...EMR implementation to improve patient outcomes Florida International University The problem Quality of care has been low for Mesey hospital over the past few years. Medical errors, near misses and poor patient safety are at an increased rate. Communication has been lack luster, and patient satisfaction surveys have yielded unsatisfactory results. Mesey has invested in quality training, has had continuous education sessions and in-services in an attempt to improve care but has seen no improvements despite the efforts. The CEO, not realizing that it’s the system not the people, is looking into new and different strategies for improvement, including hiring new employees as the current staff is set in their ways and cannot seem to turn quality around. Mesey is currently using the traditional paper charting system and has not yet converted to electronic medical records (EMR). The CEO has done some research and has learned that the competitor Wellness hospital has been using EMR for over two years and has had great success - high quality rating and excellent patient satisfaction scores. The CEO of Mesey has been contemplating if implementing EMR within the facility will improve patient outcomes and satisfaction through improved safety and quality of care? Traditionally, paper based medical records have been used due to its simplicity and ease of use, low cost implementation, and widespread acceptance. This system does however come with a vast number of disadvantages including...
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...EMR Research & Opinion Paper Produced by: Jeremy Averella EMR Course Fall 2013 EMR Research & Opinion Paper Produced by: Jeremy Averella EMR Course Fall 2013 TABLE OF CONTENTS I. Advantages of EHRs 2 a. Cost Containment 2 b. Empowerment 3 c. Improved Communication 4 d. Less Waste 4 e. Compliance 5 II. Disadvantages of EHRs 6 a. Lack of Standardization 6 b. Security & Privacy Concerns 7 c. System Infrastructure Issues 8 d. Risk of Liability and Patient Uncertainty 8 III. EHR Technology 9 a. EHR Benefits 10 b. EHR Types 11 c. EHRs Future Evolution 13 d. EHR Technology versus Handheld SMART devices 14 IV. Trends and Consequences 15 a. Aggressive Implementation 16 b. High Costs 16 c. Labor Investment 17 d. Opportunity Cost 17 e. Impact on Researchers, Policymaker and Educators 18 V. Final Opinion 19 VI. Bibliography 22 VII. Appendix I 28 VIII. Appendix II 31 I. Advantages of EHRs In an effort to reign in rising health care costs and increased health care disparity and inequality in the U.S., former president George W. Bush doubled the funding for Health Care Information Technology to 100 million in 2005 (The White House). It was part of a larger plan to utilize latest information technology to standardize patient and health records, which despite spending 1.6 trillion dollars, attributed to 98,000 medically related errors in 2004. The plan was part of his campaign promise and was reiterated in his January 20...
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...------------------------------------------------- Cases Included: ------------------------------------------------- - Oracle – An Overview of Oracle Business Intelligence ------------------------------------------------- - Enterprise Health Information Systems ------------------------------------------------- - FedEx Express EMEA ------------------------------------------------- ------------------------------------------------- Cases Included: ------------------------------------------------- - Oracle – An Overview of Oracle Business Intelligence ------------------------------------------------- - Enterprise Health Information Systems ------------------------------------------------- - FedEx Express EMEA ------------------------------------------------- ITM505 Group 18 – 3 Long Cases ITM505 Group 18 – 3 Long Cases By: Ali Ahmed (500405839), Arham Gul (500393563), Qasim Malik (500450605), Arich Lengkong (500481555), Patrick Antwi (500461586) By: Ali Ahmed (500405839), Arham Gul (500393563), Qasim Malik (500450605), Arich Lengkong (500481555), Patrick Antwi (500461586) Contents Case Analysis – Oracle: An Overview of Oracle Business Intelligence Applications 3 Introduction 3 Key Issues 3 Key Assumptions 4 What are the advantages and disadvantages of using a Business Intelligence (BI) software system in a small/medium level business? 5 Procurement and Spend Analytics: 5 Supply Chain and Order Management Analytic 5 Financial/Monetary Analytics...
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...Lapointe & Rivard/Resistance to IT Implementation RESEARCH ARTICLE A MULTILEVEL MODEL OF RESISTANCE TO INFORMATION TECHNOLOGY IMPLEMENTATION1 By: Liette Lapointe Faculty of Management McGill University 1001 Sherbrooke Street West Montreal, Quebec H3A 1G5 Canada liette.lapointe@mcgill.ca Suzanne Rivard HEC Montreal 3000 Côte Ste-Catherine Road Montreal, Quebec H3T 2A7 Canada suzanne.rivard@hec.ca of the nature of the relationships between these components and (2) refine our understanding of the multilevel nature of the phenomenon. Using analytic induction, we examined data from three case studies of clinical information systems implementations in hospital settings, focusing on physicians’ resistance behaviors. The resulting mixeddeterminants model suggests that group resistance behaviors vary during implementation. When a system is introduced, users in a group will first assess it in terms of the interplay between its features and individual and/or organizational-level initial conditions. They then make projections about the consequences of its use. If expected consequences are threatening, resistance behaviors will result. During implementation, should some trigger occur to either modify or activate an initial condition involving the balance of power between the group and other user groups, it will also modify the object of resistance, from system to system significance. If the relevant initial conditions pertain to the power of the resisting group vis-à-vis the system...
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...How do new technologies impact on workforce organisation? Rapid review of international evidence Report developed by The Evidence Centre for Skills for Health Contents Key Themes ............................................................................................................................................ 3 Scope .................................................................................................................................................................... 3 How are teams being organised?.......................................................................................................... 7 Substituting grades and roles ............................................................................................................................... 7 Reducing staff or team size .................................................................................................................................. 8 Empowering patients............................................................................................................................................. 9 Changing the place of care ................................................................................................................................. 10 Working across organisations ............................................................................................................................. 10 Working across regional areas .........................
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...European Union countries 7 3.1. eHealth Action Plan 2012 - 2020 7 3.2. eHealth in the European Countries 8 4. Application of eHealth practices 10 4.1. Electronic Health records (EHR) 10 4.1.1. Examples of current EHR use 10 4.1.2. Electronic Health Record in Greece 12 4.1.3. Summing up 14 4.2. Interoperability 15 4.2.1. Defining Interoperability in Healthcare Systems 15 4.2.2. Most widely used contemporary Interoperability standards in Healthcare 16 4.2.3. EPSOS (European Patients Smart Open Services) 17 4.2.4. Interoperability in Greece Healthcare Informatics 18 4.3. Telemedicine & Telecare 19 4.3.1. Types of Telemedicine 20 4.3.2. Services Provided by Telemedicine 20 4.3.3. What Delivery Mechanisms Can Be Used? 20 4.3.4. Telemedicine in Greece...
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...Advisor Dr. Sriwan Thapanya ………………………………………………………………………… Field Specialist …………………………………………………………………………… (Asst. Prof. Dr. Sivaporn Wangpipatwong) Dean of the Graduate School Tejasvi Vasudevan. Master of Business Administration, May 2014, Graduates School, Bangkok University Title: A case study to understand the factors that promote and facilitate medical tourism in Thailand with regards to services provided by hospitals (72 pages) Advisor of Independent Study: Dr. Sriwan Thapanya ABSTRACT The aim of this study is to understand reasons behind the growing medical tourism industry in Thailand. By studying the attributes that make the hospitals in Thailand more attractive to medical tourist we can better our hospitals and our services. Since medical tourism contributes significantly to the economy of Thailand and its benefits pour into other sectors of the tourism industry it is an important subject of study. The study also will be helpful in the future when ASEAN Economic...
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...Patient-Driven Health Care Models: An Examination of Health Social Networks, Consumer Personalized Medicine and Quantified Self-Tracking Melanie Swan * Research Associate, MS Futures Group, P.O. Box 61258, Palo Alto, CA 94306, USA * Author to whom correspondence should be addressed; E-Mail: m@melanieswan.com; Tel.: +1-415505-4426; Fax: +1-504-910-3803 Received: 9 January 2009 / Accepted: 2 February 2009 / Published: 5 February 2009 Abstract: A new class of patient-driven health care services is emerging to supplement and extend traditional health care delivery models and empower patient self-care. Patient-driven health care can be characterized as having an increased level of information flow, transparency, customization, collaboration and patient choice and responsibility-taking, as well as quantitative, predictive and preventive aspects. The potential exists to both improve traditional health care systems and expand the concept of health care though new services. This paper examines three categories of novel health services: health social networks, consumer personalized medicine and quantified self-tracking. Keywords: Patient-driven health care; health social networks; personalized medicine; quantified self-tracking; health care delivery; predictive health care; preventive health care; long-tail medicine; Internet; open source. 1. Introduction The life sciences field is advancing and changing in nearly every dimension, both content-wise and structurally. Volumes of new content are...
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...McKinsey Global Institute June 2011 Big data: The next frontier for innovation, competition, and productivity The McKinsey Global Institute The McKinsey Global Institute (MGI), established in 1990, is McKinsey & Company’s business and economics research arm. MGI’s mission is to help leaders in the commercial, public, and social sectors develop a deeper understanding of the evolution of the global economy and to provide a fact base that contributes to decision making on critical management and policy issues. MGI research combines two disciplines: economics and management. Economists often have limited access to the practical problems facing senior managers, while senior managers often lack the time and incentive to look beyond their own industry to the larger issues of the global economy. By integrating these perspectives, MGI is able to gain insights into the microeconomic underpinnings of the long-term macroeconomic trends affecting business strategy and policy making. For nearly two decades, MGI has utilized this “micro-to-macro” approach in research covering more than 20 countries and 30 industry sectors. MGI’s current research agenda focuses on three broad areas: productivity, competitiveness, and growth; the evolution of global financial markets; and the economic impact of technology. Recent research has examined a program of reform to bolster growth and renewal in Europe and the United States through accelerated productivity growth; Africa’s economic potential;...
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...Amazon Web Services ™ Amazon Web Services ™ by Bernard Golden Amazon Web Services™ For Dummies® Published by: John Wiley & Sons, Inc., 111 River Street, Hoboken, NJ 07030-5774, www.wiley.com Copyright © 2013 by John Wiley & Sons, Inc., Hoboken, New Jersey Published simultaneously in Canada No part of this publication may be reproduced, stored in a retrieval system or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, scanning or otherwise, except as permitted under Sections 107 or 108 of the 1976 United States Copyright Act, without the prior written permission of the Publisher. Requests to the Publisher for permission should be addressed to the Permissions Department, John Wiley & Sons, Inc., 111 River Street, Hoboken, NJ 07030, (201) 748-6011, fax (201) 7486008, or online at http://www.wiley.com/go/permissions. Trademarks: Wiley, For Dummies, the Dummies Man logo, Dummies.com, Making Everything Easier, and related trade dress are trademarks or registered trademarks of John Wiley & Sons, Inc. and may not be used without written permission. Amazon Web Services is a trademark of Amazon Technologies, Inc. All other trademarks are the property of their respective owners. John Wiley & Sons, Inc. is not associated with any product or vendor mentioned in this book. LIMIT OF LIABILITY/DISCLAIMER OF WARRANTY: THE PUBLISHER AND THE AUTHOR MAKE NO REPRESENTATIONS OR WARRANTIES WITH RESPECT TO THE ACCURACY OR COMPLETENESS...
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...McKinsey Global Institute June 2011 Big data: The next frontier for innovation, competition, and productivity The McKinsey Global Institute The McKinsey Global Institute (MGI), established in 1990, is McKinsey & Company’s business and economics research arm. MGI’s mission is to help leaders in the commercial, public, and social sectors develop a deeper understanding of the evolution of the global economy and to provide a fact base that contributes to decision making on critical management and policy issues. MGI research combines two disciplines: economics and management. Economists often have limited access to the practical problems facing senior managers, while senior managers often lack the time and incentive to look beyond their own industry to the larger issues of the global economy. By integrating these perspectives, MGI is able to gain insights into the microeconomic underpinnings of the long-term macroeconomic trends affecting business strategy and policy making. For nearly two decades, MGI has utilized this “micro-to-macro” approach in research covering more than 20 countries and 30 industry sectors. MGI’s current research agenda focuses on three broad areas: productivity, competitiveness, and growth; the evolution of global financial markets; and the economic impact of technology. Recent research has examined a program of reform to bolster growth and renewal in Europe and the United States through accelerated productivity growth; Africa’s economic potential;...
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...National ICT Strategy and Plan NICI - 2015 © No part of this document can be reproduced, stored in a retrieval system, or transmitted in any form or by any means - electronic, mechanical, photocopying, recording, or otherwise - without the permission of the Rwanda Ministry in charge of ICT in the Office of the President. List of Acronyms AGAGE AISI AMIS ARTEL BNR BPO CD CERT COMESA CNS-ATM CS CSIRT CTC FWG DCRS EAPP EASSy EDPRS e-GOV EMIS EMR EQMS ERMS FMS FY GDP GIS GNI GNP GoR G2B G2C G2G HIV HLSC HRMS ICT ICT4D IDS IPAR IPS ISP ISPA ITU IXP JICA Advanced Global Atmospheric Gases Experiment African Information Society Initiative Agriculture management Information System Africa Rural Telecommunication Banque National du Rwanda Business Processing Outsourcing Community Development Computer Emergency Response Team Common Market for Eastern and Southern Africa Communication Navigation Surveillance /Air Management Cyber Security Computer Security Incident Response Team Coordination Technical Committee Focus area Working Group Develop a Digital Court Recording System East African Power Pool Eastern Africa Submarine Cable System Economic Development & Poverty Reduction Strategy (2008-2012) e-Government Education Management Information System Electronic Medical Records Electronic Queue Management System Electronic Records Management System Financial Management Systems Fiscal Year Gross Domestic...
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...Austin and Boxerman’s Information Systems for Healthcare Management Seventh Edition Gerald L. Glandon Detlev H. Smaltz Donna J. Slovensky 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 [First Page] [-1], (1) Lines: 0 to 27 * 516.0pt PgVar ——— ——— Normal Page * PgEnds: PageBreak [-1], (1) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 AUPHA/HAP Editorial Board Sandra Potthoff, Ph.D., Chair University of Minnesota Simone Cummings, Ph.D. Washington University Sherril B. Gelmon, Dr.P.H., FACHE Portland State University Thomas E. Getzen, Ph.D. Temple University Barry Greene, Ph.D. University of Iowa Richard S. Kurz, Ph.D. Saint Louis University Sarah B. Laditka, Ph.D. University of South Carolina Tim McBride, Ph.D. St. Louis University Stephen S. Mick, Ph.D. Virginia Commonwealth University Michael A. Morrisey, Ph.D. University of Alabama—Birmingham Dawn Oetjen, Ph.D. University of Central Florida Peter C. Olden, Ph.D. University of Scranton Lydia M. Reed AUPHA Sharon B. Schweikhart, Ph.D. The Ohio State University Nancy H. Shanks, Ph.D. Metropolitan State College of Denver * [-2], (2 Lines: 2 59.41 ——— ——— Normal * PgEnds [-2], (2 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 [-3], (3) Lines:...
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...Emerging Markets Review 13 (2012) 516–547 Contents lists available at SciVerse ScienceDirect Emerging Markets Review journal homepage: www.elsevier.com/locate/emr Corporate governance, agency problems and international cross-listings: A defense of the bonding hypothesis☆ G. Andrew Karolyi ⁎ Johnson Graduate School of Management, Cornell University, 348 Sage Hall, Ithaca, NY 14853, USA a r t i c l e i n f o Article history: Received 30 June 2011 Received in revised form 6 August 2012 Accepted 7 August 2012 Available online 17 August 2012 JEL classification: F30 G15 G32 G38 Keywords: Cross-listing Stocks Bonding International financial markets a b s t r a c t Why firms from around the world seek to cross-list their shares on overseas exchanges has intrigued scholars during the past two decades. A general dissatisfaction with the conventional wisdom about investment barriers segmenting global investors and how cross-listings overcome those barriers cleared the way for newer wisdom about informational problems and agency conflicts, and how firms could overcome weaknesses in corporate governance by listing on, and thus “bonding” to, overseas markets with stronger regulatory oversight, stringent reporting and disclosure requirements and investor protections. Critics have challenged the viability of the bonding hypothesis, which I answer in this review. © 2012 Elsevier B.V. All rights reserved. 1. Introduction Cross-listing — also referred...
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...Annual Report Fiscal Year Ended March 31, 2011 “Our results in fiscal 2011 extend our track record of growing EPS, which we have increased at a 13.9% compound annual growth rate since fiscal 2007.” John H. Hammergren, Chairman, President and Chief Executive Officer, McKesson Corporation Financial Results Five-Year Total Revenue (in millions) Five-Year EPS* *Diluted earnings per share from continuing operations, as displayed above, excludes adjustments for litigation charges (credits) net (“EPS”). For supplemental financial data and corresponding reconciliation to U.S. generally accepted accounting principles (“GAAP”), see Appendix A to this 2011 Annual Report. Non-GAAP measures should be viewed in addition to, and not as an alternative for, financial results prepared in accordance with GAAP. Total Stockholder Return** **The percentages displayed represent total annualized stockholder return for each period presented, including the reinvestment of dividends. Dear Fellow Stockholders, I am pleased to report that McKesson delivered another strong performance in fiscal 2011, marked by outstanding execution in Distribution Solutions, continued success in expanding our relationships with customers and suppliers, and near record levels of capital deployment, including the $2.1 billion acquisition of US Oncology, our largest acquisition in a decade. McKesson generated revenues of $112.1 billion and exceeded expectations for both earnings and cash flow. Earnings...
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