...Interoperability Teresa Wadsworth BSHS375 10/01/15 Michele Dougherty Interoperability In this paper I will be identifying a type of human services organization, describing three models of interoperability and how it can be integrated with the organization, and then a backup plan should technology fail. The Human services organization that I have chosen is Community Intervention Associates. They are a local for profit Behavioral Health organization. They provide services to the low income and homeless populations with mental illnesses. Some examples of the services that they offer are Individual & Family Services such as counseling and groups. Psychiatric Health for those in need of medications to help with a diagnosed mental illness that cannot be treated with just counseling or groups alone. A 24hr Crisis Center that is staffed by certified Behavioral Health techs and is utilized adults that are in need of immediate support and encouragement or to get in to a higher level of care. Integrated Health Services is a service that is also provided. Agencies are acknowledging interoperability as a winning strategy for handling low budgets and high demand for quality health care and human services. Interoperability is generally more popular among agencies that mandate it than those who get stuck with the actual implementation. It demands planning, implementation, effort and problem-solving. This is not only to put data sharing technology in place, but also to...
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...1 Approaching Ethical Issues and Dilemmas in Counseling Rosa Davis BSHS/335 February 16, 2015 Facilitator Carrie Hill 2 Approaching Ethical Issues and Dilemmas in Counseling Counselors, whether they are working in private practice, in an agency setting, or teaching and supervising; are struggling more and more with issues that are related to their own, trainees, and clients. As professional, we all have has training on legal and ethical issues in counseling. Even though our credentialing organizations might require a certain amount of training in ethics and we meet that requirement; there are still ethical violations. This could be due to two reasons: (1) most writing and courses on ethics does not teach us to think or how to make ethical decisions that are in the best interest of the client. Basically, the training teaches the do’s and don’ts but does not provide the tools to work through complex clinical situations. (2) Generally, the alcohol and substance abuse field does not provide adequate clinical supervision to its counselors. This field tends to gravitate toward what happens behind closed doors; stays unseen and unknown until things blow up. As professional counselors, there are three major issues that we must face when we are considering making a decision on how to act within the counseling setting: (1) what is legal, what is ethical and what is moral. Typically, the legal standard is the minimum acceptable level that will meet the requirement...
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...One model of interoperability is a loosely linked network model. It is a model of independent agencies illustrated by the concepts of cloud computing and smart phone apps. A second model is a formal network of small, independent organizations illustrated by interoperability in the travel industry. A third model is a large organizational model illustrated by interoperability in the banking system (Schoech, 2010). Loosely Linked Network Model: Cloud Computing and Smart Phone Apps One interoperability model can be illustrated by software as a service, and smart phone apps. Software is more of a service than a product in this model. Agencies only use applications and tools that are needed to achieve their goals. This method lowers overall infrastructure costs because system wide activities are minimized. The model is highly scalable and modular with connectivity and growth as needed. It also allows maximum agility and flexibility on the part of agencies. This models impact on practice is small and anticipated because agencies would buy into larger infrastructure when needed and ready. In the loosely linked network model, the IGHI will have difficulty functioning since it lacks components and has no central infrastructure entities (Schoech, 2010). Travel Industry Model The travel industry model is more formal. Central guidelines and standards have been established for entities to become part of the global structure. Each agency would screen clients in or out of its particular...
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...Software Applications in Human Services Christie Morris BSHS 375 August 4, 2014 Sharon Cross Software Applications in Human Services There are many software applications used in human services. These applications host a large amount of data and tracking systems. These tracking systems are vital to human services and keeping with trends in technology. Some of the greatest software applications are able to track client scheduling and appointment keeping, length of treatment, history, assessment, risk and severity of disease, mental health and much more. Software applications can track outcomes, produce data reports and are used for all sorts of tracking that makes service delivery and success possible. With the use of these applications comes technical issues and glitches that need to be monitored. Though there are many applications to discuss, the focus of this paper will be Access and the electronic medical record Darmis that this software hosts. This paper will also discuss the software ADM which is a highly used EMR application. Access is a phenomenal software that is used for many forms of data in the US business culture. Its capabilities range from data, tracking, producing monthly and annual reports, and the ability to build even an electronic medical record program. Darmis was built on access. Darmis is a sophisticated EMR and able to hold health information for hundreds and even thousands of clients. It is able to produce entire history medication tracking, intake...
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...Interoperability Paper Liz Platipodis BSHS 375 November 29, 2013 Donna Zeh Interoperability Interoperability is defined as the aptitude of one system to perform work in integration with other systems without asking for hard work and effort on the part of the user. Interoperability enhances the significance for information technology to make the networks and integrations work. The term is most widely used in product enhancement and marketing. Compatibility is a significant term when defining interoperability. In human services different providers employ interoperability to communicate with other systems and services for better results. (Margaret Rouse, 2006) ACF Interoperability Initiative The Administration for Children & Families (ACF) is acknowledged as a significant Department of Health & Human Services America. ACF supports the economic and social well-being of children, families, communities, and individuals through offering many state of the art programs. ACF’s human services provide an extensive range of groups consisting of individuals and families earning low income, Native Americans, refugees, and many others. (ACF, 2013) To fulfill its mission ACF is struggling to provide grants to non-profit groups, state and local governments, faith and community-based organizations, Native American communities, and American Indian tribes. ACF also provides technical assistance, supervision, and administration to fund beneficiaries that, in turn, are responsible...
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... * * BSHS/ 375 * * * * * * * * Interoperability Paper * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Administration for Children and Families. * Mental Health providers work to promote opportunities to people with mental health illness to improve their ability to seek treatment, socialize with others, and work towards a job and a better living condition for themselves with the most appropriate therapeutic support. Mental health services operate under specific principles which are for services to be delivered by mean of comprehensive system of care which points out the most appropriate and least restrictive setting to deliver the highest level of functioning. There should also be continuity of care within the state and between the public and private sectors. The ranges of these services within the system must respond to the needs of the individual consumers and the population served. Interoperability means the ability of health information systems to work together within and across organizational boundaries in order to advance the effective delivery of healthcare for individuals and communities. For Human services provider, the ability is critical to meeting objectives. Interoperability affects care delivery, continuity of care, and the ability to share information...
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...Interoperability Paper Health care is need throughout the world ranging from general care, emergency service and even mental health. Mental health comes in many forms and range from the younger generation to the older generation. Physical illness is easier to define than mental illness because it involves bodily disorders that can be seen in different ways. Mental illness can be a temporary emotional onset or a long lasting psychological breakdown. Services for mental illness are rendered in inpatient and outpatient setting, partial hospitalization, and also emergency care. Inpatient care consist of patients who did not respond to the treatment and are referred to long stay institutions. Outpatient care provides psychological services through an outpatient clinic. Partial hospitalization are facilities that provide treatment for patients during the day and allow them to return home at night. Emergency care is a 24 hour crisis center that deals with psychiatric emergencies. Professionals in the mental health care team provide the client with the best care possible. Technology is used in many mental health settings. Advancement in health care technology is moving at a rapid pace. New technology that is administered in the medicals office can reduce medical errors and prevent unnecessary mistakes. Technology information is available to support integrated electronic health record systems. This system helps the psychiatrists, physician, psychologists, social workers...
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...years in many countries including the United States. There are very few things as important as being able to communicate with the customers on the ground. We have to be able to relay the appropriate information in an efficient amount of time to be successful. The UH72A has quite the array of communication equipment, but there are still gaps in the coverage. The mission of the UH72A in the Security and Support battalions is heavily loaded with civil support. Technology has advanced considerably since the production of the current communications package. Law enforcement and federal agencies have been on top of the technology shift including radios that have proprietary software and proprietary encoding. Observation 1: Communications Interoperability of the UH72A due to outdated communications and the array of commercial equipment available to the civil community. Discussion: Currently in the UH72A we have 2 Garmin VHF radios, 1 ARC231 FM/VHF/UHF capable of single channel/frequency hopping/Havquick, and 2 Colbahm radios of single channel FM/VHF/UHF with tone codes (squelch codes). That package worked accordingly on a year 2005 level. Since that time there have been major development in frequency discretion and encoding. The manufacturer of the communication equipment elects to develop software and coding that is discrete to that manufacturer. The discrete coding and software poses an intercommunication issues between other radios on the market and in the field. This typically...
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...As I always make sure to do, prior to discussing the topic, it is imperative to define each term to have a clear understanding of which factor might affect this adoption. For this discussion, I'll just briefly state that EHR's refer to Electronic Health Records and "interoperability" is the ability for different technologies to communicate in data exchange and have the capacity to use that information that was exchanged. So, another way of translating this discussion is "What do you think will drive the adoption of 'computing' Electronic Health Records'?" In my opinion I believe that the producer's will is far more of a determining factor than the consumers, even though I as a consumer would want it the other way around. To explain, I believe that if an organization was profiting from something the consumers wanted changed, the producer's wouldn't want to change it as long as they were making a profit out of it. The opposite of this scenario is exactly what's going on with the healthcare landscape today. The adoption of EHR's will save producers, the healthcare organization, lots of money in the long run so I think it will be costs savings that determines this change rather than consumer preference. Our textbook states the two questions a healthcare organization must ask themselves when confronting this issue of evolving with the times. The book states that "the questions they must ask are as follows: Does the investment in HIT increase, have no effect on, or decrease organizational outcomes...
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...3.2 Guiding Principles Guiding Principles Guiding Principles Guiding Principles Guiding Principles To achieve the development objectives, tTo achieve the development objectives, t To achieve the development objectives, t To achieve the development objectives, t To achieve the development objectives, t To achieve the development objectives, t To achieve the development objectives, t To achieve the development objectives, t To achieve the development objectives, t To achieve the development objectives, tTo achieve the development objectives, tTo achieve the development objectives, tTo achieve the development objectives, t To achieve the development objectives, tTo achieve the development objectives, t To achieve the development objectives, t To achieve the development objectives, t To achieve the development objectives, tTo achieve the development objectives, t To achieve the development objectives, t To achieve the development objectives, tTo achieve the development objectives, t To achieve the development objectives, t To achieve the development objectives, implementation framework he implementation framework he implementation framework he implementation framework he implementation framework he implementation framework he implementation framework he implementation framework he implementation framework he implementation framework he implementation framework he implementation framework he implementation framework he implementation framework he implementation framework he implementation...
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...HSA 520 week 5 dq 1&2, 1- The best equivalence for interoperability is a digital nervous system – a backbone that carriages the standardized messages both to and from the end points and a brain that evaluates the messages traveling through the system. Interoperability solution helps to reduce redundant data entry, speed access to information and create a real-time flow of information through an enterprise IT system. The main advantage of making interoperability is to advance the visibility, sharing and re-use of data collection between disparate healthcare applications and devices. However, interoperability of health care management information systems covers health and patient information, clinical knowledge and workflow, and technical matters such as architecture, messaging, 2- I determined that the most significant requirement of an effective solution to interoperability is its ability of operative effectively in heterogeneous environments. In the health care environment, it allows health information systems to work together within and across organizational boundaries in order to advance the effective delivery of healthcare for individuals and communities. Interoperability is becoming a crucial issue for industry, and a lack of interoperability can be seen as an important barrier to collaborative work, in both public (inter-enterprise) and private (intra-enterprise) collaborative processes. Indeed, interoperability is generally defined as the ability of enterprises to...
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...Informatics Specialty Area and Interoperability Understanding interoperability and how it relies on the health information exchange (HIE) to conduct the exchange of electronic health information in a secure environment, is one of the key elements in getting all the disciplines across the industry to work together in building this national electronic network. Interoperability can be described by how data gets accessed and exchanged and the use of the exchanged data is shared between two or more information technology systems or devices (Naser, n.d.). The systems must be interoperable and share the data as usable knowledge. The health information exchange (HIE) is a process that allows health care professionals and patients to securely access and move clinical information among shared health information systems; while maintaining the integrity of information exchanged (HIMSS, 2014). Obviously, there are inherent risk in the process of exchanging data with the other systems and various groups if the exchange is not done in a secure manner while protecting patient confidence and privacy. All groups including clinical finance, admitting, even the software and medical vendors benefit greatly when data is exchanged securely and seamlessly. The health and human services (HHS) is in the stages of developing information exchange standards for interoperability and information exchange and the Office of the National Coordinator for Health Information Technology (ONC) is responsible...
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...wirelessly and communicate with each other, that can be used at home (as part of a hi-fi unit), or can be detached and taken as a self-powered wireless companion to a party outdoors. Description of Design: As a group we first defined the attributes that we wanted to understand customer preference around. Some immediate questions were: “What price point?” “Would a classic design aesthetic be preferred over modern, edgy lines?” “How exceptional must sound quality be?” “How important will interoperability and connectivity be for consumers as we increasingly move into an internet-of-things world?” And finally, “Can we get a sense of the kind of names that might resonate better?” From an experimental design perspective, we were conscious that we should rather have more attributes than levels. We get more bang-for-buck this way, as adding levels is multiplicative, but adding factors can be exponential. Accordingly, we zeroed in on 5 attributes (PRICE, SOUND QUALITY, STYLE, INTEROPERABILITY, & BRAND NAME) with varying levels (as can be seen in the adjoining schematic). For price, we were sure we wanted 3 levels so that we could get a concave/convex graph. In a full factorial experiment, this design would have led to a maximum of 108 choice sets – a level that would be taxing for respondents. On the other end, using the fractional...
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...Interoperability Paper BSHS/375 Nicole Nightingale Interoperability Paper The human service organization chosen for this paper is Division of Aging Services. The Division of Aging Services is a branch of the New Jersey Department of Social Services. In this paper the services provided by this program and the populations eligible for these services will be examined. The three models of interoperability will be discussed, how they can be integrated into the Division of Aging Services, the advantages, and disadvantages of each model. Finally, if technology should fail the backup plan will be discussed for each model. The Division of Aging Services helps pay for services provided to the clients to ensure their safety while remaining in their homes. To be eligible for this program the individual must be 65, disabled, or blind, and in need of assistance to live at home. Disabled children with parents who cannot care for them 24 hours a day because of jobs or other obligations may also be eligible for services. Receiving assistance from The Division of Aging Services is an alternative for those individuals who would prefer to remain in their own homes rather than live in a nursing home or board and care facilities. Depending on the type and amount of care a client needs The Division of Aging Services will determine and pay for a specified number of hours per month. Applicants and recipients must meet the following eligibility requirements: 1). Must reside in the United States...
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...Current Event 3 HCM 325 Interoperability in Healthcare Creating an interoperable health care system that would allow the use and exchange of information to providers and consumers across different care settings has become essential. This was the main focus in “The Quest for Interoperability in Healthcare” article. In order for the U.S. to get on board the National Coordinator for Health IT, came up with a Nationwide Interoperability Roadmap for providers. The Coordinator claimed that the quality of care, cost and access would be impacted positively. Molly McCarthy, the author explained that in all of her roles within the healthcare industry interoperability was always a problem that had to be faced. In addition nurses, physicians and patients all have to deal with this same reoccurring problem. The article also goes in depth about how medical devices and information technology are critical to a patients monitoring and care. Clinicians with interoperable devices within their facility have a higher quality of care due to enhanced up to date information at their fingertips. Secure access to this information technology is not only available to the clinicians and medical personnel but also to patients. They can easily access this information through their smart phones and conveniently review treatment plans and medication etc. In addition better clinical decision are made resulting in better outcomes and a decrease of healthcare spending. Interoperable technology is an...
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