The Electronic Journal of Information Systems Evaluation provides critical perspectives on topics relevant to Information Systems Evaluation, with an emphasis on the organisational and management implications
For general enquiries email administrator@ejise.com
Click here to see other Scholarly Electronic Journals published by API
For a range of research text books on this and complimentary topics visit the Academic Bookshop

Information about the European Conference on Information Management and Evaluation is available here

linkedin-120 

twitter2-125 

fb_logo-125 

 
Journal Issue
Volume 14 Issue 1, ECIME 2010 Special Issue / Jan 2011  pp1‑166

Editor: Miguel de Castro Neto

Download PDF (free)

Secret Level: Evaluation of a New Zealand Community ICT Project  pp1‑12

Barbara Crump, Keri Logan

Look inside Download PDF (free)

Alliance Decision Making of SMEs  pp13‑26

Karla Diaz, Ute Rietdorf, Utz Dornberger

Look inside Download PDF (free)

Georeferencing Road Accidents with Google Earth: Transforming Information into Knowledge for Decision Support  pp27‑36

Jorge Ricardo Ferreira, Joao Carlos Ferreira

Look inside Download PDF (free)

Organizational Challenges and Barriers to Implementing IT Governance in a Hospital  pp37‑45

Luis Velez Lapao

Look inside Download PDF (free)

An Evidence‑Based Approach to Scoping Reviews  pp46‑52

Antonio Hidalgo Landa, Istvan Szabo, Liam Le Brun, Ian Owen, Graham Fletcher

Look inside Download PDF (free)

Enterprise Architecture Principles and their impact on the Management of IT Investments  pp53‑62

Kalevi Pessi, Thanos Magoulas, Mats-Ake Hugoson

Look inside Download PDF (free)

Information Inadequacy: Some Causes of Failures in Human, Social and Industrial Affairs  pp63‑72

Miranda Kajtazi, Darek Haftor, Anita Mirijamdotter

Look inside Download PDF (free)

Evaluating Information Systems according to Stakeholders: a pragmatic perspective and method  pp73‑88

Jenny Lagsten

Look inside Download PDF (free)

Medical Records System Adoption in European Hospitals  pp89‑99

Ana Marques, Tiago Oliveira, Sara Simoes Dias, Maria Fraga O. Martins

Look inside Download PDF (free)

Modified Early Warning Scorecard: The Role of Data/Information Quality within the Decision Making Process  pp100‑109

John O Donoghue, Tom O Kane, Joe Gallagher, Garry Courtney, Abdur Aftab, Aveline Casey, Javier Torres, Philip Angove

Look inside Download PDF (free)

Literature Review of Information Technology Adoption Models at Firm Level  pp110‑121

Tiago Oliveira, Maria Fraga Martins

Look inside Download PDF (free)

Evaluation of New Information Technologies Exposure on Knowledge Retention Regarding Benefits of Physical Activity on Health Status  pp122‑133

Paulo Pinheiro, Dulce Esteves, Rui Bras

Look inside Download PDF (free)

Supply Chain Information Alignment in the Consumer Goods and Retail Industry: Global Standards and Best Practices  pp134‑149

Virgil Popa, Mircea Duica

Look inside Download PDF (free)

A Visualization‑based Approach to Present and Assess Technical Documentation Quality  pp150‑159

Anna Wingkvist, Morgan Ericsson, Welf Lowe

Look inside Download PDF (free)

The SIGLIC System for Improving the Access to Surgery in Portugal  pp160‑166

Pedro Gomes, Luis Velez Lapao

Look inside Download PDF (free)

Abstract

This paper describes the design and first results of an information system (SIGLIC) that supports the new integrated management program (SIGA) to improve the access to surgery in Portugal. SIGIC, the Ministry of Health’s agency responsible for access to surgery management, started re‑thinking the system in 2005 by re‑defining key processes and workflows. The designed information system SIGLIC integrates all hospitals with surgery with every other hospital, where it picks the data to allow the search for optimal solutions for each patient. In the context of SIGIC (Waiting List for Surgery's Integrated Management System) “access” means to assure the treatment by services in terms of quality, standards, equity, process and transparency. The existence of a significant number of patients waiting for treatment that exceed the clinical acceptable times has ominous consequences not only for the individuals (increasing suffering, reduce treatment success, more complex treatments) but also for the society (more expensive use of resources, higher absenteeism, etc), which made the government to create SIGIC program. SIGIC's goals are to reduce waiting time for surgery, to apply identical standards to all patients, to profit from good use of resources and, to create a national structure of homogeneous information based in a system of data collection. The methodology followed was to: a) “survey of information systems and technology in Demand/Supply/Resources”; b) “institutionalization and monitoring of procedural standards for management of the Waiting List for Surgery (WLS)”, c) provide “evaluation by results” and, d) “Correction of deviations to the standard”. To fulfill SIGIC’s objectives it was created a management model (SIGA) and SIGLIC to support it. By now 57 public hospitals and 96 private clinics and hospitals (with convention in SIGIC) had joined the SIGIC network. The Information model include the following items: information on patients and events to allow “Process management”, “clinical information” for “Disease Management” and “financial data” to allow management between the health units, from which data is gathered to improve access management. The information is recorded by hospitals in accordance with a set of standards and integrated into the central database of SIGIC. The quality of integrated information from the hospitals is guaranteed by a set of tools to validate its consistency, rejecting non‑compliant data. The information is recorded in hospitals throughout the process of managing the patient on WLS and integrated daily in the central database. The results since 2005 show the importance of an integrated information system to overcome the bureaucracy: There was a 36% improvement in number of scheduled surgical episodes and 60% reduction in days on waiting time. 

 

Keywords: waiting list for surgery, information systems, organizational processes, health information management

 

Share |