.Discuss the major barriers to adoption of telemedicine systems and strategies for overcoming them

Its status today and likely future. An overview of the history of telemedicine worldwide, and more specifically within the USA. Identify current state of adoption within the USA, barriers to adoption (financial, social, legal,other), and long term outlook for the future of telemedicine technologies. How do we overcome the current barriers to make telemedicine cost effective and convenient while still maintaining quality of care. How can the benefits of telemedicine be measured objectively?

Document Preview:

Department of Healthcare Leadership and ManagementCollege of Health ProfessionsExecutive Doctoral Program in Health Administration and LeadershipManaging Health Information ResourcesHAP-807Spring 2012 DescriptionThis course provides a senior-level view of the issues surrounding the adoption and use of information technology in health care. Students gain insight into national initiatives underway to further the development, expansion, and deployment of health care information systems (including clinical applications such as electronic health records, e-prescribing, provider order entry, disease management) and discuss their ramifications at the state and local levels. Issues surrounding the management of health information resources at the institutional level are also explored including topics such as strategic information systems planning; system selection and implementation; IT governance and management; IT budgeting; management’s role in major IT initiatives; assessing and achieving value of health care information systems.Assignment ObjectivesUpon completion of this assignment, students should be able to:Discuss the factors that are driving the need for increased use of telemedicine in health care.Discuss the current status and use of telemedicine in hospitals, physician practices, and other health care settings.Discuss any major national initiatives underway to further the development, deployment, and expansion of telemedicine in health care and discuss their likely implications for states, regions, and health care organizations.Discuss the major barriers to adoption of telemedicine systems and strategies for overcoming them. Appreciate the importance of aligning the IT plan with the overall strategic plan of the organization; discuss methods for strategic IT planning.Understand the challenges and limitations of measuring return on investment for health care information systems and telemedicine related initiatives.Evaluate different methods or strategies for…

Attachments:

Calculate the contrast of the sphere

Calculate activity qustions. See the attatchment

Document Preview:

J. A 1.0 cm diameter sphere (to simulate a tumor) is placed inside a20 cm diameter, cylindrical phantom (total volume of 6 L). The sphere is filled with water containing 1.0 MBq of Tc-99m. The phantom is also filled with a Tc-99m water solution, but with an activity of 850 Mbq. a) Calculate the contrast of the sphere. This would represent the contrast seen in a SPECT image. (2 marks) Now consider the imaging set-up shown in the figure. The detector acquires a lD image along x that is I cm thick in the z-direction. The sphere is located at a distance of (x, y) : (5 cm, 5 cm) from the centre of the phantom. The sphere is centered in the camera, with regard to the zdirection. The centre of the phantom is a distance of 30 cm from the imaging plane. The resolution of the scanner (including effects from all sotuces, i.e. collimator, crystal, etc.) is 12 mm @WHW). Assume an ideal, parallel-hole collimator. b) Neglecting l/f and attenuation artifacts, plot the relative counts, as a function of x, as seen on the detector. Assume perfect resolution. Calculate the contrast of the sphere in the image. Why does this contrast differ from that found in a)? (4 marks) c) Repeat b), but now include llf and attenuation affects. How do the recorded counts and calculated contast differ from that found in b)? Explain the differences. (4 marks) d) Redo c), but this time, include the effects of resolution. Label and explain the differences between the two sketches. (2 marks) e) Is there any location within the phantom that the sphere could be placed which would improve contrast? Explain. (2 marks) f) If noise is added to the image, would you expect the contrast from d) to change? Explain. (2 marks) detector a *ly –

Attachments:

What activity of l-123, relative to Tc-99m, would be required to provide the the same dose to the patient from both tracers?

A growing alternative to Tc-99m based tracers is I-123, which has a gamma ray energy of 149 keY almost identical to the Tc-99m gamma ray energy of 140 keV, but I-123 has a longer halflife. Assume we have two tacers that are labelled with Tc-99m and I-123 respectively, and that both have identical biodistributions within the body. a. What activity of l-123, relative to Tc-99m, would be required to provide the the same dose to the patient from both tracers? Neglect biological half-life effects. (3 marks) b.

Document Preview: 

l. A growing alternative to Tc-99m based tracers is I-123, which has a gamma ray energy of 149 keY almost identical to the Tc-99m gamma ray energy of 140 keV, but I-123 has a longer halflife. Assume we have two tacers that are labelled with Tc-99m and I-123 respectively, and that both have identical biodistributions within the body. a. What activity of l-123, relative to Tc-99m, would be required to provide the the same dose to the patient from both tracers? Neglect biological half-life effects. (3 marks) b. What effect would the use of the above activities have on the SNR of the images? (2 marks) 2. A vial containing Tc-99m is labelled “2 mCi/ml @8 a.m.”. a. What is the activity of the sample at 4 p.m. On the same day? (2 marks) b. What volume should be withdrawn at 4 p.m. On the same day to prepare an injuection of 1.5 mCi for apatient? (2 marks)

Attachments:

What process does your organisation use to measure and monitor the effectiveness of its services?

This requires a 2000 word creative essay on one topic out of three topics provided. Details are under the Assignment section. Note that for the creative essay we are expecting you to provide evidence in terms of references for the various points expressed not just on personal experience working in the laboratory. We would expect description of management theories as appropriate). This creative essay needs to be submitted via Turnitin and a hard copy submitted via Medical Sciences reception. Topic The topic will be one of the following options for the purpose of the exercise. 1. What process does your organisation use to measure and monitor the effectiveness of its services? 2. What do you believe are the most common issues facing leaders and managers in your workplace? 3. Provide an example of how you managed a complex staffing/team situation. Provide examples of strategies you needed to consider. Essay length Approx. 2000 words Format Your essay will be a descriptive essay supported by evidence from the literature including both peer reviewed and non-peer reviewed sources e.g. journals, books and personal experience. It will be up to you to validate your sources to ensure the credibility of your essay. You should use illustrations and pictures where possible to support the newsworthiness of your essay topic. If you have downloaded images from the web or scanned images always include the source and permission to use if required. The essay should be word-processed in double spacing using Times New Roman and no less than 12 point font size.