Medicine and computerized management systems

Smiling woman with computer. Computerized systems also offer storage capacity efficiency.

Medicine and computerized management systems

The push for expanded medical IT has come from the top, with President Obama extolling its virtues and his administration making funding for EMR deployments part of its stimulus package.

A study of US hospital data suggests they may not be: Its authors combined three datasets that collectively track the computerization and outcomes at thousands of US hospitals. Data on the deployment of medical IT systems were obtained from an annual survey performed by the Healthcare Information and Management Systems Society.

The survey contains over 20 measures of computerization, including both administrative and clinical functions. Costs and quality of care were obtained from Medicare and Medicaid data, both obtained directly from the government and from a version compiled by the Dartmouth Health Atlas.

The latter contains information such as whether the hospital is for-profit, the type of care delivered acute, psychiatric, etc. Quality of care scores were available for pneumonia, congestive heart failure, and acute myocardial infarction.

The authors looked at the period from toduring which time information was available for roughly 4, US hospitals. During the time in question, there was a large increase in the use of computerized systems.

Bya typical hospital had implemented nearly two-thirds of the computerized systems covered in the survey, although there was a bias towards adoption of administrative systems.

Less than a quarter of the hospitals, for example, had implemented a computerized ordering system for their physicians. Despite the rise in computerization, however, administrative costs actually climbed slightly during the entire period.

Part of this seems to be the costs of deploying the systems themselves, as hospitals in the midst of a major IT expansion had increased administrative costs during this period.

Still, none of the statistical tests performed by the authors showed a clear correlation between computerization and administrative costs. The authors performed bivariate analysis to try to identify the factors most closely associated with costs and quality of care.

Hospitals that did best on quality of care tended to be larger, nonprofit, and associated with teaching programs. Computerization tended to increase the quality of care for acute myocardial infarction, but not either of the other problems.

Multivariate analysis suggested that the improvement may be correlated with the use of computerized systems that focus specifically on patient care.

The authors provide three potential explanations.

ORGAnIzATIOn AnD MAnAGeMenT Appropriate medicine use in the hospital setting is a multi disciplinary responsibility that includes— • Selection and formulary management by a multi-. As health facilities expand and the number of medical devices they depend on to provide quality health care increases, a need to manage health-care technology more effectively and efficiently becomes evident. A computerized maintenance management system (CMMS) is a tool that can improve overall. Introduction A management information systems helps manager make decisions by providing information from a database with little or no analysis. A decision support system (DSS), on the other hand, helps managers make decisions by analyzing data from a database and providing the results of the analysis to the manager.

One is simply that the cost of purchasing and supporting IT equipment and software offsets any savings they produce. They favor the third possibility: The American Journal of Medicine, Guidance for Industry Computerized Systems Used in Clinical Investigations U.S.

Department of Health and Human Services Food and Drug Administration (FDA). These systems have crept into every crack and crevice of contemporary clinical medicine. They do everything from helping radiologists interpret mammograms to triaging potential intensive care unit admissions and guiding primary care doctors as they funnel patients to the right specialist.

Health Care Information Systems to Present.

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Decade workshops held around the country designed to teach community health nurses how to implement computerized management systems in their agencies. Guide to Effective Health Care Clinical Systems. ().

Medicine and computerized management systems

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Computerized Decision Support Systems in Medicine: Helpful or Harmful?

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