The Electronic Medical Records Information Technology Essay

The Electronic Medical Records Information Technology Essay Electronic Medical Records are legal databases created within different organizations to help healthcare providers access information about patients. Without these types of databases other modern technologies cannot be effectively integrated into routine clinical workflow. For example, decision support systems depend on EMR systems to help coordinate research and practice in different areas. Records about patients in this form make it easier for many organizations to keep organized and handle billing and services more effectively. These types of medical records have seemed to become quite a phenomenon in the healthcare industry because it has allowed care providers to be able to effectively gain access to a patients medical history to help better provide services to individuals. In essence these records have the ability to save lives. This innovative idea gives doctors and other medical providers access to a database where all of these types of files are stored. The quick right of entry to the records can help to find ways to treat patients sooner and more effectively thus people are much healthier and happier. It also allows billing to be a much simpler process to make sure patients are only charged for services rendered. Although the idea of Electronic Medical Records seems to be a very easy and a useful tool, there have been many people and much time that has been spent in making this type of database access. A lot of hospitals have been recently moving to the practices of EMRs because they have found that it has led to a higher quality of patient care. Doctors and nurses are finding out that they can access not only a patients medical records, but also lab results, body scans, and information about allergies and medication, which is wonderful news to healthcare providers and people in the medical field who provide care to individuals. Finger printing has also been recently rumored to be a new part of EMR access. In this paper we will explore a few things such as how EMR came about, what is going on with EMR now, opinions of EMR over time, and forecasting the future of EMRs. History of EMR Before the Electronic Medical Records, physicians could only document patient information and encounters by hand-writing it on paper. Dr. Lawrence Weed changed this concept when introduced the idea of EMR into medical practice in the late 1960s. Weed was known as father of the problem-oriented medical record (POMR). Weed wanted to create a record that would allow a third party to verify the diagnosis. Another critical person in the establishment of EMR, was Dr. G. Octo Barnett. He worked to develop the Computer Stored Ambulatory Record (COSTAR) which supported patient care, billing, and follow up treatment. The Health Evaluation through Logical Processing (HELP) was also a key influence. Homer R. Warner led this team that provided support for health care professionals. He presented that computer systems would enhance the record keeping system while replacing paper. It wasnt until 1972 when the Regenstreif Institute generated the first medical records system. Although the invention of the EMR developed a major advance in medical practice, it was not getting very much use. This innovation was expensive to obtain and many were skeptical of the privacy and confidentiality of EMR. In 1991, the highly esteemed Institute of Medicine suggested that by the year 2000, every physician should have implemented EMR into their office. The Institute of Medicine did a study in 1999, which concluded that preventable medical errors are caused by faulty systems and processes that could be prevented through adopting electronic medical records. A study of EMRs by the RAND Health Information Technology Project started in 2003. From this study they found hospitals and physicians would save money and significantly improve healthcare quality. Although the Electronic Medical Record has come a long way, it has not fully taken off. What is going on now with EMR There are an estimated 300 to 400 companies in the United States peddling electronic medical records (EMR) systems to the nations hospitals, medical clinics and solo practitioners. While some, such as GE Healthcare and NextGen Healthcare Information Systems, are part of corporate behemoths, the vast majority are small, privately held firms like eClinicalWorks. While large firms such as Allscripts-Misys Healthcare Solutions Inc. and NextGen Healthcare remain huge presences, industry observers say that the electronic medical records field is as open to smaller challengers as it has ever been. One big factor working in the small companies favor: The majority of doctors offices that have yet to adopt electronic records are small businesses themselves. While more than half of medical practices employing 50 or more doctors are using EMR systems, less than 10% of practices made up of three physicians or fewer can say the same, according to a study published in the New England Journal of Medicine in 2008. These smaller practices are not an easy sell. Bigger EMR players tended to ignore them until recently, figuring the greatest revenue was to be made converting larger hospitals and clinics to their systems. Moreover, they are usually so sensitive to the cost of the product not to mention the amount of time they will lose seeing patients while they get up-to-speed on the software that they were effectively priced out of the market. EMR Systems generally have three price levels. The first level is a boxed systems for small one or two provider offices. These systems are usually older products with a large client base that will provide the practice with the basics. These types of products generally run below $3,000. The second level is a more customized system for Small to Medium sized offices. These products will often require on-site installation and training because they need to be customized for each application. Prices for these products usually run between $5,000 and $35,000. This depends on the number of providers. A small one to two provider offices can expect to pay between $5,000 and $15,000. A larger office of 5-10 providers can expect to pay around $3,000 per additional provider, bringing the total cost to around $25,000 to $35,000. Forecasting the Future of EMR Today, Electronic Medical Records are a huge benefit to physicians. Having this computerized system allows the physician to spend less time doing paper work and more time spent on the patient. Even though Electronic Medical Records software is beneficial, it still has a lot of room to grow. Electronic Medical Records has a bright future. In addition to helping the physician, the future of EMR systems can bring e-medicine to the patients. Portability is a main concern for patients who travel to different care providers and need to have their health records easily accessible. Electronic Medical Records hopes to increase the accessibility of patient medical records through the internet and making it available for the patient to update their own health records. This advancement is sure to transform the practice of medicine. Current EMRs are closed systems that use Microsoft word, excel, and a static view. Future EMRs will use graphical representations to give the information a more interactive and visual view. All of these improvements will make way for doctors and patients to interact through computer screens and cameras. Patients will want physicians to monitor electronic diaries about their illnesses or preventive efforts. In effect, doctors will share individual quality contracts with their patients. The future EMR workflow will change from the time consuming process the doctor uses to gather and input all the data to a user friendly system that gathers and inputs data for the doctor. This cuts the doctors and patients wait time by two thirds. Medical experts agree that electronic medical records, when used wisely, can help curb costs for physicians and improve care for the patient. Overall, improving and advancing electronic medical records will cut costs, time, and reduce medical record errors. Opinions of EMR Over Time An EMR is one or more computerized clinical information system that collects, stores, and displays patient information. Electronic medical record systems are generally designed to preserve and present patient data longitudinally throughout their many encounters with a healthcare provider system. At its most basic level, an EMR provides a legible, organized method of recording and retrieving clinical information about an individual patient, and essentially replaces the paper medical record that is most familiar to practitioners. By its very nature, an EMR supports data retrieval for quality assessment activities, research, and practice improvement initiatives. An EMR enables concurrent access to and documentation in the patients chart by multiple practitioners. In addition, having an EMR system eliminates the need to transport the physical medical record as the patient moves throughout the healthcare facility. Each year, electronic medical record (EMR) systems are deployed in many physician practices throughout the world, with clear clinical and financial objectives. However, some of these systems are later uninstalled by practices that have found them to be too costly in terms of lost time, productivity and revenue. A problem with EMRs in general (with respect to functionality, usability, and adoption) is that the people who perform the data entry and the people who actually benefit from the data are not the same. This means that the incentives are not aligned properly and when incentives arent aligned in anything (including IT) then failure is likely to ensue. In Conclusion This is only a brief hint at what the past, present, and future of EMRs look like and what an EMR actually does and can do to benefit millions of people across the world. The convenience of EMRs is spreading like the plague, and will only continue to do so in the future. While spreading, the conveniences gained from using an EMR will also increase and end up being a huge factor for many places to save time and money. The rapid daily increase of technology will only serve as a catalyst to what the modern day EMR could possibly transform into. EMRs are the top must-have for the future of the medical fields.

Great Gatsby Essay

In the beginning of Fitzgerald’s The Great Gatsby, Nick doesn’t care too much for Gatsby, but later Nick begins to like Gatsby, and by the end, Nick and Gatsby become best friends. It is sort of weird how their relationship develops, and the reason it develops. Nick and Gatsby seem to be two totally different people, but I guess opposites attract. In the beginning of Fitzgerald’s The Great Gatsby, Nick doesn’t care too much for Gatsby. Nick thinks that Gatsby is kind of odd, and mysterious. For example, on page 20, Nick says â€Å"he gave a sudden intimation that he was content to be alone†. That is kind of weird because if he wanted to be alone, why does he throw huge parties. Also Gatsby was just standing there with his arm extended looking at a light, if that isn’t weird than what is. This one encounter does not drive Nick away from getting to know Gatsby. Later in Fitzgerald’s The Great Gatsby, Nick begins to like Gatsby. Later on when Nick meets Gatsby at a party he describes his smile. The way Nick described it was not normal he said â€Å"It was one of those rare smiles with a quality of eternal reassurance in it, that you may come across four or five times in life. †(48) You don’t describe a smile that way unless you like that person, he could have just said he had a nice smile. After that Gatsby and Nick talked a lot more and hung out a lot more after that party, I guess you could say this was the beginning of a beautiful friendship. By the end of Fitzgerald’s The Great Gatsby, Nick and Gatsby became best friends. Towards the end Nick and Gatsby were always together. They went to lunch together, rode in Gatsby’s hydroplane together, and went to the city together. Nick liked Gatsby so much he said â€Å"They’re a rotten crowd,† I shouted across the lawn. â€Å"You’re worth the whole damn bunch put together. †(154) Nick also tells Gatsby’s father that â€Å"We were close friends. † (168) after Gatsby had died. At Gatsby’s funeral no one was their but Nick this showed that Gatsby had no other friends except for Nick. Even though Nick doesn’t seem to like Gatsby at the beginning the two of them end up as best friends. Even after Gatsby lies to Nick and then confesses the truth Nick was still friends with Gatsby.

Elements That Influence State Government Essay

The special interest group we are going to look at is the Sierra Club. The sierra club is a body of volunteers that come together to fight for the environment. This interest group has offices in every state in the union. As we look at the Sierra Club in whole we will describe what this organization stands for and try to define its relationship two each of the political parties and lastly we will look at how the interest groups influences state government. According to Carl Pope, â€Å"We stand for the principle that ordinary people don’t believe that they’re here to use up the earth and have the bank account exhausted when they die; that most people really see the planet as an ongoing enterprise. They’re inspired by nature. They want to leave it behind and they feel responsible for it Pope (2008), (para. 1)†. That being said the sierra club is an organization with of over 750,000 members with a common goal in mind (Pope, 2008). That goal is to protect the earth we live on. What is unique about the sierra club is depending on what state you’re in, the sierra club will come at you in very different ways depending on the cause at hand. This means if you live in California, the sierra club will fight to protect water rights and conservation as well as air pollution. If one lives in Kentucky then the sierra club will fight you on coal while promoting wind industry. The unique thing the sierra club has going for it is that it has many different platform to speak from while fighting for a common goal. One of the ways the sierra club has found to gain support on different issues is to a line its self with different political party to gain the support and win favor with state voters. What this means is that the sierra club leverages power of their net work of volunteers and members in every state for the chance to help elect candidates that are environmentally friendly and in line with the thoughts and values that the sierra club represents. Another way the sierra club has grown in power is that they have endorsed like minded candidates from state, local, and municipal arenas. One of the ways that make the sierra club so effective in endorsing a candidate is the multi step process; each candidate receives before the sierra club will publicly support said candidate. The sierra club generally a lines its self with the Democratic Party because Democratic are more liberal than Republicans. For this reason this organization will give democrat contributions to help a candidate become elected to office. According the sierra club leadership the more like minded officials we have in office the more changes can be to the ongoing fight to help preserve the environment. The sierra club supports Kentucky Representative John Yarmuth Democrat (â€Å"Sierra Club Endorses John Yarmuth†, 2012). One of the reason the sierra club support Representative Yarmuth is because of his views on the environment, energy as well as the Kentucky Clean Water Protection Act. The Republican Party has not so lucky when it come to getting support from the sierra club. According to the Perspective a news letter, in this news letter the sierra club comments on how they do not believe the republicans care about the environment due to their stand on climate change. The perspective go’s o to tell about how thinks there is not enough scientific fact to support the accusation, it is for these types of reason that the sierra club has failed to support Republican candidates material (â€Å"The Republicans, The Sierra Club and the Environment†, 2012). Since the sierra club is disenchanted with the Republican Party they see very little money or contributions of any kind from this organization. So how does a special interest group influence state government? Interest groups are the ones that fund a lot of the politicians’ campaigns, so it’s usually an exchange of some kind of service. The interest groups push for certain legislation to go through the House of Representative, and then the Representative relies on their support in their next election. Organizations like the sierra club can influence government by getting candidates elected that have similar goals. Contributions of money on different issues help with advertizing to help sway voters or to inundate the public with information either for or against a cretin issue. Special interest groups like The Sierra Club has become very crafty in the different way they have found to influence government. Most people do not understand that interest groups don’t just lobby for legislation and wine and dine politicians. They actually write legislation, to give to politicians to sponsor. For example, the legislation popularly known as No Child Left Behind was actually commissioned by and basically written by an interest group called the Business Round Table. Another angle to look at is that interest groups often employ lobbyists who already have working relationships with the members of the House, and so these groups tend to have more influence over the way the legislation is worded. This way the lobbyist can protect and benefit the company or industry they are lobbying for. References Pope, C. (2008). Big Think. Retrieved from http://bigthink.com/ideas/2378 Sierra Club Endorses John Yarmuth. (2012). Retrieved from http://www.kentucky.sierraclub/newsroom The Republicans, the sierra club and the environment. (2012). Retrieved from http://povcrystal.blogspot.com/2012/08/the-republicans-sierra-club-and.html

Australians Against Further Immigration Essay - 2230 Words

Australians Against Further Immigration OUR VIEW Environment Humanitarianism Economics Health Defences Education Culture Australias immigration policy is disastrous, proceeding as if there is no balance of payment problem, no foreign debt and no geographical or environmental constraints to population growth. Continued immigration will finally and irreversibly alter the natural and urban environment, economic viability and attitudes and culture of our nation. The people have been consulted on, or given their consent to, the interwoven policies of immigration and multiculturalism. It is now time for Australians to demand their democratic rights, reclaim their sovereignty and demand a say in the future of their nation. Australians†¦show more content†¦The reality is that we always will be a small food producer by international standards. Australia has a responsibility to protect its bio-diversity and not allow its flora and fauna to be pushed form their habits to extinction because of population or economic pressures. In comparison, the pro-immigration lobby feel that we have no moral right to this land unless we push development to the limit. Our population must be stabilised as elsewhere in the world. The use of water for irrigation, urban demand and sewage disposal, is already straining supply to the limits. Our main cities have grown beyond their optimum size. Pollution, traffic, urban sprawl, failing community service, crime and lower quality of life are occurring. Crowed, sprawling, smog covered cities, with all of the dysfunctional problems of Los Angles, are the inevitable consequences of further mass immigration. Yet the government plans to double the size of our major cities over the next 30 years by immigration. Is this what Australians, new and old, or of and ethnic group wants? The Premier of NSW, Bob Carr was right when he said, â€Å"the nation cant handle more people....Sydney is bursting at the seams....the debate ought to be about carrying capacity of the continent - a continent that has lousy soils, fragile vegetation and depleted and degraded river systems†. ECONOMICS To cope with our massive immigration problem which has produced the fastest population growth in the OECD, we areShow MoreRelatedRacism In Australia - The Rise and Fall of the White Australia Policy1308 Words   |  6 PagesAustralia is a a multicultural country. That is because it has had an increased numbers of different come to live here for many different reasons.. They have all called themselves Australians and had accepted Australia as their new home. Although the perspective of accepting a different race/culture has changed, racism still exists in Australia. Australia’s indigenous people were the first victims of racism in this country. 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