Construct a decision tree that includes one decision node (purchase a new
EHR system) or maintain the status quo (retain the existing EHR system).
There are the two EHR systems under consideration by Bright Road Health Care System, eMed and Patient
Data System (PDS).
For each EHR system under consideration, you, as the consultant, will be looking to determine the likelihood
(probability) that the system will: fully meet the organization’s needs; partially meet the organization’s needs; or
not meet the organization’s needs.
You will need to come up with the probabilities using information obtained from the scenario, as well as
information gleaned from credible sources. In addition, you, as the consultant, will be expected to determine
the expected outcomes (payoffs) associated with each alternative. The expected outcomes (payoffs) can be
the total costs associated with each alternative, the net present value of the alternatives, the internal rate of
return or modified internal rate of return, etc
MARG intervention study (29) conducted in India aimed to evaluate the impact of a school-based health and nutritional education program on knowledge and behavior of Indian school children. They educated 40196 children (aged 8 – 18 years), 25000 parents and 1500 teachers about health, nutrition, physical activity, non-communicable diseases and healthy cooking practices in three cities of North India (New Delhi, Agra, Jaipur) during the period August 2006 to December 2008. Major gaps exist in health and nutrition-related knowledge and behavior of Indian children, parents and teachers. Following the intervention, scores improved in all children and a significantly higher improvement was observed in younger children (aged 8 – 11 years) as compared with those aged 12 – 18 years, and in females compared with males. This successful and comprehensive educative intervention could be incorporated in school-based health and nutritional education program. Medical complications associated with weight loss include inadequate nutrient intake and slow linear growth, therefore eliminating only high-calorie foods and encouraging well-balanced eating minimizes the risk of inadequate nutrient intake. Obesity is a chronic disease and improvement decreases once treatment stops, so children and parents must work actively to maintain behaviors that promote weight loss. Regular contact with the clinician is essential to reinforce treatment goals and skills. Pharmacotherapy Pharmacotherapy for children or adolescents with obesity is used only if intensive lifestyle modification has failed to stop weight gain or to ameliorate comorbidities. Use of medication should not be the only mode of treatment in obese children. Only one drug is approved for use in children for weight loss. TABLE 11 Drug Mechanism of action Side effects Other uses Orlistat FDA approved for ≥12years of age Inhibits gastric & pancreatic lipases, resul>GET ANSWER