Essay a Health Level 7 is a collection of

Essay 1    vsamovich3The Informatics OpportunityWhat is an ICU? eICU? How do they compare and differ? (~100 words, 0.1 points)The ICU stands for Intensive Care Unit in the hospital where patients seriously ill and cared by staff who specially trained. It includes doctors, nurses, pharmacists, dietitians, social workers, and chaplains.  The eICU is an electronic Intensive Care Unit. It uses a form of remote medicine/telemedicine that uses advanced technology to deliver an extra layer of critical care service. They both design to provide special treatment to patients with severe and life-threatening injuries or illnesses. The major difference between those two units is that ICU is in person care where eICU use technology to monitor the patient remotely.What is the historical relationship between HL7 and FHIR?  (~200 words, 0.2 points)HL7 is a Health Level 7 is a collection of standards for healthcare providers to transmit medical and administrative data between software applications. The Fast Healthcare Interoperability Resources (FHIR) is one of the HL7 standards for describing elements and data formats (know as “resources”), API Application Programming Interface to electronically exchange health records. FHIR build on existing standards like HL7 version 2.x and HL7 version 3.x. The HL2 version 2.x have some event-based relationship to FHIR. “FHIR supports an event-based messaging paradigm similar to the HL7 v2 messaging structure (though unlike HL7 v2, FHIR supports other paradigms as well including documents, REST and other service models)” (www.hl7.org, 2017). Another historical relationship is inter-version compatibility. HL7 version 2 has strict processes for maintaining backward and forward compatibility. New content can only be added to the end of existing components, fields, etc. Applications are expected to ignore unexpected repetitions or content. FHIR have similar compatibility. In comparison with HL7 version 3.x, the other few historical relationship exists. This includes codes. For example “v3 places considerable reliance on coded attributes to convey the meaning of instances. FHIR also has attributes that are limited to codes defined in the FHIR specification – those using the code data type” (www.hl7.org, 2017).How does the uninsured impact healthcare costs? What are 3 chronic diseases that contribute to driving those costs? (~250 words, 0.3 points)The uninsured directly impact healthcare. I think the cost of healthcare for the uninsured is frequently passed on to people with insurance in the form of higher prices for coverage. Let’s analysis the previous sentence. The uninsured people don’t do a wellness checkup and rarely use medical assistance. For example person with insurance who has simple cold on early states can go to see the doctor and get easy and early treatment. Someone who had no insurance coverage will hold until has a more difficult medical condition like pneumonia and get a treatment by seeing a specialist or visiting an ER. Plus, such treatment means more strong health problem. In this situation cost for treatment can be thousands of dollars. It can destabilized health care systems, their hospitals, doctors. Practices can be affected by the cost and a lot of care does not get compensated due to uninsured (www.abcnews.go.com, 2017). The combinations of all of those factors can create higher prices for insurances, increase the cost of hospital stay and create a very stressful environment for insured people.List of 3 chronic diseases driving healthcare cost by uninsured:DiabetesHeart Disease and StrokeCancerWhat is the role of health informatics and how can health information technology be utilized to lower costs and provide better care for patients? (~350 words, 0.4 points)I think the role of health informatics is to bring communications between doctor and patient to the next level and promote care as a patient-centered approach. The very important element of this care is care based on high quality. “Informatics can provide a mechanism for patients to provide their clinician(s) with critical information and to share information with family, friends, and other patients” (Snyder, 2011). The doctor can share healthcare information or electronic medical records with another doctor. Communication tools can be used by patient and doctor to view and review resources to interact in new ways. This type of communication is warranted to avoid reliance on implicit, uncompleted, or inappropriate data. I think the biggest challenge for both doctors and patients is exchanging their interactions based on the identified important information.Health Information Technology (HIT) includes significant saving. The idea behind this is to perform same work with fewer resources. The reduced hospital stay comes as biggest saving. It can lead to superior coordination and scheduling, and most importantly it can increased safety. It also includes much more efficient medicine utilization and reduced nurses management time. HIT helps to manage and recommend preventive services, such as screening, well visits, lab works, and vaccinations. Another big part of saving very visible when HIT support chronic-disease administration. The HIT based system can fast identify needs for patients to complete a test and can ensure serial recording of results. Patients can remotely transfer their vital signs from home to their doctor or provider.  This is in direct ratio help to remove the need for hospitalization, thereby both minimizing costs and  enhance patient health.As I sad before HIT can lead to increased safety. 1st is an ability to use alerts and reminders. That activity can be generated by a computerized system. For example, it can prevent a potential adverse reaction to the patient prescribed drug (www.rand.org, 2005). Another very important safety point will around enhance health. The provider can improve intervention between multiple health problems like disease prevention and chronic disease management. The combination of preventive services can increase healthcare expenses. The cost those types of activities not large, but the health benefits of improved prevention are significant.References:abcnews.go.com. (2017). How Uninsured Americans Affect Your Care. Retrieved October 24 2017 from http://abcnews.go.com/GMA/DrJohnson/story?id=128240&page=1Claire F. Snyder. (2011). The Role Of Informatics In Promoting Patient-Centered Care. Retrieved July 17 2011 from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3146983/hl7.org. (2017). HL7 v2 Similarities and Differences. Retrieved April 19, 2017 from https://www.hl7.org/fhir/comparison-v2.html.hl7.org. (2017). HL7 v3 Similarities and Differences. Retrieved April 19, 2017 from https://www.hl7.org/fhir/comparison-v3.html.RAND Corporation (2005) Health Information Technology. Retrieved 2005 from https://www.rand.org/pubs/research_briefs/RB9136.html

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