Transcript: Patient Portal Utilization Meaningful use is using certified electronic health record (EHR) technology to: Improve quality, safety, efficiency, and reduce health disparities Engage patients and family Improve care coordination, and population and public health Maintain privacy and security of patient health information Meaningful use sets specific objectives that eligible professionals (EPs) and hospitals must achieve to qualify for Centers for Medicare & Medicaid Services (CMS) Incentive Programs. Two metrics: Patient Electronic Access 1: 50% target Measure 1: More than 50 percent of all unique patients seen by the EP during the EHR reporting period are provided timely access to view online, download, and transmit to a third party their health information subject to the EP's discretion to withhold certain information. Patient Electronic Access 2: 5% target For an EHR reporting period in 2017, more than 5 percent of unique patients seen by the EP during the EHR reporting period (or his or her authorized representatives) view, download or transmit to a third party their health information during the EHR reporting period. “When patients interact with their test results, they need to know the purpose of the test, the interpretation of the result, and next steps. Addressing these issues may help improve patient-centered care” (Baldwin, Singh, Sittig, & Giardina, 2016). References 2016 Program Requirements. Retrieved September 25, 2016, from https://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/2016ProgramRequirements.html Baldwin, J. L., Singh, H., Sittig, D. F., & Giardina, T. D. (2016, October). Patient portals and health apps: Pitfalls, promises, and what one might learn from the other. In Healthcare. Elsevier. Eschler, J., Liu, L. S., Vizer, L. M., McClure, J. B., Lozano, P., Pratt, W., & Ralston, J. D. (2015). Designing Asynchronous Communication Tools for Optimization of Patient-Clinician Coordination. In AMIA Annual Symposium Proceedings (Vol. 2015, p. 543). American Medical Informatics Association. Heyworth, L., Paquin, A. M., Clark, J., Kamenker, V., Stewart, M., Martin, T., & Simon, S. R. (2014). Engaging patients in medication reconciliation via a patient portal following hospital discharge. Journal of the American Medical Informatics Association, 21(e1), e157-e162. Snyder, E., & Oliver, J. (2014). Evidence based strategies for attesting to Meaningful Use of electronic health records: An integrative review. Available in the. Online Journal of Nursing Informatics (OJNI), 18(3). Wade-Vuturo, A. E., Mayberry, L. S., & Osborn, C. Y. (2013). Secure messaging and diabetes management: experiences and perspectives of patient portal users. Journal of the American Medical Informatics Association, 20(3), 519-525. Wilcox, L., Patel, R., Back, A., Czerwinski, M., Gorman, P., Horvitz, E., & Pratt, W. (2013, April). Patient-clinician communication: the roadmap for HCI. In CHI'13 Extended Abstracts on Human Factors in Computing Systems (pp. 3291-3294). ACM. Stage 3 and MACRA Meaningful Use and the Patient Portal Literature “regular internet use and having a personal computer partially accounted for differences in use of the portal to send messages to health care providers by age, race, and income, whereas education and sex-related differences remained statistically significant even after controlling for internet access and care preference” (Graetz, Gordon, Fung, Hamity, & Reed, 2016). Meaningful Use Usability and Functionality Wanjiku Kariuki Viola B. Leal Mohammad Tabatabai Ana Ibarra Noriega MyUofMHealth.org Secure Messaging “over two-thirds had at least one medication discrepancy at discharge, and nearly one-third had at least one potential ADE” (Heyworth et al., 2014). The authors found that “virtual medication reconciliation following hospital discharge has the potential to improve medication safety in the transition from inpatient to outpatient care” “more effort on the part of the provider is needed to encourage patients to use a portal system. If providers take a more active role in educating patients as to the benefit of the portal, provide a positive view of the system, provide consistent standardized information, and remind the patients in multiple ways and times, patients are more likely to enroll in the portal system” (Snyder & Oliver, 2014). Objective 8: Patient Electronic Access (VDT) Provide patients the ability to view online, download, and transmit their health information within 4 business days of the information being available to the EP. Patient Portal Metric Provider Buy-in Portal on Newer Internet Browser Lab Test Results DMC Patient Portal “patient and provider attitudes toward patient portal use found that the most negatively-perceived feature was user-friendliness, making the portal difficult to navigate” (Baldwin, Singh, Sittig, & Giardina, 2016). “When patients interact with their test results, they need to know the purpose of the test, the interpretation of the
Transcript: Portal Gun the jet pack a engine powerful enough to carry but safe enough to help it has speed and mobility it is a device you put on your arm to tell you what diseases you have where you have injures how much calories the food have any location and can tell you the distance The future of Transportation Hyper space / light speed this is video games and movies ideas are real the teleporter video game and movies uses transportation to go to location star trek beams you from your ship to any surface bellow you. TF2 uses teleportation from the starting area(if placed there) to any other area (can only be done by engineer) pip boy Gliders suit that can help us glide like Birds and squirrel.In video games we see players glide to there objectives thank you for watching Gliders the high tech gun that let you open a portal from one place to another within range of eye sight Jet pack Hyper space is the speed that has no limit to get to one galaxy to another (if any are found). Light speed has the speed to go to one planet to another (a slower version of hyper space).
Transcript: The cake is a lie! Remember when the platform was sliding into the fire pit and I said "Goodbye" and you were like: "No way!" And then I was all "We pretended we were going to murder you?" That was great! This is your fault. It didn't have to be like this. I'm not kidding, now! Turn back, or I *will* kill you! I'm going to kill you, and all the cake is gone! På berettermodellen Who am i, where am i? Let the testing beging, you'll get cake! Thank you for assuming the party escort submission position All Aperture technologies remain safely operational up to 4000 degrees kelvin
Transcript: huddle Mrs. Rossi huddle to crowd together crowd huddle separate
Transcript: Portal-Whant you gone Well Here we are again It's always such a pleasure Remember when you tried to kill me twice? oh how we lauged and laughed Except I wasn't laughing Under the circumstances I've been shockingly nice You want your freedom? Take It! That’s what I’m counting on I used to want you dead but Now I only want you gone Now I only want you gone.
Transcript: Cameron Rostami and Rebecca Faust If ever I call you a horrible person, don't get mad You Monster Compare it to being stuck in a potato it's not that bad I prize thy friendship like humans prize worthless body fat My life is impossible to be ended Or the dust you push under a mat Thy legs are unable to be hurt like stone That when the time comes we could put out differences behind us From GLaDOS Then while you ripped me apart, I won't make a fuss If ever there were a triumph, then you would succeed the cake is a lie, like all you've known To Chell from GLaDOS If ever you finished the tests, then you would be freed Nor your determination, after tests, to a new test you're sended
Transcript: You play as an unnamed test subject who must go through increasingly challenging test chambers using your Aperture Science Handheld Portal Device, or your portal gun. The plot is set by your setting and the only other character you meet in the game, GLaDOS. You are being tested by a organization called Aperture Science, who want to see how you fare during these tests. GLaDOS is a computer who guides and watches you throughout your testing sequence. Evenetually you learn that she (yes, the computer is a girl) is mad and aims to kill you after the testing is over. Throughout testing, GLaDOS goes through a list of dry yet funny quotes, such as: "Cake, and greif counseling, will be available at the end of the testing period." You escape her fiery clutches (literally) and make your way through the bowels of Aperture Science, using everything you learned about portals from the testing. The gameplay is very fun. Portals are shot out of your portal gun onto the walls, ceiling, or floor of the testing chamber. Whatever goes through one portal comes out the other, maintaining speed and direction. While going through the 19 testing chambers, you must use your wits to fling yourself across gaps, set weighted cubes on large red buttons, and aviod cute but deadly turrets. The entire game is powered by the Source engine, which is used in many Valve games, including Left 4 Dead and Half Life 2. The graphics are amazing, but it takes a powerful computer to run everything smoothly. The sound design is also very good. You can hear every bump, scrape, or plink that goes on during the testing. On a scale of 1 to 100, with 100 being a flawless game or an A+ and a 1 being little more than a rock, I give this game a 95. It has even been awarded for it's ending song "And then there will be cake." "Still Alive," To sum up, Portal is and incredible game that is a lot of fun to play. It is by far the most memorable game I have ever played. By Jon Hanson which is sung by the voice actor who played GLaDOS. Developed by Valve, this mind-bending puzzle/platformer instantly became a hit in 2007.
Transcript: MyBristol, the University Portal Is everything a portal these days? What does MyBristol do? A gateway(and more) to web based services within and beyond the University Knows who you are to offer targeted information and tools Ease of access to services for users Can be customised to meet users tastes and needs How does it do it? JASIG - Open source enterprise portal framework, built by and for the higher education community Based upon open-standards and Java, XML, XSLT, JSP and J2EE development Sophisticated layout management Validate user credentials against multiple backing credentials stores, including databases and LDAP and integrated with single sign-on User attribute service draws data from multiple sources Powerful and flexible user group management system Layout system permits fragments and channels to be presented to users in combinations determined by personal user attributes, preferences, group memberships. uPortal supports permissions for access to layout fragments, individual channels, group administration, and channel publication. Why does it do it? IT Strategy objectives 1.4, 3.6, 6.1, 6.3, 6.5 1.4) Improve communication with students- Single point of access to University, Faculty and Departmental information 3.6) Ideally, a single point of access should be provided to corporate systems and processes this is the ultimate objective which follows from 3.3 and 3.4 above. It will only be achieved if we have a robust well-found systems architecture comprising all aspects from systems processes down to physical computing infrastructure. 6.1) Provide systems which enable easy, location-independent access. Web-based systems and the University Portal should aggregate information and information channels, providing users with a personalised interface to the information and resources that they need to perform their roles. 6.3) The web is arguably the University's single most important tool for communication… a powerful influence on the University's international reputation. Ongoing investment is required to ensure that the University keeps abreast of technological developments and … the increasing significance of the web in the quality of the student experience. 6.5) The most commonly requested facilities for mobile access are: Email, Filestore, University licensed software. Development should focus on easy provision of access to these and other important applications through the web/portal… Developments Portal Continue work towards the Portal being a single point of access to information and services that are web based, personalised and integrated. Provide information to all - Students, Staff, Alumni, applicants and others beyond the University. Improve the user interface to UoB systems. Benefits Avoidance of duplicate developments. Improved staff and student communication and satisfaction with access to services and information Providing a “joined-up” approach to integration and development. Enabling the development of workflow-based applications. Announcements Blackboard Search Contact Directory, Journals, University website… Calendar Timetables Email Mailing lists (Sympa) Remote Desktop Voting Course Info Exam Info News Uni, IS, Students’ Union, Faculty… Faculty / School information Sport, Security, Travel Library Services My Contacts My Newsfeeds Student Reps Course Feedback FEC ResNet IT Service Status My Students Bookmarks My Web Bookmarks PDF Publisher Porpoise Bookmarks Print Credits Staff Info / Student Info Feedback Content Finder Weather and more… Issues “A single web interface that provides personalised access to information, applications, business processes and much more. With portal technology…you can aggregate and integrate information within a particular working environment, application or service…” The Microsoft (2006) website
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