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E-raamat: Information and Communication Technologies in Healthcare

Edited by (Ball State University, Muncie, Indiana, USA), Edited by (Ball State University, Muncie, Indiana, USA)
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As the population ages and healthcare costs continue to soar, the focus of the nation and the healthcare industry turns to reducing costs and making the delivery process more efficient. Demonstrating how improvements in information systems can lead to improved patient care, Information and Communication Technologies in Healthcare explains how to create a holistic Medical Records System as a core component to addressing the issues affecting the U.S. healthcare system.

Examining the impact of our aging population on healthcare, the book describes the range of systems that support key segments of the industry, including: hospitals, physicians, imaging, and nursing. It considers patient records, the physicians office, emerging home-monitoring networks, the recording and information submitting process, and hospice/nursing home use. Leaving no stone unturned, this reference investigates:





Healthcare technology Healthcare data standards Healthcare information exchange Legal and regulatory issues Electronic medical records Usability by patients and physicians Security and privacy Healthcare facility planning Emerging media and healthcare

The book includes a case study that illustrates the human factors behind the implementation of technology. Following the principle that data should be captured only once, stored in a repository, and then made available throughout the medical system, this is the ideal starting point for those looking to improve the effectiveness and cost efficiencies of the healthcare system.
Contributors vii
Chapter 1 Healthcare Systems: Introduction
1(8)
Frank M. Groom
Central Data Repositories
3(2)
Data Information Entry, Verification, and Correction
5(1)
Regional Sharing of Information
5(1)
Data Privacy and Protection
6(1)
Open Systems
6(1)
Compliance
7(1)
Conclusion
8(1)
Areas Covered by This Book
8(1)
References
8(1)
Chapter 2 Technology as a Catalyst for Health Enhancement
9(16)
Jane Ellery
Peter J. Ellery
Introduction
9(1)
Techno-Centric, User-Centric, and Everything Between
10(1)
Salutogenesis and Sense of Coherence
11(2)
Application of GRRs and GRDs to Healthcare Technology
13(1)
Addressing GRDs through Technology Design
14(1)
A New Health System for the Twenty-First Century
15(5)
Conclusions
20(3)
References
23(2)
Chapter 3 Health Information Exchange
25(14)
Dave Yoder
What Is Health Information Exchange?
25(1)
History of HIEs
26(1)
Current State of HIEs
26(2)
Current Usage
28(1)
Barriers to Adoption of HIE
29(4)
Business Model
29(2)
Lack of Standards
31(1)
Security and Privacy
32(1)
State Spotlight: Indiana's Approach to Implementing Health Information Exchange
33(2)
Background
33(1)
Current State of HIE
33(2)
National Health Information Network (NHIN)
35(1)
Applications of NHIN
35(1)
Electronic Health Records
36(1)
Conclusion
36(1)
References
37(2)
Chapter 4 Universal Data Standards
39(22)
Colleen Willis
Why Is There a Need for Data Standards
39(2)
Interoperability: What Is It?
41(5)
Technical Interoperability
42(1)
Process Interoperability
43(1)
Semantic Interoperability
44(2)
What ls HITSP?
46(1)
HITSP Harmonization Framework
47(1)
HITSP Structure
48(1)
Health Level 7
49(1)
HL7 Version 2.3.1
50(1)
HL7 Version 3
51(2)
HL7 Continued...
53(1)
Other Data Standards
53(3)
Bioinformatics
56(3)
Conclusion
59(1)
References
59(2)
Chapter 5 Healthcare Information Exchange
61(26)
Kent Supancik
What Is a Healthcare Information Exchange and How Does It Fit into the Overall Healthcare Ecosystem?
61(2)
What Key Initiatives Are Enabling the Development and Interoperability of Health Information Exchange?
63(3)
What Infrastructure Is Developing to Enable the Exchange of Healthcare Information?
66(11)
Architectural Principles and Specifications of the NHIN
70(7)
Health Information Exchanges (HIE), Health Information Organizations (HIOs), and Regional Health Information Organizations (RHIOs)
77(1)
What Fundamental Architectural Options and Cultural and Technology Building Blocks Are Needed to Establish Health Information Exchanges?
77(5)
Personal Health Information Networks (PHIN) and Personal Health Information (PHI) Platforms
80(2)
Conclusion
82(1)
References
83(4)
Chapter 6 Health Information Technology in the United States: Achieving Legal and Regulatory Results that Enhance Innovation and Adoption
87(16)
Stuart N. Brotman
Gabriel G. Brotman
Jennifer E. Paul
Introduction
87(1)
Current Health IT Market (HIT) Overview
88(2)
Electronic Health Records
88(1)
Personal Health Records
89(1)
Federal Initiatives that Will Shape the Future of Health IT
90(6)
HITECH Act
90(4)
The National Broadband Plan
94(2)
The Health IT Road Ahead
96(2)
What Barriers Must Be Overcome?
98(3)
Privacy Concerns
99(1)
Legal and Policy Obstacles
100(1)
References
101(2)
Chapter 7 Healthcare Regulations, Privacy, Security, and Information Age Considerations
103(20)
Sydney Morris
Introduction
104(1)
Privacy, Security, and the State
104(2)
Overview of State Access Law
104(1)
Consent
105(1)
Federal-Based Organizations
106(1)
Health Information Security and Privacy Collaboration (HISPC)
106(1)
Office of the National Coordinator for Health Information Technology (ONC)
106(1)
Regulations
107(7)
Health Insurance and Portability Accountability Act (HIPAA)
107(4)
Health Information Technology for Economic and Clinical Health (HITECH)
111(1)
American Recovery and Reinvestment Act (ARRA)
112(1)
PPACA
113(1)
Considerations in the Information Age
114(6)
Medical Identity Theft
114(1)
Leadership in Medical Identity Theft
115(1)
E-Prescribing
116(1)
Web 2.0
117(3)
References
120(3)
Chapter 8 Usability: Patient-Physician Interactions and the Electronic Medical Record
123(22)
Carolyn K. Shue
Laura L. S. O'Hara
Definition of Terms and
Chapter Focus
124(2)
The Current State of EMR/EHR Adoption
126(2)
The EMR/EHR and Patient-Physician Interactions
128(4)
Recommendations for Implementing EMR/EHR/HIT Improvements
132(7)
Patient-Physician Interactions
132(3)
Provider and Patient Usability
135(2)
Care Coordination
137(1)
Clinical and Practice Improvement Research
138(1)
Conclusion
139(1)
Endnotes
140(1)
References
140(5)
Chapter 9 Remembering Human Factors when Implementing Technology Use: A Case Study in Home Healthcare Usability
145(12)
Lori A. Byers
Introduction
145(2)
Case Study
147(4)
Discussion
151(4)
References
155(2)
Chapter 10 Security and Privacy: Impacts of Evolving Technologies and Legislation
157(16)
Robert Faix
Chad Cagnolatti
David Flynn
Introduction
157(1)
Evolution of Technology in Health Delivery
158(1)
Evolution of Caregiver Devices
159(1)
Security Impacts of Legislation
160(1)
Security Awareness and Management
161(2)
Security Standards and Assessment Frameworks
163(4)
Preparing for a Security Risk Analysis
167(3)
Conclusion
170(3)
Chapter 11 New Facility Planning: A Healthcare Focus
173(22)
Todd Hollowell
Carl Fleming
Overview
173(4)
Key Concepts
177(1)
The Approach
178(5)
Typical Topics and Solutions
183(2)
Tactical Projects and Roadmap
185(1)
Budget Estimates
185(1)
The Transition Coordinator
186(1)
Putting It All Together
186(7)
Strategic Planning---Visioning
190(1)
Facility Programming---Tactical Planning
190(1)
Schematic Design/Design Development---Detailed Design
190(1)
Construction---Implementation and Pilot
191(1)
Transition---Testing and Go-Live
192(1)
Post Move---Operations/Support
193(1)
Critical Success Factors
193(1)
Conclusion
194(1)
Chapter 12 Developing Innovative Health Information for Youth: Communication Theory for Practical Emerging Media Applications
195(18)
Lou Ann Stroup
Chelsey Sigler
Jay E. Gillette
Introduction: The Challenge of Effective and Innovative Health Communication for Youth
196(2)
Health-Related Topics
198(1)
Internet for Health Promotion across the United States
199(1)
Preliminary Research Findings for Recommended Information Media Approaches
200(2)
Youth Communication
200(1)
Doctor/Youth Patient Communication
201(1)
Parent-Child Communication
201(1)
Preliminary Research Findings for Health Information Content Approaches: Reaching Youth Effectively by Submarkets
202(2)
Youth Ages 10 to 14 Years
202(1)
Youth Ages 15 to 19 and 20 to 24 Years
203(1)
Parents/Adults Interacting with Youth
203(1)
Increasing Impact through Theories of Human Communication
204(1)
Two Aspects of Communication Theory to Explore
204(1)
Human Communication: The People Aspect
205(2)
Classification of Human Communication
205(1)
Effects of Human Communication
205(1)
Listening
206(1)
Communication Persuades People
206(1)
Persuasion and Group Dynamics
206(1)
Innovation in Media: The Information Technology Aspect
207(1)
Internet
207(1)
Internet 2: The Next Generation
207(1)
Health Departments, Associations, and Affiliates in Other States
207(1)
Innovative Information Media: Three Promising Approaches in Utah
208(1)
Directions for Continuing Research
209(1)
Acknowledgments
209(1)
References
210(3)
Chapter 13 Re-Envisioning the IndianaMedicaid.com Website as a Member-Focused Portal: A Case Study on Usability and Technology for Transforming Healthcare Communication
213(24)
Jared B. Linder
Introduction
213(3)
Re-Envisioning IndianaMedicaid.com
216(1)
Analyzing the Current State
217(4)
Gap Analysis: Considering the Usability
220(1)
Gap Analysis: Considering the Technology
221(1)
Re-Developing IndianaMedicaid.com
221(10)
Creating the Future State: Usability
222(5)
Creating the Future State: Technology
227(1)
Creating the Future State: Iterating Design Ideas
228(3)
Reintroducing IndianaMedicaid.com
231(1)
Original Success
231(1)
Additional Success
232(1)
Conclusions and Further Recommendations
232(2)
References
234(3)
Appendix: Glossary of Health Care Terms from IBM 237(3)
Index 240
Stephan Jones and Frank M. Groom Ball State University, Muncie, Indiana, USA