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Improving Health Care Provider Availability through Information Technology

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Final rept. Jul 2004-Jul 2005

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The objective of this study was to determine if the use of information management would lead to the successful implementation of eUCAPERS Electronic Uniform Chart of Accounts Personnel System and increase provider availability at the Tripler Army Medical Center in Honolulu, Hawaii. The study reviews the five key elements for successfully implementing change within an organization defining the need for a change, assessing whether the climate is right for a change, marketing the idea to stakeholders, establishing accountability, and removing the old way of doing things. This study identifies the need for change in collecting data on patient care time, reviews different methodssystems for gathering data, documents the implementation of the selected system eUCAPERS, and evaluates the level of success of the implementation. The study was conducted as a limited users project to determine if hospital-wide implementation should continue. The study compared total time available TTA and patient care time PCT as reported by 28 providers 10 internresidents and 18 staff during a 4-month period, November to December 2004 pre-implementation and January to February 2005 post-implementation, to determine if the implementation of eUCAPERS resulted in a statistically significant change in provider productivity. The results of study revealed that the samples increase in patient care time 18 was statistically significant F1,28 24.47, p .05 and that the decrease in TTA 1,882 hours was statistically significant F1,28 8.87, p .05. Based on these positive preliminary results, it is recommended that the hospital continue with full implementation of eUCAPERS hospital-wide.

Subject Categories:

  • Information Science
  • Economics and Cost Analysis
  • Personnel Management and Labor Relations
  • Medicine and Medical Research

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