scholarly journals Individual cost accounting in the management of medical organizations

2019 ◽  
Vol 12 (1) ◽  
pp. 55-59
Author(s):  
I. A. Zheleznyakova ◽  
L. A. Kovaleva ◽  
T. A. Khelisupali
Keyword(s):  
Medical Information ◽  
Medical Personnel ◽  
Work Load ◽  
Cost Accounting ◽  
Medical Information System ◽  
Activity Based Costing ◽  
Medical Organization ◽  
Financial Activity ◽  
Complex Process ◽  
Diagnosis Method

In the modern economic conditions, the rational planning of costs and the complex process optimization are essential requirements to all organizations. Knowledge of costs is needed to correctly assess the economic performance of an organization. Competent and timely correction of tariffs for the obligatory medical insurance and rationalization of the requested financing of the medical organization depends on this assessment. In the present study, we analyze various methods of personalized cost accounting: the ratio of costs to charges (RCC); relative value unit (RVU); time-driven activity-based costing (TDABC), and the possibility of their adaptation to the specific needs of medical organizations. The personalized cost accounting incorporated into a medical information system allows for controlling, planning and carrying out a close internal management of financial activity. This function helps decision-makers: control the use of funds for medical care provision; increase the efficiency of management decisions; justify the prices of paid medical services; define the deficit and surplus work units; analyze the treatment cost for each patient, considering the diagnosis, method of treatment, age and other classification signs, including the reference to specialized departments; reduce the unnecessary “paper” work load on the medical personnel; model the future needs of the organization in accordance with the planned changes in the hospitalization policy; optimize, control and plan the budget with regard to the established standards of financial expenses. Implementation of this approach is expected to increase the work efficiency in most medical organizations and the entire healthcare system.

Automation of accounting and reporting of preventive medical exams and clinical examination in medical organizations

10.12737/7354 ◽  
2014 ◽  
Vol 8 (1) ◽  
pp. 0-0
Author(s):  
Теплякова ◽  
E. Teplyakova ◽  
Щербаков ◽  
S. Shcherbakov
Keyword(s):  
Clinical Examination ◽  
Medical Records ◽  
Medical Information ◽  
Medical Examination ◽  
Medical Information System ◽  
Medical Organization ◽  
Health Card ◽  
Flexible System ◽  
Medical Examinations ◽  
Accurate Reporting

Implementation of information technology in health care is one of the urgent tasks of modernization. Questions automation of accounting and reporting on clinical examination carried out by certain groups of adults, clinical examination of orphans, professional examinations and adult medical examination of the child population (preventive, preliminary, periodic) make up a significant part of the activities of medical organizations both in terms of achieving the goals of the organization. The implementation of a software system "health card", its implementation and use in the medical organization is effectively used in the integration of medical information system in a medical organization. The functions of the system meet all the requirements necessary to meet its work regulations governing the procedure and forms for clinical examination and professional examinations, monitoring of accounting work, the results of clinical examination and analysis of professional examinations, the acceleration of employees by automatically filling out forms, flexible system configuration. Integration of "health map" with electronic medical records enables to collect card baseline medical examination (clinical examination) of the input specialists medical examinations and investigations.Automation of accounting and reporting of preventive medical exams and clinical examination allows medical organization to reduce the labor of doctors and other staff to fill in the documentation and accounting work to avoid mistakes in documents and reports, provide timely and accurate reporting of the established forms of the Ministry of Health.

scholarly journals Medical and legal aspects of patient identification

2021 ◽  
Vol 69 (1) ◽  
Author(s):  
Serghei Pisarenco ◽  
◽  
Constantin Pisarenco ◽  
Constantin Martiniuc ◽  
Mihaela Manea ◽  
...  
Keyword(s):  
Medical Information ◽  
Emergency Situation ◽  
Medical Personnel ◽  
Patient Safety Culture ◽  
Legal Aspects ◽  
Expert Assessment ◽  
Identification Algorithm ◽  
Patient Identification ◽  
Medical Organization ◽  
Legal Consequences

Purpose. Highlighting the medical and legal aspects of patient identification in a specialized medical institution. Materials and methods. The materials of the expert assessment of the patient identification process in a medical organization have been studied: regulatory and methodological acts; medical records; data of direct observation of the processes of medical activity, interviews of medical personnel and patients; special literature selected from medical information databases. Results. It has been established that patient identification is carried out in accordance with international recommendations; within the framework of the current national regulations. The patient identification algorithm is performed by all medical professionals at all stages of medical care. At the same time, omissions were noted in the actions of medical personnel, which in an emergency situation could cause a real mistake — unintentional harm to the patient. Conclusions. Developing a patient safety culture in a medical organization and implementing a system that ensures correct patient identification helps to reduce the number of errors associated with it and the associated medical and legal consequences.

PATIENTS’ SATISFACTION WITH THE QUALITY OF MEDICAL SERVICES AT DIFFERENT STAGES OF THE PROJECT “LEAN HOSPITAL” IN TOMSK REGION

2019 ◽  
Vol 33 (4) ◽  
pp. 154-157 ◽  
Author(s):  
A. A. Solovyev ◽  
N. V. Kopysova
Keyword(s):  
Call Center ◽  
Medical Information ◽  
Medical Personnel ◽  
Medical Information System ◽  
Medical Services ◽  
City Hospital ◽  
Medical Institutions ◽  
Tomsk Region ◽  
Insufficient Number

The purpose of the study was to analyze the state of satisfaction of the population in the provision of medical services and to observe the changes taking place in this area in connection with the start of the national project “Lean Polyclinic”. The studies were conducted in the form of a questionnaire survey of patients of two medical institutions, namely: the Regional Public Health Institutions “Children’s City Hospital No. 2” and “B. I. Alperovich City Clinical Hospital No. 3”.The material of the study was the responses on paper of the interviewed patients. The average indicators of patient satisfaction with the received medical services were determined by means of statistical calculations. The survey was conducted at the start of the project in May‑July of 2017 and again in October‑December of 2017.Results. The initial survey revealed the presence of such problems as insufficient number of automated workplaces; heavy workload of the doctor when working in the Medical Information System of the Tomsk Region; imperfection of the card filing cabinet; insufficient number of racks for storing outpatient cards, front-office and back-office were located in the same room and did not have a partition, which created noise and interfered with the work of call-center operators; the need to contact the registry to get the outpatient card when the visit was previously assigned; difficult orientation of patients in the clinic; long-term preventive examination of children aged 1 year; mixed flows of healthy and sick patients; and lack of personnel. The repeated survey reflected the changes that occurred in connection with the start of the “Lean Polyclinic” project: the number of detected violations tended to decrease, which indicated the improvement in the quality of services and the improvement in the organization of medical personnel work.Conclusion. Thus, the present study established that the use of lean production technologies contributed to the quality of medical services and it had a beneficial effect on the processes of organizing the work of medical institutions. 

Value orientations of the doctor as predictor of efficiency of activity of the medical organization

2020 ◽  
pp. 63-70
Author(s):  
K. N. Tsaranov ◽  
◽  
E. M. Klimova ◽  
T. V. Akimov ◽  
A. B. Zvansky ◽  
...  
Keyword(s):  
Medical Information ◽  
Value Orientations ◽  
Medical Information System ◽  
Medical Organization ◽  
Professional Activities ◽  
Medical Institutions ◽  
The Individual ◽  
The Impact ◽  
Selection Of

The article presents the results of an empirical study of the value orientations of dental clinic employees. It is suggested that gaps in human values are factors that influence professional activities in terms of communication (in the production team) and ultimately the profitability of the individual in the teams. The initial data is obtained from the reports of the clinic’s medical information system and the Schwartz’s Value Survey (SVS) and Portrait Values Questionnaire (PVQ). In addition, we used a retrospective analysis and a questionnaire survey. Doctors were divided into two groups based on the impact of value gaps on the share of revenue plan fulfillment (type one and type two groups). Attention is drawn to the direction of relationships in the group of the first type, all correlations of average strength are direct, in the group of type 2 – reverse. In the structure of the profile of value orientations, there are differences between the groups on the second place in importance for the respondents in the group of the first type are the value orientation (VO) “Achievement” and secondly, “Self-Direction”, third place in the group of the first type is “Benevolence”, whereas in the group of the second type of “Benevolence” in 4th place. To increase economic efficiency, managers of medical institutions need to organize activities to create cultural artifacts about the normative ideals of those values that affect the workflow, take into account the data of the employee’s value profile for optimal selection of the team composition (work shift).

Features of informatization of surgical departments of a medical organization. Planning and management of operational activities in a multidisciplinary hospital using MIS Interin

2020 ◽  
pp. 62-69
Author(s):  
O.V. Anurin ◽  
◽  
M. M. Arslambekov ◽  
A. A. Belchenkov ◽  
G. A. Vityazev ◽  
...  
Keyword(s):  
Medical Information ◽  
Medical Information System ◽  
Medical Organization ◽  
Factors Affecting ◽  
Leading Role ◽  
Federal Research ◽  
Planning And Management ◽  
Operational Activities ◽  
Operational Activity

The article is devoted to the automation of the process of planning and management of operational activities in a multidisciplinary hospital – the basic principles and features, parameters and factors affecting the formation of the operation plan are formulated, the model of the business process is described and criteria for its effectiveness are given, the methodological foundations for organizing the planning of operational activities are shown – shown the leading role of the relationship between the plan of operations and the plan of hospitalizations, the role of the medical information system in the automation of operational activities is determined. All identified methods of increasing the efficiency of the operational activity of medical institutions by means of MIS were tested on the example of using MIS Interin PROMIS Alpha at the Federal Research and Clinical Center of the FMBA of Russia. The results that were achieved as a result of the practical application of these methods with the use of MIS in the organization of the daily process of the activities of surgeons in the Federal Research Center of the Federal Medical and Biological Agency of the Federal Medical and Biological Agency of Russia are considered.

scholarly journals Analysis of Innovative Potential in Healthcare Management of the Republic of Azerbaijan

2020 ◽  
Author(s):  
Farhad Rahmanov ◽  
Elchin Suleymanov
Keyword(s):  
Medical Care ◽  
Information And Communication Technologies ◽  
Medical Information ◽  
Medical Science ◽  
Health Sector ◽  
Medical Personnel ◽  
Healthcare Management ◽  
Medical Information System ◽  
Medical Care System ◽  
National Programs

In the paper we have studied the progress and results of reforms in the healthcare system of Azerbaijan, the role of national programs for the modernization of various health sectors in strengthening public health in context of the problems facing the Azerbaijani economy. A notable progress is being made in the transformation of the delivery system medical care for the population over the years of reform. Particular attention is paid to the issues of medical science, improving the system of training medical personnel, increasing the reliability of medical data, and the introduction of information and communication technologies in the health sector. There is a need to develop and implement a model of the medical information system for medical institutions as a key element in the development of priority national health programs. The paper pays attention to the improvement of the organization, management, and financial support of the medical care system. In this regard, it is noted that it is necessary to apply the most effective ways of organizing medical care and using the available resource potential based on the introduction of innovative management technologies.

REENGINEERING OF THE PROCESSES OF CONTROL OF INDICATORS OF THE PATIENT'S CONDITION IN THE FRAMEWORK OF THE MEDICAL INFORMATION SYSTEM

2021 ◽  
pp. 130-134
Author(s):  
Сергей Сергеевич Долматов ◽  
Евгений Николаевич Коровин ◽  
Маргарита Анатольевна Сергеева
Keyword(s):  
Information System ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Development Strategy ◽  
Medical Information ◽  
Medical Personnel ◽  
Medical Information System ◽  
Diagnostic Process ◽  
Medical Diagnostic

В данной статье описываются пути повышения качества медико-диагностического процесса в результате внедрения медицинской информационной системы во врачебную практику. Также проводится анализ деятельности врача по контролю показателей состояния пациента как в стационарных условиях, так и с применением медицинских информационных систем. Применения реинжиниринга как совокупности средств, мер и методов, в том числе соответствующих информационных, позволят кардинально улучшить основные показатели деятельности медицинских организаций, в том числе медицинского персонала. С данной целью осуществляется анализ и последующее переосмысление существующих медико-диагностических процессов. Таким образом, сформированные методы реинжиниринга могут быть использованы в процессе разработки инновационной стратегии развития. Основным документом, отражающим состояние пациента, является медицинская карта, которая служит документальным доказательством проведенного лечебно-диагностического и реабилитационного процесса, отражает взаимодействие лечащего врача с другими специалистами и службами, отражает динамику и исход заболевания. Электронная медицинская карта может значительно повысить безопасность и качество медицинской помощи, увеличить оперативность представления медицинской информации, обеспечить комфортность в работе медицинского персонала. Использование соответствующего программного обеспечений и медицинской информационной системы контроля показателей состояния пациента в рамках электронной медицинской карты обеспечит постоянное взаимодействие врача и пациента и повысит оперативность лечебно-диагностического процесса This article describes ways to improve the quality of the medical diagnostic process as a result of the introduction of the medical information system into medical practice. An analysis of the doctor's activities is also carried out to monitor the indicators of the patient's condition both in stationary conditions and using medical information systems. The use of reengineering as a set of tools, measures and methods, including the relevant information, will radically improve the main performance indicators of medical organizations, including medical personnel. For this purpose, the analysis and subsequent rethinking of existing medical and diagnostic processes is carried out. Thus, the formed reengineering methods can be used in the process of developing an innovative development strategy. The main document reflecting the patient's condition is a medical record, which serves as documentary evidence of the medical, diagnostic and rehabilitation process, reflects the interaction of the attending physician with other specialists and services, reflects the dynamics and outcome of the disease. An electronic medical record can significantly improve the safety and quality of medical care, increase the efficiency of medical information submission, and ensure the comfort of medical personnel. The use of appropriate software and a medical information system for monitoring indicators of the patient's condition within the framework of an electronic medical record will ensure constant interaction between a doctor and a patient and increase the efficiency of the medical diagnostic process

Current Status of a Medical Information System

1970 ◽  
Vol 09 (03) ◽  
pp. 149-160 ◽  
Author(s):  
E. Van Brunt ◽  
L. S. Davis ◽  
J. F. Terdiman ◽  
S. Singer ◽  
E. Besag ◽  
...  
Keyword(s):  
Information System ◽  
Medical Records ◽  
Medical Information ◽  
Clinical Laboratory ◽  
Development Program ◽  
Medical Data ◽  
Direct Access ◽  
Medical Information System ◽  
Current Status ◽  
Central System

A pilot medical information system is being implemented and currently is providing services for limited categories of patient data. In one year, physicians’ diagnoses for 500,000 office visits, 300,000 drug prescriptions for outpatients, one million clinical laboratory tests, and 60,000 multiphasic screening examinations are being stored in and retrieved from integrated, direct access, patient computer medical records.This medical information system is a part of a long-term research and development program. Its major objective is the development of a multifacility computer-based system which will support eventually the medical data requirements of a population of one million persons and one thousand physicians. The strategy employed provides for modular development. The central system, the computer-stored medical records which are therein maintained, and a satellite pilot medical data system in one medical facility are described.

Coordinating Medical Literature with Patient Care

1977 ◽  
Vol 16 (04) ◽  
pp. 234-240 ◽  
Author(s):  
Joann Gustafson ◽  
J. Nelson ◽  
Ann Buller
Keyword(s):  
Health Care ◽  
Medical Staff ◽  
Medical Information ◽  
Medical Literature ◽  
Medical Information System ◽  
Staff Members ◽  
Information Displays ◽  
Medical Displays ◽  
Computerized Medical Information ◽  
The Given

The contribution of a special library project to a computerized problem-oriented medical information system (PROMIS) is discussed. Medical information displays developed by the PROMIS medical staff are accessible to the health care provider via touch screen cathode terminals. Under PROMIS, members of the library project developed two information services, one concerned with the initial building of the medical displays and the other with the updating of this information. Information from 88 medical journals is disseminated to physicians involved in the building of the medical displays. Articles meeting predetermined selection criteria are abstracted and the abstracts are made available by direct selective dissemination or via a problem-oriented abstract file. The updating service involves comparing the information contained in the selected articles with the computerized medical displays on the given topic. Discrepancies are brought to the attention of PROMIS medical staff members who evaluate the information and make appropriate changes in the displays. Thus a feedback loop is maintained which assures the completeness, accuracy, and currency of the computerized medical information. The development of this library project and its interface with the computerized health care system thus attempts to deal with the problems in the generation, validation, dissemination, and application of medical literature.

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