Combining data in an EMR system

Below are two scenarios, based on information learned in this course. You will need to write a 3–4 page paper for each scenario. Each paper should address the questions provided in the applicable scenario. Please use our textbook, internet search and any personal knowledge you might have to complete the assignment. Please cite all sources, and follow APA formatting techniques. Submit your Scenario 1 paper to the Unit 9 Scenario 1 Dropbox, and submit your Scenario 2 paper to the Unit 9 Scenario 2 Dropbox.

Scenario 1: Combining data in an EMR system

A large healthcare enterprise in the Mid-Atlantic region that was created by a merger owns two acute care hospitals, a rehabilitation center, an outpatient surgical center, and three long-term care facilities. Each of these institutions uses a different EMR system. Admitting privileges extend to 550 physicians who have office systems that interface with at least one of the acute care EMR systems.

The vision is to create an environment to support communication, care coordination, and data sharing across the organization in preparation for a regional EHR system. The organization also wants to move quickly in order to take advantage of the incentives offered by the government and meet mandatory requirements.

Executives have decided to focus on the acute care facilities first and use lessons learned there to integrate the other centers at a later time. Hospital A uses certified EHR applications and has implemented ancillary systems, CPOE, and clinical documentation whereas Hospital B has a highly customized, beloved old mainframe computer that is outdated and no longer supported by the vendor. Instead of selecting a new system for both hospitals, the software programs used in Hospital A will be implemented in Hospital B.

  • There are many types of barriers that can interfere with the implementation of a unified EMR system. Give an example of at least three barriers types that exist and could cause issues given the scenario above.

Scenario 2: PHR Implementation

An academic medical center in the western U.S. recently adopted a commercial EHR and plans to adopt and integrate a PHR with its EHR. The hospital CEO drafts a vision statement designed around improving how their patients experience health care.

The CEO convenes a meeting of the chief technology officer, the chief nursing informatics officer, the chief medical officer, and a liaison from the EHR vendor to develop a strategic plan for the PHR. This meeting includes a specific list of functionalities, a timeline for their implementation, and considerations regarding the effects of the PHR on current workflows and revenue streams.

  • Imagine that you are the chief technology officer for the hospital. What PHR functionalities will you recommend be implemented first? Why?
 

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Identify some current topic that deals with something that we have learned in class to that point.

This is a one page paper assignment.  The goal of this paper is to:

1) Identify some current topic that deals with something that we have learned in class to that point.

2) Be able to describe a recent article related to that current topic (this can be a primary literature article or a newspaper/media article) in your own words and relate it back to what you learned in class

3) Give some sort of reflection or personal thoughts on that article

4) Be able to write in a clear, concise and grammatically correct fashion 

You may choose one of these topics,

– Photosynthesis 

-DNA ( ex : Replication, RNA)

– Genetic Inheritance 

– Cell Division 

 

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The poster part of the project should include, at a minimum, the following information

 The poster part of the project should include, at a minimum, the following information (5 points per section): • Introduction and general characteristics of the disease (take-home message). • Special susceptibility to suffer this cancer (i.e., white skin for melanoma, immunocompromised (HIV) for Kaposi sarcoma, etc.) Carcinogens involved? Chemical? Physical? Biological? Explain the mechanism in detail. Does this cancer have a hereditary component? If so, explain. • General characteristics of the tumor (where it originates, driver genes, subtypes, etc) • The signs and symptoms of the disease. Disease progression. Preferred sites of metastasis. What organ system(s) do metastasis affect? • Tests used to monitor the population as a preventive measure. Laboratory tests used to absolutely confirm the identity of the disease, i.e. biopsy with immunohistochemistry. Be specific for this cancer! • Methods used to reduce the incidence of the cancer (ie. Prevent second hand smoking, ban tobacco ads, etc.). • Treatment for the disease (talk about how it works and side effects). Life expectancy in 5 or 10 years after diagnosis with/without treatment. Is there a novel treatment available? If so, discuss the treatment, side effects etc. If no novel treatment is available, why not? Is work being done to develop one? • Current cases locally (San Diego/California/US when available) and globally (with incidence) B) Be VERY careful when referencing online sites. Each underscore, period, or capital letter must be exact, or we will not be able to find the site. Always check your references before reporting them by using the OPEN feature on your browser. If your reference will not open, it will not be counted toward your grade. It is important that the above information be complete, and that it be presented in a logical and orderly manner. If you don’t it will be obvious, and you will end up losing points (quality and effective communication: 10 of the 80 points). I do look at all of the posters in great detail. Your poster must be presented on a large, tri-fold, standing poster board.  When selecting online references remember that not all information on the Internet is reliable. Always try to use journal articles or governmental documents as the “authority,” and not rely on commercial sites (.com). Wikipedia, WebMD, Healthline, Mayo Clinic are NOT an acceptable references. Two references with the same URL except for the last part will be considered the same reference, like different pages in a book. Include all sources used; reference books and periodicals by a standard format. Be sure that you reference all photos/charts that you use on or below the item on the poster. A minimum of five reliable, scientific references (books, publications or Internet) plus any other references used. (10 of the 80 points) To report your sources, prepare a bibliography at the end of your poster presentation and number all references used. Then in the body of your poster, provide the number of the reference you used for information. This is called end notes, which you have probably used for other research papers. As with any report, be sure that you are not directly copying or simply paraphrasing material that you use. If you choose to use direct quotes from the article, you must use quotation marks. I will be checking the references, so be sure NOT to plagiarize! Any phrase longer than 5-6 words in length taken from the source, which is then copied and pasted in the presentation might be considered plagiarism. A one-page handout (brochure) that would be suitable to explain the critical aspects of the disease to the general public (15 points). Example of brochures are available at the bottom of this document. This brochure should include useful information starting with a brief introduction about the cancer and the organ affected, risk factors, information or aid for the identification of that tumor (need to know…), preventive tests you can take if you are at high risk, what if you are diagnosed with this cancer (tests to confirm diagnosis, treatment, …), etc. AIM: Try to think on a person that might have just discovered an abnormal growth on any site of his/her body. This person has zero knowledge about cancer or biology of cancer but he/she will need useful information about that cancer, diagnostics, what to do if the symptoms match with the description and what if he/she is finally diagnosed with cancer. THE POSTER PRESENTATION WILL TAKE PLACE AT THE END APRIL/ BEGINNING OF MAY (Please, get it done ASAP since you will be pretty busy at that point with other exams/finals). Specific dates will be announced after spring break. Late projects will not be accepted. You must be able to explain the poster in detail to other students (including non-Biol316 students, since posters will be displayed to the general public). There are five required parts of an Internet reference in order to receive full credit: • the author of the article, if available. • title of the article • the date written/updated • Internet address (URL). For example, https://www.cdc.gov/cancer/index.htm is the URL or reference for this page, which should show in your browser heading. An easy way to get this reference is to copy it from your browser and paste into your word processing program, so typos will not be made. • the date you visited the site. Guidelines for Poster Presentation Your presentation is an important means of exchanging information with your fellow students. We will be learning information from these presentations that they will be tested on at the end of the semester. Therefore, it is important that you do an effective presentation. Make an outline of the information you need to present, decide how you will arrange the poster for each point you need to make. Do not write in complete sentences; use short phrases as a memory jogger of the points you need to make. Use visual aids when possible *do not forget to explain at the bottom of each picture/chart your point and reference the original source. PRACTICE, PRACTICE, PRACTICE! Due to the time constraints, it is very important that you practice delivering your presentation (5 minutes) and time it to see how long it takes. Adjust the content accordingly during practice to fill the allotted time. Be prepared! Your aim is to attract the interest of the general public. Therefore, the poster needs to be well structured and appealing. There is an ideal balance between too little and too much information on a poster. The poster should require some explanation in order to hold the interest of the audience, but visual aids are pretty helpful in providing the most important information in a very effective manner. Use fonts that will be large enough to read; Differentiate main titles from the body on each section (use bold, underline, bigger fonts, etc.) 

 

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make observations and discriminate between scientific and pseudoscientific explanations

make observations and discriminate between scientific and pseudoscientific explanations  weigh evidence and make decisions based on strengths and limitations of scientific knowledge and the scientific method  use knowledge of biological principles, the scientific method, and appropriate technologies to ask relevant questions, develop hypotheses, design and conduct experiments, interpret results, and draw conclusions Directions: 1. Select one of the following topics: A. Genetically modified food. Humans are now capable of manipulating the genetic codes of certain plants and animals in our own food chain. What are some of the foods in your supermarket that have been genetic altered? How have they been altered and why? What does sound science have to say about potential risks to the environment and human health, associated with GMOs (genetically modified organisms)? Be careful to search for the science in scientific journals rather than GMO industry’s own websites and reports! Based upon your research, do you think there is a clear answer as to how safe these foods might be to humans and the environment? Clearly explain your reasoning. Note that this should be a discussion of genetic alteration of organisms by laboratory methods (such as gene insertions, etc.) and not by selective breeding (breeding one animal or plant with another for desired traits). 

  Find 3 scholarly, scientific articles related to your topic and the questions described in 1. While you are definitely encouraged to use web sites, books, and other materials as resources to help you learn about your subject, note that the assignment is to find three published scholarly articles; This means articles in professional scientific journals. Encyclopedias, Q&A or “How-To” web sites may NOT be used as references in any collegiate research paper (you should also be critical of the information they supply as most of these sites are open-sourced – i.e., not verified). Assistance with evaluating web resources can be found at http://sites.umuc.edu/library/libhow/scholarlyjournals.cfm. For more on what constitutes “scholarly” see the UMUC library page on searching for scholarly articles at http://libguides.umuc.edu/science and my Guide to References and Citations under Course Resources > Profs Helpful Docs. Lastly, note that any resources I have given you in the above descriptions do not count toward the required three articles. 3. Write a paper of 1000-2000 words (not including your references), double spaced, in 12 point Times New Roman font. Note that I am happy to approve a larger word allowance if you feel you need it. Your paper’s format should be as follows: First, clearly summarize each of the three articles, making it very clear to me which is which. I strongly suggest you use headers or at least phrases like, “According to the article by so-andso”… so that I know when you are summarizing an article as directed. If I have to struggle to determine when and/or which article you are summaring you will lose points! Next, use what you’ve learned from your research to answer each of the questions asked in the topic description (any that have not already been answered in your article summaries). Be sure to give credit to your sources as you do this by using in-text citations, and strive to incorporate the concepts and principles of BIOL103 in your answers. Lastly, express your own ideas on your topic. For the best grade, you are strongly encouraged to use subject headers in your paper. Remember to limit your use of direct quotes when writing. Collegiate Writing Standards dictate that quotes should account for no more than 5% of the total text. If you do use quotes, you must include a specialized in-text citation including the page or paragraph number (Adams, 2014, para.12).  

 

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Each illustration must be accompanied with a one page description of the concept and how it is presented in the illustrations

Another form of extra credit will be illustrations of concepts in biology. I want to encourage those students who like to draw or do graphic art to submit their extra credit in the form of illustrations. To receive credit, each illustration will be worth 10 points. In other words you can submit  up to five illustrations. The illustrations must deal with a concept presented in the course in an innovative manner. Copying an existing image will not be given any credit. They can be sketches or you can use software for your illustration. Each illustration must be accompanied with a one page description of the concept and how it is presented in the illustrations. Three references will be required per illustration.

 

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Human Reproduction PowerPoint Presentation

Human Reproduction PowerPoint Presentation

Introduction:

Well, it is that time—yes, time for that talk. For this activity, you will develop a PowerPoint presentation about human reproduction. You are to pretend that the presentation is what you will use to give your son or daughter “the talk” about human reproduction. Make sure you use correct terminology. If you have never created a PowerPoint presentation, make sure you view the CSU Success Center videos suggested in the unit learning activity.

Your presentation must include the following:

– overall purpose of the reproductive systems;

– information about the male and female systems including:

-at least two visual aids illustrating the two systems, and

-structure and function of the major organs of both male and females systems;

-methods of practicing “safe sex” and preventing pregnancy; and

– STDs.

Be sure to follow the formatting guidelines provided below:

– Use bulleted information on slides (5 lines or less).

– Include details in the speaker’s notes.

—Include a separate title slide and a separate reference slide.

– Use appropriate font and backgrounds.

– Include at least nine slides, but not more than 15 slides (not counting your title slide or reference slide).

– Use correct APA format for references and citations, and use correct grammar and spelling.

– Upload the presentation as a .ppt or .pptx file.

 

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Epidemiology

Epidemiology  Discussion Paper Students will be required to watch 4 documentaries outside of class.  These documentaries are found by linking to the following  websites: 

1A.  The Trouble with Antibiotics 10/14/2014: http://www.pbs.org/wgbh/pages/frontline/trouble – with – antibiotics/ 

OR 1B. Hunting the  Nightmare Bacteria 10/22/2013: http://www.pbs.org/wgbh/pages/frontline/hunting – the – nightmare – bacteria/ 

AND 2. The Vaccine War 03/24/2015 

http://www.pbs.org/wgbh/pages/frontl ine/the – vaccine – war/ 

3. Supplements and Safety 01/19/2016: http://www.pbs.org/wgbh/frontline/film/supplements – and – safety / 

AND 4. The Weight of the Nation Part 1 05/14/2012: https://www.youtube.com/watch?v= – pEkCbqN4uo 

– Please note that there are images that some would deem as graphic between 38 – 41 minutes.  You may skip over this  section if you are so inclined. Students will be required to  complete  a 3 – page discussion paper on  two of the documentaries.    

You are required to select one of the three documentaries related to infectious diseases  AND one of the two documentaries with  chronic/environmental exposure diseases .  This assignment is due by  04/06 /2018 midnight . You may turn it in early if you so desire.   

 I AM  NOT LOOKING FOR A SUMMARY OF THE 2 DOCUMENTARIES THAT YOU HAVE SELECTED.  Using information  provided in the documentary  AND outside research material, you will be asked to discuss each documentary  topic that you selected AND to compare and contrast differences between the disease issues.   Please remember to refer to  epidemiological terms and the math that is associated with presenting these diseases.   Using the outline provided in the textbook  and course notes (Chapter 1, see attach file), please describe, explain, predict, and discuss control methods of the disease or  behavior you have selected.   o Items you may want to consider  describing in your paper/presentation could include, w hat is the incidence and  prevalence of the disease?  What is the epidemiological and financial impact/burden of the disease at a regional, national,  and international level?  What techniques do epidemio logists use to address, control, or reduce the number of cases of  this disease?   What stigma or  psychological issues might epidemiologists need to be aware of when collecting data and  implementing control methods? o You may want to seriously consider referr ing to refereed journal articles when presenting your findings.  Websites are  not considered refereed journal articles.  

Discussion paper criteria: This paper  needs to be in your words and not  plagiarized .   The minimum requirements for this  paper will be a  3 – page minimum/ 4 – page maximum, single space, 1 – inch margins and no more than 12 – point font . Take the  time to fully describe the selected disease/behavior and its impact to public health.   Please be thorough when describing the  epidemiological principles

 

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What is homology, and why does it provide evidence for evolution?

These questions need to be answered IN DETAIL  since it is for a key assigment, and please 0 plagiarism my professor checks!

1. List 5 mechanisms by which gene frequencies in a population can be altered. Describe each briefly!

2. What is homology, and why does it provide evidence for evolution? 

3. What characters do whales posses that make them mammals rather than fish? Why are whales thought to have evolved from land dwelling animals? What is the evidence? 

4. Describe characteristics that differentiate humans from other apes in the hominin group.

5. Describe several ways and give examples of how a new species can evolve from a previous species. Explain how in related species one can stay more similar to the common ancestor while others can change more drastically.

6. How is the modern day classification system of life organized (meaning by what criteria are groups of organisms placed within the system)? 

7. Why have there been changes that have led to larger and smaller divisions in the older system of Kingdom, Phyla, Order, Family, Genus, Species?

8.Discuss the creation vs. evolution controversy (be specific). How do you think it might be solved, if it can?

 

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Epidemiology

Epidemiology worksheet, Lesson 1, Sections 1,2&4. The goal of they worksheet is to allow you to practice the thought process and the techniques of the epidemiologist. In Lesson 1 Sections 1,2&4, you will find a number of problem exercises that will help you to understand the concept presented in that section. The Exercises are given below, with a challenge after each, for you to answer.

 

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