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The New South Wales
Medical Record Department Benchmarking Project: a work in progress
Michelle Bramley [ PDF
]
Abstract
Benchmarking is having an increasing impact on the health
information management (HIM) profession. With the current focus in
healthcare on competition and outcomes, the challenge for managers
of MRDs (predominantly HIMs) lies in proving that what they do, and
the way they do it, achieves results which benefit the organisation
and, ultimately, the patient or client. The Medical Record
Department (MRD) Benchmarking Project is an initiative being
undertaken on behalf of the HIM profession in New South Wales by the
Health Information Management Association of Australia Limited (NSW
Branch). The project has five phases and this article describes
Phases 1 and 2, which comprised a survey of MRDs to identify any
current performance indicator/benchmarking activities and to
determine priorities for benchmarking. As the project progresses,
further articles will appear in Health Information Management.
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Which competencies
do health information managers working in public hospitals perceive
to be important for effective performance?
Joanne Callen [ PDF
]
Abstract
The aim of this study was to ascertain which competencies health
information managers (HIMs) working in public hospital positions
perceived were important for effective performance. A health
information management competency model was developed based on the
Boyatzis (1982) managerial competency model and modified to take
into account previous health information management competency
documents and competency studies in the Australian health service
management literature.
A questionnaire,
administered between July 1995 and June 1996, asked a sample of 306
health information managers (HIMs) from 71 New South Wales and
Victorian public hospitals to rate the importance of managerial
competencies for effective performance in their current roles. The
study sample was split, post survey, into two groups, ‘managerial
HIMs’ and ‘coder HIMs,’ in order to reflect important role
differences.
The results showed
that the Personal and interpersonal skills competency
cluster, which included leadership, motivation, problem solving,
managing change and negotiation skills, was ranked as most
important by managerial HIMs in NSW, and the Clinical
classification skills competency cluster was ranked as most
important by Victorian managerial HIMs. This difference was thought
to be due to the casemix-based funding environment in Victoria at
the time of data collection. Nearly all the competencies listed were
perceived to be of ‘high’ to ‘medium’ importance (on a scale
of ‘low’, ‘medium’ and ‘high’) by managerial HIMs from
both states. Coder HIMs from both states perceived fewer
competencies included in the developed model to be important; this
highlights the divergent roles undertaken by ‘coder HIMs’ and
‘managerial HIMs’.
Further work is
required on competencies of HIMs in roles other than hospital-based
positions.
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