PubMed Health⌕ Search

PubMed · 10175448

Transforming resource utilization data into information.

Abstract

In view of increasing financial pressures, resource utilization management and review have become a primary focus for many healthcare organizations. Utilization strategies have been supported and enhanced by information technologies in many organizations. This paper describes the development and implementation of an on-line application for resource utilization review. Developed for use by clinicians and case managers, access to on-line utilization data has markedly influenced strategic clinical and financial decisions. Recommendations for future use and revisions are provided.

Explore related subjects

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

L M Nagle, K Miller. 1997. Transforming resource utilization data into information.. https://pubmed.ncbi.nlm.nih.gov/10175448/

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

A performance study comparing manual and robotically assisted laparoscopic surgery using the da Vinci system.

BACKGROUND: The objective of this study was to compare the efficacy of the da Vinci robotic system using both the three-dimensional view (3D) and two-dimensional (2D) view options with traditional manually assisted laparoscopic techniques in performing standardized exercises. METHODS: To evaluate surgical efficiency in the use of robotically assisted and manual laparoscopic surgery for standardized exercises six, last-year medical students without any surgical experience were selected. The exercises consisted of placing rings over receptacles, grasping a free hanging suture and cutting three pieces of it, running a suture, and performing a surgical knot. Each student performed the exercise twice. The median times needed for completion of the exercises and the median number of errors in performing the tasks were noted. RESULTS: The unexperienced students performed the standardized tasks significantly quicker and with fewer errors when assisted by the da Vinci robot in the 3D optical display mode, as compared with traditional manually assisted laparoscopic surgery. Even when the 2D mode was selected, a significant advantage favoring the da Vinci robotic system was seen both in time and efficacy for most exercises. When the 3D and 2D modes were compared, time differences in favor of the 3D mode remained, but a significant difference in efficacy favoring the 3D mode was seen only in one exercise (exercise 2: suture cutting). CONCLUSIONS: The da Vinci robotic system permits standardized minimal invasive surgical exercises to be performed quicker and more efficiently than traditional minimally invasive techniques. Therefore, with the aid of this robotic system, difficult laparoscopic interventions may become easier to perform, and indications for minimal invasive surgery may be expanded.

Data Display↗

Potential pitfalls from variable optical coherence tomograph displays in managing diabetic macular edema.

PURPOSE: To describe potential pitfalls in the use of optical coherence tomography for management of diabetic macular edema. DESIGN: Prospective, noninterventional case series. METHODS: Review of optical coherence tomographs in 13 eyes with clinically significant diabetic macular edema from 11 consecutive patients in a private retina practice. RESULTS: Optical coherence tomography displays are based on 3.5-mm or 6-mm diameter circular grids that look very similar and have identical sector names but schematize different areas of the macula. The numeric outputs for the identically named sectors in the two displays do not differ significantly for retinal thickness but differ significantly in all sectors except the fovea for retinal volume because of the different areas represented by the sectors. CONCLUSIONS: Failure to explicitly note the scale of the optical coherence tomography display can potentially misdirect planned focal and grid laser treatment for diabetic macular edema. Failure to explicitly verify identical optical coherence tomography display scales in longitudinal studies of laser treatment for diabetic macular edema can potentially lead to errors in interpreting treatment efficacy.

Data Display↗