...Adverse Trend: Telecare Abandonment of Calls Cindy Roloff HCS/482 August 4, 2014 Lynn Bertsch Adverse Trend: Telecare Abandonment of Calls Utilization of data to resolve an adverse trend is a form of process improvement that has a basis in factual and representable information. Upon identification of an adverse trend, there must be relevant data collection to determine an etiology prior to taking action. Technology can assist with this search to expedite the improvement process. The purpose of this paper is to discuss applying technology to create an objective response to the adverse trend of abandoned calls in the Telecare clinical setting. Telecare Overview Telecare triage nurses manage symptom-based calls from patients at the Department of Veterans Affairs (VA) Outpatient Clinic incoming call center. Currently, there are seven nurses that staff telephone triage with a volume of approximately 250 to 300 calls per day. The office hours in Telecare are Monday through Friday from 8:00 a.m. to 4:00 p.m. with observance of all federal holidays. The Telecare nurse is responsible for answering calls efficiently at approximately 32 calls per day. The Telecare nurse triages symptoms from the patient and obtains urgent access to the clinic via an evidenced based triage program called Veteran’s Health Gateway (VHG). This program helps the nurse make clinical decisions per protocols and provides evidenced based education recommendations based on the triage disposition...
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...Adverse Trend and Data Management in Hospital University of Phoenix HCS/482 Adverse Trend and Data Management in Hospital The flow chart in the appendix 1 provides a comprehensive analysis of the adverse trend and data management that could occur within my organization. In depth, the research would evaluate patients’ healthcare and whether it is provided in an accurate and professional manner. To gather facts and information about the management in hospital, this research would follow up various steps. First, the research would evaluate how healthcare providers administer medical care and whether or not patients receive adequate support that boosts their well-being. Second, the study would evaluate whether the care provided in the hospital aligns with the medical standards. Conducting this research would create a strong platform to understand the past and present management and further work hard to eliminate any activity, condition, or medical errors that would hinder quality healthcare. Research Questions It is a well-documented fact that, quality medical care is of essence in reducing high mortality rates that occur as a result of poor medication and services provided (Flores, Win & Susilo, 2010). With this in mind, this research would investigate various factors that hinder healthcare providers from administering quality healthcare. To fully gather facts and information, this research would answer the following questions; do patients receive quality care and what...
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...Adverse Events and Data Management Alice Robertson HCS/482 January 19, 2015 Kym Pfrank Adverse Events and Data Management The term “adverse event” describes harm to a patient as a result of medical care. An adverse event indicates that the care resulted in an undesirable clinical outcome and that an underlying disease did no cause the clinical outcome. Adverse events include medical errors, such as the use of incompatible blood products, incorrect dispensing and administration of medications. Medication errors can result in patient harm including death. Adverse events, near misses, incidents of any kind are to be reported and put in a system called Incident Response Improvement System (IRIS). All IRIS reports get reviewed by a primary reviewer and the risk manager daily. They follow up on all reports and see trends happening whether it is weekly or monthly. They are also able to compare trends from any time period they select. If trends are seen it is imperative to follow up with staff to find out why there is a rise. What can we do to make sure these events never happen again? These reports get printed in a flow sheet and are shared daily in our safety huddles. The reports stay opened until closed by the appropriate managers. Each report is followed up by the risk manager and will not be closed until each issue is fixed or corrected. Adverse drug events according to the Center for Disease Control and Prevention cost 3.5 million in extra medical costs each year...
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...Adverse Trend and Data Management University of Phoenix Health Care Informatics HCS482 Richard Ong September 23, 2013 Adverse Trend and Data Management Part I: Step by step guide: Adverse Trend: Immobility. Immobility in hospitalized patients is one of the main risk factors contributing to the development of pressure ulcers. Objective: Identify risk factors related to complications secondary to immobility such as pressure ulcers on the integumentary system. Immobility also leads to other adverse effects affecting cardiovascular system, respiratory system, and musculoskeletal system as well. The assessment is performed on admission data, then once a week. The risk assessment scale used was the Risk Assessment Pressure Sore (RAPS) scale, which includes the following variables; general physical condition, activity, mobility, moisture, food intake, fluid intake, sensory perception, friction and shear, and body temperature (Lindgren & Unosson, 2004). Results: 25 % of patients developed pressure ulcers. Non-blanchable erythema was the most common pressure ulcer noted among these patients. The majority of these patients were significantly older, and hospitalized for a longer period of time. In the analysis using variables included in the RAPS scale, immobility emerged as a major risk factor. Conclusion: Immobility is the main cause of pressure ulcer development among adult hospitalized patients. Part II: After reviewing patient’s charts and documentation...
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...HEALTH & SAFETY: ACCIDENT RESPONSE, REPORTING AND INVESTIGATION PART NUMBER: SCOPE 923-3012-02 This document tells you how to respond immediately to an accident (an ‘adverse event’), and when and how to investigate and report accidents in the workplace. It helps ensure that the immediate response is appropriate, and that investigations are thorough and dispassionate, and preventative strategies can be put in place to prevent recurrence. AUDIENCE This document is for all employees of SAC. 923-3012-02 SAC Proprietary: Internal Use Only Health & Safety: Accident Response, Reporting and Investigation CONTENTS SCOPE ................................................................................................................................. 1 AUDIENCE ........................................................................................................................... 1 CONTENTS .......................................................................................................................... 2 1 2 INTRODUCTION ............................................................................................................. 4 RESPONSIBILITIES ....................................................................................................... 4 2.1 Executive Management Team ................................................................................. 4 2.2 Group Managers ............................................................................
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...Top Trends and Annotations Student’s Name Course Date Top Three Trends in Clinical Systems Training Instructor Profession The Clinical Systems Training Instructor profession corresponds to NAICS 611519, Medical Technician Schools, under Other Technical and Trade Schools. This industry is engaged in the provision of technical courses that lead to job-specific certification. Notably, the key concepts and terms related to researching, describing, and discussing the top three trends in the provision of instruction to clinical systems trainers include privacy, confidentiality, data security, risk management, accessibility, and data backup. This is because the industry’s top trends involve threats to clinical systems and confidentiality in the sharing and accessibility of patient information....
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...Safe Staffing Examine Nurse-to-Patient Ratios Primary health care organizations such as New York Presbyterian (NYP) are impacted by low nurse-to-patient ratios. The recent implementation of the Patient Protection and Affordable Care Act (ACA) has required organizations such as NYP to explore many approaches to improve quality and patient outcomes that contain costs. “Numerous studies reveal an association between higher levels of experienced RN staffing and lower rates of adverse patient outcomes” (www.nursingworld.org, 2015, para. 1). For this reason, nurse-to-patient ratios is an issue that needs to be addressed at NYP in order to improve quality healthcare within their organization. The acuity of the unit in which patient care is being provided, should determine the acceptable nurse-to-patient ratio. According to the American Nurses Association (ANA), factors that influence the nurse staffing needs include: patient complexity, acuity, or stability; number of admissions, discharges, and transfers; professional nursing and other staff skill level and expertise; physical space and layout of the nursing unit; availability of or proximity to technological support or other resources ("Optimal Nurse Staffing," 2015). Currently, New York is one of only fourteen states that addresses the nurse staffing issue in hospitals. New York State requires organizations such as NYP to disclose their nurse-to-patient staffing ratios to the public; however the state does not require a minimum...
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...Audit Considerations PCAOB – Public Company Accounting Oversight Board Staff Audit Practice Alert No. 3 – Audit Considerations in the Current Economic Environment (December 5, 2008) Representation Letter A letter from management to the auditor representing that the financial statements are fairly presented. The letter is addressed to the independent auditor, and dated at the date of the auditor's report. It is signed by members of management whom the auditor believes are responsible for, and knowledgeable about, matters covered (chief executive officer and chief financial officer). Specific items included in the representation letter are: - All items requiring disclosure (such as loss contingencies, illegal acts, and related party transactions) have been properly disclosed. - All accounting records, financial data, and minutes of directors’ meetings have been made available to the auditors. - Financial statements are completed and prepared in conformity with generally accepted accounting principles - Management's responsibility for the significant assumptions used in forecasting future cash flows. Consult Specialist The auditor's considerations should be based on knowledge of the entity, its business and management. When reviewing cash flow estimates, auditors should ensure they have the expertise to make critical assessments of the company's work. If necessary, they should contact industry experts or financial consultants specializing in valuation...
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...quality of the data acquired from many hospitals throughout the state? Syndromic surveillance refers to methods relying on detection of individual and population health indicators that are discernable before confirmed diagnoses are made. Prior to the laboratory confirmation of an infectious disease, ill persons may exhibit signs, symptoms or laboratory findings that can be tracked through a variety of data sources. Data acquisition can be manual or automatic. Manual acquisition requires personnel resources like email a report or transfer a file, whenever data are to be transmitted. Automated processes may result in the transmission of a text report, a data file, or a series of structured messages over an error-tolerant interface that do not require human intervention to trigger each report. Developing systems such as web-based or handheld devices that allow providers to manually enter information at the time of patient care can help ensure the quality of data acquired from different hospitals. These systems allow more specific and complete patient syndromic information to be gathered and would enable better identification of patients who have the condition of interest. Developing standard formats to store or transmit data is another way of ensuring the quality of data acquired. 2) What would be the consequences of poor data quality on the intended uses of the data in the syndromic surveillance system? There are consequences of poor data on the intended uses of the data in the syndromic...
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...Unit 3: IT521: Decision Support Systems Jessica Brown IT 521 Kaplan University Even the best-organized data will become overwhelming to analyze with vast amounts of data especially for those not adverse in analytics. This was the problem for New York City Mayor’s Management Report (MMR), which offers indicators from city agencies to gauge performance. To solve this problem they decided to develop a Citywide Performance Reporting (CPR) system. The current Mayor of New York in 2008, Michael R. Bloomberg, stated the City was developing a performance measurement tool that would help make the workings of government transparent to all citizens and ensure that city agencies are accountable for their performance.() The CPR will eliminate the mystery about where and what kinds of performance information are available and increases accountability to its customers. The CPR was launched in February 2008 as an pioneering methodology to interactive, transparent performance management. The agencies involved in the implementation of the CPR dashboard were the Mayor’s Office of Operations in consultation with the Department of Information Technology and Telecommunications. CPR identifies where service delivery by more than 40 City agencies is trending in a positive or negative direction in an easy-to-use snapshot format. The following are the incentives of the CRP taken from NYC CPR At-A-Glance: * Tracks performance for the most important "outcome" measures - those directly...
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...therefore, highly commendable to facilitate clinical decision making and effective problem solving schemes. The use technology also reduces the health care cost and improves the quality of health services. In recent years, health centers have been faced with complex decision making processes. Use of technology in this case simplifies the methodologies used in reaching crucial decisions. Technology allows the decision makers to track the data/trends and identify approaches for efficient patient care. According to Kolodner (2008) the use information technology offers much in managing health care costs and improving the quality of outcomes. The Information Technology Systems are used to capture, store, process and communicate the vital information to the decision makers for management of health care in all levels. These systems enhance the outcome of data used in the research of the effectiveness of specific health care services. Structured data entry, electronic patient records, and automated capture from diagnostic and monitoring equipments makes patient data collection easier and more accurate. Health care influences the quality of human life and their functionality within the society. According to Classen (1997) medical errors (procedural and interpretive errors) are dangerous, increase hospital stay and cost human lives. In order to reduce the errors, the use of information technology to highlight and monitor such...
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...Opportunities for Adaptation and Mitigation through Africa Bio-Carbon Initiative By Samuel Mulenga Bwalya Peaks Environmental Management Consultants P.O Box 32632 Lusaka, Zambia January, 2010 Table of Contents Contents Page Table of Contents................................................................................................................. i List of Tables ...................................................................................................................... ii List of acronyms ................................................................................................................ iii Acknowledgements............................................................Error! Bookmark not defined. Executive Summary ............................................................................................................ v 1. Introduction................................................................................................................. 1 1.1 Objectives of the study........................................................................................ 1 1.2 Approaches and methodology............................................................................. 2 2. Climate variability and impacts .................................................................................. 2 2.1 Climate variability trends.................................................................................... 2 2.2 Areas most vulnerable to climate variability...
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...stands for and where it is going. This vision is what should be translated into a business strategy, which serves to remind a company of its purpose. In an increasingly competitive global economy fuelled by technological advances, there is a seemingly prevalent idea that the customer is key and the use of marketing data is therefore crucial to a company’s success. However, the focal point is how a company can ensure their exposure to data is to be informed, not driven by data; and how the data can be used to the company’s advantage in order to achieve long term goals. Business Strategy Johnson et al. (2008), state that strategy is the direction and scope of an organisation over the long term. Without a strategy in place to refer to, it is easy for a business to become overly focussed on the day-to-day business activities, temporarily losing sight of the goals and aspirations they have set for the business. This loss of vision can in turn lead to strategic drift, a concept explained by Handy (1989), as being the cause for businesses becoming uncompetitive in their respective environments and ultimately failing as a result of being too slow to respond to external trends and losing touch with customers. One of the main causes for strategic drift is thought to be substantial changes in technology, which have been rapid across the span of the information age. Narayanan & Fahey (1986), highlight that as the external environment changes, business strategies must be modified to take...
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...RISK MANAGEMENT IN BANKS The business of banking today is synonymous with active risk management than it was ever before. The success and failure of a banking institution heavily depends on the strength of the risk management system in the current environment. This is true as the very business of banking is risk-taking as an intermediary, i.e. interposing between savers (depositor) on one hand and the borrower on the other hand, thereby accepting the risks of intermediation. Risk Management: Meaning & Components A risk can be defined as an unplanned event with financial consequences resulting in loss or reduced earnings. Therefore, a risky proposition is one with potential profit or a looming loss. Risk stems from uncertainty or unpredictability of the future. In commercial and business risk generates profit or loss depending upon the way in which it is managed. Risk can be defined as the volatility of the potential outcome. Risk is the possibility of something adverse happening. Risk management is the process of assessing risk, taking steps to reduce risk to an acceptable level and maintaining that level of risk. The essential components of any risk management system are – * Risk Identification: i.e. the naming and defining of each type of risk associated with a transaction or type of product or service; * Risk Measurement: i.e. the estimation of the size, probability and timing of potential loss under various scenarios; * Risk Control: i.e....
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...PART A SWOT Analysis As Director of Information Management, I have been task to implement a new clinical information system for the pharmacy at this hospital. The hospital wants a pharmacy that will enable the physicians to have the capability of doing an automatic order through Computerized Physicians Order Entry (CPOE) in hope of reducing order delays, improving the legibility of orders, streamline operations, and ultimately improve patient safety by reducing medical errors. STRENGTH • Strong leadership and executive support • Focus on improved clinical practiced • Physician support • Leading technological hospital in the metropolitan area • Current hospital focus on patient safety • Wide-ranging: various professional groups will be impacted • Highly knowledgeable information system staff • Currently a pleasant and comfortable work environment for staff WEAKNESSES • Rising cost of resources • Limited budget constraints due to previous commitments • Lack of time for user training • New technology and staff attitude towards changes • Physician and clinical staff level of comfort with technology • Some hospitals already have CPOE OPPORTUNITIES • Desire to significantly reduce medication errors • Interest in standardizing medication ordering processes • Concerns of adequate training and assistance available for all involved clinical staff • Need for improved workflow processes in pharmacy services • Must have a positive impact on hospital efficiency ...
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