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Index - Major Sections
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Introduction
Health care organizations fail to collect data that are practical and useful in management for change. Too many projects are designed by researchers using the static "gold standard" design for their research where any changes in the structure or processes are discouraged. The system can collect data from all sources such as surveys, public health departments, social programs, economic statistics, Certification and Accreditation organizations...automatically. The InHCc System collects information that is practical and useful in management for change. The InHCc System is designed not only to provide clients with what they require now, but also is designed to discover and identify new areas of care that clients may need in the future. The InHCc System provides information such that all variables can be evaluated continuously, over time, and over locations, no matter what the starting point to calculate trends and predict the future. InHCc is not concern with the "way physicians think" or the static "gold standard design" but rather we are concern with how to manage our changing environment. It is only through the collection of large amounts of data over time that informed decisions regarding policies, programs and practices can be made; it is only through analyzing process flows that efficient organizational and management structures be created; and it is only though data analysis that effective financial and resource allocations system be put in place. This implies that the way the data is organized and its structure must also change over time. This InHCc System provides the information needed to understand the relationships of all internal and external events occurring between the client and his or her environment. It is NOT the one single client healthcare record that should guides health care management but rather it is the information COLLECTED FROM ALL SOURCES including data from external to the organization. Health care is a dynamic process and must be managed day-to-day and event-by-event. Changes in the healthcare system are happening so quickly that health care organizations cannot keep up with describing them and their impact. Up-to-date information is not received in time for managers to take action. Issues such as quality of care, privacy of information and consumerism may completely change the way health care is managed. Change Management In any project that changes the way an organization functions, there will be members of the organization who do not want the changes to occur. Change Management then becomes one of the most important processes in the successful implementation of the project. Any new project calls for changes in ways users use, collect, and interact with their data. Change is extremely difficult to manage, and the way that that management is directed can either mean the success or failure of the new project. Most People do not like change No two physicians think the same way and what doctors think depends on where they went to school, who there professors were, the culture where they first practices, and how lazy they are. And it is especially true that the way physician practice in the US is different that England and different than in Cuba. It is also true that most physicians today have never used an Health management system and an electronic system is NOT a paper based system. The demographic and epidemiological transition which is under way in many countries is producing significant changes in the pattern of heath care needs. Not only is the disease pattern changing , but also are the characteristics of the populations as they move between different regions. Sub-populations may have different disease characteristics for a variety of reasons: environmental conditions, urbanization, the uneven development of the health services in different regions, or cultural and behavioral characteristics of particular populations which make them more likely to get specific diseases, or less likely to adopt new health care interventions. (Heaver, Richard, 1995)
Several years ago, the most advance organizations would be satisfied with one or maybe two surveys a year! Many interventions today are harder to manage than interventions a few years also. Where demand for immunization has been fairly easy to stimulate (because the intervention is a one-shot event), many of the new concerns require difficult changes in health behavior over extended periods of time. (Heaver, Richard, 1995)
Information must reflex changes that evolve gradually over a person's lifetime and must include family information over generations. A person's healthcare needs will change and evolve in time, as does the protocols used in their care, and the economic and social environments within which they lives and are cared for.
It is only through the collection of large amounts of data over time that informed decisions regarding policies, programs and practices can be made; it is only through analyzing process flows that efficient organization and management structures be created; and it is only though data analysis that effective financial and resource allocations system be put in place.
The InHCc System is designed such that "change" is easily managed. The system does NOT use fixed Standards or Hierarchical structures. New standards as they are developed or changes in the Hierarchy of the data can be easily integrated into the system. Examples would be the changes in the system required by changing the standards for Diagnosis from ICD9 to ICD10.
In the InHCc system data is stored at the base (lowest level). There is no summarizing of data elements.
However, the InHCc system does require that data sets be predetermined. Data collected only has relevance when it is viewed in the "context" in which it was collected...but...at the atomic level. Change is "planned" into the project... thereby enabling the ability to “Manage it” Provides Concurrency of informationAll information is current to all users of the InHCc system. Summarized data can be viewed for any selected time period. If any additional information is needed, the detail data (individual client visit) that makes up the summarized data can be view with only a click of the mouse. Any abnormal event can be investigated from any level of the InHCc system. When clients are being cared for at two or more locations, information is downloaded from the central database to each location caring for that client. As new information is entered into the local units this information is replicated to the central database. This information is then updated on all local units that care for that client. Therefore each local unit will have their own updated information on the client from all sources that care for that client. Benefits
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