Risk Management Information System Architecture for a Hospital Center: The Case of CHTMAD

Risk Management Information System Architecture for a Hospital Center: The Case of CHTMAD

Fábio Costa (Escola de Ciências e Tecnologias, Universidade de Trás-os-Montes e Alto Douro, Portugal), Patrícia Santos (Escola de Ciências e Tecnologias, Universidade de Trás-os-Montes e Alto Douro, Portugal), João Varajão (Universidade do Minho, Portugal), Luís Torres Pereira (Escola de Ciências e Tecnologias, Universidade de Trás-os-Montes e Alto Douro, Portugal) and Vitor Costa (Centro Hospitalar de Trás-os-Montes e Alto Douro, Portugal)
DOI: 10.4018/978-1-4666-6339-8.ch038
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Abstract

In modern day's institutions, risk management plays a crucial role as it aims to minimize the likelihood of adverse events and contributes to improve the quality of services delivery. In health care, an effective risk management is only possible if supported by information systems that can produce high quality measures and meaningful risk indicators. These indicators will then allow the healthcare organization to self-assess by identifying critical gaps and opportunities for improvement in several frontiers. Such an organizational thrust is not only warranted for competitiveness but also fundamental for the purpose of benchmarking, accreditation and certification. Additionally, monitoring of specific indicators is often required by the tutelage. However, the development of a risk management system can be an arduous process due to the inherent complexity of clinical systems. This paper presents an architecture for the implementation of a risk management information system, using as example the case of CHTMAD, a Portuguese hospital center.
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2. Background

In order to improve public trust and promote a culture of safety and quality, governments and public agencies have established accreditation programs seeking to evaluate healthcare organizations such as ambulatory care, clinical laboratories, primary care centers, and continuous care institutions (Miller et al., 2012; Sokol & Neerukonda, 2013). An accreditation program is a management tool to rate the engagement and commitment of hospitals to the continuous reduction of patients’ risks and quality improvement.

Apparently, the two concepts of risks and quality are very closely related. Hospitals staff must be aware of accreditation standards, its goals and measurable parameters, in the pursuit for quality and patient safety. Patient satisfaction is recognized as a cornerstone of quality, and Health IT appears to offer a promising solution to improving patient satisfaction (Rozenblum et al., 2013). Staff satisfaction is undoubtedly also one of risk management main objectives. Staff risk awareness can be improved, for example, by ensuring that they take part in developing solutions, testing strategies, estimating staff and technical resources, and redesigning workflow to match patient needs. Therefore, this continuous search for quality improvement and risks reduction in patient care processes can be achieved only through joint efforts and collaborative management at both the Hospital and departmental levels (Ruland, 2004).

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