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Health Information Management Systems (IMS) and its Impact on Organizational Decision-Making
In the journal article entitled, "The Benefits of Health Information Technology: A eview of the ecent Literature," authors Buntin et. al. (2011) examined extant, current literature -- a total of 154 peer-reviewed studies between 2007 and 2010 -- to evaluate the reported benefits of the integration of information management systems (IMS) in medical and healthcare institutions. This evaluation of health IMS-related studies was an attempt to verify if indeed, the new technology integrated within the healthcare operations and systems of institutions globally would result to the desired goal, which is to provide a more efficient, effective, and quality healthcare to the general public.
The integration of IMS in healthcare systems and operations is prompted with the approval and passing of the law called HITECH, or Health Information Technology for Economic and Clinical Health. Passed in 2007, HITECH…
Buntin, M., M. Burke, M. Hoaglin, and D. Blumenthal. (2011). "The Benefits of Health Information Technology: A Review of the Recent Literature." Health Affairs, Vol. 30, No. 3.
Healthcare: Heath Information Management
Population health management (PHM) has gained prominence in mainstream healthcare organizations in recent years for the simple reason that healthcare is changing, and physician groups and healthcare systems are being forced to adapt to the new system, where they are rewarded based on how well they are able to meet the quality objectives of the entire patient group and not just individual patients. The 21st century healthcare platform places more emphasis on value as opposed to volume, and organizations that can devise proper mechanisms of delivering quality, patient -- centered healthcare across entire populations are deemed have an edge over their competitors. It is for this reason that public health professionals and physician groups have continually engaged information science and technology in their public health activities - all in an attempt to make full use of their potential and consequently increase their level of effectiveness. Technology…
Hodach, R. (2014). Provider-Led Population Health Management: Key Strategies for Healthcare in the Next Transformation. Bloomington, IN: AuthorHouse.
Institute for Health Technology Transformation. (2012). Population Health Management: A Roadmap for Provider-Based Automation in a New Era of Healthcare. Institute for Health Technology Transformation. Retrieved 5 December 2014 from http://www.exerciseismedicine.org/assets/page_documents/PHM%20Roadmap%20HL.pdf
Nash, D.B., Reifsnyder, J., Fabius, R.J. & Pracilio, V.P. (2010). Population Health: Creating a Culture of Wellness. Sudbury, MA: Jones & Bartlett Learning
Public Health Informatics Institute. (2009). The Value of Health IT in Improving Population Health and Transforming Public Health Practice. Public Health Informatics Institute (PHII). Retrieved 5 December 2014 from http://www.phii.org/sites/default/files/resource/pdfs/eHealth-strategy%20FINAL.pdf
Medical Information System Upgrade Proposal
The information system currently relied upon by this practice is extremely outdated; it is incapable of assuring information security, and highly inefficient. Current information management practices in this office are significantly outdated and will eventually have to be upgraded to maintain any capacity to coordinate with other offices and to process ordinary transaction because digital systems are already the standard throughout modern American healthcare and business more generally (Boyce, 2008).
The potential benefits to the practice of upgrading the medical information system include increasing staff efficiency, reducing cost, increasing information security, and a significant improvement in emergency management planning, the capacity of this practice to recover from unanticipated emergencies, and reduced liability in connection with information security and regulatory compliance (Halbert & Ingulli, 2008; Personick & Patterson, 2007). The potential benefits to staff include increased efficiency and the ability to process and store crucial information…
Boyce, J. (2008). Information Assurance: Managing Organizational IT Risks. St. Louis,
Haddow, G.D., Bullock, J.A., and Coppola, D.P. (2010). Introduction to Emergency
Management. Burlington, MA: Butterworth-Heinemann.
Protection of Digital Health Information
With increase health information technology store access patient information, likelihood security breaches risen. In fact, Canadian Medical Association Journal (CMAJ): In United States, a whopping 97% increase number health records breached 2010-2011
Ensuring that patient information is protected at all times is vital for any health care institution. Patient information records contain sensitive information that can be used for malicious purposes like identity theft, credit card fraud, and leaking of information for malicious intent. The advancement and use of technology has made it easier for patient information to be accessed within the health care facility Shoniregun, Dube, & Mtenzi, 2010.
This increases the speed of service delivery to the patient and improves the care given to the patient. Technology has allowed for the use of portable electronic devices by the healthcare practitioners in entering and accessing patient records and information. Portable electronic devices are small…
Green, M.A., & Bowie, M.J. (2005). ESSENTIALS OF HEALTH INFORMATION Management: PRINCIPLES AND PRACTICES: Principles and Practices. Independence, KY: Thomson/Delmar Learning.
Harman, L.B., & Association, A.H.I.M. (2006). Ethical Challenges in the Management of Health Information. Burlington, MA: Jones and Bartlett Publishers.
Laurinda B. Harman, C.A.F., and Kesa Bond. (2012). Electronic Health Records: Privacy, Confidentiality, and Security. American Medical Association Journal of Ethics, 14(9), 712-719.
Shoniregun, C.A., Dube, K., & Mtenzi, F. (2010). Electronic Healthcare Information Security. New York / Heidelberg: Springer.
Healthcare Financial Management
To quote Jonathan Clark at the beginning of his article, "Improving the revenue cycle can be a daunting task due to the scope and complexity of the interdepartmental process." Of the suggestions offered by the authors, which concept(s) give you the greatest insight into creating an improved evenue Cycle process in the organization where you work (or one in which you are familiar)? Be sure to identify which article or author you are referencing.
In his comprehensive advisory article to improve the medical industry's revenue capturing capabilities, entitled Strengthening the evenue Cycle: A 4-Step Method for Optimizing Payment, Jonathan Clark provides a series of sensible solutions to the ongoing dilemma of payment optimization. David Hammer also provides guidance to healthcare finance professional in his article The Next Generation of evenue Cycle Management, by reminding them that the key performance indicators (KPIs) which dictated policy in previous years…
Clark, J. (2008). Strengthening the revenue cycle: a 4-step method for optimizing payment. Healthcare Financial Management, 62(10), 44.
Hammer, D.C. (2007). The next generation of revenue cycle management. Healthcare Financial Management, 61(7), 49.
Seddon, J. (2008). Think system. Management Services, 52(2), 10.
Wilson, D.B. et al. (2004). 3 steps to profitable managed care contracts. Healthcare Financial Management, 58(5), 34.
Health Management (Discussion questions)
The Emergency Medical Treatment and Labor Act (EMTALA) is a law governing how and when patients may be denied treatment or moved from one hospital to another in cases of extreme medical conditions. EMTALA was legalized as a component of the 1986 consolidated budget reconciliation (ichards & athbun, 2009). Sometimes, it is known as the CONA law. This generalized name has generated other laws. A common provision under the COBA name is the statute that governs continuation of benefits derived from medical insurance after job termination. The principal provision of this statute is as follows:
Patients visiting the emergency unit seeking treatment or examination for medical conditions must be given the required medical screening diagnosis. This will be helpful in identifying if they are suffering from emergency medical conditions. In case they are, then hospitals are obliged to either furnish them with appropriate treatment…
Davis, N.A., & Cleverley, W.O. (2010). Essentials of health care finance: A workbook for health information managers. Chicago, Ill: American Health Information Management Association.
Ferenc, D.P. (2013). Understanding hospital billing and coding. St. Louis, Mo: Elsevier.
Richards, E.P., & Rathbun, K.C. (2009). Medical care law. Gaithersburg, Md: Aspen Publishers.
Institute of Medicine (2013). Emergency medical services at the crossroads. Washington, D.C: National Academies Press.
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…
1. How does or can HIT influence costs, quality, or access?
Health information technology (HIT) utilization, in the words of Shekelle, Morton, and Keeler (2006), “has been promoted as having tremendous promise in improving the efficiency, cost-effectiveness, quality, and safety of medical care delivery…” With regard to quality, the authors point out that thanks to the integration of tools of knowledge acquisition and automated decision making, HIT comes in handy in medical error reduction. HIT also reduces redundancy, thus effectively bringing down costs associated with obtaining healthcare. This is more so the case with centralized medical records made possible by HIT. The said centralization of medical records could, for instance, eliminate duplication (i.e. multiple tests and medications being prescribed by different doctors). In addition to easing electronic transactions, to the convenience of patients, HIT also enhances patient access to their medical records, and thus better information regarding follow-up care.
Health Care Administration
Health information Technology (HIT) has over the years been one of the most sought after application in the pursuit of a cost effective and streamlined health care provision, this has however been facing a lot of challenges. According to Health Information Technology for Economic and Clinical Health (HITECH) Act, HIT is defined as ““hardware, software, integrated technologies or related licenses, intellectual property, upgrades, or packaged solutions sold as services that are designed for or support the use by health care entities or patients for the electronic creation, maintenance, access, or exchange of health information” (Zeng X, 2009). HIT in a nutshell avails high quality, real time access to critical information to the patient, it is patient centered. HIT, from the definition could also mean a range of services like robotic surgeries to complex processes like chronic diseases home monitoring devices, though this is not often the case.…
The United Health Group is the largest provider of healthcare services to Americans. According to Forbes (Lorenzetti, 2014), the group had revenue of $130.5 billion in 2014. United is the largest health insurer, and has a health services arm as well, Optum, which provides around one-third of the group's total revenue. United has net income of $5.62 billion in 2014 and served an estimated 85 million people. While the company's revenues have been growing quickly, the net income has been more stable, highlighting in particular that the tax burden has increased on the company, as gains in operating income have been slow to translate into gains in net income (MSN Moneycentral, 2015).
Part of United's competitive strategy is that is has diversification of services. The company has two divisions: UnitedHealthcare and Optum. UnitedHealthcare is the company's health care services and insurance provider. This group has a…
Japsen, B. (2015). With one billion prescriptions, UnitedHealth prescribes future PBM growth. Forbes. Retrieved August 7, 2015 from http://www.forbes.com/sites/brucejapsen/2015/07/16/with-one-billion-prescriptions-unitedhealth-prescribes-future-pbm-growth/
Lorenzetti, L. (2015). The 10 biggest health care companies in the Fortune 500. Forbes. Retrieved August 7, 2015 from https://r-login.wordpress.com/remote-login.php?action=auth&host=fortune.com&id=64089429&back=http%3A%2F%2Ffortune.com%2F2015%2F06%2F20%2Ffortune-500-biggest-healthcare-companies%2F&h=
MSN Moneycentral (2015). UnitedHealth Group. Retrieved August 7, 2015 from http://www.msn.com/en-us/money/stockdetails/financials/fi-126.1.UNH.NYS?ocid=qbeb
United Health Group (2015). Businesses. UnitedHealthGroup.com. Retrieved August 7, 2015 from http://www.unitedhealthgroup.com/Businesses/Default.aspx
Health Information esources/Services
Libraries have traditionally been safeguarded the fulfillment of goals of continuing education in their respective fields. It is felt to accord enhanced priority to the health science librarians while the continuing education experts enhance their knowledge of the learning process and the various elements that make the scope of the continuing education effective. eally, the role of health sciences libraries is enormous particularly in the sphere of the lifelong learning and Continuing Education. The concept of Continuing Education has been conveniently been divided by Gruppen as formal CE that concentrates on conventional programs concerning specific topics and aimed at particular audiences; and the informal CE that emphasizes on the learning that involves the anxiety of practitioners anxious of resolving the problems in their routine practice. (Messerle, 1990)
The role of health science libraries has been realized to be significant in both the categories of continuing education and…
Block, Karla J. (Summer, 1997) "Problem-based learning in medical education: Issues for health sciences libraries and librarians" Katharine Sharp Review. Graduate School of Library and Information Science, Dominican University/College of St. Catherine. No. 5. pp: 25-28
Braude, Robert. M; Wood, Samuel. J. (January, 1997) "On the origin of a species: evolution of health sciences librarianship" Bull Medical Library Association. Vol: 85; No: 1; pp: 116-121
Kronenfeld, Michael R. (January, 2005) "Trends in academic health sciences libraries and their emergence as the "knowledge nexus" for their academic health centers" Journal of Medical Library Association. Vol: 93; No: 1; pp: 32 -- 39.
Messerle, J. (April, 1990) "The changing continuing education role of health sciences libraries" Bull Medical Library Association. Vol: 78; No: 2; pp: 180 -- 187.
" (MediLexicon International, Ltd., 2006).
The PCIP was formed from the recognition that high costs and low quality inherent in the Healthcare system of the U.S. is largely due to a system that is antiquated and fragmented (DOHMH, 2006a). The inability to properly collect and use health information is one of the primary problems associated with proper health care maintenance. The PCIP. was formed in response to this need. The primary care physician acts as the conduit between the patient and the healthcare system. However, the physician often has no means to effectively transmit the information that they collect to other entities within the system. The PCIP grew out of a need for the primary health care Physician to be able to transmit the needed information to others in the Healthcare system.
There are three essential parts to the PCIP. The first is the Primary Care Health Information Consortium (PCHIC).…
Department of Health and Mental Hygiene. (DOHMH) 2006. PCIP. Retrieved August 30 at http://www.nyc.gov/html/doh/html/pcip/pcip.shtml
DOHMH 2006b. Primary Care Health Information Consortium (PCHIC). Retrieved August 30 at http://www.nyc.gov/html/doh/html/pcip/pcip-pchic.shtml.
MediLexicon International, Ltd. (2006). 1,000 New York City Doctors Will Get Electronic Health Records Systems. Retrieved August 30 at http://www.medicalnewstoday.com/medicalnews.php?newsid=42483
The American Health Quality Foundation (AHQF)(2006). Quality Improvement Organizations and Health Information Exchange. March 6, 2006. Retrieved August 30 at http://www.ehealthinitiative.org/assets/documents/QIOHIEFinalReportMarch62006.pdf#search=%22Health%20care%20information%20management%20PCIP%22
National Institute of Health Care Management Foundation
Founded in 1993 and based in Washington, D.C., the National Institute of Health Care Management Foundation (NIHCM) is a not-for-profit, non-partisan organization the works towards "improving the health of Americans by spurring workable and creating solutions to pressing health care problems" (NIHCM, 2017). The Foundation exists between the ideological space occupied by think tanks on the one side and associations on the other side. By providing evidence-based research and reports, the Foundation "sparks insights and collaboration" among health care groups, who then implement solutions to overcome obstacles in the health care industry. The Directors of the Foundation include some of the top CEOs of health insurance companies, while NIHCM's advisory board consists of academics, doctors, and former government workers.
Specific actions taken by NIHCM in the past include the sponsoring of grants for research to the amount of $2 million over the past…
Meaningful use constitutes a key health information technology project driver as it impacts all players in the health care sector. By 2016, 95% of hospitals has demonstrated meaningful use of HIT through the CMS HER programs. Meaningful use achievement has appreciable effects on extent and long-run health information workflows. HIT acceptance and implementation necessitates substantial state support, robust federal support, and an alliance between state governors, Medicaid officers, and state CIOs (chief information officers) joining hands across and within borders for ensuring state-developed governing regulations and technological infrastructures jointly support the Act’s spirit and effect intra- and inter- state information flow. Incorporation of HIT into clinical practice has led to meaningful improvements when achieved thoughtfully for instance, $27 billion gained from the fulfilling CMS incentive scheme conditions. HIT provides professionals with necessary information that facilitates the delivery of more coordinated and improved care, creating the ideal opportunity to eventually…
Evidence of improved access and cost effectiveness should soon follow. Over the next two decades, e-health could deliver patient, provider, and planner/manager interactions for all aspects of health care (Detmer, 2000, p. 181). Detmer continued on to state that this could be a positive move from seeking out errors and problems to information systems whose processes prevent many adverse outcomes. When the problem becomes one of error and miscommunication, one needs to do all that is necessary in order to correct the problem. McKnight et al. continued to report how physicians and nurses both report how there were problems with having updated information both web based as well as written copy (McKnight et al., 2002).
A question that also comes to mind is the concern of training or lack there of. Not only should all current systems of information and resources be overhauled, there is also a need to train…
Detmer, D.E. (2000, July 6). Information technology for quality health care: a summary of United Kingdom and United States experiences. Quality in Health Care, 9, pp. 181-189.
McKnight, L.K., Stetson, P.D., Bakken, S., Curran, C., & Cimino, J.J. (2002, 2002). Perceived Information Needs and Communication Difficulties of Inpatient Physicians and Nurses. Journal of the American Medical Informatics Association, 9, pp. 64-69.
In the recent years, trends have emerged in the healthcare management industry, which includes patient protection, social media in healthcare, and drug shortages. Patient protection has largely been influenced by laws and policies in different nations. In the United States, the enactment of the Patient Protection and Affordable Care Act (PPACA) has resulted in the lowering of overall healthcare costs, whereby millions of individuals have access to insurance, thereby guaranteeing free preventative care. Social media in healthcare has stemmed from the increased use and adoption of the technology for health-related reasons by patients as well as healthcare practitioners. Moreover, drug shortages have emerged as a challenge that hospital pharmacists encounter and manage in different measures on a daily basis. The paper explores the trends in the three aspects as they relate to the healthcare management industry. Furthermore, it focuses on drug shortages as the topmost priority.
Social Media in Healthcare…
Healthcare Management Issues: Complementary and Alternative Medicine (CAM)
The objective of this work is to provide a written summary on information related to Complementary and Alternative Medicine (DAM) and to answer the question that asks how CAM products and providers are regulated. This work will additionally answer the question of what impact the proliferation of CAM has had on consumer spending for health-related care and products and the question of whether there should be more widespread third-party coverage of CAM.
The National Cancer Institute reports that Complementary and Alternative Medicine (CAM) is "the term for medical products and practices that are not part of the standard medical care. Complementary medicine refers to the treatments that are used with standard treatment." (National Cancer Institute, 2011) Alternative medicine is treatments that are utilized rather than using standard type treatments. Standard treatments are such that are "based on scientific evidence from research…
$34 Billion Spent Yearly on Alternative Medicine (2009) Associated Press. 30 Jul 2009. Retrieved from: http://www.msnbc.msn.com/id/32219873/ns/health-alternative_medicine/t/billion-spent-yearly-alternative-medicine/#.ToUZcOyK9QI
Health Consumers Spend More Out-of-Pocket than the Federal Government Counts (2011) Health Populi. Retrieved from: http://healthpopuli.com/2011/03/23/health-consumers-spend-more-out-of-pocket-than-the-federal-government-counts/
Santa, CF (nd) The Adoption of Complementary, and Alternative Medicine by Hospitals: A Framework for Decision Making. All Business. Retrieved from: http://www.allbusiness.com/management/3604702-1.html
What is Complementary and Alternative Medicine (CAM)? (2011) National Career Institute. Complementary and Alternative Medicine. Retrieved from: http://www.cancer.gov/cancertopics/cam
It was especially effective when evaluated for the specific demographic segmentation the organization was targeting. Young adult males were particularly inclined to watch the commercial, thanks to the buxom, bikini-clad beauty as the star. In addition, young adult females were more likely to relate to the star of commercial, more so than if they had cast a middle-aged housewife. Although these demographics were more likely to watch the commercial, such a small portion of the commercial was devoted to the actual message, it's difficult to determine the effectiveness on whether or not these viewers would take action, such as learning more about breast cancer or conducting monthly self breast exams, or other behaviors that would help with early detection of breast cancer, to ensure the likelihood of survival.
egarding the seven Ps of marketing, the Save the Boobs campaign was more effective than originally anticipated regarding the place of the…
Aggarwal, V.B., & Gupta, V.S. 2001, Handbook of journalism and mass communication, Concept, New Delhi.
Anselmo, D. 2010, Marketing demystified a self-teaching guide,.McGraw-Hill, New York.
Assael, H. 2005, Consumer behavior and marketing action (3rd ed.), Kent Pub. Co., Boston.
Crane, F.G. 2001, Professional services marketing: strategy and tactics, Haworth Press, New York.
Accounting Fundamentals for ealthcare Management
This paper examines governmental and nonprofit accounting and discusses how it differs from commercial accounting. In the accounting field, there may not always be a clear distinction between the three types of organizations. The dividing line between business and nonbusiness organizations may depend on the incidence and relative importance of the nonbusiness characteristics found in an entity. The funds of such organizations are usually earmarked for specific purposes and must be used in accordance with laws, regulations, or contractual requirements.
One distinction of nonbusiness organizations is that they generally have no single indicator of performance, such as profit or net income. FASB:CS-4 provides two performance indicators for financial reporting for nonbusiness organizations:
They provide information about the nature and relationship between inflows and outflows of resources.
They provide information about service efforts and accomplishments.
FASB: CS-4 also sets forth the distinctive features of the nonbusiness…
Horowitz, K.J. (2006, February 26). State and Local Government Accounting Principles. Retrieved on Aril 15, 2011 from Mercer County Community College website: http://www.mccc.edu/~horowitk/documents/Chapter02D.pdf
Ruppel, W. (2010). Governmental Accounting Made Easy. Hoboken, New Jersey: John Wiley & Sons, Inc.
Siegel, J.G., & Shim, J.K. (2006). Barron's Accounting Handbook (4th ed.). Hauppage, New York: Barron's Educational Series.
Healthcare is one of those industries and fields of work where the promotion of innovation and change management is key. It is also one of those fields where managing that change through tried-and-true practices such as evidence-based practice and so forth is a must. One change that is changing nursing a lot, especially when it comes to the advanced levels of nurses, is the flattening of the hierarchy that typically exists when it comes to what nurses are allowed to do, what they are expected to do and what they must do. Whether it be the aging of the population, the shortage of some types of doctors (or doctors in general) or general access to quality care for patients in general, there is often a distinct reason for the need and thus the prior mentioned need for innovation and proper change management in the nursing field is necessary…
Bassett, E. (2010). Doctors face cash flow problems with Medicare. Fort Worth Business
Press, 22(47), 29.
Delgado, C., & Mitchell, M. M. (2016). A Survey of Current Valued Academic Leadership
Qualities in Nursing. Nursing Education Perspectives, 37(1), 10-15. doi:10.5480/14-1496
Building Linkages Between Nursing Care and Improved Patient Outcomes: The ole of Health Information Technology
Health IT (HIT) is capable of transforming care quality and establishing connections between patient outcomes and nursing care. This article will examine the application of health IT and nursing-sensitive measures/indicators (NSIs) for improving care quality and establishing connections between better patient outcomes and nursing care. NSIs refer to measures reflecting nursing care process, structure, and outcomes. NSIs of outcome denote caregiver or patient measurement approaches sensitive to nurse care. While a number of advocates deliberate over the perceived advantages of health IT, an honest consideration of practical experiences with real HIT systems, together with the drawbacks and obstacles associated with poorly-constructed systems, is not addressed. Ultimately, the aim must be improvements to quality, added convenience, and growth of efficiency, rather than mere creation of wired health facilities. Nursing informatics as a practice specialty is having…
Balas, M. C., Rice, M., Chaperon, C., Smith, H., Disbot, M., & Fuchs, B. (2012). Management of delirium in critically ill older adults. Critical Care Nurse, 32(4), 15-26. doi: 10.4037/ccn2012480
Council of Economic Advisors (2009). The economic case for health care reform. Washington, D.C.
Chapter 3 (n.d) HEALTHCARE ENVIRONMENT: INNOVATION, TECHNOLOGY, AND LEGAL ISSUES IN NURSING. Retrieved 19 April 2016 from http://www.nursecredentialing.org/documents/certification/reviewmanuals/nurseexecchapter.aspx
Dykes, P., & Collins, S. (2013). Building linkages between nursing care and improved patient outcomes: The role of health information technology. OJIN: The Online Journal of Issues in Nursing, 18(3).
Advance Information Management and the Application of Technology
In this modern age, the incorporation of information technology (IT) with the health care system is important. . With the need of quality care within the industry, there is great significance in many institutions about the execution of electronic health record (EHs) and information support systems. The use of registries and IT support systems will enable the community hospital to monitor and track patients and improve patient safety and quality of care (Chin and Sakuda, 2012). The advantage of making use of computerized management systems is limited not only to reduced book-keeping and accounts for patients and physicians but is linked to continued access to reasonably priced healthcare, enhanced quality of care, prevention of medical blunders, reduction in health care expenses, improved administrative efficacies, and engagement of patients in their own health care (Chin and Sakuda, 2012). The following proposal will seek…
Blavin, F., Ramos, C., Shah, A., Devers, K. (2013). Lessons from the Literature on Electronic Health Record Implementation. Urban Institute. Retrieved 16 October 2015 from: https://www.healthit.gov/sites/default/files/hit_lessons_learned_lit_review_final_08-01-2013.pdf
Chin, B. J., & Sakuda, C. M. (2012). Transforming and Improving Health Care through Meaningful Use of Health Information Technology. Hawai'i Journal of Medicine & Public Health, 71(4 Suppl 1), 50-55.
Health IT. (2013). Creating a Leadership Team for Successful EHR Implementation. The National Learning Consortium. Retrieved 16 October 2015 from: https://www.healthit.gov/providers-professionals/creating-leadership-team-successful-ehr-implementation
Martinez, X. E. (2015). What Role Should Nurses Play In EHR Implementation? Power Your Practice. Retrieved 16 October 2015 from: http://www.poweryourpractice.com/electronic-health-records/what-role-should-nurses-play-in-ehr-implementation/
Healthcare Management -- Discussion Questions
Communication strategies are very important when it comes to promoting the practice of healthcare delivery and ensuring that customer service is offered at the highest level. If a person does not communicate well it can harm him or her both personally and professionally. However, that is still a rather isolated issue that is generally considered to be self-limiting in nature. With companies, and especially with healthcare companies, the issue of poor communication is much larger and more significant. As a healthcare worker, a person has to be able to communicate information to patients, families, and other healthcare workers (Nutbeam, 2000). When a person is a manager in a healthcare setting, though, there is much more pressure to make sure that everyone gets the information they need in a timely manner and that the communication preferences as addressed in such a way that each and every…
Arora, V.M., Manjarrez, E., Dressler, D.D., Basaviah, P., Halasyamani, L., & Kripalani, S. (2009). Hospitalist handoffs: A systematic review and task force recommendations. Journal of Hospital Medicine, 4(7): 433- 440. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3575739/
Mercuri, R.T. (2004). The HIPAA-potamus in health care data security. Security Watch. Communications of the ACM, 47(7): 25-28. Retrieved from http://www.notable-software.com/Papers/HIPAA.pdf
Moskop, J.C., Marco, C.A., Larkin, G.L., Geiderman, J.M., & Derse, A.R. (2005). From Hippocrates to HIPAA: Privacy and confidentiality in emergency medicine -- Part I: Conceptual, moral, and legal foundations. Annals of Emergency Medicine, 45(1): 53-59. Retrieved from https://www3.acep.org/assets/0/16/898/904/2196/2280/C798499F-59F2-42A3-A23A-A575767D4234.pdf
Nutbeam, D. (2000). Health literacy as a public health goal: A challenge for contemporary health education and communication strategies into the 21st century. Health Promotion International, 15(3): 259-267. Retrieved from http://heapro.oxfordjournals.org/content/15/3/259.long
Information System Briefing
the Process of selecting & acquiring an Information System (IS) for Healthcare:
Any medical organization planning to go for an IS must choose an efficient Electronic Patient ecord -- EP which is the starting point of any computerized system. Effectiveness of the following points must drive the process of selection and acquisition of an IS. These are (i) Patient care which is the documented record of every patient undergoing process at the medical care unit. (ii) Communication: Patient records constitute and important means through which doctors, nurses and other are able to communicate with one another regarding patient requirements. (iii) Legal documentation: Legal documentation is important as these keep track document care as well as treatment, can become legal records. (iv) Billing and reimbursement: Patient record delivers the documentation which is used by patients to verify billed services. (v) esearch and quality management: Patient records are used…
Anderson, James. G; Aydin, Carolyn. (2005) "Evaluating the Organizational Impact of Healthcare Information Systems" Springer.
Keshavjee, K; Bosomworth, J; Copen, J. (2006) "Best practices in EMR implementation"
AMIA Annu Symp Proc. 2006; 2006: 982. compete-study.com [PDF]
Wager, Karen A; Lee, Frances W; Glase, John P. (2009) "Healthcare Information System -- A
Information Technology and Cultural Transformation in Healthcare
apid advances in information technology have continued to drive change in many sectors, including healthcare. Ongoing research suggests that cultural transformation is necessary in order to properly adapt to the capabilities and constraints of the increasing complexity and pervasiveness of information technology in healthcare settings. Better utilizing the information technology available to healthcare organizations and more accurately understanding the social impacts of this technology can actually help to achieve the cultural changes that are needed, as is demonstrated in the following brief literature review.
At one level, there needs to be a certain degree of autonomy for individual healthcare organizations in their adoption and utilization of information technologies in certain operations, as this will enhance opportunities for cultural adaptability and a willingness to undergo such transformations (Abraham et al. 2011; Lopez et al. 2011). Different communities can experience significantly different effects…
Abraham, C., Nishihara, E. & Akiyama, M. (2011). Transforming healthcare with information technology in Japan: A review of policy, people, and progress. International Journal of Medical Informatics 80(3): 157-70.
Box, T., McDonell, M., Helfrich, C., Jesse, R….Rumsfeld, J. (2010). Strategies from a Nationwide Health Information Technology Implementation: The VA CART STORY. Journal of General Internal Medicine 25(1): 72-6.
Karsh, B., Weinger, M., Abbott, P. & Wears, R. (2010). Health information technology: fallacies and sober realities. Journal of the American Medical Informatics Association 17(6): 617-23.
Lopez, L., Green, A., Tan-McGrory, A., King, R. & Betancourt, J. (2011). Bridging the Digital Divide in Health Care: The Role of Health Information Technology in Addressing Racial and Ethnic Disparities. Joint Commission Journal on Quality and Patient Safety 37(1): 437-45.
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
Information technology and computers have also begun to affect, in ways that are both bad and good, family life, community life, education, freedom, human relationships, democracy, and many other issues. By looking into the broadest sense of the word it can be seen that cyber ethics should actually be understood as a branch of applied ethics, and ethics should be something that is believed in by all that provide medical information, whether via the Internet or in some other way, since providing false or fraudulent information could be damaging and potentially deadly for many people.
This particular branch of ethics analyzes and studies information technology and what type of ethical and social impacts it has. Within recent years this new field has led to countless courses, workshops, articles, journals, and many other ways of expression. With the World Wide Web becoming so popular when it comes to health care information,…
Bynum, T.W. (1999) the Foundation of Computer Ethics. A keynote address at the AICEC99 Conference, Melbourne, Australia, July 1999. Published in the June 2000 issue of Computers and Society.
Furuholt, (2006) argues that lack of management engagement to the acceptance of information systems has been a barrier to the implementation of information systems. The issues are even common with organizations in the developing countries where management does not give enough priority to the information systems implementation. Importantly, implementation of information systems requires management support since management will need to approve fund that would be used for IS implementation. Generally, younger people are more interested in the it tools than older people. In a situation where number of older working team outnumbers younger working team within an organization, the IS implementation may be cumbersome.
More importantly, lack of knowledge of information systems may serve as barrier to its implementation. In the developed countries, private and public organizations have already aware the importance of information systems to the organizations. Many organizations in developed countries already realize that it tool is a…
Abukhzam, M. & Lee, a. (2010). Factors affecting Bank Staff attitude towards E-banking adoption in Libya. The Electronic Journal on Information Systems in Developing Countries: 42(2): 1-15.
Ali, S.N.A. (2010). E-government services: an exploration of the main factors that contribute to successful implementation in Libya. PhD thesis, University of Portsmouth.
Bartol, K.M. (1982). Managing Information Systems Personnel: A Review of the Literature and Managerial Implications. MIS Quarterly.
Boh, W.F. & Yelling, D. (2007). Using Organizational Architecture Standards in Managing Information Technology. Journal of Management Information Systems. 23 (3): 163 -- 207.
Some or all such authority may be in fact unlimited. This is when a committee can counterbalance authority and diffuse power within an organization since effectively only a small faction is making important decisions. The best use of committees is to have limited power to make decisions but have unlimited power to make recommendations on how things should be done.
2. Identify the initial issue that should always be thoroughly addressed when the establishment of a committee is recommended.
The initial issue that should be addressed is that of making sure that those on the committee are the people capable of carrying out the agenda of the committee and that the committee will have limited power to make organizational decisions.
3. In what ways may committees be said to dilute the recognition and diffuse the blame or responsibility? Where, based on your personal experience, have you seen one of these…
Baker, L. 2002. "Managed care, medical technology, and the well-being of society," viewed 21
February 2011, < http://www.ncbi.nlm.nih.gov/pubmed/12055455 >
Carlson, Gail. 2009. "Managed Care Understanding Our Changing Health Care System," viewed
21 February 2011,
Trending analysis through a balanced scorecard methodology is used to evaluate the level of performance of each practice relative to another based on patients served, costs, and support costs. The use of balanced scorecards as part of the strategic planning process in healthcare organizations is a best practice that delivers insights and intelligence that drives ROI strategies (Niles, 2010). This is certainly the case with the healthcare organization interviewed.
3. What are some of the most important practices or activities related to this function? What is your involvement?
Managing the underlying IT systems that make the reporting performance evaluation and improvement processes possible is the most important activity related to that specific function. As the acting CIO for the healthcare organization, the person interviewed must also manage the teams that keep the computer systems up and running over time. The have completely accountability and responsibility for keeping the entire IT…
Reducing Turnover in New Graduate Residence Program
Introduction- The process of recruiting and training, particularly in high-impact fields like healthcare, has become increasingly complex and expensive. Turnover is the rate at which an organization gains or loses employees. High turnover means that more employees are leaving more rapidly, which can be harmful to productivity and finances. Real costs of hiring including recruitment time, opportunity costs, and investment in both the new employee and the staff in Human Resources. Indirect costs include training, loss of production, reduction of performance levels, overtime due to inexperience, etc. In fact, this issue is so important that in for-profit organizations, the cost of employee turnover is estimated to be about 150% of the total payroll and benefit package (Rothwell, 2012). One needs to also understand the high costs of post-employment; drug-screening, physical exams, orientation, learning curve, coaching from others, etc. Staff time is difficult to…
Nurses' job satisfaction well below average. (2012, March 5). Retrieved from Medical Express: http://medicalxpress.com/news/2012-03-nurses-job-satisfaction-average.html
The Real Costs of High Turnover. (2012, October). HRNNewsdaily. Retrieved from:
Agency for Healthcare Research and Quality. (2013, January). Researcha dn Data. Retrieved from U.S. Department of Health and Human Services: http://www.ahrq.gov/
The reason why, is because this is a sign that the quality of care that is being provided in declining. What normally happens is staff members, will often become frustrated with: health care environments that are inefficient and where management has an attitude of indifference. This is problematic, because it can spread through the organization like cancer by: eating away at the fundamentals that made the facility great.
Once this occurs, it will have an impact on: the costs, efficiency and profitability of the hospital. This is the point that this could undermine the reputation of facility and it could have an impact on the brand. When this takes place, it is a sign that many hospitals are falling into a downward spiral of: declining quality of care and increasing costs. At which point, it only becomes a matter of time until: some kind of major restructuring must occur or…
Ableson, R. (2010). Employers Push Costs for Health Care on Workers. New York Times. Retrieved from: http://www.nytimes.com/2010/09/03/business/03insure.html
Palfry, C. (2004). Effective Health Care Management. Malden, MA: Blackwell.
Shortell, S. (2006). Health Care Management. New York, NY: Thomason.
The vision Oracle has is one of unifying all of their enterprise applications into their Fusion architecture and creating a single unifying Service oriented Architecture (SOA) was first announced in 2006 (Krill, 13). Since that time Oracle has continually strived to create an SOA in Fusion that would appeal to its corporate customers. The proposed Fusion SOA platform has been designed to be robust and scalable enough to encompass enterprise-level applications including Enterprise esource Planning (EP) applications while also being flexible enough to provide for individualized application development. There are critics of SOA in general and Fusion specifically, with industry analysts considering it too difficult to create a process-centric model that allows for pervasive, in-depth applications necessary for mission-critical business while at the same time allowing for significant scalability (Handy, 2005). Despite these concerns however Fusion continues to gain market acceptance and provide Oracle with a path to the fulfillment…
Alex Handy. 2005. Oracle Fusion: The 'Frankenstein' of SOA? Software Development Times, October 15, 6
Paul Krill. 2006. Oracle Does SOA. InfoWorld, August 14, 11-13
Management Issues and Practices
James Strong, the former CEO and managing director of Qantas Airlines, twice sat on the panel convened at the Sydney office of CPA Australia to select those who would be recognized for the annual 40 Young Business Leaders list. Strong believed in the importance of nurturing young talent and threw himself wholeheartedly into leading much of the discussion among prominent leaders from all over the globe. Criteria for entrants included "the ability to land a top job, develop others and get the most from a team, and leading by example was also a must-have attribute" ("CPA Australia," 2014). To provide the scope and depth of the list-building endeavor, it is informative to explore the names of other participants on the panel, and to match them to the criteria they articulated for entrant evaluation. Here is a quick run down: James Strong looked for entrants who had…
40 young business leaders. In the Black. 2014 CPA Australia Ltd. Retrieved from http://www.itbdigital.com/lists/40-young-business-leaders-2013/
Bennis, W. (1997). Managing people is like herding cats. Covey Leadership Center.
Braithwaite, J. & Mannion, R. (2011). Managing change. In K. Walshe & J. Smith, Healthcare Management, pp. 830-861. New York, NY: McGraw-Hill Education.
Cummings, G.G., McGregor, T., Davey, M. Lee, H., Wong, C.A., Lo, E., Muise, M. & Strafford, E. (2010). Leadership styles and outcome patterns for the nursing workforce and work environment: A systematic review. International Journal of Nursing Studies, 47(3), 363-385. doi: 10.1016/j.jnurstu.2009.08.006.
(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
He or she is also entitled to proper medication to deal with the disease.
It's not just the responsibility of medics to offer health care but the family members of the sick too play a very important role in caring about health. y accompanying the sick person to hospital and administering the prescribed medicine at home. As well, family members offer support by praying and giving the sick member company. Did you know that even loneliness is a health hazard.
Quality health care is individual responsibility. Every individual is supposed to make sure they have the best health always. Contagious diseases should be avoided at all costs, however, should we contact them then we should care for ourselves. A sick person should maintain bodily cleanliness and eat the right foods. Ones health should not also cause harm to neighbors at home and in public. Global concerns are also rising quickly…
Baum F (1998).The new public health: an Australian perspective, Oxford University Press,
Mannion R, Konteh F, Davies H (2008) Measuring culture for quality and safety improvement: a national survey of tools and tool use, Quality and Safety in Health Care (in press).
Mannion R, Davies H, Marshall M (2005) Cultural attributes of 'high' and 'low' performing hospitals. Journal of Health Organization and Management 19(6):431-9.
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.
Integrity is a major issue for healthcare organizations because there are many avenues for fraud, and for people to demonstrate a lack of ethics. The problem is that the temptation is sometimes too great and despite the fact that there are laws in place to guard against these practices unethical behavior takes place anyway. The government, which supplies a lot of the money which goes for treatments through Medicare and Medicaid, has structured certain laws to make sure that the practices of healthcare organizations are ethical, but billions of dollars in fines are still doled out every year. The big drug companies complain of arcane and hard to decipher legalese, but the fact is that although they realize the issue and the penalty they continue to subvert the law. This paper looks at qui tam statutes and cases, Medicare and Medicaid admissions criteria, installing a corporate integrity program, and…
American Speech-Language-Hearing Association (ASLHA). (2010). Summary of self- referral and anti-kickback regulations. Retrieved from http://www.asha.org/practice/reimbursement/medicare/regulations_sum.htm
Hanford, J.T. (2001). Regulation of the healthcare professions. Ethics & Medicine, 17(3), 188-190.
Louthian Law Firm. (2012). Healthcare fraud qui tam whistleblower protection lawsuits.
Mattie, A. & Ben-Chitrit, R. (2009) The federal False Claims Act and qui tam actions: What every healthcare manager should know. Journal of Legal, Ethical and Regulatory Issues, 12(2), 49-65.
Health Promotion Lesson Plan
The concept of health promotion is thought of as "the science and art of helping people change their lifestyle to move toward a state of optimal health" (Dunphy et al., 2011, p 25). Serious heart conditions can be prevented, which is why it is so important to utilize community education techniques in order to help try to warn community members of the complications before they occur. This current lesson plan works to create three separate community lesson plans, based on specific age ranges. The age 18-29 focuses primarily on the use of social media and health advocacy efforts in association with the American Heart Association. For ages 30-49, there is also a focus on these two, combined with more community oriented issues, and for 50-60, there is much more of a focus on financial training along with community organized workshops.
Prevention has become a major issue…
References McLeod, Saul. (2010). Erik Erikson. Developmental Psychology. Simply Psychology. Web. http://www.simplypsychology.org/Erik-Erikson.html
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
The health care industry is heavily regulated and has several special risk areas that need to be looked out for. An effective compliance program is necessary in order to mitigate these risks. In addition to the challenges that are associated with taking care of patients, health care providers are subject to huge and sometimes intricate sets of rules that govern the coverage and reimbursement of medical services. Because federal and state sponsored health care programs play such a big role in paying for health care, compliance with these rules are necessary in order to avoid penalties that can occur. These penalties can include such things as recoupment of improper payments, along with sanctions imposed by Medicare and Medicaid against health care businesses that engage in abuse or fraudulent practices (Corporate esponsibility and Corporate Compliance: A esource for Health Care Boards of Directors, (n.d.).
A good health care administrator will…
Corporate Responsibility and Corporate Compliance: A Resource for Health Care Boards of Directors. (n.d.) Retrieved April 3, 2009, from Office of the Inspector General Web site:
Health Administration. (n.d.). Retrieved April 3, 2009, from Web site:
Managing Quality in Practice Settings: Six Sigma at Floyd Medical Center
By examining an organization's approach to establishing, measuring, and evaluating performance and outcomes, it is possible to develop a firmer grasp on how the quality control process functions in practice. To this end, this paper provides a review of the literature concerning quality management practices at Floyd Medical Center in ome, Georgia, followed by a summary of the research and important findings concerning these issues in the conclusion.
Meaning of "managing quality" and what it means at Floyd Medical Center
Managing quality at Floyd Medical Center is the responsibility of all staff members and the hospital's stated goal in this regard is to "provide excellent care while ensuring the comfort, privacy and safety of our patients and visitors"; the medical center adds that its healthcare teams are "dedicated to continually improving your experience by providing quality health care that…
Cohen, J. (2008, May). CHAP and the Department of Veterans Affairs. Nursing and Health Care
Perspectives, 21(3), 151.
Gowen, C.R., Stock, G.N. & McFadden, K.L. (2008). Simultaneous implementation of Six
Sigma and knowledge management in hospitals. International Journal of Production
Allocating Healthcare esources
Allocation of Healthcare esources
It may seem that the resources that a healthcare organization has at its disposal is contained in a very small list, but for proper allocation of total resources every possible thing has to be considered. esources refers not only to the money that a business has on hand, but the people, buildings, land, recruitment of people, retention and finances. An organization is the sum of all of its parts and must operate within the framework of those resources. How those resources are allocated is an important function of the control of the organization also. This essay will discuss the resource acquisition and allocation processes in a healthcare organization with specific emphasis regarding those processes in allocating financial, operating, capital, human, recruitment, and retention resources.
esource Acquisition and Allocation
In one aspect a healthcare organization is no different from any other organization…
Kroger, A. (2003). "Ethics in healthcare organizations." Healthcare Management, 27(3),
Longest, B.B., & Darr, K. (2008). Controlling and allocating resources. In, Managing
health services organizations and systems (pp. 433-470). Baltimore, MD: Health
A recent article touted the 6.1% growth of spending on medical care in 2007.
The same article cautioned however that, "most experts know that no matter what the numbers say, there is still a great deal of work ahead to reform a healthcare system that is still fundamentally broken -- and is facing one of the worst economic recessions in decades" (Lubell, 2009, pg. 6).
Government and industry officials have been working to reform the industry for more than a decade yet the problem seems to be getting worse rather than better. More and more individuals are finding that insurance takes too much of their income and are forced therefore to forego that expense. Government is leery of committing to the cost of such expense, and industry is reluctant to offer expanded coverage without the backing of the federal government. As the interested parties do the two-step the problem becomes…
Bentley, C.S.; (2005) the new healthcare system, New American, Vol. 21, No. 18, pg. 44
Blizzard, R.; (2002) the haves and have nots of healthcare, Gallup Poll Tuesday Briefing, pp. 8-9
Brown, J.; (2009) Obama healthcare plan would shut down private sector, OneNewsNow, http://www.onenewsnow.com/Politics/Default.aspx?id=414372 , Accessed February 10, 2009
Conn, J,; DerGurahian, J.; (2008) HIT budgets taking a hit: study, Modern Healthcare, Vol. 38, No. 50, pp. 10-11
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.
Health Care Strategic Management
Data is very important for all companies as having a poor quality of data involves costs of many dollars to American companies. According to studies done in the U.S. The total value of the cost of wrong data to the companies is more than $600 billion and that was in 2002. The amount is certainly large and will also increase as the quantity of business increases, and that results in larger quantities of data being produced. Yet, the value as in money terms is not the only problem that is faced by companies every day due to data, and that is even truer for healthcare companies. Healthcare companies cannot function properly when they do not have the data properly stored. Thus it is important for these companies to make sure that their data is correct and maintained correctly. This also involves the understanding of the problems…
Lerner, Robert. The Challenges of Data Management. Retrieved from http://www.bettermanagement.com/library/library.aspx?pagetype=1& ; libraryid=12090
Accessed on 31 May, 2005
Managing Healthcare in a Changing European Environment. Retrieved from http://www.bettermanagement.com/Library/Library.aspx?LibraryID=12242
Accessed on 31 May, 2005
The relationship between the doctor and a possible patient is established when the physician asks the person for the first time as how he could be of possible help. This direct and simple enquiry is the beginning of the trust of the patient that has to be put in the physician for any treatment to proceed. The patient is in need of help at that time, and has to trust the professional for getting the help and the patients want to do it. They need a person to take care of them during their period of suffering from illness. This relationship between the patient and the physician in the financial sphere also involves the same amount of reliance, confidence and trust, as otherwise, not treatment can be undertaken. This makes it essential that the physicians clearly mention to the patients when there is any conflict of interest in…
"Changes in Health Care Financing and Organization: Deriving Best Practice Models for the U.S. Health Care Safety Net: A Cross-State Meta Analysis of Finance, Organization and Outcomes" Retrieved from http://126.96.36.199/search?q=cache:h3F83ojarhYJ:depts.washington.edu/eprc/areas/proposalnarrative%2520web.pdf+Changes+in+Health+Care+Financing+and+Organization+& ; hl=en Accessed on 7 June, 2005
'Health Administration Press" (March/April 2003) Journal of Health Care Management.
Volume 48, Number 2. Retrieved from http://188.8.131.52/search?q=cache:p36ZB3H0T4AJ:www.ache.org/pubs/jhm482.cfm+healthcare+finance+relationship+centered& ; hl=en Accessed on 7 June, 2005
"The Core Program: Trust and the Patient -- Professional Relationship" (September, 2000) The
Healthcare Information Systems
Faculty of Information Technology at the Queensland University Australia, have written this article to point out the need to change the method of access control in the current health care environment. They have introduced this method keeping in the mind the latest information technology system structures, legal and regulatory requirements and the demands of security operation in the Health Information Systems. The authors have proposed "Open and Trusted Health Information System" as the feasible solution along with the capability to dominate the provision of appropriate levels of secure access control in order to protect the sensitive health data.
Authors have also pointed out what is the problem with NEHTA work programs. NEHTA focuses on securely and reliably exchanging the clinical information with the help of electronic means and secure messaging technology. Authors have raised an important issue that these critical health information computer systems are openly connected…
The infant mortality rate is of 8.97 deaths per 1,000 live births. This rate places Kuwait on the 160th position on the chart of the CIA. The adult prevalence rate of HIV / AIDS is of 0.1 per cent.
In terms of economy, Kuwait is a relatively open, small and wealthy economy. It relies extensively on oil exports -- petroleum exports for instance account for 95 per cent of the total export revenues as well as for 95 per cent of the federal income. The Kuwaiti representatives have recently set the goal of increasing the oil production per day. Currently, Kuwait is facing the pressures of the internationalized economic crisis -- which however, due to recent economic surpluses in Kuwait, affects the economy to a lower extent.
Simultaneously with the increase in oil production, the Kuwaiti authorities are also focusing on diversifying the economic activities in the sense of supporting…
Agency, Kuwait News. "Blair's "Kuwait Vision." 15 March 2010. Zawya.com. .
Al-Ansari, H. And S. AL-Enezi. "Health Sciences Libraries in Kuwait." Bulletin of the Medical Library Association 89.3 (2001): 287-93.
Al-Awadhi, Olusi, Al-Saeid, Moussa, et.al. "Incidence of Musculoskeletal Pain in Adult Kuwaitis." Annals of Saudi Medicine 25.6 (2005): 459=62.
Al-Baho, A. "Resident's Guide to the Curriculum for Training in Family Medicine." December 2008. Kuwait Institute for Medical Specialization. .
Electronic privacy law applies to employment and business records and information management in the workplace, with different rights and regulations depending on the specific communications medium involved. Generally, employee privacy rights to e-mail systems and telephone message recording and retrieval systems are determined by the employment contract or by the employment policies of the employer and are not subject to legal disputes initiated by employees ((Halbert & Ingulli p.78-80). The only exception giving employees privacy rights to communications is that (live) telephone conversations may not be intercepted or recorded without the permission of at least one person participating in the conversation by federal law. However, state law determines whether employers may record conversations in which they participate.
Approximately half the states allow any person in a conversation to record a telephone call without the knowledge or consent of the other person on the line; the other half require the…
Equal Employment Opportunity: Age Discrimination. United States Department of Labor website retrieved February 5, 2008, at http://www.dol.gov/dol/topic/discrimination/agedisc.htm
Friedman, L.M. (2005)
History of American Law.
New York: Simon & Schuster
3 Strategies of CDC
As mentioned in the introduction, the Centers for Disease Control and prevention has developed and implemented six sets of strategies as follows:
Health Impact Focus - the alignment of CDC's employees, objectives, strategies, investments and performances in order to maximize the CDC's beneficial effects upon public health
Customer Centricity - Like any other corporation, the Centers for Disease Control and Prevention is focused on offering those products and services required and needed by the population in order to improve and preserve their health
Public Health esearch - the CDC funds and conducts numerous researches aimed at identifying new treatments and any other issues which would positively affect the public health
Leadership - the Centers for Disease Control and Prevention possesses the best skilled and qualified employees, guided by the most committed managers and supported by strategic partners, all to improve the health system within the United…
Etheridge, E.W., 1994, Sentinel for Health: A History of the Centers for Disease Control, Journal of Interdisciplinary History, Volume 24, Number 4
Friede, a. And O'Carroll, P.O., 1996, CDC and ATSDR Electronic Information Resources for Health Officers, Journal of Environmental Health, Volume 59
1994, the Centers for Disease Control and Prevention on Emerging Infectious Disease Threats, Population and Development Review, Number 13
1999, CDC on Infectious Diseases in the United States: 1990-1999, Population and Development Review, Volume 25, Number 3
Does Socio-economic Status Impact lives of People with HIV and AIDS?
Individuals with a lower socio-economic status are more prone to contracting HIV and AIDS virus. This measure also determines how individual status, relates to proper medical care. Lack of socioeconomic strength associated to the practice of risky sexual behaviors results to HIV contraction. Men engage in sexual intercourse with many partners without using a condom (Will 2000). Women at this lower level engage in riskier sexual behaviors. Homeless people are more vulnerable to infection, women in such situations are prone to rape and, men are most likely drug users. Individuals with low socioeconomic resources are prone to injury, which makes the susceptible to the effects of the virus that affects the central nervous system (Earnshaw, Valerie and Stephenie 2009).
Does HIV Infection Affect the Socio Sconomic Status of Infected Persons?
HIV and AIDS have negative impacts on the productivity…
Semple, S.J., Patterson, T.L., Temoshok, L.R., McCutchan, J.A., Straits-Troster,
K., Chandler, J.A., & Grant, I. 2003. "Identification of psychobiological stressors among HIV-positive women." Women & Health, 20(4), 15-36.
Earnshaw, Valerie a., and Stephenie R. Chaudoir.2009. "From conceptualizing to measuring HIV stigma: a review of HIV stigma mechanism measures." AIDS
and Behavior 13.6 (2009): 1160-1177.
The first time that they attempted to build this system they did not follow the life cycle plan and the system ended up failing. Developing a new claims payment system that will talk to and be user friendly with the customer service management system would help to speed up efficiency and enhance quality of all departments within the organization. This streamlining would help the company as a whole to reduce costs and ultimately become more competitive and successful within the insurance market.
Being able to answer the following question is vital to any business. How would your organization continue to deliver mission-critical services if normal business operations were interrupted? Being able to quickly resume functioning enough to continue delivering the services that are critical to a company's mission are very important. When normal business operations are interrupted, an organization should use its business continuity plan to prevent disruption in the…
Business Models on the Web. (2009). Retrieved July 20, 2009, from Web site:
Five Forces Analysis. (2009). Retrieved July 20, 2009, from Marketing Teacher Web site:
PDI's financial condition.
Review relevant financial information.
Like most companies providing solutions to the biopharma industry, PDI has felt some of the negative effects of what is happening throughout the industry.
PDI is a commercialization partner providing solutions to the biopharma and medical devices and diagnostics industries. The industry is very volatile right now and the need for contract sales has been diminished. This was a large portion of PDI's business. This coupled with the slow down of blockbuster drugs by the FDA dampened PDI's earnings potential. ome of the risk sharing deals that PDI implemented for Evista and Lotrel also did not produce the results they had hoped for.
When we examine the company's finances, we find that they are still a healthy organ1zation. Analysts are rating the company as a hold. During the 2nd Quarter, PDI's net revenue was $143.9 million, an increase of 89.9%. Their…
The following sources were used for financial information on PDI. http://www.pdi-inc.com.Investor Relations. http://www.hoovers.com
Some doctors believe that genetic factors are the core cause of a lot of eating disorders. esearchers have found specific chromosomes that may be associated with bulimia and anorexia, specifically regions on chromosome 10 that have been linked to bulimia as well as obesity. There has been evidence that has shown that there is an association with genetic factors being responsible for serotonin, the brain chemical involved with both well-being and appetite. esearchers have also determined that certain proteins such as brain-derived neurotrophic factor (BDNF) are thought to influence a person's vulnerability to developing an eating disorder (Eating disorders -- Causes, 2010).
The advance of food in Western countries has become extremely problematic. The food that is produced in the U.S. every year is enough to supply 3,800 calories to everyone on a daily basis. This is far more than is needed for good nutrition. Obesity is a worldwide epidemic,…
Eating Disorders. (n.d.). Retrieved June 19, 2010, from National Mental Health Information
Center Web site: http://mentalhealth.samhsa.gov/publications/allpubs/ken98-
Eating Disorders. (2009). Retrieved June 19, 2010, from National Institute of Mental Health
Technological and social challenges of information technology in health care
Information technology has transformed all aspects of society and healthcare is no exception. One 2010 survey of physicians conducted by the Medical Group Management association found that seven of the top ten challenges identified by physicians had to do with health information technology: implementing electronic records-keeping, keeping track of Medicare reimbursement and compensation, and bi;; collections via new information management systems (Sarasohn-Kahn 2010). However, significant challenges exist in implementing health information technology effectively, so it can realize its promise to create a more efficient healthcare system. "Clinical information systems do not communicate with each other automatically because integration of existing data standards is lacking. Data standards for medical specialties need further development. Database architectures are often designed to support single clinical applications and are not easily modified to meet the enterprise-wide needs desired by all end-users" (Kardry et al. 2010).…
Gibbons, Michael Christopher. (2011). Use of health information technology among racial and ethnic underserved communities. Online research journal: Perspectives in Health Information Management. Retrieved October 17, 2011 at http://perspectives.ahima.org/index.php?option=com_content&view=article&id=206:use-of-health-information-technology-among-racial-and-ethnic-underserved-communities&catid=63:telehealth
Kadry B., I.C. Sanderson, & A. Macario. (2010). Challenges that limit meaningful use of health information technology. Current Opinion Anesthesiology, 23(2):184-92.
Retrieved October 17, 2011 at http://www.ncbi.nlm.nih.gov/pubmed/20084001
Sarasohn-Kahn, Jane. (2010). Economics and health information technology are top challenges for physicians in 2010. Health Populi. Retrieved October 17, 2011 at http://healthpopuli.com/2010/07/01/economics-and-health-information-technology-are-top-challenges-for-physicians-in-2010/
Acquistion of Information Systems
Selection and Acquisition of Information Systems
Selection and acquisition of information systems could involve an enormous investment for a healthcare organization. Besides the initial costs that organizations need to incur, there are also long-term costs associated with maintenance, support and enhancement of the information system. Selecting the right information systems that would meet the need of an organization is a critical step to consider when selecting and acquiring the information systems. To select information systems, it is critical to evaluate the costs and benefits as well as gaining insight on the full constituents of the users.
Fundamental objective of this paper is to discuss the process of selecting and acquiring the information systems for our healthcare organization.
Process of Selecting and Acquiring the Information Systems
System acquisitions are the process of selecting a new system in order to replace the old information systems. The process of…
Johnson, E. (2006). Selecting an Electronic Medical Record System for the Physician Practice. AHIMA's 78th National Convention and Exhibit Proceedings.
Wager, K.A. Lee, F.W. & Glaser, J.P. (2009). Health Care Information Systems: A Practical Approach for Health Care Management. John Wiley & Sons. USA.
It would then become incumbent on the experienced coder to be able to read through the injuries and determine the accurate code to use. Another issue Kramer, Barancik, and Thode, Jr. (1990) found was that certain areas of the body lacked a code when injured to a very specific area of the body.
The training and education one needs to be a successful medical coder, and in particular a remote medical coder, is extensive. If we examine Figure 1 below, we can understand why this is so:
AAT (alpha-1 antitrypsin) deficiency 273.4
AAV (disease) (illness) (infection) - see Human immunodeficiency virus (disease) (illness) (infection)
Abactio - see Abortion, induced
Abactus venter - see Abortion, induced
Abasia (-astasia) 307.9
Abderhalden-Kaufmann-Lignac syndrome (cystinosis) 270.0
Abdomen, abdominal - see also condition
Kramer, Barancik, and Thode, Jr. (1990) found
Abduction contracture, hip or other joint -…
American Health Information Management Association (AHIMA). (2011). Quality healthcare through quality information. Retrieved from http://www.ahima.org/Default.aspx/ .
Kramer, Caroline F., Jerome I. Barancik, and Henry C. Thode, Jr. (1990). Improving the sensitivity and specificity of the abbreviated injury scale coding system. Public Health Reports, Vol. 105, No. 4, pp. 334-40.
Rodecker, Kristy. (2010). Medical billing and coding. Retrieved from http://www.medicalbillingandmedicalcoding.com/ .
Taylor, JM. (2008). [Emergency Department] Management. Experienced coders help ED create excellence. The Monthly Update On Emergency Department Management, Vol. 20, No. 11, pp. 123-5.
Medical Coding Ethics
Ethical Concerns in Health Care Delivery: Focus on Medical Coding and Billing Practices
The objective of this study is to examine ethical concerns medical coding and billing in the physician office. Medical coding and billing has become very complex in light of health care reform. Recently, Christopher Gregory ayne, reported to be "dubbed the Rock Doc" was arrested on a dozen charges of Medicare fraud" when he was accused of fraudulently billing for "physical therapy procedures, such as massages and electrical stimulation, that were not necessary or in some instances had been provided at his prior medical practice in Miami." (eaver, 2013, p.1) It appears that where this doctor failed is billing for physical therapy when his staff was not properly accredited for providing these treatments.
Health Care Coding and Billing Changes
It was reported by Gunderman (2013) that October 1, 2014 is the deadline on implementing…
American Health Information Management Association Standards of Ethical Coding. (2008) AHIMA House of Delegates. "AHIMA Standards of Ethical Coding. Sept 2008. Retrieved from: http://library.ahima.org/xpedio/groups/public/documents/ahima/bok2_001166.hcsp?dDocName=bok2_001166
Know your ethical obligations regarding coding and documentation (2009) Association of Clinical Documentation Improvement Specialists, August 4, 2009 HCPro. Retrieved from: http://www.hcpro.com/HOM-236942-5728/know-your-ethical-obligations-regarding-coding-and-documentation
Weaver, J. (2013) Miami Beach's 'Rock Doc' busted on Medicare fraud charges. The Miami Herald. Retrieved from: http://www.miamiherald.com/2013/09/30/3660611/miami-beachs-rock-doc-busted-on.html#storylink=cpy
Sufficient documentation a major hurdle for ICD-10 (2013) APCs Insider. Retrieved from: http://www.hcpro.com/HIM-297687-859/Sufficient-documentation-a-major-hurdle-for-ICD10.html