Fisher-Titus Medical Center finds new solution after
Siemens sunsets support of SMS PhysicianConnect(TM).com

"
This association between a mother's asthma and allergies and a child's
autism has not been reported in the medical literature previously , says Dr. Results of research conducted by
Kaiser Permanente physicians and investigators have been published in the
Journal of the American Medical Association, the New England Journal of
Medicine , the Permanente Journal, the American Journal of Public Health,
Pediatrics, and other clinical journals .

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"We chose the PDF standard for its reliable, cross-platform format," said
Gunther. 100
http://www.
"WSNA will be fighting to keep an adequate number of registered nurses at
the bedside to ensure that the Spokane community will receive the safe quality
patient care that they deserve," said Barbara Frye, RN, WSNA Director of Labor
Relations.

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In six years the FTMC
physicians ' network had created nearly one million patient records with the
application. After realizing no off-the-shelf solution would allow his staff
to easily migrate the information to a new electronic medical record (EMR),
Britton contacted Intalgent. It was
critical that all physicians be able to access their patients' historical and
clinical information.
The solution, which was released to physicians in early May 2005, is a
small footprint, Java application that extracts a patient's data, including
demographic data, diagnostic reports, scanned documents, and radiology images
from the existing repositories and dynamically creates an Adobe Portable
Document Format (PDF) file. "Intalgent's innovative thinking about how to solve our problem
had made this project a success."

About Intalgent
Intalgent delivers innovative solutions for its customers using both new
and emerging technologies.
Nationwide, Kaiser Permanente includes approximately 138,000 technical,
administrative and clerical employees and caregivers, and more than
11,000 physicians representing all specialties., The more than 1250 registered
nurses, represented by the Washington State Nurses Association (WSNA), at
Sacred Heart Medical Center are outraged by the announcement regarding
proposed cuts in nursing staff by the Hospital.

.

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"With the exception of psoriasis , we did not find an association between
autoimmune diseases in mothers and autism," says study author Lisa A. SPOKANE, Wash.

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A physician can then attach the PDF file to a
patient's new EMR, or simply print out the document for inclusion in a paper
file.2 million members in 9 states and the District of Columbia.

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She
continues, "Our primary concern is the quality of care that our patients will
receive as a result of the cuts in nursing staff. Who and
how they are cared for in the hospital setting is critically important in
their outcome.

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The study also looked at the assumed association between autoimmune
diseases such as lupus, diabetes, rheumatoid arthritis and Addison 's disease
and autism in the children of mothers with those conditions.
The study looked at more than 88,000 children born within the Kaiser
Permanente population of Northern California between January 1995 and June
1999.
Kaiser Permanente has research offices in California, Oregon, Hawaii,
Georgia, Colorado, Maryland, and Ohio. Founded in
1945, it is a not-for-profit, group practice prepayment program with
headquarters in Oakland, California.

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"
"After some initial investigation, we didn't see the point in creating
another application and system that FTMC would need to develop, manage, and
maintain," said Jeff Gunther, Intalgent's President. From that group , 420 children between 3 and 7 years old were identified
with diagnoses of autism. Those children were compared with a control group,
children without a diagnosis of autism spectrum disorders.

.

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Asthma and allergies in
expectant mothers were associated with 50% increase in risk of autism in their
children.

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Kaiser Permanente serves the health care
needs of 8. Adequate and safe RN staffing makes the difference between good
patient outcomes and bad ones.

All sites allow the visitor to buy books - they do not simply describe them or review them.

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Croen,
PhD, of Kaiser Permanente 's Division of Research in Oakland, CA. Croen and her associates at Kaiser Permanente, the Department of
Health Services in Oakland, CA, and the University of California at Davis
found no association between autoimmune diseases in pregnant women and an
increased risk of autism in their children, with the exception of psoriasis,
which was associated with a doubling of risk.

scrapbooks surrogate

WSNA effectively advocates
for the improvement of health standards and availability of quality health
care for all people; promotes high standards for the nursing profession; and
advances the professional and economic development of nurses.

transient filing

Contact Information:
Jeff Gunther, President
Intalgent
107 First Street South, Suite 202
Charlottesville, Virginia 22902
434-977-5152 ext.

Nurses Outraged at Proposed Cuts in Nursing Staff by Sacred Heart Medical Center

According to the Journal
of the American Medical Association (JAMA-October '02) the risk of patient
mortality increased by 7% for every additional patient in the average nurse's
workload in the hospital.

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Croen cautions that the risk of autism is still small, less than 1%
even in children of women with asthma during pregnancy.

transient diaries

"Our initial thinking was to build another
system, but Intalgent suggested a more efficient and cost effective solution.

Mother's Asthma or Allergies May Increase Risk of Autism in Her Children

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Intalgent Ensures Physicians Maintain Access to Patient Data

, Asthma or allergies in an
expectant mother may increase the likelihood that her child will exhibit
symptoms of autism, according to a Kaiser Permanente study featured in the
Archives of Pediatrics and Adolescent Medicine's February issue.

filing folders

"
"Our physicians are very excited about the simplicity of the solution ,"
said Britton. The company offers a broad range of technical and
consulting services to architect , design, build, deploy, and manage the
systems that organizations rely on. Kaiser Permanente Research Shows Autoimmune Diseases Once Considered Risk
Factors Are Not Associated With Autism in Children

OAKLAND, Calif.

"
In today's health care environment, patients are not admitted to hospitals
unless they are acutely ill and their lengths of stay are shorter.

Founded in 1908, WSNA is the professional organization representing more
than 13,000 registered nurses in Washington State.

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CHARLOTTESVILLE, Va. "In addition, the read-only attributes of a PDF ensure the data is
secure and can not be modified.
Croen, and requires replication in further studies. Today
it encompasses the not-for-profit Kaiser Foundation Health Plan, Inc.

This category is for sites that sell Blank Books - Journals, Genealogy Records, Logs .

bookbinders binding

Kaiser Permanente is America's leading integrated health plan., Kaiser
Foundation Hospitals and their subsidiaries, and the for-profit Permanente
Medical Groups.

bound diaries

Dr.

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The proposed staffing
guideline changes will impact all in-patient units and will result in a
reduction of budgeted staff positions including registered nurses at the
bedside and other staff.

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, When John Britton, Director
of Information Systems at Fisher-Titus Medical Center (FTMC), learned that
Siemens Medical Solutions Health Services was no longer supporting SMS
PhysicianConnect(TM), he knew he had to act fast.intalgent.
"While we do not yet know the full impact of the proposed guideline
changes and potential layoffs and exactly how many RNs will be affected, the
bottom line is that there will be fewer registered nurses at the bedside
caring for our patients," said Marty Avey, RN, local unit chair.

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"We knew that the clinical data was not conducive to being converted to
another program," said Britton .
Furthermore, some physicians did not want to deploy the new EMR format,
but rather wanted to maintain paper records for their patients.
Recent studies confirm what nurses have known for years, that RN staffing
has a direct correlation to the safety of patients.

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Intalgent is a privately held corporation
headquartered in Charlottesville, Virginia. "What we did
find was a two-fold increase in autism among children of asthmatic mothers or
women with allergies, particularly if their symptoms were medically diagnosed
in the second trimester of pregnancy. Even with the increase in
risk, Dr.