General Questions- Answer the following multiple choice questions (1-10). Type out your answer in the space provided, include both the letter and the selection.

Scenario 1:
General Questions- Answer the following multiple choice questions (1-10). Type out your answer in the space provided, include both the letter and the selection.

  1. As the length of the confidence interval for the population mean increases, the degree of confidence in the interval’s actually containing the population mean_________________?

A Stay the same

B  Increases
C  Decreases
D  Doubles
Answer: _______________

  1. What value of a correlation coefficient indicates that there is a perfect positive relationship between the dependent variable, y, and the independent variable, x?

Answer: ___________

  1. What value of a correlation coefficient indicates that there is no relationship between the dependent variable, y, and the independent variable, x?

Answer: ___________

  1. For a fixed level of confidence when the sample size increases, the length of the confidence interval for a population mean will______________?

A     Stay the same.
B     Increase.
C     Decrease.
D     Doubles.

Answer: ___________

  1. Which of the following confidence intervals will be the widest?

A     90 Percent.
B     95 Percent.
C     98 Percent.
D     80 Percent.

Answer: ___________

  1. The probability of failing to detect an effect when one exists is known as a:

A     Type II error.
B     Type I error.
C     Standard error.
D     Standardized erro.r

Answer: ___________

  1. Concluding that there is an effect when in reality no effect exists is known as a:

A     Type II error.
B     Type I error.
C     Standard error.
B     Type I error.

Answer: _________

  1. As the sample size increases, how is the power of the study affected?

A     It is not affected.
B     It is decreased.
C     It approaches zero.
D     It is increased.

Answer: ___________

  1. When a researcher decreases the risk of making a type 1 error, the risk of making a type II error is?

A     Decreased.
B     Not Affected.
C     Increased.
D     Equal to the chance of making a type I error.

Answer: ___________

What is the difference between scanning, COLD feeding, and point-of-care

Chapter 16

Electronic Health Records

Margret Amatayakul, MBA, RHIA, CHPS, CPHIT, CPEHR, FHIMSS

Real-World Case

Community Hospital has a single-vendor hospital information system (HIS) that provides typical financial and administrative information systems services, including laboratory, radiology, and pharmacy information systems, and order-entry/results review. Other ancillary departments such as dietary, physical therapy, nursing, and others are not online. The hospital participates in a cardiac care registry but abstracts data from their paper charts to contribute to the registry. The health plans servicing the community are starting to offer incentives for use of health information technology if positive patient outcomes can be identified. Community hospital is considering acquiring a CPOE system to reduce medication errors.

Physicians who are affiliated with Community Hospital have expressed interest in acquiring EHR systems for their practices but are waiting for the hospital to make a vendor decision concerning CPOE. They believe that if they acquire an EHR from the same vendor as the hospital, they will be able to write orders from their offices for patients who are in the hospital, have better access to the information they need to monitor their patients, and be able to tap into other providers’ EHR systems when they are covering in the emergency department.

The hospital and representative physicians are reviewing vendor products but are confused by what various vendors are telling them. One vendor has suggested that the hospital does not have the type of pharmacy information system that would support CPOE and thus would have to also buy a new pharmacy system. A vendor selling EDMS has suggested scanning and COLD feeding all the current chart forms from all provider settings into one repository so that they would be readily available when needed in an emergency. In the meantime, a couple of physicians purchased a stand-alone electronic prescribing device. They can send prescriptions to the major chain pharmacies in the community, but not to the community pharmacy, nor are they told they can get an interface written between the device and the clinical pharmacy in the hospital that would be needed for CPOE.

Real-World Case Discussion Questions

  1. What are the physicians trying to accomplish through buying the same EHR product        as their hospital? What are the pros and cons?
  1. Why can’t the physicians send a medication order to the hospital from their e-     prescribing device?
  1. What is the difference between scanning, COLD feeding, and point-of-care (POC)           data entry?
  1. How could the hospital improve upon its data quality?

Application Exercise: #3

Search the web for information on the issue of usability and making the EHR more user friendly. What are some of the key issues clinicians have using today’s EHRs and what are some of the proposed means to overcome these issues?

Discuss your role and identity as a clinical social worker; what makes your domain different from other

GUIDELINES FOR THE LIBRARY RESEARCH PAPER

Do not simply repeat a manualized treatment (e.g. CBT for veterans). If you choose CBT you MUST

include another treatment approach to pair with it. Do not choose a first year practice approach or one

that we have not covered in this class. Examples used in course; Mindfulness, systematic desensitization, Evidence based Expressive treatments, Art therapy, the empty chair, Dialectiacal Behavioral Therapy, Transference Focused Therapy, Schema Therapy,. Use an approach suitable for work with adult individuals and their support systems, not families, or groups. Short use of case material is integrated throughout so please pick a mental health problem which one of your clients as exhibited.. Use phases of treatment as your subheadings. Proof read your paper. Do not over rely on one or two citations. Do not use first year texts. Do not use narrative from progress reporting e.g.

Client states that  This is an academic paper which should comply with the APA style manual. Use current citations. [ ]

  1. Select a disorder or special population. [ ] A mental disorder present in a case you are holding is

preferred so you can use examples of interventions throughout.

  1. Select an intervention strategy covered in class. Taking the practice method selected discover how

that method is employed throughout all phases of intervention. If there is no literature on the phase of

treatment (such as referral), please use other sources of information. Cover all phases including:

Issues in referral for this particular type of population. How does the client come into the system? Is

there typically a history with other systems of care? In what segment (s) of the continuum of care are

you most likely to be working and why? What might influence client use of mental health care?[ ]

Methods of engagement given the problem area. (e.g. What issues are involved in engaging a client

who has anorexia and what must you do to establish rapport and empathy? HOW will you engage

given these issues? Why are these practice aspects important given the case and problem area?

Discuss engaging diverse groups of clients-what must you do differently with those from different

cultural groups.) [ ]

Discuss what is included in the assessment framework using the practice model chosen? Issues

in culture and diversity must be a part of this section. Remember that your assessment should be

based on the practice intervention selected, not just DSM diagnosis. If you are using CBT, HOW

would CBT or IPT assess this case? Please use some analysis of case material rather than simply

reporting. Why might someone have certain dynamics going on, certain symptomatology, etc.

Include a short biopsychosocial assessment and analysis of what factors influenced symptoms

presentation.

What neurobiological issues come out in the assessment and how do you know they are present?

Present DSM diagnosis(es) [ ]

What methods of assessment can be employed using a valid & reliable measure? (Consult material

in the DSM 5 on assessment instruments. [ ]

Integrate relevant cultural factors of the case and use citations to support your assessment. Note

that Caucasians are not one group, Latinos are not one group, etc. [ ]

What is the treatment plan and what are the treatment goals? Remember to consult information tied

to the intervention you are using [ ]

Discuss issues in the worker client relationship: your own feelings, transference &

countertransference, values & experiences that may affect motivation or resistance in you and the

client system in treatment. Why are these issues present? What will you do differently given these

issues? How will you do it?[ ]

What contracting issues must be set up given this problem and in this practice model? Why is the

contract necessary? [ ]

Discuss methods of intervention in the middle phase of treatment. How is culturally competent

treatment used in this phase? Your intervention in the middle phase should derive from your

assessment issues. Tell me why you doing what you are doing. Go beyond telling what interventions

you will use. How will you institute these interventions? The middle phase should represent the bulk

of your paper and should be detailed, i.e. several kinds of interventions not just a couple. [ ]

How will you engage and attend to issues in body, mind, and brain? [ ]

How is termination performed with this model and how do you know it is time for termination? What

are the issues & plan? [ ]

Discuss evaluation strategies in the practice model. . Evaluation should follow the same practice

intervention as in the assessment. Remember to include a valid and reliable assessment measure

as a part of your evaluation. [ ]

Discuss methods of follow-up in the practice model. Why might follow-up be important? [ ].

You may use one or more than one practice models but you must tell me why you are doing so.

Please comment on social justice issues as they impact problem presentation and treatment [ ]. obj.

Discuss your role and identity as a clinical social worker; what makes your domain different from other

professionals? What leadership responsibilities do you have in team activities? [ ].

What ethical issues are involved in working with this group? What social work values intersect with

these ethical issues? [ ]

Watch a film concerning a psychological disorder, therapy, or where a psychological process is part of the plot of the movie.

here are the requirements for the paper:

  • Watch a film concerning a psychological disorder, therapy, or where a psychological process is part of the plot of the movie. Your paper should include a short summary of the movie and then a discussion of how the psychological disorder/process or therapy was handled in the movie. Your paper should have appropriate citations to the psychological literature as it pertains to the film. Your paper should have a reference page where citations to the psychological literature are listed according to the APA guidelines for referencing. The film itself should also be cited in the reference section. Your paper should be 5-10 pages in length. Paper is due December 1, 2015. Check with Jim about your film…examples of films: A Beautiful Mind, Rain Man, Boys Don’t Cry, The Three Faces of Eve, Sybil, Antwone Fisher, Ordinary people, Good Will Hunting, Girl, Interrupted, Memento, 50 First Dates, many others.