✦ LIBER ✦
Hospital information systems and DRG reimbursement: The adaptation of large transactions processing systems to radical rule changes
✍ Scribed by Michael A. Palley
- Publisher
- Elsevier Science
- Year
- 1991
- Tongue
- English
- Weight
- 802 KB
- Volume
- 20
- Category
- Article
- ISSN
- 0378-7206
No coin nor oath required. For personal study only.
✦ Synopsis
Large transactions processing systems are often rigid, closed, and mechanistic. When faced with sudden and severe change, organizations may have difficulty adapting quickly and effectively. This paper investigates how three major New York hospitals adjusted to the imposition on their patient account systems of DRG based reimbursement. The field study identifies common strategies and problems, along with the need for further research into how to efficiently adapt such critical systems to drastic change.