The Electronic Health Record Mandate - 1659 Words

The purpose of this paper is to discuss the electronic health record mandate. Who started it and when? I will discuss the goals of the mandate. I will discussion will how the Affordable Care Act ties into the mandate of Electronic Health Record. It will describe my own facility’s EHR and what steps are been taken to implement it. I will describe the term â€Å"meaningful use,† and it will discuss possible threats to patient confidentiality and the what’s being done by my facility to prevent Health Information and Portability Accountability Act or HIPAA violations. Description of the Electronic Health Record (EHR) The EHR mandate is an order set for when all healthcare records are to become electronic or electronically kept and readily available. In 2004 president, Bush set a goal that all health records would be electronic by 2014. It was assumed that Electronic Health Records (EHR) would promote increased quality of health care and reduce costs, and also that the availability of electronic records would reduce errors (simborg, 2008). Simborg also said, â€Å"The addition of clinical decision support functions in many EHRs to warn physicians to potential errors and influence their behaviors toward evidence-based decisions further enhances the potential of EHRs to promote quality and reduce costs.† (Simborg, 2008). The main goals of the EHR mandate was to correct healthcare coordination amount the healthcare team of hospitals, physicians, and the lab. It is to ensure that privateShow MoreRelatedThe Electronic Health Record Mandate910 Words   |  4 Pages The National Electronic Health Record Mandate â€Å"An electronic health record (EHR) is a digital version of a patient’s paper chart. EHRs are real-time, patient-centered records that make information available instantly and securely to authorized users.† (healthit.gov) The EHR mandate was created â€Å"to share information with other health care providers and organizations – such as laboratories, specialists, medical imaging facilities, pharmacies, emergency facilitiesRead MoreElectronic Health Record Mandate Essay1131 Words   |  5 PagesElectronic Health Records and Patient Safety Technology has enabled us to make advances in patient care, and thus increase healthy patient outcomes. Nurses are constantly adapting to new technology, and need to learn to work with their IT department to successfully maneuver their electronic system. This paper will provide details of EHR implementation, and the goals of health implementation technology. Electronic Health Record Mandate Electronic health records, or EHRs are fully electronic formsRead MoreEMR Implementation in Small Independent Practices Essay1155 Words   |  5 PagesAchievements in public health and technology have created growth in the health care industry. Significant advances in prevention as well as declines in death rates have created a need for a more sophisticated system of record keeping. While monitoring the health of the nation, planning and developing better health services, and delivering effective and efficient care is now more important than ever. The need to manage patient data has increased as well. Moving from a world where paper records are kept inRead MoreEssay National Ehr Mandate1248 Words   |  5 PagesNational EHR Mandate Heidi Babcock-Marvin Ohio University National EHR Mandate An electronic health record (EHR) defines as the permissible patient record created in hospitals that serve as the data source for all health records. It is an electronic version of a paper chart that includes the patient’s medical history, maintained by the provider over time, and may include all of the key administrative clinical data relevant to that persons care. Information that is readily available includesRead MoreElectronic Health Record Implementation ( Ehr )1085 Words   |  5 PagesElectronic Health Record Implementation The way in which facilities access patient’s health records have changed from paper charts to electronic health records (EHR). Healthcare facilities have been mandated by the federal government to start using EHR for access and storage of health information (Department of Health and Human Services, 2008). There are six steps that assist facilities in order to prepare them to start utilizing EHR (Office of the National Coordinator for Health Information TechnologyRead MoreElectronic Health Records Essay932 Words   |  4 Pagesthis student will discuss the national mandate of electronic health records (EHR), and how this mandate is being implemented at the Cleveland Clinic Foundation. Also discussed are how Cleveland Clinic is progressing to achieve EHR, and what challenges this brings to patient confidentiality and self-determination. Lastly this student will provide information on the benefits of EHR in healthcare. According to Gunter Terry (2005), â€Å"The electronic health record (EHR) is an evolving concept definedRead MoreHow Has Public Health Healthcare Improved Public Healthcare Services For Americans Over The Last Two Decades?1122 Words   |  5 PagesHow has public health informatics improved public health and public health services offered to Americans over the last two decades? In America, on the state, federal and local Public health organizations use informatics widely. Especially the federal government, most of their research is centered on informatics science and digital technology that will have a great influence on public health. Public health informatics has improved public health and public health services offered to AmericansRead MoreThe Electronic Health Record ( Ehr )780 Words   |  4 Pagesthe Electronic Health Record (EHR), the six steps of an EHR and how my facility implements them, describe â€Å"meaningful use† and how my facility status is in obtaining it, and to further discuss the EHR’s and patient confidentiality. Description of the Electronic Health Record (EHR) EHR was created to have a technical way to securely exchange private and personal medical health information in hopes to improve the quality of care, decrease medical errors, limiting paper use, reduction of health careRead MoreThe American Recovery And Reinvestment Act Essay1746 Words   |  7 PagesPrior to the federal mandate of EHR, research continued to show the fallacies of the healthcare system like the report published from the Institute of medicine, stating that â€Å"medical errors are the 8th leading cause of deaths in the U.S. and cost approximately forty billion dollars a year† (Overview, 2012). This was one of many indicators that healthcare needed to be reformed and in 2009, the president signed the American Recovery and Reinvestment Act or HITECH Act, which mandated that all healthcareRead MoreElectronic Health Record Implementation Essay Essay1163 Words   |  5 PagesElectronic Health Record Implementation The purpose of this paper is to discuss the Electronic Health Record (HER) mandate, including its goals and objectives. It will further address how the Affordable Care Act and the Obama Administration connect with the mandate. The plan my facility used to meet the goals of the mandate, as well as what meaningful use is and our status of attaining it will be discussed. In addition, HIPAA laws, the dangers to patient confidentiality, and what my facility has

The Sun Also Rises The Loss Of God And Religion Essay

The Sun Also Rises: The Loss of God and Religion It has been called one of Hemingway’s greatest literary works as it is the â€Å"quintessential novel of the Lost Generation.† Its strong language and subject matter portray a powerful image of the state of disenchantment felt in the 1920’s after the war. The interactions between the characters in this novel display a society living without convictions, affirming Gertrude Stein’s quotation at the beginning of the novel, â€Å"You are all a lost generation.† To paint this vivid picture of discontentment and disillusionment Hemingway tears away traditional ideas and values by stifling the appearance of God and religion. Ernest Hemingway’s The Sun Also Rises is a poignant take on how the consequences of war can limit or diminish the presence of God and religious faith amongst those living in a post war society. The novel begins with Jake Barnes, the narrator, giving a description of Robert Cohn. His description of Cohn is not particularly favorable as it illustrates that Jake has little respect for Cohn. He describes Robert Cohn as a Jew, not in reference to his religion but more so as a flaw in his character. This is evident in statements like, â€Å"No one had ever made him feel he was a Jew† (Hemingway 12) and â€Å"He had a hard, Jewish, stubborn streak† (Hemingway 18). The language Hemingway uses here is significant because it is the first introduction to the disconnection between these characters and their faiths. Like Jake, Robert Cohn isShow MoreRelatedReligion in the Sun Also Rises Essay926 Words   |  4 Pagesthe characters of The Sun Also Rises it meant the world had lost its innocence, and that traditional Christian morality no longer had any relevance. The expatriates lack religion as a whole and although they may know the concept they simply have no hope or fai th. In The Sun Also Rises by Ernest Hemingway, the difficulties of Brett, Jake and Bill can be directly attributed to the lack of religious faith that stems from their involvement in the war. Brett faced a tragic loss during her involvementRead MoreAn Awareness Of A False Consciousness977 Words   |  4 PagesThere has been a significant rise in non-religious people, this rise can be seen within the millennial generation, which is different from prior ones who were predominantly Christian. What is it that the millennials can be aware of or, influenced on, that causes this non-conformity towards religion? There has been a decline in Christianity and a rise in non-religious, this can be due to the awareness of abuse in Christianity, the removal of Christianity from public schools, and a new generation ofRead MoreThe Sun Also Rises Modernism Analysis1507 Words   |  7 Pagespermeated the world of literature. Thusly, Modernism, as a philosophy, is defined through the loss of traditional values and meaning in life; men, women and all people are isolated and alone, unable to fully communicate through language. Modernist writers portray the world as a harsh and unjust place in which their characters struggle alone with unrealistic and futile dreams. With this in mind, The Sun Also Rises by Ernest Hemingway is a novel that details the story of Jacob Barnes and his circle of friendsRead MoreThe Sun Also Rises by Ernest Hemingway885 Words   |  4 Pages In the classic novel The Sun Also Rises, author Earnest Hemmingway carefully follows the lives of several Americans, impacted by times of World War I. The cohort of people highlighted in this time period is often referred to as the Lost Generation. The war was commonly known as the Great War, and shaped the way people lived in that particular time period. Known for its fast times and lack of morals, the war set a new standards for the people of its time, and changed many peoples beliefs in traditionalRead MoreAnalysis Of Abc Islam Book 1581 Words   |  7 PagesMuslims. Muslims also used this study to be directed in the direction in Mecca Muslims also found at the earth evolves around the sun. B is for Baghdad Baghdad was a Muslim city that was decorated with the most advance architecture. This city was located between the Tigris and Euphrates rivers. This city hosted the Abbasid Dynasty and became their capital. The great mosque is also located there. C is for calligraphy Calligraphy was the highest decorative art form. This is also in the Qur anRead MoreIs Peyote A Spirit, And A Gift From God Who They Call The Great Spirit?1396 Words   |  6 Pagesa spirit, and a gift from God who they call the Great Spirit. The spirit empowers and connects us to our journey as people. Our lives are transforming journeys and peyote is a tool that can help guide and direct it. â€Å"It gives the individual a chance to re-evaluate their priorities. The head of the Peyote Way Church of God, which is a NAC organization stated †Through the Holy Sacrament Peyote, the communicant experiences a loss of selfishness and becomes aware of the god within.† To native peopleRead MoreIn Judaism, GodS Word Is Found In The Hebrew Bible (Or1524 Words   |  7 PagesIn Judaism, God s word is found in the Hebrew Bible (or Old Testament), written entirely in Hebrew, except for a few chapters or verses that are in Aramaic, the Semitic language related to Hebrew. This is t he most transled and most read worldwide book. The Bible is divided into: Torah (the five books of Moses), Nevi’im (Prophets) and Ketuvim (writings, Psalms). In rabbinic literature the word Torah it is common to refer to the entire Bible. The sacred book of Judaism is the Torah, which consistsRead MoreBless Me, Ultima By Rudolfo Anaya1361 Words   |  6 Pagesparental pressure, religious ambivalence and the loss of one s innocence. This is true of Antonio Marez in the novel Bless Me, Ultima by Rudolfo Anaya. Antonio has lost control and begins to succumb to his dreams and loses control of himself. He battles his expectations given to him by his parents and also at the same time has another battle within himself. He is confused in where his faith lies and begins to suffer from this in his dreams. His loss of innocence is the root to his confusion. InRead MoreCharacter Analysis : Bless Me, Ultima1361 Words   |  6 Pagesparental pressure, religious ambivalence and the loss of ones innocence. This is true of Antonio Marez in the novel Bless Me, Ultima by Rudolfo Anaya. Antonio has lost control and begins to succumb to his dreams and loses control of himself. He battles his expectations given to him by his parents and also at the same time has another battle within himself. He is confused in where his faith lies and begins to suffer from this in his dreams. His loss of innocence is the root to his confusion. InRead MoreEssay on Loss of Faith in Hawthornes Young Goodman Brown1058 Words   |  5 PagesLoss of Faith in Young Goodman Brown      Ã‚   In the Bible, God commands Moses to go up Mount Sinai to receive divine instruction.  Ã‚  Ã‚   When he comes back, his people, the Israelites, have gone crazy.   They have forgotten Moses, and forgotten their God.   They form their own god, a golden calf, and build an altar.   They even had a festival for the golden calf.   Afterward they sat down to eat and drink and sat down to indulge in revelry (Exodus 32:6).   Moses then went down the mountain and got so

Heart Of Darkness 3 Essay Example For Students

Heart Of Darkness 3 Essay Many authors utilize loaded language to try and convey another possible meaning behind the story. However, it is often neglected and the reader never comes to such a realization. But it is quite clear through Joseph Conrads choice of words, that there is a suggestion of an allusionary meaning, which is the determination of heaven, hell, and purgatory. Part one gives a wealth of information to suggest and alternate meaning. The way that I chose to interpret the beginning was that of the story of creation-a new boat, a new voyage, and a new life-just as Adam and Eve had begun. Marlow was starting off sinless and without a fault. Then, Marlow comes across a man who hung himself. ; (p. 12) According to Catholicism, suicide is considered a sin,Through the use of loaded language, Conrad assumes a direct relationship between the story of Adam and Eve to the man who hung himself. As Marlow and his companions walked through the countryside, they eventually wound up in a different location, an inhabited devastation; where there are people, a place where sinners reside. This is a large contrast from where Marlow started out, which was seemingly the Garden of Eden. Reading the section of the story that I did consider the Garden of Eden, I felt quite empty, as if it was a place where only Marlow and his companions were. Conrad used detail in this section which really made me pick up on this feeling of loneliness. When we finally arrive to the inhabited devastation,; the feeling that Marlow along with his companions are the only people there, evaporate. Immediately, the mountainous scenery strikes me. The details that Conrad gives of this specific places, gives me a very cold feeling. All around, the reader receives a geometric description of the natives, who are a part of the inhabited devastation. Just as Adam and Eve are out of place, the reader can assume the same of Marlow and his companions. However, we are not fully aware of one sin that Marlow has come across, the sin of suicide. It has to have played a part in their expulsion.The creation, along with the story of Adam and Eve are only one example of the allusionary meaning to the story. Yet, it is impossible to write a brief paper without using many examples from the book. It is clear that Conrads choice of words serves a specific purpose and should be treated as a point of reference to another meaning of the story. I find it impossible to read Heart of Darkness as just a story about a voyage to Africa.

Accounting and Finance Weighted Average Cost of Capital

Question: Discuss about theAccounting and Financefor Weighted Average Cost of Capital. Answer: Introduction For estimation of the given project, it is imperative that analysis through capital budgeting techniques be performed. However, to enable the same, the cost of capital or WACC computation plays a critical role. This is also applicable for the evaluation of the purchase of the new conveyer belt that Melbourne manufacturing company limited is seeking to conduct. The main aim of this report is to carry out the computation of WACC based on the information provided on the company and also opine of usage of the company WACC as the suitable discount rate for the project so that an accurate recommendation could be offered in relation to carrying on with the new project or not. Computation of WACC In order to estimate WACC or Weighted Average Cost of Capital, it is imperative to compute the cost of the various means of financing used i.e. corporate bonds, preference shares and ordinary shares. Cost of Corporate Bonds Semi-annual coupon rate applicable on the bonds = 5.6% pa or 2.8% per half year In the given case, it is assumed that the face value is equal to market value and hence the cost of bonds would be the effective annual coupon rate applicable on the bonds. Effective Annual Rate = (1+(2.8/100))2 1= 5.68% Assuming that the applicable tax rate for the company is 30%, the after tax cost of debt is computed as follows (Damodaran, 2008). After tax cost of debt = 5.68*(1-0.3) = 3.976% pa Cost of Preference Shares Market price of unit preference share (P)=$ 10 Annual dividend paid per preference share (D) = $1.35 Hence, cost of preference share = (D/P)*100 = (1.35/10)*100 = 13.5% pa Cost of Ordinary Shares For estimation of the cost of equity, the appropriate model would be the CAPM approach which advocates the following relation (Parrino Kidwell, 2011). Cost of Equity = Risk Free Rate + Beta * Market Risk Premium Applicable yield on 10 year government bond is taken as the benchmark for the risk free rate which currently stands at 2.26% pa Also, Market Risk Premium (Given) = 9.7% pa Beta of the company = 1.3 Hence, cost of equity = 2.26 + 1.3*9.7 = 14.87% pa Estimation of respective weights of the various financing sources Market value of corporate bonds = $ 1.3 million Market value of preference shares = 10*500,000 = $ 5 million For the market price estimation of an ordinary share, the Gordon Dividend Discount Model needs to be applied (Graham Smart, 2012). Dividend expected the next year or t=1 is $ 0.72 Dividend expected (t=2) = 0.72*1.08 = $ 0.7776 Dividend expected (t=3) = 0.7776*1.08 = $0.8398 Dividend expected (t=4) = 0.8398*1.08 = $ 0.907 Dividend expected (t=5) = 0.907 * 1.03 = $ 0.934 It is expected that from fifth year onwards the growth in dividend would be constant at 3% pa till perpetuity. Hence, intrinsic price of the share = (0.72/1.1487) + (0.7776/1.14872) + (0.8398/1.14873) + (0.907/1.14874) + 0.934/((0.1487-0.03)(1.14875)) = $ 6.23 Number of outstanding shares = 1.4 million Hence, market value of shares = 1.4 *6.23 = $ 8.7 million Hence, total capital = 1.3 + 5 + 8.7 = $ 15 million Weight of debt = (1.3/15) = 0.087 Weight of preference shares = (5/15) = 0.3333 Weight of ordinary shares = (8.7/15) = 0.58 Therefore WACC = 3.976 * 0.087 + 13.5*0.3333 + 14.87*0.58 = 13.47% pa Application of WACC It is imperative to note that the above computed value is the companys WACC which could be used as the discount rate for the given project only if the following conditions are fulfilled (Petty et. al., 2015). The underlying risk associated with the project is comparable to the underlying risk associated with the average project of the firm. In the event of risk being higher or lower, suitable modifications would be required to adjust WACC to a higher or lower value respectively. Further, the incremental funding pattern of the project is similar to the existing capital structure for the firm. In case, the underlying contribution of the various finance sources is varied, it is imperative that suitable modifications would be required to be made. Conclusion From the above discussion, it is apparent that the WACC for the company is 13.47% pa and the application of WACC on the conveyer belt project would depend on the underlying risk level of the project and the funding pattern. References Damodaran, A 2008, Corporate Finance, 2nd eds., Wiley Publications, London Graham, J Smart, S 2012, Introduction to corporate finance, 5th eds., South-Western Cengage Learning, Sydney Parrino, R Kidwell, D 2011, Fundamentals of Corporate Finance, 3rd eds., Wiley Publications, London Petty, JW, Titman, S, Keown, AJ, Martin, P, Martin JD Burrow, M 2015, Financial Management: Principles and Applications, 6th eds., Pearson Australia, Sydney