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Thursday, August 14, 2008 1:08 PM Welcome to the Board of Governors Exam Online Community. This site is designed to answer many of your questions regarding the exam as well as offer you an opportunity to communicate with other affiliates studying for the exam.
ACHE COMMUNITY BLOGS
Successful System Implementation
Thu, 26 Jan 2012 21:09:27 Z I have been a part of 2 EMR implementations and I've seen characteristics that made one successful and one a struggle. I have a clinical background but not a significant IT background. One problem that I saw with an EMR implementation gone awry was the failure to seek/get end-user buy-in. This may not be a test question but I think one of the key principles in having a successful...
HIPAA Thu, 26 Jan 2012 20:19:34 Z Aside from me, does anyone find it amusing that HIPAA was originally designed to facilitate and promote the exchange of healthcare information?
Most uninformed folks worry about HIPAA and cite it as a reason to not share clinical information. However, the opposite is true. The state laws (in response to HIPAA) were what imposed most of the restrictions. Also, the "...
Recruitment, Selection and Retention Wed, 25 Jan 2012 13:40:58 Z In Chapter 8 of the Human Resources in Healthcare, “Recruitment, Selection and Retention”, by Fried and Gates they make several distinctions concerning the concepts of turnover and retention. Turnover rate is the gross movement of personnel in and out of the organization over a specific period of time. Most well managed Human Resource Departments also make a distinction between volunta...
Reporting Structure Wed, 25 Jan 2012 13:11:42 Z From an organizational/reporting structure standpoint, do organizations typically have their IT/IS Vice President report through a COO, CFO, CMO, or some other position? It is such an integral role with regards to automation and data integration across everything from medical record management to quality/safety to revenue cycle, it's a role that could probably report to any of the above, but...
Ethics Wed, 25 Jan 2012 03:38:18 Z
This weeks reading tells us that Ethical Organizations are an indicator of a qulaity organization. Successful organizations will always put the patients or the population served first; second-clinicians and staff; and third-the organization itself, including its financial position. This structure of always placing the needs of the patient/community being served first, c...
Media coverage of Program change- missed steps in the Ethical Decision Making Process? Wed, 25 Jan 2012 02:20:48 Z Recently a columnist in the local paper wrote an article criticizing the School of Nursing for recommending the elimination of the Nurse Midwife program. One of the spokespeople for the School stated that the "program was judged not to meet a societal need." This last comment was a siren call for those stakeholders supporting midwifery. A petition to continue ...
Transparency Mon, 23 Jan 2012 17:55:26 Z After reading about transparency and fully believing in the concept, I find myself wondering where the line should be drawn when it comes to board meetings and public attendance. Just recently, a member of the community (also a known trouble maker) that my nonprofit board serves, has shown up several times and stayed for the entire meeting. After the third occurrence, the board wa...
Paper-free Initiatives and EMR adoption Mon, 23 Jan 2012 15:00:33 Z Our organization recently introduced some paper-lite or paper-free initiatives. How does IT contribute to these initiatives in your organizations and what sorts of projects are going on at your organizations? How does EMR adoption affect these types of initiatives?
Ch.13 - Financial Mgmt: Question & Comments Mon, 23 Jan 2012 11:54:48 Z ACHE Online Community:
After reading Ch. 13 on finance management, I thought about the specifics that a CEO/CFO may encounter regarding conflicts of interest for a major decision that may be presented before the board. In the pursuit of ensuring compliance with Sarbanes-Oxley, would a CEO/CFO need to provide a full disclosure of personal investments to an external auditor to ensure tha...
Ethics breeds success Mon, 23 Jan 2012 06:34:05 Z When reviewing the materials on "ethics" this week, I realized that I often take a cynical view of ethics and feel that organizations just list values on their webpage much like the "window dressing" he references. It was refreshing to spend some dedicated time on this because it renewed my belief that the most successful organizations start from basic core values. Those that are succe...
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