Partners HealthCare free essay sample

Create a table that lists the benefits to the patient and to the hospital of an enterprise system for patient medical information and for patient prescriptions and related medical therapies. Benefits for:PatientHospital Patient Medical InformationIf patient’s medical information is in the system and accessible by any PHS personnel, the patient doesn’t have to give the doctors their medical information every time the go to the hospital. The doctor can simply pull up their profile and find out all the info they need to know. We will write a custom essay sample on Partners HealthCare or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page It reduces redundancy and increases ease and efficiency. Speeds things up! The fact that the hospital doesn’t have to gather patient info at each time of their visit will make the process go faster and may even result in the hospital being able to see more patients as a result. Also, doctors can get a good understanding of the patient by looking at their profile and finding out all they need to know. Patient is better taken care of and at a faster rate – reduces delays in service delivery. Allows all records to be electronic – not only reduces space from paper files but makes it easy for all employees of the hospital the ability to access the info as needed. Improved quality in patient care (reduces mistakes from doctors). Gives PHS management the ability to data mine. They can look at the data and see how to move forward. The new systems, while hard to get used to at first will benefit the entire population and give the management innovative ways to look in the future. Accurate, timely, and comprehensive information sharing among PHS personnel. Consolidates and collects all the info about a patient over time, including textual info like x-rays. Reduce delays in service delivery, mistakes in treating the patient, and overall health care costs. Patient Prescriptions and Related Medical Therapies Patient wins out too because they are better taken care of as a result of doctors learning from one another through this enterprise system. By having a firm wide system, knowledge can be spread across the network about the best practices from the observable outcomes of recommended medical therapies. Lower cost! Medical practitioners can now make the best recommendations at the lowest cost. Can constantly improve and reform existing therapies from lessons learned Decision support processes that support the medical practitioner in making the best recommendations for drugs and other therapies to patient at lowest possible cost. 2. List the challenges faced by Partners in implementing an enterprise-wide electronic medical records system. †¢Cost – could be very expensive to implement; also additional costs as part of the TCO and extensive upgrades †¢Time! Can take a lot of time to build and implement †¢Data migration – potential data loss from moving paper to electronic form †¢Need for a new backend system to support all electronic data; also, Partners might be required to keep copies of patient’s medical data for 15+ years †¢Ensuring privacy – making sure that only those that need access to the documents gets access to the documents †¢Non-integrated – this could be a problem if the systems do not work with each other or with their clients’ systems †¢Change in workflow for physician– the new EMR requires documenting a lot more information. Not only does the physician have to keep up with this increase in data, but they also have to do it on a new system. This could definitely slow down the physician at first. †¢Disruptive – can change the attitude of the workplace; new technology that will be hard to use at first. Can also affect the culture. †¢Rollout The issue of when rather than if to do it. Is Partners ready for such a system? †¢Complexity of the system – most likely very difficult to change once implemented †¢When a system is improved, there also has to be oversight that the processes are aligned to match the system †¢Training – personnel need adequate training, but this can also be expensive 3. What are the operational IT/MIS challenges and benefits posed by the systems now in place? a. For PHS management? †¢PROS: Gives PHS management the ability to data mine to look for innovative solutions; easy/constant access to patient information; all the data is now in one place; can use the large database of client information to discover trends, patterns, etc. †¢CONS: Have to learn new systems might be harder for management who have been accustomed to older systems to learn the new ones; with the ease of access to all this confidential information, management needs to make sure there are safeguards in place to ensure that privacy is always upheld; collecting quality data could be a problem b. For PHS health care practitioners? †¢PROS: Eliminates the risk that comes with inputting paper copies of records into an electronic system by inputting the information directly into the system at the time of talking with the patient, it means that the information given is correct. †¢CONS: Change in their work physicians now have to document a lot more information than they have in the past, and perhaps this is the first time they’re responsible for documenting the work themselves; all the data collection could potentially slow them down – maybe they can get the patients to fill out some information on their own c. For health care practitioners and allied agencies who must interact with PHS? †¢PROS: Easier to do everything, really. Also opportunities to improve documentation; ease of information access; can get access to some of the most advanced hospital systems in the world; can collaborate with the hospital to improve practices and try to find ways to lower costs †¢CONS: In order for the processes to work, those interacting with PHS must be able to align with their systems. So for example, if allied agencies are currently using a different system that is not compatible with PHS’s new one, then they either have to change their systems altogether or they won’t be able do business with PHS anymore. Also, they might have to sometimes operate using both paper and electronic processes when dealing with their practices and hospitals. Going off that, will also have to learn two different EMR system – one in their own practice as well as the hospitals. d. For the PHS IS organization? †¢PROS: While the IS bears most of the work, they will also ream a lot of the benefits as well. These new systems will make life more efficient at PHS and will eliminate almost all paper documents. It also increases organization, accessibility, and accuracy of the information. †¢CONS: Most of the work of implementing this new system falls into the lap of the IS department. They are the ones that have to handle all the electronic data entry, ensuring all the information is reliable, accurate, and timely, and also ensuring privacy and confidentiality with the patient’s records. It’s not an easy process. They also have to train the PHS staff on how to use the systems and act as help-desk personnel whenever a PHS staff member does not know how to use the new system. So, basically the IS team has to deal with the connection, integration, and collaboration with the new systems. 4. What are the TCO implications of the overall LMR/CPOE investment? As noted in the case, the TCO for the LMR/CPOE investment is quite extensive. It requires a high level of data quality including constant data validation and collection. While it seems like Partners had to put in a lot more money even after their original investment, it is undoubtedly necessary to ensure the success of the systems. As noted in the case, these major systems need love and care even after they’re implemented. Each few years, Partners goes through re-documentation, clean-up, and ongoing maintenance. These clean-ups allow Partners to keep up with best practices across the network. So – TCO can be a lot, but maintaining the on-going costs by upgrading/cleaning up the systems when necessary will make the LMR/CPOE investment last a lot longer (even though it could hurt their ROI).

Hello World CGI Script in Perl

Hello World CGI Script in Perl A CGI script can be as simple or complex as you need it to be. It could be in Perl, Java, Python or any programming language. At its core, a CGI application simply takes a request via HTTP (typically a web browser) and returns HTML. Lets look at a simple Perl  Hello World CGI script and break it down into its simplest forms. Hello World CGI Perl Script #!/usr/bin/perl print Content-type: text/html\n\n; print HTML; html head titleA Simple Perl CGI/title /head body h1A Simple Perl CGI/h1 pHello World/p /body HTML exit; If you run the program on the command line, youll see that it does exactly what youd expect. First, it prints the Content-type line, then it prints the raw HTML. In order to see it in action in a web browser, youll need to copy or upload the script to your web server and make sure the permissions are set correctly (chmod 755 on *nix systems). Once youve set it correctly, you should be able to browse to it and see the page displayed live on your server. The key line is the first print statement: print Content-type: text/html\n\n; This tells the browser that the document coming after the two newlines is going to be HTML. You must send a header so the browser knows what type of document is coming next, and you must include a blank line between the header and the actual document. Once the header is sent, its just a matter of sending the HTML document itself. In the above example, were using a here-doc to simplify printing a large chunk of plain text. Of course, this is really no different than having a plain HTML document sitting on your server. The real power of using a programming language like Perl to create your HTML comes when you add in some fancy Perl programming. Adding on to the Basic Script In the next example, lets take part of this  time and date script and add it to your web page. #!/usr/bin/perl months qw(Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec); weekDays qw(Sun Mon Tue Wed Thu Fri Sat Sun); ($second, $minute, $hour, $dayOfMonth, $month, $yearOffset, $dayOfWeek, $dayOfYear, $daylightSavings) localtime(); $year 1900 $yearOffset; $theTime $weekDays[$dayOfWeek] $months[$month] $dayOfMonth, $year; print Content-type: text/html\n\n; print HTML; html head titleA Simple Perl CGI/title /head body h1A Simple Perl CGI/h1 p$theTime/p /body HTML exit; This new CGI script will insert the current date into the page each time the script is called. In other words, it becomes a dynamic document that changes as the date changes, rather than a static document.

Alternatives to Incarceration Essay Example | Topics and Well Written Essays - 1750 words

Alternatives to Incarceration - Essay Example ama’s administration demanded about $10.7 billion in the support of programs for substance abuse and the increase of control and prevention programs. This came in the way of an increase of 1 percent for treatment and increase of 15 percent for prevention. This increase however, resulted in arguments and debates based on different assumptions regarding substance abuse programs (www.hsdl.org). One of the major complaints of many who are researching substance abuse is the fact that governments spend a much greater amount of money on enforcement, but not nearly enough on prevention and treatment options that should theoretically be much more effective at stopping drug problems. "Half the world to arrest" is a myth that is associated within this type of control policy on drugs, thereby filling the prisons with petty offenders who violate the laws established regarding drugs. The Presidents request in its budget against drugs for 2011 is to invest a large portion on the treatment and prevention of substance abuse, including new funds to support the Presidents commitment to increase the spending on treatment. This new budget divides 55 percent of the allocated funds between law enforcement, programs for international intelligence activities relating to drugs, and prohibition activities. This program, however, could fail to provide necessary funds for law enforcement officers w ho need to protect communities from drug users. While this legislation may be excellent at preventing the government from causing undue harm to its citizens by imprisoning them, it ignores the idea that enforcement is a necessary part of combating drug problems, to keep communities safe. These advocates ultimately believe that, the costs for substance abuse treatment and programs overwhelmingly affect spouses, parents, society and the taxpayer (Miller, 2004). Since private and public insurers do not cover drug treatment programs, governments must fill gaps in coverage. Changes make it so that