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Annual managed care systems review. Behold the beast.

Remember the story of the three blind men, each confronted by a different part of an elephant? Asked to describe the object in front of them, they each described the part they could touch. In his quest to survey more than 100 managed care systems vendors, author John R. Murray discovered that defining managed care is very much like describing an elephant without seeing the entire beast: Each company's definition is based on its niche and product offering to the market.

Ambulatory Care Information Systems↗

HIS (healthcare information systems) consultants: when are they necessary, and why?

The rapid escalation of consulting fees for the installation of healthcare information systems and the potential abuses associated with consulting relationships has prompted some to question the need to hire consultants for systems installation. Consulting arrangements were considered cost effective when information systems were first being automated, but the rising cost of consulting services along with the increasing sophistication of hospital personnel regarding computerization suggest that the use of consultants receive close scrutiny. Following some simple guidelines may limit potential abuses and allow hospitals to obtain maximum service for their investment.

Computers, Mainframe↗

Information systems. T-minus 34 months and counting. The year 2000 has ominous implications for computer systems.

The countdown has started to the year 2000, which has ominous implications for computer systems. Healthcare executives are discovering that changes in their industry further complicate solving the "century date" problem. Meanwhile, a survey of healthcare executives shows they are refocusing on the nuts and bolts of information technology and reining in their ambition to have it all at once.

Chronology as Topic↗

Beware the Y2K bug.

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Chronology as Topic↗

Connectivity and control in the year 2000 and beyond.

By now, most executives are familiar with the famous Year 2000 problem--and many believe that their companies have the situation well in hand. After all, it seems to be such a trivial problem--computer software that interprets "oo" to be the year 1900 instead of the year 2000. And yet armies of computer professionals have been working on it--updating code in payroll systems, distribution systems, actuarial systems, sales-tracking systems, and the like. The problem is pervasive. Not only is it in your systems, it's in your suppliers' systems, your bankers' systems, and your customers' systems. It's embedded in chips that control elevators, automated teller machines, process-control equipment, and power grids. Already, a dried-food manufacturer destroyed millions of dollars of perfectly good product when a computer counted inventory marked with an expiration date of "oo" as nearly a hundred years old. And when managers of a sewage-control plant turned the clock to January I, 2000 on a computer system they thought had been fixed, raw sewage pumped directly into the harbor. It has become apparent that there will not be enough time to find and fix all of the problems by January I, 2000. And what good will it do if your computers work but they're connected with systems that don't? That is one of the questions Harvard Business School professor Richard Nolan asks in his introduction to HBR's Perspectives on the Year 2000 issue. How will you prepare your organization to respond when things start to go wrong? Fourteen commentators offer their ideas on how senior managers should think about connectivity and control in the year 2000 and beyond.

Chronology as Topic↗

DRGs: labels, information and uncertainty.

This paper presents a new perspective on why Diagnosis Related Groups (DRGs) are successful. It begins with a characterisation of labels we use to describe their attributes and a brief overview of the Commonwealth Australian National Diagnosis Related Group (AN-DRG) localisation project. Information required and produced by AN-DRGs computer programs is then outlined to establish their domain of application. Uncertainty in such information limits the utility of DRGs as a planning and managing tool. Examples are presented to clarify their statistical properties and to motivate discussion regarding technology for improving their performance.

Abstracting and Indexing↗

Developing a pharmacy application using IBM's Patient Care System (PCS).

This article describes the development of a computerized pharmacy order entry system using IBM's Patient Care System software at a large teaching hospital. The pharmacy component is part of a hospital-wide order entry system that includes other departments such as dietary, radiology, central supply, and laboratories. Pharmacy orders are entered into the computer system at the patient care unit by secretaries or nurses and subsequently checked and supplemented by pharmacists in satellite pharmacies. The system produces a medication administration record for use by nursing that becomes a permanent part of the patient medical record. Pharmacy cassette fill lists, i.v. labels, and charge summaries are produced. Billing is automatically accomplished upon the completion of an order. Initial hardware problems have been resolved and the system has been fully operational for 2 years. Ongoing development seeks to enhance the system's range of functions.

Boston↗

Strategic automation for surgery.

Recent advances in automated systems for surgical department management include enhancements in management methodology and improved economics of the surgical suites. Requirements of accountability legislation have stimulated development of a new generation of highly efficient software applicable to the surgical suite. These include surgical scheduling, preference lists in picking order, materials management, surgically related data and statistics, deployment of personnel and assignment of facilities. With recent advances in computer hardware and the availability of applicable software, the return on investment of these systems makes them affordable. Strategic surgical software can improve productivity, accuracy, efficiency of service and quality control while enhancing revenues to a surgical department.

Computers, Mainframe↗