A rising concern with informatics and public health is the barrier between data sharing. A major challenge for public health informatics is facilitating the improved exchange of information between public health and clinical care. Many of the data in public health information systems still come from forms filled out by hand, which are later computer-coded. Some reports are electronic but the initial data still have to be entered manually, this results in serious underreporting of data. Information silos typically do not share priorities, goals or even the same tools.
Often time we don’t have any information where it came from, whether it is evidence based or wrote by any experts. Which can be very misleading most of the times. According to Shah, such mobile application and social media articles encourage patients to self-diagnose, self-medicate, and they tend to delay medical attention in most of the cases (2014). Often time it leads to an emergency situation for one individual. Second, use of smartphones and social media are very distracting, time consuming in healthcare setting if restrictions are not made.
However, most Medicaid HMO’s don’t report information so that there is no information that consumer can compare. Not all HMO‘s are alike, HMO’s are health care plans that cost less. However, in order to use a specialist out of the network a referral is required from the network doctor in other words your family
Unfortunately, we are not emphasizing on preventing diseases before they happen and this is why Americans are not as healthier as other people from other countries. Quality is hard to be define on a system that lacks of prioritizing the patient health first. Quality has not been taking seriously (Al Rashdi, 2011) Providers are afraid that if they don’t do testing on their patients they can get a lawsuit and this is just the start of a bad practice. There is no trust. The cost is completely involved in this because of what was mention before.
Medicare and Medicaid Incentive Programs – Stage 2 Meaningful Use Although most physicians may be prepared to attest to Stage 2 Meaningful Use, several of the stakeholders that they interact with may not, which may compromise their ability to fulfill all of the Stage 2 Meaningful Use criteria and lead to Medicare reimbursement penalties as a result of factors that they have no control over. For instance, there are currently no federal incentives home health agencies or skilled nursing facilities to adopt EHRs, which presents a foregone opportunity for physicians to complete electronic summary of care documents when they perform transitions of care or referrals to these care settings (CITE narsin' homezzz).
Many individuals do not have access to healthcare because of numerous reasons. People might live in areas where access to any type of healthcare seems virtually impossible because of distance and location. What could be done to help this issue is placing community health clinics and urgent care centers that are in reasonable distance in areas where transportation may be an issue. Another reason access to healthcare may be unachievable is because of time. Many people work late hours when clinics are usually open.
Although expenses are a big obstruction to treatments, so are arrogances concerning mental health. New laws may change access to mental health, although significant barriers still remain (Bazelon Center for Mental Health Law, 2015). Due to the multifaceted nature of psychological disorders, prosperous treatment frequently involves regular access to mental health care professionals and a diversity of support amenities. Regrettably, mental health care services are often not available or are under-utilized, particularly in developing countries (World Health Organization, 2012). Common barriers to mental health care access include limited availability and affordability of mental health care services, insufficient mental health care policies, lack of education about mental illness, and stigma (Unite For Sight, 2015).
This fragmentation has created complications in the process of developing United States policies that are inclusive of individuals with gender identities that do not match the gender to which they were assigned at birth. Specifically, policies surrounding gender reassignment surgeries have been difficult to develop and pass on a federal level (Taylor, 2007). To date there appears to be no specific federal level policy regarding the mental health procedures and correlated documentation required to receive gender reassignment surgery. In addition, there are very few state level policies regarding insurance coverage of these procedures (Taylor, 2007). Much of these policy issues are closely tied to the lack of consensus on the ethical, professional, and social implications of the inclusion of Gender Dysphoria as a mental health diagnosis in the DSM-V (Ehrbar, 2010).
2013).Common in more instances, spirituality is just not seen as a priority within the healthcare system with which nurses work (Nixon et al., 2013). Spirituality continues to be seen as a burden; financially, economically, and politically (Nixon et al., 2013). Inadequate staffing and economic constraints of the highly pressurized work environment place the focus of nursing care back to the physical domain rather than the holistic, despite recognition of its importance (Nixon et al.
In nearly every other sector, organizations rely heavily on technology to improve efficiency and quality—this in not the case with healthcare. One reason for the lack of HIT expansion is that there is no economic incentive for technological advances, especially in fee-for-service reimbursement plans. Hospitals may actually benefit from lack of coordination in a fee-for-service model by duplicating or performing extra tests that could be prevented through electronic medical records (EMRs) (Blumenthal, 2006). A pay-for-performance model, on the other hand, may better facilitate the growth of HIT more effectively since physicians and hospitals are driven by quality instead of the number of procedures