111 research outputs found
Discussion Paper
No full text The concept of Health Maintenance Organisations (HMOs) attracted considerable attention in Australia in 1986 when the Federal Government released a discussion paper on the subject. Linked with the argument that HMOs provided financial incentive for people to keep healthy, hence their emphasis on preventative medicine and health education, HMOs were seen to have the potential to play a part not only in controlling risk factors in our lifestyles but also the spiralling costs of health care. The Government's publication, HMOs — A Development Program Under Medicare, drew on the Federal Government's extensive examination of the American experience where HMOs have flourished since the 1970s. It now appears that HMOs are not living up to their promise of low cost health care with an emphasis on prevention, although the Director of the Institute of Health Economics and Technology Assessment, Dr. Paul Gross, has recently suggested in the journal Hospital and Health Care (1988) (19 (10), p.24) that HMOs, if set up properly, could help save a total of half a million years of life every year. Maybe HMOs will yet see the light of day in Australia. If they do, there are some significant implications for Australian medical record administrators who might be called upon to assume similar roles in HMOs to their American counterparts. MRAs in the USA have become key resource people in HMOs in recognition of the critical role information systems play in the successful management of such organisations. In the discussion paper which follows, Sheree Lloyd looks in some detail at the concept of HMOs and examines the potential impact their introduction could have on MRAs in this country. Significantly, her message is not confined to HMOs. Health care facilities of all shapes and sizes are having to meet the demand for well organised information systems. Hence we should all heed Lloyd's call for MRAs to be “innovative and progressive” in our approach towards the challenges confronting the health care field in general and health information management in particular. </jats:p
Supplemental Material - Medical and nursing clinician perspectives on the usability of the hospital electronic medical record: A qualitative analysis
No full textSupplemental Material for Medical and nursing clinician perspectives on the usability of the hospital electronic medical record: A qualitative analysis by Sheree Lloyd, Karrie Long, Yasmine Probst, Josie Di Donato, Abraham O Alvandi, Jeremy Roach, and Christopher Bain in Health Information Management Journal</p
Innovation and high performance in rural health settings: Is it possible? Applying the levers to enable
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A National Survey of EMR Usability: Comparisons between medical and nursing professions in the hospital and primary care sectors in Australia and Finland
No full textBackground:
Electronic Medical Record Systems (EMRs) are now part of nursing and medical professionals daily work in the acute and primary care sectors in Australia. Usability is an important factor in their successful adoption and impacts upon clinical workflow, safety and quality, communication, and collaboration. This study replicates a significant body of work conducted by Finnish researchers applying a usability focused survey to understand medical and nursing professionals’ experiences in the Australian context. As we implement EMRs across health systems, their usability and design to support clinicians to effectively deliver and document care, is essential.
Methods:
We conducted an observational study using a cross sectional survey, the National Usability-Focused HIS Scale (NuHISS) developed and validated by Finnish researchers. For this study 13 usability statements collected clinician impressions of EMRs related to technical quality, ease of use, benefits, and collaboration. We report the responses from medical and nursing professionals working in clinical practice settings in Australia, including primary care and hospital sectors in 2020.
Results:
Nursing and medical professionals have different experiences with EMR usability. This depends on the sector they work in and the usability feature measured. In our sample, technical quality features were more positively experienced by doctors in the primary care sector than nurses as well as ease of obtaining patient information and prevention of errors. In the hospital sector nurses experiences with EMRs were more positive with respect to support for routine task completion, learnability, ease of obtaining patient information and entry of patient data.
Conclusions:
The NuHISS is a suitable tool for measuring the usability experiences of Australian clinicians and the EMRs utilised. Differences in usability experiences were noted between professional groups and sectors. A focus on the usability perspectives of clinicians when enhancing or developing EMR solutions is advocated.Full Tex
From Classroom to Workplace: Graduate employment outcomes of health service management work integrated learning placements
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A multi-source approach to the development of health data analytics competency standards for health information managers
No full textIntroduction: An important focus of professional associations is the development and maintenance of competency standards to ensure that practitioners and entry-level graduates have the right skills and knowledge. Employers of University graduates expect them to be ‘job ready’ and equipped to perform entry-level roles. The Health Information Management profession is particularly affected by a need to ensure that competencies are relevant to industry employers. Professional competencies need to reflect the ‘skill set’ necessary to working successfully in a context of the rapid uptake of digital technologies and applications. The Education Committee for the peak professional body representing health information managers in 2020 established a Working Group to prepare entry-level data analytics competency standards for graduates. The Working Group achieved its brief and when ratified, these competencies can be used by universities and other education providers to inform health information management curriculum development.
Aim: The aim of this paper is to describe a multi-source approach used by the Working Group to produce relevant entry-level data analytics competencies for graduate health information managers (HIMs).
Methods: The Working Group, comprised of experienced HIMs, met regularly, and formed three subgroups with assigned tasks to develop the data analytics competencies. Multiple sources of evidence were used to inform the final set of data analytics competency statements including horizon scanning, a survey of the Health Information Management Association Australia (HIMAA) member base and a review of current position descriptions for graduate entry-level health information managers. The survey results and position descriptions were used to validate the competency statements identified by the horizon scan.
Results: Four domains for data analytics (governance, acquisition, analysis, visualization) and twelve data analytics competency statements were derived using this multi-source approach.
Discussion: Working to time constraints and through collaboration, the Working Group developed a set of data analytics competency statements. This paper describes the process so that others wanting to develop competency standards can apply the techniques to achieve an outcome. There are several limitations to the process described here, such as the constraints of time, possible bias in selection of existing documents 11 that were sourced in the public domain during the horizon scanning step, and the use of volunteer members of the peak professional body representing health information managers.
Conclusions: A multi-source approach can be used to develop and validate data analytics competency standards. These competencies for entry-level HIMs can be consolidated with the broader professional competency standards for HIMs and will inform curriculum design and ensure that the HIM profession is well placed to respond to emerging work opportunities that encompass data analytics.No Full Tex
How satisfied are industry with WIL: can value and satisfaction be measured?
No full textHealth industry partnerships are integral to the success of work integrated learning (WIL) and their support through supervision, identification of suitable projects and opportunities, mentoring and engagement are highly valued by Griffith University. This project evaluated the administrative and academic processes used by the health service management work integrated learning team. We wanted to understand the level of satisfaction with processes from our health industry partners so critical to the success of our work integrated learning placements. Understanding and measuring the satisfaction, value and benefits to health industry partner organisations who host WIL students was a further objective of the study. Using a mixed-methods approach to collect data this study was conducted during 2018/2019 and was supported by a NAFEA grant. The findings from the study will be presented as well as recommendations for replication, validation of the data collection tools and approaches to streamlining administrative procedures that were identified.No Full Tex
Stakeholder perceptions on the role of community development corporations and resident participation
No full textCommunity Development Corporations (CDCs) were formed in the United States to address issues in urban communities and often work with municipal governments on these issues (Keating, 1997; Jennings, 2004). In some neighborhoods, CDCs seek to rebuild and revitalize communities that suffered from social unrest, while others react to the lack of government or inadequate programming addressing the economic and social maladies of urban communities. The work of CDCs requires the involvement of all community stakeholders – particularly city residents and public administrators. Does thedual relationship CDCs have with residents and local government suggest that they bring both closer together? This research studies this phenomenon by using Arnstein’s Ladder of Participation to examine the role CDCs play in cultivating citizen participation.Specifically, this study seeks to examine how community stakeholders perceive the roleCDCs play in fostering resident participation in local government. As a primary methodological tool for studying individual and group perspectives,Q-method was employed to empirically study community stakeholder perceptions ofCDCs. Key research findings suggest that: a) community stakeholders believe that CDCsare currently working to maintain the status quo of participation and advise that the Context of Conventional Participation (1995) is present, b) stakeholders overwhelmingly believe that CDCs should work to encourage participation that incorporates partnership, and c) there should be less distance between residents and decision making, thereby increasing opportunities for engagement. Through the exploration of the subjective, this study exposes the perspective ofresidents on citizen participation and identifies the need for a new direction of theory development that examines the creation of consensus and partnership building incommunity development organizations and initiatives. Furthermore, Conditions for Ideal Participation emerges from the data providing a practical guideline for strengthening participation in municipal government. Conclusions from this study have both theoretical and practical implications to the scholarly and administrative work comprised of public administration.Ph.D.Includes bibliographical referencesIncludes vitaby Tia Sherée Gayno
Foot-related conditions in hospitalised populations: A literature review
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Background: No reviews have investigated foot-related conditions prevalence in hospitalised populations. This literature review reports foot-related conditions (foot wounds, foot infections, amputations, other) and foot risk factors (peripheral arterial disease (PAD), peripheral neuropathy (PN), foot deformity) prevalence in representative or specific hospitalised populations.\ud
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Methods: Electronic databases were searched for publications between 1980 and 2011. Keywords and synonyms relating to foot-related conditions, foot risk factors, inpatients and prevalence were used. Studies reporting any foot-related conditions or foot risk factor prevalence in representative or specific hospitalised populations were included, and data were extracted.\ud
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Results: Of 3,297 records identified, 141 studies were included; 27 in representative and 114 specific inpatients. Foot wound prevalence was: 0.9-8.3% in representative and 0.1-96.4% specific inpatients; foot infection: 0.1-1.1% representative inpatients; amputation: 0.1-1.5% representative, 0.2-82.5% specific inpatients; PAD: 2.1-25.0% representative, 9.0-72.0 specific inpatients; and PN: 0.2-100% specific inpatients. \ud
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Conclusions: This review suggests foot wounds are the main foot-related condition in hospitalised populations. Indications are up to 25% of representative inpatients have a foot risk factor for a foot wound, up to 8% have a foot wound and up to 1.5% an amputation. These rates were higher in specific inpatients, particularly inpatients with chronic disease and major trauma
Interventions for increasing ankle joint dorsiflexion : a systematic review and meta-analysis
No full textBACKGROUND: Ankle joint equinus, or restricted dorsiflexion range of motion (ROM), has been linked to a range of pathologies of relevance to clinical practitioners. This systematic review and meta-analysis investigated the effects of conservative interventions on ankle joint ROM in healthy individuals and athletic populations.\ud
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METHODS: Keyword searches of Embase Medline Cochrane and CINAHL databases were performed with the final search being run in August 2013. Studies were eligible for inclusion if they assessed the effect of a non-surgical intervention on ankle joint dorsiflexion in healthy populations. Studies were quality rated using a standard quality assessment scale. Standardised mean differences (SMDs) and 95% confidence intervals (CIs) were calculated and results were pooled where study methods were homogenous.\ud
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RESULTS: Twenty-three studies met eligibility criteria, with a total of 734 study participants. Results suggest that there is some evidence to support the efficacy of static stretching alone (SMDs: range 0.70 to 1.69) and static stretching in combination with ultrasound (SMDs: range 0.91 to 0.95), diathermy (SMD 1.12), diathermy and ice (SMD 1.16), heel raise exercises (SMDs: range 0.70 to 0.77), superficial moist heat (SMDs: range 0.65 to 0.84) and warm up (SMD 0.87) in improving ankle joint dorsiflexion ROM.\ud
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CONCLUSIONS: Some evidence exists to support the efficacy of stretching alone and stretching in combination with other therapies in increasing ankle joint ROM in healthy individuals. There is a paucity of quality evidence to support the efficacy of other non-surgical interventions, thus further research in this area is warranted
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