Tuesday, December 31, 2019

Personality Disorders Borderline Personality Disorder

A personality disorder is characterized by a distinct pattern of behavior that does not meet normal standards of behavior within one’s culture. This pattern is ingrained as the norm to the person affected, and the characteristics of the affected person deviate markedly from societal standards (Hebblethwaite, 2009). The two main features that help to identify a personality disorder are chronic interpersonal difficulties and persons with one’s identity or sense of self (Livesly, 2001). Within this set of mental health disorders lie several other subsets, including one of the most prominent personality disorders - Borderline Personality Disorder (BPD). BPD is a severe, long-lasting disorder that has an incidence of occurrence approximately equal to that of bipolar disorder and schizophrenia combined (Grant, Chou, Goldstein et al., 2008). BPD also puts those affected at risk for damage in many areas of their life if not properly diagnosed and treated, including personal rel ationships, school, work, and self-imagine. Furthermore, this disorder has a high co-morbidity with other disorders such as depression, substance abuse, eating disorders, and social phobia, among many more (Hebblethwaite, 2009). Misdiagnosis of borderline personality disorder can have serious clinical implications. This paper looks to identify the risk factors associated with BPD, the affects on various aspects of the person’s life, treatments, and give recommendations as to how to properly identify andShow MoreRelatedBorderline Personality Disorder ( Borderline )1749 Words   |  7 Pages Borderline Personality Disorder Could you picture yourself being brought face to face with an individual who has a personality similar to a mine field? In other words where or when he/she will explode is never known. This type of personality disorder is called borderline personality disorder. Borderline Personality Disorder is one of the most scariest and hidden disorders that have baffled our society as well as many health professionals for many years. The DSM IV defines borderline personalityRead MoreBorderline Personality Disorder ( Borderline )1361 Words   |  6 Pages Borderline Personality Disorder is named borderline personality disorder because at one point in history they considered this disorder to be on the â€Å"borderline† between neurosis and psychosis. Borderline personality disorder is a severe mental disorder that impacts an individual’s behavior, relationships, and mood. The disorder usually begins during adolescence or young adulthood. People with BPD have a tendency of rapid change in attitude or feelings toward others because they cannot regulateRead MoreBorderline Personality Disorder ( Borderline )872 Words   |  4 PagesBorderline Personality Disorder is a mental disorder characterized by instability in mood, impulsiveness, unstable relationships, and chronic emptiness. Borderline Personality Disorder affects approximately two percent of the population, and is predominately found in women. This disorder makes it difficult for people to understand social norms and the dynamics of relationships, so unpredictable a nd erratic behavior are common. Although Borderline Personality Disorder is incurable, it is treatableRead MoreBorderline Personality Disorder ( Borderline )1274 Words   |  6 PagesPaper: Borderline Personality Disorder Borderline personality disorder is a serious mental illness that directly affects one’s behavior, moods, and relationships/socialization skills. Borderline personality disorder often is associated with co-occurring disorders like depression, suicidal behaviors, anxiety, abuse of drugs and alcohol, as well as eating disorders. The behavior of a person diagnosed with borderline is also described to erratic and impulsive. The cause of borderline personality disorderRead MoreIs Borderline Personality Disorder? Essay1818 Words   |  8 Pageswill examine the benefit and indications of applying one of a contemporary organized psychological theory to a patient that the writer has already worked with as a summative case study. A brief history of the patient ailment which is borderline personality disorder (BPD) will be discussed as well as treatment plan and choices in accordance with a chosen psychotherapy (mentalisation base therapy MBT). The author will legitimize the purpose beh ind the chosen treatment and conclude his discussion. ForRead MoreBorderline Personality Disorder : Borderline Disorder1466 Words   |  6 PagesBorderline Personality Disorder Overview Borderline Personality Disorder is characterized by impulsivity, unstable self-image, mood, and trouble with interpersonal relationships. One major characteristic is impulsivity, which is characterized by rapid responding to environmental triggers without thinking (or caring) about long term consequences (Paris, 2007). Some people may engage in self-injurious activities including attempting and completing suicide. People with borderline personality disorderRead MoreBorderline Personality Disorder And Personality Disorders2101 Words   |  9 PagesBorderline Personality Disorder Emani J. Mills Psychology of Personality Catinia Farrington INTRODUCTION â€Å"Personality disorders have been documented in approximately 9 percent of the general U.S. population† (Angstman, Rasmussen, 2011). Emotional dysregulation disorder or its common name borderline personality disorder is a very serious and chronic disorder. The Diagnostic and Statistical Manual of Mental Disorders Fourth Edition (DSM-IV) describes borderline personality disorder asRead MorePersonality Disorders : Borderline Personality Disorder926 Words   |  4 PagesBorderline personality disorder is the most frequent and the most severe of all personality disorders in clinical practice, it s a serious mental disorder with a characteristic pervasive pattern of instability in affect regulation, impulse control, interpersonal relationships, and self-image. It s characterized by severe psychological impairment and high mortality rate due to suicide. (Gado, 2016, p.47) Our group has chosen to focus and elaborate on some of the different personality disordersRead MoreBorderline Personality Disorder ( Borderline ) Essay1792 Words   |  8 Pagesin a cloud of static. No matter what I know to be true, the fear of having my mother discredit me severely impedes progress. I have known about Borderline Personality Disorder for some time, and I knew my estranged mother was diagnosed with it at one point, but I didn’t really start researching it until a friend lent me a copy of Surviving a Borderline Parent. Part of me was afraid if I learned more about it, I would only feel sympathy for her, and guilt for going no contact. As awful as it soundsRead MoreBorderline Personality Disorder And Personality Disorders931 Words   |  4 PagesIntroduction Amad, Ramoz, Thomas, Jardri and Gorwood questioned if borderline personality disorder runs in families through genetics. Although not stated borderline personality disorder was first diagnosed as an illness in 1980. Borderline personality disorder is a common mental disability that causes someone to experience unstable moods and occasionally have psychotic episodes. Gene-environment interaction which is when 2 different genotypes respond to different environmental variation in different Personality Disorders Borderline Personality Disorder Borderline personality disorder is the most frequent and the most severe of all personality disorders in clinical practice, it s a serious mental disorder with a characteristic pervasive pattern of instability in affect regulation, impulse control, interpersonal relationships, and self-image. It s characterized by severe psychological impairment and high mortality rate due to suicide. (Gado, 2016, p.47) Our group has chosen to focus and elaborate on some of the different personality disorders that exist as it relates to this course wonderfully. After we have learned about all of the different psychologists and their theories of personality, I wonder which theorist can they seek help from most. I made the decision to do borderline personality disorder simply because I am pretty confident that I know someone that may deal with this disorder, but for some reason has not been properly diagnosed. Borderline personality disorder (BPD) is a serious mental illness characterized by pervasive instability in moods, interpersonal relationships, self-image, and behavior. This instability often disrupts family and work life, long-term planning, and the individual s sense of identity. (Burton, 2015) Through research, I found that this disorder is also referred to as â€Å"emotionally unstable personality disorder.† The individual that struggles with this disorder is someone who essentially lacks a sense of self. As a result, they experience feelings of emptiness as well as fears ofShow MoreRelatedPersonality Disorders : Borderline Personality Disorder2908 Words   |  12 Pages  A personality disorder is characterized by a distinct pattern of behavior that does not meet normal standards of behavior within one’s culture. This pattern is ingrained as the norm to the person affected, and the characteristics of the affected person deviate markedly from societal standards (Hebblethwaite, 2009). The two main features that help to identify a personality disorder are chronic interpersonal difficulties and persons with one’s identity or sense of self (Livesly, 2001). Within thisRead MoreBorderline Personality Disorder ( Borderline )1749 Words   |   7 Pages Borderline Personality Disorder Could you picture yourself being brought face to face with an individual who has a personality similar to a mine field? In other words where or when he/she will explode is never known. This type of personality disorder is called borderline personality disorder. Borderline Personality Disorder is one of the most scariest and hidden disorders that have baffled our society as well as many health professionals for many years. The DSM IV defines borderline personalityRead MoreBorderline Personality Disorder ( Borderline )1361 Words   |  6 Pages Borderline Personality Disorder is named borderline personality disorder because at one point in history they considered this disorder to be on the â€Å"borderline† between neurosis and psychosis. Borderline personality disorder is a severe mental disorder that impacts an individual’s behavior, relationships, and mood. The disorder usually begins during adolescence or young adulthood. People with BPD have a tendency of rapid change in attitude or feelings toward others because they cannot regulateRead MoreBorderline Personality Disorder ( Borderline )872 Words   |  4 PagesBorderline Personality Disorder is a mental disorder characterized by instability in mood, impulsiveness, unstable relationships, and chronic emptiness. Borderline Personality Disorder affects approximately two percent of the population, and is predominately found in women. This disorder makes it difficult for people to understand social norms and the dynamics of relationships, so unpredictable a nd erratic behavior are common. Although Borderline Personality Disorder is incurable, it is treatableRead MoreBorderline Personality Disorder ( Borderline )1274 Words   |  6 PagesPaper: Borderline Personality Disorder Borderline personality disorder is a serious mental illness that directly affects one’s behavior, moods, and relationships/socialization skills. Borderline personality disorder often is associated with co-occurring disorders like depression, suicidal behaviors, anxiety, abuse of drugs and alcohol, as well as eating disorders. The behavior of a person diagnosed with borderline is also described to erratic and impulsive. The cause of borderline personality disorderRead MoreIs Borderline Personality Disorder? Essay1818 Words   |  8 Pageswill examine the benefit and indications of applying one of a contemporary organized psychological theory to a patient that the writer has already worked with as a summative case study. A brief history of the patient ailment which is borderline personality disorder (BPD) will be discussed as well as treatment plan and choices in accordance with a chosen psychotherapy (mentalisation base therapy MBT). The author will legitimize the purpose beh ind the chosen treatment and conclude his discussion. ForRead MoreBorderline Personality Disorder : Borderline Disorder1466 Words   |  6 PagesBorderline Personality Disorder Overview Borderline Personality Disorder is characterized by impulsivity, unstable self-image, mood, and trouble with interpersonal relationships. One major characteristic is impulsivity, which is characterized by rapid responding to environmental triggers without thinking (or caring) about long term consequences (Paris, 2007). Some people may engage in self-injurious activities including attempting and completing suicide. People with borderline personality disorderRead MoreBorderline Personality Disorder And Personality Disorders2101 Words   |  9 PagesBorderline Personality Disorder Emani J. Mills Psychology of Personality Catinia Farrington INTRODUCTION â€Å"Personality disorders have been documented in approximately 9 percent of the general U.S. population† (Angstman, Rasmussen, 2011). Emotional dysregulation disorder or its common name borderline personality disorder is a very serious and chronic disorder. The Diagnostic and Statistical Manual of Mental Disorders Fourth Edition (DSM-IV) describes borderline personality disorder asRead MoreBorderline Personality Disorder ( Borderline ) Essay1792 Words   |  8 Pagesin a cloud of static. No matter what I know to be true, the fear of having my mother discredit me severely impedes progress. I have known about Borderline Personality Disorder for some time, and I knew my estranged mother was diagnosed with it at one point, but I didn’t really start researching it until a friend lent me a copy of Surviving a Borderline Parent. Part of me was afraid if I learned more about it, I would only feel sympathy for her, and guilt for going no contact. As awful as it soundsRead MoreBorderline Personality Disorder And Personality Disorders931 Words   |  4 PagesIntroduction Amad, Ramoz, Thomas, Jardri and Gorwood questioned if borderline personality disorder runs in families through genetics. Although not stated borderline personality disorder was first diagnosed as an illness in 1980. Borderline personality disorder is a common mental disability that causes someone to experience unstable moods and occasionally have psychotic episodes. Gene-environment interaction which is when 2 different genotypes respond to different environmental variation in different

Monday, December 23, 2019

Essay on Feminism and its Role in Medea - 1048 Words

In Medea, by Euripides, conflicts play a major role in the creation of the play. Some examples of these conflicts are with Medea and Jason, Medea and herself, and Medea and Creon. Medea is shown to be a strong, independent woman who does what she wants as well as doesn’t let anything stand in her way. She shares qualities of a traditional male at the time, and the qualities of a traditional female. Euripides makes this clear in the play by creating conflicts to prove women can be a powerful character and that the play in general challenges the idea of misogyny. Internal conflicts within Medea shed light on her true character and her difficulties to make decisions. Throughout the play, there are many cases of Medea contemplating her†¦show more content†¦It shows how she does have a heart and a conscience, which was something readers weren’t too sure about prior to this internal conflict, since she killed her brother without any issues. Euripides makes it obvious that she is strong, and headstrong about her decision to destroy Jason. Medea’s conflict with Jason proves to be the main conflict in the play, which really sheds light into the fact that Euripides created this play to challenge the notion of feminism. After Jason’s betrayal, Medea decides to take control. It is evident in the way she manipulates other characters within the play, and how she handles situations she is in, that she is quite intelligent. Her motivation and will to accomplish her own goals, portrays Medea as the complete opposite of a typical patriarchal woman who embodies the norms of patriarchy in Greek society. In the play, Jason says, â€Å"I married you, chose hatred and murder for my wife – no woman, but a tiger†¦Ã¢â‚¬  (1. 1343-44) This quote shows the misogyny with Jason, because he is saying that him and the society have made Medea this way. But maybe Medea started acting McBane 3 this way because of how Jason lacked respect for her and drove her to do the horrendous actions. Medea lashing out on Jason further proves the fact that she is her own woman, and becomes the first symbol of feminism in the Greek culture. Another example of Medea’sShow MoreRelated Feminism in Medea by Euripides Essay1000 Words   |  4 PagesFeminism in Medea by Euripides The play Medea by Euripides challenges the dominant views of femininity in the patriarchal society of the Greeks. While pursuing her ambition Medea disregards many of the feminine stereotypes/ characteristics of the patriarchal Greek society. She questions the inequality of women in a patriarchal society, contradicts Jason?s chauvinist beliefs, challenges the stereotype that women are weak and passive and completely disregards the feminine role of motherhoodRead MoreAs A Society, We Are Being Continuously Taught Not To Stray1506 Words   |  7 Pagesstereotypical gender roles that existed. Throughout Euripides’ Medea, the audience and readers are shown the consequences that said gender roles create. They are a part of history that may never be overcome, as developed in the play. Gender roles may never be overcome in society, nevertheless it is important to remember that they do not define a person, let alone decide their fortune. Equality should not be perceived as an op inion, but as a right. By performing a feminist reading of Medea, it is evidentRead MoreMedea the Feminist Essay1328 Words   |  6 PagesThe role of women in Greek society is a major theme in Euripides’ Medea. In ancient Greek society, women are frail and submissive according to men, and their social status is considered very inferior. Feminism is the theory of men being treated differently than women and the male dominance over women in society. Because of Jason’s betrayal of Medea, she is a challenge to the traditional views of ancient Greek society based on her actions. She wonders about the differences between the treatmentRead MoreThe Mythology Of The Greek Society1603 Words   |  7 Pagessociety. His play Medea was the first historical piece that recounted the plight of a women through an actual female protagonist. This was unheard of and almost revolutionary until the Elizabethan era. Though Euripides’ lived in a dangerously powerful misogynistic society, his writing pre sented a sympathetic portrayal of females, a message of catharsis to the audience, and a new stance on conventional norms with masked ideas of protofeminism. To begin, Euripides’ play, Medea, is the best evidenceRead MoreHow Modern Versions Of Medea ( Euripides ) And Antigone ( Sophocles )1246 Words   |  5 Pagesthat have stood the test of time, nevertheless concepts and ideologies present in traditional Greek theatre have become outdated. Strict gender roles were ever-present in society and a person was judged in relation to his or her compliance with these standards. Ancient Greek theatre hosts many misogynistic examples of the conformity to the gender roles of the time as well as the consequences of rebelling against the gender protocol. Women were to remain invisible, obedient and subordinate and toRead MoreMedea As A Feminist Hero1378 Words   |  6 PagesIn Euripides, Medea is portrayed as a feminist hero. In a society where men are clearly the dominant figure, Medea stood her ground and allowed no man to change her views. The society stereotype where men are the more powerful, dominant gender was definitely prevalent a nd recognized in Ancient Greece at the time. Women living in this society were discriminated against daily and were looked at as less important. Medea was a play meant to show the unequal treatment of women in Greek society duringRead MoreMedeo is a Play Based on the Myth of Jason and Medea Written by Euripides1248 Words   |  5 PagesMedea is a play based on the myth of Jason and Medea written by Euripides. The play involves the love between two mythical characters: Jason and Medea. The play reaches its climax when Medea is betrayed by Jason when he choses another woman for her youthful beauty. Euripides is able to involve the audience by using dramatic scenery on how Medea choses to respond to this theatrical situation according to the patriarchal culture she lives in. Furthermore, the analysis focuses upon the system of masculinityRead MoreMedea - Techniques1227 Words   |  5 PagesIn the play Medea, by Euripides, many techniques are incorporated to augment the compelling per sona of the protagonist, Medea. She has an overpowering presence, which is fashioned through the use of imagery, offstage action and language. Dramatic suspense, employment of the chorus and Deus Ex Machina also serve to enhance the intense persona assumed by Medea. br brMedea is frequently associated with images of violence and rage. Shes wild. Hates in her blood. /She feeds her rageÂ…StormcloudsRead More Medea, by Euripides - Constructing Medea’s Compelling Persona1194 Words   |  5 PagesMedea, by Euripides - Constructing Medea’s Compelling Persona In the play Medea, by Euripides, many techniques are incorporated to augment the compelling persona of the protagonist, Medea. She has an overpowering presence, which is fashioned through the use of imagery, offstage action and language. Dramatic suspense, employment of the chorus and Deus Ex Machina also serve to enhance the intense persona assumed by Medea. Medea is frequently associated with images of violence and rage. â€Å"She’sRead MoreGender Discrimination : A Feminist Heroine1545 Words   |  7 PagesWomen do not have equal right in their roles in society and it’s high time that we eliminate discrimination against women. In Euripides play Medea , he challenges the most influential views of femininity in the predominately male governed society during the Ancient Greek era. During this time period women had very few rights and the men were the most dominant. Women were considered to be very weak and passive yet there was supposed to be dutiful wives. Medea actions certainly make her a feminist

Sunday, December 15, 2019

Ehrs in Health Care Free Essays

EHRs in Health Care x x x Abstract In 2009, the Health Information Technology for Economic and Clinical Health Act (HITECH) was passed into law mandating interoperable Electronic Health Record (EHR) adoption throughout the United States health care system for all providers who serve Medicare or Medicaid patients. The HITECH Act sets â€Å"meaningful use† requirements, goals, and objectives, and gives specific timelines for which to achieve them. As an incentive to expedite the process, the Centers for Medicare and Medicaid Services (CMS) has offered monetary rewards for those facilities and physicians who are taking steps to implement an EHR system by 2015. We will write a custom essay sample on Ehrs in Health Care or any similar topic only for you Order Now Beginning in 2015, CMS will penalize facilities and physicians who have not implemented an EHR system. One of the stipulations of receiving the incentive money is demonstrating â€Å"meaningful use†, or utilizing EHR technology in a meaningful way that improves patient care. Meaningful use has three stages, each focusing on different areas of patient care. There are several advantages and disadvantages of implementing an EHR system, but the benefits greatly outweigh the risks. The HITECH Act is one of the most important pieces of health care legislation to date and has been called the â€Å"foundation for health care reform† (Blavin Ormond, 2011). In 2004, the Bush administration introduced a plan to ensure that the medical profession completely converts to electronic health records (EHR). This plan was passed into law by the Obama administration in 2009 under the Health Information Technology for Economic and Clinical Health Act (HITECH), which is a provision of the American Recovery and Reinvestment Act (ARRA) (Kwami, n. d. ). This Act is essentially a $27 billion stimulus package meant to accelerate health care information technology in the United States. It allows the Centers for Medicare and Medicaid Services (CMS) to offer financial incentives (up to $44,000 from Medicare and $63,750 from Medicaid per physician or up to $2 million per hospital) for implementing an Electronic Health Record (EHR) system in their facility by 2015 (Murphy, 2012). Not only do they have to implement it, they must also meet the â€Å"meaningful use† requirements set forth by CMS for successful utilization of the EHR system. To receive the maximum incentive payment, physicians/facilities must begin participation by April 1, 2013. Starting in 2015, physicians and facilities who have not met those requirements will be penalized. What is Meaningful Use? Meaningful use is an umbrella term for the rules and regulations that hospitals and physicians must meet to qualify for the federal incentive funding under ARRA. There are three stages of meaningful use; each has different goals and objectives. For example, stage one focuses on data capture and sharing, and is grouped into five patient-driven areas related to patient health outcomes: 1. ) Improve quality, safety, and efficiency, 2. ) Engage patients and families, 3. ) Improve care coordination, 4. ) Improve public and population health, and 5. ) Ensure privacy and security for personal health information (â€Å"Meaningful Use 101,† n. d. ). Step two focuses on the advanced clinical processes involved in patient care and stage three will focus on improving actual patient outcomes. Requirements for meaningful use include the ability to e-prescribe, electronically exchange patient health information, and report on clinical data. The eventual goal is a national health information network. Facilities and physicians must achieve stage three of meaningful use by 2015. Traditionally, physicians have been reimbursed based on how many services they provide (fee for service). Meaningful use shifts this paradigm to a more patient centered process and concentrates on performance-based initiatives like pay for performance (P4P) reimbursement. CMS recently introduced three P4P programs mandated by ARRA designed to reward higher-performing hospitals and penalize poorer-performing hospitals through these reimbursement practices. Hospitals performing at or below the 50th percentile nationally on hospital quality and patient experience measures can expect to see a significant reduction in payment from CMS as early as 2012 (â€Å"Pay for Performance Payment,† n. d. ). The shift from volume-based to value-based reimbursement methodology puts more emphasis on patient care and achieving positive outcomes. Another part of meaningful use requires that EHRs are interoperable with other facilities and physicians even if they are not the within the same organization. This means that every organization’s EHR system must to be able to â€Å"talk† to other organizations’ systems. If a patient travels to another state or another country and needs to go to the doctor for any reason, the physician there will be able to bring up the patient’s EHR and treat them based on the up-to-date medical information contained in their EHR. This is especially important in emergency situations where the patient may not be in the position to supply needed information. Locally, interoperability is important because it helps physicians communicate with other facilities such as a referral. A patient’s family physician may refer them to a specialty doctor and with an EHR, both doctors can view and document findings in one record rather than having separate papers that need to be brought in by the patient and filed in their paper record. EHRs are also an asset within the same facility. When a patient gets a lab or x-rays done, the physician can immediately bring up the results rather than having to wait for the lab/x-ray technician to physically bring the results to them. Interoperability makes coordination of care easier and more efficient. Advantages of Implementing an EHR In addition to the benefits of interoperability, there are several other advantages of implementing an EHR. The main goal of an EHR is to improve the quality and safety of patient care. EHRs can help provide better health care by improving all aspects of patient care like safety, effectiveness, patient-centeredness, communication, education, timeliness, and efficiency (â€Å"What Are the Advantages,† n. . ). Having a single record that includes all of a patient’s health information and is up to date, complete, and accurate allow for better coordination of care, accessibility of information, convenience, simpler disease management, enhanced collaboration between providers by improved information sharing, a significant reduction in medical errors, up-to-date medication and allergy lists, and cost savings in the long run (â€Å"Benefits of EHRs,† n. d. ). EHRs al so reduce waste and liminate duplicate screenings and tests, as well as help physicians make better, more comprehensive clinical decisions by integrating patient information from multiple sources into one EHR (â€Å"What Are the Advantages,† n. d. ). Another advantage of having your health record in electronic format is increased security and privacy. With a paper record, anyone can pull it off the shelf and browse through it, but with an electronic record there are differing levels of authorization allowing only certain people access to your chart. Also, your chart cannot get â€Å"lost†. Instead of someone having to sign it out every time they need to use it and having to manually track it, an EHR allows multiple users to access it at different times, on different computers, and leaves an audit trail automatically. Disadvantages of Implementing an EHR There are also disadvantages of EHRs including overall cost, ongoing maintenance costs, changes in workflow, and temporary loss of productivity just to name a few (Menachemi ; Collum, 2011). One of the biggest concerns of implementing an EHR system is the initial cost. Acquiring and implementing an EHR system can be quite expensive depending on the size of the facility. The projected total cost for a medium sized inpatient facility with a seven year EHR installation is approximately $19 million. In the outpatient setting, cost is approximately $14,000 per physician in the initial year of implementation for a six-physician practice, and $19,000 per physician with three or fewer physicians (Menachemi ; Collum, 2011). Smaller practices may find it hard to cope with the added expense of an EHR system; the viability of those practices may suffer as a result. Another disadvantage of implementing an EHR system is the cost of transitioning from paper to electronic records. Additional staff will be required to scan in all of the paper documents into electronic format. This process can take months depending on how big the facility is so it could really have an impact on a facilities bottom line. There will also be a period of time where the staff is less productive than they would normally be as they learn how to use the electronic system. This period is called the â€Å"learning curve†. To help remedy this, temporary staff will need to be hired to fill in the gap and keep the workflow up to date which also has a significant financial effect on an organization. The maintenance of an EHR system can be costly and technology is not always reliable. Hardware must be replaced and software must be upgraded on a regular basis. In addition, providers must have ongoing training for staff as well as IT support available, such as a 24/7 help line. Also, as with all things electronic, there is always the possibility of the system going down. Hospitals and physicians must have a plan in place outlining what the proper procedure is for the â€Å"down time† until the system is up and running again. This generally means they will have to revert back to paper documentation while the system is down, so they also need to have a recovery plan in place detailing how they will go about getting the paper documentation from the â€Å"down time† transferred into the EHRs. Conclusion Although some might argue that an EHR system is too costly and too much work, it is a federal mandate that all physicians/facilities (who service Medicare or Medicaid patients) implement an EHR system. And while the transition from paper to electronic is a costly and tedious process, the benefits of an EHR are numerous and greatly outweigh the cost of implementation. As President Obama said, â€Å"You shouldn’t have to tell every new doctor you see about your medical history or what prescriptions you’re taking. You shouldn’t have to repeat costly tests. All that information should be stored securely in a private medical record so that your information can be tracked from one doctor to another — even if you change jobs, even if you move, even if you have to see a number of different specialists. That’s just common sense. † (Making the Switch: Replacing, 2010). References Benefits of EHRs. (n. d. ). Retrieved February 13, 2013, from http://www. healthit. gov/providers-professionals/improved-care-coordination Blavin, F. , ; Ormond, B. (2011, May). HITECH, meaningful use, and public health: Funding opportunities for state immunization registries [White paper]. Retrieved from http://www. medicaidhitechta. org/Portals/0/Users/011/11/11/ImmunRegWhitePaper. pdf Kwami, K. K. (n. d. ). The EMR federal requirements of physicians. Retrieved February 13, 2013, from http://www. how. com/list_6961848_emr-federal-requirements-physicians. html Making the switch: Replacing your EHR for more money and more control [White paper]. (2010, September). Retrieved from http://www. healthcareitnews. com/sites/default/files/ resource-media/pdf/making_the_switch_replacing_your_ehr. pdf Meaningful use 101. (n. d. ). Retrieved February 13, 2013, from http://www. medicity. com/meaningful-use- 101. html Menachemi, N. , ; Collum, T. H. (2011, May 11). Benefits and drawbacks of electronic health record systems. Retrieved from http://www. ncbi. nlm. nih. ov/pmc/articles/PMC3270933/ Murphy, K. (2012, May 9). American Recovery and Reinvestment Act (ARRA). Retrieved from http://ehrintelligence. com/glossary/american-recovery-and-reinvestment-act-arra/ Pay for performance payment systems that reward or penalize hospitals based on performance. (n. d. ). Retrieved February 13, 2013, from http://www. getwellnetwork. com/services/health-reform/pay-performance What are the advantages of electronic health records? (n. d. ). Retrieved February 13, 2013, from http://www. healthit. gov/providers-professionals/faqs/what-are-advantages-electronic-health-records How to cite Ehrs in Health Care, Essay examples

Saturday, December 7, 2019

The following report has been made for understanding the role of infor

Question: Discuss about the Business System Analysis for the Development. Answer: Introduction The following report has been made for understanding the role of information system analysis for the development of an organization. The use of the technologically advanced tools and techniques would help the organization for easing their processes and facilities (Schwalbe, 2015). The case study selected for the analysis of the business information system and design is for National Young Mental Health Foundation (NYMHF). The analysis of report would assist in forming an overview of the stakeholders map, develop a questionnaire and form a use case diagram for the information system model of National Young Mental Health Foundation. Stakeholder map and analysis for National Young Mental Health Foundation The stakeholder map is an analysis of stakeholders of the organizations project (Forrester et al., 2015). It would explain the priority of each stakeholder (either high/low power or high/low interest). The stakeholder map for National Young Mental Health Foundation has been shown in the following section. Diagram of stakeholder map Figure 1: Stakeholder Map for NYMHF (Source: Created by the author) Interest of each stakeholders The list of stakeholders in the project for implementation of the information system at National Young Mental Health Foundation includes CEO, project managers, investors, team members, and support staff. The interest of each of the stakeholders of National Young Mental Health Foundation has been provided below: CEO: The main interest of the stakeholder is completion of the project in the allocated time and budget as it would help in improving the name of the organization. Project Manager: He/she is responsible for managing all the activities of the project and making sure that all operations are completed by the project members (Lienert, Schnetzer Ingold, 2013). Any problems in the project or any conflict among team members have to be resolved by the project manager(s). Developers: Developers are a group of selected members and they are responsible for developing the project operation process and the system for meeting the needs of team members. System Designers: The project has been made for implementing an information system that would assist the operations of National Young Mental Health Foundation. According to Yang (2014), the goal of the system is assisting the young people for getting medical help from the foundation and the use of information system would serve the purpose by processing information required. Accountant/budget maker: The accountant is helpful for making the budget of the project and keeping the activities of the project operations in the allocated budget. Legal advisor: The legal advisor is responsible for managing the legal aspects of the project and aligning the operations of the project along with government rules and regulations. Tester: The tester is responsible for testing the software/system designed for any flaws or problems. He/she has to make sure that the system designed or the software developed would meet the requirements of the customers. Customers: The customers have the primary benefit of getting the benefit of the services of the project outcomes. Support service staffs: They are the people who assist the customers with any query about the project and the system designed. Training Manager: They are responsible for training the employees of the organization to get accustomed with the operations of the new information system. Support service managers: they are the managers for the support service employees and they have to manage the activities of support service staffs. Investors: They are the primary investors for the project and in this project the investor is the Government and they have invested in the project (Ekvall et al., 2014). Their main interest is completion of the project while maintaining the quality. Questionnaire for stakeholders of National Young Mental Health Foundation The questionnaire would be used for getting a more clear identification of the environment, problem area, and operations of the information system for National Young Mental Health Foundation (Frontczak, Andersen Wargocki, 2012). The identified stakeholder group that should be provided with the questionnaire is the executive group consisting of CEO, customers, and investors. The questionnaire for the project has been provided below: Information System Survey Questionnaire Sir/Madam: The implementation of the information system would improve the operations of National Young Mental Health Foundation for providing health assistance to the young people. The requirements of the information system would be based on quality of the operations and requirements from the system. Please complete the following survey and revert back on the mail id provided. The answers would help in improving the project results and quality. Sincerely, Name of the Project Manager Questions Answers Do you think the integration of information system with the operations of NYMHF is required? [Yes/No] How much do you think the control of the information system would be required on data access? [Strongly Agree/Agree/ Neutral/ Disagree/Strongly Disagree] What is the benefit of information system in NYMHF for you? [Accessibility/Scalability/Ease and Pace of operations] What is the level of complexities and problems of information system? [Should be ignored/Remain neutral/Take firm steps for avoiding them] What is the major drawback of the use of information system? [Security/complexity/expense] How much does the major drawback affect the operations of the organization? [High/Medium/Low] Are the problems and issues of information solvable in the current scenario? Yes/Maybe/No Should the developer focus more on keeping the design simple or secured? Simple/Complex Are additional security features useful for the information security? Yes/Maybe/No Any further suggestion for improving the problems of information system: [answer in one or two sentence] Use Case and its description for National Youth Mental Health Foundation Use Case Diagram Figure 2: Use Case Diagram for NYMHF (Source: Created by the author in Visio) Description of the diagram The use case diagram for the information system of NYMHF has shown that the primary actors of the use case are the patients, information system manager of NYMHF and the doctors. There are three primary use case operations involved in the figure and they are the management of information system at NYMHF, data storage at database server, and information server access. The operations of the use cases have been explained in the following points: Management of Information System: The information system experts and other project members complete and implement the information system for the operations of the NYMHF. They form the integration of the storage system and database server for the NYMHF and their operations. The data base structure would be helpful for storing the information about the patients and the doctors in a systematic way. It would help in fetching the information easily at the required times. Data storage at Database Server: The second operation in the use case is the storing of data in the database server by the patients and doctors. The normal flow of operations in the use case for the patient is- Registering at NYMHF for getting help regarding health issues feeding the personal details (like health problem, treatments undergone, name, and contact details) The information is stored into the storage system of the information system the information storage system is connected to the NYMHF database server. Information Server Access: The information server access at the NYMHF can be done by signing into the NYMHF server. It would directly take you to the customized storage access that would help in accessing information (excluding private and confidential data about other patients and organization). Description of a Specific Use Case Activity The primary goal of the information system is to assist the young patients for getting the information access from the database server of NYMHF. Hence the major use case operation in the operation is the Information Access to the Database Server. The description of the use case has been provided below: Use Case Name: Information Access to the Database Server Actors: Patients Description: The information access to database server is very important as it allows the patients to get the access into the system and extracting the information from it. The benefit of this use case operation is that it explains the functioning of information system. Trigger: Patients having any health problem and they want to access the server for getting any help Pre-conditions: Patients should have registered at NYMHF and the solution (or information about the doctor who can assist the patient) to the health issue must be present in the database server Post-conditions: The patient would get the solution to his/her health related problem Normal Flow: Patients Signing into the NYMHF server Data is fetched and displayed to the patients Patient receives the information from the server Exceptions: The expected errors that might happen in this operation are absence of information on the specific solution, unable to contact the required doctor, and network connection error. Includes: The operation includes the use cases of management of information system at NYMHF and data storage at database server. Assumptions: The solution is available for access, the doctor has been easily contacted, the information system is integrated, and the patient has been able to get the required solution Conclusion It can be concluded from the report that understanding the role of information system analysis is very important for the development of an organization. The use of the technologically advanced tools and techniques had been helping the organization for easing their processes and facilities. In the report the use of stakeholder map for stakeholders analysis, development of a questionnaire for dealing with the problems and drawbacks of the information system, and a use case diagram for analyzing the operations of the information system had been provided for the case study of National Young Mental Health Foundation. Bibliography Bilbao-Osorio, B., Dutta, S., Lanvin, B. (2013, April). The global information technology report 2013. InWorld Economic Forum(pp. 1-383). Davenport, T. H. (2013).Process innovation: reengineering work through information technology. Harvard Business Press. de Sousa Santos, I., de Castro Andrade, R. M., dos Santos Neto, P. D. A. (2013). A Use Case Textual Description for Context Aware SPL Based on a Controlled Experiment. InCAiSE Forum(pp. 1-8). Ekvall, T., Sundqvist, J. O., Hemstrm, K., Jensen, C. (2014). Stakeholder analysis of incineration tax, raw material tax, and weight-based waste fee. Forrester, J., Cook, B., Bracken, L., Cinderby, S., Donaldson, A. (2015). Combining participatory mapping with Q-methodology to map stakeholder perceptions of complex environmental problems.Applied Geography,56, 199-208. Frontczak, M., Andersen, R. V., Wargocki, P. (2012). Questionnaire survey on factors influencing comfort with indoor environmental quality in Danish housing.Building and Environment,50, 56-64. Jones, S. S., Rudin, R. S., Perry, T., Shekelle, P. G. (2014). Health information technology: an updated systematic review with a focus on meaningful use.Annals of internal medicine,160(1), 48-54. Lienert, J., Schnetzer, F., Ingold, K. (2013). Stakeholder analysis combined with social network analysis provides fine-grained insights into water infrastructure planning processes.Journal of environmental management,125, 134-148. Loureiro, D., Vieira, P., Ribeiro, R., Makropoulos, C., Kossieris, P., Katsiri, E., ... Smith, J. (2013).Use Case Description. Internal reportMS12, Project iWIDGET. Raengkla, M., Suwannasart, T. (2013). A Test Case Selection from Using Use Case Description Changes. InProceedings of the International MultiConference of Engineers and Computer Scientists(Vol. 1, pp. 13-15). Schwalbe, K. (2015).Information technology project management. Cengage Learning. Yang, R. J. (2014). An investigation of stakeholder analysis in urban development projects: Empirical or rationalistic perspectives.International Journal of Project Management,32(5), 838-849.