政府的組織再造

讓有資訊的人做決定

在現行的政府組織架構中,我們期望著首長能做出一個最好的決策,但是在這個組織架構上,下層組織的辦事員,
可能擁有更豐富的資訊,是長官所不懂的,不是長官們不優秀,而是人的能力有限,在這種分工細緻,知識多源的環境中,我們不可能期待一個日理萬機的長官,全盤了解,而是要建立一個更有效率的資訊處理架構,把決策權下放,讓手中有資訊的人,做最合理完美的決策。

過去的政府的組織架構,多採助功能性的設計,橫向的連絡不足,系統複雜,資訊的交流不足,而資訊的匯整工作,卻變成長官需要做的事情,造成某些重要資訊遭到隱匿。

Modules, Classes and Objects in CPOE

The advantages of the disease-oriented approach are the structuredness of object-
oriented modeling for shortening the time of physicians’ data entry and prescribing.

This results in physician order entry system POES that is highly flexible and comprehensible and that can be easily expanded, scaled, and changed  by individual physicians’ needs as a result of its modular approach.

All similar objectives (e.g.,medications and laboratoy examination) are combined into one class scheme,
which is dependents of that physician’s essential characteristics and individual behavior.

The qualities are indispensable for ever more complex modern systems. Through the modular approach, individual components (disease oriented objective) can be reused in a multitude of different scenarios and applications, leading to time and cost savings in seeing a new patients or following the old.

E-Prescribing Collaboration in Massachusetts

J.Am Med Inform Assoc. 2006:13:239-244

Ten barriers for E-Prescibing

1. Previous Negative Technology Experience

2.   Inital and Long-Term Cost

3.  Lost Productivity

4. Competing Priorities

5. Change Management Issues

6. Interoperability limitations

7. Information Technology IT requirements

8. Standards Limitations

9. Waiting for an "All in One Solution"

10 Confusion about competing product offerings including hospital/Integrated Delivery System (IDN)