ASSIGNMENT 1

4 PAGES

APA FORMAT & 3 SCHOLARLY REFERENCES

The use of health information technology (HIT) has increased dramatically over the past decade, resulting in the federal government enacting several pieces of legislation such as the Health Insurance Portability and Accountability Act (HIPAA) of 1996 and the Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009. Continuing to build on your proposal for a healthcare facility from Weeks 1 and 2, you are assigned to research and discuss the following:

• Discuss the financial and health benefits that can be realized by implementing an electronic health record (EHR).
• Research and explain the estimated cost of implementing an EHR and the estimated cost of managing an EHR over the long run.
• Discuss current security concerns surrounding HIT and the EHR.
• Discuss how electronic health records can be used for decision-making and problem-solving.
• Choose 1 piece of federal legislation (e.g., HIPAA, HITECH Act, Meaningful Use), and discuss the requirements that legislation imposes on the use of HIT and the EHR.

ASSIGNMENT 2

4 PAGES/APA FORMAT & 3 SCHOLARLY REFERENCES

Building on your Weeks 1 through 3, you must now identify and discuss some o the legal and ethical considerations that must be taken into account in constructing your proposed healthcare facility. You are required to include the following:

• Define and discuss the differences between licensure, certification, and accreditation as they relate to health care facilities.
• Discuss the ethical or legal requirements and responsibilities that a health care organization has in ensuring its facility is licensed, certified, and accredited. When discussing licensure requirements, ensure that you research requirements based on the state in which you reside.
• Define and discuss the differences between the licensure and certification as they relate to healthcare providers or professionals.
• Discuss the ethical or legal requirements and responsibilities that a health care organization has in ensuring its staff members are licensed and certified.
• Research and discuss an accrediting body that will provide accreditation to the facility you are proposing. Ensure that you provide a history of the organization, what types of facilities they accredit, and how the organization has impacted the quality of health care in the United States.

NO PLAGARISM

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Do you have quiz 7 and 8 for Advanced Pathophysiology 570 for United states university 

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Research the current Core Measure Data Sets being required for data submission of hospitals, then compare the data being reported and analysis how this data might be used.

Go to https://www.medicare.gov/hospitalcompare/search.html? (Links to an external site.)Links to an external site. enter any zip code and compare three different hospitals reported data on any of core measures, give a detailed description of the measure and your reaction to the data set.

Make sure you answer these questions:

What are the findings for the three hospitals? How can you see this data being used for payers? or consumers? or the government? or a specific hospital? Going forward, how do you see this data being used with the current emphasis being placed on quality of care and accountability? This report should be about 2-3 pages.

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Lyme Disease 

A 38-year-old male had a 3-week history of fatigue and lethargy with intermittent complaints of headache, fever, chills, myalgia, and arthralgia. According to the history, the patient’s symptoms began shortly after a camping vacation. He recalled a bug bite and rash on his thigh immediately after the trip. The following studies were ordered: 

Studies Results Lyme disease test: Elevated IgM antibody titers against Borrelia burgdorferi (normal: low) 

Erythrocyte sedimentation rate (ESR), 30 mm/hour (normal: ≤15 mm/hour) Aspartate aminotransferase (AST), 32 units/L (normal: 8-20 units/L) 

Hemoglobin (Hgb), 12 g/dL (normal: 14-18 g/dL) 

Hematocrit (Hct), 36% (normal: 42%-52%) 

Rheumatoid factor (RF), Negative (normal: negative) 

Antinuclear antibodies (ANA), Negative (normal: negative) 

Diagnostic Analysis 

Based on the patient’s history of camping in the woods and an insect bite and rash on the thigh, Lyme disease was suspected. Early in the course of this disease, testing for specific immunoglobulin (Ig) M antibodies against B. burgdorferi is the most helpful in diagnosing Lyme disease. An elevated ESR, increased AST levels, and mild anemia are frequently seen early in this disease. RF and ANA abnormalities are usually absent. 

Critical Thinking Questions 

1. What is the cardinal sign of Lyme disease? (always on the boards) 

2. At what stages of Lyme disease are the IgG and IgM antibodies elevated? 

3. Why was the ESR elevated? 

4. What is the Therapeutic goal for Lyme Disease and what is the recommended treatment.

Peripheral Vascular Disease 

A 52-year-old man complained of pain and cramping in his right calf caused by walking two blocks. The pain was relieved with cessation of activity. The pain had been increasing in frequency and intensity. Physical examination findings were essentially normal except for decreased hair on the right leg. The patient’s popliteal, dorsalis pedis, and posterior tibial pulses were markedly decreased compared with those of his left leg. 

Studies Results Routine laboratory work Within normal limits (WNL) 

Doppler ultrasound systolic pressures Femoral: 130 mm Hg; popliteal: 90 mm Hg; posterior tibial: 88 mm Hg; dorsalis pedis: 88 mm Hg (normal: same as brachial systolic blood pressure) 

Arterial plethysmography Decreased amplitude of distal femoral, popliteal, dorsalis pedis, and posterior tibial pulse waves 

Femoral arteriography of right leg Obstruction of the femoral artery at the midthigh level 

Arterial duplex scan Apparent arterial obstruction in the superficial femoral artery 

Diagnostic Analysis 

With the clinical picture of classic intermittent claudication, the noninvasive Doppler and plethysmographic arterial vascular study merely documented the presence and location of the arterial occlusion in the proximal femoral artery. Most vascular surgeons prefer arteriography to document the location of the vascular occlusion. The patient underwent a bypass from the proximal femoral artery to the popliteal artery. After surgery he was asymptomatic. 

Critical Thinking Questions 

1. What was the cause of this patient’s pain and cramping? 

2. Why was there decreased hair on the patient’s right leg? 

3. What would be the strategic physical assessments after surgery to determine the adequacy of the patient’s circulation? 

4. What would be the treatment of intermittent Claudication for non-occlusion? 

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