One example of a challenge with health information exchange is sustaining the health information exchange without government help (Markus, Matthews, & Tripathi, 2014). There is always the question of who should pay for what and how much. Another challenge is determining which governing structure should be used. A big challenge that many patients and physicians worry about is how safe sensitive information are and how to treat that information. Security should always be required when accessing patient records.
This will create awareness and streamline issues of referring for the wrong program or not knowing what is out there. This will also help alleviate issues of reimbursement of Medicaid because providers will understand the need and be able to advocate for these services.
#1- Compare and contrast the clinical uses of a health record with the secondary purposes of a health record. The use of Health Records are used by both, clinicians and non-clinicians (secondary purposes). Reasons to why clinicians may use a patient records are for confidential data such as patient care (diagnosis and treatment), chronological documentation of clinical care, method of cross discipline education, research activities, public health monitoring and for quality improvement activities. In contrast, non-clinicians may use is for non-confidential informational data such as billing and reimbursement, verifying disabilities, and legal documentation of care. While both clinicians and non-clinicians may use it for different purposes,
Non-adherence is a problem that has many determinants and health professionals, the health care system, the community and the patients must share the responsibility for adherence. Various dimensions affecting on adherence figure (21), and these have been grouped into the five dimensions through two main factors, are: 1- Medical factors: three medical factors face the patient to affecting on to health therapy: a. Therapy related factors: Many therapies-related factors affect adherence. Most notable are those related to the complexity of the medical regimen, duration of treatment, previous treatment failures, frequent changes in treatment, the immediacy of beneficial effects, side-effects, and the availability of medical support to deal with
This implies that disparities in health continue to exist despite the efforts of the health care systems to provide patients similar access to care, which according to Woolf, and Braveman (2011), suggests that disparities originate outside the formal health care setting. The authors concluded that environmental and social variables especially income and education are often the underlying causes of illnesses and are key to understanding health
Working in a hospital setting with a team that has members from many disciplines can sometimes lead to issues that are easily solved if only they are acknowledged. Some of the major issues within IP care are philosophical differences, disparity in power amongst the health care professionals (HCP), communication between the members, and inexperience in team working. The solutions that are mentioned in the following paragraphs are applicable in general and are not specific to certain cases, hence, the solutions do not apply to every
There is scarce data with respect to how diagnosis, treatment, education and research has been conducted in tertiary care centers for epilepsy treatment. Tertiary care centers play an important role with respect to neurologists education on PNES, its comorbidities and differential diagnosis. Providing a comprehensive approach across centers may provide more knowledge about PNES, beyond the current emphasis on psychoeducational measures, and the use of psychoactive drugs and AEDs. In addition, more regional health-care policies are also necessary because of relevant differences in health-care systems and consequently in the HCPs ' attitudes and their difficulties, such as limited access to VEEG and referral to effective psychotherapy for PNES. Typically, neurologists are the first to encounter, diagnose, and provide initial treatment for patients with NES, and then sometimes refer the patients for treatment in psychiatric settings
It is the process of generating and evaluating alternatives and making choices among them. Decision-making for physicians is often a technical affair requiring following well prescribed pathways. However, there are still many instances when individual differences amongst physicians determine the specific decision made. Decision making for physician can be viewed from two perspectives. One is discretionary, which focuses on the nature decision making inclination of individuals which is not necessary influenced by technical knowledge and training.
The research conducted to date has dealt largely with very focused questions (e.g., the accuracy of auscultation), and has been characterized by small samples and methodologic weaknesses. Research conducted by Grigsby et al, 1995 stated that appears that many telemedicine applications may be effective means of providing health services, whereas Houtchens et al, 1993 stated that telemedicine may certainly affect patient management but at this present moment it is difficult to assess telemedicine in relation to conventional medical care. Although one should not expect telemedicine to be validated more thoroughly than has been the case for ordinary health services, and it should not be necessary to evaluate all of the telemedicine it is important to understand how the two modes of delivery compare (Grigsby et al.,
The new Affordable Care Act has many parts and uses Value-Based Purchasing. Value-Based purchasing is important to understand so that consumers can make educated decisions about hospital and doctors. These facilities are now reimbursed based on the quality of care they provide. This makes it important for consumers to choose facilities that accept their healthcare due to this to reduce out of pocket
There exist a working relationship among organisations that offer health and social care services. They are able to work together to offer solution to the complex health issues that affect the individuals that use their services. They are able to exchange information that relate to health and social care and this improves the skills and knowledge of users of their services. Duties and responsibilities should be given to reduce issues for example conflicts of interest. They are also able to pull together resources and this makes it easy to solve the complex health issues.
Even though there are legislations in place to protect patient’s information, data still can be easily accessed either intentionally or accidental by using improper security measures. EHR has its advantages and disadvantages of implementing new technology in the health care system, EHR can help improve collaboration, communication, performance, and decrease added work. The author believes that the incentives that the government is providing for physicians and hospitals to adopt electronic health records system will help improve accessibility to patient data, improve preventative health, and provide a collaboration from both patients and health professionals to increase patient’s outcomes of their overall