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Managerial guidelines for implementing teleradiology.

How should the manager of a healthcare organization approach this new and quickly changing technology? How should the technology be diffused within the medical organization's structure? How can unnecessary costs be avoided?

Computer Communication Networks↗

Characteristics of health data: structure and relationships.

The characteristics of health data are diverse and vary by discipline. Health data can be viewed from three perspectives. They can be examined at a basic level of different variable types and database constructions. At an intermediate level, the way data are structured in a facility is a model of how an organization works. A computerized information system is a model of how work is performed. An understanding of facility data architecture and data structure is essential for adapting both manual and computerized systems to the rapid changes occurring in health care today. Lastly from the highest-level perspective, for communication and exchange of health data to be possible across all components of the health care delivery system, standards for data must be adopted by all institutions and individuals involved in the development of health data information systems. To expedite such exchange, the American Medical Informatics Association (AMIA) has recommended standards for patient, provider, and site-of-care identifiers; computerized message exchanges; and medical record content and structure. AMIA has also recommended the use of the universal medical language system as the basis for future developments in a universal medical language.

Abstracting and Indexing↗

Live on the Internet: surgery.

A Massachusetts hospital uses live surgical scenes, an interactive survey and other measures to build interest in its Web site. It's also using Internet technology for its growing intranet.

Commerce↗

The EUROMEDIES EDI prototype system.

EDI is expected to be the dominant form of business communication between organisations moving to the Electronic Commerce era of 2000. The healthcare sector is already using EDI in the hospital supply function as well as in the clinical area and the reimbursement process. In this paper, we examine the use of EDI in the healthcare administration sector and move specifically its application to the Medical Devices Vigilance System. At a first place, the potential of this approach is examined, after an initial brief presentation of the EDI concept and its application in healthcare. This presentation is followed by an overall description of the EDI prototype system, which was developed in the context of the EUROMEDIES Concerted Action, in order to facilitate the requirements definition phase.

Computer Communication Networks↗

What's hot and what's not anticipating trends in technology.

Technology tends to progress over time in a step fashion. Changes in productivity associated with technology, when followed over time, often plot out as an S curve. Long quiescent periods are interrupted by rapid rises in technology advance and productivity. Anticipating this is important since it often enables us to plan for new technology. The lag in response to change often leads to bad planning or bad decisions. For example, I recently brought a new 166 Mhz laptop just a month before the new 233s came out, with a corresponding drop in the price of the 166 models ... so it clear I am not omniscient on the subject. In this column we will discuss important trends and identify what is hot and what is not in order to help you anticipate change in technology. I'll explore eight areas in depth. I will also touch on what you need to do to take advantage of the new technology if you have invested in older legacy technology.

Computer Communication Networks↗

New computerized system combines disease management with Internet technology.

A new demand management system combines two of the hottest areas in health care today--disease management and Internet technology. SoftWatch Inc. has created downloadable, diary-based self-care programs that allow patients to enter, track, and share personal data with their providers to assist with the management of their diseases.

Computer Communication Networks↗

Assessing the impact of community health information networks: a multisite field study of the Wisconsin Health Information Network.

Community health information networks (CHINs) have emerged as a promising new technology to generate cost reductions and support change in the health care industry. The proliferation of CHINs has been thwarted, however, by a conspicuous lack of evidence to support the claims of enhanced efficiency and effectiveness from CHIN participation. A recent study of the Wisconsin Health Information Network, the nation's first fully functioning CHIN, documents the benefits of this emerging technology. The findings reveal the potential for significant cost savings via electronic transmission of patient clinical and administrative information as well as enhancement of the quality of patient care.

Community Networks↗