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Periodically I would want to make sure the data was audited to make sure the underlying processes and systems used for capturing it were working correctly. In conjunction with these measures of ensuring patient data is being correctly captured processes for data reliability assessment would be used (Alhaqbani, Josang, Fidge, 2009). While these two areas of capturing patient data accurately, auditing it to make sure the underlying processes are in fact working correctly, and then layering in reliability assessment analyses would serve as the foundation for the types of software applications that would be used for automating patient information capturing. The specific types of applications would be business process management (BPM)-based so that if necessary the underlying processes of patient information capture could be re-engineered over time. The use of BPM and business process re-engineering (BP) within the context of software applications would also ensure they would continually be able…
Alhaqbani, B., Josang, a., & Fidge, C..(2009). A Medical Data Reliability Assessment Model. Journal of Theoretical and Applied Electronic Commerce Research, 4(2), 64-78.
Hebda, Toni, & Czar, Patricia (2008). Handbook of Informatics for Nurses & Health Care Professionals. Upper Saddle River, NJ: Prentice-Hall.
Zack Martin. (2007, May). Evidence-Based I.T. In the Delivery Room. Health Data Management, 15(5), 62, 64.
Miller, a., & Tucker, C. (2009). Privacy Protection and Technology Diffusion: The Case of Electronic Medical Records. Management Science, 55(7), 1077-1093.
Health Care Informatics
Expert systems are always computer applications that tend to combine computer equipment, special information and software so that they imitate reasoning and advice of expert human. Being a part of artificial intelligence they offer discipline-specific advice as well as explanation to their users. Artificial intelligence covers a broad field of several aspects of computer generated thought, on the other hand, expert systems focuses narrowly. The area where expert systems will function well is with specific problems or activities as well as a discrete database of digitized rules, facts, models and cases. Based on the software program, it always integrates a searching and sorting program with a knowledge database. This specific searching plus sorting program for an expert system is called the inferent engine.
What makes inferent engine are the entire systematic processing rules and logic that are associated with task at hand. Mathematical probability serves…
Jackson Peter, (1998). Introduction to Expert Systems. Addison Wesley. Retrieved March 14,
2012 from http://www.referenceforbusiness.com/encyclopedia/Ent-Fac/Expert-Systems.html#ixzz1p1ML8QPX
Liebowitz, Jay, (Ed)(1998). The Handbook of Applied Expert Systems. Boca Raton, FL: CRC
Press LLC. Retrieved March 14, 2012 from
Healthcare Informatics & Technology
1. What were the goals of the Cure4Kids program in 2003? How have they evolved?
Cure4Kids was developed with the overall intention of treating and hence improving the wellbeing of children suffering from pediatric cancer and AIDA (Quintana, Nambayan, Ribeiro, Bowers, Shuler and O’Brein, 2003). Towards this end, in addition to education, the other stated objective of Cure4Kids was the provision of “tools for communications and collaborations among individuals” (Quintana, et al. 2003, p. 978). To effectively fulfill this mandate, Cure4Kids’ website at this point contained online seminars as well as lectures presented in two main formats, i.e. audio-enabled PowerPoints and video streaming. Essentially, the website also contained tools for online conferencing. This effectively enabled health care professionals, particularly those in countries with limited resources, to not only access the relevant materials, but also collaborate in meaningful ways in an attempt to rein in pediatric cancer…
Arkell, C. (2017). Research Update: Meta-Analysis Shows Prep is Effective in Women With High Adherence. Retrieved from https://www.catie.ca/en/pif/spring-2017/research-update-meta-analysis-shows-prep-effective-women-high-adherence
Avert (2019). Global HIV and Aids Statistics. Retrieved From https://www.avert.org/global-hiv-and-aids-statistics
Cure4Kids (2019). Sharing Knowledge & Expertise Worldwide. Retrieved from: https://www.cure4kids.org/
Quintana, Y., Nambayan, A., Ribeiro, R., Bowers, L., Shuler, A. & O’Brein, R. (2003). Cure4Kids - Building Online Learning and Collaboration Networks. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1480170/pdf/amia2003_0978.pdf
The existing reporting systems lack the level of usability inherent in social media applications as well. Social media applications have created and continue to fuel the expectation of usability that is the new standard for tablet-based applications and systems (Boicey, 2013).
The proposed new analytics application will also enable the entire healthcare provider staff to have greater agility and flexibility in defining process workflows and quickly redefining dashboards and key performance indicators to align with the needs of patients. For the first time, analytics will be aligned precisely to the patient, not to the physician or worse, the healthcare provider's system constraints and requirements. This will liberate the massive amount of data in existing systems as well, enabling healthcare providers to create highly effective programs for interpolating trends and analytics throughout the entire workflow of patient treatment programs.
Finally, the proposed new real-time analytics application will make it…
Boicey, C. (2013). Innovations in social media: The MappyHealth experience. Nursing Management, 44(3), 10.
Lee, J. (2006). Tablet PCs: Tough enough? Health Management Technology, 27(7), 32-33.
Machluf, Y., Pirogovsky, a., Palma, E., Yona, a., Navon, a., Shohat, T.,Chaiter, Y. (2012). Coordinated computerized systems aimed at management, control, and quality assurance of medical processes and informatics. International Journal of Health Care Quality Assurance, 25(8), 663-81.
Business Plan for Health Care Informatics
The purpose of this paper is to present a business plan for the implementation of syndromic surveillance system. The major sections of the business plan are: identification of the key objectives and scope of the project; the project life cycle, budget estimate, staff planning, and activity timeline; major risks and vulnerabilities of the project; success evaluation methods, and communication plan for the primary stakeholders.
This paper presents a business plan for implementing a syndromic surveillance system to resolve the health informatics management issue. The business plan is divided into multiple sections. The first section describes the major goals and scope of the project, i.e. what objectives the hospital aims to achieve by implementing a syndromic surveillance system in its operational setup and at what scale it has planned to implement it. The next section presents the four stages of project life cycle. These are:…
Berkowitz, E.N. (2011). Essentials of Health Care Marketing, (3rd ed.). Sudbury, MA: Jones & Bartlett Learning.
Cooper, P.D. (1994). Health Care Marketing: A Foundation for Managed Quality, (3rd ed.). Gaithersburg, Md.: Aspen Publishers.
Feldman, R.D. (2000). American Health Care: Government, Market Processes, and the Public Interest. New Brunswick, N.J. [u.a.]: Transaction Publications.
Information Resources Management Association, (2011). Enterprise information systems: concepts, methodologies, tools and applications. Hershey: Business Science Reference
Information Technology Breaches at a Healthcare Company:UCLA Health and Implications for the FutureAs our organization knows all too well, healthcare data breaches are occurring with alarming frequency. But just as hackers have more and more tools at their disposal to cope with such breaches, we too as healthcare IT experts, managers, and providers have more tools to guard against them. Online records have significantly improved patient care through comprehensive, sharable records. In wrong or inexpert hands, sharing of data can harm rather than heal. The frequency of healthcare data breaches, magnitude of exposed records, and financial losses due to breached records are increasing rapidly (Seh, 2020, par.1) Understanding how and why they have occurred in the past is important to ensure that they do not occur at our institution in the future.Summary StatementA good example of a recent data breach which ultimately resulted in legal action is the 2015 breach…
Adler, St. (2019). UCLA settles class action data breach lawsuit for 7.5 million. HIPAA Journal. Retrieved from: https://www.hipaajournal.com/ucla-health-settles-class-action-data-breach-lawsuit-for-7-5-million/
Firestone, J. (2020). UCLA class action develops after data breach. Expert Institute. Retrieved from: https://www.expertinstitute.com/resources/insights/ucla-health-system-class-action-develops-after-data-breach/
Hossain, M. M., & Hong, Y. A. (2020). Trends and characteristics of protected health information breaches in the United States. AMIA ... Annual Symposium proceedings. AMIA Symposium, 2019, 1081–1090. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7153056/
Jiang, J. X., & Bai, G. (2019). Evaluation of causes of protected health information breaches. JAMA Internal Medicine, 179(2), 265–267. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6439649/
Health Informatics: Evolution of the FieldAccording to Sweeney (2017), the discipline of healthcare informatics unites technology, healthcare science, computer and information systems, and even knowledge of human psychology to optimize healthcare. There has also been a many decades-long struggle to encourage more providers to adopt electronic health and medical records to ensure greater uniformity and accuracy of data across providers. Unfortunately, many providers are concerned that the investment of training, new equipment, and other measures are too costly to justify a full shift to electronic medical files, although the ubiquity of computers makes holding out more and more difficult. Providers are now employing experts in the specialty of informatics to better understand how to use its power for good, and to increase healthcare providers comfort levels in using informatics on a daily basis.When first implemented, one of the concerns of passing the Health Insurance Portability Accountability Act (HIPAA) was that…
Bible Gateway. (2021). Retrieved from:
O’Herrin, J. K., Fost, N., & Kudsk, K. A. (2004). Health Insurance Portability Accountability
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…
Figure 1 portrays the state of Maryland, the location for the focus of this DR.
Figure 1: Map of Maryland, the State (Google Maps, 2009)
1.3 Study Structure
Organization of the Study
The following five chapters constitute the body of Chapter I: Introduction
Chapter II: Review of the Literature
Chapter III: Methods and Results
Chapter IV: Chapter V: Conclusions, Recommendations, and Implications
Chapter I: Introduction
During Chapter I, the researcher presents this study's focus, as it relates to the background of the study's focus, the area of study, the four research questions, the significance of the study, and the research methodology the researcher utilized to complete this study.
Chapter II: Review of the Literature in Chapter II, the researcher explores information accessed from researched Web sites; articles; books; newspaper excerpts; etc., relevant to considerations of the disparity in access to health care services between rural and urban residence in Maryland…
Potter, S. (2002) Doing Postgraduate Research. London: Sage.
Qualitative research: Approaches, methods, and rigour, (2008, Nov. 7). Microsoft PowerPoint Qualitative Research AdvC08 RS.PPT. Retrieved March 10, 2009 from www.unimaas.nl/bestand.asp?id=11629
Wolvovsky, Jay. (2008). Health disparities: Impact on Business and Economics Summit. Maryland's healthcare at a glance. The Heart of Community Health Baltimore Medical Syste. Retrieved March 10, 2009 at http://dhmh.maryland.gov/hd/pdf/2008/oct08/Jay_Wolvovsky.pdf
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).
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
(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
Healthcare Budgetary Decision Making
With resources becoming increasingly limited in the healthcare industry, managers are continually challenged with devising effective strategies for dealing with budgetary concerns. The most prominent challenge comes in the form of decision making that results in striking a balance between cost reduction and the maintenance of high quality care and safety for patients. The following discussion outlines approaches that can be utilized by managers to effectively deal with budgetary concerns in healthcare settings, with an emphasis on the advantages of group decision making strategies.
It is evident that there is often a struggle in the healthcare industry for managers to continually and effectively manage depleting resources, address the ever-changing needs of patients, and all the while provide a high level of patient care (Sibbald et al., 2010). This struggle has at its core a need for improvement in regards to the processes in which priorities are…
Burleson, G. (1984). Management, budgeting and the use of resources -- a private sector review. Hospital and Health Services Review, 80(3), 124-5.
Sibbald, S.L., Gibson, J.L., Singer, P.A., Upshur, R., Martin, D.K. (2010). Evaluating priority setting success in healthcare: a pilot study. BMC Health Services Research, 10, 131.
Xie, H., Chaussalet, T., Toffa, S., Crowther, P. (2005). A software tool to aid budget planning for long-term care at local authority level. Studies in Health Technology and Informatics, 114, 284-90.
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
Others include delays in data accessibility, albeit shorter delays and the continued need for source data verification (Donovan, 2007).
Other obstacles have occurred in the developing of mobile healthcare applications. These have included mobile device limitations, wireless networking problems, infrastructure constraints, security concerns, and user distrust (Keng and Shen, 2006).
A third problem that has been encountered is that of a lack of education on not only the importance of the information technology but also training on how to use the specific pieces of equipment. The tools that are provided to people are only as good as the training that is provided on how to use them. The tools may be able to do wonderful things, but if those that are using them do not know how to get the best use out of them they will in the end be less efficient.
According to an Institute of…
Al-Assaf, Al F., Bumpus, Lisa J., Carter, Dana, and Dixon, Stephen B. (2003). Preventing Errors
in Healthcare: A Call for Action. Hospital Topics. 81(3), 5-12.
Brommeyer, Mark. (2005). e-nursing and e-patients. Nursing Management -- UK. 11(9), 12-13.
Damberg, Cheryl L., Ridgely, M. Susan, Shaw, Rebecca, Meili, Robin C., Sorbero, Melony E.,
This is because in most health facilities, the data is kept in a uniform way and the same is used for your next visit. According to the privacy law which applies to medical practitioners, confidentiality and privacy of the patient should not be compromised at all times. It is therefore important that when using health informatics, the management should respect the fundamental rights of the patient.
The national health care system can effectively improve its collaboration by adopting computer technologies and methodologies such as the soft systems methodology. It is therefore crucial for the government and the healthcare providers to join efforts in creating a better national health informatics system.
Ahuja MK, Carley KM. (1998)Network Structure in Virtual Organizations. Journal of Computer Mediated Communication. 1998;3(4)
Brown JE, Isaacs JS, and Krinke UB (2007) Nutrition Through the Life Cycle
Checkland, P., Holwell, S. (1993), "Information management and organizational processes:…
Ahuja MK, Carley KM. (1998)Network Structure in Virtual Organizations. Journal of Computer Mediated Communication. 1998;3(4)
Brown JE, Isaacs JS, and Krinke UB (2007) Nutrition Through the Life Cycle
Checkland, P., Holwell, S. (1993), "Information management and organizational processes: an approach through soft systems methodology," J. Of Info. Systems, Vol. 3 pp.3-16.
Connell, N.A.D. (2001), "Evaluating soft or: some reflections on an apparently 'unsuccessful' implementation using a soft systems methodology (SSM) based approach," Journal of the Operational Research Society, Vol. 52 No.2, pp.150-60.
Personal Healthcare Technology
Sunrise Hospital and Medical Center and the Sunrise Children's Hospital
The Sunrise Hospital and Medical Center, which includes the Sunrise Children's Hospital, is an approximately 55-year-old facility located in Southern Nevada; it serves the greater Las Vegas area and the surrounding communities. The Sunrise Health and Medical Center is proud of its quality initiatives to ensure patient safety and comfort, including direct approaches to pharmaceutical safety such as safe medication dosing via smart pump technology, and bar coding on medications. As well, the Sunrise Health and Medical Center does not discriminate with respect to HIV / AIDS or in any manner related to employment, program participation, admission and/or treatment.
Sunrise has been rated as the most popular area hospital for 15 years in patient surveys. As well, Sunrise Health and Medical Center has developed community outreach programs for health education in a variety of areas, often based…
Appari, A., & Johnson, M.E. (2010). Information security and privacy in healthcare: Current state of research. International Journal of Internet and Enterprise Management, 6 (4), 279-314. Retrieved from http://www.ists.dartmouth.edu/library/501.pdf
Ayanian, J.Z., & Weissman, J.S. (2002). Teaching hospitals and quality of care: A review of the literature. The Milbank Quaterly, 80(3), 569-593. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2690120/pdf/milq0080-0569.pdf
Baker, J.J., & Baker R.W. (2000). Health care finance: Basic tools for nonfinancial managers. Gaithersburg, MD: Aspen
Byington, R., Keene, R., Masini, D. (2006). The impact of federal and state funding levels on strategic decisions and how those decisions affect patient care. The Internet Journal of Healthcare Administration. (4)2. Retrieved from https://ispub.com/IJHCA/4/2/5827
Product or Service Supplied
The product supplied to patients is generic pharmaceuticals. “A generic drug is a pharmaceutical drug which is equivalent to a brand-name product in dosage, route of administration, strength, quality, Kinetics, and its intended use. It may also refer to any drug which is marketed under its chemical name without advertising” (Moin, 2016). The importance to the customer is an issue of affordability: the patient has to incur fewer out of pocket expenses in order to pay for crucial prescriptions in order to fulfill the needs of their chronic diseases or conditions. Generic drugs are essentially the ones that are comparable to their brand-name twins. “They are comparable in terms of the dosage, effectiveness, and intended use. Generics are important because they are essentially a less-expensive alternative to their brand-name counterparts. This, of course, is expected to be important to those who are ultimately picking up the tab, governments,…
CIO Briefing: Process of Health Care Information System Selection and Organizational Goals
Process of Selection of Health Care Information System
In order for the organization to begin the selection of a health care information system, it is necessary that a records committee be formed for this purpose. The general staff for such an initiative will include the CIO along with a cochair of records and content management and other members which may include a direction of information technology and director of health information management, a compliance officer, an information security officer, a privacy officer, and representatives from: (1) nursing services; (2) business services; (3) pharmacy services; (4) laboratory services; (5) medical services; (6) surgical services; (7) mental health services; (8) human resources; (9) employee education services; and (10 quality improvement office. (Journal of AHIMA, 2008) This committee is responsible for the development of principles and procedures for managing and access…
Groen, Peter and Wine, Marc (2005) The Health Information Technology Sharing (HITS) Process. Healthcare Informatics, March 2005. Retrieved from: http://www.healthcare-informatics.com/issues/2005/03/groen.htm
ECRM Concepts, Terms and Definitions Practice Brief -- Practice Guidelines for Managing Health Information. Journal of AHIMA October 2008. Retrieved from: http://library.ahima.org/xpedio/groups/public/documents/ahima/bok1_040518.pdf
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.
Innovation at Baystate Health
Informatics and Technology Innovations at Baystate Health
Baystate Health is among the largest health systems in New England and the largest employer in Western Massachusetts ("About Baystate Health," 2014). The crown jewel is the Baystate Medical Center (BMC), which represents the only level 1 trauma center for the region and the western campus for Tufts University School of Medicine. Each year, close to 2,000 residents, fellows, medical students, and nursing students call BMC home, so it should come as no surprise that BMC and Baystate Health are among the top healthcare innovators for the region and nationally.
In 2013, the health informatics software company InterSystems announced Baystate Health will adopt Intersystems' HealthShare platform to provide region-wide health information sharing capabilities. This health information exchange (HIE) will be called the Pioneer Valley Health Information Exchange (PVIX). PVIX will be designed to allow any provider within the Baystate…
About Baystate Health. (2014). Retrieved from http://baystatehealth.org/Baystate/Main+Nav/About+Us .
Baystate Health. (2014). Patients & visitors: Frequently asked questions. Retrieved from http://www.baystatehealth.org/Baystate/Main+Nav/Patients+%26+Visitors/Medical+Records/FAQs .
InterSystems. (2013). Who we are: Baycare Health Partners and Baystate Health select InterSystems HealthShare as strategic informatics platform for coordinating community engagement. Retrieved from http://www.intersystems.com/who-we-are/newsroom/news-item/baycare-health-partners-and-baystate-health-select-intersystems-healthshare-as-strategic-informatics-platform-for-coordinating-community-engagement/ .
Kudler, N.R. & Pantanowitz, L. (2010). Overview of laboratory data tools available in a single electronic medical record. Journal of Pathology Informatics, 1, 3.
2.) Based upon your personal, non-professional experiences, briefly discuss 2 or 3 applications of it which have enhanced or hindered your financial or medical well being. It and cyber-commerce/e-commerce do not exist devoid of context; thus please help define and shape this context.
The advent of computerized billing and medical coding has undoubtedly streamlined the process of managing a hospital's income and expenditures, but this aspect of healthcare it has been known to create unanticipated disadvantages as well. Although it is true that "the management of healthcare organizations can be improved through the intelligent use of information ... (and) this requires systematic planning and management of information resources to develop information systems that support patient care, administrative operations, and strategic management" (Citation pg. 21), there are a number of caveats that still apply. In my own non-professional experience, I have encountered confusion, frustration, and ineptitude on the part of healthcare…
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…
Practicum Project in Health Informatics
• This practicum thesis allows the student to work on developing informatics-based applications while also applying informatics science and skills.
• Uses technology to help streamline processes that ultimately aid in the patient experience
• Lowers costs while increasing efficiency
• Does not focus on the "human component" of technology
• Focuses on the benefits of informatics but does not take into account the costs as it relates to onboarding. People must be training on the technology; stakeholders must know how to fix problems that arise. All employees must be willing to adopt the technology.
• Does not properly take into account the threat of cyber security and its implications on training nurses. A hack may disrupt the overall application of the technology
"Preceptor Training and Nurse etention"
• Strong emphasis on a team approach as it relates to training and retention…
1) American Association of Colleges of Nursing Essentials. (2006). The essentials of doctoral education for advanced nursing practice. Retrieved from http://www.aacn.nche.edu/publications/position/DNPEssentials.pdf .
2) American Nurses Association. (2010). Scope and standards of practice. Silver Spring, MD: Nursebooks.org.
3) Bae, S., Mark, B., & Fried, B. (2010). Impact of nursing unit turnover on patient outcomes in hospitals. Journal of Nursing Scholarship, 42(1), 40-9. doi:10.1111/j.1547-5069.2009.01319.x.
4) Baker, S. L. (2010). Nurse educator orientation: Professional development that promotes retention. The Journal of Continuing Education in Nursing, 41(9), 413-7. doi:10.3928/00220124-20100503-02.
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.
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.
electronic medical records have yet to become standardized in the United States, the contemporary physician's office differs significantly from one from twenty years ago. Information systems govern multiple aspects of care delivery, from patient intake, processing, and billing to medical records, access to electronic scholarly databases for knowledge management to purchasing and human resources management. Understanding issues like the system development life cycle (SDLC) and project management life cycles have now become common practice in most healthcare offices, whereas twenty years ago only the most cutting edge of those offices would have dedicated information technology specialists who would handle and address matters like product life cycles. Full time consultants or advisory positions related directly to IT are now expected of most medical practices. Since the Health Insurance Portability and Accountability Act (HIPAA) was passed just over twenty years ago, physicians offices have made significant strides by incorporating informatics into their…
Grandia, L. (n.d.). Healthcare information systems: A look at the past, present, and future. Health Catalyst. Retrieved online: https://www.healthcatalyst.com/healthcare-information-systems-past-present-future
Healthcare Information and Management Systems (HIMSS, 2016). Evolution of Healthcare Informatics Standards. Retrieved online: http://www.himss.org/library/interoperability-standards/Evolution-of-Healthcare-Informatics-Standards
Sewell, J.P. & Thede, L.Q. (2012). Computer development and health care information systems 1950 to present. Chapter 1. Retrieved online: http://dlthede.net/informatics/chap01introni/healthcare_computers.html
Wager, K. A., Lee, F. W., & Glaser, J. P. (2013). Health care information systems: A practical approach for health care management (3rd ed.). San Francisco, CA: Jossey-Bass.
Technology and Healthcare
Demographics of the global community are rapidly changing so that each year there are more and more seniors within the population base. This has a profound implication on the healthcare system of many regions since a large number of elderly citizens will be spending their lives in the confines of their home, and some may have chronic illness that require continuous monitoring. Clinical telemedicine is one way to offer greater services to rural or homebound populations. Indeed, a variety of technological advances have made it possible to change the paradigm of healthcare. Clinical information systems, for instance, have expanded in scope and depth. Increased processor speeds and data storage devices have made it possible to collect more data than ever on the detailed encounters that make up the provider-patient care delivery process, and present it more effectively to a wider range of users. Healthcare monitoring is part…
Luppicini, R. And R. Adell, eds., (2008). Handbook of Research on Technoethics. New York: Information Science Publishing Company.
Teo, T., et.al. (2008). "Wireless Healthcare Monitoring Systems. World Academy Of Science, Engineering, and Technology. 42 (1: Retrieved from:
Evolution of Health Care Information Systems
The objective of this study is to compare and contrast a contemporary healthcare facility or physician's office health care facility or physician's office operation of 20 years ago and to identify at least two major events and technological advantages that influenced current HCIS practices. The physician's office and health care facility of 20 years ago was a paper-based operation. All records were paper records, appointments were written on calendars and prescriptions were handwritten, notations on the patient's health records was done by writing on the physical paper record and all hospital orders were written by hand. During the 1970s hospital growth and expansion occurred and the expenditures for Medicare and Medicaid were on the rise. At this time mainframes were still in use and microcomputers became available and not only were they smaller but they were also less expensive. However, transformation did not come…
Costs and Benefits of Health Information Technology (nd) Evidence Report/Technology Assessment Number 132. Southern California Evidence-based Practice Center, Santa Monica, CA. Retrieved from: http://www.ahrq.gov/ research/findings/evidence-based-reports/hitsys-evidence-report.pdf
Friedman, S. (nd) Facts About Health Care Information Systems. eHow Retrieved from: http://www.ehow.com/about_6117257_health-care-information-systems.html
History and Evolution of Health Care Information Systems (nd) Chapter 4. Retrieved from: http://www.slideserve.com/paul/history-and-evolution-of-health-care-information-systems
Workarounds in Healthcare Facilities
Workarounds refer to the alternative methods "of accomplishing an activity when the usual system / process is not working well" (Pennsylvania Patient Safety Advisory, 2013). In as much as workarounds may temporarily solve existing problems, they also indicate inefficiencies and deficiencies in the current system. Workarounds may at times be effective and more convenient, compared to the system in existence, but a regular use of the same could endanger both the safety of patients and the facility's reputation. A workaround can, therefore, be termed as an at-risk behavior that does not yield concrete long-term solutions to existing problems. Therefore, "workarounds perceived as necessary by the user for patient care, efficiency or safety, may be beneficial, neutral, or dangerous for patients' safety" (Koppel, Wetterneck, Telles & Karsh, 2008, p. 1).
A description of Workarounds in a Selected Facility
Workarounds can take a variety of forms. For instance,…
Flanagan, M.E., Saleem, J. J., Millitello, L.G., Russ, A.L. & Doebbeling, B.N. (2013). Paper- and Computer-Based Workarounds to Electronic Health Record Use at Three Benchmark Institutions. Journal of the American Medical Informatics Association, 20(e1): e59-66.
Intel (2013). Workarounds in Healthcare, a Risky Trend. Retrieved from http://www.intel.com/content/www/us/en/healthcare-it/workarounds-in-healthcare-risky-trend.html
Koppel, R., Wetterneck, T., Telles, J.L. & Karsh, B. (2008). Workarounds to Barcode Medication Administration Systems: Their Occurrences, Causes, and Threats to Patient Safety. Journal of the American Medical Informatics Association, 15(4), 408-423.
Merrill, M. (2009). Using Pen and Paper Workarounds Could Boost EMR Efficiency. Retrieved from http://www.healthcareitnews.com/news/using-pen-and-paper-workarounds-could-boost-emr-efficiency
Management Project in the Health Care Organization Setting
This study describes the implementation of a syndromic surveillance system. The syndromic surveillance system collects and analyzes prediagnostic and nonclinical disease indicators, drawing on preexisting electronic data that can be found in systems such as electronic health records, school absenteeism records and pharmacy systems. The systems are utilized to identify specific symptoms within a population that may indicate a public health event or emergency such as signaling an outbreak of an infectious disease. school absenteeism records and pharmacy systems. The systems are utilized to identify specific symptoms within a population that may indicate a public health event or emergency such as signaling an outbreak of an infectious disease.
Informatics Management Project In The Health Care Organization Setting
Part One - Introduction
The objective of this study is to describe the implementation of a syndromic surveillance system. Syndromic surveillance systems collect and analyze…
Buckeridge, DL, et al. (2005) An Evaluation Model for Syndromic Surveillance: Assessing the Performance of Temporal Algorithm. Vol. 54 MMWR Supplement.
Chen, H, Zeng, D, Ping, Y and Ping Y (2010) Infectious Disease Informatics; Syndromic Surveillance for Public Health and Biodefense. Springer Medical 2010. Retrieved from: http://books.google.com/books?id=5BdCfSxtNJMC&dq=syndromic+surveillance+system:+state+of+the+art&source=gbs_navlinks_s
Hurt-Mullen, K and Coberly, J. (2005) Syndromic Surveillance on the Epidemiologist's Desktop: Making Sense of Much Data. MMWR Supplement 26 Aug 2005. Retrieved from: http://www.cdc.gov/MMWR/preview/mmwrhtml/su5401a22.htm
Public Meaningful Use (2013) Arkansas Department of Public Health. Retrieved from: http://www.healthy.arkansas.gov/programsServices/MeaningfulUse/Pages/default.aspx
Technology and Healthcare
Please see the attached case and answer 1a with it. also answer questions 2 and 3
Implementing a syndromic surveillance system & Case Study 3: Selection of a patient safety strategy
How the projects address current problems in health informatics
One of the most common problems with implementing a new informatics system is creating a cohesive network. In "Case Study 13: Implementing a syndromic surveillance system," all of the hospitals involved in the IT overhaul had different systems, with different vendors and data sets. There were also radically different levels of knowledge and willingness amongst staff members to devote time, money, and manpower to support the new interface. Federal grants would support the initial implementation, but it still needed to be financially sustainable and the staff needed to know how to analyze the data correctly at all of the member hospitals. Each hospital had widely different patient…
Anshari, Muhammad & Mohammad Nabil Almunawar. (2011). Evaluating CRM implementation in healthcare organization. International Conference on Economics and Business
Information. IPEDR, 9: 30-34. Retrieved:
Electronic medical records (EMR). (2005). Open Clinical. Retrieved:
Discuss relationship systems theory healthcare deliver U.S. - What current concepts healthcare explained helped a system theory approach? - What system theory? - How researchers (Ludwig von Bertalanffy Everett M.
Systems theory and diffusion of innovation theory
Systems theory was not specifically designed to cope with the challenges of the U.S. healthcare system, although it has been frequently applied to some of its issues. Systems theory was originally coined by the scientist Ludwig von Bertalanffy to sum up his idea that the 'whole' of systems -- both biological and otherwise -- were larger than the sum of their parts. According to von Bertalanffy, "in the past, science tried to explain observable phenomena by reducing them to an interplay of elementary units investigable independently of each other, conceptions appear in contemporary science that are concerned with what is somewhat vaguely termed 'wholeness', i.e. problems of organization, phenomena…
Diffusion of innovation theory. (2013). University of Twente. Retrieved:
This website contains excerpts from E.M. Rogers' work on diffusion of innovation theory, along with a helpful graphical representation of how the information is disseminated.
Kaminski, J. (Spring 2011).Diffusion of innovation theory. Canadian Journal of Nursing.
Personal Professional Healthcare Communication Paper
What is Healthcare Communication?
Communication can be generally defined and the method of imparting information from a source to targets. The process of sharing thus has its own set of rules and for human communication the written and spoken words are used. There is also a series of communication called non-verbal which is also significant. There are behaviors that show what a person thinks or feels is also communication. (Berry, 2007)
These types of communication applies in the health care settings too. Health communication may be defined as the study of the means of communication and its strategies not only to communicate to individuals but to the community thus creating decisions on health questions. Thus for the health service the communication within itself and the society concerned with individual and public health, is a very important field that requires specialization and research in medical information…
Berry, Dianne. (2007) "Health Communication: Theory and Practice." Open University Press:
Diebold Institute for Public Policy Studies. (1995) "Healthcare Info structures: The
Development of Information-Based Infrastructures for the Healthcare Industry." Praeger: Westport, CT.
Nursing: Management and Leaderships
Every good healthcare institution has a strategic plan of goals and methods for reaching those goals. Because it is a business, a healthcare institution has some goals and methods that can be found in other kinds of businesses. Because it is a provider of special services, a healthcare institution has special goals and methods that are unique to healthcare. At a minimum, a healthcare institution's strategic plan has goals and methods regarding patient safety, data management and informatics, internal and external marketing, and hazard preparedness. Goals and methods in these categories can help a healthcare institution start with and constantly improve its strategy for business and healthcare success.
Body: Strategic Plan of an Institution
An institution's strategic plan is a carefully developed description of its long-term goals and its plan of action for reaching those goals. Major institutions in all walks of life develop strategic plans…
Boden, T.W. (2012). Marketing as a worldview. Journal of Medical Practice Management, 28(3), 192-4.
Gordon, L. (2014). Seeing informatics in action. Journal of AHIMA, 85(2), 23.
Harrison, J.P. (2010). Essentials of strategic planning in healthcare. Chicago, IL: Health Administration Press.
Levi, J., Lieberman, D., & Lang, A. (2013). Preparedness must permiate health care: Yet still has a long way to go. Health Progress, 94(6), 52-6.
Quality & Safety
The quality and safety of health care services has been a major issue in the recent past because of the significance of these factors in the improvement of patient outcomes and enhancing the effectiveness of the health care system. Health care professionals and practitioners have increasingly focused on the need to improve the quality and safety of their services given the constant increase in patient population. As a result, various measures have been developed and implemented in attempts to enhance the quality and safety of care services and improvement of practices. These measures include delivery of patient-centered care, safety initiatives, teamwork and collaboration, informatics, quality improvement, and evidence-based practice. There are several ways with which incidents or interactions in each of these components are handled and can be improved based on leadership/management theory content.
Patient Centered Care -- Interaction
A bedside report was not done at bedside…
Evanoff, Bradley, Patricia Potter, Laurie Wolf, Deborah Grayson, Clay Dunagan, and Stuart Boxerman. "Can We Talk? Priorities for Patient Care Differed Among Health Care Providers." Advances in Patient Safety 1 (n.d.): 5-14. AHRQ -- Agency for Healthcare Research and Quality: Advancing Excellence in Health Care. Hhs-logoU.S. Department of Health & Human Services. Web. 20 Apr. 2015. .
"How Fast Is Too Fast For IV Push Medications." ISMP Medication Safety Alert. Institute for Safe Medication Practices, 15 May 2003. Web. 20 Apr. 2015. .
Laws, Dawn, and Shelly Amato. "Incorporating Bedside Reporting into Change-of-Shift Report." Rehabilitation Nursing 35.2 (2010): 70-74. Rehabilitation NURSING. Rehabilitation NURSING, Mar.-Apr. 2010. Web. 20 Apr. 2015. .
environmental analysis helps any organization to recognize factors that impact its performance. The factors impacting an organization's performance may be internal to the organization and they can also be external. Environmental analysis is therefore critical to an overall strategic plan. Several methods of performing environmental analysis can help organizations like the Carolina Health Care System, including the PESTLE and SWOT analyses ("What is Environmental Analysis?" n.d.). These types of analyses help to identify strengths, weaknesses, opportunities and threats (SWOT), as well as political, economic, social, technological, legal, and environmental (PESTLE) factors impacting the organization. Without performing systematic environmental analyses, business and public sector administrators would be working blindly and likely lead their organizations to fail in key preventable ways. On the other hand, a skillful and deft environmental analysis helps managers to develop strategic plans for the future, buffer against possible challenges, mitigate crises, and ensure long-term success.
Arthur, L. (n.d.). The implications of environmental analysis on strategic plan. Houston Chronicle. Retrieved online: http://smallbusiness.chron.com/implications-environmental-analysis-strategic-plan-35303.html
Carolinas Health Care System (2016). About Carolinas Healthcare System. Retrieved online: http://www.carolinashealthcare.org/about-us
Henry Schein Medical Systems (2016). Advantages of electronic medical records. Retrieved online: https://www.micromd.com/emr/advantages.html
"What is Environmental Analysis?" (n.d.). Pestle. Retrieved online: http://pestleanalysis.com/what-is-environmental-analysis/
Healthcare has gained exceeded attention in the past few years since all over the world, diseases and their intensity have been witnessed with an increase in population. Hygiene and sanitation have been associated with an increase in illness, thus contributing to the amplified need for better healthcare quality services worldwide. This paper aims to analyze changes in healthcare with the passage of time and its future.
Healthcare has become one of the most necessities of life. It would not be wrong to say that the meaning of 'necessities' has changed over time since several factors shape life and have become an essential part; healthcare is one of them. Healthcare is the identification and evaluation of safe and effective care for individuals in the presence of a culture that strives for excellence that must give an outcome of desired health fulfillment (Allen-Duck, Robinson & Stewart, 2017).
Future of Healthcare Industry…
Allen-Duck, A., Robinson, J.C. & Stewart, M.W. (2017). Healthcare quality: A concept analysis. Nursing Forum, 52(4), 377-386. DOI: 10.1111/nuf.12207
Garson, A. & Levin, S.A. (2001). Ten 10-year trends for the future of healthcare: Implications for academic health centers. The Ochsner Journal, 3(1), 10-15.
Khazan, O. (2018, June 22). The 3 reasons the U.S. healthcare system in the worst. The Atlantic. Retrieved from https://www.theatlantic.com/health/archive/2018/06/the-3-reasons-the-us-healthcare-system-is-the-worst/563519/
Pindus, N.M. & Greiner, A. (1997). The effects of healthcare industry changes on health care workers and quality of patient care: Summary of literature and research. Urban Institute for U.S. Department of Labor. Retrieved from https://www.urban.org/sites/default/files/publication/67096/407308-The-Effects-of-Health-Care-Industry-Changes-on-Health-Care-Workers-and-Quality-of-Patient-Care.pdf
Strang, K.D. & Sun, Z. (2019). Hidden big data analytics issues in the healthcare industry. Health Informatics Journal, 26(2), 981-998. https://doi.org/10.1177/1460458219854603
Vogenberg, F.R. & Santilli, J. (2018). Healthcare Trends for 2018. American Health and Drug Benefits, 11(1), 48-54.
White House. (2020. September 24). Executive order on an America-first healthcare plan. Retrieved from https://www.whitehouse.gov/presidential-actions/executive-order-america-first-healthcare-plan/
Evidence and Expert Interview
SMAT Goals - Evidence and Expert Interview
I chose goals in the areas of leadership development and organizational planning because I believe these are pivotal skills for a nurse to have in order to be an effective member of a healthcare team. My SMAT goals are as follows:
SMAT Goal 1: Leadership Development
To implement a process of increasing communication between field staff and case managers to increase patient meeting nursing goals to 80% by July 2014.
SMAT Goal 2: Organizational Planning
As a nurse administrator of a home health agency, it is my goal to incorporate a time management-mentoring project for all nurses to balance a healthy work-life balance by March 1, 2015.
SMAT Goal 1: Leadership Development
Staggers, N., Gassert, C.A., and Curran, C. (2002). esults of a Delphi study to determine informatics competencies for nurses at four levels of practice. Nursing…
Staggers, N., Gassert, C.A., and Curran, C. (2002). Results of a Delphi study to determine informatics competencies for nurses at four levels of practice. Nursing Research, Nov/Dec. Retrieved http://nursing-informatics.com/niassess/NIcompetencies_Staggers.pdf
Spear, S.J. (2005). Fixing Health Care from the Inside, Harvard Business Review. Retrieved http://hbr.org/2005/09/fixing-health-care-from-the-inside-today/ar/1
The Lean Healthcare Exchange. Retrieved http://www.leanhealthcareexchange.com/
ABC/123 Version X
Definition and Purpose Explain each term in your own words using complete sentences.
Health Care Example Identify an example of each term and discuss how it is used in a health care setting.
References Provide two APA formatted references to support your claims for each term.
Clinical decision support ?
Clinical decision support or CDS is a way of organizing and utilizing information and patient-specific knowledge, streamlined for utility and employed under the right circumstances, to improve the health care that is provided and to improve the health of the patient.
CDS in a health care setting can include a variety of things, such as technology to provide reminders or alerts for patients or providers, or also data reports, and relevant information
Garg, AX, Adhikhari, NKJ, et al. (2005) Effects of computerized clinical decision support systems on practitioner performance and patient outcomes: A systematic review. Journal of…
Maheu, Marlene M.; Whitten, Pamela; & Allen, Ace (2001). E-Health, Telehealth, and Telemedicine: A Guide to Start-up and Success. San Francisco: Jossey Bass.
Norris, A. C. (2002). Essentials of Telemedicine and Telecare. West Sussex, England; New York: John Wiley & Sons, Ltd.
Copyright © XXXX by University of Phoenix. All rights reserved.
Workflow is a term that is utilized to refer to processes or steps undertaken to complete a specific task (Mastrian & McGonigle, 2015). In a healthcare organization, this concept refers to initiatives undertaken to provide patient care services. This essentially means that workflow is crucial towards the achievement of organizational goals since it plays a critical role in the accomplishment of desired tasks/activities. Given its significance to realization of organizational objectives, organizations conduct workflow analysis to help identify workflow patterns that maximize effective resource utilization and reduce those that do not add value. Workflow analysis process is carried out using several tools to examine workflow processes and shed light on potential areas for removing waste. This paper provides a workflow analysis through flowcharts of medication administration in a community health center.
Common Event in My Organization
The organization I work for is a community health center that provides…
HMS (healthcare management systems) and EMRs (electronic medical records) have been widely praised as significantly adding to patient safety and quality of care. They can permit healthcare institutions to keep more accurate databases on patients, all in one location, and can ensure that a patient’s full medical records are available, even if the patient is not responsive and the patient’s family is not available. Prior treatments, current and past medications, and patient allergies can all be easily accessed with a point and a click. But transitioning to such healthcare systems is not always without issues and often involves a significant investment of time and money.
First of all, from a staffing point of view, change management is needed to ensure that the transition is effective. One helpful way to view change of any kind within an organization is that of Lewin’s Change Management Model, which suggests that organizations must first…
Coding: Comparing Different Systems
Standardized comparisons are essential when evaluating a new drug. To understand the drug's efficacy relative to other drugs on the market and to place any adverse events in perspective requires an effective and uniform system of comparative analysis. "Coding of patient data is critical in the grouping, analysis, and reporting of data. Coding decisions directly impact submissions for New Drug Applications (NDAs), safety surveillance, and product labeling" (Troung & Li, 2007, p.1). This paper will review a number of the most popular methods of coding data, specifically MedDA and WHO Drug, and will examine their unique and specific uses. It will also assess attempts to provide greater standardization to the system of conducting research trials.
MedDA (Medical Dictionary for egulatory Activities) is the "globally accepted, clinically validated medical terminology used within all phases of the drug development process, including classification of medical events for clinical trials…
Frequently Asked Questions -- MedDRA. (2016). Retrieved from:
Frequently Asked Questions -- WHO Drug. (2016). Retrieved from:
speak French (this fulfill the requirement of a foreign language) and find that it matches all my interests perfectly in that I have an interest in Practice Management; an Interest in an Administrative Fellowship; and an Interest in academic medicine. I am a pmp candidate. I also have seven years of IT experience with an emphasis on Business Analysis and will shortly be graduating with a Masters in Health Care Administration informatics.
I am attracted to the offer of the Fellowship in that it promises to provide me with the education and practical experience necessary to successfully establish a career in international healthcare management and administration. I have the technical know-how and extensive informatics experience; now I need the practical general experience. The Fellowship offers to give me this through real-time, hands-on operational experiences in top international healthcare institutions -- and this is fantastic since it will bring me into…
Benefits of esearch-based EM Systems
esearch is an investigation conducted on the sources and study materials for the researcher to establish facts and offer new conclusions on a given subject matter. Currently, research is the main factor considered before an organization implements an idea on the product service to be offered to the customers. In this case, it is important for the health care institutions to utilize research concerning the benefits of Electronic Medical ecords (EM) (Greenberg et al., 2016). EM is an electronic record of any information related to health care of individuals, which can be gathered, created, consulted, and managed by nurses, clinicians, and other authorized staff within healthcare organizations.
With the help of research conducted, health care institution can understand the benefits of EM systems before implementing the systems. The research will enable the healthcare managers, stakeholders, and other authorities to compare the benefits of…
Greenberg, A. E., et al., (2016). Development of a Large Urban Longitudinal HIV Clinical Cohort Using a Web-Based Platform to Merge Electronically and Manually Abstracted Data from Disparate Medical Record Systems: Technical Challenges And Innovative Solutions. Journal of the American Medical Informatics Association, 23(3), 635-643.
Hazlehurst, B. L., et al., (2015). CER Hub: An Informatics Platform for Conducting Comparative Effectiveness Research Using Multi-Institutional, Heterogeneous, Electronic Clinical Data. International Journal of Medical Informatics, 84(10), 763-773
Management in Practice in Health Care Settings
The Benefits of IT-based Knowledge Management Systems
The delivery of quality health care and the process quality can be significantly impacted by the adoption of information technology in healthcare for the recording, management and use of knowledge developed on an everyday basis.
In recent times, the management of knowledge through the information and technology has been introduced in many health care settings. There have been many research and studies in ascertaining the measureable effect of the use of information technology for management of knowledge. Such studies have specifically stressed on the qualitative changes in health care and treatment delivery after adoption of the knowledge management process. The studies also stress on the importance of the use of information and technology for recording and documentation of information that can serve as knowledge in health care settings (Goossen, 1996).
Such documentation includes information related to…
Ammenwerth, E., Rauchegger, F., Ehlers, F., Hirsch, B., & Schaubmayr, C. (2011). Effect of a nursing information system on the quality of information processing in nursing: An evaluation study using the HIS-monitor instrument. International Journal Of Medical Informatics, 80(1), 25-38. doi:10.1016/j.ijmedinf.2010.10.010
Big data and the future of nursing knowledge. (2015). Nursing Management (Springhouse), 46(4), 27-28. doi:10.1097/01.numa.0000463797.35429.a2
Conrad, S., & Sherrod, D. (2011). Nurse managers as knowledge workers. Nursing Management (Springhouse), 42(2), 47-48. doi:10.1097/01.numa.0000393010.34127.44
Goossen, W. (1996). Nursing information management and processing: a framework and definition for systems analysis, design and evaluation. International Journal Of Bio-Medical Computing, 40(3), 187-195. doi:10.1016/0020-7101(95)01144-7
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.
Health care has always been concerned about information management, especially as health care interventions and management have become increasingly complex. In spite of this, health care has weakly welcomed information technology into its midst, shunning computerized data management systems in favor of anachronistic and antiquated ones. When health care started using information technology, the role informatics played was largely ancillary. There were few specialists, and informatics were considered novel and strange. Yet since Virginia Saba introduced technology specifically designed for healthcare, the informatics field has become one of the most relevant to the gamut of healthcare management and operations. Currently, healthcare informatics stands alone as a unique area of specialization that fuses passion for health care management, concern for patient care, and computer technology.
There are five major milestones in the creation and evolution of health informatics. The first was the initial first wave of computing and information technology that…
Prior to Launching Technology Initiatives
Over the past seven years, many healthcare organizations, like OUUCH, have begun to transition from the traditional paper-based systems to EH systems. esearch has shown that over a period of time. EH systems can improve quality of care for patients, provide more accurate information, and overall improve safety issues relating to reducing mistakes with patients. In the exploratory study, "Change factors affecting the transition to an… [EH] system in a private physicians' practice: An exploratory study," Aaron D. Spratt, Social Security Administration and Kevin E. Dickson (2008), Southeast Missouri State University, report that the U.S. health care industry reportedly ranks among the world's leading inefficient information enterprises. Although the system needs major changes, the transition process however, creates a high change in the business aspect of an organization. Spratt and Dickson (2008) explain that for an EH system to be successful, doctors must be involved…
Amatayakul, M. (2009). EHR vs. EMR: what's in a name? Healthcare Financial
Management. Healthcare Financial Management Association. Retrieved May 13, 2010
from HighBeam Research: http://www.highbeam.com/doc/1G1-202487730.html
Bennett, D. (2009). EMR market includes small and large system vendors. Managed Healthcare
Description of Selected Informatics Organizations
In this paper, we will describe a selected number of informatics organizations dealing with the field of healthcare and medicine. We would assess the main purpose of these organizations and what they stand for in brief detail, also the main aim here is to focus on the major points which define these organizations.
American Medical Informatics Association
American Health Information Management Association
American Society of Health Informatics Managers
Healthcare Information and Management Systems Society
International Medical Informatics Association
Introduction to informatics organizations
American Medical Informatics Association (AMIA)
AMIA is known to be a group of personals from many different disciplines whose purpose is to convey for the sole interest of bringing improvement in health informatics since it relates to different aspects of the main health care policy. This group has about four thousand members which include pharmacists, physicians, consultants, educators and government…
Harris, L. (1995). Health and the New Media. New Jersey: Lawrence Erlbaum Associates.
Kulge, E. (2001). The Ethics of Electronic Patient Records. New York: Peter Lang.
Rees, A. (2003). Consumer Health Information Source Book. Connecticut: Greenwood Press.
Slack, W. (2001). Cybermedicine. San Francisco: Jossey-Bass.
challenging environment that the world faces has placed much strain and stress on the health care industry and their many institutions. Despite the rapid advances in technology, nutrition and fitness, the world is in constant need of medical treatment and assistance. The role of the nurse and the professional duties that accompany this experience has also changed rapidly along with technology and medical advancement. It is important to investigate how nurses can take advantage of these newly developed systems to perform at a higher level and eventually ease the suffering and pain that accompanies medical procedures in today's day and age.
Informatics is a newly formed discipline that provides some of the solutions to the many problems that nurses are faced with. The purpose of this essay is to discuss and highlight the importance of informatics and its synthesis into the nursing profession. The essay will first give some background…
Healthcare Information and Management Systems Society (2008). Nursing Informatics: Scope and Standards of Practice, ANA 2008. Retrieved from http://www.himss.org/resourcelibrary/TopicList.aspx?MetaDataID=767
Oroviogoicoechea, Cristina, Barbara Elliott, and Roger Watson. "Review: evaluating information systems in nursing." Journal of clinical nursing 17.5 (2008): 567-575.
Thede, L., Schwiran, P., (February 25, 2011) "Informatics: The Standardized Nursing Terminologies: A National Survey of Nurses' Experiences and Attitudes - Survey I*" OJIN: The Online Journal of Issues in Nursing Vol. 16 No. 2.
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/
master's program with SON, I had worked as a nurse in a hospital setting for 16 years. As a manager, I did gain some experience with informatics through patient satisfaction scores. The corporation I work for, HCA, is big on numbers. I would share the patient satisfaction scores with staff because it is a reflection on work performance. The patient satisfaction scores told employees where performance was good and what areas needed a higher focus for higher improvements in our work performance.
After entering the master's program, Healthcare Research and Statistical Analysis was a requirement. This class was very valuable in how the SON helped me to learn. Assignments included how to apply for an IRB application process, literature review, learning how to analyze data, learning how to interpret articles and publications, and completing a research paper that required reading multiple articles and data analysis. Additional learning experience came with…
Human esource Issues in Health Field
The field of health human resources in the health field deals with issues such as planning, performance, management, development, information, retention, and research on human resources in the health sector Successful realization the mission and goals in this field is determined by the dedication and skills that the specialists possess. This study identifies various issues that often arise and bedevils this field. Current trends relating to technological advancements affecting the success and performance of employees in this field are also identified (Fried, & Johnson, 2002). Therefore, in order to improve service delivery in the health sector and consequently promote a healthy society, it is critical to identify and analyze the various challenges facing human resources in the health sector. This will provide a basis for developing various interventions aimed at dealing with the identified challenges and consequently improving the quality of service delivery in…
American Society for Healthcare Human Resources Administration. (2012). American Society for Healthcare Human Resources Administration ... membership directory. Gainesville FL: Naylor.
Fried, B., & Fottler, M.D. (2011). Fundamentals of human resources in healthcare. Chicago: Health Administration Press.
Fried, B., & Johnson, J.A. (2002). Human resources in healthcare: Managing for success. Washington, DC: AUPHA Press.
Kabene, S.M. (2011). Human resources in healthcare, health informatics and healthcare systems. Hershey, PA: Medical Information Science Reference.
" (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
From personal experience it is clear that including the healthcare professionals' feedback in each of the five phases of the SDLC model leads to systems that better align to patient's needs and streamline information delivery and knowledge management. Personal experiences have provided a unique glimpse of how powerful this dynamics is when done well with full inclusion of stakeholders. In the majority of instances however stakeholders are often ignored or only provided what the healthcare systems can deliver with little if any customization or configuration (Buntin, Burke, oaglin, Blumenthal, 2011). This is because customization and configuration is expensive and time-consulting to complete and is one of the leading causes of nurses being ignored during each phase of the SDLC model (Buntin, Burke, oaglin, Blumenthal, 2011). When this occurs a system fails to align to an organization and a significant amount of time and money are wasted.
In the first phase…
Healthcare organizations that define their Health Information Technology (HIT) initiatives and plans from the perspective of the internal customer or user of the system first have significantly greater levels of system adoption, process improvements, greater impact on positive patient outcomes as well (Buntin, Burke, Hoaglin, Blumenthal, 2011). From personal experience it is clear that including the healthcare professionals' feedback in each of the five phases of the SDLC model leads to systems that better align to patient's needs and streamline information delivery and knowledge management. Personal experiences have provided a unique glimpse of how powerful this dynamics is when done well with full inclusion of stakeholders. In the majority of instances however stakeholders are often ignored or only provided what the healthcare systems can deliver with little if any customization or configuration (Buntin, Burke, Hoaglin, Blumenthal, 2011). This is because customization and configuration is expensive and time-consulting to complete and is one of the leading causes of nurses being ignored during each phase of the SDLC model (Buntin, Burke, Hoaglin, Blumenthal, 2011). When this occurs a system fails to align to an organization and a significant amount of time and money are wasted.
In the first phase of the SDLC Model, which is Requirements Analysis, is when a systems' functional specifications are defined and the system development frameworks are designed (Moore, Nolan, Gillard, 2006). When nurses aren't involved in this process, the entire foundation of a system will be incomplete and often based only on assumptions about what is needed; the system designers won't actually know what the requirements are because they haven't involved healthcare professionals. The rationalization sit hat inviting too much feedback from nurses will drive up customization costs (Buntin, Burke, Hoaglin, Blumenthal, 2011). In fact the opposite is true. Building the functional requirements and specifications of nursing professionals into requirements ensures each succeeding stage of the SDLC-driven development stays consistent.
The second stage of the SDLC model, which is design, is critical for ensuring a high degree of system adoption in that
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.
Telemedicine: Possibilities and Issues
This is a paper regarding the use of communication technology in medicine and healthcare. The Issue is telemedicine, and the article related to is given in the reference.
The possibility, practicality and the desirability of the use of communication technologies are discussed and the issues in telemedicine identified. It is recommended that the issues be researched further and the implications, technical and medico legal sorted out side by side with the use of information and communication technologies in medicine.
The benefits of telemedicine can be enormous, and even save money in many cases, but there is also the potential for medico legal implications and the danger of excessive dependence on the machine rather than the man in the use of telemedicine. Overall, it is potentially a highly beneficial field provided it is driven by patient and healthcare needs rather than driven by the profit motive of…
Coiera, Enrico: "Recent Advances: Medical informatics" BMJ 1995;310:1381-1387 27 May, 1995. Enrico Coiera is project manager at Hewlett-Packard Research Laboratories, Stoke Gifford, Bristol BS12 6QZ ]
CPOE primary use to manage cost and quality in the physician and pharmacy interaction?
An electronic process that enables providers of health care to manage the results of orders entered in to a computer electronically is known as Computer Provider Order Enter or CPOE. In line with the reports of Institute of Medicine (IOM) titled, "To Err is Human: uilding a Safer Health System and Crossing the Quality Chasm: A New Health System for the 21st Century," CPOE has commanded increased attention. Hospitals should be rewarded for introducing prescription systems as recommended by Leapfrog Group, which is a coalition of private and public providers of health care benefits. In ever-rising numbers, Health care systems are implementing CPOE as a way of improving both the quality of patient safety and care. The implementation of CPOE is, however, not only an information technology innovation, but it also encompasses delivery of health care…
Agency for Healthcare Research and Quality. (2015, Febuary). Computerized Provider Order Entry. Retrieved from Agency for Healthcare Research and Quality: http://healthit.ahrq.gov/key-topics/computerized-provider-order-entry
Centre for medicare and medicaid services. (2012). Stage 2 Eligible Professional Meaningful Use Core Measures Measure 1 of 17. Centre for medicare and medicaid services.
Classen, D., Avery, A., & Bates, D. (2007). Evaluation and Certification of Computerized Provider Order Entry Systems. Journal of American Medical informatics Association, 48-55.
Eslami, S., Abu-Hanna, A., & De. Keizer, N. (2007). Evaluation of Outpatient computerised physician medication order entry systems: A systematic review. Journal of American Informatics Association, 400-406.
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.