{"title":"Microcomputer voice-recognition program in a hospital emergency department.","authors":"A B Spacone","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A software program for voice-controlled text creation was used on a microcomputer in the emergency medical department of a large hospital. It was found that automated speech recognition (ASR) permitted doctors to produce their reports faster and more accurately than handwriting or dictation to tape. In addition, ASR reporting is cheaper than dictation to tape. Other advantages include the automatic creation of computer-stored patient files that can be used for statistical purposes. There were a few minor drawbacks, including the need for a procedure for training the system to recognize the user's voice.</p>","PeriodicalId":77231,"journal":{"name":"Journal of the Society for Health Systems","volume":"1 2","pages":"111-8"},"PeriodicalIF":0.0,"publicationDate":"1989-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13665291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The role of microcomputers in electronic health claims processing.","authors":"D A Minch","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This article explores the state-of-the-art in electronic health claims processing. Beginning with an examination of the step-by-step manual process, it moves on to explore the current use of microcomputers to both speed up the processing, and to improve the accuracy and completeness of claim submission. The article also examines some of the benefits cited by microcomputer claims systems users, and it concludes with a look at what features could be incorporated in the future to create a fully electronic claims processing environment.</p>","PeriodicalId":77231,"journal":{"name":"Journal of the Society for Health Systems","volume":"1 2","pages":"25-33"},"PeriodicalIF":0.0,"publicationDate":"1989-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13665293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Health care information systems architecture of the near future.","authors":"A F Dowling","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Major changes in the health care delivery environment in recent years have generated new demands for information and new stresses on Health Care Information Systems. These systems, intended to support the decision making, operations, and competitiveness of health care organizations, must evolve rapidly or become obsolete. This paper discusses key aspects of systems architecture that will emerge in the near future to enable enhanced function and use of new technologies, while preserving the value of investments health care organizations have already made in information technology.</p>","PeriodicalId":77231,"journal":{"name":"Journal of the Society for Health Systems","volume":"1 2","pages":"77-97"},"PeriodicalIF":0.0,"publicationDate":"1989-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13665298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Optical disk storage and retrieval for medical records document management.","authors":"J B MacArthur, S P Massengill","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper describes the REPLICA System as it is used at Regional West Medical Center in Scottsbluff, Nebraska. The paper discusses the current health care environment, and it gives a perspective on the medical record and the status of optical technology. Manual procedures at Regional West Medical Center are reviewed along with the changes in procedures after the implementation of REPLICA. The benefits and savings are included.</p>","PeriodicalId":77231,"journal":{"name":"Journal of the Society for Health Systems","volume":"1 2","pages":"99-109"},"PeriodicalIF":0.0,"publicationDate":"1989-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13663007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Simulation analysis of an outpatient services facility.","authors":"J L Levy, B A Watford, V T Owen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Anderson Memorial Hospital in Anderson, South Carolina is in the process of constructing a new Outpatient Services Center. The Outpatient Services Center will combine existing outpatient services within the hospital and offsite services at the Outpatient Diagnostic Center. A simulation model of the proposed facility has been developed based on historical data. The information obtained from the simulation model includes the analysis of outpatient services utilization, patient waiting and flow times, and service area queue sizes. This information has been used to determine minimum facility design requirements, such as waiting room size, based on the expected demands.</p>","PeriodicalId":77231,"journal":{"name":"Journal of the Society for Health Systems","volume":"1 2","pages":"35-49"},"PeriodicalIF":0.0,"publicationDate":"1989-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13665294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Management of microsystems at Forbes Health System.","authors":"D R Patrick, M G Odell","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Support for purchase and operation of microsystems hardware and software at Forbes Health System in Pittsburgh, Pennsylvania is provided by Management Engineering, part of the Management Systems Division. Five key areas of support are described in this paper: Purchase Control, Installation Management, Operational Support, Development Services and Training Management. Discussion of multiple training options, centralized hardware support and specialized levels of end user operational support are included. Some future directions in software and hardware utilization are also presented.</p>","PeriodicalId":77231,"journal":{"name":"Journal of the Society for Health Systems","volume":"1 2","pages":"65-76"},"PeriodicalIF":0.0,"publicationDate":"1989-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13665297","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Problem solving: a common thread in quality assurance programs.","authors":"M S Leonard, J L Miller","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper discusses the key role that the problem solving process plays in most quality assurance programs. In this discussion, problem solving is represented as a four step process. The use of each of the four steps in health care quality assurance is examined.</p>","PeriodicalId":77231,"journal":{"name":"Journal of the Society for Health Systems","volume":"1 1","pages":"5-16"},"PeriodicalIF":0.0,"publicationDate":"1989-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13637682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Implementing a quality improvement program.","authors":"J G Nackel, T A Collier","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Implementing a Quality Improvement Program (QIP) is a high priority matter for most health care organizations. Implementation requires the commitment of top management, measurement tools, statistical tools, problem-solving tools, and training for all levels of employees. This article describes the need for managing costs and quality, quality improvement concepts, examples of problem-solving tools, and the role of the facilitator in the QIP process.</p>","PeriodicalId":77231,"journal":{"name":"Journal of the Society for Health Systems","volume":"1 1","pages":"85-100"},"PeriodicalIF":0.0,"publicationDate":"1989-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13637686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Quality assurance in ancillary departments.","authors":"J A Micheletti, T J Shlala","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Formalizing quality assurance programs is becoming more important in the healthcare arena. Providers are now expected to have programs in place to systematically monitor the outcomes of care delivery. This article describes how to organize and develop quality assurance activities in selected hospital ancillary areas.</p>","PeriodicalId":77231,"journal":{"name":"Journal of the Society for Health Systems","volume":"1 1","pages":"69-73"},"PeriodicalIF":0.0,"publicationDate":"1989-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13637684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Impacting quality in health care: the role of the health systems engineer.","authors":"E J Dasbach, D H Gustafson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Total Quality Management (TQM) is just beginning to influence hospital operations. The health systems engineer (HSE) is uniquely qualified and in an opportune position to expedite the implementation of TQM in hospitals. We discuss how we envision the HSE's roles as technical facilitator, measurer, and modeler in supporting the principles of quality improvement in the hospital. In the process, we suggest that the HSE can be much more valuable in helping the hospital reduce costs by improving quality rather than monitoring productivity. As a result, HSEs will expand their role in the hospital, better utilize their skills and training, and increase their effectiveness.</p>","PeriodicalId":77231,"journal":{"name":"Journal of the Society for Health Systems","volume":"1 1","pages":"75-84"},"PeriodicalIF":0.0,"publicationDate":"1989-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13637685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}