...Denise Santiago Professor Debbie Hatzipetro HSA330 Information Technology in Healthcare Administration 5 November 2014 EMR/EHR Systems Between smart phones, tablets and the web technology has radically transformed our world. All of these advances have made it so that the healthcare system needs to keep up at a very fast rate. This has pushed healthcare facilities, providers to go onto and create the electronic health record/electronic medical record (EHR/EMR). We all have asked ourselves, why the need of EHR/EMRs? There are many answers to this one question, but one answer that stands out is very simple, EHRs has made it very accessible to a patient’s medical records and avoid trying to read poor penmanship that can cause medical errors. The patient’s whole medical history is there with the click of a button, medication/allergies can be crossed referenced between providers. Researchers have found benefits to having EHRs and those are clinical, organizational and societal outcomes. (healthit.gov) 1. Clinical outcome a. Improves the quality of care b. Reduces errors c. Improvements and appropriateness in patient level 2. Organizational outcome d. Standardized billing e. Operational performance 3. Societal outcome f. Improvement to conduct research (heatlhit.gov) The clinical outcome of the EHR has been most of the focus of the EHR. When we say clinical outcome, we think quality of care and patient safety. In the EHR there are...
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...the Implememtnation“The implementation and use of an efficient and well developed EMR system in today’s healthcare industry” Tallahassee Memorial Healthcare Family Medicine Residency Practice 6/13/2015 1 | P a g e Table of Contents 1) 2) 3) 4) 5) 6) 7) 8) 9) Table of Contents Introduction Current Business Process Data Collection and Analysis Data and System Security Ethical Issues System Requirements and Recommendations Attachment 1 References page 2 page 3 page 4 page 5 page 5 page 5 page 6 page 7 page 13 2 | P a g e Introduction “Project Introduction: A physician’s office hired you as a consultant to provide recommendations for an efficient information system that will: 1) minimize patient waiting time, 2) decrease paper work between the office and other healthcare entities such as hospitals, labs, and imaging companies 3) increase quality of patient care, and 4) optimize billing and coding process. Your recommendations should reflect an overview of the key technologies that are important in today’s business environment and introduce organization and management concepts relating to information technology function. ...
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...Case Study Carrol Godwin Southern New Hampshire University HCM 500 1. What if the study had shown the emergency department (ED) was implementing a lab information system rather than an EMR, How would that impact patient flow? Explain. 2. What would have changed if the implementation was planned for the early summer or late spring? 3. What elements are needed in order to ensure patient safety? 4. Depending on your discipline, address one of the following questions (you may respond to both, if desired): As a nurse manager, what would you like to have seen done differently with the implementation? As the office manager, you oversee the staffs who admit patients to both the ED and overflow clinic. What could you have done differently to make the implementation go more smoothly? 5. The next phase of the EMR implementation plan involves the ICU and NICU. What recommendations would you make to modify the implementation plan based on the ED experience? Explain. 6. After reading this case, how will you use the lessons learned to implement your group project? In my case study I will discuss the impact on the workflow in the Emergency Room (ER) when lab information system is implemented. I will discuss any impact on the patient flow thru the ER and the turnaround time (TAT) for lab results and any effects on the patient’s length of stay (LOS). I will discuss patient safety issues and what is needed to insure the institutions goals are met. I will look at the implementation...
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...TEAM PROJECT BRIEF (BA410) An Electronic Medical Records (EMR) a form of an Information System is an electronic digital repository of patient clinical data that is can be availed for use by stakeholders, such as Clinicians, Insurance companies, Employers, The Government, and Hospital management. A typical EMR system incorporates features such as a clinical data repository (Database), computerized patient records, decision support applications, integration with other systems, and transaction processing capabilities. Though the usage of these Information Systems continues to be low in country, the industry is beginning to realize their importance. Use of computers in management of patient records is slowly finding its way into Kenyan Hospitals. One of these health institutions (Feel free to choose an outpatient clinic of choice) has approached your group (Team) in need of a proposal for the implementation of an EMR for their institution. You are expected to provide a final detailed Information System proposal for the above mentioned institution (Client) accompanied by a PowerPoint Presentation which you are expected to present to a panel comprising of selected member of the Hospital Management and other key people. The proposal should be feasible and practical. SAMPLE STRUCTURE OF THE DOCUMENT CHAPTER 1: INTRODUCTION Executive summary * The Brief – Is a short description of what this project is about * The Client – Talk about the client and their business...
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...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 and discharge, assessment and treatment planning. It has...
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...Hospital Information Systems: A deeper look at What goes on First, I would like to assessment the history of hospital information systems and how it has changed to the point where analytics is so important. When I have an opportunity to join the industry, which will be hopefully in 2016, I will see just so many of these changes that will occur, and I believe that a data warehouse, along with analytics tools, is a essential module of any CIO’s application portfolio. This might make more sense with some past viewpoints. They need to review the trends in health information systems decade by decade. I’ll list the main influence that was driving healthcare, then the driver for the IT, and finally the resulting health information technology (HIT) innovation: *1960s: The main healthcare drivers in this era were Medicare and Medicaid. The IT drivers were expensive mainframes and storage. Because computers and storage were so large and expensive, hospitals typically shared a mainframe. The principal applications arising in this environment were shared hospital accounting systems. *1970s: One of the main healthcare drivers in this era was the need to do a better job communicating between departments (ADT, order communications, and results review) and the need for discrete departmental systems (e.g., clinical lab, pharmacy). Computers were now small enough to be installed in a single department without environmental controls. As a result, departmental systems boomed. Unfortunately...
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...for watching video? Can you identify any shortcomings of the device? 2. Compare the capabilities of the Kindle to the iPad. Which is a better device for reading books? Explain your answer. 3. Would you like to use an iPad or Kindle for the books you use in your college courses or read for pleasure instead of traditional print publications? Why or why not? II Porter’s competitive forces model helps companies develop competitive strategies using information systems. In this context answer the following questions: 1. Define Porter’s competitive forces model and explain how it works. 2. Describe what the competitive forces model explains about competitive advantage. 3. List and describe four competitive strategies enabled by information systems that firms can pursue. 4. Describe how information systems can support each of these competitive strategies and give examples. 5. Explain why aligning IT with business objectives is essential for strategic use of systems. III Discussion Questions 1. It has been said that there is no such thing as a sustainable competitive advantage. Do you agree? Why or why not? 2. It has been said that the advantage that leading-edge retailers such as Dell and Wal-Mart have over their competition isn’t technology; it’s their management. Do you agree? Why or why not? 3. What are some of the issues to consider in determining whether the Internet would provide your business with a...
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...Structural functional theory is when society is a complex system of interconnected and interrelated social structures each having a function and working together to promote social stability. One hundred million people shop at Wal-Mart every week. Wal-Mart is very convenient for people to shop at. Most people do not even have to shop at other stores because Wal-Mart has everything. It’s also convenient because it is right around the corner from a lot of customers houses; they don’t have to travel far to find a Wal-Mart store so they save gas. People already know that Wal-Mart has the lowest prices so they don’t have to search for stores with low prices. The items sold are good quality as well as cheap. What more could someone ask for. Wal-Mart is a world leader in logistics and promotes greater efficiency between its suppliers. Bob McAdam who is the Wal-Mart vice president states in the video, “We are raising the standard of living through lowering the cost of goods for people.” He is saying that Wal-Mart is good for Structural functional theory is when society is a complex system of interconnected and interrelated social structures each having a function and working together to promote social stability. One hundred million people shop at Wal-Mart every week. Wal-Mart is very convenient for people to shop at. Most people do not even have to shop at other stores because Wal-Mart has everything. It’s also convenient because it is right around the corner from a lot of customers houses;...
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...The systems approach Attempts to reconcile the classical approach (emphasised the technical requirements of the organisation and its needs) with the human relations approach (emphasised the psychological and social aspects, and the consideration of humans needs). The attention is focused on the total work organization and the interrelationship of structure and behavior, and the range of the variables within the organisation. The principal idea is that any part of an organisations activities affects all others parts. The business organisation is an open system, there is continual interaction with the broader external environment of which it is part. The systems approach views the organisation within its total environment and emphasies the importance of multiple channels of interaction. The systems approachs views the organisation as a whole and involves the study of the organisations in terms of the relationships between technical and social variables within the system. The contingency approach This approach explain that the most appropriate structure and system pf management is therefore dependent upon the contingencies of the situation for each particular organisation, this approach implies that the organisation theory shouldn’t seek to suggest one best way to structure or manage organisation but should provide insights into the situational and contextual factors which influence management decisions. Other approaches to the study of organisations: -The decision-making...
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...Chapter 1: Two Different Worldviews The Framework of Individual Psychology The Framework of Systemic Family Therapy Basic Concepts of Systems Theory and Cybernetics Family Therapy or Relationship Therapy? Summary Chapter 2: The Historical Perspective Planting the Seeds: The 1940s Cybernetics Development of Interdisciplinary Approaches Gregory Bateson Putting Down Roots: The 1950s Bateson (Continued) The Double-Bind Hypothesis Nathan Ackerman Murray Bowen Carl Whitaker Theodore Lidz Lyman Wynne Ivan Boszormenyi-Nagy John Elderkin Bell Christian F. Midelfort Overview of the 1950s The Plant Begins to Bud: The 1960s Paradigm Shift The MRI Salvador Minuchin Other Developments Blossom Time: The 1970s Psychodynamic Approaches Natural Systems Theory Experiential Approaches Structural Approaches Strategic Approaches Communication Approaches Behavioral Approaches Gregory Bateson Connecting and Integrating: The 1980s Other Voices The Limits of History Controversy, Conflict, and Beyond: The 1990s The Feminist Critique Family Therapy and Family Medicine Integration and Metaframeworks Managed Care The Twenty-First Century: Continuing Concerns and Emerging Trends Summary Chapter 3: The Paradigmatic Shift of Systems Theory A Cybernetic Epistemology Recursion Feedback Morphostasis/Morphogenesis Rules and Boundaries Openness/Closedness ...
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...first lectures of the course show an empirical and theoretical view of the major principles of the organizational design as well as the alternative design forms. The stakeholders, both insiders and outsiders, and their behavior or relations of cooperation and competition suppose an analysis need that provides them of a huge importance. I also realize about the importance of the agency theory and the problems and remedies caused, improving the importance of efficient corporate governance. This need of a good organization is solved by the systems theory, ”Organizations are systems of interdependent activities linking shifting coalitions of participants; the systems are embedded in – dependent on continuing exchange with and constituted by – the environments in which they operate”. (Scott, 1998:28). The systems which formed the organization have a common target and are classified in three levels based on their relevance. Both, stakeholders and systems, needs an analysis in order to get success in our procedures and adapt the venture structure to the different organizational designs provided in the lectures. After understanding these concepts, the lectures focused on the relation between the main management factors (Vision and mission) and the drivers analyzed, providing goals and strategies to the organization. As important as the creative process is the analysis to know the organizational boundaries, which let the organization look for available goals based on the efficiency and effectiveness...
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...for watching video? Can you identify any shortcomings of the device? 2. Compare the capabilities of the Kindle to the iPad. Which is a better device for reading books? Explain your answer. 3. Would you like to use an iPad or Kindle for the books you use in your college courses or read for pleasure instead of traditional print publications? Why or why not? II Porter’s competitive forces model helps companies develop competitive strategies using information systems. In this context answer the following questions: 1. Define Porter’s competitive forces model and explain how it works. 2. Describe what the competitive forces model explains about competitive advantage. 3. List and describe four competitive strategies enabled by information systems that firms can pursue. 4. Describe how information systems can support each of these competitive strategies and give examples. 5. Explain why aligning IT with business objectives is essential for strategic use of systems. III Discussion Questions 1. It has been said that there is no such thing as a sustainable competitive advantage. Do you agree? Why or why not? 2. It has been said that the advantage that leading-edge retailers such as Dell and Wal-Mart have over their competition isn’t technology; it’s their management. Do you agree? Why or why not? 3. What are some of the issues to consider in determining whether the Internet would provide your business with a...
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...Organizations as a system. A system is a whole made up of parts. Each part can affect the way other parts work and the way all parts work together will determine how well the system works. when can look at business organization as a system because it conforms to the system definition; it recognizes the interrelationships of people, processes, decisions and designs organizational structure in order to realize its projected economic goal. An organization with a good designed system will requires an understanding of how all the parts (for instance, HR department, production department, logistic department, finance department, sales department, marketing department, IT department …etc) fit together as a whole, an intimate understanding of the parts themselves for a better understanding of endogenous event and a full awareness of the organization’s environment including the other external systems to which it is connected to better prepare for exogenous changes. Some hypothetical problems that disrupt the balance of the an organization would be a coordination or communication issue between departments, for instance HR department not selecting adequate candidate for a specific job skill because it did not have all relevant information about the job, or for instance marketing department lunches a new product without integrating logistic department in the project which may cause delays of production and order fulfillment issues. Another issue that may disrupt the balance of the system is exogenous...
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...PubMed Abstract: Retroviral capsid proteins are conserved structurally but assemble into different morphologies. The mature human immunodeficiency virus-1 (HIV-1) capsid is best described by a 'fullerene cone' model, in which hexamers of the capsid protein are linked to form a hexagonal surface lattice that is closed by incorporating 12 capsid-protein pentamers. HIV-1 capsid protein contains an amino-terminal domain (NTD) comprising seven α-helices and a β-hairpin, a carboxy-terminal domain (CTD) comprising four α-helices, and a flexible linker with a 310-helix connecting the two structural domains. Structures of the capsid-protein assembly units have been determined by X-ray crystallography; however, structural information regarding the assembled capsid and the contacts between the assembly units is incomplete. Here we report the cryo-electron microscopy structure of a tubular HIV-1 capsid-protein assembly at 8 Å resolution and the three-dimensional structure of a native HIV-1 core by cryo-electron tomography. The structure of the tubular assembly shows, at the three-fold interface, a three-helix bundle with critical hydrophobic interactions. Mutagenesis studies confirm that hydrophobic residues in the centre of the three-helix bundle are crucial for capsid assembly and stability, and for viral infectivity. The cryo-electron-microscopy structures enable modelling by large-scale molecular dynamics simulation, resulting in all-atom models for the hexamer-of-hexamer and pentamer-of-hexamer...
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...well: This chapter involves review of previous studies and researches carried out which were found to be related to this presently. Detailed review of literature was carried out to cover the following study areas as shown: - Organizations - Management - Motivation (Reward) and its theories - Relevance of motivation (reward) on productivity. 2.2 ORGANIZATION Organization can be defined as two or more people who work together in structured way achieve a specific goal or goals. Organization can be defined form diverse perspectives. According to Scott (1981) these are there perspective for defining organization these are: 1. Organization as rational systems. 2. Organization as natural systems. 3. Organizations an open system. Organization as Rational Systems: The definition of Organizations as a rational system emphasizes two major characteristic of Organizations. a. Specification of goals b. Formalization of structure. According or Barnard (1938) “formal Organization is that kind of cooperation concision of men that are conscious l deliberate and purposeful Scott (1981). Defines an Organization as a collectively oriented to the pursuit of relatively specific goals an exhibiting a relatively highly formalized social...
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