Smart Hospital Management System

2021 ◽  
Vol 9 (VI) ◽  
pp. 1878-1881
Author(s):  
Vishal Patil
Keyword(s):  
Patient Care ◽  
Information And Communication Technologies ◽  
Performance Metrics ◽  
Research Work ◽  
Hospital Performance ◽  
Daily Basis ◽  
Main Task ◽  
Healthcare Organizations ◽  
Healthcare Applications ◽  
Hospital Executives

Information and Communication Technologies (ICTs) are commonly using in healthcare organizations worldwide. There are different kinds of healthcare applications developed in android Smartphone’s which help patients and their caregivers to reduce time and cost efficiency. Hospitals are the largest and most complex organizations where health care is provided. Safe and effective patient care services in hospitals depend on the efficient decisions made by hospital executives. The main task of hospital executives is to ensure the hospital can provide high quality patient care and services. This Android application used for displaying hospital performance metrics on a daily basis. This application allows hospital executives to review and monitor hospital operational data with ease of access and in a portable manner. Thus, reducing the effort of the hospital executives to perform their tasks. In this research work, an application is developed that locates the nearest hospital. The System is designed for Any Hospital to replace their existing manual, paper-based system. The new system is to control the following information; List of Hospitals, bed availability, Book Appointment, List of Doctors, Facilities and Book Ambulance. With the help of this application, a patient can find the nearest hospital according to specialized consultant availability.

scholarly journals 828. Evaluation of Home Time as a Patient-Centered Metric for Pneumonia Hospitalizations: A Retrospective Cohort Study of Medicare Fee-For-Service Beneficiaries

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S455-S456
Author(s):  
Rajeshwari Nair ◽  
Yubo Gao ◽  
Mary Vaughan-Sarrazin ◽  
Eli N Perencevich ◽  
Saket Girotra ◽  
...  
Keyword(s):  
Performance Metrics ◽  
Care Delivery ◽  
Care Facility ◽  
Hospital Performance ◽  
Policy Implications ◽  
Fee For Service ◽  
Multilevel Regression ◽  
Hospital Level ◽  
Post Discharge ◽  
Patient Centered

Abstract Background The Centers for Medicare & Medicaid Services (CMS) uses hospital readmission to incentivize hospital care delivery for acute conditions including pneumonia. However, current CMS performance metrics do not account for the competing risk of mortality in the post-discharge period or during the hospital stay. Our objective was to assess home time within 30 days after discharge among pneumonia hospitalizations, as a patient-centered metric. Methods A retrospective observational study was conducted in a cohort of Medicare fee-for-service beneficiaries admitted between 01/01/2015 and 11/30/2017. Home time was the number of days spent alive, out of an acute care setting, skilled nursing facility, or a rehabilitation facility within 30 days of discharge. If a patient spends any part of a day in a care facility or died after discharge, then that day was not included in the calculation for home time. Hospital-level rates of risk-adjusted home time were calculated using multilevel regression models. We compared hospital performance on 30-day risk-standardized home time with its performance on 30-day risk standardized readmission rate (RSRR) and mortality rate (RSMR). Characteristics of hospitals with high and low risk-adjusted home-time were compared. Results Among 1.7 million pneumonia admissions admitted to 3,116 hospitals, the median 30-day risk-standardized home time was 20.5 days (interquartile range: 18.9-21.9 days). Hospital-level characteristics such as case volume, bed size, for-profit ownership, rural location of hospital, teaching status, and participation in the bundle payment program were significantly associated with home-time. RSRR (rho: -0.233, p< 0.0001) and RSMR (rho: -0.223, p< 0.0001) had weak, inverse correlations with home time. Using the home time metric, 35.5% of hospitals were reclassified as high performers compared with their average or poor performance on the RSRR or RSMR metric. Conclusion Home time is a novel, patient-centered, hospital-level metric that can be easily calculated using claims data, accounts for differences in post-discharge mortality and can be intuitively interpreted. Utilization of this metric could potentially have policy implications in assessing hospital performance on delivery of healthcare to pneumonia patients. Disclosures Rajeshwari Nair, PhD, Merck and Company, Inc. (Research Grant or Support)

Abstract 86: Association Between Hospital Postresuscitative Performance and Clinical Outcomes in Patients with Out-of-Hospital Cardiac Arrest

Circulation ◽  
2014 ◽  
Vol 130 (suppl_2) ◽  
Author(s):  
Dion Stub ◽  
Robert H Schmicker ◽  
Monique L Anderson ◽  
Eric D Peterson ◽  
Clifton W Callaway ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Functional Status ◽  
Performance Metrics ◽  
Treatment Guidelines ◽  
Hospital Performance ◽  
Temperature Management ◽  
Performance Score ◽  
Resuscitation Guidelines ◽  
Care Guidelines ◽  
Hospital Cardiac Arrest

Context: Whilst performance measures have been extensively evaluated in conditions such as myocardial infarction, it remains unclear if adherence to post-resuscitation guidelines is associated with better outcome in patients hospitalized after out-of-hospital cardiac arrest (OHCA). Objectives: To assess whether survival and good functional status at discharge are associated with post-resuscitation performance score based on treatment guidelines for patients with OHCA, comprised of a) initiation of temperature management; b) target temperature 32 0 -34 0 C achieved; c) temperature management continued for more than 12 hours; d) coronary angiography performed within 24 hrs; e) life sustaining treatment not withdrawn prior to day 3. Methods: An observational analysis of hospital care in 111 North American hospitals, including 3252 patients enrolled in the Resuscitation Outcomes Consortium (ROC-PRIMED) study, between 2007 and 2009, following OHCA. Performance scores were calculated, utilizing opportunity based scoring, with each factor weighted equally and scaled from 0-1. Scores for individual patients were grouped at the hospital level, with hospitals divided for descriptive purposes into quartiles based on their median opportunity composite score. Results: Performance score varied widely (median [IQR] scores from lowest to highest hospital quartiles, 21% [20%-25%] vs 59% [55%-64%]. Adjusted survival to discharge increased with each quartile of performance score (lowest to highest: 16.2%, 20.8%, 28.5%, 34.8%, P <0.01). Similarly adjusted rates of good functional outcome improved (lowest quartile to highest: 8.3%, 13.8%, 22.2%, 25.9%, P<0.01). Hospital performance score were significantly associated with outcome after risk adjustment for established prehospital resuscitative factors (Highest versus lowest adherence quartile: adjusted OR of survival 1.64; 95% CI 1.13, 2.38) Conclusions: Increased survival and improved functional status at discharge are associated with greater adherence to recommended hospital based post-resuscitative care guidelines. Measuring, reporting and improving hospital adherence to guideline-based performance metrics could improve outcomes following OHCA.

Logistics practices in healthcare organizations in Bogota

2018 ◽  
Vol 31 (3) ◽  
pp. 519-533 ◽  
Author(s):  
Nubia Velasco ◽  
Juan-Pablo Moreno ◽  
Claudia Rebolledo
Keyword(s):  
Information And Communication Technologies ◽  
Inventory Management ◽  
Case Study Research ◽  
Communication Technologies ◽  
Public Hospitals ◽  
Future Research ◽  
Healthcare Organizations ◽  
Content Type ◽  
Information And Communication ◽  
Cross Case Analysis

Purpose The purpose of this paper is to explore the current state of logistics practices in healthcare organizations in Bogota, Colombia. Design/methodology/approach The assessment is based on case study research using open interviews, focused interviews, a questionnaire and direct observations as sources of evidence. Seven Colombian health care settings are analyzed: four public hospitals and three private clinics. Cross-case analysis allows the identification of patterns regarding supply management, inventory management, replenishment and use of information and communication technologies. Findings Manual procedures, poor planning, little recognition from top management and a lack of specialized personnel characterize the current situation. Innovative practices with a potential to improve the efficacy of logistics activities are rare, particularly in public hospitals. Research avenues Future research could replicate this study in other Colombian cities, in order to generalize the results to the whole country. It could also be interesting to document successful and less successful implementations of innovative logistics practices in Colombian hospitals to guide and promote their adoption. Research limitations/implications The small number of cases considered, and the fact that the research is concentrated in one city, limits the generalizability of the results. Originality/value To the best of the authors’ knowledge, this research is the first to explore the state of healthcare logistics practices in Colombia.

scholarly journals Performance evaluation and comparison study of adaptive MANET service location and discovery protocols for highly dynamic environments

2022 ◽  
Vol 2022 (1) ◽  
Author(s):  
Ghassen Ben Brahim ◽  
Nazeeruddin Mohammad ◽  
Wassim El-Hajj ◽  
Gerard Parr ◽  
Bryan Scotney
Keyword(s):  
Service Discovery ◽  
Ad Hoc ◽  
Performance Metrics ◽  
Research Work ◽  
Communication Overhead ◽  
Multimedia Networks ◽  
Service Availability ◽  
Critical Requirement ◽  
Hoc Networks ◽  
Service Location

AbstractA critical requirement in Mobile Ad Hoc Networks (MANETs) is its ability to automatically discover existing services as well as their locations. Several solutions have been proposed in various communication domains which could be classified into two categories: (1) directory based, and (2) directory-less. The former is efficient but suffers from the amount of control messages being exchanged to maintain all directories in an agile environment. However, the latter approach attempts to reduce the amount of control messages to update directories, by simply sending broadcast messages to discover services; which is also a non-desirable approach in MANETs. This research work builds on top of our prior work (Nazeeruddin et al. in IFIP/IEEE international conference on management of multimedia networks and services, Springer, Berlin, 2006)) where we introduced a new efficient protocol for service discovery in MANETs (MSLD); a lightweight, robust, scalable, and flexible protocol which supports node heterogeneity and dynamically adapts to network changes while not flooding the network with extra protocol messages—a major challenge in today’s network environments, such as Internet of Things (IoT). Extensive simulations study was conducted on MSLD to: (1) initially evaluate its performance in terms of latency, service availability, and overhead messages, then (2) compare its performance to Dir-Based, Dir-less, and PDP protocols under various network conditions. For most performance metrics, simulation results show that MSLD outperforms Dir-Based, Dir-less, and PDP by either matching or achieving high service availability, low service discovery latency, and considerably less communication overhead.

scholarly journals Segmentation of thyroid nodules using Improvised U-Net Architecture

2020 ◽  
Vol 9 (8) ◽  
pp. 56-60
Keyword(s):  
Thyroid Nodules ◽  
Performance Metrics ◽  
Automatic Segmentation ◽  
Research Work ◽  
Ultrasound Image ◽  
True Positive Rate ◽  
Medical Image Segmentation ◽  
Common Disease ◽  
Low Resolution ◽  
Feature Map

Thyroid nodules are considered as most common disease found in adults and thyroid cancer has increased over the years rapidly. Further automatic segmentation for ultrasound image is quite difficult due to the image poor quality, hence several researcher have focused and observed that U-Net achieves significant performance in medical image segmentation. However U-net faces the problem of low resolution which causes smoothness in image, hence in this research work we have proposed improvised U-Net which helps in achieving the better performance. The main aim of this research work is to achieve the probable Region of Interest through segmentation with better efficiency. In order to achieve that Improvised U-Net develops two distinctive feature map i.e. High level feature Map and low level feature map to avoid the problem of low resolution. Further proposed model is evaluated considering the standard dataset based on performance metrics such as Dice Coefficient and True positive Rate. Moreover our model achieves better performance than the existing model.

scholarly journals Financial Control Systems and Financial Systems Theory: Free Cash Flow and Profitability Nexus: a Comparative Study of Manufacturing Firms in Nigeria and Ghana

2020 ◽  
Vol 15 ◽  
Keyword(s):  
Cash Flow ◽  
Net Present Value ◽  
Performance Metrics ◽  
Positive Impact ◽  
Research Work ◽  
Manufacturing Firms ◽  
Free Cash Flow ◽  
Estimation Model ◽  
Financial Systems ◽  
The Impact

In Financial Systems, the impact of Free Cash Flow (FCF) on the performance of a company has been in the center of academic discourse in recent years. Several studies have tried to ascertain the nature and magnitude of the relationship between free cash flow and firm profitability with conflicting results coming from different scholars. The main objective of this research work was to examine the impact of FCF on the profitability of quoted manufacturing firms in the Nigerian and Ghana stock exchanges. Data were pooled from twenty (20) different companies (ten each from Nigeria and Ghana) for a period of six years (2012 – 2017). A panel data estimation model was used to measure the impact of FCF and other performance metrics on the Return on Assets (ROA), which is our chosen profitability measure. The results show a positive but insignificant relationship between FCF and ROA both for Ghana and Nigerian manufacturing firms. Also, sales growth showed a positive impact on profitability of both countries while leverage negatively impacted on profitability. with Ghana being significant at 5%. The implication of the findings of the study is that it makes no business sense for companies to keep piling up excess funds beyond that which is needed for transactional purposes. The similarity between the results from Ghana and Nigeria in most of the variables shows that the findings of this study can be generalized to other countries. Based on the findings of the study, we recommend that the management of companies should strive to keep only the minimum needed free cash flow while the rest should be invested in other projects with positive net present value

Cost accounting as a tool for managing profitability in healthcare organizations

2021 ◽  
pp. 42-49
Author(s):  
L.M. Korchagina
Keyword(s):  
Patient Care ◽  
Cost Accounting ◽  
Management Tool ◽  
Effective Management ◽  
Strategic Decisions ◽  
Healthcare Organizations ◽  
Common Problems ◽  
The Right ◽  
A Company ◽  
The Company Managing

Cost accounting is an effective management tool that allows a company to measure profitability by collecting key information by recording and tracking the data necessary for the most efficient and profitable operation of the company. Managing costs to maintain profitability is a top priority in all industries, which means relying on data to make smart and informed decisions. Cost data is the basis for strategic decisions. Having the right information available is key for every decision-maker. The article examines the issues of cost accounting, as well as problems related to profitability management in healthcare organizations. The author considers the most common problems that make it difficult to effectively account for costs and analyze the directions of patient care in medical organizations.

The Importance of Virtual Learning Environments in Higher Education

2019 ◽  
pp. 109-131 ◽  
Author(s):  
Paulo Alves ◽  
Luisa Miranda ◽  
Carlos Morais
Keyword(s):  
Higher Education ◽  
Learning Environments ◽  
Research Work ◽  
Virtual Learning ◽  
Education Institution ◽  
Daily Basis ◽  
Computer Skills ◽  
Virtual Learning Environment ◽  
Virtual Learning Environments ◽  
Access Frequency

This chapter focuses on the concept of virtual learning environment (VLE), its characteristics and potentialities. We present the results of a research work conducted with a sample of 347 undergraduates from a Portuguese public higher education institution. The research addressed the issue regarding the use of virtual learning environments within the higher education context and had the following aims: identify the VLE access frequency; assess the influence of users' computer skills on the VLE access frequency; and assess the importance and impact that students consider the VLE to have on supporting the course units they attend. In the light of the results obtained and considering the VLE used in the sample institution, we highlight that the majority of students accesses the VLE on a daily basis, no significant differences were found regarding VLE access according to users' computer skills, and the most valued aspects of the VLE were: checking exam results and receiving teachers' messages or notices.

Privacy Preserving in Digital Health

2021 ◽  
pp. 1503-1526
Author(s):  
Zakariae El Ouazzani ◽  
Hanan El Bakkali ◽  
Souad Sadki
Keyword(s):  
Information And Communication Technologies ◽  
Digital Health ◽  
Health Sector ◽  
Privacy Preserving ◽  
Health Data ◽  
Patient Privacy ◽  
Healthcare Organizations ◽  
Related Data ◽  
Healthcare Data ◽  
Privacy Violation

Recently, digital health solutions are taking advantage of recent advances in information and communication technologies. In this context, patients' health data are shared with other stakeholders. Moreover, it's now easier to collect massive health data due to the rising use of connected sensors in the health sector. However, the sensitivity of this shared healthcare data related to patients may increase the risks of privacy violation. Therefore, healthcare-related data need robust security measurements to prevent its disclosure and preserve patients' privacy. However, in order to make well-informed decisions, it is often necessary to allow more permissive security policies for healthcare organizations even without the consent of patients or against their preferences. The authors of this chapter concentrate on highlighting these challenging issues related to patient privacy and presenting some of the most significant privacy preserving approaches in the context of digital health.

scholarly journals Organization Ethics in Healthcare

2000 ◽  
Vol 9 (2) ◽  
pp. 145-146 ◽  
Author(s):  
Patricia H. Werhane ◽  
Mary V. Rorty
Keyword(s):  
Patient Care ◽  
Clinical Ethics ◽  
Professional Ethics ◽  
Applied Ethics ◽  
Care Patient ◽  
Professional Relationships ◽  
Healthcare Organizations ◽  
Clinical Patient ◽  
Organization Ethics ◽  
Professional Guidelines

Bioethics, clinical ethics, and professional ethics are mature, well-developed fields of applied ethics that focus on medical research, patient autonomy and patient care, patient–healthcare professional relationships, and issues that arise in clinical and other medical settings. However, despite these developments, little attention has been paid to the organizational aspects of healthcare in these fields. This is surprising, because in the last 30 years healthcare has become more and more institutionalized in provider, management, and insurer organizations. Despite JCAHO's preoccupation with organizational ethics during the last decade, the philosophical underpinnings of their requirements have been less explored in the literature. Clinical ethics remains preoccupied with clinical patient care and professional ethics with individual professional guidelines; even the American College of Healthcare Executives focuses primarily on healthcare managers, not on healthcare organizations.

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