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E-raamat: Health Care Information Systems: A Practical Approach for Health Care Management

(Medical University of South Carolina, Department of Health Administration), (Medical University of South Carolina, Department of Health Administration), (Partners HealthCare System, Inc.)
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  • Ilmumisaeg: 01-Dec-2021
  • Kirjastus: Jossey-Bass Inc.,U.S.
  • Keel: eng
  • ISBN-13: 9781119853879
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  • Formaat: EPUB+DRM
  • Ilmumisaeg: 01-Dec-2021
  • Kirjastus: Jossey-Bass Inc.,U.S.
  • Keel: eng
  • ISBN-13: 9781119853879
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"Today's health care providers and organizations across the continuum of care have come to depend on reliable health care information systems (HCIS) to manage their patient populations effectively while reducing costs and improving the quality of care. This chapter will explore some of the most significant influences shaping current and future HCIS in the United States. Certainly, advances in information technology affect HCIS development, but national private sector and government initiatives have played key roles in the adoption and application of the technologies in health care"--

The most up-to-date edition of the gold standard in health care information system references

In the newly revised Fifth Edition of Health Care Information Systems, veteran healthcare information management experts and educators Karen A. Wager and Frances Wickham Lee, along with nationally-recognized leader in health information technology, John P. Glaser, deliver a one-stop resource for graduate and upper-level undergraduate students to gain the knowledge and develop the skills they need to manage information and information systems technology in the new healthcare environment.

The latest edition sees its focus shift from the adoption of health care information systems and electronic health records to making effective use of health care data, information, and systems and optimizing their impact. New additions to this celebrated text include:

  • Explorations of how health care information systems and information technology can be used to support national quality initiatives, value-based payment, population health management, and precision health and quality reporting
  • Discussions of how issues like interoperability, electronic health record usability, and health IT safety are being (or not being) addressed
  • Treatments of the roles played by data governance and analytics in clinical decision making and healthcare operations.

Filled with case studies, supplemental resources, and engaging examinations of critical areas in health care information system use, management, implementation, and support, Health Care Information Systems is an ideal reference for students taking courses in business administration, public health, health administration, medicine, health informatics and health care management.

Tables, Figures, and Exhibits
xi
Preface xv
Acknowledgments xxi
The Authors xxiii
About the Companion Website xxv
PART ONE Foundational Concepts
1 Evolution of Health Care Information Systems in the United States
3(12)
Review of Key Terms
3(1)
History and Evolution
4(1)
1990s: The Call for HCIS
5(1)
2000-2010: The Arrival of HCIS
6(2)
2010-2015: Health Care Reform and the Growth of HCIS
8(1)
2015-Present: Promoting Interoperability, Patient Engagement and Population Health
9(2)
EHR Adoption Rates
11(1)
Summary
12(1)
Key Terms
12(1)
Learning Activities
12(1)
References
13(2)
2 Electronic Health Record Systems
15(24)
Electronic Health Records Definitions and Purposes
15(2)
Electronic Health Records Content
17(5)
Electronic Health Records Functions
22(7)
Patient Record Requirements for Licensure, Certification, and Accreditation
29(3)
Patient Records as Legal Documents
32(1)
Benefits of EHRs
33(1)
Summary
34(1)
Key Terms
34(1)
Learning Activities
35(1)
References
35(4)
3 Role of HCIS in Improving Healthcare Delivery
39(26)
National Quality Improvement Initiatives
40(4)
Experience of Care and Better Care
44(1)
Population Health
45(5)
Precision Health
50(1)
Quality Measurement
51(10)
Summary
61(1)
Key Terms
61(1)
Learning Activities
61(1)
References
62(3)
4 Realizing the Digital Health Promise with Electronic Health Records
65(28)
Interoperability
65(12)
HCIS Usability and Related Safety Concerns
77(10)
Summary
87(1)
Key Terms
87(1)
Learning Activities
88(1)
References
88(5)
PART TWO Managing Health Care Information Systems
5 Health Care IT Strategic Planning
93(20)
IT Planning Objectives
93(1)
Overview of Strategy
94(6)
The IT Asset
100(3)
A Normative Approach to Developing Alignment and IT Strategy
103(6)
IT Strategy Challenges
109(2)
Summary
111(1)
Key Terms
112(1)
Learning Activities
112(1)
References
112(1)
6 Health Care Information Technology Management
113(30)
Information Technology Effectiveness
114(4)
Digital Transformation
118(1)
IT Governance
119(4)
IT Budget
123(2)
Healthcare Information Technology Department
125(10)
Evaluating IT Effectiveness
135(4)
Summary
139(1)
Key Terms
140(1)
Learning Activities
140(1)
References
140(3)
7 System Acquisition
143(22)
System Acquisition: A Definition
144(1)
Systems Development Life Cycle
144(2)
System Acquisition Process
146(14)
Project Management Tools
160(1)
Things That Can Go Wrong
161(1)
Summary
162(1)
Key Terms
162(1)
Learning Activities
163(1)
References
163(2)
8 System implementation and Support
165(24)
Managing Change During the System Implementation Process
166(5)
Factors to Consider Throughout Implementation Phases
171(3)
Development of the HCIS Implementation Plan
174(11)
System Support, Optimization, and Evaluation
185(1)
Summary
186(1)
Key Terms
186(1)
Learning Activities
186(1)
References
187(2)
9 Assessing and Achieving Value in Health Care Information Systems
189(26)
Characteristics of IT-Enabled Value
189(4)
Value Analyses for Different Objectives
193(3)
IT Project Proposals
196(7)
Ensuring the Delivery of Value
203(5)
Analyses of the IT Value Challenge
208(2)
Summary
210(1)
Key Terms
211(1)
Learning Activities
211(1)
References
211(4)
PART THREE Focused Topics
10 Engaging Patients and Consumers in Managing Their Health
215(22)
Digital Health and the Empowered Consumer
216(1)
Patient Engagement Overview
216(5)
Patient Engagement Digital Tools
221(10)
Major Companies Offering Digital Health Tools
231(1)
Implications for Health Care Managers
231(1)
Summary
232(1)
Key Terms
232(1)
Learning Activities
233(1)
References
233(4)
11 Data Governance and Analytics
237(22)
Data → Information → Knowledge
238(1)
Categories of Analytics
239(2)
Data and Analytics to Support Value-Based Care
241(3)
Data Warehouse and Analytics
244(3)
Big Data
247(2)
Management of the Data Asset
249(6)
Summary
255(1)
Key Terms
256(1)
Learning Activities
256(1)
References
256(3)
12 Privacy and Security
259(28)
Privacy, Confidentiality, and Security Defined
259(1)
Legal Protection of Health Information
260(2)
HIPAA Privacy Rule
262(3)
HIPAA Security Rule
265(2)
Additional HIPAA Provisions
267(4)
Privacy and Security for Consumer Health Data
271(1)
Threats to Health Care Information
272(3)
Beyond HIPAA: Cybersecurity for Today's Wired Environment
275(1)
Health Care Organization's Security Program
275(6)
Summary
281(3)
Key Terms
284(1)
Learning Activities
284(1)
References
285(2)
13 Emerging Technology Management
287(22)
The Challenge of Emerging Technologies
287(1)
Assessing New Technologies
288(2)
Assessing Technology Maturity: The Hype Cycle
290(1)
Information Technology Architecture
291(4)
Examples of Emerging Technologies
295(1)
Telehealth
296(2)
Artificial Intelligence
298(4)
Platforms
302(3)
Summary
305(1)
Key Terms
305(1)
Learning Activities
305(1)
References
305(4)
PART FOUR Case Studies and Supplemental Resources
14 Health IT Leadership Case Studies
309(38)
Case 1 Population Health Management in Action
310(3)
Discussion Questions
313(1)
Case 2 Registries and Disease Management in the Patient-Centered Medical Home
313(2)
Discussion Questions
315(1)
Case 3 Implementing a Capacity Management Information System
315(1)
Discussion Questions
315(1)
Case 4 Implementing a Telemedicine Solution
316(1)
Discussion Questions
317(1)
Case 5 Selecting an EHR System for a Dermatology Practice
317(1)
Discussion Questions
318(1)
Case 6 Watson's Ambulatory EHR Transition
318(4)
Discussion Questions
322(1)
Case 7 Concerns and Workarounds with a Clinical Documentation System
322(1)
Discussion Questions
323(1)
Case 8 Conversion to an EHR Messaging System
324(1)
Discussion Questions
324(1)
Case 9 Implementing a Syndromic Surveillance System
325(1)
Discussion Questions
325(1)
Case 10 Replacing a Practice Management System
325(1)
Discussion Questions
326(1)
Case 11 Implementing Telepsychiatry in a Community Hospital Emergency Department
326(2)
Discussion Questions
328(1)
Case 12 Assessing the Value of Health IT Investment
328(1)
Discussion Questions
329(1)
Case 13 The Admitting System Crashes
330(1)
Discussion Questions
330(1)
Case 14 Breaching the Security of an Internet Patient Portal
331(1)
Discussion Questions
331(1)
Case 15 The Decision to Develop an IT Strategic Plan
332(1)
Discussion Questions
332(1)
Case 16 Selection of a Patient Safety Strategy
332(2)
Discussion Questions
334(1)
Case 17 Strategic is Planning for the Hospital ED
334(1)
Discussion Questions
335(1)
Case 18 Board Support for a Capital Project
336(1)
Discussion Questions
337(1)
Case 19 Liberty Medical Center Network Impacted by Malware Attack
337(1)
Discussion Questions
338(1)
Case 20 Breach of PHI at Sunrise Healthcare
338(1)
Discussion Questions
338(1)
Case 21 Warren Center for Telehealth: Prior to, During, and Following the Covid Pandemic
339(1)
Discussion Questions
340(1)
Supplemental Listing of Related Case Studies, Articles, and Webinars
340(7)
Appendix A Overview of the Health Care IT Industry 347(10)
Appendix B Sample Project Charter, Sample Job Descriptions, and Sample User Satisfaction Survey 357(12)
Index 369
KAREN A. WAGER, DBA, is Professor and Associate Dean for Student Affairs at the Medical University of South Carolina in Charleston, SC, USA. She teaches management and health information systems to graduate students.

FRANCES W. LEE, DBA, is Professor and Director of the Healthcare Simulation Center at the Medical University of South Carolina. She teaches graduate-level courses in health administration, health informatics, and health sciences.

JOHN P. GLASER, PhD, is an Executive-in-Residence at Harvard Medical School Executive Education. He was previously a Senior VP of Population Health at Cerner Corporation, Chief Executive Officer of Siemens Health Services, and Chief Information Officer at Partners HealthCare.