...Hassan Alabdrabalnabi Like all primary care physicians, Dr. Bob Goldszer must stay on top of approximately 10,000 different diseases and syndromes, 3,000 medications, 1,100 laboratory tests, and many of the 400,000 articles added each year to the biomedical literature. That's no easy task. And it is, quite literally, a matter of life and death. The Institute of Medicine's 1999 report, To Err Is Human, suggests that more than a million injuries, and 90,000 deaths are attributable to medical errors annually. Something like 5% of hospital patients have adverse reactions to drugs, another study reports, and of those, 43% are serious, life threatening, or fatal. Many knowledge workers have problems similar to Dr. Goldszer's (though they're usually less life threatening). No matter what the field, many people simply can't keep up with all they need to know. In the early years of knowledge management, companies established knowledge networks and communities of practice, built knowledge repositories, and attempted to motivate people to share knowledge. But each of these activities involved a great deal of additional labor for knowledge workers. A better approach, say the authors, is to bake specialized knowledge into the jobs of highly skilled workers. Partners HealthCare has started to embed knowledge into the technology that doctor’s use in their jobs so that consulting it is no longer a separate activity. Now when Dr. Goldszer orders medicine or a lab test, the order-entry system...
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...will attempt to answer those questions as well as pose a possible solution on how it can be corrected. Analyzing the Problem To begin, we must first take a look at why so many American citizens are abusing prescription drugs. Most will probably tell us that they became addicted to pain relievers after some sort of horrible accident or surgery. They were prescribed these medications by their Primary Care Provider and told to take them in the correct manner, which are usually one or two tablets/pills every four to six hours apart, as needed for pain. What they were probably not told by their Primary Care Provider is that they should not take them sooner than directed, nor should they take them whenever they are not experiencing pain. The directions on the bottle may read to take one or two every four to six hours, but that doesn’t mean that they have to be taken every four to six hours. If the person is not in pain, then taking a pain reliever should not be necessary. The consumption of these, and other, types of medications whenever they are not needed constitutes abuse. In fact, the consumption of any medication outside of the directions...
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...Executive Summary………………………………………………………………………………………3-4 Business Description…………………………………………………………………………………….5 Product Overview………………………………………………………………………………5 Management Team …………………………………………………………………………….5 Board of Advisors……………………………………………………………………………….5-6 Marketing Plan……………………………………………………………………………………………..6 Target Market……………………………………………………………………………………6 Trends and Opportunities…………………………………………………………………..6 Price………………………………………………………………………………………………….7 Endorsements…………………………………………………………………………………..7 Place…………………………………………………………………………………………………7 Promotion…………………………………………………………………………………………7 Competitor Analysis………………………………………………………………………….8 Financial Plan ……………………………………………………………………………………………..8 Overview…………………………………………………………………………………………8 Assumptions………………………………………………………………………………………9 Summary……………………………………………………………………………………………9 Phase 1………………………………………………………………………………………………9 Phase 2………………………………………………………………………………………………10 Phase 3………………………………………………………………………………………………10 Sales Projections……………………………………………………………………………………………11 Appendix………………………………………………………………………………………………………..12-13 Works Cited……………………………………………………………………………………………………14 Executive Summary Company Background: A couple years ago I was visiting my grandma in an assisted living facility in Greenwood, IN when a near tragic event occurred. She was preparing to take her pills when my mom stopped her due to the appearance of the medication in her Dixie cup being different from the medication she usually...
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...history includes coronary artery disease and renal problems. His father died at age 79 of an Acute Myocardial Infarction. His mother is living (73) and is currently receiving dialysis and has been for the last two years. His wife has no current health problems to note, nor do his three children ages 20, 17, and 15. He has been recently diagnosed with Benign Prostatic Hypertrophy (BPH) and has been prescribed Avodart 0.5 mg once daily by mouth. Although he has health insurance the drug is still expensive. He has decided to supplement the therapy with the herbal supplement Saw Palmetto; he is taking the Avodart one day, and then the Saw Palmetto on opposite days. He has presented to the Emergency Department with complaints of urinary retention and abdominal pain. He is assessed and is admitted to the Med/Surg Unit for Acute Urinary Retention. He prefers to learn in Spanish, he likes handouts with pictures or video in Spanish also. Mr. Sanchez currently shows a knowledge deficit related to medication and CAM therapy interactions, and knowledge deficit of the disease process. During the interview and assessment of the patient it was noted he deferred on numerous occasions to his wife for information. The Disease Process...
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...Harrison-James Keller Graduate School of Management December 11, 2011 Table of Contents EXECUTIVE SUMMARY………………………………………………………………………………………………………3-4 DEFINE THE PROBLEM/ISSUE……………………………………………………………………………………………..5 IMPROVING QUALITY OF HEALTH……………………………………………………………………………5 IMPACT ON HEALTH CARE COST………………………………………………………………………………5 IMPACT ON HEALTH CARE DELIVERY SYSTEM………………………………………………………….5 LITERATURE REVIEW…………………………………………………………………………………………………………..6 WHAT IS HEALTH INFORMATION TECHNOLOGY……………………………………………………...6-8 INFORMATICS IN HEALTHCARE……………………………………………………………………………….8-9 BENEFITS OF INFORMATICS……………………………………………………………………………………9-10 PROBLEM ANALYSIS…………………………………………………………………………………………………………..10 THE COST OF HEALTH IT………………………………………………………………………………………10-11 HOW IT IMPROVED QUALITY………………………………………………………………………………….12 POSSIBLE SOLUTIONS…………………………………………………………………………………………………………12 (1). PERSONAL HEALTH RECORDS……………………………………………………………………………12 (2). E-PRESCRIBING…………………………………………………………………………………………………13 (3). COMPUTERIZED PROVIDER ORDER ENTRY……………………………………………………….13 SOLUTION AND IT IMPLEMENTATION……………………………………………………………………………14-15 JUSTIFICATION………………………………………………………………………………………………………………15-16 REFERENCES……………………………………………………………………………………………………………………..17 ------------------------------------------------- EXECUTIVE SUMMARY The use of technology in health care has become a huge topic in the medical world today....
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...Type 2 Diabetes Diabetes is a rising problem worldwide. Today there are 3.9 million people diagnosed with diabetes living in the UK. This statistic shows the severity of the problem. Diabetes splits into two types: type 1 and type 2. Type 1 is genetic, meaning that the person is born with it, and type 2 (also known as diabetes mellitus) is developed over one’s lifetime (Type 2 Diabetes - Causes). Diabetes causes a disruption in the inner body balance therefore affecting homeostasis. People with diabetes have issues with blood sugar level. Either their body doesn’t react to insulin or their body doesn’t produce insulin. However, there are a few ways of treating this disease. It not only has an effect on the health of the population, but it also causes a great expense to the economy (General Diabetes Facts and Information). Diabetes is a permanent illness, which causes the diabetic’s blood sugar level to become too high (Type 2 Diabetes - Causes). So there is no cure for it can only be treated. People suffering from type 2 diabetes have insulin resistance, which means that their pancreas doesn’t produce enough insulin, or the body doesn’t produce enough insulin. As shown in Figure 1 (General Diabetes Facts and Information). The pancreas is large gland behind the stomach and its job is to produce the hormone insulin. The job of insulin is to move glucose from the blood into the cells, where it gets converted into energy (Type 2 Diabetes - Causes). In the UK, 1 in 16 people...
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...to the World Health Organization (WHO), “America spent more on health care per capita ($8,608) and more on health care as a percentage of its GDP (17.2%), than any other nation in 2011.” This means that the US puts a lot of emphasis on their healthcare compared to any other country in the world. But the reality is the Commonwealth Fund, a private American foundation, ranked the United States of America last in the quality of healthcare compared to the world in 2014. Also, America is ranked as one of the most expensive healthcare providers in the world. The US was compared to countries like Australia, Canada, United Kingdom, France, Germany, Netherlands, New Zealand, Sweden and Switzerland. The rankings prove that the American healthcare system is indeed facing many issues. Some of the major issues are accessibility of healthcare to all, lack of consolidation within the industry, deficiency in technology, lack of data availability and lastly, over dependence on medications by healthcare professionals such as doctors. The issue highlighted in this research is that the doctors are not focusing on promoting and maintaining a healthy lifestyle to prevent chronic conditions in their patients. Instead, their emphasis is only on prescribing medicines as a cure when it is also their duty to spread awareness of eating healthy and exercising to help with disease prevention. This problem is relevant because it suggests that doctors are not...
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...| Information based decision making | Unit 5002V1 | | | 4/1/2015 | Task 1 (600-700 words): A.C.1.1 – Examine the nature of data and information Data comprises of factual information. Data are the facts from which information is derived. Data is not necessarily informative on its own but needs to be structured, interpreted, analysed and contextualised. Once data undergoes this process, it transforms in to information. Information should be accessible and understood by the reader without needing to be interpreted or manipulated in any way. Knowledge is the framework for understanding information and using it to inform judgements, opinions, predictions and decisions – a pyramidal relationship (See diagram 1) Diagram 1: There are 2 types of knowledge: 1) Explicit knowledge (“know that”) – derived from facts, easily communicated via hard data and facts and 2) Tacit knowledge (“know how”) – more of a personal framework informed by beliefs, schemata, mental frameworks, difficult to verbalise or write down, more based on process rather than factual content. In the field of knowledge management, tacit knowledge is individual specific and can be acquired without language through observation and practice. This type of knowledge is acquired through experience, and therefore from a knowledge management perspective, shared experiences are a key platform to share tacit knowledge. A clinical example: The Trust has a standard assessment proforma for new patients...
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... would have been taken. It is very important improve patient safety compliance to prevent things like surgeries being done on the wrong site, medication errors, health care acquired infections, falls, and diagnostic errors. Patient safety not only takes place in the hospital, doctors office, and rehab/nursing home facilities, but it also takes place in the home care setting. The Speak Up home care brochure is geared to inform that patient on what to speak up about in the home care setting and if the patient speaks up and the nurse of healthcare worker complies, more errors can be prevented. The home care brochure really gives that patient many options of questions to ask the nurse or healthcare working during their home care. It empowers that patient and hopefully helps them know what they are entitled to as a patient as far as home care, questions they should ask if they are concerned and for information purposes, and I hopefully helps the patient to not be not be afraid to ask question and to participate more in their care, which in turn will improve health care as a whole. Summary of Article The questions on this brochure range from checking credentials of the nurse or health care worker to asking the nurse or health care worker to explain each and every procedure they are performing and what medication they are giving. This brochure...
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...Implementation Guide for the Use of Bar Code Technology in Healthcare Sponsored by Implementation Guide for the Use of Bar Code Technology in Healthcare © 2003 HIMSS 230 E. Ohio St., Suite 500 Chicago, IL 60611 All rights reserved. No part of this publication may be reproduced, adapted, translated, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the publisher. HIBCC ® and HIN® System are trademarks of the Health Industry Business Communications Council. ISBN: 0-9725371-2-0 Table of Contents Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .v Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .vii Acknowledgments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .xi Chapter 1: The Basics What is a bar code? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1 How can you benefit from bar coding? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...
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...Behavioral Forces Discussion Summary Behavioral Forces Discussion Summary Organizational behavior has become a widely controversial subject throughout the years. Many organizations often have a hard time identifying an organizational culture that the majority of the employees can identify with. Today’s business world is so diverse and includes many people from different walks of life. Organizations must exemplify exceptional behaviors amongst employees and managers, not only as a positive representation of the organization, but also of each employee’s own individuality. Many internal and external factors affect organizational behaviors. Four different organizations are discussed in this paper and a summary of how the organizations compare and contrast will also be discussed. Summary of Access (Community Enrichment Services) Access is a state funded organization who receives a certain amount of money that allows them to assist their clientele. The mission statement of Access is “to work hand in hand with those around us to assure a choice of effective, efficient programs and caregivers, and to offer excellent services that enhance quality of life.” Customer demands include counseling by licensed counselors, 24-hour crisis hotline, if indigent medication is provided free of charge, visits to psychiatrist on the grounds to assess the clients and periodic blood work to see how the medication is affecting the client’s body. A screening process is in place to...
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...Axia/HCS 483 | Information System Briefing | November,2011 | Information System Briefing Selecting and acquiring information systems is important to this organization. Information systems are designed based on the organization’s needs, thus simplifying patient needs, departmental, and other information. Information systems should also accommodate other departments as well such as radiology, pharmacy, and other various branches of the hospital. An information system is, of course, an expensive technology but can greatly benefit the hospital. With information systems many systems have to be installed databases, storage, identification, and selection. Once it is up the organization still has to think about an offsite back up station with a firewall. It is to much for an organization or investors to take in, making it imperative that the organization receives the system designed to their needs. Selecting and Acquiring When selecting what is needed for the organization one has to look at many different variables. Does the organization have many branches, do they have different specialties, patients, billing, and other various staff. Communication between these is vital to making the information system work. The information also has to be user friendly and easy to obtain by staff. If any of the information is not easily obtainable it will make the organization run slow in all departments or fragment it. That means that patient information could be lost resulting in duplicate...
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...America throughout the years. According to Center for Medicaid and Medicare Services, in the year of 2008 health care cost rose to $2.3 trillion in the United States; this was 4.4% higher than 2007 costs. Healthcare costs are averaging a little over %16 of the entire Gross Domestic Product (GDP). In 2008 Medicare spending increased 8.6% and Medicaid spending increased 4.7% in the same year. In addition, hospital stays physician rates, clinical visits, and prescription medications increased as well. 31% of a $1.6 trillion healthcare cost has been designated strictly for hospital stay care. Clinical and physician services are accountable for about 22% however, proposals from physicians account for a much vaster percentage of health care costs. Prescription medications make up about 11%; which has continuously increased over the past 10 years. The remaining health care costs branch out from administrative, long-term care, and other miscellaneous expenses. United States health care system is said to be the most expensive health care systems in the world. This accomplishment is not what the nation anticipated this is why it is imperative that health care...
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...Abstract An electronic bar code medication administration was a system developed and successfully implemented in a 118-bed Veterans Administration hospital in February 2000. Known as Barcode Medication Administration (BCMA), this software proved useful in generating fast and accurate medication administration as well as online patient medication records preservation. The application created by the Eastern Kansas Health Care System in association with Colmery-O’Neil VA Medical Center has been modified a number of times to meet the general requirements in all U.S. Veterans Health Administration medical centers. The implementation of Barcode Medication Administration software has enabled electronic bedside administration of medication of medications. Online Barcode technology is revolutionizing medication administration more aspects than originally thought, and is such a blessing to the business industry in terms of cost cutting. To be honest, the force driving the momentum in the adoption of the new systems has been majorly based on financial, rather than safety concerns. The fee for- service compensation systems has done exceedingly well in increasing revenue to hospitals resulting from additional technology-related charges levied on patients for each dose dispensed (Cohen, 2002). From the evidences adduced in this research, bar code technology seems to hold great promise for general improvements in medication safety and efficiency. Nevertheless, evidence so far is limited...
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...development efforts have expanded the product base in terms of a variety of new treatments across numerous therapeutic classes. As depicted in the illustration below, the total global pharmaceutical sales reached $1,057,000,000 in 2014; based on the past 10 years we can expect the forecast to show a similar increase over the next few years. IMS Health Market Prognosis, May 2015 Of all the changes visible within the pharmaceutical market, there are a few that are truly revolutionizing the market: US healthcare reform, emergence of specialty product markets, price strategy & mergers & acquisitions. The healthcare market has changed under Obama, opening healthcare coverage to more patients & bringing forth treatment & medication to a larger population. The emergence of specialty products pose an entirely new challenge to the market in terms of the doctor’s prescribing habits, healthcare plan coverage & out-of-pocket cost to the patient. This along with other economic pressures brings an entirely new perspective to pharmaceutical manufacturers in terms of pricing strategy & overall price elasticity of demand. Additionally, in attempt to stay ahead in a very competitive market, many pharmaceutical manufacturers are dependent upon large mergers & acquisitions in order to gain market share, increase profits & achieve their financial goals. Understanding the influence of these changes is critical in...
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