Abstract:
:We describe the new Computerized Severity Index (CSI) that is obtained from an expanded discharge abstract data set, based on a 6th-digit severity addition to the ICD-9-CM coding system. The new 6-digit code book (called ICD-9-CMSA) is used to label existence and severity of each principal and secondary diagnosis. It can be used to produce an overall severity of illness level for each hospital inpatient. The impact of severity-adjusted DRGs on prospective payment and uses of the CSI for assessing quality of care, efficiency, physician practice profiles, and prediction of posthospital resource needs are discussed.
journal_name
J Med Systjournal_title
Journal of medical systemsauthors
Horn SD,Horn RAdoi
10.1007/BF00992953subject
Has Abstractpub_date
1986-02-01 00:00:00pages
73-8issue
1eissn
0148-5598issn
1573-689Xjournal_volume
10pub_type
杂志文章abstract::This paper aims to assist the administration departments of medical organisations in making the right decision on selecting a suitable multiclass classification model for acute leukaemia. In this paper, we proposed a framework that will aid these departments in evaluating, benchmarking and ranking available multiclass...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/s10916-019-1338-x
更新日期:2019-06-01 00:00:00
abstract::We proposed Index-Blocked Discrete Cosine Transform Filtering Method (IB-DCTFM) to design ideal frequency range filter on DCT domain for biomedical signal which frequently exposed to specific frequency noise such as motion artifacts and 50/60 Hz powerline interference. IB-DCTFM removes unwanted frequency range signal ...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/s10916-009-9289-2
更新日期:2010-08-01 00:00:00
abstract::Millions of people are diagnosed every year with a chest disease in the world. Chronic obstructive pulmonary and pneumonia diseases are two of the most important chest diseases. And these are very common illnesses in Turkey. In this paper, a comparative study on chronic obstructive pulmonary and pneumonia diseases dia...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/s10916-008-9209-x
更新日期:2009-12-01 00:00:00
abstract::Early diagnoses of esophageal cancer can greatly improve the survival rate of patients. At present, the lesion annotation of early esophageal cancers (EEC) in gastroscopic images is generally performed by medical personnel in a clinic. To reduce the effect of subjectivity and fatigue in manual annotation, computer-aid...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/s10916-018-1063-x
更新日期:2018-10-16 00:00:00
abstract::This paper describes how to simulate medical imaging by computational intelligence to explore areas that cannot be easily achieved by traditional ways, including genes and proteins simulations related to cancer development and immunity. This paper has presented simulations and virtual inspections of BIRC3, BIRC6, CCL4...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/s10916-017-0861-x
更新日期:2017-11-25 00:00:00
abstract::The basic purpose of this study was to analyze the diffusion of computer-based information technology into the health care institutions of the Republic of Serbia in the year 1994, and to compare the results with a similar investigation in 1992 in order to determine the state and progress of its development. The instru...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/BF02263392
更新日期:1996-08-01 00:00:00
abstract::Due to the complex topological structure of the coronary artery and the uneven distribution of the contrast agent, the angiography images are inevitably blurred and has low contrast, which causes great difficulty in process of segmentation. For this problem, a two-steps segmentation algorithm based on Hessian matrix a...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/s10916-019-1329-y
更新日期:2019-05-29 00:00:00
abstract::The main goal of this article is to identify the main dimensions of a model proposal for increasing the potential of big data research in Healthcare for medical doctors' (MDs') learning, which appears as a major issue in continuous medical education and learning. The paper employs a systematic literature review of mai...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/s10916-020-01691-7
更新日期:2021-01-07 00:00:00
abstract::As massive collections of digital health data are becoming available, the opportunities for large-scale automated analysis increase. In particular, the widespread collection of detailed health information is expected to help realize a vision of evidence-based public health and patient-centric health care. Within such ...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/s10916-011-9685-2
更新日期:2011-10-01 00:00:00
abstract::Stenter lets the health care worker order an X-ray that is produced as a computer image rather than on flat film. The health care provider can be in any location with the correct equipment, and view the digital image. The dimensions of this discussion are extensive. The cost savings because of reduced media and storag...
journal_title:Journal of medical systems
pub_type: 杂志文章,评审
doi:10.1007/s10916-005-5891-0
更新日期:2005-08-01 00:00:00
abstract::Nowadays, e-healthcare is a main advancement and upcoming technology in healthcare industry that contributes to setting up automated and efficient healthcare infrastructures. Unfortunately, several security aspects remain as main challenges towards secure and privacy-preserving e-healthcare systems. From the access co...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/s10916-016-0630-2
更新日期:2016-12-01 00:00:00
abstract::Significant attention has been directed towards developing the medical home and improving the patient experience. The medical home is targeted towards optimizing the quality of patient care while also reducing overall costs. An extension of the medical home is the concept of a medical neighborhood. The medical neighbo...
journal_title:Journal of medical systems
pub_type: 社论
doi:10.1007/s10916-016-0557-7
更新日期:2016-09-01 00:00:00
abstract::The aim of the study is to assess the feasibility of Drugs Rational Usage Guideline System (DRUGS)-supported clinical pathway (CP) for breast carcinoma, cataract, inguinal hernia and 2-diabetes mellitus whether the application of such a system could improve work efficiency, medical safety, and decrease hospital cost. ...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/s10916-015-0400-6
更新日期:2016-03-01 00:00:00
abstract::We studied the survival rates and the prognostic variables that corresponded to death during hospitalization in 312 AIDS CDC group IV patients in São Paulo. Discriminant analysis proved to be a good tool to perform the exploratory data analysis that guided the survival analysis groups. It selected nine variables that ...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/BF00996941
更新日期:1993-08-01 00:00:00
abstract::In our attempt to develop an "Essential Data Set" for a computer based information system to support Maternal & Child Health Care services an analysis of Swedish maternal care services was undertaken. The present study analyses the information system in the domain of maternal and child health care at the primary healt...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/BF00996602
更新日期:1994-10-01 00:00:00
abstract::Recently, many authentication protocols have been presented using smartcard for the telecare medicine information system (TMIS). In 2014, Xu et al. put forward a two-factor mutual authentication with key agreement protocol using elliptic curve cryptography (ECC). However, the authors have proved that the protocol is n...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/s10916-014-0135-9
更新日期:2014-10-01 00:00:00
abstract::This study aims to develop a community-based electrocardiogram (ECG) monitoring system for cardiac outpatients to wirelessly detect heart rate, provide personalized healthcare, and enhance interactive social contact because of the prevalence of deaths from cardiovascular disease and the growing problem of aging in the...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/s10916-016-0442-4
更新日期:2016-04-01 00:00:00
abstract::Breast cancer is a common to females worldwide. Today, technological advancements in cancer treatment innovations have increased the survival rates. Many theoretical and experimental studies have shown that a multiple classifier system is an effective technique for reducing prediction errors. This study compared the p...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/s10916-010-9485-0
更新日期:2012-04-01 00:00:00
abstract::In recent years, human activity recognition from body sensor data or wearable sensor data has become a considerable research attention from academia and health industry. This research can be useful for various e-health applications such as monitoring elderly and physical impaired people at Smart home to improve their ...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/s10916-018-0948-z
更新日期:2018-04-16 00:00:00
abstract::This paper provides a tutorial of technology transfer for management information systems in health care. Additionally it describes the process for a national survey of acute care hospitals using a random sample of 813 hospitals. The purpose of the survey was to measure the levels of Internet and Intranet existence and...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1023/a:1005684215664
更新日期:2001-02-01 00:00:00
abstract::Stakeholders' needs and expectations are identified by means of software quality requirements, which have an impact on software product quality. In this paper, we present a set of requirements for mobile personal health records (mPHRs) for pregnancy monitoring, which have been extracted from literature and existing mo...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/s10916-015-0415-z
更新日期:2016-03-01 00:00:00
abstract::The idea for softcopy viewing of medical image outside the radiology reading room spread among the scientists in various fields for several years. An image could be read on workstation of all types, from desktop across movable to handheld. Benefits are numerous and continue to grow as physicians use them discovering n...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/s10916-009-9386-2
更新日期:2011-08-01 00:00:00
abstract::There has been rapid growth in the number of ambulatory surgical centers in the United States over the past few years. Yet little research has been done to assist community health planners and surgeons in decision making and planning for ambulatory surgery. In this paper, an analytical framework is developed to assist...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/BF02222843
更新日期:1980-01-01 00:00:00
abstract::MDA-Image, a project of The University of Texas M. D. Anderson Cancer Center, is an environment of networked desktop computers for teleradiology/pathology. Radiographic film is digitized with a film scanner and histopathologic slides are digitized using a red, green, and blue (RGB) video camera connected to a microsco...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/BF00992703
更新日期:1991-04-01 00:00:00
abstract::In recent years interest in the application of Wireless Body Area Network (WBAN) for patient monitoring applications has grown significantly. A WBAN can be used to develop patient monitoring systems which offer flexibility to medical staff and mobility to patients. Patients monitoring could involve a range of activiti...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/s10916-010-9605-x
更新日期:2012-06-01 00:00:00
abstract::With the view to set up the oriental pulse database as well as objective diagnosis standards, this study has designed and manufactured a digital pulse diagnosis system that uses a high-performance microprocessor on the basis of systematic pulse diagnosis methodology. The algorithm for extracting significant points has...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/s10916-007-9101-0
更新日期:2008-02-01 00:00:00
abstract::Parkinsons disease is a complex neurodegenerative disorder for which patients present many symptoms, tremor being the main one. In advanced stages of the disease, Deep Brain Stimulation is a generalized therapy which can significantly improve the motor symptoms. However despite its beneficial effects on treating the s...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/s10916-015-0328-x
更新日期:2015-11-01 00:00:00
abstract::The objective of study is to examine factors affecting the variation in technical and cost efficiency of community health centers (CHCs). A panel study design was formulated to examine the relationships among the contextual, organizational structural, and performance variables. Data Envelopment Analysis (DEA) of techn...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/s10916-007-9078-8
更新日期:2007-10-01 00:00:00
abstract::Hospitals and other health-care providers today are being pressed more than ever to use technologies for reducing medical errors. Particularly, medication errors are likely to increase fast as Americans age. This paper intends to provide a starting point for understanding information technologies and database systems ...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1023/a:1025937916203
更新日期:2003-12-01 00:00:00
abstract::This paper surveys the problem of predictive / reactive scheduling of an integrated operating theatre with two types of demand for surgery: 1) elective or known demand; 2) emergency or uncertain demand. The stochastic arrival of emergency patients with uncertain surgery time enforces the scheduler to react to disrupti...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/s10916-015-0385-1
更新日期:2016-01-01 00:00:00