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Continuity of care matters
Assignment 1: ambulatory care
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Continuity of care matters
Assignment 1: ambulatory care
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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 National Practitioner Data Bank (NPDB) is an electronic information clearinghouse used by health care professionals and authorized organizations where data is collected and managed It contains data on medical malpractice payments and certain adverse actions related to health care practitioners created by congress in order to improve health care quality by preventing fraud and abuse and encouraging patient safety. The website offers a place where authorized users such as health care professionals and organizations are able to submit negative reports confidential that include medical malpractice, Negative actions or findings by a peer review organization, Negative actions or findings by a private accreditation organization, Health care-related
How ICD-10 impacts the revenue cycle management by Sashi Padarthy discusses the “opportunity” for facilities to improve on “clinical documentation, revenue cycle performance, and analytic capabilities for business intelligence” (Padarthy, July 2012, p. 7). Padarthy suggests the shift from ICD-9-CM to ICD-10 will require multi-departmental assessments to determine core factors within ICD-10 will that will directly influence coding, billing and reimbursement. Padarthy proposes facilities analyze their current diagnostic and procedural codes to assess whether their current codes accurately represent services provided. In addition, he asks facilities to determine “if an opportunity to leverage ICD-10” exists, and if so, what is needed; updated eligibility requirements, increased medical necessity
The purpose of this paper is to provide a brief overview of the structure of a project about the adoption of clinical information systems on patients’ safety in the Canadian context for the Minister of Health. A report on patient safety at an international panel suggested that adoption of standard classification systems in healthcare could significantly improve patients’ safety through leveraging the healthcare data to conduct quality improvement initiatives. The health information manager (HIM) and Standards Branch at the Ministry of Health were tasked to develop a project of introducing the use of International Classification of Diseases and Health Related Problems Tenth Revision, Canada (ICD-10-CA) and Systematized Nomenclature of Medicine
Activity 1 highlights the types of staff access available within the hospital, including security access, technology restrictions and the different roles access can alter and how it can affect health information data, which is used for hospital funding, employment, resource budgeting, purchase of information systems and the differing types of treatment provided by the hospital. Hospital data attained from hospital health information systems can often present accuracy problems as errors with admission paperwork, coding information, medication and procedure documentation are often written inaccurately, staff are encouraged to actively minimise and reduce errors with appropriate maintenance, automatic error reporting and access restrictions to
The main function of the healthcare ethics committee is to resolve ethical conflicts by providing consultations and conflict resolution, answer ethical questions, promote patient rights and shared decision making between patients, surrogates, and their clinicians, promote fair policies and procedures that increases the probability of attaining good and patient-centered outcomes, and provide education (Ethics Committees, Programs, and Consultants, 2013). The committee reviews cases on a case-by-case basis and assists patients, family, and staff with coming to an agreement on the options that best met their needs (Healthcare Ethics Committee, 2013). The healthcare ethics committee is structured to include a broad span of community leaders in positions of political stature, respect, and diversity (Healthcare Ethics Committee, 2013). The healthcare ethics committee should include a multifaceted team, consisting of physicians,
I enjoyed reading your discussion post regarding bedside reporting and agree bedside reporting is an excellent example of evidence-based practice. The SBAR tool was originally developed to improve communication between nurses and physicians (Cornell, Yates, &Vardaman, 2014). Moreover, given the impact SBAR had on nurse-physician communication, bedside reporting utilizing the SBAR tool is now evidence-based practice for nurses (Cornell, Yates, &Vardaman, 2014). Bedside reporting gives nurses and patients’ opportunity to set mutual goals.
Bedside reporting has been shown to improve communication and quality of handoff between nurses. It is also credited to promote patient safety and improve patient satisfaction. Patient satisfaction, patient safety and nursing communication and quality of report from a 32 bed surgical hospital in Dallas, Texas is to be evaluated using various surveys, HCAHPS scores, incident reports, and call light logs. Data will be collected 2 months prior and 6 months following the implementation of bedside report. Scores and communication survey results will be reviewed in this time period to determine increases or decreases from pre-implementation results using traditional nurse-to-nurse report..
Electronic Health Records and Patient Confidentiality Technology has become an essential part of our everyday life therefore, it makes sense that doctors and hospitals get rid of the old fashioned paper charting and use technology to access patient records. Electronic health records (EHR) provide quick access to information, as doctors no longer have to wait for other providers to fax previous records to them. The accessibility of Electronic Health Records assist medical providers to make quick medical care decisions, by accessing previous care provided to patients including treatment and diagnosis. Quick access to information through EHR enables health care providers to treat patients faster as there is no need for records to be mailed or
Health Care Compliance in 2016 It's difficult to imagine that we've nearly closed the books on 2015. However, before we can really say goodbye to this year and begin focusing on what is to come in the future, we must first prepare for the changes that will take place in 2016 due to the Health Care Reform Act. While much of the ACA is already in place, there are still several portions that have yet to take effect.
The definition for “appropriate medical screening examination” and “necessary stabilizing treatment” were not adequately delineated within the act and lead to many different interpretations on what services encompassed compliance (Rosenbaum & Kamoie, 2003). The definition of what was acceptable medical screening and necessary treatment varied between healthcare professionals from brief and simple, to complex. This became an issue for many organizations and physicians in endeavoring to remain compliant with the law. Another result of the implementation of EMTALA was the increase of patients utilizing ER services. A number of critics have pointed to EMTALA as the cause of over-utilization of ER services, even though there have not been any conclusive studies proving that the law is the cause of increased costs and congestion within hospital ERs (Rosenbaum & Kamoie, 2003).
When your little you might know what your destined to be or you might not be focused on it. Than when the day comes to start the schooling you hesitate. Looking up ideas of careers becomes repetitive and annoying. Than you get a job doing whatever you could find until one day you realize that you deserve more and want to challenge yourself. For me it wasn’t easy deciding what to do.
As soon as I started using EPIC I knew that it was going to be very helpful. I was very happy to be able to find my patients’ records fast and without difficulties. As stated in this week’s lesson, “High-quality nursing information systems
Funded through the government and taxpayer’s dollars, the Canadian health care system is a resource provided by Canadians for Canadians (cite here). While the Canadian system often carries around the stigma for its long wait times and its slow health care administration, their issues are often seen as small hiccup compared to its benefits of easy access and fair approach to all resources and physicians. While the system may require an individual to wait excessively for small injuries within the waiting room, if the care is urgent and needed immediately these patients are given priority access (cite here). While the emergency rooms of Canadian hospitals are often seen in a negative light due to their poor medical administration and distribution of medical practitioners to patients, medication is given (iv treatment) for the individual to not have to sit in pain (cite here). While the wait times in comparison to the United States seem to portray a negative image on the public
This information is used to appropriately implement prevention and treatment for patients. The second outcome integrates analysis of information gathered by healthcare personnel to identify trends and inconsistencies within the healthcare population. Through this the origin of problems can be ascertained, and preventive measures can be instituted. Subsequently prevention will decrease incidences and ultimately the cost to