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Index
Cover
Contents
Title page
Copyright
Tables, Figures, and Exhibits
TABLES
FIGURES
EXHIBITS
Foreword
Dedication
Preface
PURPOSE AND ORGANIZATION OF THIS BOOK
IT CHALLENGES IN HEALTH CARE
RISING TO THE CHALLENGES
Acknowledgments
The Authors
PART ONE: Health Care Information
CHAPTER 1: Introduction to Health Care Information
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
CHAPTER 2: Health Care Data Quality
DATA VERSUS INFORMATION
PROBLEMS WITH POOR-QUALITY DATA
ENSURING DATA AND INFORMATION QUALITY
SUMMARY
KEY TERMS
LEARNING ACTIVITIES
CHAPTER 3: Health Care Information Regulations, Laws, and Standards
LICENSURE, CERTIFICATION, AND ACCREDITATION
PATIENT SAFETY ORGANIZATIONS
LEGAL ASPECTS OF MANAGING HEALTH INFORMATION
SUMMARY
KEY TERMS
LEARNING ACTIVITIES
PART TWO: Health Care Information Systems
CHAPTER 4: History and Evolution of Health Care Information Systems
DEFINITION OF TERMS
HISTORY AND EVOLUTION
SUMMARY
KEY TERMS
LEARNING ACTIVITIES
CHAPTER 5: Clinical Information Systems
THE ELECTRONIC HEALTH RECORD
OTHER MAJOR HCIS TYPES
FITTING APPLICATIONS TOGETHER
OVERCOMING BARRIERS TO ADOPTION
SUMMARY
KEY TERMS
LEARNING ACTIVITIES
CHAPTER 6: Federal Efforts To Enhance Quality Of Patient Care Through The Use Of Health Information Technology
HITECH ACT
HEALTH CARE REFORM: NEW MODES OF CARE AND PAYMENT REFORM
HEALTH INFORMATION EXCHANGE
INFORMATION TECHNOLOGY RAMIFICATIONS OF NEW MODELS OF CARE AND PAYMENT REFORM
SUMMARY
KEY TERMS
LEARNING ACTIVITIES
CHAPTER 7: System Acquisition
SYSTEM ACQUISITION: A DEFINITION
SYSTEMS DEVELOPMENT LIFE CYCLE
SYSTEM ACQUISITION PROCESS
PROJECT MANAGEMENT TOOLS
THINGS THAT CAN GO WRONG
SUMMARY
KEY TERMS
LEARNING ACTIVITIES
CHAPTER 8: System Implementation and Support
SYSTEM IMPLEMENTATION PROCESS
MANAGING THE ORGANIZATIONAL ASPECTS
SYSTEM SUPPORT AND EVALUATION
SUMMARY
KEY TERMS
LEARNING ACTIVITIES
PART THREE: Information Technology
CHAPTER 9: Technologies That Support Health Care Information Systems
INFORMATION TECHNOLOGY ADOPTION CHALLENGES
DATA MANAGEMENT AND ACCESS
NETWORKS AND DATA COMMUNICATIONS
INFORMATION DISTRIBUTION SCHEMES
REMOTE ACCESS TECHNOLOGIES
INTERNET AND WEB CONCEPTS AND APPLICATIONS
E-COMMERCE IN HEALTH CARE
CLINICAL AND MANAGERIAL DECISION SUPPORT
INFORMATION SYSTEMS ARCHITECTURE
SUMMARY
KEY TERMS
LEARNING ACTIVITIES
CHAPTER 10: Health Care Information System Standards
STANDARDS DEVELOPMENT PROCESS
CLASSIFICATION STANDARDS
VOCABULARY AND TERMINOLOGY STANDARDS
HEALTH RECORD CONTENT AND FUNCTIONAL STANDARDS
SUMMARY
KEY TERMS
LEARNING ACTIVITIES
CHAPTER 11: Security of Health Care Information Systems
THE HEALTH CARE ORGANIZATION'S SECURITY PROGRAM
THREATS TO HEALTH CARE INFORMATION
OVERVIEW OF THE HIPAA SECURITY RULE
OUTLINE OF THE HIPAA SECURITY RULE
HITECH EXPANSION OF THE HIPAA SECURITY RULE
ADMINISTRATIVE SAFEGUARDS
PHYSICAL SAFEGUARDS
TECHNICAL SAFEGUARDS
SECURITY IN A WIRELESS ENVIRONMENT
REMOTE ACCESS SECURITY
SUMMARY
KEY TERMS
LEARNING ACTIVITIES
PART FOUR: Senior Management IT Challenges
CHAPTER 12: Organizing Information Technology Services
INFORMATION TECHNOLOGY FUNCTIONS
ORGANIZING IT STAFF AND SERVICES
IN-HOUSE VERSUS OUTSOURCED IT
EVALUATING IT EFFECTIVENESS
SUMMARY
KEY TERMS
LEARNING ACTIVITIES
CHAPTER 13: IT Alignment and Strategic Planning
IT PLANNING OBJECTIVES
OVERVIEW OF STRATEGY
VECTORS FOR ARRIVING AT IT STRATEGY
THE IT ASSET
A NORMATIVE APPROACH TO DEVELOPING ALIGNMENT AND IT STRATEGY
IT STRATEGY AND ALIGNMENT CHALLENGES
CHARACTERISTICS OF STRATEGIC THINKING
SUMMARY
KEY TERMS
LEARNING ACTIVITIES
CHAPTER 14: Strategy Considerations
COMPLEMENTARY STRATEGIES
STRATEGY EVOLUTION
GOVERNING CONCEPTS
THE COMPETITIVE VALUE OF IT
SUMMARY
KEY TERMS
LEARNING ACTIVITIES
CHAPTER 15: IT Governance and Management
IT GOVERNANCE
IT EFFECTIVENESS
IT BUDGET
SUMMARY
KEY TERMS
LEARNING ACTIVITIES
CHAPTER 16: Management's Role in Major IT Initiatives
MANAGING CHANGE DUE TO IT
MANAGING IT PROJECTS
UNDERSTANDING IT INITIATIVE FAILURES
SUMMARY
KEY TERMS
LEARNING ACTIVITIES
CHAPTER 17: Assessing and Achieving Value in Health Care Information Systems
DEFINITION OF IT-ENABLED VALUE
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
CHAPTER 18: Health IT Leadership: A Compendium of Case Studies
CASE 1: BOARD SUPPORT FOR A CAPITAL PROJECT
CASE 2: THE DECISION TO DEVELOP AN IT STRATEGIC PLAN
CASE 3: SELECTION OF A PATIENT SAFETY STRATEGY
CASE 4: STRATEGIC IS PLANNING FOR THE HOSPITAL ED
CASE 5: PLANNING AN EHR IMPLEMENTATION
CASE 6: IMPLEMENTING A CAPACITY MANAGEMENT INFORMATION SYSTEM
CASE 7: IMPLEMENTING A TELEMEDICINE SOLUTION
CASE 8: REPLACING A PRACTICE MANAGEMENT SYSTEM
CASE 9: CONVERSION TO AN EHR MESSAGING SYSTEM
CASE 10: CONCERNS AND WORKAROUNDS WITH A CLINICAL DOCUMENTATION SYSTEM
CASE 11: STRATEGIES FOR IMPLEMENTING CPOE
CASE 12: IMPLEMENTING A SYNDROMIC SURVEILLANCE SYSTEM
CASE 13: THE ADMITTING SYSTEM CRASHES
CASE 14: BREACHING THE SECURITY OF AN INTERNET PATIENT PORTAL
CASE 15: ASSESSING THE VALUE AND IMPACT OF CPOE
CASE 16: SELECTING AN EHR FOR DERMATOLOGY PRACTICE
CASE 17: WATSON'S AMBULATORY EHR TRANSITION
CASE 18: ASSESSING THE VALUE OF HEALTH IT INVESTMENT
SUGGESTED LISTING OF PUBLISHED HEALTH IT-RELATED CASES
APPENDIXES
APPENDIX A: Overview of the Health Care IT Industry
THE HEALTH CARE IT INDUSTRY
SOURCES OF INDUSTRY INFORMATION
HEALTH CARE IT ASSOCIATIONS
SUMMARY
LEARNING ACTIVITIES
APPENDIX B: Sample Project Charter
FOREWORD
BUSINESS REQUIREMENTS
VISION OF THE SOLUTION
SCOPE AND LIMITATIONS
PROJECT SUCCESS FACTORS
BUDGET HIGHLIGHTS
TIMELINE
PROJECT ORGANIZATION
PROJECT MANAGEMENT STRATEGIES
APPENDIX C: International Adoption and Use of Health Information Technology
THE ADOPTION AND USE OF HEALTH IT FROM VARIOUS REGIONS OF THE WORLD
LESSONS FROM GLOBAL LEADERS
CONCLUSION
Index
End User License Agreement
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