Redefining the Patient Care Information System

  • Jane B. Metzger
  • Samarjit Marwaha
Part of the Computers in Health Care book series (HI)


The rapidly changing world of health care is ushering in new incentives and business realities that are increasing the urgency of bringing computer-based information tools to bear on patient information management. This chapter describes the driving forces and responses in terms of new models for delivering care and for structuring the health care organization, as shown in Figure 7-1. Collectively, all of these changes increase the need for patient information management and sharpen the definition of the ultimate patient care information system.


Clinical Pathway Care Pathway Health Care Organization Virtual Organization Integrate Delivery System 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Drazen E, Dietrich LL. Information systems to support patient-focused restructuring. Proceedings of the Annual HIMSS Conference. Chicago, IL: Health Information Management Systems Society, 1994:1: 229–238.Google Scholar
  2. 2.
    Institute of Medicine, Clinical Practice Guidelines. Directions for a New Program, Washington, DC: National Academy Press, 1990.Google Scholar
  3. 3.
    American Medical Association, Directory of Practice Parameters. Titles, Sources, and Updates, Chicago, IL: AMA Office of Quality Assurance and Medical Review, 1993.Google Scholar
  4. 4.
    Gottlieb LK, Sokol HN, Murrey KO, et al. Algorithm-based clinical quality improvement. Clinical guidelines and continuous quality improvement. HMO Practice 1992; 6(1): 5–12.PubMedCrossRefGoogle Scholar
  5. 5.
    Lumsdon K, Hagland M. Mapping care. Hospitals & Health Networks 1993; 67(19): 34–40.Google Scholar
  6. 6.
    O’Leary DS. The measurement mandate: Report card day is coming. Journal on Quality Improvement 1993; 19: 487–491.Google Scholar
  7. 7.
    Lawthers AG, Palmer RH, Edwards JE, et al. Developing and evaluating performance measures for ambulatory care quality: a preliminary report of the DEMPAQ Project. Journal on Quality Improvement 1993; 19: 552–565.Google Scholar
  8. 8.
    Bergman R. Making the grade. Report cards will be used to measure the performance of health plans: how might they work? Hospitals & Health Networks 1994; 70(1): 34–36.Google Scholar
  9. 9.
    National Council on Quality Assurance. Health Plan Employer Data and Information Set and Users’ Manual, Version 2.0. NCQA, Washington, DC, 1993.Google Scholar
  10. 10.
    Nerenz DR, Zajac BM, Rosman HS. Consortium research on indicators of system performance (CRISP). Journal on Quality Improvement 1993; 19: 577–585.Google Scholar
  11. 11.
    Nadzam DM, Turpin R, Hanold LS, et al. Data-driven performance improvement in health care. The Joint Commissions’s Indicator Measurement System (IMSystem). Journal on Quality Improvement 1993; 19: 492–500.Google Scholar
  12. 12.
    Anonymous. Full steam ahead! Survey confirms rush to join networks. Hospitals & Health Networks 1993; 67(20): 18.Google Scholar
  13. 13.
    Bergman R. A doctor in the network. Physician links improve access to critical data. Hospitals & Health Networks 1993; 67(20): 25–26.Google Scholar
  14. 14.
    Anonymous. The Evolution of a Community Network. Community Medical Network Society, November 1993.Google Scholar
  15. 15.
    Greco PJ, Eisenberg JM. Changing physicians’ practices. New England Journal of Medicine 1993; 329: 1271–1274.PubMedCrossRefGoogle Scholar
  16. 16.
    Drazen E, Metzger J, Stasior D. Letter to the Editor. New England Journal of Medicine 1994; 330: 436PubMedCrossRefGoogle Scholar
  17. 17.
    Drazen E, Marwaha S. Outcomes: Who’s Measuring What? Presentation at the College of Health Information Management Executives (CHIME) CIO Forum, Phoenix, AZ, February 1994.Google Scholar
  18. 18.
    Marwaha S. The role environment perspective: Gearing technology to the needs of the business. Arthur D. Little, Inc. Connect, 1993; 4(3) 8–13.Google Scholar

Copyright information

© Springer Science+Business Media New York 1995

Authors and Affiliations

  • Jane B. Metzger
  • Samarjit Marwaha

There are no affiliations available

Personalised recommendations