Hosein Dargahi; Niloofar Masoori; Reza Safdari; Somayeh Fazaeli
Volume 8, Issue 3 , July and August 2011
Abstract
Introduction: Limited resources and rapid increase of costs, makes productivity improvement in hospitals considerably important. This study tries to measure the productivity in medical records departments of selected hospitals and provide a comprehensive image of their performance.Methods: This applied ...
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Introduction: Limited resources and rapid increase of costs, makes productivity improvement in hospitals considerably important. This study tries to measure the productivity in medical records departments of selected hospitals and provide a comprehensive image of their performance.Methods: This applied descriptive analytical study tries to assess the Malmquist index in medical records departments of Tehran University of Medical Sciences hospitals during 2006-2008. Data gathering was conducted through interviews and studying the statistics of all activities in medical records departments. The data was analyzed using DEAP 2.1 software.Results: This study showed that while medical records departments in Razi and Vali-e-Asr had the highest improvement in productivity, the rates at Imam Khomeini Hospital and the Heart Center were almost constant. In addition, medical records department of Farabi and Ziaeeyan hospitals had the lowest total factor productivity index.Conclusion: Considering the improved Malmquist index in more than one-third of studied medical records departments, they can provide a good model for productivity improvement in other departments. Moreover, other methods, such as hiring medical records graduates and experienced managers, can help improve the productivity in the mentioned departments.Keywords: Efficiency; Organizational; Medical Records Department; Hospital; Productivity.
Reza Sadari; Niloufar Masoori; Seiede Sedigheh Seied Farajollah
Volume 8, Issue 3 , July and August 2011
Abstract
In order to reach the electronic health record's (EHR's) goals and also for the users to employ it with confidence, integrated standards in the field of structure, content, data exchange, information production, architecture and system security must be formulated. Before establishment of EHR, we should ...
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In order to reach the electronic health record's (EHR's) goals and also for the users to employ it with confidence, integrated standards in the field of structure, content, data exchange, information production, architecture and system security must be formulated. Before establishment of EHR, we should accept current standards or change them due to meet the needs of society and/or patterns from organization standards. American Society for Testing and Materials (ASTM), Health Level 7th (HL7) and International Standard Organization (ISO) have started doing spread EHR-related activities and standardizations from years ago. Therefore, these organizations would be pioneers and good patterns in expanding EHR.Considering the wide range of EHR-related activities, international acceptance and accessible information offered by ASTM, HL7 and ISO, the present applied comparative study reviewed the features (including structure, content, exchange, vocabulary, confidentiality, data types, clinical documents, infrastructure, financial, messaging, auditing and quality), activities and standards of EHR in these selected organizations. Data was collected from printed texts, periodicals, the Internet and reliable databases. Finally, data comparison was made in comparative tables.Studying the features of these non-governmental organizations revealed that HL7 is the newest. In addition, ISO has the broadest scope of activities including report making, data recording, structure and content standardization. ASTM was the only organization that makes special standards. All three have a comprehensive definition for EHR, but ASTM pays more attention to the needs of users, HL7 takes a structured data set, features, communication and messaging into consideration, whereas ISO gives more priority to computerized processing capabilities. Although ISO has the aspects of confidentiality, infrastructure and different data, is offers the lowest diversity and accuracy.Keywords: Standards; Electronic Health Records; Performance.
