Information technology. Home electronic system (HES) architecture

2019 ◽  
2007 ◽  
Vol 25 (18_suppl) ◽  
pp. 17035-17035
Author(s):  
P. W. Cobb ◽  
M. Kofstad ◽  
C. Bealer

17035 Background: Recent advances in information technology have made the goal of incorporating patient-reported symptoms possible. Initial studies have examined the validity of these systems but no systematic work has been done to examine the impact on overall practice efficiency. The PACE (Patient Assessment, Care, and Education) System captures patient-reported symptoms, quality of life, social and family history changes, and other clinical data at every office visit. The PACE System includes the Patient Care Monitor (PCM), a standardized, comprehensive assessment of a patient's condition that allows for a self-reported review of systems (ROS) via a wireless, touch screen computer tablet. The purpose of this study was to determine if implementation of the PCM had an impact on total transcription length. Methods: The study utilized a retrospective within subjects control design comparing transcription length by physicians practicing both with and without the PCM. The PACE System was implemented in October 2004 in a main outpatient oncology site in Billings, MT (PACE site). The analysis compared transcription length by physicians who practice in the Billings office where the PACE system was available, and also in four sites in Montana and Wyoming where the PACE system was not available during the same time period (January to October 2006). All available, consecutive physician notes were analyzed from eligible physicians during the analysis period. Results: Four physicians met inclusion criteria and 8,150 notes were analyzed. The average number of dictation words at PCM sites was 406.7 as compared to 485.5 at non- PCM sites (a 16% reduction). The average number of dictation lines at the PCM sites was 54.0 as compared to 58.5 at non-PCM sites (an 8% reduction). Conclusions: Increases in the use of information technology in outpatient oncology necessitate increased understanding of the validity and utility of these systems. This study of the PACE system suggests that there may be an efficiency benefit by implementing patient self-reporting systems. No significant financial relationships to disclose.


2019 ◽  
Vol 5 (1) ◽  
Author(s):  
I Gede Putu Krisna Juliharta

ABSTRACT e-Governement in Indonesia is a must this time. Good E-Governments certainly have the ability to provide good information to the public and fulfill aspects of confidentiality, integrity and availability, Kediri in East Java is one of the government that use e-Government. To measure these three aspects the system must be measured. Indeks KAMI (Keamanan Informasi) is an application that is used as a tool to analyze and evaluate the level of readiness (completeness and maturity) for implementing information security in an organization in accordance with SNI ISO / IEC 27001 criteria. Government of Kediri the score for the electronic system category was 20, for the governance assessment the score was 75, risk management score 18, the information security framework was 58, asset management 74, and the application of security and information technology had a value of 83, and the results measurement says the City Government of Kediri needs to improve the system management.<br />Keywords: Index, KAMI , Security, Information Technology<br />ABSTRAK Penerapan e-Governement dalam tata kelola Pemerintahan di Indonesia saat ini merupakan sebuah keharusan. E-Governement yang baik tentu memiliki kemampuan untuk memberikan Informasi yang baik kepada masyarakat dan memenuhi aspek kerahasiaan (confidentiality), keutuhan (integrity) dan ketersediaan (availability), Pemerintah Kota (Pemkot) Kediri adalah salah lembaga pemerintah yang menggunakan e-Government. Untuk mengukur ketiga aspek tersebut sistem haruslah diukur. Indeks KAMI (Keamanan Informasi) merupakan aplikasi yang digunakan sebagai alat bantu untuk menganalisa dan mengevalusi tingkat kesiapan (kelengkapan dan kematangan) penerapan keamanan informasi di sebuah organisasi sesuai dengan kriteria pada SNI ISO/IEC 27001. Untuk Pemkot Kediri didapatkan skor kategori sistem elektronik (SE) adalah 20, untuk penilaian tata kelola skornya adalah 75, pengelolaan resiko skornya 18, kerangka kerja keamanan informasi nilainya 58, pengelolaan asset 74, dan penerapan teknologi keamanan dan informasi memiliki nilai 83, dan hasil pengukuran menyebutkan Pemkot Kediri perlu meningkatkan system pengelolaan system yang dimiliki.<br />Kata Kunci : indeks, KAMI, keamanan, teknologi informas


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