About Medicine: The flu; how it’s passed and what to do about it

Influenza (also known as "the flu") is a contagious respiratory disease caused by the flu virus and is most often transmitted by droplets. When an infected person talks, sneezes or coughs, droplets that contain the virus are produced.

These droplets can travel up to 6 feet, landing on the mucous membranes of nearby people. These drops can also land on surfaces or objects, and can be collected in the hands of another person, who then touches the eyes, nose or mouth. Once it contacts the mucosal virus, it infects the nose, throat and lungs.

In 1-4 days after exposure to the virus, you may experience one or more of the following signs and symptoms: fever or feeling of fever, chills, sore throat, cough, runny nose or swollen, muscle or tangible pain, Head, and feel very tired.

These symptoms can last as long as 10-14 days and can be so severe that a person may be bed-related (or attached to a couch) for much of that time. It is estimated that 50-80% of people can become infected with the virus but have no symptoms; So they transmit the disease to others without realizing it.

Anyone can get the flu, even those who are very healthy. Serious health problems and complications can occur in association with the flu. In the US, an average of 226,000 people are hospitalized and 36,000 die each year due to complications related to the flu and the flu.

Some people and age groups are at increased risk of developing more serious complications of the flu, including younger children, those 65, pregnant women, and people with certain chronic medical conditions.

These chronic medical conditions include asthma, COPD / emphysema, chronic heart disease, diabetes, a weakened immune system due to illness or medications, such as someone receiving chemotherapy or someone with chronic steroids and people with extreme obesity. Complications may include sinus and ear infections, pneumonia, myocarditis (inflammation of the heart), encephalitis (inflammation of the brain), rhabdomyolysis (muscle inflammation), and failure and multiple organ sepsis.

It can sometimes be difficult to distinguish influenza from other viral or bacterial diseases based on symptoms. If your health care provider wants to know for sure if you have the flu, he or she can do a specific test called the test for the rapid diagnosis of the flu. This requires a swab to be inserted deep into the nasal cavity and results are usually ready within 30 minutes.

In some cases, the result of the rapid test may be negative, but your symptoms indicate otherwise, so your health care provider may still decide that treatment with antiviral drugs. Sometimes, when there is a flu outbreak in a community, health care providers use their clinical judgment and treatment of infected individuals without being tested for the flu.

Some prescription drugs known as "antivirals" are a treatment option for influenza. There are three antiviral drugs approved by the FDA for the flu: Tamiflu, Relenza and Rapivab. These antivirals are not available on the counter; You must have a prescription from your health care provider to get it.

These medications can help reduce the severity and duration of flu symptoms, and although they work best when started within 2 days of the illness, they can still help if started later. These antiviral drugs can help prevent some of the serious complications in people at high risk.

Flu tends to be more common during the colder months of the year, and while the flu in the United States usually occurs between September and May, the peak month is February. The most important way to prevent the flu is to get a flu shot every year. The Centers for Disease Control and Prevention (CDC) recommends that anyone 6 months of age receive an annual flu vaccine.

The benefits of the flu vaccine are many, and include that it can help prevent the flu; The severity and duration of the disease can be reduced if you become ill; The risk of influenza-related complications and hospitalizations can be reduced; This helps to protect women during and after pregnancy with some antibodies transmitted to the baby.

How to Pass CPHQ Exam?

For getting any certification or degree, an individual needs to pass the exam after which he/she is selected by a reputed company as an employee. NAHQ CERTIFICATIONS exams are really tuff specially CPHQ  CPHQ exam. The CPHQ dumps are available on Exams4sure.com and it can be accessed by every candidate of CPHQ test no matter in which country he/she is living. Some candidates think that they cannot get the CPHQ CPHQ Exam Questions for the practice of the exam because they are not living in the USA or the UK, but it is not true as the only internet is required and one can get the CPHQ questions answers for the Certified Professional in Healthcare Quality exam preparation and scoring high which makes a person able to get a good job.

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Some candidates get confused when they think of how to pass CPHQ Exam because it is not an easy exam; a person who doesn’t prepare him/herself fully cannot pass it. There is no need to worry about the preparation as CPHQ test questions are arranged with the purpose of getting the students ready for the final Certified Professional in Healthcare Quality exam. CPHQ questions which are provided to the candidates to answer are just like CPHQ real exam questions which fulfill the purpose for which they are offered and it is the practice of exam. After preparing for the exam getting the assistance of CPHQ study material is the right choice because it is the only thing which clears the doubts of the candidate’s mind prior to taking the NAHQ CERTIFICATIONS exams.

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CPHQ Exam Question No 53

Question No 53:

What are the 3 basic closely interrelated activities that quality management employ?

Quality:

• Planning
• Control
• Inprovement

Starr Earns Healthcare Quality Certification

Erin Starr RN, Director of Quality at Jefferson Community Health Center in Fairbury, is now a professional-quality medical care certificate (CPHQ.)

The CPHQ is the only accredited professional certification quality health care. It incorporates all the knowledge in the profession of the quality of care, including:

• Strategic and operational leadership roles and inmanagement
• Information management, including design and data collection, measurement and analysis, and communication
• Measure and improve performance  quality, including planning, implementation and evaluation and training
• Strategic and operational tasks in patient safety

The program is accredited by the National Accrediting Commission of the bodies of excellence certification Institute in Washington, DC

Starr received a grant from the National Association of quality health care to help cover the cost of examining CPHQ. With the award, she had a year to complete and pass the exam.

In March 2015, the Association for Healthcare Quality Nebraska, risk and security, the state organization, organized a course opinion CPHQ in Omaha. They had 62 participants representing 11 states and two countries. In August 2016, which welcomed a review of CPHQ course, and 27 participants.

CPHQ Exam Question No 52

Question No 52:

Which of the following is the first step in preparing for an initial accreditation or certification survey of an organization?

A. Assess staff knowledge and plan staff training.
B. Hire a consultant and conduct a mock survey.
C. Appoint a survey coordinator and prepare a survey agenda.
D. Review the standards and determine readiness.

Answer: D

CPHQ Exam Question No 51

Question No 51:

For health information technology to be most effective in reducing harm, the technology needs to be

A. Numeric and easy to use.
B. Integrated with clinical workflow.
C. Able to correct claims data.
D. Flexible and accessible.

Answer: B

CPHQ Exam Question No 50

Question No 50:

What is Risk adjustment?

A technique used to take into account the fact that different patients with the same diagnosis may have additional conditions that change their response to treatment.

New Community-Based Palliative Care Certification to Launch

First industry certification of home health and hospice services providing palliative care community at the highest level in place of residence of the patient is issued by the Joint Commission.

"Health care continues to evolve and Affordable Care Act is beginning to affect the industry, one of the things that came to light is that many patients in recent years have experienced admissions unnecessary hospitalization when managing your stage of disease really need palliative care, "says Margarita LABSON, RN, MSHSA, CPHQ, executive director of the Program homecare of the joint Commission." for those of us in "environment of home care in the community, have always tried to handle this, but current models of care does not really meet the needs of these patients because the Medicare benefit is episodic payment program that is built for rehabilitation and restoration, not maintenance. "

The new program of the Joint Commission, said, adds value to patients, results in a lower rate of readmission necessary and contributes to patient satisfaction and better health outcomes.

Research Community Based Palliative Care Certification (SCLC) will begin on July 1 Certification is granted for a period of three years, and the scope of aid providers certification, delivery and validation of treatments and focused on patient services. The main requirements for certification of SCLC include:

• A strong team of interdisciplinary care
• Personalized, comprehensive care plans
• After Hours Care
• The use of clinical practice guidelines based on evidence
• A hand-off communication processes defined

"This perhaps helps solve one of the key frustrations of hospitalists: repeated readmissions of patients with severe chronic diseases." LABSON said "This helps reduce the number of hospital admissions unjustified and allows the physician to focus on hospital admission and successful management of these patients that are appropriate for the intervention of the hospital or acute care intervention at this time."

CPHQ Exam Question No 49

Question No 48:

What is EBP?
Evidence-based practice. Promotes patient safety through the provision of effective and efficient healthcare resulting in less variation in care and fewer unnecessary or nontherapeutic interventions.

CPHQ Exam Question No 48

Question No 48:

Most famous industrial quality guru?
W. Edwards Deming, coined the 85/15 theory.

CPHQ Exam Question No 47

Question No 47:

What is URAC?
Utilization Review Accreditation commission. Also known as the American Accreditation HealthCare Commission.

CPHQ Exam Question No 46

Question No 46:

What is NCQA?
 National Committee for Quality Assurance

CPHQ Exam Question No 45

Question No 45:

What is immediate jeopardy?
IJ is a mechanism to escalate crisis survey issues immediately within both state and federal agencies and with the healthcare provider.

CPHQ Exam Question No 44

Question No 45:

What is non probability snowball sampling?
Involves subjects suggesting other subjects for inclusion in the study so the sampling process gains momentum.

EHR Outages Will Cost You

Downtime unplanned an EHR system can wreak havoc providers and frustrate patients, such as health IT reported results. A hospital in northern California has experienced a failure of its system when a heating unit and air conditioning in the burn center, resulting in nearly a week of downtime.

A week may seem a period of extreme time a system like McKesson Paragon your EHR to be online, but as the review article Hospital Becker, Children's Hospital Boston states has also experienced a shortage six days last year . Fortunately, the hospital had an emergency plan in place. Moreover, Antelope Valley Hospital in California experienced a failure of three days because of poor connectivity and data storage operation.

One thing to keep in mind is that failures can occur to any organization. If they occur, they can cost you. Trisha Swift, DNP, RN, CPHQ, CPPS, managing partner of Healthcare Consulting MeritLink said hospitals need to be very reliable, especially with regard to their EHR systems.

In an upcoming seminar, Swift will present a case study that describes the risk of unplanned downtime for an integrated overall health system. These failures cost businesses more than the time, including:

• The communication
• Admissions and patient lists
• laboratory control block
• March documentation

CPHQ Exam Question No 43

Question No 43:

What is nonprobability: convenience sampling?
Allows the use of any available group of subjects.

CPHQ Exam Question No 42

Question No 42:

What is probability: stratified random sampling?    
A subpopulation is a stratum, and strata are two or more homogeneous subpopulations. Once divided into strata, each member of a stratum has an equal probability of being selected.    
 

CPHQ Exam Question No 41

Question No 41:

What is probability: systematic sampling?
Drawing every nth element from a population. (Picking every third name from a list.)    
 

CPHQ Exam Question No 40

Question No 40:

What is data?
The abstract representation of things, facts, concepts, and instructions that are stored in a defined format and structure on a passive medium (e.g., paper, computer, microfilm).

RMC Hospitalist Named to State Panel on Patient Safety

Brian W. Kendall, MD, Regional Medical Center and director of security officer has been appointed to the Advisory Council on the quality of the Hospital Association of South Carolina.

"We are delighted to welcome Dr. Kendall Quality Advisory Board," said Lori Gibbons, RN, Missionary Servants of Love, CPHQ, vice president for quality improvement and patient safety at CHS. "His passion, knowledge and experience as a caregiver and hospital doctor will be active as the Board continues its work to ensure safe, reliable and high-quality health care for all patients in South Carolina. "

According to CHS, the Advisory Council is an interdisciplinary quality and diverse team of leading healthcare statewide providing advice and guidance to hospitals and providers in the areas of quality improvement and patient safety.

For Kendall, patient safety is top priority. During his tenure of 15 years as a specialist in internal medicine and pediatrics at the RMC, he always showed his passion for patient safety and improve the quality of healthcare.

In 2014, Kendall was awarded the prize for caregivers champion Lewis Blackman Security SchA Award, given to a doctor, nurse, pharmacist or other hospital employee whose efforts have led to changes that promote patient safety and improving quality in the header.

Another example of the impact of Kendall in RMC Patient Safety has received national recognition. The RMC team Hospitalist and quality was awarded the Thomas Reuters Health Advantage National Prize for better delivery of extraordinary care orientation rate of mortality among patients RMC in 2010.

RMC Kendall joined in the creation of hospital care program as one of the four specialists in internal medicine. The program has grown to include 17 specialists in internal medicine and four pediatric specialists.

Kendall has served on numerous committees RMC where he uses his experiences in direct patient care to impact the change of system. the participation of the Commission includes: patient safety; the quality; chair, data analysis and clinical strategy; chair, sepsis improvement team performance; Peer Review; infection control and others.

He is a member of the team to improve intensive care, which achieved extraordinary results of patient care without ventilation associated pneumonia in nearly three years and a reduction in mortality of more than 50 percent.

Kendall serves champion clinician alarm Committee to develop policies and procedures to improve processes related to clinical alarms, a new national goal of patient safety mandate of the Joint Commission. In addition, he served as chairman of the Committee of Pharmacy and Therapeutics, which focuses on best practices for the consistent application of protocols to ensure that the right drugs are the right people in the right way at the right time with the dose correct.

He contributed to the development of a multidisciplinary program to improve outcomes for stroke patients.

The team has established racetracks to guide quickly and effectively to the patient through radiological and serological studies, clinical evaluations and ensure quick contact with multiple specialties, including: neurology, cardiology, neurosurgery, intensive care and internal medicine . RMC has received from the advanced certification as a primary stroke by the Joint Commission.

board certified in internal medicine, Kendall graduated from the University of Chicago Pritzker School of Medicine in 1998. He completed his residency at Rush-Presbyterian St. Luke's Medical Center.

He is a member of numerous professional organizations and has served in the Department of exploration SC (HIDA) Advisory hepatobiliary environmental monitoring and health 2010-2012 and S. Healthcare Alliance C for preventing infections 2010-2012 Committee. Kendall was a member of the board 2011 reviewers for the National Malcolm Baldrige Quality Award NIST.

CPHQ Exam Question No 39

Question No 39:

What are the types of benchmarking projects?

• Internal

• External

• Zero-incidence

CPHQ Exam Question No 38

Question No 38:

What is risk adjustment?

A technique used to take into account the fact that different patients with the same diagnosis may have additional conditions that change their response to treatment.

New chief nurse named at St. Joseph’s Hospital in Highland

 HSHS San Jose Hospital, Highland announced the appointment of Carrie Erlinger acting as head nurse.

His appointment took effect from Monday. Erlinger serve in the interim role during HSHS and the Research Council of San José de Management Advisory Committee conduct a search for a permanent president and CEO.

The week before the appointment of Erlinger, Hospital Sisters Health System Beth Govero named interim president and CEO of St. Joseph Hospital in Highland. Govero, who had served as head nurse of San Jose, intervened in this position after Hospital Sisters Health System announced in December that the current CEO of San Jose Peggy Sebastian became the new President and Chief Executive Officer of the Hospital St . Elizabeth in Belleville. Both hospitals are owned by HSHS.

Erlinger is responsible for quality in the St. Joseph Hospital. It was with Hospital Sisters Health System and the Hospital of St. Joseph for nearly seven years in various roles - as a nurse in the operating room, quality analyst, coordinator of the evidence-based medicine, and more recently, the Director Quality and Safety Risks patients.

Before obtaining his Bachelor of Science in Nursing degree from the University of Southern Illinois at Edwardsville sciences, Erlinger completed courses in information technology and worked as a systems analyst for five years.

Erlinger completed the training performance improvement LEAN Change Leader received his certification as a healthcare professional quality certificate (CPHQ) and Lean Six Sigma Black Belt (LSSBB).

"Providing the best possible care to our patients take the work of our entire team," Erlinger said. "I am happy to serve in this role as an actor, and I know it is the work of our colleagues and doctors, as well as, ultimately our success."

Quality Improvement Group to Address End-of-Life Care Planning on Long Island

IPRO, leader of improving network quality Atlantic (Aqin) based in New York, received special funding from the Centers for Medicare and Medicaid (CMS) for the "end of life Transformation Initiative," a two-year project to help inform Medicare beneficiaries and health professionals in the counties of Nassau and Suffolk in the preparation of the end of life.

The project will focus on the requirements of the State of New York for treatment Survival Initiative (MOLST), which aims to improve the quality of care received by people at the end of their lives by meeting their preferences, values ​​and beliefs -Make informed through a shared decision communication with their families and health professionals process.

"In its 2014 report, dying in America, Institute of Medicine (IOM) has identified the need for public participation and education planning for end of life," said the Director General of Health IPRO Clare Bradley, MD , MPH. "The report also found that it is important to encourage meaningful conversations with family members, caregivers and health professionals. We hope to have an impact in these two areas."

IPRO will partner on this project with Patricia Bomba, MD, FACP, vice president of the BlueCross BlueShield Excellus in geriatric care nationally recognized palliative, and an expert on elder abuse in later life. Dr. Bomba heads the implementation team MOLST statewide and national health decisions Day New York State Coalition serves eMOLST program manager and served on the committee that drafted the IOM report in 2014 cited above. Working with the Department of State of New York Health, Dr. Bomba helped establish MOLST as a statewide program. She passionately supported the mission of making the state a leader in promoting a lively discussion on planning for the end of life and to ensure excellence in the final delivery / palliative of life, service all segments of the community during almost two decades.

"People can take control of their quality of life at the end of life," says Dr. Bomba. "They have to choose how they want to live the end of their lives, their confidence to make decisions if you become unable to do so and have a conversation with their loved ones. Physicians should help initiate conversations with their patients about this type making. "

IPRO will partner with organizations in Suffolk and Nassau counties to conduct awareness and provide training sessions for seniors, their families and caregivers to help them understand how to communicate with health professionals, the better the end of life informed medical decisions, and ensure that your end of life wishes are carried out correctly.

"Patients want time with their doctors to discuss end of life, and doctors should be trained for such discussions, so they can provide care consistent with the values ​​and preferences of patients end their quality of life," he says Dr. Bomba.

As of January 1, 2016 CMS began reimbursing physicians and other health professionals trained to have end of life discussions with their patients.

The project will focus on eMOLST a secure web-based application that helps health professionals in documenting the MOLST debates, including values, beliefs and goals for patient care and helps ensure patient access to medical orders and MOLST discussion. IPRO provide technical support to providers of health care throughout the duration of the project, to facilitate the adoption, training and implementation of eMOLST.

"New York EMOLST easy to use, and improves clinical outcomes legal, community and offers a solution to ensure the prescription and a copy of the discussion are available in an emergency," says Dr. Bomba.

Long Island was chosen for the efforts focused on planning end of life care focused on IPRO review and analysis of data from 2012 Dartmouth Atlas of Health Care. For more than 20 years, Atlas has documented changes in how medical resources are distributed and used in the United States. The Dartmouth Atlas used Medicare claims data for analysis of national, regional and local markets and health care hospitals and affiliated physicians.

In the Medicare population in the state, Dartmouth Atlas data show that in 2012 the referral hospital Long Island Region (FCR) ranked highest of all hospital admissions in New York State HRRs during the last six months. FCR Long Island the percentage of patients who happened also ranks in the top three for HRRs days of hospitalization in the last six months, income in the ICU / CCU during hospital stays in which the patient died, and seven days or more than one ICU / CCU in the last six months.

"There is a big break in Long Island to develop a Community approach to advance care planning to help Medicare beneficiaries receive quality care end of life that is aligned with their values, beliefs and goals for care "says Dr. Bradley.

CPHQ Exam Question No 37

Question No 37:

Most famous industrial quality guru?.

W. Edwards Deming, coined the 85/15 theory.

CPHQ Exam Question No 36

Question No 36:

What is URAC?

Utilization Review Accreditation commission. Also known as the American Accreditation HealthCare Commission.   

CPHQ Exam Question No 35

Question No 35:

 Work-In-Progress (WIP)

Product that is within the boundaries of the process at any given time.