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Management reporting on the Web.

Driven by easy-to-use World Wide Web technology and new information integration concepts that have proven their worth in business and industry, online management reporting is now becoming an important strategy for improving operational performance in health care organizations. In this article, we provide an overview of these new information management concepts and describe our experience in planning and executing an enterprise-wide Web-enabled management reporting initiative. We also offer an inventory of the key organizational capacities that we found essential for developing and sustaining Web-enabled reporting services for health care managers.

Computer User Training↗

Searching for biomedical information on the World Wide Web.

The rapid growth of biomedical information available via the Internet and its most popular retrieval system, the World Wide Web, has fostered active research and development directed toward locating resources that are appropriate for answering specific queries. The goal is to create tools that optimize information retrieval (as measured by two quantities, precision and recall) while minimizing the effort required by the user. Existing Web retrieval tools can be divided into the following groups: manually maintained topical lists; automatically generated word-based indices; software agents and multi-index searching aids; network cataloging methods; and miscellaneous hybrid and newer approaches. Improvements in current methods should arise from further research into: methods of describing objects on the Web; improved ways of searching for (and within) collections of documents as opposed to single documents; the ability to search for fielded documents; and ways to describe resources that span intra- and interdisciplinary as well as cross-cultural linguistic differences. For this last problem, the U.S. National Library of Medicine's Unified Medical Language System (UMLS) will be of great help. As online information retrieval improves, efforts are underway to improve the online information itself; quality control over content is being addressed as the peer-review systems of traditional printed journals migrate into the realm of electronic publication.

Abstracting and Indexing↗

Too old to learn?

C.J. Albert, the head of family-owned Armor Coat Insurance, is just settling in on a Sunday evening when the receives an unsettling phone call from his star salesman. Fifty-two-year-old Ed McGlynn has just returned from a business dinner with his younger technology mentor, and he's none too happy with the way he's being treated. If C.J. doesn't take this attack dog off him, Ed warns, he's gone. C.J. had indeed assigned 28-year-old Roger Sterling--the company's monomaniacal, slightly antisocial director of e-commerce--to teach Ed about digital strategy and the Web. Reverse mentoring seemed like a good way to create synergy between the sales and technology groups. The goal was to create a digital insurance product that would allow Armor Coat to keep up with its competitors. But there'd been tension between Ed and Roger right from the start--stemming from their personalities and their two departments. So when the two reluctantly agreed to meet for dinner to talk, the conversation didn't go well. Ed insisted that great sales reps, not the Internet, are crucial to selling insurance. Roger insisted that the Web will revolutionize the way insurance is sold and distributed--that Ed either give in or move on. Ed took off in a huff and subsequently phoned C.J. Roger followed Ed's irate call with his own weary ultimatum: "Either Ed goes or I go." C.J. faces some difficult Monday-morning discussions with both disgruntled parties. What should he do? Six commentators, including a mentor-protégé pair, offer their advice in this fictional case study.

Administrative Personnel↗

Evergreen staff: building a tree of knowledge for continuous learning.

Healthcare institutions breathed a collective sigh of relief on January 1, when efforts made for remediation, testing, and contingency planning for the year 2000 finally paid off. Now that the technology has been improved to ensure compatibility, it is important to keep the momentum going to improve efficiency and increase productivity and patient satisfaction levels. One way to incorporate organizational priorities, goals, and strategy at the departmental level is to develop an education plan that stresses mastering fundamental skills. This article explores the components and role of an education plan and identifies the types of efforts that result in the greatest return. It concludes with a case study.

Computer User Training↗

Paperless hospital: reality, dream or a nightmare?

Public Hospitals of Styria (KAGes) are implementing new hospital information system (MEDOCS--MEdical and nursing DOcumentation and Communication network of Styria) in its 21 hospitals. One of the outstanding features of this system is the coverage of virtually all communication and documentation functions related to the patient. This should be the way to fulfill the conditions for gradually removing the paper as an information medium from daily hospital practice. This approach will be tested in the MEDOCS project at two evaluation sites. In this paper the authors discuss in form of "pros and contras" the chances and risks of this approach, as well as possible strategies during the steps of implementing the "paperless" hospital. Besides of general technological, medical and cultural considerations the paper discuss also the technical and economical aspects of "paperless" hospital implementation and production.

Austria↗

Use your data to efficiently monitor chronic illnesses.

Internet-based approach streamlines the work of case managers. Phone based follow-up programs can work well in monitoring chronically ill patients, but they are labor intensive. To get around this problem, a Colorado provider has teamed up with an application service provider to automate the collection of important data on a real-time basis. The result is an Internet-based system of alerts which tells case managers who they need to call and when.

Chronic Disease↗

Teaching information management.

Managing in the present chaotic hospital financing environment requires integrated clinical/financial data systems and people who know how to use them. Health care management students of the present and future will need to understand how these information systems are structured and used. This article describes a graduate course in integrated clinical/financial information management as it has evolved at Yale University. The course provides students a vicarious experience in information management through class sessions and exercises using a database of real patient and cost center level information. Health care management of the future will depend on interdisciplinary collaboration and partnerships in education between provider organizations and academic programs. Both are modeled in the course.

Clinical Medicine↗

Guiding seniors.

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Aged↗