Physicians purchasing an ambulatory EHR system to automate their practice are doing so at a very exciting time. In early 2009, the federal government passed the American Recovery and Reinvestment Act (ARRA), ushering in an era of unprecedented government support for moving healthcare delivery to an electronic platform. Those who are purchasing an EHR today not only need to consider physician workflow and productivity, but also to be mindful of the Centers for Medicare and Medicaid Services (CMS) definition of “meaningful use.” Although meaningful use is an evolving standard, once defined, it will be the minimum data set and functionality…
Author: Daniel
The angles of your face are highlighted by your eyebrows. You can narrow the facial structure, broaden it or lift the eyes by working on your eyebrows. You can frame your eyes perfectly and tone down or underline the eye makeup with the right eyebrow shape. Perfectly shaped eyebrows bring balance to your face and add symmetry to all of its features. Using the Golden Ratio The golden ratio is a number that depicts the perfect proportion that is most pleasing to the human eye. Anastasia Soare Beauty ‘innovator’, was perhaps the first person to apply this number to the…
A round face is the perfect canvas for a fuller, thicker brow. A thin brow makes the face look plumper. An arched eyebrow gives the square face the lift it needs to appear more oval. Keep the brow thinner to allow the arch to get maximum attention here. Medium arches work best with oval faces. A good rule of thumb to follow is to keep to the brow’s natural shape as far as possible. For older women, the brows tend to droop at the ends due to the sagging skin. For such brows, Anastasia Soare recommends lifting the brows to…
If you are happy with your current PMS and expect that it will serve the needs of your practice for many years to come, you will likely decide to keep it and thus choose an EMR that will work with it. This is critical. You do not want your staff to have to enter demographic and appointment data twice so the two systems need to be able to communicate with each other. On the other hand, if you are not thrilled about your PMS or think it has outlived its usefulness, you will want to look at “integrated EMRs” –…
Dr. Bertman is Clinical Assistant Professor of Family Medicine at the Warren Alpert Medical School at Brown University and is the Physician Editor-in-Chief of MDNG / MD Net Guide. He is the founder and president of AmazingCharts.com, a leading developer of EHR software and AfraidToAsk.com, a consumer health-information website. He has a private practice in Hope Valley, Rhode Island. As a Family Physician and the president of Amazing Charts, an EHR company that focuses on small practices like my own, I get to see the EHR industry from both a physician and a vendor perspective. One would like to believe…
Making a herbal profile of your own can be a worthwhile and enjoyable experience. It will ultimately give you a deep understanding of a dozen or so herbs that grow near your home. With them, you will be able to treat many commonly experienced diseases or, preferably, learn how to help resist their manifestation in the first place. Some ideal choices in Britain would be oak, apple, yarrow, plantain, nettle, hawthorn, red clover, dandelion, and burdock. Only choose the very common ones, or you will defeat the main purpose of the herbal profile. A ring binder, with clear plastic sheaths…
Research on African Americans covers many important areas, only a few of which will be discussed here: theories of white-black relations; the enslavement of African Americans; the development of an antiblack ideology; the creation of white wealth with black labor; the idea of whiteness; racial discrimination today; and possibilities for social change. THEORIES OF WHITE-BLACK RELATIONS Explanatory theories of U.S. racial relations can be roughly classified into order-deficit theories and power-conflict theories. Order-deficit theories accent the gradual inclusion and assimilation of an outgroup such as African Americans into the dominant society and emphasize the barriers to progress that lie within…
Hypertension is a well-known and common condition in society nowadays, probably because of our diets and lifestyle. It can be hereditary or caused by individual habits and stress levels. Its physical causes can include heart and circulatory imbalance, troubled kidneys, sluggish or overactive hormones, a lack of calcium or defective calcium metabolism, obesity, clogged arteries, nervousness, and worry. The dangers of persistent high blood pressure are damage to the brain, heart, and kidneys. The brain, kidneys, adrenal glands, and autonomic nervous system control blood pressure. Refer to “Heart Disease” for more information. Also see “The Circulatory System” in chapter 9…
Early periods are those occurring eight or nine days prior to the expected cycle of twenty-fi ve to twenty-nine days. Much variance outside the normal cycle will cause the body to feel tired and depleted. If your period is constantly early, you may feel consistently anxious. An early period can be caused by insufficient progesterone, shortening the second phase (the phase after ovulation). It is also possible that ovulation occurs early, in which case a little estrogen will help extend and complete the fi rst phase. Very occasionally, ovulation doesn’t take place at all, in which case the general health…
A weak nervous system, genetic weakness in the area, stroke and paralysis, or old age are most likely to cause one to suffer from incontinence. Yet a surprising number of apparently healthy middle-aged people are also prone to such problems. Physical obstructions — like a swollen prostate gland in men — can be one common cause. Giving birth causes weakening of the pelvic fl oor muscles, and prenatal and postnatal exercises will help. Hormone disturbances, especially around menopause, can be a factor diseases 234 diseases 235 (special exercises can help enormously; see the section on pregnancy in chapter 8). A…