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Powerful and versatile, UNIX makes open systems affordable in today's complex healthcare marketplace. As more emphasis is placed on combining the best systems for the least money, UNIX plays an important role. How many hospitals are using it already?
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Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Grace Hospital in Morgantown, NC, replaced its information system with a remote computing system. As a result, the hospital is free of the burden of operating, maintaining and programming a large system.
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In a candid interview with Computers in Healthcare, Nobel Prize winner Arno Penzias, Ph.D., calls healthcare backward and archaic, the last remaining cottage industry of our time. "Physicians are not going to the keyboard," he states with conviction born of his own experience in what he characterizes as today's very un-high-tech healthcare organizations.
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A new health center of Harvard Community Health Plan of Boston, MA, has been the test site for aspects of InterPractice Systems including the automated medical record, test and prescription ordering, results management, and home systems. Some of our staff had no prior computer experience, some had extensive experience. We have found the system to be valuable in accessing information quickly and efficiently. In addition, clinical, medication and test data can be manipulated and organized in new and powerful ways. Patient records are always legible and are accessible at multiple locations at the moment they are completed. Recording of information has not been a burden. Prescription ordering has been a success and ordering of laboratory and radiology tests is becoming more simplified. A pilot test of the home systems has been promising. The use of the system does not appear to interfere with the doctor-patient relationship. The system holds the potential of being used as a tool for clinical research and outcomes studies and as an aid in defining the efficient use of resources while continuously improving the quality of care our patients receive.
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A comprehensive and reliable computer-based RIS can significantly improve patient care. The authors present case studies that illustrate different approaches to selection and implementation of an RIS. Detailed coverage is given to criteria for the RIS, the selection process, integration with hospital information systems and planning for the future.
Developing advanced clinical information systems is a complex and arduous task. The pressures on the health care delivery system make the task imperative. Because of such a system's complexity, its potential to alter radically the practice of medical care, and the magnitude of the required investment, health care delivery organizations would be well served by a thoughtful determination of the perspectives, philosophies, and strategies that will govern the approach to this task. This article has presented a description of the results of the deliberations of the leadership of one organization, the Brigham and Women's Hospital. The ideas and activities described should prove useful to other organizations engaged in their own deliberations.
More efficiently managed programs of health insurance claims processing and remittance with reduced costs and paperwork burdens hold out the potential for increased benefits to subscribers and health insurers alike. The computer/telecommunications systems and databases by which these efficiencies may be realized also hold great promise for improved services in other arenas. Early and candid recognition of the equally great potential for danger and abuse in those systems and the technology can guide the development and implementation of appropriate and necessary safeguards to individual privacy and to a democratic society in concert with system design.