...system of health records to an electronic based system of health records. An electronic health record is a person’s official, digital health record and is shared among multiple health care providers and agencies. Since the commencement of the HITECH ACT in 2009 the implementations of electronic health record system have increased. The HITECH ACT introduced the electronic health record ‘meaningful use’ program and it is overseen by the Centers for Medicare and Medicaid Services and the Office of the National Coordinator for Health Information Technology. Hospitals and physicians who prove their use of government certified electronic health system meets the meaningful use criteria are eligible to receive (). Vendor neutral archives (VNA) and picture archiving and communications systems (PACS) are two major types of health information technology that help health care professionals store and manage patients’ medical images. These two health...
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...of Magellan Health is to provide its customer’s with greater insights into their health, while keeping healthcare affordable, and returning value to its shareholders. Those are three very different goals. What may benefit their customers may not benefit their shareholders. Additionally by keeping costs lost their institutional plan members may benefit but at the expense of the patients or physicians. This paper will outline the various steps Magellan will take to deliver on all three of these principles. Target Outcomes and Measuring Results The most obvious thing a business can do to be successful is to maintain its profitability. Without turning a profit and maintaining cash flow the business would be forced to close its doors. Therefore, financial objectives are one of the most important considerations. With the recent passage of the Affordable Care Act, an insurer can no longer deny coverage for pre-existing conditions. Additionally all members of the public are required to be insured by 2014 as there are penalties for, not purchasing health insurance. This influx of new additional clients has created a boon for the healthcare industry, (La Monica 2015), insurance companies will face rising costs as more people join plans with pre-existing conditions. To ensure that the risks associated with new and existing members of their plans appropriately match their rewards, Magellan health has partnered with Informed DNA. This partnership will allow Magellan Health to provide genetic...
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...------------------------------------------------- Version List ------------------------------------------------- Recent History * ------------------------------------------------- 2006 13.386 New 2006 c 253 s 1 * ------------------------------------------------- 2013 Subd. 3 Amended 2013 c 82 s 3 * ------------------------------------------------- 2012 Subd. 4 New 2012 c 292 art 4 s 1 13.386 TREATMENT OF GENETIC INFORMATION HELD BY GOVERNMENT ENTITIES AND OTHER PERSONS. § Subdivision 1.Definition. (a) "Genetic information" means information about an identifiable individual derived from the presence, absence, alteration, or mutation of a gene, or the presence or absence of a specific DNA or RNA marker, which has been obtained from an analysis of: (1) the individual's biological information or specimen; or (2) the biological information or specimen of a person to whom the individual is related. (b) "Genetic information" also means medical or biological information collected from an individual about a particular genetic condition that is or might be used to provide medical care to that individual or the individual's family members. § Subd. 2.Private...
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...Schmidt Professor Vega St. Joseph’s College of Maine Prepared on November 30, 2009 1. Of all the people using the health care system today, how important are social problems on the use of the health care system? Social problems including AIDS, drug abuse, violence, and teen pregnancy are very important when considering the economy of the United States Health Care System. Unprotected sexual contact and sharing dirty needles account for the majority of persons infected with AIDS. HIV and AIDS affect human capitol due to the increased mortality of this group. Bonnel (2000) notes that younger individuals are dying of this disease, which translates to a decreased taxable population and reduction in resources for public expenditures. Medications such as antiretrovirals are very expensive. Henderson (2002) points out that drug therapy costs up to $16,000 dollars per infected individual per year. Additional economic impact can be thought of in terms of lost productivity, and lost days from work, which account for a significant impact on the labor supply. With regard to substance abuse, Henderson (2002) states “substance abuse is the leading health problem in the United States today” (p. 310). Costs associated with substance abuse include increased costs of medical care, lost productivity from work, and increased rates of crime. Henderson also mentions that in 1995, drug abuse cost the United States $110 billion dollars. Violent...
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...certain disease. For example, a health insurer might refuse to give coverage to a woman who has a DNA difference that raises her odds of getting breast cancer. Employers also could use DNA information to decide whether to hire or fire workers. Who needs protection from genetic discrimination? Everyone should care about the potential for genetic discrimination. Every person has dozens of DNA differences that could increase or decrease his or her chance of getting a disease such as diabetes, heart disease, cancer or Alzheimer's disease. It's important to remember that these DNA differences don't always mean someone will develop a disease, just that the risk to get the disease may be greater. More and more tests are being developed to find...
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...Genetic screenings by definition, it’s a systematic search for individual with a specific genotype (Kjono, 1997, p. 1-5). Which intern assist the health care provider and give an opportunity to alter the human genotype ,usual take place in groups those who are under risk .Thus advancement in technology and scientific knowledge assist individuals to learn about their chances to get genetic diseases and to understand the environment interaction how it affects their health. Research indicates that understanding of the diseases susceptibility assist them for risk reduction behaviors as well provide better control over their life. Same like other tests genetic screening and testing has its own pros and cons. Some of the benefits include same like...
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...Ethical Health Care Issues In 1953, two scientists James Watson and Francis Click published the description of the double helix structure of the DNA. Little did they know that voyage from the double helix to The Human Genome Project (HGP) would become a reality. Fifty years later in 2003, National Institute Health accomplished mapping of 32,000 genes of the human genome. Gene mapping was a significant research that enabled researchers to focus on gene specific diseases and birth defects. More than 1000 research projects started inward voyage discovery of human kind rather outward exploration of the planets. Clinical research involving human beings have greater potential for risk of misusing the technology. Potential for misusing the genetic research and fear of unknown long term effects on the successive generations have sparked bioethics debates. Like abortion, gene mapping is a very controversial subject and both sides have strong views. For example, should a woman abort the pregnancy based on the abnormal genetic screening results? Genetic technology provides an enormous power within our grips and with this enormous power comes following the ethical standards. Ethical standards should be followed involving human subjects. Genetic screening standards should align with four ethical principles of: • Respect for the human autonomy, dignity, and obtaining informed consent • Genetic screening should cause the minimal amount of harm to the subject • Provides maximum benefit to...
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...Veterans Health Care Survey April 2008 -Questionnaire- ASSESSING VETERANS’ ATTITUDES ABOUT THE GENOMIC MEDICINE PROGRAM [SCREENING QUESTION] [prompt] S1 Have you ever received health or psychological care through the Department of Veterans Affairs (VA)? • Yes • No [end survey] [END SURVEY SCREEN] We appreciate your response. We are seeking to understand the opinions of veterans who receive health care through the VA. Thank you for your time. [Display] THANK YOU FOR AGREEING TO TAKE THIS SURVEY. THE SURVEY IS BEING DONE BY THE GENETICS AND PUBLIC POLICY CENTER AT JOHNS HOPKINS UNIVERSITY. FUNDING FOR THE SURVEY COMES FROM THE DEPARTMENT OF VETERANS AFFAIRS (VA). THE PURPOSE OF THE SURVEY IS TO COLLECT OPINIONS FROM VETERANS WHO GET HEALTH CARE THROUGH THE VA ABOUT A RESEARCH PROJECT BEING CONSIDERED BY THE VA. All of the answers you provide in this survey will be kept confidential. No identifying information will be provided to the Genetics and Public Policy Center or the VA. The survey data will be reported in a summary fashion only and will not identify any individual person. This survey will take about 20 minutes to complete. [Display] THE GENOMIC MEDICINE PROGRAM Many diseases result from a mix of genetics, environment, and lifestyle. To figure out how genes, environment, and lifestyle interact to cause disease, a large number of people need to be studied. The VA would like to do this kind of research and is considering a...
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...The American Museum of Natural History (AMNH) certificate was essential to obtain for my role as a professional nurse. It is essential for our genetic codes to be researched so that the information that is gathered and learned can be utilized to help those with illnesses such as Parkinson’s disease, Alzheimer’ Disease or cancer’s in the future. Individuals suffering with these illnesses will benefit from this type of research that is being done, if not in the present definitely in the future. Also ethical issues such as stem cell research or genetic cloning are other issues to be researched and discussed in the health care profession. These ethical issues will continue to be talked about and debated, by individuals for or against this type...
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...moral opinions and social values is not siffucient. Outright normative analyses of underlying ethical views need to underpin suggestions with regard to the way in which central concepts should be employed in policy contexts. This has been recognised in research on the basic ethical issue of what should be seen as the basic determinant of the quality of life or well-being (Brülde 1998, 2006), as well as research on applied ethics of relevance for disability (Brülde 2003; Munthe 1996, 1999; Juth 2005; Juth & Munthe 2006), and concepts such as happiness, health, illness, and mental disorder (Brülde 2000, 2006a, 2006b). Research on several of the conceptual issues has demonstrated how they are strongly connected to ethical problems related to health care policies and public health practices, in particular issues about what are the appropriate goals of medicine as a whole, or parts thereof, e.g. the goals of palliative care, psychotherapy, rehabilitation, or treatments of chronic illnesses. Normative theories about appropriate goals are necessary to come up with plausible grounds for diagnostic categories, outcome measures and policy guidelines in different areas. Some attempts...
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...attention no matter if it is a broken arm or getting a tooth pulled, health care is a necessity. Patients come to the physician because of a problem that they are having and with that notion they are prepared to give full details of their problem. Giving information to the medical staff is a process that has to be done in order to know what exactly the type of treatment a patient should receive, if any, and the patient is giving these personal details in full confidence that the information doesn’t go any farther than the physician that is caring for him/her. The clinical use of genetic testing and the information from this is becoming a very important part in modern health technology and keeping records of personal information has improved especially in the storing of information which has been usually written in paper form but advanced technology has created an improved format to store personal medical information in, which is called Electronic Health Records (EHR’s). Genetic information stored in the Electronic Health Records could increase the possibility of a patient’s identity being known through a few genetic variants. 2 Electronic Health Records are a longitudinal electronic record of patient health information generated through visits with any health care...
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...GENETICS CASE STUDY GENETICS CASE STUDY This case study is based on a high-risk pregnancy due to advanced maternal age, genetic test indicating the fetus to have Tay-Sachs Disease and the coping strategies for this family. Rita Trosack is a 43-year old white female, married for six years to husband, Peter, a 46-year old white male. They both work in the financial district of Chicago and live downtown. They have been trying to conceive for two years. They both work an average of sixty hours a week. Rita and Peter were both raised as Catholics; however, they choose not to practice at this time. Rita missed her menstrual period, began having typical signs and symptoms of pregnancy (nausea, dry heaving, tender breasts, and fatigue). The fatigue was so severe she decreased her hours at the bank. An early pregnancy test performed by Rita tested positive. She then calculated her due date as January 27, 2009, since her last menstrual period (LMP) began on April 20, 2008. Rita met with Dr. Zimmerly an obstetrician in a high-risk obstetric clinic. On this first visit he confirmed the estimated date of delivery (EDD) as late January 2009. Due to Rita’s age, the chorionic villus sampling (CVS) was recommended to screen for fetal genetic defects. Rita had the test in early July, which would place her around eleven weeks into her pregnancy; this is the appropriate time in which to perform the CVS. Amniocentesis could have been performed, but this is usually...
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...Garrett Explanation of how modern genetic technology may lead to personalized medicine. By using DNA technologies such as stem cell research and cloning manipulate human genes. Patients with common disease genetic abnormalities and even spinal injuries may use genetic technology to create personal medicine that may be able to improve and prolong life. An individual risk for common disease would be determined by a genetic profile created from this technology. To create a medical profile tailored to specific DNA characteristics of each patient doctors may use modern genetic technology. The genetic profile would determine treatment and/or preventative care according the effects of a particular disease or patient’s reaction to a certain medical treatments. Discuss the benefits of personalized medicine. Prevention, diagnosis, and treatment in some cancers can be provided by personalized medicine. The use of personalized medicine will allow doctors to develop a more precise treatment based on each patients modern genetic technology because cancer is such a complex disease and effects each individual differently. Genetic diseases affect an estimated 12 million Americans, yet according to a survey of 1,000 people conducted by the Genetic Disease Foundation (GDF), while two-thirds of those surveyed were willing to and saw the benefits of undergoing genetic testing, close to 80 percent had never talked to their physician about genetic screening – an inconsistency that can...
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...Genetic testing is currently available for more than 1000 conditions, and it is increasingly considered an integral component of mainstream health care (Burke, 2004). Furthermore, many genetic tests are now being marketed directly to consumers. The increased availability of genetic testing may result in a wider distribution of the benefits of testing, such as decreased uncertainty, the chance to avoid passing on a gene mutation to future generations, increased psychological well-being, and greater awareness of available treatments or risk-reducing strategies, but it may also contribute to an increase in the risks associated with genetic testing, such as decreased individual and family well-being; increased depression, anxiety, guilt, stigmatization, discrimination, and family conflict; and unnecessary or inappropriate use of risk-reducing options (Riper & Gallo, 2005). Money is maybe the most important driving force in the modern era of biotechnology. Genome and genetic findings have been given also financial value. The possibility to test for genetically-based individual susceptibility provides new ideas for marketable products. In an industrial worker, a metabolic polymorphism that causes an increased risk for cancer would create an avoidable financial burden in industry and insurance companies. The involvement of such financial aspects brings along several ethical implications in genetic research. The first aspect is the motivation of scientists that...
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...Public Health and Health Care HCS/535 Public Health And Health Care Public health agencies can affect one’s workplace in many ways. An organization that does research on developmental health issues has to deal with the Department of Developmental Services or DDS on a regular basis. The Department of Developmental Services is a division of the Health and Human Services and helps create opportunities for people with intellectual disabilities. The DDS plays a major role in public health of the community of developmental disabilities. The role of public agencies in health as a whole helps provide care for the disabled, advocate for social rights and better health for the communities. They also help create a network of workers that are responsible for ensuring that individuals with developmental disabilities have their chance in society and are treated fair and with dignity. The Department of Developmental Services * The Department of Developmental Services is dedicated to creating innovation as well as genuine opportunities for individuals with intellectual disabilities to participate fully and meaningfully in, and contribute to their communities as valued members (HHS, n.d.). The DDS have many principles to help guide them in accomplishing their goal. Some of those principles include respecting each individual by promoting the human and civil rights, and try to prevent neglect and abuse. Also the DDS helps enhance public awareness about people with intellectual disabilities...
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