are listed in the Gartee
textbook. If you have an interest in any of the health
information positions, please go to the
website of the organization for detailed information.
There is value to the health information specialist and the
employer in having highly qualified
and competent individuals operating the HIM system. A
certification process can provide a
39. certain level of competency for individuals. Typically, the
process includes training sessions,
written assignments for evaluating knowledge, and the testing
of skills.
In the health care field, most of the direct care positions (i.e.,
nursing, medical, laboratory,
imaging, etc.) are required to have both a license and a
credential that demonstrate competency.
At the present time, the government and other payers have not
mandated the certification of
health information specialists. As health information
technology becomes the norm for health
care organizations, it is predicted that some form of
credentialing or certification process will be
required to assure the competency of individuals who are
operating and accessing the system.
There is currently a voluntary form of certification managed by
the American Health Information
Management Association. The certification is available at both
the administration and technical
levels.