PHR Implementation

PHR Implementation Melchor Abejon   With the advent of the internet, including emails and other web-based technologies, patients nowadays have assumed a much more active role in managing their health care. An evolving concept that makes a great potential to improve the health of individuals and efficiency of health care is the use of Personal Health Records (PHR). The American Health Information Management Association (AHIMA) and the American Medical Information Association (AMIA) continue to advocate for the use of PHR, empowering individuals to engage in a much more active role of managing their health care. According to AHIMA (2005), the PHR is an electronic, lifelong resource of health information needed by individuals to make health decisions. The individuals manage and own the information in the PHR, which comes from health care providers and the individuals. The PHR is maintained in a secure and private environment with the individuals determining the right of access. As the chief technology officer of an academ ic medical center in the western United States, planning to adopt and integrate a PHR software in its existing Electronic Health Record (EHR) system, the purpose of this paper is to outline my recommendation of the essential functionalities of a PHR that are to be considered for the organization. Choosing a PHR that would fit the needs of the organization is not going to be an easy task. There are a number of PHR software in the market to choose from, so it is necessary to take precaution and compare the products and check out for reviews because the same as in the EHRs, once you purchased the system, you will be tied for it for a long time. The PHR software that is to be selected should be reliable, sophisticated and secure. Enumerated below are the functionalities of a PHR that I would like to be implemented first for the organization: Compatibility functionality. My chosen PHR should be compatible with the organizations EHR system and with other third party tools. It should be able to directly interact with the organizations EHR. This functionality is extremely important as it will enable the sharing of information of patients with their healthcare providers. Also, with the PHR connected to the organizations EHR, patients can make their appointments online, consult their providers from their PHR, and obtain drug prescriptions without the hassle of visiting the doctors office. The many number of third party tools and mash-up services are also becoming available online to provide personalized health and wellness tools in which individual patients can use depending on their health needs. Examples of these third-party tools are the (a) Microsoft Healthvault (b) Training Peaks and (c) Google Health to name a few. The compatibility of the PHR with such mentioned web based applications enables patients to have access to a more personalized tool, thus letting them reap the most benefits from their PHRs. Must have the basic features, intuitive tool design, and ease of use functionality. Not all people are comfortable with the use technology, so needless to say, my chosen PHR should be easy to use. It must have the standard features which are (a) add (b) delete (c) correct and (d) share records. Patients should be able to add, delete, correct and track their medical history. The menu navigation should be intuitive and most used features should be quickly accessed. It must also have the ability to control and share health information with health providers and as well as family members with the consent of the patient. Security and control functionality. Security and protection of a patient health information is always a top concern in the field of healthcare industry to achieve the meaningful use of systems. My chosen PHR must have the security features to make sure health information is protected and secured all the time while still accessible from anywhere. Ability to automatically pull records from healthcare providers. My chosen PHR should enable patients to pull their historical information about their health problems, drug prescriptions, test procedures performed and as well as allergies. Having this feature would enable the patients to become more aware of their health care and as well as engage themselves in a much more active role of managing their health care. Proactive health monitoring functionality. My chosen PHR must have the advanced features to help patients take control of their health. Example of proactive health monitoring features are (a) weight loss, body mass index, and cholesterol monitoring (b) alerts when certain health conditions reach a certain threshold such as blood pressure and (c) a health planner services to help patients live a healthier and more productive life. References PHR Reviews (2009). How to choose a PHR- Personal health record system. Retrieved March 7, 2017 from http://www.phrreviews.com/how-to-choose-a-phr Wager, K.A., Lee, F.W., Glaser, J.P. (2013). Healthcare information systems: A practical approach for health care management (3rd ed ). San Francisco, CA: Jossey-Bass.

Brief 1

Susan M. V. New York Law School, No. 129, Court of Appeals of New York, 76 N. Y. 2d 241; 556 N. E. 2d 1104; 557 N. Y. S. 2d 297; 1990 N. Y. LEXIS 1413, April 26 1990, Argued, June 14, 1990, Decided Facts: Petitioner law student was placed on academic probation after her first year of law school. A year later, having failed to maintain a minimum cumulative average as required by respondent law school's rules, she was dismissed after a hearing of respondent's academic status committee. She sought reinstatement in an action under N. Y. C. P. L. R. 8 alleging that the decision was arbitrary and capricious, and that her poor academic performance was due to three professors' irrational testing and grading procedures. She argued that the committee failed to give sufficient weight to various personal factors and that the dismissal was in retaliation for complaining about her professors. Issue: Student was being kicked out of school for having failed to maintain a minimum cumulative average a s required by respondent law school's rules, she was dismissed after a hearing of respondent's academic status committee.Holding: The court found the student guilty of not being able to be in compliance with the minimum requirement for a cumulative average. Responsive affidavits asserted that exam grading was purely a matter of academic discretion based on the overall quality of the answers. The appellate division remanded for consideration of whether a particular grade was a rational exercise of discretion, but granted the parties leave to appeal. The court dismissed the petition, holding that assessments of academic performance involved academic determinations requiring the expertise of educators.Hence, petitioner's claims were not judicially cognizable. Analysis: The student was unable to comply with requirements from the school and was overturned on the fact that her grades were solely held to the discretion of the professors whom had a reason for each of the grades she had rece ived. Conclusion: Her petitions didn’t matter and ended up getting removed form the law school because of her failure to comply with certain academic policy’s of that school.

Mokosh, Slavic Mother Earth Goddess

There are seven primordial gods in Slavic mythology, and only one of them is female: Mokosh. In the pantheon in the Kievan Rus state, she is the only goddess at all, and so her specific role in Slavic mythology is vast and varied, and, more aptly perhaps, foggy and damp. Mother earth and house spirit, tender of sheep and spinner of fate, Mokosh is the supreme Slavic goddess.   Key Takeaways: Mokosh Associated Deities: Tellus, Ziva (Siva), Rusalki (water nixies), Lada  Equivalents: St. Paraskeva Pianitsa (Christian Orthodox); loosely comparable to the Greek Titan Gaia, Hera (Greek), Juno (Roman), Astarte (Semitic)Epithets: Goddess Who Spins Wool, Mother Moist Earth, Flax WomanCulture/Country: Slavonic Culture, Eastern and Central EuropePrimary Sources: Nestor Chronicle (a.k.a. Primary Chronicle), Christian-recorded Slavic talesRealms and Powers: Power over the earth, water, and death. Protector of spinning, fertility, grain, cattle, sheep, and wool; fisherman and merchants.  Family: Wife to Perun, lover to Veles and Jarilo Mokosh in Slavic Mythology In Slavic mythology, Mokosh, sometimes transliterated as MokoÃ… ¡ and meaning Friday, is Moist Mother Earth and thus the most important (or sometimes only) goddess in the religion. As a creator, she is said to have been discovered sleeping in a cave by a flowering spring by the spring god Jarilo, with whom she created the fruits of the earth. She is also the protector of spinning, tending sheep, and wool, patron of merchants and fishermen, who protects cattle from plague and people from drought, disease, drowning, and unclean spirits.   The origins of Mokosh as mother earth may date to pre-Indo-European times (Cuceteni or Tripolye culture, 6th–5th millennia BCE) when a near-global woman-centered religion is thought to have been in place. Some scholars suggest she may be a version of Finno-Ugric sun goddess Jumala. In 980 CE, Kievan Rus emperor Vladimir I (died 1015) erected six idols to Slavic gods and included Mokosh in 980 CE, although he took them down when he converted to Christianity. Nestor the Chronicler (11th century CE), a monk at the Monastery of the Caves in Kyiv, mentions her as the only female in his list of seven gods of the Slavs. Versions of her are included in the tales of many different Slavic countries.   Appearance and Reputation   Surviving images of Mokosh are rare—although there were stone monuments to her beginning at least as long ago as the 7th century. A wooden cult figure in a wooded area in the Czech Republic is said to be a figure of her. Historical references say she had a large head and long arms, a reference to her connection with spiders and spinning. Symbols associated with her include spindles and cloth, the rhombus (a nearly global reference to womens genitals for at least 20,000 years), and the Sacred Tree or Pillar. There are many goddesses in the various Indo-European pantheons who reference spiders and spinning. Historian Mary Kilbourne Matossian has pointed out that the Latin word for tissue textere means to weave, and in several derivative languages such as Old French, tissue means something woven.   The act of spinning, suggests Matossian, is to create body tissue. The umbilical cord is the thread of life, transmitting moisture from the mother to the infant, twisted and coiled like the thread around a spindle. The final cloth of life is represented by the shroud or winding sheet, wrapped around a corpse in a spiral, as thread loops around a spindle. Role in Mythology Although the Great Goddess has a variety of consorts, both human and animal, in her role as a primary Slavic goddess, Mokosh is the moist earth goddess and is set against (and married to) Perun as the dry sky god. She is also linked to Veles, in an adulterous manner; and Jarilo, the spring god.   Some Slavic peasants felt it was wrong to spit on the earth or beat it. During the Spring, practitioners considered the earth pregnant: before March 25 (Lady Day), they would neither construct a building or a fence, drive a stake into the ground or sow seed. When peasant women gathered herbs they first lay prone and prayed to Mother Earth to bless any medicinal herbs.   Mokosh in Modern Usage Saint Paraskeva Pyatnitsa with Scenes from Her Life, 15th century Collection of the State Museum of History, Moscow. Fine Art Images / Heritage Images / Getty Images With the coming of Christianity into the Slavic countries in the 11th century CE, Mokosh was converted to a saint, St. Paraskeva Pyanitsa (or possibly the Virgin Mary), who is sometimes defined as the personification of the day of Christs crucifixion, and others a Christian martyr. Described as tall and thin with loose hair, St. Paraskeva Pyanitsa is known as lnianisa (flax woman), connecting her to spinning. She is the patroness of merchants and traders and marriage, and she defends her followers from a range of diseases. In common with many Indo-European religions (Paraskevi is Friday in modern Greek; Freya Friday; VenusVendredi), Friday is associated with Mokosh and St. Paraskeva Pyanitsa,  especially Fridays before important holidays. Her feast day is October 28; and no one may spin, weave, or mend on that day.   Sources Detelic, Mirjana. St. Paraskeve in the Balkan Context. Folklore 121.1 (2010): 94–105.  Dragnea, Mihai. Slavic and Greek-Roman Mythology, Comparative Mythology. Brukenthalia: Romanian Cultural History Review 3 (2007): 20–27.  Marjanic, Suzana. The Dyadic Goddess and Duotheism in Nodilo’s the Ancient Faith of the Serbs and the Croats. Studia Mythologica Slavica 6 (2003): 181–204.  Matossian, Mary Kilbourne. In the Beginning, God Was a Woman. Journal of Social History 6.3 (1973): 325–43.  Monaghan, Patricia. Encyclopedia of Goddesses Heroines. Novato CA: New World Library, 2014.  Zaroff, Roman. Organized Pagan Cult in Kievan Rus’. The Invention of Foreign Elite or Evolution of Local Tradition? Studia Mythologica Slavica (1999).