Academic literature on the topic 'Health services administration – Information technology – Case studies'
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Journal articles on the topic "Health services administration – Information technology – Case studies"
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Moore, Esther C., Clare L. Tolley, David W. Bates, and Sarah P. Slight. "A systematic review of the impact of health information technology on nurses’ time." Journal of the American Medical Informatics Association 27, no. 5 (March 6, 2020): 798–807. http://dx.doi.org/10.1093/jamia/ocz231.
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Abstract Objective Nursing time represents one of the highest costs for most health services. We conducted a systematic review of the literature on the impact of health information technology on nurses’ time. Materials and Methods We followed PRISMA guidelines and searched 6 large databases for relevant articles published between Jan 2004 and December 2019. Two authors reviewed the titles, abstracts, and full texts. We included articles that included a comparison group in the design, measured the time taken to carry out documentation or medication administration, documented the quantitative estimates of time differences between the 2, had nurses as subjects, and was conducted in either a care home, hospital, or community clinic. Results We identified a total of 1647 articles, of which 33 met our inclusion criteria. Twenty-one studies reported the impact of 12 different health information technology (HIT) implementations on nurses’ documentation time. Weighted averages were calculated for studies that implemented barcode medication administration (BCMA) and 2 weighted averages for those that implemented EHRs, as these studies used different sampling units; both showed an increase in the time spent in documentation (+22% and +46%). However, the time spent carrying out medication administration following BCMA implementation fell by 33% (P < .05). HIT also caused a redistribution of nurses’ time which, in some cases, was spent in more “value-adding” activities, such as delivering direct patient care as well as inter-professional communication. Discussion and Conclusions Most of the HIT systems increased nursing documentation time, although time fell for medication administration following BCMA. Many HIT systems also resulted in nurses spending more time in direct care and “value-adding” activities.
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De Cola, Maria C., Viviana Lo Buono, Agata Mento, Mariella Foti, Silvia Marino, Placido Bramanti, Alfredo Manuli, and Rocco S. Calabrò. "Unmet Needs for Family Caregivers of Elderly People With Dementia Living in Italy: What Do We Know So Far and What Should We Do Next?" INQUIRY: The Journal of Health Care Organization, Provision, and Financing 54 (January 1, 2017): 004695801771370. http://dx.doi.org/10.1177/0046958017713708.
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Care of the elderly with dementia represents one of the major challenges for the modern society worldwide. The burden of dementia care often falls on the family members, entailing heavy psychosocial and economic consequences. The aim of this study was to evaluate the caregiver’s perspective concerning the support for disease management on behalf of the physicians and the local Sicilian administrations (Italy), and the burden of care and effects on their lifestyle, to propose new prevention strategies and service for managing dementia and caregiver’s burden. Fifty-nine caregivers of Italian elderly people with dementia (mean age, 73; age range: 63-83) were interviewed, and 55 of them completed an ad hoc self-report questionnaire composed of 54 multiple-choice questions. Our findings suggest that caregivers need more information on the disease’s management, as well as on how to deal with the stress due to the disease burden. Moreover, a negative perception about the services offered from the local administration emerged. Assistive technology (AT) could be useful in promoting interaction between general practitioners and specialized centers for diagnosis, pharmacological and psychosocial treatments, and in saving costs. Moreover, case manager could follow patients and support family members within the care pathway, besides collecting and sharing information among the different health professionals involved. Further studies should be aimed at investigating whether AT and/or the use of specific educational strategies could be the right approach for meeting the needs of families living with dementia.
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Bomba, David, and Tim Land. "The feasibility of implementing an electronic prescribing decision support system: a case study of an Australian public hospital." Australian Health Review 30, no. 3 (2006): 380. http://dx.doi.org/10.1071/ah060380.
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Medication errors are common in public hospitals, with the majority at the prescribing stage of the medication pathway. Electronic prescribing decision support (EPDS) is a rules-based computer system that can be used by clinicians to warn against such errors to improve patient safety and support staff workflows. Despite its apparent advantages, this technology has not been widely adopted in Australian public hospitals for inpatient prescribing. A case study using Sauer?s (1993) Triangle of Dependencies Model was conducted in 2003 into the feasibility of implementing an EPDS system at an Australian public hospital in New South Wales. It was found not feasible to implement an EPDS at the hospital studied due to the legacy patient administration system, low availability of information technology on the wards, differing stakeholder views, legislation, and the Independent Pricing and Regulatory Tribunal of NSW report recommendations. A statewide standard was preferred, with an agreed specification framework identifying basic core data items and functions that an EPDS must meet which can then be used by area health services to: (i) choose a solution which best meets their contextual needs; and (ii) engage vendors to tender for building an open source (non-proprietary) system based on the specification framework.
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Diamantopoulou, Vasiliki, and Haralambos Mouratidis. "Practical evaluation of a reference architecture for the management of privacy level agreements." Information & Computer Security 27, no. 5 (November 11, 2019): 711–30. http://dx.doi.org/10.1108/ics-04-2019-0052.
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Purpose The enforcement of the General Data Protection Regulation imposes specific privacy- and -security related requirements that any organisation that processes European Union citizens’ personal data must comply with. The application of privacy- and security-by-design principles are assisting organisation in achieving compliance with the Regulation. The purpose of this study is to assist data controllers in their effort to achieve compliance with the new Regulation, by proposing the adoption of the privacy level agreement (PLA). A PLA is considered as a formal way for the data controllers and the data subjects to mutually agree the privacy settings of a service provisioned. A PLA supports privacy management, by analysing privacy threats, vulnerabilities and information systems’ trust relationships. Design/methodology/approach However, the concept of PLA has only been proposed on a theoretical level. To this aim, two different domains have been selected acting as real-life case studies, the public administration and the health care, where special categories of personal data are processed. Findings The results of the evaluation of the adoption of the PLA by the data controllers are positive. Furthermore, they indicate that the adoption of such an agreement facilitates data controllers in demonstrating transparency of their processes. Regarding data subjects, the evaluation process revealed that the use of the PLA increases trust levels on data controllers. Originality/value This paper proposes a novel reference architecture to enable PLA management in practice and reports on the application and evaluation of PLA management.
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Wehrens, Rik, Vikrant Sihag, Sandra Sülz, Hilco van Elten, Erik van Raaij, Antoinette de Bont, and Anne Marie Weggelaar-Jansen. "Understanding the Uptake of Big Data in Health Care: Protocol for a Multinational Mixed-Methods Study." JMIR Research Protocols 9, no. 10 (October 22, 2020): e16779. http://dx.doi.org/10.2196/16779.
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Background Despite the high potential of big data, their applications in health care face many organizational, social, financial, and regulatory challenges. The societal dimensions of big data are underrepresented in much medical research. Little is known about integrating big data applications in the corporate routines of hospitals and other care providers. Equally little is understood about embedding big data applications in daily work practices and how they lead to actual improvements for health care actors, such as patients, care professionals, care providers, information technology companies, payers, and the society. Objective This planned study aims to provide an integrated analysis of big data applications, focusing on the interrelations among concrete big data experiments, organizational routines, and relevant systemic and societal dimensions. To understand the similarities and differences between interactions in various contexts, the study covers 12 big data pilot projects in eight European countries, each with its own health care system. Workshops will be held with stakeholders to discuss the findings, our recommendations, and the implementation. Dissemination is supported by visual representations developed to share the knowledge gained. Methods This study will utilize a mixed-methods approach that combines performance measurements, interviews, document analysis, and cocreation workshops. Analysis will be structured around the following four key dimensions: performance, embedding, legitimation, and value creation. Data and their interrelations across the dimensions will be synthesized per application and per country. Results The study was funded in August 2017. Data collection started in April 2018 and will continue until September 2021. The multidisciplinary focus of this study enables us to combine insights from several social sciences (health policy analysis, business administration, innovation studies, organization studies, ethics, and health services research) to advance a holistic understanding of big data value realization. The multinational character enables comparative analysis across the following eight European countries: Austria, France, Germany, Ireland, the Netherlands, Spain, Sweden, and the United Kingdom. Given that national and organizational contexts change over time, it will not be possible to isolate the factors and actors that explain the implementation of big data applications. The visual representations developed for dissemination purposes will help to reduce complexity and clarify the relations between the various dimensions. Conclusions This study will develop an integrated approach to big data applications that considers the interrelations among concrete big data experiments, organizational routines, and relevant systemic and societal dimensions. International Registered Report Identifier (IRRID) DERR1-10.2196/16779
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Novis, David A., Karen A. Miller, Peter J. Howanitz, Stephen W. Renner, and Molly K. Walsh. "Audit of Transfusion Procedures in 660 Hospitals." Archives of Pathology & Laboratory Medicine 127, no. 5 (May 1, 2003): 541–48. http://dx.doi.org/10.5858/2003-127-0541-aotpih.
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Abstract Context.—Hemolytic transfusion reactions are often the result of failure to follow established identification and monitoring procedures. Objective.—To measure the frequencies with which health care workers completed specific transfusion procedures required for laboratory and blood bank accreditation. Design.—In 2 separate studies, participants in the College of American Pathologists Q-Probes laboratory quality improvement program audited nonemergent red blood cell transfusions prospectively and completed questionnaires profiling their institutions' transfusion policies. Setting and Participants.—A total of 660 institutions, predominantly in the United States, at which transfusion medicine services are provided. Main Outcome Measures.—The percentages of transfusions for which participants completed 4 specific components of patient and blood unit identifications, and for which participants monitored vital signs at 3 specific intervals during transfusions. Results.—In the first study, all components of patient identification procedures were performed in 62.3%, and all required patient vital sign monitoring was performed in 81.6% of 12 448 transfusions audited. The median frequencies with which institutions participating in the first study performed all patient identification and monitoring procedures were 69.0% and 90.2%, respectively. In the second study, all components of patient identification were performed in 25.4% and all patient vital sign monitoring was performed in 88.3% of 4046 transfusions audited. The median frequencies with which institutions participating in the second study performed all patient identification and monitoring procedures were 10.0% and 95.0%, respectively. Individual practices and/or institutional policies associated with greater frequencies of patient identification and/or vital sign monitoring included transporting units of blood directly to patient bedsides, having no more than 1 individual handle blood units in route, checking unit labels against physicians' orders, having patients wear identification tags (wristbands), reading identification information aloud when 2 or more transfusionists participated, using written checklists to guide the administration of blood, instructing health care personnel in transfusion practices, and routinely auditing the administration of transfusions. Conclusions.—In many hospitals, the functions of identification and vital sign monitoring of patients receiving blood transfusions do not meet laboratory and blood bank accreditation standards. Differences in hospital transfusion policies influence how well health care workers comply with standard practices. We would expect that efforts designed to perfect transfusion policies might also improve performance in those hospitals in which practice compliance is substandard.
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Tahir, Adnan, Fei Chen, Habib Ullah Khan, Zhong Ming, Arshad Ahmad, Shah Nazir, and Muhammad Shafiq. "A Systematic Review on Cloud Storage Mechanisms Concerning e-Healthcare Systems." Sensors 20, no. 18 (September 21, 2020): 5392. http://dx.doi.org/10.3390/s20185392.
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As the expenses of medical care administrations rise and medical services experts are becoming rare, it is up to medical services organizations and institutes to consider the implementation of medical Health Information Technology (HIT) innovation frameworks. HIT permits health associations to smooth out their considerable cycles and offer types of assistance in a more productive and financially savvy way. With the rise of Cloud Storage Computing (CSC), an enormous number of associations and undertakings have moved their healthcare data sources to distributed storage. As the information can be mentioned whenever universally, the accessibility of information becomes an urgent need. Nonetheless, outages in cloud storage essentially influence the accessibility level. Like the other basic variables of cloud storage (e.g., reliability quality, performance, security, and protection), availability also directly impacts the data in cloud storage for e-Healthcare systems. In this paper, we systematically review cloud storage mechanisms concerning the healthcare environment. Additionally, in this paper, the state-of-the-art cloud storage mechanisms are critically reviewed for e-Healthcare systems based on their characteristics. In short, this paper summarizes existing literature based on cloud storage and its impact on healthcare, and it likewise helps researchers, medical specialists, and organizations with a solid foundation for future studies in the healthcare environment.
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Cheng, Siu Mee, and Cristina Catallo. "Case definition for health and social care services integrated initiatives." Journal of Integrated Care 27, no. 4 (October 10, 2019): 264–75. http://dx.doi.org/10.1108/jica-09-2018-0057.
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Purpose The purpose of this paper is to develop a case definition of integrated health and social services initiatives that serve older adults, and will provide characteristics to aid in the identification of such initiatives. The case definition is intended to ease the identification of integrated health and social care initiatives. Design/methodology/approach A limited search was undertaken of both scientific and gray literature that documented and/or examined integrated health and social services initiatives. In addition, literature on well-documented and generally accepted integrated healthcare and social services models that reflect collaborations from healthcare and social services organizations that support older adults was also used to develop the case definition. Findings The case definition is as follows: healthcare organizations from across the continuum of care working together with social services organizations, so that services are complementary and coordinated in a seamless and unified system, with care continuity for the patient/client in order to achieve desired health outcomes within a holistic perspective; the initiatives comprise at least one healthcare organization and one social care organization; and these initiatives possess 18 characteristics, grouped under 9 themes: patient care approach; program goals; measurement; service and care quality; accountability and responsibility; information sharing; culture; leadership; and staff and professional interaction. Research limitations/implications A limitation of this study is that the characteristics are based on a limited literature search. The quality of some of the literature both gray and published was not definitive: information on how they undertook the literature search was not provided; exclusion and inclusion criteria were not included; and there was insufficient detail on the design of the studies included. Furthermore, the literature reviews are based on integrated initiatives that target both seniors and non-senior’s based services. The cross-section of initiatives studied is also different in scale and type, and these differences were not explored. Practical implications The case definition is a useful tool in aiding to further the understanding of integrated health and social care initiatives. The number of definitions that exist for integrated health and social care initiatives can make it confusing to clearly understand this field and topic. The characteristics identified can assist in providing greater clarity and understanding on health and social care integration. Originality/value This study provides greater coherence in the literature on health and social care integration. It aids in better framing the phenomenon of healthcare and social services integration, thereby enhancing understanding. Finally, the study provides a very useful and concrete list of identifying characteristics, to aid in identifying integrated health and social care initiatives that serve older adults.
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Mahmood, Rumel. "Can Information and Communication Technology Help Reduce Corruption? How So and Why Not: Two Case Studies from South Asia." Perspectives on Global Development and Technology 3, no. 3 (2004): 347–73. http://dx.doi.org/10.1163/1569150042442539.
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AbstractThe deployment of electronic governance over the past few years has enabled citizens to access government information and services with more ease and less cost. Unfortunately, the majority of governments embracing these technologies and making the citizen-government interaction easier to navigate are found primarily in the industrialized West. One exception is India, which is the focus of this paper. Beyond viewing electronic governance as a means of facilitating state-citizen interactions, I explore the linkages between electronic governance and corruption deterrence, and by doing so, fill in a crucial void in the current literature. After reviewing successful ICT-led government reform efforts in the West from public administration literature, a simple model is proposed to determine how these technologies may come to be utilized for reform. The model is then applied to the Indian state of Andhra Pradesh and the neighboring government of Bangladesh to test the salience of the variables, and to determine why the former may be more successful than the latter.
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Pak, Richard, Nicole Fink, Margaux Price, and Dina Battisto. "Two Case Studies in Human Factors in Healthcare." International Journal of Healthcare Delivery Reform Initiatives 2, no. 4 (October 2010): 17–38. http://dx.doi.org/10.4018/978-1-60960-177-5.ch012.
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The delivery and consumption of health care services and information is in rapid change due to the introduction of technology, socio-political considerations (in the United States), and the change in population demographics (i.e., the “baby boom generation”). This chapter discusses some of these trends and their implications for two specific stakeholders in the health care system: the nurse and the older patient. In two case studies the authors report on the application of human factors methods to better understand the role of the built-environment on nursing work and the role of technology acceptance issues in older adult usage of electronic personal health records. The authors hope to show that while the challenges are great, the application of human factors methods can help increase performance, safety, and satisfaction for both nurse and older patient.
Dissertations / Theses on the topic "Health services administration – Information technology – Case studies"
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Forsyth, Rowena Public Health & Community Medicine Faculty of Medicine UNSW. "Tricky technology, troubled tribes: a video ethnographic study of the impact of information technology on health care professionals??? practices and relationships." Awarded by:University of New South Wales. School of Public Health and Community Medicine, 2006. http://handle.unsw.edu.au/1959.4/30175.
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Whilst technology use has always been a part of the practice of health care delivery, more recently, information technology has been applied to aspects of clinical work concerned with documentation. This thesis presents an analysis of the ways that two professional groups, one clinical and one ancillary, at a single hospital cooperatively engage in a work practice that has recently been computerised. It investigates the way that a clinical group???s approach to and actual use of the system creates problems for the ancillary group. It understands these problems to arise from the contrasting ways that the groups position their use of documentation technology in their local definitions of professional status. The data on which analysis of these practices is based includes 16 hours of video recordings of the work practices of the two groups as they engage with the technology in their local work settings as well as video recordings of a reflexive viewing session conducted with participants from the ancillary group. Also included in the analysis are observational field notes, interviews and documentary analysis. The analysis aimed to produce a set of themes grounded in the specifics of the data, and drew on TLSTranscription?? software for the management and classification of video data. This thesis seeks to contribute to three research fields: health informatics, sociology of professions and social science research methodology. In terms of health informatics, this thesis argues for the necessity for health care information technology design to understand and incorporate the work practices of all professional groups who will be involved in using the technology system or whose work will be affected by its introduction. In terms of the sociology of professions, this thesis finds doctors and scientists to belong to two distinct occupational communities that each utilise documentation technology to different extents in their displays of professional competence. Thirdly, in terms of social science research methodology, this thesis speculates about the possibility for viewing the engagement of the groups with the research process as indicative of their reactions to future sources of outside perturbance to their work.
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Kanai, Rieko. "Case study: Applied Digital Solutions I3 services platform." CSUSB ScholarWorks, 2001. https://scholarworks.lib.csusb.edu/etd-project/1734.
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The purpose of this project is to analyze whether i3 Strategy of Applied Digital Solutions (ADS) was necessary to meet the fast-moving IT industry. i3 Services Strategy is an integrated corporate strategy to reengineer the organizational structure of ADS.
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Ott, Kenneth Brad. "The Closure of New Orleans' Charity Hospital After Hurricane Katrina: A Case of Disaster Capitalism." ScholarWorks@UNO, 2012. http://scholarworks.uno.edu/td/1472.
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Abstract
Amidst the worst disaster to impact a major U.S. city in one hundred years, New Orleans’ main trauma and safety net medical center, the Reverend Avery C. Alexander Charity Hospital, was permanently closed. Charity’s administrative operator, Louisiana State University (LSU), ordered an end to its attempted reopening by its workers and U.S. military personnel in the weeks following the August 29, 2005 storm. Drawing upon rigorous review of literature and an exhaustive analysis of primary and secondary data, this case study found that Charity Hospital was closed as a result of disaster capitalism. LSU, backed by Louisiana state officials, took advantage of the mass internal displacement of New Orleans’ populace in the aftermath of Hurricane Katrina in an attempt to abandon Charity Hospital’s iconic but neglected facility and to supplant its original safety net mission serving the poor and uninsured for its neoliberal transformation to favor LSU’s academic medical enterprise.
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Edoru, John Michael. "Information and communication technology and educational services management at a Ugandan university." Thesis, 2018. http://hdl.handle.net/10500/26476.
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This thesis focuses explicitly on the use of Information and Communication
Technology (ICT) as a strategy for delivering effective management of educational
services in a cross-section of educational institutions, inclusive of universities.
University of Uganda (UNU)1
, in Uganda, is taken as a case study where ICT was
introduced with the primary aim of improving effectiveness in the delivery of
educational services. ICT has become a tool of great importance in today’s business
in all spheres of life globally. From commerce to aeronautics, medicine to education,
the daily use of ICT is vital to the success of the business. In the area of higher
education management, ICT use is of central significance as universities of the
contemporary world cannot afford to ignore the role of that ICT plays in the running of
their institutions as a business and, as such, need to ensure they are not left behind
by the developments. Therefore, as a matter of necessity, the universities are required
to embrace ICT adoption in teaching/learning and administrative activities. This study
discusses the concept of ICT, perceptions of stakeholders in the effectiveness of ICT
adoption, educational services management and ICT and strategies for effective ICT
use in educational services management.Educational Management and Leadership
D. Ed. (Education Management)
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Nevhutalu, Ntsako Fikile. "Improving patient referral processes through electronic health record system : a case study of rural hospitals in Limpopo province." Diss., 2013. http://hdl.handle.net/10500/14352.
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In the last decade, the deployment of Electronic Health Records has increased tremendously in many developed countries. This increasing trend intensifies the need for developing countries like South Africa to implement electronic health record systems in state owned hospitals to facilitate e-referral processes to improve health care delivery.
The aim of this research was to investigate the current process of patient record keeping, management, and the referral process of patients within the same hospital and to other hospitals and based on the findings compile an Electronic Health Record (EHR) framework to facilitate e- referral processes.
This research study was based on a qualitative case study approach. A multiple data collection technique was used which included group interviews, questionnaires, document analysis and informal discussions with the hospital workers. Data were analysed by categorization and thematic approach.
The findings obtained from state hospitals indicated that there is no EHR system which accommodates patient health record systems to facilitate e-referral processes. These findings led to a compilation of the Limpopo Electronic Health Record System (LEHRS) to aid e-referral processes in state hospitals. The increasing need for accurate, reliable, available and accessible EHR will be addressed by the implementation of LEHRS as information will be stored in a central database in a useable format and will be easily accessed.Computing
M. Tech. (Information Technology)
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Lesame, Ntombizandile Carol. "The impact of information and communication technologies (ICTs) on development : a case study of the influence of telecentres on the education of users." Thesis, 2008. http://hdl.handle.net/10500/4160.
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This study investigates the use of telecentres for educational purposes in telecommunications under-serviced regions of South Africa. The problem addressed by this research has both equity and efficiency aspects. In particular, the thesis examines the impact of telecentres on the formal and non-formal education outcomes of recipient communities - four telecentres, two in townships and two in rural areas. The urban telecentres are Siyabonga in Orange Farm near Johannesburg and Mamelodi Communication and Information Services (MACIS), in Mamelodi township, near Pretoria in Gauteng Province. The rural telecentres are Tombo near Port St Johns in the Eastern Cape Province and Hoxani near Bushbuckridge on the Mpumalanga-Limpopo Province border.
The main aim of the research is to conduct a quantitative survey of the telecentre users’ use of telecentres in the above mentioned locations. On the basis of this, the thesis seeks to come to some conclusions about the use and effectiveness of the South African telecentre program. The quantitative analysis of users is supported by a qualitative report and analysis of data gathered through personal interviews of telecentre operators and employees. The thesis reports on the outputs of the centres, limitations in their function, inhibitors to their economic performance, and recommendations for improving their operations.
Some of the findings are that telecentres established through public-private partnership (PPP) funding are more effective and successful, computer literacy is a major resource offered, Hoxani telecentre offers outcomes-based education management skills training for local teachers, while Tombo, MACIS and Siyabonga telecentres offer additional business and electronic courses. The thesis also reviews the South African telecentre program against the background of similar programs in selected Asian and Latin American countries, Australia, Canada, and Europe and against the background of an analysis of South African post-apartheid telecommunications sector reforms (1996 to 2007). Insights into the unique nature of challenges facing geographically located telecentres as well as a new model for understanding telecentre operations in South Africa are offered.Communication Science
D.Litt. et Phil.(Communication Science)
Books on the topic "Health services administration – Information technology – Case studies"
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H.I.T. or miss: Lessons learned from health information technology implementation. Chigago: AHIMA Press, 2010.
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Geisler, Eliezer. Management of medical technology: Theory, practice, and cases. Boston: Kluwer Academic Publishers, 1998.
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McCuen, Charlotte. Case studies in health information management. Clifton Park, NY: Thomson/Delmar Learning, 2008.
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Cases on healthcare information technology for patient care management. Hershey, PA: Medical Information Science Reference, 2013.
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Quality, American Society for, ed. Journey to excellence: Baldrige health care leaders speak out. Milwaukee, Wis: ASQ Quality Press, 2009.
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Office, General Accounting. Electronic government: Progress in promoting adoption of smart card technology : report to the chairman, Subcommittee on Technology and Procurement Policy, House of Representatives. Washington, D.C: U.S. General Accounting Office, 2003.
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Office, General Accounting. Electronic government: Progress in promoting adoption of smart card technology : report to the chairman, Subcommittee on Technology and Procurement Policy, House of Representatives. Washington, D.C: U.S. General Accounting Office, 2003.
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Office, General Accounting. Electronic government: Planned e-Authentication gateway faces formidable development challenges : report to the Committee on Government Reform and the Subcommittee on Technology, Information Policy, Intergovernmental Relations, and the Census, House of Representatives. Washington, D.C: U.S. General Accounting Office, 2003.
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Office, General Accounting. Managing for results: Views on ensuring the usefulness of agency performance information to Congress : report to the chairman, Committee on Health, Education, Labor, and Pensions, U.S. Senate. Washington, D.C. (P.O. Box 37050, Washington 20013): The Office, 2000.
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Office, General Accounting. Information management: Progress in implementing the 1996 Electronic Freedom of Information Act amendments : report to congressional requesters. Washington, D.C: The Office, 2001.
Find full textBook chapters on the topic "Health services administration – Information technology – Case studies"
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Beverley, Claire, and Manju Thakur. "Plantwise: A Knowledge and Intelligence Tool for Food Security through Crop Protection." In Plant Diseases and Food Security in the 21st Century, 231–48. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-57899-2_11.
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AbstractFood security continues to be significantly impacted by a growing world population, changing climate, increasing food prices and environmental burden. One of the key challenges in reducing crop losses due to pests and diseases is timely delivery of appropriate, actionable extension advice to farmers. Information and communication technology (ICT) has the potential to improve services that connect smallholder farmers to new resources and information, helping to build their knowledge and ultimately improve their livelihoods. Such ICT-driven services have seen rapid growth over the past few years, and CABI has been harnessing this technology in several programmes. This chapter provides insight into digital interventions of the global, CABI-led programme, Plantwise, which aims to assist stakeholders in developing countries to improve their plant health systems by strengthening linkages among all actors involved, so that they can prevent and manage pest outbreaks more effectively. An overview of digital interventions piloted and tested under the umbrella of the Plantwise programme is illustrated with selected case studies. Interventions include pest diagnosis and management advice delivered via a website, plant health data collection, using a customized mobile application, and educational simulation games for ongoing support.
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V., Uma, and Jayanthi Ganapathy. "Spatio-Temporal Hot Spot Analysis of Epidemic Diseases Using Geographic Information System for Improved Healthcare." In Advances in Healthcare Information Systems and Administration, 31–63. IGI Global, 2019. http://dx.doi.org/10.4018/978-1-5225-8470-4.ch002.
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Health-care systems aid in the diagnosis, treatment and prevention of diseases. Epidemiology deals with the demographic study on frequency, distribution and determinants of disease in order to provide better health-care. Today information technology has made data pervasive i.e. data is available anywhere and in abundance. GIS in epidemiology enables prompt services to mankind or people at risk. It brings out health-care services that are amicable for prevention and control of disease spread. This could be achieved when epidemiology data is modeled considering temporal and spatial factors and using data driven computation techniques over such models. This chapter discusses 1) the need for integrating GIS and epidemiology, 2) various case studies that indicates the need for spatial analysis being performed on epidemiologic data, 3) few techniques involved in the spatial analysis, 4) functionalities provided by some of the widely used GIS software packages and tools.
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Al-Fedaghi, Sabah S. "Conceptual Modeling in Health Information Technology." In Advances in Healthcare Information Systems and Administration, 15–32. IGI Global, 2018. http://dx.doi.org/10.4018/978-1-5225-5460-8.ch002.
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Electronic health record (EHR) systems are the cornerstone of any modern health service. Studies have consistently shown, however, that introducing EHR systems is a complex task, with difficulties stemming from technical designs that fit poorly with the details of clinical work practices. Given the evolving role of EHRs, a unified framework for a holistic modeling approach is needed in health IT. Current conceptual modeling techniques use object-oriented diagrams as their main tools; the nature of this methodology requires breaking the system's behavior into several pieces and then further decomposing those pieces into other diagrams. This chapter introduces a conceptual-modeling methodology that is based on flows; it also presents different conceptualizations of such notions as processes, things (objects), and events. Without a loss of generality, this chapter focuses on documenting patterns of clinician-information use cases and tools for evaluating EHR implementation.
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Al-Fedaghi, Sabah S. "Design Principles in Health Information Technology." In E-Health and Telemedicine, 523–35. IGI Global, 2016. http://dx.doi.org/10.4018/978-1-4666-8756-1.ch026.
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Electronic health record (EHR) systems are said to be the cornerstone of a modernized health service. They improve health care, allow for integrated information, and help prevent lost and duplicated records as well as occurrence of administrative errors. Studies have consistently shown, however, that introducing EHR systems is a complex task, with difficulties stemming from technical designs that fit poorly with the details of clinical work practices. Given the evolving role of EHRs and the importance of information design, the need exists for further exploration of EHRs with the purpose of advancing innovations in health IT with the potential for significant positive effects on clinical practice. This paper focuses on a subfield of EHR studies that is working to establish a foundation for applying information design principles to implementation of health information technology in primary care settings. Without loss of generality, the paper examines a specific attempt that includes documenting patterns of clinician information use and developing “use cases” and tools for evaluating EHR implementation. The paper proposes an alternative approach based on a new flow-based specification methodology. It is shown that the method can be applied uniformly at the conceptual requirements level and simultaneously at the user interface level. The new method seems to be a viable technique for expressing situations arising in clinical work practices.
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Koledova, Ekaterina, Quentin Le Masne, Amalia Spataru, Merat Bagha, and David Dixon. "Digital Health in the Management of Pediatric Growth Hormone Therapy – 10 Years of Developments." In Studies in Health Technology and Informatics. IOS Press, 2021. http://dx.doi.org/10.3233/shti210314.
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Growth hormone administration is approved for use in a number of growth failure conditions in children. Optimal growth outcome requires continuous daily injections over many years, leading to problems of persistence and adherence with therapy. The easypod™ connect ecosystem enables electronic monitoring of injection and dose history, transmitted to a secure cloud database via the internet or cellular networks. Thus, healthcare providers can easily monitor adherence with therapy and be alerted to problems. The growlink™ patient app has been added to the ecosystem to provide solutions that can engage and educate patients and their families/caregivers. growlink™ also allows patients to self-report height and weight, enabling healthcare providers to track growth progression. The patient support program, TuiTek and the easypod™ Augmented Reality (AR) app are being developed within the ecosystem to support telehealth services, increase disease awareness and reduce therapy-related anxiety. easypod™ connect provides objective assessments of adherence, shown to be maintained at a high level over several years, and analyses showed that increased adherence was significantly associated with a better growth outcome. Studies have identified factors that influence persistence and adherence with GH therapy via the easypod™ connect ecosystem. These novel technologies are generating solutions that enable data-driven personalized care for children with growth disorders and optimize long-term clinical outcomes.
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Tang, Charlotte, and Sheelagh Carpendale. "Human-Centered Design for Health Information Technology." In Advances in Healthcare Information Systems and Administration, 296–318. IGI Global, 2011. http://dx.doi.org/10.4018/978-1-60960-177-5.ch013.
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This chapter presents issues that may arise in human-centered research in health care environments. The authors first discuss why human-centered approach is increasingly employed to study and to design health care technology. They then present some practical concerns that may arise when conducting qualitative research in medical settings, from research design, to data collection and data analysis, and to technology design. Many of these concerns were also experienced in their own human-centered field studies conducted in the last few years. The authors conclude the chapter by illustrating some of these issues using their own research case study that investigated nurses’ information flow in a hospital ward.
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Pomares-Quimbaya, Alexandra, Rafael A. González, Alejandro Sierra, Julián Camilo Daza, Oscar Muñoz, Angel García, Alvaro Bustamante, Olga Milena García, and Wilson Ricardo Bohórquez. "ICT for Enabling the Quality Evaluation of Health Care Services." In Advances in Healthcare Information Systems and Administration, 196–210. IGI Global, 2017. http://dx.doi.org/10.4018/978-1-5225-1724-5.ch012.
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Medical practice, monitoring and control guidelines enable standardization, assessment and quality improvement in healthcare. This often implies collecting and analyzing electronic medical records (EMRs) in order to calculate compliance metrics and support evidence-based decision-making. However, for these benefits to materialize a set of challenges must be overcome, including the complexity required to represent guidelines in such a way that compliance can be automatically determined with the aid of software; the combination of both structured and unstructured (narrative text) data; and cultural or political barriers. In this chapter, we present a strategy to overcome these challenges using three case studies in chronic disease for a developing country. As such, this work contributes an approach to enable the use of ICT-supported medical guideline evaluation, in order to contribute to a more reliable and context-dependent way of improving healthcare in developing countries in particular.
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Haniff, David. "Usability Engineering and E-Health." In Advances in Healthcare Information Systems and Administration, 41–64. IGI Global, 2011. http://dx.doi.org/10.4018/978-1-60960-177-5.ch003.
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The chapter presents case studies of e-health applications that the author has been involved in such as a paramedic application that presented treatment information to the paramedic. Furthermore, a review of e-health applications to help people with medical issues and in particular people with mental health problems is discussed. In addition, various tools to use in the development of e-health systems such learning models, focus groups and the Technology Acceptance Model (TAM) are presented. Finally a methodology that combines technological consideration as well as human factors issues is proposed.
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Eason, Ken, and Patrick Waterson. "Patient Safety in Community Care." In Advances in Healthcare Information Systems and Administration, 198–213. IGI Global, 2014. http://dx.doi.org/10.4018/978-1-4666-4546-2.ch011.
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The increasing number of elderly people in need of health and social care is putting pressure on current services to develop better ways of providing integrated care in the community. It is a widely held belief that e-health technologies have great potential in enabling and achieving this goal. This chapter reviews a number of technologies used for this purpose: telecare, telehealth, telemedicine, electronic patient record systems, and technologies to support mobile working. In each case, technocentric-design approaches have led to problematic implementations and failures to achieve adoption into the routine of delivering healthcare. An examination of attempts to implement major changes in the service delivery of integrated care shows that e-health technologies can be successfully implemented when they are seen as an intrinsic part of the creation of a complete system. However, the design process required for successful delivery of these services is challenging; it requires sustained and integrated development work by clinical staff and technologists coordinating their work on process changes, organisational developments, and technology implementations.
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Edoh, Thierry Oscar. "Challenges Facing Healthcare Delivery Systems in Low-, Middle-, and High-Income Countries." In Research Anthology on Public Health Services, Policies, and Education, 299–352. IGI Global, 2021. http://dx.doi.org/10.4018/978-1-7998-8960-1.ch014.
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In the USA, there exist inequities in health delivery depending on whether you have healthcare insurance or not. People living in rural areas also are facing limited access to healthcare. The other high-income countries present, however, another picture. Healthcare insurance is mandatory and thus enables access to healthcare services. Nevertheless, these countries also face challenges such as the poor access to the healthcare services delivery in rural areas because of lack of general physicians. The cost burden is an important point that impacts the access to healthcare and care delivery to a certain group of individuals such as elderly people. The healthcare systems also are facing off-label-use challenges (see Chapter 5) that can also negatively impact the care delivery. In the low- and middle-income countries, the developing world, the poor access to healthcare services delivery is due to infrastructural, structural issues, and poor funding. Information exchanges and communication remain a challenge facing all public healthcare systems around the world, though at diverse level. This chapter aims at investigating the challenges facing the healthcare delivery systems around the world and proposing information and communication-technology-based solutions to tackle some challenges. The chapter further focuses on two case studies and generalizes the results and solution approaches to the other countries. For these purposes, the Republic of Benin, representing the developing world, and the Federal Republic of Germany, representing the developed world, are selected as study cases.