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Issues in developing a faculty evaluation system.

The increasing demands for accountability in higher education are resulting in calls for important personnel decisions--such as promotion, tenure, pay, and continuation--to be based directly on the outcomes of systematic faculty evaluations. This article provides a step-by-step procedure for developing a fair and meaningful faculty evaluation system on which such personnel decisions can be based. The procedure systematically involves faculty and administrators in the design and development of a faculty evaluation program that reflects the unique values, priorities, and heritage of an institution. The resultant faculty evaluation system integrates data from students, peers, and administrators to provide meaningful evaluative information for both faculty use in self-improvement efforts and administrative use in making personnel decisions that are based on a valid and reliable faculty performance record.

Data Collection↗

From the sequence to cell modeling: comprehensive functional genomics in Escherichia coli.

As a result of the enormous amount of information that has been collected with E. coli over the past half century (e.g. genome sequence, mutant phenotypes, metabolic and regulatory networks, etc.), we now have detailed knowledge about gene regulation, protein activity, several hundred enzyme reactions, metabolic pathways, macromolecular machines, and regulatory interactions for this model organism. However, understanding how all these processes interact to form a living cell will require further characterization, quantification, data integration, and mathematical modeling, systems biology. No organism can rival E. coli with respect to the amount of available basic information and experimental tractability for the technologies needed for this undertaking. A focused, systematic effort to understand the E. coli cell will accelerate the development of new post-genomic technologies, including both experimental and computational tools. It will also lead to new technologies that will be applicable to other organisms, from microbes to plants, animals, and humans. E. coli is not only the best studied free-living model organism, but is also an extensively used microbe for industrial applications, especially for the production of small molecules of interest. It is an excellent representative of Gram-negative commensal bacteria. E. coli may represent a perfect model organism for systems biology that is aimed at elucidating both its free-living and commensal life-styles, which should open the door to whole-cell modeling and simulation.

Computational Biology↗

The effect of thyroid hormone on skeletal integrity.

BACKGROUND: Thyroid disease and osteoporosis are common problems often managed by primary care physicians. Despite many studies, confusion still exists about the effect of thyroid hormone on skeletal health. PURPOSE: To review evidence on the effect of thyroid hormone (from hyperthyroidism, exogenous or endogenous suppression of thyroid-stimulating hormone [TSH], and thyroid hormone replacement therapy) on skeletal integrity. DATA SOURCES: A MEDLINE search of papers published between 1966 and 1997. DATA SELECTION: Cross-sectional studies, longitudinal studies, and meta-analyses that had appropriate control groups (patients matched for age, sex, and menopausal status), made comparisons with established databases, or defined thyroid state by TSH level or thyroid hormone dose were reviewed. DATA EXTRACTION AND SYNTHESIS: Data synthesis was not straightforward because of changes in doses and types of thyroid hormone preparations; changes in definitions of thyroid hormone replacement therapy and suppressive therapies; problems with study design; differences in skeletal sites assessed (hip, spine, forearm, or heel) and techniques used to measure bone mineral density; and inclusion of heterogenous and changing thyroid disease states. Overall, hyperthyroidism and use of thyroid hormone to suppress TSH because of thyroid cancer, goiters, or nodules seem to have an adverse effect on bone, especially in postmenopausal women; the largest effect is on cortical bone. Thyroid hormone replacement seems to have a minimal clinical effect on bone. CONCLUSION: Women with a history of hyperthyroidism or TSH suppression by thyroid hormone should have skeletal status assessed by bone mineral densitometry, preferably at a site containing cortical bone, such as the hip or forearm.

Bone Density↗

Privacy Act of 1974; computer matching program--HCFA. Clarification--computer match between HCFA and the Internal Revenue Service (IRS)--notice published in the Federal Register on July 5, 1989.

Pursuant to the Computer Matching and Privacy Protection Act of 1988, Public Law 100-503, October 18, 1988, and the Office of Management and Budget (OMB) Guidelines on the Conduct of Matching Programs, the IRS published a notice in the Federal Register (54 FR 28149; July 5, 1989) announcing their intention to conduct a match with a number of Federal and State agencies including HCFA. These matches, in accordance with various provisions of section 6103 of the Internal Revenue Code (IRC) of 1986, provide these agencies with tax information from IRS records to assist them in administering the programs and activities as described. The match with HCFA is pursuant to IRC 6103(1)(7). The IRS is required, upon written request, to disclose current information from returns with respect to unearned income to any Federal, State, or local agency administering certain federally approved programs to provide, among other things, medical assistance. HCFA is publishing this notice to ensure that the public is aware that it is participating in this match to verify Medicaid eligibility. The HHS Data Integrity Board has approved an Agreement between HCFA and the IRS on February 8, 1990, as required by the Computer Matching and Privacy Protection Act of 1988.

Centers for Medicare and Medicaid Services, U.S.↗

Material requirements planning: a better way to plan material.

MRP systems can benefit hospitals in their management of material. Systems provide the means to schedule surgical procedures, calculate material requirements, release orders, plan future capacity requirements, and release and track work orders. MRP can be a powerful tool if properly implemented. All it takes is individuals dedicated to maintaining the discipline and data integrity required to make MRP successful.

Materials Management, Hospital↗

Risks associated with clinical databases.

Providers will succeed who are evaluating themselves, and who are continuously striving to examine who they are and where they are going. Conscientious providers know that countless other agencies have them under the microscope and that they have to work to stay ahead in assessing their actions through their clinical database. "Medical care value purchasing" is what every employer and payor is looking for, and providers need to find ways to illustrate cost in relation to quality. The basics of data security and protection should be in place in order to concentrate on the bigger picture. The knowledge of the risk associated with individual hospital databases as well as the risk associated with comparative databases is critical. The hospital-level clinical database is the hub of the wheel. If the risk there can be minimized, the data headed for various investigative sites will have less inherent risk. When it is really recognized and accepted that all financial decisions are made based upon the clinical data generated at the site of care, then data integrity will become a strategic advantage for the industry. Clinical database goals will, over time, cause minimization of risk at all levels. As this occurs, variation in treatment will be explained artfully.

Clinical Medicine↗

Selecting an HIS direction for the future.

Hoag Memorial Hospital Presbyterian, Newport Beach, CA, and The United Hospital, Grand Forks, ND, expand their data integration, access and functionality with a new hospital information system.

California↗

Today's or tomorrow's computer systems?

The computer technology of behavioral healthcare information systems must meet at least twelve requirements to effectively support clinical and management operations. Existing, antiquated "legacy" computer systems often fail to meet these requirements, due to high cost, slow turnaround, inconsistent data definitions, duplication, inflexibility and the lack of data integrity. There are five major transitions that an organization's information system undergoes to realize the full potential of new technology: from monolithic to parallel architectures; from procedural to object-oriented programming; from structural to relational databases; from legacy to "leap-frog" systems; and from fragmented systems to multimedia.

Budgets↗

Building a successful enterprise master patient index: a case study.

To ensure success in building an enterprise master patient index (MPI), an understanding of the complexities of the internal duplicate files and the overlap population is essential. Merging multiple MPIs is complicated and requires time and a commitment to accuracy. Most organizations underestimate the importance of the following ground rules for building an enterprise MPI: Internal duplicates need to be corrected; linking patient files with a statistical weighting algorithm is far superior to using rigid criteria; there are more overlap patient files than an organization usually perceives; an imprecise and incomplete base of demographic data will multiply the error rate for the enterprise; preliminary data analysis is critical to avoid linkage problems during conversion; and accurate data collection and monitoring are imperative for ongoing data integrity. The article discusses the major steps involved in creating an enterprise MPI and recommends solutions to common problems encountered during conversion.

Delivery of Health Care, Integrated↗

Advances in health information technology for patients.

Patients now have access to a wide variety of health-related educational material via computers and other sources. To ensure quality, security, and data integrity, it is likely that these databases of patient health information will become part of the information that HIM professionals manage and coordinate for patient use in the clinical setting. This article describes the health information resources available to patients.

Advance Directives↗

Obtaining and formulating a developmental history.

Obtaining a detailed developmental history from caregivers is essential to comprehensive assessment. This article describes the goals and characteristics of caregiver interviewing, and provides suggestions for integrating data with other sources. Several specific areas of exploration are identified.

Child, Preschool↗

Evaluation of the CAP microcomputer-based SNOMED encoding system.

The microcomputer-based SNOMED encoding system, recently announced by the CAP, has been evaluated in a setting designed to emulate the typical surgical pathology environment. Key features such as minimization of manual entry, ease of use, data integrity, and convenient retrieval capabilities were examined. The system was found to perform satisfactorily in all such features.

Computers↗

Maimonides Medical Center uses workflow management system.

This optically based system integrates data, image and sound into a unified workflow management system. Running on micros, the system involves a LAN, saves space and time, and has led to a significant reduction in accounts receivable.

Accounts Payable and Receivable↗

Managing care through managing information: are we headed in the right direction?

Healthcare organizations adopt HIMS to manage the large amount of data available in the patient medical record. The CPR, however, must be more than a mirror image of the paper record to yield analyzable data necessary to answer the consumer's questions about cost and quality of care. Although organizations strive to achieve standardization of medical recording required for analysis, they must also be attuned to factors necessary to achieve end-user compliance and comfort with data input. The closer organizations move to ease of conversion to computerized medical records, the further they may be moving away from data integrity. What is more, the optimal balance point may be different for each organization.

Attitude to Computers↗

A brief summary of my ideas on evolution.

A brief summary of my current ideas on evolution is presented. Three recent books that represent important synopses of evolution are considered in the discussion. Differences between plants and animals that have important implications for evolution in the two groups are discussed. Progress in understanding plant evolution requires synthetic studies integrating data from many different areas of research.

Journal Article↗

Combinatorial Materials Science and Catalysis.

After forever changing the drug discovery process in the pharmaceutical industry, combinatorial chemistry methodologies are increasingly being applied to the discovery and optimization of more efficient catalysts and materials (see picture). With the advent of new combinatorial synthesis and screening technologies, coupled with integrated data management systems, the application of these technologies to materials science and catalyst research holds tremendous potential and brings high expectations to this new and exciting field.

Journal Article↗

[Use of health care quality indicators in the study of the therapeutic-diagnostic process].

Definition of the notions "medical care quality" (MCQ) and "medical error" (ME) and their range depending on the negative effect of ME on the status of essential signs of MCQ, obligatory registration and possibility of universal description of all detected ME and their negative consequences by means of automated expert methods helped the authors develop quantitative parameters of the state of 3 components of MCQ. Based on these data, integral value of MCQ state and the structure of facultative MCQ were estimated.

Delivery of Health Care↗