Varia Miscellaneous - Polish Journal of Public Health
Transkrypt
Varia Miscellaneous - Polish Journal of Public Health
Varia Zdr Publ 2010;120(1):101-102 Miscellaneous !"#$%&'!()*& Rola Dyrektora ds. Informatyki w Szpitalnym Systemie !"#$%#!&'! 2/+1*)*+34+ The role of the Chief Information ()*+,"-./0(1-'&-2345'6!7Management Structure (55$/. Celem pracy jest przedstawienie roli Dyrektora 2-C':,9;0 !"#$%'D';5.6,.E'-"04$"40).')!0)12)!,%!'-)*%"!+. C' F' )D%1)$4' )' 0;-,161' 0;+1' %,9;0 !"#)!6E%&' !4";0)#' *0).2-"!D%+%' ;*%-' 94,$6E%' *.G,%;,#67' *0).)' 2#0.$";0!' 2-C' %,9;0 !"#)!6E%&' !' "!$H.' !,!+%)I' *0)#-)G#67' ;6).$%D!J' D#,%$!E16#67' )' 0;-,16.B;' ),!6).,%!' %,9;0 !"#)!6E%' D')!0)12)!,%4'%,-"#"46E! %';670;,#')20;D%!C' The main objective of the article is to describe the role of the CIO in the current management structure of hospital. Due to the growing role of information, authors discuss approach to functions of CIO and future expectations. !"#$% &'()*"#+, zdrowie publiczne, Dyrektor ds. Infor!"#$%&'()*%"!+,#'(#-". '/!0)12)!,%! -+.%#"/013'*45+%6'7.!+"7&'87%.9':,9;0 !"%;,'<9=6.0'>8:<?&' @;-*%"!+'A!,!B. .,"'(#-". '>@A(? Chair and Department of Public Health, II Faculty of Medicine with English Language Division, Medical University of Lublin 102 INTRODUCTION What is a product of hospital treatment? This simple question in not easy to answer. According to the current K;+%-7'7.!+"7'6!0.'-"046"40.&'"7.'P!"%;,!+'@.!+"7'Q4,2'>P@Q?' is responsible for securing health services. The billing system is based on the national version of Diagnosis Related Groups >RST?'U'!++'7;-*%"!+-' 4-"'0.*;0"'"7.'*.09;0 .2'-.0V%6.-'!,2' procedures to the NHF. Regarding this fact, information is the product of hospital [1,2]. If we assume information to be a product, the management of the production process should be one of the most important parts of daily hospital management. The management of each production process must be described and controlled as a system. The system designed for managing the information about hospital billing is called Hospital Information System >@:(?C'@:('%-'!'54-%,.--'6;V.0%,B'"7.'!**+%6!"%;,';9'*.;*+.&' documents, technologies, and procedures by management accountants to solve business problems such as costing a product, service or a business-wide strategy. Management information systems are distinct from regular information systems in that they are used to analyze other information systems applied in operational activities in the organization. R.=,%".'@:(WA:(' 4-"'6;,-"%"4".'*!0"';9'-"0!".B%6'7;-*%"!+' !,!B. .,"C'X7.' . 5.0';9'"7.'5;!02'0.-*;,-%5+.'9;0'@:(W A:('%-'6!++.2'"7.'87%.9':,9;0 !"%;,'<9=6.0'>8:<?C'X7.'8:<' must be placed in a higher management structure equal to the 87%.9'Q%,!,6%!+'<9=6.0'!,2'A.2%6!+'R%0.6";0'YNUZ[C 67889:;%8<=9%<>%?%6@< X7.' 8:<' %-' 0.-*;,-%5+.' 9;0' "7.' 6+%,%6!+' 2!"!' \;D' !,2' billing system in hospital. Regarding this the hospital IT and statistic department should lie in the CIO responsibilities. Typically, the CIO delegates technical decisions to employees who are more familiar with details. Usually, a CIO proposes the information technology needed by hospital to achieve its goals and then works within a budget to implement the plan. The CIO’s role is sometimes used interchangeably with the 67%.9'".67,;+;B#';9=6.0]-'0;+.&'!+"7;4B7'"7.#' !#'5.'-+%B7"+#' different. When both positions are present in an organization, the CIO is generally responsible for processes and practices -4**;0"%,B' "7.' \;D' ;9' %,9;0 !"%;,&' D7.0.!-' "7.' 8X<' %-' B.,.0!++#'0.-*;,-%5+.'9;0'".67,;+;B#'%,90!-"046"40.'YZ&^[C 8:<'67!0!6".0%-"%6-3'0;+.'6;,=2.,6.&'\._%5%+%"#&'%,%"%!"%V.&' technical knowledge, ability to work with MDs, understand%,B'=,!,6%!+'B;!+-'0.B!02%,B' .2%6!+'"0.!" .,"'YN&L&Z&`[ Current CIO’s work environment is characterized by deep technological changes and growing users’ demands. X#*%6!++#&' @:(' 4-.0-' >2;6";0-' !,2' ,40-.-?' ._*.6"' 90%.,2+#' and ergonomic software application while hospital top management expects suitable information dedicated to decision making. Bringing consensus to these two opposite goals is a major role of a CIO [2,3,7,8]. X7.'.9=6%.,"'0.!+%)!"%;,';9'"7.'8:<]-'0;+.'%-'5!-.2';,'"7.' following functions; 1. The data administration - This function relies on the database management as a hospital strategic resource a. The preparation of the data security policy b. X7.'2.=,%"%;,';9'"7.'2!"!'%,*4"'!,2';4"*4"''-"!,2!02c. (4**;0"'9;0'7;-*%"!+'=,!,6%!+'B;!+d. Business intelligence analyses /20'K45+'LMNMONLM>N? 2. Users’ service - This function relies on recognizing users’ needs and expectations a. HIS implantation b. : *+. .,"!"%;,';9'aSK'>a,".0*0%-.'S.-;406.'K+!,,%,B?' c. Users’ training d. Help desk 3. Clinical data management - This function relies on the !,!B. .,"';9'%,9;0 !"%;,',..2.2W0.b4%0.2'9;0'"0.!" .," a. The integration of all specialist software >c:(&S:(&Kd8(? b. The hospital pharmacy c. The treatment documentation d. (6%.,"%=6'!,!+#-.ZC' Financial data management a. The NHF billing b. The patient billing c. The budget preparation d. Trends ;A9%>7;789%8<=9%<>%?%6@< Due to a growing role of information technologies in hospital, the management role of a CIO will evolve from a technician to a decision maker [9]. In the next few years .V.0#'7;-*%"!+'D%++',..2'!,'.9=6%.,"'@:('";'5.';,'"7.' !0$."C' The oncoming private insurance will abuse a new billing system where IT solution becomes the key resource and value of hospital. Majority of hospitals will have to confront and change the management structure regarding payer’s needs and a CIO will become a necessary part of the hospital >._.64"%V.?'5;!02C 89>989:69 1. e!++' Af&' (% 5;0B' R&' d+50%B7"' fC' R4B+!-' fC' (#-". #' )!0)12)!,%!' %,9;0 !6E1' D' ;*%.6.' )20;D;",.EC' K0!$"#6),#' *0).D;2,%$C' F!0-)!D!3' Springer PWN; 997. 2. A68+40.'87C'e.0";"'f8C'X7.'87%.9'%,9;0 !"%;,';9=6.0'>8:<?3'd--.--%,B' :"-': *!6"C'T;V':,9;0 'g4!0"C'LMMMONh>L?3hUNLC' 3. O’Brien J. Management Information Systems – Managing Information Technology in the Internetworked Enterprise. Boston: Irwin McGrawHill; 1999. ZC' S.,%'TC'A;".+%,%'AC'd0+;""%'(C'K%,6%0;+%'QC'87%.9' .2%6!+';9=6.0'!6"%;,-' on information security in an Italian rehabilitation center. Int J Med :,9;0 C'LMMZOiNhi>i?3LhNUjC ^C' P%+-;,'fXC'@;D'";'7%0.'"7.'0%B7"'8:<C'@.!+"76!0.'a_.6C'NjjjONi>i?3kUNiC `C' Greene J. RN to CIO. High-tech nurses bridge hospital cultural divide. @;-*'@.!+"7'P."D;0$-C'LMMZOhk>L?3ZMU`C 7. McCormack J. The amazing new powers of the CIO, Heath Data A!,!B. .,"C'NjjkO`>k?3ZZU^LC 8. Valenta AL. Mendola RA. Dieter M. Panko WB. Preparing chief %,9;0 !"%;,' ;9=6.0' 9;0' "7.' 6+%,%6!+' %,9;0 !"%;,' -#-". -' .,V%0;, .,"C' d6!2. %6'A.2%6%,.C'NjjjOh^>^?3^NNUN^C 9. ("!".';9'"7.'8:<'LMMk'R!"!'(7;D-'8:<'(!+!0%.-&':,\4.,6.'S%-%,BC'8:<C' 7""*3WWDDDC6%;C6; W!0"%6+.WNZhj^MWl("!".l;9l"7.l8:<lLMMklR!"!l (7;D-l8:<l(!+!0%.-l:,\4.,6.lS%-%,BC'S."0%.V.2'Lh'Q.504!0#'LMNMC @3B"/5$)C+%"%?(2"/*+ Dr hab. n med. !"#$% &'!()*&% m' $%.0;D,%$&' n!".20!' %' /!$G!2' /20;D%!' K45+%6),.B;&' ::' F#2)%!G' c.$!0-$%' )' <22)%!G. ' d,B+;EI)#6),# &' Uniwersytet Medyczny w Lublinie ?0/+1%0"%&"/+1D"30+3)C4 n!".20!'%'/!$G!2'/20;D%!'K45+%6),.B; Uniwersytet Medyczny w Lublinie 4+C'87;2o$%'N&'LMUMji'c45+%,'