Academic literature on the topic 'Health care information management'

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Journal articles on the topic "Health care information management"

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Gill, Harsheen, Mandeep Kaur, Sartaj Singh Sandhu, and Angad Singh Sandhu. "Health informatics and health information management: future trends for information technology in health sciences." Journal of Community Health Management 9, no. 2 (July 15, 2022): 84–88. http://dx.doi.org/10.18231/j.jchm.2022.017.

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Healthcare is at an important crossroads in that current models of care are increasingly seen by politicians and policymakers as unsustainable. Furthermore, there is a need to move away from the reactive, doctor-centred model of care to one that is more patient-centred and that consistently delivers accessible, high-quality and safe care to all. Greater use of health information technology (HIT) is seen by many key decision makers as crucial to this transformation process and, hence, substantial investments are made in this area. However, healthcare, particularly in hospitals, remains a laggard in health information technology (HIT) adoption. To uncover the underlying reasons, we discuss current implementation and adoption challenges and explore potential ways to address these. We outline strategic, organisational, technical and social factors that can ‘make or break’ technological implementations. Most importantly, we suggest that efforts should be characterised by an underlying awareness of the complexity of the hospital environment and the need to develop tools that support provision of integrated multidisciplinary care. We conclude with a discussion of promising future developments, including increased patient involvement; access and contribution to shared records; the penetration of smart devices; greater health information exchange and interoperability; and innovative real-time secondary uses of data.
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Gibson, C. J., K. Abrams, and B. E. Dixon. "Convergent evolution of health information management and health informatics." Applied Clinical Informatics 06, no. 01 (2015): 163–84. http://dx.doi.org/10.4338/aci-2014-09-ra-0077.

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SummaryClearly defined boundaries are disappearing among the activities, sources, and uses of health care data and information managed by health information management (HIM) and health informatics (HI) professionals. Definitions of the professional domains and scopes of practice for HIM and HI are converging with the proliferation of information and communication technologies in health care settings. Convergence is changing both the roles that HIM and HI professionals serve in their organizations as well as the competencies necessary for training future professionals. Many of these changes suggest a blurring of roles and responsibilities with increasingly overlapping curricula, job descriptions, and research agendas. Blurred lines in a highly competitive market create confusion for students and employers.In this essay, we provide some perspective on the changing landscape and suggest a course for the future. First we review the evolving definitions of HIM and HI. We next compare the current domains and competencies, review the characteristics as well as the education and credentialing of both disciplines, and examine areas of convergence. Given the current state, we suggest a path forward to strengthen the contributions HIM and HI professionals and educators make to the evolving health care environment.Citation: Gibson CJ, Dixon BE, Abrams K. Convergent evolution of health information management and health informatics – a perspective on the future of information professionals in health care. Appl Clin Inf 2015; 6: 163–184http://dx.doi.org/10.4338/ACI-2014-09-RA-0077
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Yli-Hietanen, J. "Towards Open Information Management in Health Care." Open Medical Informatics Journal 2, no. 1 (February 13, 2008): 42–48. http://dx.doi.org/10.2174/1874431100802010042.

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Sneider, Richard. "Management Guide to Health Care Information Systems." Journal For Healthcare Quality 10, no. 3 (August 1988): 21. http://dx.doi.org/10.1111/j.1945-1474.1988.tb00334.x.

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Steinwachs, Donald M. "Ambulatory care management information systems." Journal of Ambulatory Care Management 8, no. 2 (May 1985): 84. http://dx.doi.org/10.1097/00004479-198505000-00008.

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Lappas, E. "Information management in community health and primary care." Health Information and Libraries Journal 19, no. 4 (December 2002): 236–38. http://dx.doi.org/10.1046/j.1471-1842.2002.00405.x.

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Ruffin, T. Ray. "Health Information Technology and Quality Management." International Journal of Information Communication Technologies and Human Development 8, no. 4 (October 2016): 56–72. http://dx.doi.org/10.4018/ijicthd.2016100105.

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Even in healthcare and health information technology change will not vanish or disperse. Technology, civilization, and creative thought will drive this force increasingly forward. Health care managers will continue being judged on their ability to efficiently and effectively manage (Patton & James, 2000). The arena of Health Services Research (HSR) is trusted on by judgment deciders and the public is the principal basis of data on how thriving health systems are meeting this task (Steinwachs & Hughes, 2008). The goal of HSR is to deliver material that will ultimately lead to advances in the health of the community. HSR evaluation of quality of care has demonstrated it is an unspecified science and multifaceted, even though its description is comparatively simple (Steinwachs & Hughes, 2008). This article is to investigate the background, controversies, and problems surrounding Health Information Technology (HIT) Change and Quality Management including an overview of current changes and benefits of implementation. This will be coupled with solutions and recommendations, further research, and conclusion. This will enhance the field of research in leadership, change management, quality management, and health care.
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Wilson, Ronald G. "Strengthening Primary Health Care programme management through informatics and improved management information systems." Information Technology for Development 4, no. 4 (December 1989): 703–32. http://dx.doi.org/10.1080/02681102.1989.9627173.

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Doolin, Bill. "Sociotechnical networks and information management in health care." Accounting, Management and Information Technologies 9, no. 2 (April 1999): 95–114. http://dx.doi.org/10.1016/s0959-8022(99)00005-3.

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Rosenberger, Herbert R., and Kate M. Kaiser. "Strategic planning for health care management information systems." Health Care Management Review 10, no. 1 (January 1985): 7–18. http://dx.doi.org/10.1097/00004010-198501010-00002.

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Dissertations / Theses on the topic "Health care information management"

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Atueyi, Kene Chukwu. "Implementing management information systems in the National Health Service." Thesis, Sheffield Hallam University, 1991. http://shura.shu.ac.uk/4990/.

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As a discipline Management Information System (MIS) is relatively new. Its short history has been characterised with epistemological dialectism. The current conflict and debate about MIS inquiry is broadly between the advocates of the social systems and technical systems perspectives. Few authors have made positive contributions toward clarifying the meaning and nature of MIS, and the appropriate design framework for MIS development. This thesis adds to their effort by using a MIS designed and implemented through action research at the North Western Regional Health Authority. There are seven Chapters in this thesis. Chapters One and Two examine the nature of the problem addressed by this research; the project history, ontological assumptions and research strategy. Chapter Three examines the debate, nature and conflicting views about MIS. It defines the theoretical problem addressed by this thesis and proposes a new concept of MIS. The theoretical problems are dealt with in Chapter Four. In Chapter Five the application of the theoretical concepts developed in Chapter Four is demonstrated in the design of MIS. Chapter Six relates some of the findings of this thesis to the work of other authors. It also examines the problem of human inquiry and the suitability of action research for MIS research. The main findings of this research summarised in Chapter Seven provide a new perspective of MIS as a purposeful system; the taxonomy of purposeful systems; primary context and secondary context of MIS; context analysis and context evaluation of MIS.
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Liu, Xia. "A requirement engineering framework for assessing health care information systems." Thesis, University of Ottawa (Canada), 2010. http://hdl.handle.net/10393/28534.

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Health care is increasingly being provided by collaborative teams that involve multiple health care providers at multiple locations. To date, most of that collaboration is on an ad-hoc basis via phone calls, faxes, and paper based documentation. However, Internet and wireless technologies provide an opportunity to improve this situation via electronic data sharing. These new technologies make possible new ways of working and collaboration but it can be difficult for health care organizations to understand how to adopt new technologies while still ensuring that their policies and objectives are being met. It is also important to have a systematic approach to validate that e-health processes deliver the performance improvements that are expected. Using a case study of a palliative care patient receiving home care from a team of collaborating healthcare providers and organizations, we introduce a framework for assessing health care information systems based on requirements engineering. Key concerns and objectives were identified and modeled. Business processes which will use the new health care information system are modeled in terms of these concerns and objectives to assess their impact and ensure that electronic data sharing is well regulated and effective. The work in the thesis is design-oriented research to show the utility of our proposed requirement engineering framework compared to existing evaluation approaches for healthcare IT. The approach is evaluated based on a set of criteria drawn from our literature review and a gap analysis of our case study for palliative care.
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Irozuru, E. C. "Information systems in district health authorities : a strategy for management." Thesis, University of Salford, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.299129.

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Jacobs, Ellen Mueller Keith J. "In search of a message to promote personal health information management." Click here for access, 2009. http://www.csm.edu/Academics/Library/Institutional_Repository.

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Thesis (Ph. D.)--University of Nebraska -- Omaha, 2009.
Presented to the faculty of the Graduate College in the University of Nebraska in partial fulfillment of the requirements for the degree of Doctor of Philosophy. Medical Sciences Interdepartmental Area Health Services Research and Administration. Under the supervision of Professor Keith J. Mueller. Includes bibliographical references.
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West, Christopher E. "Technical limitations of electronic health records in community health centers: Implications on ambulatory care quality." Diss., Search in ProQuest Dissertations & Theses. UC Only, 2010. http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:3398890.

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Houston, Andrea Lynn 1954. "Knowledge integration for medical informatics: An experiment on a cancer information system." Diss., The University of Arizona, 1998. http://hdl.handle.net/10150/288868.

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This research investigated the question of whether automatic or system-generated information classification methods can help humans better manage information. A series of four experiments were conducted; they investigated the usability (i.e., usefulness) of two automatic approaches to information classification, the concept space approach and a Kohonen-based SOM approach in the context of information retrieval. The concept space approach was evaluated in three different domains: Electronic Brainstorming (EBS) sessions, the Internet, and medical literature (the CancerLit collection). The Kohonen-based SOM approach was evaluated in the Internet and medical literature (CancerLit) domains only. In each case, the approach under investigation was compared with existing systems in order to demonstrate performance viability. The basic premise that information management, in particular information retrieval, can be successfully supported by system-based information classification techniques and that humans would find such techniques viable and useful was supported by the experiments. The concept space approach was more successful than the Kohonen-based SOM approach. After modifications to the algorithms based on user feedback from the EBS experiments had been made, users found the concept space approach results to be comparable (in the Internet study) or superior (in the CancerLit study) to existing information classification systems. The key future enhancement will be incorporation of better ways to identify document descriptors through syntactic and semantic front-end processing. The Kohonen-based SOM approach was considered difficult to use in all but one specialized case (the dynamic SOM created as part of the CancerLit prototype). This can probably be attributed to the fact that its associative organization does not match with the standard mental models (hierarchical and alphabetic) for information classification.
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Williams, Gary L. "Exploring Management Practices of the Health Care System for Contractors." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/4952.

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Researchers have found that military members serving in war experienced changes in physical and mental health. Military members' healthcare is managed by the Department of Defense. The problem was that management practices of the system for providing long-term healthcare for employees of a contracting company working in foreign combat zones is either minimal or nonexistent. The purpose of this case study was to explore ways that contractor managers and government managers can work together to provide healthcare for those contract employees who will be deployed with the U.S. military. The primary research question was to determine what managers of contractors could do to improve the management practices to support their personnel who will serve in hostile environments. To analyze data, content analysis was used. Two theories were used in the conceptual framework for this case study, Bandura's self-efficacy theory and Kolb's experiential learning theory. Ten American contractor managers and 10 government managers were interviewed regarding the information they provided to their contract employees. One major finding identified was that contractor managers and government managers had little understanding about the disparity of information, services, and assistance available to contractors before participating in this study. Additional findings were that all managers understood they play a key role in the modification, development, and mitigation of any healthcare management systems for contractors in the future. Regarding social change, the contractor managers and government managers can use the findings to improve how the U.S. government and contractor management teams provide short term as well as long-term healthcare management system for future contractor personnel who serve in combat zones thus benefiting both contractors and their families.
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Bimerew, Million S. "Developing a framework for a district-based information management system for mental health care in the Western Cape." Thesis, University of Western Cape, 2013. http://hdl.handle.net/11394/3324.

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Philosophiae Doctor - PhD
A review of the literature has shown that there is a lack of mental health information on which to base planning of mental health services and decisions concerning programme development for mental health services. Several studies have indicated that the use of an evidence-based health information system (HIS) reduces inappropriate clinical practices and promotes the quality of health care services. This study was aimed at developing a framework for a district-based mental health information management system, utilising the experiences of health care providers and caregivers about a district mental health information system (DMHIS). Activity Theory was used as the philosophical foundation of the information system for the study. A qualitative approach was employed using semi-structured individual interviews, Focus Group Discussions (FGDs), systematic review and document analysis. The intervention research design and development model of Rothman and Thomas (1994) was used to guide the study, which was conducted in the Cape Town Metropole area of the Western Cape. A purposive, convenient sampling method was employed to select study participants. Ethical clearance for the study was obtained from the University of the Western Cape, and permission to use the health facilities from the Department of Health. The data collection process involved 62 individual interview participants, from mental health nurses to district health managers, health information clerks, and patient caregivers/families and persons with stable mental conditions. Thirteen caregivers took part in the FGDs. Document review was conducted at three community mental health centres. The data were analysed manually using content analysis. Core findings of the interviews were lack of standardized information collection tools and contents for mental health, information infrastructure, capacity building, and resources. Information processing in terms of collection, compiling, analysing, feedback, access and sharing information were the major problems. Results from document analysis identified inconsistencies and inaccuracies of information recording and processing, which in turn affected the quality of information for decision making. Results from the systematic review identified five functional elements: organizational structure; information infrastructure; capacity building; inputs, process, output and feedback; and community and stakeholders’ participation in the design and implementation of a mental health information system (MHIS). The study has contributed a framework for a DMHIS based on the findings of the empirical and systematic review. It is recommended that there is a need to establish a HIS committee at district health facility level for effective implementation of the framework and quality information processing. There is a need to ensure that staffs have adequate knowledge and skills required for effective implementation of an information system. It is recommended that higher education institutions include a course on HISs in their curriculum. It is suggested that the South African Mental Health Policy be reviewed to include an MHIS and ensure involvement of the community and stakeholders in this system as well as adequate budget allocation.
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Boucher, Duane Eric. "An information privacy model for primary health care facilities." Thesis, University of Fort Hare, 2013. http://hdl.handle.net/10353/d1007181.

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The revolutionary migration within the health care sector towards the digitisation of medical records for convenience or compliance touches on many concerns with respect to ensuring the security of patient personally identifiable information (PII). Foremost of these is that a patient’s right to privacy is not violated. To this end, it is necessary that health care practitioners have a clear understanding of the various constructs of privacy in order to ensure privacy compliance is maintained. This research project focuses on an investigation of privacy from a multidisciplinary philosophical perspective to highlight the constructs of information privacy. These constructs together with a discussion focused on the confidentiality and accessibility of medical records results in the development of an artefact represented in the format of a model. The formulation of the model is accomplished by making use of the Design Science research guidelines for artefact development. Part of the process required that the artefact be refined through the use of an Expert Review Process. This involved an iterative (three phase) process which required (seven) experts from the fields of privacy, information security, and health care to respond to semi-structured questions administered with an interview guide. The data analysis process utilised the ISO/IEC 29100:2011(E) standard on privacy as a means to assign thematic codes to the responses, which were then analysed. The proposed information privacy model was discussed in relation to the compliance requirements of the South African Protection of Personal Information (PoPI) Bill of 2009 and their application in a primary health care facility. The proposed information privacy model provides a holistic view of privacy management that can residually be used to increase awareness associated with the compliance requirements of using patient PII.
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Sirmans, Eleanor Tice. "The Role of Asymmetric Information in the U.S. Health Insurance Market." Thesis, The Florida State University, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10637535.

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This dissertation examines several key aspects regarding health insurance policies in the United States. The development of the United States health insurance market began in the 1920s with life insurance companies selling traditional indemnity health insurance plans and hospitals offering hospital care plans on a pre-paid basis. This market has evolved over the last century into a heavily regulated market dominated by employer-sponsored, managed-care plans. Reviews in the introduction of this dissertation include the overall market, health insurer evolution, the history of managed care operations, the progression of employer-sponsored health insurance plans and regulation specific to health insurance. Analysis of health insurance market evolution can offer a better understanding of how past developments in U.S. health care can inform and shape future policy.

The second chapter of this dissertation provides an analysis of adverse selection in the U.S. health insurance market. Adverse selection is a phenomenon inherent in insurance contracting. Using a rich, unique dataset consisting of multiple insurers, across states for the years 2013–2015, I document a correlation between coverage and risk. Results show that adverse selection is present both in the individual and group markets. Additionally, I test for the presence of adverse selection by state and by insurer. I find that factors such as the health of the state population, regulatory environment, insurer competition and insurer size are not associated with the likelihood that a state or and insurer experiences the presence of adverse selection.

The third chapter of this dissertation relates adverse selection and consumer satisfaction in health insurance plans. I exploit a dataset rich with respondent demographics and health insurance plan information to evaluate the relationship between adverse selection and health insurance plan satisfaction. I find that respondents who are more likely to have adversely selected into the health insurance plan are more satisfied with their plan. This is evidence that respondents may use private information on their risk level to choose plans to their advantage.

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Books on the topic "Health care information management"

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M, McLellan Janet, ed. Information management in health care. Albany, N.Y: Delmar Publishers, 1999.

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National Association for Healthcare Quality (U.S.), ed. Information management. 3rd ed. Glenview, IL: National Association for Healthcare Quality, 2012.

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Mills, Mary Etta C. Information management in nursing and health care. Springhouse, Pa: Springhouse Corp., 1996.

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Lee, Frances Wickham, 1953- author and Glaser, John P. (John Patrick), 1955- author, eds. Health care information systems: A practical approach for health care management. San Francisco: Jossey-Bass, 2013.

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1953-, Lee Frances Wickham, Glaser John, and Wager Karen A. 1961-, eds. Health care information systems: A practical approach for health care management. 2nd ed. San Francisco: Jossey-Bass, 2009.

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Management guide to health care information systems. Rockville, Md: Aspen Publishers, 1987.

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Barrick, Ivan J. Transforming health care management: Integrating technology strategies. Sudbury, Mass: Jones and Bartlett Publishers, 2009.

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Managing health care information resources. Rockville, Md: Aspen Publishers, 1987.

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Rada, R. Information systems for health care enterprises. 3rd ed. Baltimore, MD: Hypermedia Solutions Ltd., 2005.

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Health, Care Information &. Management Systems Conference (29th 1990 New Orleans La ). Proceedings of the 1990 annual Health Care Information & Management Systems Conference. Chicago, Ill: American Hospital Association, 1989.

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Book chapters on the topic "Health care information management"

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Hassett, Margaret M., and Marjorie H. Farver. "Information Management in Home Care." In Health Informatics, 155–66. New York, NY: Springer New York, 1995. http://dx.doi.org/10.1007/978-1-4757-2428-8_14.

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Hassett, Margaret M., and Marjorie H. Farver. "Information Management in Home Care." In Health Informatics, 348–59. New York, NY: Springer New York, 2000. http://dx.doi.org/10.1007/978-1-4757-3252-8_25.

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Hoehn, Barbara, and Leslie Perreault. "Care Delivery and Care Management." In Health Informatics, 98–109. New York, NY: Springer New York, 1999. http://dx.doi.org/10.1007/978-1-4612-0519-7_7.

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Marley, Amelia Lee, and Martin Farber. "How Health Systems Affect Care." In Healthcare Information Management Systems, 81–86. New York, NY: Springer New York, 1995. http://dx.doi.org/10.1007/978-1-4757-2402-8_6.

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Winter, Alfred, Reinhold Haux, Elske Ammenwerth, Birgit Brigl, Nils Hellrung, and Franziska Jahn. "Strategic Information Management in Health Care Networks." In Health Information Systems, 283–89. London: Springer London, 2010. http://dx.doi.org/10.1007/978-1-84996-441-8_10.

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Southon, Gray, Philip Yetton, and Bernard J. Horak. "Change Management Practices." In Transforming Health Care Through Information, 152–87. New York, NY: Springer New York, 1995. http://dx.doi.org/10.1007/978-1-4757-2385-4_6.

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Weil, Georges, Patrice Francois, Thomas Rosenal, Ann Warnock-Matheron, Marie Soulsby, Arlene Weidner, and Gitta Kulczycki. "Project Planning and Management." In Transforming Health Care Through Information, 89–115. New York, NY: Springer New York, 1995. http://dx.doi.org/10.1007/978-1-4757-2385-4_4.

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Lorenzi, Nancy M., and Robert T. Riley. "Informatics in Health Care: Managing Organizational Change." In Healthcare Information Management Systems, 81–93. New York, NY: Springer New York, 2004. http://dx.doi.org/10.1007/978-1-4757-4041-7_7.

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Tsafrir, Jenni, and Miriam Grinberg. "Who Needs Evidence-Based Health Care?" In Health Information Management: What Strategies?, 306–8. Dordrecht: Springer Netherlands, 1997. http://dx.doi.org/10.1007/978-94-015-8786-0_104.

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Goundrey-Smith, Stephen. "Electronic Medicines Management in Primary Care." In Health Informatics, 121–50. London: Springer London, 2012. http://dx.doi.org/10.1007/978-1-4471-2780-2_5.

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Conference papers on the topic "Health care information management"

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Kumar, Arooshi, Rajita Kumar, and Sanjuli Agarwal. "Wireless information system for patient health care management." In Proceedings 2007 IEEE SoutheastCon. IEEE, 2007. http://dx.doi.org/10.1109/secon.2007.342926.

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Koravatti, Bindu, and M. Indiramma. "Blockchain Based Health Care Management System." In 2021 IEEE International Conference on Computation System and Information Technology for Sustainable Solutions (CSITSS). IEEE, 2021. http://dx.doi.org/10.1109/csitss54238.2021.9683252.

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Mueller, Ulrike, Lutz Issler, Gert Funkat, and Alfred Winter. "An interactive strategic information management plan to integrate strategic and tactical information management in hospitals." In 2009 ICSE Workshop on Software Engineering in Health Care. IEEE, 2009. http://dx.doi.org/10.1109/sehc.2009.5069601.

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Chomphoosang, Pawat, Yefeng Ruan, Arjan Durresi, Mimoza Durresi, and Leonard Barolli. "Trust Management of Health Care Information in Social Networks." In 2013 7th International Conference on Complex, Intelligent, and Software Intensive Systems (CISIS). IEEE, 2013. http://dx.doi.org/10.1109/cisis.2013.45.

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Zhukovska, Alina, Oleksandr Brechko, Tetiana Zheliuk, Chygur Olga, Dmytro Shushpanov, and Nytka Olena. "Information System and Technologies in the Health Care Management." In 2022 12th International Conference on Advanced Computer Information Technologies (ACIT). IEEE, 2022. http://dx.doi.org/10.1109/acit54803.2022.9913132.

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Bach, M. Pejic, I. Miloloza, and J. Zoroja. "Teaching health care management with simulation games." In 2018 41st International Convention on Information and Communication Technology, Electronics and Microelectronics (MIPRO). IEEE, 2018. http://dx.doi.org/10.23919/mipro.2018.8400104.

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Davila, Fidel. "Use of information systems as management tools in health care." In Health Care Technology Policy II: The Role of Technology in the Cost of Health Care: Providing the Solutions, edited by Warren S. Grundfest. SPIE, 1995. http://dx.doi.org/10.1117/12.225307.

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Yina, Wan. "Application of Customer Relationship Management in Health Care." In 2010 Second International Conference on Multimedia and Information Technology. IEEE, 2010. http://dx.doi.org/10.1109/mmit.2010.31.

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Chomphoosang, Pawat, Arjan Durresi, Mimoza Durresi, and Leonard Barolli. "Trust Management of Social Networks in Health Care." In 2012 15th International Conference on Network-Based Information Systems (NBiS). IEEE, 2012. http://dx.doi.org/10.1109/nbis.2012.152.

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Shukla, Shubhangu, Pulkit Singh, Narayan Neopane, and Rishabh. "Health Care Management System Using Time Series Analysis." In 2019 4th International Conference on Information Systems and Computer Networks (ISCON). IEEE, 2019. http://dx.doi.org/10.1109/iscon47742.2019.9036150.

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Reports on the topic "Health care information management"

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Mahmood, Arshad, and Syeda Naz. Assessment of management information system [MIS] of national program for family planning and primary health care [LHW Program]. Population Council, 2012. http://dx.doi.org/10.31899/rh2.1028.

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Shey Wiysonge, Charles. Does interactive communication between primary care physicians and specialists improve patient outcomes? SUPPORT, 2016. http://dx.doi.org/10.30846/1610102.

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Many health systems fail to facilitate the seamless movement and management of patients between different providers and different levels of care. Poor coordination and continuity of care can result in suboptimal patient outcomes and the inefficient utilisation of scarce healthcare resources. Interactive communication holds promise as a method to improve coordination between primary and specialty care. Interactive communication refers to planned, timely, two-way exchanges of pertinent clinical information directly between primary care and specialist physicians. Such communication may occur, for example, through face-to-face exchanges, videoconferencing, telephone, or contact by email.
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Shey Wiysonge, Charles. Does interactive communication between primary care physicians and specialists improve patient outcomes? SUPPORT, 2016. http://dx.doi.org/10.30846/1608102.

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Many health systems fail to facilitate the seamless movement and management of patients between different providers and different levels of care. Poor coordination and continuity of care can result in suboptimal patient outcomes and the inefficient utilisation of scarce healthcare resources. Interactive communication holds promise as a method to improve coordination between primary and specialty care. Interactive communication refers to planned, timely, two-way exchanges of pertinent clinical information directly between primary care and specialist physicians. Such communication may occur, for example, through face-to-face exchanges, videoconferencing, telephone, or contact by email.
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Svynarenko, Radion, Theresa L. Profant, and Lisa C. Lindley. Effectiveness of concurrent care to improve pediatric and family outcomes at the end of life: An analytic codebook. Pediatric End-of-Life (PedEOL) Care Research Group, College of Nursing, University of Tennessee, Knoxville, 2022. http://dx.doi.org/10.7290/m5fbbq.

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Implementation of the section 2302 of the 2010 Patient Protection and Affordable Care Act (ACA) enabled children enrolled in Medicaid/Children's Health Insurance Program with a prognosis of 6 months to live to use hospice care while continuing treatment for their terminal illness. Although concurrent hospice care became available more than a decade ago, little is known about the socio-demographic and health characteristics of children who received concurrent care; health care services they received while enrolled in concurrent care, their continuity, management, intensity, fragmentation; and the costs of care. The purpose of this study was to answer these questions using national data from the Centers of Medicare and Medicaid Services (CMS), which covered the first three years of ACA – from January 1, 2011, to December 31, 2013.The database included records of 18,152 children younger than the age of 20, who were enrolled in Medicaid hospice care in the sampling time frame. Children in the database also had a total number of 42,764 hospice episodes. Observations were excluded if the date of birth or death was missing or participants were older than 21 years. To create this database CMS data were merged with three other complementary databases: the National Death Index (NDI) that provided information on death certificates of children; the U.S. Census Bureau American Community Survey that provided information on characteristics of communities where children resided; CMS Hospice Provider of Services files and CMS Hospice Utilization and Payment files were used for data on hospice providers, and with a database of rural areas created by the Health Resources and Services Administration (HRSA). In total, 130 variables were created, measuring demographics and health characteristics of children, characteristics of health providers, community characteristics, clinical characteristics, costs of care, and other variables.
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Berkman, Nancy D., Eva Chang, Julie Seibert, Rania Ali, Deborah Porterfield, Linda Jiang, Roberta Wines, Caroline Rains, and Meera Viswanathan. Management of High-Need, High-Cost Patients: A “Best Fit” Framework Synthesis, Realist Review, and Systematic Review. Agency for Healthcare Research and Quality (AHRQ), October 2021. http://dx.doi.org/10.23970/ahrqepccer246.

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Background. In the United States, patients referred to as high-need, high-cost (HNHC) constitute a very small percentage of the patient population but account for a disproportionally high level of healthcare use and cost. Payers, health systems, and providers would like to improve the quality of care and health outcomes for HNHC patients and reduce their costly use of potentially preventable or modifiable healthcare services, including emergency department (ED) and hospital visits. Methods. We assessed evidence of criteria that identify HNHC patients (best fit framework synthesis); developed program theories on the relationship among contexts, mechanisms, and outcomes of interventions intended to change HNHC patient behaviors (realist review); and assessed the effectiveness of interventions (systematic review). We searched databases, gray literature, and other sources for evidence available from January 1, 2000, to March 4, 2021. We included quantitative and qualitative studies of HNHC patients (high healthcare use or cost) age 18 and over who received intervention services in a variety of settings. Results. We included 110 studies (117 articles). Consistent with our best fit framework, characteristics associated with HNHC include patient chronic clinical conditions, behavioral health factors including depression and substance use disorder, and social risk factors including homelessness and poverty. We also identified prior healthcare use and race as important predictors. We found limited evidence of approaches for distinguishing potentially preventable or modifiable high use from all high use. To understand how and why interventions work, we developed three program theories in our realist review that explain (1) targeting HNHC patients, (2) engaging HNHC patients, and (3) engaging care providers in these interventions. Theories identify the need for individualizing and tailoring services for HNHC patients and the importance of building trusting relationships. For our systematic review, we categorized evidence based on primary setting. We found that ED-, primary care–, and home-based care models result in reduced use of healthcare services (moderate to low strength of evidence [SOE]); ED, ambulatory intensive caring unit, and primary care-based models result in reduced costs (low SOE); and system-level transformation and telephonic/mail models do not result in changes in use or costs (low SOE). Conclusions. Patient characteristics can be used to identify patients who are potentially HNHC. Evidence focusing specifically on potentially preventable or modifiable high use was limited. Based on our program theories, we conclude that individualized and tailored patient engagement and resources to support care providers are critical to the success of interventions. Although we found evidence of intervention effectiveness in relation to cost and use, the studies identified in this review reported little information for determining why individual programs work, for whom, and when.
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Rebitzer, James, Mari Rege, and Christopher Shepard. Influence, Information Overload, and Information Technology in Health Care. Cambridge, MA: National Bureau of Economic Research, July 2008. http://dx.doi.org/10.3386/w14159.

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7

Bolton, Laura. Global Health Funds and Humanitarian Programming. Institute of Development Studies, September 2022. http://dx.doi.org/10.19088/k4d.2022.144.

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There is a lack of reporting on the connection between Humanitarian Country Team Health Clusters and the three funds (the Global Fund, the Gavi Alliance, and the Global Financing Facility (GFF)), both generally and for the three countries of focus (Mozambique, Uganda, and Nigeria). The Global Fund is noted to partner with the Global Health Cluster but details were not identified within the scope of this report. Global Fund A Global Fund board meeting report and a review of Fund investments in challenging operating environments notes partnering and joining with the Global Health Clusters but does not give detail of specific countries. The Global Fund does not include Mozambique or Uganda in their list of challenging operating environments. There are reports of emergency funding being allocated for refugees in Uganda, and for internally displaced persons (IDPs) in Mozambique. Countries are encouraged to include refugees in their funding requests to the Global Fund. Some Global Fund supported operations for HIV treatment in Mozambique have been interrupted as people receiving treatment fled from violence. Partners in provinces where the displaced are arriving are implementing emergency plans to maintain continuity of care. A Global Fund initiative for removing human-rights barriers to health treatment does not list refugees or IDPs as vulnerable groups for HIV programming. The same initiative in Uganda did specifically support distribution of nets to help prevent malaria. A 2017 audit report on Global Fund grant management in high-risk environments found inadequate early warning mechanisms to identify risk levels of grants. Gavi Alliance Gavi Alliance policy documentation states that a flexible and tailored approach is taken to achieve equity in fragile or emergency situations and for the needs of displaced populations. Requests for flexible support are based on specific needs which must be justified. The policy puts a strong emphasis on ensuring the inclusion of displaced populations. It encourages governments to provide immunisations independent of residency and legal status. They provide extra support where justified for displaced people. Very little information on Gavi activity in the countries of focus for this report was found. Global Financing Facility The GFF 2021-2025 strategy reports offering support in complex humanitarian settings but detail is not included. An earlier report describes GFF support in Nigeria where the Facility were able to finance a targeted project in a short timeframe. Distinction is made between this type of support and emergency support which is not part of the design of the GFF and is unable to quickly release lifesaving funds in emergency situations. The short timeframe funding was provided to support the Nigerian State Health Investment Project where violence had disrupted health services and where health indicators were poor. Mobile health teams were contracted out to hard-to-reach areas. Outreach included psychosocial support.
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Dunsch, Felipe, David Evans, Ezinne Eze-Ajoku, and Mario Macis. Management, Supervision, and Health Care: A Field Experiment. Cambridge, MA: National Bureau of Economic Research, August 2017. http://dx.doi.org/10.3386/w23749.

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9

Klein, Sarah Klein, Douglas McCarthy McCarthy, and Alexander Cohen Cohen. Accountable Care: Building Systems for Population Health Management. New York, NY United States: Commonwealth Fund, October 2014. http://dx.doi.org/10.15868/socialsector.25012.

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Hossain, Sharif M. I., Shongkour Roy, Sigma Ainul, Abdullah Al Mahmud Shohag, A. T. M. Rezaul Karim, and Ubaidur Rob. Assessing effectiveness of a person-centered group ANC-PNC model among first-time young mothers and their partners for improving quality and use of MNCH-FP services. Population Council, 2022. http://dx.doi.org/10.31899/sbsr2022.1041.

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This baseline report is part of an operations research project “Healthy Women, Healthy Families (HWHF): Shustha Ma, Shustha Poribar” led by Management Sciences for Health (MSH) in partnership with BRAC, SCOPE, and the Population Council. The project aims to improve quality and increase utilization of maternal, newborn, and child health (MNCH) and family planning (FP) services and information for young mothers-to-be, first-time mothers (FTMs) aged 15-24, and their partners in the urban municipality of Tongi, Gazipur District, Bangladesh, through a group antenatal care ANC-PNC approach. The objectives of this study are to establish baseline values of selected HWHF project result indicators against which the impacts of the project’s intervention can be measured. The target group is young, first-time parents and the study examines the current status of knowledge on MNCH-FP and access to services among FTMs. This quasi-experimental pre-post control group design study employs both quantitative and qualitative data-collection methods. A simple random sampling procedure was employed to select respondents from BRAC FTM lists, while qualitative informants were selected purposively.
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