Report Appropriately modified de-identified data for the 56431 attendee at the various clinics was used for this analysis. Table 1 presents distribution of the anomalous body composition readings by gender, clinics, and age group. 85% of the overall were female, clinic location 5 has the highest number of overall participants (18%) and highest number of all the anomalous body composition readings (15% - 19%) respectively. 61% of all the participants were within 40 – 60 years age group. BMI has the highest numbers of anomalous readings, followed by TBW, and then free fat mass in that order. Table 2 shows that vast majority of the participants has body type “0” (p<0.0001). Zero-inflated models was performed to rule out overdispersion. The observed …show more content…
Recommendations • Continuous patient education should be incorporated in to clinical activities at all clinic locations. This is to enlighten patients on the activities that can adversely affect the accuracy of body composition estimation, when carried out just before visit to the clinics. This will help in maintaining industrial standard. • Specialists taking the body composition estimation should be trained on the importance of adhering strictly to the acceptable protocols of patients check-in and preparation for body composition estimation. They should be hold accountable for any breach in protocols. • Present format for electronic documentation does not allow for comprehensive clinical documentation during follow-up visit. Efforts should be made to upgrade the electronic medical record system to the standard of that expected for a medical center and research institute. This is to allow for proper documentation according to the industrial standard, and easy retrieval of patient’s information for clinical research. There is a need to employ a clinical documentation improvement specialist (CDIS) in this
Kaiser Permanente has been equipped since 2007 with Health Connect; which is the largest private electronic health record implementation in the world. This is a highly sophisticated electronic program that integrates inpatient, outpatient, and clinic medical records with appointments, registration, pharmacy, and billing for all kaiser members. In addition, this electronic program includes an entire medical library with a whole set of care support tools which are accessible to doctors, nursing staff and patients (Kaiser Permanente, n.d.). At kaiser permanente; nurses are expected to print out “the after-visit summary” (AVS), which contain the doctor recommendations for each patient that we see.
The demographic variables that were measured at the nominal level of measurement were non-drinker, non-smoker, regular exercise, and history of fracture. Nominal data is information that contain two or more categories, however there is no numerical ordering in the values. 2. What statistics were calculated to describe body mass index (BMI) in this study? Were these appropriate?
Overall, incomplete documentation and delinquent medical records cause inaccurate reimbursement and results in inaccurate gross revenue to the hospital. It can have a negative impact on the hospital budgeting and financial planning process for the hospital. It is for this purpose that every healthcare institution should be purposeful on reviewing the accuracy and completeness in clinical documentation, no matter the cost. Even though, for most physicians, most of their time is focused on the actual care of the patient and there is little to no time to devote to extensive documentation, it is imperative to understand patient care includes both the one-to-one attention and the documentation of said treatment.
Practice Fusion Electronic Health Record (EHR) System MEA-131 Ms. Slade June 17, 2016 Sharon Liles Practice Fusion Electronic Health Record (EHR) System Technology and the evolution of Electronic Health Records is an improvement to the efficiency and the effectiveness of how healthcare providers record, communicate and process patient information. According to Practice Fusion, “since 2005, the focus of Practice Fusion is expanding the ability to aggregate clinical data and share it meaningfully, by helping to make healthcare better for everyone. To improve clinical decision, support to tracking Meaningful Use, and provide insight that deliver better, safer and more efficient
Although there are more women practicing pharmacy than their male counterparts, pharmacy ownership is still mostly male-dominated. Owning a pharmacy is a difficult path, and only a few are brave enough to forge that path. One such woman is Dr. Jenna Clack, owner of Clack-Co Concierge Consulting. Dr. Clack started her business in Midland, TX after graduating from University of the Incarnate Word’s Feik School of Pharmacy in 2013.
The policies and procedures should address the following areas that include, effective communication among various entities in the organization, education and training program for the every department, and most especially the HIM department, implementation of communication channel within the HIM department and other department in the organization, procedures for appropriate disciplinary action/corrective measures, and auditing/monitoring system. Furthermore, the policies and procedures should outline specific action plans that should be followed in the HIM department; the policies and procedures will be fashioned to adhere the guidelines and recommendations of major accrediting and professional organizations such as the American Health Information Management Association (AHIMA), the American Hospital Association (AHA), and National Center for Health Statistics. The issue of medical record availability should be addressed to specify the document requirements necessary for effective coding practice, and also the establishment of the role of physician advisor should be considered in order provide guidance on coding issue and to act as liaison between medical staff and the HIM department. Additionally, as part of the effort to address the coding issues, the HIM coordinator should set goals that will guarantee 100% coding accuracy report and less
Therefore, they have a moral, legal, and ethical duty to protect the sensitive information that they come across as they conduct diagnostic tests or take patients through treatment procedures (American Health Information Management Association, 2008). Within the context of electronic health records, the AHIMA documentation guidelines offer a high degree of control to prevent unauthorized access to such sensitive information. Accuracy, consistency, and completeness of clinical information are highly regarded since they assist in proper coding and reporting of information, which facilitate proper and accurate medical care (Parman, 2014). The documentation guidelines also support the report of all the necessary healthcare elements, such as diagnostic and procedure codes, since the information is required for external reporting. In case of conflict, ambiguity, or incomplete information, health care providers are supposed to clarify through writing or verbally to eliminate medical errors that may put the patients’ lives in jeopardy.
(2013), are implemented by hospitals to assure the health record accurately reflects the actual condition of the patient. AHIMA provides guidance for clinical improvement programs with goals which include identifying and clarifying missing, conflicting or nonspecific physician documentation related to diagnoses and procedures; supporting accurate diagnostic and procedural coding, DRG assignment, severity of illness, and expected risk of mortality which leads to appropriate reimbursement; promote health record completion during the patient’s course of care; improve communication between physicians and other members of the healthcare team; improve documentation to reflect quality and outcome scores and improve coders’ clinical knowledge. Developing a CDI program as a coding manager will include hiring credentialed and competent individuals with the right education and experience, providing training and in-services for staff and related departments that use clinical documentation on how specific and complete clinical documentation needs to be captured, making sure staff is knowledgeable in State and Federal laws and regulations that govern their positions, adheres to ethical standards set by credentialing and regulatory organizations and making sure staff is aware and exposed to changes and improvements in the industry through continued
Over the past generation obesity has become a major health issue. The term obesity is best describe as someone having a body mass index (BMI) equal to or above the 95th percentile. Within both genders of African American children and adolescent obesity has increased tremendously. Obesity can contribute too many chronic illnesses down the line if left untreated such as cardiovascular disease, cancer, asthma, and type 2 diabetes (Coreil, 2009). Studies have reported that within low income communities 1 out of 3 children are considered as overweight or obese (Ogden et al., 2010).
Furthermore, 70% of people, who come from low-income groups and middle-income groups, die because of these diseases. NCDs do not only occur in elderly, most of NDCs cases in America are from adults under 70 years old and children (Paho, n.d.). According to the national data, from 2986 to 2002, an indicator of excess body fat (MBI) in low-income groups and low education groups was higher than other groups. The BMI and obesity were inversely proportional to wages (FRAC,
My result demonstrates that my fat percent is higher than normal (18-23%). Since I did not exceed the 30%, definition of obesity, this suggests that my fat percentage fall in the range of people who are overweight. Therefore, I need to
The measurement is most functional in calculating overweight or obesity at population-level for both sexes across entire adults ages; withal, the level of body fat varies among individuals; however, overweight and obesity calculation does not measure the body fat and muscle mass directly (WHO,2012). 3. Double-Edged Sword: malnutrition and obesity trends Based on 2016 data, young people (aged 5-19years) went from 1% of obese to 6% (girls) and 8% (boys. Alarmingly, 41 million under 5 years of age children were also reported to be overweight (WHO,2017).
Ultimately, these findings suggest there are hundreds of other genetic variants influencing body weight that are yet to be discovered. In all things considered one might find these findings important because they confirm that genes play a very important role in determining body weight. As of today, only a few genetic variants have been discovered and these explain a very small amount of individual differences in body weight. These findings suggest there are hundreds of other genetic variants influencing body weight that are yet to be discovered (Llewelyn, 2013). Therefore, the genetic history of a family can be the result of the child obesity but it all varies, as it is a topic that continues to be further
The effects of obesity on our society Obesity is a terrible thing to have in life. People often assume overweight is the same thing as obesity but that in entirely wrong. “The United States is already one of the most obese countries on this earth and is quickly rising ever so higher on the list” (American 1). Obesity negatively affects society by insurance cost, health, Quality of life. Obesity affects your everyday life in many ways even with the simple things like tying your shoes and standing up by yourself.