Majority of Healthcare Organizations disappointed by ICD-10 Delay

The recent decision on delay of the ICD-10 deadline, a large number of healthcare organizations being reported unhappy and very disappointed. Right after the news which ICD-10 will likely be delayed, many healthcare organizations seems to be unhappy. This is surprising to some, because lot of the previous polls found providers were not prepared for the transition. Not more than 10% providers were ready as per the MGMA report in February.

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An opinion poll conducted by the Deloitte Center for the Health Solutions, inquiring providers about the way they considered the latest ICD-10 delay. Only 11% stated that they are happy, 21% stated they are not concerned with the delay but the majority over 50% (58%) stated to be unhappy with the delay. Further it inquired about the right time for the implementation, 49% stated October 2015, 30% needed the 2014 date to be reinstated, and simply 6% stated they will prefer the date to get moved ahead of October 2015. According to the Healthcare Informatics, 59% of providers say that they assume a lack of momentum because of the delay and 58% believe that there will be a great impact on their resources and funding. Whereas, 14% said that the delay will provide them time to compensate on testing for the latest coding system. What exactly the providers are planning to do since ICD-10 isn’t due till 2015 the following year? 30% say that they will stick to their initial strategy and keep going with their testing schedule. According to 26%, the delay will provide a chance to stop and allow them to reevaluate their plans. While 20% will make use of the extra time to slow down and choose their time while moving towards the implementation.

In the meantime, the Coalition for ICD-10 has sent a letter to HHS encouraging the department to reconsider the decision about the October 2015 deadline. Lynne Thomas Gordon, CEO at AHIMA and a Coalition member said in a statement that, as the transition to ICD-10 continues to be unavoidable, it is extremely challenging for organizations to make appropriate preparations and investments with no knowledge of the execution date and the announcement for the new implementation date would give the industry the understanding required to prepare within the mos economical, wise and also strategically.

A senior Vice President and CIO of children’s Medical Center Dallas, Pamela Arora stated that the delays of ICD-10 are concerning. She also said, ultimately both the delays might cost over $1 million to the hospital. With the use of this money, for an instance, they could manage to buy approximately 170 physiological monitoring devices and could have provided more tools into the hands of their physicians, she stated. Further, she said a majority of these kinds purchases will now be postpone if the funds are restricted. Overrun of 2 years of cost and missed deadlines will be called an effective project within the private industry concerned with profits, she added. Ralph Johnson, CIO at Franklin Community Health Network based in Maine and President at New England HIMSS, stated that he is certainly disappointed with the delay on the whole and also disappointed particularly the way it had been passed from the House and Senate. Further he said, nobody could glow light regarding the delay during the debates and was buried in the large legislation.

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Tools and Languages for Improving the Process of Creating JavaScript Applications

As a powerful client-side scripting language, JavaScript is used widely by developers to optimize user experience. The browser based language is coded within the web pages, and the output displayed to users without putting any stress on server. However, developers have to invest additional time and effort to write advanced JavaScript programs by overcoming the issues related to difference in web browsers. That is why; web developers use a library of pre-written JavaScript to rapidly build JavaScript-based applications for AJAX, while overcoming the issues related to browser compatibility.

Some of the Widely Used JavaScript Frameworks

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JQuery: It is one of the most popular JavaScript frameworks used by web developers across the world. JQuery is also used by some of the most reputable and largest companies like Microsoft, Google, IBM and Netflix. The library is designed with features to make it simpler for developers to use accomplish several common tasks without requiring additional code. They can simply wrap the tasks into methods, and call the method by writing a single line code. In addition to providing plug-ins for a wide variety of task, jQuery further allow users to manipulate HTML, CSS and DOM, create HTML event methods, and use AJAX.

Prototype: The open source JavaScript framework enables programmers to perform a variety of common task by using a single Application Programming Interface (API). The API comes with specific features and methods that can be used by programmers to manipulate DOM and AJAX. The library further enhances JavaScript by adding inheritance and classes.

MooTools: Like Prototype, MooTools also allows developers to use an Application Programming Interface (API) to write complex JavaScript programs within a short span of time. But the framework comes with a set of animation functions and lightweight effects. The library is further compatible with major web browsers including Firefox, Chrome, Internet Explorer, Opera and Safari.

Yahoo! User Interface (YUI): The open source library launched by Yahoo can be used by developers to develop interactive web applications by harnessing the power of JavaScript and CSS. Despite being modular and lightweight, YUI still comes with features required to build simple as well as complex JavaScript-based applications. It further supports six distinct types of components including YUI core, UI controls, utilities, CSS components, developer tools and build tools.

Backbone.js: The framework provides models that can be used by developers to give structure to the internet applications. The models come with custom and key-value binding events. The API provide by Backbone.js can also be connected with your existing API over RESTful JSON interface. At the same time, the API also supports several views, functions and event handling features.

Spine.js: The simple and lightweight JavaScript framework supports Model View Controller pattern. So developers can use the library to keep business rules separate from presentation. Unlike other JavaScript libraries, Spine does not come with loads of complex widgets. The developers can avail the feature to save the time required to configure and setup the widgets.

AngularJS: The framework is designed to overcome the limitation of HTML. As HTML cannot be used for developing dynamic web applications, developers use AngularJS to extend the HTML vocabulary to complement the needs of their project. AngularJS further provides a set of tools required to create customized framework for the application development. The framework can be further integrated with other libraries to save the developers’ time and effort.

Agility.js: Like Spine.js, Agility.js is also designed with support for Model View Controller pattern. The developers can use the framework to increase the maintainability and reusability of their code. Despite being a small JavaScript file, Agility does not require programmers to write the entire code in JavaScript. They have option to include HTML, JavaScript and CSS within JavaScript objects.

On the whole, a developer has option to choose from many tools, libraries and languages to improve the process of creating JavaScript applications. But it is also important to evaluate the features of each JavaScript framework according to the nature and needs of the application.

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