Shirlee Linke completed a practicum at Silver Lake Nursing Center to fulfill requirements for her health information technology degree from DeVry University. Over the course of 8 weeks, she gained experience in key medical records functions like auditing, closing charts, and handling record requests. The practicum helped confirm her interest in pursuing a career in health information technology, such as becoming a Registered Health Information Technician like her mentor, Theresa Oliphant.
A project was initiated at Lakeland Regional Health to improve patient readiness for surgical cases by ensuring required documents and physician orders were received by noon the day before surgery. The initial patient readiness rate was only 41% but through process changes, the goal of 80% readiness has been consistently met since October 2014. A multidisciplinary team standardized processes, developed technology tools like an electronic tracking board, and held physicians accountable through performance scorecards. As a result, patient safety has increased by reducing delays from missing paperwork.
Lakeland Regional Health initiated a project in 2013 to improve patient readiness for surgical cases. The goal was to increase patient safety, decrease delays, and improve the patient experience. They defined patient readiness as receiving all required documents by noon the day before surgery. Initially only 41% of patients met this criteria, but through process changes they achieved over 80% readiness each month since 2014. Key changes included tracking documents electronically, notifying doctors of missing information, and rescheduling cases if documents were not received in time.
Quality assurance programs overview in government hospitalUpendra Kushwah
The document discusses quality assurance in healthcare. It defines quality as meeting predetermined standards and customer expectations through minimizing variations and standardization. It outlines aims to ensure access to quality health services and satisfaction among users. Key aspects of quality include effectiveness, efficiency, equity, safety, timeliness and patient-centeredness. The document then provides details on quality assurance programs and assessments at the district, state and national level including formation of quality teams, indicators, audits, certifications and more. It discusses several specific quality programs like LaQshya for maternal and child health, SUMAN for maternal healthcare and Kayakalp for cleanliness in public health facilities.
Standard infrastructure for quality eye care serviceslionsleaders
This document discusses standards for quality eye care services and infrastructure. It outlines key aspects of quality including professional performance, use of resources, risk management, and patient satisfaction. Key components of quality infrastructure are proper planning, equipment, trained staff, record maintenance, and accreditations. The document also discusses layout and facilities for outpatient departments, inpatient wards, operating theaters, and overall hospital infrastructure and emphasizes the importance of standardized procedures, staff training, and accreditation in ensuring quality of care.
Sovereign Health is a clinical trial management organization that conducts global clinical trials in compliance with international standards. It was established in 2006 to improve site-level services for high-quality international clinical trials. Sovereign owns dedicated clinical research sites and provides support to ensure accurate, consistent clinical data generation according to international guidelines. The company's network of sites covers a diverse population and provides specialist expertise in areas like central nervous system studies.
The document outlines the assessment process and scoring methodology for the Kayakalp program, which aims to promote cleanliness, hygiene and infection control in public health facilities in India. It describes the various themes (areas of assessment), criteria, checkpoints and scoring system used. It provides details on the roles and responsibilities of internal and external assessment teams, as well as pre-assessment, during assessment and post-assessment activities like gap analysis and action planning. The goal is to help facilities improve cleanliness standards through a continuous assessment and quality improvement cycle.
The document discusses Materiovigilance, which is the monitoring of incidents involving medical devices. It aims to study device-related incidents, enable dangerous devices to be removed from the market, and improve device quality and safety for patients. The Materiovigilance Programme of India was established in 2015 after incidents involving malfunctioning medical devices caused patient deaths. It oversees monitoring centers that collect adverse event reports which are analyzed to detect safety issues and support regulatory decision-making regarding medical devices in India.
ICH-E2A: Safety Reporting in Clinical Trials in Australia
Dr. Ananda Kondepati, M.D. and
Dr. Shalini Pasumarthi, M.D.
Research Program Director:
Pr. Peivand Pirouzi
A project was initiated at Lakeland Regional Health to improve patient readiness for surgical cases by ensuring required documents and physician orders were received by noon the day before surgery. The initial patient readiness rate was only 41% but through process changes, the goal of 80% readiness has been consistently met since October 2014. A multidisciplinary team standardized processes, developed technology tools like an electronic tracking board, and held physicians accountable through performance scorecards. As a result, patient safety has increased by reducing delays from missing paperwork.
Lakeland Regional Health initiated a project in 2013 to improve patient readiness for surgical cases. The goal was to increase patient safety, decrease delays, and improve the patient experience. They defined patient readiness as receiving all required documents by noon the day before surgery. Initially only 41% of patients met this criteria, but through process changes they achieved over 80% readiness each month since 2014. Key changes included tracking documents electronically, notifying doctors of missing information, and rescheduling cases if documents were not received in time.
Quality assurance programs overview in government hospitalUpendra Kushwah
The document discusses quality assurance in healthcare. It defines quality as meeting predetermined standards and customer expectations through minimizing variations and standardization. It outlines aims to ensure access to quality health services and satisfaction among users. Key aspects of quality include effectiveness, efficiency, equity, safety, timeliness and patient-centeredness. The document then provides details on quality assurance programs and assessments at the district, state and national level including formation of quality teams, indicators, audits, certifications and more. It discusses several specific quality programs like LaQshya for maternal and child health, SUMAN for maternal healthcare and Kayakalp for cleanliness in public health facilities.
Standard infrastructure for quality eye care serviceslionsleaders
This document discusses standards for quality eye care services and infrastructure. It outlines key aspects of quality including professional performance, use of resources, risk management, and patient satisfaction. Key components of quality infrastructure are proper planning, equipment, trained staff, record maintenance, and accreditations. The document also discusses layout and facilities for outpatient departments, inpatient wards, operating theaters, and overall hospital infrastructure and emphasizes the importance of standardized procedures, staff training, and accreditation in ensuring quality of care.
Sovereign Health is a clinical trial management organization that conducts global clinical trials in compliance with international standards. It was established in 2006 to improve site-level services for high-quality international clinical trials. Sovereign owns dedicated clinical research sites and provides support to ensure accurate, consistent clinical data generation according to international guidelines. The company's network of sites covers a diverse population and provides specialist expertise in areas like central nervous system studies.
The document outlines the assessment process and scoring methodology for the Kayakalp program, which aims to promote cleanliness, hygiene and infection control in public health facilities in India. It describes the various themes (areas of assessment), criteria, checkpoints and scoring system used. It provides details on the roles and responsibilities of internal and external assessment teams, as well as pre-assessment, during assessment and post-assessment activities like gap analysis and action planning. The goal is to help facilities improve cleanliness standards through a continuous assessment and quality improvement cycle.
The document discusses Materiovigilance, which is the monitoring of incidents involving medical devices. It aims to study device-related incidents, enable dangerous devices to be removed from the market, and improve device quality and safety for patients. The Materiovigilance Programme of India was established in 2015 after incidents involving malfunctioning medical devices caused patient deaths. It oversees monitoring centers that collect adverse event reports which are analyzed to detect safety issues and support regulatory decision-making regarding medical devices in India.
ICH-E2A: Safety Reporting in Clinical Trials in Australia
Dr. Ananda Kondepati, M.D. and
Dr. Shalini Pasumarthi, M.D.
Research Program Director:
Pr. Peivand Pirouzi
Brisbane Health-y Data: Legislation, Ethics and GovernanceARDC
Presentation given by Melissa Hagan at the 'Sharing Health-y Data Workshop: Challenges and Solutions' event co-hosted by ANDS and HISA. Held on Wednesday 16th March 2016 at the Translational Research Institute, Brisbane, Australia.
The document provides guidance on developing a risk management plan. It begins by outlining the objectives of risk management in healthcare and establishing the context of a bone marrow transplant program. It then identifies risks through a risk registry and scores them based on likelihood and impact. High risks are identified as epidemics, acquiring infections, and ICU bed availability. Response strategies are proposed to mitigate the highest risk of COVID-19 epidemics through prevention, reduction, and segregation techniques. The plan also establishes a review process to monitor implementation and compliance. The goal is to proactively control COVID-19 risks through a failure modes and effects analysis to reduce infections among bone marrow transplant patients.
Patricia Rybczak has over 20 years of experience in healthcare, including 15 years as an HIM Manager and Technician. She currently works as an HIM Technician for Rochester Regional Health, where she processes denials, appeals, and correspondence for two hospitals. Previously, she was the HIM Manager for ElderONE, where she led an implementation team for an electronic medical record system and oversaw reporting and quality improvement audits. She holds certifications in health information management and as a Yellow Belt Lean Six Sigma practitioner.
This document contains charts and graphs showing the total number of cataract surgeries performed each year from 2007-2008 to 2013-2014, with numbers rising from around 5.4 million to over 6.1 million. It discusses the importance of safe, high-quality and affordable cataract surgery and lists equipment and technologies needed to properly perform surgeries. It also discusses metrics like intervention ratio, pre-and post-operation vision to measure quality of care, and suggests separating free/subsidized care from paid services to better serve different populations. Quality is defined as discipline, preparedness, affordability and doing things right even when unobserved.
A look at the Medicare requirements and the evidence around Health Assessments in Australia.
Should we be doing them? Probably, but we need to be aware of why we're doing them.
Medical case chronologies are crucial in medical litigation as they provide a clear timeline of a patient's medical history and care in an accessible format. Outsourcing the creation of medical chronologies to expert medical record review companies ensures the chronologies are accurate and capture all important details in the correct sequence. These professional-created chronologies can then be used effectively by legal teams to understand disputed facts, share knowledge about the case, develop pre-trial motions, and prepare for depositions or trial. Outsourcing also saves attorneys and staff significant time and effort compared to creating chronologies in-house.
EU Clinical Regulation Webinar Slide Deck.pptxMMS Holdings
The webinar discusses key changes introduced by the new EU Clinical Trials Regulation that will revolutionize clinical trial transparency in Europe. Some of the major changes include a single application portal, expanded data disclosure requirements, and public access to clinical study documents and results. The new regulation aims to streamline the application process and increase oversight and transparency of clinical trials conducted in the European Union.
Litigation Support Services_Digital Brochure_ 3.24.16Ryan Ellsworth
The Center for Litigation Support provides medical record retrieval and summary services to law firms. Their services go beyond a basic chronology to fully explain the impact of any injury on the claimant now and in the future. This insight helps ensure all aspects of the claimant's recovery are covered. Medical specialists summarize key facts and treatments efficiently and concisely. Specialists are also available throughout each case to communicate with attorneys. Customized medical summary services help ensure no part of a case is overlooked.
Delivering Quality Through eHealth and Information TechnologyNHSScotlandEvent
The document summarizes several presentations on using eHealth and information technology to improve quality in healthcare delivery. It discusses tools like the Lanarkshire Quality Improvement Portal that allow clinicians to easily enter and access data to monitor quality measures and drive improvements. It also describes how systems like TrakCare and the Emergency Care Summary can help with tasks like medicines reconciliation across care settings. Accessing the Emergency Care Summary provided additional clinical information for management in 10% of cases studied.
The Honest Broker Service (HBS) facilitates access to anonymized health data for approved researchers and policymakers. It is run by two staff members and overseen by a Governance Board. The HBS provides anonymized data from sources like hospital admissions and prescriptions to researchers while ensuring privacy and security. It also assists the health service with audits and planning by sharing non-identifiable data internally. Examples provided demonstrate how the HBS supports both research projects and health service operations through secure data access and linkage.
Proactive Internal Auditing: Developing Your Team\'s Plan for Quality AssuranceHeather Kemp
The document discusses developing an internal auditing program for clinical research teams. It defines auditing and monitoring and explains that auditing can identify systemic issues and determine root causes of problems. The presentation recommends that research teams establish who will audit, what areas they will audit, where audits will occur, and how often. It emphasizes the importance of having a mission statement, defined roles and responsibilities, and considering stakeholders, costs, and timelines when creating an internal auditing plan.
This document discusses leveraging technology to advance clinical documentation improvement (CDI) programs. It notes that current CDI programs focus primarily on revenue cycle management and have resulted in physician cynicism. The document advocates for more physician-engaged CDI programs that integrate with quality initiatives and utilize technology like computer-assisted physician documentation (CAPD) to provide real-time guidance to physicians. This could help address challenges under ICD-10 by capturing accurate clinical impressions and ensuring compliant documentation. The document concludes that successful CDI programs require advanced, clinically integrated technologies that fit with physician workflows.
The document describes a healthcare management system that will maintain medical histories of patients, employees, and dependents. It will track medicine stock and issuance using inventory management. The system requires initial entry of master data that is rarely changed. Medical histories reference this master data, and patient/dependent information is automatically retrieved using a registration number. The document outlines the process for treatment, including generating medical slips, doctor examination, prescriptions, pharmacy medicine issuance, referrals, and stock tracking. It lists reports like medical examination history, test results, lists of providers, and master data screens for areas, ailments, specialties, and more.
AHIMA Game of documentation - dance with the icd10 dragonNick van Terheyden
Following on from AHIMA 2014 this AHIMA 2015 session will follow last years Successful Presentation “Game of Documentation: Winter is Coming – Surviving ICD-10” to address the genuine concerns of clinicians and demonstrate to them why they must not just accept ICD10 but should be demanding it. As Yoda said
“Always in motion is the future…a little more knowledge lights our way.”
ICD-10 has been implemented but resistance remains high and in a recent remarks by the AMA president that said
“If it was a droid, ICD-10 would serve Darth Vader… For more than a decade, the AMA kept ICD-10 at bay – and we want to freeze it in carbonite!”
But despite this the financial viability and performance of hospitals and physicians are impacted by poor quality of data that is captured with an outdated 1970s-era coding system
The first leap into big data is collecting information with precision and clarity – something that cannot be achieved with a coding system that does not capture Ebola nor the basic classification of myocardial infarction STEMI and Non-STEMI. Everyone – ICD10 supporters and opponents wants the best possible care when they access our healthcare system – but how do they know they are receiving this if we are unable to accurately collect information about diseases and treatments and link outcomes to treatments.
https://ahima.confex.com/ahima/87am/webprogram/Session6176.html
The document discusses the workflow processes at the Central Hastings Family Health Team and how they have harnessed the power of their electronic medical record (EMR) system to improve workflows. It describes their patient population as rural and high needs. It outlines their current EMR system and network setup. It then details the workflow processes for a typical patient visit from registration through the encounter, referrals, tests, and follow up. It provides examples of how they have standardized documentation using templates, stamps, and forms. It discusses how they have built programs like for diabetes care and outlines their successes in improving quality of care through data analysis and continuous quality improvement.
Brittany Chipps is seeking a career as a medical assistant in an urgent care setting. She has an Associate's degree in Medical Assisting and is a Nationally Certified Medical Assistant. Her clinical skills include vital signs, phlebotomy, injections, ECGs, and assisting with minor procedures. She also has skills in office administration, medical terminology, coding, billing, and electronic health records. Her previous experience includes a 120-hour medical assisting externship and customer service jobs.
An accurate discharge summary is crucial for the healthcare unit. Discharge summaries can be prepared meticulously with the help of medical transcription professionals.
This document provides guidance for the Clinical Outcomes Publication (COP) program, which publishes quality measures from National Clinical Audits at the consultant, team, and unit level. It covers topics like quality measures, data quality, outlier identification and management, legal considerations, and more. The goal of COP is to improve clinical quality and support transparency by learning from high performers and celebrating excellence. Participating audits are expected to report risk-adjusted mortality as well as additional specialty-specific quality measures of importance to patients.
This document describes Parker's Triphala Powder, an Ayurvedic herbal formulation used to treat constipation. It contains equal parts Amalaki, Haritaki, and Bibhitaki, as well as Kathila Gum. Each ingredient is described in terms of its effects on digestion, constipation, blood purification, antioxidant properties, and other health benefits. The uniqueness of Parker's Triphala Powder is highlighted as containing Kathila Gum to aid bulk formation and treat constipation without side effects.
This document contains the resume of Ervin Brucal, an electrical engineer from the Philippines seeking work in Singapore. Brucal has over 10 years of experience working in equipment engineering and maintenance roles for companies in Singapore, the Philippines, and Taiwan. His responsibilities have included repairing and troubleshooting manufacturing equipment, designing systems to address machine issues, and leading various improvement projects. Brucal holds an electrical engineering degree and relevant professional certifications.
Eullaine Miralpes is a 31-year-old Filipino woman seeking an administrative or customer service position in Dubai. She has 6 years of experience in administrative roles in Dubai and the Philippines. Her experience includes customer service, data entry, preparing documents, and assisting management. She has a bachelor's degree in psychology from the Philippine Normal University and is proficient in Microsoft Office programs. Her resume provides contact information, work history detailing responsibilities at previous employers, education background, and skills.
Brisbane Health-y Data: Legislation, Ethics and GovernanceARDC
Presentation given by Melissa Hagan at the 'Sharing Health-y Data Workshop: Challenges and Solutions' event co-hosted by ANDS and HISA. Held on Wednesday 16th March 2016 at the Translational Research Institute, Brisbane, Australia.
The document provides guidance on developing a risk management plan. It begins by outlining the objectives of risk management in healthcare and establishing the context of a bone marrow transplant program. It then identifies risks through a risk registry and scores them based on likelihood and impact. High risks are identified as epidemics, acquiring infections, and ICU bed availability. Response strategies are proposed to mitigate the highest risk of COVID-19 epidemics through prevention, reduction, and segregation techniques. The plan also establishes a review process to monitor implementation and compliance. The goal is to proactively control COVID-19 risks through a failure modes and effects analysis to reduce infections among bone marrow transplant patients.
Patricia Rybczak has over 20 years of experience in healthcare, including 15 years as an HIM Manager and Technician. She currently works as an HIM Technician for Rochester Regional Health, where she processes denials, appeals, and correspondence for two hospitals. Previously, she was the HIM Manager for ElderONE, where she led an implementation team for an electronic medical record system and oversaw reporting and quality improvement audits. She holds certifications in health information management and as a Yellow Belt Lean Six Sigma practitioner.
This document contains charts and graphs showing the total number of cataract surgeries performed each year from 2007-2008 to 2013-2014, with numbers rising from around 5.4 million to over 6.1 million. It discusses the importance of safe, high-quality and affordable cataract surgery and lists equipment and technologies needed to properly perform surgeries. It also discusses metrics like intervention ratio, pre-and post-operation vision to measure quality of care, and suggests separating free/subsidized care from paid services to better serve different populations. Quality is defined as discipline, preparedness, affordability and doing things right even when unobserved.
A look at the Medicare requirements and the evidence around Health Assessments in Australia.
Should we be doing them? Probably, but we need to be aware of why we're doing them.
Medical case chronologies are crucial in medical litigation as they provide a clear timeline of a patient's medical history and care in an accessible format. Outsourcing the creation of medical chronologies to expert medical record review companies ensures the chronologies are accurate and capture all important details in the correct sequence. These professional-created chronologies can then be used effectively by legal teams to understand disputed facts, share knowledge about the case, develop pre-trial motions, and prepare for depositions or trial. Outsourcing also saves attorneys and staff significant time and effort compared to creating chronologies in-house.
EU Clinical Regulation Webinar Slide Deck.pptxMMS Holdings
The webinar discusses key changes introduced by the new EU Clinical Trials Regulation that will revolutionize clinical trial transparency in Europe. Some of the major changes include a single application portal, expanded data disclosure requirements, and public access to clinical study documents and results. The new regulation aims to streamline the application process and increase oversight and transparency of clinical trials conducted in the European Union.
Litigation Support Services_Digital Brochure_ 3.24.16Ryan Ellsworth
The Center for Litigation Support provides medical record retrieval and summary services to law firms. Their services go beyond a basic chronology to fully explain the impact of any injury on the claimant now and in the future. This insight helps ensure all aspects of the claimant's recovery are covered. Medical specialists summarize key facts and treatments efficiently and concisely. Specialists are also available throughout each case to communicate with attorneys. Customized medical summary services help ensure no part of a case is overlooked.
Delivering Quality Through eHealth and Information TechnologyNHSScotlandEvent
The document summarizes several presentations on using eHealth and information technology to improve quality in healthcare delivery. It discusses tools like the Lanarkshire Quality Improvement Portal that allow clinicians to easily enter and access data to monitor quality measures and drive improvements. It also describes how systems like TrakCare and the Emergency Care Summary can help with tasks like medicines reconciliation across care settings. Accessing the Emergency Care Summary provided additional clinical information for management in 10% of cases studied.
The Honest Broker Service (HBS) facilitates access to anonymized health data for approved researchers and policymakers. It is run by two staff members and overseen by a Governance Board. The HBS provides anonymized data from sources like hospital admissions and prescriptions to researchers while ensuring privacy and security. It also assists the health service with audits and planning by sharing non-identifiable data internally. Examples provided demonstrate how the HBS supports both research projects and health service operations through secure data access and linkage.
Proactive Internal Auditing: Developing Your Team\'s Plan for Quality AssuranceHeather Kemp
The document discusses developing an internal auditing program for clinical research teams. It defines auditing and monitoring and explains that auditing can identify systemic issues and determine root causes of problems. The presentation recommends that research teams establish who will audit, what areas they will audit, where audits will occur, and how often. It emphasizes the importance of having a mission statement, defined roles and responsibilities, and considering stakeholders, costs, and timelines when creating an internal auditing plan.
This document discusses leveraging technology to advance clinical documentation improvement (CDI) programs. It notes that current CDI programs focus primarily on revenue cycle management and have resulted in physician cynicism. The document advocates for more physician-engaged CDI programs that integrate with quality initiatives and utilize technology like computer-assisted physician documentation (CAPD) to provide real-time guidance to physicians. This could help address challenges under ICD-10 by capturing accurate clinical impressions and ensuring compliant documentation. The document concludes that successful CDI programs require advanced, clinically integrated technologies that fit with physician workflows.
The document describes a healthcare management system that will maintain medical histories of patients, employees, and dependents. It will track medicine stock and issuance using inventory management. The system requires initial entry of master data that is rarely changed. Medical histories reference this master data, and patient/dependent information is automatically retrieved using a registration number. The document outlines the process for treatment, including generating medical slips, doctor examination, prescriptions, pharmacy medicine issuance, referrals, and stock tracking. It lists reports like medical examination history, test results, lists of providers, and master data screens for areas, ailments, specialties, and more.
AHIMA Game of documentation - dance with the icd10 dragonNick van Terheyden
Following on from AHIMA 2014 this AHIMA 2015 session will follow last years Successful Presentation “Game of Documentation: Winter is Coming – Surviving ICD-10” to address the genuine concerns of clinicians and demonstrate to them why they must not just accept ICD10 but should be demanding it. As Yoda said
“Always in motion is the future…a little more knowledge lights our way.”
ICD-10 has been implemented but resistance remains high and in a recent remarks by the AMA president that said
“If it was a droid, ICD-10 would serve Darth Vader… For more than a decade, the AMA kept ICD-10 at bay – and we want to freeze it in carbonite!”
But despite this the financial viability and performance of hospitals and physicians are impacted by poor quality of data that is captured with an outdated 1970s-era coding system
The first leap into big data is collecting information with precision and clarity – something that cannot be achieved with a coding system that does not capture Ebola nor the basic classification of myocardial infarction STEMI and Non-STEMI. Everyone – ICD10 supporters and opponents wants the best possible care when they access our healthcare system – but how do they know they are receiving this if we are unable to accurately collect information about diseases and treatments and link outcomes to treatments.
https://ahima.confex.com/ahima/87am/webprogram/Session6176.html
The document discusses the workflow processes at the Central Hastings Family Health Team and how they have harnessed the power of their electronic medical record (EMR) system to improve workflows. It describes their patient population as rural and high needs. It outlines their current EMR system and network setup. It then details the workflow processes for a typical patient visit from registration through the encounter, referrals, tests, and follow up. It provides examples of how they have standardized documentation using templates, stamps, and forms. It discusses how they have built programs like for diabetes care and outlines their successes in improving quality of care through data analysis and continuous quality improvement.
Brittany Chipps is seeking a career as a medical assistant in an urgent care setting. She has an Associate's degree in Medical Assisting and is a Nationally Certified Medical Assistant. Her clinical skills include vital signs, phlebotomy, injections, ECGs, and assisting with minor procedures. She also has skills in office administration, medical terminology, coding, billing, and electronic health records. Her previous experience includes a 120-hour medical assisting externship and customer service jobs.
An accurate discharge summary is crucial for the healthcare unit. Discharge summaries can be prepared meticulously with the help of medical transcription professionals.
This document provides guidance for the Clinical Outcomes Publication (COP) program, which publishes quality measures from National Clinical Audits at the consultant, team, and unit level. It covers topics like quality measures, data quality, outlier identification and management, legal considerations, and more. The goal of COP is to improve clinical quality and support transparency by learning from high performers and celebrating excellence. Participating audits are expected to report risk-adjusted mortality as well as additional specialty-specific quality measures of importance to patients.
This document describes Parker's Triphala Powder, an Ayurvedic herbal formulation used to treat constipation. It contains equal parts Amalaki, Haritaki, and Bibhitaki, as well as Kathila Gum. Each ingredient is described in terms of its effects on digestion, constipation, blood purification, antioxidant properties, and other health benefits. The uniqueness of Parker's Triphala Powder is highlighted as containing Kathila Gum to aid bulk formation and treat constipation without side effects.
This document contains the resume of Ervin Brucal, an electrical engineer from the Philippines seeking work in Singapore. Brucal has over 10 years of experience working in equipment engineering and maintenance roles for companies in Singapore, the Philippines, and Taiwan. His responsibilities have included repairing and troubleshooting manufacturing equipment, designing systems to address machine issues, and leading various improvement projects. Brucal holds an electrical engineering degree and relevant professional certifications.
Eullaine Miralpes is a 31-year-old Filipino woman seeking an administrative or customer service position in Dubai. She has 6 years of experience in administrative roles in Dubai and the Philippines. Her experience includes customer service, data entry, preparing documents, and assisting management. She has a bachelor's degree in psychology from the Philippine Normal University and is proficient in Microsoft Office programs. Her resume provides contact information, work history detailing responsibilities at previous employers, education background, and skills.
EasyDownload es un carrito de compras en línea que permite a los clientes comprar música de forma segura y conveniente. El modelo de negocio es B2C, enfocándose solo en transacciones con clientes individuales. El sitio fue desarrollado por un pequeño equipo de programadores experimentados usando un enfoque orgánico y de tamaño mediano.
Informe a la Nación 2016: Crecimiento Bajo
Informe a la Nación 2016: Crecimiento Bajo
Informe a la Nación 2016: Crecimiento Bajo
Informe a la Nación 2016: Crecimiento Bajo
This document provides an introduction to research governance for NHS research. It defines research governance as a framework that requires approval from an NHS trust and ethics committee before research can begin. The key components of research governance are outlined, including peer review, obtaining ethics committee approval, ensuring data protection, employing researchers with proper contracts, indemnity, financial accountability, and disseminating results. Researchers must obtain both ethics approval and approval from their trust's research and development office before beginning a study.
EU CTR Compliance and Success Navigating Updates and Preparing Submissions fo...MMS Holdings
As of January 31, 2023, Sponsors are required to submit all new trial applications for authorization in the European Union through the Clinical Trial Information System (CTIS) in compliance with the new European Union Clinical Trials Regulation (EU CTR). With the new regulation, Sponsors are seeking guidance with questions such as: what types of documents to include, processes, timelines, and how to protect confidential information, among others. Not fully understanding the process could result in releasing unprotected data or withdrawing the application due to unmet deadlines and requirements.
https://info.mmsholdings.com/eu-ctr-compliance-success-updates-submissions-for-eu-ctis-portal
This document provides an overview of key considerations for preparing Investigational New Drug (IND) and Clinical Trial Authorization (CTA) submissions to regulatory agencies. It discusses essential pre-submission planning steps like defining roles and timelines. It also reviews the structure and content of IND and CTA applications, highlighting similarities and differences between FDA, EMA, MHRA, and Health Canada requirements. The document emphasizes strategies for improving efficiency in multi-country submissions, such as reusing common documents and templates across applications.
The document discusses best practices for healthcare project management. It outlines a typical project management plan consisting of four phases (P0-P3): project initiation, project planning, project execution, and project closure. Each phase has key tasks and mandatory/recommended documentation. Challenges are analyzed for each phase regarding technology, organization, timing and finances. Change management and six sigma approaches are also summarized. The overall goal is to ensure project success by meeting objectives, timelines and budgets through professional planning and management.
The document provides an overview of medicolegal issues and handling complaints in a hospital setting. It discusses the establishment of a new Unit Etika & Medikolegal at Hospital Kuala Lumpur including its roles and organizational structure. Key topics covered include classification of complaints, statistics on complaint types and resolutions, the complaints handling process, issues related to communication and medical documentation, and principles of obtaining valid informed consent from patients.
The document discusses a pilot project conducted in New Zealand to test patient-centered audits of access to medical records. The pilot involved sending audit logs of access to their records to staff patients and asking them to review the access. Initial results found that some access flagged by patients as potentially inappropriate was actually appropriate. Most patients found the logs easy to understand and thought the pilot should be expanded. Key learnings included the need for clearer information and definitions to help patients understand medical roles and systems when reviewing access logs.
SUCCESS STORY: Increasing Preschool Enrollment From 75% to 85% With Jennelle ...GoLeanSixSigma.com
Cape Cod Child Development is a trailblazer in applying Lean Six Sigma to the nonprofit world. Watch this 30 minute success story webinar to learn how Jennelle Klun is helping to increase enrollment in the critical Head Start Program.
Digital tools are being used to improve access to care and reduce bureaucracy in the NHS. This includes providing online access to patient records, appointment booking and repeat prescriptions for over 90% of practices. Digital tools also aim to identify health conditions earlier through risk stratification searches, templates and remote monitoring. Data is showing improvements in identifying long term conditions like diabetes and chronic kidney disease through increased register sizes and prevalence rates. Information technology systems play an important role in implementing digital primary care strategies through tools that support case finding, care planning, data quality monitoring and sharing information across stakeholders.
This document discusses selecting a health care information system. It begins by outlining the key topics which include defining the life cycle as it relates to health care information systems, assessing organizational information needs, and the role of nursing in system selection. Next, it describes the purpose of a needs assessment which is to prepare staff for automation and define roles. It also explains how a mission statement guides determining information needs and the company's direction. The document concludes by listing nursing's role in selecting systems for registration, medical records, order entry, nursing management, utilization review, and quality assurance.
- Patient recruitment for clinical trials is a major challenge, estimated to be a $1.2-1.8 billion market. Recruitment costs average 6% of trial costs and are a primary factor in delays.
- Less than 5% of patients are aware of clinical trials, and only 2-3% actually enroll. However, over 90% of participants have a positive experience and would participate again.
- There is significant opportunity to improve recruitment through more patient-centric approaches leveraging data, technology, and analytics to identify more eligible patients and improve the recruitment process. However, this will require changes to traditional models.
Panel: Transitions of Care and ADT (without Rachel Sherman)mihinpr
This document discusses using automated data feeds from hospitals to promote care coordination between primary care practices and hospitals. It describes a pilot program that implemented automated data feeds from local hospitals to notify primary care physicians and care coordinators of patient admissions and discharges. The pilot aimed to improve care coordination through increased communication and awareness of hospital utilization. Initial lessons showed the potential for improved workflows but also challenges in integrating new data and processes into clinical practice. Next steps focused on refining processes and expanding the pilot program.
1) The document summarizes preliminary findings from a process evaluation of the Salud Mesoamerica Initiative (SMI) which aims to strengthen health systems in Mesoamerica.
2) Key findings include that SMI has improved health facility management, logistics and medical supply availability, information systems, and human resource training.
3) SMI also influenced policies by changing conversations to focus on results and accelerating policy approval processes in Chiapas, Mexico. However, stakeholders disagreed on whether SMI adequately prioritized the poor.
The document outlines the NABH draft accreditation standards for clinical trials which are divided into three sections covering ethics committee accreditation, investigator accreditation, and clinical trial site accreditation. The standards address ethics committee composition and procedures, investigator roles and qualifications, and clinical trial site policies including informed consent processes, adverse event reporting, and investigational product management. Organizations conducting clinical trials are expected to regularly audit adherence to policies and procedures to ensure compliance with applicable regulations and guidelines.
- An e-referrals pilot project was conducted in the Waikato region of New Zealand to evaluate the benefits of electronic referrals between general practices and the regional health board's referral centers.
- The pilot involved 5 GP practices transmitting referrals electronically using a standardized template, which provided benefits like reduced processing time and requests for additional information.
- The pilot demonstrated benefits for GPs, practices, referral centers, patients and the health system. However, scaling the solution would be challenging and specialty-specific templates were desired.
Alan McDermott, Regional Director Patients and Information, NHS England
Masood Nazir, National Clinical Lead, Patient Online NHS England
Trevor Fossey, NHS England Patient Working Together Group
The document discusses determining quality indicators for health information. Interviews with clinicians identified 21 quality criteria they use to evaluate health information. The criteria fall into objective and subjective categories. A prototype was developed to detect the criteria within a health record standard and model the results as quality indicators that could be presented to clinicians. The goal is to help clinicians safely rely on health information by highlighting important quality criteria.
Ginger Chalker-Parker has 19 years of experience as a Certified Nursing Assistant and recently earned an MBA in Healthcare Administration. She is looking to advance her career by utilizing her new MBA knowledge and continuing her work assisting veterans. She has extensive experience providing direct patient care and administrative duties in hospital and long-term care settings. Her education includes a BS in Psychology and an MBA from Marylhurst University with a concentration in leadership and management.
2. •Obtain employment in Medical Records
•Explore training as Compliance Auditor
•Pursue education to become Compliance Auditor
•Obtain employment within the Department of Health, as a
Compliance Auditor
3. Practicum Experience HighlightsObjectives and Goals
•Morning Meeting
•Census
•Medical Records
•Auditing
•Release of Information
•Disclosure Log
Compliance
•Pursue Associates of Applied Science degree in Health
Information Technology
•Summer 2016-Anticipated graduation from DeVry University
•2016-Registerd Health Information Technician (RHIT)
Certification Examination
4. Observed use of Hybrid Medical Record System
Use of electronicandpapermedicalchart
Format and filing is according to facility needs
Differentfacilities require differentinformation
to providetreatment; filing istediousbutnecessary
Thinning Records keeps only current orders in the chart
Coding is done using electronic record
Organization is vitally important in Medical Records
It takes an organized, detailed-oriented individual who can workindependentlyto perform
the functions of a Medical Records Technician
Medical Records
5. Admission Audit
o Performed 3 days after admission to confirm required documentation and
assessments were completed
o Use of electronic and paper record
Discharge Audit
o Performedwithin30 daysafterdischargeto confirm alldocuments weresigned and
all paperwork has been returned to the record
o Paper record only
Quarterly Audit
o Performed on current patients’ medical charts only
o Use of electronic and paper record
This isQuantitativeand Qualitative Analysis! I was responsible to check that all required
documents werein therecord, theinformation wasaccurate, and thatitwascompleted within
the required time.
Audits
6.
7.
8. PatientRequests
o 48 hoursto respond
o RiskManager, Administrator,andLawyerquickreview
AnotherHealthcareFacilityRequests
o Requestmustbemadeon letterhead
o Muststatewhatinformation isneeded
o Doesnotneedto bereviewed priorto release
o Used forcontinuum of careto thepatient
Third-PartyRequests
o Requestmustbea written request
o Mustcontainallpatient’sinformation
o Mustbeaccurate
o Electronic and Paperrecordsarecopied
o Mustbereviewed extensivelyby RiskManager, Directorof Nursing, Administrator,
and Lawyerpriorto release
o 30 daysto respond to request
o Requestormustpay a feefor therecord
Release of
Information
9.
10. Morning Meeting
o Providesthefacility’sdailycensus
o DepartmentHeads providedailygoals
QAPI
o Quality Assuranceand Performance Improvement
o Leadershipresponsibility
o Developan Approach
o FacilitySelf-Assessment
o IdentifyPrinciples
o DevelopPlan
o ConductAwareness
o DevelopStrategyto collectand usedata
o IdentifyGapsand Opportunities
o PrioritizeQuality
o Plan,Conduct and Document
o TakeAction
Facility Meetings
11.
12.
13. Activity Log by TCO for HIT272
DeVry University
Health Information Technology Practicum
Student’s Name Shirlee Linke Dates of Affiliation 2/29/16 to 4/21/16
Facility Silver Lake Nursing Center Practicum Director Theresa Oliphant
Date Activity Details TCO Comment(s)
3/4
3/8
3/22
4/5
4/7
4/12
4/15
4/18
Census Report
Auditing
Close discharged records
Thinning charts
Pre-authorization
1 Hybrid system
CAA (comprehensive worksheet)
Minimum Data Set (MDS)
3/4
3/22
4/5
4/7
4/15
4/18
Auditing 2 Quantitative and qualitative analysis
Admission Audit-quantitative
Closed Audit-both (must be done within 30 days of
discharge/expire/transfer)
Quarterly Audit-both; done on current patients (paper and
electronic is used)
3/11
4/15
Audits
Disclosure logs
4 Audits are recorded on a registry form to confirm all
information is provided; if not, a copy is provided to each
dept with highlighted info needed
Disclosure logs are necessary to log information for
requested records; information is kept separate from medical
record and available for review/audit
4/7
4/15
Patient Record Requests 5 Patient can request record; must be provided within 48 hours
Healthcare facilities request records for continuum of care
4/19
4/21
HIT Manual 6 Provides information on policies and procedures for Medical
Records coordinator in the facility
3/11
3/18
Release of Information 7 Must be requested my authorized person; must be accurate;
must be review by Risk Manager, Administrator and facility
lawyer prior to being released; there is a fee associated with
receiving a record
4/18 Facility hardware and software 8 Facility uses PointClickCare (PCC) to enter patient
information, orders, assessments; codes are displayed in this
system
3/29 Morning Meeting; QAPI 9 Morning Meeting is a great way to start the day; reviews
daily activities at the facility and the census for the day
QAPI is a meeting held with all depts to provide info to
improve quality and performance
14. DeVry University HIT272
Health Information Technology Practicum Journal
Name: Shirlee Linke
Date Function or
Work Area
Activities Performed or Observed Time
Spent
What was gained from the
experience?
2/29
Medical Record Basics of SNF records dept; does not
code; uses hybrid system;
6 hours Organization is very important
3/4
Census Review daily census to see if anything has
changed; discharged; expired; transferred
1 hour Census is the start of the day;
provides what charts need to be
closed
3/4 Audit Auditing closed charts 5 hours Need to be detail-oriented; all
orders must be signed; patient’s
name must be on both sides of 2-
sided forms
3/8
Closing and
New Admission
Closing a medical record for discharged,
or expired patients; making New
Admission charts
6 hours Closing a chart is just pulling
paperwork from paper record to be
audited. Then a New Admission
chart should be put on floor
3/11
Patient Record
Request
Requests were made by patient and
healthcare facility for discharged patients
5 hours Only pull requested documentation;
patient requests by the patient must
be provided in 48 hours; these
requests do not need to be
reviewed by the lawyer
3/11 Disclosure log Log requests made for discharge patient
record
1 hour Any request must be logged prior to
release.
3/18
ROI Requests for patient records made from a
3rd party, such as an attorney, or family
member-current and discharged
5 hours These requests must provide all
accurate info; if anything is wrong,
such as DOB or spelling of name,
request is denied. These requests
must be reviewed by RM, Admin,
and lawyer prior to release
3/18
ROI ROI Disclosure log-mult logs for facility,
HIPAA
1 hour This log is more detailed since it is a
3rd party requesting info that has
nothing to do with continuum of
care
3/22
Medical Record Thinning current patients’ charts 6 hours SNF has long-term patients; records
get thick and messy-very hard to
manage. Thinning removes older
info and leaves the current
orders/labs for the physicians.
3/29
Management
Meeting
QAPI, Quality Assurance and Performance
Improvement
6 hours This provides information from all
depts to improve performance
4/5 Medical
Records
Thinned Unit 2 records 6 hours
Audit Auditing closed charts 6 hours This is done within 30 days to make
15. 4/7 sure all forms are signed and all
information is accurate
4/12
Medical
Records
Pre-Authorization prior to admission-
request is made to admit patient; confirm
medical insurance and coverage
6 hours This is necessary so the facility
knows if the patient has coverage to
receive treatment, or if it will be
billed. Info is provided to patient
prior to admission, so if out of
pockets fees will incur, that patient
is not shocked.
4/15 Audit Quarterly Audits-performed each quarter
using both paper and electronic record for
current patients
6 hours This is performed to confirm all
orders are current and signed and
all assessments have been
performed
4/18 Audit Admission Audits-performed on each new
admission within 3 days of admission,
then again at 7 days and lastly 22 days (I
performed audits on closed charts as well
just for practice).
6 hours Paper and electronic system is used;
this must be performed to confirm
paperwork and consent was signed
and admission assessments were
performed
4/19 HIT Read HIT Manual for SNF 6 hours Provided policies and procedures for
Health Info Technician in a Skilled
Nursing Facility
4/21 HIT Reviewed HIT Manual and said goodbye 2 hours I will enjoy my new career as a
RHIT
16.
17. Final Analysis
My experience at Silver Lake Center brought my education to
life. Theresa is very knowledgeable as a RHIT. She has made
me continue my excitement as I begin my new journey in the
healthcare industry. I am looking forward to joining Theresa
as a fellow RHIT.
The practicum experience allowed me to explore areas that I
have been taught in the last few years. This was a wonderful
opportunity to make my decision on where I would like my
career to lead me.
Silver Lake Center and its staff welcomed me with open arms
and I have much appreciation and gratitude. I am thankful
to DeVry for this experience.
18.
19.
20. April 21,2016
Theresa Oliphant
Medical RecordsCoordinator
Silver LakeNursingCenter
905 Tower Road
Bristol,PA
215-785-3201
Dear Theresa,
Thank youfor the opportunitytocomplete mypracticumforDeVryUniversityatyourfacility. Iappreciate the time you
tookout of yourbusyschedule toteachme about the Medical RecordsfieldinaSkilledNursingFacility. Ilearnedalot
fromyou in the last eightweeks. Ithashelpedme tomake a decisionwhere Iwouldlike topursue mynewcareer.
Please thankeveryone atthe facilityfortheirkindnessandwelcomingme intoyourfacility. Also,pleaseextendmy
gratitude tothe Administratorforallowingthe opportunityforme tocomplete myDeVryPracticum. Ihighly
recommendyourfacilitytofuture DeVrystudents. Iamveryproud and thankful toaddmy time at yourfacilitytomy
resume. Youhave givenme a great start intoHealthInformationTechnology.
Warmregards,
ShirleeScott
Shirlee Scott
DeVry Univeristy
609-724-8139
shirlelinke@yahoo.com