7 pp. / All Arizona wells must be registered with the ADWR. Domestic private well are not overseen or regulated by ADEQ. The well owner has the responsibility for maintaining and ownership status of the well and is also responsible for its operating performance and for checking its water quality. The purpose of this publication is to assist well owners to check the registration of their well by searching the ADWR imaged records files, and how to keep well installation and maintenance records current.

Government archivists serve more than one interest. They are responsible to citizens, as the source of democratic power, and they are responsible to government, as their employer, and as the creator of the records through which government is held accountable to citizens. This thesis explores the role that archives and archivists can play in support of democratic accountability, and traces the historical development of archivists' perceptions of that role. Examples of conflict between serving citizens and serving the state are explored to demonstrate the potential for conflict in the work of government archivists. How government archivists perceive their responsibilities determines the role that archivists and thus archives play in democratic society. It also determines how archivists deal with the conflicts that can arise because of the dual nature of their responsibilities. Seven government archivists were interviewed about their perceptions of their responsibilities and role as public servants in a democratic state, and about their experiences with incidents when their responsibilities were in conflict. The interviews also explored the following factors that determine how government archivists fulfil their role: the expectations and restrictions put on public servants; the level of professional autonomy granted to government archivists as public servants; the predominance of economic determinism within government administrations; the attitude of the archival profession toward activism and advocacy; and the need for a watchdog over government record-keeping. The findings of the interviews led to the conclusion that archivists need to articulate a strong, common language of purpose that emphasizes the importance of preserving and providing access to archives as the evidence of the actions of government administration. This strength, when accompanied by a clear understanding of the political nature of archival work, will help government archivists deal with the constraints and conflicts of their position within government and within society.

No description available.

Every municipality in Manitoba has a distinct and valuable history, but many stories are already lost, and many more are at risk due to poor recordkeeping and archiving. Municipal records document local decisions, actions, finances, the relationship between governments and citizens, and much more. Most of this information is only available in municipal government records; it does not exist anywhere else. Additionally, despite municipal reliance on local records and archives in their day-to-day operations, and as a key source in constructing specific community identities, many municipal government offices have neglected, forgotten, or no longer see the value in maintaining an archive. As a result, municipal governments cannot be held fully accountable for their actions and are unable to abide by the archival requirements of the Municipal Act and the access and privacy provisions outlined in the Freedom of Information and Protection of Privacy Act. They are also thereby failing to take advantage of the archival services offered through the Archives of Manitoba as outlined in the province’s Archives and Recordkeeping Act. This project examines how municipal employees and citizens view recordkeeping, particularly how archival records are considered. In order to learn how municipal officials deal with both their current and archival records a survey was sent to all the municipalities in Manitoba outside of Winnipeg, which was excluded because it had made considerable recent progress by establishing a city archives. Driven by a concern that municipal records outside of Winnipeg are not being adequately managed and archived, this thesis studies the way municipalities are treating both their operational and archival records. These findings are contextualized by looking at municipal archives and archival practices across Canada. Finally, the thesis provides some suggestions for improving recordkeeping practices in Manitoba’s municipalities.

Information technology (IT) is increasingly being used in the classroom to support instruction. This work addresses the integration of electronic medical records (EMRs) into undergraduate health informatics (HI) education. Such systems have been used to some extent in health professional education but effective integration into HI education remains a gap. This thesis explores the context of integration using the concept of Technological Pedagogical Content Knowledge (TPCK). A structured literature review of previous integration efforts involving EMRs or similar systems in all disciplines was conducted as well as a documentation review specific to undergraduate HI programs to gather insight into current HI education. The findings from these were combined with those of an original qualitative research study done to gather views of instructors and students within one school. This work resulted in an application of TPCK which expands the original framework, describing key findings for the three knowledge bases and adding specific contextual considerations that emerged in terms of when to integrate, instructors, students, courses, technical aspects, system aspects, and overall learning pedagogy. This thesis is organized into nine chapters, beginning with an introduction which explains the rationale for undertaking this work. Next, theoretical perspectives for IT integration are discussed along with the specific EMR integration challenge being addressed. The two additional literature reviews are presented along with their findings which then leads to the research questions for the original study which was undertaken. The next two chapters outline study methods and results. The main questions are then revisited and answered with study findings supplemented by the literature reviews. This leads to the discussion of an initial framework as well as theoretical and practical implications and future research directions for work in this area. / Graduate

Rationale: The Cancer Agency Information System (CAIS) is the primary patient record for the British Columbia Cancer Agency (BCCA) but is only accessible on fixed computer workstations. The BCCA clinics have significant space limitations resulting in multiple healthcare providers sharing each workstation. Furthermore, workstations are not available in the patient examination rooms leading to multiple visit interruptions. Given that timely and efficient access to patient electronic records is fundamental in providing optimal patient care, the iPad Mobility Project was launched to introduce and evaluate the effect of mobile technologies and applications in improving access to CAIS and supporting clinicians’ workflow. Methods The project evaluation framework was created in collaboration with the project stakeholders including BCCA clinicians. The framework included pre- and post-implementation questionnaires, pre- and post-implementation observational sessions, and post-implementation semi-structured interviews. Survey questionnaires mainly included standardized scales used to measure user expectations and perceptions before and after information systems implementation. Also, based on Canada Infoway System and Use Survey, the post-implementation questionnaire included questions that measure the mobile system success in terms of information quality, system quality, service quality, user satisfaction, and use measures. The response rate was 84% (n=44) for the baseline survey and 76% (n=52) for the post-implementation survey. Also, baseline and post-implementation observational sessions (n=5, n=6 respectively) were conducted to provide real-time data about the use of the available record keeping systems before and after the mobile system implementation. Post-implementation semi-structured interviews (n=11) were conducted to allow clinicians to reflect on their use of the iPad and VitalHub Chart application. Results: The results showed an overwhelmingly positive attitude to the use of the iPad and the VitalHub Chart application to support clinicians’ mobile workflow through enhanced access to CAIS. Perceived benefits were related to three major categories: information accessibility and inter-professional communication; workflow efficiency and provider productivity, and patient care quality and safety. Conversely, perceived challenges were related to three major categories: software related challenges, hardware related challenges, and network infrastructure-related issues. Furthermore, the results showed that the success of mobile computing technology depends on its ability to support access to patients’ electronic records and other central clinical information systems, on mobile devices and their applications’ ergonomic features, and on end-user participation in mobile computing projects. Implications Mobile computing technologies have the potential to improve data accessibility, communication mechanisms, patient care quality, and workflow efficiency. However, realizing the full potential benefits of mobile computing technologies rely on several factors. Healthcare organizations need to have clear understanding of end users’ needs, expectations, clinical tasks, and workflow. Engaging end-users in mobile computing technologies projects from the early stages of the project is essential to identify the various complex human, organizational, and contextual factors that affect the success of enterprise-wide mobile computing technology projects. Due to their inherent limitations, mobile computing technologies should be considered as complementary to and not as replacement to fixed computer workstations. Also, evaluating mobile technologies and applications usability is essential for both the success and safety of such innovative solutions. / Graduate / 0723 / 0566 / banimelh@uvic.ca

With an aging population, chronic disease is rapidly becoming the major focus for the health care system as it affects the physical, emotional and mental well-being of individuals. Chronic disease management is a systematic approach offering real opportunities for improving the service quality for people with chronic disease. It can be delivered more effectively and efficiently if the providers are supported with knowledge-based resources and external expertise in the form of computer decision support. Increasing uptake of electronic medical records (EMRs) offers valuable opportunities for analysis and quality assurance of clinical practice; but making appropriate inferences about chronic disease management in non-trivial. / Thesis (PhD)--University of South Australia, 2006.

Thesis (MNurs)--University of South Australia, 1999

Thesis (Ph.D.)--University of Wisconsin--Madison, 2007. / Includes bibliographical references (p. 309-323). Also available via ProQuest Digital Dissertations.

Thesis (M.S.)--West Virginia University, 2007. / Title from document title page. Document formatted into pages; contains v, 47 p. : ill. (some col.). Includes abstract. Includes bibliographical references (p. 47).