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The role of a chief information officer
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CareGroup History
CareGroup HealthCare System is a group of highly professional health care specialists providing best quality health care to the residents of Eastern Massachusetts. In 1996, CareGroup was formed as a merger of three hospitals, The Beth Isreal Hospital, The Deaconess Hospital and Mount Auburn Hospital. After the merger, for about seven years, CareGroup has experienced many financial problems. All the three hospitals incurred tremendous losses. But by the year 2003, the CareGroup became financially stable, with new CEOs running each member hospital. During these seven years, a new integrated technology system was implemented which was very successful and it was commended as the best technology implementation. Until 2002, all these three hospitals were maintaining independent operations. By 2002, the operations of these three hospitals were interconnected under a common IT center called Meditech software. This software center enabled the hospitals to have email applications, networking systems and access to the clinical and financial information through this IT system. This system provided significant benefits to the CareGroup both in terms of revenue and service. This IT system provided services to 3000 physicians, processed 40 terabytes of data per day and stored 900,00 patient records from the year 1977.
But on November 13th, 2002, there was a collapse of the whole network of CareGroup IT organization. There was no response from the systems for about three and a half days. The network stopped responding to any requests. There were some technical issues, which were raised due to improper IT management.
Technical Issues
• A researcher was experimenting with file sharing on a knowledge management application. This s...
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...e case, I think the CIO of the company is responsible for the network outage. There are several management techniques he failed to perform properly. He is the one representing the whole IT organization of CareGroup. He is responsible for making the business people, doctors, management heads of CareGroup, understand the importance of IT and its features. It's understandable that he failed in doing that. Another problem is that the IT department was not maintaining any documents related to software or network. There is no proper communication plan, which enable the people to interact about the changes or developments they are implementing. He failed in creating a vendor relationship. There is no proper knowledge management plan. There are no pre-defined disaster recovery plans in place. Hence, we can say that network outage was the responsibility of CIO John Halamka.
Distinctively visual language and cinematic techniques highlight to the responder the particular literal and metaphorical experiences characters are faced with, within a text. Peter Goldsworthy’s novel Maestro, Don McLean’s song ‘Vincent’ and the intriguing film Australia by Baz Luhrrman, explore the ways in which the human experiences of an individual’s connection to landscape is fundamental in shaping one’s sense of identity, personal growth and development. Composers further explore the realisation that our lives can be enriched by an understanding and appreciation of art as well as a deeper understanding of the importance of love and lust. The depiction of characters is conveyed through distinctively visual images to highlight the subsequent development of courage and resilience leads responders to a deeper understanding of how human experiences can create a sense of individuality.
The health information networks factor into the enhancement of the patient-centered management system, in that they help with the implementation of the Electronic health record. The HITECH Act for example allocated “18 billion through the Medicare and Medicaid reimbursement systems as incentives for hospitals and physicians who are meaningful users of EHR systems”(About the HITECH, n.d.). This is a beneficial way to promote the use of electronic health records and have them become universally utilized across the nation. NHIN is also an excellent network that is more widespread and contains policies as well as standards that help with the safe trade of data. NHIN is the biggest network that all other health information networks hope to achieve. The NHIN is a contributor to the expansion of the EHR and it also further improves the patient-centered management system by having the policies they have. These policies assist with keeping the information in the system safe and also helping many different entities to become a part of its use. Some of the entities involved are the Center for Disease Control and prevention, Social Security Administration, Department of Defense and Kaiser Permanente among others. Both CHIN and RHINO implement the use of electronic health record, which makes it more widespread,
One friend kills another. Speeches are presented. A war breaks out. This is the story of Julius Caesar, the emperor of Rome who was killed by Brutus and a group of conspirators. Many argue that Brutus was a patriot, and many argue that he was a betrayer. People argue that he was a betrayer because he betrayed Caesar’s trust and gave a speech against him. However, when you think of Caesar’s personality, arrogant and slightly reckless, he could’ve made bad decisions and caused Rome a great deal of trouble. Brutus was a patriot to Rome since he did what was best for the country and even took his own life instead of running away. He put his own feelings aside to do what was right.
Expanded and strengthened state private insurance companies are to be expected since more younger Texans enter the market thanks to the premium support. Texas can expect savings through more proper use of medical care, lower numbers in Medicaid, and savings from increased recipient cost sharing. Texas must refuse to comply with the new high-risk pools. There are many reasons Texas should not comply but the main reason is poor design. Currently, eighteen states have decided not to participate in these pools, Texas is undecided. Any person with a pre-existing medical disorder whom has been without insurance for six month will qualify. The law gave the Department of Health discretion in determining with conditions qualifies. Theoretically, the Department of Health could say the flu is a pre existing medical condition. If Texas does not refuse to comply with these pools it is only a matter of time before the demand will exceed the supply. A huge concern is when the funding is gone what do the state politicians do. I see two options. One, state officials will end the coverage all together and pull the plug. Two, continue to allow the program to run with the use of state tax dollars.
Based on the case study provided: Hospital A, Porter Regional Medical Centre (Hosp. A) & Hospital B Banner Regional Medical Centre and Turner Geriatric Centre (Hosp. B) merged to form a consolidated entity named “Portsmith Regional Medical Centre” (PRMC). Both Hospital A and B were fully accredited hospital, with “state-of- art diagnostic technology” which included MRI and CAT scanners, 24-hour physician staffed emergency centers. Both Hospital A and Hospital B are located in a small community of 60,000 people in southeastern part of Idaho.
The CareGroup Case Study comprises various components. The core concepts were broken down into the history of CareGroup itself, CareGroup’s IT, the collapse of the network, dealing with the collapse of the network, and the lessons learned from the entire situation (McFarlan, F. Warren, and Robert D. Austin, pg.1). CareGroup was formed on the basis of three major Massachusetts hospitals; Beth Israel, Deaconess, and Mount Auburn (McFarlan, F. Warren, and Robert D. Austin, pg.1). After a surprising merger of Mass General and Brigham and Women’s Hospital, all three hospitals in CareGroup suffered great financial losses (McFarlan, F. Warren, and Robert D. Austin, pg.2). Due to the multi-million dollar financial losses, CareGroup felt they needed a change, which is when they added Halamka to their team, naming him their CIO (McFarlan, F. Warren, and Robert D. Austin, pg.3).
The Great Gatsby, is beautifully written, and uses symbols effectively, drawing the reader in, and piquing their interest from chapter one to chapter nine. The use of color is most common in the novel, with the use of of many colors the author is able to subtly get his point across. Fitzgerald also uses locations like the Valley of Ash. Objects are used as a way to create mystery and suspense. The symbols help the reader understand the novel better by adding details that make the story more interesting.
Many people, all throughout history, have aspired to create a perfect life for themselves. However, this dream is not often very easily available. The Great Gatsby, by F. Scott Fitzgerald, is a novel about the decay of society, the blindness of love, and the pointless pursuit of the now non-existent American dream. In The Great Gatsby, Fitzgerald shows the United States not in the glittering golden light that many claimed, but rather cast in a dark gloomy haze, polluted by crime, corruption, and moral decay. Fitzgerald also strikes down the notion that foolish love is harmless. Additionally, the author illustrates that the American dream is a now no-longer existent, and foolish pursuit. Many thought the roaring twenties were the height of American society, but they were actually just the beginning of a downward spiral.
Our role as nursing leaders is to place a high priority on our commitment to educating ourselves, while improving the lives of patients through collaborative and transformational nursing leadership. I have chosen to pursue the Doctorate of Nursing Practice to transform and revolutionize best practice outcomes. While exploring program types, I considered the PhD, however this degree placed an emphasis on academics and research. My final decision was centered on how to affect change in nursing practice at the bedside. The decision to apply to Yale was based on the time-tested, world-class faculty and scholars available to the DNP student. Yale is a leader in higher education and I am seeking the very best.
Our belief states are determined by the external factors, for example, perceived complexity and priming ethics is an interesting subject and everyone lives by their thoughts and their ways. Everyone lives by a different code. The difference between morality and ethics is that morality is about primary making the right choices and ethics is proper reasoning. In the essay “The ethics of belief” by W. K. Clifford, he argues that if anything on insufficient evidence, then it’s unethical. In this essay I will remain undecided with what Clifford is trying to say. I agree and disagree with some of his viewpoints. Some I do have to say are unethical and some are reasonable. What Clifford is trying to portray is interesting. Especially since he comes from a religious background. And reading about his new discovery, is quite interesting.
“‘They score! Henderson has scored for Canada!’” Foster Hewitt wordlessly described” (Pelletier) when Paul Henderson scored the series-winning goal. This allowed Canada to win the 1972 Summit Series, a moment that no one would ever forget since it all happened during the climax of the Cold War. Prior to this, the Soviets had won the previous three Olympic gold metals since Canada could not use its NHL players. Thus, this provided Canada with the chance to play hockey against the USSR using its best players. This raised the question: if Canada were able to send its best players, would it still be enough to beat the Soviets? Everyone in Canada was certain that the Soviets would not win a single game, but little did they know they underestimated the extent of the Soviets abilities. Tied in the last few minutes of game eight, Canada had to score or they would lose the series. However, when Paul Henderson scored the game-winning goal, never before had a single sporting event meant so much to Canadians. Therefore, Paul Henderson’s goal is a defining moment for Canada in the twentieth century becauseit provided Canada with the opportunity to evolve hockey, proved that Canada and our democratic society were superior to the USSR and their communist society, and brought citizens together to unify Canada as a nation.
In the past several years the healthcare system has experienced new changes in its structure and technology. The macro trends in healthcare are healthcare reform and the regulations of technology in healthcare that the government has put in place. Healthcare systems in the past have had some real complications both in the provided care and computer technology
Fahrenheit 451 is a book about a society which is dependent on technology to a great extent. In the early 1950s, Bradbury, who was only germinating the idea for Fahrenheit 451, remarked of his anxiety about the role radio and television played in refining short attention spans. This is a story which alerts us of the multitasking danger.
The present environments for healthcare organizations contain many forces demanding unprecedented levels of change. These forces include changing demographics, increased customer outlook, increased competition, and strengthen governmental pressure. Meeting these challenges will require healthcare organizations to go through fundamental changes and to continuously inquire about new behavior to produce future value. Healthcare is an information-intensive process. Pressures for management in information technology are increasing as healthcare organizations feature to lower costs, improve quality, and increase access to care. Healthcare organizations have developed better and more complex. Information technology must keep up with the dual effects of organizational complication and continuous progress in medical technology. The literature review will discuss how health care organizations can provide effective care by the intellectual use of information.
The Civil Procedure Rules recognised in Wales and England imposes a positive duty on the court to encourage parties to use an alternative dispute resolution (ADR) procedures if the court considers it appropriate, from the forgoing it could be inferred that achieving unbiased and objective dispute resolution is no longer the exclusive claim of the adversarial legal process as hitherto claimed by liberal societies. In addition, exact practices of adversarial legal system scarcely exist, since the daily life of court now involves routine departures from its original fundamental ideals. Nonetheless, growing evidence depict that mediated outcomes are more likely to be complied with than court decrees contrary to the position of pro adversarial advocates.