Day: March 11, 2005

Benfits of The Universal Unit Care Model

A study by The Center for Health Design reviewed more than 600 research studies to identify impacts that hospital design can have on patient outcomes.  The number one recommendation from this review:  get rid of double-occupancy rooms and provide patients with single rooms that can be adjusted to meet their medical needs as they change during their stay. The evidence... supports making rooms capable of handling more server cases, say Ulrich and Zimring. Such "variable acuity rooms" are, for example, equipped so... critical care equipment can be brought in to tide a patient over through a crisis.  Variable acuity rooms greatly reduce the need for transfers, during which a great many medical errors occur.  "When transfers occur lots and lots of things go wrong", says Ulrich. Findings showed that the variable acuity rooms (or universal beds) reduced transfers by 90%, reduced medication errors 67%, and resulted in a savings of $5 million per...

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HIT — Blessing or Curse?

In case you've missed out, a flurry of articles have come out this week on the efficacy of health care information systems technology.  What's the take away?  To quote the HIStalk guy, "it isn't what you have, its how you use it." I would add to that, "its what you chose to bite off too." Go for the low hanging fruit first -- the apps with clear ROI and manageable implementations -- there's so much more to be done at the point-of-care.  Its like health care wants to skip the most effective and realistic projects and jump straight to "bet the farm" projects.  Sadly, CIOs will lose jobs, and HIT will lose credibility, as a result.  Manufacturing and industry spent years implementing IT projects of limited scope and strong ROI before tackling ERP and CRM.  Is CPOE is the CRM of health care -- a super expensive, high risk project that ends up with little or no benefit for most but vendors and consultants? Over half (61%) of the CRM reference sites on Siebel's own web site said they, "did not believe they had achieved a positive ROI from their Siebel deployment." PricewaterhouseCoopers/HIMSS Analytics study praising HIT as the solution to financial and patient safety problems. (The actual study here, requires free registration.)  Their poster child, Indiana Heart Hospital, was built from scratch as a "digital hospital" -- not  an implementation...

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