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lighttherapy101-blog · 7 years ago

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Redefining Health in the 21st Century

What we should can't define, we can't find; for our definition decides our destination. One of humanity's greatest debacle is the commitment to history as a standard for the present and the upcoming. Humanity is so much indebted to old thoughts until, thinking something new seems like a disloyalty to the legends with old. History should not be a status quo or an essential standard for the present and the future, but an inspiration for your correction of the present and the redirection of the future for a much better destiny for mankind. With respect to achieving health for all within the 21st century, humanity must outgrow old thoughts and also ways, to the expounding of new methods, approaches, ideologies, along with strategies in securing health for mankind. "The substantial problems we are facing cannot be solved at the same level of considering we where at when we created them. In the past, overall health was defined as having both body and mind working in good purchase, free from diseases and pains. If this assertion has been not able to provide humanity with insight on securing health with regard to humanity, then it is expedient for humanity to think from the status quo. There is no way humanity can resolve the health difficulties of the 21st century except in the courage of going through the unknown. With respect to the 21st century health plan, health is described as an integrated state of being, of the human body, soul, and nature functioning in absolute soundness. Thus, health is not always the absence of pains or physical symptoms of sicknesses in addition to diseases. There are individuals with no symptoms of pains, sickness plus diseases, yet they are close to their grave. There are similarly people who died without having any physical symptoms of pains or maybe disease. Though they seemed to be fine, yet they passed away suddenly because they were not healthy. Health is much more than the lack of pains or disease, but an integrated state of being with all the human body, soul, and spirit functioning in absolute soundness. Health is an integrated effect with a cause; which signifies, health is not a coincidence or an accidental event but the resultant effect of the relative functioning of the body of a human, soul and spirit in absolute soundness. Let me get this to clear, health is not a challenge we can resolve by our own shallow efforts. That is why despite all human efforts within achieving health, health has remained a severe challenge. To attain health for all in the 21st century, humanity must quit joking. We must realize that, we are dealing with a challenge which otherwise resolved, billions of humans may be wiped out before the end of the century. For The Energy Blueprint to be achieved in the 21st one hundred year, humanity must adopt a more comprehensive and integrated strategy taking into consideration the total human being; body, soul and spirit. I really hope by now we are civilized enough to know that the human being is not really an animal but a complex being with three related dimensions (body, soul and spirit). Any health plan which concentrates only on one dimension of the human being will end in failing. A human being must improve in his body, soul and even spirit to enjoy health. Insight on the Human Being: The human being is among the most complex specie in all of existence. Until now, little continues to be discovered about the human being. What is in existence as information regarding the human being is but "skeleton". The human being is a world however unexploited. The ignorance about the totality and the truism in the human being is the greatest challenge to human evolution and improvement. The full understanding of the truism of the human being will be the finish of human misery and frustration. The human being is essentially the supernatural being, possessing a soul and living in an exceedingly body. This assertion is a universal truth agreed upon through all Universalists and equally confirmed in the universal laboratory manual or the divine constitution. The spirit of guy is the 'real estate' of man, with the soul because the intermediary between the spirit of man and the body. Our spirit possesses the science of life, which defines people as having the supremacy over all external factors. When this particular consciousness is transferred to the human soul and body, human being immunity and resistance against sicknesses and diseases can be enhanced. The fact that the human body is the only visible dimension on the human being does not define the body as the sole constituent for man. Limiting the human being to just his physical body could possibly be the most tragic error. Humans are not animals. The most heartbreaking academic mistake is that of classifying humans and animals underneath the same group. This academic mistake is due to the restricted perspective about the human being. This perspective considers the human body for the reason that sole constituent of man. This academic mistake provides produced a low mentality and consciousness among humans. These days, humans live and behave as animals because of this error. People even suffer the same fate as animals. The day possesses finally come to eradicate this human ignorance. Health compared to healing One of the errors humanity has made for several centuries is substituting health for healing. This error has survived for so long that humanity has unconsciously resorted to be able to healing programs in the name of health programs. Recovery itself being the gradual recovery of a sick as well as diseased human is different from health, which is a state about absolute soundness (body, soul and spirit). Substituting health and wellness for healing makes humanity more reactive than pro-active. When we focus on health, we become more pro-active and preventive as compared to reactive. Focusing on healing entails allowing the human being to to begin with be attacked by sickness and disease before searching for her recovery. While health involves pro-active investment to possess a human being sound in body, soul and spirit being an integrated effort towards freedom from sicknesses and ailments. Healing is a recovering and a relief from pains but health is a state of being. One can be healed today together with sick tomorrow but health implies, an individual is audio in body, soul and spirit. Friend, healing regarding health is relatively cheap and sometimes easy to come by, but wellness is a breakthrough which demands a lot of focus and focus on one's body, soul and spirit conditions. With respect to the 21st hundred years health plan, sickness and disease is considered as an affected state of being, caused by a deficiency in one's body, soul and spirit condition. This implies, an individual is unhealthy, sick as well as diseased as long as there exists a deficiency in his/her body, heart, and spirit condition. This explains why people at some point die without any sort of outward sickness or pains. The problem is that, we think a sick person must be under some type of pains. There are people looking relatively OK, but awfully sick. This is because not all diseases are physical. Body illnesses can be easily diagnosed, but sicknesses of the soul regarding the spirit can not be diagnosed through any medical indicates. Thus, for a person to be termed healthy, such should maintain a relative state of soundness in body, internal and spirit. Equal and relative functioning of the body system, soul and spirit in perfect harmony and soundness is the everlasting access to health. Most of what is described as health and fitness centres today are but healing centres yet to reach the full status of a health centre. A healing hub is any centre, be it medical, psychiatric or spiritual centre where the sick and diseased are cater for or simply ministered to. While a health centre is a heart of integrated science, where profound and prolific understanding on the human being (body, soul and spirit) are disseminated and imparted; so as to empower humans both in their body, intellect and spirit to forever triumph over sicknesses and health conditions. Such a centre must be a research centre which progressively studies on both academic, scientific and insightful divine information and also intelligence needed for human supremacy over sicknesses and problems. Healing requires medication but health requires much more when compared with medication. The greatest investment in health realization is info. I am not talking here of ordinary knowledge; We are talking of advanced academic, scientific and divine information containing the truth which unveils the truism of the person (body, soul and spirit) with all their relative requirements and demands. Thus, when you find a true health core, you will see a place where the total science of the human being is certainly unveiled, with teachers and doctors who are inter-comprehensive, having rare insight on the total science of human presence and functionality. Presently, such centres are non se trouvent sur internet. This is the greatest challenge of the 21st century. The entire world is normally doted with healing centres catering and administering towards the sick and diseased without any investment in their education regarding achieving health. This has led to the situation we have today of human beings constantly victimized and perpetually dependent on drugs along with other healing mediums without ever graduating to health. You may request what my proposition is: my proposition is for each and every healing centre to combine her efforts of relieving those people who are sick and diseased with educating the people on well being sciences. This is the only way we can triumph over sicknesses along with diseases in the 21st century. Healing - Health sama dengan a victimized human, one perpetually dependent on drugs, rather than the truism of health. It seems to me that, humanity is losing faith on pursuing total health. We have been cowed by numerous health challenges to the point where, we are instead learning how to function in abnormalities. The general slogan in most locations today is how to live with AIDS, malaria, or any some other disease. Such cowardly approach and attitude can not be compensated with insight on human triumph over sicknesses and health problems. While seeking for better ways in relieving the ill and the diseased, we should not fail to embark on continuous investigation, so as to uncover the truth which will forever empower humans for you to triumph over sicknesses and diseases. This is the challenge of the twenty first century. It was believed that, no one could ever reach the actual summit of Mount Everest; thousands attempted and unsuccessful; and their failure reinforced the belief of the world. When the world rested in their pessimism, a man by name Edmond Hilary pushed the world to change their belief; by getting to the top associated with Mount Everest. It was equally believed that a metal item could not fly. The Wright brothers equally forced the entire world to change their belief by their invention of the aero plane. The world presently believes that total health is actually impossible for the human being. I believe we are that generation to improve that assertion. Let's muster enough courage and belief. We can make it. Health is an integrated state of being, while using human body, soul and spirit functioning in absolute soundness.

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lighttherapy101-blog · 7 years ago

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Rebuilding the Tower of Babel - A CEO's Perspective on Health Information Exchanges

Determining a Health Information Exchange The United States is facing the biggest shortage of healthcare practitioners in our country's history which is exponentially boosted by an ever increasing geriatric population. In 2005 generally there existed one geriatrician for every 5, 000 US inhabitants over 65 and only nine of the 145 medical colleges trained geriatricians. By 2020 the industry is estimated to become short 200, 000 physicians and over a million nurses. In no way, in the history of US healthcare, has so much been required with so few personnel. Because of this shortage combined with the geriatric populace increase, the medical community has to find a way to provide well-timed, accurate information to those who need it in a uniform style. Imagine if flight controllers spoke the native dialect of their country instead of the current international flight language, British. This example captures the urgency and critical character of our need for standardized communication in healthcare. A healthy info exchange can help improve safety, reduce length of hospital remains, cut down on medication errors, reduce redundancies in lab screening or procedures and make the health system faster, leaner and much more productive. The aging US population along with those impacted by long-term disease like diabetes, cardiovascular disease and asthma will need to notice more specialists who will have to find a way to communicate with main care providers effectively and efficiently. This efficiency can simply be attained by standardizing the manner in which the communication happens. Healthbridge, a Cincinnati based HIE and one of the biggest community based networks, was able to reduce their potential illness outbreaks from 5 to 8 days down to 48 hrs with a regional health information exchange. Regarding standardization, 1 author noted, "Interoperability without standards is like language without having grammar. In both cases communication can be achieved but the process is actually cumbersome and often ineffective. " United States retailers transitioned more than twenty years ago in order to automate inventory, sales, accounting handles which all improve efficiency and effectiveness. While unpleasant to think of patients as inventory, perhaps this has been part of the reason behind the lack of transition in the primary care setting to automating of patient records and data. Imagine a Mother & Pop hardware store on any square in middle of the America packed with inventory on shelves, ordering duplicate icons based on lack of information regarding current inventory. Visualize any kind of Home Depot or Lowes and you get a glimpse showing how automation has changed the retail sector in terms of scalability and efficiency. Perhaps the "art of medicine" is a barrier in order to more productive, efficient and smarter medicine. Standards on information exchange have existed since 1989, but recent barrière have evolved more rapidly thanks to increases in standardization with regional and state health information exchanges. History for Health Information Exchanges Major urban centers in Canada as well as Australia were the first to successfully implement HIE's. The particular success of these early networks was linked to an incorporation with primary care EHR systems already in place. Overall health Level 7 (HL7) represents the first health language standardization system in the United States, beginning with a meeting at the University of Pa in 1987. HL7 has been successful in replacing gothic interactions like faxing, mail and direct provider connection, which often represent duplication and inefficiency. Process interoperability raises human understanding across networks health systems to incorporate and communicate. Standardization will ultimately impact how successful that communication functions in the same way that grammar standards promote better communication. The United States National Health Information Network (NHIN) sets the standards that foster this delivery of interaction between health networks. HL7 is now on it's 3rd version which was published in 2004. The goals of HL7 are to increase interoperability, develop coherent standards, educate the on standardization and collaborate with other sanctioning bodies just like ANSI and ISO who are also concerned with process enhancement. In the United States one of the earliest HIE's started in Portland Maine. HealthInfoNet is a public-private partnership and is believed to be the largest statewide HIE. The goals of the network are to improve patient security, enhance the quality of clinical care, increase efficiency, decrease service duplication, identify public threats more quickly and broaden patient record access. The four founding groups the particular Maine Health Access Foundation, Maine CDC, The Maine Quality Forum and Maine Health Information Center (Onpoint Health Data) began their efforts in 2004. In Tn Regional Health Information Organizations (RHIO's) initiated in Memphis and the Tri Cities region. Carespark, a 501(3)c, from the Tri Cities region was considered a direct project wherever clinicians interact directly with each other using Carespark's HL7 compliant system as an intermediary to translate the data bi-directionally. Experts Affairs (VA) clinics also played a crucial role in the beginning of building this network. In the delta the midsouth eHealth Alliance is a RHIO connecting Memphis hospitals like Baptist Memorial (5 sites), Methodist Systems, Lebonheur Healthcare, Memphis Children's Clinic, St. Francis Health System, St Jude, The Regional Medical Center and UT Medical. These territorial networks allow practitioners to share medical records, lab beliefs medicines and other reports in a more efficient manner. Seventeen ALL OF US communities have been designated as Beacon Communities across the United states of america based on their development of HIE's. These communities' health concentrate varies based on the patient population and prevalence of serious disease states i. e. cvd, diabetes, asthma. Typically the communities focus on specific and measurable improvements in high quality, safety and efficiency due to health information exchange enhancements. The closest geographical Beacon community to Tennessee, for Byhalia, Mississippi, just south of Memphis, was given a $100, 000 grant by the department of Health insurance and Human Services in September 2011. A healthcare product for Nashville to emulate is located in Indianapolis, IN according to geographic proximity, city size and population demographics. 4 Beacon awards have been granted to communities in and around Indiana, Health and Hospital Corporation of Marion County, Indiana Health and wellness Centers Inc, Raphael Health Center and Shalom Medical care Center Inc. In addition , Indiana Health Information Technology Inc has brought over 23 million dollars in grants through the Condition HIE Cooperative Agreement and 2011 HIE Challenge Offer Supplement programs through the federal government. These awards were in line with the following criteria: 1) Achieving health goals through health and fitness information exchange 2) Improving long term and post severe care transitions 3) Consumer mediated information exchange 4) Enabling enhanced query for patient care 5) Cultivating distributed population-level analytics. Regulatory Aspects of Health Information Trades and Healthcare Reform The department of Health and Human being Services (HHS) is the regulatory agency that oversees health problems for all Americans. The HHS is divided into ten areas and Tennessee is part of Region IV headquartered from Atlanta. The Regional Director, Anton J. Gunn may be the first African American elected to serve as regional director and also brings a wealth of experience to his role based on their public service specifically regarding underserved healthcare patients along with health information exchanges. This experience will serve your pet well as he encounters societal and demographic difficulties for underserved and chronically ill patients throughout the southeast area. The National Health Information Network (NHIN) is really a division of HHS that guides the standards of exchange in addition to governs regulatory aspects of health reform. The NHIN cooperation includes departments like the Center for Disease Control (CDC), social security administration, Beacon communities and state HIE's (ONC). 11 The Office of National Coordinator for Health Information Exchange (ONC) has awarded $16 million in additional grants to encourage innovation at the state degree. Innovation at the state level will ultimately lead to much better patient care through reductions in replicated tests, connections to care programs for chronic patients leading to continuity and finally timely public health alerts through agencies like the CDC based on this information. 12 The Health Information Technology for Economic plus Clinical Health (HITECH) Act is funded by us dollars from the American Reinvestment and Recovery Act of this year. HITECH's goals are to invest dollars in community, comarcal and state health information exchanges to build effective systems which are connected nationally. Beacon communities and the Statewide Wellness Information Exchange Cooperative Agreement were initiated through HITECH and ARRA. To date 56 states have received grant honours through these programs totaling 548 million dollars. Historical past of Health Information Partnership TN (HIPTN) In Tennessee the Health Information Exchange has been slower to progress than locations like Maine and Indiana based in part on the variety of our state. The delta has a vastly different individual population and health network than that of middle Tn, which differs from eastern Tennessee's Appalachian region. That kicks off in august of 2009 the first steps were taken to build a statewide HIE consisting of a non-profit named HIP TN. The board was established at this time with an operations council formed keep away from. HIP TN's first initiatives involved connecting the work via Carespark in northeast Tennessee's s tri-cities region towards the Midsouth ehealth Alliance in Memphis. State officials approximated a cost of over 200 million dollars from 2010-2015. The venture involves stakeholders from medical, technical, lawful and business backgrounds. The governor in 2010, Phil Bredesen, provided 15 million to match federal funds in addition to giving an Executive Order establishing the office of eHealth endeavours with oversight by the Office of Administration and Financial and sixteen board members. By March 2010 4 workgroups were established to focus on areas like technology, medical, privacy and security and sustainability. By May about 2010 data sharing agreements were in place and a generation pilot for the statewide HIE was initiated in 06 2011 along with a Request for Proposal (RFP) which was sent out to forty vendors. In July 2010 a fifth workgroup, the consumer advisory group, was added and in September the year 2010 Tennessee was notified that they were one of the first states to get their plans approved after a release of Program Details Notice (PIN). Over fifty stakeholders came together to evaluate the seller demonstrations and a contract was signed with the chosen merchant Axolotl on September 30th, 2010. At that time a manufacturing goal of July 15th, 2011 was agreed upon and January 2011 Keith Cox was hired as FASHIONABLE TN's CEO. Keith brings twenty six years of tenure within healthcare IT to the collaborative. His previous endeavors contain Microsoft, Bellsouth and several entrepreneurial efforts. HIP TN's objective is to improve access to health information through a statewide collaborative process and provide the infrastructure for security in that trade. The vision for HIP TN is to be recognized as circumstances and national leader who support measurable improvements inside clinical quality and efficiency to patients, providers and even payors with secure HIE. Robert S. Gordon, typically the board chair for HIPTN states the vision nicely, "We share the view that while technology is a critical device, the primary focus is not technology itself, but improving health". HIP TN is a non profit, 501(c)3, that is exclusively reliant on state government funding. It is a combination of centralized together with decentralized architecture. The key vendors are Axolotl, which will act as the umbrella network, ICA for Memphis and Nashville, with CGI as the vendor in northeast Tennessee. 12-15 Future HIP TN goals include a gateway to the Nationwide Health Institute planned for late 2011 and a specialist index in early 2012. Carespark, one of the original regional well being exchange networks voted to cease operations on July eleven, 2011 based on lack of financial support for it's brand new infrastructure. The data sharing agreements included 38 health agencies, nine communities and 250 volunteers. 16 Carespark's drawing a line under clarifies the need to build a network that is not solely reliant upon public grants to fund it's efforts, which we will talk about in the final section of this paper. Current Status of Healthcare Information Exchange and HIPTN Ten grants have been awarded in 2011 by the HIE challenge grant supplement. These types of included initiatives in eight states and serve as interests we can look to for guidance as HIP TN changes. As previously mentioned one of the most awarded communities lies less than 5 hours away in Indianapolis, IN. Based on the similarities within our health communities, patient populations and demographics, Indianapolis gives an excellent mentor for Nashville and the hospital systems who have serve patients in TN. The Indiana Health Data Exchange has been recognized nationally for it's Docs regarding Docs program and the manner in which collaboration has taken place because it's conception in 2004. Kathleen Sebelius, Secretary of HHS commented, "The Central Indiana Beacon Community has a degree of collaboration and the ability to organize quality efforts in an powerful manner from its history of building long standing relationships. We have been thrilled to be working with a community that is far ahead inside use of health information to bring positive change to patient proper care. " Beacon communities that could act as guides for our local community include the Health and Hospital Corporation of Marion County as well as the Indiana Health Centers based on their recent awards associated with $100, 000 each by HHS. A local model of superiority in practice EMR conversion is Old Harding Pediatric Acquaintances (OHPA) which has two clinics and fourteen physicians who all handle a patient population of 23, 000 and over seventy two, 000 patient encounters per year. OHPA's conversion to electric records in early 2000 occurred as a result of the pursuit of brilliance in patient care and the desire to use technology in a manner that benefitted their patient population. OHPA established a mix functional work team to improve their practices in the regions of facilities, personnel, communication, technology and external influences. Significant was chosen as the EMR vendor based on user friendliness plus the similarity to a standard patient chart with tabs intended for files. The software was customized to the pediatric environment including patient growth charts. Windows was used as the operating system based upon provider familiarity. Within four days OHPA had totally compliance and use of their EMR system. The Future of WAIST TN and HIE in Tennessee Tennessee has received near to twelve million dollars in grant money from The State Health and fitness Information Exchange Cooperative Agreement Program. 20 Regional Well being Information Organizations (RHIO) need to be full scalable to allow nursing homes to grow their systems without compromising integrity as they develop. 21and the systems located in Nashville will play an important role in this nationwide scaling with companies like HCA, CHS, Iasis, Lifepoint and Vanguard. The HIE will certainly act as a data repository for all patients information that can be utilized from anywhere and contains a full history of the patients healthcare record, lab tests, physician network and medicine list. In order to entice providers to enroll in the statewide HIE tangible worth to their practice has to be shown with better safer attention. In a 2011 HIMSS editor's report Richard Lang says that instead of a top down approach "A more useful idea may be for states to support local community HIE advancement first. Once established, these local networks can give food to regional HIE's and then connect to a central HIE/data database backbone. States should use a portion of the stimulus money to support local HIE development. "22 Mr. Lang additionally believes the primary care physician has to be the foundation for the entire program since they are the main point of contact for the patient. One bit of the puzzle often overlooked is the patient investment within a functional EHR. In order to bring together all the pieces of the HIE puzzle patients will need to play a more active role within their healthcare. Many patients do not know what medicines they get every day or whether they have a living will. Several variations of patient EHR's like Memitech's 911medical id cards exist, but very few patients know or carry all of them. 23 One way to combat this lack of awareness is to use a healthcare facility as a catch-all and discharge each patient with a completely loaded USB card via case managers. This strategy may also lead to better compliance with post in patient treatments to reduce readmissions. The implementation of connecting qualified companies began earlier this year. To fully support organizations to move towards qualification the Office of National Coordinator for HIE (ONC) has designated regional education centers (TN rec) just who assist providers with educational initiatives in areas similar to HIT, ICD9 to ICD10 training and EMR changeover. Qsource, a nonprofit health consulting firm, has been decided to oversee TNrec. To ensure sustainability it is critical that Tennessee create a network of private funding so that what happened with Carespark won't happen to HIP TN. The eHealth Initiatives 2011Survey Report states that of the 196 HIE initiatives, 117 act independently of federal funding and of those self-employed HIE's, break even through operational revenue. Some of these exchanges were being in existence well before the American Recovery and Reinvestment Take action in 2009. Startup funding from grants is only meant to obtain the car going so to speak, the sustainable fuel, as seen in the case of Carespark, has to come from value that can be monetized. KLAS research reports that 54% of public HIE's were concerned about future sustainability while only 35% of personal HIE's shared this concern. Hospital Implications of THIGH TN (A Call to Action) From a Financial viewpoint, taking our hospital into the future with EMR and a built-in statewide network has profound implications. In the short term the cost to locate a vendor, establish EMR in and outpatient will be a costly proposition. The transition will not be easy or finite and can involve constant evolution as HIP TN integrates to state HIE's. To get a realistic idea of the benefits and fees associated with health information integration. we can look to HealthInfoNet throughout Portland, ME, a statewide HIE that expects in order to save 37 million dollars in avoided services and eighteen million in productivity reduction. Specific areas of savings incorporate paper or fax costs $5 versus $0. twenty five electronically, virtual health record savings of $50 for each referral, $26 saved per ED visit and $17. 41 per patient/year due to redundant lab tests which quantities to $52 million for a population of 3 million sufferers. In Grand Junction Colorado Quality Health Network reduced their per capita Medicare spending to 24% under the national average, gaining recognition by President Obama last year. The Santa Cruz Health Information Exchange (SCHIE) along with 600 doctors and two hospitals achieved sustainability during the first year of operation and uses a subscription charge for all the organizations who interact with them. In terms of government money available, meaningful use incentives exist to encourage hostipal wards to meet twenty of twenty five objectives in the first stage (2011-2012) and adopting and implement an approved EHR vendor. ARRA specified three ways for EHR to be employed to obtain Medicare reimbursement. These include e-prescribing, health information change and submission of clinical quality measures. The goals for phase two in 2013 will expand with this baseline. Implementation of EHR and Hospital HIE charges are usually charged by bed or by the number of doctors. Fees can range from $1500 for a smaller hospital as much as $12, 000 per month for a larger hospital.

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