...Healthcare Leaders, “First, Do No Harm” The phrase “Primum non nocere” is Latin for “First, Do No Harm”, has been part of the Hippocratic Oath taken by healthcare leaders for centuries and has been a keystone of ethical practice in medicine (Rich, Singleton, & Wadhwa, 2013, p.171). It might be thought of as the first and earliest code of quality in medicine. The Oath is one of the oldest imperative documents, goes into more detail of quality care (Rich, Singleton, & Wadhwa, 2013, p.171). Healthcare leaders are responsible for business decisions, including decisions that impact the healthcare environment. Healthcare leaders may be held to an even higher standard of accountability than commercial industry leaders because of their commitment to...
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...profession, there are many challenges and constant changes related to healthcare data. High-quality healthcare data is essential in order to create meaningful data. Electronic health records (EHRs) are a big part, and an increasingly important aspect of data quality. Data is analyzed and managed by the health professional, to be incorporated with new and changing technologies. Concerns have arisen with healthcare data, increasing the need for data integrity and reliability. Healthcare data will require constant improving to maintain quality. Healthcare leaders face many challenges related to data, such as the transition to the ICD-10-CM/PCS data system and producing meaningful use with data given. Other issues that occur for healthcare leaders, are maintaining compliance with clinical documentations and health data reporting requirements, whether by data entry or the software program itself. They must also ensure the health information exchange (HIEs) is worthwhile and that it will be sustainable. EHRs are used much more now than in the past and have become a staple in healthcare settings. EHRs have created options for healthcare organizations to choose from, in order to record documentation. Complaints and concerns have developed, in regards to electronic health records (EHRs). Since EHRs are being increasingly integrated into all aspects of healthcare settings, issues “regarding the integrity, reliability, and compliance capabilities of automated documentation processes...
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...component of accelerating improvements in the quality and value of health care for all Americans. Policymakers will be challenged to link investments in the health information infrastructure to the objectives of health care reform. The purpose of this paper is to articulate on why it is important to increase the likelihood of achieving high-value health care with the aid of health IT. Although the healthcare community has been clamoring for integration of its IT systems for decades, the industry is still in a rather elementary stage when it comes to useful and practical systems integration. Many think that the systems don’t support shared identities; they’re too focused on structured data, and that they don’t produce enough common output in a security-friendly way. However, by leveraging the Common Security Framework, healthcare organizations can now better manage risk; save time and expense that would be spent in determining their requirements and in auditing business associates; and increase information protection while better managing information security related expenses. Healthcare organizations in 2008 that was eager to develop health information exchanges (HIE) and regional health information networks (RHIO) also developed creative ways to assemble requests for proposals (RFP); clarify vendor expectations, and manage and resolve governance issues. Vendors received RFPs from states that had high hopes for data interchange but minimal funding. Other ventures were stymied...
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...Dimensions of Quality in Healthcare Presented by: Connie Kirkpatrick, PhD, MS, RN Franciscan Health System Tacoma, Washington Quality Basics Series Taught by quality experts for staff in Quality Improvement Organizations, Quality Basics focuses on the fundamentals of quality in areas such as the history of quality improvement, methods and models, performance measurement and other key topics. 1 Quality Basics Dimensions of Quality in Healthcare Connie Kirkpatrick, PhD, MS, RN Director, Quality & Clinical Support Franciscan Health System, Tacoma, Washington Question from a seminar participant: “I can see that it must work in practice. But does it work in theory?” 2 Dimensions of Quality Learning Objectives Define Quality Define Quality Improvement Describe six key “Dimensions of Quality” Describe seven key “Pillars of Quality” Quality Institute of Medicine: “Quality of Care” is the degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge. Institute for Healthcare Improvement (IHI): Quality is turning into outcomes management, and involves minimizing unnecessary variation so that outcomes become more predictable and certain. 3 Quality Basic Principles: All work is a process The process is the main source of quality defects (versus human error) Understanding variability in processes is the key to improving quality Quality Improvement ...
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...Authentication Authentication for Dr. Martin and his staff of 2 will be obtained through ID and password. This ensures that who is accessing the system is who they say they are. Kareo EHR requires ID and password word log on to access the cloud based program. Kareo EHR is compliant with all HIPAA Privacy and Security Rules (Kareo, n/d). 2 Access Control Access control determines who on UMUC staff will be able to read, modify, add, and/or delete information (Chap. 6). All current members of UMUC staff will need full access to Kareo EHR. Kareo EHR software is adjustable and assessable to all who are granted permissions. This EHR technology provides UMUC with flexibility and usability. 3 Security Policies UMUC must implement and follow strict security policies in order to protect themselves and their patients. HIPAA is also an obligated regulation to follow. Kareo EHR is compliant with all HIPAA Privacy and Security Rules (Kareo, n/d). With these requirements it forces and promotes UMUC to follow necessary security policies. 4 Usability There are specified users of the system and have a set of specified goals. The system should allow user goals to be met (effectively) in an efficient manner and the users will be satisfied with the process or outcome. The system will be used in a particular context with UMUC (Spencer, 2004). A usable system is one that is designed to consider all of these aspects (Spencer, 2004). UMUC will achieve usability by molding the Kareo EHR to their specific...
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...Week 6 Assignment 2 Research Design February 14, 2016 Master’s of Business Administration Partial Fulfillment in the Requirements for MKT 550 Strayer University Healthcare industries have seen recent movements towards continuous quality improvement and this has gained momentum. The healthcare managers that endeavor to achieve excellence take patient perception into account when designing the strategies for quality improvement of care. Recently, the healthcare regulators shifted towards a market -driven approach of turning patient satisfaction surveys into a quality improvement tool for overall organizational performance. Recently, the healthcare regulators shifted towards a market -driven approach of turning patient satisfaction surveys into a quality improvement tool for overall organizational performance. In 1996, evaluation of patient satisfaction was mandatory for all hospitals. A study was conducted in a tertiary teaching hospital in aiming to assess the opinions of clinical staff towards the effect of in-patient satisfaction surveys on the quality improvement process. A favorable result of 94% revealed that the patient was able to judge hospital service quality, especially in its relational, organizational and environmental dimensions. In Germany, measuring satisfaction has been required since 2005 as an element of quality management reports. Since 2002, the Department of Health (DOH) has launched a national survey program in which all NHS trusts have to survey...
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...technology of MCC, applications and challenges faced. Mobile Cloud Computing: Introduction MCC in its simplest form can be defined as an infrastructure where the storage of data and its processing is outside a mobile device. What mobile cloud computing does is move processing and storage to the cloud and thereby bringing applications and the computing power to a broader spectrum of mobile users [2]. Mobile service providers can provide services to the subscribers as AAA which refers to authentication, authorization and as well as accounting which is based on what is known as an home agent or HA and the end users data being stored on the cloud database. Every time a request is initiated from the subscriber, it is delivered to the cloud based system with the help of Internet. The controllers on the cloud will be able to process these requests and eventually providing the subscribers with the respective cloud based service. These services that are provided through cloud can be described as utility based, virtualization and as well as service oriented architecture based. Applications of MCC Offloading Computing power: These days mobile applications require massive computing resources in apps requiring speech recognition, gaming, etc. MCC allows in offloading these computing power from mobile devices to the cloud and...
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...530 System Architecture and Modeling 30 April 2015 Pharmacy and PRESCRIPTION SYSTEM in Saudi Arabia Tamim Alajlan SELP 530 System Architecture and Modeling 30 April 2015 Pharmacy and PRESCRIPTION SYSTEM in Saudi Arabia 1. Introduction This report includes complete details about the background of current systems of medication implemented in Saudi Arabia and the problems rising due to implementation of this system and the solution proposed to solve these problems. The communication gap among the patients, hospitals, doctors and pharmacies have raised a lot of problems and stills citizens of Saudi Arabia are facing this problem. Treatment security is usually a worldwide problem between healthcare services. Even so, the particular problems plus the future regarding drugs security with Saudi Persia have not recently been researched. Significant variables adding to drugs security troubles included infinite public entry to medications through different doctor's offices along with group pharmacies, transmission spaces concerning healthcare institutions, restricted by using important systems for instance advanced provider get accessibility, along with the possible lack of drugs security applications with doctor's offices. Problems to present drugs security training determined simply by participants included underreporting regarding drugs mistakes along with negative medicine responses, multilingualism along with vary type of qualification regarding healthcare specialists...
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...Innovation in health care Name Institution affiliation Innovation in health care The past few decades have seen increasing trends in the adoption of healthcare information systems in various healthcare departments. Such technologies are targeted at increasing the quality of services, the credibility of diagnostic and treatment options all in a bid to improve the quality of life. Despite the adoption of such technologies, new technology and information systems are cropping up every making technology adoption in the healthcare sector a perpetual undertaking. The aim of this paper is to review the literature ascribing to the use of information technology, particularly in the nursing department. By definition, innovation is the process of introducing or acquiring a new system to aid in the accomplishment of duties. Ideally, innovation creates a state of change in the organization (Omachonu & Einspruch, 2010). As such, implementation of innovation technology is often a complex task that involves careful planning. In essence, the technological innovation aims at making a healthcare facility attain the status of high reliability organizations (HRO). One of the main challenges that healthcare organization report, when adopting a new technology, lies in the implementing of the decision to acquire a new technology. Managers employ different strategies in implementing decisions at their organizations; the success of these decisions is dependent on the chosen...
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...Health Care Management Healthcare is a very large, complex, and inefficient industry. This field is one field that will always require attention and there will always be a need for improvement because it will be in dynamic state always. This is due to the human health, coverage and technology. These are all things that we cannot control or are working hard to get under better control. Furthermore, health care touches everyone. There are families who worry about their children and aging relatives; employers who must provide health insurance to their employees and the employees who need the benefits. In addition, there are the government officials and politicians who are concerned about the rising cost of health care; and, of course, the hospitals and doctors who are responsible for delivering health care. Having adequate health care is extremely important to people. Even successful medical treatment can involve pain, anxiety, risk, and, inevitably, lots of money. The last thing a patient in a hospital wants to think about is "how am I going to pay for all of this?" Ideally, instead of worrying about money, a patient should be concentrating on getting well. So the main question is how to measure the cost of the health? Of course human life is the dearest. But financial sides must also be taken into account. Healthcare system must provide health for all legal law abiding country citizens, regardless of their income, financial ability, and past health history. Everyone deserves to...
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...Conference on System Sciences - 2000 Investigation of Factors Affecting Healthcare Organization’s Adoption of Telemedicine Technology Paul Jen-Hwa Hu University of South Florida Patrick Y.K. Chau University of Hong Kong Olivia R. Liu Sheng University of Arizona Abstract Recent advances in information and biomedicine technology have significantly increased the technical feasibility, clinical viability and economic affordability of telemedicine-assisted service collaboration and delivery. The ultimate success of telemedicine in an adopting organization requires the organization’s proper addressing both technological and managerial challenges. Based on Tornatzky and Fleischer’s framework, we developed and empirically evaluated a research model for healthcare organizations’ adoption of telemedicine technology, using a survey study that involved public healthcare organizations in Hong Kong. Results of our exploratory study suggested that the research model exhibited reasonable significance and classification accuracy and that collective attitude of medical staff and perceived service risks were the two most significant factors in organizational adoption of telemedicine technology. Furthermore, several implications for telemedicine management emerged from our study and are discussed as well 1. Introduction Telemedicine is essentially about use of information and biomedicine technology to support, facilitate or improve collaboration and delivery of healthcare services among...
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...Methods Design and setting We performed a longitudinal retrospective patient record review study in 21 randomly sampled hospitals in 2004, and 20 in 2008 out of the total of 93 Dutch hospitals. Eight hospitals were studied in both years. Both samples were stratified for hospital type, university, tertiary teaching and general hospitals, and a proper representation of both urban and rural settings in the samples were verified. Tertiary teaching hospitals in The Netherlands provide specialised care and train doctors. The level of care given is between that given in a university hospital and in a general hospital. Generally speaking, university hospitals and, to some extent, tertiary teaching hospitals tend to treat more complex patients with more complex care. To be eligible, hospitals had to have at least 200 beds and an intensive care unit. In each hospital, 400 patient admissions were randomly selected in 2004, and 200 in 2008. Fifty percent of the records were of patients who were discharged from the hospital after a stay of at least 24 h. The other 50% were of patients who died in hospital. These patients were sampled from all inpatient deaths, regardless of their length of stay. We did not exclude patients admitted with an explicitly palliative care plan; this information was noted down and taken into account during the review process. During analysis, overall AE rates were corrected for the oversampling of deceased patients, because in our sample, 50% of the patients were...
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...Healthcare Disparities amongst minorities Racial and ethnic minorities have a predisposition to obtain a lower quality of healthcare than those of non-minorities, even when access-related factors, such as a patients’ insurance status and income, are measured. The sources of these disparities are complex, and are rooted in historic and contemporary injustices, and includes numerous participants at several levels, including health systems, their administrative and bureaucratic processes, utilization managers, healthcare professionals, and patients. Research and studies have found indications that stereotyping, prejudices, and uncertainty on the behalf of healthcare providers can all contribute to unequal treatment. The situations in which many clinical encounters take place - written off as high time pressure, cognitive complexity, and pressures for cost containment, may perhaps increase the chance that these practices will consequently result in care poorly matched to minority patients’ needs. Minorities can experience a range of other barriers to accessing care, even when insured at the same level as Caucasians; which may include language barriers, geographical areas, and cultural familiarities. Furthermore, financial and institutional arrangements of health systems, as well as the legal, regulatory, and political atmosphere in which they function, may have unequal and negative effects on minorities’ capability to reach quality care. A widespread, multi-level...
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... killing more Americans than breast cancer, traffic accidents or AIDS. Serious medication errors occur in the cases of five to 10 percent of patients admitted to hospitals. These numbers may understate the problem because they do not include preventable deaths due to medical treatments outside of hospitals (Vantage Professional Education, 2009). Background Medical malpractice is professional negligence that can cause injury which may result in death, substantial economic damages to the patient. Most cases of medical malpractice involve inaccurate diagnosis or misdiagnosis. There has been various and unfolding problems occurring in the United States domestic healthcare for many years. The most grave problem experienced in the healthcare industry is the suborn increase of medical errors in the healthcare industry. Some of the most serious incidents observed in medical errors include: misread handwritten prescriptions. Wrongly prescribed medication and improper dosages administered to patients during hospitalization, and pamphlets accompanied by prescription drugs that are too complicated for some patients to understand, hence, this contributes to improper dosages...
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... The computer hardware production is quickly rising. This can be classified into many extensive classes such as input, output processing, and storage. Hardware also can include disk drives, integrated circuits, display screens, cables, modems, speakers, and printers. The healthcare information system compromises the computer hardware and software and the telecommunications technologies that it uses to store and transmit information. Health Information Management are now used in carrying out almost all functions within a hospital such as scheduling staff, patient appointments, electronic prescriptions, decision support, electronic medical records and Insurance billing information. Software is a universal phrase that illustrates computer programs. The applications, scripts, and instructions sets that all fall under this category of computer software. Software programs are sorted as dual date copied to a computer’s hard drive. Software is important to Health information Management because it can store, retrieve, and manage patients records and also efficiently cater to ever changing technology and regulatory landscape. Most healthcare providers seek for such solutions that can offer them accuracy, reliability, and time results for maintenance of medical records. The idea is to make medical records accessible and manageable compared to age-old methods of maintaining paper based medical records....
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