: Describe the most concerning of the issues and ethical… : Describe the most concerning of the issues and ethical considerations described in this chapter. Which of these issues seem solvable, and which do not?Reading below:eHealtheHealth comprises the technologies supporting an essential shift in methods, attitudes, and actions regarding health and wellness in our society today, summarized within an approach called digital health, and originally referred to as Health 2.0.Encompasses a broad scope of electronic capabilities used for health and medicine, including EHR systems, as well as collaboration spaces for researchers to share data and methods, mHealth, uses of mobile devices and social media for health purposes, telemedicine, and telehealth.Issues of Access—the Digital DivideA digital divide has emerged: even with greater adoption and ubiquitous technologies, the “haves” and the “have nots” regarding health care persist. While access to smartphones, desktop/laptop computers, broadband internet, or tablets in rural areas of the U.S. has been steadily increasing compared to urban and suburban areas, they still lag behind their urban and suburban counterparts.HIS research and grant projects focus on areas in information and decision support, clinical workflow improvement, care coordination, and understanding the impact of HIS on outcomes.Increasingly refined interactions between people and computers will continue to be applied in ways that improve productivity, transform the customer or patient experience, and improve outcomes from clinical, cost, and competitive perspectives. Future Directions in Informatics, Data, and AnalyticsIn informatics, there is an enlightened implementation of technology will move health care away from burdensome technological procedures that currently relegate highly trained knowledge workers to the role of data input clerks. With data and analytics there is greater data availability has proved to be a blessing and a curse. Digital Health’s Potential for Improvements in Public HealthIncreases efficiency in managing health and chronic illness—important elements as populations age and the prevalence of chronic disease increases.One of the biggest trends in health care is the keen focus on the prevention of disease – rather than it’s cure.Amidst this technology revolution, and as a foundation for value-based care, there is some “getting back to basics”.The caring relationship between caregiver and care receiver can re-center, stripped of the layered-on administrative, pharmaceutical-based, insurance-driven healthcare processes. Using technologies to improve access to and outcomes of health care gives new meaning to what it means to have “empowered” patients. Alignment Between HIS and Population Health Management & Value-Based CareOne place of alignment is supporting Healthcare’s Transition.Solutions for future challenges must achieve value—through improved cost and quality outcomes, through value-based care, by effectively managing the health of populations, and by addressing pressing public health issues.Additionally, we have to move beyond meaningful use to value-based care. Political volatility, regulatory changes, growing social issues affecting health, amidst continuous technological evolution creates a complex web of considerations when planning for the use of new HIS and technologies. Most hospitals now have adopted EHR systems, adopting at least “basic” system functionality, including the ability to document and manage individual patient care. Unintended ConsequencesPhysician Dissatisfaction and Burnout is one consequence of the shift in healthcare. Widespread physician dissatisfaction with their EHR systems and the effects on their practice was not anticipated with the HITECH Act nor with the good intentions of any organization implementing HIS.There is also a demand for increased surveillance – outside the protections of HIPAA.Americans have no control over data collected about them, except for children under 24. There are no rules: no government agency and no limits have ever been established for oversight. Overall Economic Effects of Health Care on the U.S. PopulationHIS and technologies are a significant contributor to runaway healthcare costs. This spending is not a result of overuse of services; rather, the cause is high prices for health services. The fee-for-service reimbursement system adds fuel to the cost of healthcare fire. The paucity of effective population health programs continues to allow this cost and high pricing situation in U.S. healthcare act as an economic plague for Americans.Finding the Balance: Security Versus Access to Health InformationFinding the balance between access to data and systems and the intentions of “doing good”—with the protection of the data and privacy of those whose lives are reflected in the data is a paramount concern. With any field, there are a growing data management needs with healthcare cyber-security concerns. Concerns about the security of healthcare data contained within systems or in motion and growing needs to exchange and have access to data for patient care improvements are often at odds.Cybersecurity in Health CareSecurity priorities include:Data privacy;Protection from hacking; and anUltimate threat, power loss, or a grid collapse.This said healthcare is very much stuck between two worlds: paper and electronic processes.For the past 40 years, healthcare organizations have been striving diligently to go electronic, under the assumption that when they do so, eventually paper will be eliminated. Research has shown that serious errors occur in dual media environments, i.e., a combination of electronic and paper, which is the case of many health providers. Future Impact of HIS and Technology on Research, Policy, and Public HealthThe future of medicine is going from a model of public health to personalized medicine.Personalized medicine occurs when providers, with the aid of diagnostic and genetic tests, identify specific biological characteristics that help specify which medical treatments and procedures will work best for a patient. Working in concert, providers and patients agree on targeted treatment and prevention plans using the diagnostic information along with the patient’s other data and preferences. HIS Learning CultureA culture shift is important, because it will need to establish an open, trusting, and responsible culture is the development of guiding principles. Guiding principles express emotional content as well as decision-making guidance.It is important to note the importance of developing, encouraging, and protecting a culture of learning for the organization launching out on the forever journey of HIS Strategic Planning and the impact that HIS can enable on patient care, providers, and an organization and very nature and capabilities.Health Science Science Nursing HCPM 360

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