The EMR and you


Recently, I visited my general practitioner (the Doctor). The necessary update and renewal of my prescription was at hand. As we talked during my exam, I asked the Doctor a few questions about my past prognosis (history). She had no idea what she was talking about. I said, “Doctor, she has been treating me for more than eight years and has treated me for a serious illness.” “What do you think or how do you feel about the way the treatment went? The look of someone who was in the shadow zone came to his face, the look of someone who has switched places with my doctor. I described the diagnosis and prognosis of the total experience so far His demeanor made an abrupt change to OK mode, now I remember.

The doctor then began to explain the how and why of his patient record keeping system. Patient records were kept in an outdated wall-mounted collapsible filing system in the administrative part of this very large and prominent hospital clinic in the city. I asked, “Doc, why don’t you have my records handy to review instead of making a whole new file on me?” He then explained that if a patient hasn’t come into the office for more than two years, the paper files go to a central repository for storage. And shortly after the records arrive at the repository, in no time, they are destroyed. I then asked the doctor what would happen if a medical professional needed to access a patient’s medical history to aid in the diagnosis and comparison of a new disease. The only answer he could give me was “the hospital couldn’t afford to store old patient files.” I asked, isn’t it a dangerous practice? She answered yes.

However, my doctor agreed with the need for an electronic medical record keeping system for all hospitals, especially one as large as this one.

I was appalled at the lack of technology that major hospitals and medical facilities in many cities and counties do not incorporate into their daily responsibilities. Not to mention my anger at the danger factor of not having access to patient records, regardless of how long it’s been between doctor visits. An EMR system will help save lives, treat and prevent disease throughout the planet, its people, animals and life forms.

In my first report, “IT and BI,” I mentioned the steps beginning technology students must take to ascend to the highest level of professional achievement in the world of computers.

The first step is to understand how computers work and the mindset you need to match the brainwashing (training) you need to adapt to their languages ​​and communication networks. I do not consider myself an expert in the profession.

However, I have reached a comfortable level within the IT and BI world where I am happy to play apart. Like many people (especially older students), he had to start somewhere. Somewhere was the desire to become a computer expert. It has grown from there… and continues to grow. I keep eating, sleeping and breathing IT and BI.

Our country, as well as the rest of the world, needs the EMR System. The system needs operators for ETL and other operational functions. This system will be implemented whether hospital administrators like it or not…whether they can afford it or not. And the people to maintain and operate the functions of such a system is inevitable. As an avid data miner and RDBMS practitioner, I constantly study trends, reports, articles, and technology in EMR database systems, as well as networking and communications hardware and software. You don’t have to be a scholar and/or a technological genius to learn things.

All you need is the desire and the will to believe that you can function in the world of computers. I have included some data regarding the beginner in mind within this report. If you’re one of those people who can’t afford to get into a classroom or training environment, I recommend you go to a bookstore or library and get whatever relevant (and not-so-relevant) material you may have. in your hands. , read, study and practice (find someone who will let you use their PC or Mac, if you don’t have one) using the software and your hardware to learn the languages ​​and applications.

Here are some initial facts to help you understand PCs and networks:

Management Information Systems (MIS)

The difference between hardware and software:
Hardware is the things you can see, touch and feel, i.e. a central processor, a printer, a monitor, a variety of electronic and mechanical parts; physical components; The software is the languages ​​and operating systems; the control and support of a computer system; instructions, programs, disks; usable and replaceable portions of the total system.

Some characteristics of the processing functions are: the data is modified or transformed into information to compare, order, calculate, etc.

The difference between data and information is: data is defined as raw material entered into the processing system, that is, the keyboard; information is processed data that is processed into meaningful information.

The definition of SOP (Standard Operating Process) is protocol, the rules or conventions that govern the format and transmission of messages exchanged between computer and terminal devices.

The key categories of IST (Information Systems Technicians) are: Hardware, Software, Storage, and Telecommunications.

What is GST? (Transportation Process Systems) – the systems that control scheduling, routing, inventory, materials, and transportation information.

MIS (Management Information Systems) are oriented almost exclusively to internal organizational events; a system that helps management make, carry out and control decisions, plan and manage; assists management in carrying out their work; get the right information to the right people at the right time.

The definition of the characteristics of the DSS (Decision Support System) are:
Help in making decisions in conditions of uncertainty; analyze situations, graphs and other visual displays can be transmitted and displayed when necessary to clarify a point; access files, makes accurate forecasts, prepares short-term profit plans and long-term/range projections, provides pre-planning information in budget preparation, calculates variances, triggers revised forecasts, acts as early warning system, performs the entire procedure with great speed and precision.

The definition of ESS (Executive Support Systems) is: the executive support system is designed for an individual executive or a group of executives that involves a file of personal data separated, stripped or created from a main file oriented to the needs of the single executive.

The characteristics of the economy based on knowledge and information are (high technology – little hope):
Changing labor market polarized wages and incomes, high-tech and service jobs may be causing poverty rather than curing it, a shift from physical work to head work, 75% of jobs were in manufacturing, but they were lost in the service industry and the computer revolution. , the information revolution, the electronic revolution, the second industrial revolution.

An information system can be defined as a system that helps manufacture and run control devices based on the physical facilities available; A computer, a calculator, an adding machine, a book, etc.

The group responsible for monitoring daily activities claims to be called the International Data Corporation.

Characteristics of the Information Age:
The first year PCs became commercially available, ¾ of American jobs were in manufacturing. The expectations for the future were to live better than the people of the past. Circa 1950. Interest rates averaged 2%.

High Tech – Low Hope:
Knowledge based on the information collected about the change in the economy.

Pascal Lebowitz developed the first adding machine.

Processing features:
To perform and manipulate operations on data.

Speech recognition would be an example of an input device: accept data and then analyze the sound input.

What does DOS stand for and why do we need it?
DOS – Disk Operating System, a program that contains the control signals for the computer. A DOS system monitors and operates subsequent programs loaded on the computer. It is the main central program used by the computer.

The difference between data and information: data is raw material entered into a computer system; information is processed data; information with an understandable meaning.

The characteristics of the processing functions is that the raw data is transformed into logical information through a process of analytical and manipulated functions.

The 5 functions of a computer are:
The ability to accept data is the input device where data is output through an analytical and manipulative function, as well as the automatic execution of instruction programs in order to perform mathematical logistics in a series of functions known as processing.

Output is a data manipulation operation and the reporting of the results of your findings to the computer operator that helps you perform work and/or personal information and/or entertainment. The five functions are input, store, process, execute, and output.

General Systems

An environment consisting of many personal computers, workstations, and servers, interconnected by high-speed networks and dispersed over small or large geographic areas.

The attractions of such a system are widely recognized; each user has autonomy and control over the destination of their own resources. Every user benefits from sharing information and file data. Connectivity with servers allows sharing of expensive resources (disk forms of desktop services).

Visual Basic is an IDE (Integrated Development Environment) that enables the creation of applications designed to run like the Windows operating environment. These applications are GUI (graphical user interface) based programs that use the event-driven program model (writing multiple components to control/execute programming – procedural programming).

Operating systems

The collection of computer programs that control user interaction and computer hardware is called the operating system (OS). The operating system of a computer is often compared to the conductor of an orchestra, since it is the software that is responsible for directing all the operations of the computer and managing all the resources of the computer.

Usually, part of the operating system is permanently stored on a read-only chip (ROM) so that it is available as soon as the computer is turned on. A computer can see the values ​​in read-only memory, but cannot write new values ​​to the chip. The operating system ROM-based partition contains the instructions necessary to load the rest of the operating system code, which normally resides on a disk, into memory.

Loading the operating system into memory is called booting the computer. Now press the power button.

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