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At least 271 records · Page 15Linked to original sources
PubMed1999

The poverty of information systems management in home health agencies: implications for survivability.

Home health agencies are increasingly being challenged to cope with economic, financial and clinical pressures. This study examines the extent to which home health agencies have cultivated their information systems as an aid for managing performance and external forces. Colorado and New Mexico home health agencies participated in the research project. The findings indicate that only modest investments have been made by respondents in their information systems. The typical respondent reports a personal computer-based system which addresses some financial reporting data, but which does not emphasize care delivery or contextual factors. The implications of these findings for the survivability of home health agencies are discussed.

Computer Systems↗
PubMed2000

Information Management System for Site Remediation Efforts.

/ Environmental regulatory agencies are responsible for protecting human health and the environment in their constituencies. Their responsibilities include the identification, evaluation, and cleanup of contaminated sites. Leaking underground storage tanks (USTs) constitute a major source of subsurface and groundwater contamination. A significant portion of a regulatory body's efforts may be directed toward the management of UST-contaminated sites. In order to manage remedial sites effectively, vast quantities of information must be maintained, including analytical dataon chemical contaminants, remedial design features, and performance details. Currently, most regulatory agencies maintain such information manually. This makes it difficult to manage the data effectively. Some agencies have introduced automated record-keeping systems. However, the ad hoc approach in these endeavors makes it difficult to efficiently analyze, disseminate, and utilize the data. This paper identifies the information requirements for UST-contaminated site management at the Waste Cleanup Section of the Department of Environmental Resources Management in Dade County, Florida. It presents a viable design for an information management system to meet these requirements. The proposed solution is based on a back-end relational database management system with relevant tools for sophisticated data analysis and data mining. The database is designed with all tables in the third normal form to ensure data integrity, flexible access, and efficient query processing. In addition to all standard reports required by the agency, the system provides answers to ad hoc queries that are typically difficult to answer under the existing system. The database also serves as a repository of information for a decision support system to aid engineering design and risk analysis. The system may be integrated with a geographic information system for effective presentation and dissemination of spatial data.

Journal Article↗
PubMed2000

The poverty of information systems management in home health agencies: implications for survivability.

Home health agencies are increasingly being challenged to cope with economic, financial and clinical pressures. This study examines the extent to which home health agencies have cultivated their information systems as an aid for managing performance and external forces. Colorado and New Mexico home health agencies participated in the research project. The findings indicate that only modest investments have been made by respondents in their information systems. The typical respondent reports a personal computer-based system which addresses some financial reporting data, but which does not emphasize care delivery or contextual factors. The implications of these findings for the survivability of home health agencies are discussed.

Colorado↗
PubMed1986

Managing information systems: still a CFO function.

This article represents the first in a series examining the information management needs, both now and in 1988, of hospital CFOs. Future articles will focus on the management concerns of CFOs in relation to information, their current and projected use of information management products for long-range, strategic planning, and criteria for systems design. All these articles are based on HFMA members' opinions as voiced in a recent national poll. In all, more than 600 CFOs and data processing professionals responded to a recent survey sponsored by HFMA, HBO & Company, and Amherst Associates.

Computers↗
PubMedDate not supplied

Case management information systems: how to put the pieces together now and beyond year 2000.

Healthcare organizations must establish the goals and objectives of their case management processes before functional and system requirements can be defined. A gap analysis will identify existing systems that can be used to support case management as well as areas in need of systems support. The gap analysis will also identify short-term tactical projects and long-term strategic initiatives supporting the automation of case management. The projects resulting from the gap analysis must be incorporated into the organization's business and information systems plan and budget to ensure appropriate funding and prioritization.

Case Management↗
PubMed1999

Object-oriented analysis and design of a health care management information system.

We have created a prototype for a universal object-oriented model of a health care system compatible with the object-oriented approach used in version 3.0 of the HL7 standard for communication messages. A set of three models has been developed: (1) the Object Model describes the hierarchical structure of objects in a system--their identity, relationships, attributes, and operations; (2) the Dynamic Model represents the sequence of operations in time as a collection of state diagrams for object classes in the system; and (3) functional Diagram represents the transformation of data within a system by means of data flow diagrams. Within these models, we have defined major object classes of health care participants and their subclasses, associations, attributes and operators, states, and behavioral scenarios. We have also defined the major processes and subprocesses. The top-down design approach allows use, reuse, and cloning of standard components.

Acute Disease↗
PubMed1994

The integrated inpatient management model's clinical management information system.

The rising cost of health care has increased the call for cost control. The pressing need to control cost, coupled with the increase in managed care and prospective payment, has placed new urgency on administrators and clinicians to work collaboratively in providing efficient and effective care. We have developed the Integrated Inpatient Management Model (IIMM) to assist in this collaborative effort. We describe the IIMM's clinical information system that provides decision support to both administrators and clinicians. This clinical information system is the information backbone for the development and monitoring of practice guidelines or critical pathways. An integrated information system of this type is essential if hospitals are to prosper during the next decade.

Ancillary Services, Hospital↗
PubMedDate not supplied

Selecting practice management information systems.

Despite enormous advances in information systems, the process by which most medical practices select them has remained virtually unchanged for decades: the request for proposal (RFP). Unfortunately, vendors have learned ways to minimize the value of RFP checklists to where purchasers now learn little about the system functionality. The authors describe a selection methodology that replaces the RFP with scored demos, reviews of vendor user manuals and mathematically structured reference checking. In a recent selection process at a major medical center, these techniques yielded greater user buy-in and favorable contract terms as well.

Competitive Bidding↗
PubMed1995

The strategic planning of health management information systems.

This paper discusses the roles and functions of strategic planning of information systems in health services. It selects four specialised methodologies of strategic planning for analysis with respect to their applicability in the health field. It then examines the utilisation of information planning in case studies of three health organisations (two State departments of health and community services and one acute care institution). Issues arising from the analysis concern the planning process, the use to which plans are put, and implications for management.

Australia↗
PubMed1976

Hospital managers need management information systems.

A new hospital director seeking to bring his institution to the brink of solvency found himself with ten pounds of data but no "information"--at least, not the kind of information he could use as a basis for management decisions. What he needed was a system that would not only present data, but the meaning of the data. Such a system is the integrated MIS.

Computers↗