Using Remote Patient Monitoring Mobile and Cloud Computing

Introduction

The Internet of Things (IoT) is a new paradigm where the sensors are connected to the Internet to collect data for analysis, that our planet is more instrumented, interconnected and intelligent. A typical person carries an average of one or two mobile devices today. Therefore, taking advantage of the growing presence of mobile devices in the equipment cost can be significantly reduced in many industries.

A. Motivation

The ECG iOS application presented in this thesis in the field of health, the Internet of Things. The development of embedded information and communication technologies, we can provide enhanced support for nursing home health care and retirement homes. This type of technology would be useful to provide ECG monitoring option elderly, athletes and ordinary people. By providing the facility to these technologies in the home, would citizens be able to live independently for a longer period of time, helping to reduce the cost of medical equipment Healthcare is currently facing the challenge of large amounts of data to a structured, diverse and growing increases exponentially. The data is constantly streamed through sensors, monitors and devices in real-time that is faster than the medical staff can keep up. The advanced technology and high capacity of cloud computing, processing large amounts of data can be performed more efficiently to support high data analysis.
B. Problem Statement

Internet of Things area of ​​healthcare, patients should not be taken as a trip to the doctor a lot longer because you can upload the collected data from the sensors to the cloud. This can be achieved by an ECG monitoring application on the mobile device that collects bio-signal data using sensors and then upload it to the cloud to write down the unstructured data. This reduces the waiting time to prioritize and minimize visits to hospitals and reduce the cost of personnel and administrative operations. This convenience increases the quality of life of patients enjoy the time spent on other activities instead of commuting to the hospital / clinic and waiting in long lines classifications.

C. Suggested solutions

In addition to medical knowledge, a variety of SSE Technologies is involved in the Internet of Things applications based health including microcontroller and sensor technologies, signal processing, communication protocols, system and software design (a well-documented design patterns), database management systems, web services, data analysis, and cloud technologies. Such an infrastructure not only to meet the basic functional requirements, but also address some of the key non-functional quality requirements, such as performance, privacy / security, portability, scalability, flexibility and cost. The idea that the Internet of Things and cloud technology, this book presents the solution is to use a microcontroller with ADC and motherboard, which will acquire the bio-signal data from the sensors and sends the person using a mobile device with Bluetooth technology. During Tracing ECG of the patient, the monitored data associated with ECG waves are displayed is stored in the form of a mobile application is a binary file to the Secure Digital (SD) card into the device and the user is able to upload it is a structured query language (SQL) server has its own database. The appropriate hardware components such as ADC and the microcontroller and sensors, the solution monitors the ECG of a person in any environment at low cost, without having to buy any expensive ECG monitoring devices.
DESIGN AND IMPLEMENTATION

A Mobile-based health care provider:

Mobile devices are evolving at a rapid pace in the deployment of health services. Our system is based primarily on the real-time, long-term health care, catering to the demand for assisted living and health fitness information provider. Thus, the deployment of mobile devices, mobile health care system is focused on a number of important characteristics of the medical health care system.

communication between B mobile device and Web server

used Bluetooth data transfer in the system, because the Bluetooth option is available in a variety of smart devices, including portable tablet PCs, laptops, personal computers, and more smart TVs. Conceptual; Bluetooth is an open wireless protocol in the 2.4 GHz band designed for a medium data rate that averages around 2 Mbps.

C. Web Server Cloud Healthcare Services

A web server cloud computing healthcare system provides instant access to the health tracking system wherever possible. The ECG data is displayed in real time on your mobile device. In order to ensure smooth and continuous health tracking system, the Web server cloud computing system to build the health service

A. System Architecture

The end-to-end system architecture for on the basis of Internet of Things in the framework project the hardware, the mobile application and a cloud. The application is divided into three sub layers are named as follows:
Service Layer, and the Application Layer Platform File Transfer and writing film shows how the multi-layer structure of the system interact with each other. The hardware layer includes the ADC, microcontroller and sensors that will collect the bio-signal data and transmitting the data to the Bluetooth channel the microcontroller, the application layer of an iOS device. The application layer is the layer comprises three sub layers. The service layer to the application layer melting layer which interacts with the hardware layer. The ECG service is present in the service layer, which is responsible for the retrieval of a biological signal data of the hardware layer and storing the data within the ECG buffer model that performs the writing of data.

B. analog-to-digital converter

1) Features:
i. Each interface can be easily Microprocessors.
ii. Works Ratiometrically or 5 VDC or digital converter, 8-channel multiplexer and analog voltage reference Adjusted Span

button 2) specification:
i. Resolution: 8 bit
ii. Single Supply: 5 VDC
iii. Low Power: 15 mW
iv. Conversion time: 100 mikrosec

C. Bluetooth module

1) Features:
i. Fully qualified Bluetooth 2.1 / 2.0 / 1.2 / 1.1 module
ii. Low power consumption (26uA sleep, connected to 3 mA, 30mA transmit)

2) Applications:

i. Measurement and monitoring systems
ii. Industrial sensors and controls
iii. Medical devices
iv. Computer Accessories
D. Cloud Research and Analysis

The data in one central location rather than distributed in different locations from each other to ensure the feasibility and higher data security. Because it is an ethical requirement to protect the health of critical data for each & # 39; bio signals, so the centralized architectural design pattern is selected, the ECG iOS app. Our architectural design, the data to check the patient will be stored in one central location, which must be separated with a unique ID to identify the data from different individuals since all data stored in one place, it will be easy to query the database and data analysis for the combined data . The following are some advantages and disadvantages of a centralized architecture design pattern

3) Benefits:

i. The data can be easily placed on a server.
ii. There is an efficient use of space to store your data in the cloud.
iii. All related data are kept together.
iv. Avoid redundancy.
v. This is a single service for all users.
vii. Data security has improved compared to a decentralized system of

5) algorithm

1. Start
2. Read focuses on electrical activity of the human body sensors.
3. Pass signal ADC
4. Convert the binary file
5. Binary file transferred microcontroller
6 via Bluetooth file transfer device iOS
7. File Upload a private cloud
8 persons eligible patients will be followed-up data.
9. Stop

[1945901million]

Source by Peeyush Goyal

Nursing Informatics – Integration of Health Information Technology

What is Nursing Informatics?

clinical nursing care of the integration of IT and information management and computer processes. This is a relatively new focus on health care, which integrates IT skills expertise. Nurse IT professionals to manage and communicate nursing data and information to improve decision-making for consumers, patients, nurses and other health care providers.

The nursing process consists of four main steps: planning, implementation, evaluation, and assessment. However, because information management is integrated into the process of care and nursing practice in some communities to identify the fifth step of the care process: documentation. Documentation and patient-centered care are the core components of the nursing process. Automatic documentation is vitally important, not only for the elderly but for all patient care. Up-to-date, accurate information about each step of the care process is the key to safe, high quality patient-centered care.

The successful implementation of information systems, health care and the following are required: First of all, that well-designed systems that support the care process is the culture of the organization. The second requirement for the acceptance and integration of information systems in the ordinary session of the nursing process and patient care. Finally, it is important that resources that may assist the factors mentioned above. One of the most valuable resources a healthcare organization can give a nurse professionals.

Nursing Informatics Professionals

Nursing IT professionals expert clinician extensive clinical background. These individuals experience using and implementing the nursing process. These sisters excellent analytical and critical thinking skills. We also understand the patient care workflow and automated documentation integration points. Once the importance of this industry for more education and experience in IT systems. Finally, nursing Informaticists excellent project managers, because of the similarity of project management and the nursing process.

In order to be competitive in this field one needs to be familiar with relational databases is a class of database structure. They also have the competence and comfortable MS Office, especially Excel, Access and Visio.

Why are these jobs are important to healthcare?

nurses and healthcare IT represents a great value to patients and the health system. Some examples of how to add value to the following:

using nursing workflow insurance

  • support technologies
  • Increasing the accuracy and completeness of care documentation
  • Improving nurses & # 39; s workflow
  • Automatic collection and reuse of nursing data
  • to facilitate the analysis of clinical data
  • providing nursing content in a standardized language

HIMSS and RHIO

for a little background on the field of healthcare / nursing informatics, there are a few governing bodies in this area. The Healthcare Information and Management Systems Society (HIMSS), the highest governing body of the health and care professionals. This group, founded in 2004, in the following four goals: NI awareness, education, resources (websites) and RHIO (Regional Health Information Organization).

RHIOs also known as community health information networks (chin). These networks that connect physicians, hospitals, laboratories, radiology centers and insurance companies.They share and transmit patient data electronically in a secure system. Those organizations that are part of a business interest RHIOs to improve the quality of health care is administered.

work force in this area

take care of the IT area, usually requires a minimum four-year degree. There are specific health information technology degree is available. Earning your Bachelor & # 39; s of Science in Nursing (BSN) is also a requirement before sitting down to ANCC certifications test Nursing Informatics. Some people start only two years to obtain a degree, but continued to look for a certified before becoming a BSN. Although there are several different ways to get into the field, the most popular ways to earn a Master & # 39; IT and nursing from the beginning, however, acquired before most individuals start their career in a master & # 39; degree.

Most nurses who start in the IT field is a specialized field, such as the intensive care unit (ICU), surgically Services (OR) Med- Surg Nursing orthopedic or oncology, to name just a few, and work on that field for a long time. Working in the specialized field helps caregivers to learn about normal operating procedures and routines, as well as to understand the patient care process in their respective fields. They are usually experts in their specialty interests and develop computer documentation, or other healthcare technology focus. Then gradually usually clinical information systems to support a role.

If you have an interest in the care and technology, this may be the career that matches both skill only profitable work.

Source by Jonathan Conrad

Top Health Osteopathy career choice

What is Chiropractic Health?

The health profession of osteopathy (founded in 1874 by Dr. Andrew Taylor Still, the US) internationally recognized hand-held medical diagnostics and treatment, which defines the main emphasis on the structural and functional integrity down of the musculoskeletal system.

Chiropractor health professionals use a variety of practical physical treatments. These include soft tissue techniques and joint mobilization and manipulation, muscle energy therapy and functional (body trunk and counting) techniques. These techniques are usually used in combination with exercise, diet and occupational advice in an attempt to help patients recover from pain, injury and disease.

There are two types of osteopaths. European-style Osteopaths (also called osteopathic manual practitioners, manual osteopaths, traditional osteopaths & classic osteopaths) does not prescribe drugs or perform surgery, while American-style osteopaths (also known as osteopathic physicians) perform surgery and prescribe medications, as well as osteopathy techniques Treatment of the patient & # 39; s condition.

Osteopathy career choice

Chiropractor health is one of the most complete health care systems in the world. This is a typical form of medical practice. The practice of osteopathy manual uses to evaluate all available modern healing hand injuries and diseases of the muscles, bones, joints and nerves. It also offers the advantage through the practical diagnosis and treatment of osteopathic manipulative therapy system as medicine (OMM). Chiropractor statement professionals understand that the whole body & # 39; s systems are interconnected and how each affects the others. They focused particular attention on the musculoskeletal system that reflects and influences the condition of any other system.

Osteopathy is the fastest growing health profession in the United States, Canada, Australia, New Zealand, Brazil, Argentina, South Korea, Japan, China, India, Iran and Europe. The Canadian Imperial Bank of Commerce (CIBC) report issued in December 2012, published in the Toronto Star; titled "The Top 25 Occupations in demand" in the handheld osteopathy # 13 occupations in demand in Canada.

The average salary in the new manual osteopathy graduate, who works as an employee in a medical or rehabilitation clinic is usually between $ 30 and $ 40 per hour in Europe, Australia, the Caribbean and North America, and $ 10 and $ 20 in Asia, Latin America and Africa. Manual osteopaths osteopathic private practice typically charge between $ 90 and $ 140 per hour of treatment in Europe, North America, Australia and the Caribbean, $ 20 and $ 60 per hour in Asia, Latin America and Africa.

For patients injured in vehicle accident in Ontario (Canada), all auto insurers cover osteopathic treatments at the rate of $ 53.66 per hour, as defined by the Financial Services Commission guidelines is an award-Ontario (FSCO).

The average income of manual osteopaths in Canada and the United States is $ 90,000 per year. Australia is $ 78,000, and the United Kingdom (UK) for EUR 58,000. The average income of American-style osteopathic physicians varies greatly, because it depends on the specific practice. This $ 161,000 to $ 576,000 a year.

There is virtually no unemployment in the health profession. Almost every European-style osteopaths find a job within a few months after graduation.

European-style osteopaths are found worldwide. There are about 4,500 osteopaths United Kingdom (UK), 1500 Manual osteopaths in Canada, 1000 Manual osteopaths in Brazil and 67,000 doctors osteopathic medicine in the US, and a couple of thousands around the world in countries such as Australia, New Zealand, Panama, Colombia China, Iran, India, South Korea, Japan, Greece, South Africa, Singapore, Vietnam, Venezuela, Latvia, St Martin, Barbados, Jamaica, Bermuda, Costa Rica, Mexico, Russia, Ukraine, Argentina, Pakistan, Israel, Austria, Germany, Portugal, Italy, the Netherlands and others. Nearly half are women.

The number of osteopaths worldwide has increased exponentially over the past few years, largely due to the National Academy of Osteopathy that osteopathy degree program for students around the world in an online teaching methods.

Where Osteopaths work? is

European-style Osteopaths possibility of opening his own hand osteopathy clinics; or to rent rooms established in the medical, health and rehabilitation clinics and take advantage of cross-referrals; or work as employees in other osteopathy, medical, chiropractic, physiotherapy, athletic therapy, massage and rehab clinics.

Most osteopathic manual practitioners working on their own osteopathy clinics, often the sole owner, associates or employees. However, the growth of multi-disciplinary health services and physical rehabilitation clinics in Canada, USA, Australia and Great Britain opened up new possibilities of osteopathy manual professionals work with other health professionals (such as family doctors, chiropractors, registered massage therapists, naturopaths athletic therapists, kinesiologists, podiatrists , podiatrists, occupational therapists, ergonomists and physiotherapists) and benefit patients interprofessional care. A small number of osteopaths working in the hospitals, nursing homes, spas, sports, insurance claims services department, fitness club, osteopathic college, motor vehicle accident (MVA) assessment centers and other institutions.

Most graduates start their professional work as employees. They later set up their own private clinics.

More Osteopath

To become a chiropractor, I must graduate from an accredited osteopathic school, college or university. The length of the program varies and diplomas and degrees offered. The diploma programs in general, between 1000-2000 hours and 3000-4500 hours in the majors. How long it takes depends on the graduate program in osteopathy and moves 4 months to 4 years.

The World Health Organization (WHO) recommendation of 4200 hours (4 years) osteopathic medical education for students without previous training and 1,000 hours (1 year) previous health education for students. However, voluntary and not required by the World Trade Organisation. There is no requirement to follow the WHO guidelines. Some osteopathic schools are followed voluntarily by the World Organisation.

offered by the diplomas and degrees osteopathic schools, colleges and universities include:

– MPH (O) – Master of Public Health (osteopathy)

– DO – Doctor osteopathy BSc (O) – Bachelor of Science in osteopathy

– Domp – Diploma Chiropractor Manual Practice

– MO – Master osteopathy

– MSC (O) – Master of Science osteopathy

– FOCORS – Fellow Ontario College of Osteopathic Rehabilitation sciences

– FACORS – Fellow Alberta College of Osteopathic Rehabilitation sciences

– FBCCORS – Fellow of the British Columbia College of Osteopathic Rehabilitation sciences

– DCMOEB – Diploma of the Canadian manual Osteopathy Examining Board

– DIOEB – Diploma of the International Osteopathy Examining Board

the Council manual Osteopathy education (CMOE) of the International Chiropractor Association accredited the following osteopathic schools, colleges and universities to graduate and degree programs osteopathy

Online Osteopathic Education Worldwide:

• National Medical University

• National Academy of osteopathy

Campus based Osteopathic Education:

• Buenos Aires School of osteopathy (Argentina)

• Instituto Argentina de Osteopatía (Argentina)

• Osterreiches Osteopathie Kolleg (Austria)

• RMIT University (Australia)

• University of Western Sydney (Australia)

• Victoria University (Australia)

• chiropractor and Chiropractic Colleges Australia (Australia)

• Escola Brasileira De Osteopatia (Brazil)

• National Academy of osteopathy (Canada online program offered worldwide and campus-based)

• College d & # 39; Études Ostéopathiques (Canada)

• Center Ostéopathique du Québec (Canada)

• Canadian College of Osteopathy (Canada)

• Canadian Academy of Osteopathy and the Holistic Health Sciences (Canada )

• Southern Ontario College of osteopathy (Canada)

• Chiropractor College, Ontario (Canada)

• British College of Osteopathic Medicine (England)

• British School of osteopathy (England)

• College of Osteopaths (England)

• European School of osteopathy (England)

• London School of osteopathy (England)

• National Academy of osteopathy (England)

• London College of Osteopathic Medicine (England)

• Oxford Brookes University (England)

• Centre Europeen d & # 39; Enseignement Superieur de l & # 39; Osteopathie (France)

• Institut de Formation en ostéopathie du Grand-Avignon (France)

• Osterreiches Osteopathie Kolleg (Germany)

• Deutsches Osteopathie Kolleg (Germany)

• Istituto Superiore di Osteopatia – Milano (Italy)

• Unitec (New Zealand)

• Russian School of Osteopathic Medicine (Russia)

• National Academy of osteopathy (South Korea)

• Swiss International College of osteopathy (Switzerland)

• Madrid School of osteopathy (Spain)

• National University medical Faculty ( Spain, a program offered internet worldwide and campus-based)

• Universitat Autonoma de Barcelona (Spain)

Chiropractor Care & treatments

several studies showed patients with low back pain of mechanical origin are most satisfied with osteopathic treatments.

Dr. Lee Choi, MD, of the National Academy of Osteopathy Osteopathy students completed a research project to test a thesis project requirement, of course, the TH 980 degree manual osteopathy program.

Dr. Choi & # 39; s research analyzed 100 patients & # 39; osteopaths registered user replies back pain treatments by massage therapists, chiropractors, physical therapists, acupuncturists and doctors.

receiving

European-style osteopathic treatment had the highest rate of satisfaction with the treatment and chiropractic, massage, physiotherapy, acupuncture and medicine.

handling high satisfaction indicated

More than 95% of respondents receiving osteopathic treatments, and 91% had received chiropractic treatment, 86% of those who received massage therapy, 75% of those who received rehabilitation, 60%; who received acupuncture and 30% of those who received medical care for low back pain.

This study confirms the result of the previous studies indicate that patients prefer manually osteopathy treatment of all other available treatments for low back pain mechanical origin and osteopathy is the number one health care system selection them when suffering from low back pain.

World Osteopathy Day

As a result of the tireless work of the world-renowned chiropractor, Dr. Shahin Pourgol, president of the National University of Medical Sciences, National Academy of Osteopathy raised the World osteopathy day and the cooperation of the National Academy of osteopathy, International Chiropractic Association, the Canadian manual osteopathy Examining Board, and a number of other organizations, manual osteopaths and osteopathy students, June 22 was selected and named the "World osteopathy day".

more than 130 years of health professionals in osteopathy has done so much to help the human beings deserve a better quality of life and the day in recognition of their contribution to the human society throughout the world.

At 10:00 on June 22, 1874 in Baldwin, Kansas (USA), the 46-year-old doctor, Dr. Andrew Taylor Still founded osteopathy. Dr. Shahin Pourgol recommended on this day to face Dr. Still & # 39; s date of birth (August 6, 1828) as the World Day of osteopathy and she accepted the proposal of the majority.

Dr. Pourgol their own members bill to the Canadian Parliament to ask the Canadian government officially recognized June 22 as the World Day Osteopathy.

International Chiropractor Association has agreed to do the same with parliaments of many other European countries, Latin America, Asia and Africa.

Source by Amir Kazemi

Lean Healthcare – why it works for some and not for others?

There was a growth in the use of Lean Healthcare that is, but I always want to return? The experts were present to support healthcare "Lean" programs, but so are the organizations powerful new processes and competencies to deliver continuous improvement? We see a premium of confidence when imported professionals successfully transfer knowledge, improve staff skills and enhance the right culture to guide and improve the encapsulation and experience has shown that the emphasis on simple efficiency does not automatically lead to long-term development, and the most effective processes.

The same addition to healthcare organizations in manufacturing, where the "Lean" roots, but if it is not nearly as widespread as people think. In fact, many manufacturing companies that are "going Lean 'overshadowed their way, and the government continues to invest heavily in the manufacturers to implement Lean and efficient development of the underlying skills that are necessary to embed the change.

The NHS can learn from the experience of manufacturing, not just those who have succeeded, but for those who did not realize the benefits. Already some of the problems experienced in manufacturing is evident in health care. For example, we have seen some organizations, only the & # 39; rapid improvement Events & # 39; (That is, the implementation of development) without the creation of effective preparation (ie development planning) systems or maintenance and new ways of working that you want to embed. This (error) approaches can convert rapid improvement event structures & # 39 "Lean"; Rapid Ram raids & # 39; where:

o Improvements to happen quickly, but not durable.

o new risks are introduced (ie, patient safety).

The result is a wide body loss of helplessness, confusion and lack of buy-in, etc., which is a negative staff attitudes "Lean".

Learning from the production – Lean Why is not always delivered?

Some of the main reasons Lean does not embed itself in some companies, because the body is not

o specific agreed vision and plan at the beginning of

o Understand that the entire route before moving feature & # 39; rapid improvement Events & # 39;

based on

o build sufficient in-house expertise and are too heavily on external consultancy support

o Engage a team of efficient and do not recognize the need to change the attitude (of cultures) at the same time as the changing processes

Although these same "Lean" failure modes are beginning to manifest health organizations, there are certain & # 39; failure modes & # 39; unique healthcare which should be considered.

It is also clear that the organization and operation of the processes contributing to the successful implementation of an effective patient experience of healthcare organizations and high-quality patient care. It can also create a unique pattern of patient safety risks. Some obvious risk factors (eg, infection), while others were less obvious or hidden (eg timely exchange of information between organizations), which can lead to an adverse event.

Current work includes methods of risk / security management control patients (for example, controls and procedures) and this changes & # 39; balanced system & # 39; change the performance of the study area and the pattern of patient safety risks. As many of the sources of these risks are less obvious there is a risk that the risks of the changes introduced is not required. These risks can occur outside the changed amendment, unidentified "interface" changes leading to unexpected and unplanned changes elsewhere in the body.

For example, with a particular improvement activities Outpatient throughput performance increase can be placed unacceptable demands diagnostics increasing the risk of errors. The fact that the representation of these support / interface areas has increased the likelihood of the problem is simply transferred elsewhere in the body.

will be looking for & # 39; Lean Healthcare & # 39; success story it is important to consider whether it should be provided and how they will be involved, how it will handle the proceedings of improvement, how to change behavior and culture, as well as the processes and, most importantly, that unexpected risks could be the improvement efforts are introduced. He said that could be an efficient and timely attention to patient safety, risk management and a focus on sustainable development using Lean can make a significant difference to the organization & # 39; s performance.

In fact, we can say that with lean at the right time, the right place and should lead to the implementation of the right way & # 39; sustainable, safe and responsible development of services & # 39;.

Source by Mark Eaton

How electronic medical records in the health sector have changed

electronic medical records technology has revolutionized the healthcare industry for the better. However, many people really do not understand the significance of, or how it can help in medical practice. In this article we will cover the basics of how EMR can to benefit the company. They also talk about some of the latest technologies to help grow your Adoptable of this amazing system.

First, electronic medical records or EMR is a computerized medical record. Simply put, this is a system that enables the digital storage of patient records, information, X-rays, and so on. The first obvious advantage of this type of system can store data in a secure safe. You no longer need that information to the patient in a room in the back. All these records can be placed on your computer's hard drive. Patient information stored on the hard drive also allows for faster recall records. The health assistant or secretary no longer need to search through endless supply of patient charts to find information for you. They just simply do a search on your computer and find the information they need.

Although many advantages of EMR systems are some of the concerns many doctors there. The initial cost of the medical record system is not cheap. However, the amount paid by means of incentive programs introduced by the government to alleviate any practice. Especially if you receive these incentives presenting the government has introduced a "reasonable exercise" of the system. To learn more about this great incentive you can fill in a simple search on Google.

Finally, the most important factor in EMR systems to integrate the latest technology. Patient records and other information about these systems can be placed in what is known as "the cloud". This means that the patient information may be stored on a server somewhere else in the world. These servers are located in the security areas that allow for maximum safety and protection. The leaflet is available on these servers is a secure login from anywhere in the world on compatible devices. Can you imagine being able to instantly view the patient data to your laptop or notebook computer anywhere in the hospital? Since the EMR technology, it is now a possibility.

for the final EMR technology has changed the way hospitals and medical work. You can now access patient information anywhere and at record speed. This technology save everyone in the office is a large amount of time, so you and your practice money. So to make the switch for the first time today to learn more about this groundbreaking technology.

Source by Jaxson Smith

What is malignant hypertension: causes, symptoms, prevention of

High blood pressure, or more commonly known as high blood pressure is a very common condition, which is known to affect as many as one in three Americans a year. High blood pressure can be easily diagnosed simply verify that the systolic BP greater than 120 or diastolic 80 High blood pressure is often easier to use, as long as the effort to follow the advice of the family & # 39; s doctor & # 39; s. Although not as common as high blood pressure, some individuals have high blood pressure suddenly experienced a sudden increase in BP, which records above 180 systolic or diastolic BP 120. This sudden growth known as malignant hypertension. This special condition is also called arteriolar nephrosclerosis. If an individual suffering from a condition, it & # 39; he was advised to seek medical attention immediately. If emergency treatment is not received, the individual runs the risk of more serious health problems as a result, such as kidney failure, heart attack or brain damage.

What causes malignant hypertension?

The whole lot of people, high blood pressure is known to be one of the primary reasons. If these people also rely on some form of BP medicine missing a dose can cause the condition to occur. Malignant hypertension discovered mostly in people who have some form of history of hypertension. The official National Institutes of Health, about one percent of people who suffer from high blood pressure will eventually begin to develop malignant hypertension. In addition, there are certain diseases that are responsible for malignant hypertension. Some medical conditions can significantly increase an individual & # 39; s chance of developing malignant hypertension, such as

– Forgetting or is not taking medication for treating high blood pressure.

– narrowing of the main artery of the heart, aorta, or aortic dissection (a kind of bleeding from the wall of the aorta).

– narrowing of the arteries can be found in the kidneys (also called renal stenosis).

– as a result of a spinal cord injury caused by overactivity parts of the patient & # 39; and nervous system.

– Autoimmune diseases (produced antibodies in the patient & # 39; s body to fight against its own tissues).

– The preeclampsia and pregnancy.

– The use of drugs such as antidepressants, oral contraceptives, amphetamines and even cocaine.

– kidney failure or disorders.

risk Out of developing malignant hypertension ?

about 1% of an individual & # 39; s who have a history of high blood pressure related to life-threatening condition that develops in some form. Studies have shown that there may be a greater risk of developing the disease if he or Afro-American origin. Unlike high blood pressure, severe condition which malignant hypertension can produce very noticeable symptoms, some of which are

– a reduced level of urination.

– frequent headaches.

– Shortness of breath.

– weakness or numbness in one level of the face, arms or legs.

– Vomiting and nausea.

– increased anxiety.

– Frequent cough.

– Regular chest pain.

– visual disturbances such as blurred vision.

Malignant hypertension can lead to another condition which hypertensive encephalopathy longer. Disease symptoms may include:

– seizures.

– lack of energy.

– are at increased risk.

– Blurred vision.

– Headache.

This causes a variety of symptoms does not specifically malignant hypertension, but they may be linked to various less serious health conditions. However, this disease is very serious and life-threatening, which means if symptoms associated with all forms of the condition, seek immediate emergency care. The practitioner is able to each variety of information and important information surrounding condition. High blood pressure is known to have reached indeed the effects on the kidneys. This can make it extremely difficult for our kidneys to filter toxins and excess waste from our blood. This is why malignant hypertension is a major cause of renal failure. Malignant hypertension is also capable of causing the kidneys that eventually, and suddenly stopped completely.

I have been diagnosed with malignant hypertension what can I expect?

Over the past few decades was the development of malignant hypertension is known to be a fatal mistake. However, modern medicine and the latest techniques, treatment is readily available for the successful treatment of the disease. However, it & # 39; and we know that in the treatment of malignant hypertension, renal function become worse or greatly reduced. However, renal function often improves the entire duration of treatment, the condition is resolved, although this may not always be assured, if you were serious kidney damage level before treatment. Usually, the patient starts to see shapes improvement within a week for 4 weeks, even after dialysis. About 1 to 5 persons who suffered from malignant hypertension condition eventually require long-term dialysis. Some people experience some form of permanent damage to the eye or the brain.

managed to Malignant Hypertension What state?

malignant hypertension serious medical emergency which requires an appropriate level of treatment at the hospital, which usually involves some form of intensive care. Individuals will be diagnosed with advice provided by a doctor who will be able to consider your symptoms and deciding upon the health of medical treatment is the best solution to a personal matter. The result of the treatment should be carefully and continuously reduces the patient & # 39; and BP. BP received through an IV medication, one of the fastest methods to deal with extremely high levels of BP. Once the patient & # 39; BP's return to an acceptable and safe level, came through IV medications are often linked to a type of oral medication. If the patient experiences renal failure whole state, it may be necessary to receive kidney dialysis.

How to prevent malignant hypertension?

Fortunately, some malignant hypertension is easily preventable. If it is known that hypertension, & # 39; s important to regularly check your BP with your doctor to make sure it & # 39; and safe and does not increase. If you have high blood pressure, it will no doubt perform a type of medication that needs to be done without missing a dose instructions. Always remember to take medicine and follow your doctor. Alternatively, you can help to keep your BP down to

– Limit salt intake.

– Lose weight.

– Reduce stress.

– Change your diet to more fresh fruits and vegetables.

– Reduce the consumption of alcohol.

– Quit smoking.

Source by Sung Leong

Modern Age of the Internet Health and Community Medicine

Are we all "medical citizens," embedded as a potential or actual patients, our physicians, insurance & # 39; and pharmaceutical companies, government agencies, and others in the system of social, moral and organizational stakeholders?

Today, with the advent of the Internet, high-speed bandwidth, Social Media, Support Groups and Self Care protocols, patients for the first time in the history of medicine are able to change the result of the disease and the illness themselves, family members, friends and significant others .

This study attempts to address the most compelling issue of our time. Medical self-help groups and self-care methods are useful, and they deny that the delivery of conventional medical treatment? What are the differences and the implications of this debate?

Further, it has been the advent of the Internet and social media has changed the landscape of medicine? What limitations may exist in this new era of information technology and social communication? And if so, to what extent it would challenge the traditional care models? Perhaps the patient or advocate increasing the expert's own health conditions than their own doctor? The answer to this question is a definite yes if the patient has to use all the tools available to them.

Various published estimates unanimously show that hundreds of thousands of patients die, and millions of people were injured in medical procedures gone wrong, medication errors or adverse events and medication incorrectly prescribed or not taken as directed by patients. And it's not just the sick, the suffering, but the families that loved one & # 39; s, friends and employers & # 39; s who have to suffer the pain and lifestyle changes that so often comes with these errors.

Furthermore, May 8, 2013 National Center for Policy Analysis, edition, claimed that the first diagnosis of the error rate is increasing at an alarming rate

• An estimated 10 per cent to 20 per cent of cases false diagnosis that exceeds the drug errors, and surgery in the wrong patient or body part, each will receive much more attention.

• A report said 28 percent of 583 diagnostic errors were life-threatening and resulted in the death or disability.

• Another study estimated that the fatal diagnostic errors equals the number of US intensive care units breast cancer deaths per year – 40500th

Therefore, the second opinion is often necessary precautions that third opinion if the first two apart. In fact, Medicare and insurance companies often pay a third reviews under these conditions, since they will save billions in the long run.

Prudence dictates that the "medical nationals" should beware of these pitfalls, as their lives depend on it.

Furthermore, patient reviews and rating systems are available directly from your smart phone, you need to determine whether or not the doctor's decision-making is compromised. For example, the surgeon knows that his treatment decisions may even result in either saving a life means to an end of the social media prejudices, whether legitimate or not, then what hurts medical practice? Does it distort that could alter cloud or a doctor & # 39; s judgment? There are no data to provide an answer as yet.

So, doctors are becoming more risk adverse as a result of the new landscape? Now doctors are compensated based on getting better results, lower costs, reduced re-admission rates and other variables – not the staff friendly and less time in which many doctors waiting room review sites measure.

Often five-star rating system will receive some patients' opinion, despite the fact that the average doctor has some 2,000 patients charts (most healthy), and as long as human nature to complain if we do not get the result we want, consumers are less likely to praise the positive experience because I naturally expect top service, and so neglect to post a positive review even more patients are more likely to post a negative review of retaliation against the provider. Thus, the patient's opinion is not very good, or objective source of fair and balanced overall assessment of a doctor & # 39; s performance.

How can this dilemma be solved, especially if the surgeon everything perfectly, but the patients are victims of medication errors, poor care complying with the medical order, or perhaps agreements in hospital born infections or other adverse events among the doctor & # 39; s control, even if the doctor & # 39; s excellent work? However, these doctors often blame the doctor review sites. Therefore, patients should be better tools to make your own health care decisions should be in, choosing a plan or what treatment option to go to a specific facility.

If the patient does not use a rating site, you must make sure that from the government side a huge amount of data or in a private place, where doctors may nominate other doctors for excellence, and use these "Dr. & # 39; s doctors "to care for their friends and loved ones.

doctor believes that other sites can help you stupid criteria such as waiting room times, friendly staff, waiting room decorations and other issues that have nothing to do with the best results are nothing, but to money from the players.

Today, it is not unusual for patients to challenge doctors when it comes to illness and disease. After all, according Tejal Gandhi, MD, president of the National Patient Safety Foundation and associate professor of medicine, Harvard Medical School, "preventable medical errors persist, the No. 3 killer in the United States – the third only to heart disease and cancer – claiming the lives of about 400,000 people a year at a cost of more than a trillion dollars a year. ' "

Self-help groups and self-care is probably date back to the dawn of civilization, when people lived in a cooperative tribal settings. These groups deal with issues related to all life survival and political stability of the group. the dawn of medical ethics is probably dates back some 2300 years of the publication of the Hippocratic oath.

But now the game has dramatically changed due to the significant technological advances in medical science and the great development of the Internet is now the primary medical information for medical consumers. and the explosion of social media, people are able to communicate and share information on a scale never seen or imagined.

Add this to all the new interest that have entered the fray, such as insurance, employers, managed care organizations, Obamacare, biotech companies, governments, of course, pharmaceutical companies and health care decision-makers. The challenges faced by medical and social planners citizens have never been so terrifying.

Postmodern Medicine Medicare probably generated by the institution in 1965, when Medicare was signed into law in 1965 by President Lyndon Johnson and paid by the third party insurers appeared soon after. The 1970 & # 39; s medical practice has been in the business of medical surge and third-party payment systems caused by the demand for services and the cost of health care delivery soared. Moreover, the debate must be about the disease and what the disease is now to deal with sociological way more than ever, it affects whether treatments are available, and what the costs of third-party payers.

Self help groups are usually a group or set of people who suffer all shares or a similar disease that involves high costs and personal suffering to themselves and those who care about them.

Self-Reliance seemingly obvious meaning. We get a cut and put a band aid on it. A headache to an aspirin. But is it really so clear as pharmacy shelves already full will to drugs that previously only available with a prescription and medical devices can be used for self-diagnosis and self-care that measures bodily functions and vital signs such as blood sugar, blood pressure, pulse rate, oxygenation, etc. resulted in the patients self-diagnosing and treating themselves, often without medical advice. Defibrillators now a fixture in most large organizations, where non-designated medical company personnel trained and licensed to shock a worker & # 39; In addition to CPR and heart.

supplies, such as instant clotting powder, special bandages, compression diabetic socks that were not previously available in pharmacies that are now commonplace. But many of these products as much harm as good, if not used properly.

Self-care, at least in several versions usually include some kind of relationship with the health system, teaching people, when you need a professional, how to do a self-examination without medical supervision and care conditions. eg changing bandages wound dressings without the presence of home care support.

And with the advent of drugs, televisions approved by the new and off-label use of FDA awash with advertisements in the advertising of new drugs and therapies that embrace the incredible benefits than Viagra, resulting in panic he runs for patients doctors are demanding a bucket of things that Viagra is one of the most profitable drugs ever be selected.

Television advertisements for pharmaceutical companies now target the consumer directly to the demand for their products, which are only prescribed by a physician, are common as well. In addition, the small print and strangled high-speed speech, pharmaceutical companies attempt these ads, it is not responsible for the drugs advertised directly to consumers can have side effects that can seriously mess of a person, or even can cause death, while at the same time consumers are trying to ask the doctors of these medicines. This radical change in the supply chain and marketing of new pharmaceutical products and protocols.

So, what do the medical nationality? Turn to the Internet, of course, the Information and Social Media discourse. After all, the Internet is now the primary source of health and medical information and social communication.

Today, more than one hundred million Americans & # 39; s online computers, tablets, mobile phones, watches and smart to find applications with highly specialized support, such as a menu in a Greek restaurant. If it is difficult to choose wisely.

The problem is consuming a useful and credible information garbage in, garbage out, or commercial sites wanting to sell goods and services to each user searches performed on target transmitted by users, advertisers cookies and Flash Player LSO k.

Most people are probably not OK, and there is no doubt responsible for using this resource. and perhaps develop an extension of the patient & # 39 These resources; s life and allows them to find the other communities & # 39; and suffering from the same disease as they are, and provide assistance in health outcomes and help contain health care costs for society. Getting started with virtualization, telemedicine, medical and hospital assessment web pages and long-distance robotic surgery, and even areas such as quantum medicine, which seems as if it comes straight out of a science fiction novel.

Should this lead us in the future remains to be seen, and not finally addressed in this essay.

This leaves us with the question in dispute disease. By contrast, the disease is like a clogged artery must be repaired with a stent in a catheterization laboratory, an interventional cardiologist or an infection that must be treated with antibiotics by a doctor, many diseases are unexplainable by conventional medicine as opposed to the disease clearly recognized healthcare providers. Diseases often simply dismissed the official medicine such denial or refusal of insurers to pay for treatment. a description of the occurrence of

But the same collective array of symptoms similar to those of thousands of people to communicate with one another using self-help groups can lead to a change of heart in the medical establishment. Not to mention that diseases with a social stigma with them, where the patient is blamed for their symptoms, such as obesity, despite the fact that cause diseases obesity, depression, addiction, and numerous diseases has not yet been classified in the disease and for which there is a biomedical solution .

groups are also online support, and have those terms in the lead, as in the case of fibromyalgia, which has as a curable disease, but for a long time was today attacked by disease declined professionals, as people too lazy to work, or just looking for painkillers. What is certain is that online support groups for people the opportunity to exchange information with each other and become an expert medical problems.

free online self-help groups and very effective. People Helping People. It's a simple concept, especially in an era when the nuclear family almost extinct in Western society that people are now looking for a large family. But self-help groups, which are independent and autonomous in theory, is still susceptible to the traditional collective problems such as competition within the groups, the non-compliant members, etc. They are also the target of commercial interests, for example, when a user who does not know how to surf anonymously receive hundreds cookies on the device they are using, and then begin to befoghat ads by commercial interests, or worse, spam and theft of personal information.

Self help groups offer other benefits, such as "clearer cope with chronic illness and life transitions, friendship and belonging, spiritual renewal, increased political activism, strengthening civil society and reduced Healthcare Resource Use" (Humphreys, Keith , social Policy, Spring 97, vol 27, Issue 3 Pages 2-5)

True, the "social movements see themselves as omnipotent and omniscient are often dangerous." (Humphreys, Keith, Social Policy, Spring 97, Vol 27, Issue 3 Page 5)

You can take a horse to water, but can not drink it. Many people are judgmental and rear set too intent in ways that may damage or disrupt the best of intentions, among many others.

Many medical professionals feel that patients play doctor carries potentially serious risks, since the patient is not a doctor or a qualified health care professionals. On the other hand, many people say the same experts and professional groups that have previously enjoyed unquestioned stature and in many cases offense being questioned or challenged.

But a patient is a complex disease possibly other accompanying diseases Internet gives them unlimited access to the latest research, medical treatment, medicines and many other research, the physician may not be aware of.

Difficult patient loads the doctor does not have time to spend researching medical literature of all worlds FDA new drugs and procedures. After the doctor sees the patient, they often do not give that person & # 39; s situation is another thought, as they further 30 patients to see that day plus hospital rounds.

But if a patient is in relatively good intelligence, and probably they have much more time to research the specific disease or diseases that ravaged their quality or life, ability to work or career development, relationships with suffering, it is a logical assumption that enough time and persistence, patients find the right treatment options, or the right of doctors to relieve most of the symptoms or possibly cure them completely.

If the patient remains obedient, do not ask questions, does not review or complex medical bills inspectors did not understand the billing codes, then the patient probably will not get the best possible results.

This issue has been thoroughly researched by the Institute of Medicine, and the data show that resoundingly informed patients consistently improved medical outcomes than those that suffer in silence. The data is irrefutable!

Therefore, common sense dictates that patients are proactive and learn as much as possible about serious diseases and work with physicians as a team, the goal is to get better medical care. Doctors often resist change, in which case the doctor may be in the interest of the patient.

mortality example related to cardiac catheterization and angiography are significant enough that patients should be aware of the risks of death or serious complications of the procedure, or that there is an alternative known as computed tomography angiography, which can replace half according to conventional coronary angiography in patients the cost of the traditional method, which is very lucrative as computed tomography angiography intervention cardiologists do. It is also a non-invasive procedure, which is preferred by the holder is much less risk and is also lower cost.

I'm speaking from personal experience because my own father passed away was generated after January 26, 2006, suffered from complications of cardiac catheterization and angiography procedure is unnecessary. The year before my father & # 39; he was passing a stent placed in his left descending coronary artery, which went flawlessly. Since my father retired and living in NY before he goes out to all the doctors, the annual trip to Florida where he spent the winter in the sun.

This method was chosen because the cardiologist suggested that inspected the ride before the stent. I should have known better, and stopped him, because I was the patient and the health care consumer advocacy and researched and published reports by consumers and health professionals researched diseases for a living. The name was the time of my company, "Health Reports" feature Multi Media Solutions Inc. NY company founded disability but later had to stop.

I accompanied my father to all of his doctor visits and when he went to the hospital for an outpatient procedure that was good, and he was driving his own car to the hospital in preparation to go home the same day.

The intervention cardiologist to do the procedure later said the stent was nice condition, but something went wrong, because after the intervention of my fathers limbs began turning blue cyanosis. The doctor, of course, denied that the relationship between the two events occurred within hours of each other.

The only possible conclusion I could draw was that the catheter chipped a piece of calcified plaque and submitted probably in his lungs as a emboli, as developed severe respiratory distress immediately after the angiogram. Now that was to be the largest ever accidental or a terrible medical error.

So routine preventive screening, where I'm going to drive my father's home that became a hospital one week after which it moved to step down rehabilitation facility and was expected to recover, and go home.

should have been the night to go home to continue his recovery at home, I visited with my daughter, and immediately saw that there was something bad.

Since there is only one doctor on the floor about 50 adult residents, I practically had to physically pull the doctor's room, where the only suggestion was that he go back to the hospital. He comes to the rescue 30 minutes to Hime is a major trauma hospital was literally just a few hundred meters from where he was. I had wheeled her to the ER faster.

died around 2:00 the next morning. They said he died of mesothelioma. I knew that was impossible, because I never heard a man coughing once in their life, or present symptoms of mesothelioma and I've been in the business for years with her and her son.

Then, recently, when he was hospitalized with a Florida hospital severely low potassium, which can easily be remedied by a few days of IV potassium infusion, cardiologist walked into the room and said he wanted to do an angiogram just before the discharge to check the stent to a year before I did, and I knew I was okay, and it was close the argument, because it questioned the authority. Finally, he acknowledged that the risk of death or complications during cardiac cateterization was not insignificant. Finally, he agreed to a non-invasive cardiac ultrasound, which showed nothing wrong. Why

And it was not a relationship I'm still in the hospital. He was released the same day, and when I saw the regular cardiologist in New York, called the name of another doctor rather not repeat, and said he might have saved his own life by challenging the man who had never seen before or since.

The thing is I only know because I am an experienced Medical Literature Research but it is blocked.

Because too often, patients are not informed of other treatment options you will ever wrong, or for that matter, the risks associated with possible variety of methods, because doctors simply are not aware of or do not care or want to make the most money. Today, hiring an expert to research the medical literature is not a bad idea. And even a single patient's Advocate is a growing area which is not a professional qualification required is a good idea if you can afford it, because once the flat on your back and not on the control and may not even be a family with the help of personal patient's Advocate can a good idea.

This is the new reality of health. It's hard to be a practicing physician these days because the degree of innovation, problems that regulators a businessman engaged in that hospital patients, litigation, etc. Many doctors & # 39; It can not handle, and quit drugs. And more and more difficult.

Common sense also dictates that there is no longer a monopoly of medical information in this new era of instant information and mass communication and transparency, as the revolution is a good thing once in a while.

Ultimately, as this essay tries to manage or non-medical self-help groups and self-care alternatives for positive materials or harmful challenges of medical care and how to set against each other, and that the consequences of such an analysis, it is concluded with absolute certainty that the polio vaccine, which resulted in a tsunami consists of medical advances since its release to help doctors cure the disease, and now a new, ever-changing era of unprecedented progress in medical science, information and transparent social communication.

The cost of medical research and care as a result of these advances have skyrocketed to the point that the medical resources that can be used to more cost-effective manner. Furthermore, the issue of rationing medical care is one of the social policy makers should be given great weight in its deliberations next year, since the implementation of the Affordable Care Act.

The questions are so complex that consumers choices in a very difficult period, to how best to care for themselves and their families. Just picking a health plan can be a nightmare for families and professionals in a variety of designs can work with families in a variety of prices & # 39; Depending on the benefit or detriment of the socio-economic status, medical history and lifestyle.

If these improvements are not enough to contend with, the current power of the Internet as a source of both information and now also a strong social environment in which people can interact with each other to be seen in the mass as a benefit in a system that you need for the checks and balances of registration, many stakeholders, many of whom lack the patients & # 39; s best heart, but also motivated by greed or simply incompetent profession.

Self help groups are becoming self-sufficient in a patient or a loved one, or an attorney is involved in the management of disease and illness to work dynamically and in collaboration with their doctor, including new medical landscape since the genie has escaped of the bottle, and we do not look back, but you have to expect that a system for patients and caregivers working in a team shoots the healing process and improve the quality of life of citizens.

So what the future holds. The last 30 years have seen an evolutionary leap more than likely see a century or more. Now with new technologies such as 3-D printing and copying, and computer-aided manufacturing and new medical areas such as the principles of quantum physics that uses quantum medicine to better understand the biology of future opportunities mind boggling. The civil war only 152 years ago. Since then, mankind has developed a way of life that sustained civilization some 200,000 years astronomical rate. We can accommodate so many changes so quickly?

Gene Roddenberry foresaw the future beginning in 2236, 220 years later with the release of Star Trek, which is an autonomous steady movement. So what is our fate, or perhaps the prospect of Gene Roddenberry James Cameron & # 39; and "Terminator," where mankind spark an extinction-level event of accidental or terrorism. Only time and the man & # 39; and ingenuity will tell.

Stuart J. Goltzman January 2, 2016 22:40 Eastern Time

Copyright, reproduction is allowed without any changes.

cited works

(Humphreys, Keith, Social Policy, Spring 97, Vol 27 Issue3 Pages 2-5)

(Humphreys, Keith, social Policy, Spring 97, Vol 27, Issue 3 Page 5)

Source by Stuart Goltzman

Evolving Healthcare Trends

The model has been changing trends in the health system during that time. The old trend given the importance of the individual patient and the focus is on the treatment of disease. The aim has been to the hospital inpatient admissions, fill the beds, and a greater emphasis on acute in-patient care. The role of leaders was to run the organization and coordinates the services of the old paradigm. In the old system, all service providers are essentially equal. Hospitals, doctors and health plans separately and not integrated.

Recent trends emerged was the importance of the overall population. It's not just the disease being treated, but stressed promoting wellness of people. The goals of the health system, having evolved in recent years, all levels of care, which continue. The role of the leaders of the new paradigm wider. They see the market and help the quality and continuous improvement. Not only it is running the organization, but also to go beyond organizational boundaries. The evolving system, differentiated service capability. Hospitals, doctors and health plans formed the integrated system.

One of the current trends in health care delivery model of continuous stressed. The key is not just the professionals treating patients for the disease, but they promote and implement high-quality health care. For example, when a patient visits the doctor for high cholesterol. He has not only given a medical treatment, but he also offered to attend a group meeting where information is available about how lifestyle, behavioral change can help. Patients and clinicians learn from each other. Another current trend is to look after the health of the population is defined, not only for the individual patient. All health needs of the population as a whole are identified and served. We emphasize that the use of community health and social services. Healthcare has become a population-based. Another trend that emerged that hospitals, doctors and health plans have created a connected and integrated system. Additional investments are being made in order to service customers, and these things.

There is a beneficial effect on the health transition towards emphasizing the continued health. The road to health has been viewed in the past has been changed. Shifting care for the treatment of acute diseases, in addition to increase resulting in a continuous supply of the population's health. The only appropriate and viable model is to provide a continuum of care to focus firmly on family and community. In terms of public health and community as a whole. This is beneficial because it creates value for our health care delivery system. Health care providers working in the community as a whole, and to consider improving the health status of the population. Despite the fact that this new way of organizing and managing health services, it helps to understand the health needs of the target group. By studying their needs, proper health and social services could be provided for them. Examples promote wellness for the whole community organizing health campaigns and preventive education to ensure that people in general. Another example is the insurance awareness of influenza vaccines and encourage people to vaccination.

integrate

health care system resulted in some benefits for patients. For example, it may offer alternative sites, depending on comfort care. It helps to meet the needs of customers and they have to be considered. The number of providers has expanded, and the patient is given a choice. The relationship between providers and health plans to organize the current trend and ensure that appropriate care in a comfortable way to the customers.

There are budgets and expenditure targets set out for the populations which means that you need to be effective and efficient. The formation of strategic alliances, networks, systems and physician groups to add value. There capitata payments and budgets allocated to health care organizations. They serve to supply a defined population. The organization can be like to improve the payments and budget expenditures of the company increased. As a result of management decisions, such as by forming strategic alliances with other organizations and to increase the overall resource. The growth of these networks help us to better care for customers. Financial resources will greatly affect the efficiency and productivity of the organization.

Population aging affects health care. Increased demand for primary care for people over the age of 65 and over the age of 75. The treatment of chronic ethnic and cultural diversity also affects the health delivery. It is a challenge to the patient's expectations, on the other hand, a diverse workforce, on the other. Biological and clinical disciplines met in technology development and lead to new treatments. This has led to open new plants and treatment throughout the body. External forces changes in some areas of the supply of health professionals such as physical therapy and in some areas of patient care. Management compensates for these shortcomings and improve the care of the different teams in different jobs. Changes in the education of health professionals suggests that creative leadership in providing health services. With the increase of diseases such as AIDS and morbidity of drugs and violence, more and more community agencies to work up the social support systems and the need for management of multiple chronic care. The development of information technology is another area where you need to train health workers in the new developments. It should also be accessible and rapid exchange of information confidentiality. Growing expansion of the world economy has led to a more competitive economy, strategic alliances, patient care across the nation and in different cultures.

Current environmental trends affect the health service model. Organization & # 39; and the success depends upon the internal and external environment. The complex environment composed of heterogeneous parts uncertainties and lead to a different organizational system. The current environmental trends affect managerial and organizational decision-making. The unique challenges of health care organizations should be analyzed in order to develop and implement new and effective operational processes and strategies. As the impact of current environmental trends, health care systems need to improve individual, team and organizational accountability and performance. The impact of advances in medical knowledge and the information technology in the process of providing health services must also be considered and should be leveraged to improve the quality of care, process and cost control and revenue. New strategies should be defined and implemented to improve learning and performance to create a culture that supports accountability, safety and high quality care. In case of innovative models of healthcare delivery may be required to develop and implement strategies that promote organizational success and competitiveness.

Because the current environmental trends, greater emphasis is placed on the customer and there is even a patient-centered care. The health service model has to shift to community-based care. There was no major change care processes. The traditional way of review process is underway and a number of tests are performed to meet the needs to improve the quality of care. Because of the shift in trends in the environmental health service model, more emphasis is placed on improving quality. This will help level the key processes in the body. The performance levels measured errors are eliminated and new features will be added to meet the customer & # 39; s need effectively.

There is a new emerging trend of contemporary American health care system. Currently, management, research and evaluation recommended more recognition. The new trend shows that this leadership and organizational effectiveness slowly forming an integral part. The emerging information management efforts, it leads to clinical and financial networks. The tendency among doctors and nurses so that they become more involved in leadership activities. The trends are changing leadership role with regard to performance and changing values. The role of finance managers are increasingly recognized and human resources. Management training, lifelong learning and preparing the future leaders offered distance.

Health care executives and managers will be faced with a major task and challenge in the coming years. They will work with other health care providers and will be a competitive future for the organizations. They are not only the governing bodies, but the power market, the services and joint ventures. Formation of a growing number of strategic alliances and partnerships will lead to manage across borders. The management change management of the department manages the continuum of care. The management will be the next community-based approach. Trend leadership is shifting to providing only improve the quality of co-ordinating services.

Because of the growing needs of health, the management is responsible for forming requirements. The leadership is challenged to maximize the productivity and quality to serve the needs of the healthcare community. The management is taking care of the needs of the external environment and the part that the performance of the internal environment. The management is responsible for the organization's performance.

health organization's leadership will respond to the new trends and competition. It will respond to the continuity of care, general health status of the population and more complex organizational structures. These new trends will affect the health care system of the organization & # 39; s leadership. Future leaders need leadership skills and vision to integrate into your organization and help you get the best care. The leaders will be dedicated to the management and to work to the best place in organizations and help your body to adapt to changing circumstances. More value is given to leaders who will be able to lead the change process. The changes are inevitable in the development organization, managers should be able to determine whether the change is not received, therefore, how to communicate at all levels of the organization without harming the implementation process. Leaders may have to deal with increased pressure due to organizational complexity.

The leader of the organization provides the strategic direction of the organization treats the various stakeholders become mentors management, willing to take risks, helps the body to interact with the external environment and participates in satisfying the internal needs. If you need to involve senior doctors governance process and align the physician and organizational interests. We will require the development of learning organizations. Transformational leadership creates the necessary vision for the organization. Leaders will have a greater role to the complexity and they themselves are changing quickly to new situations. The health organization's leadership will live up to the values ​​of the organization and help in fulfilling the mission of the organization.

by individuals and groups of healthcare organizations increasingly require competencies. Because of the enhanced lifelong learning in fast changing environments. Individuals and groups will be benefited from the health organizations as there will result in an increase rapidly developing medical technology services. More sophisticated health services will be provided to consumers. The range and quality of services provided will be regulated for the benefit of people requiring home care, long term care and ambulatory care. The expected future development may also lead to increased competition within the organization of health services. Individuals and groups are also involved in a growing number of community issues such as drug abuse, teenage pregnancy and violence.

Individuals and groups are facing increased strategic planning and management of healthcare organizations, there will be an increasing involvement of the trustees and doctors. As for the future environment will be more complex, organizations, individuals and groups, health organizations may feel more pressurized. I need to serve the changing needs of the community's population is growing older patients. These individuals will require more professional training, increased education, and therefore participates in continuing education programs.

Due to the expected future development of healthcare organizations, those individuals and groups will appreciate, those who adapt, committed and able to add value and accept the changes. These individuals will need to experiment more and help redefine the mission and goals of health care organizations.

Source by Meenu Arora Kapur

PHCS Health Insurance Quotes, plans, and the company's opinion

If we look at health insurance is very important to keep in mind that a lot of companies out there that will try to offer you the best price for your needs. However, not all of them known throughout the United States, and not all of them offer the same benefits. One of the many companies that cover the continental United States PHCS best known private health care systems. These are the primary national PPO network and health management products company Multiplan.

Before turning to the PHSC it & # 39; It s important to know a little more about the parent company. Multiplan was established in 1970 and is the oldest and largest independent network-based cost management solutions. They are more than half a million health care providers that the service is expected to be 40 million consumers. On top of millions of consumers around the estimated 70 million sets that are processed through Multiplan & # 39; s networks each year. How is this health insurance option?

Second Private Health Care Systems (owned by Multiplan as mentioned earlier) is the largest protected preferred provider (PPO) any organization in the United States. The approximately 450,000 members took part in one of the 4,000 establishments PHCS members have access to a variety of service providers across the United States. They are also the first and only five toilets network to search for extensions URACA and the National Committee for Quality Assurance (NCQA) Quality of two nationally recognized quality assurance organizations.

PHCS & # 39; mission is to get in touch with the service provider in order to allow network members to visit them at lower costs. The network also has something called a "great power retention rate," which means that if a customer chooses a general practitioner (PCP), your doctor will still be available throughout the health plan. Most people are members of this great network include large employers such as firms, companies, commercial insurance carriers, managed cared for regional organizations and third party administrators. The PHCS Network offers the following members:

Access National High Cost savings: No matter if the members from one coast to the variety of services they offer to the other. You can contact them (866) 750-7427, how much you can save on health care costs.

PHCS Healthy Directions: There is no need of a HMO, PPO or a POS because they pay the full fee for services when a member travels to school or going out of range. As a member you will be able to leave in order to choose a provider within the national network to reduce out of pocket costs for members of the PHCS Network, and to call a toll-free number for identification card provider data.

Quality: PHCS not only link to a number of small networks and filters, rather than to set up a national network which allows them to credentials and re-credential their providers, to maintain the high quality of health care.

My Health Care Systems is a healthcare management company, as well as network-based insurance. PHCS is the second largest independent health management company operating in the United States today. Health care management professionals are reviewed patients & # 39; in some cases that patients receive the best treatment available, as well as providing them with the freedom of different options to suit individual nest utilization review is required. You are able to apply this care in the areas of business where it makes the most impact. PHCS Core Plan for the following applications management products, however, important to keep in mind that you can add some additional products that will be discussed below in addition to the core values ​​too.

Core Value Plan:
is a first-time review of
2. Certification
3. Discharge Planning

additional modules which are available at:
1. Chiropractic review
2. selective CT / MRI review
3. Foot Care review
4. Outpatient Rehabilitation review

Source by James J. Robinson

Statutes American health care system

The health care is the subject of a number of federal laws, regulations, directives, interpreting information and the model guidance. There is a considerable number of laws and regulations that affect the delivery of health care. The legislation of the legislative that has been signed into law. The legislation directs any person to take steps to support the authority in certain situations, or refrain from doing so. Statutes are not self-enforcing. Someone should be allowed to do in order to take action. The law may authorize the Department of Health and Human Services to take action, and it is up to the department to implement the law. Regulations or rules made administrative personnel who legislators delegated these tasks. It is a tool for developing policies, procedures and practice routines that tracks the expectations of the regulatory and organizational units. subject to judicial interpretation of laws and regulatory requirements.

A very important component of health care management to understand the key regulatory environment. A government regulations affecting the patient's health care Anti-Kickback Statute. The Medicare and Medicaid patients Protection Act of 1987 (the "Anti-Kickback Statute"), was adopted to prevent improper utilization of the health service referrals. The government in respect of any incentive for potential violation of a referral to the law because of the opportunity to reap the financial benefits to entice, to provide referrals that are medically unnecessary and thus increase health costs and potentially putting patients & # 39; and the health risk. The Anti-Kickback Statute is a penal code. Originally adopted almost 30 years ago, the law prohibits the intentional or initiate requests or adopt any type of remuneration to induce referrals to health services that are reimbursed by the federal government. For example, a service provider does not routinely waive the patient & # 39; s visit fee is not deductible. The government sees this as an incentive to the patient to choose the service provider does not benefit health reasons. Although these prohibitions initially limited to services reimbursed by Medicare or Medicaid programs, new legislation has expanded the law & # 39; and it reaches that each federal health program. Since the Anti-Kickback Statute is a penal code, a violation constitute crimes, criminal penalties up to $ 25,000 fine and five years in prison. Routinely waiving copayments and deductibles will result in violation of the law and the usual penalty. However, a safe haven has been created where the provider name as canceled on the basis of the patient & # 39; s financial needs are not penalized. The 1996 enactment of the Health Insurance Portability and Accountability Act (HIPAA) has a level of complexity that the Anti-Kickback Statute and the accompanying safe harbors. HIPAA mandated to give the OIG (Office of Inspector General) providers seeking advisory opinions that either an agreement or a planning agreement which does not correspond precisely to the law. The award, the OIG would analyze the layout and determine whether it could violate the law, and that the OIG would be the layout of sanctions. Many advisory opinions published in recent years, the OIG said it would not be sanctioned, although it found that the agreement in question violate the law. The most common reasons given to the OIG that no sanctions was that the entire layout of benefit to the community. Healthcare professionals need financial ensure that all business transactions comply with the Anti-Kickback statute.

The Anti-kickback laws affect the patient. The main objective of this legislation is intended to improve patient safety, make amends and avoid risk. The result of the acquisition doctor & # 39; s practice is intended to interfere with the physician & # 39; s subsequent judgment, what is the best treatment for the patient. It also interferes with the recipient & # 39; s freedom of choice of providers.

Doctors in direct patient care responsibilities. Any such incentive payments to physicians that are connected to or based on the total cost of patient care or the patient & # 39; residence time and reduce the patient services. Furthermore, the profit generated cost savings can induce investors to reduce medical services to patients. Health programs operating in good faith and integrity of healthcare providers. It is important to ensure that the quality of services at the hospital. The Anti-Kickback law promotes the government does not tolerate misuse of the reimbursement system for financial gain and hold those responsible accountable behavior. Such behavior is immediate patient complaints. Hospitals and doctors who are interested in structuring gainsharing measures adversely affect patient care.

The Anti-Kickback law creates a protective umbrella, the zone where the protection of the patients with the best health care is provided. This law promotes efficiency, improve quality of care, and better information for patients and doctors. The Anti-Kickback law is not only criminal prohibition payments intentionally cause or reward referrals or generation of federal health care business, but also to deal with the offer or payment of anything of value in exchange, leasing, ordering any product or service to be recovered all or part of a federal health program. It promotes quality and efficient health services, transparency of health care quality and price.

There are millions of patients without insurance who can not pay the hospital bills. Which patients benefit hospital charges not provided does not indicate a Federal anti-kickback statute. The purpose of most of the demand-based discounting policies of health care cheaper citizens do not have the millions of insured who are not in the hospital referral sources. Because these discounts are not insured patients, the anti-kickback laws simply do not apply. It fully supports the patient & # 39; s financial needs is not an obstacle to health care. In addition, OIG legal authorities permit patients or Medicaid and Medicare beneficiaries in hospitals and other bonafide discount you are not insured, who can not afford the medical bills. The Anti-kickback laws concerned about improper financial incentives, which often leads to abuses, such as overutilization, increase the cost of the program, the corruption of medical decision-making, and unfair competition.

There are risk management implications of this legislation. There are risks to the Anti-Kickback statute and its good to prevent them. Instead of an imposing and formidable challenges to our understanding, the result can be the development of risk management systems to control health care. This fact is acknowledged that the statutes of such an important feature of the risk management specialist. For example, there are potential risks arising from the hospital contacts the Anti-Kickback Statute. In the case of joint ventures between was a long-standing agreements concern in a position to refer, or generate federal health insurance program business and the products or services reimbursable federal health programs. In the context of joint ventures, the main concern is that your salary in the joint venture may pay a hidden past or future referrals to the company or one or more participants. Risk management should be made by the knowledge of the way in which the selection of the joint venture participants, and remains, the way in which the joint venture is structured and the way in which funding and allocation of profits of investments. Another area of ​​risk in the hospital & # 39; s compensation arrangements for doctors. Although there are many legitimate compensation systems business rules, but violating the Anti-Kickback Statute, if the purpose of the arrangement is to compensate doctors for past or future referrals. Risk management is to follow the general rule is that any consideration flowing between hospitals and doctors to be fair market value of the actual and necessary items furnished or services.

Risk management entities are also required, as in cases where the source of the reference in the hospital or other service suppliers. It would be prudent to hospital to check carefully any remuneration flowing to the hospital in order to ensure compliance with the supplier or the Anti-Kickback statute. In addition, many hospitals an incentive to recruit a physician or other health professional to join the hospital & # 39; and the medical staff to provide medical services to the surrounding community. When used with the required doctors to an underserved communities, these rules can benefit patients. However, admission rules pose a significant risk of fraud and abuse. This can be prevented with the knowledge of the size and value of the admission benefit, duration of payment of the admission advantage of the existing practice of medicine and the need for recruitment. Another area where risk management should be applied when they receive the discounts. The Anti-Kickback law contains an exception for discounts offered to customers that claims the federal health care programs. The discounts must be published in the manner and accurately described. The regulation stipulates that the benefits shall be provided at the time of sale, or in some cases you have to set the time of sale. This helps in risk management. It is also necessary for medical staff credentialing and malpractice insurance subsidies.

The key areas of potential risk due to the federal Anti-Kickback law is pharmaceutical Relations Group 3: buyers, doctors or other health professionals, and sales agents. Activities that may pose a potential risk to include discounts and other terms of sale offered to customers, product transformation, as consultant payments. The drug companies and their employees and agents shall be the constraints of anti-kickback laws sites in marketing and promoting the products paid for by federal and state health care programs are aware of. To this end, it suggests drug manufacturers to ensure the draft guidelines to fit the area for such activities under one of the safe harbors anti-kickback laws. The Department of Health and Human Services announced the safe harbor regulations that protect certain rules laid down by the indictment of the Anti-Kickback Statute.

Healthcare to be one of the most regulated in all sectors of the trade, it is important that all facts and circumstances regarding the laws and regulations are evaluated.

Source by Meenu Arora Kapur