Question

1. What influence do state and federal law and accrediting and licensing bodies have on the type of electronic health record system technology that is adopted by a healthcare provider organization? Do you think this is appropriate? Why or why not?

2. Applying what an individual knows about electronic data of any kind, what should healthcare providers consider putting into place to protect health record data to ensure that the health record integrity remains intact as well as the health record data is available so that the patient can be treated? Is there a “one size fits all” implementation? Or, does this depend on the type of practice of the healthcare provider? Explain.

3. What does a healthcare provider organization consider when contemplating its involvement with a health information exchange (HIE)? Do you think there are additional things they should consider that may not be at the forefront of the conversation? Are there things they shouldn’t consider as highly as they do? Explain.

Answer 1

The effect of drug on a person may be different than expected because that drug interacts with another drug the person is taking (drug-drug interaction), food, beverages, dietary supplements the person is consuming (drug-nutrient/food interaction) or another disease the person has (drug-disease interaction). A drug interaction is a situation in which a substance affects the activity of a drug, i.e. the effects are increased or decreased, or they produce a new effect that neither produces on its own. These interactions may occur out of accidental misuse or due to lack of knowledge about the active ingredients involved in the relevant substances. Regarding food-drug interactions physicians and pharmacists recognize that some foods and drugs, when taken simultaneously, can alter the body's ability to utilize a particular food or drug, or cause serious side effects. Clinically significant drug interactions, which pose potential harm to the patient, may result from changes in pharmaceutical, pharmacokinetic, or pharmacodynamic properties. Some may be taken advantage of, to the benefit of patients, but more commonly drug interactions result in adverse drug events. Therefore it is advisable for patients to follow the physician and doctors instructions to obtain maximum benefits with least food-drug interactions. The literature survey was conducted by extracting data from different review and original articles on general or specific drug interactions with food. This review gives information about various interactions between different foods and drugs and will help physicians and pharmacists prescribe drugs cautiously with only suitable food supplement to get maximum benefit for the patient.

Keywords: Food-drug interaction, Cytochrome P450, Drug, Chelation

Although the health care reform movement has brought about positive changes, lingering inefficiencies and communication gaps continue to hamper system-wide progress toward achieving the overarching goal—higher quality health care and improved population health outcomes at a lower cost. The multiple interrelated barriers to improvement are most evident in care for the population of patients with multiple chronic conditions. During transitions of care, the lack of integration among various silos and inadequate communication among providers cause delays in delivering appropriate health care services to these vulnerable patients and their caregivers, diminishing positive health outcomes and driving costs ever higher. Long-entrenched acute care-focused treatment and reimbursement paradigms hamper more effective deployment of existing resources to improve the ongoing care of these patients. New models for care coordination during transitions, longitudinal high-risk care management, and unplanned acute episodic care have been conceived and piloted with promising results. Utilizing existing resources, Mobile Integrated Healthcare is an emerging model focused on closing these care gaps by means of a round-the-clock, technologically sophisticated, physician-led interprofessional team to manage care transitions and chronic care services on-site in patients' homes or workplaces.

It is for the most part a government law issue..more particularly laws, for example, Meaningful Use and MACRA which focus on enhancing populace health, information accessibility and interoperability (sharing of information), and organizing quality over amount in healthcare. Important Use specifically has more than 30+ guidelines that an EHR is required to meet, for example, appropriate and standard wording usage, and capacity to give coordinate patient access.

Obviously, States in the US being fairly sovereign..many have trail-bursted before the government paid heed or based upon these demonstrations of bureaucratic enactment sometime later.

A typical state based program that is attached to EHR is one that focuses on the interoperability to put in additional measures to enable therapeutic records to be exchanged. This frequently comes as States setting up principles, norms, and bodies to administer therapeutic record sharing, for example, Health Information Exchanges (HIE).

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Electronic health information exchange (HIE) permits specialists, attendants, drug specialists, other health care suppliers and patients to properly get to and safely share a patient's indispensable therapeutic information electronically—enhancing the speed, quality, wellbeing and cost of patient consideration.

In spite of the far reaching accessibility of secure electronic information exchange, most Americans' restorative information is put away on paper—in file organizers at various therapeutic workplaces, or in boxes and envelopes in patients' homes. At the point when that restorative information is shared between suppliers, it occurs via mail, fax or—in all likelihood—by patients themselves, who much of the time convey their records from arrangement to arrangement. While electronic health information exchange can't supplant supplier persistent correspondence, it can extraordinarily enhance the culmination of patient's records, (which can bigly affect care), as previous history, current pharmaceuticals and other information is mutually explored amid visits.

Proper, convenient sharing of indispensable patient information can all the more likely illuminate basic leadership at the purpose of consideration and enable suppliers to

Stay away from readmissions

Stay away from pharmaceutical blunders

Enhance analyze

Abatement copy testing

On the off chance that a training has effectively consolidated faxing quiet information into their business procedure stream, they may address why they should change to electronic health information exchange. Numerous advantages exist with information exchange paying little respect to the methods for which is it exchanged. Notwithstanding, the estimation of electronically trading is the institutionalization of information. When institutionalized, the information exchanged can consistently incorporate into the beneficiaries' Electronic Health Record (EHR), additionally enhancing patient consideration. For instance:

On the off chance that lab results are gotten electronically and consolidated into a supplier's EHR , a rundown of patients with diabetes can be produced. The supplier would then be able to figure out which of these patients have uncontrolled glucose and timetable vital follow-up appointments.1

There are at present three key types of health information exchange:

Coordinated Exchange – capacity to send and get secure information electronically between consideration suppliers to help composed consideration

Inquiry based Exchane – capacity for suppliers to discover as well as demand information on a patient from different suppliers, frequently used for spontaneous consideration

Shopper Mediated Exchange – capacity for patients to total and control the use of their health information among suppliers

The establishment of norms, approaches and innovation required to start each of the three types of health information exchange are finished, tried, and accessible today. The consequent segments give point by point information and precedent situations for every one of the three structures.

-Do Ask if any Doubts.

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