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Microcomputer software needs for home care services: similarities to and differences between hospital inpatient systems.

A home care computer system and database manager designed specifically for the needs of home care are needed in a time when documentation requirements are many and qualified personnel are few. Home care software allows these clinicians to provide consistent data, minimize mathematical errors, handle the complex reimbursement system, and maximize the efficiency of the organization's professional, administrative, and clerical staff. Good quality patient care and time management are critical to providing high quality, cost-effective, parenteral therapy home care in the 1990s. This system and the user training program are designed to accommodate both the experienced home care provider and the novice, inexperienced provider. The Specialized Clinician also carries out reimbursement, thus eliminating the major cause of failure of inexperienced start-up home infusion care programs.

Documentation↗

Reducing health care costs using claims adjudication software.

An important area for reduction in health care costs is incorrect coding of physician services. Current software systems provide high-volume, consistent claims review with substantial savings for payers. The third generation of such systems offers comprehensive coverage across clinical disciplines, across individual claims, and across an entire history of claims. It is likely that these systems will be useful to both nontraditional payers, such as physician groups and hospital-based networks, and traditional payers seeking to reduce costs and enhance competitiveness.

Cost Control↗

Software engineering tools.

We have looked at general descriptions and illustrations of several software development tools, such as tools for prototyping, developing DFDs, testing, and maintenance. Many others are available, and new ones are being developed. However, you have at least seen some examples of powerful CASE tools for systems development.

Data Display↗

The strategist's software directory.

With so many off-the-shelf software packages on the market, how do you know which are the real planning tools? Here's an annotated list that takes a hard look at how these programs help you analyze situations, generate ideas, and craft solutions to strategic problems.

Computer Systems↗

The marriage of financial and clinical software.

As physicians feel increased pressure from managed care to operate more efficiently, they're expecting more from their practice management software than the streamlining of administrative tasks. Vendors are responding by adding clinical functions to their products.

Ambulatory Care Information Systems↗

Justifying costs of computer software purchases.

To help complete the often cumbersome task of justifying costs of software purchases, health-care financial managers should follow a multi-step process. This involves determining an organization's information system needs, evaluating vendor offerings and system benefits, assessing the value of system benefits, and determining returns on investments in new systems.

Arizona↗

Evaluation of drug interaction microcomputer software: an updated comparison.

Nine drug interaction microcomputer software programs were evaluated and compared using clinical and general ease of use criteria. Descriptions of major changes or additions since the last review are detailed. The ability to screen for drug interactions was based on recent drug-drug and drug-food interactions. Recommended programs based on three price ranges are suggested.

CD-ROM↗

Adapting a commercially available software program to improve ADR reporting.

To facilitate the long-term storage, retrieval, and analysis of adverse drug reaction (ADR) data, the drug information service at the University of Texas Health Science Center at San Antonio selected a computer software program with the capability to compile sets of relational databases. Five subsets were created to form the ADR database--patient demographics, medications, American Hospital Formulary Service classifications, adverse reactions, and case reports. This computerized system allows for quick information retrieval as well as the generation of monthly ADR reports. With such information, trends in ADRs can be identified and targeted for intervention programs to improve patient care and to comply with JCAHO requirements.

Adverse Drug Reaction Reporting Systems↗

Drug interaction microcomputer software evaluation: Drug Therapy Screening System (DTSS).

Drug Therapy Screening System (DTSS) was evaluated using general and specific criteria. The installation process, ease of learning and use, the user documentation, and the technical support were rated excellent. The scope of coverage, the quality of the clinical documentation, and overall clinical performance were also excellent. The frequency of updates is good. The program is one of the best microcomputer drug interaction software packages evaluated by the authors thus far, because of its comprehensiveness, simplicity in use, and quality of its drug interaction information. The relatively high annual cost may limit its attractiveness.

Drug Information Services↗

Software validation: requirements for programmable electronic medical systems, how to comply with the essential requirements of the EC Directives, part II.

In the second part of this two-part article, the author reviews existing standards and current international and European standardization work, which serves to highlight the need for harmonized standards for medical devices that incorporate software. The new concepts of essential performance, and safety integrity, severity, and risk levels are examined, and these present a new basis for the revision of safety standards to make them relevant to the EC Directives.

Electronics, Medical↗

Software helps cure patient scheduling headaches.

The popularity of scheduling software is growing as providers try to find new ways of improving efficiency. That's particularly true at integrated delivery systems, which are seeking to better coordinate care delivery across multiple sites.

Appointments and Schedules↗

Software program generates customized patient information.

A new computer software program personalizes disease management information for patients, provides doctors with a variety of drug treatment options, and generates a chart report. Doctors love the convenient help and patients love the personal touch.

Disease Management↗

A decision support software package for medical treatment of I.C.U. patients.

Critically ill patients admitted in I.C.U. often have multiple complicated problems which necessitate the use of a large number of drugs. The multiple potential interactions between substances and underlying pathologies as well as between substances themselves, obviate the need for a decision support system. We therefore developed a software package for medical treatment support in I.C.U. environment which is based on Microsoft Visual Basic 3.0 and it is organised around the commercially available RDBMS Access 2.0. The database consist of: a) all available substances, b) all generic names of medications available in Greece for each substance, c) incompatibilities (2,300 cases), d) interactions (50,000 cases) and e) cost information for each drug. This system assures the safety of the administered treatment, helps to adjust the dose according to the situation of each patient (anthropometric data, laboratory result, prognostic/severity score e.t.c.) and screens for possible interactions and incompatibilities between the administered drugs. It could also be used for education, treatment algorithms application and it will serve cost-reduction policy. It is a useful and powerful tool for ICU staff which does not impose additional work to the daily practice routine and it is currently under evaluation in clinical settings.

Adverse Drug Reaction Reporting Systems↗

Personal stories within virtual environments: embodiments of a model for cancer patient information software.

Two new cancer patient information CD-ROMs extend the personal stories within virtual environments model of cancer patient information developed for Breast Cancer Lighthouse. Cancer Pain Retreat and Cancer Prevention Park: Games for Life are intended to inform and inspire users in an emotionally calming and intimately informative manner. The software offers users an experience--of visiting a virtual place and meeting and talking with patients and health care professionals.

CD-ROM↗

Mapping. Using specialized software as a competitive tool.

Cost pressures of managed care, consolidation of health care organizations and the need to effectively spend marketing dollars are strengthening demand for geographic information systems. Providers, payers and others are using the software to convert a wide variety of information into easy-to-understand maps and reports.

Catchment Area, Health↗

Software helps providers hit the correct billing codes.

Faced with the prospect of being slapped with fines for filing fraudulent Medicare and Medicaid claims if they don't follow regulations to the letter, some health care providers are relying on coding software. These systems help them stay in compliance with federal regulations as well as the requirements of other payers. The government's zeal to crack down on coding compliance combined with the complexity of coding regulations is leading more health care organizations to turn to automation.

Aged↗

US quality system requirements for software validation.

United States (US) Food and Drug Administration (FDA) investigators have, for many years, consistently evaluated compliance with US process validation requirements. Until now there has been significant variability in the manner in which they have examined compliance with US requirements for the validation of software used in the production process or as part of the quality system. This article will discuss the contents of a recent FDA draft guidance document that may reduce this variability.

Equipment Safety↗

How to select the best software for your quality assurance program.

Today, a number of information analysis systems are available to help the hospital develop, monitor, and evaluate its quality assurance programs. To that end, the governing board should know what criteria the software for such a system must meet to ensure effective problem identification and quality control measurement within the hospital.

Computers↗

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