4,780 research outputs found

    TECHNOLOGY SERVES THE PEOPLE The Storyâ‹… of a Co-operative Telemedicine Project by NASA, The Indian Health Service and the Papago People

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    This monograph is a documented history of the planning and development process of a major advanced telemedicine system call Space Technology Applied to Rural Papago Advanced Health Care (STARPAHC). This history was prepared to document basic processes. Projects such as STARPAHC usually result in volumes of technical system descriptions, evaluation reports and technical performance analyses. This report provides a good description of the high degree and quality of productive functional relationships developed among the participating agencies and the private sector.The project was conceived and sponsored by both the National Aeronautic and Space Administration (NASA) and Lockheed Missile and Space Company (LMSC). STARPAHC was not the first attempt to implement a telemedicine system in the United States. Ultimately, STARPAHC would provide a full communications range, two-way television, audio and data communications between the central station at Sells, Arizona on the Papago Reservation, and a fixed satellite clinic at Santa Rosa, a regularly scheduled mobile health clinic, and a full facility hospital-based clinic at Phoenix. The program presumed that the telemetry and remote monitoring equipment developed for the space program would have eventually made its way into the open market. The study rests on the conclusion that some form of telemedicine is the invariant pattern of the future. The time periods for the research and demonstration projects were insufficient to reach definitive conclusions regarding the cost-effectiveness of telemedicine in relation to other modes of health service delivery. In an intensively technological system, the capital investment may only be recovered over an extended period of time, and services must be distributed over a large number of patients/clients. Problems with program objectives led to situations where it was not clear whether telemedicine was intended to supplement, enhance, or replace existing delivery systems. Funding was severely curtailed before many of the problems could be resolved. The STARPAHC project may prove to be the most successful model for the future of telemedical diagnostics. In terms of costs, it used the least expensive technology (audio-link and slow-scan TV). In terms of quality, it provided an opportunity to have a second option for diagnostic purposes, clinical decision making, and specialist consultation done rapidly and efficiently. In terms of acceptance, both providers and patients were happy to have the system.Reinitiate funding for telemedicine

    Virginia Dental Journal (Vol. 46, no. 2, 1969)

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    Mycobacterium tuberculosis: Biorisk, Biosafety and Biocontainment

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    Contract and Grant Awards Fiscal Year 2005

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    I invite you to read this report Contract & Grant Awards, fiscal year 2005, which lists contract and grant (C&G) awards received by the University of New Mexico (UNM) during the period from July 1, 2004 - June 30, 2005 (FY05). These awards represent new funds that were acquired during FY05 by the main campus, branch campuses and education centers, and the Health Sciences Center (HSC). The HSC includes the School of Medicine, College of Nursing, and College of Pharmacy. The awards received for FY05 total 295.4M,ofwhich295.4M, of which 167.6M is attributed to the main campus and $127.8M to HSC. These awards assist in providing resources that are necessary to support and enhance the quality of research and teaching at UNM, as well as the opportunities for students to be trained in state-of-the-art laboratories in a variety of disciplines

    An Integrated Framework for Staffing and Shift Scheduling in Hospitals

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    Over the years, one of the main concerns confronting hospital management is optimising the staffing and scheduling decisions. Consequences of inappropriate staffing can adversely impact on hospital performance, patient experience and staff satisfaction alike. A comprehensive review of literature (more than 1300 journal articles) is presented in a new taxonomy of three dimensions; problem contextualisation, solution approach, evaluation perspective and uncertainty. Utilising Operations Research methods, solutions can provide a positive contribution in underpinning staffing and scheduling decisions. However, there are still opportunities to integrate decision levels; incorporate practitioners view in solution architectures; consider staff behaviour impact, and offer comprehensive applied frameworks. Practitioners’ perspectives have been collated using an extensive exploratory study in Irish hospitals. A preliminary questionnaire has indicated the need of effective staffing and scheduling decisions before semi-structured interviews have taken place with twenty-five managers (fourteen Directors and eleven head nurses) across eleven major acute Irish hospitals (about 50% of healthcare service deliverers). Thematic analysis has produced five key themes; demand for care, staffing and scheduling issues, organisational aspects, management concern, and technology-enabled. In addition to other factors that can contribute to the problem such as coordination, environment complexity, understaffing, variability and lack of decision support. A multi-method approach including data analytics, modelling and simulation, machine learning, and optimisation has been employed in order to deliver adequate staffing and shift scheduling framework. A comprehensive portfolio of critical factors regarding patients, staff and hospitals are included in the decision. The framework was piloted in the Emergency Department of one of the leading and busiest university hospitals in Dublin (Tallaght Hospital). Solutions resulted from the framework (i.e. new shifts, staff workload balance, increased demands) have showed significant improvement in all key performance measures (e.g. patient waiting time, staff utilisation). Management team of the hospital endorsed the solution framework and are currently discussing enablers to implement the recommendation

    Towards Information Polycentricity Theory: Investigation of a Hospital Revenue Cycle

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    This research takes steps towards developing a new theory of organizational information management based on the ideas that, first, information creates ordering effects in transactions and, second, that there are multiple centers of authority in organizations. The rationale for developing this theory is the empirical observation that hospitals have great difficulty in managing information relating to transactions with patients. The research illustrates the detailed workings of an initial conceptual framework based on an action research project into the revenue cycle of a hospital. The framework facilitates a deeper understanding of how information technology can help to transform information management practices in complex organizations, such as hospitals. At the same time, this research adds to the literature on Polycentricity Theory by linking its two core concepts—multiple nested centers of decision making and context-dependent governance—with Transaction Cost Theory and information management theories to establish a new foundation for understanding the role of information technology in organizational contexts

    An Organizational Culture-Based Theory of Clinical Information Systems Implementation in Hospitals

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    We propose an organizational culture-based explanation of the level of difficulty of clinical information system (CIS) implementation and of the practices that can contribute to reduce the level of difficulty of this process. Adopting an analytic induction approach, we developed initial theoretical propositions based on a three-perspective conceptualization of organizational culture: integration, differentiation, and fragmentation. Using data from three cases of CIS implementation, we first performed a deductive analysis to test our propositions on the relationships between culture, CIS characteristics, implementation practices, and the level of implementation difficulty. Then, applying an inductive analysis strategy, we re-analyzed the data and developed new propositions. Our analysis shows that four values play a central role in CIS implementation. Two values, quality of care and efficiency of clinical practices, are key from an integration perspective; two others, professional status/autonomy and medical dominance, are paramount from a differentiation perspective. A fragmentation perspective analysis reveals that hospital users sometimes have ambiguous interpretations of some CIS characteristics and/or implementation practices in terms of their consistency with these four values. Overall, the proposed theory provides a rich explanation of the relationships between CIS characteristics, implementation practices, user values, and the level of difficulty of the implementation process

    Lindenwood University -Belleville Student Handbook, 2015-2016

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    Information and guidelines for Lindenwood University students

    Virginia Dental Journal (Vol. 56, no. 1, 1979)

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    Lindenwood University -Belleville Student Handbook, 2016-2017

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    Information and guidelines for Lindenwood University students
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