What adverse impact do high duplication rates have?, health and medicine homework help

Read the scenario and address the questions.

In this case, more is bad

Before automation, a hospital’s master data about patients consisted of type written 3 × 5 cards, each containing individual patient demographic data, medical record number, and patient admission and discharge dates. These master data composed the hospital’s MPI.

Large rotary-style machines called cardveyors housed thousands of MPI cards. Cards were filed in strict alphabetical order by patients’ last names. To ensure there were no misfiles, cards created for new patients were filed in the cardveyor and tagged. Each tagged card was audited at the end of each day by a file clerk to make sure it was correctly filed. In many cases, if errors were not caught using this method, a misfiled card may never be located among the thousands of cards in the cardveyor.

Because cards were hand filed, potential duplicate cards identifying the same patient were identified by filing clerks. Usually, clerks identified these when they filed a new card in the MPI for a new patient admission. In cases of potential duplicate cards, clerks would compare patient demographic data and make a decision whether a duplicate had been created.

In the manual system, patient master data were not easily accessible throughout the hospital to those that needed it. For example, the admitting office would have to phone the medical record department to determine if a new admission had an existing medical record number. Or, the billing office had to call the medical record department to verify dates of admission and discharge of patients.

Patient master data are easily accessible throughout the enterprise in today’s automated MPIs. However, duplicate records in the MPI remain a problem. Statistics indicate that in some MPIs, the duplicate record rate reaches upward of twenty percent with the average duplication rate between nine and eleven percent.

[Side note: I remember using carveyors to look up MRNs and pulling charts. I think I’ve dated myself.]

Discussion Questions

  1. Why do duplication rates for master data such as the MPI remain so high today?
  2. What adverse impact do high duplication rates have?
  3. In manual systems, audits were performed daily to decrease duplication rates. How are automated MPIs audited today?

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Stark Law Due Monay 19th

Two  physicians, Dr. S. and Dr. V., leased a nuclear camera so they would no longer have to refer their patients to the local hospital for nuclear imaging. Faced with the prospect of losing over a third of its $2,274,094 in annual gross nuclear medicine revenues, the hospital responded by threatening to revoke the doctors’ admitting privileges. Lengthy negotiations ensued, at the end of which the hospital agreed to sublease the camera from the two physicians; the camera remained at the physicians’ offices but other physicians with privileges at the hospital could use it. Four other local physicians who provided the same or similar services to patients as Dr. S. and Dr. V. brought a qui tam action alleging that the sublease violated the Anti-Kickback and Stark Acts and that the defendants falsely certified compliance with those laws in connection with claims submitted to Medicare in violation of the False Claims Act.

(Please note: This is an actual court case and an Internet search may uncover the actual case details. You are prohibited from utilizing any source materials associated with this case. Use of any related materials will result in a reduction of points on this assignment. This assignment is being graded on your ability to critically think—on your own recognizance—based on your comprehension of the knowledge provided in this week’s learning materials.)

Instructions: Carefully review Chapter 7 of your textbook and research Stark Law. Given this scenario, analyze whether the actions of Dr. S. and Dr. V. violated Stark Law. Provide solid evidence supporting your decision by utilizing information from the Ashford University Library as well as the law itself.

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IT, Legal, Ethical and Regulatory Considerations for Proposed EHR Technology Solution

IT, Legal, Ethical and Regulatory Considerations for Proposed EHR Technology Solution

Before you begin this assignment, be sure you have read the “UMUC Family Clinic Case Study”, the Case Study Stages 1-3, your required readings and feedback on your graded work so far.

Purpose of this Assignment

This assignment gives you the opportunity to apply the concepts of this course to address the capabilities and requirements for the certified EHR technology solution you have proposed for the UMUC Family Clinic.  This assignment addresses the following course outcomes to enable you to:

·  Evaluate the organizational environment in the health care industry to recognize how technology solutions enable strategic outcomes.

·  Evaluate technology solutions in the health care industry to improve the quality of care, safety, and financial management decisions.

  • Examine the implications of ethical, legal, and regulatory policy issues on health care information systems.

IT, Legal, Ethical and Regulatory Considerations for Proposed EHR Technology Solution 

Following your recommendation of a certified EHR system for the UMUC Family Clinic in your Stage 3 project, the owner of the UMUC Family Clinic wants to be sure he has considered everything before authorizing funding for the project.  In evaluating an IT proposal, there are several areas that need to be considered.  The owner, Dr. Martin, has asked you to prepare a table addressing the important aspects/considerations of the project. These considerations are listed in the table provided with this assignment. Considerations include such areas as IT operational, architectural, project, legal and ethical considerations.

Depending on the specific EHR technology solution you proposed, some of the considerations would be more important than others, and some will be implemented as part of the system while others will require processes and procedures to be developed.   

The responses that you enter into the table for each consideration must be aligned to the one specific EHR solution you proposed and must be appropriate to the UMUC Family Clinic.


Using the EHR technology solution you proposed in Stage 3, you should briefly explain it and then copy the table below and complete the remaining two columns.  For each area of consideration, you should provide a brief description, a minimum of two sentences, and a brief explanation, a minimum of two sentences, to explain how that consideration will be accommodated in your solution. DO NOT copy the definitions from the textbook or other sources but put into your own words to demonstrate your understanding of the concept as you provide your descriptions.  Descriptions and explanations must provide enough information to convey your understanding of the consideration.  Use the Grading Rubric to be sure you have covered everything.  Submit your paper with both parts 1 and 2 below via your Assignment Folder as a Microsoft Word document, or a document that can be read using Microsoft Word.

Part 1: Briefly explain your proposed EHR technology solution.  Identify what the solution is, what it is expected to do for the UMUC Family Clinic, and what major hardware, software and communications components will be used, summarizing the information you provided for Stage 3.  You must provide enough information here so that it is clear that your explanations in the table that follow apply to your proposed solution.

Part 2:  Table of Considerations.  The Areas for consideration are defined in the section “Course Resources” which follows the table of considerations below.  An example for one entry is also provided below (you cannot use the area identified in the example for your assignment).  Click on the upper left corner of the table to copy it into your paper.  Then, provide a description (like a definition, but in your own words) for each consideration and an explanation of how it will be accommodated in your proposed EHR solution; the area may be addressed by a specific capability provided with the system, by a policy/process/procedure to be developed at the UMUC Family Clinic, or by a combination of the two.  Explain how the consideration will specifically be accommodated.  NOTE:  For full credit for all descriptions and explanations, the (minimum of) two sentences must fully explain and justify your reasoning.  Roll your mouse over the top left corner of the table to select it and copy it into your assignment paper.

There should also be a well-written introduction to this table to tie it to Part 1 of the assignment; do not just insert a table with no explanation.

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Avian influenza, health and medicine homework help

This assignment is designed to familiarize you with some of the global health problems and diseases in your selected population. You will discuss the extent to which the behaviors, culture, or environment of the population affected by the infectious disease (AVIAN INFLUENZA) you identified in your case assignment contribute to the disease.

You should use a variety of resources for this presentation. At least two sources must come from peer-reviewed journals. Areas to include in this assignment include but are not limited to:

  1. An overview of the selected population
  2. A description of the disease (transmission, prevalence, etc.)
  3. A description of potentially relevant cultural factors related to the health issue or disease.
  4. Cultural factors such as language, diet, expectations regarding health care, and the role of traditional healing.

SLP Assignment Expectations

Length: 2–3 pages.

Required Reading

Centers for Disease Control and Prevention’s Global Health web site located at http://www.cdc.gov/globalhealth/index.html

Black, R. E., Allen, LH, Bhutta, ZA, Caulfield, LE, De Onis, M, Ezzati, M, & Rivera, J. (2008). Maternal and child undernutrition: global and regional exposures and health consequences. The Lancet, 371(9608), 243-260.

Fried, LP, Bentley, ME, Buekens, P, Burke, DS, Frenk, JJ, Klag, MJ & Spencer, HC. (2010). Global Health is Public Health, The Lancet, 375,535–537.

Koplan, JP, Bond, TC, Merson, MH, Reddy, KS, Rodriguez, MH, Sewankambo, NK, & Wasserheit, JN. (2009). Towards a common definition of global health. The Lancet, 373, 1993–95.

Marmot, M. (2005). Social determinants of health inequalities. The Lancet, 365(9464), 1099-1104.

Marmot, M, Friel, S, Bell, R, Houweling, TA, & Taylor, S. (2008). Closing the gap in a generation: health equity through action on the social determinants of health. The Lancet, 372(9650), 1661-1669.

Somerville, MA. (1998). Making health, not war–musings on global disparities in health and human rights: a critical commentary by Solomon R. Benatar. American Journal of Public Health: Vol. 88, No. 2, pp. 301-303. doi: 10.2105/AJPH.88.2.301. Retrieved from http://ajph.aphapublications.org/doi/pdf/10.2105/A…

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Recruitment and Selection plan for an urgent care clinic/ Human Resources, health and medicine homework help

Having a written plan for the recruitment and selection of employees is imperative in any organization, especially health care, due to the many issues that could arise (e.g., legal, union, not meeting government regulations). For this assignment, you have been tasked to create a recruitment and selection plan for an urgent-care clinic. Write a paper of 5–6 pages that, at a minimum, includes the following:

  • General overview of the recruitment process
  • Recruitment sources
  • How the recruitment of positions will be marketed/communicated
  • How the effectiveness of recruitment will be measured
  • What selection tools will be used to select potential employees
  • Any legal and ethical concerns and regulations that must/should be considered when making hiring decisions.

Your paper should be 5–6 written pages, excluding cover page, abstract page, and reference page.

Note: Use APA style to cite at least 5 scholarly sources from the last 5 years.

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What is the diffrence between inpatient and outpatient Electronic health record (EHR) systems

I am suppose to research two electronic health record (EHR) systems: one that supports a doctor’s office or outpatient facility and another for an inpatient acute hospital. Than create a Word table, Excel spreadsheet, or similar document comparing the specifications of the two systems based on the following criteria:

  1. What is the type of system used? Is it cloud-based or client server/desktop based?

  2. What size of practice can the software support (compare the number of physicians or beds the software can support)?

  3. Is the software CCHIT Certified?

  4. What specialties (such as cardiology, radiology internal medicine, neurology, etc.) can the software design to accommodate?

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senior fitness, health and medicine homework help

This week’s assignment:

Short Answer

1. Describe rheumatoid arthritis and osteoarthritis in your own words. What are the primary concerns for you as a trainer when training a client with arthritis? (3)

2. What are the muscles that make up the rotator cuff? List the mechanisms for rotator cuff injury and contraindicated movements. (3)

Learning Experience (20)
Choose one of the following learning experiences. Perform the experience as instructed and write a 250 word essay describing your experience and what you gained from participating. Provide a comprehensive explanation of your findings, including the answer to the learning experience, as well as how this knowledge can benefit you in your service to your future clients, friends, and/or family.

1. Search the Internet or local library for “strength training and osteoporosis.” Find articles (from research or scholarly journals) to provide supporting information for an essay on the benefits of strength training on osteoporosis.

2. Create a list of five weight-bearing activities that would be beneficial for a client with osteoporosis. For each of the exercises, prepare a detailed set of instructions. Describe in detail the client’s body position, safety precautions, alternatives to compensate for limited range of motion, and any other necessary information. Anyone should be able to follow the directions with ease.

The information covered in this week’s lecture and reading assignments will help you answer the following assignment. Your answers should be no less than 250 words and typed in a Microsoft Word document. When you are finished, upload the Word document to be graded using the dropbox below.

This week’s assignment:

Client Profile: Maddie

Age Gender Height Weight Body Fat %
80 Female 62 inches 123 pounds 23%

Maddie has been recently diagnosed with severe osteoarthritis. Simple everyday chores are not only difficult for her, but are becoming very painful. Research this chronic condition and design a training program appropriate for this condition. Include any contraindications to exercise that you may discover in your research and address them in your answer. Maddie was for the most part sedentary in her younger years. Discuss how this may have contributed to her present condition. In your answer include the number of days per week you will train this client, the types of exercises she will be performing, the number of sets & repetitions, and so forth. Include citations of the research you based your recommendations on and explain why you feel this is the best course of action.

Make sure you do a complete workout plan in a chart form.

ill send everything i have.

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Typhoid Mary, Unit 4 Assignment 2 help

This assignment reinforces information in your textbook and concepts presented in this unit. Your responses should be thorough, well-conceived college-level responses that are grammatically correct. Please write your answers in complete sentences. Justify your responses with facts and details from at least one outside source, your textbook, and your opinions. Please cite your source using APA format and include the URL(s) as applicable.

Research the case of Mary Mallon, also known as Typhoid Mary. This case is a classic method of learning the epidemiologic aspects of infectious disease and the associated social policies, health regulations and laws that resulted in the Salmonella Typhi outbreaks in the early 1900s. Respond to the questions below. Be sure to provide comprehensive answers.

  1. What are the signs and symptoms of Salmonella Typhi (Typhoid Fever)?
  2. What is the annual incidence of Typhoid Fever in the United States?
  3. What was the mechanism of disease transmission between Mary Mallon and those who became ill?
  4. How would you describe the Epidemiology Triangle in Mary’s case?
  5. What strategies did the society of the early 1900s use to prevent Mary from spreading the disease?
  6. What modern disease prevention strategies could be used to protect against spreading S. Typi by food handlers?
  7. After learning about Mary Mallon, what is your position on a policy to screen food handlers for infectious diseases, such as Typhoid Fever and Hepatitis A, which can be spread by food? Think carefully about the incidence of foodborne illnesses that would be a community threat, the impact the disease(s) have on the community, the cost of the screening, who will pay for screening and if the strategy will detect enough or prevent enough cases to warrant the public health policy.

Additional Resources

A Good 15 minute audio story about the Typhoid Mary story- Recommend you listen

Here is a well told 15 minute story of Typhoid Mary produced by the Radiolab. Don’t be confused by the odd introduction. The producers actually visit the North Brother Island, the site of Mary’s quarantine.

http://www.radiolab.org/story/169882-typhoid-mary/ (Links to an external site.)

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Knowledge Management

Knowledge Management

In the health care field the acquisition of knowledge is important to improve patient care. The process of identifying, managing, and sharing this information is called knowledge management. For this assignment, read the Health Informatics: A Systems Perspective, Chapter 8 Case Study on pages 172-174, and create a strategy to leverage the knowledge base of the practice against the value of knowledge within the developing accountable care organization (ACO), Health Information Exchange (HIE), and Regional Health Information Organization (RHIO). In your paper:

  • Differentiate between the role of an HIE and a RHIO.
  • What are the implications of collaborating with an HIE and RHIO?
  • Create a policy on who can access knowledge generated by the practice and how would it be used.
  • Assess each of the five quality domains specified by the ACO mandate, and justify their inclusion or exclusion. What are the implications of each on the structure of the clinical process and on the information system that supports the process?
  • Compare and contrast the differences between explicit, expressed, implicit, latent and tacit knowledge.  What is the importance of each one?
  • Distinguish between the two organizations in your response.

Your Paper:

  • Must be a minimum of two to three, double-spaced pages in length, excluding the title and reference pages, and formatted according to APA style as outlined in the Ashford Writing Center.
  • Include a title page with the following:
    • Title of paper
    • Student’s name
    • Course name and number
    • Instructor’s name
    • Date submitted
  • Begin with an introductory paragraph that has a succinct thesis statement.
  • Address the topic of the paper with critical thought.
  • Use at least three scholarly sources (excluding the textbook), two of which are from the Ashford University Library.
  • All sources should be listed in APA style, as outlined in the Ashford Writing Center.
  • Include a separate reference page, formatted according to APA style as outlined in the Ashford Writing Center.

Carefully review the Grading Rubric for the criteria that will be used to evaluate your assignment.

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what are the possible sources of food-borne illness?, homework help

Scenario 1

  • Write at least 50-word responses to each of the following questions. Be clear and concise, use complete sentences, and explain your answers using specific examples.
    • Based on Scenario 1, what are the possible sources of food-borne illness?
    • Although Jeremiah did not get sick, there were several areas throughout Jeremiah’s day that could have led him to a serious case of food-borne illness. Point out these areas and briefly explain why they are of concern and what Jeremiah could have done differently.
    • Why is it safe for steak to be pink in the middle, but potentially dangerous for a hamburger not to be cooked all the way through?

Scenario 2

  • Write at least 50-word responses to each of the following questions. Be clear and concise, use complete sentences, and explain your answers using specific examples.
    • How could this illness have been prevented?
    • Based on the incubation period and symptoms of the illness, what is the most likely microorganism responsible for this illness?
    • Describe the temperature danger zone.
    • How could Martha have sped up the cooling process of the lasagna?
    • If the leftover lasagna was thoroughly reheated, (which it was), how did it still lead to food-borne illness?

Scenario 3

  • Write at least 50-word responses to each of the following questions. Be clear and concise, use complete sentences, and explain your answers using specific examples.
    • What could be the cause of Sally and her family members’ illness?
    • How could this illness have been prevented?

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