Abstract. BACKGROUND:In an ever-evolving landscape, states are working to achieve new levels of integrated employment outcomes. While states have been building supports for more than five decades to meet the needs of their constituents, a different playing field has emerged in recent years. This is a result of new regulations, requests from advocates and families, shifting expectations and fluctuating state budgets. OBJECTIVE: How are states managing the range of large and small changes needed to update the employment and employment-related service definitions that are offered? How can we ensure connection between employment and other full life outcomes? And most importantly, how can stakeholders establish individual integrated employment as a priority goal? CONCLUSION: This article describes states' efforts towards employment first goals and outlines more changes that need to be made.
Implementation of electronic health records by the Health Information Technology for Economic and Clinical Health has led to the implementation of electronic dental records in dental offices. The study was conducted to determine the state of implementation and usage of electronic dental records by the private general and pediatric dental practices in Mississippi as well as reasons why the dental practices are not moving forward with the advanced technology. A survey consisting of six research questions was emailed via SurveyMonkey to 712 private general and pediatric dental practices in Mississippi with an invitation to participate in the study: 116 responded (16% response rate) and 104 consented to participate (89.66%). The data collection process transpired over a six-week period (September 18 – October 29, 2017). Results of the survey indicated dental practices in Mississippi using electronic dental records were 46.07%, electronic dental records with paper records were 42.70%, and only paper records were 11.24%. Dissemination of the study results among medical and dental practitioners may raise awareness and thus encourage more dentists to embrace EDRs. The response rate was affected by the number of dental practices that chose not to participate or did not open the survey email as well as the number of emails that were undeliverable. A second limitation was the lack of certainty of collecting all email addresses through the collection method. Third, there was no certainty that the person who responded knew the correct answers.
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