...Stakeholders Suggestions List of Stakeholders. Vendors Doctors and colleagues Specialists Payers Administrative Lab Referrals doctors Practice management systems Electronic health records make it practical to have real-world solutions to solve the business problem of sending electronica reports between hath care facilities and labs. Claims can also be transmitted electronically to the payers that need to pay instantly to the doctors. Electronic fund transfers from insurance companies to the doctor can happen within 24 hours of see into patient. Stakeholders in this endeavor are going to range from the patient all the way down to everyone and anyone that will come in contact with the electronic medical and health records. All the stakeholders can breath a sigh of relieve to know that many processes in order to see patients can be streamlined with technology. Time management and time saving areas for the electronica health record are invaluable. One goal for many of the stakeholders is to automate the system of charting. Charting can be automated. Examples of areas of automation: * Peril operative notes * Flow sheets * Consent forms * Discharge summaries * Physicians nurse and other clinical notes * Transcripts medical abstracts * Advance directives or living wills * Utilizations management * Chart deficiency tracking * Staff creditionaling * Medical records/ chart tracking * Release of information Mobil devices...
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...Standardization of Nursing Protocol for Cardiac Arterial Bypass Patients Abstract Evidence-Based Practice (EBP) is an important factor in determining medical courses of action. Nurses have long used tradition rather than evidence in making decisions about beside care; to convince them to switch practice, it is useful to draw a comparison between the efficacy of these disparate routes. Our study designed a research question based on the PICOT model for the cardiac floors and designed procedures using the Kotter and Cohen’s Model of Change. In order to study the effect discussed in our PICOT question, a web search was conducted and the quality of each pertinent study reviewed. Introduction In the nursing staff of an adult Cardiac Surgical Care unit, how does the buy-in from the staff for Evidence-Based Practice (EBP) changes in a new Coronary Arterial Bypass Graft (CABG) pathway affect the decreases in infection rate among this patient population when compared to the old way of delivering patient care through nursing tradition in a six month time frame? The formation of a guideline for practice in nursing is not a new occurrence; books and manuals have been a reality for many years. However, in the past these resources lacked the evidence for standards of care, which traditionally have been based on professional consensus and tradition. The Joint Commission has recognized processes that can be measured regarding patient outcomes and care in order to meet standards for Medicare...
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...JOB DESCRIPTION Job Title: Practice Manager Location: Practice Responsible to: Clinical Director/Regional Director Job Objectives/Purpose Oversee the smooth and efficient organisation of the practice administration. To ensure all company procedures as set out in Branch Procedures Manual** are carried out effectively. To ensure all financial information is reported correctly and accurately to Support Office and administrative protocols are in place. Ensure the reception area is staffed effectively and the management and efficiency/co-ordination is managed to be best needs of the business. Ensure that all employees are aware of the fact that all clients are to pay on departure and with the Clinical Director have responsibility for managing this requirement.. Main responsibilities: General Management Office Management • Be able to reconcile receipts, day sheets, income reports, bank deposits and the petty cash, and understand the essential components of any reconciling system. . • Be able to set and enforce effective credit control – to include monitoring debtors, sending regular invoices and statements, dealing with overdue account collection and the small claims court, queries on accounts, setting up payment agreements. Be able to complete pet insurance claims and deal with queries. • Be able to deal effectively with day to day banking transactions, e.g. credits, automated credits and debits, standing...
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...Office CHAPTER OUTLINE Patient Flow in the Physician Practice Step 1. Pre-Visit: Appointment Scheduling and Information Collection Step 2. Patient Check-in and Payment Collection Step 3. Rooming and Measuring Vital Signs Patient Examination and Documentation Step 4. Patient Checkout Step 5. Post-Visit: Coding and Billing Post-Visit: Reviewing Test Results Coding and Reimbursement in Electronic Health Records Computer-Assisted Coding Clinical Tools in the Electronic Health Record Decision-Support Tools Tracking and Monitoring Patient Care Screening for Illness or Disease Identifying at-Risk Patients Managing Patients with Chronic Diseases Improving the Quality and Safety of Patient Care with Evidence-Based Guidelines E-Prescribing and Electronic Health Records Keeping Current with Electronic Drug Databases Increasing Prescription Safety Saving Time and Money LEARNING OUTCOMES After completing this chapter, you will be able to define key terms and: 1. 2. 3. 4. 5. 6. 7. 8. 9. List the five steps of the office visit workflow in a physician office. Discuss the advantages of pre-visit scheduling and information collection for patients and office staff. Describe the process of electronic check-in. Explain how electronic health records make documenting patient exams more efficient. Explain what occurs during patient checkout. Explain what two events take place during the post-visit step of the visit workflow. Describe the advantages of computer-assisted coding. List three decision-support tools...
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...Patient Flow in the Physician Practice Step 1. Pre-Visit: Appointment Scheduling and Information Collection Step 2. Patient Check-in and Payment Collection Step 3. Rooming and Measuring Vital Signs Patient Examination and Documentation Step 4. Patient Checkout Step 5. Post-Visit: Coding and Billing Post-Visit: Reviewing Test Results Coding and Reimbursement in Electronic Health Records Computer-Assisted Coding Clinical Tools in the Electronic Health Record Decision-Support Tools Tracking and Monitoring Patient Care Screening for Illness or Disease Identifying at-Risk Patients Managing Patients with Chronic Diseases Improving the Quality and Safety of Patient Care with Evidence-Based Guidelines E-Prescribing and Electronic Health Records Keeping Current with Electronic Drug Databases Increasing Prescription Safety Saving Time and Money LEARNING OUTCOMES After completing this chapter, you will be able to define key terms and: 1. 2. 3. 4. 5. 6. 7. 8. 9. List the five steps of the office visit workflow in a physician office. Discuss the advantages of pre-visit scheduling and information collection for patients and office staff. Describe the process of electronic check-in. Explain how electronic health records make documenting patient exams more efficient. Explain what occurs during patient checkout. Explain what two events take place during the post-visit step of the visit workflow. Describe the advantages of computer-assisted coding. List three decision-support...
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...Chronic Kidney Disease Abstract Chronic kidney disease is a progressive disease that destroys the function of the human kidneys. This purpose of this research paper is to present an introductory profile of the disease. The profile includes a description of the disease, leading causes, how it is diagnosed, and its stages. Current statistics of the individuals impacted by the disease and mortality are provided. This paper will also explain the progressive nature of the disease and how the kidneys are damaged. Finally, the treatment goals and actions for the different stages of the disease are laid forth. Chronic Kidney Disease Kidneys are vital organs that regulate the body’s fluid level, filter toxins, control blood pressure, and more. A human cannot live without at least one functioning kidney. Chronic Kidney Disease (CKD) is a progressive disease that destroys the operating capacity of the kidneys. CKD impacts millions of Americans and is often undiagnosed until it is in an advanced stage. The human body attempts to compensate for the disease and, in doing so, worsens the condition. CKD is usually caused by another underlying cardiovascular condition. Treatment for CKD seeks to slow the progression of the disease by relieving the underlying condition. Once CKD has reached its final stage, kidney function is insufficient and renal replacement therapy is required. Chronic Kidney Disease (CKD) was formerly known as chronic renal failure (Haynes & Winearls...
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...Abdelhak Exercise 1. Identify all the users of the health record AND explain how each uses the record. (Complete for all that are listed in Abdelhak under the “health data users and uses” section. - Patient: uses their medical data to understand their health care and to become more active partners in maintain or improving their health. - Health care practitioners: uses it as a primary means of communications among themselves. - Health Care providers and Administrators: uses the data to evaluate care, monitor the use of resources, and receive payment for services rendered. Administrators analyze financial and patient case mix information for business planning and marketing activities - Third party payers: the data become the basis for determining the appropriate payment to be made. - Utilization and case managers: uses it to coordinate care so that the patient is cared for in the most clinically cost-effective manner. - Quality of care committees: use the information as a basis for analysis, study, and evaluation of the quality of care given to the patient. - Accrediting, licensing, and certifying agencies: use the record to provide public assurance that quality health care is being provided. - Governmental agencies and public health: to determine the appropriate use of the governmental financial resources for health care facilities and educational and correctional institutions - Health information exchanges: provides...
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...Quality Data Collection HCS/588 February 13, 2012 Pam Crocker Quality Data Collection Quality is considered a vague concept that can be subjective and unscientific. However, quality can become a definitive concept by collecting and analyzing data. Centers for Medicare and Medicaid Services (CMS) evidence based measures defines quality of care. For example, administering aspirin for acute myocardial infarction patients, making sure that pneumonia patients receive antibiotics in a timely manner, and ensuring smoking cessation programs while hospitalized and at discharge. Senior leadership is responsible for defining quality for the organization. When the leadership team is familiar with using quality measures, the health care team can do the right thing for the customer and increase financial responsibility for the hospital (Dlugacz, 2006). In this paper the subject to explore is potential improvement for the BayCare organization, the data needed to monitor improvement, data collection tools, and two tools that measure and display the quality improvement data. Potential Areas of Improvement Three areas of potential improvement for the BayCare organization are falls, hand hygiene, and improving team member satisfaction. Although the team goals for each of these are within the goal target, areas for improvement still exist. Monitoring Improvement Monitoring improvement for each potential area requires collecting specific data collection. Hand hygiene requires quality...
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...addition to some observations’ outcome. It is apparent that KHCC Lab enjoys a good to very good customer satisfaction in most aspects; nevertheless the major drawbacks were the delays and repetitive activities. As we went through the process and analyzed the workflow utilizing flowcharts, and control charts, we concluded that some functions are working perfectly and others need a little refinement. In conclusion, the team members identified two areas of concern; the workflow and the layout. Therefore the processes should be revisited; a new layout is to be redesigned to improve efficiency and patient’s satisfaction. In addition to the above the Lab must also eliminate or improve their blood specimen rejection problem, which is considered to be a costly problem in the long run; with our OM Pareto analysis we noticed that inadequate sample volume and Hemolysed sample are the...
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...INTROCUCTION Cashing in on the increasing demand for quality healthcare, Kolkata-based BP Poddar Group having interests in real estate, textiles, mining, technical education and media is setting up a 200-bed mutlispeciality hospital in the southern part of the city. To be set up at a cost of Rs 50 crores, the hospital will be completed in three phases. The first phase is likely to become operational without the oncology department within the next couple of months. Said Debashish Poddar, managing director, BP Poddar Hospital & Medical Research Limited, "It will not be a so called state-of-the-art hospital but a hospital, which will ensure healthcare deliver of international standards within the affordable limits of the common man. The hospital is the culmination of the dream of Arun Poddar, Chairman of the Group and his family to perpetuate the memory of his father Late BP Poddar, he added. Despite being a multispeciality unit, the focus area of the hospital will be oncology. All possible imaging facilities will be provided at the hospital. The management has applied for necessary regulatory clearances from Bhaba Atomic Research Centre (BARC) to start radiation therapy for treatment of cancer. According to Dr Subrata Das, medical director, BP Poddar Hospital & Medical Research Limited, "With a few dedicated hospitals in the region dedicated to oncology, the proposed hospital will take care of all the needs of the cancer patients. We are in the process of installing the...
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...Advanced Information Management and the Application of Technology C156/WTT Task 1 Teresa Miller Student id: 000273119 Proposal Our one hundred bed hospital is in need of updating from paper charting to computerized health records. In doing this, we will meet our goal of compliance with meaningful use legislation. We assembled a team of members to assist with this task and together we have narrowed the search to two health care systems. Those two systems are EPIC and Meditech and we will now discuss the advantages and disadvantages of each, with a final recommendation for our new healthcare system. Identification and Roles of Team Members/Expertise The first person on this team is the acute care nurse manager. The acute care nurse manager is a bachelor prepared nurse and is beneficial to this team because of her close relationship with staff nurses. She will have input from floor nurses and be able to contribute important information about charting from the nursing standpoint. The nurse manager will be able to assist with questions that staff nurses may have during implementation and training. This member is able to discuss what the nursing staff needs for adequate charting. She will be able to look at each computerized system and contribute a nurses point of view. The second team member will be the chief medical officer. The physician has the input from other doctors and will be able to answer questions for other...
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...A. The given scenario describes the daily struggles one might face as an HIM Manager or Supervisor. The individual discussed in this scenario is actually a very recently hired HIM manager for a rural hospital in the area. There are is a couple different approaches I would take in order to handle this situation to the best of my ability. The 1st step I would take is to look at the current individuals I am managing, and overall analyze their position at the hospital. I need to be fully aware of their exact duties, and analyze in detail things about each position. The 2nd step I will need to do is look at the outpatient clinic position, and see exactly what is required for this clinic. Next I will need to make a decision on who will be the best candidate to fulfill this position based on the overall work requirements, and qualifications needed for this position. I need to make a decision that overall positively affects both the hospital, and new outpatient clinic. A1. The hospital in this scenario is located in a rural setting. The hospital has recently purchased a small outpatient clinic that is approximately 50 miles from the hospital. Currently about 20-30 patients are seen daily by one provider at the clinic. The hospital does have a contract with several different businesses to provide care for workers injured at work. So let’s analyze my current staff: * 3 coders who take care of the hospital coding (1 of these coders does the coding for the outpatient clinic attached...
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...will conduct a causal comparative study to prove that college athletes that are predisposed to heart defects develop one during their athletic career. The study will examine college athletes that are predisposed to heart defects and do not realize they are at risk for possible development of a heart defect during their athletic career. Knowing an athlete’s family and medical history could help prevent a great deal of possible health conditions. Athletes have a higher risk of developing a higher risk if they are predisposed. There are athletes that do not realize that they are predisposed to heart defects and that they could develop one. Table of Contents Introduction 5 Background 5 Theoretical Framework 6 Statement of the problem. 6 Research question. 6 Purpose for the study. 7 Significance 7 Limitations of the Study 7 Definitions of Terms 8 Arrhythmias 8 Athletic Career 8 Electrocardiogram 8 Hypertrophic cardiomyopathy: 8 Sudden Cardiac Death: 8 Review of Related Literature 9 What is causing the sudden death of young athletes? 9 Successful Prevention 10 Role of NCAA 11 Summary 12 Methodology 13 Design 13 Setting and Participants 13 Data Collection 14 Treatment of the Data 14 Implications for Future Research 15 References 16 Appendix A 16 Appendix B 21 Appendix C 22...
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...Greenhalgh RE A DIN G TIM E : GENERAL INFORMATION Latest Recommendation: Share Price: 12-month range: Hold $71.36 $51.83 - 72.81 Healthcare & Biotechnology Business Risk: Share Price Risk: Maximum Portfolio Weighting: Medium Medium 5% AT 24 OCT 12 2 mins HOLD PRICE AT REVIEW : $62.72 Yesterday’s 16% share price rise for Cochlear shows just how desperately investors love this stock. But the wild enthusiasm seems misplaced, even though the announcement contained several snippets of good news relating to the recall of the Nucleus 5. The first is that Cochlear believes it has identified the problem with the manufacturing process; variations in a process called ‘brazing’ allow tiny cracks to develop at a later stage. But identification is only the first step in returning the device to market: Cochlear must now thoroughly test its manufacturing processes, conduct clinical trials, then wait for approval from regulatory authorities. If all goes well, it could be a year before the Nucleus 5 goes back on sale in the crucial US market. Perhaps what investors latched on to was this sentence: ‘There were fewer reported failures in November 2011 than in October 2011’. Nevertheless, the total failure rate is now at 1.9%, up from around 1% in October. This represents close to 500 people who will need surgery to replace their implants. This recall remains potentially more serious than the market...
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...monitoring and evaluation definitions What are indicators? Methods and tools for monitoring and evaluation Steps in planning and conducting monitoring and evaluation ❐ Tools and techniques: How to write your evaluation report Tips for improving monitoring and evaluation of your project Management Information Systems (MIS) ❐ What is on MIS? ❐ Why is an MIS important? Sources for decision making, monitoring, and evaluation ❐ Targets Designing an MIS Using data to inform your MIS: conducting a baseline study Performance information Key questions in designing an MIS Institutionalizing an MIS in an organization MIS: step-by-step Using MIS outputs for decision-making How is information used in the organization? ❐ How does information flow in your organization? A word about reporting ❐ Tips and Tools: Report preparation checklist A final word about evaluation ❐ Process evaluation ❐ Output evaluation ❐ Effects evaluation ❐ Short-term impact evaluation Summary 1 2 4 5 5 7 8 9 10 1 1 1 1 13 1 2 1 3 1 5 16 1 7 19 20 2 1 22 25 26 27 Figures, Tables, and Exercises Figure 1: Exercise A: Table 1: Exercise B: Figure 2: Figure 3: Exercise C: Figure 4: Relation between program monitoring and evaluation and the MIS Comparing monitoring and evaluation Some...
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