Applying Innovation to the Work of Government: A Case Study of the Office of the National Coordinator for Health IT

2012 ◽  
Vol 2 (6) ◽  
Author(s):  
Farzad Mostashari ◽  
Keyword(s):  
2018 ◽  
Vol 110 ◽  
pp. 19-24 ◽  
Author(s):  
Daniel J. Panyard ◽  
Edmond Ramly ◽  
Shannon M. Dean ◽  
Christie M. Bartels

Author(s):  
L W Cellucci ◽  
K Trimmer ◽  
T Farnsworth ◽  
A Waldron
Keyword(s):  

2008 ◽  
pp. 2115-2120
Author(s):  
Yi-chen Lan ◽  
Bhuvan Unhelkar

This chapter demonstrates the application of the GET process in the area of Tele-health, to a hospital. The reason for selecting the domain of Tele-health for this exercise is significant. In the modern communication age, there are still many situations where people who are in pain and/or have an acute need for help have to travel hundreds of miles just to be close to a physician or a healthcare specialist. This scenario is exacerbated by overworked physicians and surgeons, and ever shrinking funds for health care from governments and other funding bodies. Thus the need for, and the value of, being able to provide medical facilities and support by utilizing technology is at its highest leading us to believe in the extreme importance of Tele-health in today’s world. Tele-health is all about the use of technology to ease the ability to provide medical care beyond physical distances, especially in rural areas. Tele-health is also about alleviating the routine pressures on doctors beyond the needs of their own specialist or generalist skills. Tele-health goes further beyond patients and doctors, and also involves education, research and administration in the field of medicine. Given this tremendous importance of Tele-health, it is appropriate that the concepts of globalization discussed in this book, in all its previous chapters, are applied to a case study that deals with a hospital. In this chapter, we have appropriately considered the area of hospital management and patient access to care, in demonstrating the concepts of the GET process, as applied to a hospital. Needless to say, this remains a relatively small part of the overall effort required in globalizing a hospital. Nonetheless, we believe this is an excellent demonstration of most of the concepts discussed here. This chapter results from our attempts at verifying in practice the principles discussed in this book. Therefore, although the entire case study is hypothetical, it has its roots in a real life hospital, with real doctors, nurses, administrative staff, and of course, real patients. By considering the application of GET to Tele-health, we hope we will not only demonstrate the process to our readers, but also show how this process will come in handy in the health domain where globalization is going to become extremely important.


2005 ◽  
pp. 159-231
Author(s):  
Yi-chen Lan ◽  
Bhuvan Unhelkar

This chapter demonstrates the application of the GET process in the area of Tele-health, to a hospital. The reason for selecting the domain of Tele-health for this exercise is significant. In the modern communication age, there are still many situations where people who are in pain and/or have an acute need for help have to travel hundreds of miles just to be close to a physician or a healthcare specialist. This scenario is exacerbated by overworked physicians and surgeons, and ever shrinking funds for health care from governments and other funding bodies. Thus the need for, and the value of, being able to provide medical facilities and support by utilizing technology is at its highest leading us to believe in the extreme importance of Tele-health in today’s world. Tele-health is all about the use of technology to ease the ability to provide medical care beyond physical distances, especially in rural areas. Tele-health is also about alleviating the routine pressures on doctors beyond the needs of their own specialist or generalist skills. Tele-health goes further beyond patients and doctors, and also involves education, research and administration in the field of medicine. Given this tremendous importance of Tele-health, it is appropriate that the concepts of globalization discussed in this book, in all its previous chapters, are applied to a case study that deals with a hospital. In this chapter, we have appropriately considered the area of hospital management and patient access to care, in demonstrating the concepts of the GET process, as applied to a hospital. Needless to say, this remains a relatively small part of the overall effort required in globalizing a hospital. Nonetheless, we believe this is an excellent demonstration of most of the concepts discussed here. This chapter results from our attempts at verifying in practice the principles discussed in this book. Therefore, although the entire case study is hypothetical, it has its roots in a real life hospital, with real doctors, nurses, administrative staff, and of course, real patients. By considering the application of GET to Tele-health, we hope we will not only demonstrate the process to our readers, but also show how this process will come in handy in the health domain where globalization is going to become extremely important.


2016 ◽  
Vol 50 (4) ◽  
pp. 610-616 ◽  
Author(s):  
Marília Daniella Machado Araújo Cavalcante ◽  
Liliana Müller Larocca ◽  
Maria Marta Nolasco Chaves ◽  
Márcia Regina Cubas ◽  
Laura Christina Macedo Piosiadlo ◽  
...  

Abtract OBJECTIVE To analyze the use of nursing terminology as an instrument of the nursing work process in Collective Health. METHOD Exploratory case study. For data collection was conducted a group interview with 24 nurses working in health units of a municipality in south central Paraná, Brazil. Data were analyzed in the light of interdependence between the structural, particular and singular dimensions contained in the Theory of Nursing Praxis Intervention in Collective Health. RESULTS The situations interfering with improper use were the lack of knowledge about the origin and purpose of terminology, lack of training, and non-mandatory use. CONCLUSION Although the nursing terminology is used as an instrument in the nursing work process in collective health, it requires training to be recognized as a classification system. At the same time, institutional policies should be employed to ensure the effective use of these instruments.


2017 ◽  
Vol 23 (2) ◽  
Author(s):  
Peter Van Dongen ◽  
Zainab Noor El Hejazi ◽  
Eric Claassen

Gene therapies hold great promise for treatment of diseases but so far their market authorisation has been limited. This paper describes the development of patented gene therapies in the sector of life sciences and health.  It was found that the annual number of patented gene therapies increased significantly till the year 2005.  A cluster analysis of gene therapies patented in 1995 shows that:  a) more than eighty percent has been renewed for more than fifteen years (fifty three per cent till the maximum patent term) and b) fifty per cent of the patents have been licensed. There is a statistically significant correlation between the numbers of citations in future patent applications by third parties and the number of years of patent renewals. A case study of the patent EP 0833934 of biotechnology start- up Crucell demonstrates that the number of citations by third companies to this patent even predicts the companies’ market capitalization. This research yielded evidence that the number of patent citations can be used as indicator to determine the value of gene therapies. Such information is of relevance for both the patentee and investors.


Author(s):  
Laksmi Laksmi

This study discusses how personal knowledge management in Jabodetabek urban community (stand for Jakarta, Bogor, Depok, Tangerang, Bekasi) in Indonesia, as a multi-ethnic nation with a thick oral culture is facing the digital era. The urgency of this research is to be able to build awareness and managing knowledge effectively in society. This research uses quantitative approach with case study method. Data is collected using the Google-form questionnaire between January-July 2018. Respondents are determined by non-probability sampling methods, obtained 224 respondents. The findings show that the strategy of gaining knowledge is at the highest level, while knowledge sharing is at the lowest level. In addition, the community has not fully utilized knowledge in this digital era. They focus on knowledge about hobbies, entertainment, and health. It was concluded that individuals who, on average, were students and office workers, showed effectiveness of knowledge management that were not optimally integrated, thus hampering the development of knowledge itself. Ideally individuals actively share knowledge for mutual progress, Jabodetabek communities are still passive, and sharing knowledge in close environment that are related to school or office assignments. This issue can be developed using a qualitative approach in order to gain deeper understanding of personal knowledge management from cultural perspective. 


2019 ◽  
Vol 27 (3) ◽  
pp. 430-438
Author(s):  
Lucas França Garcia ◽  
Marcelo Picinin Bernuci ◽  
Andrea Grano Marques ◽  
Sonia Maria Marques Bertolini ◽  
Tania Maria Gomes da Silva

Abstract Health promotion is a set of strategies that aim to improve the quality of life of individuals and populations. Since these strategies are based on social determinants of health, it is important to identify vulnerability issues in order to explore their impact on health care. The present study describes a case study showing the perception of women on poverty as violence and social vulnerability and the impact of the same on health. A qualitative study was performed, based on content analysis. The results are presented in narrative form and address: 1) poverty as social vulnerability; 2) poverty and perceptions of violence; 3) poverty and associated health outcomes. We found that poverty was a central question of social vulnerability which can be a determinant for women’s lives. It is therefore important to consider subjectivities regarding violence and social vulnerability on populations living in poverty when designing health promotion policies. Aprovação CEP-UniCesumar CAAE 72243617.7.0000.5539


Author(s):  
Clive Phillips ◽  

This chapter discusses the intimate partnership between dairy cattle welfare and health. It begins by examining the welfare implications of common dairy cow diseases such as lameness, mastitis, metritis, acidosis, ketosis and other production-related diseases. It also addresses the impact of subclinical diseases as well. Stress and immune function is also discussed, followed by a review of how mental health can impact the welfare of dairy cattle. A case study on the health and welfare of cows in Indian shelters is also included.


2012 ◽  
Vol 22 (3) ◽  
pp. 212-219 ◽  
Author(s):  
Deborah Fearnley ◽  
Louise Sutton ◽  
John O’Hara ◽  
Amy Brightmore ◽  
Roderick King ◽  
...  

The Vendée Globe is a solo round-the-world sailing race without stopovers or assistance, a physically demanding challenge for which appropriate nutrition should maintain energy balance and ensure optimum performance. This is an account of prerace nutritional preparation with a professional and experienced female racer and assessment of daily nutritional intake (NI) during the race using a multimethod approach. A daily energy intake (EI) of 15.1 MJ/day was recommended for the race and negotiated down by the racer to 12.7 MJ/day, with carbohydrate and fluid intake goals of 480 g/day and 3,020 ml/day, respectively. Throughout the 99-day voyage, daily NI was recorded using electronic food diaries and inventories piloted during training races. NI was assessed and a postrace interview and questionnaire were used to evaluate the intervention. Fat mass (FM) and fat-free mass (FFM) were assessed pre- (37 days) and postrace (11 days) using dual-energy X-ray absorptiometry, and body mass was measured before the racer stepped on the yacht and immediately postrace. Mean EI was 9.2 MJ/day (2.4–14.3 MJ/day), representing a negative energy balance of 3.5 MJ/day under the negotiated EI goal, evidenced by a 7.9-kg loss of body mass (FM –7.5 kg, FFM –0.4 kg) during the voyage, with consequent underconsumption of carbohydrate by ~130 g/day. According to the postrace yacht food inventory, self-reported EI was underreported by 7%. This intervention demonstrates the practicality of the NI approach and assessment, but the racer’s nutrition strategy can be further improved to facilitate meeting more optimal NI goals for performance and health. It also shows that evaluation of NI is possible in this environment over prolonged periods, which can provide important information for optimizing nutritional strategies for ocean racing.


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