Kaiser Permanente has been equipped since 2007 with Health Connect; which is the largest private electronic health record implementation in the world. This is a highly sophisticated electronic program that integrates inpatient, outpatient, and clinic medical records with appointments, registration, pharmacy, and billing for all kaiser members. In addition, this electronic program includes an entire medical library with a whole set of care support tools which are accessible to doctors, nursing staff and patients (Kaiser Permanente, n.d.). At kaiser permanente; nurses are expected to print out “the after-visit summary” (AVS), which contain the doctor recommendations for each patient that we see.
The Omnibus Budget Reconciliation Act of 1987, provide the basic framework for reporting and reimbursement for geriatric oral care in long term facilities since most of the elderly are covered under Medicaid and Medicare. Despite these framework, these facilities encounter barriers to effective provide oral care to their resident. Nurses payroll account for a significate portion of the budget of these facilities, hence nurses spend time in completing section K of the MDs records which relates to oral care. Since these records provided by nurses are not effectively enforce and oral care marks are not taken into the overall evaluation of these facilities, most nurses are dishonest about the type of oral care provided to their residents by providing
In 1991, the United States government initiated the Nursing Home Reform Act, also known as the Omnibus Budget Reconciliation Act (OBRA) of 1987 that outlined “a set of national minimum set of standards of care and rights for people living in certified nursing facilities” (ncmust.com). OBRA requires all nursing home residents have a complete health evaluation upon admission to a long-term care facility, and to be re-evaluated quarterly or after any major changes in health or functional status. This evaluation process is called the Resident Assessment Instrument (RAI) which is composed of three components; Minimum Data Set (MDS), Care Area Assessment Process and RAI Utilization Guidelines. Together, the components of RAI provide information
Many healthcare organizations had to implement an electronic health records system (EHR) to meet certain guidelines set forth by the government. This was a technology that the clinic implemented years ago to meet the needs of the patient, the requirements of the insurance companies, lean processes, and government regulations. This software helped also look for opportunities to treat our patients better and track data for population health. HG Clinic is investing in a new billing system that will allow them to track patient data better and improved billing process. These are just examples of opportunities that the clinic implemented and are continuously evaluating their current software and equipment and looking for opportunities for
Reading your post brought back memories working as a traveler nurse in California at Kaiser Permanete (KP). I believe KP is one of America 's leading nonprofit integrated health plan, well that was what drilled into our head during hospital orientation. One thing that I do remember and experienced for sure was that their main focus was on the health and well-being of its members, in disease prevention and patient education. The KP hospital I worked at was located in West Los Angeles, this particular facility had a primary care office, hospital and even an onsite pharmacy. One thing that as a floor nurse had to do with every patient upon discharge is to bring the patient a computer of wheels and set up their personal health records.
They introduced me to GovTrack.us, Congress.gov and njleg.state.nj.gov. Now I am actually tracking bills and my local legislators. This will support my awareness of changes in health policies. NUR-340 Nursing Informatics and the Future Ray meets to criteria for Outcome 7 because it show that nursing and healthcare are evolving, and nurses must help patient navigate available health care options, which require nurses to commit to lifelong
The resources above expanded on knowledge concerning the definition, evolution, proposed outcomes, research and the technology of meaningful use of the electronic health record. Nursing administrators, staff nurses, and nursing informaticists all perform an essential role in achieving meaningful use of the electronic medical record to improve patient care. Certain authors referenced other authors proving that the health information technology field is indeed a tightknit community. The resources were well written from highly credentialed authors and were, for the most part, easy to comprehend. All of these articles were written for the nursing professional with the exception of resource
In her assessment of the American Reinvestment & Recovery Act (ARRA), Murphy (2009) discusses how its enactment provided unprecedented funding for the advancement of health information technology (HIT) which served to promote health care reform. Electronic health records (EHRs) by extension received a boost via incentivization for appropriate use in hospitals and ambulatory settings (Murphy, 2009). The benefits of EHRs include the ability to improve the delivery and quality of nursing care, the ability to make more timely and efficient nursing care decisions for nursing, the ability to avoid errors that might harm patients and the ability to promote health and wellness for the patients (McGonigle & Mastrian, 2015). An appropriate use of EHR
Week 9 Overcoming Factors That Impact Informatics Initiatives DB Main Post Informatics impacts the healthcare setting, through the implementation of EHRs. A nurse informaticist not only manages the implementation of technology but follows guidelines set by ANA. Growth in nursing is moving forward as technology is erupting on the scene. The purpose of this paper does nurse impact leadership change for nurses moving into nursing informatics. Can implementation of technological transformation the care of patients, and components of ANCC Magnet health care set?
Both Nature and Hedge Funds Abhor a Vacuum The passage of the Dodd–Frank Wall Street Reform and Consumer Protection Act in July, 2010 was largely a knee-jerk reaction to the financial crisis. This sweeping piece of legislation has had, like most legislation, numerous unintended consequences. For example, many believe that Dodd-Frank is responsible for the precipitous decline of the small community bank, the life blood of small business across the country.
The bedside nurse manages writing and updating the whiteboard each day using a templated board, the displayed information includes day and date, the names of the patient, bedside nurse, and primary and attending physician, family member 's phone number, diet, pain management and mobile numbers for Nurse, Charge Nurse and Nurse Assistant. This simple strategies is driving our thresholds to our benchmarks at an accelerated
Throughout the history since 1950, the Fed funds rate reached several relatively high points, including 9.19% on September 1969, 10.78% in September 1973, and 12.92% in July 1974, mostly to combat the high inflation. After 1974, the Fed dramatically decreased the funds rate at 4.65% in 1976, showing a relatively stable rate at a low level from 1975 to 1977. Then, the rate began to increase, and reached the highest point of 19.08% in January 1981, when Paul Volcker became the chairman and raised rate to control the inflation. After 1981, there was a downward sloping of the rate, and it decreased again since 2000, to combat the 2001 recession. Then, it increased to 5.25% in August 2006; however, it decreased drastically again from June 2007,
Truth in lending act(TILA) is a federal law that requires creditors and lenders to share every standardized information when apply for a loan. The act helps consumer know exactly what they are signing up for. The act was enacted on June 29, 1968. The main goal of the act was to prevent creditor and lenders from scamming, having hidden information, and making sure the consumer knows what they are signing for.
Bank of America: Redefining Customers Introduction How can Bank of America (BofA) gain value by positioning itself in the fast changing and growing industry of mobile banking? It is certain that the increased usage of mobile applications and smart phone users may rapidly shift the way consumers bank. Bank of America is considering how they can fulfill customers’ needs and desire for better quality mobile banking as technology develops. As increasing numbers of technology-savvy users want more functionality of applications, there are managerial issues arising from building new applications or to add complexity to current applications.
General Motors is a multinational company that makes and sells vehicles and its parts. In 2009 General Motors had some financial problems. The automotive company had difficulties with their finances, as a result, the company was not profitable and was leaning towards bankruptcy. The company then reached out to the government for money to help with their situation. The Bush-led government decided to use $49.5 billion of taxpayers’ money to help General Motors out.
