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PubMed1999

Interdependence: a model for community-based health information management systems.

When a person becomes ill or injured, it is the health care professional's role to restore patients to their preexisting condition. However, when injuries or illness render the individual disabled, it has been my experience that the health care system continues treatment based on what has been regarded as the Medical Model. This Medical Model, however, may not be appropriate for enabling community independence of the individual disabled. An alternative method I have found to be more appropriate in meeting the community participation needs of the individual is examined in this article. The Interdependent Model promotes community acceptance and personal empowerment of the individual. This paradigm is capacities-driven rather than deficit-driven. In an exciting and important way, we have found that it repositions the health care professional's perspective of the doctor-patient relationship.

Activities of Daily Living↗
PubMed2003

Usefulness and effects on costs and staff management of a nursing resource management information system.

While administrative information systems can assist nurse managers to improve cost containment and resource management of their units, such effects cannot be known without rigorous evaluations. This article presents evaluation results of CLASSICA, an information system designed to provide decision support for nurse managers in financial management, resource allocation, and activity planning. CLASSICA demonstrated a 41% reduction in expenditures for overtime and extra hours during the evaluation period as compared with a 1.8% reduction in control units that did not use the system. Nurse managers reported a substantial improvement in management information and stated that they had gained control over costs. The system helped them analyse the relationships between patient activity, staffing and costs of nursing care. Nurse managers also reported high satisfaction with the system, the information and decision support provided, and its ease of use. These results suggest that CLASSICA is a decision support system that can successfully assist nurse managers in effectively managing their units.

Decision Support Systems, Management↗
PubMed1993

A cost-benefit analysis for materials management information systems.

The cost-benefit analysis provided the system planners with valuable information that served many purposes. It answered the following questions: Why was the CCF undertaking this project? What were the alternatives? How much was it going to cost? And what was the expected outcome? The process of developing cost-benefit the document kept the project team focused. It also motivated them to involve additional individuals from materials management and accounts payable in its development. A byproduct of this involvement was buy-in and commitment to the project by everyone in these areas. Consequently, the project became a team effort championed by many and not just one. We were also able to introduce two new information system processes: 1) a management review process with goals and anticipated results, and 2) a quality assurance process that ensured the CCF had a better product in the end. The cost-benefit analysis provided a planning tool that assisted in successful implementation of an integrated materials management information system.

Cost Savings↗
PubMed1998

Production and reproductive responses to use of DairyMAN: a management information system for New Zealand dairy herds.

To assess the benefits of on-farm use of a computerized management information system (DairyMAN, Department of Veterinary Clinical Science, Massey University, Palmerston North, New Zealand) on seasonally calving herds of New Zealand, data for 144 herds using this system were compared with a stratified random sample of 294 herds using only the centralized National Dairy Database system during the season 1993 to 1994. Demographic, reproductive performance, and milk yield indices were compared. Herds using DairyMAN had superior reproductive outcomes, measured as a higher percentage (+8.4%) of cows calving during the desired seasonal period (critical in this seasonal system) and a higher percentage of cows (+9.7%) mated at the optimal time to achieve a concentrated calving in the following year. Multiple analysis of covariance was used to differentiate effects. The superior performance was not associated with differences in some of the more commonly used reproductive indices (efficiency of estrus detection, first service nonreturn rate, and pregnancy rate), but the data used in the study do not accurately reflect true performance. Herds using DairyMAN had more information on breeding performance because pregnancy data were available and natural breedings were recorded for a longer period. With cows of equivalent genetic merit, herds using DairyMAN produced more milk (+1.2 L/d per cow) indicating that users achieved better management of the herd through improved attention to managerial details. This improved production was associated with the adoption of DairyMAN but is not shown by this study to be a direct consequence of it. DairyMAN user herds were larger (245 cows) than were herds not using the system (181 cows), but this difference did not significantly affect the various outcomes measured.

Animals↗
PubMedDate not supplied

Management information systems in maternal and child health/family planning programs: a multi-country analysis.

A diagnosis was conducted of management information systems (MIS) for maternal and child health and family planning programs in 27 African, 5 Asian, and 8 Latin American and Caribbean countries. The diagnosis covered the collection and use of information on physical infrastructure, human resources, equipment/supplies, services provided, coverage attained, and program quality and impact. It was found that many programs do not produce certain basic input and output indicators and that even among those that do, information is too infrequently brought to bear on management decision-making. Constraints under which the MIS operate in these countries are identified, and some rudimentary calculations of what would be required to improve MIS functioning are made.

Africa↗
PubMed1992

Gujarat model of health management information system with reference to malaria.

The Gujarat model of health management and information system has been developed with the objective of reducing the work load of health workers at all levels pertaining to record keeping and report preparation for enhancing the quality of health services, as well as for better implementation and timely monitoring of health programmes. Pro formas currently in use under various health programmes have been reorganized and updated. For monitoring malaria, the total number of registers has been reduced from seven to one, reporting forms from 23 to six and the number of columns in reporting forms from 493 to 59. The model is expected to save the working time of laboratory technicians (15%) and multi-purpose health supervisors (5%) at PHC level and of all workers (100%) engaged in report preparation at district, state and national levels. The data generated by using this model are expected to be of high quality and accuracy and should lead to more rational planning.

Humans↗
PubMed2002

Impact of a radio frequency management information system on the process and timing of providing respiratory care services.

BACKGROUND: Although radio frequency (RF) systems have proliferated and are designed to simplify care delivery in many clinical settings, little information is available on the impact of such RF systems on the delivery of patient care. Having used a hand-held-device-based management information system in our Respiratory Therapy Section for 16 years, we assessed the impact of an RF system on the delivery of respiratory therapy (RT) services. METHODS: A single nursing unit dedicated to pulmonary and ear, nose, and throat care was selected for the RF system trial. Baseline (pre-RF) data were collected over 2 separate 1-month intervals (February 1999 and February 2000). The main outcome measures were (1) the amount of time needed at the beginning of the shift to organize and assign orders for RT services, (2) the time interval between notification of an RT consult order and completion of the RT consult, and (3) the time interval between notification of an RT treatment order and completion of the RT treatment. The activities required for organizing and assigning the orders were manually timed. Starting 6 weeks after therapists were trained to use the RF system, similar data were collected while using the RF system for two 1-month intervals (February and March 2001). RESULTS: The mean +/- SD time interval between receiving an RT consult order and completing the consult was reduced from 7.8 +/- 18.9 h to 2.8 +/- 2.4 h (p = 0.002). The percentage of patients who waited longer than 8 hours between receipt of a consult order and completion of the consult decreased from 18% to 4.7% (p = 0.026). The total time required for organizing and assigning RT work was reduced from 81.6 min to 43.6 min. CONCLUSIONS: The RF system had several advantages over the hand-held-device-based system: (1) shorter interval between the order for and completion of an RT consult, (2) lower percentage of patients for whom the interval between the order and the consult exceeded 8 hours, and (3) less time required to make shift assignments. These results invite assessment of whether accelerated delivery of RT services confers clinical benefits.

Allied Health Personnel↗
PubMed2005

Design and implementation of a health management information system in Malawi: issues, innovations and results.

As in many developing countries, lack of reliable data and grossly inadequate appreciation and use of available information in planning and management of health services were two main weaknesses of the health information systems in Malawi. Malawi began strengthening its health management information system with an analysis of the strengths and weaknesses of existing information systems, sharing findings with all stakeholders. All were agreed on the need for reformation of various, vertical programme-specific information systems into a comprehensive, integrated, decentralized and action-oriented simple system. As a first step towards conceptualization and design of the system, a minimum set of indicators was identified and a strategy was formulated for establishing a system in the country. The design focused only on the use of information in planning, management and the improvement of quality and coverage of services. All health and support personnel were trained, employing a training of trainers cascade approach. Information management and use was incorporated into the pre-service training curriculum and the job description of all health workers and support personnel. Quarterly feedback, supportive supervision visits and annual reviews were institutionalized. Civil society organizations were involved in monitoring coverage of health services at local levels. A mid-term review of the achievements of the health information system judged it to be one of the best in Africa. For the first time in Malawi, the health sector has information by facility by month. Yet very little improvement has been noted in use of information in rationalizing decisions. The conclusion is that, no matter how good the design of an information system, it will not be effective unless there is internal desire, dedication and commitment of leadership to have an effective and efficient health service management system.

Diffusion of Innovation↗
PubMed1985

Management information systems and the role of the nurse vendor.

Nurse vendors have the ability and motivation to respond to market imperatives faster than most health care institutions. Vendors can contribute important knowledge to nursing literature about the consultant-expert vendor-client relationship and the expectations of both.

Commerce↗