scholarly journals Health Care Finance and the Early Adoption of Hospital Information Systems

2002 ◽  
Author(s):  
Ron Borzekowski
Keyword(s):  
Health Care ◽  
Information Systems ◽  
Hospital Information Systems ◽  
Health Care Finance ◽  
Early Adoption

scholarly journals Can ICTs Contribute to the Efficiency and Provide Equitable Access to the Health Care System in Sub-Saharan Africa? The Mali Experience

2011 ◽  
Vol 20 (01) ◽  
pp. 33-38 ◽  
Author(s):  
A. Anneb ◽  
M. Fieschi ◽  
A. Geissbuhlera ◽  
C. O. Bagayokoa
Keyword(s):  
Health Care ◽  
Information System ◽  
Medical Education ◽  
Information Systems ◽  
Open Source ◽  
Health Professionals ◽  
Hospital Information System ◽  
Hospital Information Systems ◽  
Equitable Access ◽  
Sub Saharan

SummaryThe aim of this study is to demonstrate from actual projects that ICT can contribute to the balance of health systems in developing countries and to equitable access to human resources and quality health care service. Our study is focused on two essential elements which are: i) Capacity building and support of health professionals, especially those in isolated areas using telemedicine tools; ii) Strengthening of hospital information systems by taking advantage of full potential offered by open-source software.Our research was performed on the activities carried out in Mali and in part through the RAFT (Réseau en Afrique Francophone pour la Télémédecine) Network. We focused mainly on the activities of e-learning, telemedicine, and hospital information systems. These include the use of platforms that work with low Internet connection bandwidth. With regard to information systems, our strategy is mainly focused on the improvement and implementation of opensource tools.Several telemedicine application projects were reviewed including continuing online medical education and the support of isolated health professionals through the usage of innovative tools. This review covers the RAFT project for continuing medical education in French-speaking Africa, the tele-radiology project in Mali, the “EQUI-ResHuS” project for equal access to health over ICT in Mali, The “Pact-e.Santé” project for community health workers in Mali.We also detailed a large-scale experience of an open-source hospital information system implemented in Mali: “Cinz@n”.We report on successful experiences in the field of telemedicine and on the evaluation by the end-users of the Cinz@n project, a pilot hospital information system in Mali. These reflect the potential of healthcare-ICT for Sub-Saharan African countries.

From Hospital Information Systems to Health Information Systems

2001 ◽  
Vol 40 (04) ◽  
pp. 275-287 ◽  
Author(s):  
D. A. Giuse ◽  
K. A. Kuhn
Keyword(s):  
Health Care ◽  
Information Systems ◽  
Human Computer Interaction ◽  
Health Information ◽  
State Of The Art ◽  
Health Information Systems ◽  
Hospital Information Systems ◽  
Care Process ◽  
Critical Issues ◽  
Technical Issues

Summary Objectives: Hospital information systems are evolving towards health information systems. This article aims at identifying both proven benefits and critical issues, and at discussing problems and possible solutions. Methods: Reports on HIS successes and failures were analyzed, and core challenges were identified. These challenges are discussed against state of the art solutions. Results: In spite of demonstrated benefits, there are more severe problems than reports on successes suggest. Among today’s core problems are integration, human-computer interaction, socio-technical issues, and support of processes. Conclusions: Significant efforts of all parties involved in the health care process are needed to improve, implement, and evaluate the concepts described.

Key Performance Indicators to Benchmark Hospital Information Systems – A Delphi Study

2009 ◽  
Vol 48 (06) ◽  
pp. 508-518 ◽  
Author(s):  
G. Hübner-Bloder ◽  
E. Ammenwerth
Keyword(s):  
Health Care ◽  
Information Systems ◽  
Performance Indicators ◽  
User Satisfaction ◽  
Delphi Study ◽  
Key Performance Indicators ◽  
Hospital Information Systems ◽  
Clinical Workflow ◽  
It Department ◽  
It Benchmarking

Summary Objectives: To identify the key performance indicators for hospital information systems (HIS) that can be used for HIS benchmarking. Methods: A Delphi survey with one qualitative and two quantitative rounds. Forty-four HIS experts from health care IT practice and academia participated in all three rounds. Results: Seventy-seven performance indicators were identified and organized into eight categories: technical quality, software quality, architecture and interface quality, IT vendor quality, IT support and IT department quality, workflow support quality, IT outcome quality, and IT costs. The highest ranked indicators are related to clinical workflow support and user satisfaction. Isolated technical indicators or cost indicators were not seen as useful. The experts favored an interdisciplinary group of all the stakeholders, led by hospital management, to conduct the HIS benchmarking. They proposed benchmarking activities both in regular (annual) intervals as well as at defined events (for example after IT introduction). Most of the experts stated that in their institutions no HIS benchmarking activities are being performed at the moment. Conclusion: In the context of IT governance, IT benchmarking is gaining importance in the healthcare area. The found indicators reflect the view of health care IT professionals and researchers. Research is needed to further validate and operationalize key performance indicators, to provide an IT benchmarking framework, and to provide open repositories for a comparison of the HIS benchmarks of different hospitals.

Status and Perspective of Hospital Information Systems in Japan

1999 ◽  
Vol 38 (03) ◽  
pp. 200-206 ◽  
Author(s):  
Y. Ogushi ◽  
Y. Okada ◽  
M. Kimura ◽  
I Kumamoto ◽  
Y. Sekita ◽  
...  
Keyword(s):  
Information Systems ◽  
Hospital Information Systems ◽  
Office Work ◽  
Patient Registration ◽  
Hospital Managers ◽  
Obvious Benefit ◽  
History Of ◽  
Questionnaire Surveys ◽  
Future Hospital ◽  
Order Entry Systems

AbstractQuestionnaire surveys were sent to hospital managers, designed to shape the policy for future hospital information systems in Japan. The answers show that many hospitals use dedicated management systems, especially for patient registration and accounting, and personnel, food control, pharmacy and financial departments. In many hospitals, order-entry systems for laboratory tests and prescriptions are well developed. Half of the hospitals have patient databases used for inquiries of basic patient information, history of outpatient care and hospital care. The most obvious benefit is the reduction of office work, due to effective hospital information system. Many hospital managers want to use the following sub systems in the future for automatic payment, waiting time display, patient records search, automatic prescription verification, drug side-effect monitoring, and graphical display of patient record data.

An Integrated Approach for a Knowledge-based Clinical Workstation: Architecture and Experience

1998 ◽  
Vol 37 (01) ◽  
pp. 16-25 ◽  
Author(s):  
P. Ringleb ◽  
T. Steiner ◽  
P. Knaup ◽  
W. Hacke ◽  
R. Haux ◽  
...  
Keyword(s):  
Decision Support ◽  
Information Systems ◽  
Patient Care ◽  
Hospital Information Systems ◽  
Medical Decision ◽  
Daily Routine ◽  
Functional Requirements ◽  
Support Functions ◽  
Knowledge Based ◽  
Clinical Workstation

Abstract:Today, the demand for medical decision support to improve the quality of patient care and to reduce costs in health services is generally recognized. Nevertheless, decision support is not yet established in daily routine within hospital information systems which often show a heterogeneous architecture but offer possibilities of interoperability. Currently, the integration of decision support functions into clinical workstations is the most promising way. Therefore, we first discuss aspects of integrating decision support into clinical workstations including clinical needs, integration of database and knowledge base, knowledge sharing and reuse and the role of standardized terminology. In addition, we draw up functional requirements to support the physician dealing with patient care, medical research and administrative tasks. As a consequence, we propose a general architecture of an integrated knowledge-based clinical workstation. Based on an example application we discuss our experiences concerning clinical applicability and relevance. We show that, although our approach promotes the integration of decision support into hospital information systems, the success of decision support depends above all on an adequate transformation of clinical needs.

Terminal hardware and methodology in hospital information systems

1974 ◽  
Author(s):  
Stanley E. Jacobs ◽  
Lou Phillips ◽  
Marion J. Ball ◽  
John W. Anderson
Keyword(s):  
Information Systems ◽  
Hospital Information Systems

Healthcare practitioner behaviours that influence unsafe use of hospital information systems

2019 ◽  
Vol 26 (1) ◽  
pp. 420-434 ◽  
Author(s):  
Lizawati Salahuddin ◽  
Zuraini Ismail ◽  
Ummi Rabaah Hashim ◽  
Nor Haslinda Ismail ◽  
Raja Rina Raja Ikram ◽  
...  
Keyword(s):  
Information Systems ◽  
Improve Patient Safety ◽  
Structured Interview ◽  
Hospital Information Systems ◽  
Healthcare Practitioner ◽  
Resultant Data ◽  
Quality Of Patient Care ◽  
Copy And Paste ◽  
Improve Patient

This study aims to investigate healthcare practitioner behaviour in adopting Health Information Systems which could affect patients’ safety and quality of health. A qualitative study was conducted based on a semi-structured interview protocol on 31 medical doctors in three Malaysian government hospitals implementing the Total Hospital Information Systems. The period of study was between March and May 2015. A thematic qualitative analysis was performed on the resultant data to categorize them into relevant themes. Four themes emerged as healthcare practitioners’ behaviours that influence the unsafe use of Hospital Information Systems. The themes include (1) carelessness, (2) workarounds, (3) noncompliance to procedure, and (4) copy and paste habit. By addressing these behaviours, the hospital management could further improve patient safety and the quality of patient care.

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