E Health Is Combined Use Of Electronic Information Technology Essay

E Health Is Combined Use Of Electronic Information Technology Essay Health is a major concern for everyone in this world. The implementation of Information and Communication Technologies in the medical field has modified the present definition of health care. It suggested the solution that can benefit both patient as well as health care professionals. eHealth provides solutions in a wide spectrum and it includes various health care products, systems and services. It includes tools for health professionals as well as for patients and citizens. Various services or systems that are covered under eHealth are; health information networks, electronic health records, telemedicine services, Consumer health informatics, Healthcare Information Systems, Health knowledge management. Patients share their health information with their physician in order to improve their health treatment. Patients Information is stored in Electronic Health Record. It has been observed from a survey conducted in Sweden that 95% of all documentation in primary care is made in electronic healthcare records (1). Almost 55% of the Pharmaceutical prescriptions are issued digitally in Sweden and transmitted directly to the pharmacy store (1). The challenging issue which is associated with the eHealth system is the protection of Medical Records. Since the data is transmitted over the network from one place to another so it is suffering from the major security concern. An electronic medical record (EMR) stores personal data which includes medical test results, prescription, hospitalizations, etc. Privacy in the ehealth system can be classified into two categories; Content oriented privacy and contextual privacy (2). So eHealth system can be termed as a secure system if it can deal with both these aspects of privacy. Content oriented privacy indicates the capability or authority of the health care stakeholders in disclosing the patients personal information to other parties (marketing, insurance) whereas contextual privacy indicates the ability of a malicious entity to guess the disease of a patient correctly by identifying the field/domain of his physician. Background In earlier days physicians used to use paper charts for recording the encounters with the patient. Details about medications, lab tests, X-rays etc the patient has taken, needs to be recorded in the chart for future reference. As the medical care became more and more complex, it became tedious for physicians to maintain a good patient record on these paper charts. They needed new technologies to help them to cope up with the increasing needs. With the advancement in the information and communication technologies, the idea of storing the patient records electronically came in around 1960s, when Dr. Lawrence Weed introduced the concept of Electronic Health Record. Weeds innovation allowed a third party to verify the diagnosis to avoid any errors. In 1972, Regenstreif Institute developed first medical record system which combined both inpatient and outpatient data recording (3). Electronic Health Records (EHR) Systems stores the entire health and medical history of a patient in a computerized, electronic format. The record includes the details about patient demographics, progress notes, medications, past medical history, vital signs, laboratory data, immunizations and radiology reports. Keeping these vast records in this organized manner, makes it more efficient to retrieve and maintain, when compared to the paper charts (4). As the medical care and the information technology became more and more complex, it became necessary to share the patient records among the various medical departments like clinical, nursing, laboratory, radiology, hospital administration etc in order to maintain a proper medical record about the patient. When the health records including sensitive data about the patient were shared electronically among the different departments, privacy and security problems became a major challenge to the EHR systems. The recent studies on security and privacy concerns in EHR systems shows that, there is increasing number of threats resulting from the distributed and decentralized implementations of EHR Systems, and also the use of communication over open and insecure internet. Unauthorized accesses, Denial of service are to name a few. Lack of standardization among these systems made it very difficult for the system administrators to implement a secure system (5). Research Problem The main problem associated with an eHealth system is the privacy, security and confidentiality of Electronic Health data (EHD). EHD stores private and sensitive data of the patient and data of EHD is used by physicians, nursing, laboratory, and pharmacy. The publication of personal sensitive data can seriously compromise the patient privacy. Due to this reason many individual does not go for eHealth treatment since they are afraid of the loss of their Health record including information about their illness or disability. In a survey conducted in Canada, it has been found out that 11-13% of Canadians have held back information from a health provider because they were afraid of the privacy of their data (6). In a survey conducted in America, 77% of the population is concerned about their medical information being used for marketing purposes (7). We are trying to figure out the peoples concern about the privacy of their health care record at Stockholm. We will examine the opinion of pu blic regarding the privacy of their health information and accessing eHealth service. Question The research questions drawn from the above problem set are: To what extent, privacy of health care records affects the individuals decision of accessing eHealth service? Are there certain groups of people for whom the privacy is a major issue while accessing the eHealth service? Goal The purpose of conducting this research is to examine the present scenario of the Health care system in Sweden. Research result will be helpful for patient, health care professionals and health care organizations. How the present scenario related to the privacy and the confidentiality of the Health care data is affecting the decision of accessing the eHealth Service. This survey will help to reveal the importance of Security in this field. Method In this section, we presented the description of the research methodology conducted in this paper, followed by the limitations of the research carried out and the reasons of such limitation. Method Description We are going to select inductive reasoning method for our research work. We will draw generalized conclusions from a finite collection of specific observations. Literature Review previous studies: we will study different literatures in the form of research reports and surveys which is conducted on EHR privacy in different parts of the world and then we will identify the present challenges related to patient privacy in Electronic health. Survey: we will formulate a questionnaire based on the identified privacy challenges and conduct a survey among the public to collect data. The questionnaire will be around 10-15 questions which will mainly focus on the awareness of e-health privacy among patients. The sample size for our survey will be around 100-150. Also we are planning to use the facts and figures available in the Internet as a secondary data source for our research. Suggested below are some of samples Do you think that your doctor should be able to access all your medical record in order to provide the best care? Are you willing to share your personal medical information to help government officials to research on disease outbreaks? Do you think that you should be able to access all of your medical records to verify the correctness of the medical record? How concerned are you about your medical records being used by marketing agencies? Formulating the Guidelines: Analyze the data collected, to derive a statistics on the research questions. We will be using IBMs SPSS tool to analyze the data collected and derive the statistics based on it. This statistics will help to find out how much the people are concerned about the privacy in EHR systems. Revising the guidelines: Based on the statistics, draw a conclusion and suggest ways to improve the privacy of patients sensitive data in e-Health. Report writing: The report will be constructed detailing the privacy challenges in EHR system and will point out the feasible suggestions. Limitations Because of the time constraint, the population that we are targeting for this survey includes only undergraduates, graduates, post graduates and post doctoral students (age group 18-35) in KTH (both Main Campus and Kista Campus). We are conducting this survey on limited range of age group, so the result will not include the opinion of elder citizens.

Kohler Company Essay

Kohler is one of the largest and oldest privately held companies in America. It started by manufacturing plumbing fixtures, famously inventing the first modern bathtub, and soon after began manufacturing small engines and generators. Today the company is also in the furniture and luxury resort business. Most of the company’s shares are held by members of the Kohler family, however 4% of the outstanding stock is owned by outsiders. Herbert Kohler Jr. , the CEO and Chairman of Kohler, would like to do what he can to keep Kohler stock within the Kohler family and its interests. This led to the 1998 recapitalization. In this restructuring of equity, family members and permitted transferees (Kohler Trusts, Kohler Foundations, ect. ) were given the option to exchange their stock for several different classes of stock, such as common stock, non voting stock, Series A and Series B. The shareholders not classified as a permitted transferee would either have to sell their shares for what an independent firm determines fair market value, or dissent and allow fair market value to be determined by a legal proceeding. The fair market price offered by Kohler in 1998 was $55,400. Kohler’s stock recently fetched between $100,000 to $135,000 and the two largest outside shareholders recently bought a combined 93 shares right around $100,000. So Gen, a mutual fund and largest outside shareholder, believed market value per share could be $400,000. Because of this discrepancy in price; outside shareholders decided to file suit against Kohler claiming the price of $55,400 undervalued the stock and was not fair market value. It is now April 2000 and Herbert Kohler Jr. must decide whether to settle with the plaintiffs or go to trail in 2 days. It was very possible that the court would determine fair market value to be much higher than price offered. Herbert also must consider that the IRS will use a court determined share price to determine the tax liability of Herbert’s deceased brother’s estate. The share price will also affect the way the Kohler Foundation could operate, since by law it must annually pledge %5 of its assets, which is mostly Kohler stock. Analysis: Much of the share price was driven by the speculation that Kohler might soon go public. Herbert thought this was the primary reason the shares were extremely overvalued. However, the assumption of a future IPO was inaccurate. One of the core values and strengths of Kohler is the private classification of equity. Kohler considers it a competitive advantage to not have to disclose its financial position to the public. Not only does it give away proprietary information to competitors, but public reporting also affects the way a company can make decisions. Kohler feels that many of the business decisions that made Kohler a success, such as investing in cast iron production at a time when the industry was moving away from it, would not have been possible if they were accountable to pubic shareholders. Without the possibility of an IPO a lower share price than what share prices recently traded for was could be justified. However, Herbert must also consider the effects of having the valuation be determined in court. The first drawback to this is how costly legal proceedings are. On top of lawyer fees and court costs, it could be very expensive to reconcile and audit all financial documents as well as pay for expert opinions concerning the valuation. Since there is no standard or correct metric to value a company, there is increased risk as to how the court will value the company. If Kohler decides to continue with the trial they are leaving themselves, the Kohler Foundation, and the Kohler estate open to a lot of uncontrollable risk. Recommendation: I recommend Kohler offer to settle with the plaintiffs at $140,000. Kohler should settle outside of court to mitigate the risk and cost associated with the trial. While the price is not ideal, settling outside of court allows Kohler to control the price at a manageable level. This will be the best way to hedge against risk and lookout for the interests of Kohler, the Family, and its charities. In order to settle Kohler must offer a price of $140,000 to give the mutual funds the return on investment they desire. Since the purpose of mutual fund is to create value for their investors, they are probably more than willing to take the matter to court if they feel they are not receiving a fair return. The per share price of $140,000 will give the mutual funds roughly a 20% return on investment which should be enough for them to consider the offer favorable.

The Dissertation Writing Services Cover Up

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A Care Home For The Elderly - 1551 Words

In a care home for the elderly, the care worker must communicate with the elderly in a friendly and positive manner. If the care worker was walking around and sharply asking each person: ‘You want tea or coffee?’ it would seem rude. The behaviour would come across as cold, disrespectful, and mechanical . The care worker should start off a conversation first, perhaps ask the person how their day is going, and then offer them a drink, giving them the options of the drinks available. This would give the elderly person the impression that the care worker is being friendly and doing the act out of kindness, not just carrying out a practical task of their job. either way, the person receives a drink, however the actions leading up to this†¦show more content†¦The communication cycle demonstrates that effective verbal communications consists of not only speaking, but engaged listening too. When practising good verbal communication, the conversation will be able to be continued with replies and obvious interest will be shown. When the communication is verbal it s very important to make sure that you speak clearly and at a reasonable volume so that the person you are speaking to can hear what you say without feeling embarrassed if they don t understand. Another reason to speak clearly is so that a client can lip read if they need to. Non-verbal Communication without speech, such as facial expression, physical contact, hand gestures, eye contact and proximity. All of these contribute to how the message receiver interprets the message that the message sender is trying to put across. For example a care receiver may show the care giver, via body language and/or facial expression, that they are experiencing pain or discomfort, without the needs of speech/verbal communication. Similarly how if a care giver is within very close proximity of the person they are communicating with, it may give off the impression that they are being threatening, and make the person feel uncomfortable. Non-verbal communication can be very helpful to those with disabilities, as gestures and signs can be universal, however there can be problems if gestures are misinterpreted, not understood, or mean different