...EVOLUTION OF HEALTH CARE INFORMATION SYSTEMS PAPER EVOLUTION OF HEALTH CARE INFORMATION SYSTEMS PAPER 2 THE PATIENT RELATIONSHIPS WITH HEALTH CARE TECHNOLOGY My grandfather would often share stories of the neighborhood Doctor coming to visit the family home and providing medical care or just stopping in to say hello. They were extremely thorough, knew the entire family's history and actually became a part of the family. Over the years, the Doctor's relationship has evolved from the family member/neighborhood doctor to the world of physicians make diagnosis based on the available CPT code and patient visits are conducted via tele-medical devices. Medical relationships first transitioned from the family physician to neighborhood Doctor offices, then to company doctors and now Insurance Companies who act as puppet masters for physicians. I spoke with a friend whom is a physician over the weekend and she said, Medical care is very different than what she pictured it to be. As a doctor, she is as concerned about the times outlined by insurance companies and CPT codes as she about the patient’s health. I am sure my grandfather could have never imagined this type of relationship with his family doctor. To bridge the gap between the physician patient relationship of yesterday and today, technology savvy healthcare providers are using personal digital assistants (PDA) to act as the provider memory bank. The advancement of PDAs is just one of the many revolutionary advances that...
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...* * Evolution of Health Care Information Systems HCS/531 Organizations are always looking to become more successful and use resources more efficiently to meet the organizational goals. Information technology has helped develop many different industries by providing them with increased and new capabilities; the health care industry is the same. Health care has made vast improvements in the use of technology in the clinics to provide better more efficient patient care. The improvements have been seen both on the clinical medical systems and the administration of health care delivery. Wilford Hall Ambulatory Surgical Center has seen many changes of the past 20 years and has integrated technology to all areas of the information technology. Two major technological events in this facility over the past 20 years that have led to advancements of the organization were the implementation of the Composite Health Care System (CHCS) and the implementation of the EHR with the evolution of AHLTA. History of Health Care Information Systems Wilford Hall in the late 1980’s and the early 1990’s was the largest hospital in the United States Air Force and the one of only two trauma centers in the San Antonio regional area. With 9 floors of clinical space and providing all medical services from family practice to specialized services along with long term care, the mission was very fast paced. At this point technology had entered the organization but was in the very early stages...
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...technology adoption, this goal could not be achieved. The adoption of EMR technology started to gather some momentum since 2004 when President George Bush outlined detailed plan to ensure access of electronic health records by all Americans by 2014 (Bush, Executive Order 13335) To achieve this goal, President George Bush created a new, sub-cabinet level National Health Information Technology Coordinator position at the Department of Health and Human Services to implement health IT infrastructure nationwide. The biggest push targeted towards promoting the adoption of EMR technology came with the passage of the American Recovery and Reinvestment Act (ARRA) 2009 by the U.S. Congress which appropriated $19 billion dollars government assistance to jump start the adoption of EMR technology by physicians, clinics, and hospitals. The healthcare reforms highlighted in the ARRA include an investment of $50 billion in health information technology (American Recovery and Reinvestment Act (AARA), 2009). There is the new federal HIT initiative program for health care organizations who adapt electronic health record systems. HIT initiative program was created to improve the quality of care by linking two providers...
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...Systems Research and Behavioral Science Syst. Res. 15, 365–372 (1998) & Research Paper Evolution and Thermodynamics: The New Paradigm{ Jeffrey S. Wicken* Department of Biochemistry, Penn State University, Erie, Pennsylvania, USA This paper introduces the new evolutionary paradigm born of the synthesis of Darwinism and thermodynamics. It also introduces this volume, whose theme is the integration of life and social process with physical law. The sense of this expansion is as follows: Darwinism has come under intense scrutiny in recent years, from several fields. These range from statistical mechanics to developmental biology. In this paper, I will discuss the direction the revision of the Darwinian program is taking through thermodynamics, which is the science of irreversible process and self-organization. My objective is to show the coherence of life with the rest of nature. # 1998 John Wiley & Sons, Ltd. Keywords evolution; emergence; thermodynamics INTRODUCTION Evolutionary theory is presently undergoing the kind of massive conceptual restructuring that marked the two great scientific revolutions of our century: relativity and quantum mechanics. Like those two revolutions, the one occurring in evolutionary theory has tremendous practical and epistemological implications for understanding, and dealing with, nature. Much is dissonant in the Darwinian world. The ecological relationality of life had, from the time of Aristotle, suggested a functional order of nature...
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...Communication Paper Debbra Piatt HCS490 January 7, 2014 Sherri Williams Communication Paper The new form of Medical records are the Electronic medical records or the EMR which are paperless forms of the patients’ (The Future of EMR's Forecasting HIPPA's Evolution and Implementation, 2012) medical records. This form of medical records are digital and computerized systems of keeping and maintaining the patient’s personal and medical information. The EMR system is designed to increase the efficiency and reduce any documentation errors. The Electronic Medical Records (EMR) is a very complex and ultimately expensive investment for the hospitals or clinics that are trying to implement this new program (The Future of EMR's Forecasting HIPPA's Evolution and Implementation, 2012). With these implementation of these new EMR’s it has created a high demand for healthcare professionals with a background in IT. The information technology has finally come to the healthcare system to make it more efficient and gives then physicians and the patient’s access to the medical records. The implementation of the EMR system reduces the administrative overhead that may affect the profits of the healthcare providers. Also this could affect the number of patients being seen by the medical professionals and be able to better utilize the resources (Benefits from EMR, 2010). The EMR that are being implemented for all hospitals and clinics in the country, the standards for developing these solutions...
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...EVOLUTION AND MEDIA NATURALNESS: A LOOK AT E-COMMUNICATION THROUGH A DARWINIAN THEORETICAL LENS Ned Kock Lehigh University/Temple University Bethlehem, PA/Philadelphia, PA USA nfk2@Lehigh.edu Abstract Modern theories of human evolution converge on the belief that our brain has been designed to cope with problems that occurred intermittently in our evolutionary past. Evidence suggests that, during over 99 percent of the evolutionary process leading to the emergence of our species, our ancestors communicated in a synchronous and colocated manner, and employing facial expressions, body language, and oral speech (what we refer to here, generally, as “face-to-face” communication). Thus, it is plausible to assume that many of the evolutionary adaptations our brain has undergone in connection with communication have been directed at improving the efficiency and effectiveness of face-to-face communication, which begs the question: What happens when we selectively suppress face-to-face communication elements (e.g., colocation, the ability to employ/observe facial expressions) through e-communication technologies? This paper tries to provide an answer to this question by developing a hypothesis, called the media naturalness hypothesis, which builds on modern human evolution theory. The media naturalness hypothesis argues that, other things being equal, a decrease in the degree of naturalness of a communication medium (or its degree of similarity to the face-to-face ...
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...Health Care Organizations and Delivery Systems Copyright © 2012, 2011, 2007 by University of Phoenix. All rights reserved. Course Description This course is a comprehensive approach to health care delivery systems that provides the student with an in-depth understanding of health systems and organizations. Students will examine historical evolutions of the health care industry and recent impacts that influence the delivery of health care. Policies Faculty and students will be held responsible for understanding and adhering to all policies contained within the following two documents: • University policies: You must be logged into the student website to view this document. • Instructor policies: This document is posted in the Course Materials forum. University policies are subject to change. Be sure to read the policies at the beginning of each class. Policies may be slightly different depending on the modality in which you attend class. If you have recently changed modalities, read the policies governing your current class modality. Course Materials Shi, L., & Singh, D. A. (2012). Delivering health care in America: A systems approach (5th ed.). Boston, MA: Jones and Bartlett. All electronic materials are available on the student website. Assignment Breakdown Week One Individual Assignment: Significant Health Care Event Paper 10 Week Two Learning Team Assignment: The Evolution of Health Care Paper and Timeline 10 Week Three Individual...
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...Journal of Theoretical and Applied Electronic Commerce Research ISSN 0718–1876 Electronic Version VOL 6 / ISSUE 2 / AUGUST 2011 / 31-49 © 2011 Universidad de Talca - Chile This paper is available online at www.jtaer.com DOI: 10.4067/S0718-18762011000200005 A Co-Evolution Model of Competitive Mobile Platforms: Technoeconomic Perspective Perambur Neelakanta1 and Raef Yassin2 Florida Atlantic University, Department of Computer and Electrical Engineering & Computer Science, 1 neelakan@fau.edu, 2 yassin@fau.edu Received 13 January 2011; received in revised form 10 April 2011; accepted 18 May 2011 Abstract A model depicting competitive technoeconomics of business structures specific to mobile-platforms is developed. The underlying co-evolution of large, competing enterprises of mobile-platforms that face customerchurning due to application-preferences and pricing structures in the deregulated ambient is viewed in the perspectives of nonlinear logistic systems akin to that of biological ecosystems. Relevant considerations are decided by and embodied with several stochastically-interacting subsystems. Hence, the temporal dynamics of competition/co-evolution of known competitors in the mobile-platform market, like Android, Symbian and iPhone is depicted by a novel model posing dichotomy of prey-predator flip-flops in the market; and, an asymptotic projection of ex post computations of underlying technoeconomics into the ex ante region would correspond to futuristic forecasts...
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...Evolution of Health Care Information Systems Since the early 1980s, the U.S. health care system has experienced a rapid growth in the sector of health care information technology. This growth can be viewed as an attempt to standardize our fragmented health care system. The health care information technology is no longer an option but a necessity to be compliant with the mandated federal regulations. President George W. Bush in 2004 asked health care providers to implement Electronic Health Records (EHR) by 2014. The Joint Commission for the Accreditation of Health Care Organizations (JCAHO) and Health Insurance Portability and Accountability Act (HIPAA) also joined this initiative by asking health care providers to be compliant with the new legislation. Many community-based physician practices previously reluctant to embrace technology are realizing the benefits of the health care information systems, such as computerized physician order entry (CPOE), electronic medical records (EMR), tele-medicine, complex disease management, and automated billing systems. The purpose of this paper is to compare and contrast a contemporary health care facility with a health care facility of 20 years ago. Additionally, the paper will identify at least two major events and technological advantages that influenced the current health care information system (HCIS) practices. Definition of Health Care Information Systems Prior to discussing the evolution of HCIS in the last two decades, it would...
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...Abbreviated version of this report is published as "Trends in Computer Science Research" Apirak Hoonlor, Boleslaw K. Szymanski and M. Zaki, Communications of the ACM, 56(10), Oct. 2013, pp.74-83 An Evolution of Computer Science Research∗ Apirak Hoonlor, Boleslaw K. Szymanski, Mohammed J. Zaki, and James Thompson Abstract Over the past two decades, Computer Science (CS) has continued to grow as a research field. There are several studies that examine trends and emerging topics in CS research or the impact of papers on the field. In contrast, in this article, we take a closer look at the entire CS research in the past two decades by analyzing the data on publications in the ACM Digital Library and IEEE Xplore, and the grants awarded by the National Science Foundation (NSF). We identify trends, bursty topics, and interesting inter-relationships between NSF awards and CS publications, finding, for example, that if an uncommonly high frequency of a specific topic is observed in publications, the funding for this topic is usually increased. We also analyze CS researchers and communities, finding that only a small fraction of authors attribute their work to the same research area for a long period of time, reflecting for instance the emphasis on novelty (use of new keywords) and typical academic research teams (with core faculty and more rapid turnover of students and postdocs). Finally, our work highlights the dynamic research landscape in CS, with its focus constantly ...
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... new systems arise every day with terminology of their own to reflect the changes. As a health care professional, it is important for you to stay up-to-date with the terminology and its proper use. Define each term in the table below. There’s only one definition for each terminology. -------------------------------------------------------------------- HCS 533 Week 2 Individual Assignment Database Worksheet (2 Set) FOR MORE CLASSES VISIT www.hcs533study.com This Tutorial contains 2 Set of Answers (2 Paper) HCS 533 Week 2 Individual Assignment Database Worksheet Databases Worksheet Write a 50- to 150-word response to the following question. Be clear and concise, use complete sentences, and explain your answers using specific examples. Cite any outside sources. For additional information on how to properly cite your sources, check out the Reference and Citation Generator resource in the Center for Writing Excellence. 1. What is the difference between database types and capacities? 2. How do data inaccuracies affect patient care and reimbursement? 3. Review the databases below and explain the relationship between each of the databases and their impact on the medical records system. -------------------------------------------------------------------- HCS 533 Week 3 Individual Assignment Evolution of Health Care Information Systems (2 Papers) FOR MORE CLASSES VISIT www.hcs533study.com This Tutorial contains 2 Papers Resource:...
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...Evolution of Health Care Information Systems There has been a very fast growth in the U.S. health care system since the early 1980s with regard to the information technology related to health care. This can be viewed as an attempt towards the standardization of the fragmented health care system. Information technology like in every other field of life has become a necessity even in the health care system and is covered by the federal regulations. The implementation of the Electronic Health Records (EHR) by 2014 has become mandated as ordered by President George.W.Bush in 2004 which was seconded by the Joint Commission for the Accreditation of Health Care Organizations (JCAHO) and Health Insurance Portability and Accountability Act (HIPAA). These organizations asked the health care providers to comply with the new legislation and those community-based physician practices who were earlier reluctant to accept and implement it have now realized that the health care in sequence systems in the form of CPOE (computerized physician order entry), EMR (electronic medical records), the tele-medicine, complex disease management, and automated billing systems are very beneficial to them The paper intends to showcase the comparison and contrast between a contemporary health care facility and a traditional health care facility which prevailed before twenty years. At least two major events and technological advantages influencing the practice of the current health care information system...
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...The impact of technology on the public accounting profession By Ricardo Ruiz Bentancourt IC Member | Represents Latin America To ask oneself what impact technology has on the public accountant’s work is redundant. And the reason for this is that the development of technology has been inherent to human progress and it has affected practically all aspects of life; the accounting profession not having escaped this influence. However, if this question were to have been asked merely thirty years ago, the answer would not have been so obvious. In my opinion, the change that has had the greatest impact on this profession is, without doubt, the electronic worksheet. “Visicalc, the first worksheet would take some 20 hours of work per week for an accountant and has now been reduced to 15 minutes, allowing accountants to be more creative”1. When I first used this worksheet back in 1986, I immediately sensed the effect that it would have in my work. In particular, I had that same sensation when another important moment for my practice came about which was the wide-spread use of personal computers - the PCs. At that time, a computer was assigned to me at my job and with it, I was able to perform a series of analyses that complemented the reports issued at that time by an AS 400 from IBM. I even became an expert in Lotus 123 and was given the opportunity to give courses on this program. But this was not only a change at a personal level. Agnes Ann Pepe pointed out...
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...Information Systems 38 (2013) 1046–1069 Contents lists available at SciVerse ScienceDirect Information Systems journal homepage: www.elsevier.com/locate/infosys Version management for business process schema evolution Xiaohui Zhao a,n, Chengfei Liu b a b Information Systems Discipline, University of Canberra, Canberra, Australia Faculty of Information and Communication Technologies, Swinburne University of Technology, Melbourne, Australia a r t i c l e in f o abstract Article history: Received 20 October 2009 Received in revised form 22 January 2013 Accepted 28 March 2013 Recommended by M. Weske Available online 6 April 2013 The current business environment changes rapidly, dictated by user requirements and market opportunities. Organisations are therefore driven to continuously adapt their business processes to new conditions. Thus, management of business process schema evolution, particularly process version control, is in great demand to capture the dynamics of business process schema changes. This paper aims to facilitate version control for business process schema evolution, with an emphasis on version compatibility, co-existence of multiple versions and dynamic version shifts. A multi-level versioning approach is established to specify dependency between business process schema evolutions, and a novel version preserving graph model is proposed to record business process schema evolutions. A set of business process schema updating...
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...Forms The theory of evolution from paper to the internet The theory of evolution must ‘evolve’ with the transforming media forms around it to maintain its scientific and social relevance. In other words, it must shift from the conventional media forms such as journals, books and publications and move towards the ways of the internet. Even collective groups of scientists and evolutionists can be shifted from physical to online gatherings via the ways of the internet and its related technologies. The majority of internet users throughout the world see the net as simply an enormous link-up of the world’s computers, after all, this is the ‘universal answer’ people tend to give when asked “what is the internet?”. Although this common answer is a pretty accurate image, it would be more correct to describe the internet as a “global network of hardware and software which stores and transports information from a content provider to an end user” . This infrastructure allows any person who wishes to say anything, access to say it to the world. Controversial topics are abundant on the World Wide Web, and this media form enables these topics to be discussed, investigated, or challenged. Evolution is defined as being: “A gradual process in which something changes into a different and usually more complex or better form”. Arguments for evolution include The Fossil Record, Darwin’s theory of Natural Selection, and Biological Evidence. Arguments against evolution include The Second Law...
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