Integrated IT System Research Articles

Improving care pathways through BPM and telemedicine: an Italian study

PurposeThe future increase of chronic diseases in the world requires new challenges in the health domain to improve patients' care from the point of view of the organizational processes, clinical pathways and technological solutions of digital health. For this reason, the present paper aims to focus on the study and application of well-known clinical practices and efficient organizational approaches through an innovative model (TALIsMAn) to support new care process redesign and digitalization for chronic patients.Design/methodology/approachIn addition to specific clinical models employed to manage chronic conditions such as the Population Health Management and Chronic Care Model, we introduce a Business Process Management methodology implementation supported by a set of e-health technologies, in order to manage Care Pathways (CPs) digitalization and procedures improvement.FindingsThis study shows that telemedicine services with advanced devices and technologies are not enough to provide significant changes in the healthcare sector if other key aspects such as health processes, organizational systems, interactions between actors and responsibilities are not considered and improved. Therefore, new clinical models and organizational approaches are necessary together with a deep technological change, otherwise, theoretical benefits given by telemedicine services, which often employ advanced Information and Communication Technology (ICT) systems and devices, may not be translated into effective enhancements. They are obtained not only through the implementation of single telemedicine services, but integrating them in a wider digital ecosystem, where clinicians are supported in different clinical steps they have to perform.Originality/valueThe present work defines a novel methodological framework based on organizational, clinical and technological innovation, in order to redesign the territorial care for people with chronic diseases. This innovative ecosystem applied in the Italian research project TALIsMAn is based on the concept of a continuum of care and digitalization of CPs supported by Business Process Management System and telemedicine services. The main goal is to organize the different socio-medical activities in a unique and integrated IT system that should be sustainable, scalable and replicable.

Logistyka dystrybucji na przykładzie wybranej sieci handlowej

The article focuses on the importance of logistics processes in a selected organization. The aim of the study was to analyze and evaluate distribution logistics in a branch of a foreign retail chain. Methods: The overall study used comparative and statistical analysis methods, which made it possible to compare various aspects of distribution logistics. Thanks to the survey, the level of customer satisfaction and the lost sales value resulting from the lack of assortment availability in the area of food products were determined. Conclusion: The analysis carried out identified only those processes in the field of distribution logistics that should be improved. The implementation of an integrated IT system would significantly shorten the order fulfillment time and minimize the chance of product availability shortages. Results: The need to introduce changes is an inherent element on the path to success. Every venture involves some risk. However, in order to achieve a specific goal and a high position on the market, you must skillfully use the company's strengths and recognize opportunities in changes taking place in the environment. Oryginality: There is still a lack of research in the national literature on the connection between distribution logistics and the level of customer satisfaction achieved, which is why it is so important to address this topic. Keywords: distribution, distribution logistics, customer satisfaction, customer satisfaction, logistics, commercial network, organization, distribution channels

Enhancing referral processes within an integrated fall prevention pathway for older people: a mixed-methods study

ObjectivesMultifactorial interventions, which involve assessing an individual’s risk of falling and providing treatment or onward referral, require coordination across settings. Using a mixed-methods design, we aimed to develop a process...

Risk factors of developing critical conditions in Iranian patients with COVID-19

COVID-19 due to novel Coronavirus was first reported in Wuhan, China. Nowadays, the Islamic Republic of Iran stands among countries with high COVID-19 prevalence and high burden of disease. Since the medical resources are limited, we aimed to identify the risk factors for patients developing critical conditions. This can help to improve resource management and treatment outcomes. In this retrospective study, we included 12,677 patients who were from 26 hospitals, supervised by Tehran University of Medical Sciences with signs and symptoms of COVID-19, until April 12. University integrated IT system was adopted to collect the data. We performed Logistic regression to evaluate the association between death in COVID-19 positive patients and other variables. Cough, respiratory distress and fever were the most common symptoms in our patients, respectively. Cancer, chronic lung diseases and chronic neurologic diseases were the strongest risk factors for death in COVID-19 patients.

Cord Blood Unit (CBU) search and distribution to Transplant Centers (TC): real-life experience from the National Cord Blood Program (NCBP)

Background & Aim One of the most important attributes of cord blood is the prompt availability of high quality cell therapy products for clinical use. To achieve this, the NCBP has implemented a strong infrastructure supporting CBU search, selection, review and release. The key components include: - Fully integrated IT system for running searches in real-time, generating reports, receiving/sharing results and documents - Streamlined procedures for management of search requests - Expert review and search flexibility - Verification of product quality - Timely CBU release to TC - Expertise in regulatory requirements and shipment logistics Methods, Results & Conclusion We describe our recent clinical activity (period: 04/2016-12/2019) following this strategy. Our dedicated website, WebSearch, is used for CBU reservations directly by TC or requests received via registries (National Marrow Donor Program [NMDP] or International Registries). During the study period, 3943 CBU were reserved for 2831 patients from 153 TC. All reservations trigger full review of CBU information as well as confirmatory HLA typing (CT), effectively preparing the reserved CBU for shipment. Each patient's search is reviewed by a medical and an HLA expert within 48 hours to identify the best CBU and share recommendations with the TC. Further, the system is flexible, allowing “customized” searches that include TC's own selection criteria such as high CD34 counts, HLA requirements (allele level matching, patient's anti-HLA antibodies, maternal HLA), eligibility, CBU storage time, and various clinical study specifications. High resolution CT results are obtained routinely within 6 business days. All units with available segments are evaluated for potency (CD34/CD45 counts and viability and CFU) at reservation and/or shipment. During this period, 514 CBU were shipped for 501 patients to 91 TC; 53% were facilitated by the NMDP and the remaining were direct shipments. 170 CBU went to 23 International TC in 20 countries. Average time between shipment request and shipment was 5 business days (Figure 1). TC's shipment schedule requirements were met in all cases. With over 60,000 CBU available, the NCBP Inventory holds almost 8% of the world's unrelated CBU, including 11,100 FDA licensed products (HEMACORD®). The flexibility and efficiency of the search and review procedures, as well as the fact that 10% of the CBU have CT already performed and are “ready to ship”, enable us to process routine or emergency shipment requests expeditiously.

IT Support for the Goods Reallocation Process in the Textiles-Based Fashion Retail

The process of moving goods from locations with the weakest rotation to those with high rotation in order to speed up the process of disposing of inventory in the entire retail network can be described as an assignment of goods. This process is particularly important in the textiles- based fashion industry, where external purchases for the retail network are often made once and the goods have shallow stocks. In order to optimise the stream of materials, the use of an integrated IT system is essential. Therefore, the main purpose of this publication is to show how IT solutions can be used to simplify the automation and optimisation of the process of generating proposals for goods reallocation within the retail network. The study covered selected companies from the textiles- based fashion industry.

IT in Blood banks, at present and tomorrow: a Nordic perspective

BackgroundBlood banks in most of the Nordic countries all share a vein‐to‐vein approach, which is usually handled in a single blood banking information system (BBIS). This means that a blood bank IT system in the Nordics is traditionally operated by a single vendor.AimsThe aim for integrations, rather than building an integrated IT system, to support the need for a vein‐to‐vein process is a precondition in the Nordic countries. With multiple IT systems supporting isolated processes, we intend to facilitate development in these and furthermore increase the flexibility in the whole process.MethodsWe set out to reveal any existing knowledge in the literature on IT vendor strategies for blood banks, but we did not succeed in identifying any relevant literature. However, a systematic literature study on vendor strategies when choosing Health IT identified 837 studies, but only 10 was eligible for full‐text review and five met the inclusion criteria.ResultsEven this broader literature study reveals very little evidence, and furthermore the only available studies are from an American context quite far from the European and Nordic framework in health care. In addition, the existing research is contradictory.ConclusionThis paper adds basic knowledge for breaking down the process control of blood banking in smaller processes. This adds the possibility for identifying best of breed or best of suite vendors, instead of relying on single vendor IT solutions. Furthermore, it is a call for more research in the field of vendor selection strategies, preferably with a longitudinal study design, which this review did not succeed in identifying.

The application of the integrated production assets management system in the Polish Mining Group Inc.

Abstract The management of the production assets in the Polish Mining Group Inc. is geared towards achieving strategic aims through the unification of the obtained machines/devices, their practical use while maintaining them in the proper technical condition, adhering to proper maintenance-renovation procedures, reserves optimization as well as final recycling with no re-use in the production cycle. The following paper presents the functioning of the IT support in the production assets management, geared towards the integration with other areas of technical and economic activities of the Group. The modular structure of the integrated IT system makes it possible to gradually implement the successive solutions functioning within the Group as well as in the surrounding local areas, ensuring the suitability to the current needs of the organization and the system users.

IT Role in Fulfillment of Profit & Loss Sharing (PLS) Mechanism

In this paper, we are going to introduce a new IT master solution to improve non-usury banking performance. All divine religions emphasize on usury prohibition. It is concluded that with some IT solutions, it may be possible to fulfill the worldly requirement by use of IT systems without any incredulity. Since depositors are shareholders of Non-Usury Bank Corporation (NU Bank Co), therefore integrated information systems can provide suitable infrastructure for transactions recording and management done by all participants' chains; and the end of process the yields of investment capital of depositors that invest in real economy can be distributed by safe delivery channels such as branches, ATM, WEB, Meaningful WEB. IT (as BPR, ERP, CRM, SCM, MES, MEX, HRM, WFM) that use single and integrated data warehouses) accompanying with standardization in all processes not only prepare PLS mechanism as main difference between conventional and non-usury banking but also simplify risk management and decline operational risk in comparison with conventional non-usury banking. Foundation of real non-usury banking can be based on an integrated IT system that links depositors, NU Bank Co, business partners, investors, stock exchange agencies, social security organization, certificate authorities (CA). Therefore, all related sectors may access the working flow of capital; IT processes, investment returns, and this causes stability in financial markets and achieve social justice establishment. In this paper, we are going to find a solution to this question: is it possible to connect depositors, bank, and investors in an integrated IT system to bring out PLS mechanism? Accordingly, we use a new kind of bank named by "Non-Usury Bank Corporation (Nu bank Co)" to fulfill the PLS criterion. This kind of non-usury bank will be capable of being established in different commercial law systems around the world. Thus, it will provide a suitable environment to automate non-usury banking operations that connect profits of depositors, bank, and loaners all together by using financial automatic communication channels.

Who misses the newborn hearing screening? Five years’ experience in Friuli-Venezia Giulia Region (Italy)

IntroductionPermanent hearing impairment is the most common sensory disorder in newborns. The Universal Newborn Hearing Screening (UNHS) is widely adopted as a cost-effective procedure to achieve early identification and treatment of congenital hearing impairment, with the final goal of an improved linguistic and cognitive outcome for hearing impaired children. The Italian Ministry of Health has recently comprised UNHS in the Essential Level of Health Assistance. Nevertheless, programs still vary both across and within Italian Regions in terms of coverage, testing, referral and tracking protocols. In Friuli-Venezia Giulia region the program for the early identification of newborn and childhood hearing impairment is operative since 2012. In order to minimize the lost to follow-up cases, UNHS and childhood hearing surveillance activities have been organized in close collaboration among birth centres, paediatric audiology services, territorial Family Paediatricians and the sole regional centre for paediatric hearing loss management. Material and methodsWe performed a five years’ retrospective analysis of the UNHS experience in Friuli-Venezia Giulia comparing the UNHS activity of year 2013 and year 2017. The focus of the study concerns the “missing” cases. Three different typologies of “miss” cases (“documentation-miss”, “access-miss” and “pathway-miss”) have been defined in correspondence with main reasons for their occurrence. ResultsBirths in Friuli-Venezia Giulia were 9465 and 8432, respectively in 2013 and 2017. International quality indicators improved with a gain of efficiency in 5 years’ experience. However, “missing” cases were 486 in 2013 and 321 in 2017, mainly due to the lack of an efficient documentation system. ConclusionUNHS programs have proven to be valuable and cost-effective in Friuli-Venezia Giulia and other Italian regions. New resources and efforts are required to achieve a complete standardization and informatisation of the UNHS data to avoid documentation gaps. A possible strategy would point to the opportunity to unify data management systems for all the ongoing newborn screening programs (metabolic, hearing and visual), linking the integrated IT system with the regional repository of current datasets.

UPAYA PENINGKATAN PENERIMAAN PAJAK PASCA TAX AMNESTY PADA KANWIL DJP BALI

On July 1, 2016, the Government established Law No. 11 of 2016 concerning Tax Amnesty. This law has been postponed several times, after tough discussions in the House of Representative (Dewan Perwakilan Rakyat – DPR) since 2015. The failure to achieve tax revenues over the past few years has triggered the enactment of this law. The government sees that tax revenues are still low due to a lack of public awareness in reporting taxes, even though the government in the last few years has relied heavily on state revenues from the results of tax revenues. The World Bank notes that Indonesia's tax ratio in 2014 was only 10.84% ​​of Gross Domestic Income, while the average tax ratio of countries in the world was 14.81%. So the level of tax collectibility in Indonesia is still very small, so it is quite heavy in supporting state spending. The purpose of this study was to find out the benefits of tax amnesty as an effort to stimulate national income, to find out the magnitude of the tax amnesty contribution in increasing state revenues, and analyze the influence of several factors in increasing tax revenue after tax amnesty. The implementation of tax amnesty that ended at the end of March 2017 was quite good. The results showed that the number of taxpayers participating in the tax amnesty were 974,058, the amount was still small compared to the potential tax in the country. The amount of state revenue from the Tax amnesty is 107 trillion from 1,104.9 total realized tax revenues in 2016. An important point that must be done immediately after the tax amnesty is the administration update related to data and information management with an integrated IT system with all stakeholders, coordination of tax law enforcement through examination, and institutional transformation.

REPEATABLE DEPLOYMENT OF AN OPEN STANDARDS, OPEN SOURCE AND OPEN DATA STACK FOR BUILDING A FEDERATED MARINE DATA MANAGEMENT AND DECISION SUPPORT SYSTEM FOR SOUTH AFRICA

Abstract. The National Oceans and Coastal Information Management System (OCIMS) of South Africa is a large, integrated IT system for enhancing oceans, coastal and maritime governance, and supporting sustainable economic utilisation of ocean and coastal resources. This article is a case study, describing how a range of Free and Open Source Software are deployed to generate the Open Standards based core of this federated system for providing decision support applications in addition to data and information management, access and dissemination services. This article demonstrates the importance of modern software development and deployment approaches in constructing the OCIMS core and easing the integration process with other systems in the federation. Finally, this article discusses some lessons learned and reflects on the lineage of OCIMS architectural choices and how these approaches may need to adapt to changing computing environments.

It Tools Used in the Management of New Model of Economy, the Knowledge-Based Economy (Narzzdzia it Stosowane W Zarzzdzaniu Nowym Modelem Gospodarki Opartej Na Wiedzy)

The modern IT tools significantly influence the changes in the management methods, and their use also influences the changes of organisation methods and business processes management. Th e scope, range, time, and functional character of business are changed. The Internet plays a special role in the change of the nature and scope of the operations of the business. Our article tries to identify IT tools such as Data Warehouse (DM) systems, Customer Relationship Management (CRM) systems, Electronic Data Interchange (EDI), and Enterprise Resources Planning (ERP), an integrated IT system for management support, and to indicate their influence on the change of the traditional production process management model.

Indicators of development of the health system of Serbia and the effectiveness of the current economic model in health care

The subject of this analysis is the health system of Serbia. After consulting relevant sources, we present the indicators of health of the Serbian population and other parameters of development of the health system of Serbia. Special focus is on the analysis of the current economic model in the health sector in Serbia, primarily in terms of the method for creating public budget, its amount and structure of spending. Based on this analysis, the author presents a number of recommendations for improving the efficiency of spending public money. Some of the substantiated recommendations are as follows: transfer the savings from generic to innovative medicines, correct the list of services in the basic package of health insurance by the NHIF, give greater attention to the collection of contributions for health insurance, change the management model of the healthcare institutions, rationalization of non-medical staff, improving the transparency of public procurement, introduction of an integrated IT system, greater investment in prevention and primary care, more active use of special contracts which would enable the NHIF to more easily control spending of money for drugs, restructuring of Galenika through quality strategic partnerships and the integration of private and public health systems.

Research on Large Exhibition Venue Operation Management Integrated IT System

As started late, China's large exhibition venue industry lags behind the developed countries in the exhibition venue construction and management concepts, and lacks of integrated management over the full cycle of large exhibition venue projects, therefore, decision-making, implementation and operational phases are disjointed with each other and all sorts of drawbacks exist, meanwhile, the overall optimization of social, environmental and economic benefits and win-win situation between stakeholders are unable to be realized. This paper takes large exhibition venue project full cycle integrated management model as object of research and discusses the reason mechanism, connotation, organizational methods and information system of the integrated management. Focusing on large exhibition venue project operation, this paper makes a research and analysis on venue project full cycle integrated management information system demands, and proposes information integration transformation models (including integration relationship model, integration element model and integration mapping model) and comprehensively designs the system basic function framework, hierarchical framework and overall running framework, and also proposes key technologies used to realize the system.

P282 An Integrated IT System For COPD Between Primary, Secondary and Community Care Using SystmOne

Southend Hospital and South Essex PCT have been developing an integrated COPD service for over a decade. Information sharing between providers remained a barrier to improved services. SystmOne is a...

Health needs assessment in a male prison in England

Objectives To assess the health needs of prisoners in a male category B prison in Bristol, England, to identify areas for improving health in the prison. Study design Cross-sectional and qualitative. Methods Analysis of prisoners’ self-reported health needs at reception and at a secondary health screen; prisoners’ access to primary care, inpatients, mental health, sexual health and substance misuse services; and prescribed medications. Random selection of prisoners for interviews. Focus groups and interviews with staff and stakeholders. Results 18 prisoners were interviewed (29% of those randomly selected), five focus groups were held with staff and stakeholders involved in health care provision in the prison and four interviews were held with staff and stakeholders. The areas of greatest health needs were identified as dental care, mental health and substance misuse. Prisoners and staff generally reported good access to most health care staff, provision of prescribed medication, bloodborne virus vaccination and treatment of substance misuse. Twenty nine recommendations were identified with five high-priority areas for improvement including an urgent review of dental services; stronger joint commissioning arrangements for health and social care; installing an integrated IT system; prevention of disease and health promotion; better use of the voluntary sector. A detailed action plan was developed to address all the recommendations and this has formed the basis of a programme of ongoing quality improvement work which is monitored by the Prison Partnership Board. Progress has been made against all key areas. Conclusions The mixed methodology which involved analysis of health data and talking to a wide group of stakeholders, including prisoners, helped triangulate the data. The process of undertaking the health needs assessment shifted the focus from ’health care’ to ’health’. This has facilitated a significant reframing of the concepts of ’health’ and ’health need’ with ongoing work now focused on the prison as a whole system, not merely on the provision of health care within the prison. Many improvements have already been made in response to the assessment.

Complex system approach to interpretation of monitoring time series: two case histories from NW Bohemia

Ever wider implementation of information technologies is flooding us by monitoring data. To an efficient risk management, those data have to be processed and assessed in the same rate as they are recorded and transported. Paper demonstrates some methods dealing with intrinsic, nonlinear dynamics of slope system for computerized safety assessment of monitoring time series, their modeling and early warning launching. Analysis and modeling of phase changes – i.e. specific transient states between different developmental stages of dynamics of unstable slope systems, enabled to fix new types of precursors for rock fall warning and to enhance time prediction of rock fall occurrence. Mathematically well based, novel numerical and topological methods from the toolbox of complex system theory were successfully implemented to that challenge. Their pattern-recognition ability, i.e., diagnostic sensitivity, and more realistic results of modeling of time series relevant patterns have reached beyond ranges of regularly used—both the idea- and the data-driven—methods. Moreover, results yielded by phase space analyses are in good agreement with the ones by numerical fractal analyses. Obtained results have strengthened the primary, mainly theoretically based hypothesis; the dynamics of an unstable rock slope has to be considered as behavior of nonlinear, dissipative, non-equilibrium, self-organizing complex system. Correspondingly to the theoretical assumptions, two qualitatively different types of slope system dynamics—near to equilibrium and far from equilibrium states, were identified. All field monitoring data used originated in practice of highly automated, integrated IT system of monitoring assessment, and management of rock fall hazard at sandstone rock walls in the NW Bohemia.

Computer Integrated Enterprise in the MRP/ERP Software Implementation

Computer Integrated Enterprise in the MRP/ERP Software Implementation The aim of this elaboration is to present selected methodology, application and design issues connected with the process of complex enterprise informatization in the implementation process of an IT system. Role of the integration process in economic information processing and directions of integration activities in the scope of the IT systems of the enterprise are presented in the first part of this elaboration. Afterwards, technical features of an integrated IT system are characterized. Thesis that particular systems are comparable in the scope of functionality of the basic areas of activity of the enterprise, such as: accounting, material and stock planning, sales and invoicing, human resources, wages, can be formulated on the basis of the national portfolio of ERP (Enterprise Recourses Planning) packages. On the other hand, the cost of license purchase as well as the implementation activities, reaches the level from tens of thousands to few million PLN. Differences in the levels of investments are determined with: scope and complexity of the endeavor, functionality and system architecture as well as the cost of extension and modification of provided program modules.

Virtual Home Library System—— Let every Chinese family having their own libraries

Virtual Home Library (VHL) is an integrated IT system that utilizes virtual reality technology and an IPTV set-top box (STB) to virtually construct a ‘library’ and the relevant reading environment on televisions in people’s home. Unlike the online e-book reading applications, Virtual Home Library can be applied on televisions – the world’s most convenient and most efficient communication tool. Providing extended digital library services, it will be a perfect group reading utility for family readers. The system has been investigated by a joint research team formed by the National Library of China and the Communication University of China, collaborating with a Chinese IPTV equipment manufacturer. This paper presents some preliminary investigations of the VHL system performed by the research team.