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PubMedDate not supplied

Beating the odds.

Explore the source record for details and available documents.

California↗
PubMed1987

Informational needs for a product line management system.

Changing to a product line management structure requires a total dedicated effort from hospital management. The information systems support requirements are diverse and often call for both the further integration of existing capabilities as well as the development of new ones. The reporting structure must address the profit and quality management objectives assigned to both product line and functional managers. A thorough planning and evaluation process that recognizes the institution's unique objectives is the key to successful implementation. This article is the final in a series on product line management in health care. The previous two articles examined the concepts and evolution of product line management and the alternative product line organizational models.

Decision Support Systems, Management↗
PubMed1987

Cost accounting in health care: fad or fundamental?

The drastic changes in the environment affecting hospitals have caused management to look toward capturing and reporting cost information to make decisions. These decisions will, in part, shape the way hospitals continue to do business. This article focuses on the data requirements necessary to support product and operational management decisions facing today's hospitals. In addition, the difference in data needed to support product and operational management is explored.

Accounting↗
PubMed1988

Moving to micro-based cost accounting.

Cost accounting information is needed for flexible budgeting, productivity management, contracting with third party payors, physician evaluation, and investment and divestment decisions. This article discusses why an increasing number of hospital managers are turning to microcomputer-based accounting systems as solutions to these growing needs.

Accounting↗
PubMed2006

A global socio-economic-medico-legal model for the sustainability of longitudinal electronic health records. Part 1.

OBJECTIVES: This paper pursues the challenge of sustaining lifetime electronic health records (EHRs) based on a comprehensive socio-economic-medico-legal model. The notion of a lifetime EHR extends the emerging concept of a longitudinal and cross-institutional EHR and is invaluable information for increasing patient safety and quality of care. METHODS: The challenge is how to compile and sustain a coherent EHR across the lifetime of an individual. Several existing and hypothetical models are described, analyzed and compared in an attempt to suggest a preferred approach. RESULTS: The vision is that lifetime EHRs should be sustained by new players in the healthcare arena, who will function as independent health record banks (IHRBs). Multiple competing IHRBs would be established and regulated following preemptive legislation. They should be neither owned by healthcare providers nor by health insurer/payers or government agencies. The new legislation should also stipulate that the records located in these banks be considered the medico-legal copies of an individual's records, and that healthcare providers no longer serve as the legal record keepers. CONCLUSIONS: The proposed model is not centered on any of the current players in the field; instead, it is focussed on the objective service of sustaining individual EHRs, much like financial banks maintain and manage financial assets. This revolutionary structure provides two main benefits: 1) Healthcare organizations will be able to cut the costs of long-term record keeping, and 2) healthcare providers will be able to provide better care based on the availability of a lifelong EHR of their new patients.

Humans↗
PubMed2006

A global socio-economic-medico-legal model for the sustainability of longitudinal electronic health records - part 2.

OBJECTIVES: This paper pursues the challenge of sustaining lifetime electronic health records (EHRs) based on a comprehensive socio-economic-medico-legal model. The notion of a lifetime EHR extends the emerging concept of a longitudinal and cross-institutional EHR and is invaluable information for increasing patient safety and quality of care. METHODS: The challenge is how to compile and sustain a coherent EHR across the lifetime of an individual. Several existing and hypothetical models are described, analyzed and compared in an attempt to suggest a preferred approach. RESULTS: The vision is that lifetime EHRs should be sustained by new players in the healthcare arena, who will function as independent health record banks (IHRBs). Multiple competing IHRBs would be established and regulated following preemptive legislation. They should be neither owned by healthcare providers nor by health insurer/payers or government agencies. The new legislation should also stipulate that the records located in these banks be considered the medico-legal copies of an individual's records, and that healthcare providers no longer serve as the legal record keepers. CONCLUSIONS: The proposed model is not centered on any of the current players in the field; instead, it is focussed on the objective service of sustaining individual EHRs, much like financial banks maintain and manage financial assets. This revolutionary structure provides two main benefits: 1) Healthcare organizations will be able to cut the costs of long-term record keeping, and 2) healthcare providers will be able to provide better care based on the availability of a lifelong EHR of their new patients.

Humans↗
PubMed1991

Conflicting hospital performance data: who's right?

Take your pick. The hospital field's financial performance for 1989 was either: (a) bad; or (b) worse. The answer depends on whose performance report you're looking at. Three recently released reports by Van Kampen Merritt Investment Advisory Group, Health Care Investment Analysts Inc. and the Healthcare Financial Management Association disagree on just how bad hospitals' financial picture really is--although all agree that the situation is bleak at best.

Data Collection↗