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Electronic Records Healthcare
As a member of the committee charged with designing an EHR at the facility, it is important to note that the new EHR process must not interfere with the nursing staff's ability to deliver safe, cost-effective care for their patients. The system would have to offer a method of comparing a patient's data from previous, current and past events. The system would also have to be able to adapt and support a continuous ongoing record of the patient's education and learning response from this facility and other encounters or visits. The system should be able to eliminate the need to constantly acquire baseline demographics data every time the patient visits this or any other facility. Access to the patient's data should be universal and seamless for the nursing staff that need access and who also have the proper credentials. The nurses also need the EHR…
Information Technology Trends: Electronic Healthcare ecords
Today, consumers in the United States enjoy a modern healthcare system that has benefited from numerous innovations in medical technology, including the introduction of electronic healthcare records in recent years. Electronic healthcare records facilitate timely access to critical patient information and provide a highly cost effective approach to healthcare management. To determine the facts, this paper reviews the literature to identify how this emerging innovative technology is impacting the healthcare industry in general and how its application can create value for healthcare providers in particular. Finally, a summary of the research and important findings concerning electronic healthcare records and their implications for the healthcare industry are presented in the conclusion.
eview and Analysis
According to the definition provided by Albert (2013), electronic healthcare records (EH) are digitized versions of a patient's medical history that are "maintained by the provider over time, and may include…
Albert, J. A. (2013, Spring). Once byten, twice shy: Preservation and production of electronic healthcare records. The Review of Litigation, 32(2), 395-401.
Hsiao, C. J. & Hing, M. (2014, January). Use and characteristics of electronic health record systems among office-based physician practices: United States, 2001-2013. Centers for Disease Control NCHS Data Brief. Retrieved from http://www.cdc.gov/nchs/data / databriefs/db143.htm.
Penoyer, D. A. & Cortelyou-Ward, K. H. (2014, March/April). Use of electronic health record documentation by healthcare workers in an acute care hospital system. Journal of Healthcare Management, 59(2), 130-135.
" (2004, p.159) Activities have included:
(1) Development and promotion of industry-wide standards;
(2) Funding of research for investigation of the impact of IT on quality;
(3) Provision of incentives that provide encouragement of investment in IT;
(4) Giving grants to investors in IT; and (5) Development of strategies to improve the flow of information across providers. (Report to Congress, June, 2004, p.159)
Stated additionally in the Report to Congress is that there are multiple functions that must be considered when purchase IT and hundreds of applications that various vendors offer. The various IT applications are stated to be within three categories including those of:
(1) Administrative and financial systems that facilitate billing, accounting and other administrative tasks;
(2) Clinical systems that facilitate or provide input into the care process; and (3) Infrastructure that supports both the administrative and clinical applications. (Report to Congress, June 2004, p.160)
The work published…
BC Medical Association. Getting IT Right: Patient Centered Information Technology [discussion paper]. Vancouver: BCMA. 2004:39-40.
Blum E. Paperless medical record not all it's cracked up to be AMNews; 17 February 2003. Online available at: www.ama-assn.org/sci-pubs/amnews/pick_03/bica0217.htm
Brookstone A, Braziller C. Engaging physicians in the use of electronic medical records. Electronic Healthcare 2003;2:23-27.
Brookstone, Alan. 2004. Electronic Medical Records: Creating the Environment for Change. BCMJ, Vol. 46, No. 5 June 2004. Online available at: http://www.bcmj.org/electronic-medical-records-creating-environment-change
HEALTHCAE & INFOMATION TECHNOLOGY
The state of healthcare in the United States is very much influenced and improved through the increased use of technology solutions. Whether it be the use of tablets, laptops, electronic healthcare records and some others, the use of technology has become more and more pervasive as the years and decades roll on. However, not everyone is sold on technology being a saving grace and those same people often think that technology solutions being added to healthcare actually do not help or that they make things worse rather than make them better. However, there is a cacophony of evidence that suggests and proves that electronic healthcare records, electronic administration and the use of information technology in a strategic and adept fashion actually makes things better over the long haul. This is true for patients, administrators, healthcare professionals and the wider network of providers that are typically also…
Bloomfield, G.S., Hogan, J.W., Keter, A., Holland, T.L., Sang, E., Kimaiyo, S., & Velazquez, E.J. (2014). Blood pressure level impacts risk of death among HIV
seropositive adults in Kenya: a retrospective analysis of electronic health records. BMC Infectious Diseases, 14(1), 1-20. doi:10.1186/1471-2334-14-284
Campbell, M. (2010). Technology in Healthcare: The Wave of the Future.
Ahdbonline.com. Retrieved 24 April 2015, from http://www.ahdbonline.com/issues/2008/may-2008-vol-1-no-4/350-article-350
Health Information System
Promoting Action Design esearch to create value in healthcare through IT
ecently there has been varying proof showing that health IT reduces costs while improving the standard of care offered. The same factors that had caused delays in reaping benefits from IT investment made in other sectors (i.e. time consuming procedural change) are also very common within the healthcare sector. Due to the current transitive nature of the Healthcare sector, new IT investment is likely not going to provide maximum value unless this new investment is backed up with a total reform of healthcare delivery. The overall ability of healthcare IT value researchers to add value to practice will be severely limited as a result of the traditional ex-post approach to measuring IT and the fact that government spurs significant investment. It may be risky to generalize or compare results from traditional IT value research with those…
Fichman, R., Kohli, R., & Krishnan, R. (2011). The role of information systems in healthcare: Current research and future trends. Information Systems Research, 22(3), 419-428.
Goh, J.M., Gao, G., & Agarwal, R. (n.d.). Evolving work routines: Adaptive routinization of information technology in healthcare. Information Systems Research, 22(3), 565-585.
Hoffnagel, E., Woods, D., & Leveson, N. (2006). Resilience engineering: Concepts and precepts. Abingdon: GBR: Ashgate Publishing.
Jones, S., Heaton, P., Riudin, R., & Schneider, E. (2012). Unraveling the IT productivity paradox lessons for health care. The New England Journal of Medicine, 366(24), 2243-2245.
For most industries, the advancement and implementation of technology is moving at a fairly quick pace. However, healthcare has been and remains one of the exceptions and outliers to this trend. There is some debate as to why this is the case. However, there are also some clear clues and signs that indicate why precisely this has and continues to happen. The reasons for this lagging implementation and adoption of technology will be explained in this report. The reasons run the gamut from compliance hurdles to uneven adoption practices and change management miscues. While advancements in technology and the related practice is certainly the future for effective healthcare technology management, there are some kinks that need to be worked out to put it lightly.
A major reason that technology adoption in the healthcare sector is slow is resistance from the personnel within that sector. Indeed, even when…
England, I. (2017). Information technology adoption in health care: when organisations and technology collide. - PubMed - NCBI. Ncbi.nlm.nih.gov. Retrieved 29 April 2017, from https://www.ncbi.nlm.nih.gov/pubmed/11186051
Kandel, I. (2017). The Slow Pace of Technology Adoption in Healthcare Explained. HIPAA
Journal. Retrieved 29 April 2017, from http://www.hipaajournal.com/the-slow-pace-of-technology-adoption-in-healthcare-explained-8261/
It has been highly publicized that the healthcare industry in general is quickly evolving on many different levels that include technological progress, administrative efficiencies, as well as the regulatory and political environment. One of the considerations that should be on the forefront of a series of reforms should be how to create value and improve quality in what could be considered an incredibly dynamic healthcare industry. Many of the competencies that are involved in adapting to the new environment are largely multidisciplinary and include some of the best practices from strategic management, financial management, project management, and human resources as well as several others fields. For example, many of technologies have offered new levels of treatment that were previously thought unimaginable. However, at the same time, there are massive levels of inequality present in the system and there are many individuals who are still basically excluded from receiving…
Dash, P., & Meredith, D. (2010, November). When and how provider competition can improve health care delivery. Retrieved from McKinsey: http://www.mckinsey.com/insights/health_systems_and_services/when_and_how_provider_competition_can_improve_health_care_delivery
Jones, T. (2015). A Descriptive Analysis of Implicit Rationing of Nursing Care: Frequency and Patterns in Texas. Nursing Economics, 144-154.
Papastavrou, E., Andreou, P., & Vryonides, S. (2014). The hidden ethical element of nursing care rationing. Nursing Ethics, 583-593.
Papastavrou, E., Panayiota, A., Hartini, T., & Anastasios, M. (2014). Linking patient satisfaction with nursing care: the case of care rationing - a correlational study. BCM Nursing, 13-26.
Health Care eform:
One of the major topics that have had a long history in the United States is health care reforms, which has been characterized by huge debates. Following decades of failed attempts by various Democratic presidents, a new law was enacted by President Obama to overhaul the country's health care system. The enactment of this legislation came after a year of harsh partisan combat with the purpose of ensuring access to health care insurance for millions of Americans. In addition to being the most controversial topic, health care reform law was the largest single legislative accomplishment of President Obama. Notably, this legislation will cost America's government approximately $940 billion over the next decade based on an analysis by the Congressional Budget Office. The office has also estimated that the law will lessen federal deficit by about $138 billion during the same period and a further reduction of the…
Cannon, M.F. (2010, March 1). The Best and Worst Health Care Reform Ideas. Retrieved December 15, 2011, from http://dailycaller.com/2010/03/01/the-best-and-worst-health-care-reform-ideas/
Cohn, J. (2011, January 20). About that Whole "Replace" Thing & #8230; Retrieved December 15,
2011, from http://www.tnr.com/blog/jonathan-cohn/81821/about-whole-replace-thing
"Health Care Reform.." (2011, November 15). The New York Times. Retrieved December 15,
(Menzel, 1990, p. 3) Fisher, Berwick, & Davis alude to the idea of integration in health care, with providers linking as well as creating networks of electronic medical records and other cost improvement tactics.
The United States and other nations over the last twenty or so years, have begun a sweeping change in health care delivery, regarding the manner in which health information is input, stored and accessed. Computer use in the medical industry has greatly increased over the last thirty years the culmination of this is fully networked electronic medical record keeping. (Berner, Detmer, & Simborg, 2005, p. 3) the electronic medical record trend began in the largest institutions first, as hospitals and large care organizations attempted to reduce waste and improve patient care, while the adoption has been much slower among physician's practices and smaller medical institutions. (Hillestad, et al., 2005, pp. 1103-1104) Prior to this time medical…
Resources, and Utilization
Health Care Situation: Medical Error Due to Doctors' Bad Handwriting
Identify a health care news situation that affects a health care organization such as a hospital, clinic or insurance company.
I have identified the following health care news situation as the topic of my paper: "Poor Handwriting of Doctors and its implied risks for the Patient, Hospital and Medical Malpractice Insurance." Poor handwriting of physicians resulting in poor legibility of entries into patients' medical records carries very dramatic risks for all above-mentioned interest bearers. It can result in severe health danger for the patient and - in extreme situations - even cause a patient's death. Doctors' bad penmanship has long been seen a problem within organized medicine and the patient safety movement. Three American Medical Association (AMA) policies dating back to 1992, urge doctors to "improve the legibility of handwritten orders for medications" and review all orders for accuracy and…
Berwick, Donald M. & Winickoff, David E. (1996). The truth about doctors' handwriting: a prospective study. BMJ Vol. 313 (21-28 December 1996). 1657-1658. www.bmj.com/content/313/7072/1657.full, accessed 21 August 2011.
Bruner, Anne & Kasdan, Morton.L. Handwriting Errors: Harmful, Wasteful and Preventable.
1-4. www.kyma.org/uploads/file/.../Harmful_wasteful_and_preventable.pdfSimilar, accessed 22 August 2011.
Gallant, Al. (22 November 2009). For a secure electronic health record implementation, user authentication is key. 1-2). searchhealthit.techtarget.com/.../User-authentication-is-critical-for-pl.., accessed 24 August 2011.
isk Involved in Poor Chart Documentation: An Overview in Total Quality Management
Poor chart documentation in the behavioral health field is a concern for risk management and a critical area for total quality improvement. Poor chart documentation can lead to an audit by accrediting bodies and in severe circumstances lead to discharge. There are many legal ramifications associated with poor chart documentation. This paper will highlight the importance of poor chart documentation, the consequences of poor documentation, and suggest possible tools for resolving documentation errors. The best tool for eliminating chart documentation risk is developing a risk management system appropriate to the health care setting.
Poor chart documentation costs behavioral health providers thousands of dollars in malpractice costs every year. Errors related to chart documentation can be severe; a patient can suffer an untimely death for example. In fact, statistical evidence suggests that each year thousands of patients…
Aron, DC. & Headrick, L.A. (2002). Educating physicians prepared to improve care and safety is no accident: It requires a systematic approach. Quality and Safety in Health Care, 11, 168-173.
Burke, M., Boal, J., & Mitchell, R. (2004). Communicating for better care. American Journal of Nursing. 104(12), 40-47.
American Society of Healthcare Risk Management, American Hospital Association. (2004). The
growing role of the patient safety officer: Implications for risk manager. Chicago: American Hospital Association.
Technology is one of the main drivers of change in healthcare, and it is up to healthcare organizations to join the rest of the world in adopting new technologies to run their industry better. In most industries, something like electronic record keeping has been done for decades and nobody was wringing their hands about it. It is absurd that this is even an issue for healthcare companies. The best thing is to stop talking about this as if it is an "issue" or a "challenge," and just get it done. If you were to design the health care system from scratch, of course everything would be electronic. The development and adoption of these technologies will improve the quality of healthcare immensely, so the only real question is not how will this challenge affect healthcare, but how quickly can healthcare get its act together and join the 21st century.…
Kumbroch, D. (2014). Affordable Care Act creates big demand locally for healthcare workers. WHNT. Retrieved November 17, 2014 from http://whnt.com/2014/09/17/aca-creates-big-demand-for-healthcare-workers/
Wister, A. (2009). The aging of the baby boomer generation: Catastrophe or catalyst for improvement? Health Innovation Forum. Retrieved November 17, 2014 from http://www.healthinnovationforum.org/article/the-aging-of-the-baby-boomer-generation-catastrophe-or-catalyst/
Health Care Finance
Financial analyst Eric Feigenbaum (2009) notes that while we like to think of hospitals in terms of compassion, patient care and dedication to altruistic aims, they are businesses concerned with revenues and expenses like any other business (Feigenbaum 2009, p.2). In today's hectic world of economic downturn and financial struggles felt from individuals of every demographic and social status, revenue and expense accounting are issues that must be addressed carefully by nearly every business in every market. The same holds true for the health care industry and health care providers. With financial uncertainty come threats for health care providers in managing revenue and expenses during the upcoming years. However, with these threats remain certain opportunities for health care providers to take on in order to combat the uncertainty that comes with managing revenue and expenses when the amount of each is not ideal.
With the appropriate management…
Bristow, W. (2009). How to thrive during a recession. Doctor's Digest. 81(1): p.16.
Retrieved from: LexisNexis Database.
Feigenbaum, E. (2009). Categories of expenses and revenues in the hospital business setting. Demand Media, 2(1), pp. 2-5. Retrieved from: ProQuest Database.
Johnson, N., McNichol, E. And Oliff, P. (2011). Feeling the recession's impact on health care. Handbook of Health Economics 3(2), pp. 54. Retrieved from: ProQuest Database.
A patchwork of laws provided narrow privacy protections for selected health data and certain keepers of that data." (Administrative Simplification in the Health Care Industry) Therefore, new technologies such as relational databases have simplified the data gathering and maintenance processes of all types of healthcare related data like the physician information process. It is not unheard of today for healthcare and insurance providers matching or 'sinking data' on a monthly or quarterly basis because of the availability of better communication capabilities as well as compatible database comparison processes.
Even the doctors themselves have access to providers' systems and databases today. Through automatic telephone systems, business to business Internet portals, and tape or disk delivery processes, all of a physician's personal, office and patient information can be updated easily. In many cases, the entire process including security and confirmation is a completely hands free operation. In other words, without human intervention,…
Administrative Simplification in the Health Care Industry. Ed. HIPAA. Health and Human Services. 23 Oct. 2004 http://www.hipaa.com/.
HMO Patients Can Contact Their Doctors Electronically as Blue Shield of California Expands Online Communication Services. Ed. Unknown. October 29, 2003. Relay Health. 23 Oct. 2004 http://www.relayhealth.com/rh/general/news/newsRecent/news49.aspx .
Hoffer, Prescott, and McFadden. Modern Database Management. 7th ed. Add City: Add Publisher, Add Year.
While the study had a number of scientific limitations; the two most significant were: 1) although the response rate of interns that volunteered to participate was 80%, those that did participate may not have been representative; and 2) the case-crossover analysis cannot account for the contribution of within-person factors that may have been co-variables with exposure status.
As a result of the related research, hospitals will be using medical resident interns as a means of making up for the lack of doctors caused by financing concerns. The redistribution of medical interns was expected to be completed before the next residency training year starts July 1, 2005, however, it remains currently underway. The Association of American Medical Colleges has stated that the health care system would be better off if the cap were lifted so hospitals could respond to the needs of their communities, such as adding a new cardiology…
Barger, L., Cade, E., Ayas, N., Cronin, J., Rosner, B., Speizer, F. & Czeisler, C. (2005).
Extended Work Shifts and the Risk of Motor Vehicle Crashes among Interns. NEJM
Cauchon, D. (2004). Medical Miscalculation Creates Doctor Shortage. USA Today,
Croasdale, M. (2004). Residency Slots Reallocated to Relieve Doctor Shortages.
Each of these was included in the initial Senate bill, but was struck from the final Senate version. Despite the victories, the group isn't ready to pledge support for health reform bills. The AMA will not endorse any legislation unless Congress gets rid of the mandated payment cuts of more than $200 billion over 10 years in the government's Medicare program for the elderly. The cuts are part of Congressional action that was passed in 1997 in order to cut costs in the Medicare program, but have never gone into effect. There are also several hospitals, insurers, pharmaceutical manufacturers and advocacy groups that are withholding final support. Most of these groups have pledged support to health care reform in principle while working privately through lobbyists to protect their industries (Eaton and Pell, 2010).
Healthcare lobbyists range from very large companies and corporations to very small groups who are all looking…
BREAKING: Health care lobby invests in reform summit. (2010). Retrieved March 1, 2010, from Citizens for Responsibility and Ethics in Washington Web site:
Eaton, Joe and Pell, M.B. (2010). Lobbyists Swarm Capitol to Influence Health Reform.
Retrieved March 1, 2010, from the Center for Public Integrity Web site:
The experiences of seniors within the healthcare delivery system will alter how all Americans view healthcare. The healthcare delivery systems and overall organizational structure in the United States has been slow to adjust but that rest of the world is currently in flux that will migrate into our system. Technological advances in communication have made telehealth and telemedicine vialbel solutions to our outdated healthcare industry orgainzational structre. While these types of advances are only in their infancy, "...there seemed to be broad acceptance that telehealth and telemedicine had provided positive benefits to the worlds healthcare delivery system." (Telehealth Applications) Our technoloically challenged seniors have actually discovered the trend within the healthcare system and telehealth and telemedicine seems to be an advance that will find worldwide support so we as a nation will be reqquired to jump on the bandwagon.
In conclusion, this article review focused on new Healthcare Delivery Systems…
Farnsworth, Chris. "The Truth About Fraud" Washington Monthly 01 May 1997.
Joshua-Amadi, Mabel. "Recommendations: A Study in Motivation: Recruitment and Retention in the NHS" Nursing Management. February (2003).
Soloye, Daniel J. "Privacy and Power: Computer Databases and Metaphors for Information Privacy" Stanford Law Review July (2001).
Telehealth Applications. (2004) "Current Telehealth Applications" Retrieved October 26, 2004, at http://www.startegis.com/epic/internet/inict-tic.nsf/PrintableE/it07545e.html
Changes to Healthcare Practice and Delivery: A Study of Two Detroit, MI Healthcare Facilities Separated by Twenty Years
Changes to technology and to the political and regulatory landscape have led to many changes in the ways that businesses in all manner of industries operate. Increased communications capabilities, the shrinking size and cost for advanced technologies, and a variety of other changes have provided many businesses with an opportunity to operate more efficiently, and in so doing have also made many industries and markets more competitive. An examination of some typical businesses operating in these industries today as compared to their counterparts that were in operation twenty years ago provides ample evidence of the changes that have occurred and the ways in which businesses have adapted.
The healthcare industry has by no means been immune from these changes, but in fact has changed more than many other industries due…
Anderson, J. & Aydin, C. (2005). Evaluating the organizational impact of health care information systems. New York: Springer.
Armoni, A. (2000). Healthcare information systems: challenges of the new millennium. Hershey, PA: Idea Group.
Wager, K., Lee, F. & Glaser, J. (2009). Health care information systems: a practical approach for health care management. New York: Wiley.
Health Policies Medicare
hen everyone in our country finally starts to reach the age of 65 years of age or older, then every person will become eligible for Medicare. It is clear that there are some elderly that are having minimum health concerns while others recurrently are dealing with medical issues for which they will have to seek out treatment by the doctor. However, research is starting to display that there are at least five top conditions that are enhancing on medical and drug spending. It is obvious that Heart disease circumstances are the number one medical issue that the those that are considered elderly are facing and that is becoming very costly to them. Most are unaware that the second one is the disease cancer and it could be internal or external for various elderly patients. Other issues such as joint ailments a lot of the times can cost…
Wenzlow, Audra T., et al. "Effects of a Discharge Planning Program on Medicaid Coverage of State Prisoners with Serious Mental Illness." Psychiatric Services 62.1 (2011): 73-8.
Sommers, Benjamin D. "Loss of Health Insurance among Non-Elderly Adults in Medicaid." Journal of General Internal Medicine 24.1 (2009): 1-7.
Verdier, James, and Allison Barrett. "How Medicaid Agencies Administer Mental Health Services: Results from a 50-State Survey." Psychiatric Services 59.10 (2008): 1203-6.
Harman, Jeffrey S., Allyson G. Hall, and Jianyi Zhang. "Changes in Health Care use and Costs After a Break in Medicaid Coverage among Persons with Depression." Psychiatric Services 58.1 (2007): 49-54.
there are three parts. PAT A EQUIES 4 DIFFEENT ANSWES
"ICD-10-PCS is intended to replace ICD-9 volume 3 for facility reporting of inpatient procedures….ICD-10-PCS is a totally new coding system designed to better accommodate the rapidly changing world of procedures. The code system was developed in the 1990s, but use of the continually updated codes will start almost 20 years later." (Dimick 2011). This new standard is supposed to be more accurate and reflective of current healthcare realities than standards of the past, but it is uncertain if in its implementation this promise will be realized.
Current status of implementation
This standard has yet to be fully implemented. "On October 1, 2013, healthcare providers must begin reporting HIPAA claims using the ICD-10 counterparts to the current ICD-9 code sets" and full implementation will be a 20-year process (Dimick 2011).
Three major issues related to implementation status…
About ASC X12. (2013). ASC X12. Retrieved: http://www.x12.org/about/index.cfm
Dimick, Chris. (2011). Learning and using ICD-10-PCS. Journal of AHIMA. Retrieved:
Health Level 7 International. (2013). HL7. Retrieved: http://www.hl7.org/implement/index.cfm
Stated to be barriers in the current environment and responsible for the reporting that is inadequate in relation to medical errors are:
Lack of a common understanding about errors among health care professionals
Physicians generally think of errors as individual that resulted from patient morbidity or mortality.
Physicians report errors in medical records that have in turn been ignored by researchers.
Interestingly errors in medication occur in almost 1 of every 5 doses provided to patients in hospitals. It was stated by Kaushal, et al., (2001) that "the rate of medication errors per 100 admission was 55 in pediatric inpatients. Using their figure, we estimated that the sensitivity of using a keyword search on explicit error reports to detect medication errors in inpatients is about 0.7%. They also reported the 37.4% of medication errors were caused by wrong dose or frequency, which is not far away from our result of…
Discussion Paper on Adverse Event and Error Reporting In Healthcare: Institute for Safe Medication Practices Jan 24, 2000
Patient Safety/Medical Errors Online at the Premiere Inc. page located at: http://www.premierinc.com/all/safety/resources/patient_safety/downloads/patient_safety_policy_position_2001.doc
Medstat / Shortell, S. Assessing the Impact of Continuous Quality Improvement on Clinical Practice: What It Will Take to Accelerate Progress.
Health Policy Monitor (2001) A Publication of the Council of State Governments Vol. 6, No. 1 Winter/Spring 2001 PO18-0101
This struggle is indeed not necessary, as the technology to mitigate it has been in existence for years.
From the citizen point-of-view, I would be concerned with the increased use of the Internet in terms of privacy issues. This is particularly so of sensitive information such as medical records. I would not necessarily want these to be readily available to anyone with an Internet connection and a search button.
In general, however, I find myself in agreement with the view that the sense of community is gradually changing. A large amount of the country's workforce is now online, either from their office buildings or from home. People all over the world can meet and communicate in an instant without ever meeting face-to-face. For the sense of community, I believe that this is a good thing. In an urban setting, where all but the most superficial of relationships have more or…
, 2007, p. 13). The effective use of it resources requires an organization to define and manage its client base (Hayles, Jr., 2007, p. 14), its products (Hayles, Jr., 2007, p. 15), its human resources (Hayles, Jr., 2007, p. 16), and its delivery of both the products and supporting services (Hayles, Jr., 2007, pp. 17-8). Clearly, concentration on the optimum use of it resources forces an organization to reexamine and "tweak" itself in major business aspects, thereby significantly improving the organization.
Arguments against the extensive use of database analysis and other it resources for basic strategy concentrate on the flip sides of previously stated advantages. For example, some organizations might prefer a more loosely-structured decision-making process that utilizes bottom-up decision-making in some aspects but top-down decision-making in other aspects; however, even if this mixed approach is preferred, a high degree of database analysis and use of other it resources can…
Hayles, Jr., R.A. (2007, September/October). Planning and executing it strategy. Retrieved June 17, 2013 from search.proquest.com Web site: http://search.proquest.com.ezproxy.trident.edu:2048/docview/206314543/13EB3D5768942456278/1?accountid=28844
LaValle, S., Lesser, E., Shockley, R., Hopkins, M.S., & Kruschwitz, N. (2011, Winter). Big data, analytics and the path from insights to value. Retrieved June 17, 2013 from search.proquest.com Web site: http://search.proquest.com.ezproxy.trident.edu:2048/docview/845235605/13EB3DAA8505DFA3F3B/1?accountid=28844
Nobel, C. (2010, November 1). How it shapes top-down and bottom-up decision making. Retrieved June 17, 2013 from hbswk.hbs.edu Web site: http://hbswk.hbs.edu/item/6504.html?wknews=110110
Webster, J. (2011). Understanding big data analytics. Retrieved June 17, 2013 from searchstorage.techtarget.com Web site: http://searchstorage.techtarget.com/feature/Understanding-Big-Data-analytics
IV. HOME-GENERATED SHARPS CONSOLIDATION POINT COMPLIANCE home-generated sharps consolidation point must comply with the requirements stated as follows:
1) All sharps waste shall be placed in sharps containers;
2) Sharps containers ready for disposal shall not be held more than seven (7) days without the written approval of the enforcement agency." (State of California Division of Drinking Water and Environmental Management, 2007)
V. RESPONSE of the SHARP'S CORPORATION
According to the representative for the Sharps Corporation:
We believe this to be a break-through event for the Company as the legislative process now mandates the proper disposal of used syringes, needles and lancets outside of the traditional healthcare setting in California. We believe that the California legislation could prove to be the model for legislation throughout the country. This legislation has the potential to not only positively impact our residential community business but also sales opportunities in all markets we serve…
OSHA eTools and Electronic Products for Compliance Assistance Teen Worker Safety in Restaurants, 2007 Cleanup/Cuts. Online available at: www.osha.gov/SLTC/youth/restaurant/cleanup_cuts.htm
Sharps Compliance Corp. Announces Passage of California Legislation; California Senate Bill 1305 Requires Proper Disposal of Home-Generated Sharps." Business Wire. July 17, 2006. FindArticles.com. 28 Feb. 2007. http://www.findarticles.com/p/articles/mi_m0EIN/is_2006_July_17/ai_n16535433
Senate Bill No. 1305 Passed the Senate May 11, 2006, Passed the Assembly June 26, 2006. Online available at http://info.sen.ca.gov/pub/05-06/bill/sen/sb_1301-1350/sb_1305_bill_20060628_enrolled.pdf.
Promote Foster Improve Workplace Opportunity California Department of Industrial Relations (2000-2001 Biennial Report) State of California OPS 02 69225.
Health Care continues to undergo fundamental change. Legislation such as the affordable care act has created a much higher percentage of insured citizens. Patent legislation is now allowing for much more competition for popular drugs. Generic drugs in particularly which are cheaper for consumers and much more profitable for producers are now eroding the market share of popular products. Even the use of cloud computing is changing the way care is administered within a facility. Even with these innovations, facilities still struggle with bloated cost structures, inefficient behavior, and lack of staffing. MGH is not different in this regard. It suffers from a large influx of patients with the inability to provide timely care. Below is a description of the issues combined with possible real world solutions.
Describe the current process and identify the specific areas that slow the process.
The current process has is inadequate primarily due to staffing…
1) Roukema, J.; Los, RK; Bleeker, SE; Van Ginneken, AM; Van Der Lei, J; Moll, HA (2006). "Paper vs. Computer: Feasibility of an Electronic Medical Record in General Pediatrics." Pediatrics 117 (1): 15-21
This is necessary to provide a seamless platform on which health solutions can be effectively integrated and deployed. Without using such a platform, the development of electronic health care facilities will be more difficult to deploy. In other words, Tele-health is part of the overall healthcare ICT (Information Communications Technology) solutions that enables healthcare to be pushed out to the edge, for local delivery, and to be more evenly, efficiently and effectively distributed.
Broadband communication is the underlying technology of choice when discussing electronic applications. It is certainly important for inter-healthcare provider communications delivering sufficient bandwidth capacity between sites. The delivery of home care electronic should not rely on the broadband technology is not universally accessible, particularly in rural and remote areas, and it can also be prohibitively expensive. Some broadband technologies can be delivered to remote locations, such as satellite-based technology, but this is impractical and too costly to…
Goldberg, a. (2002, April 29). Internal Report: Telehealth, Privacy, & Health Care: Review, Expectations & Proposals. Goulston & Storrs, Boston, MA.
Lovata, F. (2000, May 21-24). Telemedicine via the Internet: Successful Program Strategies. American Telemedicine Association Conference,
Puskin, D., Mintzer, C., & Wasem, C. (1997). Chapter 14, Telemedicine: Building Rural Systems for Today and Tomorrow. In P. Brennan, S. Schneider, & E. Tornquist (Eds.), Information Networks for Community Health. (p. 276). Computers in Health Care Series. Springer-Verlag.
Telecommunications: Protecting the Forgotten Frontier. (2001, August). SC Magazine-Info Security News, 12 (8), 36-40.
Security in Healthcare
The recent advances in technology -- databases that store personal medical records and information -- are bringing tools to patients, doctors and other healthcare professionals that were simply not available just a few years ago. There is hope that eventually, a doctor in Hawaii that is treating a medical emergency for a tourist from Florida, will be able to access the digitally kept medical and healthcare records for that injured tourist. In other words, there will likely be in the foreseeable future a national database -- that perhaps links state databases with each other the way the FBI and local law enforcement agencies are linked -- that will be of enormous benefit to citizens and their healthcare providers.
But before that nationally linked database can become a reality, there are a number of potential problems that need to be ironed out. For example, legislation needs to be…
Dogac, Asuman, and Laleci, Gokce B. (2005). A Survey and Analysis of Electronic
Healthcare Record Standards. ACM Computing Surveys, 37(4), 277-315.
Glaser, John, and Aske, Jennings. (2010). Healthcare IT trends raise bar for information security.
Healthcare Financial Management, 64(7), 40-44.
GBMC Healthcare Hospital. The main issue relates to privacy and confidentiality issues considered essential components of fostering trust between healthcare consumers and providers. The issue arose the GBMC hospital did not strictly follow the rules of privacy and confidentiality. Because of its lack of complete control on the privacy issues, many pieces of private information of patients were stolen and compromised.
Although GBMC hospital has been committed for 75 years to ensuring patient healthcare information is used to fulfill appropriate needs as provided by consent or law, but with the advent of the electronic health record and the transfer of an individual's health information through electronic media, including the Internet, the need for privacy and confidentiality protection takes on new meanings and challenges for the GBMC.
As medical science and technology continue to mature, and new data is being created that, when accessed, could be used to discriminate against an…
Courtney S. Campbell, The Crumbling Foundations of Medical Ethics, Theoretical Medicine and Bioethics, Volume 19, Issue 2, April 1998, Pages 143-152
Roberto, M. And Flynn, E.P., Issues in Medical Ethics, Medicine, Health Care and Philosophy, Volume 1, Issue 2, 1997, Pages 188-189
H in Healthcare
Over time, everything changes. This is truer of some things as compared to others and healthcare is certainly one of those things. Indeed, the last ten years has marked some major changes for healthcare. Among other things, technology has significantly advanced, the Affordable Care Act has been passed and the financial workings of healthcare have become more and more complex and worrisome to many people. This report will discuss a theoretical clinic that will be set up in a rural setting. The overall factors and points that will be covered will include change in demography, change in disease, change in societal norms/values, changes in healthcare technology, financial pressures that are rendered upon healthcare professionals and cultural awareness/cultural diversity in work environments. While some things in healthcare and human resources have remained unchanged over the years, there are other things that changed significantly.
There have been some…
Burton, H., & Walters, L. (2013). Access to Medicare-funded annual comprehensive health assessments for rural people with intellectual disability. Rural & Remote Health, 13(3), 1-
Fleming, B. D., Thomas, S. E., Shaw, D., Burnham, W. S., & Charles, L. T. (2015). Improving
Ethnocultural Empathy in Healthcare Students through a Targeted Intervention. Journal Of Cultural Diversity, 22(2), 59-63 5p.
Healthcare Workplaces Today Considered True Boundaryless
The concept of the boundaryless organization demonstrates a trend in healthcare and elsewhere that claims that an organization is most effective when it is collaborating with all inside and outside interests to build a dynamic workplace that works best for everyone. The challenges might simply be information sharing but it can also take the form of communication for change. The health care field is an ever changing network of core and support personnel as well as a whole pool of individual consumers that utilize services and might have an important role to play in positive change. This work will briefly discuss the historical utilization of boundaryless organization tool by looking at what techniques have been most effective for sharing information and ideas, what techniques were ineffective in the past and at how these techniques might be used in the future i.e. how these techniques…
Heslop, L., & Sim, J. (2012). CALNOC demonstrates leadership in nursing outcomes research. Australian Nursing Journal, 19(8), 32.
Magaw, T. (2012). Independent hospitals see benefits. Crain's Cleveland Business, 33(11), 8.
Maiers, M., Westrom, K., Legendre, C., & Bronfort, G. (2010). Integrative care for the management of low back pain: use of a clinical care pathway. BMC Health Services Research, 10298.
Saba, G.W., Villela, T.J., Chen, E., Hammer, H., & Bodenheimer, T. (2012). The Myth of the Lone Physician: Toward a Collaborative Alternative. Annals Of Family Medicine, 10(2), 169-173. doi:10.1370/afm.1353
Healthcare Delivery System Challenges
The American healthcare system has been criticized as favoring the middle and upper classes while ignoring the lower classes. Based on these speculations, the federal government has constantly tried to institute reforms in the healthcare sector though some of the proposals have failed to overhaul the industry. With rising insurance costs, the number of citizens barred from accessing quality healthcare has increased to more than 45 million uninsured Americans. On the same note, it is hypothesized that with time, the problems currently witnessed in the industry are likely to increase and finding solutions to them will be a tall order for the government (Stolberg & Pear, 2010). Despite the advent of new technology in the sector, which is likely to improve service delivery over the years, it is speculated that the cost of new tests and treatments will outweigh the savings. With the better technology, physicians…
Stolberg, S.G. & Pear, R. (March 24, 2010). Obama signs health care overhaul bill, with a flourish. The New York Times: p. A19. Retrieved March 1, 2013.
Woolhandler, S. & Himmelstein, D.U. (1997). Costs of care and administration at for-profit and other hospitals in the United States. The New England Journal of Medicine 336 (11): 769-774.
Swanson, E. (July 30, 2009). Health Care Plan: Favor / Oppose. Huffington Post.
Blumberg, L.J. & Holahan, J. (2009). The Individual Mandate: an Affordable and Fair Approach
Strategic human resource management:
Applications in a healthcare organization
It has been said that one of the great ironies of healthcare is that despite the fact it is an industry where the 'human' dimension is so important, the H department is often one of the most-overlooked aspects of healthcare organizations. "There is arguably no other labor-intensive industry that is so reliant upon a highly skilled, highly educated, high-cost, and high-in-demand workforce that literally makes life-or-death decisions every day. And yet, in many hospitals and health systems H remains an afterthought in the C-suite" (Commins 2013:1). However, the need for change is constant, and many organizations are finding they must 'adapt or die,' given the new realities they are facing. "by the federal healthcare law, the inevitable and growing shortages of skilled healthcare professionals, and the newfound and measurable importance of patient satisfaction scores for reimbursements will prompt…
Commins, J. (2013). Ready or not healthcare HR is going strategic. Health Leaders Media.
Retrieved from: http://www.healthleadersmedia.com/content/HR-266470/Ready-or-Not-Healthcare-HR-is-Going-Strategic
Kabene, S. (et al. 2006). The importance of human resources management in health care: A
global context. Human Resources Health, 4: 20. Retrieved from:
American History: Discussion
Today, the existence of America is often assumed to be obviously good because of the existence of American democracy and positive American democratic values exported all over the world. However, that was not always the case. The American colonists did not find untouched, virgin land but land that was already occupied by native peoples with unique cultural worldviews. Because the Indians did not 'own' land in a manner that was comprehensible to the Europeans the colonists viewed the territory as effectively 'up for grabs.'
The initial motivation of many of the early colonists was purely mercenary such as in Jamestown: "The colony was sponsored by the Virginia Company of London, a group of investors who hoped to profit from the venture. Chartered in 1606 by King James I, the company also supported English national goals of counterbalancing the expansion of other European nations abroad, seeking a northwest…
What is quality improvement? (2014). Duke University. Retrieved from:
Healthcare System Change
M.S. Healthcare Administration Exploration National quality performance improvement initiatives. The organizations noted focused specific areas research, study practices information dissemination national organizations public, private governmental sectors.
Center for Studying Health Care System Change:
Exploration of national quality and performance improvement initiatives
The Center for Studying Health Care System Change (HSC) is a non-profit, non-partisan group that is specifically committed to expanding the knowledge of healthcare to better enable policy-makers to make informed decisions. "HSC does not take policy positions and is a resource for decision makers on all sides of the issues because of its reliable data and objective analysis" (Mission statement, 2012, Center for Studying Health Care System Change). Although it has a variety of funders "HSC only accepts funding when it retains the right to publish all research results. Final research topic selection, methodological and editorial decisions ultimately reside with HSC" (Principles for research…
Christianson, Jon B. Ha T. Tu, Divya R. Samuel. (2007). Employer-sponsored health insurance:
Down but not out. Issue Brief No. 137. Center for Studying Health Care System Change.
Ginsburg, Paul B. (2011). Containing healthcare costs. Testimony.
S. than in any other developed nation, yet the quality of care, even for those who are insured, is mediocre at best (Hawkins, 2007).
Doctors and hospitals often treat patients free of charge, if they do not have health insurance. However, that raises costs for other patients and makes healthcare and insurance even more costly. Most Americans recognize that the country's healthcare system is not sustainable and that without significant reform, it is headed for a complete meltdown.
In the U.S., identity theft is a major concern. Now, that, too, has gone into the medical arena. Medical identity theft is being described as the newest frontier in the ever-evolving crime of identity theft and presents a major opportunity for a wide range of criminals as the healthcare industry evolves into an electronic culture. Yet this environment is not properly protected by present law enforcement agencies and criminal offenses (Latour, 2007,…
Andrews, J. (2006). Where the jobs are: eldercare is already creating more jobs than there are people willing to do them. And the market is just heating up. Here's a look at where some of the greatest demand will be. Assisted Living 4(6) S6-9.
Hawkins, D.(12 February, 2007). Bush's Remedy Isn't a Cure; the President's health-care won't help those who need insurance most or the underinsured who can't afford primary care. Business Week Online
Institute of Medicine (2007). Preventing medication errors. National Academies Press, Washington, D.C.:
Lafferty, L. (2007). Medical identity theft: the future threat of health care fraud is now: lack of Federal Law Enforcement efforts means compliance professionals will have to lead the way. Journal of Health Care Compliance 9 (1) 11-21.
Aaron, H.J. 1994. Thinking About Medical Costs. Health Affairs, 13, 5 (winter): 8-13 in Hong, G-S and Kim, S.Y. (2000). Out-of-Pocket Health Care Expenditure Patterns and Financial Burden across the Life Cycle Stages. Journal of Consumer Affairs. 34. 2.
Acs, G. And John S. 1995. Trends in Out-of-Pocket Spending on Health Care, 1980-1992. Monthly Labor eview, 35-45 in Hong, G-S and Kim, S.Y. (2000). Out-of-Pocket Health Care Expenditure Patterns and Financial Burden across the Life Cycle Stages. Journal of Consumer Affairs. 34. 2.
Cote, J. And Latham, C. (2003). Exchanges between Healthcare Providers and Insurers: A Case Study. Journal of Managerial Issues. 15, 2.
Health, United States. (2003). Chartbook on trends in the health of Americans. HHS, Centers for Disease Control and Prevention (CDC). National Center for Health Statistics in Lesnik, J. (2006). Community Health Centers: Health Care as it Could Be. Journal of Law and Health. 19, 1..…
Aaron, H.J. 1994. Thinking About Medical Costs. Health Affairs, 13, 5 (winter): 8-13 in Hong, G-S and Kim, S.Y. (2000). Out-of-Pocket Health Care Expenditure Patterns and Financial Burden across the Life Cycle Stages. Journal of Consumer Affairs. 34. 2.
Acs, G. And John S. 1995. Trends in Out-of-Pocket Spending on Health Care, 1980-1992. Monthly Labor Review, 35-45 in Hong, G-S and Kim, S.Y. (2000). Out-of-Pocket Health Care Expenditure Patterns and Financial Burden across the Life Cycle Stages. Journal of Consumer Affairs. 34. 2.
Cote, J. And Latham, C. (2003). Exchanges between Healthcare Providers and Insurers: A Case Study. Journal of Managerial Issues. 15, 2.
Health, United States. (2003). Chartbook on trends in the health of Americans. HHS, Centers for Disease Control and Prevention (CDC). National Center for Health Statistics in Lesnik, J. (2006). Community Health Centers: Health Care as it Could Be. Journal of Law and Health. 19, 1..
Terrace Hospital Marketing Plan
Marketing trategy -- Terrace Community Hospital
ummary- Terrace Hospital is a smaller, community hospital, located in a suburb of a major city. There are a number of large urban hospitals within 45-60 minutes of Terrace, but the focus for Terrace is as an expanded clinic that provides basic services for urgent care, seniors, obstetrics, general practice, counseling and education programs, radiology, complete blood work, and an osteo-care unit for citizens of the outlying communities that are 45-60 minutes from Terrace, and thus quite a distance from the urban hospitals. The hospital is reviewing its marketing plan in order to focus more on profitable and complete care, knowing that more complicated specializations are more available in the urban center.
Major Health Concerns -- Quality pediatric care, childhood obesity and Type-II diabetes, alcohol and cigarettes, substance abuse, TDs, geriatric care, obesity and cardio-renal issues.
Target Patients- The community…
Buckley, P. (2009). The Complete Guide to Hospital Marketing. Marblehead, MA: HCPro, Inc.
City University of New York. (2011). Marketing Planning, Strategic Planning and the Marketing Process. Retrieved from: http://academic.brooklyn.cuny.edu/economic/friedman/mmmarketingplanning.htm
Eckrich, D.; Schlessinger, W. (2011). An Application of the marketing concept in health-care services planning. Journal of Marketing Research. Retrieved online from: http://www.www.aabri.com/manuscripts/10571.pdf
HR Council. (2012). HR Planning. Retrieved from: http://hrcouncil.ca/hr-toolkit/planning-strategic.cfm
, 2008, p. 66). One of the most viable means of correcting this issue is to employ a series of strategic incentives to dissuade trained instructors from retiring and to get others to engage in this occupation.
The usage of incentives can be a powerful means of compelling more individuals to engage in the teaching nursing subjects. Naturally, the more qualified instructors there are to teach in this profession, the more readily qualified individuals can be produced to handle the projected nursing shortage that will be exacerbated by the 2014 completion of the Patient Protection and Affordable Care Act in full. However, it is quite possible that incentives can also be used to assist in the preparation and utilization of more copious supplies of physicians as well. At present, physicians have a substantial reduction in the amount and quality of incentives to enter the healthcare industry. Due to certain components…
Connolly, M.A., Keller, V., Siela, D., Twibell, K.R. (2008). "The shortage of nurses and nursing faculty: what critical care nurses can do." AACN Advanced Critical Care. 19 (1): 66-67.
Garson Jr., a. (2000). "The U.S. healthcare system 2010: problems, principles and potential solutions." Circulation. Retrieved from http://circ.ahajournals.org/search?fulltext=the+U.S.+Healthcare+System+2010%3A+Problems%2C+Principles%2C+and+Potential+Solutions&submit=yes&x=0&y=0
Matthews, M., Litow. (2013). "ObamaCare's Health-Insurance Sticker Shock." The Wall Street Journal. Retrieved from http://online.wsj.com/article/SB10001424127887323936804578227890968100984.html
Coffee egional Medical Center, Inc. CMC") is a non-profit, 88-bed hospital located in Douglas, Georgia. Since 1953, CMC has served the healthcare needs of the community as the sole hospital-provider in Douglas, Georgia and surrounding Coffee County. CMC's mission is to provide the highest-quality healthcare, in a safe and caring environment, for both patients and families (Coffee egional Medical Center, N.d.).
CMC is an acute care hospital for adults and children in southern Georgia whose primary and secondary markets extend from Coffee to Jeff Davis and Bacon counties to Ben Hill and Atkinson counties.
Healthcare is miles behind the curve when it comes to technological innovation, an industry that historically has not been easy to innovate for. There are two key trends that have changed the game just in the last few months, explains Zoe Barry, CEO and Founder of Zappx, "opening up what could be a landgrab for…
Coffee Regional Medical Center. (N.d.). 2013 Community Health Needs Assessment.
Pozin, I. (2013, October 17). Industry to Watch in 2014: Healthcare Tech. Retrieved from Forbes: http://www.forbes.com/sites/ilyapozin/2013/10/17/industry-to-watch-in-2014-healthcare-tech/
Government, Policy and Politics in Health Care
There are many potential controversies in health care. The text discusses things like increased government involvement, but there are issues arising on the ethical side with the new medical technologies. There are legal and ethical issues that arise from things like stem cells, and the use of robots. The latter, as an example, raises issues of safety and control, but eventually robots will perform many medical tasks. This is something that is going to challenge the industry, patients and regulators alike (Mavrofou, et al., 2010). As new technologies emerge, governments have to understand how to manage them, and regulate their usage. The FDA is constantly evolving its policies, but there are issues that will arise at the governmental level, and will affect the practice of medicine as well.
Another potential controversy with health care will probably come with funding. It is going to…
Cohen, D. & Crabtree, B. (2008). Evaluative criteria for qualitative research in health care: Controversies and recommendations. Annals of Family Medicine. Vol. 6 (4) 331-339.
Mavrofou, A., Michalodimitrakis, E., Hatzitheo-Filou, C., & Giannoukas, A. (2010). Legal and ethical issues in robotic surgery. International Angiology. Vol. 29 (1) 75-79.
oman Clings to Hope of Having Dead Fiancee's Baby
Today medical science is capable of things only imagined in the past. One of these possibilities stems from the technique of Invitro fertilization and cryobiology. It is now possible to freeze a man's sperm and impregnate a woman with it at some future time. This practice raises many ethical issues as far as the legal professions are concerned, primarily informed consent, ownership of the sperm and many other issues. However, it also raises issues for the medical profession as well. Now it is possible, but the primary question remains, should we? This research will examine the role of the nurse in relation to her ethical obligations and the moral issues imposed upon her concerning this tricky moral issue.
Recently a court case surface where a woman wants to have he fiancee's sperm inseminated into her in order to get pregnant with…
ANCI. National Competency standards of the Registered Nurse. Domain: Professional and Ethical Practice. June, 2002. http://www.anci.org.au/codeofethics.htm . Accessed March,
Artificial Conception Act 1985 - Section 3 (1-3). http://www.austlii.edu.au/au/legis/act/consol_act/aca1985203/s3.html#procedure
Accessed March, 2003.
Davies, Julie-Ann. Sandy Plans to Win Her Race Against Life. The Age Newspaper. May 27,
Planned change in the eldercare advocacy organization
In the coming years, many countries will experience a dramatic shift in healthcare infrastructure due to an expanding elderly population size. However, the changes may vary across countries depending on many factors such as the kind of social welfare available in each country, the political environment which determine policies, the level of healthcare available and individual expectations in each country. Due to this wide variance, the innovations within this space will also vary greatly. What this means to the healthcare manager is that managing innovations becomes very hard (Shlutz, Andre & Sjovold, 2015 p 42). This also impacts on performance management which is fast gaining popularity in the public sector as a means to improve on accountability. Unfortunately, it has been cumbered by a series of challenges in its implementation; this is in spite of the frameworks developed over the last couple of…
Quality and Safety Education for Nurses
The issue of patient safety has been a concern to medics and the stakeholders in the health care system over many years. This has been propelled by constant emergence of life threatening injures to people visiting or working within the healthcare facilities s well as construction of buildings and entrances that do not meet the required standards of hospitals. This largely informs the basis of this paper to find out where the wrongs are and how these can be rectified to provide a good environment for patients.
The patient safety is as important as the rescue of the life of a patient when he walks into the hospital to seek medical attention. The nurses and doctors are hence required to adhere to the call of the Nursing and Midwifery Council of "Nurses and nursing staff manage risk, are vigilant about…
Florence L., et.al., (2008). Hallmarks of Unsafe Practice: What Preceptors Know. Retrieved April 18, 2014 from http://www.nursingcenter.com/lnc/CEArticle?an=00124645-200811000-00001&Journal_ID=54029&Issue_ID=830968
Kreimer S. (2014). 10 Best Practices for Patient Safety. Retrieved April 18, 2014 from http://www.nursezone.com/nursing-news-events/more-news/10-Best-Practices-for-Patient-Safety_33666.aspx
Royal College of Nursing, (2014). Patient Safety and Human factors. Retrieved April 18, 2014 from http://www.rcn.org.uk/development/practice/patient_safety
A Model Healthcare Delivery System
The healthcare delivery system also referred to in short as the HCDS is the most effective system that works for most healthcare organizations in all countries with fair, effective and efficient distribution of resources. It is a fast growing service that demands attention from various quarters and domains. At the optimal level, the service program presents relief and hope to the individual, and the general population. The system offers a balanced quality care service through efficiency and fairness. HCDS varies across the world but its focus is constantly on enhancing healthcare access, quality of service and coverage. The success of the program is dependent on the availability of certain basic resources (Kumar & Bano, 2017, p. 1).
HCDS is how the society has responded to the health determinants. The idea of a healthcare system contemplates involving the people that are likely to be served…
Nursing Health Care Informatics
"…At the beginning of the 21st century, nursing informatics has become a part of our professional activities…[and has] advanced the field of nursing by bridging the gap from nursing as an art to nursing as a science…" (Saba, 2001, 177).
Nursing Health Care informatics relate to and address technology and other cutting edge issues of great interest in the healthcare field. According to the AMIA, Nursing Informatics is the "…science and practice (that) integrates nursing, its information and knowledge, with management of information and communication technologies to promote the health of people, families, and communities worldwide." New and relevant knowledge presented in the genre of informatics helps to empower nurses and other healthcare practitioners to deliver the most effective patient-center care possible. This paper presents several informatics in the belief that applying healthcare technologies and practices that are genuinely progressive and helpful to today's nurse is…
AMIA (2009) Working Group Nursing Informatics. Retrieved March 9, 2014, from http://www.amia.org .
An, J.Y., Hayman, L.L., Panniers, T., and Carty, B. (2007). Theory Development in Nursing
And Healthcare Informatics. A Model explaining and Predicting Information and Communication Technology Acceptance by Healthcare Consumers. Advances in Nursing Science, 30(3), E37-E49.
Cipriano, P.F. (2011). The Future of Nursing and Health IT. Nursing Economics, 29(5).
large number of changes in the healthcare industry, largely due to globalization and technological improvements. Much of the change has been the result of the cost of healthcare and its continual rise. For example, in 1990 the average cost of care per person was $2,800, in 2000 it was $4,700 and then in 2010 close to $8,000. One way to reduce these costs and improve efficiency is to allow healthcare professionals to spend more time with their patients rather than filling out redundant paperwork, to increase information accuracy, and to provide a way for medical professionals in Emergency Rooms or other health care facilities to have access to critical patient information. his can be accomplished through the use of Electronic Medical Record Systems, or ERM systems.
Diabetes is a group of metabolic diseases that surround the body's ability to produce and use sugars and efficiently process those sugars. Globally, there…
The conclusions reached seemed robust and showed that the use of EHRs, particularly in the primary care system improves both the process of care and outcomes. This suggests that organizations should immediately implement EHR systems so that decision support, patient care, timing of appointments and efficiency of recording of data and tracking medications and treatment options is actually far more efficient in both monetary and patient centered outcomes. Certainly, room for improvement exists, and as EHRs become more sophisticated, it stands to reason that efficiencies, outcomes and improvements in decision support will also become expected by stakeholders.
Herrin, J., et al. (2012). The Effectiveness of Implementing and Electronic Health Record on Diabetes Care and Outcomes. Health Services Research, 47(4), 1522-40. doi:10.1111/j.l475-6773-2011-01370.x
The healthcare industry has widely adopted IT solutions in the development and maintenance of information systems for this sector. These information system applications will go a long way in boosting medical care goals by reducing costs significantly, increasing efficiency in the process and achieving a zero error. With this, client satisfaction will be realized. At the core of this is the electronic medical records (EHR) which is representative of all the health information of an individual that is available in a database and can be shared across healthcare service providers (Rouse, 2016). Also integral to this system are two components; mobile health (mHealth) and telehealth (telemedicine). Though the two are interconnected, they have a slight difference. Telehealth includes home monitoring of health conditions through desktops, laptops and other online material (Terry, 2016), while mobile health is restricted to mobile devices.
Considering the impact of electronic medical records (EHR), it is…
Federal Bureau of Prisons
While most people seem to agree that prisoners should have access to basic healthcare while incarcerated, there is tremendous variation about what type of healthcare constitutes basic care. The reality is that many prison inmates receive a better quality of healthcare than non-incarcerated working-class individuals, but many inmates also suffer consequences because of significant medical neglect. For the federal prison system, the Federal Bureau of Prisons (BOP) is the agency given broad oversight over healthcare in prison. In fact, the BOP is in charge of all aspects of inmate care for all inmates in the federal prison system.
The BOP is part of the Department of Justice (DOJ). It was established in 1930 to regulate the federal prison system. The BOP's job is not limited to healthcare. Instead, it has responsibility for the entire federal prison system, which "currently includes 114 prisons, 6 regional offices, 2…
U.S. Department of Justice, Office of the Inspector General Audit Division. (2008). The
Federal Bureau of Prison's Efforts to Manage Inmate Health Care. Retrieved April 29,
2013 from the Justice.gov website: http://www.justice.gov/oig/reports/BOP/a0808/final.pdf
Wallechinsky, D. (2012). Federal Bureau of Prisons. Retrieved May 1, 2013 from Allgov.com website: http://www.allgov.com/departments/department-of-justice/federal-bureau-of-prisons-bop?agencyid=7204
Medicare Health Care eform
The Medicare is an American health program that is administered by the federal government and serves as a health insurance for people aged 65 years and above. The Medicare is also designed for people with disabilities and people diagnosed with the renal disease. (Davis, Cathy, & Stuart, 2013). The Medicare is currently being funded by the premiums, payroll tax, surtax from general revenue. In 2015, over 55 million American enrolled for the Medicare services where 46 million people are people aged 65 years and above and 9 million are young people. On the average, Medicare covers half of the health costs and the enrollees are to cover the remaining costs through a separate insurance, supplemental insurance, or out-of-pocket. Since the inception of the Medicare, the cost of funding the program continues to increase, and the rising costs of funding are becoming unbearable both for the current…
Blum, J. (2011). Improving Quality, Lowering Costs: The Role of Health Care Delivery System. Center for Medicare Management.
Davis, K. Cathy, S. & Stuart, G. (2013). Medicare Essential: An Option to Promote Better
Care and Curb Spending Growth, Health Affairs 32, no. 5: 901 -- 9.
Golberstein, E. Kayo, W. Yulei, H. et al. (2013). Supplemental Coverage Associated with More Rapid Spending Growth for Medicare Beneficiaries, Health Affairs, 32, no. 5. 873 -- 81.
Drawbacks that exist within the structure of healthcare institutions include the lack of universal implementation of the electronic health records, and the lack of consistency in service quality and delivery. Moreover, there are different systems for different classifications of patients depending on their insurance coverage. For instance, seniors on Medicare use different products and services within the system and may be processed differently at different institutions. The nature of healthcare insurance is also overly complicated. Because each state also has different rules, regulations, and healthcare issues, there is a potential for service disruptions and inconsistencies. Patients living in more than one state or who travel often will frequently encounter the inconveniences of the American health care system.
Not all healthcare institutions have the same structure, but many hospitals and other large healthcare organizations are structured similarly. Lack of consistency in healthcare is especially apparent among the elder population, which…
Patient portals, electronic medical records, and personal monitoring devices are three of the most revolutionary technologies in the healthcare sector. Each of these technologies presents patients with the potential to empower themselves, taking control of their own healthcare outcomes, and taking part in their overall healthcare goals. These technologies also streamline healthcare administration and minimize medication and billing errors. However, each of these technologies is also constrained by a range of issues related to accessibility, with potent socioeconomic class disparities evident. Security and standardization of healthcare technologies are also proving problematic. Patient portals, electronic medical records, and personal monitoring devices are all technologies that have the potential to radically improve the quality of healthcare and patient outcomes, as well as improve overall patient experiences. Because of their abundant benefits, these technologies need to be embraced and promoted through effective public health policies. Otherwise, disparities will continue to threaten to exacerbate…
The Greatest Challenge to US Healthcare
The role is played by the government
The role played by the government in healthcare is a divisive issue. Many healthcare organizations executives do support the idea of extending healthcare coverage to the uninsured, however, who this is implemented is the cause of concern. There are numerous changes that are taking place in the healthcare industry and the government needs to catch up quickly. Policy development is the role of government and there is a need to ensure that there are timely and applicable policies in place to govern the provision of healthcare services to the masses. As it stands, healthcare is moving from fee-for-service to value outcomes and there should be policies in place to support this advanced move. Providers have been moving towards value-driven care and the government policies should be able to mirror this movement. While not all providers will be…
Practice Experience Interviews
Interview with "Jennifer," RN, MPH, director of quality assurance at a Veterans Affairs medical center.
In a telephonic interview with this nursing professional, questions were posed concerning how research is found, accessed and applied for quality assurances purposes. According to Jennifer, Veterans Affairs medical centers (VAMCs) typically feature up-to-date medical libraries that can be used by any staff member. The library resources at this VAMC included numerous peer-reviewed journals and Internet access for additional relevant journal articles. In addition, Jennifer reported that her office had Internet access as well as access to the hospital's intranet (the decentralized hospital computer program or DHCP) that links this VAMC with other VAMCs as well as regional offices and the VA's Central Office in Washington, DC.
When queried concerning how research was applied in her practice, Jennifer noted that her office was responsible for coordinating peer reviews of questionable medical practices…
Hand-held devices and portable digital assistants (PDAs) are being integrated into the health care setting in the United States. It is important to understand which devices are being used, how they are being used, what they are being used for, and why. Understanding the role that hand-held devices and other portable electronics play in health care can help to inform organizational policy, and help health care administrators better implement electronic medical records.
History of use
The first documented PDA was the Newton MessagePad, issued by Apple in 1993. It was described as being "revolutionary" (Wiggins, 2004, p. 5). Palm, Inc. developed the next big handheld device: the Palm Pilot, in 1996. By the late 1990s, PDAs were equipped for Internet access, and memory capacity and other features improved with each product release. Microsoft also entered the portable electronic devices marketplace in the 1990s. The devices were not yet being…
Alerndar, H. & Ersoy, C. (2010). Wireless sensor networks for healthcare. Computer Networks 54(15): 2688-2710.
Fornell, D. (2008). PDAs bring hand-held solutions to healthcare. Acuity Care Technology. Retrieved online: http://www.soti.net/PDF/PDAsBringHandHeldSolutionsToHealthcare_Article.pdf
Garritty, C. & El Emam, K. (2006). Who's using PDAs? Journal of Medical Internet Research 8(2).
Huang, V.W. (n.d.). PDAs in medicine. Power Point Presentation Retrieved online: https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=2&cad=rja&ved=0CF4QFjAB&url=http%3A%2F%2Fwww.cs.princeton.edu%2Fcourses%2Farchive%2Fspr02%2Fcs495%2Fpda.ppt&ei=xxqAUsq_NtTFqQG25IHwAQ&usg=AFQjCNE4Wf4YrX7slTbcdYJwxujV3rwgog&sig2=Uee9rvdDYwY0uYM33n1ZBg&bvm=bv.56146854,d.aWM
Healthcare: Clinical Integration
What is clinical integration
History of clinical integration
Goals of clinical integration
Importance of clinical integration
New payment models
Barriers to clinical integration
Lack of practitioner alignment
Lack of interoperability
How to achieve success in clinical integration
The future of health care systems
Physician acquisitions vs. clinical integration
HIEs -- solution to clinical integration?
Policy makers are beginning to appreciate the fact that only systemic change can effectively change, for the better, the manner of health care delivery in the U.S.; and that anything less would only alter the system's edges - with little or no substantial effect on cost-control, innovation-promotion, effectiveness of reward incentive schemes, coordination and coverage (AHA, 2010). Clinical integration has been found to be crucial to the change needed for the achievement of the aforementioned goals (AHA, 2010). Despite…
AHA. Clinical Integration -- the Key to Real Reform. Trend Watch. Retrieved from [HIDDEN]
Athena Health. (2014). History of the Clinical Integration Model. Athena Health. Retrieved from https://www.athenahealth.com/knowledge-hub/clinical-integration/clinical-integration-model.php
eHealth Initiative. (2012). The Rise of the Private Health Information Exchange and Changing Role of Public Exchanges. eHealth Initiative. Retrieved from [HIDDEN]
Fridsma, D. (2013). Interoperability Vs Health Information Exchange: Setting the Record Straight. Health IT Buzz. Retrieved from http://www.healthit.gov/buzz-blog/meaningful-use/interoperability-health-information-exchange-setting-record-straight/
Healthcare in the New Millennium
The Future Trends of Healthcare Delivery
The objective of this work is to present a new and improved healthcare delivery system for the new millennium. Future trends in healthcare and how they affect disease management, financial management, technology and the social aspects of health care delivery will be given consideration as well as integration of personal knowledge of the historical, social, ethical, technological and financial aspects of health care service delivery expressed as a vision for health care delivery in the United States.
Never before at any time in history have the challenges for the delivery of healthcare been so great. Neither has history witnessed the rash of serious new diseases emerging on a daily basis. The provision of quality, cost-effective patient care while managing to balance the needs of employees and physicians as well as trustees is a monumental challenge faced by healthcare executives.…
Global Best Practices Among Themes at First Annual World Healthcare Innovations in Technology Congress Presented by the ENBC, PR Newswire 23, June 2004.
Healthcare's Top Business Issues and Responses for 2005 A Capgemini Forecast
Hunter, Derek (2004) New Data on Health Insurance, the Working Poor and the Benefits of Health care Tax Changes WebMemo #492-2004 Apr 12. Online available at http://www.heritage.org/Research/Healthcare/wm492.cfm
On the Minds of Americans: The Crisis of Skyrocketing Health Care Costs 2004 Online available at http://www.house.gove/georgemiller/middleclass/middleclass.html
Healthcare in the United States and India
The healthcare systems in the United States and India have starkly different origins: the former arose out of employer based insurance coverage while the latter began through government funding. As Sai Ma and Neeraj Sood document in a report on India's healthcare challenges, the Indian government faced the challenge of redesigning their healthcare infrastructure after their independence in 1947 (2008). The Bhore Committee, assembled by the central government, established that unsanitary conditions, poor nutrition, inadequate health education and a lack of prevention must be addressed in order to improve the quality of life for India's population. To meet these needs, the central government established a three-tiered system consisting of primary health centers (PHCs) to meet basic health needs, subcenters (SCs) for public health concerns, and community health centers (CHCs) for more specialized care. Doctors employed at these facilities received training at publically funded…
Arora, N., Banerjee, A.K., (2010) Emerging Trends, Challenges and Prospects in Healthcare in India. Electronic Journal of Biology, 6(2), 24-25
Berman, P., Ahuja, R., Bhandari, L. (2010) The Impoverishing Effect of Healthcare Payments in India: New Methodology and Findings. Economic & Political Weekly, 45(16), 65-71.
Ma, S., & Neeraj, S. (2008) A Comparison of the Health Systems of China and India. RAND Center for Asia Pacific Policy. Retrieved from http://www.rand.org/content/dam/rand/pubs/occasional_papers/2008/RAND_OP212.pdf
Manchikanti, L., Caraway, D.L., Parr, A.T., Fellows, B., Hirsch, J.A. (2011) Patient Protection and Affordable Care Act of 2010: reforming the health care reform for the new decade. Pain Physician, 14(1), 35-67.
Health Care eform Effecting Public Health United States
Healthcare reform is an integral part of the United States healthcare system. Below is an evaluation of the effects healthcare reform has had on healthcare in the U.S. Internet sources as well as peer-reviewed journals will be looked at so as to see the effects.
The cost of healthcare has been on the rise. Issues of healthcare quality ought to be paid attention to and healthcare access equity improved upon (Health Care Transformation). Given these causes, while some differences exist on what reforms to carry out, a majority of Americans hold the belief that the U.S. Healthcare delivery systems need some improving. For a long time ANA has been advocating for reforms in healthcare and several of the Affordable Care Act (ACA) provisions are in line with the Health System eform Agenda of the ANA. The ANA gave a chart that gives…
Kemp, C. (2012, October 11). Public Health in the Age of Health Care Reform. Retrieved January 21, 2015, from http://www.cdc.gov/pcd/issues/2012/12_0151.htm
How National Health Care Reform Will Affect a Variety of States. (2011, April 5). Retrieved January 21, 2015, from http://www.rand.org/news/press/2011/04/05.html
Technology gives us more capabilities than we ever had before, and health care organizations need to ensure that their staff members are aware of the regulations surrounding the use of technology in the workplace, both for work-related activities and private activities. The prompt was of a nurse who took photos of a celebrity and texted them to her friend. This action constitutes a violation of HIPAA, wherein the Privacy ule holds the health care providers must safeguard information from your medical records, any information that is recorded by the health care provider, billing information and any other health information (HHS.gov, 2015). Furthermore, there has clearly been an ethical violation committed with regards to the recording of the patient without their consent, and the distribution of that material. Patient information is always confidential in nature, by ethics even if not by law (Mulholland, 1994). This paper will examine the situation…
HHS.gov (2015) Guidance materials for consumers. U.S. Department of Health and Human Services. Retrieved March 19, 2015 from http://www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/index.html
HIPAA (2007). Subtitle B -- Requirements relating to health care access. Retrieved March 19, 2015 from http://www.gpo.gov/fdsys/pkg/CFR-2007-title45-vol1/pdf/CFR-2007-title45-vol1-part164.pdf
Li, K. (2014). Health smartphone applications on chronic disease monitoring: Development and regulatory considerations. The University of Hong Kong. Retrieved March 19, 2015 from http://hub.hku.hk/bitstream/10722/206932/1/FullText.pdf?accept=1
Milholland, K. (1994). Privacy and confidentiality of patient information: Challenges for nursing. Journal of Nursing Administration. Vol. 24 (2) 19-24.
We can compare the healthcare workplace to what is seen by a person when he/she looks through a kaleidoscope: since there are numerous different patterns that appear as the moments pass by. The shortage of nurses which has been publicized widely and the high turnover rates amongst the nurses are some of the unwanted patterns which have occurred. The dependence of healthcare institutions on the nurse-managers for the retention and recruitment of nurses is steadily increasing (Contino, 2004).
There are a number of routes through which the critical care nurses have become the leaders. Most of these routes don't have any educational or managerial training as a part of the process. There is a need for effective strategies for the care leaders who provide critical care in order to inspire the staff and manage the departmental operations in an effective manner to get positive results. One of the strategies…
Adams, J., Erickson, J., Jones, D., & Paulo, L. (2009). An evidence-based structure for transformative nurse executive practice, Nursing Administration Quarterly, 33(4), 280-87
Advisory Board Web site. (2004). Available at: http://www.advisory.com .
Ales, B.J. (1995). Mastering the art of delegation. Nurs Manage. August; 26: 32A, 32E.
American Organization of Nurse Executives (2005). AONE Nurse Executive Competencies. Nurse Leader, 3(1), 15-22.