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The Best Selling Text in the Field Updated for the New Era of Health Care IT "This is the most comprehensive and authoritative book available for the field today." -Mark L. Diana, PhD, assistant professor and MHA program director, School of Public Health and Tropical Medicine, Tulane University "With health care information technology now in the national policy spotlight, this book should be required reading for every health care administrator and student." -Mark Leavitt, MD, PhD, chairman, Certification Commission for Healthcare Information Technology "The book provides an excellent overview of foundational principles and practical strategies-a valuable reference for health administration and health informatics students and professionals." -Eta S. Berner, EdD, professor, Department of Health Services Administration, University of Alabama, Birmingham "The authors skillfully provide the tools necessary to facilitate movement from a paper-based to an electronic health record environment while championing the importance of managing in such an environment." - Melanie S. Brodnik, PhD, director and associate professor, School of Allied Medical Professions, Ohio State University "Deploying health care information technology today is like navigating whitewater in the midst of a raging storm. Leveraging investments while introducing significant change is no easy task. It requires focused attention, a spirit of collaboration, and a willingness to learn from others. This book is written for the IT leader who is willing to tackle these challenges." -Stephanie Reel, CIO and vice provost for Information Technologies, Johns Hopkins University

Tables, Figures, and Exhibits
Foreword
Acknowledgments
The Authors
Preface
Health Care Information
Introduction To Health Care Information
Learning Objectives
Types of Health Care Information
Internal Data and Information: Patient Specific-Clinical
Internal Data and Information: Patient Specific-Administrative
Internal Data and Information: Patient Specific-Combining Clinical and Administrative
Internal Data and Information: Aggregate-Clinical
Internal Data and Information: Aggregate-Administrative
Internal Data and Information: Aggregate-Combining Clinical and Administrative
External Data and Information: Comparative
External Data and Information: Expert or Knowledge Based
Summary
Key Terms
Learning Activities
Health Care Data Quality
Learning Objectives
Data Versus Information
Problems with Poor-Quality Data
Documentation
Ensuring Data and Information Quality
Data Definitions
Testing the Use of IT
Summary
Key Terms
Learning Activities
Health Care Information Regulations, Laws, And Standards
Learning Objectives
Licensure, Certification, and Accreditation
Legal Aspects of Managing Health Information
Recent Health Care Privacy Violations
Summary
Key Terms
Learning Activities
Health Care Information Systems
History And Evolution Of Health Care Information Systems
Learning Objectives
Definition of Terms
History and Evolution
Why Health Care Lags in IT
Summary
Key Terms
Learning Activities
Current And Emerging Use Of Clinical Information Systems
Learning Objectives
The Electronic Medical Record
Davies Award Recipients: Ambulatory Care Category
Davies Award Recipient: Organizational Category
Other Major HCIS Types
CPOE Implementation
Guidelines for Clinical Electronic Mail Communication
Fitting Applications Together
Information Exchange Across Boundaries
Overcoming Barriers to Adoption
Summary
Key Terms
Learning Activities
System Acquisition
Learning Objectives
System Acquisition: A Definition
Systems Development Life Cycle
System Acquisition Process
Project Management Tools
Sample Contents of a Project Repository
Things That Can Go Wrong
Summary
Key Terms
Learning Activities
SYstem Implementation And Support
Learning Objectives
System Implementation Process
Managing the Organizational Aspects
System Support and Evaluation
Summary
Key Terms
Learning Activities
Information Technology
Technologies That Support Health Care Information Systems
Learning Objectives
System Software
Data Management and Access
Relational Data Modeling
Networks and Data Communications
Information Processing Distribution Schemes
The Internet, Intranet, and Extranets
Clinical and Managerial Decision Support
Trends in User Interactions with Systems
Information Systems Architecture
Choosing the System Architecture
Summary
Key Terms
Learning Activities
Health Care Information System Standards
Learning Objectives
Standards Development Process
Classification, Vocabulary, and Terminology Standards
Health Record Content Standards
Summary
Key Terms
Learning Activities
Security Of Health Care Information Systems
Learning Objectives
The Health Care Organization's Security Program
Threats to Health Care Information
Overview of HIPAA Security Rule
Outline of HIPAA Security Rule
Administrative Safeguards
Physical Safeguards
Technical Safeguards
Password Do's and Don'ts
Security in a Wireless Environment
Remote Access Security
Summary
Key Terms
Learning Activities
Senior Management It Challenges
Organizing Information Technology Services
Learning Objectives
Information Technology Functions
Organizing IT Staff and Services
In-House Versus Outsourced IT
Evaluating IT Effectiveness
Assessing the IT Function
Managing Core IT Processes
Summary
Key Terms
Learning Activities
It Alignment And Strategic Planning
Learning Objectives
Overview of Strategy
Areas Requiring IT Strategy
IT Strategy Vectors
The IT Asset and Governing Concepts
A Normative Approach to IT Strategy
Sample IT Agenda for a Strategy to Improve Patient Scheduling Service
Sample IT Agenda for a Strategy to Improve Health Information Access and Self-Service for Patients
Sample of Recommendations for IT Nursing Documentation Support to Improve Patient Safety
IT Strategy and Alignment Challenges
IT as a Competitive Advantage
How Great Companies Use IT
Summary
Key Terms
Learning Activities
It Governance And Management
Learning Objectives
IT Governance
The Foundation of IT Governance
Principles for IT Investments and Management
Improving Coordination and Working Relationships
Archetypes of IT Governance Decision Making
IT Effectiveness
Principles for High Performance
IT Budget
Summary
Key Terms
Learning Activities
Management's Role In Major It Initiatives
Learning Objectives
Managing Change Due to IT
Managing IT Projects
Understanding IT Initiative Failures
Critical Success Factors
IT Project Implementation Checklist
Summary
Key Terms
Learning Activities
Assessing And Achieving Value In Health Care Information Systems
Learning Objectives
Definition of IT-Enabled Value
Four Types of IT Investment
The IT Project Proposal
Steps to Improve Value Realization
Why IT Fails to Deliver Returns
Analyses of the IT Value Challenge
Summary
Key Terms
Learning Activities
Health It Leadership
Board Support for a Capital Project
The Decision to Develop an IT Strategic Plan
Selection of a Patient Safety Strategy
Strategic IS Planning for the Hospital ED
Planning an EMR Implementation
Considerations for Voice over IP Telephony
Implementing a Capacity Management Information System
Implementing a Telemedicine Solution
Replacing a Practice Management System
Conversion to an EMR Messaging System
Concerns and Workarounds with a Clinical Documentation System
Strategies for Implementing CPOE
Case Study 13
Case Study 14
Case Study 15
Case Study 16
Appendixes
A Overview of the Health Care IT Industry
B Sample Project Charter
References
Index
Table of Contents provided by Publisher. All Rights Reserved.

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Health Care Information Systems: A Practical Approach for Health Care Management, 2nd Edition

0470451734

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