Preface |
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xiii | |
Acknowledgments |
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xvii | |
Editor |
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xix | |
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SECTION I HEALTHCARE AND TECHNOLOGY ENVIRONMENTS |
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3 | (20) |
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3 | (1) |
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3 | (2) |
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5 | (5) |
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6 | (1) |
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Outpatient or Ambulatory Care---A Shift in the Care Setting |
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7 | (1) |
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Community Health Organizations |
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7 | (1) |
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Diagnostic and Pharmaceutical Services |
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8 | (1) |
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8 | (2) |
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Interrelations Within and Across Healthcare Organizations |
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10 | (3) |
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Enabling Access to Comprehensive Care Services |
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10 | (1) |
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Assuring Effective Transfers of Care |
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10 | (1) |
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Ensuring the General Portability of Care |
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11 | (1) |
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Reporting Public and Population Health Information |
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11 | (1) |
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Obtaining Appropriate Reimbursement for Quality Care |
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12 | (1) |
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Supporting Particular Organizational Models of Care |
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12 | (1) |
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Roles and Responsibilities of Healthcare Information and Management Systems Professions |
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13 | (3) |
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Roles of Government, Regulatory, Professional and Accreditation Agencies in Healthcare |
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16 | (3) |
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16 | (1) |
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17 | (1) |
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Professional Associations |
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18 | (1) |
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Accreditation Organizations |
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18 | (1) |
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19 | (2) |
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21 | (2) |
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23 | (18) |
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23 | (1) |
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23 | (1) |
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Software in Healthcare IT |
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24 | (5) |
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24 | (2) |
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Administrative Applications |
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26 | (1) |
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26 | (1) |
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27 | (2) |
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Clinical Business Intelligence (CBI) and Analytics |
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29 | (1) |
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Hardware in Healthcare IT |
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29 | (3) |
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Technology Infrastructure |
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29 | (1) |
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30 | (1) |
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30 | (1) |
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30 | (1) |
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31 | (1) |
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Networks in Healthcare IT |
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32 | (3) |
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32 | (1) |
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33 | (1) |
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Interoperability and Standards |
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33 | (1) |
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34 | (1) |
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34 | (1) |
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35 | (1) |
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35 | (1) |
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36 | (5) |
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SECTION II CLINICAL INFORMATICS |
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41 | (26) |
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41 | (1) |
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41 | (6) |
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Global Aspects of Clinical Informatics |
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42 | (4) |
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Domains of Clinical Informatics |
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46 | (1) |
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Basic Clinical Vocabulary and Terms |
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47 | (2) |
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Basic Information Technology Vocabulary and Terms |
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49 | (2) |
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Common Clinical Metrics in Informatics |
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51 | (5) |
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Clinical Content and Decision Support Tools |
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56 | (3) |
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Clinical Data Analytics Tools |
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59 | (2) |
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59 | (1) |
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59 | (1) |
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Common Data Analytics Tools |
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60 | (1) |
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61 | (1) |
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62 | (5) |
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SECTION III HEALTHCARE INFORMATION AND SYSTEMS MANAGEMENT |
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67 | (30) |
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67 | (1) |
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68 | (1) |
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Healthcare Problems and Opportunities for IT Implementation |
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69 | (5) |
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Problems with Traditional Healthcare Systems |
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69 | (1) |
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Opportunities with Advanced Healthcare Systems |
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70 | (1) |
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70 | (1) |
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70 | (1) |
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70 | (1) |
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70 | (1) |
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71 | (1) |
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71 | (1) |
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Applications for Clinical Functions |
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71 | (1) |
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Administrative and Financial Services |
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72 | (1) |
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Applications for Administration and Finance |
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72 | (1) |
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73 | (1) |
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Security-Related Applications |
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73 | (1) |
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Needs Analysis in Healthcare Facilities |
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74 | (2) |
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74 | (1) |
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Staff Productivity and Satisfaction |
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75 | (1) |
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Increased Revenue and Cost Optimization |
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75 | (1) |
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75 | (1) |
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75 | (1) |
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Patient Access to Services |
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76 | (1) |
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Tools for Accomplishing the Needs Analysis |
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76 | (1) |
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76 | (1) |
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76 | (1) |
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Workflow and Process Mapping |
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77 | (1) |
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Current Clinical Processes |
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78 | (2) |
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Functional Needs Assessment |
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80 | (2) |
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81 | (1) |
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81 | (1) |
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82 | (1) |
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82 | (1) |
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82 | (1) |
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83 | (1) |
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Deficiencies in Current IT Healthcare Practices |
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83 | (1) |
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Patient Support and Satisfaction |
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83 | (1) |
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Reduction in Revenue Generation |
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84 | (1) |
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84 | (1) |
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84 | (1) |
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Alternative Approaches to Current Healthcare Processes |
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84 | (2) |
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85 | (1) |
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Alternative Ways to Reduce Prescription Errors |
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85 | (1) |
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Alternative Processes for Revenue Generation |
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85 | (1) |
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Comparative Analysis of Alternatives |
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86 | (1) |
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87 | (2) |
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87 | (1) |
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Introduction and Background |
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87 | (1) |
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88 | (1) |
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88 | (1) |
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89 | (1) |
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89 | (2) |
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Cost-Benefit Feasibility Study |
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89 | (1) |
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Proposal Sensitivity Analysis |
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90 | (1) |
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91 | (4) |
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91 | (1) |
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92 | (1) |
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93 | (1) |
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93 | (1) |
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93 | (2) |
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95 | (1) |
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95 | (2) |
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97 | (10) |
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97 | (1) |
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97 | (1) |
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Compatibility and Interoperability of System Components |
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98 | (1) |
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99 | (1) |
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Process to Address Industry Trends |
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99 | (1) |
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Structure of the System Design Team |
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100 | (1) |
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Detailed Technical Specifications |
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100 | (4) |
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102 | (1) |
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Information Infrastructure |
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102 | (2) |
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104 | (1) |
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104 | (1) |
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105 | (2) |
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6 Selection, Implementation, Support and Maintenance |
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107 | (20) |
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107 | (1) |
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107 | (2) |
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Solution Selection Criteria |
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109 | (2) |
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Selecting Review Team Members |
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111 | (1) |
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Solution Selection Activities |
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112 | (4) |
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116 | (1) |
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117 | (1) |
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Implementation Strategies |
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117 | (1) |
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118 | (1) |
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System Integration to Support Business Requirements |
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119 | (1) |
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User and Operational Manuals and Training |
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120 | (1) |
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Activation Planning and Immediate Post-Activation Activities |
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121 | (1) |
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Managing Healthcare Information Systems |
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122 | (1) |
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Analyzing Data for Problems and Trends |
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123 | (1) |
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Ensuring Critical Functions Are Repaired, Maintained or Enhanced |
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124 | (1) |
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Business Continuity and Disaster Recovery Plans |
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124 | (1) |
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125 | (1) |
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125 | (2) |
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127 | (10) |
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127 | (1) |
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127 | (1) |
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Purpose of Systems Testing |
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127 | (1) |
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128 | (1) |
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129 | (1) |
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130 | (1) |
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130 | (2) |
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132 | (1) |
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133 | (1) |
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133 | (1) |
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134 | (1) |
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134 | (3) |
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137 | (16) |
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137 | (1) |
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137 | (1) |
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Defining Requirements, Policies and Procedures |
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138 | (4) |
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142 | (1) |
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142 | (1) |
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Vulnerability Remediation |
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143 | (1) |
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143 | (1) |
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Confidentiality, Integrity and Availability |
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144 | (1) |
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145 | (1) |
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146 | (1) |
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Disaster Recovery and Business Continuity Plans |
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147 | (1) |
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148 | (1) |
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Ongoing System Evaluation |
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148 | (1) |
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148 | (1) |
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149 | (4) |
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SECTION IV MANAGEMENT AND LEADERSHIP |
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9 Management and Leadership |
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153 | (44) |
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153 | (1) |
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154 | (1) |
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Participation in Organizational Strategic Planning |
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154 | (2) |
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155 | (1) |
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155 | (1) |
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155 | (1) |
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155 | (1) |
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Organizational Environment |
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156 | (1) |
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Forecasting Technical and Informational Needs of an Organization |
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157 | (1) |
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Developing the IT Strategic Plan |
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158 | (2) |
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Implementing the IT Strategic Plan |
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160 | (1) |
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Reporting on System Performance, Evaluating Performance and Evaluating Customer Satisfaction |
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160 | (1) |
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160 | (5) |
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161 | (2) |
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Departmental Effectiveness |
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163 | (1) |
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Managing Customer Relationships with Business Leaders |
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163 | (2) |
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Providing Customer Service |
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165 | (2) |
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Promoting Stakeholder Understanding of IT Opportunities and Constraints |
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165 | (2) |
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Developing Policies and Procedures for Information and Systems Management |
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167 | (1) |
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Complying with Legal and Regulatory Standards |
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168 | (1) |
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Adhering to Ethical Business Principles |
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169 | (1) |
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Employing Comparative Analysis Strategies |
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169 | (2) |
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170 | (1) |
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Other Financial and Nonfinancial Indicators |
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170 | (1) |
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170 | (1) |
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171 | (1) |
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Quality Standards and Practices |
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171 | (1) |
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Managing Projects, Project Portfolios and Vendors |
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172 | (4) |
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Managing Vendor Relationships |
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174 | (2) |
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176 | (1) |
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Preparing and Delivering Business Communications |
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176 | (4) |
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Facilitating Group Discussions and Committee Meetings |
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180 | (2) |
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Steering Committee Meetings |
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181 | (1) |
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182 | (3) |
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Financial Risk Management |
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183 | (1) |
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184 | (1) |
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Roles and Responsibilities for IT-Related Functions |
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185 | (2) |
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Senior Management Roles and Responsibilities |
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186 | (1) |
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General IT Roles and Responsibilities |
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186 | (1) |
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Healthcare IT Roles and Responsibilities |
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187 | (1) |
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Staff Competency in Information and Management System Skills |
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187 | (4) |
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187 | (1) |
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Organizational Training and In-Service Programs |
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188 | (1) |
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Job-Related IT Certifications |
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188 | (1) |
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Miscellaneous Professional Development |
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189 | (1) |
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189 | (2) |
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Developing Educational Strategies for IT Staff |
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191 | (1) |
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Current IT Technologies and Trends |
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191 | (1) |
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Developing System, Operational and Department Documentation |
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192 | (1) |
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192 | (1) |
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Operational Documentation |
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193 | (1) |
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193 | (1) |
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193 | (1) |
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194 | (3) |
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197 | (16) |
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Chapter 1 Healthcare Environment |
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197 | (2) |
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Chapter 2 Technology Environment |
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199 | (2) |
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Chapter 3 Clinical Informatics |
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201 | (1) |
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202 | (2) |
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204 | (2) |
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Chapter 6 Selection, Implementation, Support and Maintenance |
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206 | (1) |
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Chapter 7 Testing and Evaluation |
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207 | (2) |
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Chapter 8 Privacy and Security |
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209 | (1) |
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Chapter 9 Management and Leadership |
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210 | (3) |
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213 | (10) |
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Chapter 1 Healthcare Environment |
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213 | (1) |
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Chapter 2 Technology Environment |
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214 | (1) |
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Chapter 3 Clinical Informatics |
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215 | (1) |
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216 | (1) |
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217 | (1) |
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Chapter 6 Selection, Implementation, Support and Maintenance |
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218 | (1) |
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Chapter 7 Testing and Evaluation |
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219 | (1) |
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Chapter 8 Privacy and Security |
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219 | (1) |
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Chapter 9 Management and Leadership |
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220 | (3) |
Index |
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223 | |