The organizational implications of medical imaging in the context of Malaysian hospitals

This research investigated the implementation and use of medical imaging in the context of Malaysian hospitals. In this report medical imaging refers to PACS, RIS/HIS and imaging modalities which are linked through a computer network. The study examined how the internal context of a hospital and its external context together influenced the implementation of medical imaging, and how this in turn shaped organizational roles and relationships within the hospital itself. It further investigated how the implementation of the technology in one hospital affected its implementation in another hospital. The research used systems theory as the theoretical framework for the study. Methodologically, the study used a case-based approach and multiple methods to obtain data. The case studies included two hospital-based radiology departments in Malaysia. The outcomes of the research suggest that the implementation of medical imaging in community hospitals is shaped by the external context particularly the role played by the Ministry of Health. Furthermore, influences from both the internal and external contexts have a substantial impact on the process of implementing medical imaging and the extent of the benefits that the organization can gain. In the context of roles and social relationships, the findings revealed that the routine use of medical imaging has substantially affected radiographers’ roles, and the social relationships between non clinical personnel and clinicians. This study found no change in the relationship between radiographers and radiologists. Finally, the approaches to implementation taken in the hospitals studied were found to influence those taken by other hospitals. Overall, this study makes three important contributions. Firstly, it extends Barley’s (1986, 1990) research by explicitly demonstrating that the organization’s internal and external contexts together shape the implementation and use of technology, that the processes of implementing and using technology impact upon roles, relationships and networks and that a role-based approach alone is inadequate to examine the outcomes of deploying an advanced technology. Secondly, this study contends that scalability of technology in the context of developing countries is not necessarily linear. Finally, this study offers practical contributions that can benefit healthcare organizations in Malaysia

Sdhcare: Secured Distributed Healthcare System

In the healthcare sector, the move towards Electronic Health Records (EHR) systems has been accelerating in parallel with the increased adoption of IoT and smart devices. This is driven by the anticipated advantages for patients and healthcare providers. The integration of EHR and IoT makes it highly heterogeneous in terms of devices, network standards, platforms, types of data, connectivity, etc. Additionally, it introduces security, patient and data privacy, and trust challenges. To address such challenges, this thesis proposes an architecture that combines biometric-based blockchain technology with the EHR system. More specifically, this thesis describes a mechanism that uses a patient’s fingerprint for recovery of patient’s access control on their EHRs securely without compromising their privacy and identity. A secure distributed healthcare system (SDHCARE) is proposed to uniquely identify patients, enable them to control access to, and ensure recoverable access to their EHRs that are exchanged and synchronized between distributed healthcare providers. The system takes into account the security and privacy requirements of Health Insurance Portability and Accountability Act (HIPAA) compliance, and it overcomes the challenges of using secret keys as a patient’s identity to control access to EHRs. The system used distributed architecture with two layers being local to each healthcare provider that is a member of SDHCARE, and two layers shared across all members of SDCHARE system. SDHCARE system was prototyped and implemented in order to validate its functional requirements, security requirements, and to evaluate its performance. The results indicated successful fulfillment of design requirements without significant overhead on the performance as required by healthcare environment

Global integration of public sector information

This paper deals with technological methods for consolidating assets lists of available public sector information (PSI) for re-use. In this direction, the effort is to review the state of the art in delivering access to PSI throughout the world and to prioritize the necessary engagements for joining available PSI catalogues. We propose an architectural framework grounded on Semantic Web technologies to deliver a global platform for federated searching. A speculative survey of available PSI portals is presented, and the initial implementation, results, and analysis of the proposed architecture are covered in detail

City of Omaha Personnel Department: Analysis and Recommendations

The Center for Applied Urban Research undertook an analysis of the city of Omaha personnel department during the winter and spring of 1983. This is a summary of the principal findings and recommendations of that analysis. Detailed discussion regarding these and other important issues of personnel management in Omaha can be found in the body of this report

Simplification of Health and Social Services Enrollment and Eligibility: Lessons for California From Interviews in Four States

Explores state officials' and advocates' views on issues involved in streamlining enrollment and eligibility processes, including the importance of staff buy-in, community partners' outreach efforts, and technological challenges and lessons learned

Predictive Analytics in Healthcare: Empowering Consultation with Machine Learning

The Smart Healthcare and Online Consultation initiative intends to offer patients a quick and convenient online platform for seeking medical advice and services. Real-time video consultations, appointment scheduling, prescription administration, and health records management are just a few of the capabilities available on the platform. To deliver individualized and superior healthcare services, the initiative to use cutting-edge such as AI, ML, and data analytics. By giving patients an easy and affordable way to receive healthcare services remotely, the Smart Healthcare and Online Consultation initiative has the potential to completely transform the healthcare sector

Special Libraries, September 1978

Volume 69, Issue 9https://scholarworks.sjsu.edu/sla_sl_1978/1007/thumbnail.jp

Rhode Island Report on the Judiciary 1980-1982

This ninth report on the judiciary has been produced by the Administrative Office of State Courts. During the period covered in the report the courts have made progress in several areas. Among these, major improvements to court facilities, the achievement of speedy trial goals, and the work of several study committees stand out as examples of what has been achieved

Barnes Hospital Bulletin

https://digitalcommons.wustl.edu/bjc_barnes_bulletin/1222/thumbnail.jp