ANSI enters standardization effort.
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Biomedical subjects
Publications and source records attributed to E Gardner.
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HCFA recently proposed reimbursing providers through electronic fund transfer, a low-cost, fast, efficient means of deposit and payment now commonplace throughout the country. EFTs promise hospitals benefits such as clerical savings through computerization, but regulations proposed by HCFA would inhibit the increased efficiency and cash flow such transactions also can offer.
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Modern Healthcare's 1991 Up and Comers, the fifth annual group, are scattered all over the map, from Boston to the Bay Area, from Flint, Mich., to El Paso, Texas. They work in managed care, associations and specialty hospitals; one even administers the office that cares for members of Congress. At least two are "healthcare brats" whose fathers managed hospitals. One spent time working in a salmon cannery; another was a Peace Corps volunteer in Swaziland. Despite their differences, they share many common traits. They are bright, committed and know how to motivate and involve others. Maura Loughlin Carley, an area administrator for Kaiser Permanente Foundation Health Plans, put it best when she said her goal is to "hire the best people, develop them and keep them happy." They're also committed to seeking new ways to improve healthcare delivery. As Kevin Potter said, "What keeps me humble is that there's so much that I'm learning every day." Each of these emerging leaders is making a mark on the healthcare industry. They were chosen from a field of almost 50 candidates, all 40 or younger, compiled by the editorial staff of Modern Healthcare and readers.
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Whether it's hiring expertise to straighten out a problem-plagued computer system, using a firm to smooth the transition to a new system, or saying goodbye to the mainframe altogether, a growing number of hospitals are handing over the management of all or part of their data processing operations to outsiders. "Outsourcing" can offer a variety of advantages, including helping control costs, making more effective use of capital and relieving staffing shortages.
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In what probably sounds like an unusual arrangement, a Texas hospital is hooking up with a nuclear weapons lab as it develops an electronic medical records system. The hospital is tapping the lab's supercomputer to make its Macintosh-based system powerful as well as user-friendly. The facility hopes the result is a patient record that's as useful as traditional paper charts and also can be used for research purposes.
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A new type of patient monitor can turn any bed into a monitored bed without special wiring. The Escort-Link wireless bedside monitor uses radio frequencies instead of cables to transmit information to a central viewing station. The monitor is now being used in emergency departments, step-down units and operating rooms in about 30 hospitals. If wireless networks prove practical, radio transmissions may become increasingly common in hospitals.
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Computerizing medical records in an effort to improve quality of care and cut costs may sound like a terrific idea. And the technology for doing so is becoming more affordable for a growing number of hospitals. But a patchwork of nebulous and antiquated state laws makes automated recordkeeping technically illegal in 12 states and legally ambiguous in many more. Some experts are calling on the federal government to provide a comprehensive solution.