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Healthcare Information Technology Exam Guide for CompTIA Healthcare IT Technician and HIT Pro Certifications

Book Description

The Complete Healthcare Information Technology Reference and Exam GuideGain the skills and knowledge required to implement and support healthcare IT (HIT) systems in various clinical and healthcare business settings. Healthcare Information Technology Exam Guide for CompTIA Healthcare IT Technician and HIT Pro Certifications prepares IT professionals to transition into HIT with coverage of topics ranging from health data standards to project management. The ebook version does not provide access to the companion files.

Table of Contents

  1. Cover
  2. Healthcare Information Technology Exam Guide for CompTIA® Healthcare IT Technician and HIT Pro TM Certifications
  3. Copyright
  4. Dedication
  5. About the Lead Authors
  6. COMPTIA Approved Quality Content
  7. Contents at a Glance
  8. Contents
  9. Foreword
  10. Acknowledgments
  11. Introduction
  12. Part I Healthcare Organizational Behavior
    1. Janet Marchibroda, Editor
    2. Chapter 1 An Overview of Healthcare in the United States
      1. Julia Adler-Milstein, David Blumenthal
      2. Macro View: What We Spend and What We Get
        1. Cost
        2. Quality
        3. Access
      3. The Institutions and Individuals That Comprise Our Healthcare System
        1. Organizations and Institutions
        2. Healthcare Professionals
      4. Types and Organization of Care
      5. The Role of Government
        1. Public Health
      6. Chapter Review
      7. References
    3. Chapter 2 An Overview of How Healthcare Is Paid for in the United States
      1. Cary Sennett, Donald Nichols
      2. The Nature of Health Insurance
      3. The Structure of Health Insurance
      4. Insurance in the United States
        1. Insurance Products
        2. Commercial (Private) Insurance in the United States
        3. Medicare
        4. Medicaid
        5. Uncompensated Care
      5. Chapter Review
        1. Questions
        2. Answers
        3. References
    4. Chapter 3 Ethics and Healthcare: Focus on Information Technology
      1. Kenneth W. Goodman
      2. Law, Ethics, and Professionalism
        1. Professional Standards and Values
        2. Tools for Ethical Analysis
      3. Appropriate Uses and Users
        1. Decision-Support Systems
        2. Electronic Health Record Data
        3. Quality Assessment, Error Reduction, Outcomes, and Research
      4. Privacy and Confidentiality
        1. Foundations and Definitions
        2. HIPAA
      5. Special Challenges
        1. Genetics and Bioinformatics
        2. Documentation
        3. Interactions with Industry
        4. Social Networking and the Web
      6. Chapter Review
        1. Questions
        2. Answers
        3. References
    5. Chapter 4 The Role of Information Technology in Healthcare
      1. Janet M. Marchibroda with David deBronkart
      2. An Overview of Electronic Health Records and Their Use by Physicians and Hospitals Across the United States
        1. Physician Use of Electronic Health Records
        2. Hospital Use of Electronic Health Records
      3. Federal Programs Designed to Address Barriers to EHR Adoption
      4. An Overview of Methods to Electronically Exchange Data Across Settings
      5. Engaging Consumers Using Electronic Tools
        1. Electronic Tools Supporting Patient Education and Self-Care
        2. Electronic Tools Supporting Patient Information and Transaction Needs Associated with Care Delivery
        3. Use of Consumer-Facing Electronic Tools to Support Care Delivery
        4. Looking Forward
      6. Chapter Review
        1. Questions
        2. Answers
        3. References
    6. Chapter 5 An Overview of Processes Associated with Healthcare Delivery Within Provider Organizations: Focus on the Ambulatory Setting
      1. Michael Stearns
      2. An Overview of Key Process Associated with Healthcare Delivery in the Ambulatory Setting
      3. Initiating a Visit with an Ambulatory Provider
      4. The Clinician Visit
        1. The Problem List
        2. The Medication List
        3. Electronic Prescribing Applications
        4. The Past Medical History
        5. Allergies
        6. Immunization History
        7. The Family History
        8. The Social History
        9. Others
      5. The Clinician Visit
        1. The Chief Complaint
        2. The History of Present Illness (HPI)
        3. Past, Family, and Social History (PFSH)
        4. Review of Systems (ROS)
        5. The Physical Examination
        6. Diagnostic Test Results
        7. The Assessment
        8. The Plan
        9. Note Conclusion
      6. Transitions and Coordination of Care and Additional Workflows
        1. Document Storage and Messaging
        2. Coordination of Care
        3. Clinical Decision Support
        4. Report Generation
        5. Order Tracking
      7. Chapter Review
        1. Questions
        2. Answers
        3. References
    7. Chapter 6 An Overview of Processes Associated with Healthcare Payment Within Ambulatory Provider Organizations
      1. Robert M. Tennant
      2. Foundational Standards Impacting the Claims Revenue Cycle
      3. ACA Administrative Simplification Provisions
        1. Operating Rules
        2. National Identifiers
      4. Practice Management System Software
      5. The Claims Revenue Cycle
        1. Patient Scheduling
        2. Patient Intake
        3. Patient Identification Cards
        4. Insurance Eligibility Verification
        5. Changes to Patient Insurance Coverage
        6. Medical Coding
        7. Claims Submission
        8. Real-Time Claims Adjudication (Negotiations Toward Settlement)
      6. Payments and Denial Management
        1. Explanation of Benefits/Remittance Advice
        2. Electronic Funds Transfer
        3. Patient Collections
        4. Patient Use of the Practice Web Site
      7. Chapter Review
        1. Questions
        2. Answers
        3. References
    8. Chapter 7 Using Healthcare IT to Measure and Improve Outcomes
      1. Floyd P. Eisenberg
      2. Considering Automated Queries for Measurement: How to Ask Questions to an EHR
      3. Why Measure Quality?
      4. What Makes a Quality Measure Worth Measuring?
        1. Evidence-Based Clinical Practice Guidelines
      5. What Is the Connection Between Clinical Decision Support and Quality Measurement?
      6. What Is the Measure of a Measure?
        1. What Are the Types of Measures, and How Are They Different?
      7. What Are the Expectations for the EHR to Perform Measurement?
      8. What Changes Are Needed to Enable Electronic Quality Measurement?
        1. The International Health Information Terminology Standards Development Organization
      9. How Are Value Sets Standardized?
      10. Moving Forward: Retooling vs. Creating Measures de Novo Based on Data in EHRs
      11. Chapter Review
        1. Questions
        2. Answers
        3. References
    9. Chapter 8 The Role of Healthcare IT in Improving Population Health
      1. J. Marc Overhage
      2. Public Health Reporting
      3. Registries
      4. Health Alerts
      5. Privacy and Security
      6. Scope of Data
      7. Clinical Information Standards
      8. Trends and What to Expect in the Future
      9. Chapter Review
        1. Questions
        2. Answers
        3. References
    10. Chapter 9 Strategic Leadership and Management of Health Information Technology in Provider Organizations
      1. John Glaser
      2. Why Are Some Organizations Very Effective at Using Information Technology?
        1. The Role of Leadership
        2. Effectiveness Factors
        3. Summary
      3. Aligning the IT Strategy with the Organization’s Strategy
        1. Strategic IT Planning Objectives
        2. The Process of Developing an IT Strategy
        3. IT Strategic Plan Results
      4. Executing the Plan: Project Management
        1. Project Roles
        2. Project Committees
        3. Key Project Elements
      5. Executing the Plan: Success Factors
        1. Strong Organizational Vision and Strategy
        2. Talented and Committed Leadership
        3. A Partnership Among the Clinical, Administrative, and Information Technology Staffs
        4. Thoughtful Redesign of Clinical Processes
        5. Excellent System Implementation Skills
        6. Good to Excellent Information Technology
      6. Key Leadership Capabilities of Senior Executives
        1. Leadership Behaviors
        2. Summary
      7. Key Leadership Capabilities of the Information Technology Leadership
        1. Emotional Intelligence
        2. Expectation Management
        3. Understanding the Business
        4. Leadership
        5. Innate Talent
        6. Adaptability
        7. Credibility and Trust
        8. High-Quality IT Staff
        9. Evolution of Leadership Capabilities
      8. Chapter Review
        1. Questions
        2. Answers
        3. References
    11. Chapter 10 Communication Skills in Healthcare IT, Building Strong Teams for Successful Healthcare IT Outcomes
      1. Liz Johnson
      2. Importance of Communications in Healthcare IT Initiatives
        1. Leadership and Governance
        2. Rules for Governance
      3. Focus on Customers and Players
        1. Patients and Communities
        2. Physicians
        3. Nursing Workforce
        4. IT Departments and Multidisciplinary Project Teams
        5. Healthcare System Leadership
      4. Building a Communications Plan
        1. Project Phases and the Communication Functions
        2. Communication Metrics
      5. Key Industry Considerations
        1. The Expanding World of Media
        2. Role of Federal Healthcare Agencies
        3. Role of Regulatory Standards and the Evolution of Health Information Exchange
      6. Chapter Review
        1. Questions
        2. Answers
        3. References
  13. Part II Healthcare Regulatory Requirements
    1. Donald T. Mon, Editor
    2. Chapter 11 Healthcare Information Technology and Healthcare Policy
      1. Liz Johnson, Judy Murphy
      2. Forces of Change in Today’s National Healthcare System
        1. PITAC: The Winds of Change
        2. President Bush’s Executive Order and the Birth of the ONC
        3. Healthcare IT Training Programs: An Essential Element of Reform
        4. The Health Insurance Portability and Accountability Act (HIPAA): Privacy and Security
        5. EHR Certification and the Changing Role of CCHIT
        6. Standards and the National Health Information Network
        7. Interoperability
        8. Nonprofit Organizations Driving Reform: AMIA and HIMSS
      3. Mandate for Reform: ARRA and Its HITECH Provision
        1. HITECH Incentives for Meaningful Use of EHRs
        2. Milestones in Meaningful-Use Reform
        3. What’s New in Stage 2?
        4. Quality Measures
        5. ONC and Establishment of the HIT Policy and Standards Committees
        6. Standards and Interoperability
        7. Privacy and Security
        8. Comparative Effectiveness Research
        9. Workforce Training
        10. NIH and NLM Grants to Support HIT Research
        11. SHARP Research Grants
      4. State and Regional Healthcare IT Programs
        1. State HIE Cooperative Agreement Program
        2. Beacon Communities
        3. Health IT Extension Program
      5. HIT Federal Advisory Committees and Agencies
        1. The HIT Policy Committee
        2. The HIT Standards Committee
        3. The National Committee on Vital and Health Statistics (NCVHS)
        4. The National Quality Forum (NQF)
      6. Influencing HIT Transformation through Testimony and Comment
      7. The Future
      8. Chapter Review
        1. Questions
        2. Answers
        3. References
    3. Chapter 12 Navigating Health Data Standards and Interoperability
      1. Joyce Sensmeier
      2. Introduction to Health Data Standards
      3. Standards Categories
        1. Health Data Interchange Standards
        2. Vocabulary Standards
        3. Content Standards
        4. Security Standards
        5. Standards Coordination, Harmonization, and Interoperability
        6. Testing and Certification
        7. Current Initiatives
        8. The Business Value of Health Data Standards
      4. Chapter Review
        1. Questions
        2. Answers
        3. References
        4. Additional Study
    4. Chapter 13 Regulatory Aspects of Healthcare IT: Legal Best Practices and Requirements
      1. Chris Apgar
      2. Introduction to the Healthcare Legal Environment
      3. HIPAA and HITECH Act Overview
        1. Legal Documents Review
        2. HIPAA Administrative Simplification Provisions
        3. HIPAA Privacy Rule
        4. HIPAA Security Rule (45 CFR Part 164, Subpart C)
        5. HIPAA Enforcement Interim Final Rule
        6. State Privacy Laws
        7. State Security Laws
      4. Chapter Review
        1. Questions
        2. Answers
        3. References
    5. Chapter 14 The Electronic Health Record as Evidence
      1. Kimberly A. Baldwin-Stried Reich
      2. Sources and Structure of Law
        1. The Constitution
        2. Statutes
        3. Administrative Agencies
        4. Court Decisions
      3. U.S. Governmental Organization and Function
        1. Structure and Function of the U.S. Court System
      4. The Patient’s Medical Record
      5. EHR Standards for Records Management and Evidentiary Support
      6. The Role and Use of the Medical Record in Litigation
        1. Paper-based Medical Records vs. Electronic Health Records (EHRs) in Discovery
        2. Discovery and Admissibility of the EHR
      7. The Federal Rules of Evidence (FRE)
        1. Medical Records as Hearsay
        2. Physician-Patient Privilege
        3. Other Healthcare Records and Documentation
        4. Records of Peer-Review Activities
        5. Incident Reports
      8. The Federal Rules of Civil Procedure (FRCP)
        1. Scope and Procedure for the E-Discovery Process
        2. Duty to Preserve Relevant Evidence
        3. Establishing Legal Holds
      9. The Path Forward: A Coming Together of Laws, Rules, and Regulations
        1. The American Recovery and Reinvestment Act (ARRA)
        2. Health Information Technology for Economic and Clinical Health (HITECH) Act
        3. The Employee Retirement Income Security Act (ERISA)
        4. Consolidated Omnibus Budget Reconciliation Act (COBRA) of 1986
        5. Health Insurance Portability and Accountability Act (HIPAA)
        6. The Patient Protection and Affordable Care Act (PPACA)
      10. The Emergence of Integrated Care Delivery Models
        1. Accountable Care Organizations (ACOs)
        2. Patient-Centered Medical Homes (PCMHs)
      11. Technology: The Underpinning of the Nation’s Health Information Infrastructure
        1. The Rise of E-Discovery in Healthcare
      12. Chapter Review
        1. Questions
        2. Answers
        3. References
  14. Part III Healthcare Business Operations
    1. Michael Beller, Editor
    2. Chapter 15 Core HIT Functionality
      1. Thomas Payne
      2. EMR Functionality
        1. Health Information and Data
        2. Order Entry and Management
        3. Decision Support
        4. Electronic Communication
        5. Administrative Processes
        6. Population Management
      3. Support of the Patient/Person
      4. Other Health Information Technology Systems Commonly Used Within Healthcare Organizations
      5. Frequently Asked Questions
        1. What Does CPOE (and CPOM) Stand For?
        2. When a Pop-up Alert Is Overridden, Does That Mean It Wasn’t Useful?
        3. Are There Limits to a “Best-of-Breed” Strategy?
      6. Roles and Professional Background of People Working in Healthcare Organizations
        1. Physicians
        2. Registered Nurses
        3. Physician Assistants
        4. Medical Assistants
      7. Unique Considerations of Academic Roles
      8. Chapter Review
        1. Questions
        2. Answers
        3. References
    3. Chapter 16 Human Factors in Healthcare IT
      1. Andre Kushniruk, Elizabeth Borycki
      2. Human Factors and Human–Computer Interaction in Healthcare
      3. User Interface Design and Human Cognition
      4. Importance of Considering Cognitive Psychology
      5. Approaches to Cognition and HCI
      6. Technological Advances in HIT and User Interfaces
      7. Input and Output Devices and the Visualization of Healthcare Data
        1. Approaches to Developing User Interfaces in Healthcare
      8. Usability of Healthcare IT
        1. Usability and HIT Safety
      9. Chapter Review
        1. Questions
        2. Answers
        3. References
    4. Chapter 17 Build- and Implementation-Related HIT Success Factors
      1. Michael Fossel
      2. Success Factors in EHR Implementations
        1. The Balance Between Workflow and Risk
        2. Project Governance
        3. Project Deadlines
        4. Orderable Nomenclature
      3. Common Errors
      4. Order Sets
        1. Order Set Design Rules
      5. Home Folders
      6. Clinical Decision Support
      7. EHR Conversions
        1. Physician Support Issues
        2. Postconversion Issues
      8. Chapter Review
        1. Questions
        2. Answers
        3. References
    5. Chapter 18 HIT Connectivity and Interoperability Opportunities and Challenges
      1. David Liebovitz
      2. Rounding in the Hospital
      3. Outpatient Practice
      4. Future Directions
      5. Commonly Used Medical Terms
        1. Common Specialties/Body Systems/Disease Processes
        2. Select Medical and Clinical Roles
        3. Select Hospital Care Units
        4. Miscellaneous Medical Terms
        5. Major Categories of Clinical Documentation
        6. Common Devices and Technology
        7. Procedure-Related Terms
        8. Evidence-Based Medicine Terms
      6. Commonly Used HIT Terms
        1. Terms Related to EHR Implementation
        2. Major Standardized Clinical Terminologies
        3. Health Information Exchange
      7. Chapter Review
        1. Questions
        2. Answers
        3. Additional Study
    6. Chapter 19 Fundamentals of Clinical Decision Support
      1. Bharat R. Rao, Charles Denham
      2. The Scope of Clinical Decision Support
        1. Components of CDS
        2. CDS Continuum
      3. Implementing CDS Interventions
        1. Selecting Clinical Goals for CDS Intervention
        2. The CDS Five Rights Framework
        3. Exploring the “How” Dimension: Types of CDS Interventions
      4. Success Factors for an Effective CDS Implementation
      5. The Benefits of CDS
      6. Avoiding the Pitfalls of CDS
        1. Potential Problems with CDS
        2. Avoiding Potential Problems with CDS
      7. Patient Safety: A Critical System Property
        1. Critical System Property
        2. Sociotechnical System
        3. Leadership, Practices, and Technologies
        4. Unintended Risks
        5. Value-Based Purchasing
      8. U.S. Healthcare Trends Driving CDS Adoption
        1. Impact of Regulatory and Economic Trends on CDS Adoption
        2. The Impact of Technology Trends on CDS Adoption
      9. Chapter Review
        1. Questions
        2. Answers
        3. References
    7. Chapter 20 Organizational Success Factors in Healthcare Informatics Implementation
      1. Greg Forzley, Rick Lemoine, J. Michael Kramer
      2. HIT and Continuum of Care: Understanding the Context of Organizations and HIT
        1. Exercise 20-1: Information Flows for an Uncomplicated Surgical Procedure
      3. Health System Governance to Assure High-Quality Systems, Continuity of Care, and Communication: A Cross-Continuum Model
      4. Success Factors and EMR Governance
        1. Executive Buy-in, Participation, and Support
        2. Integration with Existing Governance Structures
        3. Communication
        4. Multidisciplinary Membership
        5. Infrastructure Support
      5. Knowledge Management: What Kinds of Knowledge Must Be Managed and Maintained by HIT Professionals and a Systems Governance Team?
        1. HIT Team Sustaining Function 1: EMR Standards and Structure
        2. HIT Team Sustaining Function 2: Management of Executable Knowledge
        3. Engagement of Clinicians in Knowledge Systems
        4. Success Factors in Knowledge Management
      6. System Change Management
        1. Testing New Tools
        2. Vendor Feedback
        3. Upgrading
      7. Chapter Review
        1. Questions
        2. Answers
        3. References
    8. Chapter 21 Fundamentals of Health Workflow Process Analysis and Redesign
      1. Mike Kramer, Sheila Ochylski, Jane Brokel
      2. Life Cycle of Major Information Technology Implementation and Organizational Change
      3. Process Management and Process Improvement Process Hierarchy: Levels of Mapping Process
      4. Methodologies for Understanding Processes
        1. Observation
        2. Modeling Workflows for Scope of Professional Practice Standards
        3. Simulation
        4. Lean Strategy
        5. Business Process Management
      5. Workflow Mapping Tools
        1. Workflow Diagram Example
        2. Role-Based Swim-Lane Workflow
        3. Value Stream Mapping
      6. Success Factors for Implementing Clinical Process Change
        1. Exercise 21-1: Create a Simple Process Model Using the SIPOC Tool
        2. Additional Techniques
      7. Identification and Prioritization of Targets for Workflow Improvement
      8. Change Management
        1. Change Management Principles
      9. Chapter Review
        1. Questions
        2. Answers
        3. References
    9. Chapter 22 Reporting Requirements and Regulatory and External Factors Affecting Healthcare IT
      1. Leland A. Babitch
      2. Major Governmental Agencies and Other Regulatory Bodies
        1. Department of Health and Human Services
        2. Other Regulators
      3. Healthcare Reform Effect on Healthcare IT
        1. Overview of Healthcare Payment Models
        2. Payment Reform
        3. Meaningful Use
        4. Electronic Prescribing
      4. Regulatory Compliance and EHR Components
      5. Reporting
        1. Other Reporting
      6. Privacy, Confidentiality, and Security
      7. Data Exchange and Security
        1. Health Information Exchange
      8. Chapter Review
        1. Questions
        2. Answers
        3. References
    10. Chapter 23 Training Essentials for Implementing Healthcare IT
      1. Cheryl A. Fisher
      2. Models and Principles
      3. Assessing Basic Skill Level
      4. Design Elements
        1. The Adult Learner
      5. Constructing a Lesson Plan
        1. Multimedia as a Method of Delivery
        2. Web 2.0 Technologies
      6. Training Delivery and Accommodation
      7. Evaluating Learning
        1. Program Evaluation
      8. Utilizing a Learning Management System
      9. Chapter Review
        1. Questions
        2. Answers
        3. References
  15. Part IV Healthcare IT Security, Privacy, and Confidentiality
    1. Lori Reed-Fourquet, Editor
    2. Chapter 24 Building Trust
      1. Dixie B. Baker
      2. When Things Go Wrong
      3. HIT Trust Framework
        1. Layer 1: Risk Management
        2. Layer 2: Information Assurance Policy
        3. Layer 3: Physical Safeguards
        4. Layer 4: Operational Safeguards
        5. Layer 5: Architectural Safeguards
        6. Layer 6: Security Technology Safeguards
        7. Layer 7: Usability Features
      4. Chapter Review
        1. Questions
        2. Answers
        3. References
    3. Chapter 25 Risk Assessment and Management
      1. Gila Pyke
      2. Definitions
        1. Exercise 25-1: Identifying, Assessing, and Mitigating Risk
      3. Risk Management in Healthcare IT
      4. The Risk-Management Process
        1. Risk Identification
        2. Risk Assessment
        3. Risk-Mitigation Planning
        4. Risk-Mitigation Tracking
        5. Documentation and Communication
      5. Domains of Risk Analysis
        1. Security Risk Analysis
        2. Application and Data Criticality Analysis
        3. Privacy Risk Analysis
        4. Safety Risk Assessment
      6. Chapter Review
        1. Questions
        2. Answers
        3. References
    4. Chapter 26 Physical Safeguards, Facility Security, Secure Systems and Networks, and Securing Electronic Media
      1. Dennis M. Seymour
      2. Physical Safeguard Requirements
      3. Locating Storage Devices, Network Hardware, Printers, and Other Devices
      4. Securely Handling Protected Health Information (PHI)
        1. PC Placement
        2. Privacy Screens
        3. Printer Placement
        4. Screensavers
        5. Time Lockout
        6. Access to Servers, Offices, and Data Closets
        7. Access-Control Devices
      5. Building Security Systems
        1. Office Hardware
        2. Locks
        3. Door Locks
        4. Environmental Controls
        5. Other Controls
      6. Securing and Preserving Electronic Media Storage Devices
        1. Flash Drives
        2. Personal Computers (PCs)
        3. Laptops
        4. Secure Digital (SD) Card
        5. External Drives
        6. Servers
        7. Network-Attached Storage (NAS)
        8. Storage Area Network (SAN)
      7. Secure Disposal of Electronic Media
        1. Secure Shredding, Degaussing, and Sanitizing
        2. Preventing Dissemination of PHI
        3. Exercise 26-1: Assessing Your Organization’s Facility Security Risks
        4. Exercise 26-2: Assessing Your Organization’s Practices for Securing Electronic Media
      8. Chapter Review
        1. Questions
        2. Answers
        3. References
    5. Chapter 27 Healthcare Information Security: Operational Safeguards
      1. Sean Murphy
      2. Operational Safeguards: A Component of Information Security
      3. Operational Safeguards in Healthcare Organizations
        1. Security Management Process
        2. Identity Management and Authorization
        3. Awareness and Training Programs
        4. Risk Assessment
        5. Software and System Development
        6. Configuration Management
        7. Consent Management
        8. System Activity Review
        9. Continuity of Operations
        10. Incident Procedures
        11. Sanctions
        12. Evaluation
        13. Business Associate Contracts
      4. Healthcare-Specific Implications on Operational Safeguards
        1. Medical Devices
        2. Multiple-Tenant Virtual Environments
        3. Mobile Device Management
      5. Operational Safeguards in Emerging Healthcare Trends
        1. Healthcare in the Cloud
        2. International Privacy and Security Concerns
        3. Health Information Exchanges
        4. Workforce Information Security Competency
        5. Accountable Care Organizations
        6. Meaningful Use Privacy and Security Measures
      6. Chapter Review
        1. Questions
        2. Answers
        3. References
    6. Chapter 28 Unique Operational Safeguards in an Electronic Health Record and a Healthcare Information Exchange
      1. John Moehrke
      2. User Identity
      3. Provisioning
      4. Identify Proofing
      5. Role Assignment
      6. Deprovisioning
      7. User Account Support
        1. Internal Directory vs. External Directory
      8. Authentication
      9. The Multiple Factors of Authentication
      10. Secondary Authentication
      11. Automatic Logoff
      12. Authentication vs. Claims About Authentication (Federated Identity)
      13. Accountability
        1. Access Control
        2. Audit Control
      14. Balanced Access Control and Audit Control
      15. Roles and Permissions
        1. What Are Permissions?
      16. Systems As Well As User Roles
        1. Truth Tables
      17. Multilevel Data Confidentiality
        1. Data Tagging with Sensitivity Codes
        2. Coding of Restricted Data
      18. Medical Records Regulations
      19. Other Sources of Access Control Rules
      20. Data Treated at the Highest Level of Confidentiality
      21. Purpose of Use
      22. Patient Privacy
        1. Privacy Consent Related to Purpose of Use and Access Control
        2. Hint
      23. Summary of Basic Access Control
        1. Patient Information
        2. User Information
        3. Resource Information
        4. Context Information
        5. Policies: Where the Logic Resides
      24. Healthcare Information Exchange
        1. Push vs. Pull in an HIE
      25. Enforcement of Access Controls in an HIE
        1. The First Rule of HIE Access Control
        2. The Second Rule of HIE Access Control
      26. HIE Access Control Information
      27. Metadata
      28. User Identity in an HIE
      29. Access Control Languages
      30. Chapter Review
        1. Questions
        2. Answers
        3. References
    7. Chapter 29 Architectural Safeguards
      1. Lisa A. Gallagher
      2. Reliability
        1. Relationship between Reliability and Security
        2. Reliability Implications for Healthcare Systems
      3. Availability
        1. Availability as a Component of Data Security
      4. Maintainability
      5. Scalability
      6. Safety
        1. Considerations for Healthcare IT Systems
        2. Considerations for Medical Devices
      7. Considerations for Design of High-Reliability Healthcare Systems
        1. Fail-Safe Design
        2. Fault Tolerance
        3. Redundancy and Failover
        4. Simplicity
      8. Chapter Review
        1. Questions
        2. Answers
        3. References
    8. Chapter 30 Healthcare Cybersecurity Technology
      1. Braulio J. Cabral
      2. The Business Case for Healthcare Cybersecurity
        1. The Role of the Cybersecurity Professional in Healthcare
      3. The Return on Cybersecurity Investment
        1. Suggested Methods to Calculate ROI on Cybersecurity
      4. Balancing Usability vs. Cybersecurity
        1. Usability
        2. Cybersecurity
      5. Cybersecurity Standards and Technologies for Networks and Systems Protection
        1. Standards
      6. NIST Special Publications 800 Standards for Cybersecurity
      7. ISO 27002 Security Standard
      8. Cybersecurity Technologies
        1. Encryption Protocols
        2. Encryption Algorithms
        3. Wi-Fi Encryption Technologies
      9. Software Vulnerabilities and Usability Safeguards
        1. Preventing Software Vulnerabilities
        2. Usability Safeguards
      10. Security Awareness Training Curriculum
        1. Ethical, Personal, and Legal Responsibility for Cybersecurity
        2. Protecting Against Social Engineering
      11. Chapter Review
        1. Questions
        2. Answers
        3. References
    9. Chapter 31 Certification of HIT Products and Systems
      1. Karen M. Bell
      2. Information Technology in the Clinical Setting: A 70-Year Odyssey
        1. Earliest Efforts
        2. HIT Becomes Personal
        3. Federal Support for HIT
      3. Certification—What, Who, and Why
        1. Applicability of Certification in the Healthcare Industry
        2. HIT Certifying Bodies and Programs
      4. Evaluation of HIT Products beyond Certification
        1. Goals and Approaches of Different HIT Evaluation Programs
      5. Healthcare Reform—Internal Assessment
      6. Certification Program Development
      7. Scoping the Work
        1. Criteria Development
        2. Test Scripts or Testing Procedures
        3. Public Comment
        4. Test Piloting
        5. Testing of HIT Products
        6. Final Certification of Product
        7. The Future
      8. Chapter Review
        1. Questions
        2. Answers
        3. References
  16. Part V Healthcare IT Operations
    1. Andre Kushniruk, Editor
    2. Chapter 32 Computer Hardware and Architecture for Healthcare IT
      1. Daniel Lachance
      2. Identify Commonly Used IT Terms and Technologies
      3. Compare and Contrast EHR/EMR Technologies and How Each Is Implemented
      4. Install and Configure Hardware Drivers and Devices
        1. Central Processing Unit
        2. Motherboards and Bus Slots
        3. Data Storage
        4. Peripherals
        5. Network Transfer of Data
        6. Exercise 32-1: Match the Definition to the Terms
      5. Document Imaging
      6. Classify Different Server Types, Environments, Features, and Limitations
      7. Set Up a Basic PC Workstation Within an EHR/EMR Environment
      8. Troubleshoot and Solve Common PC Problems
        1. Hardware and Software Problems
      9. Chapter Review
        1. Questions
        2. Answers
    3. Chapter 33 Programming and Programming Languages for Healthcare IT
      1. Alex Mu-Hsing Kuo, Andre Kushniruk
      2. Languages and Virtual Machines
      3. Operating Systems
      4. The C Language
        1. The C++ Language
      5. The Java Language
      6. HyperText Markup Language (HTML)
      7. Extensible Markup Language (XML)
      8. Active Server Pages (ASP)
      9. Hypertext Preprocessor (PHP)
      10. Chapter Review
        1. Questions
        2. Answers
        3. References
    4. Chapter 34 Databases, Data Warehousing, and Data Mining for Healthcare
      1. Alex Mu-Hsing Kuo
      2. Healthcare Databases
        1. Database Basics
      3. Database Application Development Process
        1. Analyzing the Business Scenario and Extract Business Rules
        2. Modeling Database: Entity Relationship Diagram Design and Normalization
        3. Creating a Physical Database Using Structured Query Language
        4. Implementing a Healthcare Database Application
      4. Database Administration and Security
        1. Database Administration
        2. Database Security
      5. Data Warehouses for Healthcare
        1. What Is a Data Warehouse (DW)?
        2. The Differences Between a DW and OLTP
        3. Data Warehouse Models
        4. A Healthcare Data Warehouse Life Cycle
      6. Data Mining for Healthcare
        1. What Is Data Mining?
        2. Applications of Data Mining in Healthcare
      7. Chapter Review
        1. Questions
        2. Answers
        3. References
    5. Chapter 35 Networks and Networking in Healthcare
      1. Roman Mateyko
      2. Telecommunications and Healthcare
      3. From Voice to Data Networks and the Global Internet
      4. Data Communications Concepts
        1. Connectivity: The Geometrical Nature of Networks
        2. Exercise 35-1: Plotting Connectivity
        3. Communication Models
        4. Communications Protocols
        5. Data and Signals
        6. Digitization
        7. Throughput
        8. Addressing in Data Networks
      5. The World Wide Web as an Example of a Network Application
        1. PANs, LANs, MANs, and WANs
      6. How a Network Works
        1. Application Architectures
        2. Network Architectures and Implementations
        3. Device Configuration
        4. Exercise 35-2: Checking Configuration Information
      7. Wireless Networks
        1. Wireless Applications and Issues in a Healthcare Setting
        2. WLAN Topology
        3. 802.11 Standards
        4. Security
        5. Bluetooth
        6. WAP, WML, and HTML5
        7. Cellular
        8. LTE
      8. Transmission of Healthcare Data (HL7)
        1. HL7 v2
        2. HL7 v3
      9. Chapter Review
        1. Questions
        2. Answers
        3. References
    6. Chapter 36 Systems Analysis and Design in Healthcare
      1. Andre Kushniruk, Elizabeth Borycki
      2. Systems Analysis and Design in HIT
        1. The System Development Life Cycle (SDLC)
      3. Trends and Issues in HIS Analysis and Design
      4. Chapter Review
        1. Questions
        2. Answers
        3. References
    7. Chapter 37 Healthcare Information Technology Project Management
      1. Brian Gugerty
      2. The Project Management Institute, PMBOK, and PMP
      3. Major Project Management Constraints/Objectives
      4. Healthcare Project Critical Success Factors
      5. Project Team Roles and Stakeholders
      6. Effective Communication in Projects
      7. Process Groups
      8. The Project Life Cycle
      9. Project Initiation
        1. Project Charter and Scope
        2. Project Problem/Vision/Mission Statements
        3. SMART Project Objectives
      10. Planning a Healthcare IT Project
        1. The Work Breakdown Structure (WBS)
        2. Estimating Time, Cost, and Resources
        3. Developing the Project Schedule
        4. Scheduling Resources in Projects
      11. Executing, Monitoring, and Controlling HIT Projects
        1. Execution Principles, Issues, and Opportunities
        2. Monitoring Progress in Projects
        3. Earned-Value Analysis
        4. Changing the Plan
      12. Closing the Project
      13. Chapter Review
        1. Questions
        2. Answers
        3. References
  17. Part VI Appendices
    1. Appendix A CompTIA Healthcare IT Technician Exam Objective Map
    2. Appendix B HIT Pro Exams Objective Maps
    3. Appendix C About the Download
    4. Appendix D CompTIA Healthcare IT Technician Practice Exam
  18. Index