...delivery of cost-efficient and quality health care. With the help of different types of information systems in healthcare service organizations, they have become able to contribute in better health service management and delivery of quality healthcare (Blum, 2012). Use of different information systems also affirms the knowledge base necessitated for clinical and administrative decision making as discussed here in this paper. Description of different Categories of Information Systems Clinical: Information Produced: A clinical information system (CIS) is a compilation of a variety of information technology applications that allows for a central repository of information associated to patient care throughout distributed locations. This repository comprises the patient's history of sicknesses and his/her interactions with care providers by encryption of knowledge competent to assist clinicians determine about the patient's state, treatment options, and wellness activities (Sittig et. al., 2002). The repository also converts the position of decisions, actions ongoing for those decisions, and applicable information useful to perform those actions. As well, the database also produces information about the patient, including his/her genetic, environmental, and social contexts. Users of the System: Key users of this system and information produced by it are health care providers, clinicians, nurses...
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...would seem that there are obvious reasons for the incorporation of health informatics to justify apparent flaws in the government programs such as Medicaid, TRICARE and Federal Employees Health Benefits Program are three legislative policies which impede its progress. With most disciplines there exists certain parameters which provide the basic focus for which the disciplines fashion themselves around. In all there are seven elements in the public health sector; http://www.cdc.gov/mmwr/preview/mmwrhtml/su6103a5.htm, and in this scope exist, planning and systems design, data collection, data management and collation analysis, interpretation, dissemination, and finally the application to public health programs. Like most new technologies; robust changes to processes can be delivered, but are met with opposition. Health information technology can defeat a lot of the lethargic processes comprised in healthcare management, but arguably by some as the use of terms such as unintended consequences can slow growth to the field and prospects of health information exchange http://www.amia.org/amia2012/panels. It is believed that while the Electronic Health Record would be composed and stored within secured database systems that there is huge risk which exist; patient privacy, as mandated by the Health Insurance and Portability and Accountability Act (HIPPA). The opposition that some have towards health informatics are that we do not know how to regulate the content and the management...
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...Health informatics professionals are required to possess an effective working knowledge of the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule and Security Rule. At some point in your career, you may be asked to participate in policy development and to apply specifications included in new HIPAA Law to existing policies. Health informatics professionals need to be aware of new laws and regulations, how they impact the healthcare organization, and how best to educate staff on any workplace changes. This task will provide you with two documents. First, read the attached “Health Record Policies,” which includes policy draft excerpts. Next, read the attached “Sections of Montana Code,” which includes definitions from Montana law pertaining to the validity of consent of minor for health services (41-1-402), confidentiality of health information (50-16-603), patients’ examination and copying (50-16-541 and 50-16-542), and reasonable fees allowed (50-16-540). Task: A. Evaluate the two policies in the attached “Health Record Policies” by doing the following: 1. Discuss what information should be included in an addendum pertaining to a shadow chart. 2. Discuss how information technology staff can help decrease incidents of security breaches. B. Discuss one situation from Montana Code 41-1-402 (2a through 2d) that may result in criminal liability to the organization if not followed. 1. Summarize how HIPAA defines criminal liability. 2. Explain which part...
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...'Health Informatics' (HI) is the term used to describe the science of information management in health care and its application to support clinical research, decision-making and practice, Pearson C,and Severs M (1999). McCormick, Saba, (2001) state nursing informatics and information technology to be an integral part of the nursing information system and the nursing profession. Improving IT is an essential part of delivering patient centred care in the NHS. Ball M, Hannah K, Newbold S, (2005) state that the extent to which nurses use computers to assist them in performing complex and increasingly challenging duties is rapidly increasing. Within this assignment I will be discussing the introduction of the National Programme for Information Technology, its aim, along with the introduction of Picture Archiving and Communication Systems (PACS) which is one service which the programme aimed to deliver. The National Programme for Information Technology (NPfIT) is a national 6 billion pound programme implemented by the NHS to improve IT infrastructure and services. It began in 2000 and aimed for completion by 2010, aiming to introduce a set of new services to support the continued modernisation of the NHS (Anon,NHS, 2004). It is about supporting major improvements in care, by using technology to improve patients experiences, with information being available at the right time, in the right place, for the right person. Dr S Eccles (2006) stated the aim of the programme is to create...
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...Project Scenario The following report contains hypothetical organizational information for the strategic planning project. While it is fictional, many different “real” sources were used to create this scenario. Organization Name: ABC Organization Size: Small Healthcare Organization with less than 100 beds MISSION "ABC endeavours to provide comprehensive, quality healthcare in a convenient, compassionate and cost effective manner." VISION ABC is consistently at the forefront of evolving national healthcare reform. Our organization provides an innovative and integrated healthcare delivery system. We remain ever cognizant of our patients' needs and desires for high quality affordable healthcare. VALUES Compassion: We provide an environment that is caring and conducive to healing the whole person physically, emotionally and spiritually. We respect the individual needs, desires and rights of our patients. Quality: We believe in continuous quality of care and performance improvement as the foundation for preserving and enhancing healthcare delivery. Effective communication and education of our patients, physicians, staff and the community we serve are essential elements of this process. Comprehensive: We are committed to an integrated healthcare delivery system that encompasses the entire spectrum of healthcare delivery. This continuum of care encompasses all aspects of an individual's healthcare. Cost-effectiveness: We offer high quality healthcare that is accessible...
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...Why have you decided to pursue a career in health informatics? How will this program help you to achieve your goal and contribute to the field? Prior to gaining admission to study medicine, I had opted for an Associate degree in computer science. Then it was meant to fill a vacuum but a passion was borne out of this. Medicine then took center-stage in my life. I loved anything computer science and information technology. I want to go beyond this passion to executing; blending my medical knowledge with the didactic learning of health informatics to making health care efficient while maintaining high-quality care, reducing cost and improve the ability of patients to monitor their own health. The determination to make a difference and armed with...
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...HEALTHCARE DATA SETS HS420: Advanced Health Informatics 11/25/2014 HEDIS According to NCQA (2014), HEDIS is a tool used by more than 90% of America’s health plans to measure performance on important dimensions of care and service. HEDIS consists of 81 measures across 5 domains of care, there are so many plans that use HEDIS and the measures are so specifically defined it can be used to make comparisons among plans. To ensure that HEDIS stays current the National Committee of Quality Assurance (NCQA) has established a process to evolve the measurement set for each year through its committee on performance measurement. The National Committee of Quality Assurance...
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...Strategic Planning and the Nursing Process Paper Strategic Planning and the Nursing Process Paper HCS/482 Health Care Informatics November 25, 2014 Strategic Planning and the Nursing Process Healthcare informatics is an idiom that refers to the use of information technology in the healthcare field. Several software applications are used in healthcare informatics mostly used are computers. The wide-ranging uses of healthcare informatics include but are not limited to electronic record keeping, information distribution, data observation, data investigation, and record keeping. Medical records are more readily accessible due to healthcare informatics. In the past health care medical records were written on paper and sometimes carbon copied paper. When patients went to the doctor their medical records were ordered and sent via courier to various departments. Healthcare informatics has improved patient care by providing clear legible computerized charting verses the illegible poorly written, unorganized charting health care providers were use to. The Nursing Process According to Definition: Nursing Process (2004), The Nursing process is defined as “a five-part systematic decision-making method focusing on identifying and treating responses of individuals or groups to actual or potential alterations in health”. The Nursing process includes assessment, nursing diagnosis, planning, implementation, and evaluation”. The nursing process is an organized...
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...DENTAL INFORMATICS IN PLANNING AN EFFECTIVE ORAL HEALTH INFORMATION SYSTEM IN INDIA - NEED OF AN HOUR Eshani Saxena*1, Pankaj Goel2 , Chandrashekar BR3, Sudheer Hongal 4 , 1. P.G Student , Dept of public health dentistry ,Peoples dental academy , Bhopal 2. HOD, dept of Public health dentistry AIIMS Bhopal 3. Dept of Public health dentistry, People’s dental academy , Bhopal 4. Reader, Dept of Public health dentistry, People’s dental academy , Bhopal Corresponding author: Dr. Eshani Saxena , P.G Student , Dept of public health dentistry ,Peoples dental academy , Bhopal . Received on 16 Jan 2014, Published on 2 feb 2014 ABSTRACT Technology in dentistry is a novel science and it will continue to grow in future. The research field that study dentistry from a technical perspective is dental informatics. Dental informatics engrosses every discipline in dentistry. To review the existing literature on dental informatics in public health practice and discuss the feasibility of integrating dental informatics in planning effective oral health information system in India. A thorough search for the literature on dental informatics and oral health information system was made in biomedical data bases using the search engine for two weeks by one investigator. The retrieved literature was then organized into primary and secondary sources, softwares in clinical dentistry, softwares for public health informatics etc. The literature focusing on the applicability of dental informatics in public...
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...The low understanding level accompanied by discouraging achievements of the students has become cause of great concern of our country and has bothered badly the educationists, parents and government. The educationists have made a number of systematic efforts to find out the causes of deterioration and suggested remedies thereof. Almost all the commissions and education policies The quality of a nation depends on the quality of its citizens. Also qualities of citizens depend on the quality of the education they achieved and quality of the education besides other factors depends upon study habits and attitude of students. The quality of education is reflected academic achievement which is a function of study habits and attitudes of students. Thus, to enhance the quality of education, it is necessary to improve the study habits and study attitudes of students. To improve study habits, those factors which hinder its effectiveness must be addressed. Identification of these factors may lead towards remedial measures. No two people study the same way, and there is little doubt that what works for one person may not work for another. However, there are some general techniques that seem to produce good results. No one would argue that every subject that you have to take is going to be so interesting that studying it is not work but pleasure. We can only wish. Everyone is different, and for some students, studying and being motivated to learn comes naturally. If you are reading this...
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...would like to keep up with the newest development in our field, life gets in the way. We have responsibilities such as work, family, community involvement, and finances that don’t allow us to go back to school every time something changes. This is where membership in a professional association comes in handy. They help to keep members up to date on current events in their field. They provide training seminars and continuing education so can learn the newest procedure with having to rearrange your whole life. They even keep members connected with each other, which is great for networking. The professional association I am particularly interested in is The American Health Information Management Association (AHIMA). The AHIMA was founded in 1928 to improve health record quality. It has played a role in the management of health data...
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...discuss how small organizations can successfully implement EMRs, enhance their core mission of delivering quality care, and minimize security and patient health risks. The family practice we are investigating has been established in the New Tampa area in 1990*. Currently it employs 3 physicians, one nurse practitioner, one nurse and two staff assistants. It provides services to more than 1500 patients and last year had 4000 patient visits. When the practice first opened, each patient’s chart included a double-sided standard sheet of paper created for each visit, test results, images, progress notes, prescribed medication and demographics information. The size of these charts has been increased exponentially since then and in 2009 the practice has decided to move forward with an EMR implementation. The practice has been using an electronic billing and scheduling system for years, however the personnel was skeptical for the EMR implementation since an unsuitable system could destroy the continuity of the patient’s medical record, incur additional costs and disrupt patient care and staff function. A committee comprised of one physician, the nurse and one staff assistant was formed to define the EMR requirements. Unfortunately, the practice did not have a budget for IT support. Luckily, the nurse had training in nursing informatics and became the internal IT consultant. After extensive research, the committee decided to invite two vendors for an onsite demonstration and finally selected...
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...Proposal for a New Information Management System to Implement Meaningful Use Interdisciplinary Committee Team Members Implementing a new information management system for a 100 bed hospital to bring them into compliance with Meaningful Use Legislation, requires the expertise of different disciplines within the hospital. For this hospital the team will consist of myself, a Clinical Nurse Specialist with a Post-Masters Nursing Informatics Certificate, Health Information Management (HIM) Specialist, in charge of medical records, and ensuring regulatory compliance, Information Technology (IT) Specialist who is knowledgeable in computer software and hardware, Physician who is a the Medical director with extensive experience with electronic medical charting, Pharmacy Director who is a pharmacist with EMR and PYSIX experience and , Chief Financial Officer to manage the budget, and the Director of staff development who is a Mastered prepared RN with EMR experience and is in charge of staff education. The HIM Specialist is chosen because of his experience with health information management, regulatory compliance and HIPAA. This knowledge is vital for implementing this system to ensure that the EMR chosen will meet the criteria for the stages of Meaningful Use. The IT Specialist is chosen for his knowledge of computer hardware and software and will be instrumental in the purchasing and setting up of the required hardware and computer trouble shooting. The IT specialist and his staff...
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...Essentials of Health Information Management Kay Lavender HCR/210 October 27, 2011 Essentials of Health Information Management Source- oriented medical records are kept together by subject matters, such as data from all laboratory results. Progress notes are all kept together and are written in paragraph format; these entries are filed under a specific sectionalized area in the patient chart and are usually in chronological order. Many facilities use the chronological order because this is an easy way to locate the required documents. The major advantage is that information is organized together, which makes it easier to determine the assessment, treatment, and observations a particular department provided a patient. The major disadvantage is there is no possible way to quickly determine all of the patient problems or treatment that has been provided to the patient. Problem- oriented medical records are kept together by a problem number; with this a number is placed to each problem. This is the most traditional way that most physicians document his or her records. Progress notes are kept in a “SOAP format, which is S= subjective, O=objective, A= assessment, and P= plan of action.” (SOAP Notes, 2010) The problem oriented-medical records have four parts, which include a database, problem list, initial plan, and progress notes. The major advantage is the record format is the ease or progression through all the data. The data is organized into stratified sections, which is...
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...Train and educate Lewis recommends assessing nurses’ computer skills and bringing their competencies, such as keyboard skills, up to standard before starting them on job-required electronic devices. Once nurses feel comfortable with a computer, she said, it is easier to introduce new technology. Children’s Healthcare conducted scenario-based training, leading nurses through the workflow of how they would document an assessment or administer a medication. Banner Gateway Medical Center in Gilbert, Ariz., moved into a new, all-electronic facility a couple of years ago. Nurses trained on the software. Then leadership took about 20 percent of the nurses to the new hospital and let them practice on the new system during mock drills. Some local Boy Scouts played the roles of patients to create a more realistic simulation. “It allowed them to get comfortable with the electronic tool, and it helped us identify any issues we had to fix before we opened,” said Sheri Dahlstrom, RN, MSN, chief nursing officer at Banner Gateway. Employ super users Banner Gateway trained super users who did not have a patient load during and for about two weeks after the “go live” to help nurses navigate the system. Children’s Healthcare of Atlanta also prepared nurse super users. They attended additional educational sessions, listened to their peers’ questions and were ready to assist fellow nurses when the system went live. The super users wore special T-shirts, which helped identify...
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