OW STUDY The workgroup supported our suspicion that the solution we would build and offer was a small adjustment to the clinical workflow. On the other hand, the rather small adjustment to workflow would ask clinicians to consider more information than they had ever had on the genetic risk of disease based on family history. Having evidence-based information to support changes in care provided for patients based on the family history was unsettling to clinicians. We needed to take care to appreciate what seemed like small workflow adjustment to our team, may seem relatively radical to clinicians who had been blasting through family history for years (or decades) without regard to the rich phenotypic data that could be used as a proxy …show more content…
This would be the basis for a compelling and credible set of artifacts supporting how the system would be used in existing clinical workflows without being disruptive. There was no satisficing in the assessment. The points that we would make based on our observations and interpretation of the clinical workflows were simple. The steps required to use the new system fit into the existing clinical workflow The use of the system would not be disruptive The results of use brought practice into alignment with standards-of-care What wasn’t actionable before, was actionable now based on evidence Opportunity to act on the phenotypic indicators of risk for genetic disease CLINICAL DEVELOPMENT METHODOLOGY We had worked hard, very hard, to gather clinical support for the use of the new clinical decision support platform inside primary care and specialty settings. For some projects, this would have been followed immediately by a kick-off meeting and beginning of the actual design and build. In our case, the hard work had just begun. We had affirmed a key assumption in our early work with subject matter experts that understanding the published evidence used to guide effective understanding and use of clinical guidelines was overwhelming and confusing. So while we had known for sometime that our decision support tool would need to tackle these issues, it was time to finally roll-up our sleeves and produce the processes and core
The facts in this case are that Harvey Pierce ambushed and shot Robin Kerl and her fiancé David Jones in the parking lot of a Madison Wal-Mart where Kerl and Jones worked. Kerl was seriously injured in the shooting, and Jones was killed. Pierce, who was Kerl’s former boyfriend, then shot and killed himself. At the time of the shooting, Pierce was a work-release inmate at the Dane County jail who was employed at a nearby Arby’s restaurant operated by Dennis Rasmussen, INC. Pierce had left work without permission at the time of the attempted murder and murder/suicide. Kerl and Jones’ estate sued DRI and Arby’s, INC. As in pertinent to this appeal, the plaintiffs alleged
Roma and Clint Underhill had both had a long day. They were the owners of a successful real estate
3. Variable cost per unit will be reduced from $25 to $18.80. A total of 1,000,000 units will still be sold. The reduction in variable costs per unit is a direct result of the increased fixed costs and the associated automation.
This ethical issue that I have decided to write about is a matter that has occurred in many medical facilities across the world. I have made up some names for this case study but the incident is real. This case study involves a physician named Derek Johnson M.D. This physician worked with numerous of nurses and other health care professionals and most of them believed Dr. Johnson had a narcotics problem. The health care providers did not know for sure if this physician was using narcotics they could only speculate and they had some evidence that Dr. Johnson was illegally using the narcotics. The health care providers thought Dr Johnson was illegally using anesthesia. The reason the other health care
The Data that has been collected, read, and analysis was to determine Miguel’s strengths and challenges (weaknesses). According to Miguel’s Data his strengths are Phonemic Awareness, Phonics, and Vocabulary. In the phonemic awareness: The student is scoring very well in phonemic awareness/oral language. He was able to get 10 out of 10 in sounding out words. He was also able to
Mark volunteered to help with the community arts festival; he was supporting the not-for-profit organization as he had in the past. However, he did not know his good intentions as a volunteer would cost him his job as an assistant manager. The retail store’s phone number was printed in the festival advertising in error and ticket requests overloaded the phone lines, causing loss of business and annoyed the store manager. As a result, Mark was seen as the cause of the problems and terminated.
With this information, we could ask for funds, reveal important requirements, and deliver the future phases of the project. We organized a family history workgroup and strategically selected “subject matter experts” from specialty and primary care practices to answer key questions about how each of them and their respective teams might willingly adopt or might challenge the development and use of the proposed system. In addition to being well-respected within the organization and capable of helping layout a compelling vision for the system, these participants would eventually become our first pilot users after the tools were built. This was a subtle, but strategic move to evaluate those most likely to use and provide feedback and those who would be better candidates for later stages of
Clinical decision support (CSS) systems are clinical resource tools embedded in EMR (electronic medical record) applications that provide actionable intelligence specific to an individual patient thus enhance clinical decision making. These tools provide tailored feedback, which directs clinical decisions and interventions in the clinical workflow. According to The Stage 2 Meaningful Use Final Rule, the fundamental components and characteristics of a successful decision support system should allow clinicians to reduce errors and adverse events, improve efficiency, enhance outcomes, and ultimately lower costs. Furthermore, the federal government has defined the Five Rights of CDS as follows: the right information, to the right people, through
Jennifer is a 2nd grader being referred for possible learning disabilities in reading. Jennifer has always attended Sand Hill Elementary and has not repeated a grade. She is eight years old. She has been screened for vision and hearing problems and was found to have normal vision and hearing. Her teachers have described her as cooperative and likable. She does not exhibit behavioral problems.
Clinical decision support (CDS) systems offers health care providers pertinent knowledge about patients and their illnesses/health. They provide suggestions and alerts to enable physicians to treat their patients more holistically and efficiently. EHR systems comprising CDS are available in three basic varieties. According to Musen, Middleton, and Greenes (2014), “1) they may use information about the current clinical context to retrieve highly relevant online documents, as with so-called “infobuttons”; 2) they may provide patient-specific, situation-specific alerts, reminders, physician order sets, or other recommendations for direct action; or 3) they may organize and present information in a way that facilitates problem solving and decision making, as in dashboards, graphical displays, documentation templates, structured reports, and order sets”.
Case Name The Smithson’s Mortgage Case Study Teams This case is designed to be conducted by a team of students. The discussion, questioning, and resolution of differences is an important part of the learning experience. Another significant advantage is the sharing of the workload in preparing the final case study report. Knowledge Background This case draws heavily on the material presented in Chapters 2 and 3 of Principles of Engineering Economic Analysis, 4th Edition by White, Case, Pratt, and Agee, particularly Section 3.4 (Principal Amount and Interest Amount in Loan Payments). To a limited extent it draws on concepts from Chapter 4 (Measuring the Worth of Investments), Chapter 5 (Comparison
Downsizing has become a commonplace strategy for organizations to adopt in an effort to cut costs, eliminate redundancies, and streamline organizational systems. Over the last 15 years, many organizations have engaged in downsizing more than once. Most companies have learned from the mistakes of the past, but some companies are still trying to use the same tactics today that were used in the mid 1980s, that leave employees reeling.
Following that, the expected values for decision nodes 6 and 7 should also be calculated. The following results were obtained:
Last but not least, investors are easy to get the control of SDB due to its
1. Jerry Kline and Grace Gallo are too eager in getting customers and reaching their quotas without thinking what would be its effect to the company. They focus more on money instead of having a good