...Health Care Informatics/ HCS/482 Information technology in a world of health informatics systems is constantly changing and influenced by instant communication and global events. In the healthcare setting, being able to predict communication outcomes is a vital necessity. A system is defined as a series of functional components connected by communication links exhibiting, purpose, and goal directed behavior. This paper will analysis and discuss systems, informatics theories, and DIK model. This thesis will examine the role of expert system in nursing care, medicine, use of decision aids, and decision support systems. This argument will describe technology has on decision making uses for patient and client management and study the effects of technology on health care and health status. Theory informs a discipline and helps define the discipline OLS is not available, but I wanted to send you some feedback and will post your grade at a later time. This will include your APA, paper formatting, and the rest of the content. The assignment is well written, and I want to tell you that you really did not put it in a context that would help you in your Week 5 assignment. I will also cut and paste this exact same message in your OLS and feedback when it is available. What I mean by that is the fact you did not really show me you work in an enviornment that utilizes IT, you have experience working with informatics, and you may not be as strong in information techology. ...
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...New Century Wellness Group Business Profile New Century Wellness Group offers a holistic approach to health care with an emphasis on preventive medicine as well as traditional medical care. The company was founded ten years ago by to internal medicine specialists. NCWG has some competition, but no others offer the same range of services. They employ over 20 staff and service a client-base of 8,000 patients. Currently NCWG has one location and is considering an additional. I will ask for addition details about the day to day operations including the billing system as well as insurance verification. Business Processes Patient Intake: Lisa Sung. Data required: Doctor availability and Patient financials. Data Generated: patient information, name, phone, date of birth, insurance, etc; also change in doctor's availability. Check Medical Supplies: Carla Herrera. Data Required: Current supply inventory lists, ordering information, and accounts to bill for supplies. Data Generated: Updated inventory records and incoming supply list. 3. Accounts Receivable:...
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...1. Why is this scenario an example of clinical decision support? a. This is an example of CDS because by Wikipedia definition is “is an interactive decision support system which is designed to assist clinician with making decision making task and determining diagnosis of patient data” This scenario shows how clinician at this hospital are interacting with the system to make real time decision concerning patient care. 2. What would be a benefit of the clinical decision support? b. It has the potential to reduce errors, which means improved health care. CDS also has the ability to streamline processes from clinicians, such as billing, medical records, orders, prescription filling process. It can also help with Clinicians decide on the best course of action concerning a treatment for a patient, or which medication he should receive, or how often he should receive it. 3. Should CDSS allow provider overrides? Why? Why not? c. Yes, I believe CDSS is nothing more than a machine; it is only as good as the provider using it. To not allow a provider to override a CDSS is to assume two things, First that it would be ok for an ordinary machine such as car to override its user, instead of slowing down it decides to speed up and try to make the yellow light because it realizes that the driver is late for an appointment, or how about when a man is driving his injured family member to the hospital and is speeding, would it be ok for the car to decide for the...
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...the EMR during patient visits. | 1) Incomplete notes at start, which are filled later- taking extra time. 2) Many prescriptions not signed at the end of day. 3) Undercoding due to fear. 4) Reduction in patient revenue due to incomplete work & undercoding. 5) Prescriptions entered using CPOE. | 1) Professional training of EMR use required to sharpen EMR skills. 2) Training will increase confidence thereby reducing wastage of time, incompleteness of notes, timely updating prescriptions. 3) Revenue might pick up(per patient and number of patients) as the time taken will reduce, thereby facilitating more patient intake and proper coding measures. 4) An effective CPOE system needs clinical decision support (CDS) to help prescribers, pharmacists, nurses, and others use the system effectively. So use of CDS is required for increased efficiency. | Dr Johnson | 1) Most positive approach towards EMR- pre visit preparation of notes, checking of lab test results in EMR, nurse entering vitals and meds into EMR, and reusing EMR after the patient leaves...
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...Computerized Decision Support System Computerizing health care is said to be an effective method not only transforming the quality of health care, but also reducing the cost as well. Electronic health records have been implemented in healthcare facilities throughout the nation to enhance their outcomes. Electronic health records can enhance healthcare with a variety of means collectively known as computerized decision support system (CDSS). The purpose of a CDSS is to deliver patient-specific information centered on substantial knowledge. Implementing a CDSS is expected to depress numerous challenges in healthcare. Challenges such as treatment blunders and high costs will no longer be an issue for concern. The CDSS may function as an instrument to aid clinicians in management as well as a memory aid. The CDSS is an information technology that assists healthcare professionals with the medical process to improve the patients’ health and the quality of the healthcare system. By providing patient data, medical content, clinical recommendations, and explanations, physicians can effectively treat his or her patients in a timely fashion. Initially physicians would merely input information about the patient into his or her data system, and the CDSS would present him or her with the diagnosis solution for the patient. At that point, the physician would take the appropriate steps to act on the output that the CDSS provided them with. Today physicians work together with the CDSS to produce...
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...Information System Professor: CHONG DALEIDEN Computerized physician order entry (CPOE) The computerized physician order entry also referred to as computerized provider order entry is an information structure utilized in many hospitals whereby physicians enter the medical practitioner instructions for the treatment of patients electronically (Yazer, 2013). The entered orders are communicated via a network of computers to the departments such as laboratories, pharmacy or radiology or to the medical staff that is responsible to fulfill the order. In this technology, a physician requests a service to be given to the patient in question by other medical staff in the same department or in other departments by entering the request into a computer system rather than in writing. Traditionally, the orders were made through handwriting and given to the patient who would provide them to the service provider. This technology is most useful in hospitalized patients has it provides the information on what to be done for each patient, therefore, eliminating the errors that may arise. The Computerized physician order entry is part of requirements of the electronic health records provided for in the health information technology for economic and clinic health (HITECH) Act (Teasdale, 2008). This act encourages and stimulates the use of electronic health records in American hospitals to provide quality and safe health care. The CPOE are at times connected to clinical decision support systems (CDSS)...
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...Discussion In order to understand evidence-based practice (EBP), it is important to recognize that EBP is detrimental to the quality improvement of patient outcomes while also helping to control the cost of health care. EBP is an approach to problem-solving and clinical decision- making that incorporates the best available evidence from well-designed studies based on clinician experiences and patients’ principles, values and preferences (Melnyk & Fineout-Overholt, 2015). The assessment of the effectiveness of EBP models can help to decide which models would be most practical and applicable to the actual practice setting. The Iowa Model of Evidence-Based Practice stands out as a model that will be carefully deliberated for the reason that it can be used successfully to initiate a practice change at the unit and organizational levels. The Iowa model is used throughout a multitude of clinical and academic settings. This model merges research utilization and quality improvement using processes that are innately clear and logical to nurses and is unique in that it uses the concept of “triggers” meaning that evidence-based practice may possibly be prompted by either facts or data from an outside organization, or by specific clinical problems (Brown, 2014). The Ace model uses an interdisciplinary approach for conveying knowledge for use in healthcare and nursing practice to help meet quality improvement objectives. The Ace model focuses mutually on interpretation and execution of the...
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...Health Care Issues in the United States Cassandra Jones Professor Rhonda Hill HSA 500 January 21, 2012 Health care issues in the United States have escalated to the point of a crisis for all except the richer Americans. Health care expenditure is the major component of household consumption responsible for the increase in household net borrowing and even the foreign deficit (Singer, 2008). The health care system in the United States has evolved in many important ways over the last 50 years, an evolution that is important to document and understand if today’s system is to be fully understood (Williams & Torrens, 2010). There are a number of behaviors and daily lifestyle patterns that have a major affect on our health. For example, driving recklessly, abusing alcohol, tobacco smoking and illegal drugs. All of these behaviors have a negative effect on our lives. There is always something in the news about a major car accident, which involves drunk drivers. One needs to cut down on these items in order to live a stress-free and happy life. Unhealthy behaviors become habits, so changing them can be very hard. You’re more likely to make changes in your habits if you set a specific goal for yourself (“Healthy living”, 2010). Your health is not only affected by your behavior but also by economic and your social structure. While health care reform remains an important consumer issue and the U.S. policies continue to focus on accessibility and affordability of health...
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...and technological changes that are taken place. Since these types of increases have been made in recent years organizations are trying to work on the change pace. The most prevent change being made is organizations across an array of different industries are confronting fundamental change. “Managing Change” refers to the making of changes in a planned a managed or systematic fashion. The aim is to be more effectively implement new methods and systems in an ongoing organization. The changes that will be made when the change is implemented are controlled by the organization. The task of managing change includes managing its impact on people. Change is important in order to keep an organization up with the times and in a competitive market. Change management has become one of the major components which help in managing the work strategy, organization, people, and culture of the organization. Change is important so as to keep an organization more completive to face the changing demographics and technological trends and increasing...
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...1. Describe the major trends in the evolution of health care services in the United States over the past 100 years. There are four major trends in the evolution of health care services in the United States over the past 100 years. The trends are broken down into specific epochs and are identified by the important development in health care during significant eras. The trends are identified as 1850-1900; 1900 to World War II; World War II to 1980; and 1980 to present. 1850 is the starting point of formal organization in health care services in the United States and the development of the first hospitals. Prior to that point in time, many health services were conducted by general physician house calls. The primary disease targets for this epoch was epidemics of acute infections related to food, water, housing and conditions of life (Williams, S., Torrens, P. 2008). There was no technology available to deal with the largest health issues. Because there was no social organization for health care, individuals had to rely upon themselves and charity to deal with sickness and disease. This lack of a social organization forced people to care for their own families despite the fact that they had very little factual knowledge. By 1900, many of the acute individual ailments were slowly being controlled, so the new system turned its attention to acute illnesses affecting individuals versus entire groups. During this time period, technology was slowly advancing and started the rapid...
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...Adverse Trend: Telecare Abandonment of Calls Cindy Roloff HCS/482 August 4, 2014 Lynn Bertsch Adverse Trend: Telecare Abandonment of Calls Utilization of data to resolve an adverse trend is a form of process improvement that has a basis in factual and representable information. Upon identification of an adverse trend, there must be relevant data collection to determine an etiology prior to taking action. Technology can assist with this search to expedite the improvement process. The purpose of this paper is to discuss applying technology to create an objective response to the adverse trend of abandoned calls in the Telecare clinical setting. Telecare Overview Telecare triage nurses manage symptom-based calls from patients at the Department of Veterans Affairs (VA) Outpatient Clinic incoming call center. Currently, there are seven nurses that staff telephone triage with a volume of approximately 250 to 300 calls per day. The office hours in Telecare are Monday through Friday from 8:00 a.m. to 4:00 p.m. with observance of all federal holidays. The Telecare nurse is responsible for answering calls efficiently at approximately 32 calls per day. The Telecare nurse triages symptoms from the patient and obtains urgent access to the clinic via an evidenced based triage program called Veteran’s Health Gateway (VHG). This program helps the nurse make clinical decisions per protocols and provides evidenced based education recommendations based on the triage disposition...
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...analytics to look for sustainable solutions to such problems as pursuit public health, deciding and implementing more appropriate treatment methods for patients, supporting clinical enhancements, monitoring the protection of healthcare systems, reassuring...
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...Point of Care Testing | Health Services Management Issues and Trends Fall 2011 | | The combining of Point of Care Testing and Health Care Clouds is an emerging trend and innovation that is driving Canada’s healthcare transformation from today into tomorrow….. Trends help to understand how things have been changing in various fields over a given time. There are many current trends in health care and those that address our most prevalent situations in healthcare today are those that bring “best practice” with “cost effectiveness”. Cost effective health care means ensuring the right service is efficiently provided at the right time, in the right place, by the most appropriate and least expensive combination of health care providers. One aspect of these emerging trends is Point-of-Care (POC) testing and POC diagnostics. For many years laboratory testing was performed by technologists in a central laboratory. This was necessary because of the complexity of the testing. Computer technology has now taken analysis from the laboratory to the patient’s bedside, the doctor’s office or the patient’s home. This testing is called point-of-care testing (POCT) and is defined as testing at the point where patient care is given, wherever may be. The POCT results are timely, allowing more time for rapid treatment of the patient. It empowers clinicians to make decisions at the “point-of-care” and has the potential to significantly impact health care delivery...
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...RLTT Task 1 The healthcare industry in today’s day and age has become an ecosystem of its own with the development of different technology combined with modern day medicine. These technological advances in medicine and machines have allowed the world to diagnose and treat billions of individuals across the world. The problem associated with care of a patient is the monetary factor in helping the needy or people without insurance. One of the hardest things for any parent to watch is for their own child to suffer and not be able to have them treated and cared for. The organization in discussion today will be Texas Scottish Rite Hospital in Dallas for children. This is an organization that is doing great things for families and children that cannot afford life saving care for children regardless of the ability to pay or carry a health insurance policy. Changes in current economic times and different health care reforms will soon change for this hospital on how it cares for children with technology and billing in the future. A. In the past 91 years of operation this hospital has never turned a child away because of the families in ability to pay. Since 1921 this hospital has grown and opened other locations all across the United States with the same promise to help children with disabilities that plagued the country with Polio. Funding from a group of individuals known as the Masons was able to help children in need with disabilities from Polio and other muscular diseases. At...
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...Center for US Health System Reform Business Technology Office The ‘big data’ revolution in healthcare Accelerating value and innovation January 2013 Peter Groves Basel Kayyali David Knott Steve Van Kuiken Contents The ‘big data’revolution in healthcare: Accelerating value and innovation 1 Introduction1 Reaching the tipping point: A new view of big data in the healthcare industry 2 Impact of big data on the healthcare system 6 Big data as a source of innovation in healthcare 10 How to sustain the momentum 13 Getting started: Thoughts for senior leaders 17 1 The ‘big data’ revolution in healthcare: Accelerating value and innovation Introduction An era of open information in healthcare is now under way. We have already experienced a decade of progress in digitizing medical records, as pharmaceutical companies and other organizations aggregate years of research and development data in electronic databases. The federal government and other public stakeholders have also accelerated the move toward transparency by making decades of stored data usable, searchable, and actionable by the healthcare sector as a whole. Together, these increases in data liquidity have brought the industry to the tipping point. Healthcare stakeholders now have access to promising new threads of knowledge. This information is a form of “big data,” so called not only for its sheer volume but for its complexity, diversity, and timeliness...
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