Creating Linked Administrative Data Sets Essay

This paper is going to focus on the importance of getting a better way for Medicare to handle the needs of transplant patients. The current situation isn’t a good one. The patients are the ones that suffer while the medical insurance companies and centers keep making more and more money. This is showing to me how much of the healthcare has turned to be about that. The transplant centers are needed but there is so much red tape that they have to go through to be approved by Medicare it makes it hard for them to open. What seems like should be an easy fix sure isn’t when you look into it.

Health information technology (HIT) is revolutionizing the way we interact with health-related data. One example of this is the obvious rise in

There are at least 66,000 Americans awaiting kidneys, while only a tenth of that number of kidneys are transplanted from deceased donors per year (Postrel). The amount of people awaiting organs is rising, and with the shortage of organs that are

Patients require continuous treatments up to 3 times a week as they wait for a kidney transplant, while others are reliant on lifelong dialysis treatments due to their ineligibility of being a transplant recipient. Since wait times for kidney transplants can extend into several months and years, the cost incurred for these patients in relatively high. With the incidence of ESRD on the rise, there is a continuing need to provide services to address it. Healthcare organizations are expected to adapt their healthcare delivery models to address this increase of ESRD pertaining to kidney failure while staying financially viable.

According to the authors, the elements that lead to most hospital readmission in the Elderly population consist of sociodemographic and clinical characteristics, frequency of drug use, individual patient level factors, visits to outpatient care facilities, and system-level factors. sociodemographic factors encompass some of the hierarchical needs chart such age, sex, socioeconomic status, education, social support, insurance type, financial status and access to or availability of services. After research was

Often, veteran’s may present as a walk-in with various complaints such as swelling of the extremities, medication renewals, blood pressure issues, or dialysis access problems. As the renal nurse, I am able to triage and document my assessment, including vital signs, and then communicate it to the nephrologist for further recommendations. Medication compliance is a big issue seen in the renal clinic. For example, all veterans are asked to bring in all medication bottles to their visit. As a kidney disease patient, there are always a fluctuation in the patient’s lab values, which may result in change in their medications. One concern that is found for example, a veteran was told by the nephrologist to increase his blood pressure medication from 25 mgs to 50 mgs. That veteran then is to follow up in the renal nurse clinic 4 weeks later for blood pressure monitoring, and bring in all medication bottles to that visit. Upon returning to renal nurse clinic appointment, it is noted that the veteran’s blood pressures are still elevated and the medication request to increase to 50 mg, had not been

A grant is a sum of money given by an organization for a specific purpose that does not have to be repaid. The purpose of this report is to describe two of the grant data resources. The federal grant reservoir provides a listing of available federal grant money and the qualifications that must be met. Federal grants exist to provide funding for projects that provide public services and stimulate economic growth. Grants are one of the many forms of federal financial assistance and are used to support critical recovery initiatives, research and many other causes. The Foundation Center is another grant data reservoir, but provides listings of private funding. They provide a way to connect people with the resources they need through

Nevertheless, with the date of implementation already expired, larger facilities gain an advantage, whereas smaller practices lag behind (Conn, 2015). That is to say, ICD-10 doesn’t purposely affect health care facilities negatively. Wall (2016) further identifies the impact of ICD-10 with regards on data capturing. It is important to note that data capturing is further improved to capture undetectable data not thought possible. Data can include the under dosing of drugs, which further clarifies two classifications (e.g. specific drugs underutilized, and reason for drug misuse), which play a significant role with the Centers for Medicaid and Medicare Services data collection, hospital resource utilization, and potential future reimbursement.

The wait times of dialysis patients before and after hemodialysis treatments have been an area of concern. In a typical morning at an outpatient dialysis clinic, all the patients for the first shift will begin to gather in a waiting room just prior to a specific time. I will use the start time of 7:00 a.m. for example. The nurses and patient care staff will arrive a considerable amount of time earlier to prepare for the oncoming shift of patients. At 7:00 a.m., the nurse in charge will begin calling each patient in one at a time. An assessment is done. The patient is weighed. His/her lungs are listened to. Many specific questions are asked. A treatment goal is determined based on protocols. Then, the assessment data is entered into a networked computer system, which is retrieved at a specific station for a particular patient. This process continues until every station in the clinic is full. Typically, a clinic will hold anywhere from 12 to 30 stations. For this example, I will use a 20-station clinic.

Two models were developed to predict hospital readmission; these are the LACE (length of stay, acuity of admission, comorbidity, emergency department use within six months of admission) and HOSPITAL (low hemoglobin level, discharge from oncology, low sodium level, procedure during hospitalization, non-elective index admission type, number of hospital admissions during the previous year, length of stay) (Jelinek & Yunyongying, 2016). A retrospective cohort study to develop and validate predictors of 30-day hospital readmission found the following risk factors: age 75 or older, male sex, African American race, medical vs surgical service, Medicare with no other insurance, discharge to a skilled nursing facility, and specific comorbidities— peripheral vascular disease, lymphoma/leukemia, cirrhosis/end-stage liver disease, chronic renal failure, stroke, metastatic cancer, respiratory failure, congestive heart failure, acute renal failure, localized cancer, and chronic obstructive pulmonary disease/chronic lung disease (Silverstein et al.

My community assessment project focused on adults with chronic renal disease who are receiving peritoneal dialysis under the care of the Davita Dialysis Clinic located in Dothan, Alabama. This modality of artificial kidney replacement minimizes the disruption of the user’s daily life by allowing them to remove waste products from their bodies on daily basis during their ordinary sleeping hours. According the Centers for Disease Control and Prevention, it was estimated that as many as 10% of adults or more than 20 million people in the United States may be suffering from chronic kidney disease, and in 2011 alone 113,136 of these individuals began treatment for their end stage renal disease ("National chronic kidney disease fact sheet, 2014," 2014).While chronic kidney disease is most commonly seen among individuals of African American descent and in adults over the age of 70, this harsh and deadly disease is not a respecter of age, gender, or race. More than 70,000 people die each year as a result of kidney disease, and Alabama has been ranked fifth in the nation for kidney disease occurrence ("Kidney Facts : Alabama Kidney Foundation," n.d.)

For this component, we plan to optimize the DSS in three ways: 1) by enhancing the knowledge representation of the patient database; 2) by adding a probabilistic component to the classification system; 3) by improving the prediction accuracy of the classification system through the creation of statistically coherent committees. We propose to revisit the machine learning choices made in our preliminary study and integrate into the classification process descriptive features represented in different formats. We hypothesize that the information they carry may be important to consider in conjunction with the information carried by other features. This is particularly important given the sensitivity of the new task that we are planning to study.

It is generally accepted that information is a vital commodity for the successful operation of today’s organizations. Nowadays modern business organizations are using computerized information systems in order to obtain such information. However as the technology advances rapidly the main issue is how can an organization should effectively use such an information system - which its management sometimes can be unpredictable - in order to effectively help the whole organization structure to improve and take the most out of it.

stages, symptoms and risk factors. It also examines the process of kidney transplantation to treat

“A database is a structured collection of records or data that is stored in a computer system. In order for a database to be truly functional, it must not only store large amounts of record, but also be able to access those records fast and efficiently. In addition, new information and changes should also be easy to input.” (tech-faq.com) To be useful over a long term the database should be able to store all the records necessary for the business to function as well as be able to get all of this information back in case of a system failure or a crash. If all the information is loss a business could go bankrupt so the database is a fail