Insurance Stories
The Keystone Effect of Data Integration in Healthcare Coordination

Implementation and evaluation of digital projects requires that both system factors and non-system factors be taken into consideration. Invariably, it is the non-system, human variables that present the most substantive challenges to communications and information management staff. The staff responsible for the information management technology supporting the Affordable Care Act foresaw and prepared for a variety of issues that could arise during system upgrades. As a result, most of the issues that could limit the capacity to fully report on the project were headed off. Yet, measurement depends on the availability of accurate, comprehensive, and timely data -- all factors vulnerable to the remaining issues.

The non-system human aspects of the healthcare program implementation and evaluation posed several challenges to the program designers and evaluators. Case management is optional for healthcare plan members, but participation is strongly encouraged as fosters a number…...

Ethical Issues in EMS
While one might not think so, there are ethical issues galore when it comes to the emergency medical services (EMS) sphere. Indeed, there is a valid question when it comes to the obligations that arise during the job and what must or should be done when those obligations conflict. Given that eventuality, there can and should be an analysis of what to do when such a situation arises and how to properly react and make the right decision. Whatever decision is made, there has to be an ensuring that the needs of the patients as well as the organizations in question are being properly balanced and prioritized. While the aforementioned balancing act can be difficult to pull off, it is something that any proper practitioner in the field must strive to accomplish.

Analysis

Many EMS personnel and managers are prone to rely on spur-of-the-moment judgement and reason when it…...

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References

Becker, T., Gausche-Hill, M., Aswegan, A., Baker, E., Bookman, K., & Bradley, R. et al. (2013). Ethical Challenges in Emergency Medical Services: Controversies and Recommendations. Prehospital and Disaster Medicine, 28(05), 488-497.  http://dx.doi.org/10.1017/s1049023x13008728 

Byrd, G. & Winkelstein, P. (2014). A comparative analysis of moral principles and behavioral norms in eight ethical codes relevant to health sciences librarianship, medical informatics, and the health professions. J Med Libr Assoc, 102(4), 247-256.  http://dx.doi.org/10.3163/1536-5050.102.4.006 

Macklin, R. (2014). Can one do good medical ethics without principles?. J Med Ethics, 41(1), 75-78.  http://dx.doi.org/10.1136/medethics-2014-102354 

Nelson, W., Taylor, E., & Walsh, T. (2014). Building an Ethical Organizational Culture. The Health Care Manager, 33(2), 158-164.  http://dx.doi.org/10.1097/hcm.0000000000000008

Organization
Information organizations

Description of Selected Informatics Organizations

In this paper, we will describe a selected number of informatics organizations dealing with the field of healthcare and medicine. We would assess the main purpose of these organizations and what they stand for in brief detail, also the main aim here is to focus on the major points which define these organizations.

American Medical Informatics Association

American Health Information Management Association

American Society of Health Informatics Managers

Healthcare Information and Management Systems Society

International Medical Informatics Association

Introduction to informatics organizations

American Medical Informatics Association (AMIA)

AMIA is known to be a group of personals from many different disciplines whose purpose is to convey for the sole interest of bringing improvement in health informatics since it relates to different aspects of the main health care policy. This group has about four thousand members which include pharmacists, physicians, consultants, educators and government officials. AMIA alongside its associate college ACMI (American College of…...

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References

Harris, L. (1995). Health and the New Media. New Jersey: Lawrence Erlbaum Associates.

Kulge, E. (2001). The Ethics of Electronic Patient Records. New York: Peter Lang.

Rees, A. (2003). Consumer Health Information Source Book. Connecticut: Greenwood Press.

Slack, W. (2001). Cybermedicine. San Francisco: Jossey-Bass.

Medical Abbreviations
How can eliminating abbreviations reduce errors?

In the medical profession, time is everything. To make documentation as expeditious as possible, a series of abbreviations have been accepted in records. This has been considered an acceptable practice as much as calling a registered nurse an "RN." The problems occur when people are unclear about the abbreviations mean or if a set of letters can have more than one meaning. For example, there is the abbreviation "CA" which means cancer and then "Ca" which is calcium. Another example is "a" which can mean both "artery" and "before" (Medical 2011-page 1). It is very easy to misread abbreviations when medical staff is in a hurry. Imagine the problem if a "q.w." which is take weekly was confused for a "q.v." which is take as one wishes. If the terms were written out rather than abbreviated, these potentially dangerous situations could be completely avoided.

Should…...

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Works Cited:

Berman, Jules. (2008). "Specified Life." Biomedical Informatics.

Greenall, Julie (2006). "Safe Medication Practices." Hospital News.

"Medical Abbreviations Glossary." (2011). JD-MD.

Health care has always been concerned about information management, especially as health care interventions and management have become increasingly complex. In spite of this, health care has weakly welcomed information technology into its midst, shunning computerized data management systems in favor of anachronistic and antiquated ones. When health care started using information technology, the role informatics played was largely ancillary. There were few specialists, and informatics were considered novel and strange. Yet since Virginia Saba introduced technology specifically designed for healthcare, the informatics field has become one of the most relevant to the gamut of healthcare management and operations. Currently, healthcare informatics stands alone as a unique area of specialization that fuses passion for health care management, concern for patient care, and computer technology.
There are five major milestones in the creation and evolution of health informatics. The first was the initial first wave of computing and information technology that…...

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References

AMIA (2012). Mission and history. Retrieved online:  http://www.amia.org/about-amia/mission-and-history 

Burke, L., & Weill, B. (2009), Information technology for the health professions (3rd ed.). Upper Saddle River, NJ: Prentice-Hall.

Detmer, D.E., Munger, B.S. & Lehman, C.U. (2009). Medical informatics board certification: History current status, and predicted impact on the medical informatics workforce. Applied Clinical Informatics 1(1): 11-18.

Hebda, T., Czar, P., Mascara, C. (2009). Handbook of informatics for nurses and healthcare professionals (4th ed). Upper Saddle River, NJ: Prentice-Hall.

Advances in Digital Medical Imaging
Origin

In the past few decades advances in healthcare have emerged, as new forms of technological integration are implemented as part of the overall healthcare management system. Healthcare providers, doctors and patients require more technological integration into the system providing real time data analysis and the possibility of enhancing medical knowledge. Sharing that knowledge can lead to what many describe as "digital medicine" where stored clinical data can generate medical knowledge which can be widely distributed, incorporated into decision support systems, and lead to more effective medical practices (ouler & Morgenstern, 2005). Digital medical image processing within the healthcare area has its origins in the 1970's when computed tomography was introduced as the first digital modality. In the decades that followed, advances in digital medical imaging technology have dramatically affected the planning and design of diagnostic interventional radiology facilities. Soon after the advent of computerized tomography scanners…...

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Bibliography

Bang, C. (2005). Digital Imaging Drives Health Care Design. Building Operation

Management, July.

Becker, S. (1994). Costs and Benefits of Picture Archiving and Communication Systems.

Journal of the American Medical Informatics Association, vol. 1, no. 5: 361-371.

Patient portals, electronic medical records, and personal monitoring devices are three of the most revolutionary technologies in the healthcare sector. Each of these technologies presents patients with the potential to empower themselves, taking control of their own healthcare outcomes, and taking part in their overall healthcare goals. These technologies also streamline healthcare administration and minimize medication and billing errors. However, each of these technologies is also constrained by a range of issues related to accessibility, with potent socioeconomic class disparities evident. Security and standardization of healthcare technologies are also proving problematic. Patient portals, electronic medical records, and personal monitoring devices are all technologies that have the potential to radically improve the quality of healthcare and patient outcomes, as well as improve overall patient experiences. Because of their abundant benefits, these technologies need to be embraced and promoted through effective public health policies. Otherwise, disparities will continue to threaten to exacerbate…...

HMS (healthcare management systems) and EMRs (electronic medical records) have been widely praised as significantly adding to patient safety and quality of care. They can permit healthcare institutions to keep more accurate databases on patients, all in one location, and can ensure that a patient’s full medical records are available, even if the patient is not responsive and the patient’s family is not available. Prior treatments, current and past medications, and patient allergies can all be easily accessed with a point and a click. But transitioning to such healthcare systems is not always without issues and often involves a significant investment of time and money.
First of all, from a staffing point of view, change management is needed to ensure that the transition is effective. One helpful way to view change of any kind within an organization is that of Lewin’s Change Management Model, which suggests that organizations must first have…...

challenging environment that the world faces has placed much strain and stress on the health care industry and their many institutions. Despite the rapid advances in technology, nutrition and fitness, the world is in constant need of medical treatment and assistance. The role of the nurse and the professional duties that accompany this experience has also changed rapidly along with technology and medical advancement. It is important to investigate how nurses can take advantage of these newly developed systems to perform at a higher level and eventually ease the suffering and pain that accompanies medical procedures in today's day and age.
Informatics is a newly formed discipline that provides some of the solutions to the many problems that nurses are faced with. The purpose of this essay is to discuss and highlight the importance of informatics and its synthesis into the nursing profession. The essay will first give some background…...

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References

Healthcare Information and Management Systems Society (2008). Nursing Informatics: Scope and Standards of Practice, ANA 2008. Retrieved from  http://www.himss.org/resourcelibrary/TopicList.aspx?MetaDataID=767 

Oroviogoicoechea, Cristina, Barbara Elliott, and Roger Watson. "Review: evaluating information systems in nursing." Journal of clinical nursing 17.5 (2008): 567-575.

Thede, L., Schwiran, P., (February 25, 2011) "Informatics: The Standardized Nursing Terminologies: A National Survey of Nurses' Experiences and Attitudes - Survey I*" OJIN: The Online Journal of Issues in Nursing Vol. 16 No. 2.

Innovation at Baystate Health
Informatics and Technology Innovations at Baystate Health

Baystate Health is among the largest health systems in New England and the largest employer in Western Massachusetts ("About Baystate Health," 2014). The crown jewel is the Baystate Medical Center (BMC), which represents the only level 1 trauma center for the region and the western campus for Tufts University School of Medicine. Each year, close to 2,000 residents, fellows, medical students, and nursing students call BMC home, so it should come as no surprise that BMC and Baystate Health are among the top healthcare innovators for the region and nationally.

In 2013, the health informatics software company InterSystems announced Baystate Health will adopt Intersystems' HealthShare platform to provide region-wide health information sharing capabilities. This health information exchange (HIE) will be called the Pioneer Valley Health Information Exchange (PVIX). PVIX will be designed to allow any provider within the Baystate Health network…...

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References

About Baystate Health. (2014). Retrieved from  http://baystatehealth.org/Baystate/Main+Nav/About+Us .

Baystate Health. (2014). Patients & visitors: Frequently asked questions. Retrieved from  http://www.baystatehealth.org/Baystate/Main+Nav/Patients+%26+Visitors/Medical+Records/FAQs .

InterSystems. (2013). Who we are: Baycare Health Partners and Baystate Health select InterSystems HealthShare as strategic informatics platform for coordinating community engagement. Retrieved from  http://www.intersystems.com/who-we-are/newsroom/news-item/baycare-health-partners-and-baystate-health-select-intersystems-healthshare-as-strategic-informatics-platform-for-coordinating-community-engagement/ .

Kudler, N.R. & Pantanowitz, L. (2010). Overview of laboratory data tools available in a single electronic medical record. Journal of Pathology Informatics, 1, 3.

electronic medical records have yet to become standardized in the United States, the contemporary physician's office differs significantly from one from twenty years ago. Information systems govern multiple aspects of care delivery, from patient intake, processing, and billing to medical records, access to electronic scholarly databases for knowledge management to purchasing and human resources management. Understanding issues like the system development life cycle (SDLC) and project management life cycles have now become common practice in most healthcare offices, whereas twenty years ago only the most cutting edge of those offices would have dedicated information technology specialists who would handle and address matters like product life cycles. Full time consultants or advisory positions related directly to IT are now expected of most medical practices. Since the Health Insurance Portability and Accountability Act (HIPAA) was passed just over twenty years ago, physicians offices have made significant strides by incorporating informatics into…...

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References

Grandia, L. (n.d.). Healthcare information systems: A look at the past, present, and future. Health Catalyst. Retrieved online:  https://www.healthcatalyst.com/healthcare-information-systems-past-present-future 

Healthcare Information and Management Systems (HIMSS, 2016). Evolution of Healthcare Informatics Standards. Retrieved online:  http://www.himss.org/library/interoperability-standards/Evolution-of-Healthcare-Informatics-Standards 

Sewell, J.P. & Thede, L.Q. (2012). Computer development and health care information systems 1950 to present. Chapter 1. Retrieved online:  http://dlthede.net/informatics/chap01introni/healthcare_computers.html 

Wager, K. A., Lee, F. W., & Glaser, J. P. (2013). Health care information systems: A practical approach for health care management (3rd ed.). San Francisco, CA: Jossey-Bass.

MEDICAL AND HEALTHCAE Medical and Healthcare: Technology Trend in HealthcareTechnology has transformed the way humans are living lives in recent times, including healthcare. With the use of artificial intelligence and robotics, healthcare professionals aim to infuse technology in almost impossible and unimaginable ways to work towards the best patient care possibilities and reduce medical errors. This paper aims at detailing one of the recent progressions in healthcare and the benefits and limitations it could likely pose.Application in Various Healthcare SettingsTelemedicine is one of the leading trends, especially after the advent of the pandemic in the past two years that has revolutionized the way healthcare operates. The two-way communication between physicians and patients in a synchronous manner helps collect and track patient health data conveniently with handy devices like personal mobiles and laptops (Alotaibi & Federico, 2017). One of the most iconic trends in telemedicine is remote patient monitoring (PM) that…...

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ReferencesAlotaibi, Y. K., & Federico, F. (2017). The impact of health information technology on patient safety. Saudi Medical Journal, 38(12), 1173–1180.   P. N., Vyavahare, M., Coyne, S., Kronish, I., Greenwald, P., Ye, S., Deland, E., & Fleischut, P. M. (2021). The Promise of Remote Patient Monitoring: Lessons Learned During the COVID-19 Surge in New York City. American Journal of Medical Quality: The Official Journal of the American College of Medical Quality, 36(3), 139–144. https://doi.org/10.1097/01.JMQ.0000741968.61211.2bCristofalo, M.A. (2021). Telehealth, friend and foe for health care social work. Qualitative Social Work, 21(1-2), 399-403. https://doi.org/10.1177/1473325020973358Hilty, D. M., Armstrong, C. M., Edwards-Stewart, A., Gentry, M. T., Luxton, D. D., & Krupinski, E. A. (2021). Sensor, Wearable, and Remote Patient Monitoring Competencies for Clinical Care and Training: Scoping Review. Journal of Technology in Behavioral Science, 1–26. Advance online publication.  https://doi.org/10.1007/s41347-020-00190-3 Lee, N.T., Karsten, J. & Roberts, J. (2020). Removing regulatory barriers to Telehealth before and after Covid-19. Brookings.  https://www.brookings.edu/wp-content/uploads/2020/05/Removing-barriers-to-telehealth-before-and-after-COVID-19_PDF.pdf Malasinghe, L.P., Ramzan, N. & Dahal, K. (2017). Remote patient monitoring: A comprehensive study. Journal of Ambient Intelligence and Humanized Computing, 10, 57-76.  https://doi.org/10.1007/s12652-017-0598-x Morales-Botello, M.L., Gachet, D., Buenaga, M., Aparicio, F., Busto, M.J. & Ascanio, J.R. (2021). Chronic patient remote monitoring through the application of big data and internet of things. Health Informatics Journal, 27(3). https://doi.org/10.1177/14604582211030956Nelson, D.D. & Lang-Lindsey, K. (2020). Rural healthcare and Telehealth: The importance of social work departments at HBCUs in developing a competent workforce in the rural South. Journal of Community Engagement and Scholarship, 12(3), 39-46. Noah, B., Keller, M.S., Mosadeghi, S., Stein, L., Johl, S., Delshad, S., Tashian, V.C., Lew, D., Kwan, J.T., Jusufagic, A. & Spiegel, B.M.R. (2018). Impact of remote patient monitoring on clinical outcomes: An update meta-analysis of randomized controlled trails. NPJ Digital Medicine, 1.  https://doi.org/10.1038/s41746-017-0002-4 Saljoughian, M. (2021). The benefits and limitations of telemedicine. US Pharmacist, 46(8), 5-8. Sasangohar, F., Davis, E., Kash, B.A. & Shah, S.R. (2018). Remote patient monitoring and telemedicine in neonatal and pediatric settings: Scoping literature review. JMIR Publications, 20(12). Software Advice. (n.a.). Remote patient monitoring software. https://www.softwareadvice.com/remote-patient-monitoring/Top Flight Apps. (2020, September 30). How to develop a remote patient monitoring app for healthcare providers.  https://topflightapps.com/ideas/how-to-develop-a-remote-patient-monitoring-app/https://doi.org/10.15537/smj.2017.12.20631 Casale,

Informatics and Nursing Quality Sensitive IndicatorsIntroduction: Nursing-Sensitive Quality IndicatorThe National Database of Nursing-Sensitive Quality Indicators (NDNQI) is a tool designed to help nurses track and improve the quality of care they provide. The NDNQI consists of a set of indicators that measure various aspects of nursing care, including patient satisfaction, nurse turnover, and falls rates. By tracking these indicators, nurses can identify areas where care could be improved and work to implement changes that will improve the quality of care they provide. In addition, the NDNQI provides data that can be used to compare the performance of different hospitals and nursing homes. As a result, the NDNQI is an important tool for ensuring that nurses are providing high-quality care (NM, 2022).What They AreNursing-sensitive quality indicators (NSQIs) are measures of the quality of care provided by nurses. They are used to assessment the impact of nursing care on patient outcomes, and…...

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ReferencesGray, D., Nussle, R., Cruz, A., Kane, G., Toomey, M., Bay, C., & Ostovar, G. A. (2016). Effects of a catheter-associated urinary tract infection prevention campaign on infection rate, catheter utilization, and health care workers\\\\\\\\\\\\\\\' perspective at a community safety net hospital. American journal of infection control, 44(1), 115-116.Maryniak, K., & Garrett, R. (2022). Best Practices to Prevent Nursing Errors. In Preventing Errors and Pitfalls in Nursing with Infectious Patients (pp. 59-88). Springer, Cham.NM. (2022). Retrieved from  https://www.nm.org/about-us/quality/quality-measures/sites-of-care/northwestern-memorial-hospital/national-comparisons/ndnqi-national-database-of-nursing-quality-indicators#:~:text=%E2%80%9CThe%20National%20Database%20of%20Nursing%20Quality%20Indicators%C2%AE%20%28NDNQI%C2%AE%29,States.%E2%80%9D%20Source%3A%20National%20Database%20of%20Nursing%20Quality%20Indicators

Competencies
The author of this report is asked to compare and core competencies of a number of direct and indirect nursing roles. Titles involved include nurse administrator and nurse informatics when speaking of non-direct roles. Direct care provider roles include nurse educator, nurse practitioner (in a general practice, gerontology or family health situation) and so forth. There is also the list of AACN for Nurse Informatics, Adult-Gerontology Nurse Practitioner competencies, AONE for Nurse Administrators and executives, family nurse practitioner competencies, NLN for nurse educators, and NONFP-NP Core Competencies and Content. Finally, there is the AANP Association for Nurse Practitioners.

Analysis

When it comes to core competencies for a nurse practitioner, which is a direct role, they are as follow. Each one selected will be followed by a comment about the direct and indirect implications:

Critically analyze data and evidence for improving advanced nursing practice

This is something both a direct role and non-direct role…...

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References

AONE,. (2015). AONE Nurse Executive Competencies. Aone.org. Retrieved 8 May 2015, from  http://www.aone.org/resources/leadership%20tools/nursecomp.shtml 

NonPF,. (2015). Nurse Practitioner Core Competencies. NonPF. Retrieved 8 May 2015, from http://c.ymcdn.com/sites/www.nonpf.org/resource/resmgr/imported/IntegratedNPCoreCompsFINALApril2011.pdf

This bill was sent to the U.S. Senate and set for vote mirroring a bill previously passed by the House during the Summer of 2003 which failed to pass the Senate because of vehement disagreement that was even "within the parties over the prohibition of therapeutic cloning.(National Legislation Concerning Human and Reproductive Cloning, 2004; paraphrased) As of the date of the report on legislation eight U.S. states had passed laws that explicitly prohibited reproductive cloning using human embryos and another five U.S. states have placed a prohibition on cloning for any purpose whatsoever with 22 other U.S. states introducing bills outlawing the reproductive cloning of humans. (Ibid; paraphrased) Patenting laws for genetics allow inventors to patent genetics but only specific genetic factors may be patented and inventors are required to:
1) Identify novel genetic sequences;

2) Specify the sequence's product, 3) Specify how the product functions in nature --i.e. its use;…...

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Bibliography

O'Connor, Sean M. (nd) Intellectual Property Rights and Stem Cell Research: Who Owns the Medical Breakthroughs?

Kadereit, Suzanne & Hines, Pamela J. (nd) Overview of Stem Cell Research New England Law Journal 2005 Mar 28. Online available at  http://www.nesl.edu/lawrev/vol39/3/13%20Kadereit%20Final.pdf .

Chadwick, Ruth et al. (2004)HUGO Ethics Committee Statement of Stem Cells (2004) November

Legal Protection of Digital Information (2006) Chapter 5: Software-Based Inventions Online available at:.  http://digital-law-online.info/lpdi1.0/treatise63.html

Health informatics, also known as healthcare informatics or biomedical informatics, refers to a discipline that is a hybrid of science and engineering and involves the application of informatics fields to medicine.  There are number of different topics that fall under the healthcare informatics umbrella, though the creation of electronic health records for patients is probably the most widely used application.   

Essay Titles and Essay topics for Health Informatics

Tallying the Tests: How Monitoring COVID-19 Test Results Has Helped Track the Pandemic in the U.S. and Abroad

Vaccine Records and Privacy Concerns: How Do State....

Interprofessional collaboration in health informatics is essential for improving patient care, enhancing communication between healthcare professionals, and streamlining processes in the healthcare system. By working together, healthcare professionals from different disciplines can share information, make informed decisions, and provide holistic care to patients.
One study by Xyrichis et al. (2018) found that effective interprofessional collaboration in health informatics can lead to improved patient outcomes, reduced medical errors, and increased patient satisfaction. This study highlights the importance of communication and teamwork among healthcare professionals in utilizing health informatics tools to enhance patient care.
Another study by Mertens et al. (2017) explores the impact....

Diabetes is a chronic disease that affects millions of people worldwide and has a significant impact on public health. Early diagnosis and management of diabetes are crucial in preventing complications and improving patient outcomes. Machine learning (ML) algorithms have shown great promise in predicting and diagnosing diabetes, and several studies have been conducted to evaluate the effectiveness of various ML algorithms in this regard.

One of the most promising ML algorithms for predicting diabetes is the Support Vector Machine (SVM). SVM is a supervised learning algorithm that is commonly used for classification tasks. It works by finding the hyperplane that....

1. Statistical data demonstrates the importance of interoperability in healthcare information systems.

2. The challenge of sharing data between different administrative ISs highlights the need for standardized protocols.

3. Effective data sharing in healthcare relies on seamless integration and communication between various systems.

4. Interoperability issues in administrative ISs can have direct impacts on patient care and outcomes.

5. Collaboration between healthcare providers and IT professionals is essential for achieving true interoperability in ISs.

Sources

• Healthcare Information and Management Systems Society (HIMSS)
• Journal of the American Medical Informatics Association (JAMIA)
• Agency for Healthcare Research and Quality (AHRQ)
• American....