... The report will also outline recommendations for any outstanding community needs. Major Risk Factors Oncology Services The community health needs assessment identified that new cancer cases are expected to increase by 34% due to the aging population that will be over 65 within the next five years and a rise in expectation of men and women developing cancer. The assessment also identified that the current services are already stressed.; physician practices are at capacity, facilities and equipment are not keeping pace with the patient volume, services are fragmented, and there is little emphasis on prevention education and control. Orthopedic Services Another risk factor for the community is the sharp increase in the need for orthopedic services forecasted over the next five years. The need for orthopedic procedures in the next five years are expected to increase by 46%, inpatient joint and spine cases will increase by 30%, and outpatient spine and joint cases are projected to increase by 350%. Existing resources will not be able to meet the growing demand for orthopedic services. Currently, there is a shortage of orthopedic and neurosurgeons and recruitment need to be a priority. To meet the projected need, all county hospitals will need to add equipment, surgical suites, and capacity for physical therapy. Other measures that need to...
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...planning how to take this project forwards. Therefore thanks go to: • Fiona Campbell • Deborah Christie • Chris Cooper • Julie Cropper • Gail Dovey-Pearce • Jane Edmunds • Gavin Eyres • Sue Greenhalgh • Peter Hammond • Gillian Johnson • Susannah Rowles • Carolyn Stephenson • Helen Thornton • Peter Winocour • Alison Woodhead Without the two clinical leads, Peter Hammond from Harrogate and Fiona Campbell from Leeds, this work and report would not have been possible. Contents Executive summary Context Background and rationale Aims of the project Timing of the project Process undertaken for the project Evidence base and policy background Results from the snapshot research Good practice Examples of good practice Review of key findings Project recommendations Core values, competencies and skills needed to deliver a quality consultation References Appendix 1 – Principles of a diabetes transition service Appendix 2 – Snapshot research 4 6 8 9 10 11 12 18 19 20 25 26 27 28 30 33 3 Executive summary Transition processes in diabetes healthcare are important. The move from paediatric to...
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...the community. The CHNA must be available to the public by being posted on the hospital or organizational website. Hospitals must develop a written plan addressing each need identified in the CHNA, as well as provide implementation strategies for meeting the community needs (Adams, 2011). In the given case study, Trinity Community Hospital has complete their CHNA by identifying the communities major risk factors, ill health causes and actions required to address these issues. Trinity Hospital’s CHNA targets cancer, orthopedics and cardiovascular services within the hospitals primary service region. To complete the assessment the hospital utilized information from epidemiology surveys, planning guidelines from state healthcare facilities, physician interviews, interviews with other healthcare professionals and community focus groups. A.1. Major Risk Factors Identified in the Assessment Oncology Services In the evaluation of oncology services, the CHNA identifies that 15% of the population will be over 65 within the next five years. The CHNA also identifies that 50% of men and 33% of women are expected to develop cancer during their lifetime and that new cancer cases are expected to grow from 3,200 in the present year to 4,282 in five years (an increase of 34%). The assessment also...
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...appropriate follow up can be offered to orthopedic patients. Trinity Hospital must rise to meet their competition. Tertiary Medical Center boasts a strong orthopedic program and a trauma center, while Regional Hospital also boasts strong orthopedic services. The hospitals five year plan calls for distinctive clinical programs and services in the areas of spine, total joint and hand services. Also, the plan calls for comprehensive rehab services and support programs. The hospital plans to emphasize prevention of injury and disease by providing community education, screening and risk assessment and outreach services to underserved communities. The targeted growth and profitability for the orthopedic center is expected to be 2100 surgical cases, 6500 physical therapy visits and a profit margin...
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...was obtained through a multitude of sources including: epidemiological surveys, focus groups, interviews with healthcare professionals and healthcare facilities’ planning guidelines. Risk Factors Oncology Services The needs assessment revealed that 15% of the population will be older than age 65 within the next 5 years. 50% of men and 33% of women are expected to develop cancer during their lifetime. New cases of cancer are expected to grow by 34% in the next 5 years. Current physician practices that serve oncology patients are at their full capacity. Additional facilities and equipment are needed to be able to provide the care that is needed. There is poor coordination of care between the different disciplines that provide care to these patients. There are delays in scheduling care for oncology patients. There are no established programs focused on cancer prevention and control. Educational programs on the risk factors for cancer are limited. Orthopedic Services The needs assessment reveals that there will be anticipated growth in orthopedics. Orthopedic cases are expected to increase by 46%. Inpatient volume is expected to increase by 30% and outpatient procedures by 350%. The community needs additional physicians in order to accommodate this growth. There will need additional imaging equipment, operating rooms and rehab facilities. There needs to be better coordination of care to ensure timeliness of scheduling. Educational programs need to be implemented on accident...
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...and it breaks my heart knowing that some families struggle with behavioral issues from the foster child. Project KEEP helps foster parents and foster children with many issues and allows both parties to connect with other people that are going through the same thing. Before I go into more detail about what Project KEEP does I will provide statistics about foster care and how it affects both foster parents and the foster child. According to the Child Welfare Information Gateway as of September 30, 2015, there were an estimated 427,910 children in foster care. On September 30, 2015, more than a 30 percent were in relative homes, and nearly 45 percent were in nonrelative foster family homes. On September 30, 2015, about 55 percent had a case goal of reunification with their parents or primary caretakers. About 51 percent of the children who left foster care in 2015 were discharged to be reunited with their parents or primary caretakers. Close to 45 percent of children who left foster care in 2015 were in care for less than 1 year. The estimated 427,910 children in foster care on September 30, 2015, were put into the following types of placement: 45 percent were placed in nonrelative foster family homes, 30 percent were placed in relative foster family homes, 8 percent went into an institution, 6 percent went into a group home, 5 percent were on trial home visits (situations in which the State retains supervision of a child, the child returns home on a trial basis for an unspecified...
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...Tay-Sachs Disease Foreword: Before beginning to read this review of the case study, please note that current events of today pertain more to preconception screening for genetic anomalies and genetic studies. Today due to preconception genetic screening many parents opt to terminate a fetus with fatal or painful anomalies; therefore a large portion of the research for parents who are expecting a child with Tay Sachs Disease was noted to be during an approximate 30 year span from the mid-1950’s to the early-mid 1980’s, thus older citings will be noted. “Tay-Sachs parents say that their child dies three times—when the disease is diagnosed, when the child enters the hospital, and the final time.” (Atwater, 1964) “How do you parent without a net, without a future, knowing that you will lose your child, bit by torturous bit?” (Rapp, 2011) Will it be a boy or a girl? What color will the eyes, the hair be? Whose smile will the baby have? These are just a few of the many questions that begin when parents find out they have conceived a child, and most of the time the questions only grow as the pregnancy progresses too; what will they want to be when they grow up? Who will they look like? Will they be strong, graceful, independent, or determined? Should we look at preschools and colleges now? It may not seem to occur very often that parents will say to themselves; we never thought about how we might parent a child without a future. Now instead of questions that may focus on the...
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...publication. However, Web page addresses and the information on them may change or disappear at any time and for any number of reasons. The user is encouraged to perform his or her own general Web searches to locate any site addresses listed here that are no longer valid. AHIMA strives to recognize the value of people from every racial and ethnic background as well as all genders, age groups, and sexual orientations by building its membership and leadership resources to reflect the rich diversity of the American population. AHIMA encourages the celebration and promotion of human diversity through education, mentoring, recognition, leadership, and other programs. American Health Information Management Association 233 North Michigan Avenue, Suite 2150 Chicago, Illinois 60601-5800 http://www.ahima.org Contents About the Authors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . v Acknowledgments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ....
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...Professional Psychology: Research and Practice 2009, Vol. 40, No. 6, 550 –556 © 2009 American Psychological Association 0735-7028/09/$12.00 DOI: 10.1037/a0016853 Electronic Medical Records: Confidentiality Issues in the Time of HIPAA Margaret M. Richards Cleveland Clinic Children’s Hospital With the application of the Health Insurance Portability and Accountability Act (HIPAA) in the medical community, new issues arise for psychologists in keeping documented records of patient visits. Confidentiality limits have broadened, making use of the electronic medical record more complicated for the psychologist practitioner, particularly when serving as part of a multidisciplinary team. As the electronic medical record (EMR) has become more prevalent in multiple settings, various researchers have examined the effectiveness of this record keeping system, with a focus on improving patient outcomes. The risks and benefits of implementing an EMR will be discussed, focusing on specific considerations for psychologists in regard to confidentiality and interdisciplinary collaboration. Keywords: Health Insurance Portability and Accountability Act (HIPAA), electronic medical record (EMR), confidentiality How much information is appropriate to place in an electronic medical record (EMR), especially when that record is accessible to professionals throughout an organization (i.e., a hospital setting)? This question has become an important topic of discussion and research...
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...Business Plan Of Summit Rx Inc Table of Contents 1.0 Executive Summary 3 1.1 The Products 4 1.3 Mission Statement 5 1.4 Management Team 5 1.5 Sales Forecasts 6 1.6 Expansion Plan 7 2.0 Company and Financing Summary 8 2.1 Registered Name and Corporate Structure 8 2.2 Financial Position 8 2.3 Investment 10 2.4 Management Equity 10 3.0 Products and Services 11 3.1 Online Sales of Products. 11 Baby Care 11 Grocery 11 Personal Care 11 OTC Medicines 11 Cosmetic 12 Fitness Centre 12 3.4 Shipping and Handling Fees 12 4.0 Strategic and Market Analysis 13 4.1 Economic Outlook 13 4.3 Customer Profile 13 4.4 Competition 14 5.0 Marketing Plan 17 5.1 Marketing Objectives 17 5.2 Marketing Strategies 17 5.3 Pricing 18 The Company believes in healthy Competition, so we will offer our Products at competitive Price. The Company will offer discounts on the large order or at wholesale Quantity. 18 6.0 Organizational Plan and Personnel Summary 18 6.1 Corporate Organization 18 6.2 Organizational Budget 19 6.3 Management NOTE: 20 7.0 Financial Plan 23 7.1 Underlying Assumptions 23 7.2 Sensitivity Analysis 23 7.3 Source of Funds 24 7.4 General Assumptions 24 Monthly Sales Revenue (PROJECTED) 25 Yearly Sales Forecast 26 7.5 Profit and Loss Statements 27 Executive Summary The Summit, RX Inc. (hereafter, “The Company”) business plan provides the structure and focus against which we can measure future financial...
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...In This GUIDE Welcome to Houston Methodist St. John Hospital ___________________________ 2 About Us_______________________________________ 3 Travel Directions____________________________ 4 Telephone Directory ______________________ 5 During Your Stay ________________________ 6-8 Visiting Hours__________________________________ 6 Parking_________________________________________ 6 Cell Phones_____________________________________ 6 Calling Your Nurse______________________________ 6 Telephone ______________________________________ 6 Fire Safety______________________________________ 6 Smoking________________________________________ 6 Electrical Appliances___________________________ 6 Mail and Flowers_______________________________ 6 Gift Shop________________________________________ 6 Spiritual Care___________________________________ 7 ATM_____________________________________________ 7 Patient Meals___________________________________ 7 Snacks__________________________________________ 7 Guest Trays_____________________________________ 7 Vending Machines_____________________________ 7 Cafeteria________________________________________ 7 Financial Expectations for Admissions________ 7 Wireless Internet Access_______________________ 7 Valuables_______________________________________ 8 TV_______________________________________________ 8 Television Channel Listings____________________ 8 Your Privacy & Information___________15 Do You Have Pain? ________________________16 ...
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...CHRISTINE HARRIS-VAN KEUREN ELIOT SHERMAN Cleveland Clinic Dr. Delos “Toby” Cosgrove, cardiothoracic surgeon and president and CEO of Cleveland Clinic, emerged from the operating room on a January afternoon in 1996 having just changed the way he, and subsequently the world, approached heart surgery. A trip to Stanford University Medical School had convinced him it was possible to operate on the valves of the heart through a three-inch incision instead of the nearly foot long incision that was standard practice before splitting the patient’s breastbone with a saw to reach the heart.1 After refining the technique in the lab, he had successfully performed the first such operation. Eight months later, Cosgrove performed two of these surgeries back-to-back, broadcasting his work live via satellite to 4,000 surgeons in 40 cities around the world. The Cleveland Clinic’s broadcasting capabilities facilitated this demonstration of the substantial benefits of his minimally invasive method of heart surgery, which reduced the risk of infection and involved less bleeding, pain, and trauma, significantly reduced the amount of time needed for recovery, and could be used in about three quarters of the heart valve surgeries performed in the United States.2 So compelling was this exhibition that within a year use of the technique had “exploded” throughout the medical community.3 Such innovation had been the lifeblood of Cleveland Clinic since its founding in 1921. Even as he continued early...
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...2. Data mining search parameters A data mining algorithm is a set of heuristics and calculations that creates a data mining model from data. To create a model, the algorithm first analyzes the data you provide, looking for specific types of patterns or trends. The algorithm uses the results of this analysis to define the optimal parameters for creating the mining model. These parameters are then applied across the entire data set to extract actionable patterns and detailed statistics. The mining model that an algorithm creates from your data can take various forms, including: * A set of clusters that describe how the cases in a dataset are related. * A decision tree that predicts an outcome, and describes how different criteria affect that outcome. * A mathematical model that forecasts sales. * A set of rules that describe how products are grouped together in a transaction, and the probabilities that products are purchased together. Microsoft SQL Server Analysis Services provides multiple algorithms for use in your data mining solutions. These algorithms are implementations of some of the most popular methodologies used in data mining. All of the Microsoft data mining algorithms can be customized and are fully programmable using the provided APIs, or by using the data mining components in SQL Server Integration Services. You can also use third-party algorithms that comply with the OLE DB for Data Mining specification, or develop custom algorithms that can be...
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...Helmberg2, Yuri Kapustin1, David Landsman1, David J. Lipman1, Zhiyong Lu1, Thomas L. Madden1, Tom Madej1, Donna R. Maglott1, Aron Marchler-Bauer1, Vadim Miller1, Ilene Mizrachi1, James Ostell1, Anna Panchenko1, Lon Phan1, Kim D. Pruitt1, Gregory D. Schuler1, Edwin Sequeira1, Stephen T. Sherry1, Martin Shumway1, Karl Sirotkin1, Douglas Slotta1, Alexandre Souvorov1, Grigory Starchenko1, Tatiana A. Tatusova1, Lukas Wagner1, Yanli Wang1, W. John Wilbur1, Eugene Yaschenko1 and Jian Ye1 1 Downloaded from http://nar.oxfordjournals.org/ by guest on March 20, 2015 National Center for Biotechnology Information, National Library of Medicine, National Institutes of Health, Building 38A, 8600 Rockville Pike, Bethesda, MD 20894, USA and 2University Clinic of Blood Group Serology and Transfusion Medicine, Medical University of Graz, Auenbruggerplatz 3, A-8036 Graz, Austria Received September 16, 2010; Revised October 29, 2010; Accepted November 1, 2010 ABSTRACT In addition to maintaining the GenBank nucleic acid sequence database, the National Center for Biotechnology Information (NCBI) provides analysis and retrieval resources for the data in GenBank and other biological data made available through the NCBI Web site. NCBI resources include Entrez, the Entrez Programming Utilities, MyNCBI, PubMed, PubMed Central (PMC), Entrez Gene, the NCBI Taxonomy Browser, BLAST, BLAST Link (BLink), Primer-BLAST, COBALT, Electronic PCR, OrfFinder, Splign,...
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...Athens Information Technology Master in Management of Business, Innovation & Technology (MBIT) Management Information Systems E-Health in Greece compared to EU/US and the impact of Big Data in healthcare Prepared by: Athina Klaoudatou Christos Panagiotou Abstract The aim of this report is to describe the eHealth market. The focus is the Greek business landscape, current trends in the market, industry growth, drivers, and restraints, the technologies and the players in various aspects of the field. Data are presented about the evolution of the market and there are descriptions of what Greek companies offer. Moreover implementation measures are presented, along with progress achieved with respect to national and regional eHealth solutions in EU and EEA Member States. Table of Contents 1. The National Health System 1 1.1. Organizational structure 1 1.2. Some facts & figures 1 2. What is eHealth, definitions, areas of application, benefits 5 2.1. What is eHealth 5 2.2. Forms of eHealth 5 2.3. Benefits of eHealth 6 3. eHealth framework in 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...
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