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PubMed1991

Computers are stepping stones to improved imaging.

Never before has the radiology industry embraced the computer with such enthusiasm. Graphics supercomputers as well as UNIX- and RISC-based computing platforms are turning up in every digital imaging modality and especially in systems designed to enhance and transmit images, says author Greg Freiherr on assignment for Computers in Healthcare at the Radiological Society of North America conference in Chicago.

Data Display↗
PubMed1991

Optical disk testing opens hospital's eyes.

After six months of testing, Beth Israel Medical Center in New York City is ready to say "yes" to optical disk storage of medical records. Eventually, the system is expected to help eliminate storage costs for 4 million pieces of paper per year, microfilming costs of $200,000 per year and labor costs for pulling and refiling 700 charts every day.

Hospital Bed Capacity, 500 and over↗
PubMed1990

Integrated information and image management systems for the 90s.

The rising number of implementations of PACS (Picture Archiving and Communications Systems) subsystems, specialized information systems (radiology, laboratory, pharmacy, and other ancillary departments), and increased interest in the role of optical storage systems hospitalwide, creates an environment that demands the integration of each of these systems if the hospital is to operate at maximum profitability levels. This has been recognized by several groups who have proposed standards for communication between vendors and systems, and their efforts, combined with the support of the hospitals, will hopefully allow the promise of a fully electronic hospital to become a reality. While the concept of a totally integrated fully electronic hospital has been with us for over a decade, only recently have medical vendors attempted to evolve from a conceptual phase to one of workable, cost-effective systems. Few will debate the fact that the fully integrated information and image management system is still several years away, yet many hospitals have recognized the importance of planning for use of the component technology available today. This planning stage is critical and, combined with the phased implementation of the existing technologies, it can provide significant advantages in the overall acceptance of this future technology. This paper addresses the role of the standards organizations in making this integration a reality, how conceptually a fully integrated information and image management system will work, new technologies and their potential uses in the hospital, and both the advantages the technology can bring in solving existing problems and hurdles that still need to be overcome.

Computer Communication Networks↗
PubMed1991

Optical technology demonstrates benefits.

This article explores four applications of optical technology in the healthcare industry. The author has approached several end users of existing optical-technology-based systems to learn their reasons for choosing these systems and what benefits they have realized.

Cost-Benefit Analysis↗
PubMed1992

Image-based document management systems for medical records.

Using image scanning as a document capture mechanism at time of treatment or on day of discharge automates the medical record to achieve the larger objectives of simultaneous concurrent access to an electronic chart. This form of keyless document capture, although appearing labor intensive, is justified for improving business management and quality of care. Coupled with optical character recognition or barcode recognition for keyless data capture, medical information may be more easily made available for clinical research. Not merely a microfilm alternative, a medical record management system accelerates chart completion. Labor reduction is realized by eliminating filing and retrieval of active charts, loose sheet handling, photocopying, chart assembly, and chart location control. By reducing the reasons for chart completion delays, accelerated billing of Medicare accounts will occur, resulting in a reduction in receivables. Image-based document management systems accomplish the three things required of a senior manager in health care: (1) solve problems, (2) save money, and (3) make money.

Archives↗
PubMed1992

Patient cards: storage and input for medical data.

The literature concerning the diffusion of innovations reveals that it is not surprising that a promising technology is confronting obstacles in its development and implementation. Alternative technologies also often appear that address the same or similar problems. Better information enables physicians to provide medical care that is less expensive and less error prone. The prescription of medications is reduced in number and cost when the prescribing physician knows the current and previous medications of the patient. The ordering of clinical tests is reduced in number and cost, and the ordering of timely retesting is more likely when physicians have before them information about previous testing of their patient. The challenge is in how the portability of the patient card and its ability to be self-contained can enhance medical practice.

Data Collection↗
PubMed1992

Overruled: objections to optical disk archiving.

In summary, while the Federal Rules of Evidence neglect to specifically address the admission of optical disk evidence, the Rules do recognize the reliability and admissibility of records maintained with modern computer storage techniques. In certain cases, information stored on optical disk will constitute original information; in others, the information will constitute an admissible duplicate. Regardless of the classification, the optical disk evidence should be admissible if the party offering the evidence can establish that the optical disk storage and retrieval process accurately reproduces the original document. The admission of medical records stored on optical disk will be challenged. The technology involved in optical disk storage, however, makes optical disk information more reliable than magnetic disk information. As a result, optical disk evidence currently should survive challenges more readily than magnetic disk evidence.

Documentation↗
PubMed1992

Health information management using optical storage technology: case studies.

All the health care facilities examined in the case studies addressed several important organizational issues before and during the installation of their systems. All the facilities examined employee commitment. The prudent managers considered how easily their employees adapt to changes in their jobs and work environment. They considered how enthusiastic cooperation can be fostered in the creation of a liberated and reengineered office. This was determined not only by each individual's reaction to change, but also by the health care facility's track record with other system installations. For example, document image, diagnostic image, and coded data processing systems allow the integration of divergent health care information systems within complex institutions. Unfortunately, many institutions are currently struggling with how to create an information management architecture that will integrate their mature systems, such as their patient care and financial systems. Information managers must realize that if optical storage technology-based systems are used in a strategic and planned fashion, these systems can act as focal points for systems integration, not as promises to further confuse the issue. Another issue that needed attention in all the examples was the work environment. The managers considered how the work environment was going to affect the ability to integrate optical image and data systems into the institution. For example, many of these medical centers have created alliances with clinics, HMOs, and large corporate users of medical services. This created a demand for all or part of the health information outside the confines of the original institution. Since the work environment is composed of a handful of factors such as merged medical services, as many work environment factors as possible were addressed before application of the optical storage technology solution in the institutions. And finally, the third critical issue was the organization of work. "Organizations that understand their business processes are having no trouble whatsoever justifying the cost of optical storage-based information management systems," said Thornton May, director of imaging research at Nolan Norton Institute. "It is only confusing to organizations that do not have a feel for what is happening in the flow of work in the company. If an organization has on-line performance measurements with regard to time, cost, quality, error rates, and customer service, the move to optical image and data management technology is a no-brainer."(ABSTRACT TRUNCATED AT 400 WORDS)

CD-ROM↗
PubMed1992

The management of medical records.

An optical disk filing system is an efficient approach to storing medical records; however, this system has not yet been put to practical use because it is usually a "stand-alone" type indirectly connected to a hospital information system. We have developed a medical record management system with an optical disk filing system connected to the host computer in the hospital information system. We can retrieve and display the medical records through the CRT (Cathode Ray Tube) terminals of the hospital information system at every ward and outpatient clinic. The patient's clinical information can be sent to several areas in the hospital using the hospital information system.

Computer Communication Networks↗