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Biomedical subjects

V Ciotti

Publications and source records attributed to V Ciotti.

16 recordsLinked to original sources
PubMed2001

Avoiding HIPAA hype: preparing for HIPAA affordably.

In the scramble to prepare their organizations for HIPAA compliance, healthcare financial managers may believe they must commit significant funds to overhauling information systems and hiring consulting firms. But security and confidentiality policies required by HIPAA cannot be implemented solely by upgrading computer systems. HIPAA compliance requires a wholesale change in staff attitudes and behavior regarding patient security and confidentiality. Healthcare organizations can prepare to comply with HIPAA regulations practically and affordably by combining in-house expertise with limited assistance from outside consulting firms. An added benefit of emphasizing the use of in-house resources to prepare the organization for HIPAA compliance is that the organization can develop and retain its own experts on HIPAA.

Facility Regulation and Control↗
PubMed2000

Event-related potentials in the elderly with new mild hypertension.

Hypertension is a risk factor for cerebrovascular diseases (CVD) and cognitive impairment and the relative risk of CVD at every level of blood pressure (BP) is greater among the elderly. We submitted 20 elderly affected by new mild hypertension and 10 elderly normotensives to 24-hour ambulatory BP monitoring (ABPM), to evaluate their cognitive state using the Mini-Mental-State-Examination and to the recording of related acoustic evoked potentials (P300 and N2). We did not find significant differences for P300 latency between hypertensives and normotensives, while N2 latency recording showed a statistically significant protracted value in elderly hypertensives. In these patients we found a significant correlation between the N2 latency and systolic blood pressure values recorded by ABPM. These results demonstrated early functional alterations of cognitive state in elderly hypertensives, that are related to systolic blood pressure and future data might point to an earlier use of therapy.

Aged↗
PubMed1999

Year 2000 compliance starts in 1999 for financial systems.

Preparing for the potential year 2000 computer date problem should have begun long ago. Healthcare organizations should be well along in testing their information systems to ensure that both financial and clinical applications are year 2000 compliant. Some organizations may have started to experience problems, particularly with their financial systems. A noncompliant financial system that generates incorrect data without creating error messages or rejecting transactions poses particularly serious problems for providers.

Chronology as Topic↗
PubMed1996

Selecting managed care information systems.

A decade ago, a handful of managed care information systems occupied a relatively minor niche in the healthcare information system industry. Today, dozens of small software development firms are experiencing explosive expansion and are being courted by larger vendors for partnership or acquisition. When selecting an information system capable of meeting the demands of managed care providers, financial managers should consider carefully the types of systems that are available, their price ranges, their modules, and the type of vendor selling the systems.

Clinical Medicine↗
PubMed1993

Countering advanced HIS marketing tactics.

An explosion of technological advances and system developments in the information systems industry pushes the envelope in both hardware and software design. Equipment breakthroughs--reduced instruction set computing chips, or RISC, and DEC's 64-bit Alpha chip--herald an exciting new era in price-performance computing. And object-oriented programming systems, or OOPS, and computer-assisted software engineering, or CASE tools, both promise a golden age in programming productivity. At the same time however, marketing mavens at healthcare information system, or HIS, vendors keep pace with their cohorts in Research and Development by blazing new trails in the science of sales and marketing. To help healthcare executives keep pace with new developments in selling, let's review a few infamous breakthroughs in marketing. They put a new twist on the old saw: "caveat emptor." Following each marketing "advance" are counters to new marketing tricks, each recommended to keep savvy CIOs a step ahead.

Computer Systems↗
PubMed1992

A practical guide for adapting to the 1992 CPT4 coding structure.

With the implementation of the revised CPT4 coding structure on March 31, 1992, physicians and healthcare financial managers alike were reminded of the fact that more regulation often means less reimbursement. Authors Ciotti and Smith offer a personal look at how they struggled with the revised regulations and a guide to this "coding labyrinth."

Abstracting and Indexing↗
PubMed1991

Paper chase: how to manage computer reports.

Although healthcare information systems are increasingly sophisticated, they are capable of burying some users beneath flurries of unneeded reports while failing to provide sorely needed data for others. Environmental issues and patient privacy concerns add to the need to conduct periodic audits that explore how computer reports are distributed, used, retained, and discarded in health-care organizations. The process begins by reviewing and updating a report distribution list, a master document that shows why and how reports are created and circulated.

Abstracting and Indexing↗
PubMed1990

How to improve information system installations.

The complex and often bumpy path toward installing a new information system can be smoothed out by following practical advice on managing the project and working with system vendors. Tips include using a project management system, involving all levels of a hospital's management, testing and retesting applications, screening prospective installers, declining to be a system's first user, resisting efforts to rush an installation, and making sure a vendor completes its share of the workload.

Commerce↗
PubMed1988

The request for proposal: is it just a paper chase?

The request for proposal (RFP) has become such a stylized ritual in the process of selecting an information system that it has begun to lose much of its intended effectiveness. The internal process by which a vendor answers an RFP with a proposal is so involved that hospitals and consultants might be better off spending less time and effort on them. Other steps in the selection process such as individual site visits and interviews with system installers could prove to be more valuable to hospitals and consultants than this paper chase.

Competitive Bidding↗
PubMed1986

What happens when a hospital becomes an HIS vendor?

It appears to be a simple step for a hospital to sell the software it has developed for its own operations. After all, the time and cost of development has been completed; it is just a matter of marketing it. But, as many hospitals have learned, marketing their software is not as simple as it seems. One case in point is Norwegian American Hospital in Chicago. It formed a subsidiary to further develop and market its software, and although it had early successes, the venture eventually met with failure.

Chicago↗
PubMedDate not supplied

Selecting practice management information systems.

Despite enormous advances in information systems, the process by which most medical practices select them has remained virtually unchanged for decades: the request for proposal (RFP). Unfortunately, vendors have learned ways to minimize the value of RFP checklists to where purchasers now learn little about the system functionality. The authors describe a selection methodology that replaces the RFP with scored demos, reviews of vendor user manuals and mathematically structured reference checking. In a recent selection process at a major medical center, these techniques yielded greater user buy-in and favorable contract terms as well.

Competitive Bidding↗