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Book Cover
E-book
Author Brown, Gordon D.

Title Health informatics : a systems perspective / Gordon D. Brown, Timothy B. Patrick, Kalyan S. Pasupathy
Published Chicago, Ill. : Health Administration Press, ©2012
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Description 1 online resource (xxiii, 390 pages) : illustrations
Contents Machine generated contents note: 1. Introduction to Health Systems Informatics -- Learning Objectives -- Introduction -- Evolution of Information Technology in Healthcare -- Management Information Systems Versus Informatics -- Scientific Basis of Health Informatics -- Bioinformatics and Clinical Bioinformatics -- Medical Informatics -- Biomedical Informatics -- Health Systems Informatics as a Transformational Science -- Advances in Health Informatics -- Evolution of Medical Informatics -- Electronic Medical Record -- Electronic Health Record -- Electronic Personal Health Record -- Health Information Exchange -- Conclusion -- Chapter Discussion Questions -- Case Study: Dog Days and Information Technology -- Case Study Discussion Questions -- 2. Biomedical Vocabulary and Standards: Information Building Blocks -- Learning Objectives -- Introduction -- Components of a Concept-Based Controlled Biomedical Vocabulary -- Precoordinated Concepts -- Terms -- Semantic Relationships -- Alphanumeric Codes -- Postcoordinated Concepts -- Entry Terms -- Rules for the Application of the Vocabulary -- Two Basic Uses of Controlled Vocabulary -- Metadata and Metadata Schema -- Interoperability and Vocabulary Mapping -- Conclusion -- Chapter Discussion Questions -- Case Study: A Problem of Display Codes -- Case Study Discussion Questions -- 3. Selection and Implementation of EMR Systems -- Learning Objectives -- Introduction -- Get the Right People Involved -- Develop a Project Plan -- Get Acquainted with EMR Systems -- Analyze and Reengineer the Workflow -- Develop and Prioritize Requirements -- Clarify Objectives Early -- Evaluate Specific EMR Systems -- Select a System, and Negotiate the Contract -- Learn the Chosen System, and Map Out Optimized Workflows -- Install and Configure the System -- Test the System -- Train the Users -- Prepare for the Go-Live or Launch Date -- Shift into Production Mode -- Conclusion -- Chapter Discussion Questions -- Case Study: Zenith Internal Medicine -- Case Study Discussion Questions -- 4. Evidence-based Clinical Decision Making -- Learning Objectives -- Introduction -- Perspectives on Changing Health System Design -- The Changing Role of Health Professionals -- The Traditional Role of the Health Professions -- The Influence of the Information Age -- Redesigning Work Processes and Traditional Views -- The Structure of the Clinical Decision-Making Process -- The Micro Clinical Decision-Making Process -- The Macro Clinical Decision-Making Process -- The Science of Clinical Decision Making -- Arguments for Using Science-based Guidelines -- Cautions on Using Science-based Guidelines -- Experiential Knowledge and Clinical Decision Making -- A Systems View of the Clinical Process -- Conclusion -- Chapter Discussion Questions -- Case Study: Developing a Rapid Response Team at University Hospital -- Case Study Discussion Questions -- 5. Clinical Decision Support in Medicine -- Learning Objectives -- Introduction -- Definition and Types of Clinical Decision Support Systems -- Basic Components of Knowledge-based CDSS -- Challenges of CDSSs -- Design and Implementation Challenges: Human Factors -- Free Text Technology -- Interoperability -- CDSS Application to Medical Domains -- Clinical-Domain CDSS Examples -- Conclusion -- Chapter Discussion Questions -- Case Study: Project IMPACT: Clinical Decision Support in Critical Care -- Case Study Discussion Questions -- 6. Clinical Decision Support in Nursing -- Learning Objectives -- Introduction -- Integrated Example: Knowledge-based Nursing Initiative -- A Model of Developing CDSS with the Use of Standardized Terminology -- Development Steps -- Three Problems in Development and Management -- System Documentation Problem -- Vocabulary Problem -- System Drift Problem -- Conclusion -- Chapter Discussion Questions -- Case Study: Questions of Evidence -- Case Study Discussion Questions -- 7. The Coming of the Corporation: Transforming Clinical Work Processes -- Learning Objectives -- Introduction -- The Traditional Structure of the Healthcare Organization -- Evolution of the Clinical Function -- Health Insurance -- Managed Care -- Diagnosis-Related Group -- Institute of Medicine Reports -- The Integrated, Systems Perspective -- Transforming the Corporate Work Processes -- Work Design Models -- Professional Autonomy Versus Standardization -- Clinical Protocols and Advanced IT -- Knowledge-based Organization -- Integrating the Triad: IT, Organizations, and Professions -- Community of Practice -- Information Architecture -- Conclusion -- Chapter Discussion Questions -- Case Study: Transforming the Clinical Process at Farmington Endoscopy Center -- Case Study Discussion Questions -- 8. Knowledge-based Clinical Decision Making -- Learning Objectives -- Introduction -- Definition and Use of Knowledge in Decision Making -- Knowledge Organization -- The Principles of Knowledge Management -- Types of Knowledge -- Knowledge Socialization -- The Community of Practice and Quality Improvement -- The Application of Knowledge Management -- Framework for Understanding Knowledge in the Context of Decision Making -- A Systems Perspective of Knowledge Management -- Four Types of Knowledge-based Decision Support -- Conclusion -- Chapter Discussion Questions -- Case Study: Knowledge Management in Accountable Care Organizations -- Case Study Discussion Questions -- 9. Predictive Analytics in Knowledge Management -- Learning Objectives -- Introduction -- Data Mining and Analytics -- Data Mining -- Database Types and Their Impact on Data Mining -- Data Mining Methods -- Dynamic Systems Modeling -- Discrete Event Modeling -- Agent-based Modeling -- System Dynamics Modeling -- Comparison of the Three Modeling Approaches -- Conclusion -- Chapter Discussion Questions -- Case Study: Analytics for Disease Management and Wellness -- Case Study Discussion Questions -- 10. The Crucial Role of People and Information in Healthcare Organizations -- Learning Objectives -- Introduction -- Two Major Features of Healthcare Organizations: Service Orientation and Knowledge Intensiveness -- Service Orientation -- Knowledge Intensiveness -- Crucial Role of HRM and HIT Capabilities in Healthcare Organizations -- HRM Capabilities -- HIT Capabilities -- HRM and HIT Complementarities -- Conclusion -- Chapter Discussion Questions -- Case Study: University Hospital -- Case Study Discussion Questions -- 11.E-Health and Consumer Health Informatics -- Learning Objectives -- Introduction -- Review of Patient-Centric Systems -- Home-based E-Health Applications -- Personal Health Records -- Social Media and Consumer Health Informatics -- What Is Social Media? -- What Types of Social Media Exist? -- What Is a Social Network Site? -- Challenges in E-Health Applications -- Privacy and Confidentiality -- Reimbursement -- Accessibility -- Success Factors for E-Health -- Outcomes -- Processes -- Cost -- Patients' and Family Members' Acceptance -- Providers' Acceptance -- Conclusion -- Chapter Discussion Questions -- Case Study: Blue River Home Care -- Case Study Discussion Questions -- 12. Genomic Medicine: Informatics Implications and Opportunities -- Learning Objectives -- Introduction -- Why Genomic Medicine and Health? -- Current State of Genetic Medicine -- Overview of Genetics -- Clinical Genetics -- Molecular Pathology -- Current Informatics Approaches -- Standardization -- Emerging Trends -- Pharmacogenomics -- Direct-to-Consumer Genetic Testing -- Clinician Information -- Genomic Health -- Conclusion -- Recommended Websites -- Chapter Discussion Questions -- Case Study: Whose Body? -- Case Study Discussion Questions -- Further Readings -- 13. Health Information Privacy and Security -- Learning Objectives -- Introduction -- Defining Privacy, Security, Risk, and Trust -- Fair Information Practices -- HIPAA Technical Security Safeguards -- Authentication -- Access Control -- Security Auditing and Accounting for Disclosures -- Integrity Assurance -- Encryption -- Security Implementation in EHR Technology -- Opportunities and Challenges -- Data Mining -- Federated Identity -- Virtualization -- Social Technology -- Smartphones -- Conclusion -- Chapter Discussion Questions -- Case Study: Heinz Children's Health -- Case Study Discussion Questions -- 14. Strategic Valuation of Enterprise Information Technology Architecture -- Learning Objectives -- Introduction -- The Strategic IT Architecture Perspective -- Enterprise Strategy as the Basis of Valuation -- Strategy Related to IT Architecture -- Application Silo Architecture -- Standardized Technology Architecture -- Rationalized Data Architecture -- Modular Architecture and Interorganizational Collaboration -- Dynamic Capability of Organizations -- IT Valuation and Investment -- Theory of Value -- Public or Private Good -- Private-Sector Investment in IT -- Public-Sector Investment in IT -- Conclusion -- Chapter Discussion Questions -- Case Study: Metro Health's New Information System -- Case Study Discussion Questions -- 15. Health Systems in the Information Age -- Learning Objectives -- Introduction -- Built to Change -- Consumer-driven Healthcare and Technology -- Wellness, Prevention, and Community Health -- Regionalization and Globalization -- Regionalized Systems -- Globalization -- New Business Models -- Cloud Computing -- Medical Banking -- Analytics and Other Value-Added Services -- Core Competencies in Clinical, Management, and Informatics Education -- Conclusion -- Chapter Discussion Questions -- Case Study: Medical Banking: The Next Frontier of Health Information Technology and Financing -- Case Study Discussion Questions
Bibliography Includes bibliographical references (pages 337-372) and index
Notes Description based on print version record
Subject Information storage and retrieval systems -- Medicine -- Case studies.
Information storage and retrieval systems -- Medicine.
Medical informatics -- Case studies.
Medical informatics.
Health Information Systems -- organization & administration.
Genre/Form Case Reports.
Case studies.
Form Electronic book
Author Pasupathy, Kalyan S.
Patrick, Timothy B. (Timothy Bowen), 1954-
ISBN 1567934358
1567936024 (electronic bk.)
9781567934359
9781567936025 (electronic bk.)