...Two: Individual Reflection Paper Allscripts EHRs in Cuba Around the world, electronic health records (EHRs) are being implemented to improve patient care, reduce health care expenses, and fundamentally change the way in which healthcare providers practice medicine. Now that Washington has begun to dismantle its trade embargo with Cuba, new opportunities arise for Allscripts Healthcare Solutions (Allscripts) to sell their products and solutions. Allscripts is health information technology (HIT) company providing physician practices, hospitals, and other healthcare providers with electronic health record and practice management technology, including electronic prescribing, care management and revenue cycle management software. An electronic health record is a digital version of a patient’s paper chart. It contains a patient’s medical history, diagnoses, medications, treatment plans, immunization dates, allergies, radiology images, and laboratory and test results, and more. One of the key features of an EHR is the ability to share health information across multiple health care organizations. Another key feature of an EHR is the ability to improve patient care, care coordination, practice efficiencies, and patient outcomes—most important, costs savings. So, what makes Cuba an ideal overseas market for EHR companies? Cuba is Interested In EHRs Cuba started building a national strategy for a universal health system using information and communication technologies in 1965. ...
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...Introduction: There are a lot of abbreviations used in the United States health care delivery systems. A list of some of these abbreviations that are used by physician’s offices, hospitals, nursing homes, and other ambulatory care services are listed in this paper. 1. AMR - The definition of an Automated Medical Record, otherwise known as an electronic medical record, has been set forth by the 2003 IOM Patient Safety Report as the: • "collection of electronic health information for and about persons" • "provision of knowledge and decision-support systems [for] support for efficient processes for health care delivery" • "electronic access to person-and population-level information by authorized users" ("Definition Of Automated Medical Record", 2012). 2. CMR – According to "Mortality Frequency Measures" (2012), Crude Mortality Rate. The Crude Mortality Rate is the mortality rate from all causes of death for a population during a specified time period. • Mortality rates measure the frequency of occurrence of death in a defined population during a specified interval. • There are several specific kinds of mortality rates, but we will focus only on the ones that are used most often in infectious disease epidemiology. • To calculate a simple mortality rate, we need to know the number of deaths in a given population during a specified time period, and the size of the population in which the deaths occurred...
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...information integration has been critical to the effectiveness of fragmentation of health care system. How Internet or any new forms of electronic communication can be used as an external delivery source in communicating patient-specific information and the impact of distance delivery on health care will be evaluate in this paper. Also consideration will be given to the use of e-mail, telemedicine, and electronic transfer of records and assessment of how these issues affect health care today and how they may impact health care five years from now will be discusses in this paper. Assessment of Internet and how it may be used in communicating patient specific information externally Internet service was used by U.S. Defense Department and researchers initially, but presently, Internet is available also to health care providers and patients enabling them to have access to worldwide library health care resources and patient specific health information. There have been an increases in the popularity in utilizing Internet and other forms of electronic communication as means of delivering patients’ information externally, the increase in Internet popularity has allowed patients to get more information about their health condition and the increasing in number of health related Websites have made available for-up-to-date medical answers and questions. In clinical setting, Internet may be used to communicate specific patient information...
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...for those in need of it. AMR- An ambulatory medical record (AMR) is an electronically stored file of a patient’s outpatient medical records, which includes all surgeries and care that do not involve being admitted to a hospital. An AMR is similar to an electronic medical record (EMR), but while EMR’s keep track of inpatient care (surgeries and care that require spending overnight or longer in a hospital), AMRs only apply to medical procedures and cares that do not result in an overnight stay in a hospital or that are given in non-hospital settings such as urgent care clinics, physicians’ offices and at home medical care. AMRs are stored in electronic databases called ambulatory medical record systems that are accessible by doctors and other medical professionals. CMR- Computerized medical record is an electronic information system and keeps records of each individual patient’s health. Computerized medical records (CMR) provide a viable mechanism for implementing clinical governance. Computers are involved in all aspects of the clinical interaction-from consulting room to system-level use of large systems that might control entitlement to treatment, screening, recall, and on-line booking of services. Between 20% and 40% of the clinical consultation is spent interacting with the computer. It is important to understand the context within which records are created. Simply having a CMR does not guarantee the creation of a complete record usable for clinical governance purposes; the...
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...The World Health Organization established the International Classification of Diseases (ICD) to standardize medical records. ICD-10 is an update that reflects changing needs in medicine. The code offers increased detail and flexibility. However, implementing the code presents medical establishments with several challenges. The biggest challenge is finding common ground between the two frameworks. How ICD-10 Impacts Healthcare A presentation published by the Centers for Medicare and Medicaid Services explains that the World Health Organization created ICD-9 in 1979 to reflect current medical advances and establish universal coding procedures. [1] The system outlines the diagnoses, procedures and terminology used by caregivers. Medical organizations...
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...Tiera Feller, Nicole Court-Menendez, Hannah Ford, Katie Johnson Background Most healthcare providers record patient information on what is called electronic medical record (EMR) or electronic health record (EHR). As of 2013, 78.4% of office-based physicians are currently using an EMR system (Electronic Medical Records/Electronic Health Records (EMRs/EHRs)). According to the American Recovery and Reinvestment Act of 2009, all public and private healthcare providers and other eligible professionals must have adopted and demonstrated “meaningful use” of EMR by January 1, 2014, in order to maintain their existing reimbursement levels of Medicaid and Medicare (University Alliance). In the late 1960’s, Larry Weed introduced the idea of what would develop into the current EMR. Previously, physicians would record patient information and encounters on paper. To a great extent, physicians resent the task of documentation, as it detracts from their primary task: taking care of patients (History of EMR). Physicians also resent the duplication of effort required with documentation, as every medication that is written on a prescription pad, every lab test ordered, every x-ray ordered has to be re-written in the chart to maintain a good record (History of EMR). The Regenstreif Institute developed the first medical record in 1972 and though this was viewed as a major advance in medical practice, physicians were not completely open to the new technology (History of EMR). Today, EMR systems...
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...Technology and Health Care Grading Criteria: Telemedicine Marquera Brooks HCS/531 January 27, 2014 Georgetta Baptist Technology and Health Care Grading Criteria: Telemedicine Telemedicine: is the use of medical information exchanged from one site to another via electronic communications to improve a patient’s clinical health status. Telemedicine is the tool for the twenty-first century. As the health care profession evolves the continued success of health care practice depends on servicing the patient base in ways that are convenient and cost effective. Telemedicine broadens the scope of services where clinics, hospitals, and facilities can offer their patients better assistance. With telemedicine the patients get a confidential consultation with a specialist using interactive body visual technology. The system is easy and affordable. It’s a great way to gain access to a specialist from the comfort of your own health care facility. Telemedicine technologies are tools to improve access to care, improve patient outcomes, and control health care costs. Telemedicine also, allows consumers to use a variety of applications and services such as, two-way video, email, smart phones, wireless tools and other forms of telecommunications technology. This new technology is spreading rapidly across the health care industry including within the workplace and in consumers’ homes. Products and services related to telemedicine are often part of a larger investment by health care institutions...
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...* The best Vietnamese technology student in 2005, 2006 * Monash Vice Chancellor’s Honours – PhD Scholarahip * Member of Australia Golden Key Society The combination between strong logic and critical thinking trained in Vietnam, with the practicality of computer technology trained in Australia has created his strong passion in creating novel optimal software solutions. He has more than 8 years extensive experience working as software solution provider in Australia. He has provided creative solutions for different challenging problems ranging from business, science and medical domain. At the moment, Dang is appointed as Business Intelligent Manager, leading the software development team in Clinical Integrated Solution, a group of different specialist clinics operating across Australia. He is the principal consultant and lead software architecture at I3 Solution. He is also doing his PhD in Medical Image Analysis at University of Western Australia. Our specialities: I3 Solution specialises in engineering high quality and...
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...Medical Smart Card System for Patient Record Management Changrui Xiao and Arthur Yu Bears Breaking Boundaries 2009 Science, Technology, and Energy Policy White Paper Competition Executive Summary (Abstract) Rising healthcare spending has led to an increase in calls for ways to reduce the cost of healthcare. Amid the debate on the best approach on cut costs in the healthcare system, one of the few bipartisan provisions is the need to integrate modern technology into the storage and transfer of medical records. Current attempts to establish such electronic medical records are challenged by concerns about patient privacy, issues with the incorporation of old records, and budget limitations. We propose the development of personal portable healthcare record smart cards and a corresponding framework to simplify maintenance and transfer of patient records as an incremental step towards a nationalized electronic records system. Our proposal is a feasible and cost-effective system that applies existing technology to address inefficiencies of the current paper based medical records system; simultaneously, it also serves as a transition system to facilitate the adoption of completely electronic medical records. Author Affiliations: Xiao and Yu are both undergraduates at UC Berkeley. Contact Information: ayu.yua@gmail.com or crx687@berkeley.edu 1 1. Introduction During the second half of the 20th century, the national expenditure on healthcare increased dramatically. As of...
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... Introduction The health care industry has witnessed great improvements in the past year. Due to wireless connectivity, private cellular devices, universal sensing technologies, social networks, and data analytics, the concept of wireless medicine has been greatly enhanced and is now a reality. According to Lewis (2012), the market for advanced patient monitoring systems in the United States has risen from $3.9 billion in the year 2007 to $8.9 billion in the year 2011 and is estimate to grow to about $20.9 billion by the year 2016. Monitoring patient vital signs via mobile computing to in-patient visits to the doctor’s Office or hospital. One of the most important components of patient care are the specific sign they each portray. These signs are heart rate, blood pressure, body temperature, oxygen levels or respiratory rates and sugar levels which through mobile technology can be measured today. Not long ago, patients had to travel to the doctor’s office or a hospital for these physiological states to be tested. Normally, nurses and clinicians were responsible for overseeing, taking and recording of these signs physically, then document them either written on paper or with a mobile compute and then later into the electronic chart...
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...IN THE United States, primary care remains a medical model. This is in contrast to much of the world, where the 1978 Declaration of Alma-At a which recognized that attaining health for all also requires interaction from social and economic sectors - is considered standard. Today, there is much buzz about patient-centered medical homes, a concept that promises to transform the practice of American medicine. There is much to praise about this most recent iteration of the medical home. But the missing ingrethent in all these definitions and models remains public health. A population focus that addresses the social determinants of health is an essential component of primary health care. In the United States, such a comprehensive approach has been labeled community-oriented primary care. This model is built firmly on the Alma-Ata principles and incorporates a public health approach to health services. Community-oriented primary care organizes the delivery of health services, around a population, not simply a collection of individuals. It identifies a population - most frequently a geographically defined community - and uses epidemiology and interventions to improve community and individual health and well-being. In this model, both individual patients and the community are the foci of the delivery of health services. Primary health care stands at the intersection of personal and population health services. It requires integrating medical models of primary care that are centered on...
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...value of health care information exchange and interoperability. Health Affairs: The Policy Journal of the Health Sphere, Web Exclusive, Jan. 19, 2005. Accessed Jan. 22, 2006. http://content.healthaffairs.org/cgi/content/full/hlthaff.w5.10/DC1. The selected article for summarization was prepared by the researchers to access the value of electronic health care information exchange and interoperability (HIEI) between providers (hospitals and medical groups) and independent providers (laboratories, radiology centers, payers, pharmacies, public health departments, etc). The use of information technology by health care providers is intensifying rapidly with President Bush’s support of nation adoption of electronic medical records within the next decade. In addition to the digitizing of patient’s data, information sharing between providers is being explored by policymakers. The concept of interoperability, or the flow of administrative and clinical data between users, software and hardware, encourages information technology investment and health care reform. Research hypothesis The researchers’ hypothesis was “the clinical benefits of electronic data exchange would be substantial and that financial benefits would outweigh costs”. Methodology The methods were covered a broad range of methods to gather data. The methods included literature reviews, expert interviews, and financial estimates prepared by experts. The researchers attempted to focus on published data but used experts...
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...UNIVERSIty OF GHANA BUISINESS SCHOOL Write a Case Study report on the use of web-based information systems by an organization in Ghana UNIVERSIty OF GHANA BUISINESS SCHOOL Write a Case Study report on the use of web-based information systems by an organization in Ghana Index No: 10508454 Table of Contents Background 2 Information Systems 2 Web-based Information Systems 3 Health Information Systems 3 Types of Health Information System 5 Components and Functions of Health Information System 6 Brief Overview of the Health Care System in Ghana 7 Context of Study 8 Vision and Mission 9 Core Objectives 9 Benefits of web – based health information system 9 Barriers to web – based Health Information System 11 References 13 Background For the thriving nature of every business setting, whether for-profit or not-for-profit, but also for long term survival, there is a need for the adoption of proper information dissemination and sharing systems in real time to the benefit of all stakeholders in the organization. In times past, most businesses operated with less or no importance attached to how data and information about their businesses are handled, oblivious of its subsequent consequences to the organization. Currently, in the midst of a swiftly moving landscape in technology, coupled with transient business innovations that seek to maximize both short-term and long-term profits as well as benefits; that means...
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...of money, producing receipts and transferring FUNDS that ICT and ecommerce have become almost synonymous terms. ICT creates inroads for better accessibility of all sorts of information for people from all over the world. However, the scope of ICT extends much beyond commerce transactions. It is widely used in education and medical arenas as well. Advanced medical caretechniques, various researches being carried out in medical field in different parts of the world and training are just some of the fields in the medical arena that have largely benefited from the growth of information and communication technology. ICT makes sharing data concerning medical research easy, in addition to myriad other benefits as elucidated in the paragraphs below. How does ICT help in improving medical science and health care ? It is an established fact that information and communication technologies are the backbone of the current information system. Their scope is also extremely vast. Health care facilities have been largely benefited by the evolvement of ICT. Owing to information and communication technologies, the entire world has become a small global village with regard to medical and health care. Further, even within a particular...
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...the United States and Canadian Health Care Systems Devry University HSM 310 Comparison and Contrasts of the United States and Canadian Health Care Systems Canada In the 1960’s, Canada reformed its system providing a universal single payer health care system which covers all services provided by physicians and hospitals it is mostly free at point of use and has most services provided by private entities. Single payer health care is the financing of costs of delivering universal health care for an entire population through a single insurance pool. The government took over full funding of both physician and hospital services, setting minor physician fees and hospital budgets. Everyone is covered at all times. United States of America For the past 8 decades, the U.S. has run its country on a private health care system where the individual pays for their choice of health care. Depending on the coverage of the health care amounts to the cost. In the U.S, government funding for health care is limited to Medicare, Medicaid, Veterans Administration and the State Children’s Health Insurance Program, which covers senior citizens, the very poor, disabled people, veterans and their families and children. The United States is the only country in the developing world that does not have a fundamentally public tax-supported health care system. The National healthcare debate is one that has been a continuing arguing point for the last decade. The goal is to provide healthcare to all...
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