Health services research (HSR) exemplifies some of the greatest hopes and greatest fears for collecting and analyzing computerized personal health information. Information routinely collected in the course of providing and paying for health care can be used by researchers to investigate the relative effectiveness of alternative clinical interventions, of alternative methods of organizing, deliv…
This appendix presents several case studies that illustrate various problems that arise in MIS. They are based on publically available information regarding different organizations. It might be nice to have additional inside information, but this level of detail is rarely available to students (and teachers). Instead, most of these cases look at larger problems over time—which provides useful…
Health care reform has changed the financial base upon which the modern academic medical center is structured. The cost-containment efforts of managed care organizations have reduced the institutions' net revenues from the provision of clinical care that have traditionally been used to support research and training. Concomitantly, the amount of time that faculty can spend conducting research an…
Historically, coastal development in the United States was dominated by major urban regions oriented to commercial ports and defense installations. Elsewhere, coastal settlements were typically quiet fishing villages, vacation refuges, and older seaside resorts gradually evolving into year-round communities. Since the advent of the Interstate Highway System in the 1960s, increasing demand for c…
Operations Management is about how organisations produce or deliver the goods and services that provide the reason for their existence. Operations can be seen as one of many functions (e.g. marketing, finance, personnel) within the organisation. The operations function can be described as that part of the organisation devoted to the production or delivery of goods and services. This means all o…
The knowledgeable health reporter for the Boston Globe, Betsy Lehman, died from an overdose during chemotherapy. Willie King had the wrong leg amputated. Ben Kolb was eight years old when he died during “minor” surgery due to a drug mix-up.1 These horrific cases that make the headlines are just the tip of the ice- berg. Two large studies, one conducted in Colorado and Utah and the other in …
Exhaust products emitted by the current subsonic-transport fleet may influence tropospheric ozone and clouds, and thus Earth’s climate. Such emissions in the upper troposphere may affect climate at the surface of the Earth by means of many chemical and meteorological processes. Some of these processes are poorly understood, and thus cannot be quantified with much certainty. NASA’s Atmo- …
Children's health insurance became a subject of national debate early in 1997 when President Clinton and members of Congress began to develop a variety of competing proposals to expand coverage for children. After several months of active discussion and negotiation, Congress enacted the State Children's Health Insurance Program (SCHIP) as part of the Balanced Budget Act of 1997 (P.L. 105-33). T…
The literature on business management has been focused on the reengineering of business processes in the context of the financial, management, time, and staff- ing constraints of private enterprise. The underlying premises of business process reengineering are: (1) the essential areas of expertise, or core competencies, of an organization should be limited to a few activities that are central t…
Sexually transmitted diseases (STDs) are hidden epidemics of tremendous health and economic consequence in the United States. They are hidden from public view because many Americans are reluctant to address sexual health issues in an open way and because of the biological and social factors associated with these diseases. In addition, the scope, impact, and consequences of STDs are underrecogni…