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Health Care Information Systems: A Practical Approach for Health Care Management, 3rd Edition

Book Description

This most widely used textbook in the field has been thoroughly revised and updated to reflect changes in the health care industry and the renewed focus on health care information technology initiatives. Two new chapters cover Federal efforts to enhance quality of patient care through the use of health care information technology and strategy considerations. Additionally, reflecting the increased focus on global health, the book features an international perspective on health care information technology. Case studies of organizations experiencing management-related information system challenges have been updated and several new cases have been added. These reality-based cases are designed to stimulate discussion among students and enable them to apply concepts in the book to real-life scenarios. The book's companion Web site features lecture slides, a test bank, and other materials to enhance students' understanding.

Table of Contents

  1. Cover Page
  2. Title Page
  3. Copyright
  4. Contents
  5. Tables, Figures, and Exhibits
    1. TABLES
    2. FIGURES
    3. EXHIBITS
  6. Foreword
  7. Dedication
  8. Preface
    1. PURPOSE AND ORGANIZATION OF THIS BOOK
    2. IT CHALLENGES IN HEALTH CARE
    3. RISING TO THE CHALLENGES
    4. REFERENCES
  9. Acknowledgments
  10. The Authors
  11. Part One: Health Care Information
    1. Chapter 1: Introduction to Health Care Information
      1. LEARNING OBJECTIVES
      2. TYPES OF HEALTH CARE INFORMATION
      3. INTERNAL DATA AND INFORMATION: PATIENT SPECIFIC—CLINICAL
      4. INTERNAL DATA AND INFORMATION: PATIENT SPECIFIC—ADMINISTRATIVE
      5. INTERNAL DATA AND INFORMATION: PATIENT SPECIFIC—COMBINING CLINICAL AND ADMINISTRATIVE
      6. INTERNAL DATA AND INFORMATION: AGGREGATE—CLINICAL
      7. INTERNAL DATA AND INFORMATION: AGGREGATE—ADMINISTRATIVE
      8. INTERNAL DATA AND INFORMATION: AGGREGATE—COMBINING CLINICAL AND ADMINISTRATIVE
      9. EXTERNAL DATA AND INFORMATION: COMPARATIVE
      10. EXTERNAL DATA AND INFORMATION: EXPERT OR KNOWLEDGE BASED
      11. SUMMARY
      12. KEY TERMS
      13. LEARNING ACTIVITIES
      14. REFERENCES
    2. Chapter 2: Health Care Data Quality
      1. LEARNING OBJECTIVES
      2. DATA VERSUS INFORMATION
      3. PROBLEMS WITH POOR-QUALITY DATA
      4. ENSURING DATA AND INFORMATION QUALITY
      5. SUMMARY
      6. KEY TERMS
      7. LEARNING ACTIVITIES
      8. REFERENCES
    3. Chapter 3: Health Care Information Regulations, Laws, and Standards
      1. LEARNING OBJECTIVES
      2. LICENSURE, CERTIFICATION, AND ACCREDITATION
      3. PATIENT SAFETY ORGANIZATIONS
      4. LEGAL ASPECTS OF MANAGING HEALTH INFORMATION
      5. SUMMARY
      6. KEY TERMS
      7. LEARNING ACTIVITIES
      8. REFERENCES
  12. Part Two: Health Care Information Systems
    1. Chapter 4: History and Evolution of Health Care Information Systems
      1. LEARNING OBJECTIVES
      2. DEFINITION OF TERMS
      3. HISTORY AND EVOLUTION
      4. SUMMARY
      5. KEY TERMS
      6. LEARNING ACTIVITIES
      7. REFERENCES
    2. Chapter 5: Clinical Information Systems
      1. LEARNING OBJECTIVES
      2. THE ELECTRONIC HEALTH RECORD
      3. OTHER MAJOR HCIS TYPES
      4. FITTING APPLICATIONS TOGETHER
      5. OVERCOMING BARRIERS TO ADOPTION
      6. SUMMARY
      7. KEY TERMS
      8. LEARNING ACTIVITIES
      9. REFERENCES
    3. Chapter 6: Federal Efforts to Enhance Quality of Patient Care through the Use of Health Information Technology
      1. LEARNING OBJECTIVES
      2. HITECH ACT
      3. HEALTH CARE REFORM: NEW MODES OF CARE AND PAYMENT REFORM
      4. HEALTH INFORMATION EXCHANGE
      5. INFORMATION TECHNOLOGY RAMIFICATIONS OF NEW MODELS OF CARE AND PAYMENT REFORM
      6. SUMMARY
      7. KEY TERMS
      8. LEARNING ACTIVITIES
      9. REFERENCES
    4. Chapter 7: System Acquisition
      1. LEARNING OBJECTIVES
      2. SYSTEM ACQUISITION: A DEFINITION
      3. SYSTEMS DEVELOPMENT LIFE CYCLE
      4. SYSTEM ACQUISITION PROCESS
      5. PROJECT MANAGEMENT TOOLS
      6. THINGS THAT CAN GO WRONG
      7. SUMMARY
      8. KEY TERMS
      9. LEARNING ACTIVITIES
      10. REFERENCES
    5. Chapter 8: System Implementation and Support
      1. LEARNING OBJECTIVES
      2. SYSTEM IMPLEMENTATION PROCESS
      3. MANAGING THE ORGANIZATIONAL ASPECTS
      4. SYSTEM SUPPORT AND EVALUATION
      5. SUMMARY
      6. KEY TERMS
      7. LEARNING ACTIVITIES
      8. REFERENCES
  13. Part Three: Information Technology
    1. Chapter 9: Technologies That Support Health Care Information Systems
      1. LEARNING OBJECTIVES
      2. INFORMATION TECHNOLOGY ADOPTION CHALLENGES
      3. DATA MANAGEMENT AND ACCESS
      4. NETWORKS AND DATA COMMUNICATIONS
      5. INFORMATION DISTRIBUTION SCHEMES
      6. REMOTE ACCESS TECHNOLOGIES
      7. INTERNET AND WEB CONCEPTS AND APPLICATIONS
      8. E-COMMERCE IN HEALTH CARE
      9. CLINICAL AND MANAGERIAL DECISION SUPPORT
      10. INFORMATION SYSTEMS ARCHITECTURE
      11. SUMMARY
      12. KEY TERMS
      13. LEARNING ACTIVITIES
      14. REFERENCES
    2. Chapter 10: Health Care Information System Standards
      1. LEARNING OBJECTIVES
      2. STANDARDS DEVELOPMENT PROCESS
      3. CLASSIFICATION STANDARDS
      4. VOCABULARY AND TERMINOLOGY STANDARDS
      5. HEALTH RECORD CONTENT AND FUNCTIONAL STANDARDS
      6. SUMMARY
      7. KEY TERMS
      8. LEARNING ACTIVITIES
      9. REFERENCES
    3. Chapter 11: Security of Health Care Information Systems
      1. LEARNING OBJECTIVES
      2. THE HEALTH CARE ORGANIZATION'S SECURITY PROGRAM
      3. THREATS TO HEALTH CARE INFORMATION
      4. OVERVIEW OF THE HIPAA SECURITY RULE
      5. OUTLINE OF THE HIPAA SECURITY RULE
      6. HITECH EXPANSION OF THE HIPAA SECURITY RULE
      7. ADMINISTRATIVE SAFEGUARDS
      8. PHYSICAL SAFEGUARDS
      9. TECHNICAL SAFEGUARDS
      10. SECURITY IN A WIRELESS ENVIRONMENT
      11. REMOTE ACCESS SECURITY
      12. SUMMARY
      13. KEY TERMS
      14. LEARNING ACTIVITIES
      15. REFERENCES
  14. Part Four: Senior Management IT Challenges
    1. Chapter 12: Organizing Information Technology Services
      1. LEARNING OBJECTIVES
      2. INFORMATION TECHNOLOGY FUNCTIONS
      3. ORGANIZING IT STAFF AND SERVICES
      4. IN-HOUSE VERSUS OUTSOURCED IT
      5. EVALUATING IT EFFECTIVENESS
      6. SUMMARY
      7. KEY TERMS
      8. LEARNING ACTIVITIES
      9. REFERENCES
    2. Chapter 13: IT Alignment and Strategic Planning
      1. LEARNING OBJECTIVES
      2. IT PLANNING OBJECTIVES
      3. OVERVIEW OF STRATEGY
      4. VECTORS FOR ARRIVING AT IT STRATEGY
      5. THE IT ASSET
      6. A NORMATIVE APPROACH TO DEVELOPING ALIGNMENT AND IT STRATEGY
      7. IT STRATEGY AND ALIGNMENT CHALLENGES
      8. CHARACTERISTICS OF STRATEGIC THINKING
      9. SUMMARY
      10. KEY TERMS
      11. LEARNING ACTIVITIES
      12. REFERENCES
    3. Chapter 14: Strategy Considerations
      1. LEARNING OBJECTIVES
      2. COMPLEMENTARY STRATEGIES
      3. STRATEGY EVOLUTION
      4. GOVERNING CONCEPTS
      5. THE COMPETITIVE VALUE OF IT
      6. SUMMARY
      7. KEY TERMS
      8. LEARNING ACTIVITIES
      9. NOTES
      10. REFERENCES
    4. Chapter 15: IT Governance and Management
      1. LEARNING OBJECTIVES
      2. IT GOVERNANCE
      3. IT EFFECTIVENESS
      4. IT BUDGET
      5. SUMMARY
      6. KEY TERMS
      7. LEARNING ACTIVITIES
      8. NOTE
      9. REFERENCES
    5. Chapter 16: Management's Role in Major IT Initiatives
      1. LEARNING OBJECTIVES
      2. MANAGING CHANGE DUE TO IT
      3. MANAGING IT PROJECTS
      4. UNDERSTANDING IT INITIATIVE FAILURES
      5. SUMMARY
      6. KEY TERMS
      7. LEARNING ACTIVITIES
      8. REFERENCES
    6. Chapter 17: Assessing and Achieving Value in Health Care Information Systems
      1. LEARNING OBJECTIVES
      2. DEFINITION OF IT-ENABLED VALUE
      3. THE IT PROJECT PROPOSAL
      4. STEPS TO IMPROVE VALUE REALIZATION
      5. WHY IT FAILS TO DELIVER RETURNS
      6. ANALYSES OF THE IT VALUE CHALLENGE
      7. SUMMARY
      8. KEY TERMS
      9. LEARNING ACTIVITIES
      10. REFERENCES
    7. Chapter 18: Health IT Leadership
      1. CASE 1: BOARD SUPPORT FOR A CAPITAL PROJECT
      2. CASE 2: THE DECISION TO DEVELOP AN IT STRATEGIC PLAN
      3. CASE 3: SELECTION OF A PATIENT SAFETY STRATEGY
      4. CASE 4: STRATEGIC IS PLANNING FOR THE HOSPITAL ED
      5. CASE 5: PLANNING AN EHR IMPLEMENTATION
      6. CASE 6: IMPLEMENTING A CAPACITY MANAGEMENT INFORMATION SYSTEM
      7. CASE 7: IMPLEMENTING A TELEMEDICINE SOLUTION
      8. CASE 8: REPLACING A PRACTICE MANAGEMENT SYSTEM
      9. CASE 9: CONVERSION TO AN EHR MESSAGING SYSTEM
      10. CASE 10: CONCERNS AND WORKAROUNDS WITH A CLINICAL DOCUMENTATION SYSTEM
      11. CASE 11: STRATEGIES FOR IMPLEMENTING CPOE
      12. CASE 12: IMPLEMENTING A SYNDROMIC SURVEILLANCE SYSTEM
      13. CASE 13: THE ADMITTING SYSTEM CRASHES
      14. CASE 14: BREACHING THE SECURITY OF AN INTERNET PATIENT PORTAL
      15. CASE 15: ASSESSING THE VALUE AND IMPACT OF CPOE
      16. CASE 16: SELECTING AN EHR FOR DERMATOLOGY PRACTICE
      17. CASE 17: WATSON'S AMBULATORY EHR TRANSITION
      18. CASE 18: ASSESSING THE VALUE OF HEALTH IT INVESTMENT
      19. SUGGESTED LISTING OF PUBLISHED HEALTH IT-RELATED CASES
      20. NOTE
  15. Appendixes
    1. APPENDIX A: Overview of the Health Care IT Industry
      1. THE HEALTH CARE IT INDUSTRY
      2. SOURCES OF INDUSTRY INFORMATION
      3. HEALTH CARE IT ASSOCIATIONS
      4. SUMMARY
      5. LEARNING ACTIVITIES
      6. REFERENCES
    2. APPENDIX B: Sample Project Charter
      1. FOREWORD
      2. BUSINESS REQUIREMENTS
      3. VISION OF THE SOLUTION
      4. SCOPE AND LIMITATIONS
      5. PROJECT SUCCESS FACTORS
      6. BUDGET HIGHLIGHTS
      7. TIMELINE
      8. PROJECT ORGANIZATION
      9. PROJECT MANAGEMENT STRATEGIES
    3. APPENDIX C: International Adoption and Use of Health Information Technology
      1. THE ADOPTION AND USE OF HEALTH IT FROM VARIOUS REGIONS OF THE WORLD
      2. LESSONS FROM GLOBAL LEADERS
      3. CONCLUSION
      4. REFERENCES
  16. Index