Demonstrating Value-Added Utilization of Existing Databases for Organizational Decision-Support

2004 ◽  
pp. 275-293
Author(s):  
Nurit L. Friedman ◽  
Nava Pliskin
Keyword(s):  
Decision Support ◽  
Medical Information ◽  
Health Maintenance Organization ◽  
Value Added ◽  
Lessons Learned ◽  
Healthcare Organizations ◽  
Additional Data Collection ◽  
Support Practices ◽  
Clinical Records

Managers of healthcare organizations are increasingly aware that the potential of medical information systems exceeds mere support of routine administrative and clinical transaction processing. This chapter describes a case study about Maccabi Health Services, the second largest health maintenance organization in Israel and the first one to computerize clinical records resulting from routine transactions in doctors’ offices, laboratories, and pharmacies. In this case about decision-making support practices, recycling the content of existing databases made it possible to discover patterns of sub-optimal treatment without having to invest time and money in additional data-collection procedures. The case study thus demonstrates value-added utilization of patient data, beyond uses intended at the beginning, for effectively supporting the implementation and evaluation of disease-management programs. Lessons learned about organizational benefits reaped from the organization’s decision-support practices include implications for such initiatives as data warehousing, data mining, and online analytical processing.

VP163 Patient Involvement In The Development Of Multi-Criteria Decision Tool

2017 ◽  
Vol 33 (S1) ◽  
pp. 223-223
Author(s):  
Marie-Pierre Gagnon ◽  
Sylvain L'Espérance ◽  
Carmen Lindsay ◽  
Marc Rhainds ◽  
Martin Coulombe ◽  
...  
Keyword(s):  
Decision Support ◽  
Delphi Study ◽  
Value Added ◽  
Decision Support Tool ◽  
Strategic Choices ◽  
Healthcare Organizations ◽  
Support Tool ◽  
Health Technologies ◽  
Modified Delphi ◽  
Patient Representatives

INTRODUCTION:Healthcare organizations should assess the relevance of both existing and new practices. Involving patients in decisions regarding which health technologies and interventions should be prioritized could favor a better fit between strategic choices and patients needs.METHODS:Following a systematic review of existing multi-criteria decision support tools and a consultation with hospital clinicians and managers, a set of potentially relevant criteria was identified. A three-round modified Delphi study was then conducted among four groups (hospital managers, heads of department, clinicians, and patient representatives) in order to reach consensus on criteria that should be considered in the tool.RESULTS:In total, seventy-four participants completed the third round of the Delphi study. Consensus was obtained on twelve criteria. There were some significant differences between groups in priority scores given to criteria. Patient representatives differed significantly from other groups on two criteria. Their ranking of the accessibility criteria was higher, and their ranking of the organizational aspect criteria was lower than for the other groups.CONCLUSIONS:Patient representatives can be involved in the development of a multi-criteria decision support tool to identify, evaluate and prioritize high value-added health technologies and interventions in order to enhancing clinical appropriateness The fact that accessibility aspects were more important for patient representatives calls for specific attention to these criteria when prioritizing health technologies or interventions. Furthermore, we need to ensure that the decisions made regarding the relevance of these technologies and interventions also reflect patients’ preferences.

scholarly journals The impact of the COVID-19 pandemic on digital globalization

2021 ◽  
Vol 129 ◽  
pp. 06008
Author(s):  
Maria Loredana Popescu ◽  
Svetlana Platagea Gombos ◽  
Sorin Burlacu ◽  
Amza Mair
Keyword(s):  
Global Economy ◽  
World Economy ◽  
Value Added ◽  
Digital Transformation ◽  
Lessons Learned ◽  
Health Crisis ◽  
Main Research ◽  
Documentary Analysis ◽  
The Impact

Research background: After more than a year of the Covid-19 pandemic, we can investigate whether it caused a shock to the global economy, pushing for deglobalization, or on the contrary, it was a challenge for digital globalization and digital transformation of economies. Through this research we join the research contributions that examine the process towards digital globalization that characterizes the world economy, its impact on businesses, consumers, and governments. We also discuss the challenges posed by the crisis caused by the coronavirus pandemic to globalization and perhaps the acceleration of the digital transformation of economies. Purpose of the article: The aim of this research is to highlight the impact of the COVID-19 pandemic in the age of digital globalization. Methods: Documentary analysis, as the main research method, is doubled by a case study that allows us to highlight the specific characteristics of digital globalization. Findings & Value added: The findings of the research allowed us to highlight the essential aspects of digital globalization that were perhaps exacerbated by the Covid-19 pandemic, but which contribute greatly to understanding the phenomenon of globalization. Our research also reveals four lessons learned in the COVID-19 pandemic. We also present some considerations regarding the globalization after the health crisis.

scholarly journals Managing ICT in Healthcare Organization

2010 ◽  
pp. 153-168 ◽  
Author(s):  
Nasriah Zakaria ◽  
Shafiz Affendi ◽  
Norhayati Zakaria
Keyword(s):  
Lessons Learned ◽  
Healthcare Organizations ◽  
User Training ◽  
Ict Implementation ◽  
Initial Stage ◽  
Ict Adoption ◽  
It Department ◽  
Ict Infrastructure ◽  
Medical Teams

The objective of this chapter is to illustrate a case study of a medical research institute in Malaysia in order to discuss issues pertaining to ICT adoption in healthcare organizations, in particular exploring the culture, challenges, and issues of ICT adoption among medical teams, patients, etc. In this chapter, we examine the question of ‘What are the challenges of implementing ICT in healthcare organizations?’ Some of the lessons learned from the case study were: ICT was successfully adopted and implemented based on several factors such as supportive organizational culture, competent IT workers, committed IT department and heavy investment on ICT infrastructure. Yet challenges also arise which hinges upon factors like initial deployment of outside IT resources or expertise for ICT implementation, lack of user training and continuous communication between involved parties in the initial stage.

scholarly journals Managing ICT in Healthcare Organization

2011 ◽  
pp. 1357-1372 ◽  
Author(s):  
Nasriah Zakaria ◽  
Shafiz Affendi ◽  
Norhayati Zakaria
Keyword(s):  
Lessons Learned ◽  
Healthcare Organizations ◽  
User Training ◽  
Ict Implementation ◽  
Initial Stage ◽  
Ict Adoption ◽  
It Department ◽  
Ict Infrastructure ◽  
Medical Teams

The objective of this chapter is to illustrate a case study of a medical research institute in Malaysia in order to discuss issues pertaining to ICT adoption in healthcare organizations, in particular exploring the culture, challenges, and issues of ICT adoption among medical teams, patients, etc. In this chapter, we examine the question of ‘What are the challenges of implementing ICT in healthcare organizations?’ Some of the lessons learned from the case study were: ICT was successfully adopted and implemented based on several factors such as supportive organizational culture, competent IT workers, committed IT department and heavy investment on ICT infrastructure. Yet challenges also arise which hinges upon factors like initial deployment of outside IT resources or expertise for ICT implementation, lack of user training and continuous communication between involved parties in the initial stage.

scholarly journals Driving Digital Transformation During a Pandemic: Case Study of Virtual Collaboration in a German Hospital

10.2196/25183 ◽  
2021 ◽  
Vol 9 (2) ◽  
pp. e25183
Author(s):  
Nicholas R J Frick ◽  
Henriette L Möllmann ◽  
Milad Mirbabaie ◽  
Stefan Stieglitz
Keyword(s):  
Medical Information ◽  
Health Care Systems ◽  
Therapeutic Process ◽  
Digital Transformation ◽  
Lessons Learned ◽  
Patient Treatment ◽  
German Hospital ◽  
Virtual Collaboration ◽  
Technological Infrastructure

Background The COVID-19 pandemic has not only changed the private lives of millions of people but has significantly affected the collaboration of medical specialists throughout health care systems worldwide. Hospitals are making changes to their regular operations to slow the spread of SARS-CoV-2 while ensuring the treatment of emergency patients. These substantial changes affect the typical work setting of clinicians and require the implementation of organizational arrangements. Objective In this study, we aim to increase our understanding of how digital transformation drives virtual collaboration among clinicians in hospitals in times of crisis, such as the COVID-19 pandemic. Methods We present the lessons learned from an exploratory case study in which we observed the introduction of an information technology (IT) system for enhancing collaboration among clinicians in a German hospital. The results are based on 16 semistructured interviews with physicians from various departments and disciplines; the interviews were generalized to better understand and interpret the meaning of the statements. Results Three key lessons and recommendations explain how digital transformation ensures goal-driven collaboration among clinicians. First, we found that implementing a disruptive change requires alignment of the mindsets of the stakeholders. Second, IT-enabled collaboration presupposes behavioral rules that must be followed. Third, transforming antiquated processes demands a suitable technological infrastructure. Conclusions Digital transformation is being driven by the COVID-19 pandemic. However, the rapid introduction of IT-enabled collaboration reveals grievances concerning the digital dissemination of medical information along the patient treatment path. To avoid being caught unprepared by future crises, digital transformation must be further driven to ensure collaboration, and the diagnostic and therapeutic process must be opened to disruptive strategies.

scholarly journals Case Study of an Outbreak: Resident, Staff, and Community Indicators

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 59-59
Author(s):  
Toni Miles
Keyword(s):  
Infection Control ◽  
Early Stage ◽  
Lessons Learned ◽  
Outbreak Investigation ◽  
Adherence To Guidelines ◽  
Federal Policies ◽  
Incomplete Knowledge ◽  
Self Study ◽  
Clinical Records

Abstract Outbreak investigation is not infection control. We present a self-study of factors influencing outcomes inside a single nursing home during the early stage of the outbreak - February to May 2020. We examine 3 sources of influence: Practice / Operations; Local, State & Federal Policies; Uncontrollable operational factors. Outcomes of interest include: mortality and resident / staff health. Data consists of clinical records, review of communications, and interviews with staff present during the critical period. Infection control is different from outbreak investigation. There must be a balance between staff empowerment and adherence to guidelines. In an outbreak, staff need the confidence to make decisions based on incomplete knowledge. The presentation concludes with lessons learned – what worked and what actions need improvement. There are areas requiring further analyses of policy and ethics.

scholarly journals Enhancing E-Health Information Systems with Agent Technology

2009 ◽  
Vol 2009 ◽  
pp. 1-13 ◽  
Author(s):  
Minh Tuan Nguyen ◽  
Patrik Fuhrer ◽  
Jacques Pasquier-Rocha
Keyword(s):  
Information System ◽  
Information Systems ◽  
Value Added ◽  
Health Information Systems ◽  
Research Area ◽  
Information Organization ◽  
Agent Technology ◽  
Healthcare Organizations ◽  
Routine Tasks

Agent Technology is an emerging and promising research area in software technology, which increasingly contributes to the development of value-added information systems for large healthcare organizations. Through the MediMAS prototype, resulting from a case study conducted at a local Swiss hospital, this paper aims at presenting the advantages of reinforcing such a complex E-health man-machine information organization with software agents. The latter will work on behalf of human agents, taking care of routine tasks, and thus increasing the speed, the systematic, and ultimately the reliability of the information exchanges. We further claim that the modeling of the software agent layer can be methodically derived from the actual “classical” laboratory organization and practices, as well as seamlessly integrated with the existing information system.

scholarly journals Security Assurance Modelling of Security Incident in Healthcare using the Generic Security Template (GST)

2020 ◽  
Author(s):  
Ying He ◽  
Cunjin Luo
Keyword(s):  
Healthcare Services ◽  
Healthcare Organization ◽  
Lessons Learned ◽  
Security Requirements ◽  
Healthcare Sector ◽  
Healthcare Organizations ◽  
Security Incident ◽  
Security Assurance ◽  
Security Incidents

Abstract Background: The recent industry reports show that the number of security incidents in healthcare sector is still increasing, especially the high severity incident, such as data leakage incident and ransomware, which can lead to significant impact on healthcare services. It is imperative for the organizations to learn lessons from those incidents. Traditional ways to disseminate lessons learned are based on text approach, the linear format of which can obscure relationships among concepts and discourage readers from integrating information across ideas. Graphical diagrams can serve this purpose, as it can communicate both individual elements of information and relationships between them. Methods: The Generic Security Template (GST) has been proposed to support the exchange of lessons learned from security incidents. It utilises graphical notations to communicate both individual elements of information and relationships between them. This paper conducts a case study by adopting the GST to capture and structure the incident information of a data leakage incident in a UK healthcare organization in order to facilitate incident exchange. Results: The results show that, the GST was able to visualise and depict the key elements, including lessons learned, the associated security requirements and organizational contextual information identified from the selected data leakage incident case study from NHS. GST provides a unified way to communicate incident information. Conclusions: This research has significance for the healthcare organizations to improve their incident learning practices. It fosters an environment where different stakeholders can speak the same language while exchanging the lessons learned from the security incidents. Future work will consider apply the GST to analyse other complex security incidents such as the advanced persistent threats (APTs) in healthcare organizations and extend the use of the GST in other industries. Keywords: Security Assurance Modelling, Generic Security Template (GST), Security Incident, Healthcare Organization.

scholarly journals Driving Digital Transformation During a Pandemic: Case Study of Virtual Collaboration in a German Hospital (Preprint)

2020 ◽  
Author(s):  
Nicholas R J Frick ◽  
Henriette L Möllmann ◽  
Milad Mirbabaie ◽  
Stefan Stieglitz
Keyword(s):  
Medical Information ◽  
Health Care Systems ◽  
Therapeutic Process ◽  
Digital Transformation ◽  
Lessons Learned ◽  
Patient Treatment ◽  
German Hospital ◽  
Virtual Collaboration ◽  
Technological Infrastructure

BACKGROUND The COVID-19 pandemic has not only changed the private lives of millions of people but has significantly affected the collaboration of medical specialists throughout health care systems worldwide. Hospitals are making changes to their regular operations to slow the spread of SARS-CoV-2 while ensuring the treatment of emergency patients. These substantial changes affect the typical work setting of clinicians and require the implementation of organizational arrangements. OBJECTIVE In this study, we aim to increase our understanding of how digital transformation drives virtual collaboration among clinicians in hospitals in times of crisis, such as the COVID-19 pandemic. METHODS We present the lessons learned from an exploratory case study in which we observed the introduction of an information technology (IT) system for enhancing collaboration among clinicians in a German hospital. The results are based on 16 semistructured interviews with physicians from various departments and disciplines; the interviews were generalized to better understand and interpret the meaning of the statements. RESULTS Three key lessons and recommendations explain how digital transformation ensures goal-driven collaboration among clinicians. First, we found that implementing a disruptive change requires alignment of the mindsets of the stakeholders. Second, IT-enabled collaboration presupposes behavioral rules that must be followed. Third, transforming antiquated processes demands a suitable technological infrastructure. CONCLUSIONS Digital transformation is being driven by the COVID-19 pandemic. However, the rapid introduction of IT-enabled collaboration reveals grievances concerning the digital dissemination of medical information along the patient treatment path. To avoid being caught unprepared by future crises, digital transformation must be further driven to ensure collaboration, and the diagnostic and therapeutic process must be opened to disruptive strategies.

scholarly journals REPEATABLE DEPLOYMENT OF AN OPEN STANDARDS, OPEN SOURCE AND OPEN DATA STACK FOR BUILDING A FEDERATED MARINE DATA MANAGEMENT AND DECISION SUPPORT SYSTEM FOR SOUTH AFRICA

2018 ◽  
Vol XLII-4/W8 ◽  
pp. 139-145
Author(s):  
G. McFerren ◽  
R. Molapo ◽  
B. McAlister
Keyword(s):  
South Africa ◽  
Decision Support ◽  
Open Source ◽  
Information Management ◽  
Open Data ◽  
Information Management System ◽  
Lessons Learned ◽  
Computing Environments ◽  
Open Standards

<p><strong>Abstract.</strong> The National Oceans and Coastal Information Management System (OCIMS) of South Africa is a large, integrated IT system for enhancing oceans, coastal and maritime governance, and supporting sustainable economic utilisation of ocean and coastal resources. This article is a case study, describing how a range of Free and Open Source Software are deployed to generate the Open Standards based core of this federated system for providing decision support applications in addition to data and information management, access and dissemination services. This article demonstrates the importance of modern software development and deployment approaches in constructing the OCIMS core and easing the integration process with other systems in the federation. Finally, this article discusses some lessons learned and reflects on the lineage of OCIMS architectural choices and how these approaches may need to adapt to changing computing environments.</p>

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