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E-raamat: Healthcare Knowledge Management Primer

(The Cleveland Clinic, Ohio, USA), (Illinois Institute of Technology, USA), (Johns Hopkins University, USA), (Coventry University, UK), (Coventry University, UK)
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Quality care of patients requires evaluating large amounts of data at the right time and place and in the correct context. With the advent of electronic health records, data warehouses now provide information at the point of care and facilitate a continuous learning environment in which lessons learned can provide updates to clinical, administrative, and financial processes. Given the advancement of the information tools and techniques of today’s knowledge economy, utilizing these resources are imperative for effective healthcare. Thus, the principles of Knowledge Management (KM) are now essential for quality healthcare management.

The Healthcare Knowledge Management Primer explores and explains essential KM principles in healthcare settings in an introductory and easy to understand fashion. This concise book is ideal for both students and professionals who need to learn more about key aspects of the KM field as it pertains to effecting superior healthcare delivery. It provides readers with an understanding of approaches to KM by examining the purpose and nature of its key components and demystifies the KM field by explaining in an accessible manner the key concepts of KM tools, strategies and techniques, and their benefits to contemporary healthcare organizations.

List of Figures
xi
List of Tables
xii
Preface xiii
Acknowledgments xviii
Foreword xx
Sir Muir Gray
What is Knowledge Management?
1(22)
Introduction
1(1)
Knowledge Management (KM)
1(1)
How Did Knowledge Management Come About?
2(1)
Key Concepts
3(1)
Data, Information, Knowledge and Wisdom
4(1)
The Knowledge Spiral
5(2)
Case Exercise: the Knowledge Spiral
7(1)
Key Role of Data and Information in Healthcare
8(1)
Data Mining
9(1)
Data Mining as an Enabler for Realizing the Knowledge Spiral
9(1)
Application of Knowledge Management and Data Mining to Healthcare---A Clinical Example
10(1)
Conclusions
11(1)
Summary
11(1)
Review Questions
11(1)
Discussion Questions
12(1)
Case Exercise: From Data to Decisions in a Radiology Department
12(8)
Further Reading
20(1)
References
21(2)
Knowledge Strategies and Knowledge Capture
23(18)
Introduction
23(1)
Capturing Knowledge
24(1)
Organizing Knowledge: A Strategic View
25(1)
Intelligence Gathering
26(1)
Measuring
27(1)
Knowledge Representation
28(1)
Knowledge Engineering and the Semantic Web
29(1)
Case Exercise: NHS Direct
30(5)
Conclusions and Summary
35(1)
Review Questions
35(1)
Discussion Questions
36(1)
Case Exercise: Operating Room Optimization
36(3)
Further Reading
39(1)
References
39(2)
Knowledge Tools and Techniques
41(24)
Introduction
41(1)
Taxonomies and Ontologies
41(2)
Data Mining Tools and Techniques
43(1)
Steps in Data Mining
43(2)
Case Exercise: KM and Personal Health Records---A Malaysian Perspective
45(5)
Business Intelligence and Analytics
50(1)
Communities of Practice
50(2)
Storytelling and the Power of Narrative
52(1)
Have you Heard the One About...?
53(3)
Social Networks (and Social Networking Sites)
56(1)
Social Networking (Internet-based)
56(1)
Intellectual Capital
57(1)
Knowledge Assets
57(1)
Knowledge Nuggets
57(1)
Conclusions
57(1)
Summary
57(1)
Review Questions
58(1)
Discussion Questions
58(1)
Case Exercise: Increasing Breast Cancer Screening Attendance in the U.K.
58(5)
Further Reading
63(1)
References
63(2)
Knowledge Management: A Systems View
65(25)
Introduction
65(1)
General Systems and Hard Systems Thinking
66(2)
Soft Systems Thinking
68(4)
Case Exercise: Louisiana Mass Immunization Exercise (2007)
72(7)
Case Exercise: Intervention in an Outpatient's Department
79(2)
Critical Systems Thinking
81(2)
Conclusions and Summary
83(1)
Review Questions
84(1)
Discussion Questions
84(1)
Case Exercise: Empowering Patients: Immunizations and Knowledge-based Personal Health Records
84(4)
Further Reading
88(1)
References
88(2)
Knowledge: The Organization, Culture and Learning
90(45)
Introduction
90(1)
The Learning Organization
90(2)
The Importance of Organizational Culture
92(2)
Organizational Culture
94(6)
Case Exercise: KM in AMERA (The Africa Middle East Refugee Association in Cairo)
100(3)
Socio-Technical Issues
103(6)
Evolution of Knowledge Management Systems
109(1)
``Double Loop'' Learning
110(3)
Case Exercise: A Knowledge-based Healthcare Resource Balancing System
113(4)
Trends in Healthcare
117(1)
Conceptualizing Knowledge Within Healthcare
117(1)
Worked Example: Personalized Healthcare
118(3)
Conclusions
121(1)
Summary
121(1)
Review Questions
121(1)
Discussion Questions
121(1)
Case Exercise: KM for Urban Health
122(9)
Further Reading
131(1)
References
131(4)
Applying Knowledge
135(31)
Introduction
135(1)
Creating Value from Knowledge
135(2)
The Intelligence Continuum
137(3)
Clinical Example: Operating Room
140(1)
Case Exercise: Substance Abuse Patient
141(2)
Networkcentric Healthcare Operations
143(2)
ICT Use in Healthcare Networkcentric Operations
145(3)
The Health Insurance, Portability and Accountability Act (HIPAA)
148(1)
Information Producers, Consumers and Information Flows Within the Healthcare System
149(1)
Information Integrity and Quality (I*IQ)
150(1)
Information Integrity
150(1)
Healthcare Quality Aims
150(1)
Populomics
151(2)
Transdisciplinarity and the Role of Health Information Technology
153(1)
Populomics and Knowledge Management
154(2)
Summary and Conclusions
156(1)
Review Questions
156(1)
Discussion Questions
156(1)
Case Exercise: KM and the Sociobiologic Integrative Model (SBIM)
156(6)
Further Reading
162(1)
References
163(3)
Appendix A (Integrative Case Exercise) 166(10)
Appendix B (Integrative Case Exercise) 176(9)
Epilogue 185(1)
Glossary 186(6)
Notes 192(2)
Index 194
Nilmini Wickramasinghe is Associate Professor at the Stuart School of Business, Illinois Institute of Technology

Rajeev K. Bali is a Reader in Healthcare Knowledge Management at Coventry University. He heads the Knowledge Management for Healthcare (KARMAH) research subgroup (part of the Biomedical Computing and Engineering Technologies (BIOCORE) Applied Research Group) based in the Health Design and Technology Institute (HDTI).

Brian Lehaney is Professor of Systems Management in Coventry Universitys Faculty of Engineering and Computing

Jonathan L. Schaffer is Managing Director of the Information Technology Division of the e-Cleveland Clinic as well as an active surgical member of the Department of Orthopaedic Surgery, Cleveland Clinic, U.S.

M. Chris Gibbons is Associate Director of the Johns Hopkins Urban Health Institute (UHI), Director of the Center for Community HEALTH (CCH) and Assistant Professor of Public Health and Medicine at Johns Hopkins Medical Institutions, Baltimore, U.S.