Wednesday, September 17, 2008

3-D MRI Helps Detect Patients at High Risk for Stroke

Title: 3-D MRI Helps Detect Patients at High Risk for Stroke
Category: Health News
Created: 9/17/2008 2:00:00 AM
Last Editorial Review: 9/17/2008

Explicitly address the culture

People should gradually learn new skills, at least in small steps. This will enable them to learn more about using computers, including hardware, applications, and more advanced systems such as EPM practice-management software, finally leading up to EMR. Unless you're able to get the more resistant doctors involved, they could pose problems or delays.

Below find some important factors in change management which are adaptable for EMR system implementation:

Executive search firm Korn/Ferry International states that one of the biggest mistakes made is when execs join a company to implement changes, they fail to recognize the existing culture in the corporation or office. For example, a controlling manager enters a company which utilizes a more collaborative system, which leads to struggles and resistance.

Planning is Key

Ownership

Group leaders have ownership over different elements of the projects. These members have better cred with their subordinates, in comparison to the doctors. These core individuals should be first trained, then taught to train others in the practice.

Formally present your case

A need for change will be questioned by the status quo. You'll need a written statement of the vision, explained so that the how, who, what and why of the change to EMR is fully explained. Include proof that the move to a paperless system is a clearly better alternative. Otherwise, people won't use it.

Managing and having a positive influence on the staff is one of the most important elements in the implementation of an EMR (Electronic Medical Records) system.

Assess

Identify the top values, perceptions, beliefs and potential sources of resistance when assessing the cultural landscape. At times people are set in their ways; for example, the physician who is unable to check email, or the assistant who doesn't like to use a computer mouse.

Communication

Keep the dialogue channels open, encouraging feedback at every step. Keep a plan with sequence of actions. Make sure the staff has the necessary information and is involved in the implementation process.

In cases of EMR systems failing, often this has much to do with improper planning, inadequacies in implementation, or software deficiencies. The changes which will be occurring on the humanistic side will show this to be especially true. Planning the integration into a particular practice before doing the actual program install will be planning time well spent. This will have an ultimate effect on the bottom line.

Be clear in speaking to every individual

What's expected from everyone must be clearly understood. Confidence is good, if not to the point of being unrealistic. When problems do arise it's helpful to be able to counter the fears of the staff members.

Acknowledge the human aspect

There will be change and this could cause anxiety. Without 'buy-in' from employees, a new system will probably become a failure.

It is preferable to find ways to adapt into the pre-existing culture of the office, to assist with the staff's acceptance of the shift from paper-based record-keeping to EMR.

Proper planning and the ability to make minor adjustments is a great way to evade the necessity of completely pulling the plug on an EMR project. A great tool to make use of during a transitional phase of significance is the "change management" concept, undergoing change in a pre-planned and systematical way.

Begin at the top

It's particularly important for top staff members, including doctors and administrators, to get on board. Among the physicians, a 'champion' is required; that is, a doctor who is committed to realize this project through to completion, hopefully someone savvy with technology but not over-optimistic.

Every layer needs to become involved

Set up an employee committee which will develop proposals to be delivered to the physicians. These committee members should be the people who will be utilizing the EMR system, such as admin, business office, and assistants.

Prepare Your Staff Members For a New Electronic Medical Records System

Expect the unexpected

Problems will surely crop up. Events may cause a delay in the 'live' date of conversion onto the updated system. These delays will cause ripple effects which can be better managed with the right flexibility in planning by the committee.



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Gene Boosts Resistance to Chemo Drug

Title: Gene Boosts Resistance to Chemo Drug
Category: Health News
Created: 9/16/2008 2:00:00 AM
Last Editorial Review: 9/16/2008

Our society is in a state of spiritual emergence and there is only one thing that will lead us in a movement of healing, Natural Medicine. Natural Medicine has existed for Eons. It is quiet and humble by nature and has always survived the overwhelming, bombastic presence of the Western model. Acupuncture, Massage, Natural Herbs and supplements, Kinesiology, Yoga and Qi Gong all provide a space for which we can self discover. These modalities work on the bases of connecting with the deeper and subtle vibrations of the body, mind and spirit and then correcting the imbalance, gently.

Western medicine plays a significant role today. Their diagnostics and surgical procedures are world class and there are many doctors today tending towards recommending healthy alternative therapies. However, the tradition of prescribing medications that are heavily marketed by the multinational drug Corporations and the societal side effects have to be addressed.

The human qualities that have been lost in this system are connection, trust, kindness, patience, persistence and commitment. How can you develop connection with your doctor when the outcome of the appointment is you being handed something that helps you to avoid addressing anything (whilst creating another problem entirely)? How can we develop trust with our community when a major side effect of drug taking is paranoia, and to support ever growing habits, deceit must be used? How can we be kind to others when we are not being kind to ourselves? What will teach us patience when our society celebrates the quick fix? How will we develop persistence when the core of the 'quick fix' is to give up? Where in our lives will we demonstrate commitment when this system is about avoiding it?

These drugs have power over us. They corner us and make us feel small. We turn to the western model for help when we are trying to seek balance and their medicinal options make us become needy and weak. They do not arm us with the tools necessary to face this world and our role in it. All purpose is lost when all we are doing is surviving by synthetically detaching. There is a general belief when seeking this help that the antidepressants and painkillers prescribed are the doorway to doing the right thing for your life, 'taking control'. Western pharmaceuticals are the Backdoor OUT of people's lives and people are taking them because they want to feel better. How can you feel better when you have no control over yourself? When something external is dictating whether you will experience happiness today?

Natural Medicine - The Way Home

Therapists in the world of Natural Medicine are there to take the time to listen and help you work on yourself. This develops a connection, a bond, where it is safe to peel back the layers and re build yourself slowly. It is in this space that you learn about trust. It is the time taken and also the depth of these therapies that allow trust to develop. Seeking Natural therapy for yourself comes from an authentic place in your heart, you are being kind to yourself by doing so. The process of these therapies naturally takes time, which teaches us patience. Through the time spent we also learn respect and admiration for ones self. The quality of persistence develops through a balanced combination of external bodywork and internal realisation, ownership and release of all that is old and no longer serves you. Finally: Commitment. What you are doing for yourself by embarking on the journey of Natural Therapies is making a commitment to yourself. It is a commitment to obtaining the best quality of life you will ever find. It is a commitment to taking responsibility for yourself, your feelings, your actions and most importantly your destiny. Your destiny can only be followed when everything that makes you, is consciously chosen by you.

Our society is currently experiencing a desperate craving for something more than what is. It is this very craving that will lead us back to our roots where we were once tribal. Connected to mother earth, each other and ourselves. Where Life's purpose was to live in harmony with the earth, share, love and create. Natural Medicine is the medium for which we will begin to heal the damage that has been done. It is the path to learning how to live again. It is the way back to hearts. Natural Medicine is the way home.

The next step down from legal drug users are those who choose to self medicate with illegal substances. The people who take these are frowned upon because it's illegal. These substances can be more powerful and potentially more dangerous but ultimately are a solution to the same problem, our society is desperately unhappy! Our society has become segregated, disconnected and impatient with a constant undertone of incredible fear. Fear of living. Fear of dying. Fear of loving. Fear of getting it wrong. Fear of getting it right!

There is no sense of community any more. People believe that they have to 'be strong' and do it on their own. It's bullshit because they are not doing it on their own, they are using external substances to support themselves: legal or illegal is not even relevant. Everyone just wants their problems fixed today and no one wants to have to fight for their own wellness and balance. If someone else fixes it, people don't ever really have to own how they got there in the first place, and look at how much of it they created themselves.



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