Posts Tagged ‘Support’

Capacity Of Gis As A Support System For Spatial Thinking

March 14th, 2011

For current GIS software products to support the teaching and learning of spatial thinking in the K-12 context, they must have the capacity to (I) spatialize data sets by providing spatial data structures and coding systems for nonspatial data, (2)visuahze working and final results by providing multiple forms of representation, and (3) perform functions that manipulate the structural ielations of data sets. The capacity to spatialize data sets motivates the process of spatial thinking, the capacity to visualize is integral to the process of spatial thinking, and the capacity to manipulate structural relations is the essence of spatial thinking. The following sections discuss the extent to which current GIS software products meet each of these three specific requirements of a support system for spatial thinking. Inside a typical GIS, space is defined by a combination of geometry, projection, and registration data. The structures of space and geographic data are so tightly bound in the software that they are inseparable at the application level.

This strong bond sets a GIS apart from most other kinds of information systems by providing the infrastructure necessary for the direct support of geographic operations that can be performed on that space (e.g., registration, reprojection, neighborhood and distance calculations, network analysis, spatial interpolation). Because of the bonds between space and geography, a GIS is a system that is designed to handle geographic data, but in principle, data defined in any spatial domain are also amenable to handling with GIS. The adjective geographic refers specifically to Earth’s surface and near-surface, and the more general adjective qarial refers to any space, including the space of Earth’s surface. Thus, G15 methods have been applied to nongeographic spaces, including the surfaces of other planets, the space of the cosmos, and the space of the human body. GIS has also been applied to the analysis of genome sequences of DNA. Attempts have been made to estimate the amount of data that are geographic. It is estimated that between 70 to 80 percent of the data generated and used by local government organizations are geographic (Langley et al., 2001). Local governments use geographic data to improve the quality of their products, processes, and services.

Typical GIS applications of geographic data include inventorying resources and infrastructure, planning transportation routing, improving service response time, managing land development, monitoring public health risk, and tracking crime. These applications of GIS often require databases that can easily reach a gigabyte or more in size (Table 8.2). To be used in a GIS, data must be spatialized. Spatialization is the process of attaching coordinate codes to each data item (e.g., x and y in the case of two-dimensional spatial data, or latitude and longitude in the case of two-dimensional geographic data). A GIS does a fine job of spatializing spatial data. Once spatialized, these data can he presented in a visual representation such as a thematic map. Learning things is not limited to the scentific area. Instead it also has relations with some other things like speaking a language or using software, including Rosetta Stone English and Rosetta Stone French. If you have a creative mind, you will make all your own differences in the end!

Government Support Key to Adoption of Electronic Medical Records

January 6th, 2011

An electronic medical record (EMR) or electronic health record (EHR) replaces the traditional paper chart for patients. It’s believed that health care facilities that use EHR systems deliver more efficient and higher quality care. In today’s digital age, electronic medical records are certainly the wave of the future. However, proponents of universal adoption are still frustrated by the rate at which they are being implemented.  According to a study just released by the National Center for Health Statistics, only 38.4% of physicians reported using a full or partial EMR system. This data is similar to what the Commonwealth Fund reported this year, that only 28% of physicians in the United States use an EMR (compared to 89% in Britain, and 98% in the Netherlands).

 EMR supporters hope that increased involvement by the government will help speed things along. President-elect Barak Obama has endorsed EMRs, and their adoption is a key part of his $50 billion dollar health care reform plan. In a radio address on December 6th,  President-elect Obama stated, “We will make sure that every doctor’s office and hospital in this country is using cutting edge technology and electronic medical records so that we can cut red tape, prevent medical mistakes, and help save billions of dollars each year.”

 President-elect Obama has also appointed former-Senator Tom Daschle as Secretary of Health and Human Services. He also intends to nominate Daschle to lead a new White House Office of Health Reform, with Jeanne Lambrew as his deputy. This is encouraging because the two co-authored (with Scott Greenberger) a groundbreaking book on health care reform titled Critical: What We Can Do About the Health Care Crisis. One of the main ideas Daschle and Lambrew present (and show support of) is the adoption of EMRs.

 Even before the election, government support of EMRs was brewing. In September of 2008, Representative Peter Stark (D-Calif.), chairman of the House Ways and Means Health subcommittee, introduced the Health-e Information Technology Act of 2008.  The bill requires the government to create standards for an interoperable electronic health record system, and to create such a system by a certain date. It includes incentives to drive the adoption of such a system, as well as measures to protect the privacy of patients.

 No doubt, this is a massive undertaking requiring an enormous amount of resources. One positive is that the government won’t have to start from scratch. Other countries have successfully implemented similar systems, and there is company right here on U.S. soil leading this initiative. If an EMR is to provide a comprehensive solution for today’s practice environment, there must be an integrated set of clinical and practice management applications. The product should streamline workflow efficiency, improve adherence to treatment standards, provide detailed financial practice analysis, enhance patient education and interaction, and optimize compliance with regulatory and managed care guidelines. e-MDs, a software company based in  Austin, TX, is one of the only companies that currently provides such a comprehensive medical management software, with their revolutionary Solution Series.  

Supporters can only hope that an increased government focus will hasten the universal adoption of EMRs. With President-elect Obama on board, a dedicated aggressive Congress, and companies like e-MDs showing us the way, we are on the right track.