Strategic information management in health care - myth or reality?

2005 ◽  
Vol 18 (1) ◽  
pp. 53-62 ◽  
Author(s):  
Adrienne Curry ◽  
Gail Knowles

This paper uses data gathered from a case NHS Trust in Scotland to demonstrate progress in terms of operational and strategic information management and to highlight some of the problems currently experienced in the health-care environment in striving to comply with governmental policies relating to information sharing. Progress has certainly been made and there is recognition of the potential to be achieved from more efficient and effective information management in health care. Problems exist, however, and there is still a considerable gap to be filled between the policy objectives and what is actually achievable in reality on a day-to-day basis. Data have been gathered from a hospital and a health centre to illustrate information flow between two of the Trust entities and a benchmark has been provided, showing that best practice can be achieved and how it can be achieved.

2019 ◽  
Vol 10 (1) ◽  
pp. 211-233 ◽  
Author(s):  
Yousuf Nasser Al Khamisi ◽  
M. Khurshid Khan ◽  
J. Eduardo Munive-Hernandez

PurposeThis paper aims to present the development of a knowledge-based system (KBS) to support the implementation of Lean Six Sigma (L6s) principles applied to enhance quality management (QM) performance within a health-care environment. Design/methodology/approachThe process of KBS building has been started by acquiring knowledge from experts in field of L6σ and QM in health care. The acquired knowledge has been represented in a rule-based approach for capturing L6σ practices. These rules are produced in IF […].THEN way where IF is the premise and THEN is the action. The produced rules have been integrated with gauging absence pre-requisites (GAP) technique to facilitate benchmarking of best practice in a health-care environment. A comprehensive review of the structure of the system is given, detailing a typical output of the KBS. FindingsImplementation of L6s principles to enhance QM performance in a health-care environment requires a pre-assessment of the organisation’s competences. The KBS provides an enhanced strategic and operational decision-making hierarchy for achieving a performance benchmark. Research limitations/implicationsThe KBS needs validation in real health-care environment, which will be done in Oman’s hospitals. Practical implicationsThe paper is intended to benefit QM practitioners in the health-care sector during decision-making to achieve performance improvement against a best practice benchmark. Originality/valueThis research presents a novel application of a hybrid KBS with GAP methodology to support the implementation of L6s principles to enhance QM performance in a health-care environment.


2009 ◽  
Vol 3 (S1) ◽  
pp. S83-S89 ◽  
Author(s):  
J. Lee Jenkins ◽  
Gabor D. Kelen ◽  
Lauren M. Sauer ◽  
Kimberly A. Fredericksen ◽  
Melissa L. McCarthy

ABSTRACTNo standard exists by which to evaluate a hospital’s compliance for the National Incident Management System (NIMS). The instruments available and in use today for the evaluation of hospital preparedness have variable adherence to the principles and elements set forth in NIMS. This is especially evident in the areas of command and management and communications and information management. The use of NIMS as a standard remains itself in question because of its lack of focus on the health care environment and incomplete list of pertinent elements. (Disaster Med Public Health Preparedness. 2009;3(Suppl 1):S83–S89)


1990 ◽  
Vol 16 (3) ◽  
pp. 327-380
Author(s):  
David A. Hyman

Tax exemption is an ancient, honorable and expensive tradition. Tax exemption for hospitals is all of these three, but it also places in sharp focus a fundamental problem with tax exemption in general. Organizations can retain their tax exemption while changing circumstances or expectations undermine the rationale that led to the exemption in the first place. Hospitals are perhaps the best example of this problem. The dramatic changes in the health care environment have eliminated most of the characteristics of a hospital that originally persuaded the citizenry to grant it an exemption. Hospitals have entered into competition with tax-paying businesses, and have increasingly behaved like competitive actors. Such conduct may well be beneficial, but it does not follow that tax exemption is appropriate. Rather than an undifferentiated subsidy, a shift to focused goals will provide charitable hospitals with the opportunity and incentive to “do the right thing.”


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