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The Keystone Effect of Data Integration in Healthcare Coordination
Implementation and evaluation of digital projects requires that both system factors and non-system factors be taken into consideration. Invariably, it is the non-system, human variables that present the most substantive challenges to communications and information management staff. The staff responsible for the information management technology supporting the Affordable Care Act foresaw and prepared for a variety of issues that could arise during system upgrades. As a result, most of the issues that could limit the capacity to fully report on the project were headed off. Yet, measurement depends on the availability of accurate, comprehensive, and timely data -- all factors vulnerable to the remaining issues.
The non-system human aspects of the healthcare program implementation and evaluation posed several challenges to the program designers and evaluators. Case management is optional for healthcare plan members, but participation is strongly encouraged as…
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.
How can eliminating abbreviations reduce errors?
In the medical profession, time is everything. To make documentation as expeditious as possible, a series of abbreviations have been accepted in records. This has been considered an acceptable practice as much as calling a registered nurse an "RN." The problems occur when people are unclear about the abbreviations mean or if a set of letters can have more than one meaning. For example, there is the abbreviation "CA" which means cancer and then "Ca" which is calcium. Another example is "a" which can mean both "artery" and "before" (Medical 2011-page 1). It is very easy to misread abbreviations when medical staff is in a hurry. Imagine the problem if a "q.w." which is take weekly was confused for a "q.v." which is take as one wishes. If the terms were written out rather than abbreviated, these potentially dangerous situations could be…
Berman, Jules. (2008). "Specified Life." Biomedical Informatics.
Greenall, Julie (2006). "Safe Medication Practices." Hospital News.
"Medical Abbreviations Glossary." (2011). JD-MD.
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…
AMIA (2012). Mission and history. Retrieved online: http://www.amia.org/about-amia/mission-and-history
Burke, L., & Weill, B. (2009), Information technology for the health professions (3rd ed.). Upper Saddle River, NJ: Prentice-Hall.
Detmer, D.E., Munger, B.S. & Lehman, C.U. (2009). Medical informatics board certification: History current status, and predicted impact on the medical informatics workforce. Applied Clinical Informatics 1(1): 11-18.
Hebda, T., Czar, P., Mascara, C. (2009). Handbook of informatics for nurses and healthcare professionals (4th ed). Upper Saddle River, NJ: Prentice-Hall.
Advances in Digital Medical Imaging
In the past few decades advances in healthcare have emerged, as new forms of technological integration are implemented as part of the overall healthcare management system. Healthcare providers, doctors and patients require more technological integration into the system providing real time data analysis and the possibility of enhancing medical knowledge. Sharing that knowledge can lead to what many describe as "digital medicine" where stored clinical data can generate medical knowledge which can be widely distributed, incorporated into decision support systems, and lead to more effective medical practices (ouler & Morgenstern, 2005). Digital medical image processing within the healthcare area has its origins in the 1970's when computed tomography was introduced as the first digital modality. In the decades that followed, advances in digital medical imaging technology have dramatically affected the planning and design of diagnostic interventional radiology facilities. Soon after the advent of computerized…
Bang, C. (2005). Digital Imaging Drives Health Care Design. Building Operation
Becker, S. (1994). Costs and Benefits of Picture Archiving and Communication Systems.
Journal of the American Medical Informatics Association, vol. 1, no. 5: 361-371.
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…
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…
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.
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.
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.
The American Nurses Association (2008) define nursing informatics as the mixture of computer and information science and nursing towards improving healthcare delivery and patient outcomes. Nursing informatics is a career that has developed from the evolution of health informatics, which involves the use of knowledge to examine and translate health data into useful information that can be utilized in enhancing patient outcomes through improved processes. As the healthcare field continues to adopt technology rapidly, nursing informatics is one of the educational programs that has emerged to prepare the workforce towards effective use of health information technology to enhance patient care delivery (Dalrymple, 2011). Nursing informatics education include formal graduate programs that provide both theoretical and practical training (which includes working with an already practicing preceptor). The ANA Scope and Standards of Nursing Informatics Practice requires students in this profession to complete a formal practicum as part of practical…
American Nurses Association (ANA). (2008). Nursing informatics: Scope & standards of practice. Washington, D.C.: Nursesbooks.org.
Dalrymple, P. W. (2011). Data, information, knowledge: The Emerging Field of Health Informatics. Bulletin of the American Society for Information Science and Technology, 37(5), 41-44. doi:10.1002/bult.2011.1720370512
Gugerty et al. (2007). Challenges and Opportunities in Documentation of the Nursing Care of Patients. Retrieved from Nursing Workforce Commission of Maryland website: http://mbon.maryland.gov/Documents/documentation_challenges.pdf
McLane, S. and Turley, J. P. (2011). Informaticians: How They May Benefit your Healthcare Organization. The Journal of Nursing Administration, 41 (1), 29-35. doi: 10.1097/NNA.0b013e3181fc19d6
The author of this report is asked to compare and core competencies of a number of direct and indirect nursing roles. Titles involved include nurse administrator and nurse informatics when speaking of non-direct roles. Direct care provider roles include nurse educator, nurse practitioner (in a general practice, gerontology or family health situation) and so forth. There is also the list of AACN for Nurse Informatics, Adult-Gerontology Nurse Practitioner competencies, AONE for Nurse Administrators and executives, family nurse practitioner competencies, NLN for nurse educators, and NONFP-NP Core Competencies and Content. Finally, there is the AANP Association for Nurse Practitioners.
When it comes to core competencies for a nurse practitioner, which is a direct role, they are as follow. Each one selected will be followed by a comment about the direct and indirect implications:
Critically analyze data and evidence for improving advanced nursing practice
This is something both a direct…
AONE,. (2015). AONE Nurse Executive Competencies. Aone.org. Retrieved 8 May 2015, from http://www.aone.org/resources/leadership%20tools/nursecomp.shtml
NonPF,. (2015). Nurse Practitioner Core Competencies. NonPF. Retrieved 8 May 2015, from http://c.ymcdn.com/sites/www.nonpf.org/resource/resmgr/imported/IntegratedNPCoreCompsFINALApril2011.pdf
This bill was sent to the U.S. Senate and set for vote mirroring a bill previously passed by the House during the Summer of 2003 which failed to pass the Senate because of vehement disagreement that was even "within the parties over the prohibition of therapeutic cloning.(National Legislation Concerning Human and Reproductive Cloning, 2004; paraphrased) As of the date of the report on legislation eight U.S. states had passed laws that explicitly prohibited reproductive cloning using human embryos and another five U.S. states have placed a prohibition on cloning for any purpose whatsoever with 22 other U.S. states introducing bills outlawing the reproductive cloning of humans. (Ibid; paraphrased) Patenting laws for genetics allow inventors to patent genetics but only specific genetic factors may be patented and inventors are required to:
1) Identify novel genetic sequences;
2) Specify the sequence's product, 3) Specify how the product functions in nature --i.e. its…
O'Connor, Sean M. (nd) Intellectual Property Rights and Stem Cell Research: Who Owns the Medical Breakthroughs?
Kadereit, Suzanne & Hines, Pamela J. (nd) Overview of Stem Cell Research New England Law Journal 2005 Mar 28. Online available at http://www.nesl.edu/lawrev/vol39/3/13%20Kadereit%20Final.pdf .
Chadwick, Ruth et al. (2004)HUGO Ethics Committee Statement of Stem Cells (2004) November
Legal Protection of Digital Information (2006) Chapter 5: Software-Based Inventions Online available at:. http://digital-law-online.info/lpdi1.0/treatise63.html
The era of Information technology and knowledge explosion that introduced the comprehensive and complicated information systems has brought drastic changes in the health care sector like all other industries. The attention towards patient's safety has been increased and health care centers are pressurized to improve the efficiency and performance by standardizing the process and maintaining the quality of health care. One of these important changes and a new concept that emerged in the last decade in "Nursing Informatics."
The purpose of writing this paper is to explore the importance of nursing informatics by studying the current and emerging meta-structures, concepts and tools of nursing informatics. In addition, this paper will also explain the importance of nursing informatics in areas like EH, its meaningful use and standardized terminology that helps in improving the delivery of quality patient care.
The information technology also affected the field of health…
McGonigle, D., and Mastrian, K. (2011). Nursing Informatics and the Foundation of Knowledge
Jones & Bartlett Learning, LLC.
Rutherford, M.A. (2008). "Standardized nursing language: What does it mean for nursing practice?" OJIN: Online Journal of Issues in Nursing, 13(1). Retrieved from www.nursingworld.org/OJIN on 26th Oct 2013.
Schwirian, P.M. & Thede, L.Q. (2011). "Informatics: The standardized nursing terminologies: A national survey of nurses' experience and attitudes." OJIN: Online Journal of Issues in Nursing, 16(2). Retrieved from www.nursingworld.org/OJIN
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
None of the findings are not surprising to a lot of experts. Apart from large systems that are integrated, like Kaiser Permanente in California and the Veteran's Administration, a lot of doctor practices are adopting different EMs. Also in so many different situations they do not talk to one another (Sittig & Singh 2012). So, a doctor's record is not necessarily able to get access notes from his regional hospital if different systems were utilized. A lot of doctors in that condition could just re-order a test, instead of going through all of the changes of finding the records from the hospital.
Actually many experts make the point that the true power of digital records come when using a sole, unified system that can be retrieved by altered health sites. With the exclusion of large combined health arrangements, there sometimes can be fragmented EMs. Experts mention that perhaps with the…
Cook, P.J., Lawrence, B.A., Ludwig, J., & Miller, T.R. (1999). The medical costs of gunshot injuries in the United States. JAMA, 282(5), 447-54.
Eckman, B.A., Bennett, C.A., Kaufman, J.H., & Tenner, J.W. (2007). Varieties of interoperability in the transformation of the health-care information infrastructure. IBM Systems Journal, 46(1), 19-41.
Heselmans, a., Aertgeerts, B., Donceel, P., Geens, S., Van, d. V., & Ramaekers, D. (2012). Family physicians' perceptions and use of electronic clinical decision support during the first year of implementation. Journal of Medical Systems, 36(6), 3677-3684.
Simons, W.V., Mandl, K.D., & Kohane, I.S. (2005). The PING personally controlled electronic medical record system: Technical architecture. Journal of the American Medical Informatics Association, 12(1), 47-54.
Design Considerations and Workarounds
Implementation of an informatics system in nursing
The nursing profession continues to evolve with the advancing technology, ensuring that it maintains standards of quality in service. In the endeavor to facilitate quality healthcare, the profession endorsed the use of medical informatics systems. The nursing informatics integrates the three subjects of nursing science, computer science and information science. The practice employs these facilities in managing and communicating data and information while in line of duty. The informatics in nursing facilitates integration of information and knowledge to support the patients, nurses and doctors in decision making roles and administering of care (McGonigle & Mastrian, 2012). Information technology is essentially the significant aspect of the informatics; thus, it is necessary for hospitals to consider the quality of the technology they employ.
Medical informatics systems
The medical informatics systems support a variety of activities in the hospital or clinic…
Australian National Health Informatics Conference, Maeder, A., & Martin-Sanchez, F.J.
(2012). Health Informatics: Building a healthcare future through trusted information;
selected papers from the 20th Australian National Health Informatics Conference (HIC
2012). Amsterdam: IOS Press Inc.
Technology Decision Making
Effect of technology decision making
Technology has been growing over a period of years due to globalization. All individuals, organizations, and even the society as a whole have been affected by the information and communication uprising. This has even changed their lifestyles. The Information is readily available in the computers mostly through internet technology and telecommunications. The Organizations are able to build their information systems in a variety of formats. A System may be defined as a sequence of functional components which are connected by communication links showing or demonstrating purpose and objective directed performance (Kampov 2010). However, it is important to analyze and discuss systems, informatics theories and DIK model. The paper will also discuss the role of expert system in nursing care, use of decision aids and also the decision support systems. There will be discussion on how the effect of technology on decision making…
Bahamonde L., DuMouchel W, Shea S . (2003). A meta-analysis in16 randomized controlled trials for evaluating computer-based clinical reminder systems in preventive care for ambulatory setting. J Am Med Inform Asso. c;3:399-409
Greenes R.A. (2009). Informatics and a health care strategy for the future -- general directions. Studies In Health Technology AndInformatics [Stud Health Technol Inform], Vol. 149, pp. 21-8; PMID: 19745469
Hart J. K, Newton B. W, Boone S.E. (2010).University of Arkansas for Medical Sciences electronic healthrecord and medical informatics training for undergraduatehealth professionals. Journal Of The Medical Library Association: JMLA [J Med Libr AssocVol. 98 (3), pp. 212-6.
Kampov J. (2010). Survey of biomedical and health care informatics programs in the United States. Journal of Medical Library Association.
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 ]
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.
Health Information Technology Systems Life Cycle or HIT systems life cycle has several broad categories. One such broad category is EH or electronic health records. EHs are patient-centered, real-time records. They allow users to get information instantly wherever and whenever it is needed. Simply put, EHs are computerized, digital versions of a patient's paper charts. EHs contain the medications, radiology images, test and lab results, immunization dates, medical history of a patient and offers access as well to evidence-based tools a provider may use to make decisions concerning a patient's care. Not only does it offer streamlining and automation of the providers' workflow, it also increases accuracy and organization of patient information.
Security and maintenance is the end phase of any basic system development life cycle. The entire process is used to recognize, examine, and design information systems (Vallette & Caldwell, 2013). In order to aid in accomplishing such an…
Ajami, S., Ketabi, S., Isfahani, S., & Heidari, A. (2011). Readiness Assessment of Electronic Health Records Implementation. Acta Informatica Medica, 19(4), 224. http://dx.doi.org/10.5455/aim.2011.19.224-227
Joukes, E., Cornet, R., de Bruijne, M., & de Keizer, N. (2016). Eliciting end-user expectations to guide the implementation process of a new electronic health record: A case study using concept mapping.International Journal Of Medical Informatics, 87, 111-117. http://dx.doi.org/10.1016/j.ijmedinf.2015.12.014
Vallette, M., & Caldwell, B. (2013). Patient and Provider Perspectives on Electronic Helath Record (EHR) Information Access and Rights. Proceedings Of The International Symposium Of Human Factors And Ergonomics In Healthcare, 2(1), 64-68. http://dx.doi.org/10.1177/2327857913021013
Wright, L. (2014). Thinking holistically about EHR selection and implementation. Behavioral Healthcare, 34(1), 18-21. Retrieved from http://go.galegroup.com/ps/anonymous?id=GALE%7CA364855467&sid=googleScholar&v=2.1&it=r&linkaccess=fulltext&issn=19317093&p=AONE&sw=w&authCount=1&isAnonymousEntry=true
OINC References (et me know if these are suitable and will cover the subjects you want to address
Deckard, Jamalynne, Clement McDonald, and Daniel Vreeman. 'Supporting Interoperability Of Genetic Data With OINC'. Journal of the American Medical Informatics Association (2015): ocu012. Web. 1 Aug. 2015.
J, Mok et al. 'Quality Assurance Of OINC Mapping For aboratory Tests - A ocal Experience With People, Process And Technology.'. Studies in health technology and informatics 192 (2012): 975-975. Web. 1 Aug. 2015.
ee, .-H. et al. 'A Multi-Part Matching Strategy For Mapping OINC With aboratory Terminologies'. Journal of the American Medical Informatics Association 21.5 (2014): 792-800. Web. 1…
Lee, D. et al. 'Literature Review Of SNOMED CT Use'. Journal of the American Medical Informatics Association 21.e1 (2014): e11-e19. Web. 1 Aug. 2015.
Mortensen, J.M. et al. 'Using The Wisdom Of The Crowds To Find Critical Errors In Biomedical Ontologies: A Study Of SNOMED CT'. Journal of the American Medical Informatics Association (2014): n. pag. Web. 1 Aug. 2015.
Rector, A.L., S. Brandt, and T. Schneider. 'Getting The Foot Out Of The Pelvis: Modeling Problems Affecting Use Of SNOMED CT Hierarchies In Practical Applications'. Journal of the American Medical Informatics Association 18.4 (2011): 432-440. Web. 1 Aug. 2015.
Each standardized nursing language is designed for use in a number of clinical settings, including home care, ambulatory care, and inpatient treatment, with certain languages providing decided advantages within particular circumstances. Although it is true that "improved communication with other nurses, health care professionals, and administrators of the institutions in which nurses work is a key benefit of using a standardized nursing language" (utherford, 2008), the proliferation of several nursing languages throughout the years has inevitably resulted in discrepancies, wherein the personal preferences of nurses, the policy of a hospital's corporate ownership, or other factors determine when, where, and why a specific language is used.
To address the growing concern over the inability of nurse's to communicate through a single standardized language system, the International Council of Nurses (ICN) commissioned a comprehensive study which resulted in the International Classification for Nursing Practice (ICNP) being selected as the most advantageous option.…
Cho, I., & Park, H. (2006). Evaluation of the expressiveness of an ICNP-based nursing data dictionary in a computerized nursing record system. Journal of the American Medical Informatics Association, 13(4), 456-464. Retrieved from http://188.8.131.52/content/13/4/456.full
Rutherford, M. (2008). Standardized nursing language: What does it mean for nursing practice?. OJIN: The Online Journal of Issues in Nursing, 13(1), 57-69. Retrieved from http://www.nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/H ealth-it/StandardizedNursingLanguage.html
This is exactly where the problem usually starts.
There are a number of reports published which revealed that even the physicians are not so keen into attending more seminars and trainings to learn the new systems (Ball, 1992). Physicians are expectedly always busy. They sometimes work from hospital to hospital. They are always on call hence they really find it hard to squeeze in their thigh schedule the time for further training and semi-are regarding the system. At some point in time, physicians will also worry about their income that will be affected if they will get a time off just to attend the training.
In the same manner, most of the administrators, who will manage the new systems for the hospitals, also show signs of hesitance regarding the training. It must be noted that the being considered as a 'wired hospital' the institution must have uniform data standards (Aspden…
Aspden, P., J.M. Corrigan, J. Wolcott, and S.M. Erickson. 2003. Patient Safety: Achieving a New Standard for Care. Washington, DC: National Academies Press.
Ball, M. 1992. "Computer-Based Patient Records: The Push Gains Momentum." Health Informatics 9 (1): 36-38.
Bates, D.W., J.M. Teich, J. Lee, D. Seger, G.J. Kuperman, N. Ma'Luf, D. Boyle, and L. Leape. 1999. "The Impact of Computerized Physician Order Entry on Medication Error Prevention." Journal of the American Medical Informatics Association 6 (4): 313-21.
Benefits of it to Medical Profession http://www.cica.org.uk/bre-cica_survey/ranking_of_it_benefits.htm . September 25, 2006
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.
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…
Next, the amount of legal and ethical hoops that electronic health records must jump through is substantial and no doubt overwhelming to someone who is new to it. With the advent of laws like HIPAA and even general ethical concerns that are not technically codified in law, that can be a tall order for anyone to adjust to. Lastly, the work that these electronic health records people do is indispensable and it truly is a job oriented to serving the sick and infirmed even if there is a significant career and financial incentive to doing the job well.
In a day where health care is always in the headlines and on people's minds, electronic health records continue to evolve and improve and this shall also be true of people's mindsets and adeptness with technology as the generations move on. Even so, we are not yet at a point where…
Middleton, Blackford & Bloomrosen, Meryl & Dente, Mark a & Hashmat, Bill & Koppel,
Ross & Overhage, J Marc & Payne, Thomas H & Rosenbloom, S Trent & Weaver, Charlotte & Zhang, Jiajie. (2013). Enhancing patient safety and quality of care by improving the usability of electronic health record systems:
recommendations from AMIA. Journal of the American Medical Informatics
Association: JAMIA, . Retreived from http://www.biomedsearch.com/nih/Enhancing-patient-safety-quality-care/23355463.html
CERNER software is built to allow for an enterprise-wide view of a patient\'s clinical information in order to coordinate patient care and document at which point care was delivered especially in acute patient settings. Using the software providers will have access to the right information and at the right time within the clinical workflows in order to make the best possible decision regarding patient care (Curry, 2010). In acute patient settings, it is vital that a nurse has the right information before they start attending to a patient. This is mainly beneficial to ensure that they understand the patient\'s condition or problem before they can begin to offer care. Using the CERNER software, it is easy for a nurse to access this information and make informed decisions based on the information that has been entered regarding the patient’s condition. In acute care, real-time information is vital to the provision of…
Electronic Medical ecords (E-SIHI) in King Khalid University Hospital on Patient Safety
The objective of this study is to demonstrate the impact of e-SIHI (Electronic Medical ecords) on patients with regards to their security and safety. The King Khalid University Hospital has implemented the e-SIHI since May 2015 for all departments. Two weeks after the implementation, QMD (Quality Management Department) conducted an audit to measure a compliance for the system and ascertain whether the e-SIHI can improve health and safety of patients. However, the QMD found that there are many areas requiring improvement in the system. The paper discusses the methodology used to evaluate the system to ascertain whether e-SIHI is beneficial to the patient.
The research methodology reveals research design discussing the method of data collection, sample population, sample size, and project tool.
Study Design: The team audits the e-SIHI using a checklist to verify whether the…
AlAswad, A.M. (2015). Issues Concerning the Adoption and Usage of Electronic Medical Records in Ministry of Health Hospitals in Saudi Arabia. School of Health and Related Research (ScHARR) the University of Sheffield.
Bowman, S. (2013). Impact of Electronic Health Record Systems on Information Integrity: Quality and Safety Implications. Perspectives in Health Information Management, 10.
Jang, J., Yu, S. H., Kim, C., Moon, Y. et al. (2013). "The effects of an electronic medical record on the completeness of documentation in the anesthesia record, International journal of medical informatics, 82(8):702-707.
Kazley, A. S. & Ozcan, Y. A. (2009). Electronic medical record use and efficiency: A DEA and windows analysis of hospitals, Socio-economic planning sciences, 43(3): 209-216.
Quality Improvement Plan: Implementing and evising
Authority, structure, and organization for the Mayo Clinic
Board of directors
The implementation of quality improvement initiatives require a detailed authority designation, structure, and organization of the compete project. Mayo clinic is known for its quality and technology initiatives. The programs are conceived and implemented using progressive technological approaches. The project management and organizational oversight structures are developed in accordance with the requirements. As a result the coordinated and coherent efforts of the clinic provide an overall governance model for successful project completion. The authority, structure, and organizational roles are discussed in the following sections.
Authority, structure, and organization for the Mayo Clinic:
Board of directors:
Board of directors is responsible for review and approval of the plan. The pros and cons of the plan are discussed in the broad meetings. The financial requirements and capital investment requirements are also elaborated and approved by…
Chute, C.G., Beck, S.A., Fisk, T.B., & Mohr, D.N. (2010). The Enterprise Data Trust at Mayo Clinic: a semantically integrated warehouse of biomedical data. Journal of the American Medical Informatics Association, 17(2), 131-135.
Kolker, A., & Story, P. (2011). Management Engineering for Effective Healthcare Delivery: Principles and Applications. USA: Medical Info Science Reference.
Mueller, P.S. (2009). Incorporating professionalism into medical education: the Mayo Clinic experience. The Keio journal of medicine, 58(3), 133-143.
Sawatsky, A.P., Rosenman, D.J., Merry, S.P., & McDonald, F.S. (2010, August). Eight years of the Mayo International Health Program: what an international elective adds to resident education. In Mayo Clinic Proceedings (Vol. 85, No. 8, pp. 734-741). Elsevier.
Green provides some clear guidelines to assist health education and promotion specialists in the identification and design of health promotion techniques for implementation in health promotion and disease prevention programs. Discuss how five of the guidelines presented by Dr. Green could assist you in the selection of an appropriate health promotion technique. Support your answer with appropriate examples.
The module gives really simple guidelines as to the how the process of health education promotion can work in today's world. Healthcare is a social industry and hence understanding the community structure and its needs is the primary concern. According to the directions given by Dr. Green, the following factors have to be considered before designing and implementing health promotion and disease prevention programs. Hence the process is structured by first identifying the needs of the community and then setting the goals (short-term and long-term) accordingly. Once this is done the following…
Adair, J.E. And Thomas, N. (2004). The Concise Adair on Teambuilding and Motivation. Thorogood. London.
Agron P, Berends V, Ellis K, Gonzalez M. (2010). School wellness policies: perceptions, barriers, and needs among school leaders and wellness advocates. J Sch Health. 2010; 80: 527-535.
Eddy, J. Module 5. Policy Development as a Health Promotion Technique- Dr. James Eddy (59:40). Accessed from: mms://mediasrv1.ccs.ua.edu/CCS-AO2/HHE530/HHE530_Module5_D_combined.wmv
Fitzhugh, E. Module 5a. The Focus Group- Dr. Eugene Fitzhugh (1:00:14). Accessed from: mms://mediasrv1.ccs.ua.edu/CCS-AO2/HHE530/HHE530_Module5_A_combined.wmv
Translational medicine is a new discipline, which covers studies on basic science, on human investigations, non-human investigations, and translational research (Mankoff et al. 2004). asic science studies address the biological effects of medicines on human beings. Studies on humans discover the biology of disease and serve as foundation for developing therapies. Non-human or non-clinical studies advance therapies for clinical use or use in human disease. And translational research refers to appropriate product development for clinical use. Translational research looks into the identity, purity and potency of a drug product during early clinical trial (Mankoff et al.). Translating the knowledge derived from basic sciences into clinical research and treatments is the task of translational medicine (Nagappa 2006). There is a groaning need for this type of research on account of voluminous information in the information age. Using this information is the challenge encountered by scientists and healthcare providers everywhere in the…
Hersh, William. A Stimulus to Define Informatics and Health Information Technology.
Vol 9 BMC Medical Informatics and Decision Making: BioMed Central Ltd., 2009.
Retrieved on November 24, 2010 from http://www.biomedcentral.com/1472-6947/24
Mankoff, Stacey P. et al. Lost in Translation: Obstacles to Translational Medicine Vol 2
Evolution of Nursing and Healthcare Informatics
Those working in the field of healthcare delivery have long recognized the importance of obtaining and recording accurate data during their course of their interaction with a patient, from the physical examination recorded by nursing staff to the administration of precise dosages by primary care physicians. For centuries, doctors the world over all shared a relatively reliable, yet admittedly simplistic method of storing and accessing this vital medical information: a paper chart, pencil, and clipboard. While scrawling a diagnostic conjecture or the result of blood test on a patient's "official" medical record sufficed until the dawn of the computing age, with the advent of mainframe databases in the early 1960s, digital data storage in the late 1990s, and cloud computing today, the concept of healthcare informatics has emerged to enable nurses, physicians, pharmacists, and other healthcare providers to efficiently gather crucial data and make…
Abdelhak, M., Grostick, S., & Hanken, M.A. (Eds.). (2012). Health information: Management of a strategic resource. (4th ed.). St. Louis, MO: Elsevier Saunders.
Cesnik, B. (1996). History of health informatics. Health Informatics: An Overview.
Hebda, T., & Czar, P. (2009). Handbook of informatics for nurses & health care professionals. (4th ed.). Upper Saddle River, NJ: Pearson Prentice Hall.
mHealthsummit.org. (2012) Reasons to Attend | 2012 mHealth Summit. [online] Available at: http://www.mhealthsummit.org/about-summit/reasons-attend [Accessed: 7 Feb 2013].
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.
He disapproved of it because it went against what he termed "conventional wisdom." He was reacting to the views expressed in an article published in Asia Times about the failed expectation of U.S. trade policy. The intended benefits on the U.S. side in trading with China were in two groups. These were the multinational companies, which were set up in China, and the financial institutions, which funded their investments, trade flows and deficits (McCormack).
When Cassidy was the lead negotiator for the U.S.-China 1999 Market Access Agreement and entry into the WTO, he assumed that China would be subjected to the governing laws of international trade (McCormack, 2008). There were encouraging predictions at that time that such entry would increase U.S. exports and American jobs. It would improve trade deficit with China and the "421" safeguard mechanism, focusing on industry, would be enforced by the succeeding president. The safeguards were…
Abbott, P. (2005). International informatics: the Chinese experience. CARING
Newsletter: Capital Area Roundtable on Informatics in Nursing. Retrieved on April 9, 2009 from http://findarticles/com/p/articles/mi_m5QFX/is_2_20/ai_n25121373/?tag=content;col1
Business Wire (2008). HST Global, Inc. announces negotiations with Chinese government. Vol. 15 #19. Business Wire: Gale, Cengage Learning. Retrieved on April 9, 2009 on http://findarticles.com/p/articles/mi_mOEIN/is_2008_August_27/ai_n28032470/?tag=content;col1
McCormack, R. (2008). China's entry into WTO is questioned by former chief trade negotiator. Manufacturing & Technology News: Publishers and Producers, Inc.
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.
The variability in problems faced by the King Edward Hospital NHS Trust during the period in question, instigated a multi-level response in knowledge sharing and inclusion on practice. Kotter's theory relies upon such a method, where strategies are an exercise multi-tiered obligation.
As Kotter points out, the transformation model may not be suitable for organizations that are in pursuit of prompt change, and the series of responsibilities which result from consortium relationships may apply to one or all organizations within the scope of his definition of institutional cultures: 1) Developing Social Construct; 2) Oriented Social Construct; 3) and Pluralistic Social Construct types. Evidence-based practice in healthcare is compatible with Kotter's proposition. Process methodology including the '8-Steps' process in three (3) phases -- 1) Creating Climate for Change, 2) Engaging and Enabling the Organisation, and 3) Implementing and Sustaining the Change -- is illustrated in Figure 1.
Abidi, S.S., 2001. Knowledge management in healthcare: towards 'knowledge-driven' decision-support services. International Journal of Medical Informatics, 63 (1-2), pp. 5-18.
Abidi, .S.S. et al., 2009. Knowledge sharing for pediatric pain management via a Web 2.0 framework. Studies in Health Technology and Informatics, 150, pp. 287-91.
Abidi, S.S. et al., 2004. Knowledge management in pediatric pain: mapping online expert discussions to medical literature. Studies in Health Technology and Informatics, 107 (Pt 1), pp. 3-7.
Austin, M.J., 2008. Knowledge management: implications for human service organizations. Journal of Evidence-Based Social Work, 5 (1-2), pp. 361-89.
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.,
Charles, K., Coustasse, A., & Willis, K. (2014). Does CPOE Increase Patient Safety by Reducing Medical Errors? Global Education Journal, 2014(1), 1-14.
The purpose of the research project was to determine if adoption of a CPOE system would be an effective elucidation to the problem of medical errors as well as determine what caused the medical errors.
The results pointed to reduction in adverse drug events and medical errors significantly using CPOE and demonstrate through review that CPOE provides a higher accuracy through ease of electronic use of data.
Evidence: By using information taken from previous research articles and studies, the authors determined CPOE can minimize medical errors and can be beneficial especially due to the financial incentives brought on by the HITECH Act of 2009.
Relation: This source supports other sources and evidence because it shows how beneficial CPOE is to patient care through reduction of medical errors.
Patient care improves when nurses are truly empowered to do their best work. Computerized systems can help nurses to do their jobs even better, cutting out tedious work, allowing them to access information more efficiently and giving them the ability to make strong decisions based on cutting-edge information. Improvements in the level of care, the level of safety, the facility's efficiency, the access to data and reduced cost all happen when clinicians can make "timely, accurate, evidence-based decisions at the point of care" (Elsevier). Computerized data systems create a sophisticated tool set to make sure that the most pertinent information is there when clinicians need it, making sure that clinicians engage in the necessary processes.
The system that the team should purchase is without question, the Epic system. This system was one of the pioneers of computerized health systems. It believed in digitizing all relevant information way before it…
AHRQ.com. (n.d.). Medical Informatics for Better and Safer Health Care. Retrieved from AHRQ.com: http://www.ahrq.gov/research/findings/factsheets/informatic/informatics/index.html#medicationmanagement
Birz, S. (2006). Nurses Benefit from Bedside PDAs. Retrieved from nursezone.com: http://www.nursezone.com/nursing-news-events/devices-and-technology/Nurses-Benefit-from-Bedside-PDAs_24006.aspx
Doolan, D., & Bates, D. (2002). Computerized Physician Order Entry Systems in Hospitals: Mandates and Incentives. Health Affairs, 180-188.
Elsevier. (n.d.). Elsevier Clinical Decision Support: Impacting the Cost and Quality . Retrieved from Elsevier.com: http://www.clinicaldecisionsupport.com/fullpanel/uploads/files/elsevier-clinical-decision-support-impacting-the-cost-and-quality-wp-4web-00001-00001.pdf
As technology becomes more sophisticated the effects of new technologies affect all aspects of our lives. Technological advances affect many different occupations as well, especially the field of health care. As a result the advancements in technology have impacted the field of nursing as well. For instance, advances in technology affecting the nursing affects almost every aspect of the field including daily routine tasks such as charting. The use of electronic charting has resulted in an increase in the safety of patients and a subsequent decrease in the time nurses utilize for documentation. For many nurses advances in technology have made their jobs easier, for the most part. However, as with any advancement there is a trade-off in efficiency with other areas. In is impossible to list all the effects of technology of nursing within the confines of this paper. Therefore the primary discussion for this paper will be…
Bradley, V.S., Steltenkamp, C.L., Hite, K.B. (2006). Evaluation of reported medication errors before and after implementation of computerized practitioner order entry. Journal of Healthcare Information Management, 20, 46-53.
Courtney, K.D., Demiris, G., & Alexandre, G.L. (2005). Information technology: Changing
nursing processes at the point-of-care. Nursing Administration Quarterly, 29 (4), 315-
Gearing, P., Olney, C., Davis, K., Lozano, D., Smith, L.B., & Friedman, B. (2006). Enhancing patient safety through electronic medical record documentation of vital signs. Journal of Healthcare Information Management, 20 (4), 40-45.
King Khalid University Hospital implemented a new system called The Electronic System for integrated Health Information or E-SIHI. The results from the data for clinical documentation before the implementation of E-SIHI revealed the most documentation when it came to 'physical examinations' in relation to ICU and OB/BYN. However, in Medicine and Surgery, there were low percentages for clinical documentation with Medicine at 35% and Surgery at 43%. The data revealed across the board both Medicine and Surgery had low clinical documentation with the lowest standing at 18% for Surgery in the 'assessment' area.
A 2013 update review demonstrated hospitals had little clinical documentation for complications associated with esophagectomy. Meaning assessment of complications, reactions to medicine, length of stay, and postoperative quality of life were not performed. This had to with a lack of a standard system for monitoring and documentation. The review recommended newer assessment tools to allow better monitoring…
Appari, A., Eric Johnson, M., & Anthony, D. (2012). Meaningful Use of Electronic Health Record Systems and Process Quality of Care: Evidence from a Panel Data Analysis of U.S. Acute-Care Hospitals. Health Serv Res, 48(2pt1), 354-375. http://dx.doi.org/10.1111/j.1475-6773.2012.01448.x
Boonstra, A., Versluis, A., & Vos, J. (2014). Implementing electronic health records in hospitals: a systematic literature review. BMC Health Services Research, 14(1), 370. http://dx.doi.org/10.1186/1472 -6963-14-370
Chandra, H., Pandey, R., Sarkar, A., Naik, S., & Aggarwal, R. (2016). Introducing the Computer Aided Information Technology -- An Administrative Experience in Government Tertiary Care Hospital (An Innovation for Effective, Efficient and Healthy Practices by E-Governance). Indian Journal of Medical Informatics, 1(2), 68-81. Retrieved from http://www.ijmi.org/index.php/ijmi/article/view/327
Hilligoss, B. & Zheng, K. (2013). Chart biopsy: an emerging medical practice enabled by electronic health records and its impacts on emergency department -- inpatient admission handoffs. Journal of The American Medical Informatics Association, 20(2), 260-267. http://dx.doi.org/10.1136/amiajnl-2012-001065
EClinicaWorks at ikers Island
ikers Island is a correctional facility that currently utilizes eClinicalWorks, which has emerged as a leader in medical software solutions. This paper examines the use of this electronic health records software at this correctional facility in relation to hospitalized inmates. The author includes an overview of how this software is run by Corizon Health and how the correctional facility works with Bellevue Hospital, which also has eClinicalWorks. The discussion includes an evaluation of how this software has been characterized by a workflow challenge that hinders effective workflows. The use of paper documentation by hospital staff because of inability of this software to visualize findings, discharge instructions or recommendations is discussed. This is followed by discussion of a proposed innovation and how it can be implemented using a project management approach. The final sections discuss strategies for going live and ongoing maintenance of the proposed innovation.
Corizon Health Website. (2015). About Corizon Health. Retrieved 26 November, 2015 from: http://www.corizonhealth.com/S=0/About-Corizon/Who-We-Are-History-and-Today
Miller, R.H. (2012, March). Satisfying Patient-Consumer Principles for Health Information Exchange: Evidence From California Case Studies. Health Affairs, 31(3), 537-547.
Pantaleoni et al. (2015, February 11). Successful Physician Training Program for Large Scale EMR Implementation. Applied Clinical Informatics, 2015(6), 80-95.
Stazesky, R., Hughes, J. & Venters, H. (2012, April). Implementation of an Electronic Health Record in the New York City Jail System. Retrieved April 18, 2016, from http://www.cochs.org/files/hieconf/implementation-ecw-new-york.pdf
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
Ethical Issues in EMS
While one might not think so, there are ethical issues galore when it comes to the emergency medical services (EMS) sphere. Indeed, there is a valid question when it comes to the obligations that arise during the job and what must or should be done when those obligations conflict. Given that eventuality, there can and should be an analysis of what to do when such a situation arises and how to properly react and make the right decision. Whatever decision is made, there has to be an ensuring that the needs of the patients as well as the organizations in question are being properly balanced and prioritized. While the aforementioned balancing act can be difficult to pull off, it is something that any proper practitioner in the field must strive to accomplish.
Many EMS personnel and managers are prone to rely on spur-of-the-moment judgement and…
Becker, T., Gausche-Hill, M., Aswegan, A., Baker, E., Bookman, K., & Bradley, R. et al. (2013). Ethical Challenges in Emergency Medical Services: Controversies and Recommendations. Prehospital and Disaster Medicine, 28(05), 488-497. http://dx.doi.org/10.1017/s1049023x13008728
Byrd, G. & Winkelstein, P. (2014). A comparative analysis of moral principles and behavioral norms in eight ethical codes relevant to health sciences librarianship, medical informatics, and the health professions. J Med Libr Assoc, 102(4), 247-256. http://dx.doi.org/10.3163/1536-5050.102.4.006
Macklin, R. (2014). Can one do good medical ethics without principles?. J Med Ethics, 41(1), 75-78. http://dx.doi.org/10.1136/medethics-2014-102354
Nelson, W., Taylor, E., & Walsh, T. (2014). Building an Ethical Organizational Culture. The Health Care Manager, 33(2), 158-164. http://dx.doi.org/10.1097/hcm.0000000000000008
List current core clinical vendor, product, as well as version or. That your are aware of as well as the application types (a/D/T, adiology, Laboratory, Pharmacy, Nursing Documentation, Order Communication).
2. Is there a need for IS Department to anticipate the need for a third-party consulting
Assistance beyond what the is provided by the vendors for handling of any aspect of the CPOE design, implementation, as well as training
3. How can the CPOE be implemented at the laboratory? >What are its advantages in this setting?
4. How can the CPOE be implemented at the ICU? >What are its advantages in this setting?
5. How can the CPOE be implemented at the patient registry? >What are its advantages in this setting?
6. How can the CPOE be implemented at the outpatient pharmacy? >What are its advantages in this setting?
7. What certification standards are needed to operate a CPOE?
Al-Dorzi, HM., Cherfan, a et al. (2011).Impact of computerized physician order entry (CPOE) system on the outcome of critically ill adult patients: a before-after study. BMC Medical Informatics and Decision Making 2011, 11:71 doi:10.1186/1472-6947-11-71
Collins S, Currie L, Bakken S, Cimino JJ: Interruptions during the use of a CPOE system for MICU rounds.
AMIA Annu Symp Proc 2006, 895.
Eslami S, de Keizer NF, Abu-Hanna a: The impact of computerized physician medication order entry in hospitalized patients -- a systematic review.
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
There are various applications of the FID technology in the healthcare. These are explored by a HIBCC,(2006 ) report that studies the application of the FID technology in the healthcare setting with emphasis on its benefits, limitations as well as recommendations The report categorically pointed out that that the applications of the FID technology in the health care settings are numerous. They range from being used in the management of the hospital's supply chain to the management of the patients themselves. In terms of the supply chain management, the FID technology can be used in the organizing the delivery of supplies such as pacemakers, artificial limbs as well as defibrillators. This is because the supply chain of these crucial items is very complicated and requires the timely delivery of the consignments. The high degree of traceability that is needed to track the shipments from the supplier up to the time…
Anonymous (2004), RFID in the hospital, in RFID Gazette. July 15,
Aarts, J., Doorewaard, H., and Berg, M.(2004), "Understanding implementation: the case of a computerized physician order entry system in a large Dutch university medical center," Journal of the American Medical Informatics Association, vol. 11, no. 3,
Chin-Yin,(2000)RFID-Enabled Analysis of Care Coordination and Patient Flow in Ambulatory Carpp. 207-216.
A user model is created with the help of this information and this model is in turn used as a basis for establishing the user interface adaptation. Task models have also been used for designing adaptive hypermedia. Different types of computer users can be associated with different task models. Task models are used to depict the activities that are to be performed from the user's point-of-view. (Jacko; Sears, 518)
Adaptive navigation support for hypermedia systems has also been explored as a means of personalizing or adapting user interface. Several prototypes have also been developed to show the way different navigational possibilities can be presented on the basis of user models. In recent times, research has concentrated on the mechanism of abstractions of objects to produce "operationally reliable software infrastructures" that provide alternative physical realizations. Development of systems like JavaBeans by SunSoft and ActiveX by Microsoft representing componentized technology shows the…
Aykin, Nuray. Usability and Internationalization: Global and local user interfaces.
Benyon, David. Accommodating Individual Differences through an Adaptive User
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.
Evaluating the program's progress and results will be an ongoing concern for this study; many of the tools necessary to do so are relatively simple to create and implement. The process for doing so includes both quantitative and qualitative methodologies. The quantitative method will include hard numbers and percentages based on initial testing, ongoing evaluations and a comparative test at the end of the study that will be used to determine results and outcomes. The qualitative method will be based on the perceptions, thoughts, ideals and beliefs of the participants of the study and how they have changed in either negative or positive ways.
The instructional problem that this paper will address is "can instructing students in the area(s) of fitness and diet improve the student's capabilities and understanding in regards to how they influence the student's overweight or obesity issues?" Previous research has shown…
Hua, V.; (2010) A strategy worth watching, THE Journal, Vol. 37, Issue 5, pp. 26-31
Kastner, M.; Li, J.; Lottridge, D.; Marquez, C.; Newton, D.; Straus, S.E.; (2010) Development of a prototype clinical decision support tool for osteoporosis disease management: A qualitative study of focus groups, BMC Medical Informatics and Decision Making, Vol. 10 Issue 1, pp. 40 -- 54
Rivera, M.L.; Donnelly, J.; Parry, B.A.; Dinizio, A.; Johnson, C.L.; Kline, J.A.; Kabrhel, C.; (2008) Prospective randomized evaluation of a personal digital assistant-based research tool in the emergency department, BMC Medical Informatics and Decision Making, Vol. 8, Issue 1, Special section, pp. 1 -- 7
Rumsey, S. & Loureiro-Koechlin, C.; (2010) The role of an entity registry in scholarly communication: Exploring creative uses of research activity data, New Review of Academic Librarianship, Vol. 16, pp. 17 -- 27
Statistic Data From Department of Epidemiology and Medical Informatics, National Institute of Health
Every second person in Armenia, irrespective of sex, is a smoker. Only 15% of the population have never smoked before WOMEN and SMOKING
53,6% smoked some time in the past
Chart indicates % of women smoke... cigarettes per day
Chart indicates that in Armenia among the smoking women the percentage of women with higher education is significantly more than those having secondary education.
Tobacco and Teenagers
In Armenia about half of the smokers start smoking reaching the age of 18, 36,6% of teenagers are smoke
Number of cigarettes per day
Boys and girls
Boys and young men in Armenia start smoking much sooner than girls, more than a half of a yang men start doing it before reaching the age of 18. Absolute majority of girls in Armenia start smoking after the…
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
history of the WWW, HTL and the architecture used to develop the World Wide Web. The study traces the history of the WWW to Berners-Lee who develops the first web page in 1990. However, before 1993, the WWW was only being used by the government and top research organizations; it was in 1993 that the Web was allowed for a public use. The study also identifies the HTL, XL Standards URI, and Protocols as the basic architecture to design the Web technology. The HTL consists of the structural open and close tags used to display information over the Web. The paper provides the annotated bibliography of three research articles that reveal the history of World Wide Web and basic architectures to design the WWW.
The WWW (World Wide Web) was designed to share information interactively through which organizations and individuals can communicate with one another using machine. Since the…
Maged, N. Kamel Boulos & Steve, Wheeler (2007). The emerging Web 2.0 social software: an enabling suite of sociable technologies in health and health care education, Health Information and Libraries Journal,: 2-23.
Robert, C. & James, G. (2012). How the World Wide Web was Won. Organisation for Economic Cooperation and Development. The OECD Observer 293: 32-33.
Vissers. M.C. & Hasman, A. (1999). Building a Flexible protocol Information System with 'ready for use' Web-technology. International Journal of Medical Informatics, 53 (2): 163-174.
(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
Companies like Kaiser Permanente are also getting involved with EH. A recent study that was done in Hawaii showed, however, that doctors were actually slower at treating patients and updating their information when they used electronic recordkeeping (Scott, et al., 2005). In addition, there was some concern as to whether the records would be safe and whether software problems or other electronic slow-downs would keep doctors from getting (and providing) information as quickly as could be done with paper charts (Scott, et al., 2005). omano and Stafford (2010) stated that their study did not show an increase in quality when EH was used. That was a concern, because the opposite conclusion was expected. However, even though the question of how well EH will perform in the future has been raised by several studies, the use of it is still increasing in medical settings that have more than one doctor as…
Beard, M.K. (1997). The impact of changes in health care provider reimbursement systems on the recovery of damages for medical expenses in personal injury suits. 21 American Journal of Trial Advocacy, 453.
Classen, D.C., Avery, A.J., & Bates, D.W. (2007). Evaluation and certification of computerized provider order entry systems. Journal of the American Medical Informatics Association, 14: 48-55.
Scott, J.T., Rundall, T.G., Vogt, T.M., & Hsu, J. (2005). Kaiser Permanente's experience of implementing an electronic medical record: a qualitative study. British Medical Journal, 331(7528).
Romano, M.J., Stafford, R.S. (2010). Electronic health records and clinical decision support systems. Archives of Internal Medicine, 171(10): 897-903.
Electronic communication has become one of the most important methods for people to communicate with one another in recent years. Spielberg (1999) noted that patients have sought to utilize electronic communication with their physicians. In the past, he argued, a variety of exchanges were utilized, including in-person visits, telephone, pagers and voicemail, so it was only natural that communication between patients and those within the medical profession would be extended to the realm of electronic communication. Thus, the market has driven the need for health care organizations to begin to explore how they can use electronic communication methods such as email, the Internet, online chats or even SMS messaging to bridge the communication gap with their patients. hile the market may demand new methods of communication be developed, there are risks inherent to the medical profession that present challenges or obstacles to facilitating the market-demanded electronic communication methods.
Spielberg, A. (1999). Online without a net: Physician-patient communication by electronic mail. American Journal of Law & Medicine. Vol. 15 (1999) 267-295.
Hassol, A.; Walker, J.; Kidder, D.; Rokita, K.; Young, D.; Pierdon, S.; Deitz, D.; Kuck, S. & Ortiz, E. (2004). Patient experiences and attitudes about access to a patient electronic health care record and linked web messaging. Journal of the American Medical Information Association. Vol. 11 (6) 505-513.
Winkelman, W.; Leonard, K. & Kossos, P. (2005). Patient-perceived usefulness of electronic medical records: Employing grounded theory in the development of information and communication technologies for use by patients living with chronic illness. Journal of American Medical Information Association. Vol. 12 (3) 306-314.
Wager, K.A., Lee, F.W., & Glaser, J.P. (2009). Health care information systems: A practical approach for health care management (2nd ed.). San Francisco, CA: Jossey-Bass.
Effective communications between doctors and nurses has always been a high priority in the medical field, especially in an arena such as a hospital, health clinic or hospice. Communicating effectively between the nurses and the doctors is especially important in a hospice setting due to the fact that the patient is usually suffering the most; both with the physical and the emotional pain and suffering that is being experienced as the patient nears death.
One recent study determined that "doctors and nurses have different but complementary roles in what, when and how treatment choices are negotiated with patients" (Mccullough, Mckinlay, Barthow, Moss, Wise, 2010, p. 482) and the treatment choices when facing death are decisions that should not be taken lightly, either by the involved nurses or the doctors. The decisions taking place in the hospice setting will often determine how much pain and suffering the patient will endure…
Basch, E.; (2010) The missing voice of patients in drug-safety reporting, New England Journal of Medicine, Vol. 362, Issue 10, pp. 865-869
Bezzina, A.J.; (2009) Prevalence of advance care directives in aged care facilities of the Northern Illawarra, Emergency Medicine Australia, Vol. 21, Issue 5, pp. 379 -- 385
Byrnes, J.; Braden, J.; James, G.; Broadus, T.; Owen, R.; (2011) Implementing an electronic medical record (EMR) in an integrated delivery system Sharp Healthcare (SHC) San Diego, California, accessed on September 25, 2011 at http://proceedings.amia.org/1alo2n/
David, S.E.; Ahmed, Z.; Salek, M.S.; Finlay, A.Y.; (2005) Does enough quality of life related discussion occur during dermatology outpatient consultations? The Journal of Dermatology, Vol. 153, pp. 997 -- 1000
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.
Operational issues of IT Department NHS
The objective of this report is to provide a proposal to reduce the IT operational costs. National Health Service (NHS) is a biggest healthcare service provider in the UK, and the organization delivers both primary and secondary healthcare since its formation. The UK government major objective for forming NHS is to provide the affordable and quality healthcare delivery for all social class in the UK. To achieve its objective, the government has implemented the IT project to improve the service delivered by the organization. Despite the implementation of the IT project to deliver the quality healthcare delivery for the UK population, there is an operational issues within the IT department. The external service providers are still delivering the IT services, which has been translated into the high operations costs. The report provides several recommendations to decline the operation costs within the IT…
Boddy, D. King, G. Clark, J.S. et al. (2009).The influence of context and process when implementing e-health. BMC Medical Informatics and Decision Making. 9:9
Hackney, R.A. & McBride, N.K.(2003). The Efficacy of Information Systems in the Public Sector: Issues of Context and Culture. Research Paper Manchester Metropolitan University.
Hendy, J. Fulop, N. Reeves, B.C et al. (2007). Implementing the NHS information technology programme: qualitative study of progress in acute trusts. BMJ.
Hendy, J. Reeves, B.C. Fulop, N. et al. (2005). Challenges to implementing the national programme for information technology (NPfIT): a qualitative study.