Group items tagged

The Department of Defense and open source.

Open Source Education

"beginning of the academic year warning them of social networking issues. Source: Individual schools * Share * Yahoo! Buzz * Add to Mixx * Facebook * Twitter * More o Fark o Digg o Reddit o MySpace o StumbleUpon o Propeller o LinkedIn * Subscribe * myYahoo * iGoogle * More o Netvibes o myAOL * By Kyle Oppenhuizen, USA TODAY More college athletic departments are developing or publicizing online social networking policies for student athletes, experts say. USA TODAY researched social networking policies for 27 schools in six major conferences, including the University of Iowa, which will implement a new monitoring policy Friday. Last fall, pictures emerged on Facebook of two 19-year old Hawkeye football players holding cash and liquor bottles. Five of these schools already have specific monitoring policies in effect - Auburn, Iowa State, Ohio State, Miami and North Carolina. Others warn athletes of the potential dangers of sites such as Facebook and MySpace through student-athlete handbook policies, meetings, coach's discussions and even letters. Some schools don't have a specific policy but allow coaches to monitor at their discretion, or take action if inappropriate material online is reported. Iowa's policy puts senior leaders in charge of monitoring profiles of athletes' on their team and bring problems to administrators, who then work with the athlete, associate athletic director Fred Mims said. Administrators will not get involved, Mims said, unless issues are brought to their attention, in which case they will talk to the athlete about addressing the issue and check out the profile, public or private. Ohio State, on the other hand, requires athletes to have a public profile or add coaches and administrators as friends (which gives access to the private profile). Fred Stutzman, a Ph.D. cand

This article is about the idea of putting all existing medical records into electronic form. This would cut the costs needed for storage of such information, this would also increase how fast a medical official can access the records of a sick patient. However, as listed in Strand 1, there are many positive and negative social/ethical issues. One such issue is security. By making the records digitized and put into the hospital database, people without the proper authorization would not be able to gain access to the data. This can also coincide with authenticity. The information that relates to the patient should be accessible by the patient. The patient would need to be able to get through the encryption of the data. Another social/ethical issue would be the equality of access, this would allow only certain people the ability to look at the data. Even with these positive social/ethical issues there are some negative issue. One negative issue would be integrity. There are people who can hack the encryption of this data and tamper with it. This would cause the data to be different in other places and a breach in security. This would be a great help to organizing data. Using a paper file system, the doctor would have to go through a lot of papers and cabinets to find the patient's medical history. By using a paper file cabinet documents are more likely to go missing or get mixed up with another patient's records. However, by using a database this data is much more organized. There is a smaller chance of losing the patient's data, by using back-ups the data could be easily restored. There is also a much smaller change or mixing up multiple patient's data. If the wrong data was use for the wrong person, the person may not have the correct medical treatment they need. With databases the information is much more organized. The patient's data can be found very fast, compared to a paper file system (this could take more than an hour depending on the amount of patients).

Continued...The hardware involved with creating databases in the health industry would be a DBMS Engine. This is also known as a Database Managing System. This takes the logical request from DBMS subsystems and converts them to physical equivalents. This also requires interactive processing. This replaces batch processing. This allows users to interact with data through terminals and view values online in real time. By having real time the doctors can give the patients what they need at the moment the patient needs it. The stakeholders in this specific case would be the hospitals adapting the database managing system and the patients whose information is stored in this database. If the database is tampered and there are not back-ups the patient would not have his/her medical history. This could cause the patient to be on a delay for an operation that is extremely important to their life. This could also place a lawsuit on the hospital.

This article is primarily about setting standards and protocols so that an electronic health records could world easily and securely for many health care providers and suppliers. The reason the introduction of an EHR hasn't worked before, is that there were no data-sharing standards, which would ensure that the data is transmitted securely across the internet. These standards are also in accordance of many of the interests of all of the health providers and stakeholders involved, which was a major problem previously. Without the issue of connecting the EHR from provider to provider, then the records would be a "fancy...way to capture data," and it's full potential would never be recognized. However, these new standards and protocols, filled with secure transactions based on encryptions, have made the introduction of an electronic health record possible. There are many benefits to the use of an EHR, including productivity and financial improvement for the companies and the employees. For example, doctors/nurses no longer need to spend time pulling a patient's file, or writing the details of the visit afterwards. There are also fewer repetitive tasks, and improved communication between doctor and nurse, or doctor and another doctor. Quality of care may also improve because doctors have quick access to a patient's information, there is better monitoring and discovery of chronic illnesses, and doctors can return phone calls/ provide medication refills immediately. Also, in general, the electronic charts allow for a more efficient office, which leads to a less stressful environment and more attention on the patients' care rather than searching for their charts. This can only be done through the introduction of an EHR, leading to easier queries, instant reorganization, and file management that could be transmitted to both the patient and any other doctors. This minimizes the ambiguity of not having tests results from one doctor, and allows all doctors treating a p

patient to see all of the patient's history. This is important in having a correct diagnosis and treatment. However, there are also some drawbacks. Initially, doctors who chose to engage in the implementation of a EHR, see some decreases in productivity. This is because entering information and learning how to use the software takes some time. Some doctors also do not have the money to invest in such software and accompanying hardware to, and others no not want to because they are accustomed to their hand-written charts. There are also some security issues, leading to greater privacy issues. The EHR maintains very personal data about a patient, and if the records are breached, then the privacy of the patient may be put at risk. There is also the issue of interoperability, which was brought up in the article. Many of the companies in different countries wishing to engage in the implementation of EHR have different standards involving the usage. This could harm the usage of an international EHR.

This article focuses specifically upon the negative implications that surface with the installation and adaptation of electronic medical records (EMR) for medical professionals targeting specifically the level of doctor/patient relationships. The author, a medical specialist within a facility, talks about his experience with the proven efficiency of the EMR system's effective retrieval of patient medical history and advanced medical database, but further accentuates emphasis on the system's flawed influence upon medical professional and patient relations. One of the primary stakeholders, the medical doctors and physicians complain that the system itself places limitations upon doctors' interactions with patients during the time of consultation (a critical part of constructing medical diagnoses); the author places emphasis upon the way he had to consistently go back and forth from the patient to the computer, in order to type in the retrieved information gained from the conversation. The act of going back and forth between patient and technological system (EMR) discouraged and urged the patient into silence, thus limiting conversation with the doctor, due to the lack of complete face to face, non interrupted evaluation and reflection of medical symptoms, history, prior experiences from the perspective of the patient. Thus, the second primary stakeholder, the patient himself, feels that he or she is not properly or fully being examined; more importantly this places the patient into the position of feeling less significant, as if his/her perspective doesn't truly matter when in reality it is the patient's responsibility to be clear and coherent with the medical professional, to help navigate the doctor into generating the correct diagnosis that will help save patient lives. The IT system involved is the EMR (electronic medical record) system that operated with the help of dozens of computer terminals that were positioned in individual workstations (hardware com

(continuation) component) and worked on the same networking service. The software programming that came with the system helped improve the retrieval and sharing of patient medical history, organization of data, efficiency and flexibility of keying in and updating medical information etc. In connection to the scenario of Health, the limiting influence forced upon doctor/patient relationships sourced from the integration of EMR systems targets a flaw in the advantage of having instant connection to patient medical information. Not only are doctors forced to focus on correctly typing in the necessary information, thus avoiding or diminishing patient relations, but the great magnitude of medical information stored and available in EMR systems, "can push some doctors into what one EMR expert refers to as "cognitive overload" while trying to balance patient input with medical history data on the spot. Furthermore, the system's software tool, such as the fee-for-service payment system, which helps tabulate symptoms while simultaneously facilitating the billing process, continues to discourage doctors from executing patient consultation. One major issue that surfaces is reliability; the EMR system itself consists of hardware and software components that transition the doctor's attention from the patient directly onto the transferring of information into the system while in the mode of confrontation. The correspondence of data with the real world comes into significance, as the data may become unreliable due to the fact that it may be entered incorrectly (the doctor may have been focusing more upon data transmission, rather than what the patient actually stated), and additionally the use of EMR systems increase the risk of data becoming outdated, for it is solely up to the doctor's skills and attention that medical history, symptoms, side effects of the patient be kept at a steady consistency once entered into the system. Thus, although physicians and he

Please use this bookmark to post your reflections. Using a Paper 2 style approach, CRITERION A) identify the IT system and describe the issues. Identify the relationship of the major stakeholders to the issues. CRITERION B) Describe step-by-step how the system works and describe how the system is related to the issue(s). CRITERION C) Evaluate the impacts on society -- both positive and negative or from differing stakeholder's P.O.V. CRITERION D) Evaluate the efficacy of a solution to the problem.

There is another issue along with this involving the ability of researchers to have full access to the information about anyone. Many people want to maintain their right to privacy, but others argue that this could lead to new knowledge about diseases, and the development of new medicines. For those who are afraid of risking their privacy, there are standards developed in order to protect them. Their information, such as SSNs are encoded for security reasons and the DNA part of the project is voluntary, and not imposed. However, ethicists are still afraid of this database. They claim that the future of DNA is a valuable thing because it can predict the probability of diseases, life expectancies, etc. But all copies can be made available to the FBI, schools, etc. at the time of birth. For the Biotech Industry, this is seen as a huge advantage because people an be tested for hundreds of diseases. The awareness of the disease is a great thing, because it could lead to early prevention. However, the system is faulty because it sometimes doesn't provide certainty of a disease and it limits a person's privacy. Other times, there is no cure for the disease, so the patient cannot do anything even if they know. In relation to this, there also will arise severe psychological impacts of a person knowing that they have the possibility for getting a life threatening disease. If this is a disease that will affect them later on in life, it would be detrimental for a person to live their life without the hope of a prosperous future. A solution to this problem could be giving patients the choice of knowing or not.

Criterion A - The IT system is the DNA database containing information about the genetic past, present, and future of the patients. The primary issues associated with this database are of privacy and anonymity. These issues arise when patients, who are one of the major stakeholders, feel that that the information in these databases shouldn't be accessible to others, or anyone for that matter. While some believe this is private information, others believe that the information should not be known by anyone because of the ethical issues associated with knowing what will come in the future. Criterion B - The medical database is a relational database meaning that it establishes relationships between different tables in the database. The smallest building blocks of a relational database are items. Items are individual pieces of information in tables. These items are organized into fields and records. Fields are columns in a table that that represent different categories of information. Records are rows that represent all the information for a specific patient. At the cross-section of a particular record and field lies the item associated with a specific piece of information related to the specified patient. These tables are related to each other through links which are established by unique primary keys assigned to each patient. This system is related to the issue of privacy because the information contained within it is considered by many to be privileged and access to it should be very limited or altogether eliminated. Criterion C - The impacts of such a database on society are varied. Some people are very against the entire idea of a genetic database because of its ethical concerns. When people have their blood analyzed for DNA, they are giving up their genetic make-up. The information that can be obtained from such tests is considered by many to be privileged, and by others to be completely unethical in every way. Often people are against very private medical