Managed care and quality improvement are two driving forces in the current health care environment. The pressure of capitation and the recent focus on outcomes of care have generated new incentives to restructure care delivery to control costs. Intensive care units, once revenue centers, are becoming cost centers. Re-engineering, or redesigning, the process of care entails examining premises Tor ability to provide services as well as considering how to do things more efficiently. The assumption is that all aspects of a process are legitimately subject to examination and restructuring. Information systems provide a powerful tool to support re-engineering. Nursing informatics, which pertains to nursing data, information, and knowledge has major implications for hospital information systems. This article explores possible changes in intensive care and the role of informatics in a changing health care environment
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Evolving Patient Care Delivery Systems| May 01 1997
Re-engineering Intensive Care: The Role of Informatics
Amy J. Barton, RN, PhD;
From Shands Hospital, University of Florida, Department of Nursing and Patient Services, Gainesville, Florida.
Reprint requests to Amy J. Barton, UN, PhD, University of Colorado Health Sciences Center, School of Nursing, Campus Box C-288, 4200 East Ninth Avenue, Denver, CO 80262.
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AACN Adv Crit Care (1997) 8 (2): 253–261.
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Amy J. Barton, Mildred M. Russin; Re-engineering Intensive Care: The Role of Informatics. AACN Adv Crit Care 1 May 1997; 8 (2): 253–261. doi:
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