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At least 793 records · Page 44Linked to original sources
PubMed1983

Information systems approach to integrated responses in the respiratory control system.

The appropriateness of integrated information systems to the description of integrated biological systems is discussed. An integrated information system in the physiology of the regulation of respiration is argued to be a structural mathematical model of the system and the relational data base, which it can compute. In contrast to the customary method of applying nonspecific statistical or control system formulations to data, the model-data base combination attempts to produce insight by reproducing from a single formulation many sets of experimentally validated data. The model then may predict results for experiments not yet done. An information system (thus defined) has both explanatory power and heuristic value.

Biomedical Engineering↗
PubMed1992

[Aspects of meat inspection in the framework of a system of Integrated Quality Control for slaughtering pigs].

This article evaluates different aspects of meat inspection that are important in an integrated quality control system for slaughter pigs. The meat inspection service registers post-mortem abnormalities. However, to achieve a reliable registration, it is necessary to be able to identify individual animals on the slaughter-line. The information about post-mortem abnormalities can be used by the meat inspection service. Percentages of abnormalities in a shipment of pigs were included in meat inspection indices. It was not possible to predict the percentages of abnormalities in shipment of pigs from individual pig suppliers, but it was possible to classify fattening herds according to the meat inspection index. Information about the pigs delivered from a fattening herd was provided in two ways: by delivering relevant information on a quality control card, and by preselecting (done by the pig supplier) pigs according to the presence or absence of abnormalities. With both methods it was possible to divide pigs into a group with and a group without post-mortem abnormalities. It is necessary that the information supplied is accurate. Information can be checked by screening a number of animals for drug residues (and zoonoses) at the slaughterhouse, and by checking the information registered by the pig supplier in logbooks kept on the farm. From a comparison of results obtained with a meat inspection method based on visual inspection (no incisions, no palpitation) of the carcass with those obtained with the regular meat inspection method, it can be concluded that many abnormalities are detected equally well with both methods. Some recommendations for further research are given.

Animals↗
PubMed1995

Information requirements for an integrated delivery system.

The health care marketplace in the United States is rapidly changing, resulting in more integrated delivery systems that will assume the financial risk for the clinical care of a mostly capitated population. The information requirements of a successful integrated delivery system must include: document management; orders and results management; clinical protocols with embedded case management tools; clinical decision support; and administrative practice management functions such as enrollment management, scheduling, and utilization management. These requirements can only be fulfilled using new information technologies, modified assessment strategies, and migration plans grounded in process analysis and re-engineering.

Delivery of Health Care, Integrated↗
PubMed1994

Financing of integrated delivery systems.

This chapter addresses the financing of integrated delivery systems. It discusses the assessment of financing needs and taxable financing options, including standard commercial loans, lines of credit, commercial paper, and taxable bonds. The chapter also addresses tax-exempt financing, including tax-exempt bonds, and eligibility for tax-exempt financing.

Capital Financing↗
PubMed2001

Using an integrated measurement system as a common language: lessons from the U.S. Army medical department.

The Process of developing an integrated measurement system for the U.S. Army Medical Department (AMEDD) is examined in this study. A fundamental issue is whether the measures of performance accumulated by any information system are the correct ones and whether these measures appropriately reflect managers' decision making. Measurement is proposed as a solution to performance barriers. The four steps involved in building the AMEDD integrated measurement system (IMS) model are set out. Strategy is explored as the key input to the IMS model. An activity-based management (ABM) model that can support the required IMS cost-based measures is also described and the interrelationship between the two models is illustrated. The key test for application of the IMS model will be whether linking strategy and measurement results in information that improves decision making.

Benchmarking↗
PubMed1997

Seven steps for adding value to integrated delivery systems.

"Value is a spectrum of needs that you seek to fulfill," says Dean C. Coddington, senior author of Making Integrated Health Care Work. And adding value to products and services is becoming more crucial as healthcare organizations look for ways to stand out among competitors. The seven basic components of value for an integrated system, says Mr. Coddington, are improving quality of care, improving service, improving accessibility, reducing unit costs, increasing operating efficiency, strengthening customer ties and enhancing product offerings. In this issue, The Quality Letter reports on how several systems have used these seven components to increase patient and purchaser satisfaction.

Case Management↗
PubMed2006

BASC: an integrated bioinformatics system for Brassica research.

The BASC system provides tools for the integrated mining and browsing of genetic, genomic and phenotypic data. This public resource hosts information on Brassica species supporting the Multinational Brassica Genome Sequencing Project, and is based upon five distinct modules, ESTDB, Microarray, MarkerQTL, CMap and EnsEMBL. ESTDB hosts expressed gene sequences and related annotation derived from comparison with GenBank, UniRef and the genome sequence of Arabidopsis. The Microarray module hosts gene expression information related to genes annotated within ESTDB. MarkerQTL is the most complex module and integrates information on genetic markers, maps, individuals, genotypes and traits. Two further modules include an Arabidopsis EnsEMBL genome viewer and the CMap comparative genetic map viewer for the visualization and integration of genetic and genomic data. The database is accessible at http://bioinformatics.pbcbasc.latrobe.edu.au.

Arabidopsis↗
PubMed1995

Introduction: evolution of patient-focused care within the contextural framework of an integrated delivery system (IDS).

Whatever the specific actions taken to move toward a truly integrated delivery system, the most critical success factor may be the "rate of integration." (See Figure 2 below). The IDS that achieves the most rapid rate of integration (A) may not initially be the market leader. However, the ability to integrate will have a major impact on how well an organization manages managed care and subsequently the long-term growth and profitability of the system. Many thanks are extended to the authors of the following articles. I believe you will find the articles helpful in developing a deeper understanding of patient-focused care in general and in understanding strengths, areas of needed improvement, and application of the model in an IDS environment.

Continuity of Patient Care↗
PubMed2003

Visualization of the eloquent motor system by integration of MEG, functional, and anisotropic diffusion-weighted MRI in functional neuronavigation.

BACKGROUND: In this study, we visualized the eloquent motor system including the somatosensory-motor cortex and corticospinal tract on a neuronavigation system, integrating magnetoencephalography (MEG), functional magnetic resonance imaging (fMRI), and anisotropic diffusion-weighted MRI (ADWI). METHODS: Four patients with brain lesions adjacent to the eloquent motor system were studied. Motor-evoked responses (MER) by finger-tapping paradigm were acquired with a 1.5-Tesla MR scanner, and somatosensory-evoked magnetic fields (SEF) by median nerve stimulation were measured with a 204-channel MEG system. In the same fMRI examination, ADWI and anatomic three-dimensional T1-weighted imaging (3-D MRI) were obtained. Activated areas of MER, estimated SEF dipoles, and the corticospinal tract on ADWI were coregistered to 3-D MRI, and the combined MR data were transferred to a neuronavigation system (functional neuronavigation). Intraoperative recording of cortical somatosensory-evoked potentials was performed for confirmation of the central sulcus. RESULTS: Combination of fMRI and MEG enabled firm identification of the central sulcus. Functional neuronavigation facilitated extensive tumor resection, having the advantage of sparing the motor cortex and corticospinal tract in all cases. CONCLUSIONS: The proposed functional neuronavigation allows neurosurgeons to perform effective and maximal resection of brain lesions, identifying and sparing eloquent cortical components and their subcortical connections. Potential clinical application of this technique is discussed.

Adolescent↗
PubMed1998

ASHP survey of ambulatory care responsibilities of pharmacists in integrated health systems--1997.

The results of a national survey of the ambulatory care functions of pharmacists in integrated health systems, including managed care organizations, are reported. Persons responsible for ambulatory care pharmaceutical services in 392 integrated health systems nationwide were interviewed by telephone and asked about their systems' organizational characteristics, information systems, pharmacist functions, and performance measures. Respondents reported a range of health-system components, including acute care hospitals, home health services, managed care products, and ambulatory care centers. Approximately 27% of respondents reported that their health system had an electronic medical records system, and 23% reported having one for ambulatory patients. Approximately 49% of respondents indicated that their system had an interdisciplinary care team for ambulatory patients that included a pharmacist. Overall, distributive functions consumed the largest portion (45%) of pharmacists' time, followed by clinical (30%) and administrative (21%) activities. The percentages of time spent on the different functions varied by geographic region and type of health system. Tracking adverse drug reactions, monitoring medication compliance, using pharmacoeconomic data for formulary decision-making, conducting medication management programs, and patient counseling were routinely provided as part of ambulatory care pharmaceutical services by 75% or more of health systems. Financial performance and patient satisfaction were the most frequently used performance-evaluation measures. Overall, pharmacists providing ambulatory care services in integrated health systems spent about 45% of their time on distributive, 30% on clinical, and 21% on administrative functions.

Ambulatory Care↗
PubMed1999

[Theory of functional systems and integrative physiology].

The paper postulates that the theory of functional systems proposed by P. K. Anokhin has given an impetus to the understanding of the body's integrative activities. The functional systems are shown to be units of the activities. Individual functional systems in their characteristic processes of self-organization and self-regulation, hierarchic, multi parametric and consecutive interactions of the body's functional systems have integrative properties. The theory of functional systems have disclosed many unknown brain integrative properties: the specificity of ascending activating influences of subcortical formations on the cortex, various patterns of excitation convergence on cortical neurons, the specific features of chemical postsynaptic processes that are characteristic of each functional system. Particular emphasis is laid on the informational mechanisms of the integrative activities of functional systems.

Brain↗
PubMed2003

Enhanced three-dimensional integral imaging system by use of double display devices.

We propose an enhanced three-dimensional (3D) integral imaging system using multiple display devices. Experimental results with double devices prove the improvement in the image depth for a given image quality. We present experiments on an enhanced 3D integral imaging system using double display devices, in which two 3D subimages that cover different depth ranges are separately generated in each device, and then they are combined with a beam splitter to reconstruct the whole 3D image with an enhanced depth of view. In a similar manner, the double-device system can also be used to obtain a wider viewing angle by combining two images with different viewing angle ranges. We discuss the possibility of 3D integral imaging systems using multiple display devices as extensions of the system with double display devices.

Journal Article↗
PubMed1998

Strategies for clinics. How integrated delivery systems are applying automation at their group practices.

Integrated delivery systems that have created or acquired physician group practices are attempting to determine the best way to apply information technology at these sites. This involves standardizing on one practice management system for all sites, determining the feasibility of installing electronic patient records systems and expanding computer networks to accommodate the exchange of data among outpatient as well as inpatient sites.

Community Networks↗
PubMed1995

Achieving breakthrough performance in an integrated delivery system.

The challenges facing Blue Cross and Blue Shield of Massachusetts were considerable. Its products were largely indemnity-oriented. Its cost structure was high compared to the newer managed care industry. Its service culture was more internally directed than the competition. Its financing and payment systems were not well integrated into the delivery system. The ultimate challenge in the face of an increasingly competitive environment was to reengineer the company.

Appointments and Schedules↗
PubMed2002

Developing and integrating an adverse drug reaction reporting system with the hospital information system.

We have developed an adverse drug reaction (ADR) reporting system integrating it with Hospital Information System (HIS) of the University of Tokyo Hospital. Since this system is designed with JAVA, it is portable without re-compiling to any operating systems on which JAVA virtual machines work. In this system, we implemented an automatic data filling function using XML-based (extended Markup Language) files generated by HIS. This new specification would decrease the time needed for physicians and pharmacists to fill the spontaneous ADR reports. By clicking a button, the report is sent to the text database through Simple Mail Transfer Protocol (SMTP) electronic mails. The destination of the report mail can be changed arbitrarily by administrators, which adds this system more flexibility for practical operation. Although we tried our best to use the SGML-based (Standard Generalized Markup Language) ICH M2 guideline to follow the global standard of the case report, we eventually adopted XML as the output report format. This is because we found some problems in handling two bytes characters with ICH guideline and XML has a lot of useful features. According to our pilot survey conducted at the University of Tokyo Hospital, many physicians answered that our idea, integrating ADR reporting system to HIS, would increase the ADR reporting numbers.

Adverse Drug Reaction Reporting Systems↗
PubMed1999

Integrated delivery systems: non fait accompli.

This article explores the themes that advocates of integrated delivery systems (IDSs) hoped would allow them to favorably leverage the final stages of managed care evolution: revenue generation, cost control, and quality improvement. In reality, however, IDSs have been highly unsuccessful in growing market share, competing against other managed care forms, and integrating delivery systems--their raison d'être. Two key concepts in global theory, risk and episodic management, are introduced, and utilized to show how IDSs addressed these fundamental properties inappropriately. As a result, financial results and system performance have been dismal. A prognosis is given as well as suggestions for improvement through risk bifurcation, global fees, and integrated episodes of care.

Contract Services↗
PubMed2004

Wide-viewing projection-type integral imaging system with an embossed screen.

A projection-type integral imaging system with an embossed screen is proposed to realize a wide viewing angle for the reconstructed image. The embossed screen is designed for virtual integral imaging in a projection-type system. It can enhance the viewing angle by increasing the effective region for each elemental image. The experimental result that verifies the merit of the proposed method is presented.

Journal Article↗