Asghar Ehteshami; Sakineh Saghaeiannejad-Isfahani
Maryam Jahanbakhsh; Asghar Ehteshami; Mehrnaz Hosein-Zehi
Volume 14, Issue 4 , November 2017, , Pages 150-154
Abstract
Introduction: Over the past several years, outsourcing services has received attention from managers in health sector in order to improve the quality of services and reduce costs; managers of the health information systems have also used outsourcing in information management departments. In this study, ...
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Introduction: Over the past several years, outsourcing services has received attention from managers in health sector in order to improve the quality of services and reduce costs; managers of the health information systems have also used outsourcing in information management departments. In this study, the frequency of observing legal dimensions in outsourcing for health information management departments of educational hospitals of Isfahan University of Medical Sciences, Iran, was investigated.Methods: In this descriptive, cross-sectional study, the frequency of observing legal elements in the outsourcing contracts for health information management services in five educational hospitals of Isfahan University of Medical Sciences in four areas including provisions of contract, assignment contracts, confidentiality of patient information, and the status of the essentials and tools was investigated by using a check list. These areas were examined by coordinating with university's legal affairs based in order to study the contracts related to health information management department. The data were analyzed using central indexes at the frequency.Results: The highest frequency of legal elements observance in outsourcing contracts of various hospitals was related to the confidentiality of patient information with a frequency of 47.1% and the least frequency related to the elements of tools and necessities, which showed that, unfortunately, none of the dimensions of this element were observed. In addition, among five hospitals surveyed, the hospital with the most frequent observation of legal dimensions (B) only had a score of 35.5%, indicating that hospitals and contractors were not paying attention to the legal dimensions of outsourcing.Conclusion: The findings showed that the overall observance of legal elements in outsourcing contracts for health information management services in hospitals is significantly lower than the ideal. The results can be used by Isfahan University of Medical Sciences to protect the confidentiality and privacy of patients by observing legal dimensions during outsourcing health information services.
Saeed Saeedbakhsh; Asghar Ehteshami; Mahtab Kasaei Isfahani
Volume 9, Issue 4 , September and October 2012, , Pages 490-501
Abstract
Introduction: Hospital managers and healthcare providers should access to hospital informationsystem (HIS) in order to enhance their efficiency and effectiveness in the organization. Accurate,appropriate, precise, timely and valid information as well as an appropriateness informationsystem are required ...
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Introduction: Hospital managers and healthcare providers should access to hospital informationsystem (HIS) in order to enhance their efficiency and effectiveness in the organization. Accurate,appropriate, precise, timely and valid information as well as an appropriateness informationsystem are required for their tasks and a basis for decision-making in various levels of thehospital management. The present study was conducted to assess selected HIS in hospitalsaffiliated to Isfahan University of Medical Sciences, Iran, according to ISO 9241-10.Methods: This was an applied, descriptive cross-sectional study in which seven selected HISmedical records modules were assessed using ISO 9241-10 questionnaire consisting 74 rankedcomponents and entities in hospitals of Isfahan University of Medical Sciences. The contentvalidity and reliability were confirmed and the obtained data were analyzed through SPSSsoftware, and descriptive statistics were used to examine measures of central tendencies.Results: Data analysis suggested the following percentages concerning the software: 68%appropriateness for user’s tasks, 67% self-descriptiveness, 70% controllability by user, 74%compatibility with user’s expectations, 69% error tolerance, 53% possibility of individualization,and 68% possibility of desired learning for user. The total acceptability with the ISO 9241-10Software was 67%.Conclusion: Information is the basis for policy and decision-making in various levels of thehospital management. Consequently, it seems that developers of HIS should reduce HIS errorsand increase its appropriateness for the tasks, self-descriptiveness, controllability, conformitywith user’s expectations, error tolerance, appropriateness for individualization andappropriateness for user’s learning.
Ahmadreza Raeisi; Asghar Ehteshami; Mohsen Norouzi
Volume 7, Issue 0 , December 2011
Abstract
Introduction: Users of medical record information in accordance to relying on data and health information, they demand quality. Proper storage, maintenance, and archiving of old medical records forms for different purposes has led to lack of enough storage space and retention problems for health services ...
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Introduction: Users of medical record information in accordance to relying on data and health information, they demand quality. Proper storage, maintenance, and archiving of old medical records forms for different purposes has led to lack of enough storage space and retention problems for health services organizations. The objective of this study is to assess the effectiveness of medical record information by different users and the length of storage and retention time at Alzahra academic medical center.Methods: This research is an applied, descriptive cross sectional study. The research population included all medical records (about 6000 medical records) of patients which have been demand by users in the first half of 2008 and selected by Census sampling method. Research findings was collected in the form of checklist by referring directly to the Medical Records Department Center and extract data from documents and user requests information about the patients file. Validity of this instrument was confirmed by experts. Data analyzed by SPSS software and descriptive analysis tests.Results: The most requests for medical records information was made by the patient themselves in 36.4% of cases; followed by law enforcement agencies at 27.8%, insurance companies at 23.1%, and quality assurance committees at 1%. The requests time frame for of medical records information after discharge was one year with 73.3%, and 94% after 3 years of patient discharge. From the point of view of request time frames, the oldest request was made 14, 11, 11, 1, 15 and 13 years after the patient discharge respectively. The most requests for medical record forms from the patient chat were discharge summary, operating room report forms, and echocardiography report forms. From the point of view of disease code, the most requests for medical records was related to injuries and related disabilities and poisoning and overdose cases at 30% and 1% for eye diseases.Conclusion: These study results showed that utilization of medical records information decreases over the time and it is not cost effective to keep about 95% of primary files for more than three years. In addition, 95% of disease information regarding to psychological and behavioral disorders, congenital anomalies and malformation and chromosome aberrations have been requested over seven years after creating the file which can be kept separately, Therefore, the results of the study suggests that health services managers and policy makers should adjust the time frame for storage and retention of medical records in their temporary and permanent archiving methods according to the utilization patterns of their users and customers as far as possible.Key words: Medical Records; Hospitals; Self Efficacy; Users; Information.
Ahmad Raeisi; Sakineh Saghaeiannejad Isfahani; Saeed Karimi; Mohammad Yarmohammadian; Asghar Ehteshami
Volume 6, Issue 2 , September 2009
Abstract
Introduction: Since, accurate, appropriate, precise, timely, valid information, and valid interpretation of information is required and the basis for policy and decision making and planning in various levels of the organization management, this study was conducted to evaluate the district health information ...
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Introduction: Since, accurate, appropriate, precise, timely, valid information, and valid interpretation of information is required and the basis for policy and decision making and planning in various levels of the organization management, this study was conducted to evaluate the district health information system evolution in Isfahan province according to World Health Organization framework. Methods: This research was an applied, descriptive cross-sectional study, in which a total of twelve urban and eight rural facilities, and one district health center at Falavarjan district were surveyed by using a questionnaire with 334 items. Content validity was confirmed. The reliability of the questionnaire was confirmed with a Cronbach's alpha of 0.99. Obtained data were analyzed with SPSS software and descriptive statistics were used to examine measures of central tendencies. Results: The mean score of evaluation of district health information system framework was 35.75 percent. The maximum score of compliance with district health information system belonged to the data collection process (70 percent). The minimum score of compliance with district health information system belonged to information based decision making process (10 percent). Conclusion: The results showed that information entities of the district health information system in Isfahan province are not in compliance with WHO framework. Consequently, it seems that health system managers engaged with underlying policy and decision making processes at district health systems should try to restructure and decentralize district health information system and develop training management programs for their managers.Keywords: Hospital Information Systems; Management Information Systems; Information Management; Decision Making; World Health Organization.
