"Ne Arıyorsan Kendinde Ara" - Mevlana

Kişinin değeri nedir?
- Aradığı şeydir!

Eğer sen, can konağını arıyorsan, bil ki sen cansın.
Eğer bir lokma ekmek peşinde koşuyorsan, sen bir ekmeksin.
Bu gizli, bu nükteli sözün manasına akıl erdirirsen, anlarsın ki
Aradığın ancak sensin, sen.

Madendeki inciyi aradıkça madensin.
Ekmek lokmasına heves ettikçe ekmeksin.
Şu kapalı sözü anlarsan, anlarsın her şeyi;
Neyi arıyorsun, sen osun.

Senin canın içinde bir can var, o canı ara!
Beden dağının içinde mücevher var, o mücevherin madenini ara!
A yürüyüp giden sufi, gücün yeterse ara;
Ama dışarıda değil, aradığını kendinde ara.
~Mevlana

23 Nisan Cocuk Bayrami

İngilizce de En Çok Kullanılan Kelimeler

1000 Most Common Words In English (About.Com)
http://esl.about.com/library/vocabulary/bl1000_list1.htm
1500 Most Common Words In English (EnglishSpeak.Com)
http://www.englishspeak.com/english-words.cfm
2000 Most Common Words In English (RobWaring.Org)
http://www.robwaring.org/vocab/wordlists/lemma.html
3000 Most Common Words In English (PaulNoll.Com)
http://www.paulnoll.com/Books/Clear-English/English-3000-common-words.html
The Oxford 3000 (Oup.Com)
http://www.oup.com/elt/catalogue/teachersites/oald7/oxford_3000/
oxford_3000_list?cc=global

Turkish University's Web Based Information Data Library Addresses

YORDAM toplu katalog (Kütüphane yazılımı olarak YORDAM'ı kullanan kütüphanelerin ortak tarama kataloğu): http://yordam2001.bahcesehir.edu.tr/

TO-KAT: Ulusal Toplu Katalog: http://www.toplukatalog.gov.tr/index.php?cwid=2

ULAKBİM Veritabanları

·  Türk Tıp Veri Tabanı [1996-]

·  Sosyal Bilimler Veri Tabanı [2002-]

·  Tarım, Veteriner ve Biyoloji Bilimleri Veri Tabanı [1992-]

·  Mühendislik ve Temel Bilimler Veri Tabanı [1992-]

·  TÜBİTAK Destekli Projeler Veri Tabanı [1966-]

BLISS-CAT: Toplu katalog tarama: http://blisscat.bilkent.edu.tr/database.php  (BLISS sistemini kullanan kütüphanelerin toplu kataloğu)

Türkiye Yazmaları Toplu Kataloğu (TÜYATOK): https://www.yazmalar.gov.tr/detayli_arama.php

Kültür Bakanlığı Halk Kütüphaneleri Toplu Kataloğu: http://www.ekutuphane.org/web/catalog/search.php

Milli Kütüphane Kataloğu: http://mksun.mkutup.gov.tr/F

Marmara Üniversitesi Kütüphaneleri Toplu Kataloğu: http://katalog.marmara.edu.tr/Yordamtk.htm 

AB Genel Sekreterliği Kütüphanesi Kataloğu: http://proje.abgs.gov.tr/bliss/w3bsr.exe?d=ABGS

Ankara Üniversitesi Açık Arşiv Sistemi: http://acikarsiv.ankara.edu.tr/

Atatürk Üniversitesi Açık Arşiv Sistemi: http://acikarsiv.atauni.edu.tr/

Rakamlarla Türkiyenin son 8 Yılı (2002-2010)

Okuyalım- Paylaşalım, Türkiyemizin ekonomisinin (hani şu büyüyor deni...len ekonomnin) ne hale geldiğinii herkes görsün, herkes bilinçlensin.

Hiç bir siyasi partiyi propaganda etmek amaçlı değildir bu resim, sadece mevcut iktidarın ülkeyi düzgün bir biçimde yönetemediğinin ekonomi penceresinden görünüşüdür..

Change would not have happened unless the culture had been transformed

Culture an important part of change management. All change in organizations is challenging, but perhaps the most daunting is changing culture. There are at least two reasons for this:

• Culture is a soft concept - If there’s no concrete way of defining or measuring culture, then how can you change it?
• Culture represents collective norms and behaviors – It’s hard enough to change one person’s behavior — how can you change the behavior of an entire organization?

But if managers want to build high-performing organizations, they need to address culture change.

Organizational culture grows over time. People are comfortable with the current organizational culture. For people to consider culture change, usually a significant event must occur. An event that rocks their world – such as burning platform. So before you get buy-in, people need to feel the problem. People aren’t going to consider anything until they are convinced there is a problem that truly needs to be addressed. Even then, to recognize that the organizational culture is the culprit and to take steps to change it, is a tough journey. When people in an organization realize and recognize that their current organizational culture needs to transform to support the organization’s success and progress, change can occur.

There are four major steps involved in changing an organization’s culture:

• Before an organization can change its culture, it must first understand the current culture, or the way things are now.
• Once you understand your current organizational culture, your organization must then decide where it wants to go, define its strategic direction, and decide what the organizational culture should look like to support success. What vision does the organization have for its future and how must the culture change to support the accomplishment of that vision? Your management team needs to answer questions such as:

o   What are the most important values you would like to see represented in your organizational culture?

o   Are these values compatible with your current organizational culture? Do they exist now? If not, why not?

• However, knowing what the desired organizational culture looks like is not enough. Organizations must create plans to ensure that the desired organizational culture becomes a reality.
• Finally, the individuals in the organization must decide to change their behavior to create the desired organizational culture. This is the hardest step in culture change

Other components important in changing the culture of an organization are:

• Create value and belief statements - use employee focus groups, by department, to put the mission, vision, and values into words that state their impact on each employee’s job
• Practice effective communication - keeping all employees informed about the organizational culture change process ensures commitment and success. Telling employees what is expected of them is critical for effective organizational culture change
• Review organizational structure - changing the physical structure of the company to align it with the desired organizational culture may be necessary
• Redesign your approach to rewards and recognition - you will likely need to change the reward system to encourage the behaviors vital to the desired organizational culture
• Review all work systems such as employee promotions, pay practices, performance management, and employee selection to make sure they are aligned with the desired culture

You can change your organizational culture to support the accomplishment of your business goals. Changing the organizational culture requires time, commitment, planning and proper execution – but it can be done.  

Ten Things to Know About ICD-10 Implementation

A Department of Health and Human Services (HHS) final ruling states that all health care entities using ICD-9 diagnosis and procedure codes must migrate to ICD-10 by October 1, 2013. This transformation in systems and processes is expected to catalyze significant industry change and provide potential benefits in:

• Cost and quality measurement
• Public health
• Research
• Organizational monitoring and performance measurement

The size and scope of ICD-10 implementation is projected to be expansive, complex and costly: Industry analysts characterize ICD-10 as potentially exceeding Y2K with respect to cost and impact, so advance planning is essential.
Here are ten important things that providers should know about ICD-10 implementation:

1. U.S. adoption of ICD-10 will require a massive overhaul of the nation’s medical coding system. Current ICD-9 codes are deeply imbedded as part of the coding, reporting, research and reimbursement analysis performed today. Adoption will generate a massive wave of new payment schemes, process and educational changes, new medical coding policies, changes to staffing responsibilities and knowledge/training requirements, and modifications to reporting and supporting technologies.
2. In the short term, providers should conduct a three-prong ICD-10 opportunities assessment and develop a roadmap for implementation. The operational assessment focuses on readiness and planning for personnel, policies and business constituents; the finance assessment on changes to financial performance, drivers, working capital and reporting; and the technology assessment on implementing systems changes throughout the organization.
3. Conversion to ICD-10 will impact not only coding, but all areas of the revenue cycle. Areas of impact will include pre-registration/patient access/financial counseling, utilization management, case management, charge capture integrity, managed care contracting, coding, billing and collections. Extensive revenue cycle planning, coordination and communication, both internally and externally, will be required for successful ICD-10 adoption.
4. Hospitals will need to upgrade multiple Information Technology (IT) systems to support the conversion from ICD-9 to ICD-10. Because of ICD-10’s complex code structures, implementing associated changes in electronic medical records, billing systems, reporting packages and other decision-making and analytical systems will require either major upgrades of multiple systems, or outright replacement of older systems. The transition will likely necessitate significant cost outlays and increased staffing to map and load codes, redo system interfaces, redevelop reports, and retrain users. In addition to coders, system changes will impact nurses, physicians, and patient financial services, case management, utilization review and other staff.
5. Physician practices face financial and operational burdens from ICD-10 implementation and other technological requirements. Some practices, especially smaller ones, have outdated practice management systems and may need to purchase entirely new software. Also, most physician offices do not employ coders; typically, administrative staff and physicians are responsible for ICD-10 code assignment, potentially increasing the risk of coding errors.
6. Productivity impacts to the functional areas that use ICD-9 codes on a routine basis are expected during the initial implementation. The greatest impacts will be to case management, clinical documentation, health information management, claims processing (electronic billing system), collections and follow-up and decision support. Also, there may be an increased number of claims denials due to poor understanding of new code sets and coding requirements. Providers should prepare for this reduction in productivity to help reduce or even prevent negative impacts to reimbursement and cash flow.
7. Transition planning is important; providers should be prepared to run dual systems. Hospitals likely will need to support both automated and manual processes (i.e., claims processing) for a period of time to facilitate adequate reimbursement and cash flow.
8. Adoption of ICD-10 will require significant technology changes for providers’ IT vendors, trading partners, external reporting entities and third-party payors. All systems accepting or reporting diagnostic and procedure codes will require modification and the ability to run dual nomenclature solutions. Significant testing, cross-walk analysis, report development and data aggregation across time periods will be essential to prepare for the ICD-10 transition.
9. The move from ICD-9 to ICD-10 diagnosis and procedure codes will cause significant security and privacy implications. Among potential impact areas: existing regulations such as HIPAA, 21 CFR Part 11, etc., could be affected by code changes; access to sensitive data may not be properly restricted due to increased data complexity from new code introductions; and a more complex code set may introduce more complex fraud opportunities. Data access should be logged and monitored to ensure no unauthorized access or data breaches.
10. Training programs on new clinical documentation requirements and coding nomenclature should be developed for medical staff, nurses and allied health providers (RT/PT/OT). Early training (a minimum of two years) will lessen productivity impacts through reduced volume to support the learning curve.

ERP Need in Heath Care Industry

The scope of implementing ERP in healthcare industry has been increased fairly as more and more hospitals are coming up with the growing population and critical diseases causing to the mankind. Nowadays treating patient is no more just a service, the whole hospital sector has become hospital industry.

As number of hospitals are coming up, so every one is looking for better professionalism and better service from the concerned department.
These days patients are more demanding. With so many medical facilities they get and they invest money just to ensure they get the best of treatment so naturally they want the best return of their hard earned money. So this health care industry is developing at a great speed with the two major factors namely business and service.
So now the situation has come that hospitals can’t continue with their old practices and technologies where service are not up to the mark and yet charge huge bill to the patients. Therefore it is mandatory for hospitals to go for the latest trends of technology and ensure the best service to the customer or patients.
So there is a need of implement an ERP solution which has been specially designed and developed for the health care industry. Every hospital has their basic set up in terms of equipments and necessary instruments, devices to give treatment to the patients. Also they hire best doctors, nurses and other clinical and surgical staffs in order to maintain the reputation of the hospital. So the focus here is to manage the whole operation smoothly and in more professional way, so that the patients can be really satisfied by the service of the hospital.
The main focus of the ERP in health care Industry is from the point of view of patients’ satisfaction. The key factors which one has to keep in mind while implementing the software are as follows -
1. Patients should not wait in queue for long to visit a doctor of their choice.
2. There should be option for booking in advance for the specific doctor.
3. All the bills can be paid online by the patient party in case of emergency.
4. Availability of choice of beds should be there in case of admission.
5. Discharge procedure should not be long.
6. Medi claim facilities and procedure should be fast and should be directly with the insurance company.
The hospital authority should also focus on that type of software which can give a proper track of the following.
1. Doctors’ schedule with date and time.
2. Proper intimation to the dashboard when specific doctors are not available on some said days.
3. Daily entry of patients list.
4. Proper billing methods for surgical treatments, and medical treatments along with diagnosis reports.
5. Regular update for the stock of medicines.
6. Regular attendance of the staffs of the hospital.
7. Stock updates of laundry and kitchen materials.
These should be the basic features of the ERP in health care industry. It can reduce hospital overheads as it helps to integrate all functions namely accounts, finance, human resources and bring them under one roof or one common database.
In hospitals connectivity is most important, because every time the information has to be circulated ion various departments in order to maintain a chain of events. Like a chain of events happen when a patient got admitted for certain operation. So keeping a track from admission to discharge is very important.
So for hospital industry there is a need of developing specialized ERP software that can take care of every aspect that has been mentioned above.

ICD-10 and Final Rule Information

·     Why now?

·     ICD 9 is running out of codes fast

·     Lack of comparability of data with global health reporting for disease tracking and research

·     ICD 9 lacks sufficient flexibility to describe new diseases, new technologies and new treatments

·     ICD 9 does not support development of new DRGs with adequate specificity for new technologies or treatments

·     What are the benefits?

·     Improvements in specificity

·     Expandability for new advances in medicine and medical technology

·     Expandable for future coding needs

·     Supports laterality

·     Supports improved coding for primary care, external causes of injury, mental disorders and other areas

·     Supports comparability of data with other countries

·     What is CMS’s compliance approach

·     Big Bang (same true for HIPAA EDI 5010)

·     BUT CMS will not immediately adopt ICD 10 for actual basis of DRG assignment and severity adjustment until a few years later

·     Why Big Bang is better?

·     To avoid issues with “dual use” that would result in overlapping use of ICD 9 and ICD 10 by payers and providers that would be out of synch

·     To reduce burden on coders to maintain two systems of coding

·     To eliminate costs of maintaining production systems support two coding systems

·     To reduce costs of maintaining multiple edit systems

·     To prevent confusion over which coding system to use in filing claims or report data externally

·     Why Not Immediately Using for DRG Payment?

·     To avoid rework of MS-DRGs so soon after initial adoption

·     To build experience with ICD 10 coding usage to assess DRG classifications and severity adjustment impact on reimbursement

  

ICD 10 IMPACT ASSESSMENT PROCESS

·     Is this not just another version change for ICD? Why is this different?

·     Order of magnitude – far more than managing the usual code expirations and additions – whole new medical nomenclature type

·     No historical frame of reference for use of the medical code set values built up unlike with a normal version change

·     Significance of impact on clinical content, clinical coding, decision support and business logic within HIT applications to maintain par level function

·     Comparability of data disrupted without some means of supporting mapping

·     What must be inventoried?

·     Only Revenue Cycle?

·     Or all the systems that use coding data for diagnosis and procedures?

·     Given that CMS proposes a “big bang”, what all needs to be updated?

·     Obvious Stuff

·     Coding Systems

·     Patient Accounting Systems

·     Scrubbers

·     Groupers/Encoders

·     Contract Management Systems

·     Somewhat Obvious Stuff

·     Eligibility Management Systems with Medical Necessity components

·     Compliance editing within coding, claims management, scrubber and charge master systems

·     Estimated reimbursement modeling

·     Revenue Cycle reporting systems

·     Less Obvious Stuff

·     Acuity modeling systems/database

·     External regulatory reporting specifications (e.g. state discharge/public health reporting)

·     Visit coding tools

·     Clinical decision support systems and content

·     Clinical documentation systems – forms and templates

·     Quality Management data collection, abstraction and reporting systems and specifications

·     Stuff You May Not Think Of

·     Surgical Pick Lists

·     Specialty Scheduling Systems (Resourcing driven by Condition or Procedure requirements)

·     Patient Education Materials

·     Discharge Planning tools

·     Nurse Staff Scheduling Systems

·     ICU Morbidity and Mortality Modeling

·     Order Sets, Care Plans, Care Protocols

·     Etc, etc and so forth

Key Areas of Assessment
 

·     Search functions and validation routines

·     “Hardwiring”

·     Policies for effective date

·     Data Capture/Data Entry Edits and Formats

·     Any embedded referential integrity edits on code set values

·     Field lengths as entered or stored

·     Display of code descriptions

·     Need or Use of Mapping Between ICD 9 and ICD 10

·     Conversion of databases

·     Conversion of code set maps

·     Continuity of information

·     Dual Use

·     Preserve logic functioning around compliance date

·     Retain ability to use ICD 9 for older activity that predates compliance date

·     Documentation Forms

·     Any form presentation or selection driven by application logic

·     Predefined Reference Content/START

·     May be more a consideration for Bedrock

·     Decision Support Rules

·     Any embedded Discern Expert or Advisor rules – again may be addressed by Innovations

·     Workflow/Business Processing Rules

·     Application logic flows or user conversational flows driven by ICD 9 CM or PCS

·     Compliance Edits

·     Applied during processing beyond point of data capture

·     Printed or Outputted Materials or Notices

·     Patient Education Materials/Discharge Instructions

·     Reference Links

·     Reporting or Analytics

·     Use of diagnosis or procedure codes for selection, filtering, presentation or sorting

·     Interfaces/Third Party Embedded Solutions

·     To third party products used for support of application logic or function

·     In the transaction layout – especially for external regulatory reporting or for application to application interfacing

·     Within third party products

·     Modeling

·     Acuity/Staffing

·     Risk modeling

·     Preferences

·     Catch all for any other application behaviors

Output from Assessment - Core Guiding Principles for the vendors

·     Enable common use of a default nomenclature type

·     Enable common support for effective date policy

·     Enable use of mappings where appropriate to use case especially to assist in search

·     Eliminate any hardwiring tied to ICD 9

·     Provide ICD 10 enabled content

·     Do not attempt to convert but either enable general equivalency or allow selection of a more appropriate and specific code

·     Do not convert any stored activity or analytic data

·     Enable use of mappings as appropriate on abstracted data especially for analytics

  

Core Project Checklist Used to Evaluate Each Application

·     First Phase for any given IP team – Address basic behaviors and uses 

·     Search component – support a default vocabulary type (no hardwiring for ICD 9)

·     Search component – support effective date policy

·     Validation routines – support a default vocabulary type

·     Validation routines – support effective date policy

·     Displays of code set values – assure field length of 7 supported

·     Analytics/reporting – support use of diagnosis or procedure code concept – not hardwired reference to ICD 9

·     Second Phase for any IP team and for specific domain issues– Address more complex issues 

·     Enable a search assistant that uses forward map

·     ICD 10 enabled reference lists, pick lists, order sentences, documentation fragments and other displays of reference lists

·     Use effective date policy

·     Address any business logic hardwiring

·     Update use of mapping  for SNOMED to ICD 9 to SNOMED to ICD 10 (limited use currently – mainly to support problem list to diagnosis code selection)

·     Discretionary

·     Move to a common nomenclature routine

·      Adopt SNOMED to ICD 10 mapping to facilitate end use

·     Use of ICD 9 to ICD 10 mappings for any extracts for analytics 

Resources

 

·     ICD-10-CM (Diagnoses)

·     http://www.cms.hhs.gov/ICD10/02m_2009_ICD_10_CM.asp

·     ICD-10-PCS (Procedures)

·     http://www.cms.hhs.gov/ICD10/01m_2009_ICD10PCS.asp

·     GEMS

·     The CMS website has the GEMs and User’s Guides

·     http://www.cms.hhs.gov/ICD10/01m_2009_ICD10PCS.asp

·     http://www.cms.hhs.gov/ICD10/02m_2009_ICD_10_CM.asp

·     ICD-10 General Information

·     http://www.cms.hhs.gov/ICD10

·     ICD-10 Educational Resources

·     http://www.cms.hhs.gov/ICD10/05_Educational_Resources.asp

·     ICD-10 CMS Sponsored Calls

·     http://www.cms.hhs.gov/ICD10/07_Sponsored_Calls.asp

·     ICD-10 Final Rule

·     http://edocket.access.gpo.gov/2009/pdf/E9-743.pdf

·     CDC

·     General ICD-10 information

·     http://www.cdc.gov/nchs/about/major/dvs/icd10des.htm

·     ICD-10-CM files, information and general equivalence mappings between ICD-10-CM and ICD-9-CM

·     http://www.cdc.gov/nchs/about/otheract/icd9/icd10cm.htm

·     AHIMA

·     Readiness checklist

·     http://www.ahima.org/icd10/ICD-10PreparationChecklist.mht