General Components of an EHR System

General Components of an EHR System Electronic health records and presents the advantages and benefits that will provide for hospitals and health institutions. Doctors, physicians, and nursing become an important factor of the EHR; Barbara A. Gabriel did a research to see whether electronic medical records made the doctors and the patient outcome better. Also Jeffrey Linder, an internist and assistant professor of medicine at Harvard Medical School asked these questions: Does having an EMR really help you? Are patients more likely to get the tests they need, timely diagnoses, and proper treatments? Do you code more accurately now that your EMR is a part of your daily work flow? Does this result in higher reimbursements? And for Doctors he asked in brief Are you a better doctor both clinically and operationally with an EMR than you were without one?These questions were asked by Jeffrey to improve his study that was about the relationship between electronic medical record usage and quality care. A recognized supporter for electronic medical record implementation, he got the impression that made him strongly sure the answer to all these questions would be a resounding yes. 1.1 Definition of EHR: EHR stand for Electronic Health Record according to the policy journal of health sphere. It accumulates patient health files in a computer database more willingly than with physical paper. The data that is accumulated in the computer is producing by several users in any care delivery institutions. The data contains patient demographics, past health history, diseases, progress notes, very important signs, vaccinations, laboratory data and radiology repots. One of the elements of the Electronic Health Record is that it can generate a complete record of a clinical patient user consisting of quality management, outcomes reporting, and evidence-based decision. It is essential to state that an EHR is developed and maintained within organizations, like hospitals, integrated delivery network, clinics, or medical doctor offices. History of EHRs: In the fifth century B.C the earliest health record was produced by Hippocrates. He put two main objectives: A medical record should accurately reflect the course of disease. A medical record should indicate the probable cause of diseases These objectives are still proper, but the latest technology that identified as electronic medical record adds functionality, such as interactive flow sheets, interactive alerts to clinicians, and every feature that can not be made with manual system. In 1960s: a problem-oriented medical record was planned by Dr. Lawrence weed which is a kind of EHRs. His aim was to provide better health care by integrated the medical data of patient from special doctors. According to his idea, in 1970s the first Electronic Medical Record system established at the Vermont University. Its structure was uncomplicated, as it worked with touch-screen technology offered at the period to record procedures and various kind of pharmaceuticals used throughout those procedures. In 1967: a premature Electronic Medical Record system was implemented and applied at the Latter Day Saints Hospital in Utah, this project was developed by (HELP) the Health Evaluation through Logical Processing. In 1968: the Multiphasic Health Testing System (MHTS) and Computer-Stored Ambulatory Record (COSTAR) were produced Until 1973: the MHTS was applied at Kaiser Permanente in San Francisco Until 1980s: the COSTAR was applied at Massachusetts General Hospital in Boston In 1973: the Regenstrief Electronic Medical Record program was applying in Indiana, and is yet in progress today. 2.2 Development: In 1969: the initial main shift of manage patient information was completed with the Problem-Oriented Medical Record, making use of the so-called SOAP structure that included knowledge about the topic, the health goals, evaluation and a plan for the patient. 2.3 Technology: In that time while a large amount of medical offices continue to accumulate patient data on paper using manual system in huge Chart Libraries where the system was used the alphabetical order, and some technological developments have made by medical imaging. The LanVision system catalogs logical images that have the ability to move without difficulty from one office to another on the system. The most important components of Electronic Medical Record applied in hospitals contain patient billing, pathology, radiology, admission, laboratory, scheduling, discharge and transfer, intensive care and Emergency Room units, pharmacology records, and the master Patient Index (MPI). 2.4 Governments Role: The federal government decides to set a time limit for computerized patient record system for 1999, but that time limit was neglected when groups disagreed with computerization on patient-privacy grounds. The group also mentioned the inability of programs to integrate images, texts and numbers, but all of these factors had definitely incorporated by latest computer programs. Benefits of EMR: Electronic Medical Record systems are much more fitting, important, and efficient than manual medical records, says the Mayo Clinic. Several Doctors have the ability to update patient record at the same time. Furthermore, Electronic Medical Record does not need huge capacity of space and manual work to record and accumulate data. Organization The most important benefit of EMR is the way that a patients records can be managed and arranged. Paper records or files can simply be misplaced in a file room at the clinic, but an electronic medical record is accumulated on a network that is available throughout the service. Also IT professional are searching for the best way that connects the specialists with a network that give them the ability to treat the patient that are sent from another city. 2- Access Physicians can access quickly to patient file using electronic medical record system. In each of the patients room and practice rooms there are computers that are provided with the facilities that are prepared with this technology. The patients record can be log on from any computers to update conditions, medications and procedures that have been performed on the patient. 3- Decision Support Improved health decisions can be prepared for the patient, when his EMR is accessible by more than one physician. Repeatedly a patient is sent from physician to another when health problem appear to be dangerous or need to be diagnosed. These physicians may not have the ability to communicate or transmit the patients medical records to every facility. In this case, the patient can be subjected to repetitive or unwarranted actions because of the lack of transmission. 4- Standardization Electronic medical record system will also provide better standardization once it takes place to keeping patient records throughout the health care system. Several medical services apply various terminologies for the similar procedures. Other services apply structures that are totally dissimilar from another facilitys. Electronic medical record system will make it easier for physicians and nurses to get the information they want for every patient by providing a standard way of filling out data on patients file. 5- Patients A few Electronic medical record systems give the Patients the ability to log on their test results and other vital information from their health record through a protected site on the internet. This help patients better understand their health-care choice. Also the patients with restricted access to their personal Electronic medical record systems will be better notified and can be feasible with the decision that they require to generate. Key Components of Electronic Health Records Nearly all the commercial Electronic Health record system are made to merge data from the huge ancillary services, such as radiology, laboratory, and pharmacy with diverse health care components (for example medication administration records [MAR], nursing plans, and physician orders). The Electronic Health record possibly will bring in information from the ancillary system throughout a tradition interface or may provide interface for clinicians in order to log on the silo system through a portal. Administrative System Components The main components of electronic health record are registration, admissions, discharge, and transfer (RADT) data. These data contain essential information for correct patient classification and evaluation, also it include name, demographics, next to skin, employer information, patient disposition, chief complaint, etc. the section of registration in electronic health record system has a unique patient identifier which generally consisting of numeric or alphanumeric order that is unidentifiable external the company or institution in which it serve. The medical data of the patient will be collected for use in medical analysis and research while use the RADT. All medical observations, tests, procedures, criticisms, assessments, and diagnosis to patient will be linked by the patient ID because it is the core of the electronic health record. The ID is sometimes known as medical record number or master patient index (MPI). Nowadays in computerized information systems the master patient index enterprise has applied extensively in the organizations or institutions, called enterprise-wide master patient indices. Laboratory System Components Laboratory systems are interfaced to electronic health record systems which commonly are independent systems. Also there are (LIS) that stands for laboratory information system that are applied as centers or hubs to combined orders, schedules, billing, results from laboratory tools and other administrative data. Rarely laboratory information is integrated completely with the electronic health record. Lots of technologies and analyzers are applied in the diagnostic laboratory procedure when laboratory information system is prepared by the similar vendor as the electronic health record which is not simply integrated with electronic health record, such as the Cerner laboratory information system interface with more than 400 various laboratory tools. Cerner, a very important vendor of both systems the (laboratory information system) (electronic health record system), stated that 60 percent of laboratory information system installations were not included with electronic health record sys tem, and electronic health record system are implemented in federal form, which lets the user to log on the laboratory information system from a link within the electronic health record system interface. 6.3 Record keeping and mobility Electronic health record systems gain a unique trait which is the benefit of being capable to connect to various EHR systems. Patients are shopping for their procedures, in the recent global medical environment. Also patients can easily check in their files whether they have been admitted to such a health center or if they contain any kind of allergies since they have been admitted before. Other Advantages of Electronic Medical Records Software Chart Room. By converting a paper chart digital, a procedure can change the physical place of a chart room into workplaces, or extra rooms for exams, procedures, imaging equipment, labs, or other income generating spaces. Managing Paper. A lot of procedures waste numerous hours of workers time searching for, moving, and organizing paper charts. By computerizing the health record, this procedure is rationalized and costs are eliminated. Other cost savings are achieved by the elimination of the paper, printers, toner, and other physical costs of the paper world. Archived Records. Health practices are needed to remain patients health record for 7 years in nearly all countries. Accumulated an inactive patients chart offsite is a shared procedures. This cost is eliminated by accumulating the reports electronically. There are more advantages of an entire EHR, which both Chart Logic EMR and Chart Logic iAchieve electronic medical record consist of: Best Practices. By integrated a model based health office software; a medical procedures may ensure that all providers are achieving the needed goals of documentation and process. Increased Reimbursement. The EM coding tool can also indicate methods to properly up-code your document to a higher level, rising reimbursement. Efficient Charting. Using templates lets the physician to finish documentation rapidly. By tinplating shared words or phrases, the documentation is quick, reliable, correct, and complete. Cost and return on investment It is not easy to measure the return of investment (ROI) of information technology systems for any commerce. Nearly all research has been alert on how to calculate the return of investment for medical information technology systems such as electronic health record systems. The cost of implementing the EHRs will differ considerably; depending on what systems are now in place and what is being implemented. Fundamentally, in order to smooth integration and make customer commitment the vendors add the electronic health record capabilities at a favorable rate. However, there are installations that can be very expensive, e.g. Across the whole Kaiser Permanente network the roll out of an Electronic Medical Record was reported to cost over $1 billion. A new American Hospital Association analysis and survey noticed that the median yearly funds investment on information technology was greater that $700,000 and stand for 15 percent of all fund expenses. And above $1.7 million were the Operating expenses, or 2 percent of all operating expenses. Barriers to using EMR Technical Barriers It is expensive to implement an Electronic Medical Record system in a physicians office, mainly for minor practices. Moreover, install such a system in minor hospital institutions require external industrial support. Cultural Barriers According to For the Record Magazine the patients and doctors could feel unsafe risking patient MRs to possible electronic theft. Furthermore, an Electronic Medical Record will extensively change a physicians flow and potentially decrease the quality of service the doctor provides by giving him more patients, however, before physicians expected a specific amount of work flow, because they were spending time filling out paperwork. Significance According to Robert H Miller and Ida Sim of the Policy Journal of health Sphere In 2004 just 13 percent of physicians stated that using an Electronic Medical Record and 32 percent said they would consider as using an electronic filing system. EHRs keep your health information safe and private: You can choose and decide who gets to see your information: EHRs are locked. Nobody can access your account except you because there is a special password that will keep your health information private. EHRs have many security settings. The only ones that can access to your information and can see them your health provider, and the office staff can only see your name, address and birth date. Whether or not your health care provider uses EHRs, you sign a consent form if you want to share your information. Ask your doctor for a copy of your consent and explanation of what it means Private notes can be made in EHRs that only your health care provider can view. The patient can ask his doctor to see his information and tell him dont let anyone else see them and keep them in secure that only you can read. Electronic Software People go to hospitals to better their state; they rely on hospitals and physicians to practice the most advanced standards. The staff that works at the hospital faces many challenges at the day. They need highly efficient software and instrument to work properly and to finish their jobs requirements. Electronic software helps them meet the demands of the hospitals setting. In order to make sure that the health practice takes care of its operations in a prepared and well-coordinated manner Electronic Medical Record (EMR) Software is essential. The cost is around $850 dollars for setup and about $2500 for annual maintenance but is worth it for the reason that they save time and run the operations using the best defense mechanisms against liabilities electronic medical record software is used to manage and maintain EMR systems, patient or insurance billing, patient information management, multi-provider scheduling, electronic faxing, instructions and lab management, document management , and custom report templates. And an example of that software is a Visionary Dream EHRs Dream EHR Workflow When converting from a paper-based organization to a nearly paperless organization planning, preparation, training and a person within the office to make easy the change is an essential. A process that relies on an electronic health record, the visual signs are on the desktop computer or tablet PC screen rather than placed on the wall or taking up space in the records room. Shifting from a paper-based practice to an electronic health record provides the process with the opportunity to assess its workflow for an electronic environment. Several administrative and operational steps may be considerably simplified. The workflow steps in an electronic health record can be decreased significantly. The workflow in the health office has two main categories: administrative and clinical. Lets have a look at some administrative and clinical workflow procedures so you can evaluate how the work flows in a paper-based environment and what that similar workflow procedure looks like in an electronic environment. Paper-based Environment Electronic-based Environment Patient comes, signs in Patient comes and enters new data into electronic health record desktop Patients name be seen Administrative employee is gave notice that patient has came and patients MR are got over from the procedure management scheduler and prepared for the days appointments. Receptionist confirm for scheduled appointment Receptionist greets patient, checks updates and sends record electronically to nurses in-box. Receptionist asks for updated personal and insurance information Patients record is into nurses in-box. Patient returns data form with updates Nurse calls patient into examination room, release patient records, takes and check in family history, medications, vitals, presenting symptoms, and makes a face sheet on the Tablet PC. Medical records clerk drags chart and insert updated data. Once done, nurse sends MR electronically into physicians in-box. Clerk gives chart to nurse Patients file is in physicians in-box. The doctor can look at this file before to entering the examination room. Chart is located in nurses review stack Physician enters the examination room and visits with patient. Nurse checks chart and calls patient Nurse captures crucial signs and files show symptoms on face sheet. Nurse places medical chart out of examination room door. Doctor looks into medical chart on door, knows that patient is waiting and checks information on face sheet. physician enters and visits with patient Features and Software Screens Point-and-Click Chart Entry Rapidly capture and produce chart notes with pre-defined medical templates. It presents hundreds of specialty templates to lessen the operation time. Check chart notes, allergies, medications, procedures, diagnoses and further in one simple to navigate screen. Customizable, user-definable chart areas. Easy to Use Files with electronic handwriting stylus pen, pre-defined or user defined templates, macros and / or voice dictation. View or edit patient information from a desktop or tablet PC. Simple direction-finding menu is planned to raise usage speed while streamlining the information recording process. Point-of-Care Decision Making Manage your reports with quick chart access and file patient documentation at the point-of-care. One-click retrieval of patient notes, medications and very important documentation to assure the greatest medical decision. Managing Orders / Lab Tracking Check and get back test results, makes orders, doctor consultations or surgical procedures immediately from the patients chart. Track past due lab tests and procedures as well as inform users through e-mail. Lab results review reports feature side-by-side history of results and permits inter office lab result communications. Differential Diagnosis Simply file one or more differentials associated with a diagnosis. This module can in addition be used to rapidly replace with a specific diagnosis for a non-billable or non-specific code. Furthermore diagnosis connected practical codes, prescriptions and lab orders can be selected while seeing that diagnosis. Coding Assistance

Every Child is Special (Film Analysis) Essay

1.Determine the issue or the problems that are predominantly brought up in the film. 2.If you were to be part of the story, which character who you would want to be so you can be part of the solution of the problem? see more:every child is special summary In the film Every Child Is Special, there are issues or problems shown that really happen in our society. The first one is the family issue; there is something wrong when it comes to parenting style done by Mr. and Mrs. Awasthi that affected the child’s behavior. The father doesn’t have enough time to guide his son, he punished Ishaan when he got in trouble or when he is misbehaving but he never tried to find out the reason behind. They did not really accepted Ishaan’s condition and did not give enough care for him. The other is the social issue; Discrimination, Ishaan’s classmates, teachers and others treated him differently just because he has difficulty in his studies and motor skills, they sometimes bully or even hurt him. They also discriminate children with disabilities by comparing their abilities with other kids. Child Labor, it is shown when Nikumbh was on his way to Ishaan’s house, he saw a little boy working. But he mentioned that,  "Putting your ambition to the child is worse than Child Labor†. The biggest issue that I’ve noticed in the film is the Education System. The way the other teachers teach their students, embarrassing the student in front of the class, beating, shouting, giving punishments when they can’t understand the lessons. I really don’t think that those will help or discipline the students instead it may just lower their self-esteem, they might think those hurtful words are true, may take away their interest in studying and worse destroy their dreams. We all have different special abilities. If I were to be part of that film, I would like to be Nikumbh, the art teacher. I admire his great love for all the children especially with those who have special needs. He is the one who brought huge solution to the problem faced by Ishaan and tried so hard to help him learn and improve his artistic abilities. Nikumbh made Ishaan’s parents realize that he is not misbehaving, that he is not lazy, idiot or hopeless just like the other teachers said and that he needs to be accepted and treated well. He did it right because, he understand Ishaan more than any other. He brought back Ishaan’s interest in painting and supported him in the times  that he almost gave up, telling him that even great people had encountered some difficulties before they achieve their accomplishments. The teacher provided the kid with much special attention, care and encouragement that resulted to the kid’s excellent improvement that surprises his parents and the whole school community. It would be a wonderful accomplishment for those people who can do what Sir Nikumbh did.

Safety Policies and Procedures in Schools - 1074 Words

Introduction Violence in schools has become a growing epidemic. Hearing of a school shooting where students are gunned down for no apparent reason is a reminder of the seemly increasing national problem of school violence. Dewey Cornell (2010) a clinical psychologist and education professor at the University of Virginia suggest that school shooting in â€Å"Columbine High School in Colorado and Virginia Tech has reinforced a perception that schools can be dangerous places† (p.1). Yet, there has been a downward trend in school violence over the past several years. According to the CDC (2010) violent deaths at school among students has â€Å"accounted for less than 1% of the homicides and suicides among children ages 5-18† (p.2). Many factors†¦show more content†¦The common thread in each environment is safety. In the physical aspect students must feel safe and comfortable everywhere on school property. Social environment; staff members are open to students’ sug gestions, and students participate in decision-making. Staff and students are trained to prevent and resolve conflicts. In the affective environment teachers and staff are caring supportive and respectful. Teachers and staff feel they are contributing to the schools success, and there is an attitude of ownership. The four environments are interrelated and do not operate independently of one another. They are dependent upon one another and together will produce a positive school climate. For example, the physical contribute to, and are impacted by, the academic environment can encourage or discourage social environment. Similarly, social interaction facilitates a warm, affective environment. Collectively, the physical, social and affective environments contribute to, and are impacted by, the academic environment. Research suggests students in schools with better climate have higher achievement and better socio emotional health (Muller Wilkinson, 2007). To maintain a positive climate most school have adapted a zero tolerance policy. Zero- tolerance policy is a method used, and enforced by many school districts toShow MoreRelatedCurrent Health And Safety Essay706 Words   |  3 Pagescurrent Health and Safety legislation, policies and procedures in school settings a short guide Law The Health and Safety at Work etc Act 1974 is the main legislation i in our school, it requires employersRead MoreUnit 334 Support Children and Young People’s Health Safety.1086 Words   |  5 PagesSupport children and young people’s health safety. Outcome 1: Understand how to plan and provide environments and services that support children and young people’s health safety. 1.1 Factors to take into account when planning healthy and safe indoor outdoor environments services. †¢ Who needs to access environments services? 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Panopticism - 1253 Words

Focault Panopticism Our society is not one of spectacle, but of surveillance; under the surface of images, one invests bodies in depth; behind the great abstraction of exchange, there continues the meticulous concrete training of useful forces; the circuits of communication are the supports of an accumulation and a centralization of knowledge; the play of signs defines the anchorages of power; it is not that the beautiful totality of the individual is amputated, repressed, altered by our social order, it is rather that the individual is carefully fabricated in it, according to a whole technique of forces and bodies. (pp.333-34) In the essay, Panopticism, by Michel Focault, he makes the argument that we live in a society of†¦show more content†¦That is the most important tool of the panopticon. Foucault makes this assumption about todays society by saying that we are always being watched whether we know it or not. One always keeps an eye over their shoulder as a result of the constant fear that someone is watching them. This consideration forms the basis of power for those who have the control and power - society, government, and state. The power gives those in charge a safety net, making the individual conscious of the presence of a hidden onlooker, causing them to think one twice before any move. An excellent of Focaults theory is how Santa Claus can be used as a form of power to make children behave. He knows when you are sleeping. He knows when youre awake. He knows if youve been bad or good. So be good for goodness sake. Focaults theory shows that this song about Santa Claus is more th an a simple Christmas carol, it is used to plant the constant fear in the mind of a child that they are being watched even when they cant see who is doing the watching. The mere threat at Christmas time of this hidden force is enough to keep children well behaved. This is only one example of many in our society. Furthermore, verbal communication in the Panopticon was not an option. The prisoners were not allowed to speak to one another. This limit on communication dehumanizes the inmate - communication is what makes us people. If we could not talk to each other weShow MoreRelated Panopticism Essay753 Words   |  4 PagesIn his essay â€Å"Panopticism,† Michel Foucault introduces the Panopticon structure as proof of modern society tending toward efficient disciplinary mechanisms. Starting with his example of the strict, intensely organized measures that are taken in a typical 17th-century plague-stricken town, Foucault describes how the town employed constant surveillance techniques, centralized a hierarchy of authorities to survey households, partitioned individual structures to impose certain behavior, and record currentRead MoreEssay on Foucault Panopticism1254 Words   |  6 PagesPanopticism by Michel Focault Works Cited Not Included â€Å"Our society is not one of spectacle, but of surveillance; under the surface of images, one invests bodies in depth; behind the great abstraction of exchange, there continues the meticulous concrete training of useful forces; the circuits of communication are the supports of an accumulation and a centralization of knowledge; the play of signs defines the anchorages of power; it is not that the beautiful totality of the individual is amputatedRead MoreFoucault’s Panopticism and Its Application Within Modern Education Systems1697 Words   |  7 PagesPanopticism, a social theory based on Jeremy Bentham’s Panopticon and developed by Michel Foucault describes a disciplinary mechanism used in various aspects of society. Foucault’s Discipline and Punish discusses the development of discipline in Western society, looks in particularly at Bentham’s Panopticon and how it is a working example of how the theory is employed effectively. Foucault explains, in Di scipline and Punish that ‘this book is intended as a correlative history of the modern soul andRead MoreFoucault once stated, â€Å"Our society is one not of spectacle, but of surveillance; under the surface800 Words   |  4 PagesFoucault once stated, â€Å"Our society is one not of spectacle, but of surveillance; under the surface of images, one invests† (301). By this, he means that our society is full of constant supervision that is not easily seen nor displayed. In his essay, Panopticism, Foucault goes into detail about the different disciplinary societies and how surveillance has become a big part of our lives today. He explains how the disciplinary mechanisms have dramatically changed in comparison to the middle ages. FoucaultRead MoreThe Importance Of The Body Needs The Head For Surviving?921 Words   |  4 Pagesthemselves. The Earth is a giant Panopticon with each country is a Panopticon itself included institution particle also are Panopticon themselves. Avowedly, the fact was illustrated through â€Å"Panopticism† that surveillance, discipline, and power are the requirement for a society to survive. In his essay Panopticism in Discipline Punish, Michel Foucault introduces the Panopticon structure, the idea of Jeremy Bentham that is no communication between prisoners to each other to demonstrate a disciplinaryRead MoreSurveillance: A Welcome Necessity or a Frightening Imposition on Liberties1223 Words   |  5 Pagesthe presence of surveillance cameras on street corners, recent concerns about phone tapping and listening into people’s conversations had been reflected in the popular media in movies such as â€Å"V for Vendetta†. However, using Foucault’s work on Panopticism, surveillance has always been a feature of early and late modern culture. It is imposed on both individuals and societies in general and focuses on the surveillor, either through the single authority figure or via the larger infrastructure of governmentRead MorePanopticon Essay1088 Words   |  5 Pages The author of the essay â€Å"Panopticism†, Michel Foucault gives his opinion on power and discipline in Panopticism. He describes Jeremy Bentham’s â€Å"Panopticon†, a tower in the centre of a room which has vision to every cell, generalized for prisoners. In simple words, it functioned in maintaining discipline throughout the jail. It’s most distinctive feature was that; prisoners could be seen without ever seeing. Prisoners would never really know when they are watched and when not. They are always underRead MoreOpposing Viewpoints Of Foucault And Rayner Analyzed Through Ethos, Logos, And Pathos1184 Words   |  5 PagesPanoptic, with cameras on every street corner or even just the constant surveillance of the internet we are always being watched and have lost our privacy in lieu of our own safety. Panopticism, the idea that someone is always being watched and thus they alter their actions to please those watching. It is very clear that Panopticism does shape an individual s actions, whether that be for better or worse. Foucault, on one hand, believes that this motif turns that individual into a labeless subject beingRead MoreThe Concept Of Power May Always Be Debatable1119 Words   |  5 PagesThe concept of power may always be debatable. What exactly makes someone or something powerful? French Philosopher, Michel Foucault builds off of Jeremy Bentham’s idea of the panopticon in his writing of Panopticism. He develops the social theory â€Å"Panopticism.† Through Foucault’s fascination with the panopticon, he demonstrates the impact constant surveillance has, not just in prisons, but also in society as a whole. The panopticon is a type of institutional building introduced by Jeremy BenthamRead MoreThe Theories Of Louis Althusser And Michel Foucault1615 Words   |  7 Pagessubordinate are dealt with as subjects by the ones who exert more control and are compelled to accept societal norms free willingly while those who are superior hold power. A Pentecostal church uses powerful mechanisms such as internal surveillance or panopticism to keep their believers in a well-disciplined society. In this essay I look at the way power is exerted throughout the ritual at Kennedy Road Tabernacle in a Pentecostal church, demonstrating how those in power have control over the ones who are