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At least 163 records · Page 9Linked to original sources

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↗

Improving imperfect data from health management information systems in Africa using space-time geostatistics.

BACKGROUND: Reliable and timely information on disease-specific treatment burdens within a health system is critical for the planning and monitoring of service provision. Health management information systems (HMIS) exist to address this need at national scales across Africa but are failing to deliver adequate data because of widespread underreporting by health facilities. Faced with this inadequacy, vital public health decisions often rely on crudely adjusted regional and national estimates of treatment burdens. METHODS AND FINDINGS: This study has taken the example of presumed malaria in outpatients within the largely incomplete Kenyan HMIS database and has defined a geostatistical modelling framework that can predict values for all data that are missing through space and time. The resulting complete set can then be used to define treatment burdens for presumed malaria at any level of spatial and temporal aggregation. Validation of the model has shown that these burdens are quantified to an acceptable level of accuracy at the district, provincial, and national scale. CONCLUSIONS: The modelling framework presented here provides, to our knowledge for the first time, reliable information from imperfect HMIS data to support evidence-based decision-making at national and sub-national levels.

Africa↗

Work stress and depressive symptoms among Japanese information systems managers.

The aim of the present study is to investigate the task-specific work stressors of IS (Information Systems) managers and to analyze the effect of these work stressors on depressive symptoms among these managers. A questionnaire including 33 items on work stressor was designed. Three hundreds of samples were gathered. The response-rate was 66.4%. Factor analysis suggested that these 33 items were categorized into 8 factors; job-overload, project-management, mental-rewards, job-latitude, communication with users, career development, technical difficulty, and work-environment. Eight work stressor scores were constructed using this Factor analysis. Using the 8 stressor-scores, and 6 items of background data, multiple regression analysis was conducted on the depressive symptoms score. Depressive symptoms were assessed using the Center for Epidemiologic Studies-Depression (CES-D) scale. The results showed that the factors of project-management, mental-rewards, and job-overload had significant effect on depressive symptoms (p < 0.01). It is indicated for the first time that software project management affects depressive symptoms in systems managers.

Depression↗

Implementing health management information systems: measuring success in Korea's health centers.

This article analyses the effects that the introduction and adoption of a health management information system (HMIS) can have on both the productivity of health center staff as well as on user-satisfaction. The focus is upon the service provided by the Kwonsun Health Center located in Suwon City, Korea. Two surveys were conducted to measure the changes in productivity and adoption (knowledge, persuasion, decision, implementation and confirmation) of health center staff over time. In addition, a third survey was conducted to measure the effects of HMIS on the level of satisfaction perceived by the visitors, by comparing the satisfaction level between the study health center and a similar health center identified as a control. The results suggest that HMIS increased the productivity and satisfaction of the staff but did not increase their persuasion and decision levels; and, that is also succeeded in increasing the levels of visitors' satisfaction with the services provided.

Adult↗

Product matrix: materiel management information systems. A look into the 90s: software catches up with hardware.

As always, you'll have to fight for the dollars to buy systems, competing with departments who produce revenue. Financial managers and hospital boards respond most favorably to a good return on investment (ROI) presentation. Join forces with your software vendor of choice and give your board the best ROI argument they'll hear this year. Keep two things in mind: 1) today's innovations, particularly in reducing inventory, interfacing and lower hardware costs will help you make your case and 2) make sure the system is growing consistent with the industry to ensure you won't be asking for a similar purchase three years from now.

Catalogs, Commercial as Topic↗

Design considerations for community mental health management information systems.

Many community mental health centers are presently faced with the necessity of implementing a management information system. This article offers guidelines for centers dealing with this situation. Whether a center chooses to adapt an existing system or develop one of its own, careful planning prior to the implementation of the system can help ensure that it will meet the needs of the center and operate successfully. The guidelines are organized into the categories of data considerations, people considerations, and system considerations. The first two categories are of general interest, whereas the last category is more technical in nature.

Community Mental Health Centers↗

Use of database management software in a management information system.

If information is to play a useful role in the decision making process, an organization must design a system for capturing, organizing and presenting information from daily activities to its managers. Use of relational database management software to design a custom application as part of a management information system is both practical and cost effective. Designing a database management application is very challenging but well worth the effort, asserts the author of this case study.

Data Display↗

The changing flow of management information systems in long-term care facilities.

Over the past three decades, the long-term care community has seen continual increases in the complexity and sophistication of management information systems. These changes have been brought about by the ever-increasing demands on owners and managers to provide accurate and timely data to both regulators and financial investors. The evolution of these systems has increased rapidly in recent years as the nation attempts to reinvent the funding mechanisms for long-term care.

Accounting↗

Respiratory care management information systems.

Hospital-wide computerized information systems evolved from the need to capture patient information and perform billing and other financial functions. These systems, however, have fallen short of meeting the needs of respiratory care departments regarding work load assessment, productivity management, and the level of outcome reporting required to support programs such as patient-driven protocols. The respiratory care management information systems (RCMIS) of today offer many advantages over paper-based systems and hospital-wide computer systems. RCMIS are designed to facilitate functions specific to respiratory care, including assessing work demand, assigning and tracking resources, charting, billing, and reporting results. RCMIS incorporate mobile, point-of-care charting and are highly configurable to meet the specific needs of individual respiratory care departments. Important and substantial benefits can be realized with an RCMIS and mobile, wireless charting devices. The initial and ongoing costs of an RCMIS are justified by increased charge capture and reduced costs, by way of improved productivity and efficiency. It is not unusual to recover the total cost of an RCMIS within the first year of its operation. In addition, such systems can facilitate and monitor patient-care protocols and help to efficiently manage the vast amounts of information encountered during the practitioner's workday. Respiratory care departments that invest in RCMIS have an advantage in the provision of quality care and in reducing expenses. A centralized respiratory therapy department with an RCMIS is the most efficient and cost-effective way to monitor work demand and manage the hospital-wide allocation of respiratory care services.

California↗

Reliability of the Manitoba Mental Health Management Information System for Research.

OBJECTIVES: To determine the accuracy of data contained in Manitoba's Mental Health Management Information System (MHMIS) as compared with client charts and to determine which factors influence completeness and accuracy. METHODS: Data on diagnosis, open date and close date, demographic information, and contact information were obtained from client charts and compared with data extracted from the MHMIS. Semistructured interviews were conducted with individuals who contribute data to the MHMIS. RESULTS: Data on required demographic variables, primary diagnosis, and open and close dates are highly similar in the 2 sources. The correlation between data sources on the number of client contacts is also good. CONCLUSION: This study establishes the reliability of MHMIS data. MHMIS data, in combination with hospital abstracts and physician claims data, provide the information needed to serve as a psychiatric case register (PCR) and can be used for psychiatric epidemiology as well as for planning, monitoring, and evaluating mental health services.

Cross-Sectional Studies↗

Health Care Financing Administration--Medicaid program; Medicaid management information systems. Final rule.

These regulations set forth a new procedure to improve Medicaid management by explicitly authorizing HCFA to expand or revise State Medicaid Management Information Systems (MMIS) as necessary to meet program needs. Under this procedure, HCFA will publish major new requirements for comment before deciding to adopt them, and will provide increased Federal matching and reasonable phase-in time for their implementation. HCFA will also periodically review ongoing systems to determine whether all system requirements and performance standards are being met and may reduce the level of Federal matching for those MMIS systems which do not meet prescribed standards.

Information Systems↗

Personal health information management system and its application in referral management.

We developed a web-based personal health record (PHR) that can be used by patients to collect and manage their health information (e.g., medical history, past surgeries, medications, and allergies), to request self-referrals, and to store a record of their consultations. The PHR also includes a messaging system that can be structured into the workflow of referral management as well as allowing more general communications. A preliminary study was conducted with 61 patients. Thirty-two patients completed a survey in which 85% of respondents were satisfied with the usability and 94% were satisfied with the overall online referral process. The consulting physicians were satisfied with the content of subjects' personal health information and referral problem descriptions and found the information detailed enough to triage all requested referrals. Patients, physicians, and patient care coordinators reported that their communications were enhanced by the system and found the messaging component convenient to use.

Adult↗

Corporatization of medicine: the use of medical management information systems to increase the clinical productivity of physicians.

Large corporate health care firms are seeking to reorganize the production of health services under growing cost-containment pressures from government and business payors. Medical management information systems (MMIS) applications are producing an increasing number of financially motivated utilization management interventions designed to constrain wide variations in the practice of medicine. In this article we examine how innovations in MMIS will be used to monitor practitioners' clinical decisions in order to improve the productivity of physicians and other health care personnel. As MMIS technology shifts power from previously autonomous physicians to corporate health care managers, the medical profession is likely to be subjected to far more administrative and bureaucratic controls than conceivable even a few years ago.

Cost Control↗