...CONCEPT PAPER TOPIC: AN INVESTIGATION INTO THE CHALLENGES INFLUENCING THE IMPLEMENTATION OF ELECTRONIC MEDICAL RECORDS SYSTEMS FOR HIVCARE PATIENT MONITORING AND CLINICAL MANAGEMENT. (A case study of Mbagathi District Hospital and Makadara Health Centre in Nairobi County) INTRODUCTION – BACKGROUND OF THE STUDY. The implementation of electronic medical records (EMR) systems is a complex process that is receiving more focus in developing countries to support understaffed and overcrowded health facilities deal with the HIV/AIDS epidemic. Timely access to accurate and relevant health and medical information is crucial to the development and administration of healthcare services, research and teaching. The advent of Information and Communication Technologies (ICTs) has brought many opportunities and challenges in the provision of information services in the health sector worldwide. The current health situation of many developing countries is a dire one, with many facing double and triple burden of disease (ie infectious and chronic) one contributor to this condition is the HIV/AIDS epidemic. HIV/AIDS has the highest prevalence in developing countries, about 68% (22.5 million) of the approximately 33 million people living with HIV/AIDS (PLWHA) reside in sub-Saharan Africa where as HIV/AIDS is the leading cause of death(UNAIDS & WHO,2007). In Kenya the number living with HIV/AIDS as per the NASCOP National HIV indicators report 2011 there were 1.6million, only reported that...
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...Vol. 4, No. 4, Fall 2010 ISSN 1942-4604 © 2010 Public Relations Society of America Public Relations Management at the Lucile Packard Children's Hospital: A Case Study Erika H. Powelson, and Kenneth D. Plowman, Ph.D., APR The healthcare industry in the United States is changing at record speed, especially in California. California has seen the emergence of Health Maintenance Organizations (HMO's) and the drastic effects they have had on the hospital environment. These changes are occurring throughout the organization and affect everything from ordering of supplies to length of patient stay. It has also caused great changes in one particular area of the hospital—the public relations and marketing departments. The purpose of this case study was to explain communications management during a certain period of time to ensure no encroachment on the current state of public relations for the Community and Physician Relations Department (CPRD) at Lucile Salter Packard Children's hospital at Stanford (LPCH). The change in this department reflects the overall trend in healthcare marketing and the need for hospitals to promote themselves to stay profitable. The San Francisco Bay area is being hit particularly hard by all these changes and prediction that several hospitals may close in the near future. One goal of the CPRD is to educate the community about the hospital so they will use and pay for its services. Another goal is to encourage physicians to purchase phone triage...
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...Children's Hospital Case Study Name: Date: Discussion Questions 1) What is the management-research question hierarchy for Akron Children’s Hospital? Akron Children's Hospital identify five steps in their management-research questions hierarchy, which are: 1. Management Dilemma: the first step in the management- research question hierarchy, where the hospital choose specific objectives to generate solutions. The hospital is concerned mostly with increasing their business and the number of their patients. 2. Management Questions: searching for an innovative plan that differentiate them from their competitors and gain a competitive advantage over them. 3. Research Questions: looking for ways in which the hospital can provide for children advanced technology care equipments in their treatment. 4. Investigation Questions: the hospital investigates different questions, like "How can we attract patients from other countries to get their treatment at out hospital?" and "How parents decide whether to bring their children to our hospital?" 5. Measurement Questions: the hospital utilize a collecting data tool such as surveys and questioners to gather information from their customers regarding the hospital treatment and care for their children, the distance from the hospital to the home, and the quality of technology and medicines used. 2) What are the advantages/disadvantages of an observation study for this research? Each observation study has its advantages...
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...Critical Thinking Case Study This case study is written from a critical thinking case study provided by the University Of Phoenix. This case study involves Faith Community Hospital a not for profit hospital that has many problems. The major problem described in this paper will be about the need for policies and procedures and there implementation. This hospital seems to have poor procedural discipline or no procedures at all to follow. The Problem or Problems The problems as they are described in the case study appear to be procedural and leadership issues but mostly there appears to be a financial problem. The cause of the financial problem has many reasons. The problem that I can extract from the text is that costs are higher and patient numbers are down. This hospitals management needs to develop a better management strategy and lead their employees. Faith Hospital has a mission statement that provides some corporate direction. The Mission statement is currently contradicting the management's current strategy. Faiths mission statement is as follows (Unknown) "With the foundation and commitment of our spiritual heritage And values, our mission is to promote the health and well-being of the people in the communities we serve through a comprehensive continuum of services provided in collaboration with the partners who share the same vision and values This mission statement provides some direction from management for the hospital but it is not being followed by the employees ...
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...Risk Management- Drunken Patient Lawsuit LAW/531 February 17, 2014 Risk Management- Drunken Patient Lawsuit The IRAC method is an instructional tool that can aid students in the comprehension and evaluation of information so that they can make informed value decisions. It is an acronym for Issue, Rule, Analysis, and Conclusion. Although this is a legal model used to evaluate hypothetical situations in law cases, it is by no means limited to the study of the law. Useful for case studies presented in varied mediums such as narratives, videos/films, or recordings, the IRAC method may be applied to other activities such as defining a term or demonstrating a concept, principle, relationship, analogy, or contrasting idea. Often the instructional focus is on the end result of case study discussion rather than on how to "walk through" a method or approach to be used by the students in the case analysis (Bittner, M.1990). Issue: A recent court ruling should motivate hospital risk managers to conduct a careful periodic review of their facility's procedures and legal obligations when it comes to treating intoxicated patients. The patient, Kevin Kowalski, later wandered onto a nearby highway and was struck by a car, leaving him paralyzed below the neck. Throughout the case, Mr. Kowalski contended that even though he decided on his own to leave the hospital, the hospital should have prevented him from doing so based on his level of inebriation. Analyze: In order to analyze...
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...organizational effectiveness best describe the application of lean management practices? Describe how specific elements of that perspective relate to the interventions described in the case study. The case study in question shows many benefits of hospitals around the world adapting to lean management practices. Essentially they are looking to cut waste, and provide the most efficient care possible. The first perspective of organizational effectiveness the hospitals are utilizing is an organizational learning perspective. The hospitals have identified in their studies that several sources of capital influence their effectiveness. Specifically, human and structural capitals are being utilized to benefit the organization. “Lean works because it is based on doctors, nurses, and other staff leading the process and telling us what adds value and what doesn’t. They are the ones who know.” (McShane (2012). Organizational Behavior: Case Study 1.1. McGraw-Hill). Here, an emphasis is placed on human capital, and the knowledge, experience, and know-how hospital employees bring to the process. By bringing these individuals into the decision making process who have their hands in the work day in and day out, the outcome will be a more efficient, and smoothly running operation as evidenced by the case study. Building on the human capital used, the hospitals are also using a high performance work practice perspective. The hospital is packaging together the best use of their organizational practices...
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...Internal Medicine & Public Health Specifics of the Activity-Based Applications in Hospital Management Boris Popesko * Tomas Bata University in Zlin, Czech Republic * Corresponding Author; Email: popesko@fame.utb.cz Abstract Paper analyses the specifics of the application of Activity-Based Costing method in hospital management. Primary objective of the paper is to outline the methodology of the ABC application in hospitals. First part of the paper analyzes the ways of ABC implementation in published foreign studies. Second part describes the individual steps in ABC application and discusses the differences in the application procedures between the manufacturing and hospital organization. Key words: Healthcare Management, Cost Management, Activity-based costing, Introduction In the last decade, many non-profit and hospital organizations started to face difficulties and challenges in balancing limited resources and costs to provide their demand for services. Due to the introduction of modern medical techniques and medicines and consequent increase of consumed costs, many hospitals are under pressure to adopt more advanced cost management techniques usually utilized only in profit organization sector. Hospital managers frequently seek the advanced techniques, for better understanding of relations between the cost and provided services. One of the key factors of effective company management is ability of accurate estimation of the cost of products. Product costing is an...
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...need have, over time, attracted other providers who see a business opportunity, resulting in a competitive setting. In India, the church-owned hospitals are an example of commitment–based organizations facing a competitive situation. Most church-owned hospitals in the country when there was little private or government healthcare, with a strong commitment to provide health care to the poor. Over the years, the number of healthcare providers has increased, the technology of healthcare provision has changed, funding for care of the poor is no longer easily available, and the founders of the hospitals have handed over leadership to the next generation. Managing such commitment-based organizations in this changed environment is a challenging task. A case-based study of 6 Indian church-owned hospitals was undertaken to understand how this challenge can be addressed. The findings suggest that such organizations need to have three primary areas of management focus: a) managing the operations b) managing the environment, and c) managing the ideology. Managing the operations refers to day-to-day functioning of the organization. Managing the environment includes dealing with strategic issues. Managing the ideology refers to keeping people committed to the core purpose of the organization. The better-performing hospitals paid serious attention to all the three. Their ability to do this was determined by the quality of governance. Another important...
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...fulfillment of advanced logistics and supply chain management course April, 2015 Jimma, Ethiopia Jimma University College of Health Sciences Department of Pharmacy Assessment of multidrug resistant tuberculosis drugs supply chain network design and performance measures at health facilities of Jimma town, southwest Ethiopia By: Alula Tadesse, SintayehuTarekegn&TadesseGudeta Advisor:-Dr.TemesgenGaroma (PhD) April, 2015 Jimma, Ethiopia ABSTRACT BACKGROUND: In all supply chains, correct logistics management optimizes the circulation of products and materials, and insures the link between flow of the physical items and the follow of information. It takes a holistic approach to company’s activities, as well as to the lifecycle of a given product, from its conception to its disposal. This system also has a great impact on the sustained availability of medicines including antiretroviral drugs where their absences resultin service interruption and loss of customer confidence on the institution. For this purpose an effective supply chain network and performance measures needs to be established. OBJECTIVE:-The objective of this study was to assess the supply chain network and performance measures of antiretroviral drugs at health facilities of Jimma town, southwest Ethiopia METHODS: This study was conducted at the selected health facilities of Jimma town from May 05 to 08, 2015.Retrospective cross- sectional study design using both qualitative and quantitative...
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...ASSIGNMENT An analysis of case study (Response Time Estimation: a Study of Hospital Information Management System) Submitted To: - Submitted By:-Ms.Meghna Orooj Fatma Reg.No. 11111317 Section: - Q2104 MBA (HHM) Introduction of case study:- This case study is about software performance engineering, which was applied in hospital information management system to reduce response time. Software Performance Engineering (SPE) is a systematic, quantitative approach to the cost-effective development of software systems to meet performance requirements. SPE, a software-oriented approach, focuses on architecture, design, and implementation choices. This process is mainly used to avoid any discrepancy in the final product as it tries to eliminate error while designing and production of proposed product only. In this case study through software performance engineering response time was reduced by 1.25 second this improvement was achieved because of list processing of bio tests and medicine order, as they were sending test order and medicine prescription in form of bunch. And another feature of this upgraded software was that it setup its connection in advance i.e. prior to...
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...Institute for Development Studies A Study of Philippine Hospital Management Administrative Systems Fred Avestruz DISCUSSION PAPER SERIES NO. 95-16 The PIDS Discussion Paper Series constitutes studies that are preliminary and subject to further revisions. They are being circulated in a limited number of copies only for purposes of soliciting comments and suggestions for further refinements. The studies under the Series are unedited and unreviewed. The views and opinions expressed are those of the author(s) and do not necessarily reflect those of the Institute. Not for quotation without permission from the author(s) and the Institute. June 1995 For comments, suggestions or further inquiries please contact: The Research Information Staff, Philippine Institute for Development Studies 3rd Floor, NEDA sa Makati Building, 106 Amorsolo Street, Legaspi Village, Makati City, Philippines Tel Nos: 8924059 and 8935705; Fax No: 8939589; E-mail: publications@pidsnet.pids.gov.ph Or visit our website at http://www.pids.gov.ph A STUDY OF PHILIPPINE HOSPITAL MANAGEMENT AND ADMINISTRATIVE SYSTEMS PIDS Project No. DOH / 91-92 / 05 (Final Report) October 30, 1994 Fred S. Avestruz, MBA, Ph.D. Asian Institute of Management TABLE OF CONTENTS Chapter 1 Page INTRODUCTION ........................................................ 1 1.1 Objectives of the Study .................................................. 1 1.2 Conceptual Framework of Hospital Management ................ 2 1...
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...MOTHERHOOD INTERVENTION STUDIES IN AFRICA: A REVIEW M. Luck, DSc, Researcher, Centro de Malária e Outras Doenças Tropicais, Instituto de Higiene e Medicina Tropical, Universidade Nova de Lisboa, P-1300 Lisboa, Portugal SAFE MOTHERHOOD INTERVENTION STUDIES IN AFRICA: A REVIEW M. LUCK ABSTRACT Objective: To review the findings of safe motherhood intervention studies conducted in African settings. Data sources: Published literature regarding interventions designed to reduce maternal mortality in African settings. Study selection: Studies conducted in sub-Saharan Africa to assess the effects of interventions designed to reduce maternal mortality. Data extraction: Search of Medline database for the years 1988 to 1998 with additional manual search of references cited in Medline-referenced studies. Data synthesis: Few of the 34 intervention studies identified used a double-blind, randomized controlled trial design (4/34), or outcome measures directly related to maternal mortality or maternal health (7/34). Six of the studies produced reasonably convincing evidence of a positive effect on maternal health outcomes. Of these, three showed that changes in delivery practices brought about improved maternal outcomes, two found that a combined intervention consisting of upgrading of emergency obstetric services and community education increased the number of major obstetric complications treated, and one showed that a range of improvements in hospital equipment and management reduced facility-based...
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...Nursing Leadership Styles and Management Discuss the impact of transformational and transactional leadership styles on the management of violence and aggression within UK regional maximum security forensic mental health hospital. Incorporating organisation structure, change management, multidisciplinary working, staff motivation and retention, legal and ethical implications for nursing practice. Executive Summary: In this essay we discuss the transformational and transactional leadership styles in the management of violence and crisis situations within the clinical setting and in mental health units. We begin our discussion with studies on the need for disaster management teams and structured command system within hospitals to help ensure that patients receive proper care when needed. We then briefly discuss the differences of transformational and transactional leadership styles and suggest that both personality patterns and attitudes towards these styles determine care and change management within the hospitals. Introduction: Leadership styles within the nursing practice can be evaluated by understanding the relationship between management and planning, change operations and organisation structure. As Zane and Prestipino (2004) point out, hospital disaster manuals and response plans lack formal command structure in most cases and the hospital authorities rely on the presence of certain individuals who are familiar with hospital operations or hold leadership positions...
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....................................................11 8. REFERENCES...............................................................................................12 1. INTRODUCTION With the thought that the use of information systems like CPOE (computerised provider order entry) will enable better, safer and more efficient patient care, many hospitals have completed an aggressive implementation of these systems. In this case study, the author has shown both the positive and negative sides of these information systems. The author has emphasized on the benefits provided by CPOE systems to eliminate the errors and at the same time describes some serious issues and problems caused by the advanced technological systems. These systems are not very common in use within every healthcare organization due to the issues like high costs, complex designs etc. Still many hospitals have effectively implemented them which helped them in reducing medication errors and adverse drug events (ADEs). But they are facing are many challenges as discussed in this case study. 2. Provide a critical analysis of the problems the hospitals and physicians...
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...Cooper and Schindler (2008) provided a comprehensive case study that involves a children’s hospital called Akron Children’s Hospital, which is one of the largest pediatric care provider with 253 beds. This hospital was founded in 1890 and offers close to This hospital was founded in 1890 and offers several areas of practice all geared towards children. Akron Children’s Hospital operates in the shadows several other competitors that are also recognized nearby: Rainbow Babies and Children’s Hospital as well as the Cleveland Clinic. Cooper & Schindler (2008) stated that even though Akron Children’s Hospital is large and well regarded, it is overshadowed by its competitors. The hospital needs a communication strategy in order to distinguish itself and to strengthen its commitment to the children as well as the high-quality advanced care that it provides. The hospital also must find out the criteria that parents use in order to decide which hospital to use for their children if acute care services are needed. Expanding its market beyond Cleveland should also be something that the hospital should explore. The issue that Akron Children’s Hospital is experiencing is the fact that it does not know which strategies to use in order to expand and overshadow its competitors. While Akron Children’s Hospital is one of the largest pediatric care providers with 253beds, it lacks the strategies in which to compete in its market. The hospital is over shadowed by two other competitors and cannot...
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