Using Radio Frequency Identification Technology In Healthcare

In the healthcare industry, medical treatment can be a matter of life and death, so that any mistakes may cause irreversible consequences. As hospitals have sought to reduce these types of errors, Radio Frequency Identification Technology (RFID) has become a solution in the healthcare industry to address these problems. Since 2005, RFID has generated a lot of interest in healthcare to make simpler the identification process for tracking and managing medical resources to improve their use and to reduce the need for future costs for purchasing duplicate equipment. There are rising concerns linked to the privacy and security issues, when RFID tags are used for tracking items carried by people. A tag by its design will respond to a reader\u27s query without the owner\u27s consent and without the owner even noticing it. When RFID tags contain patients\u27 personal data and medical history, they have to be protected to avoid any leaking of privacy-sensitive information. To address these concerns, we propose an Intelligent RFID System which is a RFID card system that embeds smart tags in insurance cards, medical charts, and medical bracelets to store medical information. Patient data is sent to the insurance providers by way of a clearinghouse that translates the information from the healthcare facility into a format that the insurance company can process. To ensure data protection, an additional security layer was added to secure the communication between the tags and the readers. This security layer will allow only authorized readers to poll tags for the patient\u27s medical tags and prevent unauthorized access to tag data. It will simplify the maintenance and transfer of patient data in a secure, feasible and cost effective way

Digital Health Care in Taiwan

This open access book introduces the National Health Insurance (NHI) system of Taiwan with a particular emphasis on its application of digital technology to improve healthcare access and quality. The authors explicate how Taiwan integrates its strong Information and Communications Technology (ICT) industry with 5G to construct an information system that facilitates medical information exchange, collects data for planning and research, refines medical claims review procedures and even assists in fighting COVID-19. Taiwan's NHI, launched in 1995, is a single-payer system funded primarily through payroll-based premiums. It covers all citizens and foreign residents with the same comprehensive benefits without the long waiting times seen in other single-payer systems. Though premium rate adjustment and various reforms were carried out in 2010, the NHI finds itself at a crossroads over its financial stability. With the advancement of technologies and an aging population, it faces challenges of expanding coverage to newly developed treatments and diagnosis methods and applying the latest innovations to deliver telemedicine and more patient-centered services. The NHI, like the national health systems of other countries, also needs to address the privacy concerns of the personal health data it collects and the issues regarding opening this data for research or commercial use. In this book, the 12 chapters cover the history, characteristics, current status, innovations and future reform plans of the NHI in the digital era. Topics explored include: Income Strategy Payment Structure Pursuing Health Equity Infrastructure of the Medical Information System Innovative Applications of the Medical Information Applications of Big Data and Artificial Intelligence Digital Health Care in Taiwan is essential reading for academic researchers and students in healthcare administration, health policy, health systems research, and health services delivery, as well as policymakers and public officials in relevant government departments. It also would appeal to academics, practitioners, and other professionals in public health, health sciences, social welfare, and health and biotechnology law

Digital Health Care in Taiwan

This open access book introduces the National Health Insurance (NHI) system of Taiwan with a particular emphasis on its application of digital technology to improve healthcare access and quality. The authors explicate how Taiwan integrates its strong Information and Communications Technology (ICT) industry with 5G to construct an information system that facilitates medical information exchange, collects data for planning and research, refines medical claims review procedures and even assists in fighting COVID-19. Taiwan's NHI, launched in 1995, is a single-payer system funded primarily through payroll-based premiums. It covers all citizens and foreign residents with the same comprehensive benefits without the long waiting times seen in other single-payer systems. Though premium rate adjustment and various reforms were carried out in 2010, the NHI finds itself at a crossroads over its financial stability. With the advancement of technologies and an aging population, it faces challenges of expanding coverage to newly developed treatments and diagnosis methods and applying the latest innovations to deliver telemedicine and more patient-centered services. The NHI, like the national health systems of other countries, also needs to address the privacy concerns of the personal health data it collects and the issues regarding opening this data for research or commercial use. In this book, the 12 chapters cover the history, characteristics, current status, innovations and future reform plans of the NHI in the digital era. Topics explored include: Income Strategy Payment Structure Pursuing Health Equity Infrastructure of the Medical Information System Innovative Applications of the Medical Information Applications of Big Data and Artificial Intelligence Digital Health Care in Taiwan is essential reading for academic researchers and students in healthcare administration, health policy, health systems research, and health services delivery, as well as policymakers and public officials in relevant government departments. It also would appeal to academics, practitioners, and other professionals in public health, health sciences, social welfare, and health and biotechnology law

Risk Management of Electronic Health Record System in Hospitals

This thesis investigates the use of electronic medical record (EMR) systems and risk management in hospitals. It provides a critical analysis of recognized EMR systems and potential failures and discusses six traditional risk management techniques including brain storming, cause, effect analysis, failure mode effective analysis (FMEA), fault tree analysis (FTA), and Binary Decision Diagram (BDD) in addition, to one of the most recent systematic risk management techniques, Systems Theoretic Accident Model Process (STAMP). The traditional techniques are not as well suited to managing risks and preventing failures in modern information systems with complex software that involves human and machine interaction. The thesis introduces the implementation of common traditional risk management technique such as BDD and FTA which is mostly used in nuclear plants, transportation and medical devices backed by a hypothetical example to help and explain the process of the FTA usage. Most traditional techniques rely on a direct cause-and-effect chain and have no clear formal guidance. The systematic technique introduced and used in this study, is known as Systems Theoretic Accident Model Process (STAMP). It is one of the recent systematic techniques developed and used in many sectors including aerospace. This study applied the STAMP technique to the EMR system failure at King Khalid General Hospital (KKGH) in Riyadh. One of the reasons for selecting the STAMP technique is that it is based on system theory and established the risk factors that lead to system failure. It also provides guidance for managing and controlling risk factors. This thesis discusses the implementation of STAMP, supported by examples, to explain how the technique conducted. System failures occur unexpectedly and have the potential to affect health services; they can compromise patient health and sometimes lead to death. The aims of this study are to explore The Kingdom of Saudi Arabia healthcare usage of EMRs and risk factors that leads to system failure and demonstrate the benefit of STAMP for RM in EMR system, define gaps and provide suggestion based on international best practice The study was conducted in three phases. The first phase explored EMR system usage and failures. The second phase implemented the STAMP risk management technique at one hospital of our 8 surveyed hospitals, the King Khalid General Hospital’s (KKGH), to identify and manage risks. In the third phase, the study modified the STAMP technique and reapplied it. The modified technique STAMP Checklist (STAMPC) was compared with the original STAMP technique. We found that STAMPC is much more usable and subjectively beneficial for the hospital that uses a hybrid system. Data extracted using the modified technique provided more useful information to improve EMR system safety, and prevent potential failures. This study addresses the challenges of how effectively RM techniques used to reduce the potential risk of EMR system failures in hospitals. It improves the efficiency of the STAMP risk management technique by proposing a new (STAMPC) technique. There are 3 important implications for both RM and EMRs practice: first, the study suggests that RM and EMRs are integral parts of the management decision-making process; second, they are necessary to improve human health and safety; and, third, RM may minimise the possibility of system failure

An Integrated and Distributed Framework for a Malaysian Telemedicine System (MyTel)

The overall aim of the research was to produce a validated framework for a Malaysian integrated and distributed telemedicine system. The framework was constructed so that it was capable of being useful in retrieving and storing a patient's lifetime health record continuously and seamlessly during the downtime of the computer system and the unavailability of a landline telecommunication network. The research methodology suitable for this research was identified including the verification and validation strategies. A case study approach was selected for facilitating the processes and development of this research. The empirical data regarding the Malaysian health system and telemedicine context were gathered through a case study carried out at the Ministry of Health Malaysia (MOHM). The telemedicine approach in other countries was also analysed through a literature review and was compared and contrasted with that in the Malaysian context. A critical appraisal of the collated data resulted in the development of the proposed framework (MyTel) a flexible telemedicine framework for the continuous upkeep o f patients' lifetime health records. Further data were collected through another case study (by way of a structured interview in the outpatient clinics/departments of MOHM) for developing and proposing a lifetime health record (LHR) dataset for supporting the implementation of the MyTel framework. The LHR dataset was developed after having conducted a critical analysis of the findings of the clinical consultation workflow and the usage o f patients' demographic and clinical records in the outpatient clinics. At the end of the analysis, the LHR components, LHR structures and LHR messages were created and proposed. A common LHR dataset may assist in making the proposed framework more flexible and interoperable. The first draft of the framework was validated in the three divisions of MOHM that were involved directly in the development of the National Health JCT project. The division includes the Telehealth Division, Public and Family Health Division and Planning and Development Division. The three divisions are directly involved in managing and developing the telehealth application, the teleprimary care application and the total hospital information system respectively. The feedback and responses from the validation process were analysed. The observations and suggestions made and experiences gained advocated that some modifications were essential for making the MyTel framework more functional, resulting in a revised/ final framework. The proposed framework may assist in achieving continual access to a patient's lifetime health record and for the provision of seamless and continuous care. The lifetime health record, which correlates each episode of care of an individual into a continuous health record, is the central key to delivery of the Malaysian integrated telehealth application. The important consideration, however, is that the lifetime health record should contain not only longitudinal health summary information but also the possibility of on-line retrieval of all of the patient's health history whenever required, even during the computer system's downtime and the unavailability of the landline telecommunication network

Improvement of outpatient service processes based on BRP theory and information technology: a case study of the University of Hong Kong-Shenzhen Hospital

JEL Classification: M15 – IT Management, I12 – Health ProductionCurrently, due to some irrational allocation of medical and healthcare resources, a considerable proportion of state-of-the-art medical equipment and talented medical personnel are concentrated in large urban hospitals. This situation is particularly common in 3A hospitals (3A hospitals are hospitals which are equipped with more than 501 beds, can provide medical and healthcare services with high-level specialty to various regions and with scores higher than 900 according to the grading standard), which are often crowded with patients. According to the normal outpatient process, patients need to undergo a prolonged procedure from registration, treatment, laboratory test, diagnosis to drug dispensing. Often patients have to spend a long time waiting for treatment, receiving tests and paying for medical care. The congestion of patients at certain time-consuming processes allows doctors little time to check and treat patients thoroughly. As a result, doctors are often unable to make accurate and comprehensive diagnosis. Considered the window of a hospital, outpatient service is extremely important. Whether the design of its process is reasonable and whether its management is able to maximize interests for patients will directly affect the hospital’s medical level, and even its social benefits and reputation. Therefore, it has become a major issue for a hospital achieves to optimize the business process of its outpatient service. Outpatient process, as a core business process of a hospital, is critical to improving the quality of its medical service, upgrading its performance and minimizing its operating costs. Therefore, re-designing the outpatient process of a hospital can help enhance its comprehensive strength by endowing it with a core competence. In addition, the hospital will be impelled to provide patients with more convenient medical services with higher quality and lower price. This work conducts a case study on The University of Hong Kong-Shenzhen Hospital (HKU-SZH), which was the first to implement an outpatient appointment registration system. This thesis gives an anatomy of the outpatient process of the hospital through various methods and theories, such as literature review, field research, expert consultation, Business Process Reengineering Theory and Information technology, aiming to identify objectives and strategies of the case hospital in improving its outpatient process. The study consists of: - An investigation into the current situation of HKU-SZH’s outpatient registration process: through questionnaires and structured interviews, the defects and weak links in the hospital’s appointment registration model were analyzed. A structural equation model for existing outpatient processes was established and the influence of different variables on patients’ satisfaction level as well as the correlation between these variables was analyzed by means of a simulation model. - Research on outpatient process reengineering: with the needs and satisfaction of patients as a goal, this thesis reexamines the strategic goals and internal and external environment of HKU-SZH on the basis of Business Process Reengineering Theory, Queuing Theory, Six Sigma Theory and Information technology. This thesis improves HKU-SZH’s registration process, using methods of order modification, integration, simplification and automation and materializes the process by network technology and outpatient information system. - An empirical study on outpatient process: this thesis conducts a systemic and empirical analysis in a functional integration of registration and payment, process reengineering research through information technology (development of new functions of appointment system) and an empirical study on queuing theory. - Research on local adaptation of outpatient process: this thesis explores solutions and suggestions for HKU-SZH with the objective of optimize its outpatient process through the perspectives of hospital organizational structure, information technology, human resources, building of outpatient culture and optimization of waiting cost. By means of outpatient process reengineering, this thesis aim to increase the case hospital’s efficiency and raise its patients’ satisfaction so that the hospital may enhance its comprehensive competence. In addition, an effective and operable methodology will be generated, which is expected to serve as a reference for other hospitals to improve their operation and their management.Atualmente, devido a alguma atribuição irracional dos recursos médicos e de saúde, uma proporção considerável de modernos equipamentos médicos e pessoal médico talentoso estão concentrados em grandes hospitais urbanos. Esta situação é particularmente comum em hospitais 3A (hospitais 3A são os hospitais que estão equipados com mais de 501 camas, e que podem fornecer serviços médicos e de saúde com alto nível de especialidade para diversas regiões e com pontuações superiores a 900 de acordo com o padrão de classificação), que são frequentemente sobrelotados com pacientes. De acordo com o processo ambulatório normal, os pacientes precisam passar por um procedimento prolongado desde o registo, tratamento, análise laboratorial, diagnóstico, até à distribuição de medicamentos. Muitas vezes os pacientes têm de passar um longo tempo de espera para tratamento, para receber testes e para pagar por cuidados médicos. O congestionamento de pacientes em determinados processos demorados, leva a que os médicos tenham pouco tempo para verificar e tratar os pacientes completamente. Como resultado, os médicos são muitas vezes incapazes de fazer um diagnóstico preciso e abrangente. Considerado a montra de um hospital, o serviço ambulatório é extremamente importante. Se o desenho do seu processo é razoável e se a sua gestão é capaz de maximizar os interesses dos pacientes, irá afetar diretamente o nível médico do hospital, e até mesmo os seus benefícios sociais e reputação. Portanto, tornou-se um importante problema para um hospital conseguir otimizar o processo do seu serviço ambulatório. O processo ambulatório, como um processo de negócio nuclear de um hospital, é fundamental para melhorar a qualidade do seu serviço médico, aumentar o seu desempenho e minimizar seus custos operacionais. Portanto, reprojetar o processo ambulatório de um hospital pode ajudar a aumentar a sua força global dotando-o de uma competência essencial. Além disso, o hospital será impelido a oferecer aos pacientes serviços médicos mais convenientes com maior qualidade e menor preço. Este trabalho apresenta um estudo de caso sobre o Hospital da Universidade de Hong Kong-Shenzhen (HKU-SZH), que foi o primeiro a implementar um sistema de registo de consulta externa. Esta tese apresenta uma análise do processo ambulatório do hospital através de vários métodos e teorias, como a revisão de literatura, pesquisa de campo, consultas a especialistas, teoria da reengenharia de processos e tecnologias da informação, com o objetivo de identificar os objetivos e estratégias do hospital na melhoria do seu serviço ambulatório. O estudo consiste em: - Investigação sobre a situação atual do processo de registo ambulatório de HKU-SZH. Através de questionários e entrevistas estruturadas, foram analisados os defeitos e pontos fracos no modelo de registro de consultas do hospital. Um modelo de equações estruturais para os processos ambulatórios existentes foi estabelecido, e a influência de diferentes variáveis sobre o nível de satisfação dos pacientes, bem como a correlação entre essas variáveis foi analisada por meio de um modelo de simulação. - Investigação sobre a reengenharia do processo ambulatório. Tendo as necessidades e satisfação dos pacientes como objetivo, esta tese reexamina as metas estratégicas e o ambiente interno e externo de HKU-SZH com base na Teoria da Reengenharia de Processos, Teoria das Filas, Teoria Six Sigmae Tecnologias da Informação. Esta tese melhora o processo de registro de HKU-SZH, usando métodos de modificação, integração, simplificação e automação e materializa o processo através de tecnologias de rede e um sistema de informação para o processo ambulatório. - Estudo empírico sobre o processo ambulatório. Esta tese conduz uma análise sistémica e empírica sobre a integração funcional de inscrições e pagamentos, a pesquisa de reengenharia de processos através de tecnologias da informação (desenvolvimento de novas funções do sistema de consultas) e um estudo empírico sobre a teoria das filas. - Investigação sobre a adaptação local do processo ambulatório. Esta tese explora soluções e sugestões para o HKU-SZH para otimizar seu processo ambulatório através das perspetivas de estrutura hospitalar organizacional, tecnologias da informação, recursos humanos, construção da cultura do ambulatório e otimização do custo de espera. Por meio do processo de reengenharia do serviço de ambulatório, esta tese visa aumentar a eficiência do processo de internamento e aumentar a satisfação dos seus pacientes para que o hospital possa aumentar a sua capacidade global. Além disso, foi gerada uma metodologia eficiente e operacionalizavel, a qual se espera possa servir como referência para outros hospitais, para melhorar o seu funcionamento e a sua gestão

A framework for implementation of smart card technology in public healthcare

The proliferation of information and communication technology (ICT) in numerous public administration sectors has accelerated the transition of government departments from traditional work into work that is highly dependent on ICT. Smart Card Technology (SCT) has intrinsic benefits for a range of industries, including telecommunications, finance, transportation and the public sector in the areas of security, authentication and multi-application capabilities. Medical mistakes still occur often in public healthcare, which results in poor service. As a result, manual file systems cannot be depended upon or used and prescription errors resulting from misinformation or inconsistency regarding the dosage, allergies and interactions must be resolved. This study seeks to develop a framework for implementing SCT in public healthcare. The key factors for the application of SCT were enhanced in this study by using a conceptual framework based on the Healthcare Unified Theory of Acceptance of User Technology Model (HUTAUT) (2018), DeLone and McLean IS Success Model (2003) and Diffusion of Innovation theory (DOI) (2003). To achieve its goals, the study adopted a quantitative research methodology. Respondents were selected using the convenience sample technique. In the Steve Biko Academic Hospital, Tshwane District Hospital, Kalafong Tertiary Hospital and Pretoria West District Hospital in South Africa's Gauteng area, 406 provided healthcare professionals self-administered questionnaires. Statistical Package for Social Sciences (SPSS) version 26 was used for data analysis, and both descriptive and inferential statistics were applied in this study. It was decided to validate both the model and the instrument using exploratory factor analysis (EFA). Moreover, structural equation modelling (SEM) and confirmatory factor analysis (CFA) was applied. The quantitative study's findings identified several elements that must be considered when making decisions for SCT to be implemented in South African public hospitals. Seven hypotheses were found to be supported by the investigation, including those covering behavioural intention (H5), system use (H8), information quality (H9), communication (H12), compatibility (H13) and trialability (H14). The performance expectancy hypothesis (H2), on the other hand, was not supported because of its low reliability. Five hypotheses, however, that dealt with effort expectancy (H1), social impact (H3), facilitating conditions (H4), user pleasure (H7) and user attitude (H6) were not, for this rationale, validated in this study. These results indicated that the Department of Health and other stakeholders' choice to apply SCT in public healthcare is significantly influenced by behavioural intention, system quality, system use, information quality, compatibility, communication and trialability. This study explores SCT’s potential application in public healthcare. In addition, the Department of Health should increase the usage of SCT in public hospitals throughout all provinces where healthcare reforms are urgently required. This could be addressed by healthcare professionals within public healthcare by using elements for the implementation of SCT acquired from the study. The study intends to assist with the implementation of smart card technology, which would increase and improve the standard of healthcare service delivery in South African public hospitals.School of ComputingPh. D. (Information Systems