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Open (Access) Journal-Article
Short discharge time from hospitals increases both bed availability and patients and families satisfaction. In this study, the Six Sigma process improvement methodology was applied to reduce patients discharge time in a cancer treatment hospital. Data on the duration of all activities, from the physician signing the discharge form to the patient leaving the treatment room, were collected through patient shadowing. These data were analyzed using detailed process maps and cause-and-effect diagrams. Fragmented and unstandardized processes and procedures and a lack of communication among the stakeholders were among the leading causes of long discharge times. Categorizing patients by their needs enabled better design of the discharge processes. Discrete event simulation was utilized as a decision support tool to test the effect of the improvements under different scenarios. Simplified and standardized processes, improved communications, and system-wide management are among the proposed improvements, which reduced patient discharge time by 54 from 216 minutes. Cultivating the necessary ownership through stakeholder analysis is an essential ingredient of sustainable improvement efforts.
- Subjects:
- Health Sciences and Management
- Keywords:
- Hospitals -- Administration Process control Six sigma (Quality control stard)
- Resource Type:
- Open (Access) Journal-Article
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Presentation
This video was recorded at CeGD eGovernance Academy Seminar Series (SEeHealth): The Roadmap from Concept to Practice, Ljubljana 2010. The key of mutual integration of health care institutions lies in their interoperability, gathering and common utilization of data by different applications. Seemingly, imperceptible and smooth applications' integration enables an efficient mutual linkage of all departments within a single health care institution as well as horizontal and vertical linkage of more health care institutions, all with the aim of improvement of health and quality of patient's life. Health care system quality improvement needs a continuous rationalization of resources funds, which leads towards optimization of business processes and availability of all necessary information in the shortest possible period. All necessary information and data on patients must be available independently on location or time of such a necessity. The greatest obstacles for interoperability represent heterogeneous applications. Such heterogeneity can be presented by the fact that they were written in various program languages, that they are intended for utilization at different types of computers or the fact that they use various communication networks and data transfer methods. IT managers in hospitals must decide how to contribute to cross‐organizational integration and what strategy and means to choose for achieving interoperability. If a system is poor in its interoperability, any increasing functions or little changes could stop its working properly. Interoperability must be ensured at technical, semantic and process levels but also in a legislative level, where all recommendations for legal and lawful solutions are given, which remove the most frequent obstacles – human and bureaucratic factors. The Oncology Institute of Vojvodina as a referent center for oncology and a center for medical informatics signed its own Integrated hospital and business information system. The information system at the IOV consists of the following modules: 1. hospital‐clinical IS 2. laboratory IS 3. pharmaceutical IS 4. radiological IS 5. invoicing (accounting) IS 6. business IS 7. managerial IS All of these modules are mutually optimally integrated, and their interoperability at the level of communicational protocols (HL7, DICOM, internal interface), semantics (the same code‐records, rules) and legislative level (the same accounting calculations) enables the user to see all these complex modules as one system. Thus, we created necessary preconditions for our integration into information society, which is a 21st century strategy at the state level.
- Subjects:
- Health Sciences, Management, and Computing
- Keywords:
- Health services administration -- Data processing Management information systems Health services administration -- Computer networks
- Resource Type:
- Presentation
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e-book
Open access ebooks from Bloomsbury Collections
- Keywords:
- Social sciences Management Design Geography Business Linguistics Humanities Economics
- Resource Type:
- e-book
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Courseware
Examines criminal activity within the professions, organizations, and businesses. Theories discussing the etiology of these acts are considered as well as perspectives regarding their control.
- Subjects:
- Sociology and Business Ethics
- Keywords:
- Commercial crimes White collar crimes
- Resource Type:
- Courseware
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Courseware
Political Economy I explores the major social science paradigms for analyzing relations among state, economy, and society. Through readings, lectures and discussion of original texts in political liberalism and individualism, neo-classical economics, Marxism, sociological and cultural theories, and neo-institutionalism, the seminar examines the fundamental assumptions on which our understanding of the social world and our research are based.
- Subjects:
- Economics and Political Science
- Keywords:
- Economics Political science
- Resource Type:
- Courseware
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Courseware
This course applies microeconomic theory to analysis of public policy. It builds from the microeconomic model of consumer behavior and extends to operation of single and multiple markets and analysis of why markets sometimes fail. We will study empirical examples to evaluate theory, focusing on the casual effects of policy interventions on economic outcomes. Topics include minimum wages and employment, food stamps and consumer welfare, economics of risk and safety regulation, the value of education, and gains from international trade.
- Subjects:
- Economics and Political Science
- Keywords:
- Microeconomics Policy sciences Political planning
- Resource Type:
- Courseware
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e-book
Open access books in science, technology and medicine.
- Keywords:
- Business Humanities Social sciences
- Resource Type:
- e-book
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e-book
Covers over 5,000 reports published by the National Academies Press for the National Academy of Sciences, National Academy of Engineering, Institute of Medicine and National Research Council in the US.
- Subjects:
- Management
- Keywords:
- Industrial management Labor Technological innovations
- Resource Type:
- e-book