History of Smart Cards in Healthcare Assignment
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History of Smart Cards in Healthcare Assignment
Assignment: Review the article below and answer the following question. What do you feel is the major reason the US has not implemented the use of the Smart Card? If you can answer the question in a 1 – 2 paragraph answer, that will be acceptable.
The History of Smart Cards in Healthcare
The History of Smart Cards in Healthcare dates back to the 1990s. In 1998, the French health-care system began providing each patient with a small green card. Each patient carries “the carte vitale”. It is a Smart Card,
a plastic credit card with a memory chip on it. It can open, access and update, all the essentials of a patient’s health records from a cloud-based host. With it, medical records, insurance information, prescriptions, and
reimbursements are all available to the patient and caregivers. With it, provider verifies the patient’s ID at check-in. It also provides the doctor with a clinical history of the patient. Additionally, after the visit, it updates
the medical information in the cloud and transmits a bill to the patient’s payer.
History of Smart Cards in Healthcare Assignment
At the present time, the French have 67 percent fewer administrative personnel per building than a comparable American establishment. Similarly, Taiwan, with the use of a smart health card, reduced its administrative
costs to less than 2 percent of total health-care expenditures. This is possibly the lowest in the world. In contrast, in 2012 the administrative complexity of the U.S. healthcare system was estimated to represent
between $107 billion and $389 billion in wasteful spending on an annual basis, and in 2015 as much as $1 trillion.
While much of the buzz about the digital future of health care has centered on electronic health records (EHRs), one of the biggest advancements in health care that will dramatically improve how we access, carry, and
process medical records is the adoption of a Smart Card. The Smart Card will serve as a Common Access Card (CAC Card), storing all of the patients’ health information including diagnostic images in the cloud.
Additionally, it serves as the key to open, assess, review, and upon completion of a consult, update the patients’ health records in the cloud for future medical visits.
A Cure for the US Healthcare System
At the present time, the US government, hospitals, and Insurance companies are looking to improve quality and reduce costs. Healthcare wasted a total of $750 billion in 2009, which has increased to $1 trillion in 2015. Major legislative changes will require an approach that includes:
- Making sure we’re accurately identifying the patient.
- Keeping the patients’ identity secure and preventing others from using it to receive care or for other fraudulent purposes.
- Preventing the waste associated with uncoordinated care among multiple providers.
- Correcting pricing failures and abuse, including outrageously inflated drug prices.
- Reducing all types of fraud and abuse.
- Stopping redundant and unnecessary testing.
- Decreasing overall the administrative costs, including the extremely high costs of billing.
Smart cards (the US Military calls them “Common Access Cards” or “CAC cards”) can go a long way towards solving many of these problems. Their effectiveness in markedly decreasing fraud and abuse, redundant testing, and the high administrative costs of health care, has been proven in France and Taiwan.
Inserts from this article were found at: https://icucare.com/history-of-smart-cards-in-healthcare/
Evaluation Table
Use this document to complete the evaluation table requirement of the Module 4 Assessment, Evidence-Based Project, Part 4A: Critical Appraisal of Research
Full citation of selected article Article #1 Article #2 Article #3 Article #4 Conceptual Framework Describe the theoretical basis for the study
Design/Method Describe the design and how the study
was carried out
Sample/Setting The number and
characteristics of
patients,
attrition rate, etc.
Major Variables Studied List and define dependent and independent variables
Measurement Identify primary statistics used to answer clinical questions
Data Analysis Statistical or
qualitative
findings
Findings and Recommendations General findings and recommendations of the research
Appraisal Describe the general worth of this research to practice. What are the strengths and limitations of study? What are the risks associated with implementation of the suggested practices or processes detailed in the research? What is the feasibility of
use in your practice?
General Notes/Comments Levels of Evidence Table
Use this document to complete the levels of evidence table requirement of the Module 4 Assessment, Evidence-Based Project, Part 4A: Critical Appraisal of Research
Author and year of selected article Article #1 Article #2 Article #3 Article #4 Study Design Theoretical basis for the study
Sample/Setting The number and
characteristics of
patients
Evidence Level * (I, II, or III)
Outcomes General Notes/Comments * Evidence Levels:
- Level I
Experimental, randomized controlled trial (RCT), systematic review RTCs with or without meta-analysis
- Level II
Quasi-experimental studies, systematic review of a combination of RCTs and quasi-experimental studies, or quasi-experimental studies only, with or without meta-analysis
- Level III
Nonexperimental, systematic review of RCTs, quasi-experimental with/without meta-analysis, qualitative, qualitative systematic review with/without meta-synthesis
- Level IV
Respected authorities’ opinions, nationally recognized expert committee/consensus panel reports based on scientific evidence
- Level V
Literature reviews, quality improvement, program evaluation, financial evaluation, case reports, nationally recognized expert(s) opinion based on experiential evidence
Outcomes Synthesis Table
Use this document to complete the outcomes synthesis table requirement of the Module 4 Assessment, Evidence-Based Project, Part 4A: Critical Appraisal of Research
History of Smart Cards in Healthcare Assignment
Author and year of selected article Article #1 Article #2 Article #3 Article #4 Sample/Setting The number and
characteristics of
patients
Outcomes Key Findings Appraisal and Study Quality General Notes/Comments
RUBRIC
Excellent Quality
95-100%
Introduction 45-41 points
The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned.
Literature Support
91-84 points
The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned.
Methodology
58-53 points
Content is well-organized with headings for each slide and bulleted lists to group related material as needed. Use of font, color, graphics, effects, etc. to enhance readability and presentation content is excellent. Length requirements of 10 slides/pages or less is met.
Average Score
50-85%
40-38 points
More depth/detail for the background and significance is needed, or the research detail is not clear. No search history information is provided.
83-76 points
Review of relevant theoretical literature is evident, but there is little integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are included. Summary of information presented is included. Conclusion may not contain a biblical integration.
52-49 points
Content is somewhat organized, but no structure is apparent. The use of font, color, graphics, effects, etc. is occasionally detracting to the presentation content. Length requirements may not be met.
Poor Quality
0-45%
37-1 points
The background and/or significance are missing. No search history information is provided.
75-1 points
Review of relevant theoretical literature is evident, but there is no integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are not included in the summary of information presented. Conclusion does not contain a biblical integration.
48-1 points
There is no clear or logical organizational structure. No logical sequence is apparent. The use of font, color, graphics, effects etc. is often detracting to the presentation content. Length requirements may not be met
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