...HIMSS Davies Award of Excellence: Case Study Jessica Moss October 9th, 2012 The HIMSS Davies Award of Excellence originated in 1994. The program and award is named after Dr. Nicholas E. Davies who was a practicing physician and the President elect of the American College of Physicians as well as a member of the Institute of Medicine Committee on Improving the Patient Record. Dr. Davies passed away in a plane crash in 1991 but he dedicated his work into improving the patient record. He believed that computer based patient records needed improvement to provide better care for the patients. The Davies Award of Excellence is an award that requires the staff in the health care system applying for the award to document and assess their progress and accomplishments using a framework for thinking about the implementation process of an electronic health records system. The HIMSS Nicholas E. Davies Award of Excellence identifies organizations use of health care information technology in four categories: public health, organizational health, ambulatory care and community health organizations. Each case study demonstrates the facilities innovation and the use of an existing application that delivers the new or improved functionality or original solutions created by the applicant enterprise. (HIMSS, 2011) In 2011, five case studies were awarded with the Davies Award. The New York City Department of Health and Mental Hygiene applied their case study and was awarded the Davies Award...
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...Health Promotion In Nursing Practice As health care evolves and changes, the roles of nurses in health promotion and prevention have expanded greatly. The goal is to prevent disease from occurring rather than taking a reactive position of treating the client once disease has already occurred. Health defined by Edelman and Mandle is a state of physical, mental, spiritual, and social functioning that allows a person to reach their individual potential for optimal health (Edelman & Mandle, n.d.). In order to reach these goals, levels of prevention have been defined and nurses take an active role in the implementation of positive changes in clients’ lifestyle. On each level of the health promotion continuum, the nurse has to keep in mind the clients’ cultural and educational background to develop mutually agreed- upon goals. “Primary care providers, including nurse practitioners and other advanced practice nurses, now attempt to involve individuals and their families in the delivery of care, teaching individuals about individual responsibilities and lifestyle choices has become an important part of their job”(Edelman & Mandle, p. 9). These positive changes improve the quality of the clients’ and families lives. The three- levels of health care promotion are primary, secondary, and tertiary prevention. All of these levels fall under the wellness continuum. The purpose of this paper is to compare these three levels of health care promotion and give example of how each can...
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...Case Analysis One Ronak Thesiya HEA616-90: Strategic Leadership Health Care (03/27/2015) Geisinger Health System (GHS) is a major delivery network which provides medical care in northeast and central Pennsylvania. The network is leaded by physicians. It covers population of 41 counties out of the 67. GHS is made up of approximately 700 physicians, three hospitals, and an alcohol and drug treatment center. Geinsinger Medical Center, a large tertiary/quaternary teaching hospital located in Danville, Pennsylvania is also a part of GHS. GHS has 41 community practice locations with more than 200 primary care physicians. These community practices are dedicated to provide the convenient care to the community population. The system also includes Geisinger Health Plan, one of the largest not-for-profit rural managed care companies in the country, serving approximately 210,000 members. GHS also has two research centers. Advances in basic sciences, population-based healthcare delivery models and clinical trials research are amongst the many work done by research centers. GHS has a well-developed Electronic Health Record (EHR) consisted of more than three million records. GHS generates approximately $1.6 billion revenue every year. GHS is one of the nine health systems in the United States with an AA bond rating. EHR access is provided to all participants, including physicians, care managers, and consumers. Consumer EHR features include Internet-based lab results display and results...
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...September 10, 2012 Diane Campbell, DNP - PHN, FNP - BC Epidemiology Paper Public health nursing allows nurses to encounter various vulnerable populations on a daily basis. In particular, the elderly make up a large portion of the population, and their vulnerability to the environment and other physical factors is a very important aspect of public health nursing. Epidemiology allows the public health nurse to study and assess vulnerable populations, including the elderly, and create interventions that maximize the health potential of all members of the public. This paper will explore the role of epidemiology and also discuss the definition and purpose of epidemiology, epidemiological methods, the epidemiological triangle and levels of prevention that is related with influenza in the elderly community. Definition and Description of Epidemiology Originally, epidemiology was a term that was used to describe the spread of infectious disease. Over the course of time, that definition has expanded considerably in order to accommodate the complexity of ever-changing populations, their environments, and increasing occurrences of disease. Epidemiology is a branch of public health that studies of the frequency, distribution, and determinants of disease in human populations. It studies the patterns of diseases in human populations and how to control health problems associated with disease. The epidemiologist performs research on epidemics and diseases and can determine how and...
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...Health Care Coordination Models: Benefits and Challenges Traci L French Salem International University Abstract: Care coordination refers to several forms of patient care management that is patient- rather than provider-focused and has the end goal of the “Triple Aim”-improved patient experience, improved population health and decreased per capita costs. These goals are achieved by developing healthcare models which promote collaborative care between providers, increase communication between health care entities, actively engage patients in health care and lifestyle choices and rely heavily on health technology to extend provider services, personalize care and monitor quality improvement efforts. The main barriers to care coordination implementation include poor reimbursement for services, difficulties with provider network communications, shortages of trained care coordination personnel and ambiguity in provider roles and responsibility, which can lead to provider accountability issues. When well-established, care coordination models allow patients to form substantive, long-term personal relationships with providers and increase personal accountability for health care choices. These relationships increase compliance with care regimens in the ambulatory setting and decrease costs with overall improvement in patient quality of life. Care coordination refers to several forms of patient care management which is patient- rather than provider-focused and has the end goal of...
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...improving Quality and Value in the U.S. Health Care System August 2009 Preamble The Bipartisan Policy Center (BPC) is a public policy advocacy organization founded by former U.S. Senate Majority Leaders Howard Baker, Tom Daschle, Bob Dole, and George Mitchell. Its mission is to develop and promote solutions that can attract the public support and political momentum to achieve real progress. The BPC acts as an incubator for policy efforts that engage top political figures, advocates, academics, and business leaders in the art of principled compromise. This report is part of a series commissioned by the BPC to advance the substantive work of the Leaders’ Project on the State of American Health Care. It is intended to explore policy trade-offs and analyze the major decisions involved in improving health care delivery, and discuss them in the broader context of health reform. It does not necessarily reflect the views or opinions of Senators Baker, Daschle, and Dole or the BPC’s Board of Directors. The Leaders’ Project was launched in March 2008. Co-Directed by Mark B. McClellan and Chris Jennings, its mission is (1) to create a bipartisan plan for health reform that can be used to transform the U.S. health care system, and (2) to demonstrate that health reform is an achievable political reality. Over the course of the project, Senators Baker, Daschle, and Dole hosted public policy forums across the country, and orchestrated a targeted outreach campaign to...
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...atrial fibrillation in a primary care setting. I will discuss the patient’s original presentation, including analysis and interpretation of his 12 lead electrocardiogram (ECG), diagnosis and subsequent management. Throughout the assignment I will discuss local and national guidelines and the evidence behind the chosen management for this client. For the purpose of this assignment the client will be referred to as Mr. Jones. Cardiac arrhythmias affect more than 700,000 people in England is one of the top ten reasons for hospital admission (Department of Health 2005). Atrial fibrillation (AF) is the most common and important cardiac arrhythmia, it the most common of all the arrhythmias seen in general practice. AF affects 5% of the UK population over the age of 65 years, rising to 10% in those over 75 years of age (Kirby 2005). The principal significance, both to the patient and the healthcare system is the increased risk of embolic stroke. Atrial fibrillation is associated with 15% of all strokes and with 36% of strokes in patients over the age of 60 (Hobbs 1999). Having a diagnosis of AF increases the risk of stroke five fold. It is an arrhythmia associated with serious morbidity, mortality and health service utilisation. AF and its complications now consume 1% of the United Kingdom National Health Service budget (Watson, Shanstila, and Lip 2007). Despite this it is an area that frequently remains unrecognised in general practices. Within primary care AF is an area that has...
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...and Health Studies, University of Haifa Hasida Ben-Zur PhD Dana Yagil PhD Lecturer, Faculty of Welfare and Health Studies, University of Haifa and Ada Spitzer RN PhD Senior Lecturer and Head of Nursing Department, Faculty of Welfare and Health Studies, University of Haifa, Haifa, Israel Accepted for publication 22 March 1999 BEN-ZUR H., YAGIL D. & SPITZER A. (1999) BEN-ZUR Journal of Advanced Nursing 30(6), 1432±1440 Evaluation of an innovative curriculum: nursing education in the next century The present research focused on an interim evaluation of a new nursing curriculum made by ®rst- and second-year undergraduates. Study 1 examined the assessments made by 90 students of the new, actual programme of their studies, as well as an ideal one, on 21 bipolar criteria re¯ecting the developing changes in health care practices and higher educational processes in western society. The results of study 1 indicated that students perceived the actual programme as compatible with health care changes, but lacking in terms of the learning process. Study 2 investigated the same assessments among 105 registered nurses who evaluated the traditional nursing programme under which they were trained as well as an ideal one. The results of study 2 showed that registered nurses perceived past curricula as lower than the ideal on both health care and process of learning. The results of this interim evaluation imply that the new nursing curriculum follows health care trends, but...
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...Nursing 2020 The growing demands of our society today with respect to our aging population, diverse ethnic backgrounds, health reforms, discovery of new medications and diseases, and development of new medical technologies serves as a clear warning for the nursing profession that something needs to be done to keep up with the pace. “With more than 3 million members, the nursing profession is the largest segment of the nation’s health care workforce” ("Report," 2010). The message of the Institute of Medicine (IOM) in regards to the future of nursing clearly states that changes should be made in its field in order to meet these emerging demands. As stated in the IOM report on The Future of Nursing: “A number of barriers prevent nurses from being able to respond effectively to rapidly changing health care setting and an evolving health care system. These barriers need to be overcome to ensure that nurses are well-positioned to lead change and advance health” ("Report," 2010). Because of this, focus in the changes in education, nursing practice, nursing role, and leadership are the key requirements for nurses today. If changes are not started at this time, then the future of quality and safe nursing care is at risk. Knowledge is power, and quality education is needed to acquire knowledge. “A more educated nursing workforce would be better equipped to meet the demands of an evolving health care system, and this need could be met by increasing the percentage of nurses with a BSN”...
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...researchers conducting quantitative, clinical research. However, the general concepts are applicable to most areas of inquiry. Writing an Effective Research Proposal 2 ELEMENTS OF A RESEARCH PROPOSAL ∗ ∗ ∗ ∗ ∗ ∗ ∗ Title Abstract Study Problem Rationale/Relevance of the Project Literature Review Specific Study Objectives Research Methods I. Study design II. Subjects Inclusion/exclusion criteria Sampling Recruitment plans Method of assignment to study groups III. Data collection Variables: outcomes, predictors, confounders Measures/instruments Procedures IV. Intervention V. Statistical considerations Sample size Data analysis Ethical Considerations Consent form Privacy of information Work Plan Budget Research team Dissemination Plan 3 ∗ ∗ ∗ ∗ ∗ Writing an Effective Research Proposal KEYS TO SUCCESS TO WRITING A GOOD PROPOSAL Overall Quality of the Study ∗ Good research question ∗ Appropriate research design ∗ Rigorous and feasible methods ∗ Qualified research team ∗ Research questions matches data collection/data analysis Quality of the Proposal ∗ Informative title ∗ Self-sufficient and convincing abstract ∗ Clear research questions ∗ Scholarly and pertinent background and rationale ∗ Relevant previous work ∗ Appropriate population and sample ∗ Appropriate...
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...Stroke Care at Hilo Medical Center The Care of a New Population of Patients Stroke Care at Hilo Medical Center The incidence of strokes among our population is increasing. According to the American Heart Association “It's the third largest cause of death, ranking behind "diseases of the heart" and all forms of cancer. Stroke is a leading cause of serious, long-term disability in the United States” ("Stroke statistics," 2011). Approximately 15 million people worldwide survive stroke annually (Seneviratne, Mather, and Then, 2009). Hospitals need to be able to care for the increasing number of patients being admitted due to strokes, and Hilo Medical Center is no exception. Currently at Hilo Medical Center, the vast majority of patients that are inflicted by CVA’s, or cardiovascular accidents, are transferred off island to better equipped medical facilities, such as Queen’s Medical Center in Honolulu. In the near future, that some of those practices will change. According to the nurse manager at HMC’s cardiovascular unit, Lisa Marie Nance, 6 beds will be added to the current 11 bed unit to accommodate some these patients. The unit will be changed to accommodate patients that are stable and do not meet criteria to receive thrombolytic therapy. It did seem odd that the hospital would be expanding the unit to care for a limited portion of the stroke patient population. I wanted to know more information regarding HMC’s plans, as well as what steps is needed to care for this...
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...Analysis of Factors Influencing Adequate Funding of Social Health Care in the Tower Hamlets, London DECLARATION I declare that this is my original work and has not been submitted in any other university or institution for examination. Signature Date Student no: Stud - This is to confirm that the work this proposal was done by the student under our supervision. SignatureDate Supervisor 1: For and behalf of (Name of institution) Signature Date Chairperson, Department of ( ) DEDICATION This work is dedicated to my family members for their enduring support they gave for the whole time I was pursuing this project. ACKNOWLEDGEMENT First, I would like to thank my supervisor .................... who has guided me in writing this project. More particularly my special thanks go to my lecturers for taking me through the whole course. I am also greatly indebted to my fellow students who were with me throughout the course work. OPERATIONAL DEFINITION OF TERMS Class A drugs- drugs deemed by the government to cause the most lethal harm when consumed. They attract heavy jail terms including life in prison. Community care- a term used in healthcare policies to mean looking after people with particular needs in the community. Local strategic partnership- a single non-statutory body, aligned with local authority boundaries that bring together at a local level the different parts of the public sector as well as the...
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...Christine McDermott Metro State University of Denver DIABETES AND THE OLDER ADULT General description of the Gerontological care issue The ageing population is unusually increasing in the history of humanity. With increase in number of the older persons, there is a decline in that of the younger people and it is estimated that by 2050 the percentage of the older persons would have increase by 10% from the current 15% (Cisneros & Hickie, 2012). These changes come with major challenges not only to the health sector, but also to the pension and welfare system in both the first and second world countries. Diabetes mostly among the old people is continuously being diagnosed in an epidemic magnitude. It is estimated to affect 592 million people in 2035 compared to 382 million people in 2013 (Guariguata et. al 2012). Type 2 diabetes is mainly more prevalent in the ageing population compared to type one diabetes, which affects mostly the going thus creating burden to the society as the sick mostly depend on the society. China is the leading country with the largest number of people with diabetes, followed by India, the United States, brazil and Mexico in the fifth position. These statistics bring about a considerable concern for the national healthcare system which come with various challenges in provision of focused diabetes management to the ageing population. This problem becomes complex by the different modalities of managing diabetic patients in the different parts of the world...
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...and misconceptions about the flu vaccine is the main reason that people refuse to take the flu vaccination. Some of the myths surrounding why people will not take the influenza vaccine include the flu shot can cause the flu, healthy people do not require the influenza vaccine, and the vaccination is a government experiment. Another myth is that working around sick people causes flu immunity. The elderly is one of many populations vulnerable to influenza. Epidemiology as it relates to influenza in the elderly is the topic of discussion for this paper. This paper will make use of the Epidemiological Triangle to explain the disease process of influenza, prevention of the disease, and evaluation of prevention. Definition and Description of Epidemiology Stanhope and Lancanster defines epidemiology as “the study of the distribution and determinants of health-related states or events in specified populations, and the application of this study to control of health problems” (Stanhope & Lancaster, 2008, p. 243). Information from studies helps to prevent further outbreaks and informs the public how to improve on their health. A description of epidemiology as it relates to influenza in the elderly may include morbidity and mortality rates national, state, or region-wide, and time intervals of the collection of the data. Other significant findings Include: frequency or rate of...
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...for “Judging a Research Study” on pages 258 and 259 of your textbook, evaluate at least five or more research articles. • Answer Questions 1 and 2 for all five articles. • Answer two questions from each of the remaining sections of the criteria questions for all five sources (14 questions for a total of 16 questions per source). • Include an APA references list for all five (or more) sources. A. “The Case for diversity in the health care workforce” 1. How Closely is the literature reviewed in the study related to the previous literature? In the first half of the study, the literature reviewed was not as closely related to the previous literature studied. The first half of the paper was used to set the contextual parameters of the study and to explain the basic epidemiology and rationale for the study. The second part of the paper was more closely aligned with previous literature reviewed. The information dealt directly with the research topic and the supporting literature and referenced articles dealt exclusively with the topic at hand. 2. Is the review recent? Are there any outstanding references you know about that were left out? I would consider this review to be relatively recent. The data contained in this research paper and the related referenced articles date back to 2002 and the article was published in 2003. Typically published research projects that are 7-10 years old, are considered to be relevant research material. Based upon the available research...
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