A Word From… Bryan Graven, Executive Director This is an exciting time to be in the healthcare technology industry with all of the innovation and advancements taking place. I recently attended the Consumer Electronics Show with the intent to experience many of the industry’s current offerings, but quickly became captivated by the glimpse into the future of healthcare IT: the introduction of the concept of “digitizing humans.” Mobile devices are already a tremendous part of our lives and physician practices. However, in the near future we will see the industry evolve and take it to another level. Smart phones with embedded sensors could be the center of communication between patients and their physicians. These devices will be loaded for medicine with the ability to display vital signs in real time, acquire ultrasound images, perform lab analyses, and even decode one’s DNA. There was even a mobile device accessory to your iPhone that took saliva samples to decode your DNA along with microscopic sensors that would be implanted into your body to track changes in your DNA. I got to see firsthand how some of these devices operate and was truly amazed to see them in action. The information these devices gather from your body will create a real time feedback loop from the patient to the provider. The data about your body will be analyzed to provide mean- ingful results to the provider for preventive care and give valuable insight to treat patients better. Our bodies will essentially become “digitized.” There are likely many legal and other logistical details that will need to be worked out for these kinds of advancements to be used for meaningful purposes, but it is fascinating to see that this technology has already been developed. These medical diagnostic devices will become commercial realities sooner than we all think; providers adopting EHRs is just the start to jaw-dropping technological advancements that will impact patient care in ways that were mere fanciful fiction just a few short years ago (especially with the continuous develop- ments with nanotechnology, which utilize the smallest of devices that actually work from within the body at a cellular level). Technology innovation is thriving in healthcare like no other industry as our lives become even more infused with these advancements. Doctors will have so many more tools to de- liver patient care and conduct research at a level never previously contemplated. What was once considered limited to the imagination of science fiction is rapidly developing into reality – a very promising, exciting and potentially revolutionary reality with respect to medical technology. -Bryan In This Issue: A Word From the Executive Director P.1 2011 Meaningful Use Incentives P.2 When a Stranger Calls P.3 What is Population Health? P.5 Proper Care of Your Laptop or Tablet P.5 The Meaning of Log Off Windows P.6 Meaningful Use P.7 The Month of February P.7 Legends of St. Valentine P.8 Valentine’s Day Fun P.9 Valentine’s Day Dinner P.10 CPS Recipe Corner P.11 CT Physicians’ Services Winter Newsletter 2012
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A Word From… Bryan Graven, Executive Director This is an exciting time to be in the healthcare technology industry with all of the innovation and advancements taking place. I recently attended the Consumer Electronics Show with the intent to experience many of the industry’s current offerings, but quickly became captivated by the glimpse into the future of healthcare IT: the introduction of the concept of “digitizing humans.”
Mobile devices are already a tremendous part of our lives and physician practices. However, in the near future we will see the industry evolve and take it to another level. Smart phones with embedded sensors could be the center of communication between patients and their physicians. These devices will be loaded for medicine with the ability to display vital signs in real time, acquire ultrasound images, perform lab analyses, and even decode one’s DNA. There was even a mobile device accessory to your iPhone that took saliva samples to decode your DNA along with microscopic sensors that would be implanted into your body to track changes in your DNA. I got to see firsthand how some of these devices operate and was truly amazed to see them in action.
The information these devices gather from your body will create a real time feedback loop from the patient to the provider. The data about your body will be analyzed to provide mean-ingful results to the provider for preventive care and give valuable insight to treat patients better. Our bodies will essentially become “digitized.”
There are likely many legal and other logistical details that will need to be worked out for these kinds of advancements to be used for meaningful purposes, but it is fascinating to see that this technology has already been developed. These medical diagnostic devices will become commercial realities sooner than we all think; providers adopting EHRs is just the start to jaw-dropping technological advancements that will impact patient care in ways that were mere fanciful fiction just a few short years ago (especially with the continuous develop-ments with nanotechnology, which utilize the smallest of devices that actually work from within the body at a cellular level).
Technology innovation is thriving in healthcare like no other industry as our lives become
even more infused with these advancements. Doctors will have so many more tools to de-
liver patient care and conduct research at a level never previously contemplated. What was
once considered limited to the imagination of science fiction is rapidly developing into reality
What is Population Health? Cindy Denno, Application Systems Analyst
Population Health has been defined as “the health outcomes of a group of individuals, including the distribution of such outcomes within the group.” These groups are often geo-graphic populations such as nations or communities, but can also be other groups such as employees, ethnic groups, dis-abled persons, prisoners, or any other defined group. The health outcomes of such groups are relevant to policy makers in both the public and private sectors. Population Health is an approach to health that aims to improve the health of an entire population. One major step in achieving this aim is to reduce health inequities among population groups. Population Health seeks to step beyond the individ-ual-level focus of mainstream medicine and public health by addressing a broad range of factors that impact health on a population-level, such as environment, social structure, resource distribution, etc. An important theme in Population Health is the importance of social determinants of health and the relatively minor impact that medicine and healthcare have on improving health overall. In compliance with Meaningful Use standards Allscripts 11.2 Stimulus Set offers Population Health Management (POP Health Management). POP Health Management allows patients to be clinically tracked and placed into groups for man-agement (i.e. males over 50 who have not had a colonoscopy). This new functionality allows users to search patient popu-lations, generate a query based on a patient population, and create or edit action set. From within these functions the user can refine searches by filtering to conduct a narrow, comprehensive search of their patient population. Once these patients have been identified, they can be contacted via phone, mail or through the patient portal to schedule follow-up appointments, refill medications, get lab work done, etc. This new functionality within Allscripts enables pro-viders to generate patient lists in an efficient and user-friendly manner.
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How to Take Proper Care of your Laptop or Tablet Bill Hall, Customer Support Specialist
Although highly portable tablet devices like the iPad and the Kindle are taking the business and
home markets by storm, laptops have become more affordable and popular than ever. When it
comes to maintaining your laptop or your new tablet the do’s and don’ts are the same. Here are
some helpful steps to keeping your equipment in tip top shape.
Keep Your Laptop at Room Temperature
Don’t leave your Laptop in the car overnight in the winter. If you do then when you get to the
office, take it out of your bag and let it sit for about 10 minutes to warm up gently. The operating
temperature specification for most laptops is from 32 to 95 degrees. If it is below freezing there is
a risk of condensation building up inside the hard drive or on the system board. We all know how
water and electricity don’t mix.
Find the Right Carrying Case
Before taking it on the road, pack the laptop properly. Depending on your carrying preferences, find a carry case that has a padded
section that is specially designed to carry a laptop. For those who want to stay away from the Orthopedic doctors consider a back
pack as it provides the best weight distribution. The suitcases with the wheels are not recommended as many of them do not provide
proper protection for going over the bumpy sidewalks or through snow banks and puddles.
In the endeavor to bring everyone up to minimum se-
security requirements as defined by HIPAA, CPS
has been placing everyone on Active Directory
(AD) within their company’s unique domain. Al-
though most of you have been on AD for quite
some time now, there is a need to explain some of
the terminology that is being tossed around.
What is Active Directory?
The short definition is, “Active Directory serves as a
central location for network administration and se-
curity,” as listed in Wikipedia. Which further de-
scribes AD as “being responsible for authenticating
and authorizing all users and computers within a network of Windows domain type, assigning and enforcing security
policies for all computers in a network and installing or updating software on network computers.”
For the CPS community of users, this means that you need to “log in” using your own individual credentials (username
and password) on your company’s established domain (i.e., oahctmd, cmgmds, cpsmdit, etc.). Logging in as generic cre-
dential on the computer itself is a no – no in the AD world.
Security
One of the main objectives of using AD is security. It allows for individual login (unique usernames and passwords or
credentials). Once logged in everything you do is under your account, thus, the need to “log off” when you are leaving
your work area for any length of time. This will prevent another individual from accessing your work, surfing the
internet or doing any other unauthorized activity on that computer under your AD account.
How do I “Log Off”?
This is very simple process.
Save and close all active windows.
Click on the start button in the lower left hand corner of your screen.
Click on “Shut down.”
In the drop down menu where “Shut down” appears, choose “Log off [your
username]” and click OK.
What this process does is force anyone who tries to use this computer to “log
in.” Without the proper credentials they will be unable to use the device. The next time you go to use the PC you will be
required to log in with your credentials.
There are many other advantages to AD that are mainly used as back-end administration, such as maintenance, applica-
tion “pushes,” device inventory, and others.
But, for now, the main objective here is to encourage everyone to “Log off” when away from your work station for any
length of time (such as at the end of the day).
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February is African American History Month
As a Harvard-trained historian, Carter G. Woodson, like W. E. B. Du Bois before him, believed that
truth could not be denied and that reason would prevail over prejudice. His hopes to raise awareness
of African American's contributions to civilization was realized when he and the organization he
founded, the Association for the Study of Negro Life and History (ASNLH), conceived and announced
Negro History Week in 1925. The event was first celebrated during a week in February 1926 that en-
compassed the birthdays of both Abraham Lincoln and Frederick Douglass. The response was over-
whelming: Black history clubs sprang up; teachers demanded materials to instruct their pupils; and
progressive whites, not simply white scholars and philanthropists, stepped forward to endorse the ef-
fort.
By the time of Woodson's death in 1950, Negro History Week had become a central part of African
American life and substantial progress had been made in bringing more Americans to appreciate the
celebration. At mid–century, mayors of cities nationwide issued proclamations noting Negro History
Week. The Black Awakening of the 1960s dramatically expanded the consciousness of African Ameri-
cans about the importance of black history, and the Civil Rights movement focused Americans of all
color on the subject of the contributions of African Americans to our history and culture.
The celebration was expanded to a month in 1976, the nation's bicentennial. President Gerald R. Ford
urged Americans to “seize the opportunity to honor the too-often neglected accomplishments of black
Americans in every area of endeavor throughout our history.” That year, fifty years after the first cele-
bration, the association held the first African American History Month. By this time, the entire nation
had come to recognize the importance of Black history in the drama of the American story. Since then
each American president has issued African American History Month proclamations. And the associa-
tion—now the Association for the Study of African American Life and History (ASALH)—continues to
promote the study of Black history all year.
(Excerpt from an essay by Daryl Michael Scott, Howard University, for the Association for the Study of African American Life and History)
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Meaningful Use: Race and Ethnicity
Bob Volz, Application Systems Analyst
In order for practices to provide a way to prove “Meaningful Use” of an Electronic Health Record (E.H.R.) as outlined in the American Recovery and Reinvestment Act (ARRA), Centricity Group Management and Allscripts have updated the selections for the Race and Ethnicity Fields. These changes conform to the guidelines set forth by the Office of Manage-ment and Budget (OMB). Within Group Management, practices now have the option to require these fields at the time of patient registration. In addition, practices have the option to default these fields to one of the selections. During the Group Management update, race selections for current patients were converted to conform with the OMB guidelines. There also is the ability to require and/or default a value for Primary Language
The Values for Ethnicity now include Hispanic or Latino, Non-Hispanic or Non-Latino, Declined, Unknown or Blank. The Values for Race now include Black, African American, Asian, White, American Indian,Other Pacific Islander, Un-known or Declined. Please contact Customer Support if you would like to require and/or default the fields for Ethnicity, Race and Primary Language.
The following links detail the guidelines for categories of ethnicity and race: http://www.whitehouse.gov/omb/fedreg_1997standards/ http://www.whitehouse.gov/sites/default/files/omb/assets/information_and_regulatory_affairs/re_app-a-update.pdf
2 1/4 ounces colored candy sprinkles, 60 long red vine licorice
Cream 1 cup butter or margarine and 3/4 cup white sugar together.
Blend in egg, 1 teaspoon vanilla extract, and grated lemon peel.
Sift together 2 1/2 cups all-purpose flour and baking powder. Add
to creamed mixture and blend well. Cover and refrigerate dough
for approximately 2 hours.
Preheat oven to 375 degrees F (190 degrees C).
Roll dough to 1/4 inch thickness on a lightly floured surface. Use a
floured heart shaped 1 to 2 inch cookie cutter and cut dough into
heart shapes. Place the cut-out hearts on greased cookie sheets.
Using the drinking straw, make a hole at the top center of each heart
before baking. Bake for 5 to 7 minutes until very lightly browned.
Cool the cookies on a wire rack.
To Make Butter Frosting: Mix 3 cups confectioners' sugar and 1/3 cup
butter together. Stir in 1 1/2 teaspoons vanilla extract and 2 table-
spoons milk. Beat until smooth making sure frosting is of spread-
ing consistency. Stir in food coloring to create a pink or red colored
frosting, if desired.
After cookies have cooled, frost and decorate them with nonpareils,
sprinkles, dragees, or colored sugar. Use a toothpick to dislodge
the hole, if necessary. Let the frosting dry.
To make a necklace, tie the ends off of two pieces of red colored lico-
rice with a knot. Thread it through the hole at the top center of the
cookie. Tie the other ends off with another knot to create a
"chain." Makes approximately 30 heart necklaces.
Paper Love Bugs! Cindy Denno
What you’ll need:
Empty toilet paper tube
Pink paper
Scissors
Glue
Pipe cleaners
Pen, marker, crayons or pencil
Instructions:
1. Paint or cover an empty toilet paper tube with pink paper to make the body of the bug. 2. Cut two hearts from construction paper. 3. Attach these with tape or glue on either side of the body. 4. Encourage your child to draw a face on the top of the tube. Pipe cleaners make great antennae.
Write a cute message on the wings such as
"Valentine, you make my heart flutter."
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Page 10 CT Phys ic ians ’ Serv ices
Valentine’s Day Dinner
Alyssa Lynch
Veal and Artichoke Involtini
These involtini, or rolls, are made with veal which is considered a special
occasion ingredient in Liguria, Italy. The region is rocky and rugged, so land
for grazing animals is scarce.
6 medium artichoke hearths, cooked
3 oz Asiago cheese, thinly sliced
2 Tbs. chopped fresh, flat leaf parsley
1 1/2 lb veal cutlets, pounded 1/4 inch thick
Salt and pepper, ground, to taste
1/2 cup all-purpose flour
4 tbsp cold unsalted butter, cut into 1 inch pieces
3 tbsp olive oil
1/2 cup white wine
4 Tbs. fresh lemon juice
Put 2 tbsp artichokes, 2 slices cheese and 1/2 tsp parsley on each veal cutlet. Roll veal around filling; secure with a toothpick. Gen-
erously season with salt and pepper.
Preheat electric skillet to medium-high heat. Spread flour on plate. Lightly dust veal rolls with flour; shake off excess. In skillet, melt
1 Tbs. butter with oil. When butter foams, brown veal rolls on all sides, 6-8 minutes total. Transfer to plate and loosely cover with
foil. Pour wine and lemon juice into skillet; scrape up browned bits. Bring to simmer, then turn off heat. Add 3 Tbs butter, stirring
constantly until melted. Season sauce with salt and pepper. Strain through fine mesh sieve. Remove toothpicks from rolls, top with
sauce and slice crosswise. Serves 6.
Valentines Day Word
Search!
CPS Team
Chocolates Love Gifts
Candy Sweetie Cupid
Roses Friendship Arrow
Flowers Heart Remorse
Romantic Candles
Ball and Chain
Valentine’s Day Massacre Drink Recipe
Mari Skarp-Bogli
Did you know…
The Saint Valentine's Day massacre is the name given to the 1929 murder of 7 mob associates as part of a prohibi-
tion era conflict between two powerful criminal gangs in Chicago: the South Side Italian gang led by Al Capone and
the North Side Irish gang led by Bugs Moran. Former members of the Egan's Rats gang were also suspected to have
played a large role in the St. Valentine's Day massacre, assisting Al Capone.
Heat the milk with spices in a saucepan over medium
heat until it reaches a boiling point, but do NOT allow
to boil.
Add the chopped chocolate and whisk until smooth.
Remove from heat and let rest 25 minutes to release
spice aroma, strain and reheat before serving.
4-6 Servings
Chocolate Covered Strawberries
Cindy Denno
Ingredients:
16 oz milk chocolate chips
2 tablespoons shortening
1 lb fresh strawberries with leaves
Directions:
1. Insert toothpicks into tops of the strawberries.
2. In a double boiler, melt the chocolate and shortening, stirring occa-sionally until smooth.
(Editor’s note: You can also melt chocolate in the
microwave, combine chocolate and shortening and microwave 1 cup at a time for 1 minute, stopping at each 10 second burst for a few seconds before continuing. Stir softened chocolate with a spatula to blend after 1 minute)
3. Holding the strawberries by the toothpicks, dip into the chocolate mixture.
4. Turn the strawberries upside down and insert the toothpick end held into a Styrofoam block for the chocolate to cool. Another option would be to lay the strawberries on wax paper lined cookie sheets placed in the refrigerator. The bottom will not be as pretty but they will still taste just as delicious!
Enjoy!
Page 11 CT Phys ic ians ’ Serv ices
CPS Recipe Corner
Editors: Bryan Graven, Lee Seidman, Alyssa Lynch
Newsletter Design and Layout: Mari Skarp-Bogli www.mariskarp.com