The Passage Of The American Recovery And Reinvestment Act Essay

One of the most important characteristics of an EHR while storing the clinical information is its ability to be interoperable: to share that information among other authorized users. If different information systems cannot communicate or interact with each other, then sharing is not possible. In order to achieve the objective to exchange clinical

One of the challenges of health information exchange is privacy and security. Even though having electronic health information exchange reduces a lot of privacy and security issues, it raises new issues as well. A breach that formerly affected a single paper record now can expose an entire database of patient records. At the same time, health information exchange presents powerful new ways to improve the privacy and security of patients ' data, including encryption, authentication and authorization controls, and electronic audit trails. Two of the biggest challenges we’ve encountered are patient matching/master patient index synchronization issues and the vendors’ variable use of interoperability standards. The biggest issues we’ve experienced, so far are relate to the MPI synchronization of patients across all the entities. Public HIEs, as well as the private HIE vendors, should focus on this challenge. Technically, interoperable platforms, EHR’s, are often hindered by the inability to determine an exact patient match, because the eMPI solutions aren’t robust enough. This also potentially creates data integrity and patient safety issues, if the clinical data goes across multiple records. There also some struggles with the variable use of the interoperability standards between the EHR vendors. One of

The American Recovery and Reinvestmant Act, along with the Affordable Care Act, have mandated a change in the business of health care. Federal reimbursement is now based on prevention and patient outcomes. Our class web links to Centers for Medicare & Medicaid Services(CMS.gov) and Institute for Healthcare Improvement (ihi.org) have a wealth of information on how we are going to change our current health care delivery system. The president of Institute for Healthcare Improvement Pat Rutherford, has a video on how our system is going to change-It’s Art & Science. She explains that we need evidence based on research to provide the best medical care, and then customize care to each person’s values, preferences and needs. She explains that

McDonald (1997) points out that health care data is siloed in multiple areas that are inaccessible to others. This kind of management of patient data does not serve the patient well. It is for this reason that SCEMS approached Providence and Swedish hospitals to propose implementation of HDE. Moreover, as stated in the McDonald article a feasible way to integrate data from disparate sources is through the use of interfaces such as the HDE. In addition, a problem that exists in the integration of these two data sources is the fact that the hospital system communicates via the standard HL7 language, while the pre-hospital system communicates via XML. Fortunately, the HDE structure accounts for this difference by translating back and forth between the two different languages.

After decades of paper based medical records, a new type of record keeping has surfaced - the Electronic Health Record (EHR). EHR is an electronic or digital format concept of an individual’s past and present medical history. It is the principle storage place for data and information about the health care services provided to an individual patient. It is maintained by a provider over time and capable of being shared across different healthcare settings by network-connected information systems. Such records may include key administrative and clinical data relevant to that persons care under a particular provider. Examples of such records may include: demographics, physician notes, problems or injuries, medications and allergies, vital

The U.S. submitted its INDC to achieve an economy-wide target of reducing its greenhouse gas emissions by 26%-28% below its 2005 level by 2025. With this plan, the U.S. has several laws related to its environmental policies. Among them, these are main four Acts (Korea Institute of Energy Research [KIER], 2016a): The Energy Policy Act established in 1992 was to secure energy security and revised in 2005 to decrease the reliance on oil and coal energy; The Energy Independence and Security Act (EISA) legislated in 2007 due to the necessity for energy independence caused by the unstable Middle East and high oil prices, so President Bush announced the 'Twenty in Ten Initiative ' that aimed to reduce 20% of the gasoline consumption by 2017; The American Recovery and Reinvestment Act (ARRA) was enacted in 2009 as one of the reflationary measures, and this included $8.5 billion investment for energy-related policies; The Clean Air Act (CAA), made in 1970, regulated the atmospheric pollution sources and the Environmental Protection Agency (EPA) used CAA to restrict the greenhouse gas.

The traditional healthcare services organizations are expected to be transformed in the coming years, to include:

Data consistency- means that all information within the document must be a reliable source of data.

The United States of America has always been known as just that, which is united. However, lately everyone (i.e.: news media,) has been referring to our country as just plain ol’ America. Could it be because they know information about the United States that most of its own citizens are unaware of? The answer is yes because most Americans fail to realize that for years the United States of America has turn out to be everything but united, and this has been a result due to its ever growing wealth gap. However, in this current period of time, minorities have been the ones to predominantly endure the vast amounts of injustices that the gap has bestowed upon the U.S., but the wealth gap will not stay biased towards minorities any longer. In the article “Speaker Addresses Race-Wealth Gap” author Larry Mitchell, quotes speaker Tim wise stating “We have inherited legacies of racial injustice and inequality… It’s not our fault, but it is our burden” (n. pg.) Although this problem might not affect us directly; it does exist causing all sorts of destruction to our economy. The wealth gap is an issue that has continuously remained a severe threat to the stability of U.S. economy. Nonetheless, the wealth gap crisis can be reduced if not eliminated completely by the great efforts of government enforced policies, financial resources, (funds) and job creation.

It has only been within the last five years that health information management (HIM) has experienced exponential changes, due to the healthcare reform. The electronic health record (EHR) is connected to health information exchanges and other systems of interoperability. The timely completion of charts, coding and release of information (ROI) has become much more efficient with the electronic record. Traditional HIM functions will just be transformed and will always be an integral part of successful patient care. Professionals must be flexible and willing to adapt and even generate change. As Health Information Technology continues to evolve, so will the roles

The economic crisis that showed all the contradictions of capitalism led to an increase of a deep political crisis in the USA in late 1920?s. October 29, 1929 is known in the American history as the Black Tuesday. It was the date, when the American stock market collapsed. In such economically difficult situation, in November 1932, a regular presidential election took place. The Democrat Franklin Roosevelt, who spoke with the program the New Deal, came to presidency. It was a series of social liberal programs applied in the United States in 1933-1938 in response to the Great Depression. The New Deal was focused on three main principles: relief, recovery, and reform.[footnoteRef:1] They promised to bring the country to prosperity and economically stable future. However, the Conservatives criticized the New Deal during the whole period of the reforms. It was expressed by Herbert Hoover in Anti-New Deal Campaign Speech in 1936 and Minnie Hardin in 1937 in a Letter to Eleanor Roosevelt. [1: (notes)]

Health Information Exchange is the electronic movement of healthcare information amongst organizations according to the national standards. HIE as it is widely known, serves the purpose of providing a safe, timely, and efficient way of accessing or retrieving patient clinical data. Health Information Exchange allows for doctors, nurses, pharmacists, and other vital healthcare professionals to have appropriate access and securely share vital medical information regarding patient care. Health Information Exchange has been in efforts of developing for over 20 years in the United States. In 1990 the Community Health Management Information Systems (CHMIS) program was formed by the Hartford Foundation to foster a development of a centralized data repository in seven different geographically defined communities. Many of the communities struggled in securing a cost-effective technology with interoperable data sources and gaining political support. In the mid-1990s a similar initiative began known as the Community Health Information Networks (CHINs) with the intention of sharing data between providers in a more cost-effective manner. In 2004, the Agency for Healthcare Quality and Research Health Information Technology Portfolio was funded $166 million in grants and contracts to improve the quality and safety to support more patient-centered care. This was the beginning of the progress we have seen in HIE today. Health Information Exchange devolvement serves the purpose of improving

“An electronic health record (EHR) is a digital version of a patient’s paper chart. EHRs are real-time, patient-centered records that make information available instantly and securely to authorized users.” (healthit.gov) The EHR mandate was created “to share information with other health care providers and organizations – such as laboratories, specialists, medical imaging facilities, pharmacies, emergency facilities, and school and workplace clinics – so they contain information from all clinicians involved in a patient’s care.” ("Providers & Professionals | HealthIT.gov", n.d., p. 1) The process has proved to be quite challenging for providers. As an

In health care, patients’ lives are in the hands of the health care practitioners, health care organizations, insurance companies, and to some degree, even health care technology. The growth and future implications of evidence-based medicine (EBM) through improvement of technology in health care are important today, because health care practitioners and organizations want to ultimately decrease cost, improve quality of care, and increase access to health care (Glandon, Smaltz, & Slovensky, 2014, p. 28). One way to achieve these goals is through the implementation and improvement of EBM and interoperability which will enhance the efficiency of work production resulting in these positive outcomes. According to Glandon, Smaltz, and Slovensky (2014), EBM is an “information management and learning strategy that seeks to integrate clinical expertise with the best evidence available to make effective clinical decisions that will ultimately improve patient care,” (p. 6). “Interoperability is the ability of different information and communications technology systems and software applications to communicate, to exchange data accurately, effectively, and consistently, and to use information that has been exchanged,” (Iroju, Soriyan, Gambo, & Olaleke, 2013, para. 1). Without interoperability and EBM, fundamental data and information such as patient records cannot be easily shared across and within enterprises having a direct impact on the quality of care. It

As the implementation of electronic health records (EHR) progress nationwide, the concepts of interoperability and health information exchange (HIE) must be discussed. The Healthcare Information and Management Systems Society (2005, p. 2) define interoperability as “the ability of health information systems to work together within and across organizational boundaries in order to advance the effective delivery of healthcare for individuals and communities.” Interoperability is the enabling of two systems, including those that do not share