PMID- 10313464 OWN - NLM STAT- MEDLINE DCOM- 19900525 LR - 20170214 IS - 0951-4848 (Print) IS - 0951-4848 (Linking) VI - 2 IP - 3 DP - 1989 Nov TI - The design and implementation of a management information system for Australian public hospitals. PG - 176-90 AB - Existing management information systems (MIS) in hospitals are often inadequate. This has occurred because of a variety of antecedents, including past funding mechanisms, organisational structure and the accepted role of management. A variety of new pressures, including demands for increased accountability, greater resource control and changing relationships between physicians and hospitals are demanding improved MIS to enable the hospital to manage. This paper explores these influences on past and future hospital MIS. It describes the design of a MIS that enables patient care to be costed in clinically meaningful ways. Patient costs may be aggregated to cost specific diagnoses and procedures, Diagnosis Related Groups (DRG), a clinician's case load, a clinical unit or a division. The information can be used for clinical budgeting, flexible budgeting, utilisation review and quality assurance. FAU - Stoelwinder, J U AU - Stoelwinder JU FAU - Abernethy, M A AU - Abernethy MA LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Health Serv Manage Res JT - Health services management research JID - 8811549 MH - Australia MH - Budgets MH - Computer Systems MH - Cost Allocation MH - Diagnosis-Related Groups/economics MH - Hospital Departments/*economics MH - Hospitals, Public/*organization & administration MH - *Management Information Systems EDAT- 1989/10/06 00:00 MHDA- 1989/10/06 00:01 CRDT- 1989/10/06 00:00 PHST- 1989/10/06 00:00 [pubmed] PHST- 1989/10/06 00:01 [medline] PHST- 1989/10/06 00:00 [entrez] AID - 10.1177/095148488900200302 [doi] PST - ppublish SO - Health Serv Manage Res. 1989 Nov;2(3):176-90. doi: 10.1177/095148488900200302.