Nahid Hatam; Mehrdad Askarian; Kimia Pourmohamadi
Volume 5, Issue 2 , September 2008
Abstract
Introduction: Increasing hospital costs in recent years and also the implementation of privatization and managing the hospitals with their own private revenues, cause hospitals to confront with a lot of monetary problems. On the other hand, many resources in hospitals become useless because of the wrong ...
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Introduction: Increasing hospital costs in recent years and also the implementation of privatization and managing the hospitals with their own private revenues, cause hospitals to confront with a lot of monetary problems. On the other hand, many resources in hospitals become useless because of the wrong and inappropriate financial management. The aim of this study was decreasing the deficits resulting from not recording these procedures in patients' medical records and also in patients' bills using a 9 step quality- improved module on hospital revenues. Methods: This wsa an interventional and longitudinal study on 350 patients' medical records in male and female internal ward in Nemazi hospital in Shiraz in early months of 2006. The randomly selected records were compared with patients' bills. Then a medical procedure form was designed and the nurses were instructed on how to fill this form and were made aware about the importance of this form. The intervention last about 4 months. After intervention in post test the impact of intervention on 215 medical records was examined. Results: In the pretes,t 56% of the costs of medical procedures have not been recorded and after intervention these lost revenues decreased to 31% and totally caused 25% increase in the revenues of this hospital. Conclusion: Nemazi hospital does not have any acceptable method for recording the medical procedures. This hospital can significantly increase its revenues, if patients' bills be compromised with their medical processes records and a correct and appropriate financial management module correctly be used. Key words: Income; Hospitals; Medical Records.
Mohtaram Nematollahi; Nader khalesi; Hamid Moghaddasi; Mehrdad Askarian; Parvin Afsarkazerooni
Volume 4, Issue 2 , September 2007
Abstract
Abstract Introduction: The present research has been conducted to design the HIV/AIDS Surveillance system for Iran applying WHO recommendations, using the experiences of the countries having the lead in the design and implementation of the system. Methods: In this descriptive study of applied kind, ...
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Abstract Introduction: The present research has been conducted to design the HIV/AIDS Surveillance system for Iran applying WHO recommendations, using the experiences of the countries having the lead in the design and implementation of the system. Methods: In this descriptive study of applied kind, we initially investigated the existing circumstances governing Iran's HIV/AIDS information system from the Ministry of Health using a checklist. Subsequently, the HIV/AIDS surveillance system of selected countries (USA, United Kingdom and Australia) were studied and based on the country's requirements, a model was proposed and designed for Iran. The Delphi technique was utilized to find the views of 24 experts in infectious diseases and Health Information Management. The validity of research instruments was measured using content validity and the reliability was obtained using attest-retest method. Results: A model for HIV/AIDS surveillance system was presented based on WHO recommendations and using the experiences of selected countries. This was presented in six axes: general specifications of the system, minimum data set, data collection and reporting, data processing, data processing rules, and data distribution. Using Delphi technique, the results were approved obtaining the score of 36.3 out of 44 (82.5 percent). Conclusion: The design and implementation of HIV/AIDS surveillance system at the nation level in Iran is proposed for a better understanding of the epidemic procedure and spreading behaviors as well as focusing on the at high risk subpopulations and designing a prevention and care system using high quality data. Keywords: Acquired Immunodeficiency Systems; Management Information Systems; Information Systems
