2 TELEMEDICINE In Portugal, via the 3571/2013 Order, published in the Official Gazette on March the 6th 2013, the Ministry of Health, assuming that the use of telemedicine allows the observation, diagnosis, treatment and monitoring in a more convenient place for patients, particularly at work or even at home, states that "the services and facilities of the National Health Service (SNS) should increase the use of information and communication technologies in order to promote and ensure the provision of telemedicine services to [its] users" (p.8326). According to INE, on its Survey on the Use of Information and Communication Technologies in Hospitals (INE, 2014b), one third of hospitals developed telemedicine activities in 2014, an increase of 16 percentage points in ten years (12 percentage points in the last four years) (Figure 1). However, the degree of implementation of telemedicine is quite different in public hospitals (51%) and private hospitals (15%).
Clinical research is from acute to chronic care experience throughout life span. It involves health promotion and preventive care for individual, families and communities in different settings. It is important for nursing research to widen the scope in order to have a greater impact in future. The aspect of health promotion and preventive care are very important because some diseases are better prevented than treated and while some changes are irreversible such as aging are part of human experience. Health systems and outcomes research focuses on how health care delivery influences quality, cost and experience of patient.
Physicians and Hospitals go hand in hand when it comes to the medical care of patients, and it is this relationship that allows the patients to receive the care they need and deserve. It is also this relationship that we as health care administrators need to understand. In order to fully understand this relationship we need to define the concept of the integrated physician model. We also need to explain the importance of clinical integration in the strategic planning process, and the dynamics of and controversies surrounding accountable care organizations and alternative approaches to the current health system. I will also explain the advantages and disadvantages for hospitals and physician’s models.
The chosen topic is communication, relating to or palliative care. In this way, the researcher has used the contemporary literatures that are primary research of different institutions and health centres that recorded the experiences and databases related to palliative care. It is noted that the databases used for this study are CINAHL, Psycinfo, MEDLINE, EMBASE, ProQuest, and the Cochrane Register of Controlled trials (Central). High quality peer reviewed journals are included from the mentioned databases, whereas, the advanced search option has been done through Boolean model (Lodico et al.,
Lorraine Dong is the author where he uses his theory from his research and he examined medical records for actants which participated in the classification and the treatment of patient in the development of psychiatry and mental hospitals as social an institution. Other than that, Lorraine Dong in this article, emphasis that the varied and profound roles of medical records demonstrate the ability for each records to have multiple chance to sense individuals in a single human lifetime. Moreover, he stated that not only medical records are used as references for hospital or health institution use but also it can be use as and have the potential to be cultural heritage documents and conveys for developing of communities. 2.0 Discussion
Empirical Referents Empirical referent studies support Watson’s theory by affirming the existence of a positive relationship between patient satisfaction and nurse caring behaviors in numerous clinical settings. Nursing education plays a significant role in the achievement the caring concept and is accentuated throughout the nurse's professional career (Labrague, Mcenroe-Petitte, Papathanasiou, Edet, & Arulappan, 2015). Patient satisfaction is a measurable component used to determine the care received from nurse clinicians. Stroehlein (2016) indicates that although there is a large constituent of many occupations, caring in the nursing occupation assumes an exceptional meaning with a higher purpose. Caring is multifaceted and comparable have determined individuals whose intention is to open the eyes of the society through rendering high quality patient care (Stroehlein, 2016).
Research is designed to contribute to knowledge which has resulted in the formation of evidence based practice. The influence of evidence-based practice is endorsed across nursing practice and education. The need for an effective, safe, and efficient health system has resulted in the call for evidence based practice to become the bases for new knowledge being transformed into working clinical procedures, being effectively implemented and working for the advantage of the patient and the entire care team. Evidence based practice is an approach to problem solving and an aid for decision making which integrates best evidence and patient care data. If delivered in an environment of caring and in a supportive organisation, the highest quality
Evidence based is been used widely in nursing practice, which involves integration of a problem solving approach within the framework that concerning care, using the best evidence from research, knowledge and proficiency from clinical together with patients’ beliefs and values. Nursing practice does support EBP as researchers had done many studies that showed improved outcomes when the best evidence is implemented of patient’s care. However, researchers had argued that, there are challenges in attaining and maintaining EBP in nursing practice despite the awareness (Mary, et. al. 2013). By using EBP nurses are able to come up with high quality of nursing care plan for the patients.
It is our ethical responsibility as health care professionals to provide quality care and involve patients in their care. Quality in health care is involved in every decision we make and providing quality care will have a positive impact on our patients currently and in their future. Patients are getting more involved in shared decision making and keeps patients fully engaged in their health care. It is important to the future of health care as it can decrease cost of unnecessary hospitals visits. The FEMA Disaster Management certificates opened my eyes to systems that needs to be in place for emergencies.
According to Hiroko et al. (2014), nurses are charged with connecting updated theories with patient care for advancing the practice of nursing. Having an evidence based practice is instrumental in accomplishing this task. Research has allows new information to be gathered pertaining to different health care issues. Nurses are able to implement new evidence-based research into there practice.
• Outreach and education and EHR support (working with vendors but also help health care providers choose a certified EHR system (Hartzband, 2015). RECs offer a wide array of valuable services, which may include: • RECs provide a new patient-centered service line to help providers across the country adopt and implement new patient and family engagement tools strategies and tools. Health providers interested in implementing and optimizing health IT that is patient centered use available REC resources and
The National Institute of Nursing Research The National Institute of Nursing conducts research to improve the health and well being of the population at large as they incorporate both clinical and research training on health and illness across all ages to prevent diseases, while they manage and improve the care of each individual. The goal of the research facility is to apply new technologies to promote health while developing scientist of the future ("National Institute of Nursing Research," 2011). There are three current methodologies to research; quantitative, qualitative, and outcome research. Examining all three closely reveals a complex distinction in methods of research. The quantitative method focuses on the formal, objective process
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
The University of Pittsburg Medical Center (UPMC) has taken a unique approach to improving revenue and reducing bad debt. By taking “a proactive, patient-friendly approach to communicating with patients about their financial responsibility through an integrated revenue cycle model,” UPMC has increased patient payments from an average of $16 million per month in 2012 to an average of $20 million per month since March 2013 (Langford, 2013, p. 88). Additionally, UPMC has been able to “significantly reduced bad debt and enhanced patient relationships through greater financial advocacy” (Langford, 2013, p. 88). In the fiscal year of 2009, UPMC’s bad debt accounted for 52% of UPMC’s uncompensated care, and as of 2013, the bad debt accounts for 24%
The healthcare industry generates a great amount of data every day, as a form of record keeping, patient care, compliance, and regulatory requirements. Just a decade ago, all this data was stored in the form of hard copy form, now it is rapidly transforming to digital data which is called EMR (Electronic Medical Record). The digitalization of the healthcare has not just reduced cost of care, but also improved quality of care due to the abundance data that organizations receive from the EMR to identify the flaws in their system. I work in the healthcare industry where improving quality of care is our primary goal. We use software called eCW , which is an integrated system.