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Health system re-engineering: a CPRS economic decision model

M Diehl

    Proceedings. Symposium on Computer Applications in Medical Care
    |January 1, 1995
    PubMed
    Summary
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    Healthcare information systems, including the Computer-based Patient Record (CPR), can improve health outcomes and reduce costs. This study proposes a model to measure the impact of CPR on healthcare delivery systems.

    Area of Science:

    • Health Informatics
    • Healthcare Management
    • Health Services Research

    Background:

    • The current healthcare system delivers suboptimal health outcomes at excessive costs.
    • Critical information is often unavailable at the point of clinical and administrative decision-making.
    • Information management is a core function of healthcare enterprises.

    Purpose of the Study:

    • To propose a model for evaluating the impact of information technology, specifically the Computer-based Patient Record (CPR), on healthcare delivery.
    • To assess how CPR influences health outcomes and organizational mission, beyond internal delivery system benefits.

    Main Methods:

    • The study outlines a conceptual model for impact assessment.
    • It emphasizes evaluating the CPR's effect on the overall value of health outcomes.

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  • The model considers the CPR's contribution to the healthcare enterprise's mission.

    • Main Results:

    • Information systems, particularly CPR, are enabling technologies for re-engineering healthcare delivery.
    • Effective information management through CPR can improve health and reduce costs.
    • Evaluating CPR requires a broad perspective beyond immediate delivery system efficiencies.

    Conclusions:

    • A comprehensive model is needed to measure the true impact of CPR on healthcare value.
    • Information technology, centered on CPR, is crucial for optimizing healthcare delivery.
    • Future evaluations should focus on health outcomes and organizational value.