Goodwill Health Care Clinic is the clinical arm of Jefferson Health Sciences Center in a large Southern city. The clinic was founded in the early 1950s as a place for faculty physicians to engage in clinical practice. Over the years the clinic has grown to nine hundred faculty physicians and two thousand employees, with over one million patient visits per year. Clinic services are spread across eleven primary care and specialty care units. Each unit operates somewhat independently but shares a common medical record numbering system that enables consolidation of all documentation across units. Paper charts were used until two years ago, when the clinic adopted an EHR system.
Goodwill Health Care Clinic uses a centralized call center to receive all patient calls. Patients call a central switchboard to schedule appointments, request medication refills, or speak to anyone in any of the eleven units. Call center staff members are responsible for tracking all calls to ensure that each is dealt with appropriately. Currently the call center uses a customized Lotus Notes system that can be accessed by anyone in the system who needs to process messages. Messages can be tracked and then closed when the appropriate action has been taken. Notes created from closed messages are printed and filed in the appropriate patients’ paper records. These notes cannot be accessed via the EHR.
Clinic staff members are very comfortable with the current Lotus Notes system, and it is used routinely by all units.
Information Systems Challenge
Goodwill Health Care Clinic requires all medication lists and refill information to be kept up-to-date in the EHR. Therefore, the existence of the current Lotus Notes system means that the same information must be documented in two locations—first in the call center note and then in the EHR. This leads to duplication of effort and documentation errors. The potential for serious error is present. Physicians and other health care providers look in the EHR for the most up-to-date medication information.
Although the adoption of the EHR has been fairly successful, not all units use all of the available components of the EHR. A companion paper record is needed for miscellaneous notes, messages, and so forth. All units are recording office visits into the EHR, but not all have activated the lab results or the prescription writing features. Several units have been experiencing physician resistance to adding more EHR functions.
The EHR system has a messaging component that works similar to a closed e-mail system. Messages can be sent, received, and stored by EHR-authenticated users. Pertinent patient care messages are automatically stored in the correct patient record. In addition, the EHR messaging system works seamlessly with the prescription writing module, which includes patient safety checks such as allergy checks and drug interactions.
The challenge for Goodwill Health Care Clinic is to implement the messaging feature and prescription writing component (where it is not currently being used) of their current EHR in the call center and the clinical units, replacing the existing Lotus Notes system and improving the quality of the documentation, not only of medication refills but also of all patient-related calls. The long-term goal is to add a patient portal feature where patients can schedule appointments, send messages to their providers, and refill prescriptions electronically.” 270 https://www.homeworkmarket.com/homework-answers?page=270
People of Baltic and Brazilian Heritages
People are known or perceived to be belonging to different heritages. In this case, certain countries are known to be Baltic nations or people belonging to the Baltic heritage. Depending on the context that the people of Baltic heritage may stand for, the nations that might be classified as being Baltic nations include Estonia and Latvia, Finland, Lithuania, Germany, and even Poland. The other Baltic nations include Denmark, Russia as well as Sweden. However, three countries have been viewed as shorthand Baltic nations and these include Latvia, Estonia, and Lithuania. Therefore, the above countries have been classified as being Baltic nations since they are seen to be lying on the side of the Baltic sea. Specifically, the nations lie on the East Shores of the Baltic sea and this led to the origin of their name. The other reason for such individuals being regarded as Baltic states is that their ancestors were Baltic individuals apart from the Estonians who have been categorized as being Baltic because of lying on the Baltic sea. Despite belonging in the same category, the countries are also different in terms of development with some of them being ahead of the others in terms of development and also with regard to considering other factors that are important for classifying individuals.
On top of being regarded as Baltic nations or states, the countries also have a certain view regarding the delivery of evidence-based healthcare. As per the prevailing information, individuals in the Baltic nations view evidence-based healthcare as the way out of surviving the various diseases that they might be prone to. In other words, it is important to argue that people in these nations highly value evidence-based healthcare and medication as they are involved in seeking medical care, and the medication they receive need to be monitored by their healthcare providers. Also, people living in these nations tend to consume various medical products and medicinal herbs to ensure recovery as far as the medication has been provided by a qualified medical practitioner, (Panov et. al., 2016). In other words, people in these nations do not allow their cultural practices to interfere with their health practices since they value evidence-based healthcare to a great extent. The other important thing to realize is that people in these nations engage in vigorous health exercises and practices to ensure that they remain healthy at all the time since engaging in exercises is an important way of ensuring that they remain healthy. As a result, they remain as healthy as it might be possible, and they are also capable of living longer.
The other important thing to examine is the beliefs embraced by people in these nations especially when it comes to health and disease. Individuals in these regions belief that health and disease are interrelated in that they all emanate or come about depending on the styles of living of the people. As an example, they feel that being healthy depends on deciding to live a healthy behavior while the disease is viewed as a result of failing to engage or practice a healthy style of living. The essential information to reinforce this argument is that the nations engage in healthy behaviors since that is an essential interpretation of health to them, (Lofqvist, 2017). The notable way they engage in healthy behavior is by practicing healthy exercises as much as it might be possible. People in these regions engage in sporting activities as they view it as an essential way of remaining healthy. The other activity they engage in entails the consumption of fruits especially fresh fruits and other fresh food substances as they are all essential ways of making sure that they remain healthy. Therefore, people view health as being determined by their mode of living and the activities they get involved in. On the other hand, the disease is viewed as embracing an unacceptable style of living.
Regarding the overview of the Brazilian heritage, it might be argued that it has been derived from the Portuguese heritage and this might be claimed to be the Brazilian heritage. It can also be claimed that it is a mixture or a blend of different heritages to come up with a single heritage. The heritage might be argued to be an ideal prove that mixing occurred during the colonial period where ethnic and also cultural mixing took place and mainly involved indigenous people that were from the coastal region as well as the highly accessible riverine regions. Essentially, the Brazilian heritage might be viewed as a mixture of the Portuguese heritage and also the African heritages as well as other minor heritages to come about with the Brazilian heritage, (Dessen, 2019). The other essential thing to look at is their view and perception concerning health and disease. Just like Baltic heritage, people feel and believe that health and disease are mainly a way of living. In case a person embraces a healthy style of living, then a person will be healthy. However, in case a person does not engage in a healthy lifestyle, then the person is likely to be affected by the disease. The view is among the reasons they mainly engage in sporting activities and healthy practices. The situation also brings the similarity in the manner of viewing health and disease between the two cultures.
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