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Karen L Rascati - One of the best experts on this subject based on the ideXlab platform.

  • satisfaction with a computerized practitioner order entry system at two Military Health care facilities
    American Journal of Health-system Pharmacy, 2000
    Co-Authors: James P Wilson, Peter T Bulatao, Karen L Rascati
    Abstract:

    User satisfaction with a computerized practitioner order-entry (POE) system at two Military Health care facilities was studied. A survey was mailed in May 1998 to providers authorized to enter drug orders into the Composite Health Care System (CHCS) (including two clinical pharmacists) and pharmacy staff members at two department of defense (DOD) medical treatment facilities. Of 189 questionnaires with the potential to be returned completed, 112 were usable, for a net response rate of 59.3%. The internal consistency of the survey items measuring user satisfaction (Cronbach's alpha) was 0.86. The typical respondent was male, was employed by the DOD, had fair to excellent computer and typing skills, had received eight hours or less of training on the CHCS POE system, had been using the system for two years or less, and had been a Health care practitioner for 10 years or less. Overall, users were satisfied with the POE system (mean +/- S.D. rating of 3.78 +/- 0.87 on a 5-point scale where 5 represented the highest satisfaction level). Satisfaction was correlated most strongly with ratings of the POE system's efficiency. Nonphysicians were more satisfied, on average, than physicians. No significant relationship was found between other individual characteristics and satisfaction. Qualitative analysis reinforced the finding that users were interested in efficiency issues. Overall, users at two Military Health care facilities were satisfied with a computerized POE system. Satisfaction was most strongly correlated with the perceived efficiency of the system.

Robert L. Ricca - One of the best experts on this subject based on the ideXlab platform.

  • Cardiothoracic Surgical Volume Within the Military Health System: Fiscal Years 2007 - 2017.
    The Annals of thoracic surgery, 2020
    Co-Authors: Jeffery C. Johnson, Brittany L. Morey, Anna M Carroll, Matthew Strevig, Alfredo R. Ramirez, Philip S. Mullenix, Curtis J. Wozniak, Robert L. Ricca
    Abstract:

    Abstract Background Cardiothoracic surgical services have been provided at 7 Military treatment facilities over the past decade. Accurate case volume data for adult cardiac and general thoracic surgical service lines in the Military Health System is unknown. b We queried the Military Health System Data Repository for adult cardiac and general thoracic cases performed at Military treatment facilities in the Military Health System and surrounding purchased care markets for fiscal years 2007 – 2017. Cases were filtered and classified into major cardiac and major general thoracic categories. Five Military treatment facility markets had sufficient cardiac case data to perform cost analysis. Results Institutional major cardiac case volume was low across the Military Health System with less than 100 cardiopulmonary bypass cases per year (range 17 – 151) performed most years at each Military treatment facility. Similarly, general thoracic surgical case volume was universally low with less than 30 anatomic lung resections (range 0 – 26) and fewer than 5 esophageal resections (range 0 – 4) performed at each Military treatment facility annually. Cost analysis revealed that provision of cardiac surgical services is significantly more expensive at most Military treatment facilities compared to their surrounding purchased care markets. Conclusions Adult cardiac and general thoracic surgical volume within the Military Health System is low across all institutions and inadequate to provide clinical readiness for active duty surgeons. Recapture of major cases from the purchased care market is unlikely and would not significantly increase Military treatment facility or individual surgeon case volume.

James P Wilson - One of the best experts on this subject based on the ideXlab platform.

  • satisfaction with a computerized practitioner order entry system at two Military Health care facilities
    American Journal of Health-system Pharmacy, 2000
    Co-Authors: James P Wilson, Peter T Bulatao, Karen L Rascati
    Abstract:

    User satisfaction with a computerized practitioner order-entry (POE) system at two Military Health care facilities was studied. A survey was mailed in May 1998 to providers authorized to enter drug orders into the Composite Health Care System (CHCS) (including two clinical pharmacists) and pharmacy staff members at two department of defense (DOD) medical treatment facilities. Of 189 questionnaires with the potential to be returned completed, 112 were usable, for a net response rate of 59.3%. The internal consistency of the survey items measuring user satisfaction (Cronbach's alpha) was 0.86. The typical respondent was male, was employed by the DOD, had fair to excellent computer and typing skills, had received eight hours or less of training on the CHCS POE system, had been using the system for two years or less, and had been a Health care practitioner for 10 years or less. Overall, users were satisfied with the POE system (mean +/- S.D. rating of 3.78 +/- 0.87 on a 5-point scale where 5 represented the highest satisfaction level). Satisfaction was correlated most strongly with ratings of the POE system's efficiency. Nonphysicians were more satisfied, on average, than physicians. No significant relationship was found between other individual characteristics and satisfaction. Qualitative analysis reinforced the finding that users were interested in efficiency issues. Overall, users at two Military Health care facilities were satisfied with a computerized POE system. Satisfaction was most strongly correlated with the perceived efficiency of the system.

Jeffery C. Johnson - One of the best experts on this subject based on the ideXlab platform.

  • Cardiothoracic Surgical Volume Within the Military Health System: Fiscal Years 2007 - 2017.
    The Annals of thoracic surgery, 2020
    Co-Authors: Jeffery C. Johnson, Brittany L. Morey, Anna M Carroll, Matthew Strevig, Alfredo R. Ramirez, Philip S. Mullenix, Curtis J. Wozniak, Robert L. Ricca
    Abstract:

    Abstract Background Cardiothoracic surgical services have been provided at 7 Military treatment facilities over the past decade. Accurate case volume data for adult cardiac and general thoracic surgical service lines in the Military Health System is unknown. b We queried the Military Health System Data Repository for adult cardiac and general thoracic cases performed at Military treatment facilities in the Military Health System and surrounding purchased care markets for fiscal years 2007 – 2017. Cases were filtered and classified into major cardiac and major general thoracic categories. Five Military treatment facility markets had sufficient cardiac case data to perform cost analysis. Results Institutional major cardiac case volume was low across the Military Health System with less than 100 cardiopulmonary bypass cases per year (range 17 – 151) performed most years at each Military treatment facility. Similarly, general thoracic surgical case volume was universally low with less than 30 anatomic lung resections (range 0 – 26) and fewer than 5 esophageal resections (range 0 – 4) performed at each Military treatment facility annually. Cost analysis revealed that provision of cardiac surgical services is significantly more expensive at most Military treatment facilities compared to their surrounding purchased care markets. Conclusions Adult cardiac and general thoracic surgical volume within the Military Health System is low across all institutions and inadequate to provide clinical readiness for active duty surgeons. Recapture of major cases from the purchased care market is unlikely and would not significantly increase Military treatment facility or individual surgeon case volume.

Richard G. Ellenbogen - One of the best experts on this subject based on the ideXlab platform.