Information Technology (IT) and the NHIN

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Discuss the impetus for health information exchange (HIE) in the United States.
Describe basic HIE organizational structures, architectures, and services.
Reinforce the need for data stewardship in HIE services.
Identify the state, regional, and local activities in achieving benefits and overcoming challenges for HIE organizations.
Describe the federal government’s concept of a nationwide health information network.

Imagine that you are the Director of Health Information for a large hospital. As Director, you sit on various institutionwide committees that govern the organization’s policies. In collaboration with interdepartmental committees, you have
made recommendations regarding the improvement of policies, procedures, and operations across the institution. The
CEO and Board of Directors have approved funding for several initiatives but have asked you to narrow changes to just
a few. Therefore, you will develop an action plan for the hospital.
Please follow the instructions below in completion of this Assignment.
Part Instructions
1 Appraise at least two (2) policies that cover data security (i.e., audits, control data recovery, e-security,
data recovery planning, and business continuity planning). Make at least two (2) recommendations for
improvements to the elements included in the design of audit trails and data quality monitoring
programs within the hospital.
2 Critique the systems capabilities to meet regulatory requirements by judging the technologies that
relate to electronic signatures, data correction, and audit logs.
3 Critique at least two (2) human factors and user interface design of health information technologies by
making at least two (2) recommendations for device selection based on workflow, ergonomics, and
human factors.
4 Evaluate a health information system’s architecture in terms of database design and data
warehousing. Critique issues with systems implementation related to systems testing, interface
management, and data relationships.
5 Participate in the development of information management plans that support the organization’s
current and future strategy and goals by comparing and contrasting at least two (2) issues related to a
corporate strategic plan, operation improvement planning, information management plans, and/or
disaster and recovery planning.
Assignment Details
6 Analyze at least two (2) challenges that exist in each phase of the systems development life cycle.
Distinguish issues related to EHRs, HIEs, and RECs within your analysis.
7 Analyze at least two (2) challenges that exist in each phase of the systems development life cycle.
Distinguish issues related to EHRs, HIEs, and RECs within your analysis.

 

Sample Solution

Health information exchange (HIE) is the electronic mobilization of health care information across organizations in a region, community or hospital system. Participants in data exchange are called in the aggregate Health Information Networks (HIN). In practice the term HIE can also be termed as the health information organization (HIO) that is incharge of the exchange.HIE provides the capability to electronically move clinical information among different health care information systems. The goal of HIE is to facilitate access to and retrieval of clinical data to provide safer and more timely, efficient, effective, and equitable patient-centered care, which may also be useful to public health authorities in analyses of the health of the population.HIE systems facilitate the efforts of physicians and clinicians to meet high standards of patient care through electronic participation in a patient’s continuity of care with multiple providers

Institute of Technology, looked into the portion of the brain that deals with regulating behavior and impulsivity from criminal offenders to understand whether there are predictive brain functioning that may or may not lead to reoffending (Aharoni et al.). This area of the brain is known as the anterior cingulate cortex (ACC).

The results of the study showed that criminals who reoffended were more likely to have lower activity seen in the anterior cingulate cortex of the brain (Aharoni et al.). The anterior cingulate cortex is associated with error processing, conflict monitoring, response selection, and avoidance learning. Seen on an MRI, the anterior cingulate cortex may give an explanation as to why that part of the brain may not be working correctly and gives a deeper understanding as to who is more likely to demonstrate impulsive behaviors that could lead to re-arrest (Aharoni et al.).

Another area of the brain that can predict criminal behavior is the amygdala. The amygdala is inside of the temporal lobe of the brain and functionally involves emotions particularly controlling fear, anger and pleasure. “The amygdala has received considerable attention, with numerous studies association psychopathy with abnormal size, shape, or activity of this subcortical structure that associates with structural and functional deficits” (Koenigs).

Even though neuroscience has developed immensely throughout the years, predicting criminal behavior through scans can produce a reverse-inference error. “The reverse-inference error is especially prevalent in the interpretation of brain activity in functional neuroimaging studies” (Choi). As pre

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