Saturday, December 15, 2018
'Information system development life cycle models Essay\r'
'Health learning managers moldiness understand the components of tuition arrangings and how randomness outlines affect the organization, individuals within the organization, and interested publics right(prenominal) the organization. tuition organizations provide opport building blockies to improve internal operations, cook competitive advantage in the marketplace, improve long-suffering-cargon deli really, enhance research, and provide better service.\r\n randomness dust attempt occurs when the brasss be not well integrated, atomic number 18 naughtily managed, or do not oppose the goals of the organization. In nine to exploit learning scheme opportunities and sully threats and risks, a thorough understanding of entropy trunk components and how these re after-hours to the organization is necessary.\r\nAn selective discipline ashes is unruffled of a group of components (people, run processes, entropy, and breeding technologies) that act done specify re lationships to grasp a goal. Information transcriptions must(prenominal) be commensurate to adapt to environmental change. A good recitation of a wellness-related instruction system is an devote creation system. The goal of the system is to process physician orders.\r\nThe system is composed of a group of components including people (nurses, physicians, unit secretaries, laboratory personnel), entropy, knead processes, and breeding technologies. Each of these components interacts with defined relationships. fails to restrain the environment or if the interactions among its component parts fail, the system becomes nonfunctional and disintegrates. Thus, a system must be composed of a group of components that: ïâ· Interact through defined relationships\r\nïâ· run a appearance toward accomplishing a goal\r\nïâ· Self-adapt and do to environmental changes\r\n common fig tree 2-1 provides an recitation of the relationship of these characteristics. An disciplin e system is composed of a group of components (people, fly the coop processes, data, and information technologies) that interact through defined relationships to accomplish a goal. Information systems must be competent to adapt to environmental change. A good example of a health-related information system is an order entry system.\r\nThe goal of the system is to process physician orders. The system is composed of a group of components including people (nurses, physicians, unit secretaries, laboratory personnel), data, utilisation processes, and information technologies. Each of these components interacts through defined relationships\r\nThe peoples enter orders in a predefined appearance through a data entry magnetic pole ( figurer hardw be) and through interaction with parcel. Through the predefined interactions amidst the hardware and software, the order is processed.\r\nThe order entry system is self-adapting and able to accommodate environmental changes such as order vol ume. The example depicted in Figure 2-2 demonstrates the characteristics of a system as applied to an information system: component parts twisting in predefined relationships that behind self-adapt to environmental changes to accomplish a common goal. As the bidirectional arrows depict in Figure 2-2, at any given time there is a latent three-way interaction between each cash in ones chips(predicate) system components. People interact or are affected by work practices, data, and information technologies.\r\nWork practices affect people and may be impacted by data availability and information technologies. Information technologies may affect work practices, people, and the input, bear on, or public exposure of data.\r\nThus, we see that information components are highly interrelated. Recognizing these interrelationships is very important, since a business with one component leave likely adversely impact all opposite components within an information system. When information system problems lift, it is pivotal that all information system components and their relationships be examined\r\n arranging Elements\r\nSystems have three principal elements: inputs, treat mechanisms, and outputs. Figure 2-3 depicts their simple relationship. In the order entry example given previously, inputs include physician orders such as laboratory, radiology, or pharmacy orders that are entered in a computing machine terminal on the enduring-care unit. The orders are subjected to some(prenominal) touch mechanisms that check their consistency and completeness before they are routed to the appropriate department. The output of the system is a segregation for a detail type of test, procedure, or pharmaceutical.\r\nIn addition to inputs, processes, and outputs, most systems to a fault have a feedback loop. Feedback provided by the system influences future inputs. In the order entry example, feedback regarding nonavailability of an ordered drug in the pharmacy departmen t inventory might be provided to the physician. In this case, the system might suggest what alternatives or substitutes are available\r\nInformation System Components\r\nAll definitions of an information system must embody the essence of the intravenous feeding system characteristics that were previously presented. Thus, an information system is a group of interrelated and self-adapting components working through defined relationships to collect, process, and disseminate data and information for accomplishment of specific organizational goals.\r\nThe components of an information system should be more often than not interpreted. For example, information system components should be viewed to include people, work procedures, data, and information technologies (Alter, 1992). Although organizational goals may not be specifically included in the components of an information system, they must be viewed as the driving force for the development, design, implementation, and evaluation of i nformation systems. Each information system must be evaluated in terms of its contribution to conflict the goals of the organization Information System Types\r\nIn Chapter 2, sixer types of information systems are discussed: transaction processing systems (TPS), focal point information systems (MIS), determination support systems (DSS), executive information systems (EIS), expert systems (ES), and office automation systems (OAS). Early systems in health care were principally transaction processing systems. These systems modify operational functions such as accounting, payroll, inventory, and entrance fee/discharge systems. Later, separate transaction systems, such as order entry, were added to the capabilities.\r\nManagement information systems emerged in the late 1970s and gradually became more sophisticated during the 1980s. virtuoso factor influencing the growth of MIS during this period was the introduction of the subject field prospective payment (diagnostic-related gro ups or DRGs) system for Medicare patients. Because of DRG implementation, hospitals compulsory information systems that provided better filtered and formatted data for making managerial and strategic decisions.\r\nThe implementation of DRGs also revealed the weaknesses of circulating(prenominal) information systems in linking and integrating data. Weaknesses associated with the proliferation of stand-alone systems and the historical focus on financial systems became magnified during the 1980s coiera\r\nWhen the alike kind of decision is made on a regular basis, it will require access to the selfsame(prenominal) kind of data and may use the same knowledge. In these circumstances, one can develop a regular process or information system to accomplish the task. An information system could thus be anything from the routine way in which a clinician records patient details in a pocket note adjudge, the way a triage nurse assesses patients on arrival in an emergency department, throug h to a analyzable reckoner- al-Qaidad system that regulates payments for healthcare services. An information system is distinguished from other systems by its components, which include data and models. Recall from the last chapter that there are several resistent kinds of information model, including databases and knowledge bases.\r\nThese different information components can be put together to create an information system. For example, rate a calculating machine that can farm animal data and equations in its memory. The data store is the calculatorââ¬â¢s database, and the equation store is its knowledge base. The input to the calculator becomes the equation to be re solve, as well as the values of data to plug into the equation. The database communicates with the knowledge base using a simple communication acquit within the device, and the output of the system is the value for the solved equation (Figure 3.6).\r\nThere are many potential internal components that could be included within an information system, including a database, a knowledge base, an ontology, and decision procedures or rules of inference. The different components of an information system are committed together with input/output channels, which allow data to be shifted between the components as essentialed.\r\nA patient record system is a more complex example of an information system. Its purpose is to record data about particular patients in some formalised fashion to assist in the control Wager2009 An information system (IS) is an arrangement of information (data), processes, people, and information applied science that interact to collect,\r\nprocess, store, and provide as output the information needed to support the organization (Whitten & Bentley, 2005). smell that information technology is a component of all information system.\r\nInformation technology is a contemporaneous term that describes the combination of reckoner technology (hardware and software) with dat a and telecommunications technology (data, image, and voice networks). Often in current management literature the terms information system and information technology are used interchangeably.\r\n6.1.1 What Is a System?shortliffe\r\nUntil now, we have referred informally to health information systems and computer systems. What do we mean when we refer to a system? In the most general sense, a system is an organized set of procedures for accomplishing a task. It is describe in terms of (1) the problem to be solved; (2) the data and knowledge required to address the problem; and (3) the internal process for transforming the available input into the coveted output (Figure 6.1). When we talk about systems in this book, we commonly mean computer-based (or just computer) systems. A computer system combines both manual and automated processes; people and machines work in concert to manage and use information. A computer system has these components:\r\nâ Hardware: The physical equipment , including processing units (e.g., the central processing unit (CPU)), data- stock devices, comunication equipment, terminals, and printers â Software: The computer programs that direct the hardware to carry out the automated processesââ¬i.e., to respond to user requests and schedules, to process input data, to store some data for long periods, and to communicate instructive results to the users; at times the software will straightaway the users to perform manual processes System Design and applied science in Health Care 235\r\nâ Customers: The users who interact with the software and hardware of the system, issue requests, and use the results or front them to others; there will be other users who are concerned with providing input, system operations, backup, and maintenance The role of a computer is, broadly speaking, the conversion of data into information. all piece of data must be supplied by a person, by another computer system, or by data collection equipment, as seen in patient monitoring (see Chapter 17). Information that is output is delivered to health care professionals or becomes input to another computer system. In other words, a medical computer system is a module within the boilersuit health care delivery system.\r\nThe overall health care system not only determines the need for the computer system (e.g., which data must be processed and which reports must be generated) but also the requirements for the systemââ¬â¢s operation (e.g., the degree of reliability and responsiveness to requests for information). Acquisition and operation of a computer system has implications for the organization of an institution. Who controls the information? Who is responsible for the truth of the data? How will the system be financed?\r\nThe origination of a computer system has sociological consequences as well. The introduction of a new system alters the work routines of health care workers. Furthermore, it may affect the conventional roles of health care workers and the existing relationships among groups of individualsââ¬e.g., between physicians and nurses, between nurses and patients, and between physicians and patients.\r\nImportant ethical and legal questions that arise include the confidentiality of patient information, the appropriate role of computers in patient care (e sparely in medical decision making), and the responsibility of developers and users for ensuring the correct operation of the system (see Chapter 10). Although the technological challenges in system development must be met, organizational factors are crucial determinants of the success of a computer system within the institution. These factors can differ greatly among institutions and can make the transfer of a well-functioning system to another site difficult.\r\n6.1.2 Functions of a estimator System\r\nComputers have been used in every aspect of health care delivery, from the simple processing of business data, to the collection and interpre tation of physiological data, to the training of physicians and nurses. Each chapter in Unit II of this book describes an important area for the application of computers in biomedicine. The anomalous characteristics of each problem area create special requirements for system builders to address.\r\nThe motivation for investing in these applications, however, is the computerââ¬â¢s ability to help health professionals in some aspect of information management. We identify eightsome topics that define the range of basic functions that may be provided by medical computer systems:\r\n1. Data encyclopedism and presentation\r\n2. Record keeping and access\r\n3. dialogue and integration of information\r\n4. Surveillance\r\n5. Information storage and retrieval\r\n6. Data analysis\r\n7. Decision support\r\n8. Education\r\n.\r\n'
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