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More About This Title Health Care Information Systems: A Practical Approach for Health Care Management (Third Edition)
English
This most widely used textbook in the field has been thoroughly revised and updated to reflect changes in the health care industry and the renewed focus on health care information technology initiatives. Two new chapters cover Federal efforts to enhance quality of patient care through the use of health care information technology and strategy considerations. Additionally, reflecting the increased focus on global health, the book features an international perspective on health care information technology. Case studies of organizations experiencing management-related information system challenges have been updated and several new cases have been added. These reality-based cases are designed to stimulate discussion among students and enable them to apply concepts in the book to real-life scenarios. The book's companion Web site features lecture slides, a test bank, and other materials to enhance students' understanding.
English
Karen A. Wager, DBA, is professor and associate dean for student affairs in the College of Health Professions at the Medical University of South Carolina (MUSC). She currently serves on the Accreditation Council for the Commission on Accreditation of Healthcare Management Education (CAHME) and is a past Fellow of CAHME.
Frances Wickham Lee, DBA, is professor and director of instructional operations for Healthcare Simulation South Carolina at the Medical University of South Carolina (MUSC). She is a member of a pioneering team charged with bringing health care simulation to students and practicing professionals across the state of South Carolina.
John P. Glaser, PhD, is chief executive officer (CEO) of the Health Services Business Unit of Siemens Healthcare, where he is responsible for heading Siemens' global health care IT business. He previously was vice president and chief information officer, Partners HealthCare, Inc. Glaser was the founding chairman of the College of Healthcare Information Management Executives (CHIME), and is the former chairman of the eHealth Initiative Board and the Board of the National Alliance for Health Information Technology.
English
Tables, Figures, and Exhibits xi
Foreword xv
Preface xix
Acknowledgments xxxi
The Authors xxxiii
Part 1 Health Care Information 1
1 Introduction to Health Care Information 3
Learning Objectives
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
2 Health Care Data Quality 49
Learning Objectives
Data versus Information
Problems with Poor-Quality Data
Ensuring Data and Information Quality
Summary
Key Terms
Learning Activities
3 Health Care Information Regulations, Laws, and Standards 67
Learning Objectives
Licensure, Certification, and Accreditation
Patient Safety Organizations
Legal Aspects of Managing Health Information
Summary
Key Terms
Learning Activities
Part 2 Health Care Information Systems 101
4 History and Evolution of Health Care Information Systems 103
Learning Objectives
Definition of Terms
History and Evolution
Summary
Key Terms
Learning Activities
5 Clinical Information Systems 133
Learning Objectives
The Electronic Health Record
Other Major HCIS Types
Fitting Applications Together
Overcoming Barriers to Adoption
Summary
Key Terms
Learning Activities
6 Federal Efforts to Enhance Quality of Patient Care through the Use of Health Information Technology 179
Learning Objectives
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
7 System Acquisition 209
Learning Objectives
System Acquisition: A Definition
Systems Development Life Cycle
System Acquisition Process
Project Management Tools
Things That Can Go Wrong
Summary
Key Terms
Learning Activities
8 System Implementation and Support 241
Learning Objectives
System Implementation Process
Managing the Organizational Aspects
System Support and Evaluation
Summary
Key Terms
Learning Activities
Part 3 Information Technology 271
9 Technologies That Support Health Care Information Systems 273
Learning Objectives
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
10 Health Care Information System Standards 317
Learning Objectives
Standards Development Process
Classification Standards
Vocabulary and Terminology Standards
Health Record Content and Functional Standards
Summary
Key Terms
Learning Activities
11 Security of Health Care Information Systems 351
Learning Objectives
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 4 Senior Management IT Challenges 393
12 Organizing Information Technology Services 395
Learning Objectives
Information Technology Functions
Organizing IT Staff and Services
In-House versus Outsourced IT
Evaluating IT Effectiveness
Summary
Key Terms
Learning Activities
13 IT Alignment and Strategic Planning 437
Learning Objectives
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
14 Strategy Considerations 467
Learning Objectives
Complementary Strategies
Strategy Evolution
Governing Concepts
The Competitive Value of IT
Summary
Key Terms
Learning Activities
15 IT Governance and Management 491
Learning Objectives
IT Governance
IT Effectiveness
IT Budget
Summary
Key Terms
Learning Activities
16 Management’s Role in Major IT Initiatives 521
Learning Objectives
Managing Change Due to IT
Managing IT Projects
Understanding IT Initiative Failures
Summary
Key Terms
Learning Activities
17 Assessing and Achieving Value in Health Care Information Systems 555
Learning Objectives
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
18 Health IT Leadership: A Compendium of Case Studies 595
Appendixes
A. Overview of the Health Care IT Industry 641
B. Sample Project Charter 653
C. International Adoption and Use of Health Information Technology 665
Index 681
