...Records to Generate Clinical Quality Measures Introduction The American Hospital Association (AHA) commissioned iParsimony, LLC, to conduct a study to investigate hospital experiences with implementation of Meaningful Use Stage 1 electronic clinical quality measures (eCQMs). The study describes the experience with and impact of eCQM implementation in four hospitals – large and small, urban and non-metropolitan – each of which had significant experience with electronic health records (EHRs) prior to Meaningful Use and uses a different EHR from a different vendor company. The findings described in the case study are derived from interviews conducted with key leaders and operational staff directly involved in the oversight and management of eCQMs. Based on the experiences of the hospitals in this case study, the current approach to automated quality reporting does not yet deliver on the promise of feasibility, validity and reliability of measures or the reduction in reporting burden placed on hospitals. Specific policy changes are needed, starting with Stage 2 Meaningful Use, to redirect the electronic clinical quality reporting requirements to focus on a small set of well-tested measures supported by a mature policy infrastructure that can guide valid and feasible measure development, testing and implementation. Background In the past 10 years, there has been an unprecedented expansion in the number and type of quality measures hospitals are required to report for federal programs...
Words: 3750 - Pages: 15
...APPENDIX Checklists A Checklist A-1 Reviewing a Budget 1. Is this budget static (not adjusted for volume) or flexible (adjusted for volume during the year)? 2. Are the figures designated as fixed or variable? 3. Is the budget for a defined unit of authority? 4. Are the line items within the budget all expenses (and revenues, if applicable) that are controllable by the manager? 5. Is the format of the budget comparable with that of previous periods so that several reports over time can be compared if so desired? 6. Are actual and budget for the same period? 7. Are the figures annualized? 8. Test one line-item calculation. Is the math for the dollar difference computed correctly? Is the percentage properly computed based on a percentage of the budget figure? 333 334 APPENDIX A Checklists Checklist A-2 Building a Budget 1. What is the proposed volume for the new budget period? 2. What is the appropriate inflow (revenues) and outflow (cost of services delivered) relationship? 3. What will the appropriate dollar cost be? (Note: this question requires a series of assumptions about the nature of the operation for the new budget period.) 3a. Forecast service-related workload. 3b. Forecast non–service-related workload. 3c. Forecast special project workload if applicable. 3d. Coordinate assumptions for proportionate share of interdepartmental projects. 4. Will additional resources be available? 5. Will this budget accomplish the appropriate managerial objectives for...
Words: 33826 - Pages: 136
...Group 1 Team Assignment CSEC 630- 9026 Jeff Daniels Written by: Kevin Alton, Nadia Iqbal, and Alex Polevoy July 2015 Table of Contents Introduction.…………………………………………………………………..………….3 Section I: iTrust Threats & Vulnerabilities and Countermeasures.……………..…………..3 Section II: Recommended Changes to Security Management Policies………...……………..7 Section III: Adaption of Requirements to Reduce Security Risk……….……………....…......11 Conclusion. …………………………………….…………………………………….…21 References ……………………………………………………………...………………23 Introduction There are multiple benefits of electronic health records (EHR), which include improved care, quicker access to patient files, and increased physician oversight of care. However, with the benefit of convenience of using EHRs, comes the responsibility of protecting electronic protected health information (ePHI) and safeguarding sensitive patient data. The Health Insurance Portability and Accountability Act (HIPAA) focuses on protecting ePHI with guidelines to ensure organizations have implemented “reasonable and appropriate” security measures to adhere to HIPAA rules and maintain patient confidentiality. HIPAA requires covered entities to conduct risk assessments to verify compliance and attempt to uncover areas where ePHI is at risk of...
Words: 5631 - Pages: 23
...models of workflow definition and enactment assume that services are directly available and can be accessed and invoked by arbitrary users or enactment engines. In more security-oriented domains, such assumptions rarely hold true. Rather in many domains, service providers demand to be autonomous and define and enforce their own service / resource access control using locally defined policy enforcement points (PEP) and policy decision points (PDP) which allow access and usage of resources to be strictly monitored and enforced. In this paper, we outline how it is possible to support security-oriented workflow definition and enactment through chaining of PDPs to support “workfloworiented” access control. To demonstrate this, we focus on a case study taken from the Economic and Social Science Research Council (ESRC) funded Data Management through e-Social Science (DAMES – www.dames.org.uk) project in the area of depression, self-harm and suicide. Keywords: Workflows, social sciences, security I. INTRODUCTION Distributed computing...
Words: 6322 - Pages: 26
...Documentation Specialist (CDS) is a registered nurse who manages, assesses, and reviews a patient’s medical records to ensure that all the information documented reflects the patient’s severity of illness, risk of mortality, clinical treatment, and the accuracy of documentation. Part of the role is to perform concurrent reviews of medical records, validate diagnosis codes, identify missing diagnosis, and query physicians and other healthcare providers for more specifics so documentation accurately reflects the patient’s severity of illness (Cassano, 2014). Health Information Management (HIM) professionals advocate for a strong commitment to accurate and timely clinical documentation as hospital initiatives push forward with programs such as ICD-10-CM/PCS implementation, Accountable Care Organizations reimbursement models, Fraud and Abuse compliance programs, and implementation of electronic health records (EHRs) (AMIHA, 2010). HIM professionals also impact CDI programs by providing education regarding compliant documentation to physicians, something that is not taught in medical school. Successful CDI programs facilitate the accurate representation of a patient’s clinical status that translates into coded data. Coded data is then translated into quality report cards, physician report cards, reimbursement, public health...
Words: 1416 - Pages: 6
...Community Members. A Case Study in the Ports of Hamburg, Rotterdam, Le Havre and Felixstowe. Part I: Introduction (2 – 3 pages) 1.1 Background of the study 1.2 Research Objectives 1.3 Research Methodology 1.4 Structure of the thesis Part II: Theoretical Research (30 pages) Objectives: This thesis is mainly focused on the complexity of the intersection between the ERP Systems and the PCSs. The theoretical research should help to explain the characteristics of Port Community System and the ERP integration. An in-depth, multi-disciplinary literature review will be conducted to assess the need, challenges and opportunities of developing the ERP integration for Port Community Systems. Comment: I think ERP could be considering especially on the PCS perspective, not as Enterprise system software. I mean ERP as a business management software for PCS operators and a suite of integrated applications for port community users. Considering the ports as Business Ecosystem I would like to find out the role and scope of the ERP Integration for PCS. 2.1 Port Community Systems (Structure is needed, e.g.: 2.1.1, 2.1.2, etc.) Definition PCS Evolution of PCS Why choose to have a Port Community System Which types of users make use of the systems? Which functions does the system have for the users? How flexible is the system? etc… 2.2 ERP Integration (Structure is needed, e.g.: 2.2.1, 2.2.2, etc.) Definition ERP Evolution of ERP Do PCS Operators support...
Words: 13402 - Pages: 54
...Members Returning From Iraq and Afghanistan, Self-Report and Diagnosis Sarah A. Mustillo, PhD*; Ashleigh Kysar-Moon, M A f; Susan R. Douglas, PhDp, Ryan Hargraves, MS±; Shelley Mac Derm id Wadsworth, PhD*; Melissa Fraine, MPH§; Nicole L. Frazer, PhD§ ABSTRACT Previous studies have found deployment to combat areas to be associated with an increased risk of posttraumatic stress disorder (PTSD), depression, and alcohol abuse, but many previous studies were limited by samples that were not representative of the deployed military as a whole. This study presents an overview of these three mental health problems associated with deployment among Air Force, Army, Marine Corp, and Navy service members returning from deployment to Iraq and Afghanistan between January 2007 and March 2008. With postdeployment health data on over 50,000 service men and women, including diagnostic information, we were able to estimate prevalence of those who screened positive for risk of each disorder in self-report data at two time points, as well as prevalence of diagnoses received during health care encounters within the military health care system. The prevalence ranges of the three disorders were consistent with previous studies using similar measures, but service members in the Navy had higher rates of screening positive for all three disorders and higher prevalence of depression and PTSD diagnoses compared to the other branches. Further, PTSD risk was higher for service members returning from...
Words: 5819 - Pages: 24
...Gaur et al. Tobacco Induced Diseases 2012, 10:4 http://www.tobaccoinduceddiseases.com/content/10/1/4 SHORT REPORT Open Access Association of smoking or tobacco use with ear diseases among men: a retrospective study Kiran Gaur1,3*, Neeraj Kasliwal2 and Rajeev Gupta2 Abstract Background: Health related behaviour specially smoking and tobacco in any form are major determinants of health and lead to health inequities. Tobacco leads to various health problems including ear, nose and throat diseases. Objective: To determine the influence of smoking or tobacco use on ear diseases we performed a retrospective study among men. Method: Of 11454 subjects of different age-groups there were 4143 men aged 20-60 years who were evaluated for demographic variables, smoking/tobacco use and middle and internal ear diseases. Descriptive statistics and age adjusted logistic regression analyses were performed. Results: Among the 4143 men, 1739 (42.0%) were smokers or used tobacco. In smokers/tobacco users compared to non-users the age adjusted odds ratios and 95% confidence intervals (CI) for chronic suppurative otitis media were 1.13 (CI 0.96-1.34), acute otitis media 1.16 (CI 0.82-1.64), suppurative otitis media 1.21 (CI 0.79-1.84), otosclerosis 0.97 (CI 0.52-1.33) (p > 0.05) and for overall middle ear diseases was 1.15 (CI 0.99-1.33, p = 0.05). For internal ear diseases the age adjusted odds ratios were for sensorineural hearing loss 1.12 (CI 0.92-1.58), 0.12 (CI 0.42-0.93) for vertigo...
Words: 3241 - Pages: 13
...iTrust Database Software Security Assessment Security Champions Corporation (fictitious) Assessment for client Urgent Care Clinic (fictitious) Amy Wees, Brooks Rogalski, Kevin Zhang, Stephen Scaramuzzino and Timothy Root University of Maryland University College Author Note Amy Wees, Brooks Rogalski, Kevin Zhang, Stephen Scaramuzzino and Timothy Root, Department of Information and Technology Systems, University of Maryland University College. This research was not supported by any grants. Correspondence concerning this research paper should be sent to Amy Wees, Brooks Rogalski, Kevin Zhang, Stephen Scaramuzzino and Timothy Root, Department of Information and Technology Systems, University of Maryland University College, 3501 University Blvd. East, Adelphi, MD 20783. E-mail: acnwgirl@yahoo.com, rogalskibf@gmail.com, kzhang23@gmail.com, sscaramuzzino86@hotmail.com and Chad.Root@gmail.com Abstract The healthcare industry, taking in over $1.7 trillion dollars a year, has begun bringing itself into the technological era. Healthcare and the healthcare industry make up one of the most critical infrastructures in the world today and one of the most grandiose factors is the storage of information and data. Having to be the forerunner of technological advances, there are many changes taking place to streamline the copious amounts of information and data into something more manageable. One major change in the healthcare industry has been the implementation...
Words: 7637 - Pages: 31
...athenaCollector: A Medical Practice’s Premier Billing and Workflow Application In 1997, Jonathan Bush and Todd Park purchased a birthing practice in San Diego, California. When they ran into insurance reimbursement issues they began to look for existing electronic medical records (EMR) and practice management solutions to help solve their problems. They were unable to find software that met their needs so they decided to create their own program and as result athenahealth, Inc. was born. Three years later, co-founders Jonathan Bush and Todd Park introduced a billing and practice management service called, athenaCollector. In 2006, athenahealth, Inc. launched athenaClinicals, advertised as the "first economically sustainable, service-based" electronic medical records (EMR) system (“athenahealth Introduces,” 2006). In August 2008, it announced the acquisition of MedicalMessaging.net (“athenahealth to Acquire,” 2008). Today athenahealth has four main services: • athenaCollector - A web-based physician billing and practice management solution that reduces administrative red tape that allows you to efficiently assess, plan, and improve practice performance while increasing revenue (“athenaCollector,” 2012). • athenaClinicals - An electronic health records (EHR) system, delivering increased revenue, decreased cost, and more clinical control to medical practices. With flexible, web-based Certification Commission for Healthcare Information Technology (CCHIT) certified software...
Words: 2006 - Pages: 9
...716 Index major depressive disorder, brain imaging studies, 70–71 malignant catatonia, 333 malingering, 530–531 ‘manic depressive insanity’, 45 manic states, 250, 253 abnormal beliefs and perceptions, 254 amphetamines and, 266 course and outcome, 274 delusional, 16 in HIV patients, 345 in ICD-10, 42 in old age aetiology, 369 clinical features, 370 treatment, 370 in old age, 369–370 mixed state with depression, 255 sensations in, 6 stroke and, 344 stupor in, 31 manic states, 15–17 Marchiafava-Bignami syndrome, 206, 338 Marijuana Anonymous, 239 marital status, and suicide, 454 masculinity drunkenness and, 428 sense of, 395 Massachusetts Male Aging Study, 402 Massachusetts Women’s Health Study (MWHS), 442 masturbation, 396 McNaughton Rules, 558 McNaughton, Daniel, 558 m-CPP 435 , MDMA (3, 4-methylenedioxymethamphetamine; ‘ecstasy’), 328 medial temporal lobe volume in Alzheimer’s disease, 359 MRI for detecting, 75 medical conditions anxiety disorders in, 170 depression treatment, 521 detection of psychiatric illness, 483 feigned illness, 530–531 mental disorders due to, 327 anxiety disorders, 333 cannabis and psychosis, 330 catatonia, 332 cognitive disorders, 334 delusions, 329 depression and Parkinson’s disease, 332 general principles, 327 hallucinations, 328 mood disorders, 330 personality disorder, 333 psychotic disorder, 328 stimulant psychosis, 329 mental disorders due to, 326–335 relationship to affective change...
Words: 7400 - Pages: 30
...ANNUAL REPORT 2011-12 Government of India Ministry of Statistics and Programme Implementation Sardar Patel Bhawan New Delhi - 110001 Website: http//mospi.gov.in. CONTENTS Chapters Page Vision Mission Introduction Development and Highlights National Statistical Commission Central Statistical Office National Sample Survey Office Coordination of Statistical Activities Computer Centre Statistical Services Indian Statistical Institute Twenty Point Programme Infrastructure and Projects Monitoring Member of Parliament Local Area Development Scheme Hindi Promotion Other Activities ANNEXES I IA IB IC ID IE IF IG IH II IIIA IIIB IVA IVB IVC V VI VII VIII Organisation Charts Ministry of Statistics & Programme Implementation Administration National Statistical Commission Central Statistical Office National Sample Survey Office Computer Centre Programme Implementation Wing Abbreviations used Allocation of Business to the Ministry Project, Seminar/Conference/Workshop and Travel Grant Assistance sanctioned during 2010-11 Project, Seminar/Conference/Workshop and Travel Grant Assistance sanctioned during 2011-12 (Up to December, 2011) Statement of Budget Estimate (SBE) -2011-12 Total Plan Gross Budgetary Support (GBS) for 2010-11 (BE and RE) for North-Eastern Region. Total Plan Gross Budgetary Support (GBS) for 2011-12 (BE and RE) for North-Eastern Region. Performance of Monthly Monitored Items under TPP-2006 (April, 2010 to March, 2011) Performance of Monthly Monitored Items under TPP-2006...
Words: 58344 - Pages: 234
...Journal of Leadership, Accountability and Ethics Computer Addiction and Cyber Crime Nick Nykodym The University of Toledo Sonny Ariss The University of Toledo Katarina Kurtz The University of Toledo This research explores the relationship between computer addiction and cyber crime. There is evidence of computer addiction in medical settings, scholarly journals and legal proceedings. Reviewing the history of computer addiction has shown that computer addiction can be related to cyber crime. This paper will define computer addiction, show how various cyber crimes, especially those against businesses and organizations, can be motivated by computer addiction and propose further research on how managers can deal with cyber crime in a business, by recognizing addictive behaviors and computer addiction in their employees. HISTORY OF COMPUTER ADDICTION Computer addiction is an idea that has been in existence for years. Since the 1970s, avid computer programmers and hackers have been called “addicts” by both psychologists and the general public (Reed, 2002, p. 135). In 1976, Weizenbaum wrote about computer programmers who could sit and work at their computer terminals for twenty or thirty hours at a time. This behavior however, was viewed at the time as useful to technology and society. Computers, once seen as huge government machines that only very knowledgeable people could use, transformed into user-friendly tools that could be used by the everyday person. It became more common...
Words: 3633 - Pages: 15
................................................................................................................7 Vendors and Cost of EMR ......................................................................................................7 EMR Stimulus.........................................................................................................................8 Different Uses of EMR ....................................................................................................................9 Uses of EMR in Health Management .....................................................................................9 Uses of EMR in Disease Management .................................................................................10 Uses of EMR in Genomics Research ....................................................................................11 Management Workflow Training, Implementation...
Words: 5615 - Pages: 23
...Government of India Ministry of Commerce and Industry Department of Commerce Website: http://dgft.gov.in i ii TO BE PUBLISHED IN THE GAZETTE OF INDIA EXTRAORDINARY (PART-I, SECTION-1) GOVERNMENT OF INDIA MINISTRY OF COMMERCE AND INDUSTRY DEPARTMENT OF COMMERCE PUBLIC NOTICE No. 1 (RE-2012)/ 2009-2014 NEW DELHI, DATED THE 5th June, 2012 In exercise of powers conferred under Paragraph 2.4 of the Foreign Trade Policy, 2009-2014, the Director General of Foreign Trade hereby notifies the Handbook of Procedures (Volume I) and the Appendices to the Handbook of Procedures (Volume I). This shall come into force from 5th June, 2012. (Anup K. Pujari) Director General of Foreign Trade e-mail: dgft@nic.in (Issued from F. No. 01/ 61/180/0050/AM13/PC-3) iii iv CONTENTS CHAPTER SUBJECT PAGE GLOSSARY 1 1 INTRODUCTION 5 2 GENERAL PROVISIONS REGARDING EXPORTS AND IMPORTS 7 3 PROMOTIONAL MEASURES 53 4 DUTY EXEMPTION / REMISSION SCHEME 67 5 EXPORT PROMOTION CAPITAL GOODS SCHEME 125 6 EXPORT ORIENTED UNITS (EOUs), ELECTRONICS HARDWARE TECHNOLOGY PARKS (EHTPs), SOFTWARE TECHNOLOGY PARKS (STPs) SCHEME AND BIO- TECHNOLOGY PARKS (BTPs) 139 7 SPECIAL ECONOMIC ZONES 165 8 DEEMED EXPORTS 167 9 MISCELLANEOUS MATTERS 171 v vi GLOSSARY (ACRONYMS) Acronym ACC ACU AEZ ANF ARO ASIDE BG BIFR BOA BOT BRC BTP CBEC CCP CEA CEC CIF CIS CoD CoO CVD DA DoBT DC DEPB DFIA DFRC DGCI&S DGFT DIPP DoC DoE DoIT DoR DoT DTA Explanation Assistant Commissioner of Customs Asian Clearing...
Words: 45504 - Pages: 183
