Preoperative and Postoperative Phases

Preoperative and Postoperative Phases
Preoperative and Postoperative Phases
Although many EMRs are developing analytics platforms that embed some of these capabilities into their existing workflows, robust analytics must still overcome gaps in interoperability and the sharing of data between relevant health care systems to track data related to the health of a population. Guidelines developed along a patient- centric model ideally would be able to track metrics across systems, such as EMSC entities; however, current limitations in technology and culture for data sharing provide restrictions for understanding the complete value of clinical standards implemented across a system. Nonetheless, demonstrations of improvements in value likely understate the true impact across an entire health care system. At Texas Children’s Hospital, the integration of data across multiple entities linked to our institution (eg, health plan data, pediatric practice data, hospital data, and prehospital data) can be housed in our Enterprise Data Warehouse (EDW) to encompass the EMR, financial information and staffing data, and other sources of data across its infrastructure. Future integration of health information exchanges, government hosted databases, and other big data sources will aid in providing analytics support for identifying opportunities for driving, assessing impact, and iterating quality improvement initiatives driven by clinical standards.
When assessing the impact on quality of evidence-based guidelines and other clinical standards products clinical outcomes as illustrated above are important, but these may be linked to financial outcomes to establish value. At Children’s Hospital of Pittsburgh, a hospital aim to integrate actionable analytics into the broader framework of disease management targeted an existing appendicitis guideline (preoperative and postoperative phases) as its initial project. A self-service web-based tool provided measurement to provide clinical leaders and administrators analytics accessible in their offices or at the point-of-care. These interventions for guideline-driven care across the care continuum led to a 25% reduction in the median length of stay of patients with appendicitis, and also a significant decrease in the controllable (direct) cost per case.
You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.
Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.
Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.
The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.
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