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At least 721 records · Page 40Linked to original sources
PubMed1997

From WING to MMSA: experiences with the implementation of a distributed HIS.

The following paper analyses the transition from a host centered to a client-server based Hospital Information System (HIS) which takes place at the University Hospital of Giessen, Germany, since 1995. It focuses on the overall concept and practical realisation of the cornerstone within this transition, the Macintosh Mosaic Software Architecture (MMSA) which delivers now more than 90% of the clinical data which is entered on the wards and within the operating rooms. Besides the technical problems of the project, the paper also describes some aspects of the organisational challenges which took place within a typical German University Hospital during the last 4 Years and which mainly affect the daily management of a large HIS.

Germany↗
PubMed1997

Nursing process redesign with the implementation of a computer based patient record in the ambulatory setting.

Increasingly, health care organizations are considering moving to Computer Based Patient Records (CPR), a trend driven by managed care and capitated payments. Central to the change is recognition of the need for community based and clinically relevant information systems that span the care continuum. Thus, Aurora Health Care chose to start their CPR effort in the ambulatory setting as the focus of health care delivery in the evolving paradigm. This paper describes computerization of the ambulatory record in a 45 physician clinic and associated workflow redesign. Months were spent in the processes of: current state documentation and analysis, future state design, detail system design, and workflow reengineering. There was substantial impact on nursing care delivery with computer system interaction at the point of care in the exam room. Access to clinically relevant longitudinal data was found key to the implementation and evaluation of Care Management strategies.

Ambulatory Care Facilities↗
PubMedDate not supplied

Inova Fairfax Hospital goes wireless to improve services.

The advent of the wireless technology has brought new communications opportunities to healthcare facilities. A wireless phone system has allowed key employees to stay in touch at Inova Fairfax Hospital in Virginia, saving countless hours compared to traditional beeper systems, as well as saving money in reduced costs and improved efficiency.

Cost Control↗
PubMed1998

Is wireless technology ready to roll?

For years, health care organizations have been slow to accept wireless technology. But as more organizations are finding that the technology can improve care and save money, they're jumping on the wireless bandwagon. Some pioneering providers are even deploying multiple wireless technology applications. Their success is providing a road map for others to follow and building confidence in the emerging technology.

Costs and Cost Analysis↗
PubMed1998

Evolution of a cardiovascular information system.

The competitive nature of our evolving health care system mandates a concomitant increase in the level of sophistication of the cardiovascular information system. The new paradigms in health care also mandate a re-engineering of the process of data collection and analysis. This paper deals with a variety of hardware, software, and human issues encountered at our institution. Topics covered include implementation of service line management, utilization of an interdisciplinary medical informatics model, database conversion, and application development. Special attention will be paid to the development of a system which is a comprehensive information system for clinical and financial management of the cardiovascular patient, not just a quality-of-care database.

Cardiology Service, Hospital↗
PubMed1998

Portable productivity at the point of care.

Managed care is motivating providers to explore ways to reduce costs by improving performance at the point of care. One increasingly popular tool: portable and wireless computers and software to help capture clinical data.

Cost Control↗
PubMed1998

Dreaming up new home care solutions.

New prospective payment and outcomes assessment requirements--plus the ever-present need to run a business efficiently--are shaping home care information technology solutions that emphasize data entry at the point of care.

Home Care Services↗