Tag Archive for: nursing

pharmacotherapeutics

CASE STUDY 1

HH is a 68 yo M who has been admitted to the medical ward with community-acquired pneumonia for the past 3 days. His PMH is significant for COPD, HTN, hyperlipidemia, and diabetes. He remains on empiric antibiotics, which include ceftriaxone 1 g IV qday (day 3) and azithromycin 500 mg IV qday (day 3). Since admission, his clinical status has improved, with decreased oxygen requirements. He is not tolerating a diet at this time with complaints of nausea and vomiting.

Ht: 5’8” Wt: 89 kg Allergies: Penicillin (rash)

Post a brief description of your patient’s health needs from the patient case study you assigned. Be specific. Then, explain the type of treatment regimen you would recommend for treating your patient, including the choice or pharmacotherapeutics you would recommend and explain why. Be sure to justify your response. Explain a patient education strategy you might recommend for assisting your patient with the management of their health needs. Be specific and provide examples.

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Data Analysis and Results:

Data Analysis and Results:

Textbook:

Houser, J. (2018). Nursing research: Reading, using, and creating evidence (4 th ed.). Sudbury, MA: Jones and Bartlett.

Reading:

Chapter 11: Summarizing and Reporting Descriptive Data

Chapter 13: Analysis and Reporting of Quantitative Data

Chapter 15: Analyzing and Reporting of Qualitative Results

Assignment:

Data analysis is key for discovering credible findings from implementing nursing studies. Discussion and conclusions can be made about the meaning of the findings from the data analysis.

1)Share what you learned about descriptive analysis (statistics), inferential analysis (statistics), and qualitative analysis of data; include something that you learned that was interesting to you and your thoughts on why data analysis is necessary for discovering credible findings for nursing.

2)Compare clinical significance and statistical significance; include which one is more meaningful to you when considering application of findings to nursing practice.

Must be in APA format, use references and citations. One reference must be from textbook and one reference from Scholarly article.

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health care

The practice of health care providers at all levels brings you into contact with people from a variety of faiths. This calls for knowledge and understanding of a diversity of faith expressions; for the purpose of this course, the focus will be on the Christian worldview.

Based on “Case Study: End of Life Decisions,” the Christian worldview, and the worldview questions presented in the required topic study materials you will complete an ethical analysis of George’s situation and his decision from the perspective of the Christian worldview.

Provide a 1,500-2,000-word ethical analysis while answering the following questions:

  1. How would George interpret his suffering in light of the Christian narrative, with an emphasis on the fallenness of the world?
  2. How would  George interpret his suffering in light of the Christian narrative, with an emphasis on the hope of resurrection?
  3. As George contemplates life with amyotrophic lateral sclerosis (ALS), how would the Christian worldview inform his view about the value of his life as a person?
  4. What sorts of values and considerations would the Christian worldview focus on in deliberating about whether or not George should opt for euthanasia?
  5. Given the above, what options would be morally justified in the Christian worldview for George and why?
  6. Based on your worldview, what decision would you make if you were in George’s situation?

Remember to support your responses with the topic study materials.

Prepare this assignment according to the guidelines found in the APA Style Guide. An abstract is required.

This assignment uses a rubric.You are required to submit this assignment to LopesWrite.

1. Bioethics: A Primer for Christians

Read Chapters 6 and 12 in Bioethics: A Primer for Christians.

http://gcumedia.com/digital-resources/wm-b-eerdmans-publishing-co/2013/bioethics_a-primer-for-christians_ebook_3e.php
2. Called to Care: A Christian Worldview for Nursing

Read Chapters 10-12 in Called to Care: A Christian Worldview for Nursing.

http://gcumedia.com/digital-resources/intervarsity-press/2006/called-to-care_a-christian-worldview-for-nursing_ebook_2e.php

3. Defining Death: Medical, Legal and Ethical Issues in the Determination of Death

Read the Introduction and Chapters 1-3 of “Defining Death: Medical, Legal and Ethical Issues in the Determination of Death” by the President’s Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research (1984).

https://repository.library.georgetown.edu/bitstream/handle/10822/559345/defining_death.pdf?sequence=1

Rubric

  1. Analysis of how the man would interpret his suffering in light of the Christian narrative and the fallenness of the world is clear and demonstrates a deep understanding that is skillfully supported by topic study materials. 12%
  2. Analysis of how the man would interpret his suffering in light of the Christian narrative and the hope of resurrection is clear and demonstrates a deep understanding that is skillfully supported by topic study materials. 12%
  3. Analysis of how the Christian worldview of the man might inform his view about the value of his life as a person with ALS is clear and demonstrates a deep understanding that is skillfully supported by topic study materials.12%
  4. Evaluation of which values and considerations the Christian worldview focuses on when deliberating the option of euthanasia for the man is clear and demonstrates a deep understanding that is skillfully supported by topic study materials. 12%
  5. Evaluation of which options would be justified in the Christian worldview for the man is clear and demonstrates a deep understanding that is skillfully supported by topic study materials. 12%
  6. Reflection hypothesis of which personal choices would be make if faced with ALS based on personal worldview is clear, relevant, and insightful. 10%
  7. Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear. 7%
  8. Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative. 8%
  9. Writer is clearly in command of standard, written, academic English. 5%
  10. All format elements are correct.5%
  11. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error. 5%

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: Differential Diagnosis for Skin Conditions

Assignment 1: Lab Assignment: Differential Diagnosis for Skin Conditions

Properly identifying the cause and type of a patient’s skin condition involves a process of elimination known as differential diagnosis. Using this process, a health professional can take a given set of physical abnormalities, vital signs, health assessment findings, and patient descriptions of symptoms, and incrementally narrow them down until one diagnosis is determined as the most likely cause.In this Lab Assignment, you will examine several visual representations of various skin conditions, describe your observations, and use the techniques of differential diagnosis to determine the most likely condition.

To Prepare

Review the Skin Conditions document provided in this week’s Learning Resources, and select one condition to closely examine for this Lab Assignment.

Consider the abnormal physical characteristics you observe in the graphic you selected. How would you describe the characteristics using clinical terminologies?

Explore different conditions that could be the cause of the skin abnormalities in the graphics you selected.

Consider which of the conditions is most likely to be the correct diagnosis, and why.

Search the Walden library for one evidence-based practice, peer-reviewed article based on the skin condition you chose for this Lab Assignment.

Review the Comprehensive SOAP Exemplar found in this week’s Learning Resources to guide you as you prepare your SOAP note.

Download the SOAP Template found in this week’s Learning Resources, and use this template to complete this Lab Assignment.

The Lab Assignment

Choose one skin condition graphic (identify by number in your Chief Complaint) to document your assignment in the SOAP (Subjective, Objective, Assessment, and Plan) note format rather than the traditional narrative style.

Refer to Chapter 2 of the Sullivan text and the Comprehensive SOAP Template in this week’s Learning Resources for guidance. Remember that not all comprehensive SOAP data are included in every patient case.

Use clinical terminologies to explain the physical characteristics featured in the graphic.

Formulate a differential diagnosis of three to five possible conditions for the skin graphic that you chose.

Determine which is most likely to be the correct diagnosis and explain your reasoning using at least three different references, one reference from current evidence-based literature from your search and two different references from this week’s Learning Resources.

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Population  Percentage

  • Locate a nursing study that examines the effects of an intervention. Provide a summary of the study, focusing primarily on the intervention. Was the development and implementation of the intervention described in detail? Based on a theoretical framework? Did the design of the study promote investigation of the effects of the study—for example, was there comparison of experimental and control groups? Were there variables that could have impacted the findings that were not part of the intervention? Was there evidence of efforts to monitor the safety of participants? Are there any ways that the study could have been improved?
  • Locate a nursing study that utilizes some aspect of the internet (for instance, for recruitment, delivery of an intervention, or completing online assessments. What challenges did the researchers face, and how were these challenges overcome (or not)? How could future research efforts be improved?
  • Using your computer’s office tools, develop a pie, bar, or plot chart to represent the following population estimates:

Population  Percentage

European American                         20

African American                             30

Native American                              20

Hispanic American                           30

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dehydration

SCENARIO OVERVIEW

Jesus Garcia is a 28 years who was directly admitted to the medical unit on Tuesday evening with a diagnosis of dehydration. Fifteen days ago, Jesus underwent a partial colectomy with creation of a transverse colostomy. Jesus’ girlfriend Virginia has been taking care of him since discharge and reports that Jesus has resisted participation in colostomy care. Virginia needs to return to her full-time job and is concerned with how Jesus will manage without her at his side

REVIEW PRIOR TO SIMULATION

In order to prepare for the simulation, you are required to complete the pre-briefing questions below and submit to the faculty facilitating the simulation prior to the start of pre-briefing. If you do not complete the pre-briefing questions below and submit to faculty facilitating the simulation prior to the start of pre-briefing, you will not be permitted to participate in the simulation.

Please keep in mind you will also be required to recognize a variety of signs and symptoms linked to abnormalities in these skills.

Questions

1. What are common signs and symptoms of dehydration?

2. What are complications you may see as a result of poor nutrition?

3. Describe nursing care and interventions for a client with a colostomy

PLEASE USE APA FORMAT AND INCLUDE REFERENCES LESS THAN 5 YEARS OLD

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efficient organizational methods

Assignment 6.1: Post-It Patterns

This assignment supports the following lesson objectives:

  • 6.2 Demonstrate knowledge of efficient organizational methods and good form in speech writing
  • 6.3 Prepare engaging speech content using standard practices and methods

Assignment Overview
This practice exercise explores the importance of organizing the main ideas of a speech into a pattern. It also provides you with the opportunity to practice arranging ideas into a pattern of organization.

Deliverables

  • A two-page paper (12-point font, about 600 words) written in a word processor, such as MS Word

Assignment Details
In this activity, you will organize a series of statements into a cohesive structure that could be used as a framework on which to base a speech.

Perform the following tasks:

Step 1: Review the information presented in the lesson that covers concepts and issues related to efficient organizational methods.
Recall that the three main sections of a speech or presentation are the introduction, body, and conclusion.

Step 2: In a word processing document, write a brief definition or description for each of the following patterns of organization that can be used to structure the flow of information in a speech:
Topical Pattern
Temporal Pattern
Spatial Pattern
Problem-Solution Pattern
Cause-Effect Pattern
Monroe’s Motivated SequenceStep 3: Read the following list of statements about the topic of friendship.
Determine which of the patterns of organization might be useful to create a logical flow of information for the statements. Select one pattern of organization to use to organize the statements. It can be one of the six that you defined in Step 2 or another one from any of the lesson materials or another source.

Statements about Friendship*We develop an acquaintanceship.
Friendship is an interpersonal relationship between two persons that is characterized by mutual positive regard.
We meet.
In order to understand friendships, we need to see what a friendship is and its stages of development.
Friendship is one of the most important of our interpersonal relationships.
We develop an intimate friendship.
Friendships develop through various stages.
Friendships don’t develop full blown but rather go through various stages—from the initial meeting to intimate friendship.
We develop a casual friendship.
By understanding friendship we will be in a better position to develop and maintain productive and enjoyable friendships.
Friendship—an interpersonal relationship characterized by mutual positive regard—is one of our most important assets.
We develop a close relationship.
Friendship is vital to all of us.*These statements are from the Organizing a Scrambled Outline activity on the Course Compass website (Links to an external site.)

Step 4: Neatly write each statement about friendship on a separate Post-It note.
Stick the 13 separate Post-It notes to the edge of your desk or work table.

Step 5: Start arranging the Post-It notes to form a logical flow of the ideas represented by the statements.
Modify the arrangement as many times as needed to get it to fit into one of the organization patterns that you learned about in the lesson.

Step 6: Separate the Post-It notes into three groups: one group for the speech introduction, another for the body, and a final one for the conclusion.

Step 7: On the top of a sheet of blank paper, write the heading Introduction.
Determine which statements you would include in the speech introduction. Keeping them in order, stick the Post-It notes that contain these statements to the Introduction page.

Step 8: On the top of a second sheet of blank paper, write the heading Body.
Determine which statements you would include in the body of the speech. Keeping them in order, stick the Post-It notes that contain these statements to the Body page.

Step 9: On the top of a third sheet of blank paper, write the heading Conclusion.
Determine which statements you would include in the conclusion of the speech. Keeping them in order, stick the Post-It notes that contain these statements to the Conclusion page.

Step 10: Enter the information.
In your word processing document, enter the headings and associated statements.

Step 11: Copy and paste the questions below into your word processing document, and enter your answers.
Which pattern of organization did you use to structure the flow of statements?
Are there any other patterns that you could have potentially used? If so, which one(s)?
Based on your experience, do you think you will use the Post-It note technique to organize information for other assignments or projects? Why or why not?Step 12: Save and submit your document.
When you have completed the assignment, save a copy for yourself in an easily accessible place and submit a copy to your instructor using the drop box.

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clinical inquiry.

Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.

· Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least four different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest.

· Review the results of your peer-reviewed research and reflect on the process of using an unfiltered database to search for peer-reviewed research.

· Reflect on the types of research methodologies contained in the four relevant peer-reviewed articles you selected.

·

Part 1: An Introduction to Clinical Inquiry

Create a 4- to 5-slide PowerPoint presentation in which you do the following:

· Identify and briefly describe your chosen clinical issue of interest.

· Describe how you used keywords to search on your chosen clinical issue of interest.

· Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.

· Provide APA citations of the four peer-reviewed articles you selected.

·

Part 2: Identifying Research Methodologies

After reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template to analyze the methodologies applied in each of the four peer-reviewed articles. Your analysis should include the following:

· The full citation of each peer-reviewed article in APA format.

· A brief (1-paragraph) statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest.

· A brief (1-2 paragraph) description of the aims of the research of each peer-reviewed article.

· A brief (1-2 paragraph) description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.

· A brief (1- to 2-paragraph) description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected.

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medication (doxazosin)

Based on the two templates attached. Write 1-page summary of how the selected medication (doxazosin) relates to the selected systems disorder (Benign Prostatic Hyperplasia).

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Health Management Information System

PART 1

 

The genesis of Health Management Information Systems (HMIS) goes back to the roots of numerous areas, including:

[removed] computing privacy.
[removed] information economics
[removed] multidimensional data sets.
[removed] medical policies.

 

An information-inquiring culture has transparent:

[removed] information discovery.
[removed] Core values.
[removed] direct reports.
[removed] accounting and finances.

 

An information-discovery culture ensures:

[removed] critical information about due processes.
[removed] sharing of insights freely and encourages employees to collaborate.
[removed] sensitivity for privacy.
[removed] giving up the power of controlling others.

 

The data input phase includes:

[removed] data acquisition and data verification.
[removed] data storage and data classification.
[removed] data retrieval and data presentation.
[removed] data retrieval only

 

A healthcare services organization may develop or adopt various types of cultures, including:

[removed] an information-functional culture
[removed] an information-secrecy culture.
[removed] an information-blast culture.
[removed] an information-hording culture.

 

 

 

Computational functions support:

[removed] further data analysis.
[removed] data transfer.
[removed] sensitive data.
[removed] decreasing costs.

 

Emerging trends that are encouraging heathcare executives to become interested in developing innovative, integrative, and cost-beneficial HMIS solutions include:

[removed] wireless, user-friendly portables.
[removed] tape recordings.
[removed] X-ray films.
[removed] accessible records.

 

The majority of computerized patient record systems have capabilities to reject invalid data with the use of techniques including:

[removed] batched totals and range checks.
[removed] mechanically processed coded data.
[removed] data integrity.
[removed] patient demographics.

 

As a trustworthy leader, the senior executive must have the ability to:

[removed] exude trust from their direct reports and corresponding followers.
[removed] develop a “top-down” working relationship with followers.
[removed] articulate how or why certain things are or are not being executed without explanations.
[removed] dictate to others on how to manage their time.

 

The executive largely responsible for articulating the organizational vision and mission is the:

[removed] COO
[removed] CMO
[removed] CTO
[removed] CEO

 

Shared values portray:

[removed] the total competencies of the organization.
[removed] the interactive coordination among the hired employees.
[removed] the common goals, objectives, and beliefs of most members of the organization.
[removed] morals of the employees of an organization.

 

The role of the CEO or CIO to oversee the use of HMIS in any healthcare services  organization requires that the individual has been trained and has experience and mastered a certain set of:

[removed] rules and laws.
[removed] strategic, tactical, and operational IT competencies.
[removed] department goals and strategies.
[removed] efficient business processes.

 

The executive who oversees the daily heathcare services delivery operations is the:

[removed] CEO
[removed] COO
[removed] CMO
[removed] DFO

 

Because it is an art form, motivation requires that the CIO have special skills and elevated expertise, including:

[removed] turning over goal setting responsibilities to the employees.
[removed] allowing employees to position specific individuals in the appropriate spaces throughout the organization.
[removed] being as specific as possible when detailing the goals and objectives for their employees.
[removed] assuming staff will institute a collaborative spirit with a strong sense of team belonging.

 

Defensive strategies come into play when:

[removed] an organization is to be constantly at the leading edge of its product offering.
[removed] the uniqueness of certain aspects of the business activities is maintained.
[removed] cost advantage is gained through economies of scale and cost-effectiveness.
[removed] when the stage of the industry and/or product life cycle is experiencing a steady decline due to its ongoing maturity.

Real-world HMIS practices:

[removed] can be learned by reading cases in textbooks.
[removed] are not necessary for learning.
[removed] can be learned by reading published theories.
[removed] are not easily replicated.

 

URL stands for:

[removed] uniform relocation lab.
[removed] universal resource locators.
[removed] uniform restructuring link
[removed] usability relocation link

 

For breast cancer patients who may have distinct needs for care and coping, several researchers have found that these patients:

[removed] typically do not seek information regarding treatment plans.
[removed] actively engage in online and interpersonal interactions via support groups.
[removed] tend to disincline investigating medical progress.
[removed] do not require the normal level of emotional support from medical staff.

 

Online health information seeking should be of concern for health administrators for myriad reasons, including that it:

[removed] increases social isolation often associated with stigmatizing medical conditions.
[removed] reduces patient-physician interactions.
[removed] increases deficiencies in the health insurance and registration processes.
[removed] engages faster diffusion of medical findings.

 

The Internet is not void of particular weaknesses for underrepresented population information, such as:

[removed] fragmentation of health information.
[removed] verifiable facts.
[removed] credible sources.
[removed] wealth of information.

 

The primary purposes of the Internet Engineering Task Force (IETF), Internet Architecture Board (IAB), and Internet Engineering Steering Group (IESG) are to:

[removed] restructure the Internet.
[removed] function as Internet regulating bodies.
[removed] develop an Internet hub infrastructure.
[removed] develop a network system.

Online activities include:

[removed] spreadsheet development.
[removed] ACCESS reports.
[removed] communications.
[removed] PowerPoint presentations.

Determinants of site success such as Trusera (invitation only), DailyStrength, PatientsLikeMe, and Caring.com rest with a triad of:

[removed] blog ratings, site ratings, and community forum ratings.
[removed] member numbers, daily hits, and word of mouth.
[removed] theory, research, and practice.
[removed] accuracy, veracity, and verifiability.

Online extraction of relevant health information by both experts and laypersons have proliferated due to:

[removed] decreased computing literacy.
[removed] less availability.
[removed] advances in Web-based interface technology.
[removed] extremely high cost.

The Internet has facilitated the use of information and communication technology (ICT) to:

[removed] discourage the constant use of the Internet for medical information.
[removed] sustain patients with a variety of illnesses.
[removed] increase social isolation.
[removed] treat diseases.

PART 2

Customer relationship management (CRM) software must be designed with the following in mind.

[removed] An in-depth recognition of its customers’ specific needs.
[removed] Strategic communication is for different types of software.
[removed] Enhancement of existing programs and services.
[removed] Creative services that would progress and fulfill the organizational long-term goals.

 

The goal for ERP is:

[removed] to achieve single data-entry points throughout the organization.
[removed] to maintain non-standardized,  unique processes.
[removed] to succeed even with the lack of business process reengineering.
[removed] to maintain the use of paper-based orders.

 

The primary goals of supply chain management (SCM) are:

[removed] to achieve increased efficiencies with regard to information flows and exchanges between the organization and its external parties.
[removed] to satisfy the need for economies of scale.
[removed] to increase the volume of daily purchasing.
[removed] to decrease efficiencies with regard to information flows and exchanges.

 

How can ERP software be used to facilitate data integration?

[removed] Maintaining separate processes as previously developed.
[removed] Using insurance companies to sort it out.
[removed] Amalgamating existing business processes in an organization.
[removed] Using health professional associations.

 

Primary storage, or main memory is:

[removed] the central processing unit (CPU) of a computer.
[removed] the program instructions and data provides the CPU with a working storage area.
[removed] random-access memory (RAM).
[removed] read-only memory (ROM).

 

 

A key high-profile enterprise software system that has emerged in the HMIS landscape is:

[removed] supply chain management (SCM).
[removed] just-in-time (JIT) inventory.
[removed] health maintenance organization (HMO).
[removed] Internet explorer (IE).

 

What has often been referred to as the “brain” or “heart” of a computer?

[removed] CPU
[removed] RAM
[removed] CU
[removed] ROM

 

Customer relationship management (CRM) is a major HMIS enterprise software system that:

[removed] has a predetermined budget.
[removed] can enable owners to personalize their heathcare services benefits online.
[removed] has a set listing of highly recommended and non-participating physicians and specialists.
[removed] does not maintain research information on prescription drugs.

 

Issues that may arise with a RHINO setup like the Mayo Clinic’s include problems with:

[removed] maintaining separate processes as previously developed.
[removed] using insurance companies to iron out problems.
[removed] difficulties with patients.
[removed] data shadowing and the need for creating interfaces to communicate among disparate platforms and software.

 

The rapid advancements of e-commerce and managed care placed new demands on the healthcare industry in the 1990s to:

[removed] establish information infrastructures that work with the Foxfire browser.
[removed] establish information infrastructures that facilitate timely and interoperable patient formation.
[removed] establish information that works with Internet explorer (IE).
[removed] establish information that does not contain firewalls.

 

Consolidation, sometimes purported as a “market-sheltering activity” occurs when:

[removed] the central processing unit (CPU) of a computer is shared.
[removed] the program instructions and data provides the CPU with a working storage area.
[removed] two or more comparable healthcare services organizations combine to augment or preserve market power.
[removed] read-only memory (ROM) is shared.

 

One definition of community health information networks (CHIN) is:

[removed] A network of stakeholders within a defined region who are committed to improving the quality, safety access, and efficiency of healthcare through the use of HIT.
[removed] A special interest group (SPIG).
[removed] Improved efficiency and effectiveness of healthcare services delivery.
[removed] A not-for-profit organization.

 

One definition of regional health information organizations (RHINO):

[removed] A network of stakeholders within a defined region who are committed to improving the quality, safety access, and efficiency of healthcare through the use of HIT.
[removed] A special interest group (SPIG).
[removed] Improved efficiency and effectiveness of healthcare services delivery.
[removed] For-profit organization.

 

Open systems, as characterized by the Internet, electronic data interchange (EDI), and extranets, offer:

[removed] two-way access for external agencies.
[removed] eliminate the need for the exchange of standard-formatted transactions.
[removed] no requirement for electronic ordering.
[removed] no requirement for electronic invoicing through EDI.

 

For practice management systems delivered from private healthcare organizations and hospitals, electronic billing and patient scheduling are being developed for numerous benefits, including:

[removed] keeping manual follow-up procedures.
[removed] reducing, or possibly eliminating, all paper-based forms for which healthcare services organizations are especially vulnerable.
[removed] increase the accuracy of billing/coding.
[removed] eliminating electronic order processing.

 

What is the ultimate and primary goal for the CHIN evolution and the RHINO movement?

[removed] Consumer privacy.
[removed] Internal policies.
[removed] The development of Health maintenance organizations (HMOs).
[removed] The establishment of a national health information network (NHIN).

 

EHR will be one of the most costly project expenditures that a healthcare services organization will undertake, with regard to the investments of time and money and the resultant challenge of returns on investments (ROI). This is due to:

[removed] the significance of the returns to be realized from an EHR implementation remains a concern for many healthcare executives.
[removed] the program instructions provide the CPU with a working storage area.
[removed] two or more comparable healthcare services organizations combine to augment or preserve market power.
[removed] read-only memory (ROM) is shared.

 

A Web-based PHR system will empower patients with:

[removed] remote patient monitoring for older patients that cannot be added since patients do not need to be concerned about their chronic states of health.
[removed] access to their own records and help them take a more active role in managing their own health.
[removed] privacy since physicians will be the only people allowed to view records.
[removed] accessibility for all caregivers since the records are open for viewing.

 

Possible risks in trusting all your personal health records with a carrier such as Google Health include:

[removed] a network of stakeholders within a defined region who are committed to improving the quality, safety access, and efficiency of healthcare through the use of HIT.
[removed] information that could be sold to, or mined by, people from organizations that are unknown to the patient.
[removed] improved efficiency and effectiveness of healthcare services delivery.
[removed] a not-for-profit organization could safe keep your records.

 

Healthcare databases have been in existence for as long as there have been data storage devices, and in addition to a computer data-processing database, they can include.

[removed] the volumes of patient files lining the shelves of a physician’s clinic.
[removed] healthcare organizational policies and decisions.
[removed] query languages such as SQL.
[removed] processes as outlined in a documentation manual.

 

Google Health pays particular attention to security and privacy issues, which clearly restricts:

[removed] infrastructures that work with the Foxfire browser.
[removed] information that facilitates timely and interoperable patient data.
[removed] the transmission or release of the subscriber’s information to third parties without the subscriber’s consent.
[removed] information that does not contain firewalls or other protections.

 

When combined with various other workflow tools, computerized physician order entry (CPOE) can also be useful in providing information about:

[removed] manual follow-up procedures.
[removed] reducing paper-based forms.
[removed] patient scheduling.
[removed] eliminating electronic orders.

 

Electronic health records can:

[removed] improve upon unique non-standardized processes.
[removed] eliminate single data-entry points throughout the organization.
[removed] significantly increase the risk for medical errors.
[removed] enhance the quality of healthcare services delivery.

 

Closely related to, and often functioning as part of, EHR, a computerized physician order entry (CPOE) system is basically:

[removed] a competitive system within an amalgamation of systems.
[removed] an internal policies document approved by the Board of Directors.
[removed] automated order-entry system that captures the instructions of physicians with regard to the care of their patients.
[removed] information on research of prescription drugs.

 

Three categories of healthcare data are required, almost universally, by healthcare services
organizations for supporting their planning and decision-making activities, and one of these is:

[removed] vital statistics.
[removed] environmental statistics.
[removed] census statistics.
[removed] consensus statistics.

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