zilongwang/ReadingBank huggingface dataset:
Interoperability issues Open EHR workshop Usability and adoption Alerts to carer Should we alert? Haemophilia workshop Key Issues Challenges Strategies Other 6: How do we ensure eHealth solutions address the correct problem? What are the service user perceptions and expectations of the EHR? Integration to national system Unique QR of patients National system siloed by disease Specific clinical systems Data protection Policies in place need to be revised Engage hospital managers in addressing the challenge of integration Linking clinical to the treatment of patient Web access to the national haemophilia system Linking to different systems National guidance GP link is key (shared care Other chronic diseases (diabetes) Wearable devices to anticipate chronic disease events Big data analytics Patient involvement to support anonymous research Involve policy makers Table 7: How could service reconfiguration improve the quality and efficiency of care provided? What are the principal IT challenges around delivering this project? Integration engine Patient identifier Data model for clinical and patient information Integration engine avoids multiple interfaces Data models for haemophilia and genome requirement Consent to information Poll existing services Supporting ambulance service for haemophilia Identifying patient data sets Put patient at centre Table 8: How can an integrated health system improve care of PWH in emergencies? Is there a theory or model of implementation that explains this successful development and adoption of the Haemophilia solution? If so, is it applicable to other chronic diseases? Integration to National systems Unique identification of patients Data protection – e.g. Crumlin and Temple street can’t do index sharing Policies in place sometimes behind what is happening How to scan haemophilia products in hospitals outside NCHCD – e.g. can blood track recognise the Haemophilia products? Link to lab systems and other national systems National systems silo’d by disease (specific clinical systems) Engage hospital mangers in addressing the challenge of integration and realisation of the benefits Web access to the national haemophilia system across the country Learn from tracking of animals (vaccines, diseases etc.) Joined up thinking Build linkages to different systems National guidance / leadership /policy makers
Non-COPD: 69.6% p= “not statistically significant” Statin COPD: 85.9% Non-COPD: 89.5% p<0.001 P2Y12 inhibitor COPD: 65.5% Non-COPD: 71.6% p<0.001 Rothnie 2015 All UK patients admitted to hospital in the MINAP registry between 2003-2013 300161 patients with a first MI STEMI In-hospital management Primary PCI OR 0.87 (95% CI, 0.83-0.92)* Discharge medicines Aspirin OR 0.90 (95% CI, 0.85-0.94)* β-blocker OR 0.26 (95% CI, 0.25-0.27)* ACE inhibitor or angiotensin receptor blocker OR 0.89 (95% CI, 0.85-0.93)* Statin OR 0.91 (95% CI, 0.86-0.95)* P2Y12 inhibitor OR 0.98 (95% CI, 0.94-1.03)* In-hospital management
• Does the field-based training/exercise differ from previously permitted training or exercises in any way, including, but not limited to, frequency, amount of facilities/land used, materials or equipment used, number of participants, or type of activities:…………………….……………… Yes No • If Yes, explain any differences between the proposed activity and that were approved in the past, and the reason(s) for the change in scope: • If No, provide reference to previous exercise (e.g., FEMA grant name, number and date): d. any equipment or structures need to be installed to facilitate training?..................... Yes No • If Yes, complete Section D 3. Renovations/upgrades/modifications, or physical security enhancements to existing structures. a. Complete Section D. 4. Generator installation. a. Provide capacity of the generator (kW):… b. Identify the fuel to be used for the generator (diesel/propane/natural gas): c. Identify where the fuel for the generator would be stored (e.g. stand-alone tank or incorporated in generator):…. d. Complete Section D.
MODEL MEMBER HANDBOOK COMPLAINT AND APPEAL LANGUAGE Elderwood Health Plan will try its best to deal with your concerns or issues as quickly as possible and to your satisfaction. You may use either our complaint process or our appeal process, depending on what kind of problem you have. There will be no change in your services or the way you are treated by Elderwood Health Plan staff or a health care provider because you file a complaint or an appeal. We will maintain your privacy. We will give you any help you may need to file a complaint or appeal. This includes providing you with interpreter services or help if you have vision and/or hearing problems. You may choose someone (like a relative or friend or a provider) to act for you. To file a complaint or to appeal a plan action, please call: 1-866-843-7526 or to: Elderwood Health Plan Attn: Complaint and Appeals, 500 Seneca Street, Buffalo, NY 14204. When you contact us, you will need to give us your name, address, telephone number and the details of the problem. What is a Complaint? A complaint is any communication by you to us of dissatisfaction about the care and treatment you receive from our staff or providers of covered services. For example, if someone was rude to you or you do not like the quality of care or services you have received from us, you can file a complaint with us. The Complaint Process You may file a complaint orally or in writing with us. The person who receives your complaint will record it, and appropriate plan staff will oversee the review of the complaint. We will send you a letter telling you that we received your complaint and a description of our review process. We will review your complaint and give you a written answer within one of two timeframes. If a would significantly increase the risk to your health, we will decide within 48 hours after receipt of necessary information but the process will be completed within 7 days of receipt of the complaint. For all types of complaints, we will notify you of our decision within 45 days of receipt of necessary information, but the process must be completed within 60 days of the receipt of the complaint. Our answer will describe what we found when we reviewed your complaint and our decision about your complaint. How do I Appeal a Complaint Decision?
Key achievements to date: Areas for further improvement and baseline evidence of need: Sports after school clubs offered to both Key Stages. Participation in a of inter-school competitions. Values leaders established in Y6 to lead lunchtime activities. Mile A day established across school. All staff received CPD in PE in 2017/18. Sainsbury’s School Games Silver Award achieved. Gymnastics and dance provision – including staff confidence in delivery. Equipment and resources, including storage. Development of outdoor area including the Mile A Day track. Achieve Gold award in Sainsbury’s School Games. Meeting national curriculum requirements for swimming and water safety Please complete all of the below*: What percentage of your current Year 6 cohort swim competently, confidently and proficiently over a distance of at least 25 metres? 81% What percentage of your current Year 6 cohort use a range of strokes effectively [for example, front crawl, backstroke and breaststroke]? 81% What percentage of your current Year 6 cohort perform safe self-rescue in different water-based situations? 73% Schools can choose to use the Primary PE and Sport Premium to provide additional provision for swimming but this must be for activity over and above the national curriculum requirements. Have you used it in this way? Yes/No *Schools may wish to provide this information in April, just before the publication deadline.
Updates Automatic Local Application Application Runs if Internet Fails Encrypted Data Need License(s) to Application is Complete – Can Customize as You Proceed Differences between Client Server, Web-based and Application Service Provider EHR Systems Client-Server EHR System Web-based EHR System ASP EHR System overview The EHR is installed in the physician’s practice. The physician’s practice provides service maintenance, troubleshooting, data and security. The physician’s practice has a perpetual license to use the application and makes payments upfront. Expend money upfront; make sure contract addresses vendor support. The EHR or other health IT modules, such as eRx or registry, are developed specifically for and accessed via the Internet on a monthly subscription basis. They are designed specifically for multiple, simultaneous users, which lends to a lower cost and more nimble software. Vendor remains accountable. The EHR application is hosted on your desktop or laptop. The software vendor supports the application. The physician’s practice typically accesses the application via the Internet. Cost Large upfront cash outlay (average $25,000–$45,000 per physician), plus annual operating and maintenance expenses from about 12–20 percent of initial costs. Set price. Larger administrative and training cost. Maintenance are the responsibility of the practice. No down payment. Ongoing subscription cost ($0* to $800 per month) depending on the sophistication of the technology. Very little administrative cost. Maintenance included in subscription Little or potentially no down payment (expect an annual fee up to $6,000 per user). Ongoing subscription cost is typically between $300 and $800 per month. Very little administrative cost. Most of the maintenance fees are included in the subscription price. Hardware Workstations connected to the server. Direct control of hard- ware and software. Workstations, including smartphones with Web browsers. Reduced hardware cost. Reduced hardware cost, however, hardware must be able to operate very specific software and may require new purchases.
DSTU specification updates completed Others on slides PCWG Health Concerns Health Concerns DAM Balloted Problem-oriented approach of health care HL7 FHIR PCWG Resources AllergyIntolerance Care Plan / CareTeam / Goals Several others (see slides) Weekly Meetings: Health Concern and Care Plan; Negation and Allergies & Intolerances (see slides) FHIR. Calls semi-monthly Wednesdays 5 PM ET. Wednesday Q4 – Substances and Products PCWG FHIR Resources – 6th Clinical FHIR Connectathon on Friday, May 13 at this WGM. Electronic Health Records (EHR) Work Group (PCWG) (Gary Dickinson) See Slide Deck “Report Out EHR WG (Montreal 20160509).pptx” in the Day 1 folder. Status of Functional Profiles (Gary Dickinson) – Briefly reviewed status of over 20 Functional Profiles. See table above for Monday Q1. Status of National Translations of EHR-S FM (Gary Dickinson) – Briefly reviewed status of 10 known language translation efforts of the EHR-S FM R2. See table above for Monday Q1. EHR-S FM R2 (Errata version) – John Ritter noted that the EHR WG has essentially completed the Errata version of the EHR-S FM R2. Genomics WG Shvo, Bob Milius, et al.) See slide deck, which was not fully presentable during the meeting due to AV problems. Activities Overview: V2, V3, CDA, FHIR FHIR Connectathon – Track 8 (FHIR Genomics) Agenda this week: Mon Q4 - FHIR Subgroup Tues Q1 - Admin., Introductions, Overview Tues Q2 - DAM Tues Q3 – V2 Wed Q1 – DIM and GTR Roadmap Wed Q2 – with O&O, AP, R See slides for full schedule Open Discussion (John Ritter)
How do you support pupils following a sudden bereavement or crisis event? Have you referred to the guidance materials highlighted in the policy section? EPS offer support to schools following pupil/staff bereavement or crises which impact of the school community. Home/School Partnerships 24 Does the school have a system that ensures prompt reporting back to parents/carers on any concerns raised? Yes, No, Partly Who has responsibility for ensuring that parents are informed about issues relating to the emotional wellbeing of their children? 25 Are parents/carers signposted to local support services by staff? Yes, No, Partly Examples include: through the school website, social media, notice boards, leaflets and newsletters. 26 Does the school engage with parents/carers to help them support their children’s emotional mental health? Yes, No, Partly How is the parents’/carers’ voice heard in connection with the Emotional health of their children? How do parents work alongside the school on issues relating to emotional health issues? 27 Does the school have specific interventions to work closely with vulnerable families and help them to access appropriate support? Yes No Partly Do you have a way of identifying the support needs of a family? How do you share information with other agencies concerning the needs of a specific family? Example of an intervention: Family workers working closely with vulnerable families, helping them to access the most appropriate support. VIG uses video to help parents (and sometimes staff in settings) to understand and improve communication with their children. It is a solution focused approach which focuses on what parents are doing well. It is also an evidence based approach that NICE has recommended. It can be done with children of any age and any need. It is often used to improve the communication and relationships between
26 Does the school engage with parents/carers to help them support their children’s emotional mental health? Yes, No, Partly How is the parents’/carers’ voice heard in connection with the Emotional health of their children? How do parents work alongside the school on issues relating to emotional health issues? 27 Does the school have specific interventions to work closely with vulnerable families and help them to access appropriate support? Yes No Partly Do you have a way of identifying the support needs of a family? How do you share information with other agencies concerning the needs of a specific family? Example of an intervention: Family workers working closely with vulnerable families, helping them to access the most appropriate support.
Figure 1 displays the tri-axial accelerometry data for the session in which the high ankle sprain injury was sustained. A multi-axial loading event is also highlighted in Figure 1 for subsequent analysis. ** Insert Figure 1 near here ** The data presented in Figure 1 was quantified to determine the cumulative iLoad value in each plane. This data is summarised in Table 1 to directly compare the injured player with the squad average. ** Insert Table 1 near here ** The threshold established for a high loading event was set as ±10 ms-2 for each directional vectors. The number of high loading events is summarised in Figure 2, directly comparing the injured player with the squad average. ** Insert Figure 2 near here ** Figure 3 shows the medio-lateral asymmetry present during the rehabilitation sessions completed post-injury. Over the 11 rehabilitation sessions completed prior to the next injurious event (sustained during match-play) the medial load remained 2.4 x higher than the lateral load ** Insert Figure 3 near here ** DISCUSSION The present study has demonstrated the potential efficacy of GPS-mounted tri-axial accelerometry to identify, and potentially predict, aetiological risk factors in football. This technology has previously been utilised to establish differences in performance
4. Planning for EHC Plan outcomes identified for the young person: Preparing for Adulthood Phase (14+) NAME: Year Group: D.O.B: SCHOOL: LONG TERM OUTCOMES Targets – NEXT 12 MONTHS WHAT SUPPORT I WILL NEED? WHO WILL HELP ME? MONEY £ CHECKING IMPORTANT MESSAGES ABOUT MY FUTURE The things that are important to me / the things I want to achieve for my future The things I want to achieve before my next review Who will help me? This could be help in school, from others, equipment or other things How? The name of the person / people and role Any funding that I am entitled to, to support me with my goals Who will check the actions agreed in my plan We will tell people who provide future support and opportunities what I will need ANY OTHER ACTIONS WE AGREE TODAY WHO WILL DO THIS WHAT BY WHEN
When all budget information is complete, select Save, then Next. Step Action 9 The Proposed Job Duties tab opens. Review and amend as required. Select Save, then Next. Step Action 10 The FLSA Determination tab should be completed if FLSA Exempt status is being requested. Select Save, then Next. Step Action 11 Upload documentation in the Supplemental Documentation tab, if necessary. An organizational chart must be uploaded when a position is modified. Acceptable document types are Microsoft Word, PDF, Excel, Visio, etc. The file size limit is 10MB. Select Save, then Next. Step Action 12 Review the ADA Compliance Checklist to make sure information is accurate. Update any required fields. Select Save, then Next.
b) agreed that the Commission needed to have ready a clear and evidence-based responsive policy position. They felt that the arguments sent out in the paper were full, clear and logical; c) emphasised the need for a measured presentation of the Commission’s position. It needed to be clearly contextualised, and the concerns over the criminalisation of parents for occasional mild smacking addressed. The Commission would inevitably attract criticism from some quarters for what would be perceived as ‘nannying’, and deployment of what the Board agreed was the persuasive evidence noted in the paper (particularly evidence that was directly informed by the voice of children) would be helpful in supporting the Commission’s position; d) advised that in presenting the Commission’s position, the current protections available for adults be contrasted with those available for children; e) recognised that legislation would not prove an immediate deterrent to those who were already physically punishing children, or where physical punishment was culturally normalised. Nonetheless, they agreed that legislative change provided the basis for other measures to change culture and behaviours to increase children’s rights to human dignity and physical integrity protection, and was likely to accelerate existing trends towards the physical punishment of children being generally regarded as unacceptable 11.3. The Board therefore agreed that the Commission should adopt the following position: The UK, Scottish and Welsh Governments should prohibit all forms of physical punishment of children, including through the repeal of all legal defences such as reasonable chastisement and justifiable assault. This prohibition should extend to the family and all other institutional forms of alternative care. New legislation should be accompanied by:  guidance from prosecution services to parents, prosecutors and relevant public services;  monitoring and reporting by the police and prosecution services of the number and type of physical punishment of children incidents, prosecutions, convictions and sentences; and  awareness campaigns and programmes to inform parents of the rights of children and the harm caused by physical punishment; and to support parents to use positive parenting strategies.
Is your present gender the same as the one assigned at birth? Yes No Prefer not to say Are you married or in a civil partnership? Yes No Prefer not to say Age 16 - 24 45 - 54 25 - 34 55 - 64 35 - 44 65 + Prefer not to say How would you describe your national identity? British Northern Irish English Welsh Scottish Prefer not to say What is your ethnic background? White English Scottish Welsh Irish Northern Gypsy/Irish Traveller Any other white background
Is this outcome still relevant? Remain Remove Amend Add new Outcome Is the provision still relevant? Remain Remove Add new provision Suggested amendments to current Outcome Use the wording from current EHC plan Suggested amendments to current Provision Use the wording from current EHC plan or Add new Outcome Suggested new Outcome This should SMART and be linked to a need identified in the plan By the end of Key Stage/Year ………… {insert name} will ………………………… so that she/he is able to …………………………… Indicators of progress will include: Suggested new Provision Outcome (wording from current EHC plan) Progress made and Impact and effectiveness of provision (own words) Is this outcome still relevant? Remain Remove Amend Add new Outcome Is the provision relevant? Remain Remove Add new provision Suggested amendments to current Outcome Use the wording from current EHC plan Suggested amendments to current Provision Use the wording from current EHC plan or Add new Outcome Suggested new Outcome This should SMART and be linked to a need identified in the plan By the end of Key Stage/Year ………… {insert name} will ………………………… so that she/he is able to …………………………… Indicators of progress will include: Suggested new Provision Insert or delete boxes as required Sensory and/or physical
Delete the following section if not required Preparing for adulthood This section should be completed for students with an EHC plan review is held in the summer term of Year 8, and for all students who are Year 9 and above. At least one outcome must be completed for each of the following areas: Education, training or employment Independent living Participating in society Health Preparing for adulthood: Education, training or employment Insert additional boxes as required Outcome (wording from current EHC plan) Progress made and Impact and effectiveness of provision (own Is this outcome relevant? Remain Remove Amend Add new Outcome Is the provision still relevant? Remain Remove Amend Add new provision Suggested amendments to current Outcome Use the wording from current EHC plan Suggested amendments to current Provision Use the wording from current EHC plan or Add new Outcome Suggested new Outcome This should SMART and be linked to a need identified in the plan By the end of Key Stage/Year ………… {insert name} will ………………………… so that she/he is able to …………………………… Indicators of progress will include: Suggested new Provision Preparing for adulthood: Independent living Insert additional boxes as required Outcome (wording from current EHC plan) Progress made and Impact and effectiveness of provision (own words)
ADVANCE ASSIGNMENT CRIMINAL LAW Spring Semester, 2017 Professor Nancy Ehrenreich STUDENTS: Please sign up for TWEN asap. And please note that the reading posted there is for Wednesday, not Monday. Required Materials: Lee & Harris, Criminal Law, 3d ed. (“Text”) – available in law school bookstore Supplementary Materials (“Supp.”) – additional reading materials, available soon on TWEN & hard copy to be handed out in TWEN Course: (Supplementary Materials available here) Class ___________Subject_______________ ____________Assignment___ 1/9 I. Introduction Course Information Syllabus, pp1-3 History and Functioning of Criminal Law 1. Sources of criminal law Text, 5-6 2. Justifications for punishment Text, 6-11 3. Burden of standard of proof (beyond a reasonable doubt), & presumption of innocence Text, 38-40 4. Statutory interpretation 5. Role of defense counsel Text, 45-57 1/11 6. Role of jury Text, 57-65 7. Standards of review on appeal II. Constitutional Limitations on the Power to Punish, Part I The Principle of Legality Supp, 1-2
d- Financial Assessment If applicable, state any relevant cost implications or savings expected from the function. Costs (£) Implementation cost £ Projected Savings £ e- How does this function contribute to the public sector equality duty: to eliminate discrimination, harassment and victimisation; advance equality of opportunity; and foster good relations? (See Appendix 1 of the Guide) f- How does this function link to the Council’s Equality Outcomes? (See Appendix 2 of the Guide)
6- EHRIA Summary (See Para.6 of the Guide.) Report Title Assessment Rating RED - RED AMBER - AMBER - GREEN - Assessment not required Evidence Equality: Human Rights: Assessment completed As a result of completing this assessment, detail the actions proposed to remove or reduce any risks of adverse outcomes which were identified at Section 7 below. Review of function impact Assessing impact does not end with the introduction of new or revised functions. Assessment of impact should be considered as ongoing, to monitor the actual impact of the function. The following timescales are suggested to review ongoing functions dependent on their respective assessment rating: RED – 12 months RED AMBER – 18 months – 24 months
1999). Although by definition, SME size does not vary dramatically, it may still affect the relative SME attractiveness for potential partners (Heide & John 1990). Size is measured as the number of employees in 2009. Industry may have an effect on cooperation intensity, as needs and risks vary across industries (products – 0, services – 1). Table 1 displays descriptive statistics, Table 2 shows regression results.
Table 2. PLUM Results. Model a Model b Coefficient (Std. Error) Coefficient (Std. Error) Capabilities: Coordination 0. (0. 274*** 051) Communication 0. (0. 207*** 054) Bonding -0. (0. 047 050) RBV Controls: Brand Reputation -0. (0. 178*** 050) -0. (0. 151** 051) Management Experience -0. (0. 013** 005) -0. (0. 013* 005) Slack Capital -0. (0. 122* 053) -0. (0. 109* 054) OE Controls: Asset Specifity 0. (0. 134** 051) 0. (0. 124* 053) Specific Knowledge -0. (0. 163** 050) -0. (0. 173** 051) Geographic Dispersion -0. (0. 018 050) -0. (0. 039 053) Other Controls: Relationship Duration 0. (0. 055** 019) 0. (0. 030* 019) Firm Size 0. (0. 000 000) 0. (0. 000 000) Industry 0. (0. 305† 221) 0. (0. 142† 210) F Nagelkerke Pseudo-R2 N 301 301 Significance levels (two-tailed): *** p < 0.001; ** p < 0.01; * p < 0.05; † p < 0.1. Hit rate: 81.4% of cases classified correctly. Firms that had not entered in any business relationships in the last three years excluded from this analysis. The PLUM results document that those firms that have high coordination and communication capabilities, as predicted by H2, engage in more intense cooperation. Yet, bonding capabilities appear to decrease network involvement rather (but the coefficient is insignificant); eventually, given that firms’ capability perceptions are accurate, those firms scoring high on bonding capabilities are more easily exploited by opportunistic partners. Hence, for these firms, risks associated with cooperations may become all the more pronounced.
system emulates printable state approved forms for Client review and approval (requires digital signature) to be stored with Client electronic health records for future state audits. Ensure Efficient and Coordinated Public Health Services/trackBreastPump When a Client requires a breast pump, the Clinic Staff use the system to identify available breast pump and associate with the Client Medical Record. The system provides a tracking mechanism to ensure breast pump scheduled return. The system provides information such as condition (ex., bugs requiring special cleaning), state of repair, location, number of times used, warrantee, etc. When pumps not returned by the due date, the Clinic Staff contacts Client (possibly automated). Provide ability to print notification letter to Client. If no response, the Clinic Staff reports Client information to the state - if subsequently returned, Client Staff informs state by email. 35 Ensure Efficient and Coordinated Public Health Services/provideFaxServices Explain application's ability to process electronic fax. The system provides a fax service - the service allows for the receipt of electronic fax documents entered into a queue. A system queue operator can route received faxes to designated parties via email or directly within the system. The system provides a means to attach received fax documents to designated health records. The system fax service provides for outgoing fax for scanned documents or directly from the system. The system provides shortcuts to fax address book items to search and retrieve frequently used fax numbers. Process Claims Select to enlarge... Process Claims Use Case Model Scope: Collects fee for service, posts services for billing, bills Medicaid, bills for large immunization event, bills Medicare immunization, and manually bills outstanding claims. Used to receive payments, update claim status and manage exceptions to include unresolved claims. Select to enlarge... Process Claims Interaction Overview Table of Role Definitions Role Description MEDREC Software application used by
This document describes provincial electronic health record (EHR) connectivity requirements to be used by health care stakeholders in the procurement of point of service (POS) systems. It is a component of . A POS is an application used by health care providers for viewing or managing client personal health information (PHI). This includes hospital information systems (HIS), community and ambulatory health information systems, and provincial/regional EHR viewers. Electronic Medical Record (EMR) systems are out of scope for this document. EHR Connectivity Requirements for EMRs are defined by Ontario EMR Specifications managed by OntarioMD. POS systems meeting the requirements listed will be strategically positioned to integrate with key provincial EHR assets and pre-enabled for the province-wide exchange of clinical information. Conformance to specific requirements (e.g. Security Assertion Markup Language (SAML)) will enable streamlined clinician access to province-wide systems, including: EHR services from ConnectingOntario (Greater Toronto Area (GTA), connectingSouthWestOntario, Northern and Eastern Region (NER)). Health Shared Services Ontario’s Client Health and Related Information System (CHRIS) Ontario Telemedicine Network (OTN), Cancer Care Ontario (CCO) This document will be reviewed by the Ministry of Health and Long Term Care’s Hospital Information System Renewal Advisory Panel and additional updates to the requirements will be made based on feedback received. EHR? POS systems are designed to support integrated access to health care information, at any time and from any location. Providers need a comprehensive, up-to-date view of their patients’ personal health information from all health care providers and organizations involved in their care, from all disciplines, and including medication history, test results, allergies, immunizations, hospital reports, office and ambulatory consultations, encounter history, diagnostic results, and assessments. This information may also need to be shared with other providers supporting the patient. In order for POS systems to support integrated access to and sharing of health care information they must be interoperable with Ontario’s EHR assets. Interoperability allows systems to connect to, exchange with, and process data from other systems, so that information sent from one system can be understood by another. The following diagram illustrates the elements of the Electronic Health Record in Ontario, and serves as the basis for the list of requirements noted in later sections of this document.
Reduce the turn-around-time for medical record requests. Easily access records to be faxed/mailed upon receipt of request for medical records. The records request can be completed within 24 hrs instead of the current 7 business days. Within the following 2 months of implementation the CD ROM and USB will be available.
(15) Project Plan –Patricia Project Plan For ABC Pediatric Clinic Task Task Name of Task Start Duration End 1 E H R set up hardware IT and electricians and E H R Logistics 8/1/12 4 8/5/12 2 apply software E H R Logistics and clinic IT 8/3/12 2 8/5/12 3 Test for systems connectivity E H R Logistics and clinic IT 8/5/12 2 8/7/12 4 front desk staff training E H R Logistics and clinic IT 8/6/12 5 8/11/12 5 Train billing staff training E H R Logistics and clinic IT 8/7/12 7 8/14/12 6 Management training E H R Logistics and clinic IT 8/2/12 14 8/16/12 7 Run Check for accuracy of system E H R Logistics and clinic IT 8/18/12 1 8/19/12 8 Run two week report of activity E H R Logistics and management 8/18/12 1 8/19/12 9 Analyze data for functionality E H R Logistics and management 8/18/12 3 8/21/12 10 Revise if needed E H R Logistics and management 8/19/12 4 8/23/12 Project goal is to have ABC Pediatric Clinic running on their new system within one month. EHR Logistics will meet with the facilities management and IT departments on 7/23/2012. The purpose is train these departments on systems implementation and their rolls in it. After systems go live EHR Logistics Help Desk will be available 24/7 via phone or on-line to troubleshoot any problems that may arise. (16) Gantt Chart - Patricia
The assigned IT Department Manager/Lead will communicate with Office Manager, Physicians, and Lead Clinical regarding length of expected downtime. Scheduled downtime for maintenance/updates will be communicated in advance with managers who will then notify departments regarding date/time. Unscheduled downtime occurring due to software/hardware issues will be communicated between assigned IT Department Manager/Lead and Office Managers/Physicians. The Lead Clinical Staff will notify and provide staff with estimated downtime and implementation of plan/procedures. Procedures Downtime over 1 hour: The practice staff will complete job tasks/duties in the manner before EHR system was implemented. Registration/Payments completed on paper documents and later entered in system. Encounter forms completed manually and later entered in system. Lab/Test orders completed on paper request documents and results called/delivered. Restoration: All future visits completed in EHR system and current or in progress visits completed in EHR system. Staff to enter tasks/procedures (i.e. office visit, prescriptions, labs, scheduled appointments) performed during outage in EHR System. ***Website Development (Weebly)– Vanita/Patricia***
G.12 – HIC device/tool and antivirus configuration maintenance SCOPE CONSIDERATIONS Scope includes your organization’s network and computing devices which are permitted to participate in [the EHR Solution]. IMPLEMENTATION GUIDELINES Malware detection (e.g., Antivirus software) should be deployed on HIC-approved tools, processes, and workstations that are used to participate in [the EHR Solution]. Malware (e.g., Antivirus Software) detection and repair software should be kept up-to-date to best detect malicious software that may be able to compromise the network and the HIC-approved tools. Often this software can be configured to check for updates automatically and scan the HIC- approved tool. HIC approved should be kept up-to-date to ensure security patches have been applied to all software on the device, reducing the possibility of it being compromised and data disclosed. H – Physical Security Standard H.13 – Protecting systems at the HICs premises SCOPE CONSIDERATIONS Scope includes the physical HIC premises and destruction of information assets. IMPLEMENTATION GUIDELINES HICs must ensure that their physical premises have security controls in place to protect from malicious parties accessing or stealing HIC-approved tools/devices and information. Access cards, locks, or secure areas that separate the public from the office space should be implemented to reduce physical security risks. HICs must ensure that there are procedures in place to address the destruction of data. Refer to guidance from the related to Order HO-001.
Originate Originate (v) Definition: To initiate entry of data objects as potential content for an EHR record. Contrast with "To Receive." Pre-Conditions: Originator has logged into the EHR system. Process: At T0, Agent selects “create.” The object is defined, iterated. At T1, iteration is complete (0) Post-event Options Discard object 0 Verify object 0 Validate object 0 (?) Retain object 0 Key: 0 represents a transient object. A represents an object that has been retained in the system. A’ represents iterations of A. "To Originate" is an action within EHR Records Management. "To Originate" includes the option of an interim state that permits an intermediate assessment of new data or data objects prior to commitment to long-term management. That intermediate assessment is intended to determine whether to store the initially captured data or data objects or to destroy them as ephemera or a rejected draft. "To Originate" may include the use of volatile memory or other means which offer a temporary cache or cache-like status for the interim state. Properties: 1. New data object 2. Potential, interim status (or State) Ontological View: 1.2.2 Class: <provisional> EHR Records Management 1.2.3 Class differentiating characteristics are "new" and "potential" content, an interim state to be acted on (ex: To Verify or To Store or To Dispose/Destroy) *See Notes, Item 1. The text is included to provisionally identify a Class termed "EHR Records Management" to which the verb action belongs, in conformance with our draft style sheet and guidelines for definitions. Receive
Retain Retain (v) Definition: To persist data or data objects by saving onto electronically accessible devices. Pre-Conditions: An object 0 exists or an object A exists which needs to be re-saved. Process: At T0, object is selected and space is opened in memory. Object is written to and manipulated in memory. Object is placed in a permanent storage location. At T1, data object has been persisted as a new EHR information object with a designation, object A’. Options Object A’ available for use Extended Definition Properties: Can be performed on any object, whether previously retained or not. Multiple actions can be performed on attributes of the object during the retention process, such as: Change of name Updates to provenance (eg: last agent who saved/modified object) Change of storage location Change of time stamp Is performed on objects in memory. Final results are written to designated storage location. Ontological View
Retain Retain (v) Definition: To persist data or data objects by saving onto electronically accessible devices. Pre-Conditions: An object 0 exists or an object A exists which needs to be re-saved. Process: At T0, object is selected and space is opened in memory. Object is written to and manipulated in memory. Object is placed in a permanent storage location. At T1, data object has been persisted as a new EHR information object with a designation, object A’. Post-event Options Object A’ available for use Extended Definition Properties: Can be performed on any object, whether previously retained or not. Multiple actions can be performed on attributes of the object during the retention process, such as: Change of name Updates to provenance (eg: last agent who saved/modified object) Change of storage location Change of time stamp Is performed on objects in memory. Final results are written to designated storage location. Ontological View
conditions based on organizational policy. Contrast with validate. To affirm the compliance of data or data objects with specified trust qualifications. Contrast with To Attest Process: At T0, an object is selected for verification. Object parameters are compared with internal specifications. At T1, a result is returned that if comparison is successful, object(s) is verified, else verification failed. Post-event Options Discard Object 0 Retain object A Can be performed on an interim or retained object. Uses internally imposed criteria. Returns a result that shows success or failure of verification. Note: How the verification attribute is to the object is a business decision. Ontological View Validate Validate (v): Definitions: to confirm that the contents of data objects meet the needs of identified stakeholders (i.e., healthcare providers, patients). Contrast with verify. [Derived from PMBOK definition of validation.] Pre-Conditions: Data object has been originated/received (0) or retained (A) Process: At T0, an object is selected for verification. Object parameters are compared with external specifications. At T1, a results are returned that if comparison is successful, object(s) is validated, else validation failed. Post-event Options Extended Definition Properties: Can be performed on an interim or retained object. Uses externally imposed criteria. Returns a result that success or failure of validation. Note: How the validation attribute is bound to the object is a business decision. Ontological View
Discard Object 0 Retain object A Retain Retain (v) Definition: To persist data or data objects by saving onto electronically accessible devices. Pre-Conditions: An object 0 exists or an object A exists which needs to be re-saved. Process: At T0, object is selected and space is opened in memory. Object is written to and manipulated in memory. Object is placed in a permanent storage location. At T1, data object has been persisted as a new EHR information object Extended Definition Properties: Can be performed on any object, whether previously retained or not. Multiple actions can be performed on attributes of the object during the retention process, such as: Change of name Updates to provenance (eg: last agent who saved/modified object) Change of storage location Ontological View
Periodic review Review Date Review Due Date Reviewers name Reviewer’s position: Reviewer’s signature: 04/05/2018 04/05/2019 J Irving H&S Manager Version Control Change Record Change Date Changes made Author 13/11/2018 Page 2 (content review) added to this document H Hunt
Subcontractor Name: Project Location: Estimated Start Date Estimated End Date Work Order #: Project or Job Title: Project COTR’s Name: Contact Information: EHS POC: Contact Information: Subcontractor has a written PRCS Program per OSHA 1926 Subpart AA: Yes No Competent Person’s Name: Contact Information: Competent person as defined in OSHA 1926 Subpart AA: Yes No Entry Supervisor’s Name: Contact Information: OSHA 1926 Subpart AA Training Date: (attach certification) Confined space information: Type of space: Location: PRCS: Yes No Reclassification expected: Yes No Confined space ID#: Scope of work in confined space: Work will potentially introduce new hazards into PRCS: Yes No Explain: Potential confined space hazards: Oxygen deficiency Oxygen enrichment Flammable/Explosive Toxic Entrapment Engulfment Entanglement Fall Electrical Moving Parts Other: Energy sources present and means of isolation: Energy Source: Water Gas Steam Chemical Waste Mechanical Electrical Other: Energy control procedures: (attach LOTO procedures) PPE: Controls: Safety glasses Face shield Leather gloves Rubber gloves Hearing protection Coveralls Steel toe rubber boots Steel toe boots Hard hat Safety vest Personal floatation device Other, specify: Isolation of energy sources Purge the confined space Natural ventilation Continuous forced ventilation Conduct Gas Testing & Monitoring Entrance/exit points to be kept clear of all equipment Use of rescue/fall arrest equipment Warning notices/barricades Lighting Fire extinguisher Other, specify: List other specific equipment and how to be used:
LIFTING CARRYING never 0 hours occasionally up to 4 hours frequently 4-8 hours never 0 hours occasionally up to 4 FREQUENTLY 4-8 hours 0-10 lbs X x 11-25 lbs x x 26-50 lbs x x 51-75lbs x x 76-100lb x x 100lbs+ x
Environmental Health & Safety Supplemental Approval Form Instructions: Please complete the entire form, attach the Safety Data Sheet (SDS), and submit with the IACUC protocol. A separate form must be completed for each hazardous material. The boxes will expand as text is entered. Animal use personnel associated with the proposed hazardous material use must update their Animal Contact Program exposure and health information with the Holzer Health Center. 1. Description of Hazardous Material Chemical Name: Route(s) of toxicity (e.g. inhalation): Type(s) of toxicity (e.g. irritant): Biohazard Name: Route(s) of infection: Biohazard level: Radioisotope Name: Route of administration: Physical Hazard: Route of administration: Other (describe): Route of administration: Description of material (form upon receipt, solubility, volatility, form as used, vehicle, etc.): If applicable, Manufacturer: Product #: will the material be stored prior to use (room, refrigeration, etc.)? 2. Proposed Use of Hazardous Materials in Animals Animal species to be dosed: Proposed work location: Dose per animal: Route of delivery: Treatment schedule: Time treated animals will be maintained: Number of animals to be treated for each experiment: 3. Fate of Hazardous Material (Where does the compound go after dosing the animal?) Route of excretion: What is excreted: Percent excreted: Where is the hazard? How long is it present? Describe where the hazard exists and how it should be handled: 4. Institutional Approvals for Using Hazardous Materials (Does this work require additional approvals? Please attach approvals if previously acquired.) Institutional Biosafety Committee (IBC) approval date: Radiation Safety Committee approval date: 5. Exposure Risk Management a) Preparing hazardous material will hazardous material be prepared (lab, room, fume hood, BSC, etc.)? Lab door signage will read:
10.3.3 is independently developed by the Receiving Party without reference to the Confidential Information; 10.3.4 is authorised for release by the written consent of the Discloser; or 10.3.5 disclosure is required to ensure the compliance of either party with the Freedom of Information Act 2000. 10.4 Nothing in this Clause 10 (Confidentiality and Intellectual Property) shall prevent the Recipient from disclosing Confidential Information where it is required to do so by judicial, administrative, governmental or regulatory process in connection with any action, suit, proceedings or claim or otherwise by applicable law. 10.5 Nothing in this Clause 10 (Confidentiality and Intellectual Property) shall prevent the Recipient from disclosing Confidential Information as is reasonably requested by Permitted Third Parties in accordance with the provisions of Clause 16.6 (Information and Monitoring), provided that such Permitted Third Parties undertake to observe like obligations of confidentiality as are herein contained in respect of such Confidential Information. 10.6 Any samples, plans, drawings or information relating to the Services supplied to or specifically produced by one Party for the other, together with the copyright, design rights or any other intellectual property rights in the same, shall be the exclusive property of the Disclosing Party and shall be used solely by the Receiving Party for the purposes of this Agreement. 10.7 The Receiving Party shall indemnify the Disclosing Party and shall keep the Disclosing Party indemnified against Losses and Indirect Losses suffered or incurred by the Disclosing Party as a result of any breach of this Clause 10 (Confidentiality and Intellectual Property). 10.8 The Parties acknowledge that damages will not be an adequate remedy for any breach of this Clause 10 (Confidentiality and Intellectual Property) by the Receiving and in addition to any damages the Disclosing Party shall be entitled to the remedies of injunction, specific performance and other equitable relief for any threatened or actual breach of this Clause 10 (Confidentiality and Intellectual Property). 10.9 The obligations contained in this Clause 10 (Confidentiality and Intellectual Property) survive the expiry or termination of this Agreement for any reason for a period of ten (10) years. 11. DATA PROTECTION 11.1 Both Parties must protect Personal Data (as defined by the General Data Protection Regulation) in accordance with the provisions of and principles of Data Protection Laws and each