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There have been a number of important and pivotal inventions, process improvements and new technologies that have changed the medical field forever. Just a few that come to mind are CT scanners, electronic healthcare records and immunizations. When looking at more modern and recent changes, meaning over the last generation or so, there are a few besides electronic healthcare records that are changing things for the better. One such thing is telemedicine. Indeed, not every medical problem requires an in-person doctor's visit and whatever can be done to speed up or otherwise improve access should be done for the betterment of humanity. While telemedicine is very much a work in progress, it has improved by leaps and bounds and should absolutely remain an option for situations where time and/or the nature of the situation calls for it.
What was stated in the introduction was largely a summary that…… [Read More]
Telemedicine: Will telemedicine improve the quality of healthcare and its delivery for remotely located advanced healthcare para-professionals?
The basic purpose of this study is to discuss whether telemedicine will improve the quality of health care and it's delivery for remotely located advanced health care para-professionals.
The scope of the study is over seeing as it covers the implication of implementation of telemedicine as a professional genre. It would also show how the installation of telemedicine means to other researchers, who want to take this field further and analyze it other context such as financial system of medical systems, telemedicine implicaiton on Medicare etc.
The researcher plans to adopt a case study / historical methodology of research by first collecting a literature review and then finally using it as a base for the analysis of the hypothesis questions. The researchers will also plan to use both primary and secondary sources. Primary…… [Read More]
The greater availability of patient records can make it easier to create false claims, through electronic tampering. This is yet another risk of telemedicine, which must be guarded against through encryption and proper security infrastructure.
Selling patient information to external entities?
People with long-term diseases like diabetes, or even those only genetically predisposed to genetic conditions, could be denied job opportunities or refused health insurance "if information stolen from data banks were sold to corporate bidders (Dark side, 1999, Science Daily, par. 3-4). Given the expense chronic conditions can cause, and the highly competitive job market, patient data must be unassailable, and it must be illegal to sell what should be protected information. Otherwise, patients may be deterred from seeking genetic testing or care because of fears that the information could be used against them.
hat are some policies on the release of information, retention, and destruction of records?
Ethical…… [Read More]
Barring this, however, clinics can still offer doctors incentives to come to underserved areas. First of all, doctors can be offered greater autonomy in dispensing patient care than the burdensome oversight they might experience in a large hospital. Less bureaucracy, less red tape, and a less punishing schedule are all reasons that doctors might wish to relocate to a rural area to work in a clinic. In contrast to a vast urban hospital where doctors may see many patients whom they never see again, and have to work 'the graveyard shift,' especially if they are new residents, a rural hospital may offer the attractions of face-to-face patient care and a humane schedule.
Specifically targeting new graduates might be an excellent marketing technique. New doctors often have to work the worst hours at hospitals, and never get to see their families. For young doctors with small children, working in a rural…… [Read More]
Patients also benefit as they can now access healthcare and treatment without having to visit the hospital physically.
Telemedicine is cost effective as patients reduce their visits to hospitals. A hospital visit will involve travelling, and having to wait in lines for long hours, but using telemedicine a patient can record their symptoms and forward them to the healthcare professional. The patient will then continue with their daily routine as they await the response from the professional. There is also increased efficiency as there is better management especially for chronic diseases. Using telemedicine patients do not have to be admitted in hospitals and this reduces their medical expenses.
esearch has shown that there is no difference in the quality of care patient receive using telemedicine. The quality is the same as that provided in hospital consultations. There are some cases that telemedicine is able to provide superior quality of care.…… [Read More]
Some of the traditional barriers to health care have been eliminated or reduced by the use of technology that helps deliver health care to patients from a distance. This is defined as telemedicine. According to the American Telemedicine Association, telemedicine is defined thus: "the use of medical information exchanged from one site to another via electronic communications to improve a patient's clinical health status." ("What is Telemedicine," 2016).
There are a variety of uses and applications of telemedicine and the users are growing rapidly. There are regular innovation and upgrades of the applications of telemedicine in the medical world. While the use of two-way video, or email, or over smartphones and other wireless tools and devices making use of the internet or telecommunications technology has become commonplace in the modern health care system, the application is finding its real use in delivering regular and much-needed health care services and…… [Read More]
Telemedicine: How does it impact patient care?
The modern health care system is better and considerably more complex than what the situation previously was a decade and several decades ago. According to various researchers, the modern health care system is a managed one, and it widely uses technology in contrast to previous health care systems (Conklin, 2002). The many uses of technology in the modern health care system include the use of technology for diagnosis, for minimally invasive treatments, and better monitoring of vital signs and other signs. Moreover, technology is now also being used to consult with medical experts from all over the world remotely. This has led to improved healthcare and has enhanced patent experience.
Furthermore, many mobile applications have been invented to help both patients and doctors specifically. Moreover, they are not only helping patients recover but also improving their quality of life (Tiago et al.,…… [Read More]
Telemedicine Case Study
The TeleStroke platform at Massachusetts General Hospital has been successful under the direction of Shawn Farrell because its scope and procedures were extensively researched before they were implemented. apidly expanding the telemedicine offerings at the hospital is not something which can be done easily and will require equal amounts of research and development for each new project and department.
First and foremost is the concern that the expanded use of telemedicine in pediatrics might not be financial feasible, given that emergency pediatric conditions are less common than stroke and may not justify the cost (Gogan & Garfield, 2012, p. 9). Also, the checklist for stroke consultations is far less complicated than it is for a more general array of pediatric concerns. Because it was only a single condition, the pricing for a stroke consultation may be far easier to determine than it would be for a general…… [Read More]
Therefore in the economic sense many institutions have been viewed to lay back.
Knowledge and Expertise in Telemedicine
Another challenge has to do with the limited knowledge and expertise in telemedicine as well as the need for enhanced and modified telemedicine systems. In this sense, little knowledge currently exists among medical practitioners on how to effectively and practically use various forms of telemedicine. This knowledge gap on insight into telemedicine, in effect, hinders the creativity to explore more efficient and effective modalities of telemedicine applications. As a result, teaching medical practitioners to learn and adopt this new way of accomplishing health services, through telemedicine, has become a significant hurdle to implementation Turner, 2003.
Special competence is also required before implementation of telemedicine can be allowed and render success to those concerned. In this regard, a unique term, telecompetence, was created to describe the required skills and credentials practitioners must have…… [Read More]
Located in a rural region of the Midwestern United States, Grand Hospital is a relatively small yet well-staffed medical center comprised of 209 beds, serving a diverse geographic community. Grand Hospital is a community non-for-profit that offers a broad range of services, ranging from inpatient and outpatient services, employing approximately 1,600 individuals with the majority being full-time employees (1,250 employees) and 225 practitioners. Grand Hospital runs on an operating budget that often exceeds $130M and has a net asset base of $150M. It is also well managed from a financial standpoint, earning an A credit rating from Moody's, Standard & Poor's, and Fitch atings. Despite the rural location the hospital has over 100 comparable medical facilities within a close geographic proximity. At present, Grand Hospital is serving the needs of approximately 11,000 inpatients and 160,000 outpatients, managing to also address more than 36% of the primary service area's…… [Read More]
" (Doukas, Maglogiannis and Kormentzas, 2006) The following illustration shows the evaluation Platform Architecture.
The Evaluation Platform Architecture
Doukas, Maglogiannis and Kormentzas (2006) state that the patient state vital signs are monitored through a PDA device attached to the patient and transmitted to a computer for evaluation through wireless access or luetooth. Additionally the patient site is monitored through use of a camera. The software that has been developed is used to monitor the patient status as well as the network status and determines the proper coding of the data collected on the patient. Doukas, Maglogiannis and Kormentzas states that two patient states have been identified as (1) normal; and (2) urgent. (2006) Sensors used to monitor patient data include those of: (1) ECG, P (non-invasive blood pressure); (2) PR (Pulse Rate); (3) HR (Heart Rate) and (3) Sp02 (Hemoglobin Oxygen Saturation). (Doukas, Maglogiannis and Kormentzas, 2006) The…… [Read More]
Passing Congress with bipartisan support, the Health Insurance Portability and Accountability Act (HIPAA, Public Law 104-191) became the legislative vehicle to address those issues. Your health information cannot be used or shared without your written permission unless this law allows it. Because telemedicine allows medical information to be sent anywhere in the world, there is a possibility that protected patient information may fall into unauthorized hands. For example, the information could be sent to the wrong addressor left out on the telemedicine desk for unauthorized personnel to look at. Extra security must be built into the telemedicine system to prevent information falling into the wrong hands.
The absence of consistent, comprehensive reimbursement policies is often cited as one of the most serious obstacles to total integration of telemedicine into health care practice. This lack of an overall telemedicine reimbursement policy reflects the multiplicity of payment sources and policies…… [Read More]
Grand Hospital is non-profit health care organization located in Midwestern state. The Hospital holds 209 beds and provides a wide range of outpatient and inpatient services. The organization employs 1600 personnel among them 1250 full-time employees. The hospital has a 225 medical staff and an operating budget of over 130 million dollars (Wager & Glaser, 2009). Due to its quality services and excellent facilities, the organization has a "A" credit rating. However, the Hospital operates in a remarkably competitive environment given that there are over 100 hospitals surrounding it. Due to the increased health care needs of its patients, the hospital is currently been expanded and renovated. As a result, Grand hospital is striving to recruit physicians to help meet the health care needs of the developing population as well as to take the place of the retiring physicians. In this regard, the hospital leadership is…… [Read More]
This memo serves to project the volume that will be encountered at a tele-medicine operation. Of course, projections do not always hold true but they are usually closed if prepared correctly. However, the projection process must be done carefully and in an adept manner so that the proper workforce is on hand or is at least at the ready if activity spikes and the current staff on hand cannot handle the volume. When it comes to any sort of medicine or healthcare operation, it is important to keep wait times to a minimum and the customers happy. As such, a strong customer service mindset and proper projection methods should be in place. While keeping things lean and mean can seem attractive from a money standpoint, doing so can create a firestorm when the volume and overall lack of timely service starts to emerge.
When it comes to…… [Read More]
profession of telemedicine finds itself being pursued with vigor given the widely believed perception that one of the main advantages it offers is that of cost savings in the field of healthcare. These economical considerations may appear in both forms- tangible as well as intangible. Telemedicine, however, is also an outcome of the lesser number of healthcare professionals in proportion to the rise in number of patients. The other factor that has contributed in actualization of telemedicine is the rise of ICT sector and ease of communication over the distance (McLean et al., 2013).
One aspect of Telemedicine that appears immediately is whether it is safe, given the general feeling of trust one encounters when meeting one's physician and his reassuring tone. In this regard, one well-researched article in Sweden notes that after decades of resorting to Telemedicine, one realizes that the parameter of safety revolves around the ambient social…… [Read More]
Policy Brief on Telemedicine
Overview of the Importance of the Issue
In today's healthcare environment characterized by a dearth of healthcare providers, increased prevalence of chronic ailments, and mounting healthcare expenses, telemedicine is a promising tool for improving healthcare delivery's efficiency. The necessity for telemedicine appears to be compounded further by the factors listed below:
A significant rise in the population of U.S.A -- a growth of up to about 363 million (i.e., 20%) is predicted from 2008 to 2030
Dearth of educated, licenced, and trained healthcare professionals
Growing global prevalence of chronic ailments, including diabetes, obstructive lung disease, and heart failure
Demand for effective care of home-bound, physically challenged, and aged patients
Adverse events, illness, and injuries at physician's offices and hospitals
Need for improving population and community health
Lack of health facilities and healthcare specialists in rural localities (Hein, 2009)
The above challenges may be addressed effectively through…… [Read More]
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…… [Read More]
Nursing Change Project
The organization at focus in this nursing change project and the nursing managers in cohesion implemented an evidence-based nursing practice model in the health care organization. As noted in the work of Keele (nd) there has been several models that have provided contributions on the conceptual level to the implementation of evidence-based nursing. One of these models is the Stetler model (Stetler, 2001), also included is the Iowa model (Titler, et al., 2001), the John Hopkins Evidence-ased Practice Model (Newhouse, et al., 2007), the ACE Star Model (Stevens, 2004), the Caledonian Development Model (Tolson, ooth & Lowendes, 2008), and the Evidence-ased Practice Model for Staff Nurses (Reavy & Tavernier, 2008). (p.75) The model chosen by the organization and reported in this work in writing is most similar to the Evidence-ased Practice Model for Staff Nurses (Reavey & Tavernier, 2008). The process utilized for the Evidence-ased Practice Model…… [Read More]
Because patients have an active role in their care plan and are in
more frequent contact with their healthcare provider, they gain a better
understanding of their condition and become more compliant in their care."
(Moore, 1) This speaks directly to the challenges in healthcare relating
to diabetes, which is a condition that can best be controlled through
effective personal lifestyle habits and a sound treatment of one's body.
Being able to take proper routine measures to monitor, medicate and treat
one's self can be facilitated through telehealth consultation, reducing the
need for travel and doctor visits for those who might be less mobile due to
age and infirmity.
The importance of reducing hospital visits for both cost to
healthcare and strain on the patient can be especially appealed to where
diabetes is concerned. The chronic nature of the condition and the related
ability of the patient to control certain…… [Read More]
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…… [Read More]
Provide sustained technical assistance (Expert Panel Meeting: Health Information Technology: Meeting Summary, 2003)
Evaluation of the process in rural and small communities includes: (1) scope of the project; (2) goals; (3) critical success factors; and (4) technical assistance." (Expert Panel Meeting: Health Information Technology: Meeting Summary, 2003) Community grants have been focused on the provision of 'personal digital assistant (PDA) systems in assisting with the decision support role. The initiative is stated to include: (1) development of toolkits; (2) leveraging known tools; (3) developing capacity; and (4) disseminating best practices. (Expert Panel Meeting: Health Information Technology: Meeting Summary, 2003)
Ormond, Wallin, and Goldenson report in the work entitled: "Supporting the Rural Health Care Safety Net" (2000) state: "The policy - and market-driven changes in the health care sector taking place across country are not confined to metropolitan areas. Rural communities are experiencing changes impelled by many of the same forces…… [Read More]
Technology Integration Poses New Ethical Dilemmas for Healthcare
Imagine studying the effects of globalization on healthcare. What would one find from his or her research? Is there a possibility that policies need changed? How does this affect one's licensure? One will study in depth this trend and find ways to solve the issues that arise before it is too late.
Within the United States, "globalization of healthcare encompasses both exporting patients (medical tourism) and importing medical services (outsourcing)" (Herrick, 2007). This makes competition increase, which means that what happens in the U.S. could rival that of Japan; consequently, healthcare would have to improve their quality and provide patients with more choices (Herrick, 2007). Whatever the case, many tasks are getting outsourced to those in foreign countries (Herrick, 2007). This includes "long-distance collaboration-incorporating the services of foreign medical staff into the practice of American medical provides" (Herrick, 2007). One has to…… [Read More]
For instance, a study by the Harvard Team determined that fully 11 per cent of the lowest income group (with a monthly household income below U.S.$1,282) suffered from poor health compared with just 3 per cent of the highest income group (i.e., households with an income above U.S.$5,128) (amesh). As this author points out, the current approach to the delivery of healthcare services in Hong Kong has some definite strengths - as well as weaknesses -- that must be taken into account when formulating strategy for the future. In this regard, amesh emphasizes that, "Hong Kong's accessible and equitable health-care system has been achieved at a rather modest cost, and the concentration of public subsidies on in-patient care, which is expensive, has fostered a system that is both efficient and equitable. Centralized provision in public facilities reduces scope for supplier-induced demand and duplication of facilities, thus reducing overall costs" (p.…… [Read More]
Care Technology and Ethical Concerns
Complete APA eference
Fed'n of State Med. (2014, April 26). State Medical Board's Appropriate egulation of Telemedicine (SMAT) Workgroup, Model Policy for the Appropriate Use of Telemedicine Technologies in the Practice of Medicine. etrieved from www.fsmb.org/pdf/FSMB_Telemedicine_Policy.pdf
Briefly description of the project
Under telemedicine, one gets multiple practice spheres for healthcare lawyers, including reimbursement, payment, abuse and fraud, privileging and credentialing, privacy, peer view, licensing, as well as regulatory compliance. There is need for healthcare proponents have got to comprehend telemedicine as well as its complex framework in order to serve the growing area better. Advancement in technology, expanding healthcare accessibility within the framework of the "Affordable Care Act," emphasizing on affordable quality of care, as well as the propagation of movable medical tools have placed telemedicine at the frontline of healthcare delivery. Since it began over 5 decades ago, range of telemedicine has broadened and…… [Read More]
This paper examines the impact of Parkinson’s disease on elderly (65+ years of age) Caucasian males. This is an underserved population in the U.S. 1% of all elderly persons suffer from Parkinson’s and 60% of them are of this underserved population. The paper discusses risk factors that may lead to the onset of this disease but recognizes that the etiology of Parkinson’s is still as of yet unknown. It examines some of the most common health issues of this population and identifies existing barriers to care. The key factors and social determinants of health of this population are discussed and health policies and advocacy groups, such as the Michael J. Fox Foundation are examined in terms of what they bring to the discussion about regulating control and prevention of the disease. Finally, recommendations for improving existing programs and interventions for this population are identified, including: the need to increase…… [Read More]
" (Tyson, 1)
The participants in the program has responded universally in favor of the program and have described it as a way of gaining access to critical support services which are inaccessible due to age, travel restriction and disability. Though the Tyson article denotes that many participants in the program do require some adjustment time to become comfortable with the flow of videoconferencing, most have ultimately reported that the reduction in travel time has been an enormous assistance in removing barriers to counseling. In this particular program, a focus on relieving alcohol and drug addiction symptoms following rehabilitation in the remote rural regions of Montana would demonstrate the importance of having a more accessible mode of gaining such support services. (Tyson, 1)
Indeed, the Tyson article suggests that the counterpoint to providing these opportunities is the danger that such individuals are likely to lapse back into addiction. This is…… [Read More]
This 1996 Act was part of a Civil ights concern that as information became more electronically disseminated, it would lead to misuse of that information (U.S. Department of Health and Human Services, 2010). Certainly, one of the benefits of electronic information is that on one hand it is available to a larger number of people, but it is also verifiable on who views that information at what time. This protection, though, is part of the ethics of individual rights. It has, however, affected scholarly research and the ability to perform retrospective, chart-based research and evaluations. One study, in fact, said that HIPAA managed rules led to a 73% decrease in patient accrual, triple the time recruiting patients, and tripling (at least) of mean recruiting costs (Wold and Bennett, 2005). However, despite the few incidents in which the regulation of this information is detrimental, most civil rights advocates praise the legislation…… [Read More]
Marketing in the biotechnology industry is critically important. The basic path to market involves receiving regulatory approval for products. From there, marketing is conducted to physicians directly, necessitating a relatively large sales force. The presence of competing treatments necessitates significant investment marketing, compounded by the impact of the need to recoup the sunk costs associated with product development. In addition, marketing in the biotechnology industry is strictly regulated by the Food and Drug Administration. The FDA exerts tight control over marketing -- a firm is only allowed to promote products for approved uses. Off-label marketing -- defined as marketing a product for uses not approved by the FDA -- is prohibited and firms found guilty can be subject to significant fines.
An example, of the strong regulatory influence on marketing can be found in the approval that United received in July for Tyvaso. The product, already delayed multiple…… [Read More]
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…… [Read More]
The Importance of the Initiation Phase in Project Management
For a project to be classified as successful it should be delivered on time, in budget, and to the correct specifications (Schwalbe, 2010). All stages of project management are important, but in a recent article published in the International Journal of Healthcare Information Systems and Informatics Leouge, Tulu, & Wood (2014) argue that the initiation stage of the project is the most important state. In their article titled "Project Initiation for Telemedicine Services," the authors study the initiation of telemedicine services, looking not only at the general important, arguing that a collaborative process is important during the initiation stage for telemedicine.
The article notes that the introduction of telemedicine technology into an organization may be challenging. A literature review is presented that supports the argument the initiation process is the most important stage to the successful implementation of a…… [Read More]
The experiences of seniors within the healthcare delivery system will alter how all Americans view healthcare. The healthcare delivery systems and overall organizational structure in the United States has been slow to adjust but that rest of the world is currently in flux that will migrate into our system. Technological advances in communication have made telehealth and telemedicine vialbel solutions to our outdated healthcare industry orgainzational structre. While these types of advances are only in their infancy, "...there seemed to be broad acceptance that telehealth and telemedicine had provided positive benefits to the worlds healthcare delivery system." (Telehealth Applications) Our technoloically challenged seniors have actually discovered the trend within the healthcare system and telehealth and telemedicine seems to be an advance that will find worldwide support so we as a nation will be reqquired to jump on the bandwagon.
In conclusion, this article review focused on new Healthcare Delivery Systems…… [Read More]
technology and social change, and discusses how they are related.
Ever since the prehistoric eras, technology has had a role to play in the lives of human beings. Mankind has invented and perfected means of communicating, traveling, manufacturing goods, curing ailments, growing food, constructing edifies and meeting other requirements using technology. Thus, one may claim that by means of technology, we have transformed our world (ITEA, 1996; ITEA, 2006). At present, all human activities are reliant on different machines with technological dominance being at a record level in the current era. For instance, automobiles have transformed how and where individuals live, and a colossal infrastructure encompassing roads, service stations, bridges, rules and insurance policies has developed. Technology impacts individual participation in the democratic process and successively impacts what must be taken into account for preparing pupils to actively participate in democratic societies (Crowe, 2006).
Most specifically, social change implies the…… [Read More]
This is necessary to provide a seamless platform on which health solutions can be effectively integrated and deployed. Without using such a platform, the development of electronic health care facilities will be more difficult to deploy. In other words, Tele-health is part of the overall healthcare ICT (Information Communications Technology) solutions that enables healthcare to be pushed out to the edge, for local delivery, and to be more evenly, efficiently and effectively distributed.
Broadband communication is the underlying technology of choice when discussing electronic applications. It is certainly important for inter-healthcare provider communications delivering sufficient bandwidth capacity between sites. The delivery of home care electronic should not rely on the broadband technology is not universally accessible, particularly in rural and remote areas, and it can also be prohibitively expensive. Some broadband technologies can be delivered to remote locations, such as satellite-based technology, but this is impractical and too costly to…… [Read More]
Evolution of Healthcare Information System
Evolution of health care information system
Over the last twenty years, technology in provision of healthcare has evolved tremendously and what was available then now seems primitive in comparison. Today, patient care is at a much higher level. The management of healthcare institutions has become far more efficient through the growth of technology. esearch is now more readily available. The growth of technology has proved beneficial to not only the healthcare workers, rather, more so to the patients. Nowadays, treating a patient correctly and effectively is easier than it was then; the patient is also more secure due to machines that can monitor all his processes and new technology has also enhanced the skills of the healthcare workers in handling their patients (Bavova, 2013).
This paper seeks to discuss highlight similarities and differences between healthcare provision twenty years ago and today, as a result of…… [Read More]
Predict the form and function of medical health records in 2030 (provide specific example to support your response).
Models for healthcare delivery are changing, the institutions that deliver it are transforming themselves or being transformed by the marketplace and of course information technology is helping to enable that transformation. Medical technology today is transforming the way healthcare is delivered, managed, and assessed, with a continued shift from the old record management to more of a data management system. As more organizations adopt electronic health records, physicians will have greater access to patient information, allowing faster and more accurate diagnoses. Complete patient data will help ensure the best possible care. Patients too will have access to their own information and will have the choice to sharing it with family members securely, over the Internet, to better coordinate care for themselves and their loved ones.
Digital medical records will make…… [Read More]
As well as expanding patient's abilities to obtain primary care, virtually, telemedicine can enable patients in isolated locations to see specialists. When rural patients are connected to a hospital network such as the Grinnell egional Medical Center, they are able to access high-quality physicians through some of the more advanced healthcare technology available, although this is not always possible in a local healthcare system with fewer physicians and less access to high-level technology. Technology can still enable patients in a variety of settings to keep track of vital signs such as heart rate, blood pressure, and blood sugar, and to alert their physician immediately if their readings are abnormal.
While some surgeons have even performed procedures through virtual consults, certain aspects of medicine remain challenging to provide rural patients, such as physical rehabilitative services, which may require the patient to travel to receive the full benefit of the services. Patients…… [Read More]
Where will you reduce cost?
The running of an ICU is a very expensive affair. Below is the revenue, income as well as expenses (Direct and indirect).
Labor cost: U.S.$1,020,000
Equipment cost: $600,000
Material costs: $700,000
Co-medical service cost: $200,000
Cost reduction strategies:
The expenses can be reduced by the adoption of online training programs which are considerably cheaper. The cost of staff training would therefore be reduced by more than half.
Some of the equipment can be hired instead of being acquired if they are never utilized fully in most operations.
Some staff can be contacted as independent contractors on a yearly basis in order to reduce the burden of allowances and taxation.
Identify committees that you might expect to see in the unit and provide a one or two sentence description of the committee function, approximate number of…… [Read More]
break out of war in Afghanistan and Iraq propelled alarming forecasts about its most likely psychiatric effects. he chief of recuperation or readjustment therapy services at the Department of Veterans Affairs (VA) asserted that as high as 30% of soldiers deployed to Iraq may establish posttraumatic tension ailment (PSD) (Dentzer, 2003), a disorder that can arise following experience of gruesome, dangerous occasions, such as battle, natural catastrophes, and rape. PSD patients do not simply remember their injury; they reexperience it as vibrant sensory recollections (flashbacks), horror stories, and invasive ideas. hey feel reduced or small and mentally detached from the family, friends and loved ones, yet likewise stressful, cranky, and hyper-vigilant as if risk were permanently present.
Psychiatry ratified the PSD medical diagnosis in 1980, mainly in feedback to the belated awareness of its signs in Vietnam veterans whose troubles had actually long been improperly comprehended and dealt with. Undoubtedly,…… [Read More]
RFP in Healthcare Industry
Request for proposal in health care industry
Request for Proposal (RFP) in Healthcare Industry
In order to continually provide adequate Medicare to patients, a review of the electronic health record options reveal that the appropriate strategy is to procure Electronic Medical Record software. The primary objective of this RFP is to implore bids from system integrators or commercial off the shelf software merchants to devise, install, construct and implement integrated EMR software solution. The health care system, Future Correctional Center seeks to procure a software solution including licenses, hardware (as recommend by the bidder), execution, and maintenance and support services. In addition, the software configuration should present a core set of EMR attributes that meet particular requirements such as order entry, outcome review, nursing and physician documentation, registration.
Something significant to note; Future Correctional Center will not consider proposals from bidders offering software as a service…… [Read More]
Advanced Nursing Practice
Nora Pender Model of Health Promotion:
Improving healthcare access to underserved diabetes patients in rural areas
The health promotion theory used to justify this project will by that of the Nora Pender Model of Health Promotion. The focus of this study will be upon expanding access of rural communities to healthcare. Pender's model stresses the need to work with patients to empower them to make positive life choices. When healthcare access is limited, it is essential that patients are given the tools to make empowering choices regarding their healthcare on a day-to-day basis. ural patients are often hampered by access to both information and regular quality care. The model suggests that with knowledge and support provided by more accessible care at local clinics this can change.
The philosophy of the model is that health is "a positive dynamic state not merely the absence of disease"…… [Read More]
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…… [Read More]
Wide Web Consortium and HIPAA Applicable ules
In the contemporary business environment, compliance and security standards have become the crucial factors to a successful business and assist in gaining the confidence of top global clients. The W3C (World Wide Web Consortium) is one of the standards, which develops the interoperable technologies that include guidelines, specifications, tools and software to assist the Web achieving its full potential. Moreover, the W3C is a forum for commerce, communication information, and collective understanding primarily aimed to pursue its mission through development of Web guidelines and standards. Since 1994, the W3C has launched a publication of over 100 standards referred as W3C recommendations. The W3C also engages in software development, outreach, education, and serve as an open forum for Web discussion. To assist Web reaching its full potential, fundamental Web technologies allow the software and hardware accessing the Web to allow the technologies working together.…… [Read More]
Evidence-based nursing interventions that will provide quality care to vulnerable populations
There is evidence in innovative health programs whose outcomes are Hospice care with increased patient and caregiver satisfaction costs lower than the conventional care; programs with community-based care reduces the severity of symptoms and results in a rapid functioning; for the frail elderly, it results in improved satisfaction; Patient empowerment, especially with the frail elderly and disabled adults, brings satisfaction and knowledge about their care; for the mentally ill, it lowers the rate of homelessness and for patients with diabetes or congestive heart failure, it decreases the morbidity. Usually, the beneficial effects were limited to the duration of the intervention (Aday, 2001).
There is evidence for enhanced patient satisfaction in the health care that emphasize continual care, multidisciplinary approaches, patient empowerment, and innovative approaches. Health care providers should also practice evidence-based care as it demonstrates the effectiveness. Patients with…… [Read More]
This is the strategy used in Canada, where drug costs have been substantially reduced.
The challenges presented by this law have spilled over into the current health-care reform debate. Many people and many legislators who might have been more open to engage in productive dialogue during the current debate were no doubt made more leery of the process and of the possibility that there could be significant reform that would bring benefits to more people while bringing down the federal deficit.
The fears of opponents of the bill were correct in their fears that the bill would been even more expensive than originally budgeted. The initial estimate for the net cost was $400 billion for the period from 2004-2013. However, only a month after the bill's passage, that estimate was raised to $534 billion. It has since been raised to over $550. The cost over-runs in this bill will no…… [Read More]
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…… [Read More]
Confab, howeve, is an achitectue that is able to bypass these limitations and combine both appoaches. It is limited, though, and a tue pevasive envionment calls fo complex pefeences that can be easily manipulated by the end use.
Moeove, all these appoaches ae not completely sufficient in meeting the challenges mentioned in section 3.2. Fo instance, PETs and pivacy models do not explicitly contibute in a eduction of data collection, no is that thei intent o pupose. Although anonymous data collection is based on the assumption that if data is collected anonymously then it cannot be linked with any individual, and if data cannot be elated to an individual then it poses no theats in tems of pivacy. Thus, detailed pivacy policies and safeguads fo data ae not seen as citical in this model. By collecting anonymous data, one may ague that a tue minimum amount of pesonal data is…… [Read More]
Furthermore it has become critically necessary to be equipped technologically in handling today's increased IT demands for business communication.
Video Conferencing (2006) GlobalMedia. Online available at: www.globalmedia.com.
Hart, Amy (2001) Global Communication Warming - The CEO Refresher. Online available at http://www.refresher.com/!warming.html.
Martin, Jeannet S. And Chaney, Lillian H. (2006) Global usiness Etiquette: A Guide to International Communication and Customs. Online available at http://doi.contentdirections.com/mr/greenwood.jsp?doi=10.1336/0275988155.
Global usiness Support: Creating the Infrastructure for International usiness Communication (2006) Nova's Communication-ased usiness Activities. Online available at http://www.nova.ne.jp/english/corporation/02jigyo/jigyou_business.html.
Jarvenpaa, Sirkka L. And Leidner, Dorothy E. (1998) Communication and Trust in Global Virtual Teams - JCMC 3 (4) June 1998. Online available at http://jcmc.indiana.edu/vol3/issue4/jarvenpaa.html
Global Alliance Joins the Organization of the World Congress on Communication for Development (2006) Global Alliance 5 July 2006 Online available at http://www.globalpr.org/news/industry_news_direct.asp?v1=86
usiness Communications Applications on Any Network (2005) Avaya White Paper May 2005.
Avaya White Paper, "New Era of Intelligent…… [Read More]
Nursing Perspectives on Computerized Management Systems
For a community hospital with one hundred beds spread out over the usual number of departments and staffed by large numbers of individuals working in a variety of disciplines and teams, few things are more important than efficiency. Efficiency does not only mean moving fast, however, or accomplishing tasks in the shortest amount of time and with the fewest resources possible; it also means achieving high levels of accuracy and solid quality performance in all tasks and operations. There are a variety of tools that can help boost overall quality and efficiency in healthcare organizations and medical facilities, and developing technologies continue to provide more and more methods for achieving efficiency. This paper will examine computerized management systems generally and compare two specific alternatives for such systems, concluding with recommendations for adoption.
Potential Increase in Quality of Care
Electronic and computerized healthcare…… [Read More]
omen's Health -- Focused on prevention and care for breast health, mammography, etc.
Transplant Programs - Swedish is one of seven kidney transplant centers and one of just four liver transplant centers serving the entire Pacific Northwest. The Organ Transplant Program at Swedish is at the forefront of new advances in transplantation surgery, including pancreas transplants and transplants between unrelated living organ donors and recipients (Swedish Medical Center, 2011).
Service design, operational activities, strategic decisions- Swedish is nothing but on the move -- strategically and tactically. In October, 2011, Swedish opened a new full-care facility with a 550,000 square foot campus in the city of Issaquah, southeast of Seattle city proper. This new facility was designed to be an entirely new hospital experience. Some of the operational innovations include a new Childbirth Center with eight new Labor/Delivery/Recovery rooms that include sleeping areas for partners, iPod access and a hotel room…… [Read More]
(the pulse of health care is wireless: The future medical enterprise)
The Pocket PCs and the PDA's are just only the tools but it is the software that drive these hand held devices that allow for providing better health care services. Starting from an individual medical practitioner and moving on to the communities of professional the use of these hand held devices allow them to work cooperating with each other and through the health care enterprise. The Electronic Medical ecords - EM, Clinical Drug eferences, Patient Management Systems - PMS, Patient Scheduling Systems, e-Prescription writers and such other enterprise functionalities can be made more widely available to the medical professionals by the use of Pocket PCs and PDA's. These combinations of the Health care enterprise functionalities and the medical professionals aided by these handheld devices would go a long way in providing the best practice of health care service for…… [Read More]
The truth that electronics aid humanity may be a subject for debate. However, it must be noted that nothing else may beat your doubt on electronics but the fact that we can derive from others' experiences that the technological advances in electronics really assist man in sustaining his life and surviving from the weaknesses of our physical body. More so, we may derive such information from our relatives and friends who may have experienced recovering from diseases with the aid of advanced biomedic machines. or, you can also ask this question to yourself to provide a view on how effective do you really believe can technology that is applied in electronics help, assist, and aid humanity -- "Would you rather go for the old method and practices of medicine than how medicine is practice these days?"
Technology in Electronics - Aiding Other Defects of Humanity
If the advances in electronics…… [Read More]
These recommendations include increased funding for bilingually staffed mobile mental health care clinics in Mexican and Salvadorian migrant areas, increased youth violence counseling in areas of Vietnamese refugees, and an increased presence of mental health community centers in areas of Chinese immigrant areas. By tailoring services to the areas they serve, the non-English speaking communities could be more quickly treated, and more effectively counseled (Smith, et al., 2004).
There is no question that psychological services, including drug and alcohol treatment, counseling, psychiatry, violence therapy, and general psychological services are available in the Central Valley area for the non-English speaking residents of the community. However, based on studies of the unique populations, it is clear that more specific care is needed to provide these populations with adequate mental health services. It is only through additional funding, and more programs, tailored to suit the needs of local clients, that all citizens of…… [Read More]
Studies suggest that more computerized order entry of medications helps reduce errors by limiting interpretation errors due to handwriting (Meadows, 2003). Thus more order entry is involving computers to protect patients. A culture that supports safety and safe practices has also been adopted to provide nursing staff and patients information about drug therapy and medication to ensure that everyone is aware of the need for safe practices when utilizing and dispensing medications.
Describe the strategies used to ensure nursing practice is performed within legal requirements and ethical frameworks
Nurses now "live and work in a world where there is no single reality but many coexisting realities among which they must choose" (Johnston, 1999:1). Given that through more and more nurses are forced to make legal and ethical decisions and take steps that will determine the best processes to adopt to ensure that moral and legal processes are adopted and followed.…… [Read More]
Web conferencing, though it is a very effective tool has its own drawback. The lack of human element and the absence of nonverbal feedback, particularly when dealing with clients constitute the negative side of electronic communication.
The field of medicine is one that uses web conferencing to great success. Telemedicine success stories are a good indication of the useful application of web conferencing. Web Conferencing, for example allows physician assistants and nurses to consult physicians and experts pertaining to patients symptoms and start appropriate treatment method for patients in hospitals and health care units running in remote locations. Similarly educational institutions embrace the technology offering e-learning modules for students from geographically diverse areas.
With careful planning and implementation of access privileges for different group of end-users internal security concerns can be allayed. Sensitive information can thus be protected by authorization. VOIP security concerns are a deterring factor as time and…… [Read More]
Soure Kodakanhi et al. (2006) iting Shreyer (1999), Table, page 19
Further reported by Kodakanhi et. al, is the fat that one of the Afrian ountries, and there are many, that faes poverty and inequality disaster is the ountry of Ghana. Advanes in tehnology in Ghana are stated to be "meager sine its independene in 1957." (2006) the eonomi development model based on it for developing ountries takes into aount the major onerns to it advent into these ountries whih are those of the: (1) Inability to invest in the it field due to poor finanial infrastruture; and (2) inadequate human power with the knowledge of it." (Ibid) the eonomi model, whih has been proposed, is one that has larger foreign investment and government poliies in support of it development as well as an awareness on the…… [Read More]
The reward for the effort of learning is access to a vocabulary that is shared by a very large population across all industries globally" (p. 214). Moreover, according to Bell, because UML is a language rather than a methodology, practitioners who are familiar with UML can join a project at any point from anywhere in the world and become productive right away. Therefore, Web applications that are built using UML provide a useful approach to helping professionals gain access to the information they need when they need it.
Overview of the Study
This paper used a five-chapter format to achieve the above-stated research purpose. Chapter one of the study was used to introduce the topic under consideration, provide a statement of the problem, the purpose of the study and its importance of the study. Chapter two of the study provides a review of the related peer-reviewed and scholarly literature concerning…… [Read More]
Ahead IT Curve Case Study eview
Before reading the commentary
Peachtree in its IT planning process has lost clarity regarding their strategic goal for what they intent to accomplish with their systems along with a roadmap for achieving that goal. This should be the starting point of any large-sized institution going for an IT overhaul. The organization's acquisition over the years has brought diverse medical institutions under its fold, each unique in terms of its workflow patterns. anging from large and midsized institutions, trauma centers, nursing systems to rehabilitation facilities, each has its own set of unique work processes, overlaps between them. This poses inherent challenges to devise an integrated Information System -- IS. Development of an integrated IS at Peachtree has to translate into increased efficiency which would seamlessly function across its distributed facilities in a hassle-free manner. (Glaser; Halvorson; Ford; Heffner; Kastor, 2007)
Paul Lefler, the Board Chairman,…… [Read More]
Improving Local Health Care:
Quality health care is an important aspect in the modern health care system because of the necessity for quality and safety improvement measures. This concept is described as the extent in which health care services for patients and populations enhance the possibility of desired health outcomes. These services also need to be consistent with the existing professional knowledge in the field. Consequently, quality and improved care services are determined through evaluating the impact of these services on desired outcomes and the extent they adhere to procedures based on scientific and professional knowledge. As part of improving health care services, health care systems should adopt several process-improvement strategies. These strategies should recognize ineffective care, inefficiencies, and avoidable errors and then effect changes on the system to result in improved care.
Incorporating Unapplied Telecommunications Concepts:
Based on the last visit to the local health care system in the…… [Read More]
Countermeasures and Neutralization
In past ten years, the accessibility to information and capabilities has increased; thus, the technology of weapons of mass destruction (WMD) has increased drastically. The defence department of many countries need to take actions in order to prevent the chances of any attack (Graham, 2004).
During Cold war, the usage of nuclear weapons cause massive destruction that was faced by the innocent people of the countries, this is why weapons of mass destruction are taken as great threats. For the security of the people and the environment, the massive growth of destructive weapons should be slowed otherwise soon the individuals would get the opportunity to harm the entire nation. Such destructive powers reside with nation states, which are politically, economically, industrially and socially very strong (Graham, 2004).
Terrorists on the other hand have few assets but they are usually ready to give away everything for the achievement…… [Read More]
Healthcare -- Administration and Legal
Many vectors -- science, research funding, social acceptance or rejection -- influence how and whether medical technology is eventually adopted into medical praxis (Hogle, et al., 2012). Undergirding the choices and changes is a shared body of ethical standards and law, the establishment of which is often not consensual or efficacious. Any emerging technology can encounter unanticipated social resistance and ethical concerns that can change the course of how medical science research progresses (Hogle, et al., 2012). Medical technology often poses questions about access to expensive innovations and considerations about race, gender, and social justice that are inseparable from the socio-economic levels of patients (Hogle, et al., 2012). In contemporary society, there are the inevitable considerations about patent issues, clinical practice, and the commercialization of medical innovations (Hogle, et al., 2012). The recent court decision finding in favor of Myriad Genetics, Inc. provides a good…… [Read More]