ARE THERE NEWER MOREAFFORDABLE NETWORK COMMUNICATIONS SOLUTIONS THAT SHOULDBE TRIED?

ARE THERE NEWER MOREAFFORDABLE NETWORK COMMUNICATIONS SOLUTIONS THAT SHOULDBE TRIED? WILL THE FEDERAL GOVERNMENT’S HITECH STIMULUSFUNDS AND MEANINGFUL USE STANDARDS LEAD TO BETTER SOFTWAREINTEGRATION SOLUTIONS?

upporting Mobile Health Clinics: The Children’s Health Fund of New York City” (on pp. 157-165in the textbook). Analyze the case study, and develop the conclusions, recommendations, and implications. Consider the implementation challenges in the case and the technologies used to meet them, along with the finalquestions posed at the end of the case. (last paragraph on p. 165) Summarize your findings in a two-page paper using proper APA formatting.

Supporting Mobile Health Clinics: TheChildren’s Health Fund of New York CityThe Children’s Health FundThe Children’s Health Fund (CHF) develops and supportsa national network of 22 programs and two affiliates in 15to 17 states in the United States and the District ofColumbia. The mission of the CHF is to provide comprehensivehealth care to the nation’s most medicallyunderserved children, from birth up to age 24. In-personprimary health care, mental health, and oral health servicesare delivered by teams of doctors, nurses, dentists,psychologists, social workers, and nutritionists at morethan 200 service sites across the United States inpartnership with pediatric departments and specialists inaffiliated academic medical centers or Federally QualifiedHealth Centers (FQHC).The CHF’s integrated approach to health care isconsistent with the concept of an “enhanced medicalhome” in which continuity of care is ensured via coordinationacross multiple healthcare providers and specialties.In the United States, the Medical Home concept is beingadopted as one aspect of health care reform to ensure ahigh quality standard of care that also seeks to increaseefficiencies and reduce costs for acute care. This type ofintegrated health care delivery is enabled by health informationtechnology (HIT)—not only computer software butalso communications networks.1The cofounder and president of the CHF, Dr. IrwinRedlener, received his M.D. from the University of Miamiin 1969. But his life mission for bringing medical care tounderserved children reportedly began when he was amedical resident in pediatrics at the Children’s Hospital ofDenver and saw a poster for VISTA (Volunteers in Serviceto America) with the words: “If you’re not part of the solution,you’re part of the problem.” Dr. Redlener’s quest tobecome part of the solution began with delivering medicalcare in Lee County, Arkansas, then working on earthquakerelief in Guatemala, followed by serving as medical directorfor USA for Africa, and this poster is hanging in hisoffice today.2An important motivation in my life has been workingwith kids whose situation makes them vulnerablefor reasons out of their control. They are desperatelyill, or living in extreme poverty, or disconnectedfrom medical care. I feel most energized by trying tohelp children who have the fewest resources.—Irwin Redlener3In 1987, Redlener cofounded the Children’s Health Fund(CHF) in New York City. Its initial focus was on pediatriccare for homeless kids, and his cofounder was singer/songwriterPaul Simon. While working for USA for Africa, hehelped solicit the help of other recognized entertainers,including Joan Baez, Harry Belafonte, Lionel Richie, andMichael Jackson. When he learned that Paul Simon wasinterested in doing something for the homeless, he reachedout to him:I was working for USA for Africa, setting up thegrant office in New York City. Paul Simon, who wason the We Are the World record, wanted to do somethingfor the homeless. We visited a number ofwelfare hotels. In the Hotel Martinique [in TimesSquare] a thousand children and their families werewarehoused. Somebody suggested that we should geta van and bring doctors there.—Irwin Redlener4That was the beginning of what would become CHF’snational network of Children’s Health Projects (CHP), inwhich health care is delivered via doctors, nurses, and Copyright © 2010 by Carol V. Brown, Distinguished Professor,and Kevin Ryan,


 

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