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Featured article of the week archive - 2014

Welcome to the LIMSwiki 2014 archive for the Featured Article of the Week.

Featured article of the week: June 2–8, 2014: The Practical Guide to the U.S. Physician Office Laboratory is a white paper created by the Laboratory Informatics Institute on the topic of the physician office laboratory (POL) in the United States. The white paper was published on May 14, 2014 and discusses several aspects of the POL, including what it is, how it operates, and how it's regulated. Rather than making specific recommendations, the paper focuses on providing a broad, generalized overview of topics related to the POL. In many countries like the United States, the POL is considered a clinical laboratory and is thus regulated by federal, state, and/or local laws affecting such laboratories. The paper discusses the regulations primarily affecting those laboratories as well as how how those regulations play into analyzing economic considerations like start-up cost and return on investment. Finally, it also includes an addendum containing an extensive list of conferences, consultants, organizations, and published materials that could potentially help those operating and working in a POL. (Full article...) Featured article of the week: May 26–June 1, 2014: Informatics is the science of information, the practice of information processing, and the engineering of information systems. Informatics studies the structure, algorithms, behavior, and interactions of natural and artificial systems that store, process, access, and communicate information. It also develops its own conceptual and theoretical foundations and utilizes foundations developed in other fields. Since the advent of computers, individuals and organizations increasingly process information digitally. This has led to the study of informatics that has computational, cognitive, and social aspects, including study of the social impact of information technologies. While the field of informatics encompasses the study of systems that represent, process, and communicate information, the theory of computation in the specific discipline of theoretical computer science which evolved from Alan Turing studies the notion of a complex system regardless of whether information actually exists. Since both fields process information, there is some disagreement among scientists as to field hierarchy. (Full article...) Featured article of the week: May 19–25, 2014: An assisted living facility (ALF) (sometimes referred to as an assisted living residence or adult living facility) is a housing facility for people with disabilities. The ALF acts as an intermediary step between independent living and a skilled nursing facility, offering health and care assistance while also promoting people's desire for independent activity. These facilities provide supervision or assistance with activities of daily living (ADLs); coordination of services by outside health care providers; and monitoring of resident activities to help to ensure their health, safety, and well-being. In the United States, the Centers for Medicare and Medicaid Services (CMS) requires states to report on oversight methodologies and asks states to survey whether residents are getting appropriate care; however, the assisted living facility has largely been unregulated at the federal level, leaving the states to regulate and license them. More than two-thirds of the states use the licensure term "assisted living." Other licensure terms used for this philosophy of care include residential care home, assisted care living facilities, and personal care homes. (Full article...) Featured article of the week: May 12–18, 2014: An electronic health record (EHR) is an evolving concept, "defined as a longitudinal collection of electronic health information about individual patients and populations." It is a record in digital format that is theoretically capable of being shared across different health care settings. In some cases this sharing can occur by way of network-connected enterprise-wide information systems and other information networks or exchanges. EHRs may include a range of data, including demographics, medical history, medication and allergies, immunization status, laboratory test results, radiology images, vital signs, personal stats like age and weight, and billing information. The differences between an EHR and an electronic medical record (EMR) differ from entity to entity and from country to country. For example, the U.S. Department of Health and Human Services (HHS) notes that despite the interchanging of the terms "EMR" and "EHR," it considers them two separate entities: the EMR came first, used primarily by medical clinicians for diagnosis and treatment, while the EHR came into existence as a more holistic, inclusive collection of a patient's health data. (Full article...) Featured article of the week: May 5–11, 2014: A public health laboratory is a laboratory that serves regional, national, or in some cases global communities by providing clinical diagnostic testing, environmental testing, disease diagnosis and evaluation, emergency response support, applied research, regulation and standards recommendations, laboratory training, and other essential services to the communities they serve. A public health laboratory is unlike the average commercial laboratory as it functions as a core part of a broad public health system. The public health laboratory must typically meet more stringent requirements, including adhering to the Clinical Laboratory Improvement Amendments (CLIA) (for labs in the United States) as well as regulations laid out by the departments, agencies, and other regulatory bodies of local, state, and/or national governments. Finally, the private medical laboratory focuses on tests that diagnose the diseases of individuals, while the functions of the public health laboratory serve entire populations. On a global level, the public health laboratory is influenced and supported by the the World Health Organization (WHO) and the Association of Public Health Laboratories (APHL). In the U.S. they are influenced, overseen, and/or regulated by several federal agencies. (Full article...)

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