Patrick Platt

HISTORY AND PHYSICAL EXAMINATION Patient Name: Patrick Platt Patient ID: 771033 Room No: 560 Date of Admission: 08/30/—- Admitting Physician: William Payne, MD Admitting Diagnosis: Rule out fracture of left arm. CHIEF COMPLAINT: Pain and swelling, left upper arm. HISTORY OF PRESENT ILLNESS: The patient is an elderly male, who fell four days prior to admission. He noted immediate pain and swelling in the area just above his left elbow. He presented to the emergency room for treatment. PAST HISTORY: Past illnesses include whooping cough as a child. Tonsillectomy in the past. No known allergies to medications. FAMILY HISTORY: No hereditary disorders noted. Mother and father are deceased. Two brothers are alive and well. One sister has adult-onset diabetes mellitus. SOCIAL HISTORY: The patient is married and has two children. His wife does not work outside the home. (No mention of tobacco or alcohol use). PHYSICAL EXAMINATION: GENERAL: The patient is a well-developed, well-nourished male who appears to be in moderate distress with pain and swelling in the upper left arm. Vital signs: Blood pressure 140/90, temperature 98. 3 degrees Fahrenheit, pulse 97, respiration 18. HEENT: Head normal, no lesions, Eyes, arcus senilis, both eyes. Ears, impacted cerumen, left ear. Nose, clear. Mouth, dentures fit well, no lesions. NECK: Normal range of motion in all directions. (Continued) HISTORY AND PHYSICAL EXAMINATION Patient Name: Patrick Platt Patient ID: 771033 Date of Admission: 08/30/—- Page 2 INTEGUMENTARY: Psoriatic lesion, right thigh, approximately 1 mm in diameter. CHEST: Clear breath sounds bilaterally. No rales or rhonchi noted. HEART: Normal sinus rhythm. There is a holosystolic murmur. No friction rubs noted. ABDOMEN: Normal bowel sounds. Liver, kidneys, and spleen are normal to palpation. GENITALIA: Tests normally descended bilaterally. RECTAL: Prostate 2+ and benign. EXTREMITIES: Pain and swelling noted above the left elbow, other upper extremities normal. No cyanosis or clubbing. The legs demonstrate 2+ pitting edema to the knees. NEUROLOGIC: Crainial nerves II through XII intact, memory intact, sensation intact to light touch. ASSESSMENT AND PLAN: The patient was sent for plain film of the left arm, which revealed a fracture of the left humerus. The fracture was reduced in the emergency room. X-ray revealed anatomic alignment. He was released to home with a prescription for a nonsteroidal anti-inflammatory and instructions to elevate his arm. He will follow up in the office in three days. PROGNOSIS: Good. _________________________ William Payne, MD WM:R D:08/30/—- T:09/01/—-

Planning for Management Information System

The biggest challenge and most critical success factor in reengineering projects are persuading the people within the organization to cooperate. When you begin to computerize a legacy system considers the advantages; reduced clerical cost, quicker processing time and improved customer service. Everyone knows that the computer capabilities alone make life a lot easier for all managers. The advantage of time and accuracy spread over the lifespan of the information system means improved long-term vision and focus for top, middle and lower managers. A management information system (MIS) focus is on information that management needs to prepare its job. This task becomes much more difficult when the major players have a tradition of high independence, are often confrontational to management, and are irreplaceable independent contractors. CIO's in major business organizations face exactly this situation; further complicated by the fact that the reengineering effort is crucial to the continued existence of the organization. Such discussion has driven the software industry to focus attention on software specifically designed to support the team approach essential to most service and customer oriented organizations. The importance of teamwork can not be over emphasize in achieving overall organizational goals, and the need to capture and manage an organization's knowledge base remain crucial. This teamwork enables the organization to achieve and sustain competitive advantage in their business. In considering the framework for an information system (IS) each level operational, tactical and strategic planning requires different IS. At the operational planning system, the IS collect, validate and record transactional data relating to acquisition or disbursement of resources. The data for account receivable and payables, payrolls, inventory level, shipping data, printed invoice and cash receipts recorded as they occur. The operational-level IS characteristic are repetitive, predictable, emphasizes the past and detailed in nature just to name a few. The focus of the operational system is the daily tasks performed at the user level. The operational level manager uses this data to check every day tasks, i. e. ordering, shipping, inventory control, the essence of the business processes. The second level in the framework is the tactical system. This system provide middle-level managers with information to monitor and control operation while allocating their resources efficiently. The data is summarized, aggregated, or analyzed with a wide range of reports, i. e. , summary, exception and ah hoc reports. The tactical information system differs from operational information system in the basic purpose: operational support the execution of tasks and a tactical information system supports a manager control over those tasks under their area of supervision as well as the allocation of resources to meet the company objectives set by top management. The data input and the information produced as outputs differ from the type of data involved, tactical characteristics are periodic in nature, with unexpected findings, comparative in nature with both internal and external sources. The tactical information system purpose and the regularity of report produced within the information system are drastically different from an operational system. The third level in the framework is strategic planning, designed to provide top managers with information that assist them in making long-range planning decisions for the business. The different in strategic and tactical are not always clear, because both types of information systems may use some of the same data, you might say that the systems sometimes overlap with the difference being in the data that the system uses. Typically, top management uses strategic planning system to forecast long-range company objectives. The characteristics are ah hoc basis, unstructured format, external source, and subjectivity, summary and predictive in nature. A MIS provides information for effective planning and tactical decision making, which is the foundation of operational level data system. A tactical planning system provides middle-level management with the ability to monitor and control resources. The tactical information system does not support the execution of operational tasks, but allow managers visibility over the operation. Information systems are costly, to deploy and maintain, yet the maximization of economic value of IS in the long-run balance out over the initial set-up cost. The right software products enable teams of people to integrate their knowledge, work processes and applications to achieve improved business effectiveness. It has been suggested that the implementation of such technologies is more difficult and yields more unintended consequences than is typically acknowledged. First, how such technologies are used reflect the effects. Second, how these technologies are likely used when alternative tools co-exist, meaning predictability is difficult from technological characteristics. Third, because people use groupware with other people, one person's choices about how to use groupware may have consequences for other group members, user satisfaction. The measurement for an effective MIS must be the users; usage and satisfaction have a strong correlation. Obvious, the effectiveness of MIS depends upon the use of the system and if the employees accept it. The information system department, managers and users together make the MIS process successful. The managers implement the MIS, their behavior and motivation play an important part in the variables for the system to be effective. Each designed MIS produce information for decision making throughout the organization. Let†s examine several case studies with the implementation of MIS as seen in three distinct companies, an insurance company, a food marketing company and a social service agency. The insurance company normal routine consisted of tons of policy paperwork generated daily to accomplish the company objectives. The company started on line systems supporting policy screening, creation and issuance in the 70†³s. An employee could key in new application information at his or her computer terminal, after the compilation of information an underwriter can evaluate the insurability of potential customers. After the approval process, the information system produces a policy data sheet. This business process makes it possible to handle inquiries from individual policyholders and sales agents seeking personal data information about policyholders. The home office linked to all locations of their sales agencies allowing sales agents to inquire on-line about policies with the capability to edit application information at their site. The home office can still update policies as well. Yes, this service provides the agencies with a competitive advantage in product marketing and customer service. The home office outsourced and purchased software that enable the sales agents to analyze alternative companies† product and service options, resulting in winning the customers† loyalty and a quicker sales. The company continues to grasp the future for innovations and anticipating their customers† needs in the future. This approach along ensures valuable information for the senior-level management to plan as well as reduce overhead cost with improved productivity and better decision-making ability. Next, let look at the food industry and view how information system improved their process. The MIS geared toward physical distribution at the operational level, where update orders and invoices sent to the distribution centers and the system updates the account receivable and associate system files. The system prints invoices at the origin and destination location, resulting in reduced cost and faster payments equal more cash flow. The food company produced numerous reports that enabled the managers to conduct on-line credit checks from their account receivable status report, and identify delinquent accounts, before shipping the merchandise to the distribution centers. The customer services personnel have immediate access to open account allowing for immediate visibility and response to customer inquiries about deliveries and shipments, similarly cash payments received automatically applied to customers† on-line account. Let us not forget to look at the marketing advantages with MIS as well. Sales analysis reports reflect the customers† history product information file; this data generates report by product line in each territory each month for middle-level managers to forecast demands for any specific product item. Normally, this begs the question about production and if the company can continue to support the demands of the customers. At this junction, the IS gives managers additional insight about demand and the need to forecast for future buys. The company established a bill-of-material file, which computerized the ingredients for each product line and created batch size for all products. This process minimized the work process and improved the manufacturing ordering process for each customer batch orders. The product specification file served as the database of reference information enabling the manager the ability to print text on all purchase orders. The text file produced a finished goods inventory, which is transferred to the branch warehouse stockroom in various locations; this information is based on sales analysis report (demand). In the finance and administration department, the updated account receivables correlates with customers' billing and cash receipts. A monthly exception report generated from the aged balances spits out a collection letter automatically to the respective recipients at specified intervals. The MIS enabled the food marketing company to process orders more timely, manage inventories more efficiently and organize their production section. Bottom line cost savings of MIS results in more revenue and a better customer relationship and senior-level managers focusing their attention on emerging trends in the market. A social service department utilizes MIS in the public sector by providing financial assistance to the residences, i. . medical assistance, food stamps, facilitate foster home and adoption, day care, school service, family planning, housing and legal services. The MIS processes new applications and payments. The applicant applies and become eligible then the system creates an on-line record for them. The system automatically prints an identification card for the payroll master file that entitles the recipient to service for which the bill goes to the social service department. An on-line inquiry and update of the applicant record are also possible. The payroll master file sorts, generates the welfare check, and lists them on the payroll register, which generates historical report for managers. In all three case studies, the information systems support transactional processing. The user involvement in each of the project selection ensures the effectiveness of the information system and its acceptability. How do you measure utilization and performance in MIS? The term utilization is the extent that the intended users use the information system (IS) for its intended purpose. The term performance measures the improvement of the business process that supports the IS implementation. These measurements observed through business records, visual or electronic inspections and take the personal opinions and attitudes out of the decision-making loop. The multiple variables sometimes are difficult to identify, but the IS department must be impartial if the true value is realized of a successful IS project. A successful IS project can be measure best with psychometric tests of attitude, interests, and opinions such as user information satisfaction in the broadest sense. The performance measures of the business determine the effectiveness of the MIS. You can see that information technology give companies a competitive edge, once an information based service enters other company either catch up or eliminate the original innovator competitive advantage thus raising the stake for those participating in the marketplace. Today, company can link its customer to its order entry system, thus improving efficiency and improve business performance. Sure, an effective information system, if efficient reduces needless paperwork and allows the customer access to available stock information before committing to the purchase of goods and services. Let not forget about effective too, the information system provide better service to its customers, for instance, i. e. the creation of electronic travel supermarket through on-line reservation system, i. e. www. priceline. com or www. Travelocity. com, which is transforming the basis of competition within this marketplace. To compete efficiently in this world, companies must establish information partnership as an integral part of successful business processes.

Becoming a Medical Billing Specialist

Becoming a Medical Billing Specialist Keisha Marselis SLS 1105-65 Strategies for Success March 20, 2010 Becoming a Medical Billing Specialist I love working with people and on computers. So I looked for a career where I can do both. Deciding to become a Medical Billing Specialist was the perfect choice for me. When I first entered into the medical field, I became a CNA (Certified Nursing Assistant). I love doing my job because I was able to help others in need. As time passed I knew I wanted to do more but I just didn’t know what that was. Then one day I went to the doctor’s office with a patient for a routine checkup and I started talking to one of the medical assistants. She asked me if I liked my job. I told her that I love what I did but I wanted something more. I also mentioned that I had went to school for basic computer training before I went to school for CNA. Then she said that I should think about going to school for Medical Billing and Coding. When I started looking into the field, I was astonished. I would be able to do the two things I love, working with people and on computers. I discover that a person interested in medical billing and coding should have excellent knowledge of the field, is willing to help those in need and have flexibility to obtain additional training for job advancement. â€Å"Medical coding is a key step in the medical billing process. Every time a patient receives professional health care in a physician’s office, hospital outpatient facility or ambulatory surgical center(ASC), the provider must code and create a claim to be paid, whether by a commercial payer, the patient or CMS(The Centers for Medicare Medicare Services)† (American Academy of Professional Coders (AAPC), 2010). A medical coder’s main job is to look over patient’s records and other information to code and classify a patient’s diagnosis or procedure. Then they must assign and input the correct diagnostic code to establish the amount of money a provider receives from the insurer. Coders are also responsible for making sure codes meet all federal, legal and insurance regulations. Jeffress (2003-2010) specifies that â€Å"the healthcare industry depends on skilled medical billing and coding specialists to accurately record and register patient information, verify their insurance policies, and keep track of patient accounts†. When a patient comes in to the doctor’s office, you are the first and last person they come in contact with. So it is important that you get all of the patient’s information to properly start off their file. You also have to make sure the patient has their proper health insurance and understand what their responsibilities are for co-payment, if needed. They would have to fill out different documentation about them and their family medical history. It is also important to help them understand how to fill out these forms so that everything can be properly documented in their file. When the patient sees the doctor, he/she will have a somewhat understanding of why the patient is visiting. While the patient is seeing a doctor, the doctor may tell them a few things that they might not understand. So the patient might come and ask you questions pertaining to what the doctor just told them. By being trained in the field you learn about medical terminology. This is when you breakdown what was told to them. You would be able to explain to them the medical diagnosis or procedure the doctor has told them about. Help them understand what the doctor wants them to do.

Perception vs Reality Essay Example | Topics and Well Written Essays - 250 words - 1

Perception vs Reality - Essay Example Stakeholders need to be informed of the prevalent circumstances irrespective of the nature of the information (Jackson, 2012). Communicating challenges and successes eliminates the negative perception from the stakeholders. Always maintain strict resource observance: Stakeholders are continuously interested in the resources and confusions arise whenever the project management is not strict as it should be. Anything that seeks to deduct from the resources or affects the distribution of resources should be well documented. There are no little requirements in the management of resources, and that perception should be avoided at all cost. The resource management team should communicate to the stakeholders on the efficient utilization of resources and the documentation requirement to access resources emphasized (Jackson, 2012). The project manager is responsible for the management of the resources and decisions made by the other levels of management should be inclusive. Quality supersedes quantity. Resources should be effectively and efficiently used and allocated accordingly to achieve better performance. In any project, stakeholders desire to have it completed quickly and inexpensively (Jackson, 2012). Perceptions of the management of how the outcome can be quickly achieved arise from executives making unrealistic promises to the stakeholders. In most cases the project has to give to receive; completing projects quickly and inexpensively results to low quality projects. Time for all the projects is a limited resource that should be carefully considered. The stakeholders need to realize that more resources need to be utilized to achieve quick results (Jackson,

Communication for Management Assignment Example | Topics and Well Written Essays - 250 words

Communication for Management - Assignment Example First of all, I would allow all my team members to express their individual views regarding a particular topic. Each of the member’s view would be properly listened. Contribution of each of them would be given enough importance. It is crucial to note that differences among group member’s beliefs, values and attitudes are the main source of conflict (Team Building Directory, n.d.). Hence, it is very important to apply this above mentioned strategy. The main objective of doing these would be to make the members feel that their involvements are very much significant in the way of achieving the group’s main target. Secondly, team members would be made involved in the decision making processes. This is likely to make sure that the decisions are not in favor of any particular individual rather they are taken for the overall betterment of the group and its performance. Communication is a crucial aspect which greatly impacts the aspects like ‘conflict’. As a manager of the team I would make sure that all the channels through which communication among the team members including me takes place are working properly. In simple words, there should not be any communication gap between me and my group

Markets and Division of Labor Essay Example | Topics and Well Written Essays - 2500 words

Markets and Division of Labor - Essay Example This paper illustrates that social cohesion and division of labour market are the two aspects that have come under association that dates back to several decades. From the olden times to the modern times, the ideas and notion about the market and division of labor whether encourage or discourage has come under numerous discussions and various opinions. Social cohesion comes under classification when the people within a society work in collaboration with each other for a common goal that includes the people coming from cultural diversity. Besides, dedication, acquaintance, and creation of a community are the pivotal aspects that form the social cohesion. Here the people have a shared approach as a single unit surrounded by a committed system, so that the strategies and guiding principles incorporating the economic, social, health and educational assist and support to the society and its members. While the other aspect of the report exhibit the division of labour, which is no new conce pt as it has its origination back to late eighteen century. Although various thinkers and philosophers considered it as a significant principle, but history reveals the fact that Adam Smith was one of the initial people who made an effort to undertake a theory of it. However, this phenomenon in the contemporary time of today has come under vast development that everybody is very much aware of this trend. The division of the labour refers to the area of interest that defines the productive output of the labor that aids in improving the economical growth. This comes under implementation from breaking the bigger activities into smaller chunks that the labor can perform as his expertise that can increase his productivity (Zupi and Puertas, 2010). Historical and authentic substantiation indicates that the few countries of European region initiated an experiment with a core purpose to make its economy liberated from other aspects of life including the social and political control that adm inistered the economic conditions, in order to free the socially rooted markets that subsisted for a very long time. Therefore, the development of the free market came into institution by splitting up the markets that has the origins on social factors. As consequence, a new type of economy came into emergence that did not considered the impacts on society and modified and transformed value of several components including the goods price and labor (Wood, 1984). The Adam’s idea of division of labour articulates that the larger jobs must be divided and break down into small components that can come under relation to the specialized workforce. This makes each worker and labour a proficient and specialist for the areas of production, and hence the efficiency and output of the labour boosts. Nevertheless, this idea of division of labour also hoards quite a few resources including capital and time, as the labours being an expert in a particular component would not have to make excha nge tasks and responsibilities. However, this also leads to an unanticipated issue that the propensity increases that a worker may become ignorant and disappointed from the work because the technological advancements would lead and induce the individuals to perform mundane and repetitious tasks (Reisman, 1976). Smith also states that in order to have a productive labour, they must be assigned the tasks that best fit their capabilities and abilities. This is for the reason that this assignment of labour according to their expertise would lead them to produce substantial and surplus products that can come under reinvestment into the production process. Adam Smith also has a leading concern towards the origins of the value, which has come under recognition in two different forms: use value and exchange value, and concluded that labour is the primary source of value (Reisman, 1976). The data and records provide clear evidences that the division of

Critical Thinking Question Essay Example | Topics and Well Written Essays - 1500 words

Critical Thinking Question - Essay Example The modern societies particularly lay stress upon regular medical check-ups and professional medical counselling for the masses; however, the families sometimes develop their personal health goals, in the light of the experiences of senior family members, as well as according to the counselling they have obtained from the medical advisors in past. However, the most important step towards determination of family health goals is hiring the services of a qualified professional nurse, which can provide a comprehensive fitness scheme for the adequate healthcare of the family. Thus, acting upon the wise counselling and professional schemes of the nurses serves as the best way to maintain health and fitness of the entire family. Since nurses are the qualified medical attendants, their prudent guidance regarding diet and exercise, keep the family away from illness. Nursing is a highly significant profession, and the nurses pay their duties in a systematic manner to resolve the issues related to healthcare. They put aside their own comforts and forget about their individual needs for the cause of others; it is therefore family healthcare is a far cry without seeking help from the nurses. â€Å"Nursing is a demanding profession that requires dedication. Nursing is not a 9 to 5 job because sometimes, you may be assigned to work the graveyard shift or extend beyond 8 hours of work especially when there are a lot of patients to attend to.† (Quoted in lifeinfozone.com) Hence, role of the nurses is vital in keeping the society in proper working. Consequently, almost all American and European families have obtained their services for children, adults and elderly alike. â€Å"The purpose and the reason for the nurse’s contact with the family guides the initial information collected about pertinent areas of family functioning. Initial information shared by the family will help guide the nurse in determining what other data to collect.† (Lundy & Janes, 2009: 752) It is also a reality that some families regard the advices made by the nurses as undue interference in their personal life. They are of the view that since nurses are unaware of the family diseases and inherited illness, they are unable to provide a wise counselling. Hence, instead of curing the individuals, they may make the case more complicated and serious. They act upon the advice of their heart and start taking diet and exercises of their own choice. Not only this that they do not consult medical specialists regarding diet etc, but also they get involved into self medication policy, which serious damages their heart, stomach and kidneys even, turning them frail and flimsy. â€Å"There are many people who are facing a wide variety of stresses, discouragements, disappointments and other events and situations that take an emotional toll on their lives. Sadly, many people feel there isn’t much they can do to help themselves, their loved ones or their business associate s who are having a tough time. Or, they feel that medication is the only answer.† (evancarmichael.com) Hence, they become victim of the drug addiction. Consequently, regular medical check-ups by professionals is inevitable for the maintenance of life. One of the most initial steps taken towards the establishing of personal health goals is applying of regular medical c