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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↗
PubMed1996

Reengineering a health care facility. Turning an organization on its head.

How can you foster change in your organization? Accomplishing major organizational change is difficult and extremely risky. However, change is necessary if health facilities are to survive in a competitive managed care world. Thrust into this environment, military health facilities are finding they must improve access and quality, while reducing costs. Keller Army Community Hospital at West Point was reengineered to meet this challenge. The results? A nontraditional hospital structure and management philosophy. Pipeline hierarchical chains of command and traditional professional boundaries have been modified. The strategy and transition process, as well as the obstacles to change, are explored in this article. Three years into a multi-year process, expected obstacles to change have been experienced, and success is predicted.

Hierarchy, Social↗
PubMed1996

Cost accounting: toward a measure of truth.

With the reimbursement systems for home care changing and evolving, home care agencies need to be careful in choosing a cost accounting system. There is the traditional system that focuses on compliance, or the cost accounting information system, which caters to the needs of management decision making. Which system is appropriate, and when?

Accounting↗
PubMedDate not supplied

Architecture: client/server moves into managed healthcare.

The healthcare industry is in transition from indemnity-based products to managed care during a period marked by consolidation, competitiveness and increasingly demanding consumers. This powerful combination of industry change and customer interest requires more efficient operations and flexible information systems. Host-based managed care systems are running into limitations meeting business needs, creating a demand for client/server architectures.

Computer Systems↗
PubMedDate not supplied

Ensuring cost-effective investments for the future.

According to an analyst report from Smith Barney, the market for managed care information systems is about $2 billion, growing to more than $5 billion by 2000. Nonetheless, these systems must prove a cost-effective for managed care organizations. Systems should add value and, over time, offer a return on investment. These goals are accomplished through solutions that recognize and anticipate expanding information requirements in the evolving healthcare market.

Cost-Benefit Analysis↗